Journal of Turgut Ozal Medical Center最新文献

{"title":"Evaluation of Hepatitis A, B and C Serological Assays and Complete Blood Count Results in Medical School Students -","authors":"B. Tetik, E. Kayhan, Omer Demirbag, C. Yakinci","doi":"10.5455/JTOMC.2017.12.163","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.12.163","url":null,"abstract":"Objective: Healthcare workers are at high risk for infectious diseases that can be transmitted from patients and the physical environment. In addition, university students staying at dormitory are at risk for anemia due to nutritional disorder. In this study, our aim is to conduct serological screening of hepatitis A, B and C and to complete the missing vaccinations and to conduct complete blood counts and to perform the necessary treatments in medical faculty students. Material and Methods: The study was conducted on the first-year students in Malatya Inonu University Faculty of Medicine, between September and October 2017. SPSS ver. 22.0 software is used in analysis of the data. A value of p˂0.05 was considered statistically significant. Results: A total of 302 students participated in the study; 153 (50.7%) were female and 149 were (49.3%) male. We found that, anemia is present in 8% of the students, HbsAg is positive in 1.2% and Anti HCV is positive in 0.66% of the students. In addition, 13% of students had not been immunized against Hepatitis B, and 60% had not been immunized against Hepatitis A. Conclusion: The results of our study suggest that serological analysis of HAV, HBV and HCV and to ensure necessary immunization is required and screenings for anemia should also be performed, in order to keep education performance of medical students at a sufficient level.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78371950","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":"The retrospective evaluation of clinical and sociodemographic features of patients with psoriasis","authors":"M. Aksoy, H. Çelik","doi":"10.5455/JTOMC.2018.02.032","DOIUrl":"https://doi.org/10.5455/JTOMC.2018.02.032","url":null,"abstract":"Aim: In this study, we aimed to evaluate the clinical and demographic characteristics of psoriasis patients such as family history, age of onset, clinical type, joint involvement. Material and Methods: 150 patients with psoriasis who were referred to our dermatology clinic between January 2017 and January 2018 were included in the study. Parameters of age, gender, occupation, age of onset, joint or nail involvement, lesion morphology, lesion distribution, disease severity, family history, accompanying diseases, received or ongoing treatments, smoking and alcohol use and body mass index were recorded. The data were analyzed statistically. Results: Of the patients participating in the study, 65 were female and 85 were male. The mean age of onset was 21.65 ± 15.70. Family history was present in 26%, early onset 72%, accompanying diseases 16%, joint involvement 24%, nail involvement 28%, smoking 31.33% and alcohol intake 2.66% of the patients. The most common clinical type was plaque (58.66%), the most common site was scalp/face region (81.33%), and the most commonly used systemic treatment was acitretin (30.66%). Conclusion: Our study results were similar to those of domestic and international studies evaluating the clinical and demographic characteristics of psoriasis. Smoking rates, age of onset and age of admission to hospital were lower in females. Accompanying disease rates were higher in patients with positive family history. We believe that a comprehensive history including alcohol and cigarette use, comorbidities, joint and nail involvement in psoriasis-diagnosed patients will be more useful in terms of the disease progression.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78027290","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":"Treatment of gastric gastrointestinal stromal tumor by laparoscopic sleeve gastrectomy in a morbidly obese patient","authors":"U. Doğan, M. Oruç, O. Öner, Erdem Can Yardımcı, A. Sakar, H. Yıldırım","doi":"10.5455/JTOMC.2017.11.141","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.11.141","url":null,"abstract":"Obesity is a chronic disease with increasing rates of morbidity and mortality, and it significantly affects public health. Bariatric surgical methods, particularly laparoscopic sleeve gastrectomy (LSG), provide effective weight loss and control (1). Patients should be examined with respect to concomitant pathologies before LSG. In particular, gastric pathologies may alter the surgical procedure. Two-thirds of the gastrointestinal stromal tumors develop in the stomach (2). Such slowly-growing sub-mucosal tumors can occasionally ulcerate and result in bleeding, but in most cases they are only incidentally identified. Very large lesions may result in abdominal pain, a sense of fullness and weight loss. While endoscopy and biopsy are crucial for diagnosis, endoscopic ultrasonography (EUS) may also be helpful. Computerized tomography of the abdomen, pelvis and thorax is crucial to identify metastases and the primary tumor. In such tumors, wedge resection with clean borders is the adequate method of surgical therapy (3). While there is no known relation between gastrointestinal stromal tumors (GIST) and obesity, patients should be examined before bariatric surgery in terms of lesions that may have an asymptomatic course, such as GIST, lymphoma and leiomyoma. Several studies have reported that GIST-like pathologies may be detected during bariatric surgery procedures or postoperative histopathological examinations of the resected gastric specimen (4). A 57 years-old male patient was admitted to our clinics for a planned LSG due to morbid obesity. His body weight was 153 kg and height was 164 cm, his BMI was calculated as 56.6 kg/m2. Upper gastrointestinal system endoscopy indicated chronic active gastritis and an abdominal ultrasonography was performed as the patient reported abdominal pain. Ultrasonography showed cholelithiasis and a mass with an unclear origin located in the epigastric region of the posterior aspect of anterior abdominal wall. Abdominal magnetic resonance imaging showed a mass originating from the stomach wall, starting from the antrum with an anterior superior exophytic extension towards the large curvature. The mass was measured as 90 x 50 x 53 mm at the most pronounced position and it was found to be consistent with GIST (Figure 1-2).","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82387180","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":"Do elevated blood calcium levels in patients with peptic ulcer facilitate perforation","authors":"Ş. Kahramanca, T. Anuk, A. Yildirim","doi":"10.5455/jtomc.2017.12.152","DOIUrl":"https://doi.org/10.5455/jtomc.2017.12.152","url":null,"abstract":"Aim: Calcium is primarily stored in bones in the body. The increase in blood calcium level due to primary or secondary causes leads to several impairments of the gastrointestinal system like anorexia, nausea-vomiting, peptic ulcer (PU), and abdominal pain. In this study, we want to compare and analyse the difference in blood calcium levels of patients who underwent surgery for peptic ulcer perforation (PUP) and those diagnosed with PU by endoscopy. Material and Methods: Between May 2012-January 2017, patientsÂ’ data for PU disease were recorded and our study was planned retrospectively Patients were sorted into two groups: Group1 included patients operated for PUP; and Group2 included the patients with administered medical therapy for PU disease. Blood calcium levels during admission, age, gender and drug history of patients were recorded. Study exclusion criteria were patients whose data were missing (113 patients), patients who had metabolic bone disease, patients who had been using calcium channel blockers and who were administered anti-ulcer drugs. Results: Twenty-eight patients had PUP and 176 patients had PU disease. Group 1 had a lower mean age (p=0.017), and higher male gender rate (p","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86134359","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":"Evaluation of intestinal metaplasia associated with alkaline reflux gastritis and Helicobacter pylori in patients without gastric surgery","authors":"M. Erdogan, G. Aksakal","doi":"10.5455/jtomc.2018.02.030","DOIUrl":"https://doi.org/10.5455/jtomc.2018.02.030","url":null,"abstract":"Aim: Alkaline reflux gastritis is a term used for gastric mucosa damage due to reflux of duodenal and pancreatic content into stomach. In addition to many histopathological changes caused by alkaline reflux gastritis, the relationship of alkaline reflux gastritis with intestinal metaplasia is also important. Gastric intestinal metaplasia is a precancerous lesion that requires a follow-up protocol. Material and Methods: This study included 1005 patients who underwent esophagogastroduodenoscopy and were diagnosed with alkaline reflux gastritis at Endoscopy Unit of Gastroenterology Department of KarabA¼k University, Medical School between January 2013 and January 2016. Results: When the data of these patients were retrospectively reviewed, intestinal metaplasia was detected in 203 patients (20.2%), whereas Helicobacter pylori was detected in 466 patients (46.4%). Conclusion: In our study, it was found that there was an increase in the frequency of intestinal metaplasia in patients with alkaline reflux gastritis who had increased with age, male gender and Helicobacter pylori. This was a retrospective study indicating the association of H. pylori with intestinal metaplasia in patients with alkaline reflux gastritis. We think that there is a need for further prospective studies to investigate the presence of intestinal metaplasia in patients with alkaline reflux gastritis.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88426973","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":"Splenectomy indications and postoperative follow-up results of a department of general surgery","authors":"Arif Emre, A. Şanlı","doi":"10.5455/jtomc.2018.02.034","DOIUrl":"https://doi.org/10.5455/jtomc.2018.02.034","url":null,"abstract":"Aim: Splenectomy is commonly performed in many centers around the world for the treatment of various benign, malign diseases and trauma nowadays. The purpose of this study is to determine the indications in patients undergoing splenectomy in a general surgery department for five years and to investigate the mortality rate and reasons. Material and Methods: Data of the study were obtained retrospectively by scanning records of patients over the age of 18 who underwent open splenectomy in the general surgery department between December2012 and December2017. Demographic data, duration of hospitalization, distribution of emergency and elective operations, main reasons and indications of splenectomy, operation components, histopathological results, the survey of patients and mortality rate were investigated. Results: 55,4% (n=31) female, 44,6% male, total 56 patients were included in the study. The mean age of the patients was 50.5±22,6. The mean duration of hospitalization was 9±7 days. 71.4%of the patients were operated under elective conditions and 28.6%of the patients were operated under urgent conditions. Splenectomy was done for the reason of carcinoma in 34.2% of patients, traumatic splenic injury in 19.4%, splenic cyst or abscess in 16.2%, coagulopathy in 12.6%, iatrogenic splenic injury in 5.4%, lymphoma in 3.6%, splenomegaly associated with portal hypertension in 3.6%, fibrosarcoma in 1.8%, idiopathic splenomegaly in 1.8%. Conclusion: Splenectomy is performed in general surgery departments due to traumatic and non-traumatic indications. Mortality due to pure splenic pathologies is uncommon and quite rare. However, mortality caused by other operations and diseases in patients who underwent splenectomy is quite high.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87962886","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":"The comparison of the mrna expressions of tgfbeta1, bfgf, igf-1, ngf and matrix metalloprotease iii genes in cervical and lumbar disc tissues","authors":"Ş. Yucetas, A. Yilmaz, E. Güleç, C. Ozic","doi":"10.5455/jtomc.2017.12.156","DOIUrl":"https://doi.org/10.5455/jtomc.2017.12.156","url":null,"abstract":"Aim: To evaluate and compare the mRNA expression of antioxidant genes between the cervical and lumbar degenerated disc tissues. Material and Methods: Obtained degenerated Nucleus Pulposus (DNP) materials were divided into two groups, which were cervical DNP (Group I) (n=20) and lumbar DNP (Group II) (n=20). There are 6 men and 14 women in group I with a mean age of 43.8 years and 13 men and 7 women in group II with the mean age of 40.3 years (28 to 54). All cervical DNP materials were obtained between C5 and C6 and all lumbar DNP materials were obtained between L4 and L5 levels. The TGFβ1, bFGF, IGF-1, NGF and Matrix metalloprotease III (MMP III) gene expressions of DNP materials were determined by polymerase chain reaction, Real-time polymerase chain reaction and western blotting techniques.Results: When the results of the two groups were compared by polymerase chain reaction, the expressions of TGFβ1, bFGF, IGF-1, NGF and MMP III was found lower in lumbar DNP group. Also the TGFβ1, bFGF, IGF-1, NGF, and Matrix metalloprotease III genes showed a decrease in gene expression levels when they were analyzed by Real-time polymerase chain reaction. Conclusion: These data showed that; decrease of the TGFβ1, bFGF, IGF-1, NGF and MMP III genes in the degenerated lumbar disc tissues, may related with the possibility of molecular background of the disease pathogenesis.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81444899","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":"Cone Beam Computed Tomographic findings in Unicystic Ameloblastoma of the mandible.","authors":"G. Sachin, Vidya Ajila, Shruthi S Hegde, G. Subhas, J. Kamath, Devika S Pillai","doi":"10.5455/JTOMC.2017.10.138","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.10.138","url":null,"abstract":"Ameloblastomas are one of the commonly encountered odontogenic tumours (1). Ameloblastomas are of the following types namely peripheral, solid or multicystic, unicystic, desmoplastic, and malignant (1,2). Unicystic ameloblastoma is a rare variant of ameloblastoma and accounts for around 6% of all ameloblastomas (1). Clinically and radiographically, it resembles a cyst but on histopathological examination has features of ameloblastoma (1). Cases with multilocular radiolucency and histopathology of unicystic ameloblastomas were earlier termed as cystic ameloblastomas. However, this term is no longer used; instead, the lesions are termed as unicystic ameloblastoma (1). The present case describes unicystic ameloblastoma of the posterior mandible in a 42 years old male patient. A 42 years-old-male reported to our department with complaint of pain in the lower left back tooth region last 15 days. He gave history of a fall two weeks previously followed by continuous, throbbing, diffuse pain in the area of the lower jaw and on the right side of the face, radiating till the right ear. There was mild swelling and difficulty in eating and wide opening of the mouth. He consulted a dental practitioner who prescribed antibiotics and advised a panoramic radiograph. Panoramic radiograph showed a welldefined radiolucent lesion approximately 2x4 cms in size located distal to the mandibular left third molar. He was then referred to our institution.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82162366","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":"Tethered cord syndrome: 5 year clinical experiences and surgical results","authors":"Y. Kacar, Royal Mehtiyev, Zaur Ramikhanov, Cahit Kural, Y. Izci","doi":"10.5455/JTOMC.2017.10.129","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.10.129","url":null,"abstract":"Aim: Occult spinal dysraphism, which manifests with motor and sensory disturbances in children and causes orthopedic deformities in the lower extremities and urological findings, is the result of developmental defects in the caudal part of the neural tube. One of the most common spinal dysraphism is tethered cord syndrome (TCS). In this study, patients who had been diagnosed with TCS in the past 5 years were retrospectively reviewed and clinical, radiological and surgical characteristics of these patients were tried to be revealed. Material and Methods: We retrospectively reviewed the data about 26 patients with the diagnosis of TCS in our clinic between 20112015. The results of these surgeries were evaluated by age, gender, additional malformations, clinic symptoms, radiological and electrophysiological evaluation. The patient with urological symptoms was additionally performed in urodynamic tests. Results: These 26 cases, 23% were children and 77% were adults. 81% of the patients were male and 19% female. Only 3.8% of the patients were primary TCS, 96.2% of the patients had other malformations. Urine incontinence was found in 19.2% of the patients and orthopedic deformities were found in 7.7% of the patients. Surgical treatment was done to 65% of the patients, and 35% of the patients were followed because they didn’t want to be operated. Conclusion: Tethered cord syndrome is usually not seem alone, it is associated with other developmental defects of the spine and spinal cord. If surgery done earlier, the greater the likelihood of regression of the neurological deficit or stablization the deficits.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90995365","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":"A tinea incognito case report","authors":"D. Turkmen","doi":"10.5455/jtomc.2018.01.017","DOIUrl":"https://doi.org/10.5455/jtomc.2018.01.017","url":null,"abstract":"The term “Tinea incognito” (TI) is used for dermatophytosis which alters typical superficial mycosis clinic and causes a difficulty in diagnosis as a result of topical or systemic corticosteroid use (1,2). Tinea incognito cases mostly develop due to iatrogenic reasons. Generally, physicians who prescribe drugs with cortisol are general practitioners or family practitioners (1). It can sometimes develop as a result of steroids patients obtain without consulting a physician and sometimes after steroid use with a misdiagnosis although the patient refers to dermatology. This paper presents a Tinea incognito case which started on the face and spread to one side of the neck and shoulder.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86126227","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}