Ortadoğu Tıp Dergisi最新文献

{"title":"Evaluation of gamma glutamyl transferase enzyme level in intensive care patients with sepsis related kidney function disturbance","authors":"Hamit Yildiz","doi":"10.21601/ortadogutipdergisi.621138","DOIUrl":"https://doi.org/10.21601/ortadogutipdergisi.621138","url":null,"abstract":"Objective: The aim of this study is to determine the relationship between serum gamma glutamyl transferase enzyme level and early diagnosis of acute renal injury due to sepsis in intensive care units. Material and Methods: A total of 251 subjects were included in this retrospective study. 134 patients with sepsis-induced acute kidney injury were included in group 1 and 117 healthy volunteers in group 2. Results: Serum gamma glutamyl transferase enzyme levels was found higher in patients with sepsis-induced acute renal injury than healthy volunteers. There was no significant difference between the groups according to Acute Kidney Injury Network (AKIN) staging (p=0.09). Conclusion: High serum gamma glutamyl transferase enzyme levels may be used in early detection of acute renal injury in patients with sepsis.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128660721","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":"Comparison of the effects of interscalene, supraclavicular and infraclavicular peripheral nerve blockades on perfusion index","authors":"M. Eşkin, A. Ceylan","doi":"10.21601/ORTADOGUTIPDERGISI.646741","DOIUrl":"https://doi.org/10.21601/ORTADOGUTIPDERGISI.646741","url":null,"abstract":"Background: The perfusion index (PI) is a non-invasive method that measures the monitoring and success of peripheral nerve blocks in regional anesthesia. The perfusion index (PI) is an objective non-invasive method of measuring and monitoring the success of peripheral nerve blocks. We compare the effects of interscalene, supraclavicular and infraclavicular blocks on the perfusion index, with the aim being to contribute to the decision-making process regarding the type of block to be selected for surgeries in which increased perfusion is important. Methods: Included in the study were 60 patients aged between 18 and 60 years with an ASA (American Society of Anesthesiologists) I-II risk rating who were scheduled for upper extremity surgery. An equal number of patients were applied supraclavicular, interscalene and infraclavicular blockades, and the PI was measured non-invasively using a pulse-oximetry probe on the fingers on the same and opposite side of blockade at the beginning, at the 10 th , 20 th and 30 th minutes, postoperatively and in the post-anesthetic care unit (PACU). Results: After a successful blockade of brachial plexus in all patients, a statistically significant increase in PI values was detected. Aside from the initial values, the mean rate of change in PI was significantly higher in the interscalene group than the supraclavicular and infraclavicular groups (p < 0.001). Conclusion: PI can be used as a non-invasive monitoring method for the determination of the success of a brachial plexus blockade. Based on the results of the present study, an interscalene blockade may be preferred especially for surgeries in which an increase in tissue perfusion is desired due to its perfusion-enhancing properties when compared to supraclavicular and infraclavicular blocks.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114081789","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":"Blade type nails cause more varus collapse than screw type nails in the treatment of elderly trochanteric fractures","authors":"Y. Yaradılmış, M. C. Okkaoğlu, İ. Demirkale, Hakan Şeşen, M. Özdemir, M. Altay","doi":"10.21601/ORTADOGUTIPDERGISI.587286","DOIUrl":"https://doi.org/10.21601/ORTADOGUTIPDERGISI.587286","url":null,"abstract":"Aim: Blade and screw type nail designs are widely used in the treatment of trochanteric fractures. Although, blade designs were put as last generation nails on the market, it remains unclear which design has better clinical and radiographic outcomes. The purposes of our study were to compare two cephalo medullary nail designs as helical blade and lag screw type for trochanteric fractures (AO/OTA 31-A type fractures), to analyse and compare clinical and functional outcomes, complication rates. Material and Methods: This study comprised 101 patients with trochanteric fractures treated with either proximal femoral nail antirotation (PFNA) as blade type nail, or Peritrochanteric nail (PTN) as screw type nail for a minimum of 6 months. We assessed comorbidities, fracture type pre-operatively, operation time, blood loss, reduction quality, tip apex distance intra and post operatively, medical and mechanical complications, partial, full weight bearing time, Harris hip scores and Short form 36 scores and mortality during follow up period. Results: There was no significant difference in the operation time, blood loss, total mechanical or medical complications, partial, full weight bearing time, mortality rate, and Harris Hip scores of PTN or PFNA groups. Lateral migration and varus collapse rates of patients treated with PFNA were significantly higher than patients treated with PTN. However particular SF 36 scores of PFNA group were significantly higher than PTN group. Conclusion: Blade type nail designs caused more varus collapse than screw type nails in the treatment of elderly trochanteric fractures, however these radiographic complications didn’t influence on clinical outcomes of patients.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131837949","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 insulin-like growth factor influence prognosis ten months after myocardial infarction?","authors":"Yücel Yilmaz, M. Duran, M. Altay, Eyüp Özkan, F. Tanrıverdi, N. Eryol","doi":"10.21601/ORTADOGUTIPDERGISI.506160","DOIUrl":"https://doi.org/10.21601/ORTADOGUTIPDERGISI.506160","url":null,"abstract":"Amac: Akut miyokard infarktuslu (AMI) hastalarda insulin benzeri buyume faktoru-1 (IGF-1) duzeylerini arastirdik ve IGF-1’de bir azalmanin uzun vadeli prognozu etkileyip etkilemeyecegini belirlemeyi amacladik. Yontemler: AMI nedeniyle hastanemize basvuran 65 hasta ve 25 saglikli kontrol birey calismaya dahil edildi. IGF-1 ve insulin benzeri buyume faktoru baglayici protein-3 (IGFBP-3) seviyelerini belirlemek icin AMI’ den sonra en erken zamanda ve 10 ay sonra tum hastalardan ve kontrol grubundan kan ornekleri alindi. Hastalar AMI’ den 10 ay sonra kardiyak olaylari acisindan degerlendirildi. Bulgular: IGF-1 duzeyleri, AMI hastalarinda saglikli kontrollerden daha yuksekti (p = 0,002); 10 ay sonra, hem IGFBP-3 hem de IGF-1 seviyeleri daha yuksekti. Dusuk ve yuksek IGF-1 ve IGFBP-3 duzeyleri olan hastalarda kardiyak olay olusumunda anlamli fark bulunmadi (hem baslangic ​​hem de 10 aylik degerler icin). Sonuc: Serum total IGF-1 ve IGFBP-3 duzeyleri, AMI hastalarinda kontrol hastalarina gore daha yuksekti; ancak, IGF-1 ve iGFBP-3 seviyeleri ile AMI sonrasi 10 aylik donemde kardiyak olaylar arasinda korelasyon bulunamadi. AMI sonrasi IGF-1 ve IGFBP-3 duzey normallesmesi icin gereken sureyi netlestirmek ve AMI sonrasi hastalarin uzun donem prognozu uzerindeki etkilerini belirlemek icin ilave calismalara ihtiyac vardir.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114810777","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 demographic and clinicopathological features of salivary gland tumors in Turkey","authors":"A. Ant, Felat Toprak, A. Duran, Burcu Vural, C. Kılıç, Tuncay Tunccan, S. Ozlugedik","doi":"10.21601/ORTADOGUTIPDERGISI.528284","DOIUrl":"https://doi.org/10.21601/ORTADOGUTIPDERGISI.528284","url":null,"abstract":"Aim: Salivary gland tumors (SGTs) are rare neoplasms thus, the local records are valuable to obtain the epidemiological overview. This study aimed to determine the demographic and clinicopathological features of SGTs in our clinic and compare the findings with the studies from Turkey and all over the world. Material and methods: The data of 185 patients who underwent surgery for SGT in The Department of Otorhinolaryngology-Head and Neck Surgery of a tertiary referral center between 2012 and 2017 were studied retrospectively. The demographic and clinicopathological features of the patients were recorded. Results: Among all patients with primary and secondary SGTs, the median age was 53 years, 54.6% of the patients were men. Patients with primary tumor constituted 96.8% of all cases. Malignancy rate was 14. Parotid gland was the most common location (90%). Nearly half of all primary tumors were diagnosed as pleomorphic adenoma (n=84, 46.9%). Mucoepidermoid carcinoma was the most common malign neoplasm of the parotid gland. There were only six patients (3.2%) that had secondary SGT. Conclusion: Pleomorphic adenoma and mucoepidermoid carcinoma were the most common benign and malign pathologies, respectively. The lowest malignancy rate and the highest rate of warthin tumor of the existing literature were the most conspicuous findings of our study. Although the frequency of the secondary SGTs is low, the possibility of metastasis should be considered especially for the patients above 65 years of age.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128029264","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":"Carbapenem resistance rates in Gram-negative bacteria in nosocomial infections: A retrospective study from a tertiary hospital","authors":"A. Tümtürk, Ayşe Yasemin Tezer Tekçe, L. Şanal","doi":"10.21601/ortadogutipdergisi.516673","DOIUrl":"https://doi.org/10.21601/ortadogutipdergisi.516673","url":null,"abstract":"1 Sağlık Bilimleri Üniversitesi Ankara Yüksek İhtisas Eğitim ve Araştırma Hastanesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji, Ankara, Türkiye 2 Sağlık Bilimleri Üniversitesi Ankara Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Tıbbi Mikrobiyoloji, Ankara, Türkiye * Sorumlu Yazar: Ayhanım Tümtürk E-posta: ayhanim06@yahoo.com.tr ORCID: 0000-0002-0653-6725 Gönderim: 23 Ocak 2019 Kabul: 18 Mayıs 2019","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122582972","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":"Posterior circulation stroke and rehabilitation: experiences in a rehabilitation clinic","authors":"Tuba Erdem Sultanoğlu, P. Bora Karslı, Ebru Karaca Umay, Hasan Sultanoğlu, F. A. Cakcı","doi":"10.21601/ORTADOGUTIPDERGISI.520659","DOIUrl":"https://doi.org/10.21601/ORTADOGUTIPDERGISI.520659","url":null,"abstract":"Amac: Calismamizin amaci bilinc, dolasim, solunum ve yutma gibi hayati fonksiyonlari etkileyebilen ve yasam beklentisi dusuk olan posterior sirkulasyon kaynakli inmeli hastalarimizin demografik ve hastalik ozelliklerinin degerlendirilmesi ve deneyimlerimizin aktarilmasidir. Gerec ve Yontem: Calismamizda, klinigimizde yatarak takip edilen, posterior sirkulasyon kaynakli inmeli 12 hasta alindi. Hastalarin demografik ozellikleri, koma ve yogun bakim suresi, klinigimize kabule kadar gecen sure, trakeostomi ve mekanik ventilasyon destegi varligi ve suresi, Glaskow koma skalasi (GKS) duzeyi gibi hastalik ozellikleri kaydedildi. Hastalarin kabulundeki norolojik ve kas iskelet sistemi ile konusma, yutma, nutrisyon, basi yarasi, mesane ve bagirsak muayene bulgulari degerlendirildi. Hastalara uygulanan rehabilitasyon yontemleri, klinigimizde kalis suresi ile klinigimize kabul ve taburculuk sirasindaki Brunnstrom motor fonksiyonel seviye (BMFS) ve fonksiyonel bagimsizlik olcegi (FBO) duzeyi kaydedildi. Bulgular: Calismaya alinan hastalarin yas ortalamasi 53,75±12,77 yildi. Hastalarin 4’unde (%33,3) sag, 1’inde (%8,3) sol, 7’sinde (%58,4) ise hem sag hem de sol taraf etkilenmisti. Klinigimize kabule kadar gecen sure ortalama 33,5 gun olup uygulanan fizik tedavi suresi 39,5 gundu (15-126 gun). Hastalara uygulanan rehabilitasyon programi sonrasinda; BMFS, GKS ve FBO duzeylerindeki degisim anlamli olarak bulundu (sirasiyla p=0,001, p=0,005, p=0,002). Hastalarin tedavi sonrasinda 3’u (%25) tekerlekli sandalye seviyesinde, digerleri destekli/desteksiz ambule olarak taburcu edildi. Hastalarin 3’unde beslenmeye gastrostomi yontemi ile devam edildi. Sonuc: Yasam beklentisi dusuk olabilen ve ciddi medikal komplikasyonlarla seyredebilen posterior sirkulasyonu iceren inmeli hastalarin demografik ve hastalik ozelliklerinin degerlendirildigi calismamizda; erken donem rehabilitasyon programina baslamanin diger tum hemiplejik hastalarda oldugu gibi motor fonksiyonlar, bilissel fonksiyonlar ve fonksiyonel bagimsizlik yonunden onemli olabilecegi sonucuna varildi.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126727995","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 we use neutrophil lymphocyte ratio and platelet lymphocyte ratio as a potential biomarker for acute cholecystitis?","authors":"C. Bedel","doi":"10.21601/ORTADOGUTIPDERGISI.505193","DOIUrl":"https://doi.org/10.21601/ORTADOGUTIPDERGISI.505193","url":null,"abstract":"Amac: Bu calismanin amaci, akut kolesistit (AK) tanisinda notrofil lenfosit orani (NLO) ve trombosit lenfosit oraninin (PLO) etkinligini belirlemektir . Gerec ve Yontem: Calismaya AK tanisi alan 452 hasta ve biliyer kolik ile klinige basvuran ve elektif kolesistektomi yapilan 152 hasta dahil edildi. Gruplar yas, cinsiyet, beyaz kan hucre sayisi (WBC), ortalama trombosit hacmi (MPV), trombosit dagilim genisligi (PDW), kirmizi kan hucre dagilim genisligi (RDW), NLO ve PLO’ya gore karsilastirildi. Bulgular: Iki grup arasinda yas acisindan anlamli fark yoktu (p = 0,52). Kadin hastalar hem kontrol hem de AK grubunda anlamli derecede yuksekti (p = 0,006). Calisma grubundaki hastalarin WBC, CRP, NLO, PLO degerleri kontrol grubundan anlamli olarak yuksek bulundu (p<0,001). Hassasiyeti ve ozgullugu en yuksek olan parametre NLO olarak bulundu. Sonuclar: NLO ve PLO, ucuz ve hesaplamasinin kolay olmasiyla AK icin potansiyel bir inflamatuar biyobelirtec olarak kabul edilebilir.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116688847","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":"Peritonitis due to carbapenem resistant, multidrug resistant Acinetobacter baumannii in a patient with continuous ambulatory peritoneal dialysis following the polymicrobial infective endocarditis","authors":"Salih Cesur, Pınar Gürkaynak, Şerife Altun Demircan, Ş. Sevim, Ç. Ataman Hatipoğlu, Sami Kınıklı, Gül Gürsoy","doi":"10.21601/ORTADOGUTIPDERGISI.497912","DOIUrl":"https://doi.org/10.21601/ORTADOGUTIPDERGISI.497912","url":null,"abstract":"Karbapeneme direncli, coklu ilaca diencli Acinetobacter baumannii ( A.baumannii ) infeksiyonlari saglik bakimi ile iliskili infeksiyonlarin onemli bir etkeni olup, mortalite ve morbidite nedenidir. Coklu ilaca direncli A.baumannii’ ye bagli peritonit nadiren bildirilmektedir. Coklu ilaca direncli A.baumannii’ ye bagli olarak gelisen peritoniterin tedavisi guctur.Bu yazida, 60 yasinda kronik bobrek yetmezligi nedeniyle periton diyalizi uygulanan bir kadin hastada polimikrobiyal infektif endokarditi takiben A.baumannii’ ye bagli olarak gelisen ve mortal seyreden peritonit bildirilmis ve literatur gozden gecirilmistir.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115549795","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":"Evaluation of Brain Death in Children: A Single Center Experience","authors":"Mahmut Aslan, S. Kırık, Bilge Özgör, Neslihan Aslan, S. Güngör","doi":"10.21601/ORTADOGUTIPDERGISI.604271","DOIUrl":"https://doi.org/10.21601/ORTADOGUTIPDERGISI.604271","url":null,"abstract":"Giris ve Amac: Beyin olumu apne, koma ve beyin sapi reflekslerinin bulunmamasina ek olarak elektroserebral sessiz elektroensefalografi (EEG) bulunmasi durumudur. Cocuklarda beyin olumu en sik travma ve anoksik ensefalopati sonucu ortaya cikar. Beyin olumu insidansinin %0,65 ila %1,2 arasinda degistigini bildirmistir. Beyin olumu tanisi iyi bir anamnez, fizik muayene ve yardimci testler ile konulur. Pediatrik hastalar EEG acisindan degerlendirilirken mutlaka medikasyon, metabolik ensefalopati, hipotermi, elektrolit dengesizligi, asit-baz dengesizligi acisinda degerlendirilmelidir. Hastalar ve Metod: Calismamiza 2010-2017 yillari arasinda Inonu Universitesi Turgut Ozal Tip Merkezi cocuk yogun bakim unitesinde beyin olumu gerceklesen hastalar alinmistir. Hastalarin dosyalari retrospektif olarak tarandi. Calismamiza alinan hastalarin tamamina EEG cekildi. Hastalarimizin tamamina apne testi yapildi. Beyin kan akimi (CSF) akimi olcumunde bilgisayarli tomografi anjiyografi (BTA), manyetik rezonans anjiyografi (MRA), transkraniyal doppler ultranografi (TCD) yapildi. Sonuclar: Calismamiza alinan 20 hastanin 9’u (%45) kiz, 11’i (%55) erkekti. Yas ortalamasi ise 8,47±5,73 yas idi. Hastalarimizin 7’si fulminan hepatit, 3’u travma, 3’u sepsis, 2’si suda bogulma, 2’si SVO tanisi, birer hasta ise lenfoma, suicide, elektrik carpmasi ile takip edilmisti. Yirmi hastamizin sadece 2’si (%10) icin aile organ bagisinda bulunmustu. Yirmi hastamizin 4’u Suriyeli idi ve 4 hastanin tamimi da karaciger yetmezligi ile takip edilmekteydi. Tum hastalarin apne testi pozitifti, hastalarimizin tamaminda EEG bulgulari beyin olumunu destekleyici nitelikteydi. Hastalarimizin 11’ine (%55) CSF akiminin yoklugunu gosterebilmek adina goruntuleme yontemleri yapildi. Beyin olumu gerceklesen hastalarimizin 9’unda (%45) DI gelisti. Sonuc: Sonuc olarak beyin olumu tanisi multidisipliner yaklasim gerektirir. Fizik muayenenin yaninda laboratuvar bulgularinin EEG’nin birlikte degerlendirilmesi ozellikle klingimiz gibi 50’den fazla pediatrik transplantin yapildigi merkezler acisindan onemlidir. Hastalarda hipernatremi ve DI gelisimi beyin fonksiyonlarinda kaybin bir gostergesidir.","PeriodicalId":444037,"journal":{"name":"Ortadoğu Tıp Dergisi","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125728079","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}