International medicine (Antioch, Turkey)最新文献

{"title":"GIANT SUBSTERNAL GOITER: CASE REPORT","authors":"M. Sökmen, A. Erkan, Oya Yıldız","doi":"10.5455/IM.32842","DOIUrl":"https://doi.org/10.5455/IM.32842","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793048","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":"Total pericardiectomy via median sternotomy (Holman and Willett): a video presentation","authors":"U. Chowdhury, Niwin George, L. Sankhyan, Sukhjeet Singh, A. Chauhan, Anish Gupta, Sreenita Chowdhury","doi":"10.5455/IM.302644354","DOIUrl":"https://doi.org/10.5455/IM.302644354","url":null,"abstract":"For uniformity with other studies, total pericardiectomy was defined as wide excision of the pericardium with the phrenic nerves defining the posterior extent, the great vessels including the intrapericardial portion of superior vena cava and superior vena cava-right atrial junction defining the superior extent, and the diaphragmatic surface, including the inferior vena cava-right atrial junction defining the inferior extent of the pericardial resection. Radical pericardiectomy was defined as excision of the pericardium as defined under total pericardiectomy including the removal of the pericardium posterior to the phrenic nerve and the diaphragmatic pericardium. Constricting layers of the epicardium were removed whenever possible. The atria and venae cavae were decorticated as a routine. In our previous investigation, we offered cogent and respected reasons for selection of surgical approach in patients undergoing pericardiectomy and demonstrated that total pericardiectomy is associated with lower perioperative and late mortality, less postoperative low cardiac output syndrome, early normalization of hemodynamics and better long-term survival compared with partial pericardiectomy and this is more easily accomplished through median sternotomy [1,2]. We report herein the step-by-step surgical details of total pericardiectomy without utilizing cardiopulmonary bypass via median sternotomy. A 38-year-old man diagnosed with calcific chronic constrictive pericardiectomy in New York Heart Association class IV underwent total pericardiectomy via median sternotomy. The postoperative recovery was uneventful.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793075","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 Status of Newly Graduated Nurses Being Subjected to Violence","authors":"S. Donmez, Sureyya Gumussoy","doi":"10.5455/im.33308","DOIUrl":"https://doi.org/10.5455/im.33308","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793100","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":"Radical pericardiectomy via left anterolateral thoracotomy (UKC's modification): a video presentation","authors":"U. Chowdhury, Niwin George, L. Sankhyan, Sukhjeet Singh, A. Chauhan, Anish Gupta, Priyanka Chowdhury","doi":"10.5455/im.302644355","DOIUrl":"https://doi.org/10.5455/im.302644355","url":null,"abstract":"In order to decrease the perioperative mortality rates of 7.6% in our series and 6-19% in several large series published after 1985 and postoperative low cardiac output syndrome between 24-28% following total pericardiectomy, the author proceeded to perform several technical modifications as enunciated in the video to achieve further radical excision of the pericardium posterior to the phrenic nerve and diaphragmatic pericardium [1-3]. For uniformity with other studies, total pericardiectomy was defined as wide excision of the pericardium with the phrenic nerves defining the posterior extent, the great vessels including the intrapericardial portion of superior vena cava and superior vena cava-right atrial junction defining the superior extent, and the diaphragmatic surface, including the inferior vena cava-right atrial junction defining the inferior extent of the pericardial resection. Radical pericardiectomy was defined as excision of the pericardium as defined under total pericardiectomy including the removal of the pericardium posterior to the phrenic nerve and the diaphragmatic pericardium. Constricting layers of the epicardium were removed whenever possible. The atria and venae cavae were decorticated as a routine [1-3]. We report herein the surgical details of radical pericardiectomy performed without utilizing cardiopulmonary bypass via modified left anterolateral thoracotomy as developed by the corresponding author. A 42-year-old lady diagnosed with calcific chronic constrictive pericarditis in New York Heart Association Class IV underwent radical pericardiectomy via modified left anterolateral thoracotomy. The postoperative recovery was uneventful. We conclude that using several technical modifications of pericardial excision, it is possible to achieve radical pericardiectomy via modified left anterolateral thoracotomy, particularly removing the constricting pericardium over the anterolateral, diaphragmatic surfaces of left ventricle, anterior and diaphragmatic surfaces of right ventricle until the right atrioventricular groove without utilizing cardiopulmonary bypass.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793148","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":"Hermaphroditism, surgical reconstruction of the anatomy of the gonads in ancient Greece as described by Diodorus Siculus (ca 80-20 BC)","authors":"G. Tsoucalas, D. Kakagia, E. Panagouli, A. Vasilopoulos, Thomaidis Vasilios, A. Fiska","doi":"10.5455/im.46935","DOIUrl":"https://doi.org/10.5455/im.46935","url":null,"abstract":"Background: Ancient Greek medico-philosophers comprehended a series of genitalia disorders and were able to perform surgical operations for their correction. Although researchers believe that the first plastic surgery of pseudo-hermaphroditism was performed by Persians in 11th century AD, a series of intersex individual cases were reported in the work of the ancient Greek historian Diodorus Siculus. Methods: Bibliographical study of Diodorus' treatises. Results: The report of a patient named Callo, who was raised as a female and was surgically transformed into a young male, was included in Diodorus' works. Diodorus described that the operation was performed surprisingly by a pharmacist, testifying the extent and depth of medical knowledge among ancient Greeks. The operation included cicatrization and placement of an artificial urethra in the non-perforated penis. Conclusions: The operation was for the era an innovative procedure ahead of its time, a hallmark of cosmetic and plastic surgery.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793480","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":"Comparison of the efficacy of six-week versus twelve-week antibiotic therapy for the treatment of nonsurgical diabetic foot osteomyelitis","authors":"Manouchehr Iranparvar, M. Arzanlou, Elnaz Afrouzeh","doi":"10.5455/im.53372","DOIUrl":"https://doi.org/10.5455/im.53372","url":null,"abstract":"Background: There is little evidence regarding the optimal duration of antibiotic therapy for diabetic foot osteomyelitis (DFO). So, the optimal duration of antibiotic treatment of osteomyelitis complicating foot wounds in non–surgically treated diabetic patients is currently unknown and needs more studies in the future. This study aimed to compare six-week versus twelve-week antibiotic therapy for the treatment of nonsurgical DFO. Methods: This was an interventional study that was performed on 30 patients with DFO without surgical indications who were randomly divided into two groups (six-week versus twelve-week antibiotic therapy). Changes of parameters such as C-reactive protein (CRP), albumin, erythrocyte sedimentation rate (ESR), HbA1c, creatinine, fasting blood sugar (FBS) at baseline, FBS after two hours, white blood cell (WBC), absolute count of neutrophil and clinical outcomes (percentage of complete healing and non-healing, the time of complete healing, radiological abnormality and recurrence of the disease after treatment) were measured in the two groups and then analyzed by statistical methods in SPSS version 21. Results: During the study period, values of CRP (p=0.03), ESR (p=0.03), two-hour glucose (p=0.02), WBC (p=0.04) and absolute neutrophil count (p=0.04) in the six-week treatment group and the values of CRP (p=0.02), ESR (p=0.02), HbA1c (p=0.04), FBS at baseline (p=0.04), FBS after two-hour (p=0.01), WBC (p=0.02) and absolute neutrophil count (p=0.04) in the twelve-week treatment group changed significantly. There was no significant difference concerning the clinical outcomes between the two groups. Conclusions: The results showed that six and twelve-week antibiotic therapy had the same efficacy in the treatment of non-surgically DFO. Therefore, six-week antibiotic therapy of DFO could be sufficient in these patients.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794053","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":"Bifid facial nerve with absent stapes: a rare anomaly","authors":"N. Nair, K. Soni, A. Goyal","doi":"10.5455/im.53820","DOIUrl":"https://doi.org/10.5455/im.53820","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794070","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":"Retinal vascular occlusive disease and tilt-table inversion","authors":"T. Kaplan, B. H. Kaplan","doi":"10.5455/im.58235","DOIUrl":"https://doi.org/10.5455/im.58235","url":null,"abstract":"PK is a 58-year-old female with an unremarkable past medical history other than hanging inverted 180 degrees in a tilt-table for 1-3 minutes several times in the two weeks before her examination who presented for a routine follow-up eye examination with no visual complaints. On dilated fundoscopic examination, she was found to have a central retinal vein occlusion in her right eye. A retinal consultation determined her vein occlusion was non-ischemic without macular edema and no further treatment was required. While most cases of central retinal vein occlusion can be attributed to common systemic factors, in cases where no risk factors are present it is important to ask patients whether they are regularly performing activities where they are inverting themselves 180 degrees or any activities causing rapid fluctuations in intraocular pressure and blood pressure within the central retinal artery.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794962","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":"Massive head and neck vascular malformation traversing multiple compartments: a case report","authors":"J. Ha, C-A Chen, D. Zopf","doi":"10.5455/im.62585","DOIUrl":"https://doi.org/10.5455/im.62585","url":null,"abstract":"Capillary malformations (CM) are congenital low-flow vascular malformations that affect 0.3% of the general population. They are most commonly treated by pulsed-dye laser (PDL), which is most effective at a young age. The absence of treatment can lead to nodularity and hypertrophy. We report a case of a 6-year-old girl who has an extensive left facial and cervical CM that extends to the oral cavity and external auditory canal on the ipsilateral side. She had PDL as an infant that successfully lightened the color of her CM. She has been asymptomatic for at least four years and has since been treated conservatively. CM treatment options include conservative management, surgical excision and PDL treatments. In this paper, we report a case of successful conservative management of a massive head and neck CM. PDL for CM is most effective and provides optimal results when done at an early age. Conservative management is recommended for asymptomatic patients.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795031","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 of mutation in adhesion molecules and cytokeratins with hair follicle diseases","authors":"L. Silva, R. Hsieh, R. Romiti, A. Anzai, B. Rocha, S. Lourenço, N. Valente, J. Fernandes","doi":"10.5455/im.54631","DOIUrl":"https://doi.org/10.5455/im.54631","url":null,"abstract":"Adhesion molecules and cytokeratins are essential for the development of hair follicles and their maintenance. These molecules seem to be responsible for the follicular germ downgrowth and signaling with mesenchymal cells for the correct development of hair follicles. In adulthood, changes in their functions are related to numerous pathologies that lead to hair shaft disorders and cicatricial and non-cicatricial alopecia. This work reviews the main adhesion molecules: cadherins, integrins and cytokeratins and their relationship with hair follicle pathologies.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795218","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}