THE ULUTAS MEDICAL JOURNAL最新文献_第10页

Profile of patients at a state-run tertiary cancer hospital in India: An audit 印度一家国营三级肿瘤医院的病人概况:审计

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/UMJ.20190810072052

M. Tiwari

{"title":"Profile of patients at a state-run tertiary cancer hospital in India: An audit","authors":"M. Tiwari","doi":"10.5455/UMJ.20190810072052","DOIUrl":"https://doi.org/10.5455/UMJ.20190810072052","url":null,"abstract":"Introduction: Decreased cancer survival in developing countries is attributed to the advanced stage at diagnosis, limited access to cancer care and unaffordability of treatment. Delhi Government set up a tertiary level cancer center in the capital of India where world-class tertiary level care is offered no cost. The present study was undertaken to assess the patient demographics of the hospital and descriptive statistics evaluated to arrive at better measures for patient treatment. Materials and methods: This is a retrospective study of all the patients registered in the Hospital in 2014. Information on socio-demographic, diagnosis, dietary details at the time of registration followed by the clinical extent of the disease and stage was analyzed. Results: A total of 6900 patients registered at the hospital in 2014. 3687 patients were found to be eligible to be included in the study. The highest number of cancer cases seen in the adult age group of 21-65 years (2717, 70%). Carcinoma breast in females (424, 11%) followed by carcinoma cervix (235, 6.4%) and in males. Head and neck cancers (928, 84%) followed by carcinoma lung (226, 82%) were common. Most common metastatic cancer at presentation was hepatobiliary (182, 64%) followed by lung (173, 63%). Conclusion: 21-65 years was the most common age group for all cancers with breast cancer in females and head neck cancers in males being the commonest cancers. Hepatobiliary and lung cancers behave aggressively and are frequently metastatic at the presentation in Delhi and Northern India.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83886016","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}

引用次数: 0

Comparison of LigaSure and the Conventional Method in Total Thyroidectomy: A Single Surgeon's Experience and Review of the Literature that LigaSure is not superior to Suture Ligation in Total Thyroidectomy LigaSure与传统方法在全甲状腺切除术中的比较:一位外科医生的经验和文献综述，LigaSure在全甲状腺切除术中并不优于缝线结扎

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20191022104415

Gökhan Demiral, F. Aksoy

{"title":"Comparison of LigaSure and the Conventional Method in Total Thyroidectomy: A Single Surgeon's Experience and Review of the Literature that LigaSure is not superior to Suture Ligation in Total Thyroidectomy","authors":"Gökhan Demiral, F. Aksoy","doi":"10.5455/umj.20191022104415","DOIUrl":"https://doi.org/10.5455/umj.20191022104415","url":null,"abstract":"Background: The objective of this study was to compare the results of the LigaSure® Precise vessel sealing system and conventional suture ligation (CSL) for total thyroidectomy in terms of complication rates, hospitalization, and surgical time. Materials and Methods: This non-randomized retrospective review included 118 consecutive patients. All patients with nodular or multinodular goiter underwent total thyroidectomy by a single surgeon. The patients were divided into two subgroups: CSL was used as the conventional method together with monopolar and bipolar cautery (group 1), and LigaSure® Precise (L) was used in group 2 as a sealing system for all surrounding tissues of the thyroid gland. Results: No statistically significant differences were found between the two techniques with respect to age, sex, surgical time, hospitalization, and postoperative complications (p>0.05). Conclusion: Sutureless thyroid operations with Ligasure can be safely performed without the presence of higher complication risks but does not reduce surgical time or hospitalization.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"180 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80682394","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}

引用次数: 4

Effect of Domperidone on Lactation in Low Milk Supply Women in Tehran, Iran 多潘立酮对伊朗德黑兰低乳妇女泌乳的影响

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190502070257

Saeedeh TarvijEslami, H. Nasirian, A. Razavi, Hamid Z. Arani, Mahshid Dareh, Poorya Bikarannejad, Yasamin Zivari, M. Motevalli, Seyed Amirhossein Ahmadi, Elnaz Babakhani

引用次数: 0

Variability of findings due to seasonal alterations and number of attacks in warm-type autoimmune hemolytic anemia 温型自身免疫性溶血性贫血的季节性变化和发作次数引起的变异性

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/UMJ.20190220020542

M. Ucar, S. Dagdas, F. Ceran, M. Falay, G. Ozet

{"title":"Variability of findings due to seasonal alterations and number of attacks in warm-type autoimmune hemolytic anemia","authors":"M. Ucar, S. Dagdas, F. Ceran, M. Falay, G. Ozet","doi":"10.5455/UMJ.20190220020542","DOIUrl":"https://doi.org/10.5455/UMJ.20190220020542","url":null,"abstract":"Background: In this study, an examination of the variability of findings due to seasonal alterations and variability of the number of attacks in warm-type autoimmune hemolytic anemia (AIHA) was aimed. Method: Patients over 18 years of age who were admitted to Ankara Numune Training and Research Hospital between 2009 and 2017 and were diagnosed with warm-type AIHA were included in this retrospective study. For statistical evaluation, SPSS 20 for Windows was used. For comparison of categorical data, chi-square and Fisher exact chi-square tests were used. Results: The study population comprised of 52 patients. The age range of the patients was 19-89 years, with a median of 45.5 years. Among the patients, the number of attacks was 1 in 63.5% (n=33), 2 in 15.4% (n=8), and 3 in 21.2% (n=11). The type of AIHA was the warm type in all of the patients. In regard to the season during which attacks were experienced, it was determined to be winter in 26.9% (n=14), autumn in 17.3% (n=9), summer in 38.5% (n=20), and spring in 17.3% (n=9) of the patients. The rate of attacks was determined to be higher during winter in the patient group with a number of attacks of 2 or more and during summer and autumn in the patient group with the number of attacks of 1 (p=0.030). Conclusion: It was determined that, while the rate of patients who experienced only 1 AIHA attack increased during the summer and autumn seasons, attacks occurred most commonly during winter in patients with more than 1 attack.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88918838","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}

引用次数: 0

OSE: A New Education and Treatment Program for Preschool Period 一种新的学前教育和治疗方案

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/UMJ.20191003030124

Oguz Guvenmez, Serkan Güneş

引用次数: 0

Spinal Epidural Abscess in Patients with Chronic Renal Failure: A Single-Center Experience 慢性肾衰竭患者的脊髓硬膜外脓肿:单中心经验

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190719032811

Arsal Acarbaş

{"title":"Spinal Epidural Abscess in Patients with Chronic Renal Failure: A Single-Center Experience","authors":"Arsal Acarbaş","doi":"10.5455/umj.20190719032811","DOIUrl":"https://doi.org/10.5455/umj.20190719032811","url":null,"abstract":"Background: Spinal epidural abscess (SEA) is an uncommon condition that can evolve to severe neurologic deficit or death if the diagnosis is delayed. We noticed an increase in the number of cases of SEA, with the majority in patients with chronic renal failure. The purpose of the study was to investigate the relationship between chronic renal failure (CRF) and spinal epidural abscess (SEA). Materials and Methods: This retrospective study was conducted with the medical records of CRF patients who were treated for SEA in a single tertiary center. Clinical and demographic characteristics of the patients (age, gender, clinical symptoms, underlying conditions, predisposing factors, level of the abscess, causative organisms, preoperative motor status), treatments and outcomes were reviewed retrospectively. Levels of inflammatory markers (white blood cell, C-reactive protein, and erythrocyte sedimentation rate) and albumin were evaluated. Results: Seven (58.3%) males and five (41.7%) females, with a mean age of 65.7±8.6 years (range, 56 to 82 years) were evaluated in this study. The most common symptoms were back pain and motor weakness. The functional status of 4 patients (33.3%) was unchanged after surgery, while seven patients (58.3%) had functional improvements. Significant improvements were observed regarding blood levels of inflammatory markers and albumin after the treatments. Conclusion: The present study showed that surgical procedures have an important role in the management of SEA in patients with CRF.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76817471","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}

引用次数: 0

Stent Use in Emergency Treatment of Malignant Colonic Obstruction 支架在恶性结肠梗阻急诊治疗中的应用

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190510021841

Y. Çelik, O. Erbil

{"title":"Stent Use in Emergency Treatment of Malignant Colonic Obstruction","authors":"Y. Çelik, O. Erbil","doi":"10.5455/umj.20190510021841","DOIUrl":"https://doi.org/10.5455/umj.20190510021841","url":null,"abstract":"Background: In previous studies, the outcome of stent use in malignant colonic obstruction patients widely varies. We aim to present the outcome of our patients who have undergone colonic stenting in malignant colonic obstruction as a bridge or conservative therapy in line with the literature. Materials and Method: We have retrospectively reviewed patient records in surgical endoscopy clinic of our hospital. The subjects were patients who had a diagnosis of colon malignancy between 2012-2018 and had undergone a self-expandable stent. Stenting was done as a bridge to surgery in resectable colorectal tumors or for palliation in colonic obstructions due to inoperable colorectal malign disease. Clinical success was defined as resolution of obstructive symptoms and immediate decompression of the bowels proven by the passage of stool and gas in 24 hr. Results: Twenty patients were included in the study. 14 (70%) patients were male, and 6 (30%) female, mean age was 61.4±22.6 years. Right colon 1 (5%), hepatic flexure 5 (25%), splenic flexure 1 (5%), sigmoid colon 7(35%), recto-sigmoid 2 (10%), upper rectum 4 (20%) stenting was performed in terms of location. In 11 of the patients (55%), the tumor was considered resectable. After the emergency condition of the patients was improved by stenting, they were ready for elective curative surgery. In nine (45%) patients, the tumor was unresectable. In these patients, stenting was ensued by oncologic follow-up. Stent migration after the procedure 3 (15%), stent remaining at distal during the procedure 2 (10%), re-obstruction after the procedure due to tumor invasion 2 (10%), inadequate expansion of the stent 1(5%) and perforation 1 (5%) were observed in patients. Conclusion: Stenting as a bridge or conservative therapy in malignant colonic obstruction by skilled surgeon increases success rates of one-stage operation significantly and increases the quality of life by decreasing the rates of a permanent stoma and wound infections.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87078809","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}

引用次数: 0

A Novel Treatment Method to Eliminate the Complaints of Tinnitus and Related Psychiatric Disorders 消除耳鸣及相关精神疾病主诉的新治疗方法

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20191109053047

Oguz Guvenmez, H. Keskin, Serkan Güneş

引用次数: 0

Ossifying Subperiosteal Hematoma of the Iliac Bone: Imaging Findings 髂骨骨膜下血肿的影像学表现

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190113113349

M. Atalar, Nisa Başpınar

引用次数: 0

The Effectiveness of Bupivacaine Instillation on Postoperative Pain after Elective Laparoscopic Cholecystectomy: A Prospective Randomized Controlled Trial 布比卡因灌注治疗选择性腹腔镜胆囊切除术后疼痛的有效性:一项前瞻性随机对照试验

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/UMJ.20190130080233

R. Arshad, K. Bajwa, Mishal Sikander, R. Rashid

{"title":"The Effectiveness of Bupivacaine Instillation on Postoperative Pain after Elective Laparoscopic Cholecystectomy: A Prospective Randomized Controlled Trial","authors":"R. Arshad, K. Bajwa, Mishal Sikander, R. Rashid","doi":"10.5455/UMJ.20190130080233","DOIUrl":"https://doi.org/10.5455/UMJ.20190130080233","url":null,"abstract":"Background: The gold-standard procedure for the surgical treatment of gallstone disease is Laparoscopic Cholecystectomy. With better pain management Laparoscopic Cholecystectomy can be practiced as Day-case surgery by the reduction in post-op pain, reduced analgesia demand, early mobility, and shorter hospital stay. Materials and Methods: This study was conducted at the department of general surgery, Pakistan Institute of Medical Sciences (PIMS) Complex, Islamabad from July 2016 to January 2018. A total of 164 patients were selected for the study. Patients aged 13 and above who were diagnosed with symptomatic cholelithiasis, gall bladder polyps or sludge were included in the study. Informed consent was taken. The patients were classified into two groups based on the intervention by instillation of Bupivacaine in one group and no intervention in the other. Results: Out of these 82 (50%) were installed with bupivacaine at the final stage of closure at peritrocar, sub-phrenic and gallbladder bed and in remaining 82 no instillation of any drug at aforementioned sites was done. The outcome was measured between these two groups in terms of time for first demand of analgesia, the frequency of the demand by the patient, time to mobility and post-op hospital stay. Conclusion: This study showed that there was a significant difference in the outcome of instillation of bupivacaine in subphrenic space, gall bladder bed and peritrocal site on Postoperative Pain after Elective Laparoscopic Cholecystectomy.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87450475","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}

引用次数: 0