Medical Journal of Western Black Sea最新文献_第7页

Can Antipsychotics and Antidepressants Affect the Formation or Chronicization of Aortic Dissections? 抗精神病药物和抗抑郁药物会影响主动脉夹层的形成或慢性化吗?

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.894748

B. Depboylu, B. Harmandar, K. Arslan, S. Yazman

引用次数: 0

Tırnak Altı Lezyonlarında Cerrahi Yaklaşım

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.905342

A. Gökkaya, Burçin Acuner, Metin Görgü

{"title":"Tırnak Altı Lezyonlarında Cerrahi Yaklaşım","authors":"A. Gökkaya, Burçin Acuner, Metin Görgü","doi":"10.29058/mjwbs.905342","DOIUrl":"https://doi.org/10.29058/mjwbs.905342","url":null,"abstract":"görülen tümöral lezyonlar Pigmente veya nonpigmente tümörler gözükür ancak sadece muayene benign-malign tümör ayrımının yapılması zordur. Bunun tümöral olmayan bir ganglion beş hastada glomus beş hastada edilen hastanın hastaların tedavi sonucu çok iyi olarak Glomus tümörü olan bir hastada nüks görülmüş ve hasta tekrar opere edilmiştir ve nüks gözlenmemiştir. Sonuç: Tırnak yatağındaki lezyonlar sıklıkla hastalar tarafından göz ardı edilmektedir. Hem benign, hem malign lezyonlar benzer bulgular verebileceğinden tanı için biyopsi alınması şarttır. Uygun tedavi biyopsi sonucuna belirlenmelidir. ABSTRACT different tissues in the nail area, the tumoral lesions seen are quite diverse. Benign tumors that can be pigmented or nonpigmented are usually seen more often, but it is difficult to distinguish between benign and malignant tumors by examination alone. Apart from this, it should be kept in mind that non-tumoral nail diseases should also be included in the differential diagnosis. Material and Methods: In this study, 12 patients who presented to two different centers with the complaint of a mass in the nail between 2009-2020 were included. Clinical findings, treatments and results of the patients were evaluated. Results: Twelve patients with a mean age of 45.9 (34-58) applied to both clinics. 11 of the patients were treated surgically, one patient was not treated. Histopathological diagnosis was ganglion cyst in one patient, glomus tumor in five patients and linear nevus in five patients. In 10 of the 11 operated patients, the treatment result of the patients was evaluated as very good. Recurrence was observed in one patient with glomus tumor and the patient was re-operated and no recurrence was observed. Conclusion: Lesions in the nail bed are often overlooked by patients. Since both benign and malignant lesions may give similar findings, biopsy is essential for diagnosis. The appropriate treatment should be determined according to the biopsy result.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122841298","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

Kronik Radyasyon Maruziyetinin Mean Platelet Volüm (MPV) Üzerine Etkileri

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.912144

Savaş Volkan Kısıoğlu, Guven Yilmaz

{"title":"Kronik Radyasyon Maruziyetinin Mean Platelet Volüm (MPV) Üzerine Etkileri","authors":"Savaş Volkan Kısıoğlu, Guven Yilmaz","doi":"10.29058/mjwbs.912144","DOIUrl":"https://doi.org/10.29058/mjwbs.912144","url":null,"abstract":"kontrol grubu olarak radyasyon olmayan sağlıklı gönüllüler dâhil tam tetkiki için alınan kan örnekleri etilen diamin tetra asetik asit (EDTA) antikoagülasyonu ile alındı. Periferik yaymaların değerlendirilmesi bir Hematoloji Uzmanı tarafından yapıldı. Tüm olguların tıbbi muayene ve tıbbi bilgileri araştırıcı tarafından kaydedildi. ABSTRACT Aim: In our study, we aimed to examine the effects of chronic low dose radiation exposure on mean platelet volume (MPV). Material and Methods: Patients working in Radiology, Radiation Oncology and Nuclear Medicine Departments and healthy volunteers without radiation exposure were included in the study. Evaluation of peripheral smears was done by a Hematology Specialist. Medical examination and medical information of all cases were recorded by the investigator. Results: 76 cases with radiation exposure and 20 cases without radiation exposure were included in the study. The mean age was 35.54±8.80 in the group with radiation exposure, while the mean age was 30.05±4.97 in the control group. The MPV measurement value of the cases with radiation exposure respectively). Conclusion: Pulmonary problems, hematological problems and other physical problems are routinely evaluated in occupational groups exposed to chronic radiation. However, there is no regular and mandatory examination in terms of atherosclerosis and cardiovascular in these evaluations. we think that employees with chronic radiation exposure should also be followed up in terms of atherosclerotic cardiovascular diseases.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128108300","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

Abnormalities of Peripheral Blood Parameters in Hospitalized Patients with COVID-19: A Temporal Change Analysis in Relation to Survival COVID-19住院患者外周血参数异常:与生存相关的时间变化分析

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.984490

Müzeyyen Aslaner Ak, B. Sahip, G. Celebi, E. Horuz, Ş. Ertop

{"title":"Abnormalities of Peripheral Blood Parameters in Hospitalized Patients with COVID-19: A Temporal Change Analysis in Relation to Survival","authors":"Müzeyyen Aslaner Ak, B. Sahip, G. Celebi, E. Horuz, Ş. Ertop","doi":"10.29058/mjwbs.984490","DOIUrl":"https://doi.org/10.29058/mjwbs.984490","url":null,"abstract":"Abnormalities of peripheral blood parameters in hospitalized patients with COVID-19: A temporal change analysis in relation to survival. Sea. 2021;5(3):391-400. ABSTRACT Aim: This study aimed to investigate the abnormalities and temporal changes in peripheral blood parameters, with particular emphasis on platelet indices, in relation to survival status among hospitalized COVID-19 patients. Material and Methods: A total of 149 patients hospitalized with the diagnosis of COVID-19 were included. Laboratory parameters were recorded on initial admission, 3 rd , 7 th and last day of hospitalization, and post-discharge first month and included hemoglobin (Hb, g/dL), hematocrit (%), white blood cell (WBC) (x109/L), platelet (cells/mm 3 ) and lymphocyte counts (cells/μL), mean platelet volume (MPV, fL), platelet distribution width (PDW, %), plateletcrit (PCT,%) and platelet-to-lymphocyte ratio ( PLR), and analysed. Results: Overall, 139 (93.9%) patients survived. Survivors vs. non-survivors had significantly higher median levels for Hb at initial admission (13.3 vs. 12.2 g/dL, p=0.023), 3 rd day (12.6 vs. 11.7 g/dL, p=0.033) and 7 th day of hospitalization (12.5 vs. 9.8 g/dL, p=0.014) and for lymphocyte counts at initial admission (1200 vs. 800 cells/μL, p=0.014) and 3 rd day (1400 vs. 1200 cells/μL, p=0.043) of hospitalization. They also had significantly lower WBC counts at initial admission (5800 vs. 7900 x109/L, p=0.014), 3 rd day (5400 vs. 6047 x109/L, p=0.007) and 7 th day (6100 vs. 8400 x109/L, p=0.040) and last day (6200 vs. 17700 x109/L, p=0.018) of hospitalization and lower PLR at initial admission (165 vs. 294.5, p=0.002) and 3 rd hospitalization day (150 vs. 223, p=0.003). Conclusion: In conclusion, our findings emphasize clinical significance of dynamic monitoring of peripheral blood parameters, as combined with PLR, in assisting clinicians to identify COVID-19 patients with increased risk of worse outcomes.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115930028","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

Doğanın İnsan Yaşamı Üzerine Etkilerinin Karar Ağacı Algoritmaları İle İncelenmesi

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.895853

Nurhan Halisdemir, Enes Filiz, Y. Güral, M. Gürcan

{"title":"Doğanın İnsan Yaşamı Üzerine Etkilerinin Karar Ağacı Algoritmaları İle İncelenmesi","authors":"Nurhan Halisdemir, Enes Filiz, Y. Güral, M. Gürcan","doi":"10.29058/mjwbs.895853","DOIUrl":"https://doi.org/10.29058/mjwbs.895853","url":null,"abstract":"Aim: The aim of this study is to classify the obtained data correctly using machine learning algorithms. Material and Methods: Happiness, life satisfaction and hopelessness scales with personal information form were applied to 195 patients who came to the psychiatry clinic and wanted to receive psychological treatment due to their anxiety, depression and stress complaints. In this classification, theh happiness core was chosen as the dependent variable and the factors affecting this variable were determined by different methods such as training, test, and cross- validation. Results: KA-RF (0.9180) gave the most successful classification result among decision tree algorithms for k = 10 value. This result is supported by the criteria RMSE (0.2810), ROC area (0.9760) and MCC (0.8400). In addition, the variables that most affect the level of happiness or unhappiness of the participants in the study were found to be life satisfaction, age, and the ability to cope with difficulties, respectively. Conclusion: In line with the findings obtained as a result, it was determined that the effects of environmental and social factors as well as the positive effects of especially living spaces were found in the treatment of anxiety, depression and stress-related disorders.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123471438","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

Medikal ve Endüstriyel Açıdan Kannabinoidlerin Önemi ve Türkiye Ekonomisine Katkı Potansiyeli

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.928899

Azize Gökgöz, Emine YILMAZ CAN

引用次数: 1

The Nurse’s Role in Preventing Ventilator-Associated Pneumonia 护士在预防呼吸机相关性肺炎中的作用

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.936579

Canan KAŞ GÜNER, S. Kutlutürkan

{"title":"The Nurse’s Role in Preventing Ventilator-Associated Pneumonia","authors":"Canan KAŞ GÜNER, S. Kutlutürkan","doi":"10.29058/mjwbs.936579","DOIUrl":"https://doi.org/10.29058/mjwbs.936579","url":null,"abstract":"Ventilator-associated pneumonia(VAP) is an important condition constituting the half of the hospital- originated pneumonia cases. The ventilator-associated pneumonia can result from microorganisms in the patient’s own flora, visitors, hospital staff, other patients and environmental factors. Elimination ofventilator-associated pneumonia, which causes high mortality rates, prolonged hospitalizations, excessive use of antibiotics and consequently increased health expenditures in adult patients with endotracheal intubation worldwide, is possible with multidisciplinary team work. In this adversaria, it is thought that the methods applied to eliminate the risk of ventilator-associated pneumonia and nursing practices will contribute to direct the care practices of the staff in charge and affect the patient care results positively. pnömoni (VİP), pnömoni Ventilatörle hastanın hastane çalışanlarından, diğer hastalardan çevresel endotrakeal yetişkin mortalite antibiyotik ventilatörle pnömoninin, risk faktörlerinin ortadan kaldırılması mutidisipliner çalışması mümkündür. Bu derlemede, ventilatörle ilişkili pnömoni riskini ortadan kaldırmak için uygulanan yöntemler hemşirelik uygulamaları Ventilatörle Risk Önleme,","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120934179","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

Tıp Fakültesi Öğrencilerinde Cinsel Mitlere İnanma Durumu ve İlişkili Faktörler

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.945816

Vildan ÇAKIR KARDEŞ, Serkan Bostanci, Ceren Aktaş, Bahadır Ay, M. Gürcan, Dilara Yi̇ği̇t, Yasemin Özdemir, Halil Çetin, Mustafa Ozan Avşar, Emre Enes Bekteş, Berkay Öz, Burak Karasu, A. Uzun

引用次数: 0

Mamografide Mikrokalsifikasyon Tespit Edilen Hastalarda Kontrastlı Spektral Mamografi ile Dinamik Meme MRG’nin Etkinliğinin Karşılaştırılması: Tek Merkez Deneyimi

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.960285

Kamber Göksu, A. Vural

{"title":"Mamografide Mikrokalsifikasyon Tespit Edilen Hastalarda Kontrastlı Spektral Mamografi ile Dinamik Meme MRG’nin Etkinliğinin Karşılaştırılması: Tek Merkez Deneyimi","authors":"Kamber Göksu, A. Vural","doi":"10.29058/mjwbs.960285","DOIUrl":"https://doi.org/10.29058/mjwbs.960285","url":null,"abstract":"Aim: The aim of this study is to compare the diagnostic performance of contrast-enhanced spectral mammography (CESM) and breast magnetic resonance imaging (MRI) in patients with microcalcification detected by mammography. CESM and MRI the for in the study, the that the were diagnosed histopathologically and that both CESM and Breast were performed were sought. The presence of pathological enhancement for CESM and Breast MRI compared statistically using the Fisher-Freeman-Halton Exact test together with histopathological diagnosis. CESM and Breast MRI examinations were performed in 75 patients with microcalcifications. Pathological contrast enhancement was detected in 47 cases in breast MRI examinations of these patients. With CESM examination, 49 patients had contrast enhancement in the microcalcification region. Forty-seven patients with contrast enhancement with both examinations were common. Contrast enhancement rates of those who were found benign as a result of the biopsy were the same for CESM and MRI (48.9%). Contrast enhancement rates of malignant ones for CESM, 88% for MRI, and 60% for CESM and Breast MRI for premalignant lesions. When contrast enhancement of the lesions was compared according to the biopsy results, no statistically significant difference was found for CESM and Breast MRI. Conclusion: CESM shows less background enhancement and has a similar sensitivity to breast MRI in detecting breast cancer. CESM is an easily accessible alternative to Breast MRI and the procedure time is significantly shorter. For these reasons, it has the potential to play an important role in breast cancer detection and staging.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128464039","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

COVID-19 Re-Enfekte Hastada Periorbital Herpes Zoster Duplex Bilateralis Birlikteliği

Medical Journal of Western Black Sea Pub Date : 2021-12-25 DOI: 10.29058/mjwbs.956727

Göktuğ Demirci, Gülşen TÜKENMEZ DEMİRCİ

{"title":"COVID-19 Re-Enfekte Hastada Periorbital Herpes Zoster Duplex Bilateralis Birlikteliği","authors":"Göktuğ Demirci, Gülşen TÜKENMEZ DEMİRCİ","doi":"10.29058/mjwbs.956727","DOIUrl":"https://doi.org/10.29058/mjwbs.956727","url":null,"abstract":"Aim: Varicella-zoster computer virus (VZV) is a human neurotrophic computer and Herpes Zoster (HZ) is a retargeted selection from potential target in the dorsal root ganglion of a bred varicella VZV. Urticaria, which becomes common when COVID-19 grows, has been observed where papule-vesicular eruptions such as chicken pox and days appearing as HZ are observed. Unilateral herpes zoster duplex unilateralis when in two non-adjacent dermatomes; If it is bilateral, it is called bilateral. Case: A 39-year-old female patient was admitted to our clinic with high fever, weakness, cough, shortness of breath and rash on both eyelids. It was learned from the patient’s anamnesis that he had COVID-19 infection and simultaneous facial paralysis three months ago. As a result of the dermatological examination, it was thought that grouped vesicular lesions on the erythematous background on the bilateral upper eyelid were compatible with HZ duplex bilateralis. At the end of the 14 th day, the patient was discharged after the signs of COVID-19 infection disappeared and the skin lesions healed completely. bireyler, ila kat fazla risk taşırlar (5). Bu tipik olarak, ağrılı, taraflı, eritematöz fazla vakalar, özellikle bağışıklığı yeterli nadirdir (<%0.5) (6). Tek taraflı dermatom etkilenirse Herpes zoster duplex unilateralis, iki taraflı dermatom ise Herpes zoster duplex bilateralis olarak adlandırılır (7). Conclusion: Although our case was immunocompetent, it is noteworthy that she was diagnosed with HZ duplex bilateralis on the upper while she was infected with COVID 19 for the second time. The coexistence of COVID 19 infection and HZ duplex bilateralis has not been reported in the literature so far. It should not be ignored that HZ infection may occur with unusual involvements in patients infected with COVID-19.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116641619","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