Archives of Medical Science - Civilization Diseases最新文献_第4页

Impact of watch and wait procedure after endoscopic detorsion for sigmoid volvulus in high risk dementia patients 高危痴呆患者乙状结肠扭转内窥镜扭转后观察等待程序的影响

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/AMSCD.2021.105392

Onur Ag, Yusuf Bozcan, M. Dinçer

{"title":"Impact of watch and wait procedure after endoscopic detorsion for sigmoid volvulus in high risk dementia patients","authors":"Onur Ag, Yusuf Bozcan, M. Dinçer","doi":"10.5114/AMSCD.2021.105392","DOIUrl":"https://doi.org/10.5114/AMSCD.2021.105392","url":null,"abstract":"Introduction: Volvulus is defined as an acute bowel dilatation, which must be treated after the diagnosis in a short time, which otherwise can cause necrosis and perforation of the bowel. Chronic constipation and neurological diseases are the most common causes in some countries. In this study, patients with sigmoid volvulus who were treated and followed up were ex-amined, the association of it with neurological diseases was investigated, and the demographic characteristics of the patients, treatment approaches, and results were presented. Material and methods: Patients who underwent colonic volvulus with dementia between January 2010 and August 2020 were retrospectively re-viewed. The demographic characteristics and histopathological diagnosis of the patients were recorded. Differences in treatment modalities and results of patients with volvulus were statistically analyzed. Results: Seventy-eight patients who had sigmoid volvulus and dementia were included the study. The median age was 82.0 years and males repre-sented 71.8% of the patients. All the patients had abdominal pain, while the other common symptoms were vomiting, abdominal distension and constipation. The complication rate was statistically significantly higher in surgical treatment than endoscopic procedures and spontaneously detorsioned ( p = 0.011). The median length of stay was statistically significantly different in the surgery group, endoscopic procedure group and spontaneously detorsioned group ( p < 0.001). Conclusions: The prevalence of volvulus is high in individuals with neurological disease. Successful results were obtained with non-surgical follow-up after endoscopic detorsion in the selected patient group in the results of this study, and mortality and morbidity were at lower rates than surgery.","PeriodicalId":169652,"journal":{"name":"Archives of Medical Science - Civilization Diseases","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127108483","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

Serum albumin level as a predictor of contrast-induced acute kidney injury following coronary angiography 血清白蛋白水平作为冠脉造影后造影剂诱导的急性肾损伤的预测因子

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/amscd.2020.95224

Jayakumar Sreenivasan, M. Khan, Qiyu Wang, S. Ranka, T. Akhtar, Jishanth Mattumpuram, R. Agrawal, M. Zhuo, W. Aronow, Neha Yadav

{"title":"Serum albumin level as a predictor of contrast-induced acute kidney injury following coronary angiography","authors":"Jayakumar Sreenivasan, M. Khan, Qiyu Wang, S. Ranka, T. Akhtar, Jishanth Mattumpuram, R. Agrawal, M. Zhuo, W. Aronow, Neha Yadav","doi":"10.5114/amscd.2020.95224","DOIUrl":"https://doi.org/10.5114/amscd.2020.95224","url":null,"abstract":"Introduction: The association between serum albumin level and the risk of contrast-induced acute kidney injury (CI-AKI) after coronary angiography has not been well established. Material and methods: A retrospective chart review was performed for all patients who underwent coronary angiography with or without percutaneous coronary intervention (PCI) at a tertiary care medical center over a peri-od of 5 years. CI-AKI was defined as an absolute increase in creatinine of 0.3 mg/dl from baseline within 48 h of contrast exposure. Mean pre-procedural albumin level was compared between patients who developed CI-AKI and those who did not. The optimal cut-off point was obtained from the receiver operating characteristic (ROC) curve and univariate multiple logistic regression analysis was used to assess the associated risk of CI-AKI. Results: Among 1319 patients (females = 32.3%, mean age: 58.2 ± 13.6 years) included in the study, 201 (15.2%) developed CI-AKI. Baseline serum albumin (3.5 vs. 3.8 gm/dl, p < 0.001) was significantly lower in patients who developed CI-AKI. ROC curve analysis revealed an optimal cutoff value for serum albumin of 3.85 gm/dl to predict CI-AKI with 67.2% sensitivity and 52.2% specificity (area under the curve (AUC) = 0.62, p < 0.001). Serum albumin < 3.85 gm/dl is significantly associated with higher risk of developing CI-AKI (adjusted odds ratio (AOR) = 1.5, 95% CI: 1.1–2.1, p = 0.02). Conclusions: Serum albumin < 3.85 gm/dl is an independent predictor of CI-AKI in patients undergoing coronary angiography.","PeriodicalId":169652,"journal":{"name":"Archives of Medical Science - Civilization Diseases","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134524013","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

Borelis Pro phytomedicine for the complex treatment of Lyme borreliosis in children Borelis原植物药对儿童莱姆病的综合治疗

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/amscd.2022.119966

S. Nykytyuk, S. Marchyshyn, S. Klymnyuk, M. Shkilna, S. Levenets

引用次数: 1

COVID-19 implications at the Clinical University Center in Kosovo – Department of Pediatrics 科索沃临床大学中心-儿科对COVID-19的影响

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/AMSCD.2021.107844

L. Spahiu, Egzona Berisha, R. Hadziselimovic, H. Nefic, G. Temaj

引用次数: 0

Newer congeners of doxycycline – do they hold promise for periodontal therapy? 强力霉素的新同系物——它们有希望用于牙周治疗吗?

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/amscd.2022.119600

P. Natarajan, V. Rekha, Anita Murali, Bhuminathan Swamikannu

引用次数: 0

Is there any superiority of the different abdominal closure techniques for primary closure in high-risk patients? 不同的腹部缝合技术对高危患者的初次缝合是否有优势?

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/amscd.2019.84522

M. Dinçer, E. Aygen

{"title":"Is there any superiority of the different abdominal closure techniques for primary closure in high-risk patients?","authors":"M. Dinçer, E. Aygen","doi":"10.5114/amscd.2019.84522","DOIUrl":"https://doi.org/10.5114/amscd.2019.84522","url":null,"abstract":"Introduction: Incisional hernia continues to be one of the major problems of surgery due to its high incidence rate and high morbidity. The aims of this study are to compare different repair techniques with primary repair techniques for the risk of incisional hernia. Material and methods: High-risk patients who had a midline incision of the abdomen were included in this study. Patients were divided into four groups. Each group contained 20 patients. Patients of group 1 were operated on using primary repair. In group 2 Cardiff repair technique was used. The patients in group 3 were repaired with Keel technique. The patients of group 4 were repaired with onlay technique. Patients were followed up with physical examination at 3-month periods in the first year after surgery and 6-month periods in the following two years. Incisional hernia, occurrence time and other complications were noted. Results: Eighty patients who had high risk of incisional hernia were included in this study. 47.5% of them were female and 52.5% of them were male. The average age of patients was 59.2 ±12.95. Average hospitalization time was 8.5 days (4–28 days). Average follow-up was 18 months (6–34 months). In total 4 (5%) patients had recurrence. Fifteen percent of patients in group 1 had recurrence and 5% of patients in group 2 had recurrence. There was no recurrence in other groups. There was no significant difference for incisional hernia and the other complications between groups (p = 0.368). Conclusions: There was no significant difference between the techniques in terms of the development of incisional hernias or complications.","PeriodicalId":169652,"journal":{"name":"Archives of Medical Science - Civilization Diseases","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127382910","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

A comparison of partial repair with arthroscopic margin convergence suture and open superior capsular reconstruction in patients with massive rotator cuff tear 关节镜下边缘会聚缝合与开放上囊重建术部分修复肩袖撕裂的比较

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/amscd.2023.125845

A. Gulcu, R. Dinçer

引用次数: 0

One-stage basilic vein tunneled transposition for hemodialysis access 一期基底静脉隧道转位用于血液透析通路

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/AMSCD.2020.100838

L. Sułkowski, C. Osuch, Maciej Matyja, A. Matyja

引用次数: 0

CRP single nucleotide polymorphism (rs1800947) and nutritional status in hemodialysis patients CRP单核苷酸多态性(rs1800947)与血液透析患者营养状况的关系

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/amscd.2020.95227

A. Popow, Anna Wasińska-Krawczyk, B. Interewicz, W. Olszewski, J. Manitius, A. Rydzewska-Rosołowska, A. Rydzewski

{"title":"CRP single nucleotide polymorphism (rs1800947) and nutritional status in hemodialysis patients","authors":"A. Popow, Anna Wasińska-Krawczyk, B. Interewicz, W. Olszewski, J. Manitius, A. Rydzewska-Rosołowska, A. Rydzewski","doi":"10.5114/amscd.2020.95227","DOIUrl":"https://doi.org/10.5114/amscd.2020.95227","url":null,"abstract":"Introduction: C-reactive protein (CRP) is an acute phase protein and was shown to be a predictor for all-cause and cardiovascular death in end stage renal disease patients. C-reactive protein is a member of the pentraxin fam-ily and plays a key role in the innate immune response. Several single nucleotide polymorphisms (SNP) associated with plasma CRP levels have been identified. This study aimed to evaluate the frequency of the rs1800947 polymorphism in the human CRP gene in maintenance hemodialysis (HD) patients, and to determine whether it is related to nutritional status. Material and methods: We investigated 99 patients maintained on chronic hemodialysis (HD). 109 apparently healthy volunteers served as a control group. HD subjects were followed for 12 months. Anthropometric measurements were performed, the malnutrition-inflammation scale (MIS) score was determined, and blood samples were obtained within 1 month of enroll-ment and at 3 and 12 months of follow-up. rs1800947 SNP in the CRP gene was genotyped using restriction fragment length polymorphism-polymerase chain reaction. Results: There were no significant differences in the investigated genotype frequencies between HD patients and controls. Moreover, there was no influence of genotype on anthropometric and laboratory indices of nutritional status and MIS score. Conclusions: The results of this study indicate that the rs1800947 single nucleotide polymorphism in the CRP gene does not seem to correlate with nutritional status in hemodialysis patients.","PeriodicalId":169652,"journal":{"name":"Archives of Medical Science - Civilization Diseases","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116360901","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

The believer is not stung from the same place twice: the monkeypox outbreak 信徒不会被同一个地方蛰两次:猴痘的爆发

Archives of Medical Science - Civilization Diseases Pub Date : 1900-01-01 DOI: 10.5114/amscd.2023.124522

K. Saad, A. Elgenidy

引用次数: 0