Abant Medical Journal最新文献

{"title":"The Management of Tromboembolic Diseases in Pregnancy","authors":"Z. Yasar, F. Talay","doi":"10.5505/ABANTMEDJ.2015.26214","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2015.26214","url":null,"abstract":"Gebelik ve postpartum donem venoz tromboemboli (VTE) icin kanitlanmis risk faktorudur. Gunumuzde pulmoner emboli (PE) gebelik ile iliskili olumlerin onemli nedenlerindendir ve anne olumlerinin %20'sini olusturmaktadir. Her 10 derin ven trombozundan (DVT) birinde PE gelistigi bilinmektedir. VTE tanisi semptomlarin ve bulgularin gebeligin beklenen fizyolojik degisiklikleriyle benzer olmasi nedeniyle oldukca zordur. Gebelikte VTE tanisinin gecikmeden konmasi ve uygun tedavinin duzenlenmesi gebenin ve fetusun komplikasyonlardan korunmasi icin hayati onem arzeder.Tanisal islemler sirasinda olusabilecek radyasyon maruziyeti de dogru goruntuleme yonteminin uygulanmasinin onemini gostermektedir. Bu derlemede gebede karsilasabilecegimiz tromboembolik hastaliklara tanisal yaklasim basamaklari gozden gecirilmistir. Pregnancy and postpartum period are well-established risk factors for venous thromboembolism (VTE). Currently pulmonary embolism (PE) is a leading cause of pregnancy related mortality and responsible for 20 percent of maternal deaths. PE is known to occur in one of every 10 deep vein thrombosis (DVT). The clinical diagnosis of VTE is challenging because of the overlap of signs and symptoms between physiologic changes and development of PE or DVT. Accurate and early diagnosis is important in pregnancy to prevent fetus and pregnant from complications. And also accurate imaging is essential because of the anxieties relating to fetal radiation exposure during diagnostic procedures. In this review diagnostic algorithm of VTE discussed for accurate and reliable management in pregnancy.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127512899","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":"Levotiroxine Sodium Intoxication: A Case Report","authors":"A. Güngör, H. Bilen, E. Akbaş, C. Ozdemir, L. Korkmaz, Nevzat Bulut","doi":"10.5505/ABANTMEDJ.2013.40316","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2013.40316","url":null,"abstract":"Hipotiroidizm sik gorulen bir endokrin hastaliktir. Nadir gorulen durumlar disinda, hipotiroidizmin tedavisi omur boyu levotiroksin tedavisi gerektirir. Levotiroksinin gunluk dozu ortalama olarak 1,6 mcg/kg'dir. Levotiroksin intoksikasyonu nadir gorulen bir tablodur ve cocuklarda daha siktir. Eriskinlerde genellikle asemptomatik seyreder. Burada suisid amaciyla cok miktarda levotiroksin almis 24 yasinda erkek hastayi sunduk. Levotiroksin intoksikasyonu tanisi hikaye, fizik muayene ve laboratuar bulgulari ile konulur. Medikal tedavi antitiroid ilaclari, steroidleri, beta blokerleri ve gastrointestinal emilimi engelleyen ilaclari (aktif komur, kolestramin) icerir. Takip suresince yakin monitorizasyon gereklidir ve takip en az 5-7 gun olmalidir. Hypothyroidism is a common endocrine disorder. With the exception of certain conditions, the treatment of hypothyroidism requires life-long therapy with levothyroxine. Daily average dose of the levothyroxine is 1.6 mcg/kg. Levothyroxine intoxication is a rare condition and it occurs more often in children. The toxication of levothyroxine in adults is usually asymptomatic. In this paper we report a 24-year-old man who attempted suicide with large amounts of levothyroxine. Diagnosing depends on history, physical examination and laboratory findings. Medical treatment includes antithyroid drugs, steroids, beta- blockers and drugs to prevent gastrointestinal absorption (activated charcoal, cholestyramine). In follow-up close monitoritation is needed and should be at least 5-7 days.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128940752","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":"Castleman Disease Accompanied to Rectum Cancer: A case report","authors":"U. Arslan, N. Şengül, M. Astarci, Ertunç Çinpolat, U. Uyeturk, S. Gurel","doi":"10.5505/abantmedj.2018.26121","DOIUrl":"https://doi.org/10.5505/abantmedj.2018.26121","url":null,"abstract":"1Erzurum Bölge Eğitim ve Araştırma Hastanesi, Gastroenteroloji Cerrahisi Bilim Dalı, Erzurum 2Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Gastroenteroloji Cerrahisi Bilim Dalı, Bolu 3Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Bolu 4Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Medikal Onkoloji Bilim Dalı, Bolu 5Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Bolu","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129301333","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":"Intestinal Non-Hodgkin Lyphoma causing ileocaecal invagination: a case report","authors":"F. Kaya, R. Kızıltan, M. Sit, E. Yılmaz","doi":"10.5505/ABANTMEDJ.2012.91885","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2012.91885","url":null,"abstract":"","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130191353","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":"Factors affecting the short and long term mortality of infected patients in intensive care unit","authors":"A. Kutlucan, M. Erdoğan, L. Kutlucan, H. Ankarali, F. Ermiş, Mucahit Gur, E. Şenocak, H. Demirin, Y. Aydin","doi":"10.5505/ABANTMEDJ.2015.19870","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2015.19870","url":null,"abstract":"Factors affecting the short and long term mortality of infected patients in intensive care unit Ali Kutlucan, Murat Erdoğan, Leyla Kutlucan, Handan Ankaralı, Fatih Ermiş, Mücahit Gür, Elif Şenocak, Hilmi Demirin, Yusuf Aydın 1 Selçuk Üniversitesi Tıp Fakültesi İç Hastalıkları Ana Bilim Dalı, Konya 2 Düzce Üniversitesi Tıp Fakültesi İç Hastalıkları Ana Bilim Dalı, Düzce 3 Konya Eğitim ve Araştırma Hastanesi Anesteziyoloji ve Reanimasyon Kliniği, Konya 4 Düzce Üniversitesi Tıp Fakültesi Biyoistatistik Ve Tıbbi Bilişim Ana Bilim Dalı, Düzce 5 Düzce Üniversitesi Tıp Fakültesi Biyokimya Ana Bilim Dalı, Düzce","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132963930","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":"Nonspecific Culture and Antibiogram Results of Hospitalized Patients Because of Lower Respiratory Tract Infection and Empiric Treatment Approach","authors":"F. Talay, E. Çetinkaya, A. Gençoğlu, Gulsah Safak, I. Taş, S. Altın, O. Kurt, Z. Yasar","doi":"10.5505/ABANTMEDJ.2014.95867","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2014.95867","url":null,"abstract":"Amac: Bu calismada alt solunum yolu infeksiyonu (ASYI) ile gogus klinigine yatan olgularin nonspesifik kultur sonuclarinda ureyen etkenlere karsi antibiyotiklerin direnc profilini belirlenmesi ve bu olgulardaki ampirik tedavi yaklasimlarini incelenmesi amaclandi. Yontem: Seksen dort olgudan nonspesifik kultur istendi. Ureme olan 41 olgu degerlendirmeye alindi. Bulgular: Olgularin 35'i erkek, 6'si kadin olup, yas ortalamalari 61.4 ± 16.1 idi. Nonspesifik kulturlerin 16'sinda (%39) Streptococcus pneumoniae, 8'inde (%19.5) Pseudomonas aureginosa, 13'unde (%31.7) Klebsiella pneumonia uredi. Streptococcus pneumoniae'ye karsi %13 penisilin, %14 ampisilin-sulbaktam, %7 siprofloksasin, %58 sefuroksim, %29 klaritromisin, %7 levofloksasin direnci vardi. Seftriakson ve moksifloksasin direnci yoktu. Klebsiella pneumonia'ya karsi %33 seftriakson, %36 seftazidim, %30 sefepim, %10 imipenem, %9 amikasin direnci vardi. Siprofloksasine direnc saptanmadi. Pseudomonas aureginosa'ya karsi, %12 imipenem, %12 siprofloksasin, %37 seftazidim, %20 sefepim direnci vardi. Amikasin ve gentamisine direnc yoktu. Olgularin ampirik tedavilerinde en cok tercih edilen antibiyotikler 11 kiside (%27) ampisilin-sulbaktam, 8 kiside (%20) seftriakson + klaritromisin, 7 kiside (%17) sefuroksim + klaritromisin seklinde idi. Bulgularimiz, yatan olgularin ampirik olarak alt solunum yolu enfeksiyonlarinin tedavisinde kullanilan bircok antibiyotige onemli oranda direnc oldugunu gostermektedir. Sonuc: Bu tur olgularda her merkezin etyolojide en sik rastlanan etkenleri ve bu etkenlerin belirli direnc paternlerini bilerek ampirik tedavi baslanmasi tedavi basarisinda anahtar rol oynayacaktir. Objective: In this study, we aimed to determine the resistance profile of antibiotics to the microorganisms that were reproduced from nonspecific cultures of hospitalized patients at chest disease clinic because of lower respiratory tract infection (LRTI), and to investigate empiric treatment approach. Method: Nonspecific cultures were obtained from 84 patients. Forty-one cases (35 men and 6 women, mean age: 61.4 ± 16.1) who had reproduced cultures are evaluated. Results: Culture results revealed 16 (39%) Streptococcus pneumonia, 8 (19.5%) Pseudomonas aureginosa, and 13 (31.7%) Klebsiella pneumonia. Of the grown Streptococcus pneumonia, 13% was resistant to penicillin, 14% to ampicillin-sulbactam, 7% to ciprofloxacin, 58% to cefuroxime, 29% to clarithromycine, and 7% to levofloxacin. Resistance to ceftriaxon and moxifloxacin was not observed. Resistance to ceftriaxon by Klebsiella pneumonia was 33%, to ceftazidim was 36% , to cefepim was 30%, to imipenem was 10%, to amicasin was 9%, and it was found to be sensitive to ciprofloxasin. Resistance for Pseudomonos aureginosa was 12% to imipenem, 12% to ciprofloxasine, 37% to ceftazidim, and 20% to cefepim. Amicasine and gentami cin was found to be sensitive for Pseudomonos aureginosa. During the process of therapy, the most preferred antibiotics were ampicillin-","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130488581","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":"Analyze of the Parameters Effecting Balance According to Romberg Test Scores in Multiple Sclerosis Patients: A Case Control Study","authors":"Fadime Küçük, B. Kara, E. Coşkuner, E. İdiman","doi":"10.5505/abantmedj.2018.60590","DOIUrl":"https://doi.org/10.5505/abantmedj.2018.60590","url":null,"abstract":"","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127869535","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":"Metronidazole-induced encephalopathy in a patient with pons abscess: a case report","authors":"F. Öztürk, G. Burakgazi, Muammer Akyol","doi":"10.5505/ABANTMEDJ.2015.23600","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2015.23600","url":null,"abstract":"Metronidazol (MNZ) anaerobik ve protozoal enfeksiyonların tedavisinde yaygın olarak kullanılan antimikrobiyal bir ajandır. MNZ serebosipinal sıvı ve santral sinir sistemine kolaylıkla penetre olduğu düşünülmektedir (1). Nörolojik bulgular genellikle 2g/gün üzerinde verildiğinde ortaya çıkmaktadır. Bu nörolojik bulgular periferal nöropati, dizatri, ataksi, konvulziyon ve ensefalopatidir. Manyetik rezonans görüntülemede (MRG) serebellumda dentat nukleus en sık etkilenen bölgedir. Bunu tektum, kırmızı nukleus, perakuaduktal gri cevher ve dorsal pons takip etmektedir. Dorsal medulla ve korpus kallozum daha az etkilenmektedir (2,3). Bu olguda pons apsesi tedavisinde MNZ kaynaklı MRG bulgularını tartıştık.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125579513","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 Evaluation of Histopathologic Diagnosis in Specimens of Hysterectomy","authors":"U. Isaoglu, M. Yılmaz, I. Delibas, I. Gozukara, A. Bilici, P. Ulug, Eşref Kabalar","doi":"10.5505/ABANTMEDJ.2013.30502","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2013.30502","url":null,"abstract":"Amac: Bu calismada benign on tanilarla yapilan histerekto- milerin, endikasyonlar ve histopatolojik tanilar acisindan degerlendirilmesi amaclandi. Yontem: Ocak 2011 ile Aralik 2012 yillari arasinda yapilmis olan 258 histerektomi olgusu endikasyonlar ve histopatolojik tanilar acisindan retrospektif olarak degerlendirildi. Bulgular: En sik histerektomi endikasyonu anormal uterin kanama idi 87 (%33,72). Daha sonra sirasi ile myoma uteri 73 (%28,29) ve endometrial hiperplazi 67 (%25,96) olarak tespit edildi. Diger klinik endikasyonlar adenomyozis 25 (% 9,68) ve uterus prolapsusu 6 (% 2,32) idi. Histerektomi materyalleri- nin histopatolojik raporlari incelendiginde, en yaygin patoloji leiomyoma 83 (%32,17), takiben adenomyozis 78 (% 30,23) ve endometrial hiperplazi 77(29,84) idi. Endometrial polip 13 (% 5,04) vakada tespit edildi. 7 (% 2,71) vakada ise atrofik endometrium mevcuttu. Yine histerektomi materyallerinin serviks incelemelerinde olgularin % 54,26'sinda kronik servi- sit oldugu gozlendi. Sonuc: Myoma uteri ile endometrial hiperplazilerin yuksek oranda birlikteligi nedeniyle myoma uteri tanisiyla histerek- tomi planlanan hastalarda menometrorajide mevcutsa mut- laka endometrial ornekleme de yapilmalidir. Objective: To evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopatho- logical results. Method: Retrospective analysis of 258 hysterectomy cases, which were performed between January 2011 and Decem- ber 2012, was conducted to review indications and histo- pathological diagnoses. Results: The most frequent indications for hysterectomy were abnormal uterine bleeding 87, (33,72%), myoma uteri 73, (28,29%) and endometrial hyperplasia 67, ( 25,96%), respectively. Other clinical indications were adenomyosis 25, ( 9,68%) and uterine prolapse 6, (2,32%). The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma 83, (32,17%), adenomyosis 78, (30,23%) and endometrial hyperplasia 77 (29,84%), respecti- vely. Endometrial polyp was diagnosed in specimens of 13 patients (5,04%). Endometrial atrophy was reported in 7 patients ( 2,71%). Cervical histopathology of hysterectomy materials revealed chronic cervicitis in 54,26% of the pati- ents. Conclusion: Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hyste- rectomy for myoma uteri and also have menometrorrhagia.","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125590194","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":"Pyoderma gangrenosum associated with Behçet's Disease: A Case Report","authors":"Pınar Ozuğuz, S. Kaçar, Tayfun Kocoglu, B. Yavas","doi":"10.5505/ABANTMEDJ.2015.66487","DOIUrl":"https://doi.org/10.5505/ABANTMEDJ.2015.66487","url":null,"abstract":"Pyoderma Gangrenosum (PG) genellikle orta yastaki eris- kinleri etkileyen, nadir gorulen, notrofilik inflamatuvar bir deri hastaligidir. Etyolojisi ve patogenezi net olarak bilin- memektedir. Behcet hastaligi (BH) ise multisistemik bir vaskulit olup, deri bulgulari arasinda nadiren PG da goru- lebilmektedir. On uc yildir BH oykusu olan, 29 yasindaki bir erkek hasta sol bacakta ulserle poliklinigimize basvurdu. Dermatolojik muayenesinde sol alt bacakta en buyugu 12x6 cm olan, fasyaya kadar uzanan derin, hafif purulan akinti ve kotu kokunun eslik ettigi 3 adet ulser saptanan hastadan yapi- lan histopatolojik inceleme PG ile uyumluydu. Burada agresif seyirli bir BH'da gorulen PG lezyonlarinin kontrolunun saglanmasi icin, sistemik tedavinin uzun sure ve kombine yapilmasi gerekebilecegini vurgulanmak ama- ciyla sunulmustur. Pyoderma gangrenosum (PG),is a rare neutrophilic inflam- matory skin disease, usually affecting middle-aged adults. The etiology and pathogenesis is not clear. Behcet's disease (BD) is a multisystem vasculitis, in which PG can rarely be seen among its cutaneous manifestations., A 29 -year-old male patient with a 13 years history of BH, was admitted to clinic with left leg ulcers. On dermatologi- cal examination 3 ulcers localized on the left lower leg, with the largest one being 12x6 cm, spreading to the deep fas- cia, accompanied by mild purulent discharge and bad smell. The histologically was compatible with PG. This report is presented to emphasize the necessity of long term and combined treatment of PG accompanying BD with agressive course","PeriodicalId":191658,"journal":{"name":"Abant Medical Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126784938","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}