Turkish Journal of Internal Medicine最新文献_第4页

Factors Affecting Kidney Functions in One-Year Follow-up After COVID-19 in Kidney Transplant Patients 肾移植患者COVID-19术后1年随访中影响肾功能的因素

Turkish Journal of Internal Medicine Pub Date : 2023-01-12 DOI: 10.46310/tjim.1165344

H. Ozer, I. Baloglu, Yasin Öztürk, Fethi Yönet, H. Tonbul, N. Selcuk, Kultigin Türkmen

{"title":"Factors Affecting Kidney Functions in One-Year Follow-up After COVID-19 in Kidney Transplant Patients","authors":"H. Ozer, I. Baloglu, Yasin Öztürk, Fethi Yönet, H. Tonbul, N. Selcuk, Kultigin Türkmen","doi":"10.46310/tjim.1165344","DOIUrl":"https://doi.org/10.46310/tjim.1165344","url":null,"abstract":"Background Coronavirus disease (COVID-19) is more severe, and mortality is higher in kidney transplantation (KTx) patients; it is still unclear how renal functions progress and the conditions affecting renal functions in the post-COVID-19 period. We aimed to investigate the changes in kidney functions and the factors affecting this change after COVID-19. \u0000Material and Methods Forty-one kidney transplantation patients who were hospitalised for COVID-19 were included in this retrospective study. The patient's personal information, examination, and treatment information regarding their hospitalisation and follow-ups were obtained from the hospital system. \u0000Results Patients with elevated serum creatinine in the first year post-COVID had higher baseline proteinuria and systemic immune inflammation index (SII). Proteinuria increased more in patients with a long transplantation period, hypertension, high basal creatinine, and SII. Also, proteinuria was higher in patients who developed AKI during the COVID period. In addition, baseline SII was an independent predictor of the change in serum creatinine and proteinuria. \u0000Conclusions We found that patients with signs of increased inflammation, such as high SII were more fragile regarding renal functions. Therefore, the post-COVID-19 follow-up process of KTx patients with COVID-19 should be individualised.","PeriodicalId":23372,"journal":{"name":"Turkish Journal of Internal Medicine","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72845205","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

Positive status of Hepatis B Virus seroprevalence in local people and immigrants 本地及外来人口乙型肝炎病毒血清阳性率分析

Turkish Journal of Internal Medicine Pub Date : 2023-01-09 DOI: 10.46310/tjim.1215109

Salih Metin, C. Demir

{"title":"Positive status of Hepatis B Virus seroprevalence in local people and immigrants","authors":"Salih Metin, C. Demir","doi":"10.46310/tjim.1215109","DOIUrl":"https://doi.org/10.46310/tjim.1215109","url":null,"abstract":"Background In our study, we aimed to examine the seroprevalence of hepatitis B virus (HBV) infection and whether there is a sociodemographic difference between the two groups according to the hepatitis B surface antigen (HBsAg) results obtained in the blood samples given by the Turkish population and Syrian immigrants living in Bursa in their primary, secondary, and tertiary care applications. \u0000Material and Methods All patients with HBsAg serology who applied to family health centers, migrant health centers, 2nd and 3rd level hospitals in Bursa province during the 5-year period from January 2017 to the end of December 2021 were included in our study. \u0000Results During our study, HBsAg tests were taken from 955,528 people until the end of 2017-2021. The rate of Turkish citizens was 96.1% (n: 918,140), and the rate of Syrian origin was 3.9% (n: 37,388). Of all patients, 39.4% (n: 376,388) were male, and 60.6% (n: 579,140) were female. The HBsAg test was negative in 96.4% (n: 921,582) and positive in 3.6% (n: 33,946) of the patients. HBsAg positivity was found to be 3.6% in Turks and 2.4% in Syrians. HBsAg positivity was found to be 4.6% in men and 2.9% in women. The highest HBsAg positivity rate was 7.4% in the 50-59 age group. \u0000Conclusions The dissemination of the hepatitis B vaccine, which is currently in use, seems to be the most crucial weapon in the hands of humanity to prevent this infection and the diseases it will cause.","PeriodicalId":23372,"journal":{"name":"Turkish Journal of Internal Medicine","volume":"438 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73594879","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

Pulmonary Complications in Renal Transplant Recipients 肾移植受者的肺部并发症

Turkish Journal of Internal Medicine Pub Date : 2022-11-23 DOI: 10.46310/tjim.1110191

Nursel Türkoğlu Selçuk, Füsun Öner Eyuboglu, Nevra Güllü Arslan, M. Haberal

引用次数: 0

The relationship between the frequency and severity of restless legs syndrome and anaemia in patients with ankylosing spondylitis 强直性脊柱炎患者不宁腿综合征发生频率和严重程度与贫血的关系

Turkish Journal of Internal Medicine Pub Date : 2022-11-23 DOI: 10.46310/tjim.1177257

Hasan Göğebakan, Ayşegül Akyüz

{"title":"The relationship between the frequency and severity of restless legs syndrome and anaemia in patients with ankylosing spondylitis","authors":"Hasan Göğebakan, Ayşegül Akyüz","doi":"10.46310/tjim.1177257","DOIUrl":"https://doi.org/10.46310/tjim.1177257","url":null,"abstract":"Background Background The study aims to determine the frequency of restless legs syndrome (RLS) in patients with ankylosing spondylitis (AS) and the relationship between the International Restless Legs Syndrome Study Group Rating Scale (IRLSSG-RS) score and anemia. \u0000Material and Methods It was a case-control study that included 106 patients with AS and 106 age- and sex-matched healthy controls in the rheumatology clinic of a training and research hospital. The patients were divided into two groups according to their hemoglobin levels. A hemoglobin level lower than 12 g/dL in women and less than 13 g/dL in men was the criterion for anemia. \u0000Results Although the frequency of RLS was higher in AS patients than in control groups, there was no significant difference in the IRLSSG-RS score between AS patients and control groups. 23 (57.5%) of the AS patients with anemia had RLS, and the IRLSSG-RS score was 21.3±5.7. Of the AS patients without anemia, 11 (16.7%) had RLS, and the IRLSSG-RS score was 15±6. Statistically significant differences between AS patients with and without anemia regarding RLS frequency and IRLSSG-RS score were found. The IRLSSG-RS scores of AS patients were negatively correlated with serum iron and hemoglobin level. \u0000Conclusions Patients with AS had a higher RLS frequency than the control group; AS patients with anemia had a higher RLS and IRLSSG-RS score than AS patients without anemia. Also, a negative and significant correlation was found between the IRLSS-RS score and serum iron and hemoglobin levels in AS patients.","PeriodicalId":23372,"journal":{"name":"Turkish Journal of Internal Medicine","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89926770","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

Biological Agent Use in Behçet's Patients Who Are Resistant to Conventional Treatments: A Multidisciplinary Retrospective Study 生物制剂用于对常规治疗有耐药性的behet患者:一项多学科回顾性研究

Turkish Journal of Internal Medicine Pub Date : 2022-11-18 DOI: 10.46310/tjim.1144532

B. Yağız, B. N. Coşkun, Zeliha Kubra Cakan, Gamze Uçan Gündüz, Özgür Yalçınbayır, Serkan Yazici, H. Saricaoğlu, H. E. Dalkılıç, Y. Pehlivan

{"title":"Biological Agent Use in Behçet's Patients Who Are Resistant to Conventional Treatments: A Multidisciplinary Retrospective Study","authors":"B. Yağız, B. N. Coşkun, Zeliha Kubra Cakan, Gamze Uçan Gündüz, Özgür Yalçınbayır, Serkan Yazici, H. Saricaoğlu, H. E. Dalkılıç, Y. Pehlivan","doi":"10.46310/tjim.1144532","DOIUrl":"https://doi.org/10.46310/tjim.1144532","url":null,"abstract":"Background Comparing treatment modalities is difficult in Behcet's syndrome, even if tumour necrosis factor-alpha (TNF-α) inhibitors are a treatment option for all involvements resistant to conventional therapy. This study evaluated how different departments dealt with treatment, particularly with TNF-α inhibitors. \u0000Material and Methods The study comprised 111 patients from our Behcet's syndrome cohort who were treated with TNF-α inhibitors between 2010 and 2019. Data on patients were retrieved retrospectively from the rheumatology, ophthalmology, and dermatology clinics' patient records. \u0000Results Patients followed up in rheumatology (n: 40) were classified as Group 1, and patients followed up in ophthalmology (n: 49) and dermatology (n: 5) as Group 2. In Group 1, genital ulcers, erythema nodosum (p=0.009, p=0.003, respectively), lower extremity deep vein thrombosis, arterial aneurysm and neurological involvement were more common (p=0.005, p=0.008, p=0.001, respectively). In Group 2, the use of cyclosporine and interferon-α before the anti-TNF agent was higher (p","PeriodicalId":23372,"journal":{"name":"Turkish Journal of Internal Medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83460067","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 use of ultrasonography to guide diagnosis and treatment in resuscitation in a case of arrest due to pulmonary embolism 超声在肺栓塞致骤停复苏中的诊断和治疗指导

Turkish Journal of Internal Medicine Pub Date : 2022-11-18 DOI: 10.46310/tjim.1069084

Agit Akgül

{"title":"The use of ultrasonography to guide diagnosis and treatment in resuscitation in a case of arrest due to pulmonary embolism","authors":"Agit Akgül","doi":"10.46310/tjim.1069084","DOIUrl":"https://doi.org/10.46310/tjim.1069084","url":null,"abstract":"Pulmonary embolism is one of the reversible causes of death. Simultaneous diagnostic procedures are beneficial for successfully resuscitating patients brought to the emergency department as an arrest after pulmonary embolism. Ultrasonography is one of the few diagnostic procedures to be performed on an unstable patient during resuscitation and is a direct guide for treatment. We followed the passage of the thrombus from the inferior vena cava to the right atrium in the ultrasonography performed simultaneously with the resuscitation of the 76-year-old male patient who was brought to the hospital with arrest, and we started thrombolytic therapy simultaneously with resuscitation. Thrombus enlargement was observed in the right atrium. The patient who did not respond to resuscitation died. Although the causes of reversible arrest are known, there may be uncertainties in diagnostic procedures and treatment during resuscitation. Classical resuscitation practice may be insufficient to solve reversible problems such as pulmonary embolism. Although there are reservations about the inclusion of point-of-care ultrasound in resuscitation, it can play a life-saving role.","PeriodicalId":23372,"journal":{"name":"Turkish Journal of Internal Medicine","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90661638","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

Paraoxonase Activity an Independent Contributor in SARS-CoV-2 Infection 对氧磷酶活性是SARS-CoV-2感染的独立因素

Turkish Journal of Internal Medicine Pub Date : 2022-10-25 DOI: 10.46310/tjim.1092894

M. Mogarekar, Pushpa Rajan, Mahendra G. Dhabe, Rahul Zine

引用次数: 0

Case report: Primary hyperparathyroidism due to mediastinal parathyroid adenoma 病例报告:纵隔甲状旁腺瘤致原发性甲状旁腺功能亢进

Turkish Journal of Internal Medicine Pub Date : 2022-10-17 DOI: 10.46310/tjim.1172821

Radmila Milosheska, I. Mickovski, Biljana Crcareva, Daniela BUKLİOSKA ILİJEVSKA, Smiljana Bundovska Kocev

{"title":"Case report: Primary hyperparathyroidism due to mediastinal parathyroid adenoma","authors":"Radmila Milosheska, I. Mickovski, Biljana Crcareva, Daniela BUKLİOSKA ILİJEVSKA, Smiljana Bundovska Kocev","doi":"10.46310/tjim.1172821","DOIUrl":"https://doi.org/10.46310/tjim.1172821","url":null,"abstract":"Primary hyperparathyroidism is defined by elevated parathyroid hormone and calcium levels, most usually caused by a parathyroid adenoma. Parathyroid adenomas are most commonly detected in the neck or an ectopic site, seldom in the mediastinum. The parathyroid adenoma can occur in ectopic locations such as the mediastinum, thymus, or retro oesophagal area in 6-16% of cases. We presented the example of a 73-year-old woman who was found to have hypercalcemia during a regular test. The patient’s serum calcium (3.11 mmol/L), alkaline phosphatase (162 U/L), parathyroid hormone (PTH: 379 pg/mL) and creatinine (111.6 umol/L) levels were higher than the reference values. A chest computerized tomography scan revealed an anterior mediastinal mass, and nuclear scintigraphy revealed functioning parathyroid tissue in the mediastinum. The mediastinal parathyroid adenoma was effectively removed surgically, and the PTH level began to fall. Any hypercalcemia and high PTH levels in the absence of a parathyroid adenoma in the neck should prompt clinicians to look for ectopic sites using a mix of imaging modalities.","PeriodicalId":23372,"journal":{"name":"Turkish Journal of Internal Medicine","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87123056","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

Nursing Management Of The Patient Developing Quadriplegia Due To Neurological Involvement After Covid-19: A Case Report 新冠肺炎后神经系统受累致四肢瘫痪患者的护理管理1例

Turkish Journal of Internal Medicine Pub Date : 2022-10-08 DOI: 10.46310/tjim.1112662

F. Akduran, Bahar Emi̇roğlu

引用次数: 0

General Characteristics of Palliative Care Patients Admitted to the Emergency Department 急诊科姑息治疗患者的一般特征

Turkish Journal of Internal Medicine Pub Date : 2022-10-07 DOI: 10.46310/tjim.1146947

A. Yilmaz, H. I. Çikriklar, V. Durak, B. Kurtoğlu, S. Atmaca, S. Eraybar, Feyzullah Faruk Seçki̇n, H. Çelebi̇, E. Armağan

{"title":"General Characteristics of Palliative Care Patients Admitted to the Emergency Department","authors":"A. Yilmaz, H. I. Çikriklar, V. Durak, B. Kurtoğlu, S. Atmaca, S. Eraybar, Feyzullah Faruk Seçki̇n, H. Çelebi̇, E. Armağan","doi":"10.46310/tjim.1146947","DOIUrl":"https://doi.org/10.46310/tjim.1146947","url":null,"abstract":"Background This study aimed to analyze patients who apply to emergency services and need palliative care regarding appropriate patient care and effective use of health institutions. \u0000Materials and Methods The study was conducted prospectively on patients who applied to the emergency services of Bursa Uludag University Health Application and Research Center, Health Sciences University Bursa Yüksek Ihtisas Training and Research Hospital and Bursa City Hospital between 15.08.2021 and 15.02.2022 and needed palliative care. \u0000Results A total of 261 patients, 143 male (54.8%) and 118 female (45.2%), were included in the study. It was determined that 50 (19.1%) of these patients had previously received palliative care services. It was determined that the patients included in the study applied to the emergency services 7.52±6.77 times in the last year. The three most common diseases diagnosed in patients admitted to the emergency department were pneumonia (24.5%), urinary system infection (7.7%), and cerebrovascular disease (5.4%). Of the patients, 39.84% were referred/hospitalized, 25.28% were referred/hospitalized to intensive care units, 2.68% refused treatment, 2.68% died, and 29.5% have been discharged. \u0000Conclusion As a result, it is understood that most of the patients in need of palliative care do not receive this service, and patients who can be treated in palliative care units are treated in clinics and intensive care units.","PeriodicalId":23372,"journal":{"name":"Turkish Journal of Internal Medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89809802","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