Sanamed最新文献

{"title":"INTERVENTION OF RARELY SEEN CATHETER LOSS DURING PERMANENT TUNNELED HEMODIALYSIS CATHETERIZATION: A CASE REPORT","authors":"Emced Khalil","doi":"10.24125/sanamed.v15i2.425","DOIUrl":"https://doi.org/10.24125/sanamed.v15i2.425","url":null,"abstract":"Introduction: In patients with end-stage renal disease (ESRD), permanent hemodialysis cathetersare often used by performing percutaneous catheterization to create a permanent vascular access. To the best of our knowledge, no cases with accidental loss of catheter piece during hemodialysis catheter replacement or during its retrieval under scopy has been reported in the literature yet. Case report: It was decided to retrieve the right permanent dialysis catheter of a 54-year-old woman, who had received a temporary dialysis catheter due to the development of catheter site infection in her 3 rd permanent catheter (the first two were changed due to thrombosis). Due to excess adhesion in the region, the retrieval of the catheter was complicated, only half of it (proximal piece after cutting into two) was removed, while the distal section slipped and migrated to the right subclavian vein, up to the right atrium.The diagnosis was confirmed by chest radiographs showing that the distal piece of the catheter piece was in the right subclavian vein and right atrium. The catheter piece was retrieved through a minor invasive procedure made possible by scopy without any further complications. Conclusion : Permanent dialysis catheters should ideally be placed under scopy. Also, when the retrieval of a catheter is planned, cutting from any part of the catheter should never be performed.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44138653","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":"ATRIAL FIBRILATION AND GAMA GLUTAMYL TRANSFERASE; OF-PUMP VERSUS ON-PUMP CORONARY ARTERY BYPASS SURGERY","authors":"Emced Khalil","doi":"10.24125/sanamed.v15i2.440","DOIUrl":"https://doi.org/10.24125/sanamed.v15i2.440","url":null,"abstract":"Introduction: Atrial fibrillation (AF) which can be seen as a complication of the open heart surgery, may  cause serious problems on post operative period. The exact pathophysiology of AF is unknown but it is thought that factors such as oxidative stress might cause AF. Material and methods : We retrospectivily surveyed the serum gamma glutamyl transferase (GGT) levels which is accepted as a mediator of oxidative stres, for the Post Operative Atrial Fibrillation (POAF) that occur after of-pump versus on-pump Coronary Artery Bypass Graft (CABG) surgery. Our study included 183 cases ( 101 male, 72 female; median age 63 ± 4.3 years) of which CABG was performed. Results: Echocardiography, routine blood tests, electrocardiography (ECG), test for the serum GGT levels were performed in preoperative and postoperative  period to all participants. AF developed  in 34 patients (35 %) in Group I and 19 patients (20 %) in Group II. There were no significant differences between two groups (of-pump versus on-pump) in terms of gender, cardiovascular risk factors and the severity of the coronary artery disease. In patients who has developed AF in postoperative period had significantly higher serum GGT levels. Conclusion : This study has shown that serum GGT levels were found to be significantly higher in patients whom AF has developed after on-pump CABG surgery.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48284386","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":"A WORD FROM THE EDITOR","authors":"Avdo Ceraninc","doi":"10.24125/sanamed.v15i1.434","DOIUrl":"https://doi.org/10.24125/sanamed.v15i1.434","url":null,"abstract":"This year has been filled with emotions of all types; kind of a roller coaster ride and unfortunately we still have a bit left of that ride. For most of us, it has been a difficult year where we have had to adapt and reinvent ourselves to a certain degree. This applies very much to this magazine and before anything else I would like to show my gratitude to the SFPE staff, the editorial board, and all you readers out there. Without all of you, we would not have the success we have; we are sharing knowledge in its true sense.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49308978","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":"THROMBOTIC THROMBOCYTOPENIC PURPURA: A CASE REPORT AND REVIEW OF LITERATURE","authors":"S. Stankovikj","doi":"10.24125/sanamed.v15i1.382","DOIUrl":"https://doi.org/10.24125/sanamed.v15i1.382","url":null,"abstract":"Introduction :  Thrombotic thrombocytopenic purpura (TTP) is a syndrome that consists of the pentad of thrombocytopenia, microangiopathic hemolytic anemia, neurologic abnormalities, fever and renal disease.  Moskowitz was the first who described this syndrome in 1925, finding hyaline thrombi in many organs. The micro thrombi cause tissue ischemia, platelet consumption, and microangiopathic hemolytic anemia. Brain involvement is common and leads to stroke, seizure, confusion, and headache. Renal injury occurs in a minority of patients and it is usually modest. Case report :  We present a 57-year old male who came to our hospital because of weakness, prostration and darkening of his urine, occurring several days before admission. On physical examination we found icteric coloring of his skin and conjunctiva, big hematoma on his right lower leg and he had neurological abnormalities presented as mild headache, disorientation and aphasia. Laboratory tests revealed anemia and thrombocytopenia and the examination of peripheral blood smear showed presence of schistocytes.  Direct and indirect antiglobulin test (Coombs) was negative. Emergency treatment was started with plasmapheresis on daily basis, immunosuppressive treatment with high-dose methyl prednisolone and transfusions of red blood cells. The laboratory results and the clinical condition improved within two weeks. Conclusion : TTP is a medical condition that can be fatal if emergency treatment with plasma pheresis is not initiated presently after suspected diagnosis.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41862444","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":"THROMBOPHLEBITIS OF PREPUBIC VEINS IN PATIENTS WITH APLASIA OF THE LEFT COMMON AND LEFT EXTERNAL ILIAC VEINS-CASE REPORT","authors":"Bogdan Crnokrak, Darko Zdravkovic, B. Tošković, N. Colakovic","doi":"10.24125/sanamed.v15i1.376","DOIUrl":"https://doi.org/10.24125/sanamed.v15i1.376","url":null,"abstract":"Introduction: A congenital defect of some of the large veins that drain blood from the lower extremity is a very rare occurrence and, considering the clinical consequences, it is generally diagnosed at a relatively early age - in childhood or youth. Within the complex classification of vascular malformations, a special category is comprised of large blood vessel malformations, also called truncal vascular malformations. In comparison to other anomalies, aplasia or lack of development of a certain segment in the deep venous systems, potentially has the most serious hemodynamic consequences. The appearance of varicose veins, through which the venous blood is drained distally to the obstruction into an unusual area, such as the lower part of the trunk or the anterior abdominal wall, usually spurs the patient into action in terms of conducting diagnostic procedures so that diagnosis can be reached before complications occur. Defects of large magistral deep veins, which remain unrecognized until adulthood and which are diagnosed after complications in the drainage venous network occur, are infrequent. Complications that can arise in association with this malformation are manifested not only in varicosally altered collateral veins, but also in the venous drainage area distal to the obstruction. Case report: We hereby present a case of a patient admitted to hospital with a clinical picture and an ultrasound finding indicating an incarcerated inguinal hernia. During surgery, thrombophlebitis of extremely dilated prepubic veins was established. Subsequent diagnostic procedures revealed the presence of a rare vascular anomaly - aplasia of the left common andleft external iliac veins. Under the mentioned conditions, a collateral venous network developed in both groins and the prepubic region, draining blood from the left leg into the right common femoral vein.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49160601","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":"ACUTE AND CHRONIC PROSTATITIS","authors":"G. Smieško","doi":"10.24125/sanamed.v15i1.319","DOIUrl":"https://doi.org/10.24125/sanamed.v15i1.319","url":null,"abstract":"Today is very well known that prostatitis is often disease in men in the age of 50 and also it make a 1/3 of urological diseases in men over 50 year old, following benign glandular prostatic hyperplasia as well cancer of prostata. Acute bacterial prostatitis: Disturbed disorders are: general weakness, fever, pain or feeling of discomfort between the spine and the scrotum or the end of the colon, and frequent, painful and difficult urination is observed. Acute bacterial prostatitis most commonly occurs in men between the ages of 20 and 40. Disturbed disorders are: general weakness, fever, pain, or feeling of discomfort between the anus and the scrotum or in the end of the colon. In addition to the above symptoms, frequent, painful and difficult wetting occurs, and sometimes the urinary incontinence can occur. In case of suspected acute prostatitis, a prostate examination in the finishing section of the colon should be performed. The prostate is extremely painful on the touch, warm and sometimes \"wet\" consistency. In some cases, manure accumulation can occur within the prostate tissue, which leads to abscess (crowding), which should be surgically opened and emptied of purulent contents. Chronic bacterial prostatitis : Due to the presence of bacteria in the tissue of the prostate, chronic bacterial prostatitis is associated with frequent recurrent acute cystitis, or inflammation of the bladder mucous membrane. In this disease, patients are mostly free from the acute phase of worsening condition.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46154848","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":"THE TREATMENT OF ACUTE POISONING IN CLINICAL EMERGENCY CENTER OF KRAGUJEVAC","authors":"Z. Kovačević, Vesna Marjanović, Katarina M. Janicijevic","doi":"10.24125/SANAMED.V14I3.359","DOIUrl":"https://doi.org/10.24125/SANAMED.V14I3.359","url":null,"abstract":"To the Editor, All acute poisonings represent urgent conditions in medicine, no matter what clinical features are. Patients with acute poisoning make 3-5% of the total number of patients treated in emergency medical services \"poisoning\", and can be accidental, suicidal and murderous. Making (providing) accurate diagnosis is often difficult because it implies the identification of poison; that is not always possible of auto and heteroanamnesis data, physical examination (checkup) of the patient, and clinical symptoms of poisoning are used for making the diagnosis (1). Patient with symptoms of acute poisoning is immediately taken in emergency room where doctor specialist of emergency medicine or doctor specialist of internal medicine undertakes medical examination which implies: fast estimation of need for respiratory support and mechanical ventilation, or cardiorespiratory reanimation; monitoring of vital functions; measuring of arterial blood pressure, heart rate, arterial oxygen saturation by pulse-oximetry, electrocardiographic record of heart rate, x-ray lung recording; consultations with neurologist, surgeon, neurosurgeon, psychiatrist, or if it is necessary with doctors of other specialties; provision of venous line; applying of intravenous saline solution or intravenous sugar solution(dextrose solution); taking blood samples urgently; according to estimation testing blood on methyl-alcohol or ethyl-alcohol, or testing urine on psychoactive substances; estimation of consciousness; identification of signs of external physical injuries; nasogastric intubation in case of acute peroral poisoning except in case of poisoning by corrosive substances (acids, bases) when there are contraindications; this procedure is repeated until the stomach contents are clear after that activated carbon is given to a patient (2). If a patient is unconscious, the one needs to be intubated in order to protect the airways. After that nasogastric intubation is being done, after all activated carbon is given to a patient; if a patient is conscious and the collaboration can be established, the vomiting is caused by drinking hot water and after that activated carbon is given to a patient; after initial treatment in resuscitation room patients who are respiratory at risk (affected) of who have disturbances of consciousness are hospitalized in stationary rooms of Clinical Emergency Center, and those who have symptoms of light poisoning, they are taken in internist ambulance for observation and psychiatrist is consulted about the clinical conditions of them (3). The poisoning time of observation is estimated on the stabilization of vital parameters, improving the state of consciousness, as well, as the development of possible complications depending on the time of ingestion, type of toxic substance, the time of reporting poisoning to doctors and present co-morbidity. Antidote therapy is used for poisoning in which it is indicated. Atropine® is used for poisoning by organo-p","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48506752","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":"FREQUENCY OF DISEASES PRESENTING IN ENT OPD AT AYUB TEACHING HOSPITAL ABBOTTABAD","authors":"Shahbaz Qayyum, S. Fayyaz","doi":"10.24125/SANAMED.V14I2.315","DOIUrl":"https://doi.org/10.24125/SANAMED.V14I2.315","url":null,"abstract":"Introduction : Patient presents with ear, nose and throat diseases in ENT OPD to otolaryngologist/ENT specialist. ENT diseases are serious public health problems because of their universal distribution the morbidities which they cause due to inherent physiological function that take place in head and neck region. Objectives of our study were to know frequency of ENT diseases in patients presenting at ENT OPD at Ayub Teaching Hospital Abbottabad. Methods: A cross sectional study was done in Ayub Teaching Hospital Abbottabad from December 2015. to August 2016. Patients presenting at ENT OPD of Ayub Teaching Hospital Abbottabad were selected for study. Data about their ENT problems and concerned information were collected from them through well structured questionnaire. Data after collection was entered and analysed using SPSS-16. Results: The minimum age is 1 and maximum age is 80 years. Out of total 250 patients, 129 (51.6%) were males and 121(48.4%) were females, majority of patients 181 (72.4%) were from Abbottabad   and majority of patients 165(66.0%) were poor. The most common cases in ENT OPD were bilateral ear wax 15.2% followed by acute otitis media 13.2% and allergic rhinitis 13.2%. Conclusion: It is concluded from our research that most common problems of ENT disorders are bilateral ear wax, allergic rhinitis, acute otitis media, chronic supporative otitis media and deviated nasal septum. The most common causes are infection, poor hygiene and poor nutrition.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45297173","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":"COMPARISON OF SURGICAL TREATMENT RESULTS AND CLINICAL AND RADIOLOGICAL FINDINGS OF TIBIAL PLATEAU FRACTURES","authors":"L. Kehribar, Levent Karapınar","doi":"10.24125/SANAMED.V14I2.310","DOIUrl":"https://doi.org/10.24125/SANAMED.V14I2.310","url":null,"abstract":"Introduction : In this retrospective study, it was aimed to evaluate the correlation between operative treatment results and clinical and radiological findings of tibial plateau fractures. Patients and Methods: Between 1996 and 2006, 33 knees were operated for tibia plateau fracture of 32 patients. 29 patients were male and 3 were female. Only 3 cases (9.99%) were open tibial plateau fractures. The mean age was 45 years. Fractures classified using the Schatzker classification were: 17 (52%) type 1, 12 (12%) type 2, 9 (27%) type 5 and 6 (9%) type 6. Patients following the period were at least 44 weeks and maximum 480 weeks (mean 60 weeks). Results : The results of 33 patients were determined by the clinical and radiological system of Rasmussen. According to clinical findings, 17 cases were excellent, 9 were good, 6 were medium and 1 was poor. According to the radiological findings, 9 cases were excellent, 16 were good, 6 were medium and 2 were bad. The difference between clinical and radiological findings was analyzed with Pearson core analysis and statistically significant (p 0.005). The analyzes of the grade of fracture and the degree of fracture were statistically significant (p <0.005). 42.4% of all patients had meniscus injury. Therefore, arthroscopy should be used with surgery. Conclusion: Anatomic reduction, rigid fixation of the joint and early mobilization can reduce complications and improve the function of the knee joint in tibial plateau fractures.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42852628","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":"CHOLEDOCHOCELE WITH RECURRENT PANCREATITIS-CASE REPORT","authors":"F. Ateş, Turgay Kara, H. Sara, Muhammed Sami Çoban, M. Durmaz, Fatih Dal","doi":"10.24125/SANAMED.V14I2.306","DOIUrl":"https://doi.org/10.24125/SANAMED.V14I2.306","url":null,"abstract":"Choledochal cysts are an uncommon anomaly of unknown etiology of the bilious system. This anomaly, characterized by cystic dilatations on intrahepatic or extrahepatic bile ducts, can be seen at any age from birth. Most rare congenital bile duct cysts choledochocele (type III) is usually diagnosed in adults. Since the congenital choledochal cyst has not a unique clinical finding, the basic criteria for diagnosis are based on imaging findings. This article presents a case of choledochoceleaccompanying.recurrent pancreatitis in a 19-year-old male patient.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42599748","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}