Journal of Academic Research in Medicine-JAREM最新文献

{"title":"Could Chest Computed Tomography Scores Assess the Inflammatory Markers and Disease Severity of Coronavirus Disease-2019 Patients?","authors":"Y. Kayadibi, Neşe Uçar, Mehmet Fatih Kaya, Okan Gürkan, Yeşim Namdar Akan, Berna Demirok","doi":"10.4274/JAREM.GALENOS.2021.3803","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.3803","url":null,"abstract":"Objective: This study aimed to investigate the relationship between chest computed tomography (CT) scores and inflammatory markers in patients with coronavirus disease-2019 (COVID-19).","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"62-68"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47831777","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":"Psychiatric Comorbidity, Length of Hospital Stays and Readmission Rates in Opiate Addicts Treated in Inpatient Service","authors":"B. Geniş, B. Coşar, Z. Arıkan","doi":"10.4274/JAREM.GALENOS.2021.3794","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.3794","url":null,"abstract":"Objective: In this study, it was aimed to investigate psychiatric comorbidity, long hospitalization reasons and readmission reasons of opiate addicts treated in inpatient service. Methods: The study data consisted of patient records treated at Gazi University Hospital Alcohol and Drug Addiction Clinic between 1 January 2005 and 31 December 2017. Four hundred eighty four people with primary diagnosis of opiate addiction were included in the analysis. One hundred of these patients had recurrent hospitalizations. Results: While the average age of the sample was 29.74±7.05, 89.9% (n=435) were male. The presence of depression as a comorbidity in opiate addiction increased the length of hospitalization 3.3 times [odds ratio (OR): 3.362] and the psychotic symptom 5.4 times (OR: 5.417). In addition to opiate addiction, the diagnosis of anxiety disorder increased the risk of readmission 3.3 times (OR: 3.321), while the diagnosis of personality disorder reduced the risk of readmission 4.58 times (OR: 0.218). It was observed that 5% (n=5) of the patients were re-admitted within the first month and 29% (n=29) within the first three months. Conclusion: One of every three opiate addicts is admitted in the first three months after discharge. Having anxiety disorder increases recurrent hospitalization 3.3 times, while having personality disorder decreases 4.5 times. Further studies should be conducted on whether short hospitalization periods increase readmission rates.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"24-31"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44913756","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 Approach to Perianastomotic Pouches due to Anastomotic Leakage After Rectal Resection","authors":"O. Demiray, S. Sayar, A. Er, Aylin Hasanefendioğlu Bayrak, D. Gönüllü","doi":"10.4274/JAREM.GALENOS.2021.32042","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.32042","url":null,"abstract":"Objective: Conservative treatment of perianastomotic pouch due to low anastomosis in rectal surgery is possible in patients without generalized peritonitis. This report describes the treatment of this complication using Endo-SPONGE® and transrectal endoscopic lavage. Methods: Sixteen patients with abscess resulting from anastomotic leakage after rectal resections were retrospectively reviewed; nine of them were treated with transrectal endoscopic lavage and the other seven patients were treated with endoscopic vacuum therapy. Results: During the initial operation, 13 patients underwent loop ileostomy. In three patients, diverting stoma was created after anastomotic leakage was observed. The mean volume of the abscess cavity was 82.6 cc (24.7-128) for those treated with EndoVAC (vacuum-assisted closure) and 33.3 cc (10.5-61.1) for those treated with endoscopic lavage. The number of sponges exchanged was 13.8 (5-25), and the time required for pouch closure was 74.3 days (20-136) for negative aspiration therapy and 66.1 days (30-210) for transrectal endoscopic lavage. As a late anastomotic complication, we recorded stricture in only one of seven patients (14.2%) treated with Endo-SPONGE®. Four of nine patients (44.4%) that underwent endoscopic lavage developed strictures, which needed reoperative procedures. Conclusion: According to our experience, the sponge placement and negative pressure aspiration can be helpful in the treatment of anastomotic leakage after low anterior resections for rectal cancer. The results of time until cavity closure are not inferior to those of the conventional treatment, and a functional advantage over the conventional approach was observed. Patients with Endo-SPONGE® placement had less stricture and defecation problems.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"102-106"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42071084","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":"Evaluation of the Relationship Between Metabolic Syndrome, Visceral Adiposity Index and Lipid Accumulation Product in Patients with Obesity","authors":"F. Akbaş, H. Usta Atmaca, Ş. Değirmencioğlu","doi":"10.4274/JAREM.GALENOS.2021.21931","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.21931","url":null,"abstract":"Objective: Visceral adiposity index (VAI) and lipid accumulation product index (LAPI) are the new methods to determine the visceral adiposity and to predict the cardiometabolic risks in patients with. In this study, it was aimed to determine whether VAI or LAPI could be a predictor for metabolic syndrome (MS) in obesity, and to evaluate their relationship with other biochemical and anthropometric parameters. Methods: All patients who were admitted to the obesity outpatient clinic for the first time in January-February 2020 were included in the study. Age, gender, height, weight, body mass index, waist circumference (WC), hip circumference, waist/hip (W/H) ratio, biochemical parameters, and degree of hepatosteatosis were recorded. The presence of MS was determined according to the National Cholesterol Education Program Adult Treatment Panel-III criteria. VAI and LAPI were calculated according to fixed formulations. Results were evaluated by SPSS. Results: A total of 49 subjects, (48 females), with obesity were included in the study. Thirty-two patients (65.3%) had MS. In the MS (+) group, fasting blood glucose (FBG), insulin resistance (HOMA-IR) and triglyceride (TG) levels, VAI, LAPI, diabetes mellitus and hypertension ratios were higher than the group with MS (-). A positive correlation was observed between VAI and LAPI. There was a positive correlation between the VAI and the TG value, and a negative correlation between the VAI and high density lipoprotein value. A positive correlation was observed between LBU and TG, FBG, HOMA-IR, WC, W/H ratios. DOI: 10.4274/jarem.galenos.2021.21931 ÖZ Amaç: Visseral adipozite indeksi (VAİ) ve lipid birikim ürünü indeksi (LBÜİ) obezite hastalarında visseral adipoziteyi belirlemek ve kardiyometabolik riskleri öngörmek için kullanılan yeni yöntemlerdir. Burada; obezitede, VAİ ve LBÜİ’nin metabolik sendrom (MS) için bir prediktör olup olamayacağını belirlemek, ayrıca diğer biyokimyasal ve antropometrik parametrelerle ilişkilerini değerlendirmek amaçlanmıştır. Yöntemler: Hastanemiz obezite polikliniğine Ocak-Şubat 2020’de ilk kez başvuran tüm hastalar çalışmaya alındı. Hastaların yaş, cinsiyet, boy, kilo, vücut kitle indeksi, bel çevresi (BÇ), kalça çevresi, bel/kalça (B/K) oranı, biyokimyasal parametreler, hepatosteatoz derecesi kaydedildi. Ulusal Kolesterol Eğitim Programı-Yetişkin Tedavi Paneli-III kriterlerine göre MS varlığı belirlendi. Sabit formülasyonlara göre VAİ ve LBÜİ hesaplandı. Sonuçlar SPSS ile değerlendirildi. Bulgular: Çalışmaya obezitesi olan 48 kadın, 1 erkek, toplam 49 kişi dahil edildi. Otuz iki hastada (%65,3) MS mevcuttu. MS (+) olan grupta açlık kan şekeri (AKŞ), insülin direnci (HOMA-IR) ve trigliserid (TG) düzeyi, VAİ, LBÜİ, diabetes mellitus ve hipertansiyon oranı MS (-) olan gruptan yüksekti. VAİ ve LBÜİ arasında pozitif korelasyon gözlendi. VAİ ile TG değeri arasında pozitif, yüksek yoğunluklu lipoprotein değeri arasında negatif korelasyon gözlendi. LBÜ ile TG, AKŞ, HOMA-IR, BÇ, B/K o","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"56-61"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46599292","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":"Relationship Between Colon Wall Thickness in Computed Tomography Scan and Colon Cancer: A Retrospective Study","authors":"Önder Karabay, N. Hacım, Mert Gençtürk","doi":"10.4274/JAREM.GALENOS.2021.3822","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.3822","url":null,"abstract":"Objective: This study aimed to investigate the colonoscopic findings of patients with increased colonic wall thickness (ICWT) detected by abdominal computed tomography (CT) and to define the effectiveness of neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and mean platelet volume (MPV) together with colonic wall thickness in predicting malignancy. Methods: Data of patients who underwent abdominal CT for any reason between January 2017 and August 2019 were retrospectively reviewed. Records of patients with ICWT in the abdominal CT report were retrospectively analysed. Patients whose colon wall thickness could be measured and who were evaluated with colonoscopy and biopsy within 1-3 months after CT were included in the study. Haemoglobin (hb), albumin, NLR, PLR and MPV values, colon wall thickness and colonoscopy and biopsy results were recorded. Results: Ninety-seven patients had ICWT data on CT. The colonic wall thickness and presence of positive lymph node were significantly higher in the malignancy group (p<0.001). Similarly, values of hb, NLR, PLR and MPV were different in the malignancy group (p<0.001). According to the receiver operating characteristics analysis, colon wall thickness over the 8.5 mm threshold value was a significant factor in predicting colon cancer (p<0.001). Conclusion: In patients who do not have a history of gastrointestinal injury or disease, the incidental detection of ICWT >8.5 mm may be an important finding for a possible diagnosis of colon cancer.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"46-50"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44443986","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":"Evaluation of the Serum Visfatin and Adiponectin Levels Related with the Activity of Juvenile Idiopathic Arthritis","authors":"Oktay Çalışkan, Z. Güngör, Özlem Balcı Ekmekçi, H. Ekmekçi, K. Barut, S. Şahin, Amra Adroviç Yıldız, Şeyma Dümür, Ö. Kasapçopur, M. Kucur","doi":"10.4274/JAREM.GALENOS.2021.43043","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.43043","url":null,"abstract":"Presented in: Congress & LAB. Expo 2018 with International Participation and 1st Hereditary Metabolic Diseases Symposium (01-04 October 2018, Antalya) P4-02. Received Date/Geliş Tarihi: 15.02.2021 Accepted Date/Kabul Tarihi: 26.03.2021 Oktay Çalışkan1, Zeynep Banu Güngör1, Özlem Balcı Ekmekçi1, Hakan Ekmekçi1, Kenan Barut2, Sezgin Şahin2, Amra Adroviç Yıldız2, Şeyma Dümür1, Özgür Kasapçopur2, Mine Kucur1","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47613972","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":"Vitamin D Deficiency is Associated with Depression, Anxiety and Sleep Disturbance in Pregnant Women","authors":"Gonca Sağlam, Gizem Pektaş, S. Karakullukçu, A. Pektaş, Demet Sağlam Aykut","doi":"10.4274/JAREM.GALENOS.2021.3897","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.3897","url":null,"abstract":"Objective: Vitamin D deficiency is prevalent in pregnancy and has been associated with psychological symptoms in non-pregnant patient populations. This study aimed to evaluate the relationship between depression, anxiety, sleep quality and vitamin D deficiency in pregnant women. Methods: In this prospective cross-sectional study, data from a total of 153 pregnant women including demographic, pregnancy and laboratory were obtained. Participants were divided into two groups with low (<20 ng/mL) and normal (≥20 ng/mL) serum 25 (OH) vitamin D levels. Pregnant women were screened for symptoms of depression and anxiety using the Beck depression inventory (BDI) and Beck anxiety inventory (BAI). Pittsburgh sleep quality index (PSQI) was utilised to investigate sleep quality. Groups were compared statistically. Results: BDI, BAI and PSQI scores were significantly higher in patients with low vitamin D levels. Overall, 22.2% of pregnant women had depression symptoms and 37.8% had moderate-severe anxiety symptoms in vitamin D deficient group. Conclusion: Depression, anxiety and poor quality sleep during pregnancy were associated to vitamin D deficiency. This study emphasises the importance of screening for vitamin D deficiency among pregnant women.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"1 1","pages":"0-0"},"PeriodicalIF":0.2,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47678331","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":"Congenital Urinary System Anomalies: Prenatal Diagnosis/Postnatal Outcome","authors":"Miraç Özalp, H. S. Yalçın Cömert, Ö. Demir, H. Şal, T. Aran, M. A. Osmanağaoğlu","doi":"10.4274/jarem.galenos.2020.3300","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2020.3300","url":null,"abstract":"©Copyright 2020 by University of Health Sciences Turkey, Gaziosmanpaşa Training and Research Hospital. Available on-line at www.jarem.org ©Telif Hakkı 2020 Sağlık Bilimleri Üniversitesi, Gaziosmanpaşa Eğitim ve Araştırma Hastanesi. Makale metnine www.jarem.org web sayfasından ulaşılabilir. Geliş Tarihi/Received Date: 27.03.2020 Kabul Tarihi/Accepted Date: 09.09.2020 Sorumlu Yazar/Corresponding Author: Miraç Özalp, E-posta: ozalpmirac@gmail.com ORCID IDs of the authors: M.Ö. 0000-0002-2255-1642; H.S.Y.C. 0000-0002-5281-4933; Ö.D. 0000-0003-4376-8733; H.Ş. 0000-0002-3586-6125; T.A. 0000-0001-9488-9776; M.A.O. 0000-0001-5115-5262. J Acad Res Med 2020;10(3):220-6 Cite this article as: Özalp M, Yalçın Cömert HS, Demir Ö, Şal H, Aran T, Osmanağaoğlu MA. Congenital Urinary System Anomalies: Prenatal Diagnosis/ Postnatal Outcome. J Acad Res Med 2020;10(3):220-6 Miraç Özalp1, Hatice Sonay Yalçın Cömert2, Ömer Demir3, Hidayet Şal3, Turhan Aran1, Mehmet Armağan Osmanağaoğlu1 1Karadeniz Teknik Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Perinatoloji Bilim Dalı, Trabzon, Türkiye 2Karadeniz Teknik Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Trabzon, Türkiye 3Karadeniz Teknik Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Trabzon, Türkiye Congenital Urinary System Anomalies: Prenatal Diagnosis/Postnatal Outcome Konjenital Üriner Sistem Anomalileri: Prenatal Tanı/ Postnatal Sonuç Özalp ve ark. Konjenital Üriner Sistem Anomalileri DOI: 10.4274/jarem.galenos.2020.3300 Özalp ve ark. Konjenital Üriner Sistem Anomalileri J Acad Res Med 2020;10(3):220-6 221","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"10 1","pages":"220-226"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42895685","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":"Retrospective Evaluation of Patients Undergoing Cardiopulmonary Resuscitation in the Emergency Department","authors":"E. Altınbilek, M. Çalık, M. Tümer, A. Erdem, D. Öztürk","doi":"10.4274/jarem.galenos.2020.3764","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2020.3764","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"10 1","pages":"264-268"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49435615","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":"Giant Juvenile Fibroadenoma of the Breast: Clinical Manifestation in Two Cases","authors":"M. Kafadar, Mehmet Ali Kırşan, Suat Cal, M. Okur, S. Gırgın","doi":"10.4274/jarem.galenos.2020.3729","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2020.3729","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"10 1","pages":"303-305"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42139725","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}