Balıkesir Medical Journal最新文献

Does COVID-19 infection pose a risk to women of childbearing age? 感染 COVID-19 会给育龄妇女带来风险吗？

Balıkesir Medical Journal Pub Date : 2024-01-10 DOI: 10.33716/bmedj.1406040

Kazım Kıratlı, Mustafa Şengül

引用次数: 0

3D Baskı Teknolojisi İle Tasarlanan Terapötik Nebülizatör Cihazı İle Yapılan İnhaler Tedavinin Çocukların Psikososyal Semptomlarına Etkisi 利用 3D 打印技术设计的治疗性雾化器装置进行吸入治疗对儿童社会心理症状的影响

Balıkesir Medical Journal Pub Date : 2023-12-28 DOI: 10.33716/bmedj.1359832

Nurten Arslan, Meltem Kürtüncü

引用次数: 0

Ciddi Nörolojik Bulgularla Birlikte Giden Lityum Zehirlenmesi Olgusu 一例伴有严重神经系统症状的锂中毒病例

Balıkesir Medical Journal Pub Date : 2023-11-30 DOI: 10.33716/bmedj.1283985

Tuba Tuğ, Merve ŞAHİN CAN, Sinan Altunöz, Hayriye Baykan

{"title":"Ciddi Nörolojik Bulgularla Birlikte Giden Lityum Zehirlenmesi Olgusu","authors":"Tuba Tuğ, Merve ŞAHİN CAN, Sinan Altunöz, Hayriye Baykan","doi":"10.33716/bmedj.1283985","DOIUrl":"https://doi.org/10.33716/bmedj.1283985","url":null,"abstract":"Lithium is used for the treatment of bipolar disorder and some other psychiatric disorders. Due to the narrow therapeutic range, intoxications are common. In this case, chronic lithium intoxication with severe neurological symptoms was discussed in light of the literature. A 72-year-old female patient. The patient had been receiving psychiatric treatment for 7 years with the diagnosis of unipolar depression. In the 6th month of lithium use, she was brought by her relatives with complaints of drowsiness, tremor, muscle twitching, and difficulty walking. On examination, consciousness was confused, there was no cooperation orientation and there was general rigidity, tremor, fasciculations, and ataxic gait. Vital signs; blood pressure 147/92 mmHg, heart rate 69 bpm, SpO2: 94%. The laboratory tests: lithium 2.98 mEq/L, potassium 5.8 mmol/l, sodium 129 mmol/l, creatinine 1.66 mg/dl, urea 166 mg/dl. The patient was transferred to the internal medicine clinic with the diagnosis of lithium intoxication. Lithium treatment was discontinued. On the 7th day, her neurological symptoms improved with supportive treatment, and biochemical parameters returned to normal. A lithium concentration of more than 3.5 mEq/L was defined as severe poisoning. Neurological findings are prominent in severe poisonings. Especially, geriatric population is at greater risk. In our case; age, use of three different groups of diuretics as antihypertensive treatment, and urinary tract infection were defined as factors that predispose to poisoning. In this case, it's emphasized that although the lithium blood level isn't very high, severe neurological symptoms can be seen clinically in the presence of risk factors.","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139205081","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

Cerrahi girişimlerden sonra erken ve hedefe yönelik mobilizasyon: Derleme 外科手术后早期和有针对性的康复训练：综述

Balıkesir Medical Journal Pub Date : 2023-11-22 DOI: 10.33716/bmedj.1381699

İnci Kirtil, Nevin Kanan

{"title":"Cerrahi girişimlerden sonra erken ve hedefe yönelik mobilizasyon: Derleme","authors":"İnci Kirtil, Nevin Kanan","doi":"10.33716/bmedj.1381699","DOIUrl":"https://doi.org/10.33716/bmedj.1381699","url":null,"abstract":"Early mobilization, which still has no standard definition, is an important component of enhanced recovery after all surgical interventions. By providing early and targeted mobilization, many postsurgical complications can be prevented, and the recovery period and hospital stay can be shortened. However, there are many obstacles reported by both healthcare team members and patients in the achievement of early and targeted mobilization. In addition, there is currently no strong evidence to guide clinical practice in this context. The establishment of mobilization programs specific to surgical patients in healthcare institutions, informing patients about the mobilization process in the preoperative period, determining step goals, promoting motivation, monitoring the number of steps, and encouraging patients to keep a mobilization diary are among the practices that can be implemented to ensure early and targeted mobilization. It is also underlined that early mobilization involves multidisciplinary teamwork. As healthcare professionals, nurses are an important member of the multidisciplinary team in the implementation of early and targeted mobilization programs to maintain the quality of care after surgery. This review aimed to highlight the roles and responsibilities of surgical nurses in early and targeted mobilization practices after surgery and the importance of early and targeted mobilization and discuss the barriers encountered in achieving early and targeted mobilization and the recommendations of current guidelines on this subject.","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248400","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 role of thoracoscopic biopsy in exudative pleural effusion and long-term follow-up results 胸腔镜活检对渗出性胸腔积液的诊断作用及长期随访结果

Balıkesir Medical Journal Pub Date : 2023-11-22 DOI: 10.33716/bmedj.1302275

Hıdır Esme

{"title":"The diagnostic role of thoracoscopic biopsy in exudative pleural effusion and long-term follow-up results","authors":"Hıdır Esme","doi":"10.33716/bmedj.1302275","DOIUrl":"https://doi.org/10.33716/bmedj.1302275","url":null,"abstract":"Giriş: Eksudatif plevral efüzyonların %20’sinde, tekrarlayan torasentez ve perkutan plevral biyopsiye rağmen tanısı konulamaz. Bu çalışmanın amacı daha az invaziv yöntemlerle tanısı konulamayan eksüdatif PE olan hastalarda yapılan torakoskopik biyopsinin etkinliği ve işlem sonrası uzun dönem takiplerin gözden geçirilmesidir. Gereç ve Yöntem: Ocak 2016 ile Aralık 2020 tarihleri arasında eksüdatif PE nedeniyle torakoskopik biyopsi uygulanan hastalar geriye dönük incelendi. Postoperatif en az 2 yıl takip edilebilen hastalar çalışmaya dahil edildi. Klinik ve fizik muayene, kan tahlilleri, plevral sıvının biyokimyasal, bakteriyolojik ve sitolojik incelemeleri, radyolojik ve histopatolojik veriler elde edildi. Bulgular: Hastaların 45'i (%61.6) erkek, 28'i (%38.3) kadındı. Yaş ortalaması 56,5±13,2 idi. Hiçbir hastada intraoperatif komplikasyon gelişmedi. Postoperatif dönemde 7 (%9) hastada komplikasyon gelişti. Üç (%4.1) hastada uzamış hava kaçağı, 2 (%2.7) hastada yara yeri enfeksiyonu ve 2 (%2.7) hastada pnömoni gelişti. Hastaların 21’inde (%28.7) malignite saptanırken 52 (%71.2) hastada benign patolojiler saptandı. Takip sırasında daha önce nonspesifik plörit tanısı alan ve tekrarlayan PE nedeniyle torakoskopik biyopsi yapılan 4 (%5.4) hastadan 2’sinde (%2.7) malign mezotelyoma saptandı. Tartışma: Sonuç olarak eksudatif PE’nin tanısında torakoskopik biyopsi tanısal değeri yüksek ve komplikasyonları nadir bir yöntemdir. Nonspesifik plevrit sonrası malignite gelişimi genellikle 1 yıl içerisinde olmakla birlikte nadiren 2 yıl içinde de gelişebilir. Bu nedenle nonspesifik plevrit sonrası takip süresinin 2 yıl olması gerektiği kanaatindeyiz.","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248813","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

Ureter Obstructed by Lymphoma Detected on Bone Scan and SPECT/CT: Cutoff sign 骨扫描和 SPECT/CT 检测到淋巴瘤阻塞输尿管：临界信号

Balıkesir Medical Journal Pub Date : 2023-11-22 DOI: 10.33716/bmedj.1273376

Alev Çinar, Abdulbaki Erkovan, Ibrahim Kılıccalan, Aslı Ayan

引用次数: 0