Journal of Turgut Ozal Medical Center最新文献_第2页

Assessment of bioelectrical impedance analysis for determining dry weight in pediatric hemodialysis patients; single center experience 生物电阻抗分析法测定儿童血液透析患者干体重的评价单中心体验

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.01.08

H. Nalcacioglu, O. Ozkaya

{"title":"Assessment of bioelectrical impedance analysis for determining dry weight in pediatric hemodialysis patients; single center experience","authors":"H. Nalcacioglu, O. Ozkaya","doi":"10.5455/JTOMC.2018.01.08","DOIUrl":"https://doi.org/10.5455/JTOMC.2018.01.08","url":null,"abstract":"Aim: Maintaining euvolemia is an important purpose in patients on hemodialysis therapy. Multiple-frequency bioimpedance spectroscopy (BIS) appears to be a useful and appropriate technique for assessing hydration status and body composition in hemodialysis patients.The aims of this study were to determine the pre and post hemodialysis hydration status of the pediatric hemodialysis patients by BIS and compare the dry weight determined by BIS to established by clinically. Material and Methods: Body Composition Monitor (BCM; Fresenius Medical Care, Germany) was performed in 13 pediatric hemodialysis patients in a single center. Patients were measured at the midweek session, once immediately before and once 30 minutes after dialysis. Pre-and post-HD weights, blood pressures, were collected on the day of the BCM measurements. Results: Seven (53.8%) of the 13 patients were male and 6 (46.2%) were female. The mean age ranged from 11.92 ± 3.13 (5.7-16) years and duration time ranged from 7 to 54 months, and the median duration of dialysis was 11 months. Dry weights which was determined clinically were higher than those calculated by BCM. A significant difference was found between mean values (34,71 ± 12,68 versus 33,71 ± 12,16 kg, Δ: 1 ± 1,51, p = 0.035). There was a high positive correlation between dry weights measured by BCM and dry weight established by nephrologists (r = 0.993, p <0.001). Conclusion: In assessing dry weight, BCM appears to be a quick and easy-to-use tool that can assist the clinician in hemodialysis treatment and optimizing patient outcomes.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":"97 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88311335","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

Results of scleral fixated intraocular lens implantation 巩膜固定人工晶状体植入术的结果

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2017.12.154

E. Ozsoy, B. Duman, Abuzer Gunduz, T. Cumurcu

{"title":"Results of scleral fixated intraocular lens implantation","authors":"E. Ozsoy, B. Duman, Abuzer Gunduz, T. Cumurcu","doi":"10.5455/jtomc.2017.12.154","DOIUrl":"https://doi.org/10.5455/jtomc.2017.12.154","url":null,"abstract":"Aim: To evaluate the results of scleral fixated intraocular lenses (SFIOLs) implantation in eyes that had lost capsular support. Material and methods: Eyes of twenty patients who had lost their capsular support due to various causes included in this study. This study involved 5 females and 15 males. Eight eyes were included following complicated cataract surgeries, five eyes were patients in trauma, three eyes were with subluxated intraocular lens, three aphakic eyes which underwent congenital cataract surgeries and one eye that had beginning of bullous keratopathy due to anterior chamber lens were operated. The secondary SFIOLs implantation were performed in all eyes. Preoperative and postoperative best corrected visual acuities were compared. Results: The mean age of patients was 61.4Â±15.04 years. The mean follow-up time was 3.12Â±0.7 months. The best corrected mean preoperative and postoperative visual acuities of patients were found as 0.16Â±0.02 and 0.38Â±0.07; respectively, using the Snellen chart. In our study; in two patients corneal edema, in one patient pupillary irregularity and in one patient increased intraocular pressure were observed. There was a statistically significant difference between the mean preoperative and postoperative visual acuities of patients according to the Wilcoxon test (p=0.01). Conclusion: SFIOLs implantation have still maintained its importance for correction of aphakia in patients without adequate capsular support despite all new developments.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":"94 1","pages":"86-88"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88196730","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

N-terminal pro-brain natriuretic peptide predicts instent restenosis in patients with stable coronary artery disease 脑钠肽前体n端预测稳定型冠状动脉疾病患者即刻再狭窄

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.01.07

A. Bayramoğlu

{"title":"N-terminal pro-brain natriuretic peptide predicts instent restenosis in patients with stable coronary artery disease","authors":"A. Bayramoğlu","doi":"10.5455/JTOMC.2018.01.07","DOIUrl":"https://doi.org/10.5455/JTOMC.2018.01.07","url":null,"abstract":"Aim: Instent restenosis is associated with a poor outcomes in coronary artery disease patients. There are many factors and mechanisms that contribute to the development of IRS. Some of clinical trials have been shown that N-Terminal Â–pro Brain Nnatriuretic Peptide has an important prognostic value in coronary artery disease. we aimed to evaluate the relationship between stent restenosis and N-TerminalÂ–pro Brain Nnatriuretic Peptide in patients of stable coronary artery disease undergo percutaneous coronary intervention. Material and Methods: 411 patients with stent implantation due to stable coronary artery disease were evaluated and eighty patients underwent re-coronary angiography because of recurrent angina. NT-proBNP measured before coronary intervention. The patients were divided into two groups of instent restenosis developed and undeveloped. Results: In the multivariate regression analysis; Age (OR = 1.067; 95% CI 1.002-1136, P = 0.042) and NT-proBNP (OR = 1.023, 95% CI 1.008-1.038.p = 0.002). ) have been shown that they were independent predictors of IRS. The optimal threshold NT-pro BNP value for predicting IRS was >111, with a 56.5% sensitivity and 92% specificity (area under the curve [AUC]: 0.749, 95% CI: 0.639-0.840, P","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":"1 1","pages":"145-147"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86933793","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

Effects of tinnitus masking therapy in tinnitus patients with and without hearing loss 耳鸣掩蔽治疗对伴有和不伴有听力损失的耳鸣患者的影响

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.03.041

E. Saraç, C. Arli

引用次数: 2

The effects of total parenteral nutrition on telomerase expression and in rabbit 全肠外营养对兔端粒酶表达的影响

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2018.01.021

Kubilay Gürünlüoğlu, Ercan Bayrakçı, A. Koçbıyık, H. Gokce, C. Taskapan, A. Taşçı, Z. Aksungur, A. Arslan, M. Demircan

{"title":"The effects of total parenteral nutrition on telomerase expression and in rabbit","authors":"Kubilay Gürünlüoğlu, Ercan Bayrakçı, A. Koçbıyık, H. Gokce, C. Taskapan, A. Taşçı, Z. Aksungur, A. Arslan, M. Demircan","doi":"10.5455/jtomc.2018.01.021","DOIUrl":"https://doi.org/10.5455/jtomc.2018.01.021","url":null,"abstract":"Aim: Total parenteral nutrition (TPN) is a technique which is use to give vitally mandatory substances in to the venous compartments whenever the gastrointestinal system cannot be used by the patients. Telomerase catalyzes DNA synthesis, which is necessary to maintain telomere length and stabilize the genome to allow continued cell proliferation. In this study, we explored the effects of TPN administration on telomerase reverse transcriptase (TERT) expression in various tissue and serum telomerase level. Material and Methods: In this study a number of 42 same-aged albino, equal number of male and female, new zealand rabbits were use, divided in to three groups. Group 1 rabbits received TPN for 10 days via a central venous catheter. Group 2 received 50 mL/ kg/day physiological saline via a central venous catheter. Group 3 served as the control group. The rabbits were sacrificed after 10 days, and serum telomerase levels were measured by enzyme-linked immunosorbent assay. TERT expression in gonadal, liver, jejunum, and skin tissues were determined immunohistochemically. Blood samples were obtained before and after TPN and saline administration in the TPN and serum saline groups, respectively, and at the end of the experiment in the control group. Results: Telomerase expression in liver, gonads and serum level of TPN group was significantly higher than control and serum saline groups. Conclusion: TPN may be a positive effect in liver and gonadal telomer kinetic. However, we think that TPN increases DNA damage throughout the body.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":"72 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84149748","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

Infectious dermatological diseases findings of the wrestlers according to regions 各地区摔跤手传染性皮肤病的调查结果

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2017.12.149

Omer Kaynar

{"title":"Infectious dermatological diseases findings of the wrestlers according to regions","authors":"Omer Kaynar","doi":"10.5455/JTOMC.2017.12.149","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.12.149","url":null,"abstract":"Aim: Dermatologic diseases are commonly found in people engaged in contact sports. Particularly wrestlers can easily contract skin infections. The aim of this study is to reveal the incidence of infectious skin diseases engaged in wrestling athletes living in different climate regions. Material and Methods: Three hundred nineteen volunteer who actively wrestle in different climate regions of Turkey participated to the research. All of the athletes were asked the questions in the survey of Â“Personal History and Dermatological Examination Findings of AthleteÂ”. The findings and diagnoses of each wrestler were then recorded and evaluated. Results: Dermatological diseases were observed in 195 (61.12%) Turkish wrestlers, 84 (26.33%) in the eastern region, 43 (13.47%) in the inland region and 68 (21.32%) in the coastal region. These diseases were 118 (36.99%) fungal, 49 (15.36) bacterial and 28 (8.77%) viral, respectively. It was found that infectious dermatological diseases were observed more frequently in the eastern and coastal regions than inland region and this difference was statistically significant. (P = 0.045). Conclusion: In this study which is the first study conducted on this issue in sports literature, various infectious dermatological diseases were detected in wrestlers living in different climate regions in Turkey and it was determined that these diseases differ by climate regions.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":"1 1","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82049233","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: 2

Hypertension in patients with sleep disordered breathing: cause or result? a cross-sectional analysis 高血压患者睡眠呼吸障碍:原因还是结果?横断面分析

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.03.044

M. Kayabekir, Ö. Topaloğlu

{"title":"Hypertension in patients with sleep disordered breathing: cause or result? a cross-sectional analysis","authors":"M. Kayabekir, Ö. Topaloğlu","doi":"10.5455/JTOMC.2018.03.044","DOIUrl":"https://doi.org/10.5455/JTOMC.2018.03.044","url":null,"abstract":"Aim: Sleep disordered breathing and its most frequent presentations, cardiovascular complications of OSAS, are important, frequent and not well known causes of mortality and morbidity. When considering physiological hemodynamic processes during sleep, togetherness of HT and OSAS become an important clinical picture. To investigate the frequency of hypertension in ‘Obstructive Sleep Apnea Syndrome’ (OSAS) patients applied to sleep laboratory. Study Design: Retrospective clinical study. Material and Methods: The test protocol consisted of the PSG recording and diagnosis. Sleep stages and respiratory events observed during sleep were evaluated according to “American Academy of Sleep Medicine” (AASM). The blood pressure measured manually by a sphygmomanometer and the measurements occur 3 times on the left arm. Data analysis was performed using IBM SPSS 23.0 statistical software package. Data were analyzed using descriptive statistical methods (frequency, percentage, mean, standard deviation, median, min-max). Results: Blood pressure measurements of 336 patients were evaluated. 98 (48 male, 50 female) of 336 OSAS patients were diagnosed as hypertension (29%). Hypertensive male patients had 3.3 times increased risk to be diagnosed as severe OSAS than female patients (OR=3,30; 95% CI=1,436-7,585). Together with this, hypertension frequency was found as 29% in patients with sleep disordered breathing. Conclusion: Finally; although hypertension and OSAS seem to be distinct clinical pictures, co-existence of these two disorders has been increased. Frequency of hypertension increases with increasing severity of OSAS. Hypertensive patients have increased risk for developing OSAS.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":"25 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76153253","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

Evaluation of central macular thickness after penetrating keratoplasty 穿透性角膜移植术后中央黄斑厚度的评价

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2017.12.148

Nagehan Can, M. Guler, E. Yusufoğlu, F. Çelik, F. Gul, E. Ozsoy

{"title":"Evaluation of central macular thickness after penetrating keratoplasty","authors":"Nagehan Can, M. Guler, E. Yusufoğlu, F. Çelik, F. Gul, E. Ozsoy","doi":"10.5455/jtomc.2017.12.148","DOIUrl":"https://doi.org/10.5455/jtomc.2017.12.148","url":null,"abstract":"Aim: To evaluate the changes in central macular thickness after penetrating keratoplasty. Material and Methods: A total of 24 eyes of 24 patients who had undergone penetrating keratoplasty were included in the study. This study was performed retrospectively by reviewing the charts of the patients. Postoperative 1st week, 1st month, 3rd month, 6th month and 12th month mean total macular volume, central macular thickness, parafoveal area and perifoveal area thickness and retinal nevre fiber layer (RNFL) thickness results obtained with optic coherence tomography were compared. ANOVA test was used for statistical analysis. Results: The postoperative 1st week, 1st month, 3rd month, 6th month and 12th month mean total macular volume measurements were 7.03±0.2 mm³, 7.05±0.4 mm³, 7.0±0.6 mm³, 7.02±0.5 mm³ and 6.12±0.6 mm³, respectively. Mean central macular thickness measurements were 227.6±4.6 μm, 228.7±5.5 μm, 227.2±4.6 μm, 227.5±7.1 μm, 226.3±5.1μm respectively; mean parafoveal area thickness measurements were 290.2±3.7 μm, 289.9±7.8 μm, 288.7±6.3 μm, 288.8±4.7 μm, 288.6±8.3 μm respectively, mean perifoveal area thickness measurements were 261.1±4.2 μm, 261.4±1.9 μm, 260.4±3.6 μm, 259.8±2.7 μm, 259.3±4.7 μm respectively, and mean RNFL thickness measurements were 106.54±11.28 μm, 107.28±8.75 μm, 107.45±13.64 μm, 105.62±9.27 μm, 105.16±12.74 μm; respectively. Conclusion: No significant change was seen in macular thickness after penetrating keratoplasty. Although the macular thickness increases in the early postoperative stage, it decreases in time.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":"77 1","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79686166","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

Successful nasotracheal intubation in a pediatric patient with Goldenhar's Syndrome using McGRATHTM videolaryngoscope McGRATHTM视频喉镜下小儿戈登哈氏综合征鼻气管插管成功

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2018.02.033

A. Ozkan, S. Akbaş, R. Kuru

引用次数: 0

The results of perforated peptic ulcer surgery; a single center experience of 86 patients 穿孔性消化性溃疡的手术结果86名患者的单一中心体验

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2018.01.023

V. Oter, M. Yalçın, M. Kafadar, S. Oter

{"title":"The results of perforated peptic ulcer surgery; a single center experience of 86 patients","authors":"V. Oter, M. Yalçın, M. Kafadar, S. Oter","doi":"10.5455/jtomc.2018.01.023","DOIUrl":"https://doi.org/10.5455/jtomc.2018.01.023","url":null,"abstract":"Objective: At the present time, eradication of the helicobacter pylori infection is dramatically reduced the risk of the peptic ulcer disease. Whereas, complication rate of the peptic ulcer, such as perforations or bleedings have not reduced significantly yet. The aim of the current study is to analysis the surgical treatment outcomes of our experience in 86 patients with peptic ulcer perforation. Material and methods: Between January 2012 and December 2017, 86 patients who were operated emergently for perforated peptic ulcer disease with GrahamÂ’s omental patch procedure in our hospital were included in this study. Demographic, clinical data, diagnostic studies, surgical procedures, operative findings, postoperative complications and patient follow-up were analyzed. Results: The mean age was (41.57±16.09) years. Out of 86 cases there were 65 (75.6%) male patients and 21 (24.4%) female patients. The mean operation time was 66.98±18.61 minutes. The mean hospital stay period was 7.95±2.02. In three months follow- up period, endoscopy was done to all of these patients and peptic ulcer disease was not seen in any of them. Conclusion: Our findings revealed that GrahamÂ’s omental patch repair is still a useful method for perforated peptic ulcer disease. Low complication rates, low duration of hospital stay and also low postoperative morbidity can be achieved with good preoperative and postoperative supportive care in open surgery for peptic ulcer perforation. Laparoscopic surgery should be performed only in the presence of experienced surgeon and also in the presence of sufficient laparoscopic materials.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84079487","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