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

{"title":"Tümör Nüksünün İlk Bulgusu Aksiller ve İnguinal Dev Lenfadenopatilerde Cerrahi Tedavi Yaklaşimimiz ve Cerrahinin Sağ Kalima Etkisi","authors":"Özay Özkaya, Kadir Tasasiz, Onur Egemen, Mithat Akan, Deniz Ozcan","doi":"10.5222/OTD.2015.022","DOIUrl":"https://doi.org/10.5222/OTD.2015.022","url":null,"abstract":"OZ Amac: Cerrahi ve onkolojik tedavisi tamamlanmis hasta- larda, malign tumor nuksunun ilk bulgusu olarak karsimiza cikabilen lenf nodu tutulumlarinda yapilacak olan cerra- hi tedavinin hastanin sagkalimina etkisi tartismalidir. Bu calismada, primer kanser tedavisi sonrasinda nuksun ilk bulgusu olarak, aksiller ve inguinal bolgede tumor invaz- yonu olan dev lenfadenopati nedeniyle klinigimize konsul- te edilen dort hasta,retrospektif olarak incelenerek, tedavi yaklasimlarimiz ve yapilan prosedurlerin sagkalim oranina etkisini arastirilmasi amaclanmistir. Gerec ve Yontemler: Olgularin sagkalim sureleri, metas- tatik dev lenfadenopati eksizyonu ve postoperatif onkolojik tedavilerin tamamlanmasi sonrasinda radyolojik yontemler ve klinik veriler izlenerek degerlendirildi. Bulgular: Dev lenfadenopati nedeniyle 1 hastaya aksiller bolgeye, bolge 1,2,3 lenf nodu disseksiyonu, diger 3 hasta- ya genisletilmis inguinal lenf nodu disseksiyonu uygulandi. Disseksiyon materyali patoloji sonucu primer tumor metas- tazi ile uyumlu geldi. Postoperatif donemde onkolojik teda- vi surecleri baslandi. Olgularin yaklasik 20 aylik toplam takip sureleri icerisinde nuks ve metastaza rastlanmadi. Sonuc: Dev metastatik lenf nodu tutuumu sonrasi deger- lendirdigimiz olgularda, primer tumor tipi, klinik seyirler ile birlikte lenf nodu tutulumuna yonelik uyguladigimiz cerrahi prosedurler sonrasi sagkalim degerlendirilmistir. 5 yillik ortalama sagkalim icin henuz net bir katki saglandigi soylenmesede devam etmekte olan mevcut takip suresince nuks izlenmemis olmasi umut vericidir. ABSTRACT Cancer Cases in Five Year Period in the Secondary Health Care Institution of East Anatolia Region Objective: After completion of surgical and oncological primary treatment of cancers, the effect of lymphadenec- tomy on patients' survival is controversial in patients with giant lymphadenopathy which is the first sign of cancer re - currence. In this retrospective study we aimed to evaluate our treatment modalities and effect of surgery to survival in four patients with cancer relapse with giant inguinal and axillary lymphadenopathy. Material and Methods: The survey of the cases are eva- luated via radiological and clinic datas after exicision of metastatic giant lympadenopathy and after termination of postoperative oncological therapy. Results: Due to giant lympadenopathy, region 1-2-3 axil- lary lymp node dissection to one patient and expanded in- guinal lymph node dissection to three other patient were performed. The pathology of dissection material was matc- hed with the primary tumor metastase. Oncologic therapy sessions were started in postoperative period. During 20 months follow-up of the cases there was not any recurrence or metastasis. Conclusion: In the cases that were evaluated after giant metastatic lymph node involvement, we assessed primary tumor type, clinical course as well as survival after surgi- cal procedures that we performed for lymph node involve- ment. The survey is eval","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"23 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":"115385759","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":"Genç Bir Kizda Bier Lekeleri","authors":"Ilteris Oguz Topal, Pelin Kuteyla Ülkümen, Hatice Duman, Ozgur Emek Kocaturk Goncu","doi":"10.5222/OTD.2015.052","DOIUrl":"https://doi.org/10.5222/OTD.2015.052","url":null,"abstract":"Bier’s Spots in a Young Girl Bier’s spots are transient anemic macules. They may be either physiological or pathological manifestation. Here we present a patient who had multiple asymptomatic anemic macules on the forearms and dorsum of the hands. A clinician should examine for features of thrombophilia, vasculopathy and aortic malformations when a patient presents with Bier’s spots.","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":"123221130","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":"Hemşirelik Bilişimi ve Hastane Bilgi Yönetimi Sistemi","authors":"Hacer Ozkul Ozel, Dilek Özdemir Ürkmez, Sevgi Demiray, Z. Cebeci","doi":"10.5222/OTD.2014.158","DOIUrl":"https://doi.org/10.5222/OTD.2014.158","url":null,"abstract":"Bilimsel ve teknolojik gelişmelerle gelişen ve değişen sağlık bakım sisteminde bilgi ve iletişim teknolojilerinin kullanımı büyük bir hızla artmaktadır. Sağlık bakım hizmeti verenlerin nitelikli hizmet vermesini sağlamak, iş yükünü azaltmak, güvenli kayıt tutmalarını sağlamak, kişisel ve mesleki gelişimlerini artırmak amacı ile bilgi ve iletişim teknolojisinin kullanımı dolayısıyla sağlık bilişimi büyük önem taşımaktadır. Sağlık bakım sisteminin büyük kısmını oluşturan hemşireler, bilgi ve iletişim teknolojilerinin en büyük kullanıcılarındandır. Hemşirelik bilgisi ve uygulamalarının gelişimi için yeni teknolojilerin, hastane bilgi yönetim sisteminin kullanılması dolayısıyla hemşirelik bilişiminin önemi yadsınamaz. Bu makalenin amacı hemşirelik bilişimini açıklayarak hastane bilgi yönetim sistemi kullanımının hemşirelik uygulamaları açısından önemini vurgulamaktır.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115180226","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":"Vitamin D İntoksikasyonu: İki Olgu Sunumu","authors":"Yelda Türkmenoğlu, Sevilay Kök, Gulcihan Gulcan, Sibel Kalçın, Hale Kahyaoglu, Servet Erdal Adal","doi":"10.5222/OTD.2014.176","DOIUrl":"https://doi.org/10.5222/OTD.2014.176","url":null,"abstract":"D vitamini vücuttaki kalsiyum dengesinin düzenlenmesi ve normal kemik yapısının oluşumu için gereklidir. Aileler veya hekimler tarafından diş çıkarma veya kemik gelişiminin geri kalması nedeniyle sıklıkla yüksek dozda kullanılmaktadır. Dışarıdan alınan D vitamininin fazlalığında ise hiperkalsemiye bağlı gelişen kardiyak aritmiler ve nefrokalsinozis gibi komplikasyonlar ciddi morbidite ve mortaliteye neden olmaktadır. Burada aileleri ve hekimler tarafından yüksek dozda D vitamini verilen, serum kalsiyum ve D vitamini seviyeleri yüksek bulunan, biri 23 ve diğeri 14 aylık iki kız olgu sunulmaktadır. İki olgu farklı ilaç protokolleri ile tedavi edildi ve her iki olguda da komplikasyon gelişmedi. Sonuç olarak, hekimler uygunsuz yüksek dozda D vitamini kullanımının D vitamini intoksikasyonuna yol açabileceği tehlikesinin farkında olmalı ve raşitizm varlığı laboratuvar yöntemleriyle kanıtlanmadan uygunsuz dozda D vitamini uygulanmasından kaçınılmalıdır.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122073121","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":"Mide Kanserli Hastalarda Postoperatif Kemoradyoterapi Sonuçlari: Bülent Ecevit Üniversitesi Deneyimi","authors":"Bekir Hakan Bakkal, Özlem Elmas, Fatma Ayca Gultekin, Hüseyin Engin, Cemil Bilir, Y. Temi, Bülent Ecevit","doi":"10.5222/OTD.2014.139","DOIUrl":"https://doi.org/10.5222/OTD.2014.139","url":null,"abstract":"Anahtar kelimeler: Mide kanseri, kemoradyoterapi SUMMARY The Results of Postoperative Chemoradiotheapy in Gastric Carcinoma Patients: Bulent Ecevit University Experience Objective: The treatment results of postopeative chemoradiotherapy in patients with gastric carcinoma were evaluated. Material and Methods: A total of 77 patients with gastric carcinoma, treated with postoperative chemoradiotherapy between 2007-2011, were evaluated retrospectively. Chemoradiotherapy was applied in accordance with the Integroup-0116 study protocol. Total 45 Gy radiotherapy was delivered to the gastric bed and regional lymphatic nodes and 50.4 Gy was given to patients with positive surgical margins after 3-dimensional conformal planning. Results: Forty-six of the patients were male (59.7 %), and 31 of the patients were female (40.3 %) with a median age of 59 (31-78). Median overall survival and disease-fee survival were 28.3, and 21 months, respectively. The 3-year overall and disease-free survival rates were 43.8 % and 41.7 %, respectively. Locoregional recurrence was detected in 10 (13 %), distant metastasis was detected in 22 (28.6 %) and both locoregional and distant metastasis were detected in 3 (3.9 %) of patients. During chemoradiotherapy grade 1-2 hematological toxicity was seen in 23 (30 %) patients, grade 3-4 hematological toxicity in 46 (59.7 %) patients, grade 1-2 gastrointestinal toxicity in 30 (39 %) patients, and grade 3-4 gastrointestinal toxicity in 11 (14.3 %) patients. While in the univariate analysis lymph node stage and percentage of positive lymph nodes were found to be prognostic factors for overall and disease-free survival, in the multivariate analysis type of lymph node dissection and percentage of positive lymph nodes were found to be prognostic factors that are correlated with overall and diseasefree survival.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123383735","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 Arter Cerrahisinde Gastrointestinal Komplikasyon Gelişimindeki Risk Faktörleri","authors":"T. Kudsioğlu, Gökçen Orhan, M. Sargın, Murat Acarel, Müge Taşdemir Mete, Murat Bastopcu, N. Yapici, S. Aka","doi":"10.5222/OTD.2014.153","DOIUrl":"https://doi.org/10.5222/OTD.2014.153","url":null,"abstract":"Amac: Koroner arter cerrahisinde gastrointestinal kompli- kasyonlar ender gorulur, ancak mortalitesi oldukca yuksek- tir. Hastalarin preoperatif ozellikleri, yandas hastaliklar ve kardiyopulmoner baypasin etkileri ile postoperatif surecte cesitli patolojileri iceren gastrointestinal komplikasyonlar gelismektedir. Bu retrospektif calismada amacimiz koroner arter cerrahisi geciren hastalarda preoperatif ozellikleri, peroperatif ve postoperatif klinik verileri degerlendirerek, gastrointestinal komplikasyonlarin gelisimi acisindan risk faktorlerini belirlemeye calistik.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133699906","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":"Abdominal Koza Sendromu: İki Olgu Sunumu","authors":"Burhan Hakan Kanat, F. Yazar, M. Bozan, Zeynep Özkan, F. Erol, Yılmaz Bilgiç","doi":"10.5222/OTD.2014.173","DOIUrl":"https://doi.org/10.5222/OTD.2014.173","url":null,"abstract":"Akut veya subakut intestinal obstruksiyonla seyreden ender bir durum olan AK, bagirsak anslarinin bir kisminin veya tumunun fibrokollajenoz bir membran tarafindan sarilmasiyla karakterizedir. Bu durum, idiopatik-primer formda gorulebilecegi gibi, abdominal cerrahi, kronik periton diyalizi, karaciger nakli, ventrikuloperitoneal sant gibi girisimlere ve ilaclara sekonder olarak da gorulebilir (3).","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117139437","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":"Metastatik Merkel Hücreli Karsinom","authors":"Gokhan Yaprak, Z. Dag, Alpaslan Mayadağli, Huseyin Tepetam, N. Ö. Barişik","doi":"10.5222/otd.2014.164","DOIUrl":"https://doi.org/10.5222/otd.2014.164","url":null,"abstract":"","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132928550","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":"Jinekolojik Tümörlü Hastalarda Batın İçi İmplantların Saptanmasında Diffüzyon Ağırlıklı MRG Tetkikinin PET-BT ile Karşılaştırılması","authors":"İrem Erdil, Baris Bakir, F. Yilmaz, Rustu Turkay, Mehtap Tunaci, Elif Hocaoğlu, Yasemin Şanlı","doi":"10.5222/otd.2014.121","DOIUrl":"https://doi.org/10.5222/otd.2014.121","url":null,"abstract":"","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124060865","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":"Çocuk Acil Polikliniğine Başvuran İlaç ile Zehirlenme Olgularinin Retrospektif Değerlendirilmesi","authors":"Ebru Burcu Demirgan, Meltem Erol, Serdar Demirgan, Özgül Yiğit, M. Turkay","doi":"10.5222/OTD.2014.128","DOIUrl":"https://doi.org/10.5222/OTD.2014.128","url":null,"abstract":"OZET Amac: Cocukluk caginda gorulen zehirlenmeler dunyada ve ulkemizde sik karsilasilan, sakatlik ya da olumle sonuclana- bilen, acil servis ve hastane yatislarinda yogun is yuku olus- turan cok onemli bir halk sagligi sorunudur. Bu calismada acil poliklinigine basvuran ilac ile zehirlenme olgularinin klinik ve demografik ozelliklerinin arastirilmasi, korunmada alinabilecek onlemlerin saptamasi amaclandi.","PeriodicalId":186779,"journal":{"name":"The Medical Journal of Okmeydanı Training and Research Hospital","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117273031","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}