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  1. Article: Rectus Sheath Hematoma as a Complication in Patients With COVID-19: Clinical and Imaging Findings.

    Emekli, Emre / Yıldırım, Mesut / Türkkanı, Mustafa H / Ödemiş Başpınar, Emel

    Cureus

    2023  Volume 15, Issue 5, Page(s) e38943

    Abstract: Objectives This study aims to investigate the frequency of rectus sheath hematoma (RSH), clinical findings, imaging findings, and prognosis in patients admitted to the hospital due to COVID-19. Methods In this retrospective study, the patient's ... ...

    Abstract Objectives This study aims to investigate the frequency of rectus sheath hematoma (RSH), clinical findings, imaging findings, and prognosis in patients admitted to the hospital due to COVID-19. Methods In this retrospective study, the patient's demographic characteristics, known diseases, laboratory values, RSH-related symptoms, the treatment they received, imaging modality used to diagnose RSH, and side and size of RSH were recorded. In addition, the inpatient ward to which the patients were admitted, length of hospital stay, time from the beginning of anticoagulant use to the diagnosis of RSH, and prognosis were noted. Results A total of 9,876 patients were admitted to the hospital due to COVID-19 and started anticoagulant treatment. Of these patients, 12 (0.12%) were determined to have RSH (female/male ratio: 5). The prothrombin time, activated partial thromboplastin time, international normalized ratio, hemoglobin, and hematocrit values ​​of 11 patients were within the reference ranges. The mean length of hospital stay was 12 (4.25-22.5) days, and the duration of anticoagulant use was 5.5 (4-10.75) days. RSH was diagnosed using USG in 10 patients and CT in two patients. Conclusion There has been an increase in the use of anticoagulants due to COVID-19, and accordingly, RSH is now more frequently diagnosed and has a more fatal course. Female gender, advanced age, severe COVID-19 disease, and elevated d-dimer at the time of presentation can be considered risk factors for the development of RSH. All physicians who treat and follow up on patients with COVID-19 should consider the possibility of RSH in the differential diagnosis of patients with acute abdominal pain and palpable masses. USG should be undertaken as the first-line imaging modality for the diagnosis of patients, but CT may also be necessary to detect RSH in some cases.
    Language English
    Publishing date 2023-05-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.38943
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  2. Article ; Online: Determination of the factors contributing to depression and anxiety in advanced stage lung cancer patients.

    Ozdilekcan, Cigdem / Turkkani, Mustafa H / Ozdemir, Tarkan / Goksel, Fatih / Akyol, Mesut

    Journal of cancer research and therapeutics

    2023  Volume 19, Issue 2, Page(s) 359–365

    Abstract: Background: The diagnosis of cancer and initiation of treatment disrupt physical, emotional, and socio-economical stability of the patients by reducing the quality of lives and ultimately leading to depression and anxiety. We aimed to observe the ... ...

    Abstract Background: The diagnosis of cancer and initiation of treatment disrupt physical, emotional, and socio-economical stability of the patients by reducing the quality of lives and ultimately leading to depression and anxiety. We aimed to observe the indicators for anxiety and depression among lung cancer (LC) patients by comparing with other cancer (OC) patients.
    Methods: This study has been conducted between 2017 and 2019. Questionnaires were provided for both LC and OC patients.
    Results: Two hundred and thirty patients with the ages varied between 18 and 86 (median: 64.0) were included in the study. A total of 115 patients (case group) were diagnosed as LC, and the remaining were with OC diagnosis (control). No difference was determined between the groups in means of median anxiety and depression scores. Patients who required assistance in hospital procedures, daily life activities, and self-care had higher depression and anxiety scores (p < 0.05) compared to those did not require assistance. Anxiety and depression scores in OC groups showed a remarkable difference according to performance status (p < 0.001). The depression score of the patients who stated that they did not know their social rights was remarkably higher than those of the patients who stated that they know their social rights. We found no relationship between depression and anxiety scores because of disease caused income loss and expense increase.
    Conclusion: For LC patients, declaration of requirement for assistance and supportive care in daily life can be an important indication for anxiety and depression. Lung cancer patients, especially those informed by health care professionals and provided psychosocial support following the information, require a patient-specific professional management approach.
    MeSH term(s) Humans ; Depression/epidemiology ; Depression/etiology ; Anxiety/epidemiology ; Anxiety/etiology ; Lung Neoplasms/complications ; Lung Neoplasms/epidemiology ; Lung Neoplasms/therapy ; Emotions ; Health Personnel
    Language English
    Publishing date 2023-06-14
    Publishing country India
    Document type Journal Article
    ZDB-ID 2187633-2
    ISSN 1998-4138 ; 0973-1482
    ISSN (online) 1998-4138
    ISSN 0973-1482
    DOI 10.4103/jcrt.JCRT_967_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: 2015'e az bir zaman kala Türkiye, tüberküloz hedeflerinin neresinde?

    Turkkani, Mustafa H / Yildirim, Zeki

    Tuberkuloz ve toraks

    2014  Volume 62, Issue 2, Page(s) 160–164

    Abstract: Tuberculosis still continues to be a globally major health problem. The one of the priorities of Millennium Development Goals, which was adopted by "United Nations Summit" in 2000 to overcome the obstacles in the development of countries is tuberculosis. ...

    Title translation Since little time remained to 2015; how far Turkey has achieved to reach the tuberculosis targets?.
    Abstract Tuberculosis still continues to be a globally major health problem. The one of the priorities of Millennium Development Goals, which was adopted by "United Nations Summit" in 2000 to overcome the obstacles in the development of countries is tuberculosis. The targets about the tuberculosis are the outcome indicators which are used to evaluate of effectiveness in tuberculosis's control. By the effective activities of the national tuberculosis control program; the "Millennium Development Goals" and "Stop TB Strategy Goals" have been completely achieved in Turkey before 2015.
    MeSH term(s) Global Health ; Goals ; Humans ; Tuberculosis/epidemiology ; Tuberculosis/prevention & control ; Turkey/epidemiology
    Language Turkish
    Publishing date 2014
    Publishing country Turkey
    Document type English Abstract ; Journal Article
    ZDB-ID 2468802-2
    ISSN 0494-1373
    ISSN 0494-1373
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Sleep disordered breathing in children with cerebral palsy.

    Koyuncu, Engin / Türkkani, Mustafa H / Sarikaya, Fatma G / Özgirgin, Neşe

    Sleep medicine

    2016  Volume 30, Page(s) 146–150

    Abstract: Objectives: The purpose of this study was to investigate the frequency of Sleep Disordered Breathing (SDB) in children with Cerebral Palsy (CP), and determine whether a relationship between SDB and age, gender, weight status, type of CP, motor function ... ...

    Abstract Objectives: The purpose of this study was to investigate the frequency of Sleep Disordered Breathing (SDB) in children with Cerebral Palsy (CP), and determine whether a relationship between SDB and age, gender, weight status, type of CP, motor function level, and spasticity can be established.
    Methods: The study included 94 children with CP and 94 healthy children with normal development, between the ages two and 18. SDB was assessed using the Sleep-Related Breathing Disorder (SRBD) scale of the Pediatric Sleep Questionnaire (PSQ).
    Results: No statistically significant difference was found with respect to age and gender between the study and the control groups. It was found that 9.6% of the patients with CP had snoring, 12.8% had sleepiness, 37.2% had attention deficiency-hyperactivity, and 18.1% had SRBD. SRBD was statistically significantly higher in patients with CP compared with the control group. No significant relationship was detected between SRBD and age, gender, weight status, type of CP, motor function level, spasticity, and epilepsy.
    Conclusions: Our result confirm that SDB is more common in children with CP than typically developing children. Thus, SDB problems should be identified in routine clinical practice in patients with CP, by using the SRBD scale of the PSQ.
    MeSH term(s) Adolescent ; Cerebral Palsy/complications ; Child ; Child, Preschool ; Female ; Humans ; Male ; Sleep Apnea Syndromes/epidemiology ; Sleep Apnea Syndromes/etiology
    Language English
    Publishing date 2016-06-06
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2012041-2
    ISSN 1878-5506 ; 1389-9457
    ISSN (online) 1878-5506
    ISSN 1389-9457
    DOI 10.1016/j.sleep.2016.01.020
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5315: Show issues Location:
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    Zs.MO 635: Show issues

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  5. Article: Tüberküloz hastaları nerede tanı alıyor ve tedavisi başlanıyor?

    Özdemir, Tarkan / Akkuş, İbrahim Halil / Türkkanı, Mustafa H / Yılmaz Aydın, Leyla

    Tuberkuloz ve toraks

    2015  Volume 63, Issue 3, Page(s) 185–191

    Abstract: Introduction: Tuberculosis dispensaries have played important roles in management of patients with tuberculosis. Tuberculosis patients diagnosed and treatments are started at dispensaries as well as other health care institutions. Other institutions ... ...

    Title translation Where the tuberculosis patients are diagnosed and started to treatment?.
    Abstract Introduction: Tuberculosis dispensaries have played important roles in management of patients with tuberculosis. Tuberculosis patients diagnosed and treatments are started at dispensaries as well as other health care institutions. Other institutions must be aware of the mission of dispensaries especially at the treatment and follow-up of patients. We aimed to investigate in which health care institutions tuberculosis patients diagnosed and treatment started and whether the awareness about dispanseries is sufficient.
    Patients and methods: Records of tuberculosis patients in Elazıg dispansery examined retrospectively. The data obtained were analyzed by Microsoft Excel.
    Results: Records of 854 patients with tuberculosis has been reached those followed in Elazig dispensary between the years 2005-2011. Percentages of the patients diagnosed in university hospital, dispensary and state hospitals were 36.3%, 18.5% and 17.3%; respectively. Treatments of patients were started in dispensary (81.9%), university hospital (7.7%), and chest disease hospital (4.3%).
    Conclusion: Treatment starting rate of dispensary was high because patients diagnosed by other health institutions directed to dispensary for taking the first drugs and beginning of the treatment. In tuberculosis control program; dispensaries carry out important operational functions in management of tuberculosis patients and other health institutions are aware of this situation.
    MeSH term(s) Adult ; Aged ; Disease Management ; Female ; Health Knowledge, Attitudes, Practice ; Hospitals, Chronic Disease ; Hospitals, Public ; Hospitals, University ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Tuberculosis/diagnosis ; Tuberculosis/therapy ; Turkey
    Language Turkish
    Publishing date 2015-07-05
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2468802-2
    ISSN 0494-1373
    ISSN 0494-1373
    DOI 10.5578/tt.8029
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6702: Show issues Location:
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  6. Article ; Online: Effects of the Health Transformation Programme on tuberculosis burden in Turkey.

    Yildirim, Zeki / Turkkani, Mustafa H / Bozkurt, Hamza / Islek, Elif / Mollahaliloglu, Salih / Erkoc, Yasin

    Respiratory medicine

    2013  Volume 107, Issue 12, Page(s) 2029–2037

    Abstract: Objective: The Fifty-ninth Turkish Government announced an emergency action plan and embarked on a comprehensive health reform named "Health Transformation Program" (HTP) in 2003. This study investigated the effects of HTP on tuberculosis (TB) burden ... ...

    Abstract Objective: The Fifty-ninth Turkish Government announced an emergency action plan and embarked on a comprehensive health reform named "Health Transformation Program" (HTP) in 2003. This study investigated the effects of HTP on tuberculosis (TB) burden from 2003 to 2010 in Turkey.
    Design: TB incidence, prevalence, mortality and case detection rates, treatment success and direct observed treatment strategy (DOTS) applications rate, and contribution of these applications in the success of the TB war were retrospectively investigated.
    Results: The annual decrease of incidence rate was 2.86 between 1995 and 2002, and 1.22 between and 2003 and 2010, (p < 0.05). The decrease of prevalence rate was 2.88 between 1995 and 2002 and 1.25 between 2003 and 2010 (p < 0.05). The annual declines in mortality were 0.44 between 1995 and 2002 and 0.22 between 2003 and 2010 (p < 0.005). The DOTS application rate increased from 0% in 2003 to 98% in 2010. After the HTP treatment success rate of TB at 85% of Turkey was firstly reached to 89% in 2005 and increased to 91% in 2007. Case detection rate of new pulmonary TB patients was 82% in 2005 and 81% in 2008 reaching the WHO target for the first time with HTP.
    Conclusion: A trend of reduced TB burden began in Turkey in 1997. As a result of the implementation of HTP beginning in 2003, the target treatment success and DOTS application rates were achieved and progress has continued even in the face of the recent worldwide economic crisis.
    MeSH term(s) Budgets ; Communicable Disease Control/organization & administration ; Cost of Illness ; Health Care Reform/economics ; Health Care Reform/organization & administration ; Humans ; Incidence ; Mortality/trends ; Mycobacterium tuberculosis ; Prevalence ; Tuberculosis/epidemiology ; Tuberculosis/mortality ; Tuberculosis/prevention & control ; Turkey/epidemiology
    Language English
    Publishing date 2013-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1003348-8
    ISSN 1532-3064 ; 0954-6111
    ISSN (online) 1532-3064
    ISSN 0954-6111
    DOI 10.1016/j.rmed.2013.09.011
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  7. Article: Tüberküloz kontrol programı kapsamında il değerlendirmesi.

    Özdemir, Tarkan / Türkkanı, Mustafa H / Yılmaz Aydın, Leyla / Balcı, Çigdem / Danacı Baş, Rabia / Bilgin, Adem

    Tuberkuloz ve toraks

    2014  Volume 62, Issue 3, Page(s) 183–190

    Abstract: Introduction: We aimed to expose the status of tuberculosis in Corum, to analyze the conducted studies about the tuberculosis control on provincial basis and contribute to future studies.: Materials and methods: The records of the patients who were ... ...

    Title translation Provincial assessment in the scope of the tuberculosis control program.
    Abstract Introduction: We aimed to expose the status of tuberculosis in Corum, to analyze the conducted studies about the tuberculosis control on provincial basis and contribute to future studies.
    Materials and methods: The records of the patients who were followed and treated between 2005 and 2010 at tuberculosis dispensary in Corum were respectively investigated. The statistical analyses of the data were completed as using SPSS 16.0.
    Results: A total of 628 patients were enrolled in this study; 59.8% (n= 376) were male, 40.2% (n= 252) were female. The ratio of the pulmonary and the extrapulmonary involvement were detected as 63.7% (n= 400) and 36.3% (n= 228) respectively. The incidence of new cases was 93.5% (n= 587) whereas the percentage of previously treated cases was 6.5% (n= 41). The 0.7% (n= 4) percentage of the patients were multi-drug resistant therefore they had been treated with secondary group of drugs. 400 patients with pulmonary tuberculosis were investigated about the ratios of the following parameters; performed microscopic examination, the positivity of the microscopic examination, the performed culture examination, the positivity of the culture examination and the performed drug susceptibility test. According to this; the results were determined as 85.5% (n= 334), 44.5% (n= 178), 66% (n= 264), 35% (n= 140) and 15% (n= 60) respectively. Directly observed treatment was performed 49.7% (n= 312) of the patients by health care workers. The success of treatment for all patients with tuberculosis was determined as 93.8% (n= 576).
    Conclusion: According to the data of our study, we can conclude that, although there were some deficiencies about control of tuberculosis, the conducted control program was successful in Corum. However; having a large number of young patients with tuberculosis proved that the transmission was still going on. Besides; the examined tests like microscopy, culture and drug susceptibility were found low in rates. The practices of directly observed treatment should provide to be improved.
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Female ; Geography ; Humans ; Incidence ; Infant ; Male ; Medical Records ; Microbial Sensitivity Tests ; Middle Aged ; Mycobacterium/drug effects ; Retrospective Studies ; Tuberculosis, Pulmonary/drug therapy ; Tuberculosis, Pulmonary/epidemiology ; Tuberculosis, Pulmonary/microbiology ; Turkey/epidemiology
    Language Turkish
    Publishing date 2014
    Publishing country Turkey
    Document type English Abstract ; Journal Article
    ZDB-ID 2468802-2
    ISSN 0494-1373
    ISSN 0494-1373
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6702: Show issues Location:
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