{"title":"Peritoneal Dialysis-related Peritonitis: Microbiological Profile and Outcome","authors":"Arzu Özdemir, Sibel Yücel Koçak","doi":"10.4274/bmj.galenos.2022.2021.12-6","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2021.12-6","url":null,"abstract":"Objective: Peritonitis is a major complication of peritoneal dialysis (PD) and leads to significant mortality and technical failure. Understanding local peritonitis rates and microbiologic profiles are important for the prevention and appropriate management of PD-related peritonitis. We investigated the incidence rate, causative agents, and outcomes of PD-related peritonitis episodes. Methods: This retrospective study enrolled all patients who were receiving PD and have been treated for PD-related peritonitis between February 2005 and November 2021 in our PD unit. Data of the patients included demographic characteristics, causes of primary renal disease, microbiology, and outcomes (resolution, catheter loss, and death) of peritonitis episodes. Results: During the study period, 143 PD-related peritonitis episodes were identified in 69 patients. The peritonitis rate was 0.56 episodes per patient-year. Overall, 62.9% of the episodes were due to Gram-positive organisms, 32.1% were due to Gram-negative organisms, 3.4% were culture negative and 1.3% were candida. Coagulase-negative staphylococci were isolated in half of the Gram-positive episodes. Acinetobacter and Pseudomonas were the most frequently observed microorganisms among Gram-negative episodes. Overall, 81.1% of cases improved completely with medical treatment. The PD catheter was removed in 27 (18.8%) patients, and two patients died from sepsis. Gram-negative organisms resulted in a significantly higher rate of catheter removals and a lower rate of resolution than Gram-positive organisms (p<0.001). Conclusion: Reducing the incidence of PD-related peritonitis could be possible by knowledge of prevalent microbial agents in each center, adjusting empirical treatment accordingly, and taking the necessary measures to prevent peritonitis attacks.","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45272061","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}
H. S. Kıhtır, Gökmen Özdemir, A. Kocabaş, Yasin Bayram, E. Ongun
{"title":"Severe Scorpion Envenomations in Pediatric Intensive Care Unit","authors":"H. S. Kıhtır, Gökmen Özdemir, A. Kocabaş, Yasin Bayram, E. Ongun","doi":"10.4274/bmj.galenos.2022.2022.2-1","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.2-1","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46003673","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":"Does Application of Genicular Nerve Block in Addition to Intra-articular Steroid Injection Increase Efficacy in Patients with Knee Osteoarthritis?","authors":"Halil Çetingök","doi":"10.4274/bmj.galenos.2022.2022.2-15","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.2-15","url":null,"abstract":"Address for Correspondence: Halil Çetingök, Istanbul University, Istanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Pain Medicine, Istanbul, Turkey Phone: +90 530 500 40 58 E-mail: halilcetingok@yahoo.com ORCID ID: orcid.org/0000-0002-6746-9079 Does Application of Genicular Nerve Block in Addition to Intra-articular Steroid Injection Increase Efficacy in Patients with Knee Osteoarthritis?","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42581748","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}
Sevim Özdemir, Tuba Selçuk Can, B. Yılmaz, Rüştü Türkay
{"title":"The Contribution of Point Shearwave Elastography to Diagnosis in Liver Steatosis, Is There a Threshold Value?","authors":"Sevim Özdemir, Tuba Selçuk Can, B. Yılmaz, Rüştü Türkay","doi":"10.4274/bmj.galenos.2022.2021.11-10","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2021.11-10","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49083958","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":"Mental Health Problems in Renal Nurses During Novel Coronavirus Disease of 2019 Pandemic","authors":"Ş. Köse, B. Sancak, Ç. Karşıdağ","doi":"10.4274/bmj.galenos.2021.2021.12-12","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2021.2021.12-12","url":null,"abstract":"Objective: The most important factor in facing the pandemic is to ensure the physical and mental health status of the healthcare workers. Studies have found serious stressors experienced by the hemodialysis incharge-nurses but report less burnout than the other nurses. Determining the mental distress of the hemodialysis incharge-nurses during the pandemic is important in determining the necessary precautions. The objective of this study is to determine the psychological complaints of the hemodialysis incharge-nurses during the pandemic. Methods: The participants of the study are hemodialysis incharge-nurses who work in different provinces of Turkey. The data of the study were collected from April to June 2020. Beck Anxiety Inventory was used to measure the frequency of anxiety symptoms experienced by the individuals. Beck Depression Inventory was used to measure the behavioral manifestations of depression. Maslach Burnout Inventory was used to measure burnout in the workplace. The Perceived Trauma Coping Scale was used to evaluate the perception of coping-up with a traumatic life. Results: In our study, we found Beck Anxiety Inventory mean score was 13.42 +/- 11.28, Beck Depression Inventory mean score was 11.88 +/- 9.57, Maslach emotional exhaustion mean score was 15.74 +/- 8.19, Maslach depersonalization mean score was 4.96 +/- 3.70, and Maslach personal failure mean score was 8.95 +/- 4.50, respectively. Finally, the mean Perceived Trauma Coping Scale trauma score was 63.05 +/- 12.78, the mean Perceived Trauma Coping Scale future score was 36.34 +/- 8.65, and the mean Perceived Trauma Coping Scale elasticity score was 71.94 +/- 17.67, respectively. Conclusion: The findings of the study show the importance of the improvements to be made in reducing the depression and burnout levels of the nurses.","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46099405","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":"Is There an Association Between Initial Clinical Manifestations and the Development of Macrophage Activation Syndrome in Patients with Systemic Juvenile Idiopathic Arthritis?","authors":"Oya Köker, N. Aktay Ayaz","doi":"10.4274/bmj.galenos.2022.2021.11-5","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2021.11-5","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47466118","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}
A. Aybar, M. Ü. Çetin, Abdulkadir POLAT, A. Kurtan, C. May, N. Acar
{"title":"The Validity of Electromyography and Patient Evaluation Measurement in Evaluating Late-term Satisfaction Level of Patients Undergone Carpal Tunnel Syndrome Decompression Surgery","authors":"A. Aybar, M. Ü. Çetin, Abdulkadir POLAT, A. Kurtan, C. May, N. Acar","doi":"10.4274/bmj.galenos.2022.2021.10-22","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2021.10-22","url":null,"abstract":"Address for Correspondence: Ahmet Aybar, University of Health Sciences Turkey, Gaziosmanpasa Training and Research Hospital, Clinic of Orthopaedics and Traumatology, Istanbul, Turkey Phone: +90 532 651 29 58 E-mail: drahmetaybar@yahoo.com ORCID ID: orcid.org/0000-0002-4847-610X The Validity of Electromyography and Patient Evaluation Measurement in Evaluating Late-term Satisfaction Level of Patients Undergone Carpal Tunnel Syndrome Decompression Surgery","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45559259","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}
M. Şahpolat, M. A. Karaman, E. Copur, Duygu Ayar, Cem Sesliokuyucu
{"title":"Increased Neutrophil to Lymphocyte and Platelet to Lymphocyte Ratios in Patients with First Episode Psychosis","authors":"M. Şahpolat, M. A. Karaman, E. Copur, Duygu Ayar, Cem Sesliokuyucu","doi":"10.4274/bmj.galenos.2022.2021.11-9","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2021.11-9","url":null,"abstract":"Musa Şahpolat1, Mehmet Akif Karaman2, Ebru Öztürk Çopur3, Duygu Ayar3, Cem Sesliokuyucu4 1Kilis State Hospital, Clinic of Psychiatry, Kilis, Turkey 2American University of The Middle East, Department of Liberal Arts, Agelia, Kuwait 3Kilis 7 Aralik University Yusuf Serefoglu Faculty of Health Sciences, Department of Nursing, Kilis, Turkey 4Iskenderun State Hospital, Clinic of Psychiatry, Hatay, Turkey","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49195072","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}
Ülkü Nur Kırman, Betul Nur Keser, H. Akten, Nuray Çolapkulu, A. Sürek, C. Erçetin, H. Küçük, Acar Aren, I. Sarici, F. Ezberci, Berk Gökçek, Fazilet Erözgen, A. Gök, O. Şimşek, O. Alımoglu
{"title":"Acute Appendicitis in Istanbul: An 8-year Retrospective Cohort Study","authors":"Ülkü Nur Kırman, Betul Nur Keser, H. Akten, Nuray Çolapkulu, A. Sürek, C. Erçetin, H. Küçük, Acar Aren, I. Sarici, F. Ezberci, Berk Gökçek, Fazilet Erözgen, A. Gök, O. Şimşek, O. Alımoglu","doi":"10.4274/bmj.galenos.2022.2021.11-13","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2021.11-13","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46222494","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}
Erdinç Gülümsek, H. E. Sümbül, B. Avci, Muhammed Zubeyir Aslan, Y. Icen, Akkan Avcı, M. Koç
{"title":"Assessment of Tpe/QT Ratio, Tpe/QTc Ratio, and Tpe Interval in Patients with an Ulcerative Colitis","authors":"Erdinç Gülümsek, H. E. Sümbül, B. Avci, Muhammed Zubeyir Aslan, Y. Icen, Akkan Avcı, M. Koç","doi":"10.4274/bmj.galenos.2021.2021.11-11","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2021.2021.11-11","url":null,"abstract":"Objective: In this study, our aim was to investigate the change in Tpe/QTc, Tpe/QT ratios, and Tpe interval in patients with ulcerative colitis (UC). Methods: Our cross-sectional study included 40-patients followed-up with a UC diagnosis and 40 healthy controls. All the patients underwent 12-lead electrocardiography (ECG). In addition to the routine ECG measurements, Tpe/QT and Tpe/QTc ratios and Tpe interval were measured. Resting heart rate and serum high-sensitive C-reactive protein (hs-CRP) levels were higher with UC patients (p<0.05). Tpe interval and Tpe/QTc ratio values were higher in patients with UC (p<0.05). QT and QTc measurements were similar in the UC patients and healthy controls. Ratio of Tpe to QT and QTc, and Tpe distance measurements positively correlated with the heart rate, UC disease duration, and hs-CRP (p<0.05 for each-one). Tpe/QT, Tpe/QTc ratios, and Tpe interval were found to be independently associated with the heart rate and UC disease duration in a linear regression analyze. Conclusion: In patients with UC; Tpe/QT, Tpe/QTc ratios, and Tpe interval are increased and are independently associated with a disease duration in these patients. This may be associated with the increased inflammation in the UC patients and its cardiac effects. lead electrocardiographic (ECG) changes with a serious ventricular ECG are interval and T wave-peak and (Tpe","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44548815","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}