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    THE COMPARISON OF VITAMIN D LEVELS OF HEALTHY AND GESTATIONAL DIABETIC PREGNANT WOMEN
    (Derman Medical Publ, 2017) Pekgor, Selma; Basaran, Mustafa; Cihan, Fatma Goksin; Pekgor, Ahmet
    Aim: To evaluate and compare 25-hydroxyvitamin D [25(OH)D3] levels of women with gestational diabetes mellitus (GDM) and those with normal glucose tolerance (NGT). Material and Method: A total of 40 women (20 with GDM and 20 with NGT) admitted to the clinic of obstetrics and gynecology due to follow-ups between the 24th and 28th gestational weeks and exposed to 50 and/or 100 gr oral glucose tolerance testing (OGTT) were enrolled into this prospective case-controlled study. Patients with GDM and controls with NGT were defined according to the 2013 criteria of the American College of Obstetricians and Gynecologists (ACOG). Age, height, weight, body mass index (BMI), history of previous diseases and surgeries, vitamin D replacement, clothing style (in this region 95% of participants dress in a style that prevents the sun from reaching skin) exercising status, and familial history were recorded. Serum samples were collected between the 24th and 28th gestational weeks to measure 25(OH)D3 levels via the chemiluminescence method. Results: Mean 25(OH)D3 levels were found as 8.71 +/- 3.36 ng/mL (ranging from 4.20 to 18.84). Vitamin D deficiency (< 10 ng/mL) and insufficiency( 10-30 ng/ml) were observed at the rate of 70% and 30%, respectively. 25(OH)D3 levels were 9.40 +/- 3.53ng/mL in patients with GDM and 8.0 +/- 3.11 ng/mL in controls with NGT. In terms of vitamin D deficiency, no statistically significant difference was found between the GDM and NGT groups. Discussion: 25(OH)D3 levels were found to be similar or lower in patients with GDM and those with NGT. We consider that prospective, randomized-controlled and comprehensive studies with larger populations are needed to illuminate the role of 25(OH)D3 levels in the development of GDM.
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    A Cross-sectional Study; 2015 Evaluation of Lung Graphs
    (Kare Publ, 2018) Alkan, Ender; Pekgor, Selma; Tolu, Ismet; Inal, Zeynep Ozturk; Kucukkendirci, Hasan
    Objectives:This study was an evaluation of posteroanterior chest radiographs taken of residents of Konya determined by the cluster sampling method. Methods: This study was a descriptive cross-sectional study, conducted in cooperation with the Konya Education and Research Hospital, the provincial health directorate, and the metropolitan municipality. The sociodemographic characteristics of 2015 individuals participating in the study were recorded. The standard chest radiographs, which were taken with a traditional analog system during inspiration in the standing position, were evaluated by 2 radiologists.The most obvious pathological finding was recorded. Results: Of the participants, 1075 (53.40%) were female and 940 (46.60%) were male. The mean age was 45.89 +/- 0.45 years for the women and 46.20 +/- 0.54 years for the men. In the group, 340 (16.90%) were retired, 492 (24.40%) were farmers and/or laborers, 144 (7.10%) were white-collar employees, and 1039 (51.60%) were housewives or unemployed. In all, 580 (28.80%) were cigarette smokers. While 249 (12.36%) had pathological findings on the chest radiograph, 1766 (87.64%) had normal results.The pathological findings were hilar fullness (n=50, 2.48%), emphysematous appearance (n=48, 2.38%), nodule (n=29, 1.44%), increased reticulonodular density (n=26, 1.29%), increased bronchovascular branching (n=9, 0.44%), bronchiectasis (n=4, 0.20%), and other changes (n=83, 4.12%). The incidence of emphysematous appearance was 2.77 times greater in the smokers than in the non-smokers (p<0.05; odds ratio [OR]: 2.77, confidence interval [CI]: 1.56-4.91). While the chest X-ray was normal in 93.50% of the individuals under the age of 40 years, the rate decreased to 84.60% in the individuals over the age of 40 years. The incidence of a pathological chest radiograph was also 2.62 times higher in individuals over the age of 40 years (p<0.001; OR: 2.62, CI:1.90-3.61). Conclusion: The incidence of pathological lung findings was greater in individuals over the age of 40 years, and in workers and retirees.
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    A Cross-sectional Study; 2015 Evaluation of Lung Graphs
    (Kare Publ, 2018) Alkan, Ender; Pekgor, Selma; Tolu, Ismet; Inal, Zeynep Ozturk; Kucukkendirci, Hasan
    Objectives:This study was an evaluation of posteroanterior chest radiographs taken of residents of Konya determined by the cluster sampling method. Methods: This study was a descriptive cross-sectional study, conducted in cooperation with the Konya Education and Research Hospital, the provincial health directorate, and the metropolitan municipality. The sociodemographic characteristics of 2015 individuals participating in the study were recorded. The standard chest radiographs, which were taken with a traditional analog system during inspiration in the standing position, were evaluated by 2 radiologists.The most obvious pathological finding was recorded. Results: Of the participants, 1075 (53.40%) were female and 940 (46.60%) were male. The mean age was 45.89 +/- 0.45 years for the women and 46.20 +/- 0.54 years for the men. In the group, 340 (16.90%) were retired, 492 (24.40%) were farmers and/or laborers, 144 (7.10%) were white-collar employees, and 1039 (51.60%) were housewives or unemployed. In all, 580 (28.80%) were cigarette smokers. While 249 (12.36%) had pathological findings on the chest radiograph, 1766 (87.64%) had normal results.The pathological findings were hilar fullness (n=50, 2.48%), emphysematous appearance (n=48, 2.38%), nodule (n=29, 1.44%), increased reticulonodular density (n=26, 1.29%), increased bronchovascular branching (n=9, 0.44%), bronchiectasis (n=4, 0.20%), and other changes (n=83, 4.12%). The incidence of emphysematous appearance was 2.77 times greater in the smokers than in the non-smokers (p<0.05; odds ratio [OR]: 2.77, confidence interval [CI]: 1.56-4.91). While the chest X-ray was normal in 93.50% of the individuals under the age of 40 years, the rate decreased to 84.60% in the individuals over the age of 40 years. The incidence of a pathological chest radiograph was also 2.62 times higher in individuals over the age of 40 years (p<0.001; OR: 2.62, CI:1.90-3.61). Conclusion: The incidence of pathological lung findings was greater in individuals over the age of 40 years, and in workers and retirees.
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    EVALUATION OF GERIATRIC PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT DUE TO A TRAFFIC ACCIDENT
    (Gunes Kitabevi Ltd Sti, 2017) Mesin, Mehmet Zahid; Cihan, Fatma Goksin; Pekgor, Selma; Kutlu, Ruhusen; Eryilmaz, Mehmet Ali; Koylu, Ramazan
    Introduction: The aim of this study was to evaluate patients aged 65 years and older who were admitted to hospital due to a traffic accident through the last year retrospectively. Materials and Methods: The study included 204 elderly patients admitted to the emergency department of Konya Training and Research Hospital due to a traffic accident between 1st November 2014 and 30th October 2015. The socio-demographic characteristics, accident stories, and treatments of these patients were examined. The data were analyzed by statistical tests. Results: Of the patients, 64.7% (n = 132) were male and 35.3% (n = 72) were female. The traffic accidents occurred most frequently in the spring and summer time (p < 0.001). During winter months, the accidents occurred between 06.00 and 11.59 hours at most, but in other seasons they occurred between 12.00 and 17.59 hours more frequently (p < 0.001). Of the admitted patients, 4.4% (n = 9) lost their lives and 6.9% (n = 14) were hospitalized at the intensive care unit. While 56.4% (n = 115) of the patients were discharged from the emergency department by recovery, 43.6% (n = 89) of the patients were referred to 17 different clinics. Injuries were sustained to one or more parts of the body in 93.1% (n = 190) of the patients. The patients with head trauma had the highest mortality (p. 0.001). Conclusion: New strategies are needed to prevent traffic accidents and to treat geriatric patients more effectively after a traffic accident.
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    Evaluation of the knowledge level and attitude of physicians towards obstructive sleep apnea syndrome
    (Bayrakol Medical Publisher, 2021) Sarioglu, Ayse; Ecirli, Samil; Senturk, Hayriye; Pekgor, Selma; Vatansev, Hulya; Bekci, Taha Tahir
    Aim: The knowledge level and approach of physicians in Turkey to obstructive sleep apnea syndrome (OSAS) is unknown. The aim of this study is to evaluate the knowledge level and attitudes of physicians from various branches to OSAS. Materials and Methods: In this cross-sectional analytical study, Obstructive Sleep Apnea Knowledge and Attitude (OSAKA) questionnaire was performed in order to measure knowledge levels and attitudes to OSAS. SPSS 22 package program was used for statistical analysis of data, p-value <0.05 was considered significant. Results: Four hundred forty-four physicians (16 from fundamental sciences, 295 from internal branches, 99 from surgical branches and 34 general practitioners) participated in the study. The mean knowledge score was 11.41 +/- 3.05 (0-18). The knowledge score of physicians aged 30 years and younger was significantly higher than those aged 31 years and older (p <0.001). There was a negative correlation between knowledge score and age of doctors (rs=-0.214, p <0.001). The level of knowledge of pulmonologists and ENT specialists was higher compared to physicians of other branches (p <0.05). No significant difference was detected between the knowledge scores of academicians and non-academicians (p> 0.05). There was no correlation between knowledge scores and academic degrees (rs=-0.072, p = 0.188). It was observed that the knowledge level of physicians whose professional experience was 4 years or less was higher than that of those whose professional experience was 5 years or more (p = 0.001). A negative correlation was also detected between knowledge scores and professional experience (rs=-0.193, p <0.001). Discussion: It was determined that physicians' level of knowledge about OSAS was not sufficient and they felt insufficient about the management of OSAS patients. It would be appropriate to raise awareness of OSAS among practicing physicians within the scope of vocational training as well as in medical faculties and institutions providing specialist training.
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    Visceral Adiposity Index Levels in Patients with Hypothyroidism
    (Natl Med Assoc, 2018) Pekgor, Selma; Duran, Cevdet; Kutlu, Ruhusen; Solak, Ibrahim; Pekgor, Ahmet; Eryilmaz, Mehmet Ali
    Objective: To assess visceral adiposity index (VAI) as a sign of cardio-vascular diseases (CVD) in hypothyroidism patients and to compare CVD risks in overt or subclinical hypothyroidism patients. Materials and methods: Sixty-eight hypothyroidism patients (29 with overt and 39 with subclinical hypothyroidism) and 33 age- and gender-matched control patients were included. VAI levels were calculated with the following formula: (waist circumference (WC)/[36.58+(1.89xbody mass index (BMI))])x[(triglyceride (TG) (mmol/L)/0.81)x(1.52xhigh-density lipoprotein cholesterol (HDL-cholesterol) (mmol/L))] and (WC/[39.68+(1.88xBMI)])x[(TG (mmol/L)/1.03)x(1.31xHDL-cholesterol (mmol/L))], respectively. Results: While body weight (p < 0.01), BMI (p < 0.01), TG and VAI levels (p < 0.01) were higher in hypothyroidism patients than controls, HDL-cholesterol levels were lower (p = 0.02). When patients were divided to groups as subclinical (n = 39) and overt hypothyroidism (n = 29) and compared with each other and controls (n = 33), body weight (p = 0.02 and p = 0.02, respectively), BMI (p = 0.01 and p < 0.01, respectively) and TG (p < 0.01 and p = 0.03, respectively) were higher in overt and subclinical hypothyroidism groups than controls. HDL-cholesterol was lower only in the group with overt hypothyroidism than controls (p = 0.01). Although found similar to each other in overt and subclinical hypothyroidism groups, VAI levels were observed to be higher in both groups than controls (p < 0.01 and p = 0.02, respectively). In correlation analysis, a positive correlation was determined between thyroid stimulating hormone (TSH), BMI and VAI levels (p = 0.03 and p < 0.01, respectively). Conclusions: Due to the association between increased VAI levels, and metabolic syndrome and CVDs, we consider that several measures should be promptly taken to decrease these risk factors, and further studies with a larger sample size should be performed.