Archives of current medical research (ACMR)最新文献_第2页

The Effectiveness of Anterior Cruciate Ligament Reconstruction on the Patellofemoral Stability and Patellar Height 前交叉韧带重建对髌骨稳定性及髌骨高度的影响

Archives of current medical research (ACMR) Pub Date : 2023-05-31 DOI: 10.47482/acmr.1261764

Özgür DOĞAN, Batuhan GENCER, İhsaniye SÜER DOĞAN

{"title":"The Effectiveness of Anterior Cruciate Ligament Reconstruction on the Patellofemoral Stability and Patellar Height","authors":"Özgür DOĞAN, Batuhan GENCER, İhsaniye SÜER DOĞAN","doi":"10.47482/acmr.1261764","DOIUrl":"https://doi.org/10.47482/acmr.1261764","url":null,"abstract":"Background: Considering the critical role the anterior cruciate ligament (ACL) plays in knee biomechanics, it is a logical hypothesis that ACL reconstruction (ACLR) will have positive effects on knee kinematics, and stability. Our objective was to investigate the effect of single-bundle ACLR on patellar height, and patellofemoral balance radiologically and clinically. Methods: In this prospective study, 87 patients operated with hamstring autograft-used single-bundle ACLR were analyzed. History of dislocation, stability-related physical examination findings, Tegner-Lysholm Knee Scoring Scale, and Kujala Anterior Knee Pain Scale were used for functional assessment. All patients underwent pre-and post-operative magnetic resonance imaging and Insall-Salvati (IS) Index, Caton Deschamps Index, Blackburne-Peel Index, and Patella-patellar tendon (P-PT) angles were measured on T1-weighted sagittal section images.  Results: A total of 79 patients (90.8%) achieved excellent or good result, according to Tegner-Lysholm Knee Scoring Scale, and the patients' postoperative 1st year mean Kujala Anterior Knee Pain Score was calculated as 90.4 (Range: 79.1 – 96.4). On physical examination, increased passive patellar translation was observed in 2 patients (2.3%), but the J sign was appeared to be negative in all the patients. While all patellar height indices decreased after reconstruction, only the decrease in IS index was statistically significant (p=0.007). Moreover, the P-PT angle was found to be significantly lower after ACLR (p","PeriodicalId":495147,"journal":{"name":"Archives of current medical research (ACMR)","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135250530","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

Comparison of ulnar, median, and sural sensory nerve conduction studies between demyelinating and axonal forms of Guillain-Barré Syndrome 脱髓鞘和轴突型格林-巴勒综合征尺、正中、腓肠感觉神经传导研究的比较

Archives of current medical research (ACMR) Pub Date : 2023-05-31 DOI: 10.47482/acmr.1170798

Mehmet YILDIZ, Halit FİDANCI, Gülçin ORTAÇ, Şencan BUTURAK, Zülfikar ARLIER

引用次数: 0

Determining the risk of development of cranial pathology in patients with minor head injury using antiagregan-anticoagulants 使用抗凝-抗凝剂确定轻度颅脑损伤患者颅内病理发展的风险

Archives of current medical research (ACMR) Pub Date : 2023-05-31 DOI: 10.47482/acmr.1271479

Habibe Selmin ÖZENSOY, Fikret BİLDİK, Sema ÖZTÜRK, Zeynep YAVUZ, Alev Duygu SÜRE PİRHAN, Ahmet DEMİRCAN, Ayfer KELEŞ, Isa KİLİCASLAN

{"title":"Determining the risk of development of cranial pathology in patients with minor head injury using antiagregan-anticoagulants","authors":"Habibe Selmin ÖZENSOY, Fikret BİLDİK, Sema ÖZTÜRK, Zeynep YAVUZ, Alev Duygu SÜRE PİRHAN, Ahmet DEMİRCAN, Ayfer KELEŞ, Isa KİLİCASLAN","doi":"10.47482/acmr.1271479","DOIUrl":"https://doi.org/10.47482/acmr.1271479","url":null,"abstract":"Background: Patients use antiplatelet/anticoagulant drug which is increasing bleeding tendency is increasing with age. These patients can be admitted to the emergency room with minor head trauma and some ambiguities which may occur in the management of emergency services We undertook this study to determine the factor of intracranial hemorrhage in anticoagulated patients and patients on antiplatelet therapy and its impact on clinical management, identify predictors of positive imaging findings and their outcomes. Methods: ın a prospective analysis, All patients who had minor head trauma between June 1, 2014 and May 1 2015 were included in this study. They should be evaluated by doctors in the ED; no interference will be made during diagnosis and treatment. We reviwed medications, mechanism of injury, head CT results and outcomes. Demografic data, symptoms, clinical examinations were recorded. Results: 606 patients with minor head trauma were admitted to the emergency department. The average age of patients was 48.6 ± 22.6 and 57% (n = 345) were men, 43% (n = 261) were female. 30% of them (n:182) were taking antiplatelet/anticoagulant. Patients who use antiplatelet/anticoagulat is older then patients who didn’t use antiplatelet/anticoagulat therapy. Patients had CT scanned and they had 14,6% pathological finding. But this wasn’t statistically significant (p=0,762). Similarly, there was no statistically significant difference between 68 users antiplatelet and anticoagulant therapy (p = 0.865). Nausea was statistically significant in patients with pathology in the head CT (p=0,045). Conclusion: Minor head trauma in patients may die or have brain hemorrhage who use ASA with klopidogrel. However, symptoms of the patient, physical examination and laboratory data are insufficient to predict the risk of intracranial pathology.","PeriodicalId":495147,"journal":{"name":"Archives of current medical research (ACMR)","volume":"131 10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135250535","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

Comparison of the oral and dental health awareness of pregnant individuals: A pilot study from Turkey 孕妇口腔和牙齿健康意识的比较:土耳其的一项试点研究

Archives of current medical research (ACMR) Pub Date : 2023-05-31 DOI: 10.47482/acmr.1225368

Abdulkadir TÜRKMENOĞLU, Özgün YILDIRIM, Nur MOLLAOĞLU

{"title":"Comparison of the oral and dental health awareness of pregnant individuals: A pilot study from Turkey","authors":"Abdulkadir TÜRKMENOĞLU, Özgün YILDIRIM, Nur MOLLAOĞLU","doi":"10.47482/acmr.1225368","DOIUrl":"https://doi.org/10.47482/acmr.1225368","url":null,"abstract":"Background: In this study, it was aimed to investigate the sociocultural and socioeconomic status of pregnant patients who applied to the department of oral and maxillofacial surgery for tooth extraction as well as their level of awareness about oral and dental health. Methods: A questionnaire including total of 16 questions about their awareness, practices and attitudes towards oral and dental health was filled by 193 pregnant volunteers, and the results were evaluated statistically. Results: When the attitudes of pregnant women towards oral and dental health were examined according to their monthly income, it was found that there was no statistically significant difference (p&gt;0.05). However, it was determined that the attitudes of pregnant women with a middle income towards oral and dental health were better. In addition, it was determined that there was a statistically significant difference in the level of consciousness between those who had a dental examination during pregnancy and those who did not (p&lt;0.05). Conclusions: Not all the pregnant women are always aware that they may have problems by their oral and dental health during their pregnancy and moreover, they are not always well informed by the health personnel. It seems there is a lack of dental health controls in Turkey for pregnants. This pilot study indicates that oral health screening needs to be a routine procedure of antenatal clinics in Turkey in order to inform pregnants in detail regardless of their sociocultural and socioeconomic status to reach better oral health and consequently better pregnancy outcomes.","PeriodicalId":495147,"journal":{"name":"Archives of current medical research (ACMR)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135250534","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

Scabies: Clinical Signs, Diagnosis and Current Treatment 疥疮:临床症状，诊断和目前的治疗

Archives of current medical research (ACMR) Pub Date : 2023-05-31 DOI: 10.47482/acmr.1244299

Huriye Aybüke KOÇ, Sezin ÜNLÜ AÇIKEL

{"title":"Scabies: Clinical Signs, Diagnosis and Current Treatment","authors":"Huriye Aybüke KOÇ, Sezin ÜNLÜ AÇIKEL","doi":"10.47482/acmr.1244299","DOIUrl":"https://doi.org/10.47482/acmr.1244299","url":null,"abstract":"Scabies is a parasitic disease caused by Sarcoptes scabiei var hominis. It can spread through indirect contact with contaminated objects as well as direct skin-to-skin contact. Widespread itching that gets worse at night can be present along with a variety of lesions, including papules, vesicles, nodules and excoriations. Mites, eggs, or faeces should be visualised using an additional tool for a definitive diagnosis. Only the patient's history and physical examination are used to diagnose clinical scabies or suspected clinical scabies. It is included in the differential diagnosis with other itchy skin diseases. Although other topical treatments like benzyl benzoate, sulphur, and lindane are available, permethrin is still the top option. Oral ivermectin is used as an efficient, secure, and affordable treatment for scabies in many countries despite not having FDA approval for this use. Current search for treatment continues, and there are studies on moxidectin and isoxazoline derivative drugs. Application errors, skipping treatment repetitions, inadequate environmental cleaning, not receiving treatment from the patient's relatives, and not providing the patient with the necessary precautions in writing are all reasons why treatments fail. It is known that good results can be obtained in the treatment of scabies, which continues to be a global public health problem, if physicians have sufficient knowledge and can manage their patients appropriately. By summarising the information that is currently available, this review aims to provide an update on the clinical characteristics, diagnosis, treatment, and management of scabies.","PeriodicalId":495147,"journal":{"name":"Archives of current medical research (ACMR)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135250533","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

YouTube is an important resource for hyperhidrosis patients YouTube是多汗症患者的重要资源

Archives of current medical research (ACMR) Pub Date : 2023-05-31 DOI: 10.47482/acmr.1258320

İlteriş TÜRK, Büşra ÖZDEMİR ÇİFLİK, Kadir Baturhan ÇİFLİK, Necati SOLAK, Mehmet ÇETİN

{"title":"YouTube is an important resource for hyperhidrosis patients","authors":"İlteriş TÜRK, Büşra ÖZDEMİR ÇİFLİK, Kadir Baturhan ÇİFLİK, Necati SOLAK, Mehmet ÇETİN","doi":"10.47482/acmr.1258320","DOIUrl":"https://doi.org/10.47482/acmr.1258320","url":null,"abstract":"Background: YouTube is one of the most used information sources. Hyperhidrosis is a disease that needs treatment mostly due to social complaints.  Methods: Search titles ‘Hand sweating, Excessive sweating, Armpit sweating, and Hyperhidrosis’ were searched for separately on YouTube. A total of 400 videos, consisting of 100 under each title, were evaluated. Data such as who uploaded the video, which treatment plan it contained, the upload date, country of upload, duration, number of times watched, and rating were recorded. The Video Power index (VPI) was used to evaluate the popularity of the videos in the study.  Results: The number of views, number of likes, and VPI of the video group with a duration of 232 s or more were found to be significantly higher than the video group with a shorter duration (P =0.001, P =0.000, and P = 0.000). In commercial videos, the rate of videos featuring non-surgical treatment was found to be the highest at92.1%. It was found that the videos containing surgical treatment were older than the videos containing non-surgical treatment (P =0.028).  Conclusion: The internet is an important source of information in diseases such as hyperhidrosis that cause social dysfunction in young patients and the treatment decision is determined entirely by the level of complaint the patient feels. On the YouTube platform, which is one of these sources of information, it was seen that video-assisted thoracoscopic surgery, which is the definitive and permanent treatment of hyperhidrosis, has started to lose its place to alternative methods in recent years.","PeriodicalId":495147,"journal":{"name":"Archives of current medical research (ACMR)","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135250536","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

Telemedicine Usage of Physicians and Views on Telemedicine 医生远程医疗的使用和对远程医疗的看法

Archives of current medical research (ACMR) Pub Date : 2023-01-31 DOI: 10.47482/acmr.1111796

Muhammed Mustafa UZAN>, Umut GÖK BALCI>

{"title":"Telemedicine Usage of Physicians and Views on Telemedicine","authors":"Muhammed Mustafa UZAN>, Umut GÖK BALCI>","doi":"10.47482/acmr.1111796","DOIUrl":"https://doi.org/10.47482/acmr.1111796","url":null,"abstract":"Background: With the Covid-19 pandemic, those who care about working online from home office, computer and / or phone. it is aimed to pay attention to the use of telemedicine in the field of health and the attitudes of specialist physicians. Methods: 85 specialist physicians participated in our research. The collected selection analysis was performed with the SPSS 22.0 program. Results: Physicians working in internal sciences constituted 76.47% (n=65) of the study group. Among the matched branches, 24% (n=16) of clinical sciences consisted of pediatricians and their sub-branch physicians. 84.70% (n=72) of the physicians participating in the study did not perform video examination with telemedicine. Since it was only reviewed with telemedicine during working hours; 90.58% (n=77) of our study group stated that patients with at least 29 and below can be treated. During both face-to-face and telemedicine visual examinations, 83.52% (n=71) of our study group stated that a maximum of 9 patients could be treated by telemedicine. 85.88% of our study (percussion, palpation, auscultation) thought that telemedicine might be insufficient in evaluating the inspection user physical examination components. As for what precautions should be taken before telemedicine applications are popularized by the public, 83% of our physicians were supporters of the insurance company that wanted to intervene in helping the malpractice police. It should be considered as 76.47% (n=65) of our study group. Conclusions: It is thought that telemedicine will facilitate the work of specialist physicians. However, more studies and data are needed before it can be used.","PeriodicalId":495147,"journal":{"name":"Archives of current medical research (ACMR)","volume":"244 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135305485","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 new prognostic factor in patients with recurrent glioblastoma multiforme treated with bevacizumab plus irinotecan: Hemoglobin, albumin, lymphocytes and platelets (HALP) score 贝伐单抗联合伊立替康治疗复发性多形性胶质母细胞瘤患者的一个新的预后因素:血红蛋白、白蛋白、淋巴细胞和血小板(HALP)评分

Archives of current medical research (ACMR) Pub Date : 2023-01-31 DOI: 10.47482/acmr.1175461

Mustafa KORKMAZ>, Melek KARAKURT ERYILMAZ>, Mehmet Zahid KOÇAK>, Aykut DEMİRKIRAN>, Murat ARAZ>, Mustafa KARAAĞAÇ>, Mehmet ARTAÇ>

引用次数: 0

Fibrin Membrane Induced Pupillary Block Glaucoma Treated With Nd:YAG Laser After Uncomplicated Cataract Surgery Nd:YAG激光治疗无并发症白内障术后纤维蛋白膜诱导瞳孔闭塞性青光眼

Archives of current medical research (ACMR) Pub Date : 2023-01-31 DOI: 10.47482/acmr.1148751

Fatma SÜMER>

引用次数: 0

Trends in Emergency Department Visits, and Hospital Admissions Pre- and During Covid 19 Pandemic Covid - 19大流行前和期间急诊科就诊和住院趋势

Archives of current medical research (ACMR) Pub Date : 2023-01-31 DOI: 10.47482/acmr.1199056

Savaş SEZİK>, Onur HAKOĞLU>, Oktay OKUŞ>, Omay SORGUN>

{"title":"Trends in Emergency Department Visits, and Hospital Admissions Pre- and During Covid 19 Pandemic","authors":"Savaş SEZİK>, Onur HAKOĞLU>, Oktay OKUŞ>, Omay SORGUN>","doi":"10.47482/acmr.1199056","DOIUrl":"https://doi.org/10.47482/acmr.1199056","url":null,"abstract":"Background: During the COVID-19 pandemic period, the unnecessary use of the emergency department (ED) affects the motivation of health care providers leading the healthcare services to be far from being efficient, delays the care of the patients having an actual emergency situation and reduces the quality of education in teaching clinics.  Methods: Diagnoses in the visits were classified based on International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) categories and were analyzed into subgroups based on common reasons for ED visits.  Results: While the number of ED visits in the first year of the pandemic period decreased by 26% compared to the previous year, the frequency of admissions in the circulatory system (CS), stomach and intestinal system (SIS), nervous system (NS), trauma (T), infectious disease (ID), endocrine system (ES), muscular system and connective tissues (MCT), gynecology and pregnancy (GP), environmental emergency (EE), mental and behavioral disorders (MBD), examination and encounter for administrative purposes (EEAP) was higher than expected and the frequency of admission and referral was also significantly more than the expected value (P < 0.001).  Conclusion: In addition to the significant decrease in the number of ED visits during the pandemic, the fact that higher admission and referral frequency were observed indicating that the patients visited the emergency service in the late phases with severe clinical conditions.    Key Words: COVID-19 pandemic, Emergency Departments, ICD Codes, Patient Admission, Outpatients,","PeriodicalId":495147,"journal":{"name":"Archives of current medical research (ACMR)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135305487","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