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Öğe The Covid-19 pandemic and Artificial Intelligence (AI) applications in health : how much are we interested in?(Dokuz Eylul Univ Inst Health Sciences, 2022) Öztop, Mehmet Burak; Pakdemirli, Ahu; Orbatu, Dilek; Erbaycu, Ahmet Emin; Özdemir, Senem Alkan; Başok, Banu; Bitim, SemihPurpose: New viruses have emerged, causing global damage and mass deaths that can spread to international borders, the latest of which is the new coronavirus (COVID-19). After the Second International Congress on Artificial Intelligence in Health, themed Artificial Intelligence in Health During COVID-19 Pandemic Process organized online by Izmir Bakircay University and Izmir Provincial Health Directorate with the contributions of the International Association of Artificial Intelligence in Health, a questionnaire was conducted to evaluate the knowledge of the participants about artificial intelligence applications.Material and Methods: This study aimed to evaluate the interest of the congress participants in this field with the questions which form the questionnaire such as the duration of the interest of the participants in the field of artificial intelligence in health, their publication status, the development of studies on artificial intelligence with the COVID-19 pandemic, demographic structures such as age and gender, and educational level. 130 participants answered the questionnaire consisting of 23 questions. Questionnaire responses were analyzed in a statistical setting.Results: We found that 130 people filled out the questionnaire and the majority of the participants were female, with participation from many organizations, but university staff showed more interest. We have seen that the 30-39 age group is more interested in artificial intelligence than the other age groups, but the majority of the participants do not have academic studies in this field. We found that the technical terms related to artificial intelligence were not well known by the participants, and that the number of participants who tended to this field, especially in the recent year, was high. Another important point was that people working in this field stated that they would definitely follow up if scientific activities continued.Conclusion: We know how important congresses, symposiums, courses and other meetings are, especially for scientist candidates, which will be held to raise awareness about the usage areas of artificial intelligence-based health technologies, to develop new communication and work networks by bringing together different disciplines, to create an agenda and to lay the groundwork for new studies, and we think that there is a need for many repetitive activities in this field and that these activities should be continued.Öğe Karydakis procedure without a drain for sacrococcygeal pilonidal sinus patients(2022) Uylas, Ufuk; Öztop, Mehmet Burak; Sultanoğlu, Bülent; Demirbakan, KenanObjective: This study aimed to evaluate patients with sacrococcygeal pilonidal sinus (PS) disease who underwent the Karydakis procedure without any drains. Methods: Ninety-eight patients presenting with PS at our center underwent the Karydakis procedure from September 2017 to April 2018. These patients were evaluated for fluid collection, failure of wound healing, wound infection and dehiscence on the postoperative first, third, the seventh days and the first month. Results: A total of ninety-eight patients underwent Karydakis procedure, of which 84 were males and 14 females. Of the two patients had recurrent disease. Three patients had a serious collection on the third postoperative day. One patient had a wound infection on the seventh postoperative day and drainage was performed. One patient had wound dehiscence on the 10th postoperative day due to local trauma. The remaining 93 patients had normal physical examination findings on the first, third, seventh days and the first month after surgery. Conclusion: We think that not using drains in the Karydakis procedure does not increase the complications. However, drain usage should be weighed according to its costs and benefits in every case, especially in patients with a body mass index greater than 30.Öğe Pressure Ulcers and Demographic Characteristics of Patients in a Training and Research Hospital Home Healthcare Unit(2023) Öztop, Mehmet Burak; Öksüz, SerapObjective: The main feature of the concept of home care is that healthcare services are provided to the person at home by healthcare professionals. Pressure ulcer development is common in patients receiving home healthcare services. The study aimed to determine the prevalence of pressure ulcers and the risk factors for pressure ulcer development in patients followed up in Atatürk Training and Research Hospital Home Health Unit. Methods: The files of 387 patients who were followed up and treated for ulcers in the Home Healthcare Unit of Atatürk Training and Research Hospital between 01.01.2022 and 31.12.2022 were reviewed for the study. The files of 267 patients with pressure ulcers were included in the study. Results: A total of 267 patients, 170 (63.7%) of whom were female, were included in the study. The mean age of the patients with pressure ulcers was 80.3±12.2 years. The most common sites of pressure ulcers were the gluteus (36%), sacrum (30%), heel (8%), back (7%), and coccyx (6%). Twenty seven (7%) ulcers were classified as stage 1, 214 (57%) as stage 2, 114 (31%) as stage 3, and 19 (5%) as stage 4 pressure ulcers. There were 109 (40.8%) patients who were tube fed and 120 (44.9%) patients who were fed with an oral nutritional solution. Conclusion: The assessment of risk factors should be part of the initial examination of every patient admitted to the home healthcare system. The importance of nutritional support in patients in the high-risk group should be emphasizedÖğe Prognostic value of dysnatremia in COVID-19 disease(2021) Ömeroğlu, Şeyda Kayhan; Öztop, Mehmet BurakObjective: The infection of Corona 2019 (COVID-19) had first diagnosed in December 2019 and evolved into a worldwide pandemic in March 2020. In Turkey first diagnose was announced in March 2020. Low costed and easily accessible laboratory parameters needed for predicting the prognosis of this disease as its outcome pattern vary greatly from patient to patient. There is promising data on predicting the outcomes with disnatremic results. Methods: In this study we retrospectively investigated all adults with the diagnosis of COVID-19 who attended to Turkan Ozilhan Hospital over a 3 months period. We evaluated the relation of dysnatremia (hyponatremia as <135 mmol/L or hypernatremia as >145 mmol/L) for need of intensive care unit (ICU) treatment, need of intubation for mechanic ventilatory support and inpatient mortality. Results: one thousand seventy tree patients with COVID-19 [53..9% males (793 patients) and 46.1% females (680 patients), were investigated for this study. Their median age was 53.9 years ranging betweent 19-94. The dysnatremic groups had significantly higher rates of need for ICU and intubation The need for ICU was 89 (21.5%) patients in normonatremic group but 38 (76%) patients in hypernatremic and 71 (64%) in hyponatremic patients (p<0.01 for each of them). The mortality rate was 5% in normonatremic patients but 50% in hypernatremic and 28% in hyponatremic patients (p<0.01 for each of them). Conclusion: In this study we aimed to draw attention to the importance of abnormal sodium levels as a predictive marker in COVID-19. In small town hospitals the physicians should be aware of the risks of disnatremic patients with COVID-19 and take precautions while treating them.Öğe Thyroid hormone replacement in total thyroidectomized patients: Symptomatic and metabolic effects of levothyroxine monotherapy(Dokuz Eylul Univ Inst Health Sciences, 2021) Akdeniz, Didem Dereli; Öztop, Mehmet BurakPurpose: In this study, we planned to investigate the effects of L-thyroxine monotherapy on total thyroidectomized patients. The main goal of our study is to evaluate if FT4 therapy is good enough not only to maintain euthyroidism but also to provide a good quality of life and a balance in their metabolism Methods: In this study, we retrospectively evaluated 30 total thyroidectomized patients without malignancy. We compared their thyroid hormone levels, glucose metabolism, lipid metabolism, their body mass indexes, and their symptoms of thyroid problems before surgery and after one year of treatment of L-thyroxine monotherapy. Results: the pre-op and post-op thyroid hormone levels were both in the normal range but the FT4 levels were significantly higher in the 1st year results than pre-op results (1,42 +/- 0,18 vs 1,29 +/- 0,49 respectively P=0,005*) The FT3 levels also were in the normal range in pre and 1st year post-op but post-op FT3 levels were significantly lower than pre-op levels (2,25 +/- 0,27 vs 2,92 +/- 0,49 retrospectively P<0,001*). The pre-op and postop TSH levels were euthyroid and not statistically significant. The patients tended to gain weight and it seems to be because of a tendency of being insulin resistant. (HOMA-IR pre-op and post-op were 2,2 +/- 1,1 vs 2,6 +/- 1,1 P<0,01 retrospectively; pre-op and post-op weights were 69,8 +/- 9,5 vs 71,1 +/- 10,3 P=0,006* respectively). Even all of them were euthyroid the patients tended to feel hypothyroidism symptoms. Conclusion: This study demonstrates that even though they are euthyroid with FT4 treatment total thyroidectomized patients may suffer from hypothyroidism signs and symptoms and metabolic deterioration may occur in such patients. We recommend that we should aim not only to normalize s-TSH levels but also to normalize patients' metabolic parameters and improve the quality of daily life when regulating our treatments.