The Medical Journal of Okmeydanı Training and Research Hospital最新文献

{"title":"Leprali Olgularda Rinolojik Bulgular","authors":"K. Kaya, Selçuk Güneş, Mustafa Suphi Elbistanlı, Mahmut Uzut, F. Kayhan, Devlet Hastanesi, Sadi Konuk","doi":"10.5222/OTD.2015.001","DOIUrl":"https://doi.org/10.5222/OTD.2015.001","url":null,"abstract":"Bulgular: Yirmi lepra tanılı olgunun % 65’i (n=13) lepramatöz lepra, % 30’u (n=6) borderline lepramatöz lepra, % 5’i (n=1) tüberlükoid lepra idi. Tüm olguların % 65’inde (n:13), lepramatöz lepra olguların % 77’sinde (n:10), borderline lepramatöz lepra tanılı olguların ise % 50’sinde (n:3) nazal yakınma tanımlandı. En sık tanımlanan yakınma kabuklanma (% 50), en sık nazal bulgu ise kurutlanma (% 65) idi. Septal perforasyon oranı % 35 (n=7), saddle-nose oranı % 10 ise (n=2) olarak saptanmıştır. En sık tomografik bulgu 15 olgu (% 75) ile mukozal kalınlaşma olup, 13 olgu (% 65) ile en sık etmoid sinüs etkilenmişti.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"1117 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113982037","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":"Koroner anjiyografi sonrası nadir bir komplikasyon: intraaortik kılavuz tel","authors":"Serhat Huseyin, Volkan Yüksel, Gulen Sezer Alptekin, S. Canbaz, Hasan Sunar","doi":"10.5222/OTD.2015.049","DOIUrl":"https://doi.org/10.5222/OTD.2015.049","url":null,"abstract":"","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116763763","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":"Gebelerde Sugammadeks Uygulamasinin Retrospektif Olarak İncelenmesi","authors":"N. S. Şinikoğlu, M. Aydoğmuş, Nigar Bircan Ocak, Gülay Ucarli, Ayşin Alagöl","doi":"10.5222/OTD.2015.009","DOIUrl":"https://doi.org/10.5222/OTD.2015.009","url":null,"abstract":"OZ Giris: Geleneksel olarak, non depolarizan kas gevsetici etkilerinin geri dondurulmesinde asetil kolinesteraz inhi- bitorleri kullanilmaktadir. Ancak, bu ajanlarin bazi yan etkileri mevcuttur. Sugammadeks, steroid yapidaki kas gev- seticilerin etkisini geri dondurmek icin hazirlanmis olan ilk ve tek selektif ajandir ve asetil kolinesteraz inhibitorlerinin istenmeyen kolinerjik ve muskarinik yan etkilerine sahip degildir. Gebelerde sugammadeks kullanimi ile ilgili yeter- li veri mevcut degildir. Bu retrospektif calismada sezaryen uygulanan gebelerde 1 yillik surede sugammadeks ile ilgili deneyimlerimizin sunulmasi amaclandi. ABSTRACT Retrospective Analysis of Sugammadex Administration in Pregnants Background: Usually acetylcholinesterase inhibitors are used for the reversal of non depolarising agents induced neuromuscular blockade. However, these agents have some side effects. Sugammadex is the first and only selective agent for reversing the effect of steroidal neuromuscular blockers and has not any unwanted cholinergic and musca- rinic effects unlike acetylcholinesterase inhibitors. There is not sufficient data for sugammadex usage in pregnant pati - ents. In this retrospective study we would like to present our data for sugammadex usage after cesarean sections. Material and Methods: During this retrospective study we looked through intraoperative anesthesiology data and patient dossiers of all patients, who had been undergo- ne cesarean section between 01/09/2011 and 01/09/2012 in our clinic. We have recorded patients' age, ASA score, body weight, pre-pregnancy body weight, duration of the operation, allergic reactions, intraoperative and postope- rative complications, previous aneesthesis, comorbide di- seases, whether the operation was performed in emergency or elective conditions and the indication of sugammadex administration. Results: Sugammedex was used for 16 (1 %) patients from total 1681 cesarean sections. The average operation dura- tion was 52.81±16.83 minutes. 37.5 % of the patients were operated in elective condition and 62.5 % in emergency condition. Sugammadex indication was difficult entubati - on for 4 patients (25 %), inadequate decurarisation for 7 patients (43.7 %), morbid obesity for 2 patients (12.5 %), HELLP (hemolysis, elevated liver functions and low pla- telet count) syndrome for 2 patients (12.5 %) and severe hemodynamic instability for 1 patient (6.2 %). We have not experienced any allergic reactions, intraoperative and pos- toperative complications in Sugammadex used patients. Sonuc: Sugammadex was used for 1 % of patients operated for cesarean section. The indication of Sugammadex admi- nistration was difficult intubation, morbid obesity, inadequa - te decurarisation and hemodynamic instability. We have not experienced any compliction due to Sugammadex usage.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122732643","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":"İntrakonal Büyük Hemangiomlarda Küçük kesi ile Cerrahi Yaklaşım","authors":"Yekta Şendul, Burcu Dirim, M. Demir, Zeynep Acar, Dilek Guven","doi":"10.5222/otd.2015.042","DOIUrl":"https://doi.org/10.5222/otd.2015.042","url":null,"abstract":"","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122862386","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":"Gebelikte Migren: Maternal ve Neonatal Sağliğa Etkileri","authors":"Ümran Oskay, Florence Nightingale","doi":"10.5222/OTD.2015.034","DOIUrl":"https://doi.org/10.5222/OTD.2015.034","url":null,"abstract":"OZ Migren ureme cagindaki kadinlarda yaygin olarak gorulen bozukluktur. Migren gebelik boyunca iyilesme gosterebil- mesine ragmen, bazi durumlarda ataklar devam edebil- mekte, hatta siddetlenebilmektedir. Gunumuzde yapilan calismalar migrenin anne ve bebek sagligini tehdit ettigini gostermektedir. Migrenin maternal sonuclari; iskemik inme, preeklampsi, hipertansif bozukluklar, miyokard enfarktusu, kalp hastaliklari, pulmoner emboli, venoz tromboembolizm, trombofili ve dekolman plasenta olarak belirtilmektedir. Ne - onatal sonuclari ise preterm dogum, perinatal donemdeki yenidogan kayiplari, serebral palsi, dusuk dogum agirlikli bebek ve infantil kolik olarak gosterilmistir. Gebelik bo- yunca ve dogumdan sonra anneler ve bebekler olasi riskler acisindan takip edilmelidir. ABSTRACT Migraine in Pregnancy: Maternal and Neonatal Health Outcomes Migraine is a common disorder in women of reproductive life. Although migraine may show improvement during preg- nancy, in some cases attacks may continue, or even worsen. Today, studies show that migraine threatens the health of mother and baby. The maternal outcomes of migraine are reported as ischemic stroke, preeclampsia, hypertensive disorders, myocardial infarction, heart disease, pulmonary embolism, venous thromboembolism, thrombophilia and placenta abruption. The neonatal outcomes of migraine are shown as preterm birth, neonatal losses in perinatal period, cerebral palsy, low birth-weight infants and infantile colic. Mothers and babies should be monitored for the possible risks during the pregnancy and after the birth.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117063339","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":"Meme Koruyucu Cerrahi ve Sentinel Lenf Nodu Biyopsisi Uygulanan Hastalarda Lokal-Aksiller Rekürrens Orani ve Etkileyen Faktörler","authors":"Sercan Buyukakincak, Savas Yuruker, B. Koca, Tuğrul Kesicioğlu, Hamza Çınar, Huseyin Eken, Ilhan Karabicak, N. Ozen","doi":"10.5222/OTD.2015.027","DOIUrl":"https://doi.org/10.5222/OTD.2015.027","url":null,"abstract":"Local-Axillary Recurrence Rate and Affecting Factors in Patients Undergoing Breast-Conserving Surgery and Sentinel Lymph Node Biopsy Objective: SLNB procedure is developed as an alternative to ALND in surgical therapy of breast cancer and is a safe staging method with low morbidity. Our objective in the present study is to determine relapse rates in long-term follow up and the affecting factors in patients who underwent","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124815422","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":"Çeşitli Klinik Örneklerden İzole Edilen Kandida Türlerinin Dağilimi ve Antifungal Duyarliliklari","authors":"Hakan Temiz, Sevim Temiz, Şafak Kaya","doi":"10.5222/OTD.2015.013","DOIUrl":"https://doi.org/10.5222/OTD.2015.013","url":null,"abstract":"Gereç ve Yöntemler: Bu çalışmada, Ocak 2012 ve Aralık 2012 tarihleri arasında S.B. Diyarbakır Eğitim ve Araştırma Hastanesi mikrobiyoloji laboratuvarına gönderilen hasta örneklerinden, maya mantarı soyutlanan toplam 69 klinik örnek incelemeye alındı. Çalışmaya alınan örneklerden soyutlanan kandida türlerine germ tüp testi uygulanmış ve Mısır Unu-Tween 80 Agar besiyerindeki mikroskopik görünümü incelenmiştir. Ayrıca; VITEC 2 Compact (Biomerieux, France) sistemi ile identifikasyon kartları ve antifungal duyarlılık kartları kullanılarak; tür düzeyinde tanımlama ve Amfoterisin B, Flusitozin, Flukonazol ve Vorikonazol’e karşı duyarlılık durumları araştırılmıştır.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129820784","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":"Nadir bir akut batın nedeni: Safra kesesi torsiyonu","authors":"Bora Kocc, H. Guven, Ufuk Arslan, Yuksel Beyaz, Servet Karahan, Onur Bayram","doi":"10.5222/OTD.2015.039","DOIUrl":"https://doi.org/10.5222/OTD.2015.039","url":null,"abstract":"","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132057928","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":"Doğu Anadolu Bölgesinde İkinci Derece Sağlık Kurumunda Son Beş Yıllık Dönemde Kanser Olguları","authors":"Bahar Elezoğlu, Fatma Dilek Dellal","doi":"10.5222/otd.2015.018","DOIUrl":"https://doi.org/10.5222/otd.2015.018","url":null,"abstract":"Bulgular: Toplam kanser olgusunun 230’u (% 38,7) gastrointestinal sistem, 137’ si (% 23,1) deri, 93’ ü (% 15,6) tiroid, 60’ı (% 10,1) ürogenital sistem, 21’ i (% 3,5) meme, 21’i (% 3,5) lenfoid sistem, 12’ si (% 2) jinekolojik sistem, 7’si (% 1,2) akciğer kaynaklı olup, 12’si (% 2) metastatik kanserdir. Olguların 339’u kadın, 254’ü erkektir. Kadın/Erkek: 1.19’dur. Yaş ortalaması 55.4 (17-86)’ tür.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128542272","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":"Dilin klasik lipomu: Nadir bir olgu sunumu","authors":"Elif Yamuc, Dilek Yavuzer, Sibel Kayahan, Nejdet Demir","doi":"10.5222/otd.2015.046","DOIUrl":"https://doi.org/10.5222/otd.2015.046","url":null,"abstract":"","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133714500","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}