Marmara Medical Journal最新文献

The impact of right ventricular energy failure on the results of pulmonary endarterectomy and balloon pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension 右心室能量衰竭对慢性血栓栓塞性肺动脉高压患者肺动脉内膜切除术和球囊肺血管成形术结果的影响

IF 0.2

Marmara Medical Journal Pub Date : 2024-05-07 DOI: 10.5472/marumj.1484403

Redwan Seid Busery, Bülent Mutlu, Dursun Akaslan, Emre Aslanger, Bedrettin Yildizeli, Halil Atas

引用次数: 0

Management of staple line leaks after laparoscopic sleeve gastrectomy: Single-center experience 腹腔镜袖带胃切除术后缝合线渗漏的处理：单中心经验

IF 0.2

Marmara Medical Journal Pub Date : 2024-05-03 DOI: 10.5472/marumj.1484454

T. Uprak, Mümin Coşkun, M. U. Ugurlu, Ömer Günal, A. Cingi, C. Yeğen

{"title":"Management of staple line leaks after laparoscopic sleeve gastrectomy: Single-center experience","authors":"T. Uprak, Mümin Coşkun, M. U. Ugurlu, Ömer Günal, A. Cingi, C. Yeğen","doi":"10.5472/marumj.1484454","DOIUrl":"https://doi.org/10.5472/marumj.1484454","url":null,"abstract":"Objective: In obesity surgery, laparoscopic sleeve gastrectomy (LSG) is a frequently applied method. However, there are certain \u0000complications. Leakage is one of the most serious complications after surgery, causing postoperative morbidity and sometimes \u0000mortality. There is no consensus about management of leaks after LSG. In our study, we aimed to present our experience on the \u0000management of LSG leaks. \u0000Patients and Methods: Patients who underwent LSG between 2010-2017 in a tertiary university hospital were analyzed retrospectively. \u0000Demographic characteristics, endoscopic and surgical interventions, morbidity, and mortality rates of patients diagnosed with LSG \u0000leak were analyzed from prospectively recorded data. \u0000Results: Leak was observed in 11 (2.15%) of a total of 510 LSG patients. Six (54%) patients were diagnosed as acute and 5 were early \u0000leaks. Stent was applied to most of the patients (72%) with or without surgical exploration. The average length of stay in hospital was \u000021 days. Mortality was observed in 2 patients. \u0000Conclusions: Consequently, leakage after LSG is a complication that requires multimodal therapy. Surgical treatment combined with \u0000endoscopic intervention may increase success.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141016589","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

Effects of virtual reality usage on kappa angle, accommodation, pupil, depth perception, and examination of the relationship of these parameters with discomfort perception 虚拟实境使用对kappa角、调节、瞳孔、深度知觉的影响，以及这些参数与不适感关系的检验

Marmara Medical Journal Pub Date : 2023-10-16 DOI: 10.5472/marumj.1378508

Volkan DERİCİOĞLU, Betul KUBAT

引用次数: 0

Combined Mustardé and Furnas type otoplasty with minimal conchal cartilage excision 联合mustardous和Furnas型耳廓成形术与最小的耳甲软骨切除

Marmara Medical Journal Pub Date : 2023-10-02 DOI: 10.5472/marumj.1378429

Numan KOKTEN

{"title":"Combined Mustardé and Furnas type otoplasty with minimal conchal cartilage excision","authors":"Numan KOKTEN","doi":"10.5472/marumj.1378429","DOIUrl":"https://doi.org/10.5472/marumj.1378429","url":null,"abstract":"Objective: We aimed to evaluate the complication rate and satisfaction status of patients who underwent otoplasty with the combined Mustardé and Furnas sutures with minimal medial conchal cartilage excision. Materials and Methods: Forty-four ears of 22 patients, operated for prominent ear deformity were retrospectively included in the study. Patients were called for follow-up at various time intervals. At the sixth month, the patient and parents were asked to rate their satisfaction with the operation on a scale of 1-10 and noted. Results: The mean age of the patients was 8.09±2.72 years. The antihelix was created with Mustardé technique, minimal medial conchal excisions were performed, two conchamastoid sutures were placed with Furnas technique. The mean follow-up period was 23.86±11.97 months. Complications developed in 4 of 44 ears (9%). Major complication rate was 4.5%. Two patients (4.5%) had suture extrusion in one ear. None of the patients scored lower than 7 in the satisfaction questionnaire. Conclusion: Otoplasty with a combination of cartilage-sparing techniques has low complication, revision, and high satisfaction rates. Minimal medial conchal cartilage excision in addition to this technique is beneficial in reducing the conchamastoid tension and does not increase the risk of complications.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135902478","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

The therapy for urogenital tuberculosis 泌尿生殖系统结核的治疗

Marmara Medical Journal Pub Date : 2023-09-29 DOI: 10.5472/marumj.1368375

Ekaterina KULCHAVENYA, Mete ÇEK

{"title":"The therapy for urogenital tuberculosis","authors":"Ekaterina KULCHAVENYA, Mete ÇEK","doi":"10.5472/marumj.1368375","DOIUrl":"https://doi.org/10.5472/marumj.1368375","url":null,"abstract":"Tuberculosis (TB) is a communicable disease that is a major cause of ill health. Urogenital TB was a frequent urological disease in the pre-antibiotic era: about 20% of patients in urological hospitals had renal TB, mostly in the form of pyonephrosis. We composed a narrative review of the literature with keywords “urogenital tuberculosis’, “prostate tuberculosis” “kidney tuberculosis”, “treatment of tuberculosis”. Urogenital TB (UGTB) includes TB of the kidney and the urinary tract and male and female genital TB. Each clinical presentation requires tailored antibiotic therapy depending on stage and general management. Anti-TB therapy should be multicomponent, continuous, long-lasting and controlled with a follow-up for 2-3 years. Otherwise, the risks of development of drug-resistance and relapse increase. Index of suspicion on UGTB is generally low, causing a delay in diagnosis; consequently, complicated forms of UGTB respond poorly to anti-TB therapy, while timely diagnosed “minor” forms are curable medically without surgery. Even with timely diagnosed UGTB, non-optimal therapy may result in over-fibrosis, scarring and strictures of the urinary tract, making surgical repair inevitable. Nevertheless, we have a wide enough spectrum of anti-TB drugs to cure urogenital TB.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135132529","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

The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion 对比剂在脉冲射频治疗腰椎背根神经节中的作用

Marmara Medical Journal Pub Date : 2023-09-29 DOI: 10.5472/marumj.1367781

Serdar KOKAR, Ozgur Emre POLAT

{"title":"The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion","authors":"Serdar KOKAR, Ozgur Emre POLAT","doi":"10.5472/marumj.1367781","DOIUrl":"https://doi.org/10.5472/marumj.1367781","url":null,"abstract":"Objective: The aim of this study was to investigate the effect of contrast agent use on procedure time and accuracy in pulsed radiofrequency treatment of the lumbar dorsal root ganglion. Patients and Methods: Patients aged 23–79 years with lumbar radicular pain due to disc herniation for at least 3 months were randomized into two groups of 35 patients each. Patients in both groups underwent fluoroscopy-guided pulsed radiofrequency treatment of the dorsal root ganglion at the level of the L5 foramen. In the radiocontrast group, unlike the control group, the location of the ganglion was determined by administering the contrast agent before the radiofrequency treatment. Results: Procedure time in the radiocontrast group was significantly longer than in the control group (P< 0.05). In 50 cases ganglion was detected in the extraforaminal or intraforaminal location, the excitation of the ganglion in the range of 0.4–0.6 V was significantly higher in the radiocontrast group (95.8%) than in the control group (69.2%) (P< 0.05). Conclusion: The use of radiocontrast material in pulsed radiofrequency application on the dorsal root ganglion prolongs the procedure time. However, for ganglia that cannot be detected by stimulation, contrast injection is useful on procedural accuracy","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135132646","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

Relationship between COVID-19 and antimicrobial resistance COVID-19与抗菌素耐药性的关系

Marmara Medical Journal Pub Date : 2023-09-29 DOI: 10.5472/marumj.1367895

Tuba MÜDERRİS, Selcuk KAYA, Fulya BAYINDIR BİLMAN, Erkan OZMEN, Bilal Olcay PEKER, Ayşegül AKSOY GÖKMEN, Süreyya GÜL YURTSEVER

{"title":"Relationship between COVID-19 and antimicrobial resistance","authors":"Tuba MÜDERRİS, Selcuk KAYA, Fulya BAYINDIR BİLMAN, Erkan OZMEN, Bilal Olcay PEKER, Ayşegül AKSOY GÖKMEN, Süreyya GÜL YURTSEVER","doi":"10.5472/marumj.1367895","DOIUrl":"https://doi.org/10.5472/marumj.1367895","url":null,"abstract":"Objective: Bacterial and fungal infections, antimicrobial resistance (AMR) results of bacterial agents, and the effect of the pandemic on AMR were evaluated in hospitalized COVID-19 patients. In addition, the detected AMR rates were compared with the AMR rates of the pre-pandemic period. Patients and Methods: The isolates grown in respiratory and blood samples of adult patients hospitalized with the diagnosis of COVID-19 between March 2020 and December 2020 were evaluated retrospectively. The same data in hospitalized patients before the pandemic, between March and December 2019, were evaluated retrospectively. Results: A total of 724 samples were included in the study. The superinfection rate was found to be 15.3%. The most frequently isolated microorganisms are; Acinetobacter baumannii (34.4%), Staphylococcus aureus (10.8%), Klebsiella pneumoniae (9.7%) and Pseudomonas aeruginosa (7.3%). The lowest resistance rates in Klebsiella pneumoniae isolates were found for aminoglycosides, in Acinetobacter baumannii isolates were found for trimethoprim-sulfamethoxazole, in Pseudomonas aeruginosa isolates were found for amikacin. When pre-pandemic and pandemic AMR rates were compared; a significant increase in amikacin resistance was detected only in Klebsiella pneumoniae isolates during the pandemic period (P:0.049). Conclusion: The data we have presented may help clinicians in the selection of antimicrobials for empirical therapy by revealing the effect of the pandemic on AMR.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135132693","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

Heart rate variability of acute ischemic stroke patients according to troponin levels 肌钙蛋白水平对急性缺血性脑卒中患者心率变异性的影响

Marmara Medical Journal Pub Date : 2023-09-29 DOI: 10.5472/marumj.1367390

Cigdem ILERI, Zekeriya DOGAN, Ipek MIDI

{"title":"Heart rate variability of acute ischemic stroke patients according to troponin levels","authors":"Cigdem ILERI, Zekeriya DOGAN, Ipek MIDI","doi":"10.5472/marumj.1367390","DOIUrl":"https://doi.org/10.5472/marumj.1367390","url":null,"abstract":"Objective: Neurogenic myocardial stunning is a type of stress-induced cardiomyopathy thought to be a result of dysregulation of the autonomic nervous system. Heart rate variability (HRV) analysis is a potential method for understanding the underlying mechanisms of autonomic dysfunction in ischemic stroke. The aim of the study was to investigate HRV in stroke patients in accordance with troponin levels. Patients and Methods: Sixty-six patients (mean age 65 ± 13 years; 39 male) presenting with acute ischemic stroke were consecutively included. High-sensitive cardiac troponin I (hs-cTnI) levels were accepted as elevated when> 0.04 ng/mL. All patients underwent ambulatory electrocardiographic (ECG) monitoring within the first seven days to obtain time-domain and frequency-domain measures of HRV. Results: Twenty patients (30.3 %) had elevated hs-cTnI. Patients with high troponin levels had significantly lower left ventricular ejection fraction (LVEF), higher ST-segment-T wave changes, and higher N terminal pro-brain natriuretic peptide (NT-proBNP) levels. Low-frequency/high-frequency (LF/HF) value was significantly higher in the troponin-positive group, but other ambulatory ECG monitoring parameters such as SDNN, SDANN, RMSSD, and pNN50 were similar among patients. Conclusion: Neurogenic myocardial damage presenting with high troponin levels can be seen in ischemic stroke patients and may be associated with sympathetic overactivity.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135133209","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

Predictors of outcomes in patients with candidemia in an Intensive Care Unit 重症监护病房念珠菌病患者预后的预测因素

Marmara Medical Journal Pub Date : 2023-09-29 DOI: 10.5472/marumj.1367454

Ayşe Serra ÖZEL, Lütfiye Nilsun ALTUNAL, Buket Erturk SENGEL, Muge ASLAN, Mehtap AYDIN

{"title":"Predictors of outcomes in patients with candidemia in an Intensive Care Unit","authors":"Ayşe Serra ÖZEL, Lütfiye Nilsun ALTUNAL, Buket Erturk SENGEL, Muge ASLAN, Mehtap AYDIN","doi":"10.5472/marumj.1367454","DOIUrl":"https://doi.org/10.5472/marumj.1367454","url":null,"abstract":"Objective: Candidemia is a life-threatening infection that causes high mortality rates in intensive care units (ICUs). This study aims to evaluate predictors of the outcome of patients with candidemia in ICU. Patients and Methods: This observational, retrospective study included patients with Candida bloodstream infection (BSI) in ICUs between 6 years of the episode. A binary logistic regression analysis was conducted to inspect the association with mortality. Results: The median age of 74 patients was 68.5, and 53.8% were men. C. parapsilosis was the most frequently isolated fungal species. The 30-day mortality rate was 50%. In the logistic regression model the Acute Physiology and Chronic Health Evaluation (APACHE) II score, positive blood culture on the seventh day, inotropes needed on the day of blood culture positivity, and ventilator-associated pneumonia (VAP) were significant risk factors for the outcome of patients. There was no difference in mortality between an early start of antifungal treatment or central venous catheter removal time. Conclusion: A shift to C. parapsilosis is observed in this study. Host-related factors such as APACHE II score, need for mechanical ventilation or need for inotropes affect mortality more than early treatment and source control in patients with Candida BSI.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135133212","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

Cholinergic cognitive enhancer effect of Salvia triloba L. essential oil inhalation in rats 三叶鼠尾草精油吸入对大鼠胆碱能认知增强作用

Marmara Medical Journal Pub Date : 2023-09-29 DOI: 10.5472/marumj.1368345

Gulsah Beyza ERTOSUN, Mehmet ERGEN, Hilal BARDAKCI, Timur Hakan BARAK, Guldal SUYEN

{"title":"Cholinergic cognitive enhancer effect of Salvia triloba L. essential oil inhalation in rats","authors":"Gulsah Beyza ERTOSUN, Mehmet ERGEN, Hilal BARDAKCI, Timur Hakan BARAK, Guldal SUYEN","doi":"10.5472/marumj.1368345","DOIUrl":"https://doi.org/10.5472/marumj.1368345","url":null,"abstract":"Objective: Current treatment of Alzheimer’s disease is provided by cholinesterase inhibitors. Salvia triloba L. (syn. Salvia fruticosa Mill.), a species mostly consumed as refreshing herbal tea in traditional medicine, is rich in 1,8-cineole that is known to have cholinesterase inhibiting effects. In this study, we investigated cognitive enhancer effects of S. triloba essential oil inhalation on healthy control rats and rats with scopolamine induced memory impairment. Materials and Methods: S. triloba samples from different geographical locations of Turkey were hydro-distilled and analyzed by Gas Chromatography-Mass Spectrometry (GC-MS). The optimum sample with the highest 1,8-cineole and lowest camphor, α-thujone and β-thujone content was selected. In vitro cholinergic and antioxidant potentials of the selected essential oil were calculated. Cognitive enhancer and anti-amnestic effects of the inhaled essential oil on rats were assessed by means of Morris water maze. The bioavailability of 1,8-cineole in blood of rats was measured by GC-MS. Results: The group that inhaled S. triloba significantly outperformed control group, namely faster achieving peak escape latency performance in Morris water maze. However, S. triloba inhalation failed to restore scopolamine induced learning impairment. Conclusion: In this study, we report positive effects of inhaling S. triloba essential oil as a complementary treatment for supporting cognitive functions.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135199440","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