Gazi Medical Journal最新文献_第3页

Laryngeal Amyloidosis Case Series: Rare Cause of Hoarseness 喉淀粉样变病例系列:罕见的声音嘶哑原因

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.72

Bao Ling Wong, P. S. Heng, Chian Ling Tang, Nik Fariza Husna Nik Hassan

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Managing a Ruptured Giant Abdominal Aortic Aneurysm with Aortocaval Fistula 主动脉腔瘘治疗破裂的巨大腹主动脉瘤

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.74

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The Effects of Cerium Oxide on Sevoflurane Anesthesia and its Relationship to Renal Injury in Rats 氧化铈对七氟醚麻醉大鼠的影响及其与肾损伤的关系

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.59

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The Evaluation of the Prevalence of Improper Medication Use in Patients Age of 65 and over in Internal Diseases and Neurology Intensive Care Units in Terms of Stopp-Start Criteria 基于停止-开始标准的内科及神经内科重症监护病房65岁及以上患者不当用药发生率评估

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.62

Özdağ Erdil, H. Z. Güney

{"title":"The Evaluation of the Prevalence of Improper Medication Use in Patients Age of 65 and over in Internal Diseases and Neurology Intensive Care Units in Terms of Stopp-Start Criteria","authors":"Özdağ Erdil, H. Z. Güney","doi":"10.12996/gmj.2023.62","DOIUrl":"https://doi.org/10.12996/gmj.2023.62","url":null,"abstract":"Introduction: Physiological changes are seen in many systems in the body related to aging. Treatment modalities and drug prescribing processes need to be re-evaluated in the geriatric population. To elaborate on polypharmacy, the number of drugs the individual should use must also be defined effectively. Various criteria have been developed for prescribing and using drugs for elderly individuals. The most used of these criteria is called the Beers criteria. STOPP and START criteria are other criteria used. Material and Method: Our study aimed to retrospectively evaluate the prevalence of inappropriate drug use in patients aged 65 and over who were hospitalized in the Internal Medicine and Neurology Intensive Care Units of Ankara Atatürk Training and Research Hospital in terms of STOPP-START criteria. Results: Study group consists of 168 (58,3%) female and 120 (41,7%) male. A total of 727 diseases were diagnosed in 288 patients. 201 of these were \"Cerebrovascular Diseases,” 153 were \"Hypertension.” While the most common STOPP criterion main group and single criterion were antiplatelet anticoagulant agent group (35,7%), “Presence of a drug class causing duplication (Aiming optimum level with a single drug before adding a new agent) (23,2%)”, respectively. At the same time, the most common START criterion main group and single criterion were cardiovascular system group (94,5%), and “Statin therapy in patients who are near the end of life or who are not older than 85 years of age, with a history of coronary, cerebral or peripheral vascular disease”, respectively (70,2%). Conclusion: It is seen that the study results are generally similar to the national literature. There are partisan differences between the study results and the international literature. It is anticipated that these differences can be attributed to the diagnostic criteria used, study group selection, and study design differences.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46011422","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}

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Investigation of Anxiety and Depression Level in Patients who Applied with a Request of Pregnancy Termination During The COVID-19 Pandemic 新冠肺炎大流行期间申请终止妊娠患者焦虑抑郁水平调查

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.69

Araştırılması, Mehmet Unsal, Burcu Gündoğdu, Yasemin Kizilkaya, Uğurcan Zorlu, Gizem Aktemur, Y. Ustun, B. Dilbaz

{"title":"Investigation of Anxiety and Depression Level in Patients who Applied with a Request of Pregnancy Termination During The COVID-19 Pandemic","authors":"Araştırılması, Mehmet Unsal, Burcu Gündoğdu, Yasemin Kizilkaya, Uğurcan Zorlu, Gizem Aktemur, Y. Ustun, B. Dilbaz","doi":"10.12996/gmj.2023.69","DOIUrl":"https://doi.org/10.12996/gmj.2023.69","url":null,"abstract":"Objective: At a time when the spread of the COVID-19 virus is very rapid in Turkey, there is not enough information about the course of the pandemic and the effects of the COVID-19 infection in pregnancy, the family planning clinic of our hospital evaluates the levels of anxiety and depression in patients with demand for termination of pregnancy and the desire to terminate the pregnancy for COVID-19. We planned to investigate whether it was associated with concerns related to the COVID-19 pandemic. Methods: 132 patients with pregnancies below 10 weeks who applied to Etlik Zübeyde Hanım Training and Research Hospital Family Planning Outpatient Clinic with a request for termination of pregnancy in April 2020 and July 2020 were included. Results: The reasons for termination of pregnancy were stated as 60% not wanting another child, 23.5% economic reasons, 9.8% risky drug use, and 6.8% other reasons. None of the patients included in the study decided to terminate their pregnancy due to the COVID-19 pandemic. The mean total score of the patients on the Beck Depression Inventory was 14 (0-43). Forty-six patients (34.8%) were evaluated as minimally depressed, 30 (22.7%) mild depression, 38 (28.8%) moderate depression, and 18 (13.6%) severe depression. The mean total score of the Beck Anxiety Inventory was 5 (0-44). One hundred and fifteen (87.1%) patients were classified as mild, 14 (10.6%) patients as moderate, and 3 (2.3%) patients as severe anxiety. Conclusion: During the COVID-19 pandemic, there is an increase in the frequency of anxiety and depression in patients who have undergone pregnancy termination and especially who live with an elderly relative. It was observed that the COVID-19 pandemic was not effective in the decision to terminate the pregnancy and, similar to the previous data, not wanting another child was the most common reason.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46535618","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

Microsatellite Instability in Lung Adenocarcinoma 肺腺癌的微卫星不稳定性

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.70

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Platelet Indices and Coagulation Parameters in Critical Patients with Coronavirus Disease-2019 2019冠状病毒病危重患者血小板指标及凝血参数

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.57

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The Home Accident Cases Presenting to the Pediatric Emergency Department During the Covid-19 Pandemic: What did the Pandemic Change? 2019冠状病毒病大流行期间儿科急诊科的家庭事故病例:大流行改变了什么?

Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.60

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Comparison of Maternal and Neonatal Outcomes in Elective and Emergent Placenta Previa Operations 择期和紧急前置胎盘手术产妇和新生儿结局的比较

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.68

Merve Oztürk, Z. Ağaoğlu, A. Anuk, Kadriye Yakut, F. Öztürk, T. Çağlar

{"title":"Comparison of Maternal and Neonatal Outcomes in Elective and Emergent Placenta Previa Operations","authors":"Merve Oztürk, Z. Ağaoğlu, A. Anuk, Kadriye Yakut, F. Öztürk, T. Çağlar","doi":"10.12996/gmj.2023.68","DOIUrl":"https://doi.org/10.12996/gmj.2023.68","url":null,"abstract":"Objectives: The purpose of this study was to compare maternal and fetal outcomes between planned and emergent placenta previa operations. Methods: Patients who underwent cesarean section for placenta previa were included in the study between January 2018 and January 2019 at tertiary center, retrospectively. Patients were divided into two groups as planned cesarean delivery and emergent cesarean delivery. Maternal characteristics, maternal and neonatal outcomes were compared. Results: Of the 84 patients with placenta previa, 36 (43%) were in the planned group, and 48 (57%) were in the emergent cesarean delivery group. There were no significant differences in the transfusion rates, operation time, length of hospital stay, hemostasis procedures, intraoperative complications between planned and emergency deliveries. Lower birth weight and higher neonatal intensive care unit acceptance were detected in the emergent cesarean delivery group due to earlier gestational week of delivery ( 34±2.4 vs. 36±2.3 p < 0.001). There was no statistically significant difference in hysterectomy rates performed due to the placental accreata spectrum between the two groups. Conclusions: In conclusion, emergency cesarean delivery for women with placenta previa by an experienced multidisciplinary team in a tertiary center with adequate resources is not associated with increased maternal morbidity in terms of transfusion rate, hospital stay, and intraoperative complications. Planned cesarean delivery at 37 0/7 -37 6/7 gestational weeks may be considered in the absence of significant antenatal bleeding or other risk factors.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45313682","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

Clinicopathology of Papillary Thyroid Microcarcinomas 甲状腺乳头状微癌的临床病理分析

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Gazi Medical Journal Pub Date : 2023-07-01 DOI: 10.12996/gmj.2023.63

引用次数: 0