Mustafa Kemal Universitesi Tip Dergisi最新文献_第5页

Üre döngüsü bozuklukları klinik, laboratuvar ve genetik özellikleri: Tek merkez deneyimi 循环障碍具有临床、实验室和遗传特征：一个核心经验

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.998813

Sevil Dorum, Cengiz Havali

{"title":"Üre döngüsü bozuklukları klinik, laboratuvar ve genetik özellikleri: Tek merkez deneyimi","authors":"Sevil Dorum, Cengiz Havali","doi":"10.17944/mkutfd.998813","DOIUrl":"https://doi.org/10.17944/mkutfd.998813","url":null,"abstract":"Urea cycle disorders clinical, laboratory and genetic features: Single center experience Objective: Urea cycle disorders (UDD) are congenital metabolic disorders that occur as a result of the accumulation of ammonia, which is toxic to the body, in the blood. In our study, the clinical, laboratory, genetic and radiological features of our UDD patients were evaluated. Method: In our study, the clinical, laboratory, genetic and radiological features of 12 patients with UDD were evaluated retrospectively. Results: Four (33%) patients presented with acute metabolic crisis in the neonatal period. One of the patients (citrullinemia type I) was diagnosed as intrauterine and his treatment was started as soon as he was born. The age at presentation of the patients ranged from 0 days to 12 years. The most common complaint in 4 patients with neonatal onset was sepsis-like clinical presentation, vomiting and coma occurring within the first 6 days after birth. Coma, mental retardation, gait delay, spasticity (arginineemia), growth retardation (LPI), avoidance of protein foods (LPI, OTC deficiency) were predominant in patients diagnosed outside the neonatal period. The age at presentation of late-onset patients ranged from 2 years to 12 years. Only one of the seven late-onset patients showed normal growth and mental development. Conclusion: UDD can be encountered not only in the neonatal period, but also in every period of life. In the presence of clinical suspicion, diagnostic tests should be planned quickly. Early diagnosis significantly affects mortality and morbidity.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67639957","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

Servikal blok altında karotis endarterektomi operasyonu sonuçlarımız: Anadolu’da bir merkezde ilk uygulama karotic骨内膜切除术的结果是：首次在阿纳多卢中心应用

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.1061031

Metin Onur Beyaz, Senem Urfali, Sefer Kaya, Dilan Oruç, Mehmet Çömez, Sedat Hakimoğlu, Onur Koyuncu, İsmet Melek, İyad Fansa

{"title":"Servikal blok altında karotis endarterektomi operasyonu sonuçlarımız: Anadolu’da bir merkezde ilk uygulama","authors":"Metin Onur Beyaz, Senem Urfali, Sefer Kaya, Dilan Oruç, Mehmet Çömez, Sedat Hakimoğlu, Onur Koyuncu, İsmet Melek, İyad Fansa","doi":"10.17944/mkutfd.1061031","DOIUrl":"https://doi.org/10.17944/mkutfd.1061031","url":null,"abstract":"Our Results of Carotid Endarterectomy under Cervical Block: A First Application in an Anatolian Medical Center Objective : Carotid endarterectomy can be performed under general anesthesia, regional cervical block, combined local-regional or local infiltration anesthesia. The aim of our research is to share our experience of patients who underwent carotid endarterectomy under regional cervical block, and its effects on morbidity and mortality. Method: Between September 2020 and January 2020,a total of 61 patients who underwent carotid endarterectomy due to carotid stenosis, were examined retrospectively. The patients’ postoperative early results within the first 30 days are evaluated. The demographic characteristics, early operative data and early postoperative results (1 month) of the patients’ were analyzed. Age,sex,risk factors,surgical indications,diagnostic methods,the usage of shunt, duration of the operation, neurological events, morbidity and mortality were all evaluated. Results: The data of 61 patients were analyzed retrospectively. Fifteen of the patients were female and forty-six were male. The mean age of the patients was calculated as 61.6±9.1(48-88)years. Fifty-one of the patients were symptomatic. Ten of the patients were asymptomatic, however they had a carotid stenosis of 70 percent or above. In 11 of the 61 patients, carotid endarterectomy was performed bilaterally, so a total of 72 carotid endarterecomties were performed in 61 patients. The mean duration of the procedure was 77.6±19.7 minutes, and the average time of a clamp on the carotid artery was 29.4±11.5 minutes. Major neurological events, bleeding, infections or death, were seen in none of the discharged patients within 1 month postoperatively. Conclusion: With increasing experience, carotid endarterectomy can be performed safely under regional cervical block.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48962908","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

Diyabet Hastalarında Hematüri Sıklığı ve Albüminüri ile İlişkisi 糖尿病患者与血液系统疾病和阿尔巴尼亚人的关系

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.1014796

Müge ÖZSAN YILMAZ, S. Dogan, Faruk Turğut

引用次数: 0

Anaplastik Tiroid Karsinomlu Hastalarda Cerrahi Tedavi Yönetimimiz 不成形性蒂罗尔心脏病管理

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.886278

Serkan Erkan, Hakan Yabanoğlu, Ramazan Gündoğdu, M. Kuş

{"title":"Anaplastik Tiroid Karsinomlu Hastalarda Cerrahi Tedavi Yönetimimiz","authors":"Serkan Erkan, Hakan Yabanoğlu, Ramazan Gündoğdu, M. Kuş","doi":"10.17944/mkutfd.886278","DOIUrl":"https://doi.org/10.17944/mkutfd.886278","url":null,"abstract":"Our surgical treatment management in patients with anaplastic thyroid carcinoma Background: Anaplastic thyroid carcinoma is a rare, but most aggressive, thyroid cancer. Surgical treatment can be applied to a limited number of patients and the results are still not satisfactory. In this study, it is aimed to present the results of patients treated for anaplastic thyroid carcinoma in our clinic to the literature. Materials and Methods: The files of patients who were treated with the diagnosis of anaplastic thyroid carcinoma in our clinic between 2015-2020 were retrospectively analyzed. Ten patients over 18 years of age, who underwent surgical treatments in our clinic, were included in the study. Patients’ age, gender, complaints, ultrasonography, computed tomography, needle biopsy results, preoperative vocal cord examinations, surgical and oncological treatments, and survey information were recorded and analyzed. Results: 6 of the patients were male and 4 were female. The average age was 68.5 (53-86). All patients had shortness of breath due to compression. Computed tomography scans revealed lung metastasis in 5 patients and regional lymph node metastasis in 4 patients. Fine needle aspiration biopsy was performed in eight patients and the result was consistent with malignancy. In preoperative vocal cord examinations, 7 patients had unilateral paralysis. Surgical treatment was applied to all patients, chemoradiotherapy to 8 patients and radiotherapy to 2 patients. It was observed that all of the patients showed signs of postoperative progressive disease and died. Average surveillance was 150 (4-420) days. Conclusion: Anaplastic thyroid carcinoma is a disease that is difficult to diagnose and treat. Despite being managed with a multidisciplinary approach, it still has high mortality rates. It should be kept in mind that patients with a history of thyroid pathology may develop anaplastic carcinoma and should be evaluated carefully.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67638052","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

Femur boyun kırığı nedeniyle hemiartroplasti yapılan hastalarda Dorr tipinin klinik sonuçlara ve perioperatif komplikasyonlara etkisi 因发热骨折而进行半动脉成形术的患者对Dorr型的临床后果和围手术期并发症有影响

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.925699

Gökay Eken

引用次数: 0

The Risk and The Prevalence of Malnutrition in Elderly Home-care Patients 家庭护理老年人营养不良的风险及发生率

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.986356

M. Belibagli

{"title":"The Risk and The Prevalence of Malnutrition in Elderly Home-care Patients","authors":"M. Belibagli","doi":"10.17944/mkutfd.986356","DOIUrl":"https://doi.org/10.17944/mkutfd.986356","url":null,"abstract":"The risk and the prevalence of Malnutrition in elderly home-care patients Objective: The elderly are more susceptible to undernourishment, and those receiving home-care services have a higher prevalence of malnutrition. The study aimed to determine the prevalence of the community-dwelling elderly with malnutrition and those at risk of malnutrition enrolled in the home healthcare system. Method: A cross-sectional, descriptive study was conducted using the Mini-Nutritional Assessment short-form among community-dwelling elderly home-care patients living in Adana, Turkey. Individuals the age of 65 and over and receiving home-care services were included. Patients were interviewed once at his or her residence individually, and on-site MNA questionnaires were completed. Results: Among the 321 patients included in the analysis, 126 were malnourished (39.25%), and 132 were at risk of malnutrition (41.12%). The mean MNA-SF was 8.28±3.36. There was a strong association between malnutrition and literacy, with a third of the study group found to be illiterate (n=108, 33.64%, p=0.001). Conclusion: The study showed that the majority of the patients were malnourished or at risk of malnutrition. Implementation of nutritional screening and interventions focusing on malnutrition might be required in home-care services.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67639753","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

Ağır preeklampsiyi öngörmede hemogram inflamatuar belirteçlerin önemi 血液学炎症症状在预防严重预激综合征中的重要性

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.1034264

Umut Kudret, Mustafa Doğan Özçil

{"title":"Ağır preeklampsiyi öngörmede hemogram inflamatuar belirteçlerin önemi","authors":"Umut Kudret, Mustafa Doğan Özçil","doi":"10.17944/mkutfd.1034264","DOIUrl":"https://doi.org/10.17944/mkutfd.1034264","url":null,"abstract":"Predicting severe preeclampsia importance of hemogram inflammatory markers Objective: In our study, we evaluated the neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and monocyte/lymphocyte ratio (MLR) among the inflammation markers in the hemogram results of patients diagnosed with preeclampsia in pregnancy and compared the pregnant women with the possibility of developing mild, severe preeclampsia It is aimed to determine its place in predicting mild, severe preeclampsia. Method: The demographic data and laboratory tests of 308 preeclampsia and 308 healthy normotensive pregnant cases, 148 severe preeclampsia, 160 mild preeclampsia, were evaluated retrospectively. Groups were examined in terms of NLR, PLR and MLR. Results: There was no difference for age between the groups. In the preeclampsia group, parity, gestational age, birth weight and APGAR scores were lower than the control group (p<0.001). The NLR was found to be significantly higher (p<0.001) and PLR was significantly lower in the preeclampsia group compared to the control group (p<0.001). There was no significant difference between the groups in MLR. Conclusion: NLR and PLR can be used as a parameter to show the presence of preeclampsia. There was no statistically significant result for MLR.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48759162","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

Urinary Retention After Hemorrhoidectomy: Can We Reduce Risk? 痔疮切除术后尿潴留:我们能降低风险吗?

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.928492

F. Gokalp, Onur Karslı, Tamer Gülsur

{"title":"Urinary Retention After Hemorrhoidectomy: Can We Reduce Risk?","authors":"F. Gokalp, Onur Karslı, Tamer Gülsur","doi":"10.17944/mkutfd.928492","DOIUrl":"https://doi.org/10.17944/mkutfd.928492","url":null,"abstract":"retention after hemorrhoidectomy: Can we reduce risk? Abstract Urinary Retention after Hemorrhoidectomy: Can we reduce risk? Objective: Hemorrhoidectomy is a common surgery and urinary retention (UR) after anorectal surgeries is an unwelcome complication. In this study we aimed to investigate risk of UR after hemorrhoidectomy and predict the factors associated with UR. Methods: Between 2016-2018 years, 180 patients who undergone hemorrhoidectomy by general anesthesia were included study. The patients with urological symptoms and urological surgery before were excluded. Results: Median age of patients was 45.5 (IQR: 40.0-55.0) years. There was 116 (64.4%) of male and 64 (35.6%) of woman. Urinary retention was seen significantly higher in men (p=0.03) but, visual pain scale (VPS) and the analgesic requirement were similar between men and women (p=0.39 and p=0.86, respectively). Regression analysis showed that male gender, operation time and analgesic requirement was not associated UR and the VPS is only predictive factor for UR (OR:0.224, p<0.001). Conclusion: The UR is an often and worrisome complication. The VPS is the important predictive factor for urinary retention. The sufficient analgesia could be the key to prevent this complication.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67638174","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

Akut Koroner Sendrom ile Başvuran Hastalarda Daha Önceden Düzenli Asetilsalisilik Asit Kullanımının TIMI Akımı ve Miyokardiyal Hasar Üzerine Etkileri TIMI对急性冠状动脉综合征患者心肌、胃肠道和胃肠道应用的影响

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-07 DOI: 10.17944/mkutfd.975838

Halil Aktaş

{"title":"Akut Koroner Sendrom ile Başvuran Hastalarda Daha Önceden Düzenli Asetilsalisilik Asit Kullanımının TIMI Akımı ve Miyokardiyal Hasar Üzerine Etkileri","authors":"Halil Aktaş","doi":"10.17944/mkutfd.975838","DOIUrl":"https://doi.org/10.17944/mkutfd.975838","url":null,"abstract":"The effects of previous regular use of acetylsalicylic acid on timi flow grade and myocardial hamage in patients presenting with acute coronary syndrome Objective: Cardiovascular diseases are the leading cause of death worldwide. Antiaggregant therapies have an important place in the secondary prevention of cardiovascular diseases. In this study, the effects of regular use of acetylsalicylic acid on TIMI flow grade and myocardial damage will be investigated in patients presenting with acute coronary syndrome. Methods: The patients who admitted with the clinic of acute coronary syndrome and underwent coronary angiography were included in the study, retrospectively. The patients were divided into two groups as those who used acetylsalicylic acid regularly (group 1) and those who never used acetylsalicylic acid (group 2). Demographic data, laboratory data, TIMI flow grade and troponin-I values as a marker of myocardial damage were compared between the groups. Results: 440 patients were included in the study. There were 122 patients in group 1(mean age 64.9±1.0 years; 25(20.5%) women) and 318 patients in group 2(mean age 61.0±0.7 years; 83(26.1%) women). Advanced age, hypertension, diabetes mellitus, hyperlipidemia and history of coronary artery disease were observed at a higher rate in group 1. TIMI-0 flow was observed at a significantly lower rate in patients in group 1(30.3% vs. 47.8%; p=0.004). Additionally, the maximum measured troponin values of the patients in group 1 were found significantly lower (median 5486 pg/ml vs. 15740 pg/ml; p<0.001). Conclusion: TIMI flow grades were higher and the amount of enzymatic myocardial damage was found less in patients who admitted with the clinic of acute coronary syndrome and used previously regular acetylsalicylic acid. Thus, the importance of secondary protection was emphasized once again in this study.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67640033","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

Çocuk Nöroloji Kliniğine Senkop Şikayeti ile Başvuran Hastaların Retrospektif Özellikleri 儿童神经科学诊所的回顾性特点

Mustafa Kemal Universitesi Tip Dergisi Pub Date : 2022-04-05 DOI: 10.17944/mkutfd.1003934

Hilâl Aydın, İ. Bucak, S. Erdoğan

引用次数: 0