İstanbul Galata Üniversitesi Kurumsal Akademik Arşivi
DSpace@Galata, İstanbul Galata Üniversitesi tarafından doğrudan ve dolaylı olarak yayınlanan; kitap, makale, tez, bildiri, rapor, araştırma verisi gibi tüm akademik kaynakları uluslararası standartlarda dijital ortamda depolar, Üniversitenin akademik performansını izlemeye aracılık eder, kaynakları uzun süreli saklar ve telif haklarına uygun olarak Açık Erişime sunar.
Güncel Gönderiler
Comparison of the Results of BAL and ETA Culture in Intubated COVID-19 Patients
(Nigerian Journal of Clinical Practice, 2024) Kılıç, Hasan Hüseyin; Gözüküçük, Ramazan
Background: The isolation of pathogens using bronchoalveolar lavage (BAL) culture or endotracheal aspirate (ETA) culture may enhance the treatment success for secondary pneumonia due to COVID-19, thereby reducing the risk of morbidity and mortality. Aim: This study aimed to retrospectively analyze the results of BAL and ETA cultures in intubated COVID-19 patients and to determine whether BAL has an advantage over ETA. Methods: We routinely perform BAL culture via bronchoscopy or ETA culture within the first 48 h after intubation. We retrospectively reviewed cases that underwent BAL and ETA. The patients were divided into two groups: Group B (BAL) and Group E (ETA). Various parameters were evaluated and compared between the two groups. Results: The demographic data and blood test results were similar between the two groups. However, ICU stay, duration of intubation, and culture positivity were significantly higher in Group B. Although not statistically significant, the mortality rate was higher in Group E. The most commonly isolated microorganisms were Candida species. Conclusion: The observed mortality rates were consistent with the existing literature. Since the microorganism isolation rate is higher with BAL, leading to more effective antimicrobial treatment, early deaths were prevented, and ICU stay durations were prolonged. Conversely, these durations were shorter in the ETA group due to higher mortality. In intubated COVID-19 patients, a more effective treatment process can be achieved by clearing the airway with fiberoptic bronchoscopy and tailoring the treatment based on BAL culture results. This approach may positively impact prognosis and mortality rates.
Beyond conventional wisdom: unexplored risk factors for penile fracture
(Sexual Medicine, 2024) Arıkan, Mehmet Gürkan; Akgül, Burak; Türk, Semih; Tantekin, Ömer Onur; Çakıroğlu, Basri; Arda, Ersan
Background Sexual intercourse is a predominant cause of penile fractures (PF). Aim To evaluate the relationship between body metrics and the severity of PF, identifying how anthropometric factors of patients and their partners influence the incidence and severity of PF. Methods This study analyzed 47 patients with PF over 9 years across multiple centers. Demographic and anthropometric data were collected for both patients and their partners. Injuries were categorized by the sexual position or activity causing them, including partner-related positions (man-on-top, woman-on-top, and doggy-style) and isolated actions (rolling-over, blunt trauma, masturbation, or manipulation). Statistical analysis was performed using the ?2-test. Outcomes The study aimed to uncover correlations between body metrics and the risk profile for PF, focusing on body mass index (BMI), weight, height, and age. Results The majority of PFs occurred during sexual activities (74.5%), particularly in “doggy” and “man-on-top” positions. Urethral involvement was observed in 10.6% of cases. Significant correlations were found between patient and partner ages (r = 0.915), patient BMI and weight (r = 0.874), patient height and weight (r = 0.502), and partner weight and BMI (r = 0.805). Higher BMI in patients was linked to delayed hospital visits (r = 0.377), and frequent sexual activity was strongly correlated with urethral complications (r = 0.727). Clinical Implications These findings emphasize the importance of considering body metrics in assessing PF risk and could guide future preventive strategies and clinical interventions. Strengths & Limitations The study’s strength lies in its comprehensive analysis of anthropometric factors and their correlation with PF severity. Limitations include a relatively small sample size and the potential for reporting bias in sexual activity data. Conclusion The study confirms sexual intercourse as the main cause of PF and highlights significant links between anthropometric factors and fracture severity. Higher BMI and weight in partners are associated with more centrally located fractures and urethral injuries, particularly in taller patients or those with larger partners.
Combined Minimally Invasive Esthetic Rehabilitation of Dental Fluorosis-5-year Follow-up: Case Report
(2024) Dokumacigil, Gökhan; Korkut, Bora; Yılmaz Atalı, Pınar
Dental fluorosis (DF) is a specific esthetic issue characterized by a persistent condition in which there is a disruption in enamel development, leading to the formation of hypomineralized enamel. The resulting unusual appearance varies in intensity, presenting as mildly white and opaque to dark brown, and significantly impacts individuals' esthetic features and self-confidence. The objective of this case report was to assess the efficacy of microabrasion, dental whitening, and resin infiltration in terms of resolving lesions, tracking the sensitivity of teeth, and evaluating patient satisfaction over a period of time. A minimally invasive treatment approach in a 27-year-old woman with severe DF is detailed. The treatment plan involved enamel microabrasion, in-office bleaching, and two weeks of at-home bleaching, followed by resin infiltration for the affected tooth under rubber dam isolation. After a 5-year follow-up, the assessment of the patient's esthetic appearance indicated a successful treatment of teeth affected by DF.
Terminal Dönem Yönetimini Anlamak
(2024) Kaptan, Gülten; Menekli, Tuğba
Ölüm yaşamın doğal bir parçasıdır ve kaçınılmazdır. İyi ve Saygın ölüm temel insan hakkıdır. Terminal dönem yaşamın son günlerini kapsayan zamanı ifade etmektedir. Bu dönem içerisinde gerek hasta gerek hasta yakınları hem fiziksel hem psikolojik desteğe ihtiyaç duymaktadır. Çoğu zaman bu dönem, sağlık kuruluşlarında özel ya da kamusal bakım evlerinde geçirilmektedir. Hastanın yaşadığı güçlüklerin yanı sıra bakım verenler bu desteğe üst düzeyde gereksinim duymaktadır. Bu kitap bakım, destek, iyi ölüm ve saygın ölüme holistik bakış açısıyla yaklaşarak bu kavramları açıklayan ayrıca bakımevlerinin maliyet durumlarına ve yapılanmalarına ışık tutan bilgileri içermektedir. Kitabın terminal dönemde olan hasta bakımına ihtiyaç duyulan tüm kitlelere yararlı olacağına inanmaktayım. Ayrıca basım aşamasına getirilmesinde emeği geçen tüm değerli öğretim elemanı arkadaşlarıma teşekkür ediyorum.
Küresel Ekonomide Göçmen Olmak : Göçmen Girişimciliği
(2024) Habip, Elif; Konuk Kandemir, Nebiye
Göç ve göçmenin evrildiği durum, göç olgusunun farklı boyutlarıyla ele alınmasını, yeni kavramlar üzerinden tekrar yorumlanmasını gerektirmektedir. Göçmenlerin, ekonomik hayata katılımlarını ifade etmek üzere kullanılan “göçmen girişimci” ve “göçmen girişimciliği” gibi kavramlar göç olgusunun ekonomik yansımasıyla ortaya çıkan kavramlardır. Bu bağlamda araştırmada, göçmen girişimciliğini konu alan çalışmaların nasıl incelendiği ve çalışmaların kapsamının ne yöne evrildiği ortaya konulmaktadır. Bu bakış açısıyla araştırma kapsamında “migration entrepreneurship”, “migrant entrepreneurship”, “immigrant entrepreneurship” kavramları dikkate alınarak Web of Science veri tabanından veriler toplanmıştır. Araştırmaya dâhil edilen 464 çalışma bibliyometrik analiz yoluyla incelenmiş ve elde edilen veriler görsel haritalama tekniğiyle sunulmuştur. Aynı zamanda Web of Science Core Collection veri tabanında bu kavramları içeren makaleler, alıntı sayıları başta olmak üzere birçok açıdan VOSviewer software ile analiz edilmiştir.
