{"title":"Vücut yağsız kitlesi ile astım kontrolü arasındaki ilişki","authors":"Aylin Pihtili, Nuran Gokbulut, Zuleyha Bingol, Feyza Erkan","doi":"10.5505/ABANTMEDJ.2020.39205","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2020.39205","url":null,"abstract":"GIRIŞ ve AMAC: Vucut kompozisyonu KOAH hastalari icin onemli bir parametredir. Ancak astim ve obezite arasindaki iliski tam olarak anlasilamamistir. Astim siddetinin vucut yagsiz kitlesi (VYK) uzerine etkisi ise arastirilmamistir. Biz bu calismada, VYK ve astim kontrolu arasindaki iliskiyi arastirmayi amacladik. YONTEM ve GERECLER: Poliklinige basvuran stabil astim hastalari degerlendirildi. Hastalarin demografik bilgileri kaydedildi ve her hasta astim kontrol testi (AKT) ile degerlendirildi. AKT’ye gore hastalar AKT>19 (kontrol altinda) ve AKT ≤ 19 (kontrol altinda olmayan) seklinde iki gruba ayrildi. Vucut kompozisyon degerlendirmesi (biyoelektrik impedans analizi kullanarak) yapildi. BULGULAR: Calismaya 172 astim hastasi (K / E: 140/32, yas: 53.7 ± 12.6 yil, VKI: 29.1 ± 5.4 kg / m2) dahil edildi.VYK, control altindaki astim grubunda control altinda olmayan gruba gore anlamli olarak yuksekti (sirasiyla; 49.8±8.2 vs. 46.7±4.9 p¬=0.002). Ortalama VKI her iki grupta benzerdi (sirasiyla; 28.6±5.6 vs. 30.2±4.8 p=0.07). Kontrol altinda olan ve olmayan astim hastalari arasinda obezite (VKI>30 kg / m2) sikligi acisindan farklilik saptanmadi. TARTIŞMA ve SONUC: VYK, astim kontrolunu degerlendirmede VKI ve obezite ile karsilastirildiginda daha degerli bir bulgu olabilir. Bu nedenle VYK ile astim kontrolu arasindaki iliskiyi arastiran daha fazla calisma yapilmasina ihtiyac vardir.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121376163","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":"Complete Penoscrotal Transposition: A Case Report","authors":"C. Imamoğlu, A. Osman","doi":"10.5505/abantmedj.2020.07088","DOIUrl":"https://doi.org/10.5505/abantmedj.2020.07088","url":null,"abstract":"Penoskrostal transpozisyon, dis erkek genitalinin oldukca nadir gorulen konjenital bir anomalisi olup penisin skrotuma gore malpozisyonu ile karakterize edilir. Komplet ve inkomplet olmak uzere iki tur penoskrotal transpozisyon varyanti vardir. Bu olgu sunumunda, 11 yasinda, komplet penoskrostal transpozisyonu olan bir erkek cocuk radyolojik ve fizik muayene bulgulari ile birlikte tarif edilmistir.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130089668","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}
Bulent Sultanoglu, Kenan Demirbakan, H. Demirbakan
{"title":"A Serious Complication of Percutaneous Treatment of Hydatid Cycts: Bile Fistula and Ischemia of Liver","authors":"Bulent Sultanoglu, Kenan Demirbakan, H. Demirbakan","doi":"10.5505/abantmedj.2020.63496","DOIUrl":"https://doi.org/10.5505/abantmedj.2020.63496","url":null,"abstract":"Echinococcosis is a zoonotic, cyst-forming parasitic disease of worldwide distribution caused by the larval stage of the Echinococcus. When left untreated, grow and follow one of several courses such as fistulae with adjacent organ or biliary system, rupture into the peritoneal cavity caused anaphylaxis, rupture into peritoneal cavity seeding daughter cysts. PAIR (percutaneous aspiration, irrigation with scolicide and respiration) has been utilized safely an effectively in selected patients. But rarely, a complication of PAIR can be life-threatening. Therefore, PAIR should only be performed in centers with appropriate medical and surgical modalities. We present a case of percutaneous treatment of hydatid cyst with a serious complication: biliary fistula and hepatic ischemia.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"PP 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126407693","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 effect of anesthesia choice on survival in patients undergoing surgery for bladder cancer: a retrospective analysis","authors":"Gulseren Yilmaz","doi":"10.5505/abantmedj.2020.05902","DOIUrl":"https://doi.org/10.5505/abantmedj.2020.05902","url":null,"abstract":"INTRODUCTION: Data investigating the role of regional anesthesia on survival in bladder cancer is lacking. This retrospective study aimed to compare the impact of regional anesthesia and general anesthesia on survival in patients who underwent surgery for bladder cancer. METHODS: A total of 181 patients (mean age 62±11 years, 82 % male) who underwent surgery for bladder cancer were enrolled in this retrospective study. All data were collected from patient case charts. Patients were divided into two study groups according to the type of anesthesia used: Regional anesthesia group (RA Group) (n=120) and general anesthesia group (GA Group) (n=61). RESULTS: Three-years survival following surgery was significantly higher in patients receiving regional anesthesia compared to those receiving general anesthesia (96.6% vs. 86.8%, p=0.012). Logistic regression analyses showed that postoperative infection (OR: 0.221, 95 % CI: 0.065-0.754, p=0.016) and implementation of regional anesthesia (OR: 4.275, 95 % CI: 1.230-14.852, p=0.020) were predictive for 3-years survival. DISCUSSION AND CONCLUSION: Findings of the present study demonstrate that regional anesthesia provides better 3-year survival compared to general anesthesia in patients undergoing surgery for bladder cancer. Postoperative infections and anesthesia technique are the predictors of survival in these patients.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126206035","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":"Ovarian hyperstimulation syndrome in a spontaneous pregnancy after cessation of a long-term combined oral contraceptive use: A case report","authors":"A. Aksoy, E. Erdem, E. Telli","doi":"10.5505/abantmedj.2020.68926","DOIUrl":"https://doi.org/10.5505/abantmedj.2020.68926","url":null,"abstract":"Ovarian hiperstimulasyon sendromu (OHSS), ovulasyon induksiyonunun veya kontrollu ovarian hiperstimulasyonun iatrojenik bir komplikasyonudur. Ovarian hiperstimulasyon sendromu, kontrollu ovarian hiperstimulasyon sikluslarinda insan koryonik gonadotropin (hCG) uygulamasindan dolayi siklikla meydana gelir. Ancak, normal spontan gebelik vakalarinda OHSS nadir olarak bildirilmistir. Bu yazida, uzun sureli kombine oral kontraseptif kullaniminin kesilmesinden sonra spontan gebe kalan, tekil gebeligi olan bir kadinda, 10 hafta 5 gunluk gebelik haftasinda orta siddette OHSS vakasi bildirilmistir. Uzun sureli oral kontraseptif kullanan hastalar erken tani icin OHSS semptomlari hakkinda bilgilendirilmelidir. Erken tani ve uygun destek tedavisi, OHSS'nin yasami tehdit edici komplikasyonlarindan kacinmak icin esastir.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130694322","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":"Relationship between Wilkins echocardiographic score and neutrophil to lymphocyte ratio in patients with rheumatic mitral stenosis","authors":"Z. Erkal","doi":"10.5505/abantmedj.2020.83097","DOIUrl":"https://doi.org/10.5505/abantmedj.2020.83097","url":null,"abstract":"OBJECTIVE: Wilkins echocardiography score (WS) is commonly used for patients with rheumatic mitral stenosis (RMS) to evaluate their eligibility for percutaneous mitral balloon valvuloplasty (PMBV) treatment. Patients with WS of higher than 11 are not eligible for PMBV treatment. Previous studies demonstrated that inflammation might play a role in RMS progression. The purpose of this study was to investigate the role of neutrophil/lymphocyte ratio (N/L ratio), which is an indicator of inflammation in predicting high WS. MATERIALS and METHODS: In this retrospective study, we investigated 115 patients (93 females, 22 males) with moderate to severe RMS. Transthoracic and transesophageal echocardiography reports were analysed. Patients were divided into two groups according to their Wilkins scores. Patients with a WS ≤ 11 were included in Group 1 and those with a WS >11 were included in Group 2. The echocardiographic and haematological parameters of the groups were compared. RESULTS: Group 1 consisted of 72 patients (mean age 43.7±12.0) and group 2 consisted of 43 patients (mean age 52.7±11.3). In Group 1, the mean WS was 7.4±2.0 while it was 12.4±0.7 in Group 2. The N/L ratio was 3.8±0.5 in Group 2 and it was significantly higher than that of Group 1, which was 2.6±0.9 (p 11 in patients with RMS.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128112753","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":"Immune Checkpoint Inhibitors in the Treatment of Non-Small Cell Lung Cancer","authors":"U. Uyeturk, A. Çetinkaya","doi":"10.5505/abantmedj.2020.46873","DOIUrl":"https://doi.org/10.5505/abantmedj.2020.46873","url":null,"abstract":"Akciger kanseri, tum dunyada en fazla gorulen ve en fazla olume neden olan kanserdir. Cogunlukla ileri evrede tani konulan kucuk hucreli disi akciger kanserinde (KHDAK) standart kemoterapilere ve hedefe yonelik tedavilere ragmen sagkalim suresi oldukca kisadir. Bu yuzden yeni tedavi arayislari devam etmektedir. Aktive T lenfositlerden ekspresse edilen programlanmis olum-1 (PD-1) reseptorleri tumor hucreleri tarafindan ekspresse edilen PD-ligand 1 (L1) ve PD-L2 ile baglandiginda T lenfosit aktivasyonu downregule edilerek tumor hucreleri kendilerini korumakta ve yasamaya devam etmektedirler. KHDAK’de immun kontrol nokta inhibitorlerinden nivolumab ve pembrolizumab PD-1 reseptorlerini, atezolizumab ve durvalumab ise PD-L1 reseptorlerini inhibe ederek etki gosterir. Bu derlemenin amaci bu tedavilerin hangi KHDAK hucre grubunda, hangi evrede kullanilmasinin en fazla yarar saglayacagini ve yan etki profilini degerlendirmektir.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130306570","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}
Adnan Yamanoğlu, K. Acar, H. Acar, M. Erdem, F. Topal
{"title":"Investigation of Clinical and Socio-demographic Characteristics of Suicide Cases Admitted to Emergency Department","authors":"Adnan Yamanoğlu, K. Acar, H. Acar, M. Erdem, F. Topal","doi":"10.5505/abantmedj.2020.69672","DOIUrl":"https://doi.org/10.5505/abantmedj.2020.69672","url":null,"abstract":"OBJECTIVE: Suicide is a preventable cause of death. Good analysis of case data is essential for the prevention of suicide. The aim of this study is to investigatethe clinical and socio-demographic characteristics of suicide cases admitted to emergency department. MATERIALS and METHODS: This is a descriptive study performed retrospectively. The files, suicide forms and electronic records of patients who admitted to a public hospital emergency department between 1 January 2015 and 31 October 2018 due to suicide or attempted suicide were analyzed. RESULTS: Ninety-two of the 168 cases with appropriate records were analyzed. Women represented 65.2% of the suicide cases, 69.6% were aged 15-29, and 40% were students. The most common method of suicide was drug-toxic substance use (84.8%), and the most common reasons for suicide were family problems (26.1%) and mental illnesses (16.3%). No previous history of attempted suicide was present in 89.1% of cases, while 13% had a history of medication use due to psychiatric disease within the previous six months. CONCLUSION: Detailed analysis of cases must constitute the first step in suicide prevention. The quality of data obtained from hospitals’ electronic databases and patient records therefore needs to be increased.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"243 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133879391","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}
Mustafa Çakir, Faruk Demirhan, Ahmet Akalan, N. Yilmaz, Şenol Ergüney
{"title":"Evaluation of healthy lifestyle behaviors in the employees of health directorate","authors":"Mustafa Çakir, Faruk Demirhan, Ahmet Akalan, N. Yilmaz, Şenol Ergüney","doi":"10.5505/abantmedj.2019.08870","DOIUrl":"https://doi.org/10.5505/abantmedj.2019.08870","url":null,"abstract":"INTRODUCTION: The aim of the study is to evaluate the healthy lifestyle behaviors of health directorate employees.METHODS: The descriptive study was conducted on 228 individuals working in a health directorate. Statistical significance level was set to p","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128304982","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}
Aylin Pıhtılı, Nuran Gokbulut, Z. Bingol, F. Erkan
{"title":"The relationship between fat free mass and asthma control","authors":"Aylin Pıhtılı, Nuran Gokbulut, Z. Bingol, F. Erkan","doi":"10.5152/TURKTHORACJ.2019.28","DOIUrl":"https://doi.org/10.5152/TURKTHORACJ.2019.28","url":null,"abstract":"Results: One hundredseventy two patients (female/male: 140/32, age: 53.7±12.6 years, BMI: 29.1±5.4 kg/m2) with asthma were included the study. Fat free mass was significantly higher in group under control than uncontrolled group (respectively; 49.8±8.2 vs. 46.7±4.9 p=0.002). Mean BMI was similiar in two groups (respectively; 28.6±5.6 vs. 30.2±4.8 p=0.07). There was no difference in the frequency of obesity (BMI>30 kg/m2) between control and non-control patients.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"36 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124257203","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}