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Öğe EVALUATION OF PROGNOSIS, MORTALITY AND PLATELET INDEXES, PLATELET/LYMPHOCYTE AND NEUTROPHIL/LYMPHOCYTE RATIOS OF PALLIATIVE CARE PATIENTS(Ankara Yildirim Beyazit University, 2023) Tapsiz, E.; Inci, H.; Kalem, P.; Sunay, D.Objectives: In this study, it was aimed to evaluate the clinical significance of platelet indices, platelet, neutrophil, and lymphocyte values, as well as neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) values and their relationship with mortality in palliative care patients. Materials and Methods: The data of 464 patients in the palliative care service were analyzed retrospectively. Sociodemographic characteristics of the patients, diagnosis, length of stay in the service, the way they were admitted to the palliative service and the way they were discharged from the palliative service, hospitalization and hematological parameters were recorded. Results: The mean age of the 464 patients included in the study was 75.15±13.63 years. It was seen that 68.30% of the patients were alive during the time period they were included in the study. When the admission and discharge blood values of the patients who died and the patients who survived were compared, the WBC and neutrophil values of the patients who died were found to be higher than the patients who survived, while the platelet and lymphocyte values of the patients who died were found to be lower. While admission and discharge NLR values, admission PLR values, discharge MPV values and discharge PDW values were found to be significantly higher in patients who died than in patients who survived, discharge PCT value was found low. Conclusion: Leukocytosis, thrombocytopenia, lymphopenia, and neutrophilia were dominant in the hematological parameters of the patients who died compared to the patients who survived. In contrast, the admission PLR value was found to be higher in patients who died than the patients who survived. © Annals of Translational Medicine. All rights reserved.Öğe Irritant phytocontact dermatitis caused by buttercup at various times: A series of three patients(TIP ARASTIRMALARI DERNEGI, 2018) Benli, A.R.; Oruç, M.A.; Erturhan, S.; Sunay, D.Traditional herbal medicine is very common in the Anatolian regions and has been used for centuries. In this study, it was aimed to show the course of dermatitis in cases of phyto contact dermatitis caused by buttercups when the patients presented at different times after the application. 3 patients who lived in the same region presented at the family practice clinic because of lesions which emerged after the topical application of plants from the Ranunculaceae family for knee pain. The patients presented on the 1st, 4th and 15th day respectively after application and were all diagnosed with irritant phyto contact dermatitis. In Turkey, particularly amongst the elderly, the use of herbal treatments is greater than has been estimated. Therefore, when family practitioners observe lesions particularly on joint surfaces, the use of plant extracts must be questioned. © 2018, TIP ARASTIRMALARI DERNEGI. All rights reserved.Öğe Wet cupping therapy improves health related quality of life: A self-controlled interventional study(Ankara Yildirim Beyazit University, 2019) Ersoy, S.; Inci, H.; Sunay, D.; Kayis, S.A.; Engin, V.S.; Benli, A.R.Objectives: Wet cupping therapy is an ancient treatment method which has been an integral part of Traditional Anatolian Medicine. In the current study we aimed to assess the efficacy of wet cupping therapy on health-related quality of life in healthy volunteers. Materials and Methods: This was a single arm pre-test and post-test interventional study conducted in Traditional and Complementary Medicine Clinic of Karabuk Education and Research Hospital between August 1, 2017 and August 1, 2018. Fifty-three healthy volunteers were enrolled in the study. They received three wet cupping therapy sessions once every month for three months (On 0, 30, and 60 days). WHOQOL-BREF-TR questionnaire was applied to all participants both before the sessions and after the third one. Wilcoxon signed rank test was employed to compare pre and post test scores. A p value <0.05 assumed to be statistically significant. All analyzes were carried out using Minitab 17 Statistical Software. Results: The study sample consisted of 26 female and 27 male subjects. Mean age was 43.68 ± 9.41 years. It was found 46.34 ± 9.78 years for females and 40.63± 8.43 years for males. Initial WHOQOLBREF- TR scores regarding general health (p<0.001) and the four domains which were physical (p<0.001), psychological (p<0.001), social relations (p<0.001) and the environmental domain (p<0.005) showed significant improvements after three WCT sessions Conclusion: Our results suggest that quality of life may be improved in healthy adults by wet cupping therapy. © 2019 Ankara Yildirim Beyazit University. All rights reserved.
