Rize Devlet Hastanesi

Ureteral triplication is an extremely rare congenital anomaly, with just over 100 cases reported in the literature. Smith classified this anomaly into four types in 1946. However, variants that do not fit this classification present significant diagnostic and therapeutic challenges. We present the case of a 5-year-old female patient evaluated for recurrent febrile urinary tract infections. Investigations revealed a duplicated left collecting system with high-grade vesicoureteral reflux (VUR). Intraoperatively, a third, blind-ending ureter was unexpectedly identified within the same sheath, exhibiting a unique “rosary-bead-like” morphology not previously described in the literature. The patient was successfully treated with Politano-Leadbetter ureteroneocystostomy, preserving the blind-ending ureter alongside the two functional ureters. This case represents a unique variant of ureteral triplication that does not fit Smith’s original classification due to the absence of associated renal parenchyma and the specific morphology of the third ureter. We highlight the utility of detailed preoperative imaging and intraoperative assessment in managing such unclassifiable variants. Ureteroneocystostomy without excision of the blind-ending ureter is a viable option to avoid vascular compromise to the functional units.

Aim: In this study aims to Examine parents ' knowledge levels regarding childhood vaccines, their attitudes towards immunization services, and their hesitancy towards vaccination ; and to determine the vaccination rates of children . Material and Method: Correlation analysis was used to Examine the relationship between the mean scores obtained from the scales. The study included 250 participants were 73.2% female and 26.8% were male. Participants ' ages ranged from 18 to 65. 68.8% of participating parents received information about vaccination from nurses and other healthcare personnel, 22.8% from doctors, and 8.4% from newspapers and magazines. Higher scores on the scales indicate greater vaccine hesitancy. Higher scale scores indicate higher vaccine hesitancy. Results: As a result, the vaccine level instability in newspaper and television vaccine-related information is higher than that of doctors, nurses and other medical personnel. Conclusion: The level of behavior hesitant about vaccination varies Accordingly to gender, marital status, family type, education status, co-education status, location of vaccination, income status.

Aim: This study aimed to evaluate the reliability, quality, understandability, and content comprehensiveness of YouTube videos about pediatric head trauma.Material and Methods: A YouTube search was conducted on April 14, 2025, using the keyword “pediatric head trauma.” Of the first 60 Turkish-language videos retrieved, 18 that met the inclusion criteria were evaluated. Two independent researchers reviewed the videos and recorded the following data: duration, number of views, likes, and comments, as well as uploader type, channel type, and content features. The contents were classified under five headings: trauma mechanism, examination findings, neurological symptoms, CT indications, and follow-up recommendations. Video reliability and quality were assessed using the Modified DISCERN (mDISCERN) scale and the Global Quality Score (GQS). Understandability and actionability were evaluated using the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-AV).Results: 83.33% of the videos scored ≥3 on the mDISCERN scale and 66.67% scored ≥3 on the GQS, indicating moderate to high reliability and quality. Videos produced by healthcare professionals scored higher on the mDISCERN scale and were significantly more reliable. The videos demonstrated high understandability (PEMAT-AV score: 69.33%) but were insufficient in providing practical advice, with a low actionability score (53.28%). Videos containing ≥4 content items scored significantly higher on the mDISCERN scale. No significant correlations were found between video popularity metrics (views, likes, comments) or video duration and the reliability, quality, or understandability scores (mDISCERN, GQS, PEMAT-AV).Conclusion: YouTube videos addressing pediatric head trauma are limited in number, and their content and actionability are insufficient. Videos produced by healthcare professionals have been shown to provide more comprehensive content and are more reliable. Therefore, we believe that simple and accessible videos based on guidelines prepared by health professionals will increase health literacy and contribute to the effective use of the health system.

ObjectiveSuicide is a major public health issue affectingmillions of people worldwide. In particular, hanginghas increasingly become a more frequently chosenmethod of suicide. Understanding the characteristicsof suicide cases is of great importance for thedevelopment of effective prevention strategies.This study examined suicide cases by hanging thatoccurred within a specific region. Autopsy findings,along with the location and time of the incidentand the sociodemographic characteristics of theindividuals, were evaluated collectively to identifyfactors associated with this type of suicide.Material and MethodThis retrospective observational study examinedfindings from 80 autopsies conducted due to hangingrelateddeaths in Isparta province, Türkiye, between2012 and 2020, as well as data about the individuals.Variables such as sociodemographic characteristics,type of hanging, autopsy findings, material used, historyof psychiatric illness, suicide note, and contributingfactors were defined categorically. Statistical differencesbetween variables were assessed using the chisquaretest, and the significance level was set at p <0.05.ResultsThe majority of the examined cases consisted of maleindividuals (n = 58, 72.5%). Cervical vertebral fractureswere significantly more frequent among individualsaged 65 years and older compared to other agegroups (p < 0.05). The use of scarves among womenand the presence of hyoid bone fractures among menwere found to be statistically significant (p < 0.05).Suicide cases were most frequently observed duringthe autumn season (n = 30, 37.5%) and predominantlyoccurred within home environments (n = 56, 70%).ConclusionThe findings reveal that suicide is associated withdemographic and environmental factors and that ageand gender are significantly correlated with certainautopsy findings. The data obtained indicate thatsuicide prevention strategies should be developed byfocusing on both individual and environmental riskfactors.

Aim: The research aimed to reveal the minority charity hospitals’ contribution to Turkey’s complementary medicine. Our research material was the minority charity foundation hospitals mainly aim to serve the health needs of Orthodox, Gregorian, Catholic and Jewish societies. Nowadays, they converted their duties to private hospital care because of the decrease in the population of minorities after the 1923 population exchange, 1955 Pogrom, 1963 and 1974 Cyprus conflicts, and diaspora’s attitude against diplomatic missionns 1970 and 1980. Method: As research materials Or Ahayim, Surp Pırgic, Surp Agop ve Balıklı minority charity hospitals were researched with a historical methodology and procedures were defined. Results: The research revealed that although working as a private hospital but different from the classical concept which has been mainly established to gain profit; these minority charity foundation hospitals not only aimed to give health care to both Muslim and non-Muslim citizens but also look after the disabled and elderly members of their society. After 2014 Traditional and Complementary Medicine regulations they also use complementary medicine. Conclusion: The procedures performed in these charity hospitals, besides scientific medicine includes Traditional Medicine that defined as a health applications being used in ancient times as the knowledge of those ages that hoped to be curative for the patients and Complementary Medicine that identified as treatment methods being practised alongside with scientific medical applications with a consent and for the relief of the patients’ pain and discomfort.

Objective: To determine the demographic and clinical characteristics of pediatric patients admitted to our hospital’s emergency department due to poisoning and to provide data that may inform preventive measures and contribute to national records. Methods: We retrospectively analyzed pediatric patients (0–18 years) admitted for poisoning between January 2023 and December 2024. Demographics, exposure characteristics, treatment, disposition, and outcomes were extracted from the hospital information system. Descriptive statistics were reported as frequencies (%) for categorical variables. Results: A total of 328 patients were analyzed. Males accounted for 51.5% of cases. The most common age group at presentation was 3–6 years (45.1%). The most frequent season of presentation was summer (37.8%). The most common cause of poisoning was drugs (60.4%), followed by food, corrosive substances, and carbon monoxide, respectively. The overall hospitalization rate was 53.7%, with 20.7% requiring intensive care unit (ICU) admission. Mortality was 2.2%. Conclusion: Childhood poisonings remain a preventable public health problem. Strengthening family education, safe storage practices, and standardized ED protocols can reduce morbidity and mortality.

Amaç: Bu çalışmada metastatik meme kanseri tanılı hastalarda uygulanan parenteral ve oral tedavi yöntemlerinin depresyon,anksiyete, uyku kalitesi ve bu etkenlerin kişinin hayat kalitesi üzerindeki etkilerinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmaya metastatik meme kanseri tanısı almış toplam 106 hasta dahil edilmiştir. Hastalar tedavi şekline göre parenteral tedavi (M grubu) ve oral CDK4/6 inhibitörü tedavisi (CDK grubu) alanlar olarak iki gruba ayrılmıştır. Anksiyete ve depresyon düzeyleri Hospital Anxiety and Depression Scale (HADS), uyku kalitesi Pittsburgh Sleep Quality Index (PSQI) ve yaşam kalitesi Nottingham Health Profile (NHP) ölçekleriyle değerlendirilmiştir. Bulgular: Çalışma grubunun ortalama yaşı 55,8±10,7 yıl olarak bulunmuştur. Hastaların %42,5’inde anksiyete, %39,6’sında depresyon, %46,2’sinde uyku bozukluğu ve %68,9’unda menopoz bulgusu saptanmıştır. Gruplar arasında yaş, HADS-A, HADS-D, PSQI ve NHP skorları açısından anlamlı fark saptanmamıştır (p>0,05). Anksiyete ve uyku bozukluğu olan hastalarda NHP skorları daha yüksek olup, yaşam kalitesiyle ters yönde ilişki göstermiştir. Sonuç: Metastatik meme kanserinde uygulanan parenteral ve oral tedavi yöntemleri arasında a depresyon, anksiyete , uyku kalitesi ve bu etkenlerin kişi üzerindeki hayat kalitesi açısından anlamlı fark saptanmamıştır. Her iki tedavi yaklaşımı da benzer düzeyde psikolojik tolere edilebilirliğe sahiptir. Tedavi seçimi yapılırken psikososyal faktörlerin dikkate alınması, hasta merkezli yaklaşımlar açısından önem taşımaktadır.

Objective: The relationship between depression, excessive daytime sleepiness (EDS), and obstructive sleep apnoea syndrome (OSAS) has been investigated in various studies, but this relationship remains unclear. In this study, depression scores in patients undergoing polysomnography (PSG) for suspected OSAS were evaluated, and the relationship between daytime sleepiness and these conditions was investigated. Method: A total of 103 patients (71 men, 30 women) aged 18–75 years who underwent PSG were retrospectively evaluated. Comorbidities, body mass index (BMI), Epworth Sleepiness Scale (ESS), and Beck Depression Inventory (BDI) data were analysed. Patients with psychiatric disorders were excluded. Results: Mild OSAS was found in 29 patients, moderate OSAS in 24 patients, and severe OSAS in 42 patients. According to the BDI, 69 patients had scores consistent with depression, while 32 patients were considered non-depressed. Patients with ESS scores above 10 were considered to have excessive daytime sleepiness. No significant relationship was found between AHI and BDI (p=0.390), but a significant relationship was found between AHI and ESS (p=0.005). No significant relationship was observed between ESS and BDI (p=0.301). Conclusion: No direct relationship was observed between excessive daytime sleepiness and depression. It was concluded that the emotional state of patients with OSAS should be evaluated carefully. Further studies with larger samples are needed.

Purpose: To evaluate and compare the anatomical and functional outcomes of combined phacovitrectomy and pars plana vitrectomy (PPV) alone in the management of rhegmatogenous retinal detachment (RRD). Methods: This retrospective study included patients who underwent surgery for primary RRD. The eyes were included in the phacovitrectomy and PPV-only groups basis of the initial lens status. Preoperative demographics, axial length, lens status, and intraocular pressure (IOP) were recorded. Surgical variables including tamponade use, adjuvant procedures, and perioperative complications were analyzed. Results: A total of 69 eyes of 69 patients were analyzed. Single-surgery anatomical success was achieved in 87.9% of the eyes in the PPV-only group and 97.2% in the phacovitrectomy group (p = 0.186). Final reattachment was obtained in all eyes (100%). Recurrence occurred in 12.1% of the PPV-only cases versus 2.8% of the phacovitrectomy cases. Both groups demonstrated significant improvement in BCVA from baseline to the final visit (p < 0.001), with no significant intergroup difference (p = 0.342). Postoperative IOP elevation was observed in both groups but remained comparable (p = 0.562). The rates of epiretinal membrane formation, proliferative vitreoretinopathy, and inflammatory complications were similar between the two groups (p > 0.05 for all). Conclusion: Both combined phacovitrectomy and PPV alone achieve high rates of retinal reattachment and significant functional recovery in primary RRD patients. Structured postoperative follow-up and careful surgical planning ensure predictable visual outcomes, with lens status serving as a key factor guiding individualized surgical strategies.