Journal of Clinical and Analytical Medicine最新文献

{"title":"Application of vac in type III open fractures","authors":"R. Atiç","doi":"10.4328/JCAM.5818","DOIUrl":"https://doi.org/10.4328/JCAM.5818","url":null,"abstract":"DOI: 10.4328/JCAM.5818 Received: 14.03.2018 Accepted: 03.04.2018 Published Online: 04.04.2018 Printed: 01.11.2018 J Clin Anal Med 2018;9(6): 498-503 Corresponding Author: Ramazan Atiç, Dicle University Medical Faculty, 21280, Diyarbakir, Turkey. GSM: +905321728629 F.: +90 4122488440-4254 E-Mail: ramazanatic@gmail.com Abstract Aim: Functional results of patients with Type III open long bone fractures treated with vacuum-assisted closure (VAC) and approximating sutures were evaluated. Material and Method: A total of 21 patients (4 female, 17 male with a mean age of 27 years, range: 3–64 years) with Gustilo-Andersen Type 3 open fracture were included in the study. The mean follow-up period was 25.67 months (range, 9–52 months). Thirteen patients had Type IIIB and eight patients had Type IIIC open fractures. Following a large debridement and irrigation in an operating room setting, wound dimensions were measured. Subsequently, VAC was applied. During the application, skin traction sutures were applied over the vacuum sponge. During the last dressing change in which a clean granulation tissue was obtained, the wound was closed following the measurement of its dimensions. Wound dimensions measured during the large debridement in the operating room were compared with the wound dimensions measured after the final VAC application. Results: Mean duration between trauma and operation was 7.57 hours (range, 2–23 hours). The wound was closed with delayed primary suturing in seven patients. In the remaining 14 patients, wound dimensions measured following the last VAC application were found to be decreased with a mean of 40.02% (range, 20-60%). Seven patients underwent a skin graft, two had a free flap application, four had a fasciocutaneous flap, and one had a fasciocutaneous flap + graft application. Two patients underwent revision operations for graft failure. Five patients (23.8%) developed a deep wound infection. The infections resulted in osteomyelitis in two patients (9.5%). Discussion: VAC application together with skin traction sutures in Type IIIB and C open fractures decreases wound size dimension of a graft or flap to be applied. Also it may reduce the requirement for secondary interventions. Level of evidence: Level IV.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70549451","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 and safety of holmium laser lithotripsy in the treatment of posterior urethral stones","authors":"Engin Kölükçü","doi":"10.4328/jcam.5963","DOIUrl":"https://doi.org/10.4328/jcam.5963","url":null,"abstract":"","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70550003","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 MELD score be a predictor of liver metastasis in colorectal cancer?","authors":"Ali Sapmaz","doi":"10.4328/JCAM.5791","DOIUrl":"https://doi.org/10.4328/JCAM.5791","url":null,"abstract":"DOI: 10.4328/JCAM.5791 Received: 25.02.2018 Accepted: 14.04.2018 Published Online: 14.02.2018 Printed: 01.11.2018 J Clin Anal Med 2018;9(6): 474-7 Corresponding Author: Ali Sapmaz, Department of General Surgery, Numune Training and Research Hospital, 06100, Altındağ, Ankara, Turkey. T.: +90 3125084000 GSM: +905326454780 F.: +90 3123114340 E-Mail: dr_a_sapmaz@yahoo.com Abstract Aim: A significant number of patients with colorectal cancer (CRC) present with liver metastasis at initial diagnosis. The Model for End-Stage Liver Disease (MELD) score consists of three parameters including bilirubin, creatinine and International Normalized Ratio (INR), and is primarily used to rank the priority of patients awaiting liver transplantation. The aim of the study is to investigate the predictive value of MELD score for liver metastasis in patients with CRC. Material and Method: A total of 436 patients diagnosed as CRC were included in the study. The patients were divided into two groups: patients without liver metastasis and those with liver metastasis. The association between MELD score and presence of liver metastasis was investigated. Results: There were 256 (57.9%) males and 183 (41.1%) females, with an overall mean age of 64 years. Liver metastasis was found in 58 (13.2%) patients. Mean MELD score was found to be 8.88 in patients with hepatic metastasis whereas the patients without metastatic liver disease had a mean MELD score of 8.61 (p=0.015). Discussion: MELD score is significantly higher in patients with liver metastasis than in those without liver metastasis. Further studies may help to confirm this result and to determine a possible cut-off value of MELD score.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46495774","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":"Elastofibroma dorsi: clinical experiences of 13 cases and review of the literature","authors":"M. Şahin","doi":"10.4328/JCAM.5973","DOIUrl":"https://doi.org/10.4328/JCAM.5973","url":null,"abstract":"1 Mehmet Furkan Şahin1, Selma Mine Apaydın2, Göktürk Fındık2, Mahmut Subaşı1, Erdal Yekeler1 1Department of Thoracic Surgery&Lung Transplantation, University of Health Sciences, Turkiye Yuksek Ihtisas Education and Research Hospital, 2Department of Thoracic Surgery, University of Health Sciences, Atatürk Chest Diseases and Thoracic Surgery Research and Training Hospital, Ankara, Turkey Elastofibroma dorsi Elastofibroma dorsi: clinical experiences of 13 cases and review of the literature","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70549768","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":"Brucellosis and inflammatory markers: data from south-east province of Turkey","authors":"Selçuk Nazik","doi":"10.4328/jcam.5906","DOIUrl":"https://doi.org/10.4328/jcam.5906","url":null,"abstract":"DOI: 10.4328/JCAM.5906 Received: 27.05.2018 Accepted: 06.06.2018 Published Online: 10.06.2018 Printed: 01.11.2018 J Clin Anal Med 2018;9(6): 578-81 Corresponding Author: Selçuk Nazik, Department of Infectious Disease and Clinical Microbiology, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, 46100, Turkey. GSM: +905055019161 F.: +90 3443003434 E-Mail: dr.selcuknazik@hotmail.com ORCID ID: 0000-0003-0587-0104 Abstract Aim: Brucellosis is the most common zoonosis in the world. It is commonly seen in developing countries and causes economic loss. Brucellosis is a major public health problem. Therefore, early diagnosis of brucellosis is very important. The current study aims to investigate WBC, CRP, ESR, NLR, PLR and MPV levels, when brucellosis was first diagnosed. Material and Method: The study included a total of 394 patients who were enrolled at our hospital between the dates of January 2007 and June 2017. Among these patients 197 were cases of brucellosis and 197 were healthy controls. Results: WBC values were statistically significantly lower in the patients with brucellosis, compared to the control group (p < 0.001). Otherwise, NLR, CRP, ESR and MPV values were statistically significantly higher in the patients with brucellosis, compared to the control group (<0.001, 0.005, 0.001, 0.042, p values respectively). PLR values did not differ statistically significantly between the groups (p = 0.468). Discussion: NLR is obtained from a whole blood count. NLR increases in inflammatory conditions and this increase are regarded as a marker of systemic inflammation. In a study, it was determined that NLR values were significantly higher in the brucellosis group than the control group (p = 0.032). Mean platelet volume indicates platelet size and activity. It is also used as a marker of platelet dysfunction. Increased MPV level is associated with thrombotic disorders and endothelial dysfunction. In the study by Aktar et al. MPV values were significantly higher in the brucellosis group than in the control group (p=0.026). Conclusion: NLR and MPV have been shown to be important markers that can be used in the first diagnosis of brucellosis.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45132928","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":"Influence of pulsed electromagnetic field on dermatological symptoms of hyperandrogen in obese women with polycystic ovarian syndrome","authors":"Gehan A. Abd Al Samea","doi":"10.4328/jcam.5816","DOIUrl":"https://doi.org/10.4328/jcam.5816","url":null,"abstract":"1 Gehan A. Abd Al Samea1, Noha F. Mahmoud2, Hamada Ahmed Hamada3, Amir A. Gabr4 1Department for Physical Therapy for Women’s’ Health, Faculty of Physical Therapy, Cairo University, 2Department of Physical Therapy for Surgery, Faculty of Physical Therapy, October 6 University, 2Department of Rehabilitation, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, 3Department of Biomechanics, Faculty of Physical Therapy, Cairo University, 4Department for Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt. Influence of pulsed electromagnetic field on dermatological symptoms of hyperandrogen in obese women Influence of pulsed electromagnetic field on dermatological symptoms of hyperandrogen in obese women with polycystic ovarian syndrome","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47809513","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 importance of otoscopic examination in the hearing screening of neonates","authors":"Selman Sarıca","doi":"10.4328/JCAM.5879","DOIUrl":"https://doi.org/10.4328/JCAM.5879","url":null,"abstract":"DOI: 10.4328/JCAM.5879 Received: 16.04.2018 Accepted: 10.05.2018 Published Online: 15.05.2018 Printed: 01.11.2018 J Clin Anal Med 2018;9(6): 574-7 Corresponding Author: Selman Sarica, Department of Otorhinolaryngology, Kahramanmaraş Sütçü Imam University, Kahramanmaraş, Turkey. GSM: +905057556654 E-Mail: selman_sarica@yahoo.com ORCID ID: 0000-0003-4246-8595 Abstract Aim: Permanent hearing loss in children is congenital in more than 80% of cases. Hearing screenings of newborns are important in the early determination of hearing loss. The aim of this study was to draw attention to the importance of a careful otoscopic examination before hearing screening in newborns. Material and Method: In this retrospective study, the records of patients who underwent a hearing test according to the hearing screening program in our clinic between January 2015 and January 2017 were examined. Evaluation was made of patient data with findings such as vernix caseosa, impacted cerumen, serous otitis media, external otitis, and ear canal anomalies in the notes from the otoscopic examination conducted prior to the evoked otoacoustic emission (EOAE) test. Results: The EOAE test was applied to 1417 patients immediately following otoscopic examination. The EOAE was normal in 1266 patients, while no response could be obtained from the ears bilaterally in 91 patients and unilaterally in 60 patients. After follow-up and treatment of patients with serous otitis, ear debris, or vernix caseosa determined in the otoscopic examination, hearing loss was determined with a repeated EOAE test as bilateral very advanced in 2 patients, unilateral very advanced in 1 patient, moderately advanced in 2 patients, at 30 dB in 5 patients, and hearing neuropathy was considered in 1 patient. Discussion: The significant improvement in hearing loss after treatment of vernix caseosa, cerumen, and serous otitis media has shown how important the otoscopic examination as part of the initial hearing screening of newborns.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48143775","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":"Biological variation components of glycated hemoglobin HbA1c on tosoh G7 HPLC","authors":"M. Ercan","doi":"10.4328/jcam.5761","DOIUrl":"https://doi.org/10.4328/jcam.5761","url":null,"abstract":"1 Müjgan Ercan1, Esin Avcı2, Emiş Deniz Akbulut3, Esra Fırat Oğuz4, Canan Topçuoğlu4, Çiğdem Yücel4, Sedat Abuşoğlu5, Turan Turhan4 1Department of Biochemistry, Bozok University Faculty of Medicine, Yozgat, 2Department of Biochemistry, Pamukkale University Faculty of Medicine, Denizli, 3Biochemistry Laboratory, Çukurova Dr. Aşkım Tüfekçi State Hospital, Adana, 4Biochemistry Laboratory, Ankara Numune Training and Research Hospital, Ankara, 5Department of Biochemistry, Selçuk University Faculty of Medicine, Konya, Turkey Biological variation components of HbA1c Biological variation components of glycated hemoglobin HbA1c on tosoh G7 HPLC","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47660895","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 cost analysis of varicose vein treatment techniques in Turkey: a benefit or profit problem?","authors":"O. Tanyeli","doi":"10.4328/JCAM.5930","DOIUrl":"https://doi.org/10.4328/JCAM.5930","url":null,"abstract":"DOI: 10.4328/JCAM.5930 Received: 11.06.2018 Accepted: 29.06.2018 Published Online: 03.07.2018 Printed: 01.11.2018 J Clin Anal Med 2018;9(6): 525-9 Corresponding Author: Omer Tanyeli, Department of Cardiovascular Surgery, Meram Medicine Faculty, Necmettin Erbakan University, 42080, Meram, Konya, Turkey. GSM: +905327678909 E-Mail: otanyeli@gmail.com ORCID ID: 0000-0001-6275-7744 Abstract Aim: Varicose veins are common healthcare problem in Turkey and worldwide. In this study, we compared the economic parameters of commonly used varicose treatment techniques, particularly classical surgical techniques, endovenous radiofrequency ablation (RFA) and glue (cyanoacrylate) techniques’ costs, hospital bills, and profits. Material and Method: A total of 100 patients who had varicose vein operations, were evaluated retrospectively between April 2017 and November 2017. These patients were divided into subgroups depending on the methods used such as classical surgical treatment or catheter-based techniques. Demographic data including age, gender, hospitalization period, cost of the patient, amounts billed to SGK, and the patient-based profit/loss was analyzed for groups of varicose vein treatments described above. Results: Twenty-nine patients (29%) were treated by surgery and 71 patients (71%) received catheterbased treatments. Thirty-four patients (34%) were treated by glue injection, and 37 patients (37%) were treated by RFA. There was no difference between the groups for the length of hospital stay (p > 0.05). The glue group had the highest cost (2093.8 ± 148.9 TL) while the surgery group had the lowest cost (618.2 ± 365.4 TL), with the RF group in between (1453.1 ± 130.3) (p < 0.001). The RF group had the highest profit for the hospital (209.9 ± 261.3 TL), while the glue group had the lowest profit (-66.3 ± 126.2 TL) (p<0.001). Discussion: The most suitable strategy seems to be RFA when profit is a concern. But the patient’s wishes, anatomical properties, activity/working conditions and the physician’s choice for the welfare of the patient should be determinative.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48621479","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 silent brain infarction and rheumatic diseases","authors":"A. Doğru","doi":"10.4328/JCAM.5832","DOIUrl":"https://doi.org/10.4328/JCAM.5832","url":null,"abstract":"1 Atalay Dogru1, Nihat Sengeze2, Rıza Burak Oz3, Murat Bircan Tuglu3, Mustafa Kayan4, Mehmet Sahin5 1Department of Internal Medicine, Division of Rheumatology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, 2Department of Neurology, Süleyman Demirel University, Faculty of Medicine, Isparta, 3Department of Internal Medicine, Süleyman Demirel University, Faculty of Medicine, Isparta, 4Department of Radiology, Süleyman Demirel University, Faculty of Medicine, Isparta, 5Department of Internal Medicine, Division of Rheumatology, Süleyman Demirel University, Faculty of Medicine, Isparta, Turkey Silent brain infarction and rheumatic diseases Relationship between silent brain infarction and rheumatic diseases","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45739654","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}