Acta Medica Alanya最新文献

{"title":"THE EFFECT OF TOPICAL ANTIGLAUCOMATOUS DROPS ON INTRAOCULAR PRESSURE CHANGES IN PATIENTS TREATED WİTH INTRAVITREAL AFLIBERCEPT","authors":"Mehmet Coşkun","doi":"10.30565/medalanya.1399134","DOIUrl":"https://doi.org/10.30565/medalanya.1399134","url":null,"abstract":"Objective:The aim is to investigate the effect of using topical dorzolamide-timolol (DT) drops before intravitreal aflibercept (IVA) administration on intraocularpressure (IOP) changes. Materials and Methods: Forty-five eyes of 45 patients with diabetic retinopathy and macular edema who received DT drops 1 hour before IVA were considered as group 1, and 45 eyes of 45 patients without DT drops were considered as group 2. Patients who had previously undergone intravitreal injection, intraocular surgery, and who used any eye drops were excluded from the study. IOP values were measured with Tonopen contact handheld tonometer before blepharostatinsertion (BBIOP), after blepharostat insertion (ABIOP) and at 1 minute after injection (AIIOP). Results: There were 23 males and 22 females in group 1 and 22 males and 23 females in group 2 (p=0.96). The mean age was 55.23 ±7.53 years in group 1 and 55.70 ±9.78 years in group 2.(p=0. 97) In group 1, BBIOP was 18.12 ±4.18 mmHg, ABIOP 20.98 ±4.42 mmHg, AIIOP 43.20 ±15.80 mmHg, while in group 2, BBIOP 18.65 ±3.52 mmHg, ABIOP 22.80 ±3.90 mmHg, AIIOP 39.08 ±13.18 mmHg. The difference between AIIOP and BBIOP was 25.04 ±16.30 mmHg in group 1 and 20.36 ±13.82 mmHg in group 2, the difference was not statistically significant.(p=0.21) The difference between AIIOP and ABIOP was 22.32 ±16.48 mmHg in group 1 and 16.18 ±13.05 mmHg in group 2, the difference was statistically significant.(p=0.03) Conclusion: In the group using topical DT drops before IVA administration, BBIOP and ABIOP values were lower, while AIIOP values were higher.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"60 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139176528","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 analysis of the determining factors for open reduction in pediatric humerus supracondylar fractures: Are factors such as time until operation and surgeon's experience effective?","authors":"Murat Taşci, Muhammed Enes Karatas, B. Kemah","doi":"10.30565/medalanya.1396535","DOIUrl":"https://doi.org/10.30565/medalanya.1396535","url":null,"abstract":"INTRODUCTION Definite indications for open surgery are very limited in supracondylar humerus fractures (SCHFs). In our study, we aimed to examine whether the patient’s fracture type, waiting time of the patient before the operation, and the experience of the surgeon are effective on the treatment decision for open surgical method in our SCHF patients treated with open reduction. MATERIAL AND METHOD A group of pediatric patients treated with open reduction for SCHF between the years of 2010 and 2022 were examined for our study. Trauma mechanism, type of fracture, time until operation, neurovascular injuries and years of experience of the surgeons were retrospectively reviewed. RESULTS A total of 110 patients were included in the study. The mean age was 5.7 years. Nine patients were flexion-type SCHF. According to the Gartland classification, 19 patients were Type II and 82 patients were Type III. Ninety-four patients were operated in the first 24 hours, 16 patients were operated after 24 hours. There was no statistical correlation between the surgeons’ experience or time until operation and the type of the fractures. Patients with flexion type fractures were significantly older than the other patients. CONCLUSION Extension Type III fractures are often require open surgery regardless of the surgeon's experience and waiting time for surgery. Regardless of the surgeon's years of experience and the type of the fracture, some fractures cannot be treated with closed reduction and require open reduction.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"1248 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139176980","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 occurrence and curing of stuttering during the use of methylphenidate for ADHD in childhood : An inconsistent relationship","authors":"Tayfun Kara, Fahri Çelebi̇","doi":"10.30565/medalanya.1402736","DOIUrl":"https://doi.org/10.30565/medalanya.1402736","url":null,"abstract":"Stuttering is a childhood onset fluency disorder in speech. It has been suggested to be associated with brain anatomy, functionality or the dysregulation of the dopaminergic activity. Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood and adolescence. Psychostimulant medications are widely used for the psychopharmacologic treatment of ADHD. In this article, two boys who have ADHD with opposite reactions after methylphenidate (MPH) treatment in terms of fluency in the speech are presented. In the first case stuttering was induced with MPH while in the second case stuttering was resolved after MPH treatment. Although MPH seems to have opposite effects on stuttering in our cases, our case report points that dopaminergic system may play a role for the onset of childhood onset fluency disorder. More comprehensive studies are needed to show the neurodevelopmental process and the mechanisms related with ADHD, stuttering and MPH treatment.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"801 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177068","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":"NEUROVASCULAR HETERODIGITAL ISLAND FLAP FOR DIGITAL PULP DEFECT RECONSTRUCTION: 58 CASE SERIES","authors":"M. Dursun","doi":"10.30565/medalanya.1397435","DOIUrl":"https://doi.org/10.30565/medalanya.1397435","url":null,"abstract":"Purpose: Our study aims to report the neurovascular heterodigital island flap reconstruction for finger pulp defects. Materials and Methods: This study included 58 patients presenting to our clinic with pulp defects between 2014 and 2022. The average age of the patients was 26 years (20 - 56 years). Injuries were Allen type 2 for 18 patients, type 3 for 33 patients, and type 4 for 7 patients. Pulp defects were caused by crush injury (n:42) and sharps injury (n:16). Results: None of the flaps administered to the participating patients developed any total loss. Three patients developed partial loss in the distal flap. Six patients were found to have superficial tissue infection. Two patients were found to have hyperpigmentation and hyperesthesia. While one patient with Allen type 3 pulp defect was detected to have 10 degrees of flexion contracture in the distal interphalangeal (DIP) joint and 5 degrees of flexion contracture in the proximal interphalangeal joint, three patients were found to have 5 degrees of flexion contracture only in the DIP joint. The mean static 2-point discrimination of the pulp-administered flap was 5.2 mm and on the contralateral side was 3 mm. The mean Semmes-Weinstein monofilament test was 3.18 g in the pulp administered flap and 2.92 g in the contralateral side. Conclusions: Reconstruction of pulp defects with neurovascular heterodigital island flap is a reliable treatment option with satisfactory functional and sensory outcomes.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183533","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":"Lymphocyte-to-Monocyte Ratio was the Best Predictor of Adhesive Capsulitis in Rotator Cuff Tears","authors":"Humeyra Celik, İlhan Çeli̇k, Tacettin Ayanoğlu, E. Arikan, S. A. Kayış","doi":"10.30565/medalanya.1376796","DOIUrl":"https://doi.org/10.30565/medalanya.1376796","url":null,"abstract":"Purpose: The aim of the study is to evaluate the prediction of adhesive capsulitis in the preoperative period of rotator cuff tear (RCT) by neutrophil-lymphocyte (NLR), platelet-lymphocyte (PLR), neutrophil-monocyte (NMR), lymphocyte-monocyte (LMR) ratios. \u0000Methods: This study was designed as a retrospective case-control study. After ethical approval, preoperative hemogram and biochemistry data of 128 patients who were operated on for RCT were collected from the archive of hospitale. Among the patients who underwent arthroscopy due to RCT, those with signs of adhesive capsulitis in the intraoperative period were included in the RCT+Adhesive capsulitis group. Age, blood glucose, CRP, sedimentation, white blood cell, neutrophil, monocytes, lymphocytes, platelets, fasting blood glucose, hemoglobin and hematocrit values, and NLR, PLR, NMR, and LMR ratios were compared between healthy control and RCT+Adhesive capsulitis. Logistic regression analysis of the ratios was also performed. \u0000Results: A total of 64 healthy RCT (group 1) and 64 patients with RCT+Adhesive capsulitis (group 2) were included in the study. Fasting blood glucose, lymphocyte, CRP values, and NMR and LMR were found to be higher in patients with adhesive capsulitis (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"380 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138983170","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":"USING NAVIGATION IN UPPER CERVICAL INSTRUMENTATION IN CLINICS THAT DO NOT HAVE INTRAOPERATIVE IMAGING TECNOLOGY-Technical Article","authors":"A. Karaoglu, Turgut Kuytu","doi":"10.30565/medalanya.1390145","DOIUrl":"https://doi.org/10.30565/medalanya.1390145","url":null,"abstract":"AIM: Upper cervical spine surgery which requires instrumentation is a highly complicated procedure, both due to the presence of critical structures in the region and variable pedicle anatomy. \u0000METHODS: Despite the widespread use of technological advances as intraoperative imaging and navigation technologies aimed at preventing screw malposition and injuries to the critical neural and vascular structures, there are only a few clinics capable of employing those technologies. \u0000RESULTS: In clinics lacking intraoperative imaging facilities that assist in the instrumentation of the upper cervical spine, navigation technology can be employed in both posterior and anterior approaches with the assistance of the technique described in this manuscript. \u0000CONCLUSION: This approach will not only decrease complication rates compared with the freehand method, but also considerably lower radiation exposure for both the patient and surgical team.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"78 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138590690","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":"Assessing Patient Demographics and Emergency Response Adaptation in a Primary-Level State Hospital Following the 6 February Türkiye Earthquakes","authors":"S. Batar, Mehmet Talha Aydin, Mehmet Berke Yuşan, Savaş Çamur, Mehmet Salih Soylemez","doi":"10.30565/medalanya.1391661","DOIUrl":"https://doi.org/10.30565/medalanya.1391661","url":null,"abstract":"Objectives: This study aimed to assess the patient demographics and emergency response adaptation in a primary-level state hospital following the 6 February Türkiye earthquakes. \u0000Materials and methods: The study was conducted at the XXX Hospital, which remained largely unaffected by the earthquakes. The hospital faced challenges in providing medical care due to the loss of staff, damaged infrastructure, and limited resources. A volunteer orthopedic surgery team, along with other medical professionals, provided treatment to the earthquake victims. The patient data was collected from the conventional record book of the operating room. \u0000Results: From 6 to 12 February 2023, a total of 111 surgeries were performed at the hospital, with 92 (%83) being earthquake-related. Orthopaedic surgeons operated on most of the patients. The most common surgeries included fasciotomies, amputations, and fracture fixations. The surgeries were performed in a time-sensitive manner, with immediate life- and extremity-saving procedures prioritized. The hospital's infrastructure challenges and the lack of digital recording systems hampered the data collection process. \u0000Conclusion: The study highlighted the challenges faced by the XXX Hospital in providing emergency medical care following the earthquakes. Despite the chaotic conditions and limited resources, the medical professionals worked tirelessly to ensure continuous care for the earthquake victims. The demographic analysis revealed a predominance of young patients, and the most common surgeries were related to compartment syndromes and extremity injuries. The findings emphasize the importance of preparedness, robust infrastructure, and efficient patient recording systems in facilitating effective emergency response and healthcare delivery during and after natural disasters. Lessons learned from this study can contribute to the development of future action plans to improve emergency medical care in earthquake-prone regions.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138592321","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 Examination of the 2D:4D Ratio, Handedness and Footedness in Children and Adolescents with Attention Deficit Hyperactivity Disorder","authors":"Orhan Kocaman, Tayfun Kara, Pınar Aydoğan Avşar, T. Kuru","doi":"10.30565/medalanya.1393223","DOIUrl":"https://doi.org/10.30565/medalanya.1393223","url":null,"abstract":"Aim: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition more common in boys than girls, although this gender variation has yet to be explained. The purpose of this study was to examine hand 2D:4D ratios and their association with ADHD. The study was also intended to compare hand 2D:4D ratios according to hand and foot dominance in individuals with ADHD. Methods: 168 children were included in the study, 91 diagnosed with ADHD and 77 healthy volunteers. All participants were evaluated via DSM-5 based psychiatric examinations, and their sociodemographic data were collected using forms prepared by the authors. The participants’ ADHD symptoms were assessed using the Conners’ Parent Rating Scale-Revised Short Form. 2D:4D ratios were determined by measuring the lengths of the bilateral second and fourth fingers using a digital compass. Hand and foot dominances were determined by evaluation in a clinical setting. The scores obtained were then compared. Results: Lower right and left hand 2D:4D ratios were determined in the individuals with ADHD than in the healthy controls (p=0.001 for both). No correlation was found between ADHD subscales and right or left hand 2D:4D ratios in the case group. No differences in 2D:4D ratios were also observed according to hand and foot dominances in the case group. Conclusion: This study produced important findings concerning whether hand 2D:4D ratios can be used as a marker of ADHD. We think that the data obtained may be of assistance to other studies assessing the phenotype characteristics of individuals with ADHD.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139200294","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":"Lessons Learned From Covid-19 Pandemia: Pregnancy Anxiety Level Increases During A Life Threatening Period Such As Pandemia","authors":"Emre Köle, Lale Aksoy, Gökşen Görgülü, Hakan Demir, Merve Çakır Köle, Erdoğan Aslan","doi":"10.30565/medalanya.1384162","DOIUrl":"https://doi.org/10.30565/medalanya.1384162","url":null,"abstract":"Introduction : We aimed to highlight the psychological effects of the disease in the pandemic process along with the epidemiological data in pregnant women with COVID 19 infection, and the effects of increased anxiety in pandemic on pregnancy outcomes. Material and methods : This study was performed in 100 women of 15 to 49 years of reproductive age who applied to the Gynecology and Obstetrics Outpatient Clinic, Pandemic Outpatient Clinic and the Pregnant Outpatient Clinic. Fourty-six pregnant women with positive COVID 19 PCR test were compared with negative COVID 19 PCR test as control group. Patients were administered a questionnaire and Beck Anxiety Inventory. Results : An evaluation using the Beck Anxiety Scale revealed that anxiety levels were significantly higher in the COVID-19 positive pregnant group compared to the COVID-19 negative pregnant group (p=0.001). When comparing the groups in terms of becoming pregnant and giving birth during the pandemic, it was found that \"severe anxiety\" significantly increased in the COVID-19 negative pregnant group (p=0.032) Discussion : We found that being COVID-19 positive, based on the Beck Anxiety Inventory, significantly increased the anxiety levels during pregnancy when compared to negative groups.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139268263","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":"POSTPARTUM TYPE 2 DIABETES MELLITUS FREQUENCY OF PATIENTS WITH GESTATIONAL DIABETES MELLITUS","authors":"Lezzan KESKİN","doi":"10.30565/medalanya.1295353","DOIUrl":"https://doi.org/10.30565/medalanya.1295353","url":null,"abstract":"Aim: This study aims to examine the frequency of type 2 diabetes mellitus (DM) in the postpartum period and its relationship with other risk factors. Materials and Methods: Patients who were diagnosed, followed up and treated for gestational diabetes in Malatya Turgut Özal University, Malatya Training and Research Hospital Endocrinology outpatient clinic and who underwent Oral Glucose Tolerance Test (OGTT) in the postpartum period were included. Results: In our retrospective study, 157 patients were included. The mean age was 31.8±5.6 years. After being followed up with her follow-up and treatment throughout the pregnancy, OGTT administered with 75 grams of glucose was performed at the postpartum 8th week. Impaired glucose tolerance (IGT) was detected in 23 patients (14.64%), impaired fasting glucose (IFG) in 18 patients (11.46%), and type 2 DM in 17 patients (10.8%). When evaluated in terms of the presence of DM in the postpartum period, no difference was found regarding the history of gestational DM in the anamnesis (p=0.305) and the presence or absence of family history (p=0.095). In terms of the presence of DM, there was a significant difference between the patients receiving insulin therapy and those receiving diet therapy (p=0.001). Conclusion: We can say that type 2 DM development in the postpartum period is associated with high maternal age and an increase in body mass index (BMI). Being pregnant with the ideal weight to be achieved by lifestyle changes may decrease the risk of type 2 DM and diabetes-related complications in the long term.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"57 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136134053","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}