Annals of Medical Research最新文献_第9页

Comparison of Hysterosalpingography Diagnostic Value with Laparoscopy and Hysteroscopy Findings in Infertility Research 子宫输卵管造影与腹腔镜、宫腔镜诊断不孕症的价值比较

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.03.073

A. K., Muradiye m

{"title":"Comparison of Hysterosalpingography Diagnostic Value with Laparoscopy and Hysteroscopy Findings in Infertility Research","authors":"A. K., Muradiye m","doi":"10.5455/annalsmedres.2023.03.073","DOIUrl":"https://doi.org/10.5455/annalsmedres.2023.03.073","url":null,"abstract":"Objective: To compare hysterosalpingography (HSG) findings with laparoscopy (LS) and hysteroscopy (HS) findings in infertile patients and evaluate their adequacy in diagnosis Materials and Methods: The presented retrospective study was conducted on 106 patients diagnosed with primary and secondary infertility. LS-HS procedure was applied to the cases who could not get pregnant at the end of six months after HSG. Sociodemographic data and tubal, uterine, endometrial, and pelvic findings were compared. Sensitivity, specificity, and positive and negative predictive values were calculated. Results: Primary infertility was observed at a higher rate. (n=68, 64.2%). Most of the patients were in the 24-29 age group. The maximum duration of infertility has been observed in the range of 1-4 years. Compared with LS in tubal patency, the sensitivity of HSG was 85%, specificity 65%, positive predictivity 88.3%, and negative predictivity 58.6%. Compared with HS in detecting uterine pathologies, the sensitivity of HSG was 94.9%, specificity 53.3%, positive predictivity 72.7%, and negative predictivity 89.7%. Conclusion: In evaluating infertile patients, HSG is reliable in detecting tubal blockade. Due to its low specificity, invasive methods can be applied, especially in unexplained infertility whose pathology is not seen in HSG. These methods are complementary rather than the alternative.","PeriodicalId":8248,"journal":{"name":"Annals of Medical Research","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87766473","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

Investigation of the relationship between the PaO₂/FiO₂ ratio and Wells score in patients diagnosed with acute pulmonary embolism 对确诊为急性肺栓塞患者的 PaO₂/FiO₂比值与威尔斯评分之间关系的研究

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2022.10.321

Fatma Tortum, A. Gur

引用次数: 0

Audiologic follow up results of child with NGLY1 deficiency NGLY1缺乏症患儿听力学随访结果

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.01.022

Oğulcan Gundogdu, Cem Yeral, Oğuz Yılmaz, Y. Bayazıt

引用次数: 0

Assessment of Vitamin D Levels in Patients with Sudden Sensorineural Hearing Loss 评估突发性感音神经性听力损失患者的维生素 D 水平

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2022.07.206

Elif Sar, T. Tokat, A. Aliyeva, M. Karadağ, Fatma Eren, Tolgahan Catl, L. Olgun

引用次数: 0

PREDICTIVE VALUE OF BIOMARKERS IN STEATOHEPATITIS AND FIBROSIS 生物标志物在脂肪性肝炎和纤维化中的预测价值

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.02.047

kriye Ta, rem Dilaver, S. N., Birg Tok

{"title":"PREDICTIVE VALUE OF BIOMARKERS IN STEATOHEPATITIS AND FIBROSIS","authors":"kriye Ta, rem Dilaver, S. N., Birg Tok","doi":"10.5455/annalsmedres.2023.02.047","DOIUrl":"https://doi.org/10.5455/annalsmedres.2023.02.047","url":null,"abstract":"Aim : Non-alcoholic fatty liver disease (NAFLD) has recently become a significant public health problem around the world, with a reported prevalence of 25%. In this study, we aimed to investigate the utility of biochemical and hematological markers in the progression from hepatosteatosis to fibrosis and to examine their superiority to each other by comparing them with pathological scoring parameters. Materials and Methods: : Pathological results of patients who underwent liver biopsy for different indications were reviewed retrospectively.Of these, 120 patients with fatty liver were selected and their biopsy specimens were re-evaluated according to the NAFLD Activity Score (NAS). The relationship between pathological scores and serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), AST to platelet ratio index (APRI), red blood cell distribution width (RDW), neutrophil-to-lymphocyte ratio (NLR), RDW to platelet ratio (RPR), and gamma-glutamyl transpeptidase (GGT), RDW to platelet ratio (RPR), and gamma-glutamyl transpeptidase (GGT) was analyzed Results: The results indicated that ALT, APRI, and GGT were significant predictors of nonalcoholic steatohepatitis (NASH), while GGT, APRI, and RPR were significant predictors of fibrosis. Additionally, ROC analysis confirmed the significant predictive value of APRI, RPR, and GGT in the diagnosis of fibrosis. Conclusion:. Based on these results, we consider that GGT and APRI are better predictors than other biomarkers.","PeriodicalId":8248,"journal":{"name":"Annals of Medical Research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86208673","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

The diagnostic value of electroencephalography in pediatric patients presenting with syncope Running title: The yield of electroencephalography in pediatric syncope 脑电图对小儿晕厥的诊断价值标题:小儿晕厥的脑电图结果

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2022.09.285

A. M. Res, G. Yucel

{"title":"The diagnostic value of electroencephalography in pediatric patients presenting with syncope \u0000\u0000Running title: The yield of electroencephalography in pediatric syncope","authors":"A. M. Res, G. Yucel","doi":"10.5455/annalsmedres.2022.09.285","DOIUrl":"https://doi.org/10.5455/annalsmedres.2022.09.285","url":null,"abstract":"Aim: In the investigation of the diagnosis of pediatric syncope, it was aimed to evaluate the rate of abnormal EEG findings and the diagnostic yield of the EEG in the electroencephalography (EEG) taken following their neurological examination. Materials and Methods: EEG records of 332 patients younger than 18 years of age who presented to the pediatric neurology outpatient clinic with syncope were retrospectively analyzed. The EEG results were classified as normal and abnormal. Based on the abnormal EEG results, four subgroups were formed as focal epileptiform discharge, generalized epileptiform discharge, focal slowing and generalized slowing. Abnormal EEG results were categorized according to age and gender. Results: Of the cases included in the study, 195 (58.7%) were female and 137 (41.3%) were male. The mean age of the patients was calculated as 12.67±3.21 years. Analysis of the EEG results revealed that 92.5% were normal and 7.53% were abnormal. The most common abnormal EEG finding was focal slowing, which was detected in 12 (3.6%) patients, followed by focal epileptiform discharge which was detected in eight (2.4%) and generalized epileptiform discharge which was detected in five (1.5%) patients. Conclusion: EEG should not be routinely performed to evaluate the diagnosis of pediatric syncope. Therefore, EEG should be performed only on patients to be selected based on their medical history and the results of their neurological examination. In this way, it will be possible to derive more benefits out of EEG and to reduce the associated medical costs.","PeriodicalId":8248,"journal":{"name":"Annals of Medical Research","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80469943","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

EVALUATION OF THE PRESENCE OF RE-EMERGENT TREMOR AND ITS EFFECT ON CLINICAL FEATURES IN PARKINSON'S DISEASE 评估帕金森病患者是否存在再发震颤及其对临床特征的影响

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2022.09.283

A. M. Res, Mumune Bozdag Kiraz, Nevra Oksuz, O. Doğu

引用次数: 0

Evaluation of neurologically symptomatic and asymptomatic patients in childhood Wilson's disease with central nervous system involvement: A retrospective observational study 儿童威尔森氏病累及中枢神经系统的神经系统症状和无症状患者的评估:一项回顾性观察研究

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.07.169

A. M. Res, G. Yucel, S. Gungor

{"title":"Evaluation of neurologically symptomatic and asymptomatic patients in childhood Wilson's disease with central nervous system involvement: A retrospective observational study","authors":"A. M. Res, G. Yucel, S. Gungor","doi":"10.5455/annalsmedres.2023.07.169","DOIUrl":"https://doi.org/10.5455/annalsmedres.2023.07.169","url":null,"abstract":"Abstract Objective: The aim was to evaluate the clinical and laboratory characteristics of children with Wilson's disease (WD) with and without neurological presentation with abnormalities on brain magnetic resonance imaging (MRI) and to describe the relationship of these observations with disease severity and functional outcome and their impact on prognosis. Materials and methods: Demographic, neuropsychiatric findings, laboratory, disease severity and functional results of 48 children with neurologically symptomatic and asymptomatic WD were evaluated retrospectively. Results: A significant positive correlation was found between the neurologic symptom score and functional outcome in WD with neurological presentation (p <0.001). A significant positive correlation was found between disease severity scores (PELD, MELD, Child Pugh and Dhwin score) and modified Rankin scores (mRS) in WD without neurological presentation (p <0.001, 0.004, <0.001, 0.001, respectively). In addition, a significant positive correlation was found between total bilirubin, direct bilirubin and Internationel Normalized Ratio (INR) values and mRS scores (p= 0.006, 0.012, 0.004, respectively). Kayser-Fleischer Ring sign in the eye was higher in the group with neurological symtomatic WD (p <0.001). The number of patients presenting with clinic of fulminant hepatitis and hepatic encephalopathy was significantly higher in the neurological asymptomatic group (p <0.001) Conclusion: Brain MRI changes may occur even in hepatic WD and presymptomatic cases, although infrequently, regardless of the presence of neurological symptoms. It should be known that neurological symptoms in children and adolescents may occur without significant liver disease. Even without neurological symptoms, all children with WD should have a brain MRI before treatment.","PeriodicalId":8248,"journal":{"name":"Annals of Medical Research","volume":"132 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79566819","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

Finite element analysis of lumbosacral soft tissue at sitting posture at desktop computer 台式电脑坐姿腰骶部软组织有限元分析

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2022.03.109

Fatih Baygutalp, Abbas Razm, Mansur Lu

{"title":"Finite element analysis of lumbosacral soft tissue at sitting posture at desktop computer","authors":"Fatih Baygutalp, Abbas Razm, Mansur Lu","doi":"10.5455/annalsmedres.2022.03.109","DOIUrl":"https://doi.org/10.5455/annalsmedres.2022.03.109","url":null,"abstract":"ABSTRACT Aim: This study aims to numerically determine the biomechanical effect of von Mises stress, induced at different flexion angles of the spine while sitting at a desktop computer, on the soft tissues in the front and back of the lumbosacral region, as well as to contribute to determining the ideal sitting posture. Materials and Methods: Three-dimensional (3D) soft tissue models were created using Solidworks. Static structural analyses of the tissues were performed in ANSYS with the finite element method (FEM). Stress distribution and stress values occurring in the anterior and posterior sides of the lumbosacral region at 0, 15, 30, and 45 spine flexion angles were analyzed separately. The values of von Mises stress formed in the anterior and posterior soft tissues of the lumbosacral region gradually increased with the increase in the flexion angle. Furthermore, the stress values in the anterior and posterior soft tissues were compared with each other for the same spinal flexion angle. Results: The von Mises stress values were found to be higher in the posterior side only at 0 degrees, whereas at 15, 30, and 45 degrees, they were higher in the anterior side. As a result, the most suitable position for sitting at a computer was determined. Lower flexion angles of the spine, such as 0 and 15 degrees, create less stress on the anterior and posterior sides of the lumbosacral region. Conclusion: Sitting postures with a flexion angle of the spine higher than 0-15 degrees are not appropriate, and desktop users are not recommended to adopt such a posture. The results of the analysis could be used to better understand the effects of prolonged sitting on the lumbosacral area and to design interventions to reduce the risk of injury or discomfort.","PeriodicalId":8248,"journal":{"name":"Annals of Medical Research","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79005133","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: 1

ROLE OF CAPNOGRAPHY IN SAFE SEDATION OF VITRECTOMY PATIENTS 血管造影在玻璃体切除术患者安全镇静中的作用

Annals of Medical Research Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2022.08.240

Sinem Ozpar, Selcan Akesen, F. Kahveci

{"title":"ROLE OF CAPNOGRAPHY IN SAFE SEDATION OF VITRECTOMY PATIENTS","authors":"Sinem Ozpar, Selcan Akesen, F. Kahveci","doi":"10.5455/annalsmedres.2022.08.240","DOIUrl":"https://doi.org/10.5455/annalsmedres.2022.08.240","url":null,"abstract":"Purpose: To evaluate the efficiency of the capnography monitoring added to routine monitoring on oxygen desaturation, hypoxemia, and other vital parameters. Methods: 100 adult patients who had elective vitrectomy under sedation were included in this study. Patients were divided into “experiment”(capnography added to routine monitoring) and “control”(capnography not added to routine monitoring) groups. Hypoxemia, desaturation, tachycardia, bradycardia, additional maneuvers for the airway were compared. Increase and decrease in end-tidal carbon dioxide (EtCO2) levels, hypoxemia, desaturation, Integrated Pulmonary Index (IPI) levels requiring attention (5-7), and intervention (1-4) were determined in the experiment group, and frequencies of them were assessed. Results: Desaturation and bradycardia rates and counts in the experiment group were significantly lower than the control group. No significant difference was seen between groups in terms of hypoxemia, tachycardia, and additional maneuvers. 76%(38/50) of experiment group patients had decrease in EtCO2, 10%(5/50) increase in EtCO2, 38%(19/50) apnea, 52%(26/50) IPI levels requiring attention, 14%(7/50) IPI levels requiring intervention. Conclusion: With addition of the capnography to routine monitoring of sedated vitrectomy patients, oxygen desaturation and bradycardia can be less likely to occur, and with instant follow-up of the EtCO2, apnea, and IPI levels; respiratory depression can be recognized before oxygen desaturation develops.","PeriodicalId":8248,"journal":{"name":"Annals of Medical Research","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81084987","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