Medical Journal of Bakirkoy最新文献

{"title":"The Predictive Value of Systemic Immune Inflammation Index in Patients Hospitalized in the Intensive Care Unit","authors":"Habip Yılmaz, C. Kazezoğlu, A. Gedikbaşı","doi":"10.4274/bmj.galenos.2022.2022.9-3","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.9-3","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48691680","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":"Pediatric Lumbar Microdiscectomy","authors":"Doğan Güçlühan Güçlü","doi":"10.4274/bmj.galenos.2022.2022.6-16","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.6-16","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48306816","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 Transfusions and Mortality and Length of Stay in Patients Followed up with a Diagnosis of COVID-19 in Intensive Care Units","authors":"G. Keskin, Melis Sumak Hazir, Dilek Ünal, J. Ergil","doi":"10.4274/bmj.galenos.2022.2022.7-4","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.7-4","url":null,"abstract":"Objective: The number of studies investigating the requirement for red blood cell (RBC) transfusions and the effects of transfusions on mortality in intensive care unit (ICU) patients with coronavirus disease-2019 (COVID-19) is limited. This study investigated the relationship between RBC transfusions and the prognostic laboratory criteria of COVID-19, ICU length of stay, and mortality in ICU patients with a diagnosis COVID-19. Methods: This retrospective study included 401 patients aged 18 years and older who were followed up and treated in the ICU with a positive real-time polymerase chain reaction test result for COVID-19 between September 01, 2020 and January 31, 2021. After obtaining the ethics committee approval, the demographic data, clinical data, and laboratory results of the patients included in the study were screened from the electronic medical record system and recorded in data-recording forms. Results: The mean age of the 393 patients included in the analyses was 69.42±12.90 years, and 52.7% were male. Eighty-eight percent (n=346) of the patients had comorbidities, with 35.9% having three or more comorbidities. Forty (10.2%) patients who received transfusion had higher values of Acute Physiology and Chronic Health Evaluation score (p<0.05), ICU length of stay (p<0.001), D-dimer (p<0.05), brain natriuretic peptide (p=0.001), lactate dehydrogenase (LDH) (p<0.05), and creatinine (p=0.001) than those without transfusion. The lowest hemoglobin value (p<0.001) and LDH value (p<0.05) were found to be factors effective in transfusion status. The mortality rate was higher in patients who required RBC transfusions (72.5%) than in patients without transfusion requirements (45.9%) (p=0.001). The rate of having three or more diseases was higher in patients with transfusions (55.0%) than in patients without transfusions (33.7%) (p<0.05). Conclusion: This retrospective study demonstrated the association of RBC transfusions with an increase in ICU length of stay and mortality. The decision of transfusion for the critically ill group followed up in the COVID-19 ICU should be individualized, and unnecessary transfusions should be avoided. (English) [ FROM AUTHOR] Amaç: Koronavirüs hastalığı-2019 (COVID-19) nedeniyle yoğun bakım ünitelerinde (YBÜ) takip edilen hastalarda eritrosit süspansiyonu (ES) transfüzyonu ihtiyacı ve transfüzyonların mortalite üzerine etkilerini araştıran çalışmalar yetersizdir. Bu çalışmada, yoğun bakımlarda COVID-19 tanısı ile takip edilen hastalarda ES transfüzyonlarının COVID-19 prognostik laboratuvar kriterleri YBÜ'de kalış süreleri ve mortalite ile ilişkisinin araştırılması amaçlandı. Gereç ve Yöntem: Retrospektif olarak planlanan bu çalışmaya 01.09.2020-31.01.2021 tarihleri arasında, YBÜ'de takip ve tedavi edilen 18 yaş ve üzeri, gerçek zamanlı polimeraz zincir reaksiyonu testi pozitif olan 401 hasta alındı. Etik kurul onayı sonrasında, dahil edilen hastaların demografik verileri, klinik verileri ve laboratuvar sonuçları ","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45872404","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":"Can Temporal Muscle Thickness Be a New Prognostic Factor for De Novo Glioblastoma?","authors":"E. Özer, M. Kırlı Bölükbaş, M. O. Nalbant, G. Soydemir, M. Figen, Esengul Kocak Uzel","doi":"10.4274/bmj.galenos.2022.2022.4-15","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.4-15","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47779668","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 the Adrenalectomy and Mineralocorticoid Receptor Antagonists on the Clinical and Biochemical Outcomes in Patients with Primary Aldosteronism: A Single-center Experience","authors":"S. Turgut, H. Pişkinpaşa","doi":"10.4274/bmj.galenos.2022.2022.6-7","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.6-7","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42225987","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 the “Risk-based Management Model” for Residual Disease in Patients with High-grade Cervical Intraepithelial Lesions Cause Overtreatment?","authors":"M. Adıyeke, Suna Yıldırım Karaca, S. Ekmekçi, M. Şancı","doi":"10.4274/bmj.galenos.2022.2022.2-20","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.2-20","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49424145","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":"Efficacy of Multilevel Botulinum Toxin Type A Injections Applied to the Lower Limb in a Single Session for Children with Spastic Cerebral Palsy","authors":"K. Beng, E. Akpınar, S. Aydil, I. Bayhan, K. Albayrak, M. Yağmurlu","doi":"10.4274/bmj.galenos.2022.2022.5-14","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.5-14","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46557040","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":"Relationship Between Successful Antitachycardic Pacing Delivery and ICD Device Settings","authors":"O. Pirhan, A. S. Ertuğrul","doi":"10.4274/bmj.galenos.2022.2022.3-11","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.3-11","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46285290","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":"Attitudes and Seropositivity Rates of Healthcare Workers for CoronaVac® During the COVID-19 Pandemic in a Pediatric Department","authors":"N. Akçay, Mehmet Emin Menentoğlu, C. Baydemır, E. Şevketoğlu","doi":"10.4274/bmj.galenos.2022.2022.4-12","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.4-12","url":null,"abstract":"Objective: Healthcare workers (HCWs) are known be at a high risk of transmission during the coronavirus disease-2019 (COVID-19) pandemic. The present study evaluated HCWs' attitudes toward COVID-19 vaccines, and COVID-19 serologic status before and after the vaccination. Methods: This study is a prospective observational study. All participants completed a brief survey and were questioned about their intentions and hesitations about getting CoronaVac®. Before the CoronaVac® vaccine, the anti-body levels of all participants were checked. For those who agreed to get the vaccine, in the second step of the study, anti-body titers were checked twice: 1 month after the 1st and the 2nd doses of vaccination. In the last step of the study, COVID-19 surveillance was performed on all participants for 6 months. Results: A total of 127 participants, 104 females, and 23 males, with a median age of 29 years were included in the study. A total of 43 HCWs had a positive history of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the most affected group was physicians (41.8%) followed by nurses (27.6%). Among 43 participants who had COVID-19 history positive, 31 of them tested positive for anti-bodies, while 12 of them were negative. Anti-body levels were tested as positive in 4 of 84 participants who had no positive history of COVID-19. Seventy-six (59.8%) were vaccinated. The reasons for vaccine hesitancy were;a previous infection with the SARS-CoV-2 (n=15, 29.4%), and the belief in vaccine ineffectiveness (n=22, 43.1%). Anti-body response rates were 80.2% after 1st dose and 100% after 2nd dose. In the 6-month follow-up period, unvaccinated 7 (13.7%) HCWs and vaccinated 1 (1.3%) HCW had COVID-19 infections. Conclusion: Vaccination is essential in terms of protection from COVID-19. CoronaVac® provides an adequate anti-body response rate among HCWs. Vaccine hesitancy against COVID-19 can be a barrier to ending the pandemic in communities. HCWs work also advocates for patients and the public. It is essential to make the HCWs competent with in-service training on vaccines, vaccination, and against vaccine hesitancy. (English) [ FROM AUTHOR] Amaç: Sağlık çalışanlarının (SÇ) koronavirüs hastalığı-2019 (COVÍD-19) pandemisi sırasında yüksek bulaşma riski altında oldukları bilinmektedir. Bu çalışmanın amacı, SÇ'nin COVÍD-19 aşılarına yönelik tutumlarını, aşılama öncesi ve sonrasında COVÍD-19 serolojik durumlarını değerlendirmektir. Gereç ve Yöntem: Bu çalışma prospektif gözlemsel bir çalışmadır. Tüm katılımcılar gerekli anketi doldurdu, CoronaVac® alma konusundaki niyetleri ve tereddütleri hakkında sorgulandı. CoronaVac® aşısından önce tüm katılımcıların antikor seviyeleri kontrol edildi. Aşı olmayı kabul edenler, çalışmanın ikinci aşamasında, birinci ve ikinci doz aşıdan 1 ay sonra olmak üzere iki kez antikor titreleri kontrol edildi. Çalışmanın son aşamasında tüm katılımcılara 6 ay boyunca COVÍD-19 sürveyansı yapıldı. Bulgular: Çalışmaya 104'ü kadın ve 23'","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42636497","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":"A Prospective Analysis of the Association Between Sexual Dysfunction and Idiopathic Sensorineural Hearing Loss in Men","authors":"D. Çakan, Semih Uşaklıoğlu","doi":"10.4274/bmj.galenos.2022.2022.6-10","DOIUrl":"https://doi.org/10.4274/bmj.galenos.2022.2022.6-10","url":null,"abstract":"","PeriodicalId":42529,"journal":{"name":"Medical Journal of Bakirkoy","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43881437","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}