Objective: This study aims to explore the views of faculty members regarding undergraduate medical education at their institution and to gather their suggestions for improving the quality of medical training.Methods: This descriptive study was conducted with 178 faculty members from a university's medical school.Data were collected using a structured questionnaire that included items on demographics, professional background, and perspectives on medical education.Descriptive statistics were used for data analysis.Results: Among the participants, 98.3% had attended at least one education-related course, with the most common being training for trainers (88.6%).While 39.9% had not served on any educational committee, 42.7% had not participated in problem-based learning scenario writing.The majority identified increasing student numbers (93.8%) and declining societal respect for physicians and reduced student motivation (87.1%) as major issues in medical education. Conclusion:To enhance the quality of undergraduate medical education, it is essential to increase faculty involvement, promote participation in educational development activities, improve teaching strategies, and regulate student intake.

Objective: This study evaluated the demographic characteristics of patients treated for lower respiratory tract infections.We also examined patients who were initially hospitalized and those who received outpatient treatment before being hospitalized.We investigated the effects of CURB-65 scores at presentation or at the time of transfer to intensive care unit (ICU), use of invasive or non-invasive oxygen supplementation, comorbidities, and repeated hospital admissions.Methods: This single-center, retrospective study was conducted at the Emergency Department of University of Health Sciences Trkiye, Trabzon Kanuni Training and Research Hospital.Using hospital automation records, we analyzed pneumonia cases admitted and hospitalized between January 1, 2022, and December 31, 2023.The study included non-pregnant adult patients aged 18 and older, based on specific inclusion and exclusion criteria.Results: A total of 625 patients were included.Of these, 27.8% were hospitalized after a second admission.No significant differences were found between first and second admission groups in terms of age, gender, comorbidities, CURB-65 scores, ICU requirement, or invasive ventilation (p>0.05).However, mortality was significantly higher among patients who required intubation (p<0.01).There was no significant association between the number of admissions and mortality (p=0.784). Conclusion:The number of hospital admissions was not found to be a primary predictor of mortality in patients with pneumonia.Only the need for invasive mechanical ventilation showed a significant association with mortality.These findings indicate that Z

Objective: This study aims to evaluate the educational quality and reliability of YouTube videos on laparoscopic hydatid cyst surgery (LHCS), focusing on various factors such as narration, subtitles, and user engagement metrics. Methods: A cross-sectional analysis was conducted on 34 YouTube videos related to LHCS. Videos were assessed using Laparoscopic Surgery Video Educational Guideline (LAP-VEGaS), Journal of the American Medical Association (JAMA), and Global Quality Score (GQS). Parameters including video duration, presence of spoken commentary, subtitles, number of likes, total views, and average daily views were recorded. Statistical analyses, including descriptive statistics, correlation assessments, and linear regression models, were utilized to evaluate the impact of these factors on the educational quality scores. Results: Videos with spoken commentary scored significantly higher across LAP-VEGaS, JAMA, and GQS. Subtitled videos showed a borderline significant increase in GQS but not in other metrics. Significant positive correlations were found between LAP-VEGaS scores and JAMA scores, GQS, annual likes, total views, and daily average views. Univariate regression analysis identified video duration and presence of spoken commentary as significant predictors for LAP-VEGaS scores. In multivariate regression, spoken commentary and upload time were significant variables influencing LAP-VEGaS and JAMA scores. Conclusion: The presence of spoken commentary significantly enhances the educational value of LHCS videos on YouTube. While subtitles provide additional support, they are not as impactful as spoken commentary. Regular updates and professional production are crucial to maintain the relevance and accuracy of these educational resources.

This case report presents an elderly female patient whose symptoms were initially attributed to rotator cuff tendinopathy and who was even considered for surgery before being correctly diagnosed with PTS.

Objective: This study aims to assess the characteristics of patients who underwent genetic analysis with suspicion of maturity-onset diabetes of the young (MODY).Methods: Forty patients who met the criteria of measurable serum fasting C-peptide levels, positive family history, and autoantibody negativity and were diagnosed with diabetes at a young age were analyzed for demographic, clinical, laboratory and molecular test results.A comprehensive MODY panel examining a total of 21 genes [hepatocyte nuclear factor 4 alpha (HNF4A), glucokinase (GCK), HNF 1 alpha (HNF1A), pancreatic and duodenal homeobox 1, HNF 1 beta (HNF1B), neurogenic differentiation 1, kruppel-like factor 11, carboxyl ester lipase, paired box gene 4, insulin, B-lymphocyte kinase, adenosine triphosphate binding cassette sub-family C member 8, potassium inwardly rectifying channel subfamily J member 11, AKT2, GLI-similar 3, glutamate dehydrogenase 1, hydroxyacyl-CoA dehydrogenase, insulin receptor, solute carrier family 2 member 2, wolfram syndrome 1, zinc finger protein 57] in 30 patients (75%) with next-generation sequencing method and variants detected in 10 patients (25%) using a short panel including GCK, HNF1A, HNF1B and HNF4A genes were analyzed using different databases (online mendelian inheritance in man, database of single nucleotide polymorphisms, genome aggregation database, human gene mutation database).Results: Overall, 11 variants in 7 different genes were detected in 10 patients (25%).Sixty per cent (n=6) of the mutation-positive patients were treated with insulin.Serum fasting C-peptide levels (1.18 vs 1.26 ng/mL, p=0.891) and age at diabetes diagnosis (26.5 Z Ama: Bu almann amac genlerde balayan erikin tipi diyabet (MODY) phesi ile genetik analiz yaplan hastalarn zelliklerini deerlendirmektir.Yntemler: llebilir serum alk C-peptid dzeyleri, pozitif aile yks, otoantikor negatiflii gibi kriterlere uyan ve gen yata diyabet tans alan 40 hastann demografik, klinik, laboratuvar ve molekler test sonular incelendi

Objective: This study was conducted to determine the effect of hemodialysis patients’ attitudes towards diet therapy on dialysis symptoms. Methods: The data of the randomized controlled study were collected from experimental (n=30) and control groups (n=30) at Gümüşhane Province Kelkit State Hospital between 1 November 2023 and 1 January 2024. Institutional and ethics committee permissions were obtained before the study. The experimental group patients were given training on diet therapy. “Patient information form”, “hemodialysis patients’ attitude scale towards diet therapy (HDTO)” and “dialysis symptom index (DSI)” were used to collect data. Data collection tools were applied before the study (pre-test), after the training was given (intermediate measurement) and one month later (post-test). The data were analyzed using the chi-square, repeated measures ANOVA test and independent groups t-test in the SPSS 25.0 package program. Results: It was determined that the post-training measurements (intermediate measurement) of the total HDTO and sub-dimensions score averages of the hemodialysis patients in the experimental group were higher than the pre-training (pre-test) measurements; and the measurements made 1 month after the training (post-test) were lower than the measurements made immediately after the training (intermediate measurement) (p<0.05). Again, the post-training measurements (intermediate measurement) of the DSI score averages of the experimental group of patients were lower than the pre-training (pre-test) measurements (p<0.05); it was determined that the measurements made 1 month after the training were given (post-test) did not differ from the measurements made immediately after the training (intermediate measurement) (p>0.05). Conclusion: In line with the findings, it was determined that the diet therapy training provided increased hemodialysis patients’ attitudes towards diet therapy and reduced dialysis symptoms.

Objective: Chronic mechanical low back pain, defined as lasting more than 3 months, is an important health burden causing loss of function and work capacity. The aim of the study was to determine the effectiveness of acupuncture treatment in patients with chronic low back pain. Methods: Sixty patients with chronic mechanical low back pain were randomly divided into two groups. While acupuncture was applied to the first group, the second group received transcutaneous electrical nerve stimulation (TENS) and infrared therapy. All patients in both groups were included in the exercise program containing strengthening of abdominal, low back and back muscles. The effectiveness of treatment modalities were evaluated with low back range of motion parameters, pain with back movements, milligram test, visual analogue scale values of rest and activity pain, Oswestry low back pain disability and Roland-Morris functional assessment scales and short-form 36, at baseline, at the end of treatment and at 1st month follow-up. Results: Significant improvement was observed in favor of acupuncture treatment group not only in the early period in terms of pain with back movements and patient self-reported pain parameters but also especially at the second visit in terms of disability-functional values. Quality of life was also found to be better in acupuncture group. Conclusion: Ten sessions of acupressure application was found to be superior to 10 sessions of TENS combined with infrared therapy. The favorable effect lasted at 1st month follow-up after the end of the treatment.

Trichoblastoma is a benign skin tumor that arises from the hair germ, which is the precursor of the hair follicle. It is most frequently observed on the scalp and face. The occurrence of trichoblastoma in the pediatric population is extremely rare. As far as our research, we have not come across any reported case of trichoblastoma in newborns in the English literature. A 10-day-old male newborn was referred to our clinic because of swelling under the right neck since his birth. Physical examination revealed a painless, firm and mobile mass, approximately 3 cm in size on the right submandibular region. Magnetic resonance imaging showed a smooth contoured mass with diffuse contrast enhancement. Tru-cut biopsy results suggested that the tumor was composed of epithelial and myoepithelial component. Total mass excision was performed and the final pathological result was a trichoblastoma. The patient was discharged on the second day following the surgery and the subsequent two-year follow-up examination showed no signs of wound complications, indicating successful healing. Trichoblastoma should be taken into account in newborns with neck masses.

Objective: Trauma cases have an important place among patients admitted to the emergency department (ED). Orthopedics and traumatology clinic is among the most frequently consulted and hospitalized departments. In this study, we analyzed the patients admitted to the orthopedics clinic from the ED. Methods: This study was a retrospective analysis of all patients admitted to the ward or intensive care unit (ICU) on behalf of the orthopedics clinic from the ED of a second-level state hospital between 01.01.2022 and 31.12.2022. Patient data were accessed through hospital electronic data. Age, gender, time of admission, forensic status, type of trauma, traumatic lesions, femoral neck fractures, length of hospitalization and mortality were analyzed. Results: Of the patients 50.4% were male. The most common presentation was in summer months and during working hours. Of the patients 17.6% were forensic cases. Forensic cases were more common in the young adult age group and in males. The mean age of the patients was 53.2±26.9 years and the most common age range was 61-80 years. Falls and traffic accidents were the most common reasons for admission. The most common hospitalization was due to femur fracture. Femur fractures were most common in males and in the age range of 81-100 years. Lower end of humerus fractures was more common in pediatric age group, tibia fractures in young adult age group and femoral neck fractures in elderly patients. Femoral neck fractures constituted 31.6% of all cases. Of the 8 patients hospitalized in the ICU, 7 were admitted due to femoral neck fractures and all of them (1.5%) died due to complications. Conclusion: The majority of hospitalizations from the ED to the orthopedic clinic are due to bone fractures. It should be kept in mind that femoral neck fractures are more common especially in the elderly and may be mortal.

Ama: Aile bakm zbekistan'da yaygn bir gelenektir.Engelli bir bireyin bakmna ilikin sorumluluklar, bakm verenlerin riskli salk davranlar gelitirmelerine neden olabilmekte ve onlar iin yk haline gelebilmektedir.Bu almann amac, 24 ya alt engelli genlere bakm veren aile bireylerinde alglanan bakm verme yk ile salkl