Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi最新文献

{"title":"Effect of COVID-19 Pandemic on Urology Clinic Attendance: Which Diseases are Important for Patients?","authors":"Abullah Çirakoğlu, Erdal Benli, Mevlut Keles, A. Yüce, Ibrahim Yazici","doi":"10.47493/abantmedj.1226364","DOIUrl":"https://doi.org/10.47493/abantmedj.1226364","url":null,"abstract":"Introduction: We assessed whether there were changes in the characteristics of the patient population attending our urology clinic during the COVID-19 pandemic. Material and Method: Patients attending the general urology clinic of SB-ODU Education and Research Hospital were assessed. Dates from 3 February 2020-10 March 2020 were accepted as before the pandemic, with 11 March 2020-29 May 2020 accepted as after the pandemic. Complaints of patients on attendance were grouped as follows: benign prostate hyperplasia, ureteral diseases, kidney diseases, testis and scrotum diseases, incontinence, bladder diseases, sexually transmitted diseases, penile diseases, emergency urologic problems, sexual problems, urethral diseases, kidney and ureter stones, pediatric diseases and urologic tumors. Results: While 638 patients attended the urology clinic in the 1.5-month period before the pandemic, 398 patients attended in the 2.5-month period after the pandemic. Additionally, 30.9% of patients attending the clinic before the pandemic were women, while this rate fell to 23.6% after the pandemic. After the pandemic, there were statistically significant reductions identified for attendance due to BPH, ureteral diseases, kidney diseases, incontinence, bladder diseases and urethra diseases. There was no significant difference in attendance due to urinary system tumors, pediatric urologic patient group, attendance due to kidney and ureter stones, sexual problems and emergency urology problems. There were increases identified for attendance for testis and scrotum diseases and sexually-transmitted diseases. Conclusion: During the pandemic, the numbers of patients attending the urology clinic significantly reduced. During the pandemic, there were increases identified for attendance at our clinic for testis and scrotum diseases and sexually-transmitted diseases. While attendance reduced for many disease groups, rates of attendance for urologic emergencies, urinary tumors, pediatric patient group, stone disease and sexual problems continued as usual.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139289512","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":"COVID-19 Seyrinde NLR, LMR, PLR, d-NLR, LeCR, LCR, NMR Biyoparametrelerinin Etkinliğinin Değerlendirilmesi","authors":"Didem Celik, Özge İnceer","doi":"10.47493/abantmedj.1271653","DOIUrl":"https://doi.org/10.47493/abantmedj.1271653","url":null,"abstract":"Background/Objective: Severe inflammatory response of the immune system has a serious role in the progression of Coronavirus disease 2019 (COVID-19). The clinical benefits of early diagnosis of immune activation of COVID-19 have been emphasized repeatedly in the trials to this date. In this study, neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-monocyte ratio (LMR), platelet-to-lymphocyte ratio (PLR), derived neutrophil-to-lymphocyte ratio (d-NLR), lymphocyte-to-C reactive protein ratio (LCR), leukocyte-to-C reactive protein ratio (LeCR), neutrophil-to-monocyte ratio (NMR) biomarkers were evaluated for predicting clinical course of COVID-19. Methods: In this retrospective cohort study, 383 laboratory-confirmed COVID-19 cases, who had been hospitalized in a tertiary care hospital between April and November 2020, were included. Patients, including 279 mild and 104 severe cases, were sequentially selected. Blood tests, conducted at the time of admission, were examined. Data was analyzed and ROC analysis was performed by using SPSS 22.0 program. Results: 44.3% of the patients included in the study were female, 99.2% of the patients had viral pneumonia, 27.2% met clinical criteria for severe disease and median age was 58 years. Age, duration of hospitalization, white blood cell count, neutrophil count, ferritin, CRP, procalcitonin, D-dimer, troponin levels were higher and lymphocyte, monocyte counts were lower in the group with clinically severe disease. The diagnostic sensitivities of LCR, CRP, d-NLR, NLR, LeCR were found to be high (AUC> 0.8) for the prediction of clinical severity with cut-off values of 15, 74.65, 2.55, 4, 133 respectively. Conclusion: High CRP, d-NLR, NLR and low LCR, LeCR are early predictors of the clinical severity, these patients should be under hospital follow-up for close monitoring and early intervention.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139321273","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":"Toplumda Yaşayan Asırlık Bireylerin Yaşam Tarzı ve Klinik Özellikleri: Küçük Örneklemle Bir Çalışma","authors":"Candeniz Avci, Neslihan Kayahan, M. İ. Naharci̇","doi":"10.47493/abantmedj.1270322","DOIUrl":"https://doi.org/10.47493/abantmedj.1270322","url":null,"abstract":"Amaç 100 yaş ve üzeri bireylerin sağlık durumları, yaşam tarzları hakkında ülkemizde yeterli bilgi birikimi bulunmamaktadır. Çalışmamızın amacı asırlık bireylerin sosyal, demografik ve klinik karakteristik özelliklerini tanımlamak ve sağlık politikalarının yeniden düzenlenebilmesine katkı sağlamaktır. Gereç ve Yöntem Bir Geriatri polikliniğine başvuran 100 yaş ve üzeri bireyler hastane bilgi sistemi üzerinden retrospektif olarak taranmıştır. 100 yaş ve üzerinde olup verileri tam olan 7 birey çalışmaya dahil edilmiştir. Katılımcıların demografik değişkenleri, kronik hastalıkları, kullandığı ilaçları, fiziksel işlevsellikleri ve Sağlıklı Yaşam Biçimi Davranışları-II Ölçeği (SYBDÖ-II) kullanılarak yapılan sosyal açıdan değerlendirilmeleri not edilmiştir. Bulgular Çalışmaya dahil edilen bireylerin hepsi kadın olup yaş ortalamaları 101’di. Çoğu günlük yaşam aktivitelerinde tam bağımlıydı. Buna rağmen bu bireyler SYBDÖ-II’ye göre sağlıklarının orta veya iyi düzeylerde olduğunu belirtmişlerdir. Katılımcıların çoğu yaşamlarının büyük bir kısmını köy ve kırsal alanda geçirmişti. Hiçbir katılımcı hayatları boyunca sigara ve alkol kullanmıştı. Hipertansiyon (%85,7) en sık görülen kronik hastalıktı ve bireylerin kullandıkları ortanca ilaç sayısı 7’idi. Sonuç Bu sonuçlar toplumumuzda sağlıklı yaşam biçimini korumanının 100 yaşına ulaşmada önemli bir rol oynayabileceğini göstermektedir ve ülkemizde sağlıklı yaşlanma ve artan bu popülasyonun hakkında geliştirilecek politikalara fayda sağlayabilir","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139321240","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":"POSTNATAL RESULTS OF COLPORRAPHY POSTERIOR SURGERY","authors":"Alev Esercan, İsmail Demi̇r","doi":"10.47493/abantmedj.1304960","DOIUrl":"https://doi.org/10.47493/abantmedj.1304960","url":null,"abstract":"Rektosel çoğu asemptomatik olmakla birlikte fazla sayıda doğum, iri bebek doğurma, karın içi basıncını artıran ve bozan durumlar sonucunda oluşur. Semptomatik rektoselin tedavisinde bir cerrahi seçenek olarak arka kolporafi ameliyatı yapılabilmektedir. Literatürde bu ameliyat sonrası hastaların gebe kalıp kalamayacağı, vajinal doğum yapılırsa rektoselin nüks edip etmeyeceği net değildir ve çok az sayıda hasta vardır. Şanlıurfa Eğitim Araştırma Hastanesi’nde 2016-2023 yılları arasında semptomatik rektoseli olan hastaların takiplerindeki sonuçları ve içlerinden doğum yapanların sonuçlarını araştırmak hedeflenmiştir. Evre 2 ve 3 rektoseli toplam 546 hastanın meshsiz arka kolporafi ameliyatı sonrası sonuçlarında; hastaların yaş ortalaması 41.51±11.74 yıl ve parite ortalaması 5.06±1.66 doğumdu. 546 hastanın 115’si ameliyat sonrası gebe kalarak bunların 92’si vajinal doğum yapmıştır. Bebeklerin ortalama doğum kilosu 3280±258 gramdı. Ameliyattan sonra ortalama takip süresi 11.48±9.34 (1-60) ay olup takiplerde hem doğum yapanlar hem de doğum yapmayanların hiçbirinde rektosel nüksü görülmemiştir. Literatürde bu kadar fazla hasta sayısına sahip başka çalışma bulunmamakla birlikte sonuç olarak arka kolporafi ameliyatı olmak isteyen hastaların çocuk sahibi olmayı ertelemelerine gerek yok gibi gözükmektedir.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139334682","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":"Prognoses of Multicystic Dysplastic Kidney Patients: A Single Center Experience","authors":"İsa Yilmaz, Harun Peru","doi":"10.47493/abantmedj.1245817","DOIUrl":"https://doi.org/10.47493/abantmedj.1245817","url":null,"abstract":"Introduction: In this study, was aimed to evaluate the demographic characteristics and follow-up results of patients with multicystic dysplastic kidney (MCDK) in our pediatric nephrology clinic, in the light of the literature. Material and Methods: The files of the patients who applied to the Pediatric Nephrology Clinic of Selçuk University Faculty of Medicine between January 2011 and January 2022 were analyzed retrospectively. Data of 22 patients with MCDK were recorded. Results: Twelve (55%) of the patients were left-sided and 10 (45%) were right-sided MCDK. Urinary system infection (UTI) was seen in three patients. Right-sided MCDK was accompanied by right ureterocele in one patient and hydronephrosis in the contralateral kidney in 5 patients. No urinary anomaly was observed in other patients. Proteinuria and hypertension were not detected in the patients. Vesicoureteral reflux (VUR) was not detected in 5 patients who underwent voiding cystourography. In the follow-up of the patients, MCDK was involved in a mean of 16.2±29.3 (1-107) months. Conclusion: Multicystic dysplastic kidney in children has a good prognosis with conservative management. Periodic follow-up is important to prevent the potential development of hypertension or hyperfiltration injury.","PeriodicalId":504416,"journal":{"name":"Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139349773","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}