Academic Journal of Health最新文献

Percutaneous Balloon Valvuloplasty for the Treatment of Isolated Pulmonary Valve Stenosis in Infants - A Single Centre Experience 经皮球囊瓣膜成形术治疗婴幼儿孤立性肺动脉瓣狭窄-单中心经验

Academic Journal of Health Pub Date : 2023-01-01 DOI: 10.14744/ajh.2023.65375

Utku Arman Örün

{"title":"Percutaneous Balloon Valvuloplasty for the Treatment of Isolated Pulmonary Valve Stenosis in Infants - A Single Centre Experience","authors":"Utku Arman Örün","doi":"10.14744/ajh.2023.65375","DOIUrl":"https://doi.org/10.14744/ajh.2023.65375","url":null,"abstract":"Objectives: Pulmonary stenosis (PS) is a common congenital heart defect characterized by obstruction from the right ventricle to the pulmonary arteries. Few studies evaluate the long-term outcomes of the procedure, especially the degree of pulmonary regurgitation. We assessed the outcomes of infants following valvuloplasty for pulmonary valve stenosis. Methods: We conducted a retrospective analysis of children with pulmonary valve stenosis who underwent pulmonary balloon valvuloplasty (BPV) at a single institution. Clinical summaries, catheterization data, and echocardiographic data were reviewed. The inclusion criteria were isolated balloon pulmonary valvuloplasty for pulmonary valve stenosis, with age <2 months at the time of intervention. Results: Between 2006 and 2019, 104 patients underwent BPV for isolated PS. A total of 78 patients met the inclusion criteria. The median age at valvuloplasty was 6.5 days (1-60 days). The median last follow-up after valvuloplasty was 23.5±33.6 months. Pre-operative peak instantaneous pulmonary gradient (PIPG) measured by echocardiography was 70 (35-120) mmHg, which reduced to 26 (10-70) mmHg post-procedure. At the last follow-up, the gradient was 25 (0-100) mmHg. The mean balloon/ annulus ratio was 1.18±0.12. Concerning the development of pulmonary regurgitation, mild pulmonary regurgitation was most observed [in 36 patients (46%)], and no patient developed severe regurgitation. Additionally, a correlation was found between female gender, preoperative gradient, pulmonary valve structure, and high residual gradient (p<0.0001, R>700). Conclusion: Pulmonary balloon valvuloplasty remains a safe and effective treatment for children with isolated pulmonary valve stenosis, with excellent long-term outcomes and no mortality. Although the rate of reintervention is high in cases with a low mean balloon/annulus diameter ratio, the rate of pulmonary regurgitation is significantly lower.","PeriodicalId":484490,"journal":{"name":"Academic Journal of Health","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135599593","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

Evaluation of Children Diagnosed with Mesenteric Lymphadenitis by Ultrasonography 超声诊断小儿肠系膜淋巴结炎的评价

Academic Journal of Health Pub Date : 2023-01-01 DOI: 10.14744/ajh.2023.09719

Oğuzhan Doğan

引用次数: 0

Multi-modality Imaging of Persistent Left Superior Vena Cava in Patients with Sinus Venosus Type of Atrial Septal Defect and Partial Pulmonary Venous Return 静脉窦型房间隔缺损及部分肺静脉回流患者持续性左上腔静脉的多模态成像

Academic Journal of Health Pub Date : 2023-01-01 DOI: 10.14744/ajh.2023.54264

Belma Kalaycı

引用次数: 0

Diffuse Penile Metastasis from Prostate Carcinoma: A Rare Clinical Entity and MRI Diagnosis 前列腺癌弥漫性阴茎转移:罕见的临床特征及MRI诊断

Academic Journal of Health Pub Date : 2023-01-01 DOI: 10.14744/ajh.2023.87597

Esin Kurtuluş Öztürk

引用次数: 0

Families’ Opinions and Attitudes Regarding Routine and Non-Routine Childhood Vaccines 家庭对常规和非常规儿童疫苗的看法和态度

Academic Journal of Health Pub Date : 2023-01-01 DOI: 10.14744/ajh.2023.39974

Semra Güngör

{"title":"Families’ Opinions and Attitudes Regarding Routine and Non-Routine Childhood Vaccines","authors":"Semra Güngör","doi":"10.14744/ajh.2023.39974","DOIUrl":"https://doi.org/10.14744/ajh.2023.39974","url":null,"abstract":"Objectives: The global increase in vaccine hesitancy is a complex phenomenon, leading to declining vaccination rates and a rise in vaccine-preventable childhood diseases. This survey aimed to assess parent’ knowledge, beliefs, and attitudes towards hesitations or refusals of routine and non-routine childhood vaccinations. Methods: Parents of children aged 6 months to 6 years who visited the pediatric outpatient clinic completed a structured questionnaire. This questionnaire assessed demographic characteristics (e.g., age, education, income, number of children) and their opinions and attitudes about vaccines. Results: Out of 227 parents, 72.2% were mothers and 27.8% were fathers. Acceptance rates for routine vaccinations were 99.6% (n=226), while refusal stood at 0.4% (n=1). Hesitancy towards routine vaccines was at 11% (n=25), compared to 22.4% for non-routine vaccines. The predominant reasons parents hesitated regarding routine vaccines included concerns over safety (84%) and exposure to negative comments from media and their social circles (40%). Parents cited pediatricians (83.7% for routine, 90.7% for non-routine), family medicine nurses (60.8%, 17.6%), family physicians (35.7%, 24.7%), social media (9.3% for both), and friends/neighbors (5.3%, 7.5%) as their primary sources of information. Conclusion: As vaccine hesitancy grows, concerted efforts and interventions could help mitigate its negative consequences for future generations. Physicians, especially pediatricians, nurses, and other healthcare professionals, are well-positioned to educate and guide parents on early childhood immunization.","PeriodicalId":484490,"journal":{"name":"Academic Journal of Health","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135599592","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 Significance of Academic Journals in Advancing Knowledge 学术期刊在促进知识进步中的意义

Academic Journal of Health Pub Date : 2023-01-01 DOI: 10.14744/ajh.2023.98608

Murat Koç

引用次数: 0

A Nicolau Syndrome Confused with Cellulite 尼克劳综合症与脂肪团混淆

Academic Journal of Health Pub Date : 2023-01-01 DOI: 10.14744/ajh.2023.32042

Tuğba Atak

引用次数: 0

Strategies for the Effective Management of Bleeding in Trauma Patients: A Narrative Review 创伤患者出血的有效管理策略:叙述性回顾

Academic Journal of Health Pub Date : 2023-01-01 DOI: 10.14744/ajh.2023.40085

Seyda Gedikaslan

引用次数: 0