TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14365/4
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Article Citation - WoS: 1Citation - Scopus: 1Workplace Violence Against Emergency Physicians: A Cross Sectional Study on the Role of Communication Skills(Wolters Kluwer Medknow Publications, 2025-04) Çalışkan, S. Ayhan; Hakverdi, Gülden; Karpınar, Mehmet SelimOBJECTIVES: Workplace violence (WPV) is a critical issue affecting healthcare professionals, posing significant risks to their safety and well being. This study investigates WPV among emergency physicians in Türkiye, examining the relationship between WPV and physicians’ communication skills. METHODS: A cross sectional study was conducted from March to June 2023, involving 63 emergency physicians recruited through a convenience sampling method. Participants completed an online survey that included demographic questions, the Turkish version of the Health Professionals Communication Skills Scale (HP CSS TR), and self evaluation items on communication skills. RESULTS: The findings revealed high WPV prevalence, with 85.7% of participants reporting verbal aggression during their residency and 90.5% during their specialty period. Physical violence was reported by 31.7% of participants during residency and 27.0% during their specialty period. Participants’ HP CSS TR scores averaged 86.08, indicating relatively high communication skills. No significant relationships were found between HP CSS TR scores and demographic characteristics such as gender, age, or years of experience. A moderate positive correlation was observed between participants’ self evaluations and their HP CSS TR scores in the dimensions of empathy and respect, suggesting alignment between perceived and actual communication skills in these areas. Weak correlations were found in informative communication and social skills, highlighting areas for improvement in communication training programs. CONCLUSIONS: This study highlights the critical issue of WPV against emergency physicians and its association with communication skills, emphasizing the complexities of high stress environments such as emergency departments. It underscores the need for continued research and systemic interventions to enhance workplace safety and the well being of healthcare professionals.Article Citation - WoS: 6Prospective, Multicenter, Turkish Out of Hospital Cardiac Arrest Study: Trohca(Wolters Kluwer Medknow Publications, 2024-07) Günaydın, Gül Pamukçu; Genç, Sınan; Utlu, Sibel Güçlü; Sabak, Mustafa; Ozhasenekler, Ayhan; Şener, Alp; Demirbağ, Mehmet; Aksay, Ersin; Aksel, Gokhan; Pekdemir, Murat; Islam, Mehmet Muzaffer; Karahan, Sevilay; Bozkurt, MustafaOBJECTIVES: There is no sufficient data to provide a clear picture of out of hospital cardiac arrest (OHCA) across Türkiye. This study is the first to present the prognostic outcomes of OHCA cases and the factors associated with these outcomes. MATERIALS AND METHODS:The study was conducted in a prospective, observational, multicenter design under the leadership of the Emergency Medicine Association of Turkey Resuscitation Study Group. OHCA cases aged 18 years and over who were admitted to 28 centers from Türkiye were included in the study. Survived event, return of spontaneous circulation (ROSC), survival to hospital discharge, and neurological outcome at discharge were investigated as primary outcomes. RESULTS: One thousand and three patients were included in the final analysis. 61.1% of the patients were male, and the average age was 67.0 ± 15.2. Cardiopulmonary resuscitation (CPR) was performed on 86.5% of the patients in the prehospital period by emergency medical service, and bystander CPR was performed on only 2.9% by nonhealth care providers. As a result, the survived event rate was found to be 6.9%. The survival rate upon hospital discharge was 4.4%, with 2.7% of patients achieving a good neurological outcome upon discharge. In addition, the overall ROSC and sustained ROSC rates were 45.2% and 33.4%, respectively. In the multiple logistic regression analysis, male gender, initial shockable rhythm, a shorter prehospital duration of CPR, and the lack of CPR requirement in the emergency department were determined to be independent predictors for the survival to hospital discharge. CONCLUSION: Compared to global data, survival to hospital discharge and good neurological outcome rates appear to be lower in our study. We conclude that this result is related to low bystander CPR rates. Although not the focus of this study, inadequate postresuscitative care and intensive care support should also be discussed in this regard. It is obvious that this issue should be carefully addressed through political moves in the health and social fields.Article Duchenne Muscular Dystrophy Patients Diagnosed at the Asymptomatic Stage: What Are the Benefits of Early Diagnosis(Turkish Society of Physical Medicine and Rehabilitation, 2024-11-14) Sertpoyraz, Filiz Meryem; Tanigor, Goksel; Baydan, Figen; Kale, Murat Yildirim; Tanigoer, GoekselObjectives: This study aimed to demonstrate whether a diagnosis given at the asymptomatic stage of patients with DMD can affect the clinical outcomes and to define the clinical characteristics of the patients. Patients and methods: The cross-sectional study was conducted with 136 male patients (mean age: 8.8±3.7 years; range, 3 to 17 years) with DMD between March 2022 and February 2023. The patients were diagnosed through clinical presentation, pathology studies, and genetic testing. The demographic, clinical, and the laboratory data of the patients were recorded. The patients were evaluated in two groups: those diagnosed at the asymptomatic stage due to elevated creatine kinase (CK) and those diagnosed due to clinical symptoms. Patients were further stratified according to their age groups: those younger than 10 years and those aged 10 years or older. Hand grip, quadriceps muscle strength, and Vignos and Brooke motor functional assessment scales of the two groups were compared. Results: In patients who were diagnosed with CK levels, CK elevation was significantly more common than other findings. When the age at diagnosis was evaluated, the age at diagnosis in those diagnosed with CK levels was statistically significantly lower than in those diagnosed with clinical findings. No significant difference was detected in clinical findings between the groups under the age of 10 years. Among patients aged 10 years or older, hand muscle strength, quadriceps muscle strength, and Vignos and Brooke motor function scale scores were significantly better in those diagnosed with CK levels compared to those diagnosed with clinical findings. Conclusion: This study shows that early diagnosis in the preclinical period, which enables earlier medical treatment and rehabilitation, may have a positive effect on motor functions and the course of the disease.Article Can Volumetric Magnetic Resonance Imaging Evaluations Be Helpful in the Follow-Up of Cognitive Functions in Cognitively Normal Parkinson's Disease Patients?(Tubitak Scientific & Technological Research Council Turkey, 2024-08-23) Uysal, Hasan Armağan; Hunerli, Duygu; Çakmur, Raif; Dönmez Çolakoğlu, Beril; Ada, Emel; Yener, Görsev; Çolakoğlu, Beril DönmezBackground/aim: In this study, besides the evaluation of gray and white matter changes in cognitively normal Parkinson's disease (PDCN) patients with volumetric magnetic resonance imaging (MRI) parameters, it was tried to show that some neuropsychological tests may be impaired in PD-CN patients. Materials and methods: Twenty-six PD-CN patients and 26 healthy elderly (HC) participants were included in the current study. Global cognitive status was assessed using the mini-mental state examination (MMSE), and the Montreal cognitive assessment scale (MoCA). Attention and executive functions were evaluated using the Wechsler memory scale-revised (WMS-R) digit span test and trail making test (TMT) part A and part B, the Stroop test, semantic and phonemic fluency tests, and clock drawing test. Magnetic resonance imaging (MRI) was acquired according to the Alzheimer's disease neuroimaging initiative (ADNI) protocol. Results: There were no significant differences among groups regarding age, sex, handedness, and years of education. In the comparison of the PD-CN group and the HC group, there was a statistical decrease in the total animal scores, lexical fluency, TMT part A and TMT part B scores in the PD-CN group. Subcortical gray matter volumes (GMV) were significantly lower in PD-CN patients. The PD-CN group had a significantly reduced total volume of right putamen and left angular gyrus compared to that in the HC group. We observed that putamen and angular gyrus volumes were lower in PD-CN patients. On the other hand, TMT part B may be a useful pretest in detecting the conversion of mild cognitive impairment in PD. Conclusion: Significant MRI volumetric measurements and neuropsychological test batteries can be helpful in the clinical follow-up in PD-CN patients.Article Citation - Scopus: 2A Bibliometric Analysis of Publications on Emergency Medicine in Turkiye(Wolters Kluwer Medknow Publications, 2024-07) Guzelce, Mustafa Can; Orhan, Ertug; Ozgur, SeferOBJECTIVES: Publications and literature related to emergency medicine (EM) have been consistently increasing. There are 4048 studies in total in the EM journals published until the present day in Turkiye in the Web of Science (WoS) database. Our aim is to define the bibliometric features of scientific studies published in EM journals in Turkiye, to gain insights into the trends of the literature. METHODS: We retrospectively analyzed the bibliometric data of scientific studies published in EM journals in Turkiye until today on the WoS database related to the EM field. The bibliometrix package of R statistical software was used in the bibliometric analyses in the study. RESULTS: A total of 4048 scientific studies from Turkiye indexed on the WoS database from 10,263 authors in four different journals were analyzed. Among these, 3681 (90.9%) were articles, 188 (4.7%) were reviews, 97 (2.4%) were editorial material, 60 (1.5%) were letters, and 5 (0.1%) were corrections. Average number of citations per study was 3.6, with the most cited study having 2016 citations. The most frequent title's words were emergency, patient, and acute. CONCLUSION: This study shows that there is an increasing trend in the number of EM publications and citations in Turkiye with the first most cited study having 2016 citations, and the top contributing countries were Turkiye, Iran, and India. The results of this study may be useful in understanding the historical and prospective development of EM, including the identification of general information about its publications, differentiation of the top-cited ones, and presentation of a bibliometric analysis of scientific activity to date.Article Evaluation of the Relationship Between Diabetic Retinopathy and the Development of Left Atrial Stiffness in Patients With Diabetes Mellitus(AVES, 2023-10-25) Birdal, Oğuzhan; Saygı, Mehmet; Doğan, Remziye; Pay, Levent; Aksakal, Emrah; Topaloglu, Caner; Yıldırım, Mustafa; Aksu, UğurObjective: Based on several studies, atrial remodeling results in an increase in left atrial (LA) stiffness, which is indicative of a worsened reservoir function. A typical microvascular consequence of diabetes mellitus (DM) is diabetic retinopathy. Therefore, the objective of this study was to assess the factors that might be related to LA stiffness in DM patients. Materials and Methods: There were 200 DM patients in the study population. The LA stiffness value of 0.33 led to the division of the patients into 2 groups. According to these groups, the parameters to predict the development of the LA stiffness were investigated. Results: The patient population’s median age was 54.7 ± 9.4 years, and of them, 105 (52.5% of the popula- tion) were men. Retinopathy was substantially linked with LA stiffness. Interventricular septum thickness (B coefficient: 0.261, 95% CI 0.128; 0.394; P < .001), mitral annular plane systolic excursion (B coefficient: −0.350, 95% CI −0.489; −0.2212; P < 0.001), and retinopathy (B coefficient: 0.644, 95% CI 0.307; 0.983; P < .001) were identified as independent predictors of the progression of LA stiffness by the linear regression model. Conclusion: The results of the current investigation demonstrated a correlation between higher LA stiffness values and the presence of diabetic retinopathy in diabetic patients.Article Citation - WoS: 5Citation - Scopus: 5The Effects of Playing Digital Games on Children's Pain, Fear, and Anxiety Levels During Suturing: a Randomized Controlled Study(Wolters Kluwer Medknow Publications, 2023-07) Kavlakcı, Muhammet; Öğce, Filiz; Yavan, TulayOBJECTIVE: The aim was to determine the effects of digital game play on children's pain, fear, and anxiety levels during suturing. METHODS: Data were obtained from 84 children between the ages of 8 and 17 years at the pediatric emergency department between January 16 and March 19, 2020, using the Socio-Demographic and Clinical Characteristics Form, the Wong-Baker Faces Pain Rating Scale (WBFPS), the Visual Analogue Scale (VAS), the Fear of Medical Procedures Scale (FMPS), and the State-Trait Anxiety Inventory for Children (STAI-CH). A four-block randomization system was used. The study group (n = 42) played digital games during the suturing procedure, unlike the control group (n = 42). Ethical permissions were obtained from the ethical committee, hospital, and families. RESULTS: Before the suturing procedure, there was no statistically significant difference between the groups' mean scores. The intervention group was found to have statistically significantly lower WBFPS and VAS pain scores than the control group during the suturing procedure, and after the procedure, statistically significantly lower WBFPS, VAS, FMPS, and STAI-CH mean scores than the control group. CONCLUSIONS: The digital game-playing approach applied before and during the suture procedure was found to be effective in reducing children's pain, fear, and anxiety levels.Article Citation - WoS: 3Citation - Scopus: 5Turkey Embarks Upon Ballistic Missiles: Why and How?(Forsnet, 2017-12-01) Egeli S.; Egeli, SitkiFrom the late-1980s, and in response to the rapid spread of ballistic missiles in her neighborhood, Turkey has opted to add a symmetrical ingredient to her traditional policy of asymmetrical response, and began developing and deploying her own ballistic missiles. Additionally, thanks to the rapid technological progress during the last 10-15 years, shorter range ballistic missiles have been rendered attractive weapon systems even for countries like Turkey with access to advanced air power assets. Thanks to multi-phased development program, Turkey has recently deployed ballistic missile with a range of up to 300 km, whereas development work has been underway on longer-range derivatives. Paying tribute to geostrategic, technological, cost, and foreign policy considerations, the optimum range bracket for Turkey’s ballistic missiles appears to be around 800 kilometers. Recent calls for ballistic missiles of much longer ranges (e.g. 2,500 km) do not correspond to Turkey’s geostrategic and security circumstances. Rather than being the products of careful cost-benefit analyses, those calls appear to be the outcomes of unarticulated competitive reasoning and instincts. Combined with controversial and puzzling statements coming from the individuals close to Turkey’s top decision-making circles, they are seen and treated as further signs of Turkey’s latent nuclear weapon aspirations. © 2017, Forsnet. All rights reserved.Article Citation - WoS: 17Citation - Scopus: 19Lebesgue-Stieltjes Measure on Time Scales(Scientific Technical Research Council Turkey-Tubitak, 2009-01-01) Deniz, Ash; Ufuktepe, ÜnalThe theory of time scales was introduced by Stefan Hilger in his Ph. D. thesis in 1988, supervised Bernd Auldbach, in order to unify continuous and discrete analysis [5]. Measure theory oil time scales was first constructed by Guseinov [4], then further studies were made by Guseinov-Bohner [1], Cabada-Vivero [2] and Rzezuchowski [6]. In this article, we adapt the concept of Lebesgue-Stieltjes measure to time scales. We define Lebesgue-Stieltjes Delta and del-measures and by using these measures, we define ail integral adapted to time scales, specifically Lebesgue-Stieltjes Delta-integral. We also establish the relation between Lebesgue-Stieltjes measure and Lebesgue-Stieltjes Delta-measure, consequently between Lebesgue-Stieltjes integral and Lebesgue-Stieltjes Delta-integral.Article Citation - WoS: 11Citation - Scopus: 14Making Sense of Turkey's Air and Missile Defense Merry-Go(Center Foreign Policy & Peace Research, 2019) Egeli, SitkiAt some point during 2013, Turkey's political authority began to treat the in-country development and production of long-range air and missile defense systems as a priority. Soon after, they announced their decision to favor a Chinese offer that came complete with licensed production and the promise of technology transfer. Yet, with this decision came NATO's objections and challenges around integration and information security. The 2015 decision to rollback the pro-China decision, and opt instead for the indigenous development of air and missile defense systems (in close conjunction with a foreign technological and industrial partner) was triggered by Turkey's disillusion with the content of China's technology transfer package. Subsequently, this new partner became a team comprising France and Italy; Turkish industry tied itself to this team in developing Europe's next-generation missile defense capability. Then came the Turkish government's 2017 decision to purchase off-the-shelf, standalone S-400 systems from Russia. This decision was an anomaly, and had all the characteristics of a top-down decision cycle running afoul of technical, operational, and industrial criteria. Turkey's political figures have justified the S-400 order by citing the benefits of in-country production, access to technologies, not to mention the West's refusal to sell comparable systems; but these justifications have been refuted by the Russian side and/or in discordant statements by Turkish institutions, authorities, and political figures themselves.