, a notable drug-resistant bacterium, often induces severe infections in healthcare settings, prompting a deeper exploration of treatment alternatives due to escalating carbapenem resistance. This study meticulously examined clinical, microbiological, and molecular aspects related to in-hospital mortality in patients with carbapenem-resistant
Background Pisotriquetral joint (PTJ) disorders are an important cause of ulnar-sided wrist pain but are often underrecognized. Ulnar variance (UV) has been associated with several wrist pathologies. Purpose To determine the effect of UV on PTJ in patients with trauma. Material and Methods A total of 143 patients (77 men, 66 women; mean age=41.64 ± 18.07 years) were included. Patients with fractures, severe and high-energy trauma, arthritic conditions, avascular necrosis, congenital deformity, bone and soft-tissue tumors, suboptimal image quality, and incorrect joint position were excluded. UV and the amount of PTJ subluxation were evaluated using coronal and sagittal computed tomography images. Results PTJ subluxation was divided into five grades. A statistically significant difference was found between the presence of PTJ subluxation and sex ( P = 0.045). PTJ subluxation was more common in men (46.8%) than in women (30.3%). There was no significant difference between the presence of PTJ subluxation and age ( P = 0.758). The patients were also divided into three groups as positive, neutral, and negative UV. A statistically significant relationship was found between the UV and presence of PTJ subluxation ( P = 0.01). PTJ subluxation was significantly less in the neutral (none=51.1%, present=48.9%; P < 0.05) and negative (none=77.8%, present=22.2%; P < 0.05) groups. Conclusion PTJ subluxation was found to be less among the groups with neutral and negative UV in our study population. PTJ subluxation is more common in men while there is no relationship with age. UV and gender may be risk factors for PTJ subluxation by affecting force dynamics at the wrist joint.
Introduction:The aim of this retrospective case control study was to identify predictors of ovarian response and pregnancy outcomes in intrauterine insemination (IUI).Material and methods: One hundred women undergoing IUI cycles with clomiphene citrate were enrolled.The number of antral follicles and the total ovarian volume by ultrasound, and the basal levels of follicle-stimulating hormone (FSH), estradiol, and inhibin B on cycle day 3 were measured in groups that were divided according to ovarian response.The tests were also evaluated according to ovarian response and pregnancy outcomes.All analyses were performed using the Statistical Package for the Social Sciences, version 15.0 (SPSS, Chicago, IL, USA).Results: The antral follicle count (AFC) was the best single predictor for ovarian response and pregnancy outcomes.The sensitivity and specificity for prediction of ovarian response were 81% and 78% for AFC at an optimum cutoff value of ≤ 13.1.Age was negatively correlated with ovarian volume (r = -0.280,p = 0.021) and AFC (r = -0.358,p = 0.003).Increasing FSH was associated with a reduction in AFC (r = -0.273,p = 0.025).The AFC was significantly correlated with ovarian volume (r = 0.660, p < 0.0001) and FSH (r = -0.273,p = 0.03).Conclusions: Our data demonstrate that the AFC provides better prognostic information on the occurrence of ovarian response during clomiphene citrate stimulation for IUI.
<b><i>Aim:</i></b> Iodine deficiency is one of the most important causes of congenital hypothyroidism. In addition to thyroid hormone replacement, iodine supplementation is also given to newborns with congenital hypothyroidism due to iodine deficiency. We aimed to determine whether it is beneficial to administer iodine supplementation in addition to the <smlcap>L</smlcap>-thyroxine (<smlcap>L</smlcap>-T<sub>4</sub>) treatment of newborns with congenital hypothyroidism due to iodine deficiency. <b><i>Materials and Methods:</i></b> Of 51 newborns, 26 who were diagnosed with congenital hypothyroidism due to iodine deficiency were treated with <smlcap>L</smlcap>-T<sub>4</sub>. The remaining 25 cases were given <smlcap>L</smlcap>-T<sub>4</sub> plus 100 μg/day of oral iodine. Free triiodothyronine (fT<sub>3</sub>), free thyroxine (fT<sub>4</sub>), thyroid-stimulating hormone (TSH), thyroglobulin (TG), thyroid volume, urine iodine and breast milk iodine levels were measured in the first and third months of treatment, and the data were compared between the two groups. <b><i>Results:</i></b> First- and third-month values of fT<sub>3</sub>, fT<sub>4</sub>, TSH, TG and thyroid volume for both groups were statistically similar. There was no significant difference between the two groups in respect to falling levels of fT<sub>3</sub> and TSH, the rate of increase of fT<sub>4</sub> levels or the shrinkage rate of thyroid volume. <b><i>Conclusion:</i></b> In this study, the addition of oral iodine to <smlcap>L</smlcap>-T<sub>4</sub> treatment provided no benefit compared to treatment with <smlcap>L</smlcap>-T<sub>4</sub> alone.
Giris: Ergenlik cagindaki (Adolesan cag) gebelikler, ozellikle dusuk ve orta gelirli ulkelerde sagligi da etkileyen onemli bir sosyal sorundur. Bu calismamizda Bagimsiz Turk Devletlerinin ergen gebelikler acisindan durumlari degerlendirilecektir. Ayrica ergen gebeliklere ait Bagimsiz Turk Devletlerinin verileriyle egitim ve sosyoekonomik duzey parametrelerinden bazilari karsilastirilarak olasi iliskiler ortaya konulmaya calisilacaktir. Gerec ve Yontem: Bagimsiz Turk Devletleri adi altinda Kazakistan, Azerbaycan, Kirgizistan, Turkiye, Turkmenistan, Ozbekistan ele alindi. Bu calisma icin ergen gebeliklerle iliskili oldugu dusunulen sosyodemografik parametreler belirlendi ve ulke verilerine ulasildi. Ergen gebelik durumunu etkileyen olasi parametrelerle iliskilere bakildi. Ulkeler ergen gebelikler ve dogumlar yonunden karsilastirildi. Olasi iliskilerin istatistiksel analizinde Spearman korelasyon anaizi kullanildi. Ulkelerarasi benzerlik 2016 yili icin belirlenen degiskenler kullanilarak Kumeleme Analiziyle degerlendirildi. Kumeleme Analizinde Karesel Oklid Uzakligi ile Tek Baglanti Yontemi kullanildi. Benzerlikler Dendrogram ile gosterildi. Istatistiksel anlamlilik icin p 0.05). Ergen dogurganlik hiziyla iliskili degiskenler acisindan; tum ulkelerin benzerlik orani %50’dir. Benzerligi en cok bozan ulke, ergen dogurganlik hizi digerlerinden daha dusuk olan Turkmenistan’dir. Sonuc: Bu calismanin sonunda, Bagimsiz Turk Devletleri arasinda Turkmenistan’da ergen gebelik ve dogumlarinin digerlerine gore daha az siklikta olduguna dair kanitlar elde edildi. Calismada ele alinan sosyodemografik parametrelerle ergen anneligi arasinda herhangi bir iliski gosterilemedi
Abstract Aim This study examines the validity and reliability of a Turkish version of the State–Trait Anxiety Inventory Short Version. Methods The sample consisted of 306 people between the ages of 18–59 who agreed to participate in the study and met the inclusion criteria. Data were collected with the demographic questionnaire, State–Trait Anxiety Inventory Short Version, State–Trait Anxiety Inventory and Brief Fear of Negative Evaluation Scale. Results All factor loadings of the State Anxiety Inventory Short Version were between 0.706 and 0.835, and those of the Trait Anxiety Inventory Short Version were between 0.694 and 0.810. The Cronbach alpha coefficients of the State and Trait Anxiety Inventory Short Version were calculated as 0.838 and 0.837, respectively. There was a significant difference between the first‐test and retest values of the State Anxiety Inventory Short Version ( p = 0.033) and no difference in the Trait Anxiety Inventory Short Version ( p = 0.145). Conclusions The Turkish‐adapted State–Trait Anxiety Inventory Short Version is a valid and reliable measurement tool to determine the anxiety levels of individuals aged 18–59.