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  • Küçük Resim
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    Current practice of emergency radiology in Turkey and future expectations: a survey study
    (GALENOS PUBL HOUSE, 2023) Tunçyürek, Özüm; Onur, Mehmet Nuri; Ertekin, Ersen; Çallı, Cem
    PURPOSE The development of emergency radiology (ER) in Turkey has accelerated with the increase in the number of patients admitted to emergency departments. We aimed to present and discuss the responses to a survey distributed to radiologists in Turkey, which included questions about the current practice of ER and future expectations. METHODS A survey with 29 questions enquiring about the infrastructure of respondents’ hospitals and radiology units, information about emergency services and ER (including patient volume), the number of staff and equipment, the ER working plan and reporting method, and training in the field of ER were distributed to members of the Turkish Radiological Society by email. RESULTS The response rate was 21.97% (328/1.493). The presence of distinct ER units in radiology departments was confirmed by 40.55% of respondents, while for 34.25%, ER was located inside the emergency room. Of the respondents, 26.96% stated they believed that emergency cases should be reported by emergency radiologists, and the necessity for an ER subunit in the emergency room was agreed upon by 58.64% of contributors. The majority of respondents (69.54%) agreed with the opinion that residents should receive their ER training in an ER unit. CONCLUSION Keeping abreast of current ER practices and radiologists’ expectations may be helpful for improving national ER practices and academic studies.
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    Öğe
    Do We Know the Long-Term Effects of the Most PopularTraditional Swallow Maneuvers on the Submental Muscles?
    (WILEY, 2024) Söyler, Ayşe Kübra; Kıylıoğlu, Nefati; Arslan, Selen Serel; Demir, Numan; Gök, Mustafa; Ertekin, Ersen; Düger, Tülin
    Background: Various trainings focus on the submental muscles (SMs) for dysphagia rehabilitation because of their importancefor swallowing safety and efficiency. According to the current literature, swallow-specific tasks may be optimal exercises fordysphagia. The effortful swallow (ES) and the Masako maneuver (MM) are the most commonly used swallow-specific tasks inthe clinical settings for dysphagia for years, but long-term effects for these trainings is insufficient.Objectives: This study aims to investigate and compare the effects of ES and MM on SM activity, strength and thickness.Methods: Thirty-seven healthy adults were randomised to ES, MM and control groups, and ES and MM groups completed6 weeks of swallowing training. Participants in both training groups performed a total of 120 swallows in each session, whilecontrol group did not participate in any swallowing training. Surface electromyography was used to evaluate SM activity, digitaldynamometer for SM strength and ultrasonography for SM thickness.Results: Both trainings did not change SM activity (p > 0.05), but increased SM strength (p < 0.05). MM increased the thicknessof all SM (p < 0.05), and ES increased the thickness of mylohyoid (right, left) and digastric muscle (right) (p < 0.05), and therewas no change in all evaluation parameters in the control group (p > 0.05). Also, trainings were not superior to each other in anyparameter (p > 0.05).Conclusion: The results of this study provided new evidence to the literature to show that ES and MM trainings are effectivefor improving SM strength and thickness. Considering that SM is important in terms of swallowing safety and effectiveness, it isthought that both trainings may be promising by increasing the strength and mass of SM, especially in individuals with reducedSM strength and mass.
  • Küçük Resim
    Öğe
    Porselen kese zemininde safra kesesi kanserlerinin nadir görülen varyantı; skuamöz hücreli kanser
    (Harran Üniversitesi, 2016) Ertekin, Ersen; Fidan, Nurdan
    Amacımız, porselen kese zemininde skuamöz hücreli safra kesesi kanseri olgumuzun radyolojik bulgularını ve literatür eşliğinde safra kesesi kanserlerine yaklaşımı gözden geçirmektir. Safra kesesi kanserleri gastrointestinal tümörlerin 5. sıklıkta görülen, safra yollarının ise en sık görülen maligniteleridir. 6. dekad ve sonrasında, kadınlarda daha sık gözlenmektedir. Çoğu asemptomatik olmakla beraber semptomatik olanlar genellikle sağ üst kadran ağrısı, sarılık, kilo kaybı semptomları ile başvururlar. Görüntüleme bulguları sıklık sırasına göre; kese lojunu dolduran kitle, fokal ya da diffüz duvar kalınlaşması ve luminal kitledir. En sık görülen tip (%85 üzeri) adenokarsinomdur. Geri kalanlar skuamöz/adenoskuamöz, undiferansiye ve diğer başlığı altında toplanabilir. Genellikle geç tanı konması sebebiyle prognoz kötüdür. Olguların çoğunun asemptomatik olması, semptomatik olanların diğer benign safra yolu hastalıkları ile benzerlik göstermesinden dolayı tanı gecikmektedir. Görüntüleme bulgularının iyi yorumlanması, klinik hikaye ile birleştirilerek erken tanı konması, prognozu kötü olan bu kanser tipinde sağkalıma katkı sağlayacaktır.