Somalia Turkiye Medical Journal (STMJ)最新文献

{"title":"Pulmonary Physiotherapy in Kidney Recipients: Evaluation of Effects on Functional Capacity","authors":"Zuhal Zeydan, Makbule Ergin","doi":"10.58322/stmj.v2i4.35","DOIUrl":"https://doi.org/10.58322/stmj.v2i4.35","url":null,"abstract":"
 Introduction: Renal replacement therapy (RRT), including dialysis and kidney transplantation (KT), is employed for treating patients with end-stage renal disease (ESRD). Among RRT options, KT offers the highest quality of life (QoL) and overall survival. However, pulmonary complications following KT remain significant contributors to morbidity, mortality, and potential graft failure. The primary objective of this study is to assess the impact of respiratory and strengthening exercises on respiration, body composition, physical performance, and QoL of the patients following KT. Materials and Methods: Preoperative assessments included forced expiratory volume in one second (FEV1), 6-minute walking test (6MWT) scores, body composition measurements, hand grip strength, and QoL scores using the Short Form 36 Scale (SF-36) for the patients undergoing their first KT at Antalya Medical Park Hospital. Participants were randomly assigned to two groups. The experimental group (EG) received respiratory exercises until discharge, followed by combined respiratory, upper, and lower extremity strengthening exercises three days a week for two weeks post-discharge, while the control group (CG) received standard care. Measurements were repeated at the end of the third postoperative week, and the changes from the initial measurements were statistically compared between the groups. Results: Demographic characteristics were comparable between the groups. The SF-36 physical function sub-parameter demonstrated a significant increase in the experimental group, while it decreased in the control group. Pain sub-parameter scores and grip strengths of the SF-36 QoL scale did not exhibit statistically significant changes in either group. Conclusion: Implementing early respiratory physiotherapy and strengthening program over three weeks following KT improved QoL and physical function significantly.
","PeriodicalId":471403,"journal":{"name":"Somalia Turkiye Medical Journal (STMJ)","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135761293","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":"Predictive Factors for Detection of Clinically Significant Cancer in Repeat Prostate Biopsy","authors":"UĞUR ÖZTÜRK, Mustafa Aydın, Lokman İrkılata, Mustafa Kemal Atilla, Muhammet Şahin","doi":"10.58322/stmj.v2i4.33","DOIUrl":"https://doi.org/10.58322/stmj.v2i4.33","url":null,"abstract":"Amaç: İki prostat büyümesiyle oluşan ikinci böbrek hücrelerinde klinik olarak anlamlı kanserin saptanmasını öngören prediktif faz belirlemeyi amaçladık.
 Yöntemler:Kliniğimizde 2016-2022 yılları arasında prostat spesifik antijen (PSA) yüksekliği nedeniyle prostat biyopsisi yapılmış ve patolojide kansere rastlanmamıştır; ancak atipik küçük asiner proliferasyon (ASAP) tespiti ve/veya PSA yüksekliğinin devam etmesi nedeniyle ikinci biyopsi yapılan hastalar çalışmaya dahil edildi. 103 hastanın verileri retrospektif olarak değerlendirildi. İlk biyopsi 12 kadran rutin protokolünde yapıldı. İkinci biyopsi ASAP olan hastalara 3 ay içinde, PSA yüksekliği devam eden hastalara ise 6 ay sonra yapıldı. Patolojik evrelemede Gleason skorlama sistemi kullanıldı. Gleason skoru 7 ve üzerinde olanlar klinik olarak anlamlı kanser olarak kabul edildi. İlk biyopsiden 6 ay sonra ölçülen PSA değerlerine göre; ikinci PSA değeri %20'nin üzerinde olan veya olmayan hastalar; yaşlarına göre 65 yaş altı ve yaş sınırı olmayanlar olarak gruplandırıldılar. İstatistiksel analizde Fisher'in kesin testi kullanıldı, 0,05'in altındaki ap değeri anlamlı kabul edildi.
 Bulgular: Çalışmaya 103 hasta dahil edildi. İkinci bağırsakta ise 13 (%12,6) hastada kanser tespit edildi. 5'i (%4,8) aktif klinik kriterlerini karşılayan klinik olarak küçük kanserlerdi; Bunların sekizinde (%7,8) Gleason skoru 7 ve üzerindeydi. İlk kliniklerde ASAP yapılanlarla yapılanyanlar arasında ikinci yardımlarda kanser veya klinik olarak anlamlı kanser saptanması açısından fark yoktu (p= 0,982). PSA'sı %20'den fazla artanlarda klinik olarak anlamlı kanser oranı %15,4 iken, artmayanlarda bu oran %3,1 idi (p= 0,024). Klinik olarak anlamlı kanser oranı 65 yaş ve üzerinde %14,2 iken, 65 yaş altı grupta bu oran %1,9 idi (p=0,019).
 Sonuç: PSA nedeniyle prostat kanseri yapılan ve iyi huylu olduğu tespit edilen, PSA değeri %20'nin üzerinde olan ve/veya 65 yaş üstü hastalığa göre klinik olarak anlamlı kanser tespit oranı daha yüksekti. ısırdım. Bu yıkanabilir ikinci bakteriler için zaman saklanmamalıdır.","PeriodicalId":471403,"journal":{"name":"Somalia Turkiye Medical Journal (STMJ)","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135761298","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":"Post-cardiac catheterization infective endocarditis with flail mitral valve leaflets: an interesting and rare case","authors":"None Mohamud mire waberi, Mohamed Omar Hassan, Abdijalil Abdullahi Ali, Said Abdirahman ahmed, Ishak Ahmed Abdi","doi":"10.58322/stmj.v2i4.34","DOIUrl":"https://doi.org/10.58322/stmj.v2i4.34","url":null,"abstract":"Infectious endocarditis (IE) occurs after the colonization of the cardiac endocardium by virulent microorganisms, usually bacteria. Infective endocarditis causes significant morbidity and mortality, even in this era of antibiotics. Here we present a 52-year-old male patient with hypertension and ischemic heart disease who presented with shivering, fever, and confusion for two days, fourteen days after PCI. On further assessment, transesophageal echocardiography was done due to the patient’s fulfillment of 3 minor and 1 major of Duke's criteria. Flail posterior mitral valve leaflet of 1.1x0.60cm vegetation, and severe eccentric mitral regurgitation were observed in the transesophageal echocardiography.
 Post PCI infective endocarditis is rare and missed diagnosis so it should be haven high suspension for those present with signs and symptoms compatible with infective endocarditis.
 Keywords: PCI, infective endocarditis, vegetation, echocardiography, PCI, mitral regurgitation
","PeriodicalId":471403,"journal":{"name":"Somalia Turkiye Medical Journal (STMJ)","volume":"234 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135761295","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}