Gulhane Medical Journal最新文献_第10页

The effect of anesthetic techniques on postoperative outcomes of open prostatectomy in the era of enhanced recovery after surgery 在提高术后恢复的时代，麻醉技术对开放性前列腺切除术术后预后的影响

Gulhane Medical Journal Pub Date : 2021-12-20 DOI: 10.4274/gulhane.galenos.2021.1620

M. A. Süzer, Umut Yener Kara, Hasan Kamburoğlu, C. Çaparlar, M. Ö. Özhan, M. Eşkin

引用次数: 0

Assessment of relative position of infraorbital foramen in dry adult skulls and its clinical implication 干性成人颅骨眶下孔相对位置的评价及其临床意义

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2020.1295

Varalakshmi Kl, Jyothi N. Nayak

{"title":"Assessment of relative position of infraorbital foramen in dry adult skulls and its clinical implication","authors":"Varalakshmi Kl, Jyothi N. Nayak","doi":"10.4274/gulhane.galenos.2020.1295","DOIUrl":"https://doi.org/10.4274/gulhane.galenos.2020.1295","url":null,"abstract":"©Copyright 2021 by the University of Health Sciences Turkey, Gülhane Faculty of Medicine / Gülhane Medical Journal published by Galenos Publishing House. Introduction Infraorbital foramen (IOF) is an opening located on the anterior surface of maxilla, about 1 cm below the infraorbital margin. It transmits infraorbital nerve and infraorbital vessels. The infraorbital nerve is a continuation of maxillary nerve which runs along the floor of orbit in the infraorbital groove and canal, and appears in the face through the IOF below the origin of levator labii superioris muscle (1). The infraorbital nerve is divided into three groups of branches-the palpebral, the nasal and the superior labial. The palpebral branches supply the skin in the lower eyelid. The nasal branches supply the skin of the side of the nose and of the movable part of the nasal septum. The superior labial branches supply the skin of the anterior part of the cheek and the upper lip (2). The infraorbital artery is a branch from the third part of maxillary artery and follows the same course as that of nerve. Even though the previous literature shows numerous studies on morphometry of IOF, the location of IOF is of great clinical importance as it is located nea r various important anatomical structures such as orbit, nose and oral cavity (3). Since it transmits the important neurovascular structures, the essential knowledge of topographical location of IOF is of utmost important to avoid the injuries to these structures. Infraorbital nerve block is the nerve of choice for surgeries involving orbital, nasal and buccal areas. This nerve can be entered through the intra oral or extra oral route. Hence accurate localizing of the IOF is of great clinical importance as once the location is determined, the needle can be advanced either through the skin 1MVJ Medical College and Research Hospital, Clinic of Anatomy, Bangalore, India 2DAPM RV Dental College, Clinic of Anatomy, Bangalore, India","PeriodicalId":35658,"journal":{"name":"Gulhane Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48976744","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: 4

Metastatic chorioretinal abscess: an unusual complication of pyogenic liver abscess 转移性脉络膜视网膜脓肿:化脓性肝脓肿的罕见并发症

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2020.1250

G. Krishnan, Sharath Madhyastha P., R. Acharya, S. Bhandary, C. Reddy

引用次数: 0

The role of complete blood count parameters in distinguishing complicated and uncomplicated appendicitis 全血细胞计数参数在鉴别复杂与非复杂阑尾炎中的作用

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2021.1567

Talha Sarıgöz, U. Aydemir

{"title":"The role of complete blood count parameters in distinguishing complicated and uncomplicated appendicitis","authors":"Talha Sarıgöz, U. Aydemir","doi":"10.4274/gulhane.galenos.2021.1567","DOIUrl":"https://doi.org/10.4274/gulhane.galenos.2021.1567","url":null,"abstract":"Introduction Acute appendicitis (AA) is a prevalent disease that can be lifethreating if left untreated. There have been advances in imaging techniques recently, which facilitated the hand of physicians, but they are not widely available and require expertise to interpret. This makes diagnosis of appendicitis challenging for physicians working in rural regions. Complete blood count (CBC) is still the first line of test for a patient with abdominal pain in emergency departments (1). It is an easy and quick test to evaluate hematologic parameters which can be changed due to infection, hemorrhage and genetic disorders. Systemic inflammatory response is generally associated with white blood cell (WBC) count (2). However, WBC has no role in differentiating simple and complicated appendiceal disease. In addition to WBC count, there are several other markers that can be used as a sign of inflammatory conditions. For instance, neutrophil-to-lymphocyte ratio (NLR) is an indicator of subclinical inflammation (3). Also, red blood cell distribution width (RDW) has been reported to be in relation to infection (4). Furthermore, platelets play a crucial role in inflammation and their size can change as a result of inflammatory conditions. Therefore, mean platelet volume (MPV), which is a measurement of the average size of platelet in the blood, may have diagnostic potential in various diseases (5,6).","PeriodicalId":35658,"journal":{"name":"Gulhane Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45321073","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

Three-dimensional imaging of hemifacial microsomia: a case report 半面部微粒体的三维成像1例

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2020.1313

Anwesha Biswas, G. Babu, Shruthi S Hegde, Vidya Ajila, S. Sakthivel

{"title":"Three-dimensional imaging of hemifacial microsomia: a case report","authors":"Anwesha Biswas, G. Babu, Shruthi S Hegde, Vidya Ajila, S. Sakthivel","doi":"10.4274/gulhane.galenos.2020.1313","DOIUrl":"https://doi.org/10.4274/gulhane.galenos.2020.1313","url":null,"abstract":"Introduction The first and second branchial arches are responsible for the development of various facial structures like the maxilla, mandible, temporomandibular joint (TMJ), zygomatic bone and ear (1). The formation and development of these branchial arches is carried out by various neural crest cells and any damage to these cells can result in abnormalities of various associated facial structures (1). The unilateral underdevelopment of hard and soft tissues, characterized by a wide range of anomalies, is called hemifacial microsomia (HFM). The term HFM was coined by Carl Ferdinand von Arlt in 1881. The first case was reported in 1960s with developmental defects in aural, oral and mandibular regions (2). HFM is reported to be the second most common developmental craniofacial anomaly with an incidence between 1 in 3000 or 5600 births, after cleft lip and palate (3). This craniofacial disorder includes the underdevelopment of various skeletal tissues (like the maxilla, mandible, temporal and zygomatic bones) and soft tissues such as the external and middle ear, leading to conductive hearing loss in patient (4). Besides the clinical presentation, radiographic investigations are required to confirm the diagnosis of HFM. Various radiographic investigations have been attempted for a long time to determine the exact diagnosis of this pathology. These include routine investigations like panoramic radiograph, lateral and posterioanterior skull view. Whereas, advanced radiographic investigations like computed tomography, cone beam computed tomography (CBCT), and magnetic resonance Three-dimensional imaging of hemifacial microsomia: a case report","PeriodicalId":35658,"journal":{"name":"Gulhane Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42120487","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

Role of tumor necrosis factor-α, interleukin-1β, interleukin-6 in liver inflammation in chronic hepatitis B and chronic hepatitis C 肿瘤坏死因子-α、白介素-1β、白介素-6在慢性乙型和丙型肝炎肝炎症中的作用

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2021.1338

Arzu Şenol, N. Alayunt, Ö. Solmaz

{"title":"Role of tumor necrosis factor-α, interleukin-1β, interleukin-6 in liver inflammation in chronic hepatitis B and chronic hepatitis C","authors":"Arzu Şenol, N. Alayunt, Ö. Solmaz","doi":"10.4274/gulhane.galenos.2021.1338","DOIUrl":"https://doi.org/10.4274/gulhane.galenos.2021.1338","url":null,"abstract":"Introduction Hepatitis B (HBV) and hepatitis C (HCV) viruses are important health problems because they cause serious consequences such as chronic hepatitis, cirrhosis, fulminant hepatitis, and hepatocellular carcinoma (HCC) (1). Chronic liver disease occurs as a result of the relationship between a progressive wound healing process and inflammatory response (2). The mechanism of persistent and progressive HBV infection is not clear yet, and it is thought that host immune and genetic factors may play an important role (3). Cytokines play a fundamental role in the immunopathogenesis of HBV infection and may affect the susceptibility to HBV infection and the natural course of the infection (4). HCV infection stimulates the production of inflammatory cytokines and chemokines, resulting in hepatic inflammation and chronic hepatitis (5). Many cytokines that affect the progression of liver disease and play an important role in the fibrotic process have been reported. Cytokines can reduce viral replication and control the host immune response. Accordingly, it can be said that the serum level of cytokines affects the outcome of the disease (6). DOI: 10.4274/gulhane.galenos.2021.1338 ORIGINAL ARTICLE","PeriodicalId":35658,"journal":{"name":"Gulhane Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42130190","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

Factors predicting recurrence in non-muscle invasive bladder cancers 非肌肉浸润性膀胱癌复发的预测因素

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2021.1472

S. Okçelik, Halil Kızılöz, M. C. Temel, R. Acar

{"title":"Factors predicting recurrence in non-muscle invasive bladder cancers","authors":"S. Okçelik, Halil Kızılöz, M. C. Temel, R. Acar","doi":"10.4274/gulhane.galenos.2021.1472","DOIUrl":"https://doi.org/10.4274/gulhane.galenos.2021.1472","url":null,"abstract":"Introduction Bladder cancer is the 7th most common cancer among men and 11th among women in the world. The annual incidence of bladder cancer is 9/100,000 in males and 2.2/100,000 in females (1). Every year, 110,500 new cases in men and 70,000 new cases in women are diagnosed (2). Approximately 75% of the cases are non-muscle-invasive bladder cancer (NMIBC) at diagnosis (2). As an imaging method, ultrasonography is used with high sensitivity and specificity, and cystoscopy is still the gold standard (3,4). Owing to the high incidence of the disease and thereby of NMIBC, a precise algorithm is needed in diagnosis, treatment and follow-up of this disease. Up to 50-70% of NMIBC subsequently recur mostly within two years following the initial interventions and 10-20% of them progress to muscle invasive bladder cancer (MIBC) (5). In order to prevent the recurrence and progression, patients are followed up at short intervals of cystoscopy and administered adjuvant intravesical chemotherapy or immunotherapy when necessary (6). Intra vesical chemotherapy/immunotherapy applications reduce recurrence and progression but cause some local and systemic side effects (7). Prediction of tumor recurrence is crucial in the follow-up period of this disease. Factors including DOI: 10.4274/gulhane.galenos.2021.1472 ORIGINAL ARTICLE","PeriodicalId":35658,"journal":{"name":"Gulhane Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45425419","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

Factors affecting the caregiver burden following traumatic brain injury 影响创伤性脑损伤后照顾者负担的因素

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2021.1460

N. Tezel, E. Umay, A. Çakcı

引用次数: 2

Lactate kinetics in intensive care unit admissions due to diabetic ketoacidosis 糖尿病酮症酸中毒重症监护病房入院患者的乳酸动力学

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2021.29290

Gürhan Taşkın, M. Yılmaz, S. Yılmaz, H. Şirin, Hakan Sapmaz, Saadetin Taşlıgil, İbrahim Sefa Güneş, L. Yamanel

{"title":"Lactate kinetics in intensive care unit admissions due to diabetic ketoacidosis","authors":"Gürhan Taşkın, M. Yılmaz, S. Yılmaz, H. Şirin, Hakan Sapmaz, Saadetin Taşlıgil, İbrahim Sefa Güneş, L. Yamanel","doi":"10.4274/gulhane.galenos.2021.29290","DOIUrl":"https://doi.org/10.4274/gulhane.galenos.2021.29290","url":null,"abstract":"Introduction Diabetic ketoacidosis (DKA) is primarily characterized by hyperglycemia, ketonemia, and acidosis with an increased anion gap. The number of cases with DKA has been increasing in the last two decades (1,2). The mortality rate of DKA varies across the world due to psychosocial and economic diversities; mainly, it has been reported as less than 1% (3,4). Although the risk of death is low, intensive care units (ICU) are still the places where these patients are primarily treated, and the prolongation of the ICU stays leads to an increase in hospital costs and ICU overcrowding. In addition, there are no specific criteria for determining whether the patients with DKA should be treated in the ICU or not. Increased blood lactate concentration, a significant prognostic predictor for many clinical conditions in critically ill patients, is also typical in patients with DKA (5). This may occur due to impaired glucose metabolism with hypoperfusion and poorly understood mechanisms such as the glyoxal pathway and alternative energy substrate in DKA. In addition, there are still controversies regarding the role of increased lactate levels in the course of DKA. Unfortunately, there are insufficient data to suggest that the lactate kinetics in DKA patients may help evaluate treatment response over time and ICU outcomes (6).","PeriodicalId":35658,"journal":{"name":"Gulhane Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43045217","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

Hematological indices in congenital male hypogonadism and the effects of testosterone replacement therapy: a retrospective study 先天性男性性腺功能减退的血液学指标和睾酮替代治疗的影响:回顾性研究

Gulhane Medical Journal Pub Date : 2021-09-01 DOI: 10.4274/gulhane.galenos.2021.96268

I. Demirci, C. Haymana, O. Demir, O. Akın, C. Meriç, A. Aydoğdu, A. Sönmez

引用次数: 1