Journal of Turgut Ozal Medical Center最新文献

{"title":"Keratitis which is developed after keratoconus treatment with corneal cross-linking process, its causes and treatment approach: a case report /Keratokonus Tedavisi Icin Korneal Cross-linking Islemi Sonrasi Gelisen Keratitin Nedeni ve Tedavi Yaklasimi: Olgu sunumu","authors":"Emrah Ozturk, Abuzer Gunduz, Oğuzhan Genç, O. Yesiloz","doi":"10.5455/JTOMC.2016.05.062","DOIUrl":"https://doi.org/10.5455/JTOMC.2016.05.062","url":null,"abstract":"A keratoconus patient, which is 17 years old male, is treated with corneal cross-linking process for his right eye. Two in the superior and two in the inferior, totally four corneal keratitis foci have been seen after post-operation first day controls. The superior eyelid meibomitis has been determined after detailed examination. It was thought that the keratitis foci developed because of this process. The patient hospitalizated and his treatment is reorganized. Corneal keratitis foci became smaller, corneal epithelial defects totally cicatrized after 6 days treatment and the patient was discharged. On the follow-ups, keratitis foci were recured by a minimal nephelions. As a result, although cross-linking process of keratoconus treatments are less invasive than the other methods, bacterial keratitis can be seen in the presence of predisposing factors. Meibomitis can lead to the development of bacterial keratitis as in our case.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74970926","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":"Histopathological findings in women that living Elazig with abnormal uterine bleeding: in 20 years -","authors":"O. Solmaz","doi":"10.5455/JTOMC.2016.10.109","DOIUrl":"https://doi.org/10.5455/JTOMC.2016.10.109","url":null,"abstract":"Aim: Abnormal uterine bleeding refers to any uterine bleeding that occurs in excessive amounts of regular menstrual bleeding or any postmenopausal bleeding. The present study aims to determine histopathological findings in Turkish women with abnormal uterine bleeding in ElazA½A°. Material and Methods: Retrospectively 420 women with abnormal uterine bleeding were included in the study. Hematoxylin and eosin sections of the cases were re-evaluated by a single pathologist. Results: Of the 316 premenouposal cases %37,02 was diagnosed as (n=117) proliferative endometrium, %22,46 as (n=71) secretuar endometrium, as %3,79 (n=12) desidualisation, as %1,26 (n=4) atrophy, as %2,53 (n=8) placental tissue, as %12 (n=38) dysfunctional uterine bleeding, %12,34 (n=39) as endometrial polyp, %7,9 (n=25) as endometrial hyperplasia, and %0,63 (n=2) as endometrial adenocarcinoma. Of the 104 postmenouposal cases diagnosed as %10,57 (n=11) proliferative endometrium, %0,96 as (n=1) secretuar endometrium, %17,30 (n=18) as desidualisation, %13,46 (n=14) as endometrial polyp, %39,42 (n=41) atrophy, %12,5 (n=13) as endometrial hyperplasia, %5,76 (n=6) as endometrial adenocarcinoma. Conclusions: In our region, because endometrial sampling results belong patients with abnormal uterine bleeding which is usually concordant to age and menstrual cycle, We conclude that non-invasive methods should be tried before sampling. Endometrial carcinoma risk is consistent with the literature,so endometrial samplings should not be avoided.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75014708","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":"Internalized stigmatization and social functioning in psychiatric patients","authors":"S. N. Turkmen, Melek Yorulmaz, E. Koza, S. Ozdemir","doi":"10.5455/jtomc.2017.08.116","DOIUrl":"https://doi.org/10.5455/jtomc.2017.08.116","url":null,"abstract":"Aim: This study was conducted to determine the relationship between with sociodemographic characteristics, internalized stigmatization and social functioning in psychiatric patients. Material and Method: The research was conducted as cross-sectional study. The population of the study consisted of 170 patients. The research sample consisted of 119 patients in the hospital during 2015. An information form, the Social Functioning Scale (SFS) and Internalized Stigma of Mental Illness (ISMI) Scale were used to collect data. Evaluation of data was performed with the use of percentages, regression analyses and Pearson correlation. Results: It was seen that 52.9% of the patients taking part in the study were female and 47.1% were male, 33.6% were educated to high school level, and 83.2% lived with their families. It was determined in the study that those who were married, those with university level education, those whose income and expenditure were in balance and those whose income levels were high, those whose duration of illness was 1-5 years, and females rather than males had better social functioning (p","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80413373","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":"An unexpected complication: acute dystonic reaction following use of ondansetron","authors":"Resul Yılmaz, R. Yaman, M. Yediyıldız, A. Topal","doi":"10.5455/JTOMC.2017.03.037","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.03.037","url":null,"abstract":"Postoperative nausea and vomiting is one of the most common complications and shows variety depends on anesthesia method and management. Different drug groups are used for the prophylaxis and treatment of nausea and vomiting. Ondansetron, a “carbazalone” derivative, is structurally similar to serotonin and effectively used in the treatment of nausea and vomiting, particularly in chemotherapy applications, by antagonizing the selective 5-hydroxytryptamine-3 (5-HT3) receptor. Ondansetron has also been used for postoperative nausea and vomiting effectively and safely for a long time. In this case report, we aimed to present visual disturbance and acute dystonic reaction following use of ondansetron for postoperative nausea and vomiting.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85240841","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 Forgotten reason of dysphagia Forestier syndrome /Disfajinin unutulan bir nedeni Forestier sendromu","authors":"S. Yaslıkaya, A. Kizilay","doi":"10.5455/JTOMC.2016.06.074","DOIUrl":"https://doi.org/10.5455/JTOMC.2016.06.074","url":null,"abstract":"","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85739506","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":"Health professionalsÂ’ exposure to mobbing in a medical school hospital -","authors":"S. N. Turkmen, Cagatay Ustun, Çiğdem Özdemir, Tuğba Akyol, F. P. Cokmus","doi":"10.5455/JTOMC.2017.05.072","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.05.072","url":null,"abstract":"Aim: This study was conducted to reveal the perceptions of the residents and nurses working in their workplace. Materials and Methods: This study is a cross-sectional descriptive study. The study was carried out between October 2014 and January 2016. The study population consisted of the residents and nurses working in Manisa Celal Bayar University, Hafsa Sultan Hospital. The study sample included 110 people. The survey was performed using a questionnaire consisting of an Information Form and the Work Harassment Scale. Results: The employeesÂ’ mean age was 29.92±5.47; 73.6% of them were female and 59.1% married; 46.4% had bachelorÂ’s degree; 61.8% had balanced income and expenses; 32.7% were residents and 60.9% nurses/midwives; and 26.4% were victims of mobbing. Some 13.6% of those who were subject to mobbing stated that they were exposed to mobbing for 6 to 11 months. Approximately 42.7% of the health professionals stated that they witnessed others being subject to mobbing. Some 24.5% of the health professionals expressed their need for psychological support. Conclusion: The study showed that those with high level of education, those in the younger adult group (22-30 years of age) and those who needed psychological support were at a higher risk of being exposed to mobbing, the difference being statistically significant (p","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76960933","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":"Assessment of hip development in the early period in patients who underwent dega osteotomy due to developmental dysplasia of the hip","authors":"Baran Sarıkaya, S. Sipahioglu, Z. B. Sarıkaya, Celal Bozkurt, A. Levent, Metin Yaptı, M. Altay, U. Işıkan","doi":"10.5455/JTOMC.2017.02.021","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.02.021","url":null,"abstract":"Objective: To examine hip development in a patient who underwent Dega osteotomy due to developmental dysplasia of the hip (DDH) by means of radiography. Materials and Methods: Dega osteotomy was performed on 43 hips (7 were bilateral) of 36 patients with DDH. In preoperative and final follow-up; the acetabular index (AI), acetabular depth ratio (ADR) and Wiberg's center-edge angle (CEA) were measured in anteroposterior pelvic radiographs. Hips were classified in accordance with TA¶nnis classification system. Radiological findings were evaluated in accordance with Severin classification system. Avascular necrosis (AVN) of the hips were evaluated according to Kalamchi-MacEwen classification system. Results: The mean age was 87 months (48-130 months), mean follow-up period was 30.5 months (15-62 months). The mean preoperative and final follow-up values of AI were 43° (28°to 60°) and 19° (6° to 34°), respectively. The mean preoperative and final follow-up values of ADR were detected as 14 (8 to 24) and 26 (18 to 42), respectively.The mean CEA was found as 38° (18° to 61°) at the final follow-up. Of the hips, 37 were TA¶nnis type 4 and 6 were Type 3. Totally 10 hips had AVN; of those, 6 were Type 1, 2 were Type 2 and 2 were Type 3 hips. According to Severin classification, 11 hips were Type 1a, 3 were Type 1b, 22 were Type 2a, 5 were Type 2b and 2 were Type 3. Conclusion: In patients who underwent Dega osteotomy, hip development can be detected radiographically with satisfactory levels.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77832843","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":"Closed posterior total (pan-talar) dislocation of the talus: an unusual injury patern","authors":"Erdal Uzun, A. Gunay, T. B. Kizkapan, Mahmut Mutlu, Abdulhamit Mısır","doi":"10.5455/jtomc.2017.01.01","DOIUrl":"https://doi.org/10.5455/jtomc.2017.01.01","url":null,"abstract":"Major displaced fractures and dislocations of the talus are uncommon. Total talar dislocations are caused by high-energy traumas occuring as dislocations from all its surrounding articulations. Pathophysiologic mechanisms are still a subject of controversy. Most reported cases are open talus dislocations; closed dislocations are rarely seen. Here, we present a 25 year old male with an injury of closed posterior total talus dislocation with concomitant medial malleolus fracture. After closed reduction of talus, internal fixation of medial malleolus was performed. At the last visit, the ankle was painless, stable with mobility, and without any radiologic signs of avascular necrosis of talus.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79913205","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":"An investigation on physical, chemical and microbiological quality of drinking water in Erzurum city Erzurum ili sebeke sularinin fiziksel, kimyasal ve mikrobiyolojik kaliteleri uzerine bir arastirma","authors":"Banu Tuluk, Figen Orhan, Kamber Kasali","doi":"10.5455/JTOMC.2016.08.088","DOIUrl":"https://doi.org/10.5455/JTOMC.2016.08.088","url":null,"abstract":"","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76303087","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":"F-18 FDG PET/CT in primary and metastatic pleural involvement -","authors":"G. Aktaş, S. Demir, A. Sarıkaya","doi":"10.5455/JTOMC.2016.05.066","DOIUrl":"https://doi.org/10.5455/JTOMC.2016.05.066","url":null,"abstract":"Aim: The aim was to determine the contribution of FDG PET/CT to differential diagnosis of pleural involvements. Material and Methods: Images of the patients who were refereed for PET/CT evaluation with suspicion of mesothelioma were respectively analysed. They were classified according to final histopathologic diagnosis. Involvement patterns, SUVmax of the lesions, mediastinal and extrathoracic lymph node, peritoneum involvement, distant metastasis were evaluated. Results: Findings of 25 patients were analysed. According to final diagnosis; eight patients were mesothelioma, 9 patients were lung cancer, a patient was colon cancer, other 2 patients were diagnosed as renal cell cancer and metastasis of lymphoma. In 5 patients; involvements were inflammatory. SUV max values of inflammatory cases (5.6±2.4) and cases with malign involvement (9.1±2.3) and pleural involvement patterns of benign and malignant cases were significantly different (p=0.001, p=0,01). SUV max of mesotheliomas, metastatic lesions were not statistically different (p=0.367). There were no significant differences between the pleural involvement patterns of pleural mesothelioma and metastatic pleural involvements (p=0,14). Mediastinal LAP’s were detected in 8 metastatic and in 6 mesothelioma cases. There was not any mediastinal LAP in benign cases. Peritoneal involvement was determined in 8 patients with pleural metastases, in 4 patients with mesothelioma. Bone marrow involvement, chest wall invasion was determined in one each mesothelioma cases. Contralateral lung lesion was determined in 1 metastatic patient. Invasion of chest wall was seen in 2, bone marrow involvement in 1, bone metastasis was detected in 4 patients. Two patients with metastatic involvement had hepatic metastasis, 4 had surrenal metastasis. Conclusion: SUV max values of benign lesions were significantly lower than malign involvements. Involvement patterns could be useful for differentiating benign from malign pleural involvements, when evaluated together with the SUVmax. There was not any difference between mesothelioma and metastatic involvements according to patterns, SUVmax values. PET/CT could determine the thoracic/extra-thoracic primary tumor. This would reduce the burden, cost of diagnostic process. Whole-body evaluation contributes a more accurate staging of malignant cases.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76176696","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}