Van Medical Journal最新文献_第9页

The Worth of Ionized Calcium Levels Calculated by Zeisler, Butler and Hanna Methods in Diagnosis of Hypocalcemia Zeisler、Butler和Hanna法计算的钙离子水平在低钙血症诊断中的价值

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.42744

Tuba Batur, Halil İbrahim Akbay, E. Çokluk

{"title":"The Worth of Ionized Calcium Levels Calculated by Zeisler, Butler and Hanna Methods in Diagnosis of Hypocalcemia","authors":"Tuba Batur, Halil İbrahim Akbay, E. Çokluk","doi":"10.5505/vtd.2022.42744","DOIUrl":"https://doi.org/10.5505/vtd.2022.42744","url":null,"abstract":"Introduction: It was aimed to examine the diagnostic performance of the ionized calcium levels calculated by the Zeisler, Butler and Hanna method on the evaluation of hypocalcemia. Materials and Methods: Whole blood ionized calcium and serum total calcium levels of 500 individuals aged between 20-60 years were retrospectively screened. Individuals were divided into hypoalbuminemia and normoalbuminemia groups according to their serum albumin concentrations. In these groups, the diagnostic performance of total calcium and ionized calcium concentrations calculated by Zeisler,Butler and Hanna methods in terms of hypocalcemia were examined. While determining hypocalcemia, ionized calcium level was accepted as a reference.The difference and correlation between directly measured ionized calcium and calculated ionized calcium were analyzed by Wilcoxon signed ranks and Spearman correlation analysis. Results: The ionized calcium levels calculated by the Zeisler,Butler, Hanna methods were higher than the directly measured ionized calcium level. The method with the highest sensitivity and accuracy in terms of hypocalcemia was the Zeisler method.However, the specificity and negative predictive values were low.There was no correlation between directly measured ionized calcium and calculated ionized calcium levels in the hypoalbuminemia group. A significant correlation was observed between ionized calcium and calcium levels calculated by the Zeisler and Hanna methods in the normoalbuminemia group,but this correlation was low. No correlation was observed between ionized calcium and calcium calculated by Butler's method. Conclusion : The results of the study limit the use of the Zeisler,Butler and Hanna methods in estimating ionized calcium. We believe that it would not be reliable to comment on the level of ionized calcium with these methods.","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82607131","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

Effects of Lower Urinary Truct Symptoms on Quality of Life and Complementary Treatments in Multiple Sclerosis 下尿路症状对多发性硬化症患者生活质量的影响及辅助治疗

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.36776

Ş. Özen, Ülkü Polat

引用次数: 0

The Probable Suspect in the Prediction of Relapse in Acute Leukemia: Thrombocytopenia 预测急性白血病复发的可能因素:血小板减少症

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.17092

İpek Dokurel Çetin, N. Özdemir, T. Celkan, Sarper Erdogan, H. Apak

{"title":"The Probable Suspect in the Prediction of Relapse in Acute Leukemia: Thrombocytopenia","authors":"İpek Dokurel Çetin, N. Özdemir, T. Celkan, Sarper Erdogan, H. Apak","doi":"10.5505/vtd.2022.17092","DOIUrl":"https://doi.org/10.5505/vtd.2022.17092","url":null,"abstract":"Objective: Relapse is not common in patients with acute leukemia in childhood, however it is a serious complication with high mortality rate . We aimed to predict relapse among pediatric acute leukemia patients in remission by using complete blood parameters which are used routinely in clinical practice. Materials and Methods : The data of 279 children diagnosed with acute leukemia in our clinic over a 20-year period were retrospectively reviewed. Fourty two children relapsed and 37 children non-relapsed acute leukemia cases, all of whose data were available, were included in the study. Blood count parameters and physical examination findings at the time of diagnosis and during the follow-up were evaluated retrospectively in all patients. Mann-Whitney U and T-test were used for comparison of numerical variables. Chi-square test was used to compare categorical variables. Results: In the relapse group; twenty-four children were diagnosed with B-cell ALL, 10 children with T-cell ALL, and eight children with AML. In non-relapse group; 26 children had B-cell ALL, 10 children were diagnosed with T-cell and one child had AML. Thrombocytopenia was observed in 24 patients for the relapse group, compared to nine children in non-relapse group. After remission, the risk of relapse was significantly higher in patients with thrombocytopenia than in patients without thrombocytopenia among both groups. During the remission period, relapse was observed in all patients with thrombocytopenia lasting for an average of 3.86 weeks. Conclusion: Thrombocytopenia during the remission period of pediatric acute leukemia patients can be explained primarily by the effect of chemotherapeutic drugs used in treatment and possible infections on the bone marrow. We demonstrated that the presence of thrombocytopenia which develops after the remission period and lasts longer than three weeks can be used as an easy-to-access blood parameter in the prediction of relapse.","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83992803","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

Code Blue, Is It Really Blue? 蓝色警报，真的是蓝色吗?

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.67934

M. Baytar, Çağdaş Baytar

引用次数: 0

The Role of the Mediterranean Diet in the Prevention of Deep Vein Thrombosis 地中海饮食在预防深静脉血栓中的作用

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.56255

M. Ekim, H. Ekim, M. Tuncer

引用次数: 0

The Relatıonshıp Between Pet Ct And Tumor Features In Patıents Wıth Breast Cancer Patıents Wıth乳腺癌Pet Ct与肿瘤特征Relatıonshıp的关系

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.74340

Y. Sezgin, Oğur Karhan, S. Ileri, S. Ebinç, E. Bilen, M. Urun, Halis Yerlikaya

引用次数: 0

Nursing Care of a Patient Diagnosed with Hemophilia A Undergoing Coronary Artery Bypass Graft Surgery: A Case Report 1例a型血友病患者行冠状动脉搭桥手术的护理

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.58998

Tuğba Albayram, Ş. İ. Güner

引用次数: 0

Professional Attitudes of Third-Year Medical Students: A Cross-Sectional Study 三年级医学生职业态度的横断面研究

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.21456

Esra Çınar Tanrıverdi

{"title":"Professional Attitudes of Third-Year Medical Students: A Cross-Sectional Study","authors":"Esra Çınar Tanrıverdi","doi":"10.5505/vtd.2022.21456","DOIUrl":"https://doi.org/10.5505/vtd.2022.21456","url":null,"abstract":"Introduction: Medical professionalism is one of the areas of competence in undergraduate and postgraduate medical education. In this study, we aimed to determine the medical professionalism attitudes of third-year medical students and to investigate the effect of gender, reason for preference, and presence of a doctor in the family on these attitudes. Materials and Methods: A cross-sectional study was carried out with 331 third-graders who volunteered. Data was collected in 17.02.2020. As data collection tools, the Penn State School of Medicine (PSCOM) professionalism questionnaire-student form and a short sociodemographic information form were used. Data were analyzed using the SPSS 20.0 software (SPSS Inc., Chicago, IL, USA) program. Results: The average age of stu dents was 21.45±2.00, and 168 (50.8%) of them were female. Average attitude scores are found as, for accountability 30.29 ± 4.19 (7-35), enrichment 24.88 ± 3.78 (6-30), equity 18.26 ± 2.12 (4-20), honor and integrity 36.37 ± 3.87 (8-40), altruism 13.11 ± 1.90 (3-15), duty 21.92 ± 2.80 (5-25), respect 9.05 ± 1.25 (2-10). Professional attitude scores of female students were higher than men's, students who chose the medical school for their ideal and to help people had significantly higher scores than students who preferred it for other reasons. No significant difference was found between attitude scores of students with and without the presence of a doctor in their family. Conclusion: Third-year medical students have a positive attitude towards professionalism. While gender and medical school preference were effective on these attitudes, the presence of doctors in the family was not found to be effective.","PeriodicalId":23509,"journal":{"name":"Van Medical Journal","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84685912","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: 3

Approaches to Dyslipidemia Treatments of Doctors of Family Medicine Discipline in Different Steps 家庭医学医生分阶段治疗血脂异常的探讨

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.53896

Harun Karahan, H. Mutlu, H. H. Mutlu, S. Öztürk

引用次数: 1

Comparison of the Pathological Findings by Endorectal Ultrasonography in Pre-operative Staging of Rectum Cancer 直肠内超声对直肠癌术前分期病理表现的比较

Van Medical Journal Pub Date : 2022-01-01 DOI: 10.5505/vtd.2022.03083

Muharrem Oner, N. Hacım

引用次数: 0