Fatih Günaydın, Öner Kılınç, Bülent Skaraya, Yusuf Bayram
{"title":"Retrospectİve Comparison Of Talon Or Conventional Locking Nailing For Tibial Shaft Fractures","authors":"Fatih Günaydın, Öner Kılınç, Bülent Skaraya, Yusuf Bayram","doi":"10.47493/abantmedj.1373188","DOIUrl":"https://doi.org/10.47493/abantmedj.1373188","url":null,"abstract":"Objective: Tibial shaft fractures are common orthopedic injuries that present challenges in treatment selection. The primary aim of this retrospective study was to compare the clinical outcomes of tibial shaft fractures treated with Talon and conventional locking nails. \u0000Methods: Ninety-four patients who underwent tibial intramedullary nailing between 2019-2021 were included in the study. The patients were divided into two groups based on the type of distal locking used: Group 1 received conventional screw locking, and Group 2 received Talon locking. Patient age, gender, trauma mechanism, fracture type, and surgery data were analyzed. The complications and bone union processes during follow-up were evaluated and compared between the two nail designs. \u0000 Results: The age and gender of the patients included in the study were statistically similar in both groups. Furthermore, the Talon group demonstrated significantly shorter union times (p < 0.001*). According to the OTA classification, there was a preference for screw-locking systems in more complex fractures (p = 0.017). \u0000Conclusion: The results of this retrospective study suggest that Talon locking nails may offer advantages over conventional screw locking, especially in younger patients, resulting in earlier bone union. Further research is needed to investigate Talon nails' biomechanical stability and suitability for specific fracture types.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141817804","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}
Emine Özsarı, M. Demirkol, Süleyman Özsarı, M. Kaya, Derya Kocadağ, Zeynep Baysal
{"title":"COVID-19 Pneumonia-Related ARDS – Can We Predict Mortality with Laboratory Parameters?","authors":"Emine Özsarı, M. Demirkol, Süleyman Özsarı, M. Kaya, Derya Kocadağ, Zeynep Baysal","doi":"10.47493/abantmedj.1416495","DOIUrl":"https://doi.org/10.47493/abantmedj.1416495","url":null,"abstract":"Objective: To examine the laboratory characteristics of COVID-19 pneumonia-related ARDS patients who lived or died. Materials and methods: Retrospectively, two-center of patients who were hospitalized in the intensive care unit were researched in Abant Izzet Baysal University Education and Research Hospital in Bolu, Turkey. Between March 31 and December 31, 2020, data on the demographic characteristics, routine laboratory results, including arterial blood gas tests, and clinical outcomes were collected for both the survivor and non-survivor groups. Results: The median age of the 509 patients was 70 years (interquartile range, 59-79 years); 326 patients (64%) were men, and 161 patients (31.6%) tested positive for RT-PCR. While 232 (45.6%) patients in the non-survivor group died, 277 patients were discharged (54.4%) as survivors. The mortality markers of WBC, RBC, HGB, Ph, pO2, pCO2, HCO3, PLT, PCT, NEU, ALT, and D-dimer did not differ significantly (p>0.05). CRP, RDW, LDH, ferritin, urea, and creatinine levels were substantially higher and associated with death in the non-survivor group (p 0.05). Conclusion: A greater risk of death was linked to older age and the number of days spent in the hospital, most likely as a result of persistent underlying issues and weakened immune responses. Risk variables for the progression were CRP, LDH, RDW, ferritin, urea, and creatinine. With the help of laboratory parameters to predict mortality, we can define earlier the changes in immune insufficiency, coagulation problems, hepatic injury, and kidney injury.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141825403","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":"Approach To Pregnant Women with Mechanical Mitral Valve Prosthesis: A Case Report","authors":"Funda Dağistanli, Pelin Oyardı","doi":"10.47493/abantmedj.1377086","DOIUrl":"https://doi.org/10.47493/abantmedj.1377086","url":null,"abstract":"Cardiovascular diseases are one of the leading causes of maternal mortality. The management of pregnant women with mechanical valve prosthesis is difficult. Fetal-maternal mortality and morbidity are high. Selection of the most appropriate anticoagulant that will minimize fetal, maternal mortality and avoid embryopathy risk should be tailored according to the needs of each individual patient. \u0000In this paper, in the light of the literature, we aimed to discuss our patient, who delivered at 39th gestational week after a pregnancy before which she had not been provided with prepregnancy counseling and during which she did not attend follow-up visits. \u0000These patients prepregnancy counseling, follow-up visits, anticoagulant management during pregnancy, and prophylaxis and management of complications at the postpartum period are very important and require close follow-up.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140457327","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":"Case Report: Atlantoaxial Subluxation","authors":"Yağız Akyüz, Caner Çiçek, Ali Rıza Gezici","doi":"10.47493/abantmedj.1399423","DOIUrl":"https://doi.org/10.47493/abantmedj.1399423","url":null,"abstract":"Rotational atlantoaxial subluxations are more common in pediatrics. It is associated with post-traumatic (the incidence of cervical spinal trauma varies between 1% and 4% of all pediatric traumas )(1), rheumatoid arthritis and respiratory tract infection (Grisel syndrome). Cock-Robin head position (57%) (20 degrees lateral flexion, 20 degrees rotation, 10 degrees flexion) is frequently seen. Neck pain (67%) and neck stiffness (53%) are other common presenting symptoms (2) . Fielding&Hawkins classification is used to classify rotational trauma.According to Fielding&Hawkins classification, type 1 traumas are treated with soft collars, NSAIDs and muscle relaxants. In this case report, we aimed to present the clinical symptoms, diagnosis, imaging and treatment of rotational attoaxial subluxation in a pediatric age group patient who came to the emergency department after trauma with cock-robin head posture.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140458405","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":"An Unexpected Cause of Abdominal Pain in Pregnancy: A Case Report","authors":"F. Z. Kurnuç, Deniz Balsak, Pelin Oyardı","doi":"10.47493/abantmedj.1419107","DOIUrl":"https://doi.org/10.47493/abantmedj.1419107","url":null,"abstract":"Acute abdomen during pregnancy is a condition that requires rapid diagnosis and treatment and threatens both maternal and fetal health. Adnexal masses may present different clinical presentations during pregnancy. The important thing is rapid diagnosis and application of the appropriate treatment method. Adnexal torsion should be kept in mind in the differential diagnosis of patients presenting with acute abdomen during pregnancy. Early diagnosis and treatment are vital for organ-preserving surgery. \u0000In this article, we presented the successful treatment of a patient with laparoscopy surgery who applied to our clinic due to acute abdomen and was diagnosed with left ovarian torsion at 12 weeks' gestation.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140461140","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}
Ferda Büyük, Esra Şahingöz Bakırcı, Gülseren Demir Karakılıç
{"title":"COVİD-19 Enfeksiyonu Sırasında Gelişen Bell Palsi","authors":"Ferda Büyük, Esra Şahingöz Bakırcı, Gülseren Demir Karakılıç","doi":"10.47493/abantmedj.1311656","DOIUrl":"https://doi.org/10.47493/abantmedj.1311656","url":null,"abstract":"COVID-19 is an infectious disease caused by a newly discovered coronavirus (SARS-COV-2) that can cause a broad spectrum of symptoms, from asymptomatic to severe respiratory failure. Although the virus mainly affects the respiratory system, it is also known to affect many other systems. Myalgia, hyposmia, anosmia, and Guillain-Barre Syndrome are the most common manifestations due to the peripheral nervous system being affected by the virus. Bell's palsy is a unilateral and sudden facial nerve paralysis. Viral infections are most frequently blamed for etiopathogenesis. Bell palsy due to COVID-19 infection has been reported in the literature as a rare complication. In this case, we wanted to emphasize that Bell's palsy should be kept in mind among the neurological complications that may develop due to COVID-in in a patient who developed Bell's palsy after being diagnosed with COVID-19.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139181576","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":"Hiperplastik kallus formasyonu: erişkin hastada nadir bir vaka","authors":"Büşra Hayat, Semra Duran, Nurdan Çay, Servet Güreşçi̇","doi":"10.47493/abantmedj.1303340","DOIUrl":"https://doi.org/10.47493/abantmedj.1303340","url":null,"abstract":"Hyperplastic callus formation is a rare condition that may occur in patients with impaired fracture healing. It is important for the differential diagnosis of malignancies such as osteosarcomas and chondrosarcomas. Some case reports in the literature were misdiagnosed as osteosarcoma, especially in pediatric patients with osteogenesis imperfecta. Here, we present the case of an adult patient with osteoporosis. Cross-sectional imaging showed a mass that had destroyed the bone cortex with soft tissue components and with mineralized matrix in the right superior and inferior pubic rami. The radiological diagnosis was chondrosarcoma, and the mass was completely removed. The patient was diagnosed with a hyperplastic callus that had developed due to osteoporosis.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139200063","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":"Melphalan Tedavisi Alan Otolog Kök Hücre Transplantasyonu Olan Hastalarda Mukozitten Korunmada Oral Buz Uygulamasının Etkisi: Randomize Kontrollü Bir Çalışma","authors":"Solmaz Zeybekçi̇, Özlem Uğur, Gülay Şahi̇n, Gülşah Bedez, Derya Ünsel, Tuba Ülgen, Boran Yavuz, Ahmet Şeyhanli, İnci Alacacioğlu, Hayri Özsan","doi":"10.47493/abantmedj.1283992","DOIUrl":"https://doi.org/10.47493/abantmedj.1283992","url":null,"abstract":"Objective: To examine the effect of oral cryotherapy in the prevention of mucositis in patients with autologous stem cell transplantation receiving Melphelan therapy. Materials and Methods: The study was conducted in a prospective, randomized controlled study. Fifty patients who met the criteria for the study were recruited. Continuing to store the ice application in the intervention slots 5 minutes ago, continuing the treatment and spraying the next 15 minutes. continued throughout. Patients in the control devices received standard care. Results: It was found that the absence of oral mucositis in the intervention group was high at all times, the presence of mucositis in stage 2 was stable in both groups in all time periods, and the frequency of stage 3 mucositis was relatively higher in the control group from the 7th time period (p","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212902","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}
Tuna Sezer, H. C. Altinyazar, Rafet Koca, Nilgün SOLAK TEKİN, Saniye Çinar
{"title":"Erkek Behçet Hastalarında Hormon Düzeyleri","authors":"Tuna Sezer, H. C. Altinyazar, Rafet Koca, Nilgün SOLAK TEKİN, Saniye Çinar","doi":"10.47493/abantmedj.1349095","DOIUrl":"https://doi.org/10.47493/abantmedj.1349095","url":null,"abstract":"Amaç: Behçet hastalığı (BH), etiyopatogenezi tam olarak bilinmeyen kronik, relapslarla seyreden sistemik inflamatuvar bir hastalıktır. Hastalığın daha çok cinsel aktif dönemde başlaması ve erkeklerde daha şiddetli klinik seyir göstermesi nedeniyle çalışmamızda erkek hastalarda hipotalamo-hipofizer-gonadal aksı değerlendirmeyi uygun gördük. Hastalar ve yöntem: Çalışmamıza 25 erkek Behçet hastası ve 22 sağlıklı erkek dahil edildi. Bu amaçla hastalarda ve sağlıklı bireylerde prolaktin, seks hormonu bağlayan globulin (SHBG), kortizol, östradiol, serbest ve total testosteron, androstenedion, dehidroepiandrosteron (DHEA), dehidroepiandrosteron sülfat (DHEAS) ve gonadotropin salgılatıcı hormon (GnRH) testine folikül stimüle eden hormon (FSH) ve luteinize hormon (LH) cevaplarına bakıldı ve sonuçlar karşılaştırıldı. Bulgular: Her iki grup arasında hormon düzeyleri incelendiğinde, hasta grubunda östradiol düzeyleri (36,80±14,70 pg/ml) kontrol grubuna (29,30±9,15 pg/ml) göre anlamlı olarak (p=0,045) daha yüksek bulundu. Hasta grubunda DHEA düzeyleri(13,74±7,96 ng/ml) kontrol grubuna (18,36±7,12 ng/ml) göre anlamlı olarak (p=0,043) daha düşük tespit edilmiştir. Diğer hormonlar açısından gruplar arasında anlamlı fark yoktu. Sonuç: BH’nin etyopatogenezi ile ilişkili olarak hormonların ve hipotalomo-hipofizer-gonadal aksın olası rolünü daha iyi değerlendirmek amacıyla özellikle hastalık aktivitesini de dikkate alan daha geniş serili çalışmalara ihtiyaç vardır.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139235237","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}
Pelin Oyardi, Funda Dağistanli, Merve Ecem Albayrak, Mustafa Ayhan Eki̇ci̇
{"title":"Hpv prevalence and risk of premalignant and malignant lesions in women with asymptomatic cervical erosion: A population-based study","authors":"Pelin Oyardi, Funda Dağistanli, Merve Ecem Albayrak, Mustafa Ayhan Eki̇ci̇","doi":"10.47493/abantmedj.1365241","DOIUrl":"https://doi.org/10.47493/abantmedj.1365241","url":null,"abstract":"Objective: To evaluate the prevalence of HPV and the risk of the cervical premalignant and malignant diseases in women with cervical erosion. Material and Methods: The results of 32649 women who were screened for cervical cancer between January 2014 and December 2019 were retrospectively analyzed. The results of HPV positive and HPV negative women with cervical erosion were compared. Kruskal-Wallis test and Chi-square test was used to compare of data between the groups. Results: Of the 32649 women who were screened for cervical cancer, 2566 had cervical erosion and 1585 (4.85%) had HPV positivity. HPV was found to be positive in 126 (4.91%) women with cervical erosion and no significant difference in the incidence of HPV positivity in asymptomatic women with and without cervical erosion (p=0.112). As in the general population, Hpv 16 and 18 were found to be most common in women with cervical erosions. Abnormal cervical cytology was found in 217 (0.72%) women without cervical erosion and 31 (1.21%) women with cervical erosion, which was significantly higher than in women without cervical erosion (p=0.045). There was no significant difference between those with and without cervical erosion in terms of CIN 1, CIN 2, CIN 3, LSIL, HSIL in situ cancer and total abnormal cervical pathology results. Conclusion: The incidence of HPV and the likelihood of cervical pathology in asymptomatic women with cervical erosion do not differ from the general population.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139281116","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}