Yazar "Alaskarov, Elvin" seçeneğine göre listele
Listeleniyor 1 - 4 / 4
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Comparison of the inadequacies of ultrasonography and computed tomography in the diagnosis of sialolithiasis(2024) Özçelik, Necdet; Vehbi, Husam; Alaskarov, ElvinThis study aimed to determine the value of either ultrasonography and computed tomography (CT) alone or both for diagnosing salivary gland stones. Based on their clinical findings and physical examination, 188 patients with salivary stones were included. Initially, an ultrasound was performed, and then a non-contrast-enhanced thin-sliced CT scan was done. The study included 161 patients with suspected submandibular gland (SMG) sialolithiasis and 27 with parotid gland (PG) sialolithiasis. Among the SMG cases, stones were confirmed in 130 patients through interventional sialoendoscopy. Sixteen of the stones were detected by CT scan only and were not seen in the previous ultrasound examination. After the second follow-up ultrasound, which was conducted after reviewing the CT scans, 9 of them were identified. Five patients with distal stones and ductal dilation on ultrasound were confirmed to have sialolithiasis. In 5 patients with stones detected on ultrasound but not on CT, dental filling artifacts were identified as the cause. For PG cases, stones were observed in 18 out of 19 patients with suspected sialolithiasis based on ultrasound and CT findings. Three patients with positive CT findings but negative ultrasound showed stones during sialendoscopy. During an ultrasound examination, palpating the floor of the mouth with the other hand’s index finger can help identify stones obscured by the shadow of the mandible, thereby enhancing the test’s accuracy. Patients with dental fillings, implants, and permanent dentures should not be referred for a CT scan to avoid unnecessary exposure to ionizing radiation. They also cause significant metallic artifacts in the field of interest. In these cases, ultrasound should be considered. To minimize the effects of ionizing radiation, it is recommended to create limited field requests for the target, focusing solely on the submandibular and PGs.Öğe Effects of anatolian propolis and hypertonic saline combination nasal spray on allergic rhinitis symptoms: a prospective, multicenter study(2024) Cingi, Cemal; Bayar Muluk, Nuray; Çukurova, İbrahim; Dündar, Rıza; Osma, Üstün; Bal, Cengiz; Zirek, Alaattin; Budak, Ali; Resuli, Ali Seyed; Selimoğlu, Asif; Tanuğur Samancı, Aslı Elif; Karaoğullarından, Ayşe; Yılmaz, Begüm; Arslan, Bengi; Sizer, Bilal; Cihan, Celalettin; Koca, Çiğdem Fırat; Avcı, Deniz; Aydenizöz, Doğukan; Ünver, Ethem; Alaskarov, Elvin; Gülmez, Emrah; Gündoğan, Fatih; Günay, Gözde; Çetiner, Hasan; Güngör, Hilal; Salcan, İsmail; Gündoğan, Mahmut Emre; Akbay, Makbule Özlem; Akdağ, Mehmet; Kaplama, Mehmet Erkan; Yaşar, Mehmet; Koparal, Mehtap; Kar, Murat; Altıntaş, Mustafa; Torun, Mümtaz Taner; Bozan, Nazım; Sarı, Neslihan; Susaman, Nihat; Küçük, Nurten; Erdoğan, Osman; Gül, Osman; Sancaklı, Özlem; Kundi, Pınar; Budak, Rezzan Okyay; Karaman, Sait; Taşar, Soner; Demir, Songül; Belli, Şeyda; Yağcı, Tarık; Bilici, Taylan; Çelik, Turgut; Yıldırım, Yavuz Sultan Selim; Atayoğlu, Ali Timuçin; Irkan, Reşat Kubilay; Zorlu, Duygu; Can, DemetObjectives: This study aimed to evaluate how Rhinapi nasal spray affects symptoms of allergic rhinitis. Methods: In this prospective, multicenter, observational study, 10,000 patients (comprising 5028 males and 4972 females) exhibiting symptoms of allergic rhinitis (namely, nasal discharge, sneezing, nasal itching, and nasal obstruction) from different centers in different regions of Turkey were enrolled in the study between March 2022 and March 2023. All the patients wanted to participate in the study and were administered Rhinapi one puff to each nostril three times a day, for a period of 3 weeks. Total symptom scores, quality of life (QoL) scores, and otolaryngological examination scores were evaluated before and 3 weeks after treatment. Results: The scores for discharge from the nose, sneezing, nasal pruritus, and blockage of the nose all indicated improvement when compared to pre-medication and post-medication. This difference achieved statistical significance (P < .001). The mean total symptom score fell following treatment (P < .001): whilst the score was 11.09 +/- 3.41 before administering Rhinapi; after administration, the average score was 6.23 +/- 2.41. The mean QoL scores also altered after medication (P < .001), improving from a mean value of 6.44 +/- 1.55 to a mean of 7.31 +/- 1.24. Significant improvement was also noted in the scores for conchal color and degree of edema after the treatment had been administered (P < .001). Conclusion: The study demonstrates that Rhinapi nasal spray decreases total symptom scores, and results in improved QoL and otolaryngological examination scores. Propolis spray may be recommended for patients with allergic rhinitis alongside other treatments.Öğe Enhancing postoperative cochlear implant care with chatgpt-4: a study on artificial intelligence (ai)-assisted patient education and support(2024) Aliyeva, Aynur; Sarı, Elif; Alaskarov, Elvin; Nasirov, RaufBackground: Cochlear implantation is a critical surgical intervention for patients with severe hearing loss. Postoperative care is essential for successful rehabilitation, yet access to timely medical advice can be challenging, especially in remote or resource -limited settings. Integrating advanced artificial intelligence (AI) tools like Chat Generative Pre -trained Transformer (ChatGPT)-4 in post -surgical care could bridge the patient education and support gap. Aim: This study aimed to assess the effectiveness of ChatGPT-4 as a supplementary information resource for postoperative cochlear implant patients. The focus was on evaluating the AI chatbot's ability to provide accurate, clear, and relevant information, particularly in scenarios where access to healthcare professionals is limited. Materials and methods: Five common postoperative questions related to cochlear implant care were posed to ChatGPT-4. The AI chatbot's responses were analyzed for accuracy, response time, clarity, and relevance. The aim was to determine whether ChatGPT-4 could serve as a reliable source of information for patients in need, especially if the patients could not reach out to the hospital or the specialists at that moment. Results: ChatGPT-4 provided responses aligned with current medical guidelines, demonstrating accuracy and relevance. The AI chatbot responded to each query within seconds, indicating its potential as a timely resource. Additionally, the responses were clear and understandable, making complex medical information accessible to non -medical audiences. These findings suggest that ChatGPT-4 could effectively supplement traditional patient education, providing valuable support in postoperative care. Conclusion: The study concluded that ChatGPT-4 has significant potential as a supportive tool for cochlear implant patients post surgery. While it cannot replace professional medical advice, ChatGPT-4 can provide immediate, accessible, and understandable information, which is particularly beneficial in special moments. This underscores the utility of AI in enhancing patient care and supporting cochlear implantation.Öğe Evaluation of SARS-CoV-2-positive patients with suspected reinfection(Multidisciplinary Digital Publishing Institute (MDPI), 2023) Allahverdiyeva, Aytaj; Ağaçfidan, Ali; Doğan, Lerzan; Önel, Mustafa; Kırkoyun Uysal, Hayriye; Medetalibeyoğlu, Alpay; Şenkal, Naci; Alaskarov, Elvin; Meşe, SevimThe aim of this study was to investigate the reinfection rates and characteristics of SARS-CoV-2 in individuals with SARS-CoV-2 RNA present in their clinical specimens for COVID-19. Our data from the COVID-19 Laboratory of Istanbul University were analyzed for 27,240 cases between 27 March 2020 to 8 February 2022. Demographic characteristics, vaccination statuses, comorbidities, and laboratory findings were evaluated in cases with suspected reinfection, as determined by the presence of SARS-CoV-2 RNA at a rate of 0.3% in clinical specimens. When comparing laboratory values, leukocyte counts were lower in the second and third infections compared with the first infection (p = 0.035), and neutrophil counts were lower in the second infection (p = 0.009). Symptoms varied, with coughing being common in the first infection and malaise being common in subsequent infections. These results suggest that it is important to continue to monitor reinfection rates and develop strategies to prevent reinfection. Our results also suggest that clinicians should be aware of the possibility of reinfection and monitor patients for recurrent symptoms.
