Acta Medica Alanya最新文献_第6页

Tiroid İnce İğne Aspirasyon Biyopsi Sonuçlarının Değerlendirilmesi: Tek Merkez Deneyimi

Acta Medica Alanya Pub Date : 2023-02-24 DOI: 10.30565/medalanya.1191153

Baris Karagün

{"title":"Tiroid İnce İğne Aspirasyon Biyopsi Sonuçlarının Değerlendirilmesi: Tek Merkez Deneyimi","authors":"Baris Karagün","doi":"10.30565/medalanya.1191153","DOIUrl":"https://doi.org/10.30565/medalanya.1191153","url":null,"abstract":"ABSTRACT: \u0000Objective: It was aimed to examine the results of thyroid fine needle aspiration (FNA) biopsy performed in our clinic and to investigate its effectiveness. \u0000Methods: In this study, the results of 101 patients who underwent thyroid FNAB in Tarsus state hospital endocrinology clinic between December 2021 and July 2022 were retrospectively analyzed. \u0000Results: Ultrasonographic features of thyroid nodules were classified according to EU-TIRADS, 51(50.5%) were in EU-TIRADS-3, 31 (30.7%) were in EU-TIRADS-4, 19(18.8%) were in EU-TIRADS-5. When we categorize cytology results according to Bethesda classification, 23 (22.8%) Bethesda I, 48 (47.5%) Bethesda II, 16 (15.8%) Bethesda III, 4(4%) Bethesda IV, 10(9.9%) detected as Bethesda VI. Bethesda II was found in the EU-TIRADS-3 category with the highest frequency, while Bethesda VI was found in the EU-TIRADS-5 category with the highest frequency. The mean nodule diameter was found to be 20.48 9.73mm. \u0000Conclusion: Ultrasonographic findings of the nodules correlated with cytology results. The EU-TIRADS categorisation has a good concordance with the Bethesda system. The coordinated use of the two classifications helps the clinician to avoid the risk of unnecessary invasive procedures.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90161385","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}

引用次数: 0

Hip and Knee Osteoarthritis: An Overvıew 髋关节和膝关节骨关节炎:Overvıew

Acta Medica Alanya Pub Date : 2022-12-31 DOI: 10.30565/medalanya.1226590

A. Aslan

引用次数: 0

Orbital and Ocular Adnexal Lymphomas: A Retrospective Single Center Study 眼眶和眼附件淋巴瘤:一项回顾性单中心研究

Acta Medica Alanya Pub Date : 2022-12-26 DOI: 10.30565/medalanya.1126423

B. Ulaş, A. Özcan, Astan İbayev

{"title":"Orbital and Ocular Adnexal Lymphomas: A Retrospective Single Center Study","authors":"B. Ulaş, A. Özcan, Astan İbayev","doi":"10.30565/medalanya.1126423","DOIUrl":"https://doi.org/10.30565/medalanya.1126423","url":null,"abstract":"Purpose: To evaluate and present the clinical and histopathological features of patients with orbital and adnexal lymphoma. \u0000Methods: Eight patients that had histologically proven orbital and adnexal lymphoma between 2011 and 2021 were evaluated retrospectively. Clinical appearance, age, gender, imaging, tumor localization, treatment methods, pathological diagnosis and systemic features of patients were obtained from the files. \u0000Results: The mean age of the patients was 59.1 (range 42-79). While 6 of the patients were male, 2 were female. Painless mass and orbital swelling were the most common first signs and symptoms in patients. The MRI findings demonstrated unilateral involvement in 6 patients and bilateral involvement in 2 patients. Intraorbital location in 3 patients (behind the orbital septum), lid location in 2 patients (eyelids in front of orbital septum), conjunctival involvement in 1 patient and lacrimal gland involvement in 2 patients were detected. All cases were reported as Non-Hodgkin B-cell lymphoma [Primary extranodal marginal lymphoma of the mucosa-associated lymphoid tissue (5 patients), diffuse large B-cell lymphoma (2 patients), follicular lymphoma (1 patient)]. \u0000Conclusion: Lymphomas are common among orbital tumors and clinical findings change depending on the localization in orbita. Ophthalmologists should be attentive to orbital swellings and consider orbital and ocular adnexal lymphomas among differential diagnoses.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74699008","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}

引用次数: 0

Comparison of the Effects of Different Treatment Methods Applied in Patients with Lateral Epicondylitis on Clinical Outcomes 不同治疗方法对外上髁炎临床疗效的影响比较

Acta Medica Alanya Pub Date : 2022-12-23 DOI: 10.30565/medalanya.1214401

A. Aksoy, Anıl Gülcü, A. Aslan

{"title":"Comparison of the Effects of Different Treatment Methods Applied in Patients with Lateral Epicondylitis on Clinical Outcomes","authors":"A. Aksoy, Anıl Gülcü, A. Aslan","doi":"10.30565/medalanya.1214401","DOIUrl":"https://doi.org/10.30565/medalanya.1214401","url":null,"abstract":"Objectives: In our study, the effectiveness of steroid injection therapy, extracorporeal shock wave therapy (ESWT) and splint use in the treatment of lateral epicondylitis were compared. \u0000Methods: A total of 97 patients (28 males, 57 females, mean age: 47 years) with a clinical diagnosis of lateral epicondylitis were included in the study. The patients were divided into three treatment groups: ESWT (ESWT group), local steroid injection and splint group. Patients were evaluated with Visual analog scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores before and after treatment. \u0000Results: A decrease in VAS and DASH scores and clinical improvement compared to pre-treatment were observed in all three groups. Better results were obtained in the group that received steroid injection with the peppering technique. \u0000Conclusion: The results of this study show that local steroid injection, ESWT application and bandage treatment may be beneficial in the short term in the treatment of patients with lateral epicondylitis. However, it was evaluated that the best improvement in scores was obtained with local steroid injection with the peppering technique, whereas the least improvement was obtained with bandage treatment.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80855218","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}

引用次数: 0

DIFFERENT METABOLIC AND CLINICAL PROFILES BETWEEN PATIENTS WITH PURE ALZHEIMER DEMENTIA AND EPILEPTIC ALZHEIMER DEMENTIA : A METABOLIC STUDY 单纯阿尔茨海默氏痴呆和癫痫性阿尔茨海默氏痴呆患者的不同代谢和临床特征:一项代谢研究

Acta Medica Alanya Pub Date : 2022-12-08 DOI: 10.30565/medalanya.1195485

Ece ÖZDEMİR ÖKTEM, Kübra Soğukkanli, T. Cakir, Ahmet Özşimşek, Seyda Cankaya, L. Hanoglu

{"title":"DIFFERENT METABOLIC AND CLINICAL PROFILES BETWEEN PATIENTS WITH PURE ALZHEIMER DEMENTIA AND EPILEPTIC ALZHEIMER DEMENTIA : A METABOLIC STUDY","authors":"Ece ÖZDEMİR ÖKTEM, Kübra Soğukkanli, T. Cakir, Ahmet Özşimşek, Seyda Cankaya, L. Hanoglu","doi":"10.30565/medalanya.1195485","DOIUrl":"https://doi.org/10.30565/medalanya.1195485","url":null,"abstract":"Aim: To investigate the clinical characteristics and cerebral FDG PET metabolisms of dementia patients who also diagnosed with epilepsy and compare the differences between with the pure Alzheimer dementia patients. \u0000Methods: In this case-control study, a total of 14 patients; 7 patients with pure Alzheimer disease as a control group and 7 age and gender matched patients with Alzheimer disease and concomitant epilepsy as a study group were included. Detailed neurocognitive battery and brain fludeoxyglucose positron emission tomography (FDG PET-CT) were performed for all subjects. \u0000Results: In comparison of neurocognitive test scores, there was no significant difference between study and control groups. However, geriatric depression scale scores were significantly lower in study group than the controls (p= 0.026). In cerebral FDG-PET CT profiles of subjects we detected significantly lower metabolism in left and right cerebellum, left lentiform nucleus, right thalamus and vermis in the study group (p=0.008, p=0.023, p=0.003, p=0.002, p=0.002, respectively). In the right parietotemporal cortex and right and left associative visual cortex, we found higher metabolism in the study group than controls ( p=0.023, p=0.012, p=0.003, respectively). \u0000Conclusion: Epileptic patients with Alzheimer dementia may have distinct clinical and metabolic profile than pure Alzheimer disease patients. Even if there is no difference in the neurocognitive clinical scores of the patients, depression and related functional abnormalities may be a biomarker of epileptic AD.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77433840","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}

引用次数: 0

Risk factors associated with mortality in patients with methanol poisoning: a retrospective study 甲醇中毒患者死亡率相关的危险因素:一项回顾性研究

Acta Medica Alanya Pub Date : 2022-11-22 DOI: 10.30565/medalanya.1184894

H. Aydın, Fatih Doğanay, M. Erdoğan, H. Doğan, Attila Beştemir, Alpay Tuncar

{"title":"Risk factors associated with mortality in patients with methanol poisoning: a retrospective study","authors":"H. Aydın, Fatih Doğanay, M. Erdoğan, H. Doğan, Attila Beştemir, Alpay Tuncar","doi":"10.30565/medalanya.1184894","DOIUrl":"https://doi.org/10.30565/medalanya.1184894","url":null,"abstract":"Aim: Methanol poisoning (MP) is an essential medical problem worldwide, and despite advances in diagnosis and treatment, the mortality rate in these cases is high. This study aimed to evaluate the clinical and laboratory factors to determine in-hospital mortality in patients with MP. \u0000Methods: This single-center, retrospective, observational study was conducted with adult 65 MP cases visiting the emergency department (ED) of a tertiary training and research hospital between January 01, 2017, and February 01, 2022. Data were statistically compared between survivors and non-survivors. \u0000Results: The in-hospital mortality rate was 41.5%. The rate of cases with respiratory distress, low Glasgow coma scale (GCS) (≤8), and delayed arrival to the hospital (>24 hours) was higher in the group of non-survivors compared to the group of survivors. Non-survivors had a higher anion gap (30.5 mEq/L vs. 25.5mEq/L), base excess (-25.0 mmol/L vs. -18.6 mmol/L), lactate (10.2 mmol/L vs. 2.2 mmol/L) levels, and lower pH (6.76 vs. 7.14) and bicarbonate (6.3 mmol/L vs. 10.3 mmol/L) levels than survivors (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74999813","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}

引用次数: 0

Frequency and predictors of hyperkalemia in the heart failure outpatient clinic 心力衰竭门诊高钾血症的发生频率及预测因素

Acta Medica Alanya Pub Date : 2022-11-14 DOI: 10.30565/medalanya.1172354

G. M. Yılmaz Öztekin, A. Genç, Anıl Şahin, G. Cagirci, Ş. Arslan

引用次数: 0

Transkateter Aort Kapak Replasmanı Uygulanan Hastalarda Cinsiyet Farklılıkları: Kesitsel Bir Çalışma

Acta Medica Alanya Pub Date : 2022-11-13 DOI: 10.30565/medalanya.1177186

A. Aktan, Faruk Ertaş

{"title":"Transkateter Aort Kapak Replasmanı Uygulanan Hastalarda Cinsiyet Farklılıkları: Kesitsel Bir Çalışma","authors":"A. Aktan, Faruk Ertaş","doi":"10.30565/medalanya.1177186","DOIUrl":"https://doi.org/10.30565/medalanya.1177186","url":null,"abstract":"Amaç: Transkateter aort kapak replasmanının (TAVR) cerrahiye uygun olmayan, yüksek riskli semptomatik şiddetli aort darlığı (AS) olan hastalar için etkili bir tedavi yöntemidir. TAVR’ de cinsiyete bağlı farklılıklar hala tartışılmaktadır. Bu çalışma ile kliniğimizde TAVR uygulanan hastalarda cinsiyetin klinik sonuçlar üzerine etkisini araştırmayı amaçladık. \u0000Yöntemler: Ocak 2015 ile Ocak 2022 tarihleri arasında TAVR yapılan ardışık 270 hasta çalışmaya dahil edildi. Aort stenozunu değerlendirmek için hastanın tıbbi öyküsünün yanı sıra transtorasik veya transözofageal ekokardiyografi ve bilgisayarlı toraks tomografisi bulguları incelendi. Semptomatik, yüksek riskli şiddetli aort darlığı tespit edilen hastalara kendiliğinden genişleyebilen Evolute-R cihazlarıyla işlem yapıldı. Hastalar taburculuk sonrası ilk bir yıl takip edildi. Takipler klinik ziyaretler ve telefon görüşmeleriyle gerçekleşti. \u0000Bulgular: Hastane içi mortalite (%5.4’e karşı %7.4 ; p=0.507), bir yıllık takipte ölüm (%14.9'e karşı %.13.1, p=0.681) ve bir yıllık takipte MACCE (%26.4'e karşı %23.8, p=0.627) oranları açısından kadın ve erkek cinsiyetleri arasında istatistiksel olarak anlamlı farklılık saptanmadı. Bir yıllık mortalite ve MACCE oranlarını içeren sağkalım analizi Kaplan-Meier eğrileri kullanıldı. Buna göre her iki cinsiyet arasında mortalite ve MACCE açısından istatistiksel olarak anlamlı farklılık saptanmadı ( sırasıyla; p= 0.910, Log-rank: 0.013; p =0.889, Log-rank: 0.019). \u0000Sonuç: TAVR yapılan hasta grubumuzda her iki cinsiyet arasında klinik sonlanımlar açısından önemli bir farklılık saptamadık. Son yıllarda cihaz ve prosedürle ilişkili gelişmelerle cinsiyetin klinik sonuçlar üzerine etkisi azaltılmıştır.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82122161","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}

引用次数: 0

EXPRESSION PROFILES OF PTEN AND POGZ GENES IN TURKISH PATIENTS WITH AUTISM 土耳其自闭症患者pten和pogz基因的表达谱

Acta Medica Alanya Pub Date : 2022-11-08 DOI: 10.30565/medalanya.1148353

Tuğba Tezcan, E. Şener, E. Demirci, Nilfer Şahin, Z. Hamurcu, D. Öztop

{"title":"EXPRESSION PROFILES OF PTEN AND POGZ GENES IN TURKISH PATIENTS WITH AUTISM","authors":"Tuğba Tezcan, E. Şener, E. Demirci, Nilfer Şahin, Z. Hamurcu, D. Öztop","doi":"10.30565/medalanya.1148353","DOIUrl":"https://doi.org/10.30565/medalanya.1148353","url":null,"abstract":"Amaç: Otizm spektrum bozukluğu (OSB), karmaşık davranışsal fenotiplerle teşhis edilen, etiyolojik ve klinik olarak heterojen bir grup nörogelişimsel bozukluktur. Uzun yıllar boyunca yapılan kapsamlı çalışmalara rağmen, OSB'nin nedenleri hala bilinmemektedir. PTEN ve POGZ genleri, OSB fenotipinden sorumlu olabilecek aday genler olarak gösterilmiştir. Bu çalışmanın amacı, otistik hastalarda PTEN ve POGZ genlerinin ekspresyon düzeylerini araştırmaktır. \u0000 \u0000Yöntem: DSM-IV ve DSM-V tanı kriterlerine göre OSB tanılı 50 hastada ve yaş-cinsiyet uyumlu 50 sağlıklı kontrolde PTEN, POGZ gen ekspresyonları kantitatif real time PCR (QRT-PCR) ile araştırıldı. Bu çalışma Erciyes Üniversitesi Genom ve Kök Hücre Merkezi'nde (GENKOK) yapılmıştır. \u0000 \u0000Bulgular: POGZ geninin hastalarda kontrollere göre daha fazla eksprese olduğu ve otistik erkeklerde bu genin ekspresyonunun anlamlı olduğu bulundu. PTEN gen ekspresyonu istatistiksel olarak anlamlı değildi ancak hastalarda kontrollere göre daha düşük bulundu (p=0.7884). Bu genlerin ekspresyonu ile bilişsel geriliği olan hastalar arasındaki ilişki anlamlı değildi. \u0000 \u0000Sonuç: Daha büyük hasta grupları ile diğer olası aday genlerin araştırılmasını ve sonuçların farklı klinik belirtilerle karşılaştırılmasını öneriyoruz. \u0000 \u0000Anahtar Kelimeler: Otizm, Otizm Spektrum Bozuklukları, PTEN, POGZ, Ekspresyon","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89578229","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}

引用次数: 0

Influenza and Pneumonia Knowledge Level and Vaccination Status of Pneumoconiosis Patients 尘肺患者流感与肺炎知识水平及预防接种情况

Acta Medica Alanya Pub Date : 2022-11-06 DOI: 10.30565/medalanya.1165897

Yusuf Samir Hasanlı, M. Türk, Emin Erdem

{"title":"Influenza and Pneumonia Knowledge Level and Vaccination Status of Pneumoconiosis Patients","authors":"Yusuf Samir Hasanlı, M. Türk, Emin Erdem","doi":"10.30565/medalanya.1165897","DOIUrl":"https://doi.org/10.30565/medalanya.1165897","url":null,"abstract":"Aims: In pneumoconiosis, which is a chronic lung disease, frequent flu and pneumonia worsen the course of the disease. Therefore, it is important that patients have flu and pneumococcal vaccines. The study aims to measure the knowledge level of patients with pneumoconiosis about influenza and pneumonia and to determine their vaccination status. \u0000Methods: We reached 73 patients with pneumoconiosis and had them fill out a 19-question questionnaire that evaluated their information about influenza and pneumonia and their vaccination status. The study was designed as descriptive, cross-sectional. We also examined the sociodemographic, socio-economic characteristics and working conditions of the patients. \u0000Results: The mean age of 73 patients, one of whom was female, was 46.4±7.8 years. They started working life in middle adolescence. Most of them are primary school graduates and their income is not sufficient. One-third of the patients were hesitant about general vaccination. Some had not heard of the flu and pneumonia vaccine. Thirty-four patients (46.6%) said that they heard about the vaccines from the TV or the internet, not from the healthcare professionals. After the diagnosis of pneumoconiosis, influenza and pneumonia vaccination rates were very low (14 patients/19.2% and 16 patients/21.9%, respectively). One-third of the patients were unaware that pneumonia was a lung disease. When we asked, \"Why haven't you been vaccinated against pneumonia?\" the answer \"I just got this information\" came to the fore (39 patients/53.5%). Most patients (42/57 patients) who were not vaccinated against pneumonia after being diagnosed with pneumoconiosis were not aware that pneumonia could be prevented by vaccination (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85878088","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}

引用次数: 0