bluuebunny/crossref_metadata_2025_split huggingface dataset:
Outcomes of patients coming to the emergency department after kidney transplantation
Authors: KAVAK Nezih , ALTAN Mehmet 
Published: March 2022

Introduction: In kidney transplantation (KT) practice, improvements in patient care led to increased graft and patient survival. This study aimed to determine the symptomatology of KT patients presenting to emergency department (ED), their final diagnoses, and outcomes.
Material and Method: Data including demographic data (age and gender), chief complaints (CCs), number of ED presentations, ED presentation date, KT date, donor type (live/deceased), patient disposition (discharge/admission), final diagnosis, and outcomes (acute renal graft dysfunction/graft loss/death) were retrieved and analyzed.
Results: Twenty-five KT patients presented to ED during the study period. These patients presented to ED for 46 times with 50 CCs. Fever was the most frequent CC (20%). The ED presentation led to a final diagnosis of infection in 32 presentations (69.4%). The most frequent infection was urinary tract infection (UTI) (26.1%) followed, by acute gastroenteritis (17.4%) and upper respiratory tract infection (17.4%). Acute graft dysfunction was the most common “non-infectious diagnosis” (17.4%) followed by cardiovascular disease (8.5%). The ED presentation led to admission in 32.6% (15/46) of the cases. Among 15 admissions, 7 (46.7%) were due to UTI. No rejections, graft loss, or mortality occurred following any ED presentations.
Conclusion: When evaluating KT patients in the ED, physcians should bear in mind that they could have an infectious pathology that is often associated by fever, also they should check for acute graft dysfunction and cardiac pathologies.
The prevalence of anemia in elderly patients: a cross-sectional study
Authors: YILDIZ Jale , SARIÇAM Orkun 
Published: March 2022

Introduction: As the elderly population continues to increase, physiological changes and pathological conditions in old age have started to attract more attention. Anemia is a common public health problem in both developed and developing countries. Many studies have emphasized the negative effects of anemia on poor physical performance, susceptibility to falls, impaired cognitive function and death in the elderly. Considering the classification of anemia, a substantial amount of unexplained anemia in the elderly population raises the question of whether this is a natural consequence of aging. Our aim in this study is to reveal the frequency of anemia in the geriatric population and to classification.
Material and Method: This retrospective cohort study was conducted with the evaluation of patients admitted to the internal medicine outpatient clinic of a secondary state hospital in Ankara. All patients over the age of 65 who applied to the internal medicine outpatient clinic with different complaints between December 2020 and September 2021 and had a hemogram test were evaluated for eligibility for the study.
Results: Anemia was present in 103 of 1210 patients over 65 years of age included in our study. In our study group, the frequency of anemia was 8.5%. The median age of patients with anemia was 73 (65-93) years, and 60.1% (n=62) of these patients were women. The number of patients with at least one comorbidity was 74 (71.8%). The most common type of anemia in patients with anemia was iron deficiency anemia (n=47, 45.6%). Anemia of chronic disease (n=16, 15.5%) was the second most common anemia, and anemia due to vitamin b12 deficiency (n=4, 3.8%) and folic acid deficiency (n=3, 2.9%) was less common. The rate of unexplained anemia was 27.2% (n=28).
Conclusion: It was revealed in our study that anemia is a common health problem in elderly patients in our society, and that unexplained anemia can be seen at a substantial rate. The prevalence of anemia of approximately 10% in our study gives the message that anemia is an important public health problem for the elderly population and that health care providers should be careful in terms of preventive and therapeutic measures.
Comparison of electrodiagnostic findings in patients with post-COVID-19 and non-COVID-19 Guillain-Barre syndrome
Authors: YEVGİ Recep , BİLGE Nuray 
Published: March 2022

Aim: The aim of this study is to compare the electrophysiological features of patients with Guillain-Barré syndrome (GBS) after Coronavirus disease–2019 (COVID-19) and the electrophysiological features of patients with non-COVID-19 GBS and to determine whether there is a difference between these two groups in terms of nerve dysfunction.
Material and Method: The electromyography results of the patients followed up with the diagnosis of GBS between December 2019 and December 2021 in the Neurology Department of Atatürk University Faculty of Medicine were retrospectively analyzed. Patients with a history of COVID-19 in the 6-week period before the occurrence of GBS were considered as the post-COVID-19 GBS group. Patients who did not have a history of COVID-19 but developed GBS were considered the non-COVID-19 GBS group. Electrodiagnostic findings of the patients were compared between two groups.
Results: Motor compound muscle action potential (CMAP) amplitude of the median nerve was detected as 1.94±1.43 mV in post-COVID-19 GBS group and 5.94±4.6 mV in non-COVID-19 GBS group (p
Comparison of thyroid scintigraphy and ARFI-elastography in autoimmune thyroid diseases
Authors: SEZGİN İlhan , TAŞDEMİR Bekir , KİLİNC Faruk , HAMİDİ Cihad , ÇORAPLI Mahmut 
Published: March 2022

Aim: To compare the ARFI elastographic and scintigraphic quantitative data obtained from thyroid gland and to evaluate diagnostic value of ARFI elastographic measurements in autoimmune thyroid diseases.
Material and Method: In the study a total of 61 patients (41 women, 20 men) including 24 Graves’ disease, 15 Hashimoto disease and 22 control subjects. The patients mean age was 33.9±10.9 years. Patients with thyroid nodules were not included in the study. Thyroid uptake was performed with Tc 99m pertechnetate and the elastosonography score of the thyroid gland was determined with ARFI. Findings of both disease groups were statistically compared with each other and control group
Results: For thyroid uptake test; a statistically significant difference was found between two disease (p < 0.001) and between each disease and control group (p < 0.001 for Hashimoto, p
Does face mask affects sleep quality in patients with nasal septal deviation: evaluated by mini sleep questionnarie
Authors: ŞENCAN Ziya , CÖMERT Ela , BAYAR MULUK Nuray , KOÇAK Furkan Melih , TEKİN Yasin 
Published: March 2022

Objectives: The aim of this study was to investigate the effects of face mask usage on the sleep quality of patients with nasal septal deviation.
Material and Method: Thirty-four patients with unilateral nasal septum deviation (Group 1) and 27 healthy subjects without septum deviation (Group 2, control) were included in the study. Mask usage time per day (hours) in the last week, weight, length and BMI values, smoking, and alcohol habits were asked. In both groups, the sleep quality of the patients was evaluated by Mini Sleep Questionnaire (MSQ). Sleep delay (SD), sleep awakenings (SA), sleep medications (SM), daytime sleep (DS), morning fatigue (MF), habitual snoring (HS), morning awakening (MA), morning headache (MH), chronic fatigue (CF), and restless sleep (RS); and total MSQ items were evaluated.
Results: All subjects used surgical masks. In the nasal septal deviation group, the right-sided deviation was detected in 15 (44.1%) patients and left-sided deviation was detected in 19 (55.9%) patients. Deviation located was anterior deviation in 12 (35.3%) patients, posterior deviation in 13 (38.2%) patients and antero-posterior deviation in 9 (26.5%) patients. Sleep Medications (SM) and Morning Headache (MH) values of the deviation group (Group 1) were significantly lower than those in the control group (p0.05). In older patients with septal deviation, Sleep Awakenings (SA), Habitual Snoring (HS), Morning Awakening (MA), and Total MSQ scores increased (p
The relationship between malignancy and Behçet's disease features
Authors: DOĞAN İsmail , ARMAĞAN Berkan , GÖK Kevser , KAYACAN ERDOĞAN Esra , ERTEN Şükran 
Published: March 2022

Introduction: Behçet’s disease (BD) is an autoimmune, multisystemic vasculitis characterized by chronic inflammation. Autoimmune responses in BD could drive chronic inflammation which is a risk for malignant transformation. Some genetic, environmental, clinical features and immunosuppressive treatments in BD may increase the risk of malignancy. Common genetic factors and similar environmental factors play a role in the pathogenesis of some autoimmune diseases and malignancies. We hypothesized that the frequency of comorbidity and clinical features of BD may differ in BD patients with a family history of malignancy. So, we aimed to compare the demographic and clinical characteristics features of the BD patients with and without a family history of malignancy.
Material and Method: The BD patients who admitted the rheumatology outpatient clinic consecutively were included in the study. The demographic and clinical characteristics, comorbidities including malignancy in BD patients and malignancies in their family were questioned. The acute phase reactant elevation of at least two follow-ups was accepted as chronic inflammation.
Results: A total of 98 patients (57% male) were included. Mean age was 43.5±12.3 years. The frequency of comorbidity was 60% and malignant/premalignant lesions were seen in 5% of the patients. All lesions were solid organ related and all of them were in women. History of BD and malignancy in patients' families was found 28% and 38%, respectively. The patients with and without malignancy in their family were compared. Female gender and the frequency of erythema nodosum were higher in the patients with malignancy in their family. The other demographic and clinical characteristics, chronic persistent inflammation and medical treatments were statistically. not different
Conclusion: Frequency of malignancy in BD patients’ family was evaluated and to the best of our knowledge, there was no literature data on this subject interestingly. The family history of malignancy in BD patients could be associated with clinical characteristics. Further prospective studies were needed to show the clinical effect of malignancy history in families.
Efficacy of tocilizumab in severe COVID-19: a retrospective study
Authors: ÇOLAK Seda , TEKGÖZ Emre , ÇINAR Muhammet , YILMAZ Gülden , TECER Duygu , BIÇAKÇI Fahrettin , CUCE Ferhat , FİDAN Gonca , DOĞAN Deniz , SAVAŞÇI Ümit , ARSLAN Yakup , TAŞÇI Cantürk , UYAR Emel , KARACAER Zehra , ŞENKAL Serkan , YILMAZ Sedat 
Published: March 2022

Aim: Coronavirus disease 2019 (COVID-19) is a pandemic with potential life-threatening outcomes. The current study aims to demonstrate the effect of tocilizumab in COVID-19 related cytokine storm.
Material and Method: This retrospective cross-sectional study evaluated the patients who received tocilizumab for COVID-19 related cytokine storm between March and August 2020. Demographic, clinical, and laboratory findings were recorded. Computerized tomography (CT) scans, which were performed before tocilizumab infusion were scored. The characteristics of the patients who survived versus those who did not survive were assessed.
Results: There was a total of 137 patients, 99 (72.3%) male and 38 (27.7%) female, with a median age of 62 years. Eighty-six (62.7%) patients had severe; 51 (37.2%) patients had critical disease course. The mortality rate was 24.1%. Higher mortality rates were present among patients older than 65 years, females, and with comorbid diseases (p=0.02, p=0.031, and p=0.01, respectively). The non-survived group had higher rates of mechanical ventilation (MV) support (85.2%) and admission to the intensive care unit (58.8%) (p
Preterm placental calcification: maternal calcium, magnesium, 25(OH)D levels and adverse obstetric outcomes in low-risk pregnant women
Authors: GENÇ Simten , ÖZKAN Yağmur , KÜKRER Sadık , ŞİRİNOĞLU Hicran , MİHMANLI Veli 
Published: March 2022

Aim: The aim of our study is to examine early and late preterm placental calcification (PPC) and compare their relationship with maternal calcium, magnesium and 25(OH) D levels and adverse obstetric outcomes.
Material and Method: This prospective cohort study was conducted by examining the pregnant women at their 24th to 36th gestational weeks who applied to the Gynecology Department of Okmeydani Training and Research Hospital. In this study, 207 patients were selected as the study group.
Results: When the early and late PPC groups were compared, rates of low birth weight (LBW) was statistically higher in the early PPC group. (p=0.022) Oligohydramnios was more common in the early and late PPC patients compared to non-PPC pregnant women. However, oligohydramnios and LBW were not found statistically significant difference in logistic regression analysis. There was also no statistically significant difference in maternal calcium, magnesium and vitamin D levels between the groups.
Conclusion: Preterm placental calcifications might be associated with fetal and maternal complications. But the diagnosis of PPC alone is not effective in determining fetal prognosis.
Significant and nonsignificant findings on magnetic resonance imaging of patients with headache
Authors: YÜKSEL Hatice , TUTAL GÜRSOY Görkem , BEKTAŞ Hesna 
Published: March 2022

Aim: The great majority of people suffer from headaches. Neuroimaging has a very limited role in determining the etiology of headache However, neuroimaging, especially magnetic resonance imaging (MRI), is requested for the vast majority of patients with headache. We aimed to determine the frequency of clinically significant and nonsignificant findings on brain MRI in patients with headache, and the factors associated with these findings.
Material and Method: A total of 350 patients (231 women and 119 men), who underwent MRI examinations for headache complaints, were included in the study. Based on the evaluation of lesions detected on MRI and headache characteristics together, lesions associated with headache were classified as significant findings, and lesions unrelated to headache were classified as nonsignificant findings. Patients were compared in terms of brain MRI findings on the basis of age, gender, and duration of headache complaints.
Results: Assessment of brain MRIs revealed normal findings in 211 (60.3%) patients, nonsignificant findings in 122 (34.8%) patients, and significant findings that could cause headache in 17 (4.9%) patients. The most common significant lesions were acute sinusitis, acute cerebrovascular accident, cerebral venous sinus thrombosis and aneurysm. In patients over 65 years of age, the frequency of significant findings was significantly higher (p:0.001). The frequency of significant findings was higher in male patients and patients with a headache duration of less than one month, but there was no statistical difference (p:0.452 and p:0477).
Conclusion: We found significant findings on brain MRI in approximately 5% of patients with headache. Being over 65 years old and acute onset headache increase the probability of detecting significant lesions on MRI. Despite its low diagnostic value, physicians will often refer patients with headaches to neuroimaging for fear of missing a critical underlying lesion and encountering medico-legal issues. Taking into account worrying red flags can increase the likelihood of finding significant lesions.
Comparison of geriatric pulmonary embolism severity index (G-PESI) with PESI and s-PESI in predicting prognosis and mortality
Authors: AKÇA Hatice Şeyma , ÖZDEMİR Serdar , ALGIN Abdullah , ALTUNOK İbrahim 
Published: March 2022

Aim: Our objective is to investigate the effect of geriatric pulmonary embolism severity index score on mortality independent of age and to compare it with pulmonary embolism severity index and simplified pulmonary embolism severity index.
Material and Method: This is a retrospective observational study including patients over 65 years of age diagnosed with pulmonary embolism, who presented to the emergency medicine clinic of tertiary hospital between January 1, 2016 and January 1, 2021. The relationship between the original PESI and 30-day mortality was evaluated, and age was removed from the original score in the G-PESI. A univariate analysis of PESI, s-PESI, and G-PESI was performed using the chi-square test, Fisher’s exact test, Student’s t-test, and Mann–Whitney U test as appropriate to determine the association of these scores with 30-day mortality. Statistical analysis was performed using SPSS version 26.0.
Results: This study included 167 patients, of whom 113 (67.7%) were women. According to the diagnostic test performance analysis report, the pulmonary embolism severity index, simplified pulmonary embolism severity index and geriatric pulmonary embolism severity index scores were statistically significant in predicting mortality, with the area under the curve values of 0.736 (0.34-1.91), 0.635 (0.74-1.81), and 0.739 (0.50-2.18) at the cut-off values of >110, >2, and >40, respectively (p
Diagnostic and prognostic value of the ratio of mean platelet volume to platelet count in acute mesenteric ischemia
Authors: ÖZKAN Murat Bulut , TOPCU Ramazan , ŞAHİN Fatih , YILDIRIM Murat Baki 
Published: March 2022

Introduction: Acute mesenteric ischemia (AMI) is a condition in which there is a sudden cessation of blood supply to a particular intestinal segment and consequent cellular damage. Although it has a low incidence of approximately 0.09-0.2% of all emergency surgery admissions, AMI is a severe condition that can cause high early mortality. A direct relationship between an increased mean platelet volume (MPV) and acute thrombotic events has been shown in recent years. we aimed to find out whether the diagnosis of mesenteric ischemia and the amount of bowel segment affected by ischemia will guide clinicians preoperatively with these markers
Material and Method: A total of 57 cases with bowel resection due to mesenteric ischemia were included in the study. The gender, age, serum platelet (PLT), MPV, white blood cell count (WBC), neutrophil count (NEU), lymphocyte count (LYM), Albumin, CRP, neutrophil-lymphocyte ratio (NLR), MPV/Platelet Count, and CRP-albumin ratio (CAR) levels at the time of admission, operation time, length of resected bowel segment, length of hospital stay, presence of necrosis and perforation from pathology reports, and length of bowel segment leading to necrosis were scanned.
Results: A moderate (moderate) negative correlation was found between the length of resected bowel segment and PLT (P
Pengaruh Lingkungan Keluarga Dan Proses Pembelajaran Di Perguruan Tinggi Terhadap Literasi Keuangan (Studi Kasus Pada Mahasiswa Sekolah Tinggi Manajemen Labora)
Authors: Kartikaningsih Dewi , Yusuf Syamsu 
Published: March 2022

This study aimed to analyze the influence of family environment and learning in college education toward financial literacy of Labora School of Manajemen students in Jakarta. This study uses a quantitative approach to comparative causal type. Based on the calculation of sampling using a purposive sampling method with Slovin formula obtained a minimum of 62 respondents so that the respondents get the final data. The method used is a survey method using a questionnaire given to students and answered by students and processed with a Likert scale. Data analysis techniques used are multiple linear regression. Based on the results of the analysis that has been done, the results show that the family environment, college learning has a positive and significant effect on financial literacy with a linear regression equation in this study formulated with Y = 2.054 + 0.419 X1 + 0.470 X2. The results of the study are partially family environment and learning in college education influence financial literacy and simultaneously family environment and learning in college education influence financial literacy.
ANALISIS KESIAPAN BELAJAR MATEMATIKA SISWA SECARA BLENDED LEARNING DALAM MASA TRANSISI
Authors: Shavira Lintang Ega , Phasa Leana Iramaya , Muchlishin Muhammad , Putranto Sumbaji 
Published: March 2022

This research was conducted to see the readiness of students in implementing blended learning mathematics in the current transition period. Blended learning was chosen as a way of learning for students with a mixture of online and offline. This was implemented after the community evenly carried out a vaccination program from the government to prevent the Covid-19 virus. The readiness of students to take part in learning mathematics is judged by how students fill out questionnaires in the Google Form that we distribute. Students fill in several questions in the form of short questions, multiple choice with two options and several Likert scales that we have made. The method used in this study is a qualitative descriptive method using a questionnaire technique. Respondents in this study were students at one of the Madrasah Aliyah in Wonosari, Gunung Kidul Regency, Yogyakarta who were selected randomly. The result of this study indicate that students can accept learning with the Blended Learning method in this transition periodperiod with 50% no problem and 35,7% ready in this learning. However, as many as 64,3% of students want offline learning and 7,1% want online learning. Then the remaining 28,6% of students want Blended Learning.
KEBIJAKAN PENDIDIKAN TERHADAP PELAKSANAAN PEMBELAJARAN DALAM JARINGAN PADA MASA PANDEMI COVID 19 DI SMP NEGERI I MANDALLE KABUPATEN PANGKEP
Authors: A. Abidin Anshar 
Published: March 2022

Penelitian ini bertujuan untuk mengetahui kebijakan pendidikan terhadap pelaksanaan pembelajaran dalam jaringan pada masa pandemi covid 19 Di SMP Negeri I Mandalle Kabupaten Pangkep. Fokus penelitian adalah kebijakan pendidikan dalam masa pandemi covid 19 terhadap beberapa kegiatan penting di sekolah yaitu Ujian Nasional, Uji Kompetensi Keahlian , Ujian Sekolah dan Ujian kenaikan kelas. Sesuai tujuan penelitian maka tipe penelitian yang digunakan adalah tipe penelitian kualitatif. Menggunakan teknik pengumpulan data : observasi, wawancara dan dokumentasi. Informan adalah: kepala sekola, guru, dan orang tua siswa. Sedangkan teknik analisis data yang digunakan adalah teknik Miles dan Huberman. Dalam penelitian ini ditemukan beberapa kegiatan penting di SMP Negeri I Mandalle Kabupaten Pangkep telah ditiadakan untuk sementara waktu, seperti Ujian Nasional, Uji Kompetensi Keahlian, Ujian Sekolah dan Ujan kenaikan kelas. Alasan utama pembatalan beberapa ujian tersebut bertujuan untuk menekan penyebaran virus korona. Agar pelaksanaan pembelajaran tetap berlangsung, maka salah satu pilhan kebijakan pendidikan yang telah diterapkan adalah melakukan pembelajaran Daring dari rumah, dengan harapan guru dan siswa dapat aman dari wabah virus korona. Hasil penelitian menunjukkan bahwa implementasi kebijakan pendidikan terhadap pelaksanaan
pembelajaran dalam jaringan pada masa pandemi covid 19 Di SMP Negeri I Mandalle Kabupaten Pangkep telah berjalan dengan baik karena sudah sesuai kebijakan pendidikan nasional yang tertuang dalam Surat Edaran Menteri Pendidikan dan Kebudayaan RI Nomor 4 Tahun 2020 Tentang Pelaksanaan Kebijakan Pendidikan Dalam Masa Darurat Penyebaran Covid-19 dan sudah sesuai Surat Edaran Menteri Pendidikan dan Kebudayaan RI Nomor 1 Tahun 2021 Tentang Peniadaan Ujian Nasional dan Ujian Kesetaraan Serta Pelaksanaan Ujian Sekolah Dalam Masa Darurat Penyebaran Corona Virus Disease (covid) 19.