Southern Clinics of Istanbul Eurasia最新文献

{"title":"Overview of the Role of Hemogram Parameters in Determining the Severity of Abdominal Pain","authors":"Burak Demirci","doi":"10.14744/scie.2023.07742","DOIUrl":"https://doi.org/10.14744/scie.2023.07742","url":null,"abstract":"Objective: Acute abdomen is a dangerous condition that necessitates attentive care. The etiology of acute abdomen is quite complex and alternative diagnostic methods are very valuable as it may indicate life-threatening conditions. The purpose of this study was to examine the role of physical examination and laboratory indicators in relation to surgical and medical treatment options in the emergency department (ED). Methods: This single-center retrospective study was conducted on 735 patients aged be-tween 18 and 90 years admitted to the ED of our hospital between January 01, 2019, and January 01, 2020. Patients’ demographics (age and gender), hospitalization data, presence of rebound and involuntary guarding, differential diagnosis, treatment approach (medical or surgical treatment), and laboratory parameters were analyzed. Results: The mean age of all patients was 45.5±18.6 years and male patients were dominant (51.1%). The most common diagnoses were acute appendicitis, acute gastroenteritis, and acute cholecystitis, respectively. Patients who had surgical treatment were significantly younger than those who received medical treatment (p<0.001). Rebound tenderness and involuntary guarding were more pronounced in the patients who received medical treat-ment. Inflammatory laboratory parameters were higher in patients who received surgical treatment. The presence of rebound tenderness, decreased age, elevated leukocyte, and neutrophil levels, as well as decreased red cell distribution width showed significant associations in favor of surgical treatment. Conclusion: Results suggest that the presence of rebound tenderness, elevated neutrophil, and decreased age may be predictive for the treatment modality in patients with acute abdomen. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67341917","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":"The Impact of Multidisciplinary Approach on Survival in Esophageal Cancer","authors":"Mehmet Mustafa Altıntaş","doi":"10.14744/scie.2023.98958","DOIUrl":"https://doi.org/10.14744/scie.2023.98958","url":null,"abstract":"Objective: Esophageal cancer, one of the most aggressive gastrointestinal malignancies, is the eighth-most common cancer in the world and the sixth among cancer-related deaths in men. In our study, we aimed to show the survival effect of the multidisciplinary approach in the treatment of esophageal cancer. Methods: The records of 103 patients who were diagnosed with esophageal cancer pathologically by endoscopy and underwent curative resection between January 2010 and December 2020 were reviewed retrospectively. The patients were evaluated in the multidisciplinary tumor council and appropriate treatment (neoadjuvant therapy+surgery or only surgery) was planned for each patient according to the TNM stage.T1N0M0 and T2N0M0 patients underwent direct surgery, T2-T3 and those who were considered to be locally advanced with the suspicion of lymph node metastasis underwent surgery after neoadjuvant therapy. As the surgical method, Ivor-Lewis+D2 lymph node dissection or transhiatal esophagectomy surgery was applied in lower and middle localization tumors of the esophagus, whereas McKeown surgery was preferred in middle and upper esophageal tumors. Results: Of the 103 patients included in the study, 51 (49.5%) were male and 52 (50.5%) were female. Neoadjuvant chemoradiotherapy (NCRT) was applied to 70 (67.9%) patients. While the 5-year survival rate of 70 patients who received NCRT was 69.7% (mean 56 months) of the 5-year survival rate of 33 patients who underwent direct surgery without neoadjuvant therapy was found to be 39.5 (mean 25 months), and there was a statistically significant difference observed (p<0.05). The recurrence rate in the 5-year follow-up of 70 patients who received NCRTwas 31.4% (mean 48 months). The recurrence rate in the 5-year follow-up of 33 patients who did not receive neoadjuvant treatment and underwent direct surgery was 60.6% (mean 21 months). The rate of recurrence was statistically significant between patients who received neoadjuvant therapy and those who did not receive neoadjuvant therapy (p<0.05). Conclusion: We believe that NCRT+surgery with a multidisciplinary approach in the treat-ment of patients with esophageal cancer have better survival results than those who underwent direct surgery. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135841730","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":"Effect of Circadian Rhythm and Sleep Quality on Post-operative Pain in Patients with Spinal Anesthesia","authors":"Gülten Arslan","doi":"10.14744/scie.2023.48742","DOIUrl":"https://doi.org/10.14744/scie.2023.48742","url":null,"abstract":"Objective: In our study, we aimed to investigate the effects of circadian rhythm and sleep quality on post-operative pain in patients who will undergo minor pelvic surgery under spinal anesthesia. Methods: The prospective study includes 60 patients, aged 18–65, American Society of Anesthesiologists (ASA) I-III, whose operation was planned by general surgery and urology by applying spinal anesthesia, and divided into two groups, 30 in the morning and 30 in the afternoon, according to the time of surgery. Sleep quality with preoperative Pittsburgh Sleep Quality Index (PUKI), demographic data, preoperative and peroperative heart rate, systolic, diastolic blood pressure, peripheral oxygen saturation values, post-operative 0th, 6th, 12th, 24th h Visual Analog Scale (VAS) scores, the total amount of analgesic used in the first 24 h postoperatively, and time to first and second analgesic needs were recorded. Results: It was determined that 24 (40%) of the patients had good sleep quality according to PUKI. When the patients were grouped as those who had surgery in the morning and after-noon, no significant difference was found between the groups in terms of age, gender, ASA, and sleep quality. When the correlation between PUKI scores and VAS scores was examined, no correlation was observed. In the morning group, VAS0 (p=0.005), VAS6 (p<0.001), and VAS24 (p=0.04) values were lower, post-operative analgesic requirement was less, and the time to first and second analgesic requirement was longer. It was found that there was no significant difference in terms of quality. Conclusion: As a result, it was concluded that if the anesthetic agents we use are applied at selected times, the treatments can be more effective, the drugs can be arranged according to the application hours to optimize the effectiveness of the agents and perhaps reduce their toxic effects, and that more comprehensive studies, especially including night studies, should be done.","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838273","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":"Comparison of Pain Management of Geriatric and Non-geriatric Patients who applied to the Emergency Department with Acute Pain","authors":"Emre Şancı","doi":"10.14744/scie.2023.58234","DOIUrl":"https://doi.org/10.14744/scie.2023.58234","url":null,"abstract":"Objective: Pain is the most common reason for the emergency department (ED) visits of geriatric patients. Pain management might be challenging in this age group of patients which may spur delays in pain treatment and oligoanalgesia. In addition, failure to provide effective pain control in geriatric patients can lead to delirium, depression, and prolonged hospital stay. The aim of the study was to compare the changes in pain scores of geriatric and non-geriatric patients in the first 60 min who applied to the ED with acute pain. Methods: This prospective study was conducted between January 2022 and March 2022 in an academic ED. All patients older than 18 years old who presented with acute pain were enrolled in the study. The primary outcome measure of the study was determined as the alteration in pain levels between geriatric and non-geriatric groups at the visual analog scale (VAS) at 0–60th min. The secondary outcome measures of the study were to determine the opioid doses between the two groups and the alteration in pain levels between the two groups at the VAS at 0–20th min and 0–40th min. Results: The change in pain levels did not differ significantly between the groups at 0–60th, 0–20th, and 0–40th min. Opioid doses were also not significantly different among the two groups. Conclusion: The findings of this study indicate that oligoanagesia is not a significant risk neither for geriatric nor for non-geriatric patients in the ED population. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838281","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":"Evaluation of Cases with Stab Wounds Presented to the Emergency Department: A 2-Year Retrospective Analysis","authors":"Adem Az","doi":"10.14744/scie.2023.58855","DOIUrl":"https://doi.org/10.14744/scie.2023.58855","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67342047","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":"Rapid Sequence Spinal Anesthesia for Category 1 Cesarean Section: Is it Fast, Effective, and Reliable?","authors":"K. Taşkın","doi":"10.14744/scie.2023.66674","DOIUrl":"https://doi.org/10.14744/scie.2023.66674","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67342480","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":"The Relationship between Blood Groups and Mortality in Patients with Acute Pancreatitis","authors":"İzzet Ustaalioğlu","doi":"10.14744/scie.2023.02212","DOIUrl":"https://doi.org/10.14744/scie.2023.02212","url":null,"abstract":"Objective: The potential association between blood group and outcomes in acute pancreatitis has not been adequately explored. This study aimed to investigate the relationship between blood group and in-hospital mortality in patients diagnosed with acute pancreatitis. Methods: We conducted a single-center, retrospective study reviewing the medical records of patients diagnosed with acute pancreatitis between 2022 and 2023. Patient demographics, blood group type, disease severity, and in-hospital mortality were recorded. The correlation between blood group and in-hospital mortality was examined. Results: The blood group distribution among the acute pancreatitis patients was as follows: O: 31.3%, A: 49.2%, B: 16%, and AB: 3.5%. Mortality rates varied across the blood groups, with Group O having the highest mortality (8.3%), followed by Groups B (4.1%) and A (3.3%). Conclusion: Our preliminary findings suggest a potential association between blood group and mortality in acute pancreatitis, with blood group O associated with a higher mortality rate. However, due to the limitations inherent in the study’s retrospective design, these findings should be validated in future prospective studies. Understanding the role of blood group in the prognosis of acute pancreatitis could provide valuable insights into the disease’s pathophysiology and contribute to improved risk stratification and patient management. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838270","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":"Determining the Adequacy of CURB-65 and qCSI Scores in Predicting the Necessity of the ICU for COVID-19 Patients","authors":"Rohat Ak","doi":"10.14744/scie.2023.76258","DOIUrl":"https://doi.org/10.14744/scie.2023.76258","url":null,"abstract":"Objective: In this study, the adequacy of the Quick COVID Severity Index (qCSI) and CURB-65 scoring systems in predicting the prognosis and need for intensive care in patients who were admitted to the emergency room and hospitalized due to Coronavirus Disease 2019 (COVID-19) were examined. Methods: The files of all adult patients over the age of 18 years who were hospitalized with the diagnosis of COVID-19 between January 1 and June 1, 2021 were reviewed retrospectively. Patients with negative reverse transcriptase-polymerase chain reaction test results, patients transferred from another hospital, and patients whose data to be used in the two risk scores could not be reached were excluded from the study. Results: A total of 325 people were included in the study, with an average age of 58.2±17.2%, 48.3% male and 51.7% female. As a result of the ROC analysis of the CURB-65 score in estimating the need for hospitalization in the intensive care unit (ICU), the area under the curve (AUC) was found to be 0.843 (95% confidence interval [CI]: 0.799–0.881), and the Youden index was 0.584, p value was 0.001. As a result of the ROC analysis of the qCSI score in estimating the need for ICU hospitalization, the AUC was found to be 0.921 (95% CI: 0.886–0.948), and the Youden’s index was 0.7520, p value was 0.001. When the value of the two scores in predicting the need for ICU admission was compared, it was found that the qCSI score was more successful than the CURB-65 score. Conclusion: In this study, the predictive powers of qCSI and CURB-65 scores in predicting the ICU requirement of COVID-19 patients admitted to the emergency department were compared. It was concluded that the qCSI score was superior to CURB-65. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838275","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":"Tracheostomy experiences in 37 children during 12 years; a retrospective study","authors":"Olga Devrim Ayvaz","doi":"10.14744/scie.2023.44452","DOIUrl":"https://doi.org/10.14744/scie.2023.44452","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67342217","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":"Assessment of the Inflammatory Markers in Patients with First-episode Psychosis: A Comparative Study","authors":"Hidayet Ece Arat Çelik","doi":"10.14744/scie.2023.36036","DOIUrl":"https://doi.org/10.14744/scie.2023.36036","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838272","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}