Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1174180
Aygul Celtik, Zalal Alatas, Mumtaz Yilmaz, Meltem SEZİS-DEMİRCİ, G. Aşçi, Mehmet Ozkahya, E. Ok
{"title":"Ortalama trombosit hacmi ve ortalama trombosit hacmi/trombosit sayısı oranının periton diyalizi başlandıktan bir yıl sonraki değişimi","authors":"Aygul Celtik, Zalal Alatas, Mumtaz Yilmaz, Meltem SEZİS-DEMİRCİ, G. Aşçi, Mehmet Ozkahya, E. Ok","doi":"10.19161/etd.1174180","DOIUrl":"https://doi.org/10.19161/etd.1174180","url":null,"abstract":"Aim: Cardiovascular diseases are the most common cause of mortality in patients undergoing peritoneal dialysis. Thrombocyte indices which are indicators of platelet activation are predictors of cardiovascular events. We aim to examine the change in platelet count, mean platelet volume, and mean platelet volume to platelet count ratio one year after initiation of peritoneal dialysis in patients with end-stage renal disease. Materials and Methods: This retrospective study included 28 patients. Demographic and clinical characteristics of the patients at the time of initiation of peritoneal dialysis were recorded from the patient files. Laboratory data within the last month before the initiation of peritoneal dialysis and in the first year were recorded from the patient files. The mean platelet volume to platelet count ratio was calculated as mean platelet volume (femtolitres) divided by platelet count (number of thousand platelets/microliter). Results: The mean age was 51.1 ± 14.6 years, and 42.8% of the patients were male. Diabetic nephropathy and hypertensive nephropathy were the most common causes of end-stage renal disease. One year after the initiation of peritoneal dialysis, the urea level decreased significantly, and C-reactive protein level increased significantly. Platelet count increased from 240 ± 55 x10 3 /μL to 274 ± 53 x10 3 /μL (p=0.003) and mean platelet volume decreased from 10.7 ± 1.0 fl to 10.2 ± 0.8 fl (p","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67801713","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}
Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1167423
Betül Sargin
{"title":"Sensörimotor demiyelizan polinöropati ile birlikte primer Raynaud Fenomeni: bir olgu sunumu","authors":"Betül Sargin","doi":"10.19161/etd.1167423","DOIUrl":"https://doi.org/10.19161/etd.1167423","url":null,"abstract":"Raynaud's phenomenon (RP) is characterized by color changes and episodic vasospasm in the distal parts of the body. Raynaud's phenomenon associated with sensorimotor demyelinating polyneuropathy has been rarely reported in the literature. Here, we aimed to present a 36-year-old male patient who was admitted to our clinic with complaints of discoloration, numbness, and tingling in the upper and lower extremities. A mixed type of sensorimotor demyelinating polyneuropathy was detected in nerve conduction studies of the patient. A significant improvement was observed within 2 months after pregabalin, acetylsalicylic acid, and nifedipine treatment.","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49312408","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}
Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1168179
B. Kalayci
{"title":"Clinical features in childhood herpes zoster and predisposing factors: a retrospective study","authors":"B. Kalayci","doi":"10.19161/etd.1168179","DOIUrl":"https://doi.org/10.19161/etd.1168179","url":null,"abstract":"Aim: Herpes Zoster is a disease characterized by vesicles with dermatomal distribution, resulting from the reactivation of the Varicella Zoster Virus. It is more common in older ages and in children with immunosuppression. This study was designed to evaluate the clinical features and predisposing factors of children diagnosed with Herpes Zoster. \u0000Materials and Methods: Data of the patients under 16 years of age that were diagnosed with Herpes zoster at our dermatology outpatient clinic were retrospectively evaluated between January 2015 and March 2021. Patients' age, gender, complaints, duration of complaints, varicella vaccines, chickenpox history, additional systemic diseases, accompanying viral infections and other predisposing factors were determined. In addition, dermatomal extent of the rash, treatments and complications were reviewed. \u0000Results: Out of 67 cases enrolled in the study; 44 (65.7%) were male and 23 (34.3%) were female. The mean age of the patients was 9.7 ± 2.9 years. The most common complaint was itching in the lesion area (44.8%). The most frequently involved dermatome was thoracic dermatome (56.7%). Immunosuppression or malignancy was not detected in any patient. Conjunctivitis developed in two cases and secondary bacterial infection in three cases. The most common predisposing factor was stress (38.8%). \u0000Conclusion: Herpes zoster is not a cutaneous indicator of an underlying immunosuppression or malignancy in children and has a good clinical course. The disease is mostly accompanied by predisposing factors such as stress, viral infections and sun exposure.","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67800708","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}
{"title":"Kolelitiaziste postablatif tüm vücut tarama sintigrafisinde I-131 tutulumu","authors":"Mertcan Guven, Aylin Oral, Sadik Tamsel, Aysegul Akgun","doi":"10.19161/etd.1167384","DOIUrl":"https://doi.org/10.19161/etd.1167384","url":null,"abstract":"A 71-year-old male patient was diagnosed with papillary carcinoma follicular variant after bilateral total thyroidectomy and radioactive iodine treatment was applied. The post-therapeutic whole-body scan demonstrated a focal 131I uptake in the right lobe of the liver in the right upper quadrant of the abdomen. Single-photon emission computed tomography/computed tomography (SPECT/CT) was performed to determine the precise localization of 131I uptake. It was understood that the identified focal 131I activity was due to cholelithiasis. In the same period, free-floating gallstones in the lumen and the gallbladder neck were observed on the abdominal ultrasonography","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67799897","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}
Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1167433
Seher Kurtul, Meral Türk
{"title":"Farklı sektörlerde çalışanlarda tiroid hormon düzeylerini etkileyen işle ilgili faktörler","authors":"Seher Kurtul, Meral Türk","doi":"10.19161/etd.1167433","DOIUrl":"https://doi.org/10.19161/etd.1167433","url":null,"abstract":"Aim: This study purposed to evaluate thyroid hormone levels and work-related factors in workers. \u0000Materials and Methods: This retrospective study was perfomed at 475 workers who applied to the outpatient clinic of occupational diseases between November 2015-February 2020. Sociodemographic variables, work-related factors and laboratory records were retrospectively evaluated. Student’s t-test was performed to compare mean values. Multiple linear regression analysis was used, including independent variables that were found to be statistically significantly related in binary analysis of thyroid-stimulating hormone (TSH) value. \u0000Results: Of the 475 participants, 433 (91.2%) were male and 173 (36.4%) worked night shifts, 293 (61.7%) were exposed to silica dust, 23 (4.8%) to plastic fumes, and 80 (16.8%) to solvent. Study participants who were over 40 years of age, night shift workers, and workers with exposure to silica dust had significantly lower TSH values (p=0.026, p=0.023, p=0.002, respectively); male workers, workers under 40 years of age, and workers with body mass index (BMI)","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67800437","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}
Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1168234
Hatice Ozisik, Şevki Çetinkalp, Aslı Suner, Gokhan O. Ozgen, Füsun Saygili, M. Erdoğan
{"title":"Tip 2 diabetes mellituslu hastalarda nötrofil lenfosit oranı ile diyabet kontrolü arasındaki ilişki","authors":"Hatice Ozisik, Şevki Çetinkalp, Aslı Suner, Gokhan O. Ozgen, Füsun Saygili, M. Erdoğan","doi":"10.19161/etd.1168234","DOIUrl":"https://doi.org/10.19161/etd.1168234","url":null,"abstract":"Aim: The current study was purposed to examine the association between NLR and the control of glucose in patients with T2DM. We also aimed to reveal correlations between microalbuminuria, Mean Platelet Volume (MPV), Red Blood Cell Distribution (RDW), and glycosylated hemoglobin (HbA1c). Materials and Methods: It was a retrospective study arranged in Ege University, in Endocrinology Department. We collected the fields of 198 patients having type 2 diabetes mellitus (T2DM), and they were categorized into two groups, patients with controlled T2DM (Hba1c≤7%) (n=82) and uncontrolled T2DM (Hba1c>7%) (n=116). Results: There were no statistically significant differences between NLR, RDW and MPV in two groups (p=0.123, p=0.298, p=0.595 respectively). Duration of T2DM 5 years and below and after 5 years between two groups was statistically important (p=0.002). NLR was found higher in uncontrolled T2DM than controlled T2DM, but not statistically significant. Receiver operating characteristic curve of NLR, RDW, MPV, WBC were not found significant (p>0.05). Conclusion: Our study revealed that duration of T2DM may predict microalbuminuria, and evaluated the relationship between RDW, MPV, NLR and Hba1c, microalbuminuria levels together in the patients with T2DM. According to NLR, RDW and MPV levels, we did not detect any statistically differences between uncontrolled T2DM than controlled T2DM.","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49304319","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}
Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1167238
F. Yildirim, Ayça Koca Yozgat, H. Tatlı Doğan, N. Turhan, H. Yaralı, Namık Yaşar Özbek
{"title":"Is serum ferritin level or T2-sequence magnetic resonance imaging more effective in predicting liver iron in transfusion-dependent thalassemia cases?","authors":"F. Yildirim, Ayça Koca Yozgat, H. Tatlı Doğan, N. Turhan, H. Yaralı, Namık Yaşar Özbek","doi":"10.19161/etd.1167238","DOIUrl":"https://doi.org/10.19161/etd.1167238","url":null,"abstract":"Aim: Iron overload in transfusion-dependent thalassemia patients is a condition that requires continuous chelation therapy and monitoring. Determination of serum ferritin level is considered a simple method to monitor body iron load; however, it highlights that other methods of liver iron level determination, such as magnetic resonance imaging (MRI), are more precise. \u0000Materials and Methods: In order to contribute to understanding of liver iron load in thalassemia, liver iron level results of 14 transfusion-dependent thalassemia patients who underwent liver biopsy in preparation for stem cell transfusion were compared with liver T2 MRI and serum ferritin results. \u0000Results: The mean serum Ferritin value was 2488.43±1520.18 mg/L. When liver iron load was evaluated according to T2*MRI results, mild iron accumulation was found in eight patients, moderate level in five patients, and advanced iron accumulation in a patient. According to the modified Scheuer classification, iron level in biopsies was grade 1 in two patients; grade 2 in seven patients; It was grade 3 in three patients and grade 4 in two patients. As the ferritin level increased, the liver iron biopsy score also increased statistically significantly (r=0.544 and p=0.044). There was a statistically significant and inverse correlation between liver T2*MRI level and liver iron biopsy score (r=-0.724 and p=0.003). Ferritin level was not found statistically significant in differentiating iron level according to liver biopsy iron score (p=0.096). The area under the ROC curve for T2*MRI measurements was statistically significant (AUC=0.967; 95% CI: 0.880-1,000 and p=0.005). \u0000Conclusıon: In our study, we found that serum ferritin and T2 MRI results were correlated with liver biopsy iron levels. However, we found that the sensitivity and specificity of ferritin level in liver biopsy to show iron level was low, and the sensitivity and specificity of T2 MRI was high.","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67799856","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}
Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1167398
Serkan Ertugay, T. Yağdi
{"title":"Ciddi restriksiyonu olan mitral anterior liflet için kordal ayırma","authors":"Serkan Ertugay, T. Yağdi","doi":"10.19161/etd.1167398","DOIUrl":"https://doi.org/10.19161/etd.1167398","url":null,"abstract":"Functional mitral regurgitation (MR) is usually caused by cardiomyopathy. Herein, we present chordal cutting and ring annuloplasty due to severely restricted anterior leaflet. Seventy-seven years old, male patient suffering shortness of breath had the diagnosis of severe mitral regurgitation and coronary artery disease. Preoperative echocardiography showed reduced ejection fraction and severe central \u0000jet due to tethering of secondary chordae. Restricted chordae were resected by transverse aortotomy, saphenous graft bypass was done, and semi-rigid ring was implanted. Postoperative echocardiography showed no residual regurgitation, excellent mobility of anterior leaflet. Chordal cutting seems to be an effective technique to treat functional MR caused by the restriction of anterior leaflet","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48139574","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}
Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1167445
Ersin Gür, Y. Tiftikcioglu
{"title":"Reconstruction of upper extremity soft tissue defects with free flaps","authors":"Ersin Gür, Y. Tiftikcioglu","doi":"10.19161/etd.1167445","DOIUrl":"https://doi.org/10.19161/etd.1167445","url":null,"abstract":"Aim: Many methods have been described in the literature for the reconstruction of upper extremity defects that may occur as a result of various etiological reasons. Among these methods, local or regional flaps are used quite frequently, and most defects can be successfully reconstructed. However, in some large and complex defects, technically more difficult free flap options may be unavoidable. In our study, we present our experience on upper extremity reconstruction with free flaps. \u0000 \u0000Materials and Methods: Between 2015 and 2021, 9 patients (3 Female, 6 Male) underwent upper extremity reconstructions with free flaps. The ages of the patients ranged from 22 to 68 years. Our free flap choices included anterolateral thigh flap in 4 patients, latissimus dorsi free flap in 4 patients, and radial forearm free flap in 1 patient. Defects of patients were including dorsum of the hand in 3 patients, an amputation stump in 1 patient, the dorsum of the hand with the forearm in 2 patients, and the elbow with the forearm in 3 patients. \u0000 \u0000Results: The radial artery was chosen as the recipient artery in all patients. The concomitant vein of the radial artery or the superficial venous system was used as the recipient vein. End-to-end anastomosis was performed in 6 patients and end-to-side anastomosis was performed in 3 patients. Arterial thrombosis was observed in 1 patient and venous thrombosis was observed in 1 patient. All vascular complications occurred in reconstructions with latissimus dorsi free flaps. Both patients were taken to early salvage surgery, the anastomoses were renewed and the flaps were salvaged. No additional complications were observed in other patients. There was no flap loss in our clinical series. \u0000 \u0000Conclusion: Free flaps can be used safely for upper extremity soft tissue reconstructions in appropriate cases. Although it requires technical experience, we believe that perforator-based free flaps are quite advantageous due to minimal donor site problems and can be safely chosen as the first method in suitable patients.","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67800642","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}
Ege Tip DergisiPub Date : 2022-09-12DOI: 10.19161/etd.1168082
F. Ersin, Dursun Cadirci, Gül KILIÇ DEDEOĞLU
{"title":"Investigation of mental well-being status and social support levels of patients hospitalized in palliative care clinic","authors":"F. Ersin, Dursun Cadirci, Gül KILIÇ DEDEOĞLU","doi":"10.19161/etd.1168082","DOIUrl":"https://doi.org/10.19161/etd.1168082","url":null,"abstract":"Aim: Palliative care process brings with it various difficulties for caregivers. For this reason, the mental health of the caregiver is adversely affected, and they need social support. This study was conducted to determine the mental well-being and perceived social support levels of the individuals who care for the patients in the palliative care clinic. \u0000Materials and Methods: The study is of descriptive type and was conducted between March and October 2020.The sample of the study consisted of 166 caregivers. Introductory information form, Warwick-Edinburgh Mental Well-Being Scale and Multidimensional Perceived Social Support Scale were used to collect data. Descriptive statistics, Mann Whitney U test and Kruskal Wallis analysis and Spearman Correlation analysis were used in the analysis of the data. \u0000Results: The mental well-being scale total score averages of caregivers were 51.39±12.30, and the multidimensional perceived social support scale total score averages were 54.15±15.14. A positive, moderate, and significant relationship was found between caregivers' mental well-being and perceived social support (r=.620, p","PeriodicalId":32499,"journal":{"name":"Ege Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67800664","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}