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Etiology, incidence and risk factors of ventilator associated pneumonia in an intensive care unit of a training and research hospital in Istanbul 伊斯坦布尔一家培训和研究医院重症监护室呼吸机相关肺炎的病因、发病率和危险因素
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-06-10 DOI: 10.5222/J.GOZTEPETRH.2013.014
F. Sargin, A. Sağıroğlu, A. Doğru, M. Gura, Havva Sayhan, E. Tigen
{"title":"Etiology, incidence and risk factors of ventilator associated pneumonia in an intensive care unit of a training and research hospital in Istanbul","authors":"F. Sargin, A. Sağıroğlu, A. Doğru, M. Gura, Havva Sayhan, E. Tigen","doi":"10.5222/J.GOZTEPETRH.2013.014","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2013.014","url":null,"abstract":"SUMMARY In this prospective study, we aimed to identify the factors associated with the development of ventilator- associated pneumonia (VAP) and examine the etiology, and incidence of VAP. Between November 2007 and June 2008, 148 patients who required mechanical ventilation for longer than 48 hours were evaluated. VAP was observed in 54 patients (36 %). Mechanical ventilator utilizationrate was 0.87, and VAP rate in 1000 ventilator days was 22.88. The most common three microorganisms cultured from tracheal aspirates were Pseudomonas aeruginosa (n=19), Acinetobacter spp.(n=11), and Staphylococcus aureus (n=10). Of the 21 risk factors evaluated, 7 factors identified were independently associated with VAP (p<0.05) such as shock, coma (p<0.0006), antibiotic usage for at least 1 month prior to admission (p<0.04), nasogastric tube insertion (p<0.01), invasive procedures such as bronchoscopy, tracheotomy (p<0.0001), reintubation (p<0.017), intubation lasting for more than 5 days (p<0.0001), and smoking (p<0.014). Intensive Care Unit (ICU) clinicians should be aware of the risk factors for VAP to minimize the risk of VAP, patient care should be individualized, and procedures like bronchoscopy, reintubation must be performed and followed up cautiously. Besides these, data about the potential microorganisms and those resistant to antibiotics will guide the empirical therapy.","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"87 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127994212","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
The treatment of Weber type B ankle fractures with locking anatomic plate of distal fibula 腓骨远端锁定解剖钢板治疗Weber B型踝关节骨折
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-06-10 DOI: 10.5222/J.GOZTEPETRH.2013.001
M. Seyhan, K. Unay
{"title":"The treatment of Weber type B ankle fractures with locking anatomic plate of distal fibula","authors":"M. Seyhan, K. Unay","doi":"10.5222/J.GOZTEPETRH.2013.001","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2013.001","url":null,"abstract":"","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115511805","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
Duplication 10q syndrome: A new case 重复10q综合征:一例新病例
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-06-10 DOI: 10.5222/J.GOZTEPETRH.2013.055
Olgu Sunumu, A. Karaman, T. Tos
{"title":"Duplication 10q syndrome: A new case","authors":"Olgu Sunumu, A. Karaman, T. Tos","doi":"10.5222/J.GOZTEPETRH.2013.055","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2013.055","url":null,"abstract":"SUMMARY Partial trisomy of the long arm of chromosome 10 is a welldefined but rare syndrome. Growth retardation, developmental delay and characteristic dysmorphic features are well described in the syndrome. The case had the well characterized phenotype of microcephaly, characteristic dysmorphic facies and limb anomalies. Trisomy in the case involved the 10q25-->qter region.","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114798002","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
Menkes disease: Case report 门克斯病1例报告
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-06-10 DOI: 10.5222/J.GOZTEPETRH.2013.051
H. Sozen, S. Saltık, Elif Karatoprak
{"title":"Menkes disease: Case report","authors":"H. Sozen, S. Saltık, Elif Karatoprak","doi":"10.5222/J.GOZTEPETRH.2013.051","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2013.051","url":null,"abstract":"","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130644274","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
Hyperbaric oxygen therapy in early stage avascular necrosis of femoral head 高压氧治疗早期股骨头缺血性坏死
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-03-05 DOI: 10.5222/J.GOZTEPETRH.2011.108
G. Huri, K. Dundar, Y. İyetin, M. Doral
{"title":"Hyperbaric oxygen therapy in early stage avascular necrosis of femoral head","authors":"G. Huri, K. Dundar, Y. İyetin, M. Doral","doi":"10.5222/J.GOZTEPETRH.2011.108","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2011.108","url":null,"abstract":"","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121463346","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 carpal tunnel decompression operations with minimal incision under regional anesthesia of the wrist 腕区麻醉下小切口腕管减压术的效果
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-03-05 DOI: 10.5222/J.GOZTEPETRH.2011.10
I. B. Ozcelik, H. Çift, K. Ozkan, E. Erturer, E. Ugutmen
{"title":"Results of carpal tunnel decompression operations with minimal incision under regional anesthesia of the wrist","authors":"I. B. Ozcelik, H. Çift, K. Ozkan, E. Erturer, E. Ugutmen","doi":"10.5222/J.GOZTEPETRH.2011.10","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2011.10","url":null,"abstract":"SUMMARY With this paper, we presented our study series on modified open carpal tunnel decompression operation with mini incision, not crossing the wrist line, performed in three centers between 2000-2004. Regional wrist anesthesia was used in all patients. The operation was carried out via a 2-2.5 cm incision made on the palm in 62 wrists of 52 patients (46 females and 6 males), with a mean age of 41 years (22-54 years), under regional wrist anesthesia and using pneumatic tourniquet. Under direct sight, distal portion of the ligament was sectioned. Proximal portion of the ligament and the antebrachial fascia were released by a blunt dissection once they were separated from the palmar aponeurosis and the subcutaneous adipose tissue. Following the decompression of the carpal tunnel, the layers were closed and compression bandage was applied. Compression bandage was removed on the same day and patients were allowed for daily activities. During postoperative follow-up visits (Mean: 21 months, range: 16-26 months) none of the patients reported recurrence of complaints and all were satisfied with the technique. Carpal tunnel decompression with mini incision and wrist anesthesia is a method that provides safe release of the median nerve, shortens hospitalization period and increases patient comfort.","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122235707","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
Prevalence of asymptomatic ketonemia in patients with type 2 diabetes 2型糖尿病患者无症状酮血症的患病率
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-03-05 DOI: 10.5222/J.GOZTEPETRH.2011.21
M. Uzunlulu, A. Oguz, Gulbahar Vatansever, Gunes Alkaya, S. Celebi, S. Çelik
{"title":"Prevalence of asymptomatic ketonemia in patients with type 2 diabetes","authors":"M. Uzunlulu, A. Oguz, Gulbahar Vatansever, Gunes Alkaya, S. Celebi, S. Çelik","doi":"10.5222/J.GOZTEPETRH.2011.21","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2011.21","url":null,"abstract":"","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125724415","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
Sonographic evaluation of accessory spleen 副脾超声评价
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-03-05 DOI: 10.5222/J.GOZTEPETRH.2011.054
A. Tosun, S. Tosun
{"title":"Sonographic evaluation of accessory spleen","authors":"A. Tosun, S. Tosun","doi":"10.5222/J.GOZTEPETRH.2011.054","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2011.054","url":null,"abstract":"SUMMARY Objective: Accessory spleens (AS) usually appear on routine abdominal ultrasonography (US) and frequently not investigated. The aim of this study is to research the prevalence, imaging features and related conditions of AS. Materials and Methods: This study is based on 190 patients that applied to US department with various clinical symptoms in 18 months period. Patient ages, gender; although AS counts, location, shape, dimension and probable accompanied splenomegaly researched on B-mode US. Results: Majority of AS had a dimension between 10-15 mm. Usually they are round shaped and localized at splenic hilus. They mostly visualized in female with the mean age 32.9 (SD: 19.2). There was no statistically difference between splenomegaly and dimension of AS. Positive significant correlation was found between not only age and dimension (p<0.05, r=0.305), but also gender and splenomegaly (p<0.05), dimension and shape (p<0.05). Conclusion: Sonographic features of AS are investigated. This report reveals sonographic findings of AS, that may be used on differential diagnosis of splenic pathologies.","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133471238","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
A psycho-social viewpoint to anxiety and social phobia in dialysis patient 透析患者焦虑与社交恐惧症的社会心理分析
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-03-05 DOI: 10.5222/J.GOZTEPETRH.2011.112
H. Demirbilek, E. Parmaksız, Gokcen Gokcan, F. Turhan, O. Cigerli, Seval Yesim Kokturk, R. Papila, F. Acar
{"title":"A psycho-social viewpoint to anxiety and social phobia in dialysis patient","authors":"H. Demirbilek, E. Parmaksız, Gokcen Gokcan, F. Turhan, O. Cigerli, Seval Yesim Kokturk, R. Papila, F. Acar","doi":"10.5222/J.GOZTEPETRH.2011.112","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2011.112","url":null,"abstract":"","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128274800","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 results of ESWT (extracorporeal shock wave therapy) in refractory plantar fasciitis cases 体外冲击波治疗难治性足底筋膜炎的疗效观察
The Medical Journal of Goztepe Training and Research Hospital Pub Date : 2013-02-25 DOI: 10.5222/J.GOZTEPETRH.2011.123
A. Ozkut, N. Ozkan, Çağatay Uluçay, M. Ertaş, A. Eren
{"title":"The results of ESWT (extracorporeal shock wave therapy) in refractory plantar fasciitis cases","authors":"A. Ozkut, N. Ozkan, Çağatay Uluçay, M. Ertaş, A. Eren","doi":"10.5222/J.GOZTEPETRH.2011.123","DOIUrl":"https://doi.org/10.5222/J.GOZTEPETRH.2011.123","url":null,"abstract":"","PeriodicalId":312011,"journal":{"name":"The Medical Journal of Goztepe Training and Research Hospital","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114546323","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: 2
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