Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi最新文献

{"title":"91 Yaşındaki Aktif Hastada Unstabil Pertorakhanterik Kırık Nedeniyle Uygulanan Proksimal Femoral Çivinin (PFN) Proksimalden İki Kez Kırılması","authors":"Murat Saylik","doi":"10.47572/muskutd.1126875","DOIUrl":"https://doi.org/10.47572/muskutd.1126875","url":null,"abstract":"With prolonged life expectancy in society and an increasing elderly patient population, pertrochanterıc hip fractures have become more common. Particularly in unstable pertrochanteric hip fractures, Proximal Femoral Nail (PFN) is often preferred for internal rigid fixation of the fracture and early mobilization of the patient. Implant failure findings such as relapse or fracture of the proximal sliding screw after PFN, fracture of the distal screw, and fracture of the PFN from the proximal or distal area are rare. We present the case of an advanced-age active female patient with an unstable pertrochanteric hip fracture who developed two proximal PFN fractures after PFN, and we document the two revisions with PFN+ graft we introduced for her. We present this case because in the literature we had not encountered any 91-year-old patient who developed proximal PFN fractures twice without falling or high-energy trauma and who achieved union of the fracture with through revisions performed twice with PFN and graft.","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"351 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123230323","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":"Çocuklarda levobupivakain ile yapılan kaudal bloğa kaudal veya intravenöz morfin ve klonidin eklenmesinin sonuçları; geriye dönük bir çalışma","authors":"Eylem Yaşar, Çiğdem Tütüncü, Güner Kaya","doi":"10.47572/muskutd.1088900","DOIUrl":"https://doi.org/10.47572/muskutd.1088900","url":null,"abstract":"98 pediatric patients aged 6months to 12years who underwent caudal levobupivacaine for hypospadias surgery were evaluated retrospectively.Patients with intravenous morphine added group 1; patients with intravenous clonidine added group 2, caudal morphine added group 3, and caudal clonidine added group 4patients. \u0000When the CHEOPS pain scores of 6 or higher were assessed according to the groups at the 1st hour, there were 8 cases in the intravenous morphine group(40%), 5cases in the intravenous clonidine group (25%), and 3 cases in the caudal morphine group (15%).When the CHEOPS pain scores of 6 or higher were assessed according to the groups at the 12th hour, there were 5cases in the intravenous morphine group(25%), 10cases in the intravenous clonidine group (50%), and 4 cases in the caudal morphine group(20%).When the CHEOPS pain scores of 6 or higher were assessed according to the groups at the 24th hour, there were 10 cases in the intravenous morphine group(50%), 10cases in the intravenous clonidine group (50%), 9 cases in the caudal morphine group(45%) and 2 cases in the caudal clonidine group (10%) (p0.05). \u0000The lowest pain scores at the 1st, 12th, and 24th hours were recorded in the caudal clonidine group.It has the lowest, best pain scores at 6hours.By these methods, in favor of the clonidine group, we agreed that the analgesia lasts for 12 hours postoperatively, so the postoperative stress that the children and their families have can be minimized.","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122337385","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":"Immediate Frontal Nerve Repair Produces Early Facial Reanimation: A Case Report and Literature Review","authors":"M. Altıparmak, Ö. Alataş","doi":"10.47572/muskutd.1091535","DOIUrl":"https://doi.org/10.47572/muskutd.1091535","url":null,"abstract":"Frontal nerve injury may result with permanent facial asymmetry. This may severely affect social and psychological status. It is known that early repair of frontal nerve is more effective than delayed repair. However, it is not well defined how the frontal nerve repairment responds to emergency coaptation. A case report of a 27 years old male whom had a right frontotemporal laceration after a trauma has been presented. The patient was operated immediately and the frontal nerve was explored under microscope. Either ends of the frontal nerve were found within the injury zone and repaired. Frontal muscle reanimation started after one week and recorded to be nearly fully gained in post-operative one month. House-Brackmann Grade VI injuryimprovedto a Grade II nervefuncitonwithin 1 monthafteroperation. In conclusion, emergency coaptation of frontal nerve injuries may result with full reanimation of the muscle.","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125124955","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":"Higher Survival Advantage With Hyper-CVAD Chemotherapy Regimen Before Allogeneic Stem Cell Transplantation In Patients With High Risk Adult Acute Lymphoblastic Leukemia: Two-Center Experience","authors":"Emrah Kılıçaslan, S. Sayın, M. Yıldırım, T. Elibol, H. Gözden, M. Aylı, M. Kaptan","doi":"10.47572/muskutd.930925","DOIUrl":"https://doi.org/10.47572/muskutd.930925","url":null,"abstract":"While promising results have been achieved in the treatment of childhood, the optimal initial treatment for adult acute lymphoblastic leukemia (ALL) has not yet been defined. Hyper-CVAD has become a widely used treatment for approximately 2 decades in the treatment of adult ALL. We conducted a retrospective analysis of 30 patients treated with Hyper-CVAD at two centers between 2014 and 2020. In all (n:30) patients treated with Hyper-CVAD, CR rate was 86.7%, induction mortality was 10%, refractory disease was 3.3%, the median OS was 38 months (95% CI 7.78–68.2 months), the median DFS was 29 months (95% CI 9–49 months), the 2-year OS rate was 56.5%, and the 2-year DFS was rate 56.7%. For standard risk (n: 12) ALL patients, the median OS was 20 months (95% CI 0–43 months), and median DFS was 7 months (95% CI 0–25 months). For high risk (n: 18) ALL patients, the median OS was 38 months (95% CI 0–76 months), and median DFS was not reached. These results indicate that Hyper-CVAD regimen should be especially considered as an option for induction treatment of adult patients with high risk ALL whom are newly diagnosed and eligible for allogeneic stem cell transplantation (ASCT).","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126201947","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":"Pediatric maxillofacial trauma: Epidemiologic study between 2015 and 2020","authors":"Emine ÖZDEMİR KAÇER, Ilker Kaçer, A. Çağlar","doi":"10.47572/muskutd.951240","DOIUrl":"https://doi.org/10.47572/muskutd.951240","url":null,"abstract":"Intraduction: Maxillofacial trauma is the most common type of trauma and is an important cause of high morbidity and mortality. Emotional traumas occur in children due to sequelae caused by injuries and the rest of their lives are negatively affected. The aim of this study is to investigate the etiology, epidemiology, and injury type of pediatric maxillofacial traumas, and to make recommendations to prevent injury to children. \u0000Materials and Methods: This descriptive retrospective study was conducted in a regional tertiary hospital. The medical records of all maxillofacial trauma-related admissions to the emergency department between January 2015 and February 2020 were retrospectively reviewed. Etiology of trauma, demographic characteristics, type of trauma, accident type, injury site, administered treatments, and mortality were recorded. \u0000Results: 1029 patients aged 4months-18years (mean 77.67±59.21 months) including 288 females (28%) and 741males (72%) were included in the study. Most of the patients (n = 390, 37.9%) were in the 13-18years of age group. The vast majority of the study population lived in the urban area (753-73.2%). Most injuries were seen in the summer (438-42.6%). After head+cervical injuries, the most common upper extremity injuries (171-16.6%) were seen, the least thoracic injuries (69-6.7%). 57 (5.5%) patients were required hospitalization and the mortality rate was 1.2% (n = 12). \u0000Conclusions: Pediatric maxillofacial traumas occur mostly in the male gender, in summer, in urban areas, and due to motorcycle accidents. In order to reduce child maxillofacial traumas, public awareness should be increased and playgrounds suitable for all age groups should be created.","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129724224","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":"EARLY AND LONG-TERM RESULTS OF ANASTOMOSIC LEAKAGES IN COLORECTAL SURGERY","authors":"O. Nazlı","doi":"10.47572/muskutd.1109571","DOIUrl":"https://doi.org/10.47572/muskutd.1109571","url":null,"abstract":"Anastomotic leakage is the partial or complete separation of the anastomosis performed in gastrointestinal system surgery for various reasons, which can be determined by clinical and/or radiological methods in the postoperative period. When this situation occurs, besides the increase in the surgical mortality rate of the patient, the incidence of many complications in the early or late period also increases. At the beginning of these complications are reoperation, stoma and stoma problems that impair quality of life, longer hospital stay of the patient, occurrence of locoregional recurrences, reduced five-year survival and economic results.","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124769170","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":"DİKKAT EKSİKLİĞİ VE HİPERAKTİVİTE BOZUKLUĞU TANISI ALAN ÇOCUK VE ERGENLERDE UZUN SÜRELİ METİLFENİDAT KULLANIMININ BÜYÜME VE KEMİK YOĞUNLUĞU ÜZERİNE ETKİLERİNİN ARAŞTIRILMASI","authors":"Zeynep Anıl Şahi̇n, İsmail Gökhan Şahi̇n, Leyla Bozatlı, Işık Görker","doi":"10.47572/muskutd.928527","DOIUrl":"https://doi.org/10.47572/muskutd.928527","url":null,"abstract":"Amaç: Bu çalışmamızdaki amacımız, DEHB tanılı olgularda en sık kullandığımız farmakolojik tedavi ajanı olan metilfenidatın büyüme ve kemik yapısı üzerine etkilerini araştırmaktır. Gereç ve Yöntemler: Trakya Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı tarafından “Dikkat Eksikliği ve Hiperaktivite Bozukluğu” tanısı ile takip ve tedavi edilen; 30 erkek vaka, olgu grubu olarak çalışmaya dahil edildi ve kontrol grubu ile karşılaştırıldı. Gruplar; yaş (yıl), boy uzunluğu (cm), vücut ağırlığı (kg) ve vücut kitle indeksi (kg/m2), 25-hidroksikolekalsiferol (Vitamin D), serum kalsiyum değerleri (mg/dl) ve DEXA (Dual enerjili x-ray absorpsiyometrisi) sonuçları ile karşılaştırılarak değerlendirildi. Sonuçlar: Çalımamızda büyüme parametreleri [boy(cm), vücut ağırlığı (kg), vücut kitle indeksi (kg/m2)], Vitamin D düzeyleri, lomber ve kalça kemik mineral yoğunluğu açısından gruplar arasında istatiksel olarak anlamlı fark saptanmadı. Serum kalsiyum düzeyleri, proksimal femur ve lomber vertebra Z skorlarının olgu grubunda istatistiksel olarak anlamlı düzeyde düşük olduğu tespit edildi (p=0,001; p=0,013; p=0,015). Tartışma: Metilfenidat tedavisi, DEHB olgularında altın standart farmakolojik tedavidir. Literatürde hiçbir çalışmada DEHB olgularında metilfenidat kullanımına bağlı olarak kontrol grubuna kıyasla daha iyi büyüme parametreleri ve kemik yoğunluğu saptanmamıştır. Çalışmamızda büyüme parametreleri açısından gruplar arası fark saptanmadı. Kemik parametrelerinde ise, kalça ve lomber vertebra Z skorları ve serum kalsiyum düzeylerinin olgu grubunda istatistiksel olarak anlamlı düzeyde düşük olduğu tespit edildi. Vitamin D düzeyleri açısından gruplar arası istatiksel olarak anlamlı fark tespit etmemiş olmamıza rağmen ortalama değerler açısından olgu grubumuzun Vitamin D eksikliği, kontrol grubumuzun ise Vitamin D yetersizliği tanımına uymasının önemli olduğunu düşünüyoruz. INVESTIGATION OF THE EFFECTS OF LONG-TERM METHYLPHENIDATE USE ON GROWTH AND BONE DENSITY IN CHILDREN AND ADOLES WITH DIAGNOSIS OF ATTENTION DEFICIENCY AND HYPERACTIVITY DISORDER Abstract: Aims: Our aim in this study is to investigate the effects of methylphenidate, which is the most commonly used pharmacological treatment agent, on growth and bone structure in patients with ADHD. Material and Methods: Patients with the diagnosis of \"Attention Deficit and Hyperactivity Disorder\" was followed and treated; 30 male cases were included in the study as a case group and compared with the control group. Groups; age (years), height (cm), body weight (kg) and body mass index (kg / m2), 25-hydroxycholecalciferol (Vitamin D), serum calcium values (mg / dl) and DEXA (Dual energy x-ray absorptiometry) compared with the results. Results: In our study, no statistically significant difference was found between the groups in terms of growth parameters, Vitamin D levels, lumbar and hip bone mineral density. Serum calcium levels, proximal femur and lumbar ","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116595949","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":"Retrospective Evaluation of Iron Deficiency Anemia (IDA) Prevalence Among Adults Referred to Mugla Training and Research Hospital","authors":"C. Gürhan, Ercan Saruhan","doi":"10.47572/muskutd.1105202","DOIUrl":"https://doi.org/10.47572/muskutd.1105202","url":null,"abstract":"Bu çalışmada XXX ilinde yaşayan erişkinlerde Demir Eksikliği Anemisi (DEA) prevalansının belirlenmesi ve demografik veriler ile DEA arasındaki ilişkinin retrospektif olarak değerlendirilmesi amaçlandı. Çalışma, 01 Ocak– 31 Aralık 2021 tarihleri arasında XXX Eğitim ve Araştırma Hastanesi’ne ayaktan başvuran 15-99 yaş arası hasta grubunda gerçekleştirildi. Tüm hastaların Hb, HCT, MCV, MCH, serum demir (Fe), serum ferritin düzeyleri çalışma kapsamında değerlendirildi. Anemi prevalansı, DEA prevalansı, anemi varlığının biyokimyasal ve demografik veriler ile ilişkisi istatistiksel olarak karşılaştırıldı. Çalışma kapsamında 82116 hastanın laboratuvar sonuçları değerlendirildi. Çalışmaya dahil edilen hastaların 19326 (%23.5)’inde anemi, anemi saptanan hastaların ise 2007 (%11.5)’sinde DEA saptandı. DEA tanısı alan hastaların 1734 (% 86.3)’ü kadın, 273 (%13.7)’si erkektir. DEA tanılı hastalar yaş gruplarına göre değerlendirildiğinde hastaların %44’ünün 25-44 yaş aralığında olduğu görüldü. Çalışmamız, XXX ilinde DEA ve anemi prevalansının saptanması amacıyla bu konuda yapılmış ilk çalışmadır.","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"416 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130832715","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":"CHILAIDITI SYNDROME IN TRAUMA PATIENT","authors":"Huriye Gülistan BOZDAĞ BAŞKAYA","doi":"10.47572/muskutd.1113036","DOIUrl":"https://doi.org/10.47572/muskutd.1113036","url":null,"abstract":"Chilaiditi Syndrome; It is a rare syndrome that occurs as a result of compression of a part of the colon and / or small intestine between the right hemidiaphragm and the liver. It is generally asymptomatic and detected incidentally on chest X-ray. In this paper, we present a trauma case with the diagnosis of Chilaiditi Syndrome by radiological examinations.","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132185403","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":"Eritema Nodozumun Eşlik Ettiği Bir Komplike Bruselloz Olgusu","authors":"Safiye Bilge GÜÇLÜ KAYTA, Servan Vurucu, Anıl Akça, Sevda Alkan","doi":"10.47572/muskutd.1037724","DOIUrl":"https://doi.org/10.47572/muskutd.1037724","url":null,"abstract":"Bruselloz birçok farklı klinik sunumu olan sistemik bir enfeksiyon hastalığıdır. Deri bulguları nadir de olsa ilk başvuru şikâyeti olabilir. Brusellozun cilt tutumları da birbirinden farklı olabilir. Cilt tulumları arasında en sık eritematoz döküntüler olsa da eritema nodozum hastalık seyri sırasında görülebilir. Eritema nodozumun enfeksiyoz nedenleri arasında çok farklı etkenler bildirilmiştir. Ancak brusellozun etken olması sonucu gelişen olgular nadirdir. Bu olgu sunumunda, bruselloza bağlı eritema nodozum gelişen 26 yaşında bir kadın olgu sunarak, literatüre katkıda bulunmayı amaçladık.","PeriodicalId":153630,"journal":{"name":"Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114912602","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}