Phoenix Medical Journal最新文献_第4页

Covid-19 Tanısı alan hastalarda tedavi ve klinik deneyimler

Phoenix Medical Journal Pub Date : 2023-02-21 DOI: 10.38175/phnx.1240296

İ. Yildiz, İlkay Bahçeci̇

引用次数: 0

The effect of trauma mechanism on the frequency of accompanying vertebral fracture in cases with thoracic trauma 创伤机制对胸外伤伴发椎体骨折发生率的影响

Phoenix Medical Journal Pub Date : 2023-02-21 DOI: 10.38175/phnx.1242837

Beliz ÖZTOK TEKTEN, O. Yakşi

{"title":"The effect of trauma mechanism on the frequency of accompanying vertebral fracture in cases with thoracic trauma","authors":"Beliz ÖZTOK TEKTEN, O. Yakşi","doi":"10.38175/phnx.1242837","DOIUrl":"https://doi.org/10.38175/phnx.1242837","url":null,"abstract":"Introduction: Thoracic traumas are the third most common trauma among all trauma cases after head-neck and extremity traumas. The most common causes are motor vehicle accidents, falls from height, gunshot wounds, and stab wounds. In our study, it was aimed to investigate the mechanism of trauma and its effect on the frequency of accompanying vertebral fracture in patients who applied to the emergency department of a university hospital due to thoracic trauma. \u0000Material – Method: Our study was planned retrospectively. The information of the patients who applied to the emergency department of our hospital between 01.01.2017 and 01.01.2021 due to thoracic trauma was examined. Demographic characteristics of the patients, mechanism of trauma, trauma-related thoracic injuries and accompanying vertebral fractures were evaluated. \u0000Results: The data of 515 patients exposed to thoracic trauma were analyzed. The median age of the patients included in the study was 52 and 72.4% (n: 373) were male. 96.3% (n: 496) of the patients presented because of blunt trauma. The most common trauma mechanisms were in-vehicle traffic accident (46.6% n:240) and falling from height (30.9% n:159). \u0000Pneumothorax was found in 34.7% (n: 179) of the patients, hemothorax in 40.2% (n: 207), and costal fracture in 81.9% (n: 422). The frequency of concomitant vertebral fracture was 33.98% (n: 175). Vertebral fractures were most commonly detected in the lumbar region (53.1%) and were most common in patients admitted after a non-vehicle traffic accident. A significant difference was found between the mechanism of trauma and accompanying vertebral fracture; vertebral fracture was seen in 53.8% (n:28) of the patients who applied after a non-vehicle traffic accident. (p=0.004) \u0000Conclusion: It should be kept in mind that the trauma mechanism may increase the frequency of accompanying vertebral fracture in patients admitted to the emergency department after blunt trauma and evaluated for thoracic trauma.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117194619","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}

引用次数: 0

VERTEBRAL OSTEOMİYELİT: SON 10 YILDA NELER DEĞİŞTİ?

Phoenix Medical Journal Pub Date : 2023-02-13 DOI: 10.38175/phnx.1239682

Umran Şumeyse Elbahr, Y. Özdemir, Rıdvan Karaali, İlker Balkan, Neşe Saltoğlu, Fehmi Tabak, Birgül Mete

{"title":"VERTEBRAL OSTEOMİYELİT: SON 10 YILDA NELER DEĞİŞTİ?","authors":"Umran Şumeyse Elbahr, Y. Özdemir, Rıdvan Karaali, İlker Balkan, Neşe Saltoğlu, Fehmi Tabak, Birgül Mete","doi":"10.38175/phnx.1239682","DOIUrl":"https://doi.org/10.38175/phnx.1239682","url":null,"abstract":"Objective: This study was conducted to describe the demographic, clinical, and microbiological characteristics of vertebral osteomyelitis in the last decade, mainly by comparing literature and the previous case series performed in our center. \u0000Material and Methods: This is a retrospective, observational, descriptive study performed between 2009-2019 at Istanbul University-Cerrahpasa, Cerrahpasa School of Medicine. All patients were divided into three main groups: pyogenic (PVO), tuberculous (TVO) and brucellar (BVO). \u0000Results: A total of 100 cases were included in this study. Of these 100 patients, 59 had pyogenic, 15 had brucellar and 26 had tuberculous spondylodiscitis. The disease developed postoperatively in 22 (37.4%) of the 59 PVO cases. The common isolated microorganism was Staphylococcus aureus (n = 11), followed by coagulase negative staphylococci (n = 6). BVO rate was lower than previous case series (15 vs. 24). The median time to improvement in the laboratory findings after the administration of the appropriate treatment was 14 days. PET-CT was diagnostic in 81.8% of PVO patients, similar to MRI. However, PET-CT diagnosis rate was significantly low in TVO patients (3 out of 9, p = 0.040). \u0000Conclusion: S. aureus remained the most common etiologic agent. Coagulase negative staphylococci infection rate, mainly related to spinal surgery, and postoperative spondylodiscitis rate is higher than before. Brucellar VO rate is lower, which is mostly related to effective animal vaccination and pasteurization. Although, MRI is the gold standard, PET-CT is a promising technique in diagnosis for PVO.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133633974","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}

引用次数: 0

Fibrinogen/Albumin Ratio in Patients with Pulmonary Embolism 肺栓塞患者的纤维蛋白原/白蛋白比率

Phoenix Medical Journal Pub Date : 2023-02-10 DOI: 10.38175/phnx.1202390

Abdullah Bi̇lge, A. Duman, K. Türkdoğan, Ayhan Aköz

引用次数: 0

Acil Serviste SII ve SIRI değerlerinin CO Zehirlenmesinin Şiddetini Tahmin Etmedeki Rolü

Phoenix Medical Journal Pub Date : 2023-01-30 DOI: 10.38175/phnx.1224860

Tarık Acar, Birsen Erteki̇n

引用次数: 0

Kapadokya Bölgesinde Karbonmonoksit Zehirlenmelerinin Analizi ve Meteorolojik Verilerle Karşılaştırılması

Phoenix Medical Journal Pub Date : 2023-01-23 DOI: 10.38175/phnx.1232423

Mustafa Alpaslan

{"title":"Kapadokya Bölgesinde Karbonmonoksit Zehirlenmelerinin Analizi ve Meteorolojik Verilerle Karşılaştırılması","authors":"Mustafa Alpaslan","doi":"10.38175/phnx.1232423","DOIUrl":"https://doi.org/10.38175/phnx.1232423","url":null,"abstract":"ÖZET \u0000 \u0000Amaç: Acil servise başvurarak karbon monoksit zehirlenmesi teşhisi konulan hastaların analizi ve hastaların başvuru tarihlerinde görülen hava koşullarını değerlendirmek ve literatüre güncel bilgiler sunmaktır. \u0000Gereç ve Yöntem: İkinci basamak bir hastanede retrospektif olarak 01.01.2021-31.12.2021 tarihleri arasında T-58 ICD kodu ile karbon monoksit zehirlenmesi teşhisi konulan hastaların taranması ile yapılmıştır. Meteoroloji kurumundan alınan 2021 yılına ait hava durumu verileri ile karşılaştırmalar yapılmıştır. \u0000Bulgular: Çalışmada 169 hastaya karbon monoksit zehirlenmesi teşhisi konulduğu görüldü. Yaş ortalaması 35,20±22,58 olarak görüldü. En çok başvurunun kış aylarında ve gün içerisinde sabah saatlerinde olduğu görüldü. Hastaların karboksihemoglobin (COHb) değerleri ortalama 24,29±8,81 olarak ölçüldü. Kan laktat düzeyi ortalama 2,82±1,98 mmol/L olarak ölçüldü. COHb düzeyi ile laktat düzeyi arasında anlamlı ilişki olduğu görüldü. Vakaların görüldüğü günlerdeki rüzgâr yönü ortalaması 209,84º±94,3º olmuştur. Ortalama rüzgâr hızı ise 2,53±1,33 m/sn ve ortalama günlük yağış miktarı 4,69±6,89 kg/m² olmuştur. \u0000Sonuç: Karbon monoksit zehirlenmesi en sık kış aylarında görülmektedir. Çalışma sonuçlarına göre lodos rüzgârları olduğu günlerde anlamlı derecede vaka sayısında artış olmuştur. Zehirlenmelerin önüne geçilmesi için hava koşullarının takibi yapılmalı ve gerekli uyarılar yapılarak tedbirler alınmalıdır.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115046366","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}

引用次数: 0

Adolesanlarda B12 eksikliği ve Helikobakter Pylori Sıklığı

Phoenix Medical Journal Pub Date : 2023-01-23 DOI: 10.38175/phnx.1233741

{"title":"Adolesanlarda B12 eksikliği ve Helikobakter Pylori Sıklığı","authors":"","doi":"10.38175/phnx.1233741","DOIUrl":"https://doi.org/10.38175/phnx.1233741","url":null,"abstract":"Abstract: \u0000Aim: Low intake of Vitamin B12 (vit B 12) with malabsorptions are the most critical factors causing the deficiency. Vit B 12 deficiency has also been associated with Helicobacter pylori (HP) gastritis in previous studies. This study's main goal is to find a similar relation with recent studies or an opposite conclusion. For this purpose we choose the most suitable group; patients with the same two diseases HP gastritis and vit B 12 deficiency. \u0000Patients and methods: The whole study was conducted retrospectively. İn the study we included 19 patients (mean age: 15.6 ± 1.3 years ). The B12 levels of patients undergoing upper gastroscopy for any reason were studied. We tried to figure out whether B12 deficiency and HP positivity were statistically significant. The Electrochemiluminescence immunoassay method has been used for serum vit B12 level measurement. \u0000Results: There are 15 (62.5%) patients with neurological symptoms and 6 (25.0%) patients with fatigue and weakness. Only 3 (12.5 %) patients have no symptoms. There was no statistical significance between these groups (p=0.224). There are 18 (75%) patients with HP positivity. HP positive and negative patients have levels of B12 108.6 ± 31.1 pg/mL and 113.5 ± 41.2 pg/mL respectively (p=973). \u0000 \u0000Conclusion: There were no statistical significance with vitamin B 12 levels in HP-positive patients and HP-negative patients. İt sure be beneficial to use a bigger aspect patients group to have better results between HP infection and vitamin B 12 deficiency relation.","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"9 24","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120966111","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}

引用次数: 0

DELİCİ – KESİCİ ALET YARALANMALARININ DEMOGRAFİK ÖZELLİKLERİ

Phoenix Medical Journal Pub Date : 2023-01-20 DOI: 10.38175/phnx.1225008

Ali Şahin, Eren Usul, Yıldız Yildirimer, Emrah Ari, Ali Halici, E. Arslan

引用次数: 0

CHEST CT SCORE IN COVID-19 PATIENTS: THE RELATIONSHIP BETWEEN NEUTROPHIL-LYMPHOCYTE RATIO, MONOCYTE, LACTATE DEHYDROGENASE, ALBUMIN AND FERRITIN 新冠肺炎患者胸部ct评分:中性粒细胞-淋巴细胞比值、单核细胞、乳酸脱氢酶、白蛋白、铁蛋白的关系

Phoenix Medical Journal Pub Date : 2023-01-20 DOI: 10.38175/phnx.1199180

B. Çil, I. Demir, M. Kabak, I. Hocanlı, M. Taylan, Mustafa Fi̇danten

{"title":"CHEST CT SCORE IN COVID-19 PATIENTS: THE RELATIONSHIP BETWEEN NEUTROPHIL-LYMPHOCYTE RATIO, MONOCYTE, LACTATE DEHYDROGENASE, ALBUMIN AND FERRITIN","authors":"B. Çil, I. Demir, M. Kabak, I. Hocanlı, M. Taylan, Mustafa Fi̇danten","doi":"10.38175/phnx.1199180","DOIUrl":"https://doi.org/10.38175/phnx.1199180","url":null,"abstract":"Objective: Various Laboratory and vital parameters, including leukopenia, lymphopenia, neutrophil/lymphocyte ratio elevation, lactate dehydrogenase elevation, D-dimer and ferritin elevation, and low albumin can be used in the diagnosis and assessment of the severity of COVID-19 infection . \u0000Methods: The chest computed tomography (CT) scores, lymphopenia, neutrophil/lymphocyte ratio, neutrophil, lymphocyte, lactate dehydrogenase, albumin, C-reactive protein, white blood cells, platelets, basophil, eosinophil, monocytes, procalcitonin, D-dimer, ferritin, ages, genders, hospitalization units, oxygen-free fingertip saturations in room air, additional diseases and symptoms of 693 patients diagnosed with COVID-19 were recorded. The parameters of the patients were compared according to the severity of the chest CT score. \u0000Results: As a result of this study neutrophil/lymphocyte ratio was found to be significantly higher in the severe group when compared to the moderate group and the mild group. As chest CT score increased, lactate dehydrogenase level was higher at a statistically significant level in the severe group than in the mild group. Albumin levels were found to be lower in the severe group at a statistically significant level than in the mild group. Monocyte levels were found to be lower in the severe group at a statistically significant level when compared to the moderate and mild groups. Ferritin level was higher in the severe group at a statistically significant level when compared to the moderate and mild groups. When the practical effectiveness of using hematological and biochemical parameters to differentiate patients with severe CT scores from non-severe patients based on the chest CT score of the patients was examined by using the ROC Analysis, it was found that the neutrophil/lymphocyte ratio value had the strongest predictive ability (AUC, 0.787, SD=0.057, P","PeriodicalId":134281,"journal":{"name":"Phoenix Medical Journal","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114426199","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}

引用次数: 0

Achromobacter xylosoxidans / denitrificans infeksiyonları: Literatürün gözden geçirilmesi

Phoenix Medical Journal Pub Date : 2023-01-16 DOI: 10.38175/phnx.1226628

Emine Kübra DİNDAR DEMİRAY, Sevda Alkan

引用次数: 0