Web of Science ve Scopus Atıf Dizinlerindeki Yayınlar
https://hdl.handle.net/11363/744
Publications in Web of Science and Scopus Citation Indexes2024-03-28T18:57:19ZRobotik Rehabilitasyonda Klinik İhtiyaca Yönelik Farklılıklar
https://hdl.handle.net/11363/7260
Robotik Rehabilitasyonda Klinik İhtiyaca Yönelik Farklılıklar
Kınalı, Gülşah
İnme, sıklıkla motor disfonksiyona yol
açan ve engelliliğe neden olan yaygın bir hastalık
halini almıştır. Alt ekstremite robotik rehabilitasyonu
hastanın motor öğrenmesini arttırmak için anlamlı ve
etkili eğitim yapmada yardımcı olabilir. Bu derlemede
son yıllarda alt ekstremite rehabilitasyon
robotlarındaki gelişmeler incelendi ve aynı zamanda
klinik gereksinimler tartışıldı. Sonuç olarak, robotik
rehabilitasyonun geleceği konusundaki beklentiler
açıklandı.; Stroke has become a common disease,
often leading to motor dysfunction and causing
disability. Lower-limb robotic rehabilitation can help
patients to carry out reasonable and effective training
to improve the motor learning. The developments of
lower-limb rehabilitation robots are investigated in
this review and also clinic requirements have been
discussed in recent years. Consequently, the future
expectations has been declared about the robotic
rehabilitation.
2017-01-01T00:00:00ZComparative Analysis of Laparoscopic Cholecystectomy Performed in the Elderly and Younger Patients: Should We Abstain from Laparoscopic Cholecystectomy in the Elderly?
https://hdl.handle.net/11363/7232
Comparative Analysis of Laparoscopic Cholecystectomy Performed in the Elderly and Younger Patients: Should We Abstain from Laparoscopic Cholecystectomy in the Elderly?
Ekici, Uğur; Yılmaz, Serhan; Tatlı, Faik
Background: The elderly population is gradually increasing due to an increase in the quality of life and
therefore the frequency of gallbladder stones in the population is also increasing. However, a considerable
number of physicians tend to postpone or solve the problem with medical treatment instead of performing
surgery in the elderly patients. In this study, we aim to compare the outcomes of laparoscopic
cholecystectomy (LC) in the elderly and younger patients.
Material and Methods: The medical records of 665 patients undergoing LC were evaluated retrospectively.
The patients were divided into two groups: ≥60 years of age and <60 years of age. Ages, genders, comorbid
diseases, indications of surgery, American Society of Anesthesiologists scores, whether it is converted to an
open cholecystectomy or not, reasons for conversion if it is converted, total duration of surgery, initiation of
oral nutrition, duration of discharge, and postoperative complications of the patients in both groups were
recorded.
Results: The American Society of Anesthesiologists scores were statistically significantly higher in ≥60 years
age group (p<0.001). The rate of experiencing acute cholecystitis with a stone in the gallbladder was
significantly higher in the 60 years group (p=0.025). Comorbidity was statistically significantly higher in the
≥60 years age group (p<0.001). Hospitalization period, the mean hour of initiation of oral nutrition were
statistically significantly higher in the ≥60 years age group (p<0.001, p=0.001). Conversion to an open
cholecystectomy and postoperative complication rates of the ≥60 years age group were statistically
significantly higher (p=0.034, p<0.001).
Conclusion: We think that LC can be safely performed in the elderly people as well. However, it should be
kept in mind that comorbidity may make the surgery and postoperative follow-up period complicated.
2018-01-01T00:00:00ZCervicothoracic spine duplication: a 10‑year follow up of a neurological intact boy
https://hdl.handle.net/11363/7228
Cervicothoracic spine duplication: a 10‑year follow up of a neurological intact boy
Kaya, Özcan; Ulusoy, Onur Levent; Karadereler, Selhan; Hamzaoğlu, Azmi
Purpose Spine duplication is a very rare condition with the literature being composed of only case reports. All previously
reported cases were thoracolumbar spine duplications. Here, we report cervicothoracic spine duplication in a neurological
intact male. According to our knowledge, it is the frst case in the literature of cervicothoracic spine duplication.
Clinical presentation A 3-year-old patient presented to a primary physician with a complaint of short stature. He was referred
to our department with suspected spinal deformity. Computerized tomography imaging revealed anterior bony structure
duplication and posterior dysmorphic elements at the C5–T9 levels. Magnetic resonance imaging revealed a syrinx cavity
which splits cord at the duplication level and the relation of the syrinx with posterior mediastinum through anterior bone
defect. He was followed up for 10 years.
Conclusion In the literature, spine duplication has been classifed as a severe form of split cord malformation because of
the concurrence of bone duplication with split spinal cord malformation (SCM). This case presents a distinct form of SCM
which shows non-duplicated dural tube as unclassifed and cervicothoracic duplication level without neurological defcitis.
Treatment of SCM was based on removal of splitting fbrous/osseous process. Neurologic intact spine duplication could be
followed up without surgical intervention.
2018-01-01T00:00:00ZPatients With Perforated Peptic Ulcers: Risk Factors for Morbidity and Mortality
https://hdl.handle.net/11363/7218
Patients With Perforated Peptic Ulcers: Risk Factors for Morbidity and Mortality
Çiftçi, Fatih; Erözgen, Fazilet
Perforated peptic ulcers continue to be an important problem in surgical practice. In
this study, risk factors for peptic ulcer perforation-associated mortality and morbidity
were evaluated. This is a retrospective study of patients surgically treated for
perforated peptic ulcer over a decade (March 1999–December 2014). Patient age, sex,
complaints at presentation, time lapse between onset of complaints and presentation to
the hospital, physical findings, comorbidities, laboratory and imaging findings, length
of hospitalization, morbidity, and mortality were recorded. The Mannheim peritonitis
index (MPI) and Acute Physiology and Chronic Health Evaluation (APACHE) II score
were calculated and recorded for each patient on admission to the hospital. Of the 149
patients, mean age was 50.6 6 19 years (range: 17–86). Of these, 129 (86.5%) were males
and 20 (13.4%) females. At least 1 comorbidity was found in 42 (28.1%) of the patients.
Complications developed in 36 (24.1%) of the patients during the postoperative period.
The most frequent complication was wound site infection. There was mortality in 26
(17.4%) patients and the most frequent cause of mortality was sepsis. Variables that
were found to have statistically significant effects on morbidity included age older than
60 years, presence of comorbidities, and MPI (P ¼ 0.029, 0.013, and 0.013, respectively).
In a multivariate analysis, age older than 60 years, presence of comorbidities, and MPI
were independent risk factors that affected morbidity. In the multivariate logistic
regression analysis, age older than 60 years [P¼0.006, odds ratio (OR)¼5.99, confidence
interval (CI) ¼ 0.95] and comorbidities (OR ¼ 2.73, CI ¼ 0.95) were independent risk
factors that affected morbidity. MPI and APACHE II scoring were both predictive of
mortality. Age older than 60, presentation time, and MPI were independent risk factors
for mortality. Undelayed diagnosis and appropriate treatment are of the utmost
importance when presenting with a perforated peptic ulcer. We believe close observation of high-risk patients during the postoperative period may decrease
morbidity and mortality rates.
2018-01-01T00:00:00Z