THE ULUTAS MEDICAL JOURNAL最新文献_第9页

A Case of Scleredema Diabeticorum: Could Pentoxifylline Be a Therapeutic Option? 糖尿病硬化性水肿1例:己酮茶碱可以作为治疗选择吗?

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190616024428

H. Aktaş, S. Oner, Z. Oner

引用次数: 0

Treatment Response to Phototherapy in Patients with Mycosis Fungoides and Parapsoriasis 光疗治疗蕈样真菌病和银屑病的疗效

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/UMJ.20191218011207

E. Çelik, Gokhan Ucgul, A. Doğramacı

{"title":"Treatment Response to Phototherapy in Patients with Mycosis Fungoides and Parapsoriasis","authors":"E. Çelik, Gokhan Ucgul, A. Doğramacı","doi":"10.5455/UMJ.20191218011207","DOIUrl":"https://doi.org/10.5455/UMJ.20191218011207","url":null,"abstract":"Background: Early stage mycosis fungoides (MF) and parapsoriasis are treated by phototherapy techniques. In this study, we aimed to assess treatment responses to narrow-band ultraviolet B (NB-UVB) and psoralen plus ultraviolet A (PUVA) therapies in patients with MF and parapsoriasis in a comparative manner. Materials and Methods: We retrospectively reviewed patients with early-stage MF and parapsoriasis who underwent phototherapy in Phototherapy Unit of our clinic between 2008 and 2018. In all groups, data regarding phototherapy were recorded and evaluated statistically. Results: In this study, 127 patients including 46 patients with early-stage MF, 48 patients with small plaque psoriasis and 33 patients with large plaque psoriasis received phototherapy. PUVA therapy session rate was significantly higher in patients with MF while NB-UVB therapy rate was significantly higher in patients with SPP. Number and duration of sessions to achieve complete remission were significantly higher in patients with MF when compared to those with SPP while no significant correlation was found between MF and LPP. In addition, the number and duration of sessions to achieve complete remission were significantly higher in patients with LPP than those with SPP. When patients groups were assessed according to phototherapy type given, it was seen that the complete remission rate was significantly higher in MF patients received PUVA therapy than patients received NB-UVB therapy (p","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90284813","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

The Effect of Delivery Mode on the Female Sexual Function Index 分娩方式对女性性功能指标的影响

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/UMJ.20190122071414

S. Dağlı, Fusun Karbancioglu Canturk

{"title":"The Effect of Delivery Mode on the Female Sexual Function Index","authors":"S. Dağlı, Fusun Karbancioglu Canturk","doi":"10.5455/UMJ.20190122071414","DOIUrl":"https://doi.org/10.5455/UMJ.20190122071414","url":null,"abstract":"Background: Sexual function is one of the parameters affecting female life and life quality. We aimed to examine the effect of delivery mode on female sexual functions. Materials and methods: Female sexual function index scoring questionnaire (FSFI) was translated to Turkish and conducted on 184 volunteer sexually active women aged 18 - 49 years between June 2017 and January 2018 and their results were analyzed. Women included in the study were divided into three groups as only the vaginal delivery group, only cesarean delivery group, and both vaginal and cesarean delivery group. Women included in the study were divided into three groups 1 as only the vaginal delivery group, group 2 only cesarean delivery group, and group 3 both vaginal and cesarean delivery group. Results: Total FSFI scores were significantly higher in group 3. There was no significant difference between the vaginal delivery group and cesarean delivery group. Lubrication (5±0, p=0.005), orgasm (4.71±0.48, p=0.002), satisfaction (9.42±0.97, p=0.025) were significantly higher in group 3. There was no significant difference between total scores the group 1, group 2, and group 3. Conclusion: Sexual functions are affected by factors such as hormones, socioeconomic status, and psychological factors. Mode of delivery does not have a significant effect on FSFI in the long term.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86738823","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

Splenic Infarction Due to Sickle Cell Trait while Visiting a Hill Station 访问山站时镰状细胞特性导致脾梗塞

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/UMJ.20191111060811

Shamsudeen Moideen, P. Manoj, S. Hameed, A. Khader, N. Uvais

引用次数: 1

Comparison of Partial Internal Sphincterotomy and Partial Internal Sphincterotomy with Additional Advancement Flap Anoplasty in the Treatment of Chronic Anal Fissure 局部内括约肌切开术与局部内括约肌切开术加皮瓣成形术治疗慢性肛裂的比较

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20191014070931

Y. Çelik, Fırat Demircan

{"title":"Comparison of Partial Internal Sphincterotomy and Partial Internal Sphincterotomy with Additional Advancement Flap Anoplasty in the Treatment of Chronic Anal Fissure","authors":"Y. Çelik, Fırat Demircan","doi":"10.5455/umj.20191014070931","DOIUrl":"https://doi.org/10.5455/umj.20191014070931","url":null,"abstract":"Introduction: We aimed to compare the results of our patients who have undergone lateral internal sphincterotomy and lateral internal sphincterotomy with additional advancement flap anoplasty. The success rate and complication rate of both methods were compared concerning the literature. Materials and methods: We have retrospectively evaluated charts of patients who have undergone the operation for chronic anal fissure between January 2015 and July 2018. A total of 123 patients were separated into two groups as partial Lis+anoplasty (group-I, n:76) and only partial Lis (group-II, n:47) groups. Age, sex, follow up time, anal examination findings, pain, bleeding, constipation score, patient satisfaction score, VAS pain score during rest or stooling, and recurrence and continence rates of patients were recorded. Results: 61 male (49,59%) and 62 female (50,41%) total 123 patients were included. The mean age of the patients was 42,87±11,69 years. The duration of the operation was 28,50±11,61 min. The hospital stay was 1,50±0,70 days. The mean follow-up time was 24±10 months. In group-II patients (15.22%), the recurrence was higher than group I. Similarly, bleeding (10.87%), pain (13.04%), and discomfort (15.22%) were higher in group-II compared to group-I. Bleeding, constipation score, VAS stooling and resting scores were higher in group-II, while the satisfaction score was found higher in group-I. There was no difference between the two groups in terms of incontinence rate. Conclusion: Adding advancement flap anoplasty to partial internal sphincterotomy has increased the success rate by decreasing recurrences in our study and similar studies in the literature.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85086869","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

Results of Surgery Performed on 151 Patients of Hypospadias: Single Center Experience 151例尿道下裂的手术结果:单中心经验

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/UMJ.20181210085830

A. Atıcı, M. Çelikkaya, Çiğdem El, B. Akçora

{"title":"Results of Surgery Performed on 151 Patients of Hypospadias: Single Center Experience","authors":"A. Atıcı, M. Çelikkaya, Çiğdem El, B. Akçora","doi":"10.5455/UMJ.20181210085830","DOIUrl":"https://doi.org/10.5455/UMJ.20181210085830","url":null,"abstract":"Background: Hypospadias is defined as the hypoplasia of the ventral side of the penis such as the abnormal ventral opening of urethral meatus, chordee, and abnormal distribution of circumcision skin. The purpose of this study is to share our experiences with patients who underwent hypospadias repair surgery in a university hospital. Materials and Methods: After obtaining approval from the hospitals ethical review board, the files of 151 patients with hypospadias who underwent surgery between March 2013 and October 2018, were examined retrospectively. One hundred thirty-five patients (89%) had anterior, and 16 patients (10.6%) had posterior hypospadias. Results: The average age of patients was 4,2 years (1-14). While 30% of the patients with anterior hypospadias had cordee below 30 degrees, 100% of patients with posterior hypospadias had chordee. In terms of complications, 15(9,9%) patients had urethro-cutaneous fistula, 20 (13,2%) patients had meatal stenosis, 3 patients (1.9%) glans dehiscence, and 1 patient (0.6%) had ventral skin necrosis. Conclusion: Hypospadias surgery is still challenging due to being associated with certain complications. As one single surgery does not yield good results for any hypospadias, these patients should be managed with specific operations selected according to the patient.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83646910","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

Are Clinicians Aware Enough of Syphilis in HIV-Infected Populations? The Clinical and Laboratory Findings in A Training Hospital 临床医生是否对hiv感染人群中的梅毒有足够的认识?A培训医院的临床和实验室检查结果

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190717083737

E. Yenilmez, R. Çetinkaya

{"title":"Are Clinicians Aware Enough of Syphilis in HIV-Infected Populations? The Clinical and Laboratory Findings in A Training Hospital","authors":"E. Yenilmez, R. Çetinkaya","doi":"10.5455/umj.20190717083737","DOIUrl":"https://doi.org/10.5455/umj.20190717083737","url":null,"abstract":"Background: Our study aimed to reveal the seroprevalence of syphilis in HIV-positive patients in our center and to reveal the diagnostic performance of the reverse sequence algorithm Materials and Methods: The study data were obtained retrospectively. Statistical analyses were carried out using SPSS version 20.0. Screening for syphilis was performed by reverse sequence algorithm using chemiluminescent microparticle immunoassay (CMIA), Rapid Plasma Reagin and T.pallidum hemagglutination tests. Results: A total of 91 HIV-positive patients were included in the study. Of these patients, 15 (16.48%) had never been tested for syphilis, and the rate of the patients who have a proper follow-up for syphilis was only 36.17%. Nineteen patients were diagnosed with syphilis; the overall syphilis rate was 20.88%. The mean time to the diagnosis of syphilis was 9.89±13.5 months, ranging from 0 to 48 months. Of the 76 patients screened for syphilis, 19 (25%) had CMIA positivity with concurrent RPR positivity. Concurrent TP-HA testing was performed in 54 (71.05%) of the 76 patients and 17 (89.4%) of 19 patients with CMIA positivity, and all of these patients with CMIA positivity revealed positive TP-HA results. Conclusions: Syphilis co-infection rate in HIV-positive patients in our hospital was high. However, there are still deficiencies in the screening of syphilis, and it has been shown that a specific screening algorithm is not adopted by the clinicians who follow-up HIV-positive patients. Besides, non-treponemal and treponemal tests in the reverse sequence algorithm revealed reliable results in the diagnosis of syphilis in HIV-infected patients.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74285488","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: 1

Median Arcuate Ligament Syndrome as A Rare Cause of Recurrent Chronic Abdominal Pain: Radiological Findings 正中弓状韧带综合征是复发性慢性腹痛的罕见病因:影像学表现

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190706071036

M. Atalar, Nisa Başpınar

引用次数: 0

Impact of Refresher Training on Knowledge Regarding Tuberculosis among Health Workers of West Bengal 西孟加拉邦卫生工作者结核病知识进修培训的影响

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190104122056

I. Halder, Ritesh Singh

{"title":"Impact of Refresher Training on Knowledge Regarding Tuberculosis among Health Workers of West Bengal","authors":"I. Halder, Ritesh Singh","doi":"10.5455/umj.20190104122056","DOIUrl":"https://doi.org/10.5455/umj.20190104122056","url":null,"abstract":"Background: Tuberculosis(TB) is one of the leading causes of morbidity and mortality in India. Peripheral health workers in rural areas come in contact with TB suspects regularly during their home visits. The success of the Revised National Tuberculosis Control Programme (RNTCP) depends largely upon the involvement of these workers particularly Auxiliary Nurse Midwives (ANMs). Materials and Methods: All the ANMs and Health Assistants attached to a block primary health center (BPHC) of West Bengal were called for a refresher training on tuberculosis and RNTCP. Medical Officer Tuberculosis Unit of the area impacted the training along with Senior Treatment Supervisor (STS) and Senior Tuberculosis Laboratory Supervisor (STLS) of the concerned Tuberculosis Unit (TU). The training was of one full day duration and conducted at the BPHC. The resource persons told them about the diagnosis and management of TB cases according to RNTCP guidelines. A pre-test questionnaire having 20 multiple choice and true/ false type questions were given to the participants. The same questionnaire was given to them after the training. The score of post-tests was compared with the pre-test questionnaire. Results: In total 34 health workers participated in the training. 44.1% of the participants were ANM and 38.2% were Health Assistants (Female). Rest were Health Assistants (Male). The mean (SD) duration of their service was 17.79 (1.8) years. 35.3% of them had a graduate degree. The mean (SD) post-test score was significantly better than the mean (SD) pre-test score, 16.53 (1.73) vs 9.76 (1.71). There was a significant improvement in score for 12 questions. Conclusion: With time the knowledge regarding TB and RNTCP is fading in health workers. Regular refresher training is required for the health workers to remain updated about tuberculosis.","PeriodicalId":23051,"journal":{"name":"THE ULUTAS MEDICAL JOURNAL","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91236493","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

Pelvic Actinomycosis Associated with Intrauterine Device 盆腔放线菌病与宫内节育器相关

THE ULUTAS MEDICAL JOURNAL Pub Date : 2019-01-01 DOI: 10.5455/umj.20190919013918

C. Chuang, Soon-Cen Huang, N. Lu, C. Chao

引用次数: 0