{"title":"Entübasyon & Kollaps İlişkisi: Kritik Hastada Güvenli Entübasyon İpuçları","authors":"Serdar Özdemir","doi":"10.38175/phnx.1292091","DOIUrl":"https://doi.org/10.38175/phnx.1292091","url":null,"abstract":"Trakeal entübasyon, kritik hastalarda en sık uygulanan prosedürler arasındadır. Trakeal entübasyonun majör komplikasyon riskini arttıran farklı değişkenler tanımlanmıştır. Kritik hastada yapılan trakeal entübasyonların entübasyon ilişkili kardiyak arrest ve entübasyon ilişkili hipotansiyon bildirilen majör komplikasyonlardır. Mevcut literatür ışığında endotrakeal entübasyon öncesi hipotansiyon entübasyon ilişkili vasküler kollaps için en önemli risk faktörüdür. Bolus sıvı veya inotrop uygulamasını önermek için yeterli literatür henüz yoktur ve mevcut çalışmaların çok fazla kısıtlılığı mevcuttur. Klinisyenler ve araştırmacılar bu alanda daha fazla araştırma yapmak için cesaretlendirilmelidirler.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114355906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Akut Miyokard Infarktüslü Hastalarda Hemogram, Biyokimya, İnflamatuar Belirteçler ve Elektrolit Düzeylerinin Değerlendirilmesi","authors":"Muhammed Semih Gedi̇k, Kemal Göçer","doi":"10.38175/phnx.1297449","DOIUrl":"https://doi.org/10.38175/phnx.1297449","url":null,"abstract":"Aim: Hemogram, biochemistry, serum electrolyte, and inflammatory marker levels are altered in patients with acute myocardial infarction. When diagnosing and monitoring patients with acute myocardial infarction using cardiac-specific biomarkers, the levels of these markers should also be under control. We looked into the diagnostic and therapeutic value of hemogram, biochemistry, inflammatory markers, and electrolyte levels in acute myocardial infarction patients. \u0000Material Method: It is a descriptive epidemiological study. Within the scope of the study, all patients aged 18 years and over and diagnosed with acute myocardial infarction in the Emergency Department and Cardiology Department of Kahramanmaraş Sütçü İmam University Faculty of Medicine Hospital between 01.01.2020 - 31.07.2022 were included retrospectively. Hemogram, biochemistry, serum electrolyte and inflammatory marker levels were investigated in acute myocardial infarction patients. \u0000Results: Leukocyte, neutrophil, procalcitonin and C-reactive protein values were significantly higher in patients with acute myocardial infarction. Although platelet/lymphocyte ratios were high, no significance was found. In patients with acute myocardial infarction, glucose values measured at the time of stress were found to be high (hyperglycaemia). When we analysed the serum lactate levels of patients with acute myocardial infarction, it was found to be significantly higher. \u0000Conclusion: In patients with acute myocardial infarction, hemogram, biochemistry, serum electrolyte and inflammatory marker levels are altered. The levels of these markers should also be controlled during the diagnosis and follow-up of acute myocardial infarction patients with cardiac specific biomarkers. We believe that hemogram, biochemistry, inflammatory markers and electrolyte levels may contribute to the prediction of early serious complications in patients with acute myocardial infarction.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124263944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acil Servise Başvuran Yaşlı Hastalarda Deliryum İçin Risk Faktörlerinin Belirlenmesi","authors":"Esra KABADAYI SAHIN, Serkan Şahi̇n","doi":"10.38175/phnx.1290770","DOIUrl":"https://doi.org/10.38175/phnx.1290770","url":null,"abstract":"Objective: Delirium is reported as a common clinical state among elderly patients seeking care in the emergency departments (ED). However, it is commonly underdiagnosed in the ED. This study aimed to evaluate delirium prevalence and determine the risk factors for developing delirium in elderly patients in ED. \u0000Material and Methods: 238 patients over the age of 65 who applied to the ED were included. The patient group was screened for delirium by the emergency specialist using the 'Confusion assessment method (CAM)'. The patients were then evaluated for delirium by a psychiatrist according to DSM-5 criteria. Demographic data, vital signs, and laboratory findings of the patients were recorded. \u0000Results: Delirium is detected in 10.9% of the patients by using CAM and in 11.8% of the patients according to DSM-5 criteria. There was not any statistically significant difference between the groups with and without delirium in terms of age, gender, comorbid diseases, presence of dementia, and presence of polypharmacy. A positive correlation between mean arterial blood pressure (MABP) (r=0.373, p","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127569380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehmet KURT, Sevil ALKAN, Taylan ÖNDER, Esra GÜRBÜZ
{"title":"Protez eklem enfeksiyonlarında Mycobacterium tuberculosis'in yeri","authors":"Mehmet KURT, Sevil ALKAN, Taylan ÖNDER, Esra GÜRBÜZ","doi":"10.38175/phnx.1251925","DOIUrl":"https://doi.org/10.38175/phnx.1251925","url":null,"abstract":"Protez eklem enfeksiyonları tedavi maliyeti, morbidite ve hatta bazen mortaliteye sebep olan yönetimi zor enfeksiyonlardır. Bu enfeksiyonlarda etkenler sıklıkla gram pozitif bakteriler olsa da altta yatan immunsüpresyon gibi risk faktörleri olan kişilerde bazen çok farklı etkenler de tespit edilebilmektedir. Mycobacterium tuberculosis protez eklem enfeksiyonlarında nadir saptanan etkenlerden biridir. Bu enfeksiyon ortopedistlerin bu olguları yönetmesinde zorlukla sonuçlanabilir. Bu derleme çalışmasında, M. tuberculosis’a bağlı TB protez eklem enfeksiyonlarının tanı, tedavi ve sonuçlarını tanımlamak amacıyla bir literatür taraması gerçekleştirdik.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135140228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Helicobacter pylori enfeksiyonunun hematolojik belirtileri","authors":"Can ÖZLÜ, Sevil ALKAN, Tuba ERÜRKER ÖZTÜRK","doi":"10.38175/phnx.1255049","DOIUrl":"https://doi.org/10.38175/phnx.1255049","url":null,"abstract":"Helicobacter pylori dünya çapında görülen bir bakteriyal enfeksiyona yol açar. Helicobacter pylori asemptomatik enfeksiyondan, peptik ülser, gastrit, gastrointestinal maligniteye kadar birçok hastalığa yol açar. Son yıllarda bu enfeksiyonun gastrointestinal tutulumlarının dışında birçok hastlalık etiyolojisinde de rol oynadığı bildirilmiştir. Hematolojik tutulumlar da bu tutulumlardandır. Bu derleme çalışmasında Helicobacter pylori enfeksiyonunun hematolojik belirtilerini literatür eşliğinde gözden geçirmeyi amaçladık.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135528612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dilemma of Lung Infection Associated with Acute Heart Failure","authors":"S. Özdemir, A. Özkan","doi":"10.38175/phnx.1247747","DOIUrl":"https://doi.org/10.38175/phnx.1247747","url":null,"abstract":"Derginizin 2022 yılı ikinci sayısında yayınlanan Akça ve arkadaşları tarafından hazırlanan “Pandeminin Dilemması: İlaç Yan Etkisi mi? Ya COVID-19'sa?” isimli yazıyı büyük bir ilgi ile okuduk. Yazarlara ve editöriyel kurula klinik sorunu tartışan bu ilgi çekici yazıdan dolayı teşekkür ederiz (1). Biz de bu yazımızda pnömoni ve özellikle SARS-CoV-2 pnömonisi ile ayırt etmede klinisyenleri zorlayan bir diğer antite olan akut kalp yetmezliğine değinmek isteriz.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134515963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Carbon Monoxide Poisoning Associated Hyperlactatemia","authors":"A. Özkan, Burak Demirci","doi":"10.38175/phnx.1267524","DOIUrl":"https://doi.org/10.38175/phnx.1267524","url":null,"abstract":"We read with great interest the article titled “TThe Role of SII and SIRI Values in Predicting the Severity of CO Poisoning in the Emergency Department” prepared by Acar and Ertekin, published in the first issue of 2023 of your journal. We thank the authors and the editorial board for the article discussing the relationship between the severity of CO poisoning and combined hematological indices such as systemic immune inflammation index, systemic inflammatory response index and systemic inflammation total index, which have been defined in the last decade in the literature in carbon monoxide (CO) poisoning. However, we would like to point out a few points that will contribute to the discussion of the article on the pathogenesis of hyperlactatemia and the hemodynamic impact in CO poisoning, which the authors used to describe severe poisoning.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127211797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 Pandemisi Öncesi ve Döneminde Yoğun Bakım Ünitesinde Takip Edilen Hastaların Kan Kültürü İzolatlarının Tür Dağılımı ve Antibiyotik Duyarlılıklarının Değerlendirilmesi: Retrospektif, Tek Merkez Analizi","authors":"Kadir Arslan, A. Şahin","doi":"10.38175/phnx.1222179","DOIUrl":"https://doi.org/10.38175/phnx.1222179","url":null,"abstract":"Introduction: This study aims to identify the microorganism species isolated from blood cultures of patients hospitalized in the ICU of a tertiary center before and during the COVID-19 pandemic and to investigate their antibiotic susceptibility. \u0000Material and Methods: Patients hospitalized in the ICU two years before and after the COVID-19 pandemic between March 15, 2019, and March 15, 2021, were divided into two groups, and their blood cultures were evaluated retrospectively. Isolated microorganisms and their antibiotic susceptibility were analyzed. \u0000Results: A total of 1282 patients' blood cultures were analyzed, and demographic data were similar between groups. Blood culture growth was detected in 39.6% (n=202) of the patients in the pre-pandemic period and 41% (n=317) in the pandemic period. Gram-positive bacteria were isolated in 71.3%, gram-negative bacteria in 21.6%, and Candida spp. in 7.1% of the population. Klebsiella spp. was significantly higher, and Enterococcus spp. was significantly lower in blood cultures during the pandemic. In the COVID-19 period, although not significant, a decrease in antibiotic susceptibility was detected for Staphylococcus aureus, Klebsiella spp., E.coli, Enterobacter spp. and Pseudomonas spp. There was a statistically significant decrease in susceptibility to teicoplanin and linezolid in coagulase-negative staphylococci (CNS). During the pandemic, 57.6% (n=172) of the patients were positive for COVID-19. In COVID-19-positive patients, while Candida spp. was significantly higher, no decrease in antifungal susceptibility was detected. \u0000Conclusion: During the pandemic, antibiotic susceptibility to gram-positive and gram-negative microorganisms decreased. Although there was a significant increase in Candida spp. rates in COVID-19-positive patients, there was no decrease in their antifungal susceptibility.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127447369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prognostic Value of SCUBE-1 in Ischemic Stroke","authors":"I. Altunok","doi":"10.38175/phnx.1251231","DOIUrl":"https://doi.org/10.38175/phnx.1251231","url":null,"abstract":"SCUBE-1 is a newly identified cell surface protein identified during early embryogenesis. SCUBE-1 is known to be involved in the angiogenesis mechanism. SCUBE-1 was first detected in human umbilical vein endothelial cells, so it was said that it originates and is secreted from the vascular endothelium. It is also found in organs and tissues with high vascularization such as kidney, brain, lung, spleen and liver","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114364717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kardiyopulmoner Resüsitasyon Eğitimine Etki Eden Faktörler: Sakarya Örneği","authors":"Nuray Aslan, Necip Gökhan Guner, Yeşim Durgun, Ensar Durmuş, Yusuf Yurumez","doi":"10.38175/phnx.1228219","DOIUrl":"https://doi.org/10.38175/phnx.1228219","url":null,"abstract":"Amaç: Bu çalışmada, hekim dışı sağlık çalışanlarına yönelik olarak yapılan Kardiyopulmoner Resüsitasyon (KPR) eğitimindeki başarı durumuna etki eden faktörlerin araştırılması amaçlanmıştır. \u0000Gereç ve Yöntemler: Bu çalışma Sakarya İl Sağlık Müdürlüğü Acil Sağlık Hizmetleri Şubesi koordinatörlüğü ve sorumluluğunda Eylül 2021 tarihinde düzenlenen, KPR eğitimine katılan 285 hemşire ve ebe tarafından eğitim sırasında doldurulan ön test ve son test formlarının değerlendirilmesi ile gerçekleştirildi. Elde edilen veriler IBM SPSS 21 programı ile analiz edildi. \u0000Bulgular: Katılımcıların yaş ortalaması 25,06±3,45 yıl ve %85’i kadındı. Eğitime katılanların (n=285) son test başarı puanlarının 74,84±20,11 olduğu tespit edildi. Bu sonucun ön test başarı puanından (38,35±17,15) istatistiksel olarak anlamlı derecede yüksek olduğu saptandı (p","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"178 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122789072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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