Marmara Medical Journal最新文献_第5页

Formation and branching patterns of deep palmar arch 掌深弓的形成与分支模式

IF 0.2

Marmara Medical Journal Pub Date : 2023-05-30 DOI: 10.5472/marumj.1302406

R. Hamutoğlu, Ş. Peştemalci, M. Yildirim

{"title":"Formation and branching patterns of deep palmar arch","authors":"R. Hamutoğlu, Ş. Peştemalci, M. Yildirim","doi":"10.5472/marumj.1302406","DOIUrl":"https://doi.org/10.5472/marumj.1302406","url":null,"abstract":"Objective: The present study is to document and provide information about both normal and variable morphology of the deep palmar \u0000arch (DPA) in adult human cadavers by the dissection method. \u0000Materials and Methods: We examined 12 upper extremities (6 cadavers). After the classification of the vascular patterns of DPA and \u0000its branches, measurements of the vessel diameters were carried out using a digital compass. \u0000Results: Deep palmar arch was found as a completed arch (100%) in all cases. The anastomosis between the distal deep palmar branch \u0000of the ulnar artery (DPBUA) and the terminal branch of the radial artery (RA) was the most common type in our study. The incidence \u0000of the DPA was reported as a complete arch ranging from 54.9% to 100%. Palmar metacarpal arteries (MPAs) originating from the \u0000DPA were divided into four branches (25%) in three cases and three branches (75%) in nine cases. The mean diameter of the MPAs at \u0000the point of origin at the DPA was between 0.3 mm and 0.6 mm. \u0000Conclusion: A comprehensive understanding of the DPA branching diameters in the hand will facilitate surgical and radiological \u0000approaches and contribute to a constantly expanding knowledge base in literature.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46266608","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

Patients’ characteristics and procedural outcomes of premature ventricular complex ablation: Data of a single-centre arrhythmia unit experience 室性早衰复合体消融的患者特征和手术结果:单中心心律失常单位经验数据

Marmara Medical Journal Pub Date : 2023-04-24 DOI: 10.5472/marumj.1378571

Serdar DEMIR, Ayhan KUP, Kamil GULSEN, Abdulkadir USLU, Ayhan TOSUN, Mehmet ÇELİK, Cagan YILDIRIM, Taylan AKGUN, Alper KEPEZ

{"title":"Patients’ characteristics and procedural outcomes of premature ventricular complex ablation: Data of a single-centre arrhythmia unit experience","authors":"Serdar DEMIR, Ayhan KUP, Kamil GULSEN, Abdulkadir USLU, Ayhan TOSUN, Mehmet ÇELİK, Cagan YILDIRIM, Taylan AKGUN, Alper KEPEZ","doi":"10.5472/marumj.1378571","DOIUrl":"https://doi.org/10.5472/marumj.1378571","url":null,"abstract":"Objective: Premature ventricular complexes (PVCs) are common arrhythmias and catheter ablation (CA) is the major treatment in patients with PVCs. In this study, we aimed to share our experience on PVCs patients who had undergone CA. Patients and Methods: We investigated consecutive patients who had undergone CA because of PVCs between January 2015 and March 2021 in a single centre arrhythmia unit. Patients’ characteristics, rhythm Holter recordings, echocardiography results and CA outcomes were noted. Patients were followed up for 22.3±3.7 months. Descriptive statistics were used to demonstrate features of study patients. Results: Study population consisted of 645 patients; mean age was 51 ± 4.14 and 372 (57.7%) were male. Arrhythmia originated from the right ventricular outflow tract in 279 (46.6 %) patients, coronary cusps in 161 (26.9 %) patients, left ventricle summit in 50 (8.3%) patients and inside of the right or left ventricle in remaining patients. Sustained procedural success was achieved in 526 (88.1 %) patients. Recurrence was observed in 46 (6.7%) patients during follow-up. Major complication occurred in two patients (one procedural mortality due to coronary artery injury and one tamponade). Conclusion: Premature ventricular contraction ablation can be utilized safely with high success rate. Most PVCs originate from the right or left ventricular outflow tract.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134955439","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 association of serum 25-hydroxyvitamin D levels with early neonatal morbidity and mortality in late preterm infants monitored in the neonatal intensive care unit 血清25-羟基维生素D水平与新生儿重症监护病房监测的晚期早产儿早期新生儿发病率和死亡率的关系

Marmara Medical Journal Pub Date : 2023-04-20 DOI: 10.5472/marumj.1380019

Elif TURKOGLU CETIN, Özgül SALİHOĞLU, Melih GÖNEN, Nazan Neslihan DOĞAN

{"title":"The association of serum 25-hydroxyvitamin D levels with early neonatal morbidity and mortality in late preterm infants monitored in the neonatal intensive care unit","authors":"Elif TURKOGLU CETIN, Özgül SALİHOĞLU, Melih GÖNEN, Nazan Neslihan DOĞAN","doi":"10.5472/marumj.1380019","DOIUrl":"https://doi.org/10.5472/marumj.1380019","url":null,"abstract":"(LP) infants (born between 34 0/7 and 36 6/7 weeks of gestational age) monitored in the neonatal intensive care unit (NICU). Patients and Methods: This retrospective study was conducted by reviewing live-born LP neonates from singleton pregnancies. The infants were monitored and treated in our hospital’s NICU between June 2016 and June 2019. Results: Maternal age at delivery was higher among infants with adequate vitamin D levels than among those with deficient vitamin D levels (P=0.007). A weak positive correlation was found between maternal age at childbirth and neonates’ vitamin D levels (r=0.296). The rate of low-birth-weight deliveries was greater in babies with sufficient vitamin D levels than in those with deficient levels. There was a weak negative association between the number of stools on the day that the infants’ serum 25-hydroxyvitamin D (25-OHD) levels were taken and their vitamin D level (P=0.027, r=-0.244). Conclusions: A significant correlation was shown between serum 25-OHD levels and maternal age and low birth weight in LP neonates. Upon examining the influence of vitamin D levels on the number of defecations per day, no significant difference was detected; however, a weak negative association was identified between them.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708197","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

Classification of hemiplegia through gait analysis and machine learning methods 通过步态分析和机器学习方法对偏瘫进行分类

Marmara Medical Journal Pub Date : 2023-04-13 DOI: 10.5472/marumj.1379890

Hazal TAŞ, Ahmet YARDIMCI, Hilmi UYSAL, Uğur BİLGE

{"title":"Classification of hemiplegia through gait analysis and machine learning methods","authors":"Hazal TAŞ, Ahmet YARDIMCI, Hilmi UYSAL, Uğur BİLGE","doi":"10.5472/marumj.1379890","DOIUrl":"https://doi.org/10.5472/marumj.1379890","url":null,"abstract":"Objective: Gait analysis is a method that is used for understanding normal walking and determining the stage of the disease as it affects walking. It is important to objectively determine the stage of the disease in order to decide interventions and treatment strategies. This study aims to determine the Brunnstrom Stage of the hemiplegic patients with an analysis of gait data. Patients and Methods: In the first part of the study, the gait signal data were taken from 28 post-stroke hemiplegic patients and 7 healthy individuals with three-axis accelerometers. In the second part, new gait data were collected from 15 healthy individuals through an accelerometer on the anteroposterior axis. First the accelerometer signals were decomposed to Daubechies 5 (Db5) level six wavelets using MATLAB software. Subsequently, these attributes were classified through several classifier and machine learning algorithms on WEKA and MATLAB software packages to predict the stages of hemiplegia. Results: The highest accuracy rate in the prediction of hemiplegia stage was achieved with the LogitBoost algorithm on WEKA with 91% for 35 samples, and 90% for 50 samples. This performance was followed by the RUSBoosted Trees algorithm on the MATLAB software with an accuracy of 86.1% correct prediction. Conclusion: The Brunnstrom Stage of hemiplegia can be predicted with machine learning algorithms with a good accuracy, helping physicians to classify hemiplegic patients into correct stages, monitor and manage their rehabilitation.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135239454","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

Crohn’s disease: Etiology, pathogenesis and treatment strategies 克罗恩病:病因、发病机制和治疗策略

IF 0.2

Marmara Medical Journal Pub Date : 2023-03-17 DOI: 10.5472/marumj.1307982

I. A. Basoglu, Berna Karakoyun

引用次数: 0

Assessments of energy, macro and micronutrient intakes in children and adolescents with type 1 diabetes mellitus 1型糖尿病儿童和青少年能量、宏量和微量营养素摄入量的评估

IF 0.2

Marmara Medical Journal Pub Date : 2023-03-10 DOI: 10.5472/marumj.1307977

Volkan Ozkaya, Sebnem OZGEN OZKAYA

{"title":"Assessments of energy, macro and micronutrient intakes in children and adolescents with type 1 diabetes mellitus","authors":"Volkan Ozkaya, Sebnem OZGEN OZKAYA","doi":"10.5472/marumj.1307977","DOIUrl":"https://doi.org/10.5472/marumj.1307977","url":null,"abstract":"Objective: This study aims at examining dietary intake in children and adolescents with type 1 diabetes mellitus (DM) and comparing \u0000the results with national dietary intake recommendations. \u0000Patients and Methods: One hundred fifty children and adolescents (52.7% female) with an average age of 12.2±3.1 years and with \u0000type 1 DM who were followed by the Pediatric Endocrinology Polyclinic participated in the study. Three-day food intake records and \u0000clinical information regarding the type 1 DM condition of the participants were obtained. \u0000Results: No gender-related significant difference was found among the participants regarding food intake. The percentage of energy \u0000derived from fat (average 39.6%) and saturated fat (16.1%) were higher than the recommended levels in both gender groups. The \u0000percentage of energy derived from carbohydrates (female 44.1±5.7%, male 43.0±6.8%) was below the recommended levels. The dietary \u0000fiber intake in children aged 6-10 years with type 1 DM met recommendations, whereas, it was below the recommended levels in other \u0000age groups. Micronutrient inadequacy was common in children and adolescents with type 1 DM. \u0000Conclusions: The authors believe that guidelines and programs are needed for children and adolescents with type 1 DM to reduce \u0000total fat and saturated fat intake, increase carbohydrate and dietary fiber intake up to the recommended levels, and prevent multiple \u0000micronutrient inadequacies.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49209332","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

A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness 儿童和青少年日益严重的问题:代谢综合征及其与身体活动和健康的关系

IF 0.2

Marmara Medical Journal Pub Date : 2023-03-08 DOI: 10.5472/marumj.1307990

Adnan Barutçu, Ceren Ornek, E. Kozanoğlu

{"title":"A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness","authors":"Adnan Barutçu, Ceren Ornek, E. Kozanoğlu","doi":"10.5472/marumj.1307990","DOIUrl":"https://doi.org/10.5472/marumj.1307990","url":null,"abstract":"Metabolic syndrome (MetS); is defined as a life-threatening endocrinopathy in which systemic disorders such as insulin resistance, \u0000abdominal obesity, glucose intolerance, diabetes mellitus, dyslipidemia, hypertension, and coronary artery disease are combined. \u0000Although, it is generally known as a problem of adults, it emerges as an essential problem in childhood and adolescence. MetS, \u0000closely related to obesity, is increasing due to bad eating habits and sedentary lifestyles. The pathophysiology of MetS has yet to \u0000be elucidated. Therefore, lifestyle changes, especially diet and physical activity, are the cornerstones of MetS treatment. In general, \u0000both physical activity and fitness; appear to be separately and independently associated with metabolic risk factors in children and \u0000adolescents. Although, studies show that activities that increase physical activity levels and improve aerobic fitness cause a decrease in \u0000the risk of MetS; a definitive prescription for exercise has not been established at this time. This review aimed to review the definition, \u0000classification, and factors playing a role in the pathogenesis of MetS, as well as to evaluate the relationship between MetS and physical \u0000activity and aerobic fitness in children.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47704058","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 effect of serum activated ghrelin hormone on glycemic control in the diabetic patients with excessive body mass index 血清激活生长素对体重指数过高的糖尿病患者血糖控制的影响

IF 0.2

Marmara Medical Journal Pub Date : 2023-02-13 DOI: 10.5472/marumj.1307861

Yilmaz Faki, Semih Kalyon

{"title":"The effect of serum activated ghrelin hormone on glycemic control in the diabetic patients with excessive body mass index","authors":"Yilmaz Faki, Semih Kalyon","doi":"10.5472/marumj.1307861","DOIUrl":"https://doi.org/10.5472/marumj.1307861","url":null,"abstract":"Objective: In the literature, plasma ghrelin level was found to be lower in patients with obesity or diabetes in a few studies. However, \u0000there is no study comparing ghrelin level in non-diabetic and diabetic patients with overweight or obesity. We have two aims in this \u0000study; first to show whether plasma ghrelin levels in type 2 diabetes mellitus patients with excessive body mass index (BMI) decrease \u0000the level of a cumulative ghrelin which we expect in both diabetes-related and obesity-related conditions, secondly to study whether \u0000there is a correlation between ghrelin level and diabetes complications. \u0000Patients and Methods: Ethics committee decision and written informed consent from patients were received before the study. 57 \u0000BMI≥25 type 2 diabetic patients treated and followed up in the diabetic outpatient clinic and 25 BMI≥25 subjects without diabetes \u0000mellitus (control group) were included in this case-control study. Pregnant women, patients with malignancy and under 18 years old \u0000were excluded. The results were evaluated by the SPSS statistical program. \u0000Results: The ghrelin and BMI values of the diabetic patients with excessive BMI and the non-diabetic patients with excessive BMI were \u0000not statistically different. No statistical significant correlation between ghrelin and haemoglobin A1c (HbA1C), BMI, retinopathy, \u0000neuropathy, albuminuria, and macrovascular complications was found in the type 2 diabetic patients with overweight or obesity. \u0000Conclusion: The presence of diabetes in addition to patients with excessive BMI does not cause ghrelin levels to decrease more than \u0000expected.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48719588","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 failure on the effectiveness of formalin on cadaver disinfection and alternative methods 福尔马林对尸体消毒效果的影响及替代方法

IF 0.2

Marmara Medical Journal Pub Date : 2023-01-31 DOI: 10.5472/marumj.1244383

Ozgur Yanilmaz, Mehmet Mucahit Guncu, M. Aksu, Mazhar Ozkan, Umit S. Sehirli

{"title":"The failure on the effectiveness of formalin on cadaver disinfection and alternative methods","authors":"Ozgur Yanilmaz, Mehmet Mucahit Guncu, M. Aksu, Mazhar Ozkan, Umit S. Sehirli","doi":"10.5472/marumj.1244383","DOIUrl":"https://doi.org/10.5472/marumj.1244383","url":null,"abstract":"Objective: It was aimed to identify the contaminant and determine the alternative disinfectant detection in the microbial growth \u0000observed in various parts of the cadaver stored in the formalin tank in the dissection laboratory of Marmara University Anatomy \u0000Department. We also performed a literature review of this unusual pathogen. \u0000Materials and Methods: Swab samples were inoculated on agar mediums. After incubation, matrix-assisted laser desorption ionizationtime \u0000of flight mass spectrometry (MALDI-TOF MS) analysis was used to identify the isolate from the detected uniform colonies. \u0000Sample solution from the cadaver tank, freshly prepared 5% formalin and 0.55% ortho-phthalaldehyde were used to determine the \u0000disinfectant sensitivity of the isolate. \u0000Results: According to 16s rDNA sequence analysis, it was concluded as Skermanella aerolata with 99% similarity. In the disinfectant \u0000susceptibility test, it was observed that S. aerolata and control bacteria could grow in 5% formalin taken from the cadaver tank. No \u0000growth was detected in other disinfectants. \u0000Conclusion: To prevent cadaver contamination in anatomy laboratories, the quality control of the embalming solutions and indoor \u0000air filtration of the dissection rooms should be checked at regular intervals. Members of Skermanella genus have been identified as \u0000environmental organisms in several studies, however, recent researches reported this bacterium as a human pathogen.","PeriodicalId":43341,"journal":{"name":"Marmara Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41736836","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

Problematic social media use, digital gaming addiction and excessive screen time among Turkish adolescents during remote schooling: implications on mental and academic well-being 土耳其青少年在远程教育期间有问题的社交媒体使用、数字游戏成瘾和屏幕时间过长:对心理和学业健康的影响

IF 0.2

Marmara Medical Journal Pub Date : 2023-01-31 DOI: 10.5472/marumj.1244628

Gresa Çarkaxhiu Bulut, Sebla Gokce

引用次数: 1