International medicine (Antioch, Turkey)最新文献

{"title":"Blood urea nitrogen and creatinine ratio is an independent predictor for upper gastro-intestinal bleeding even in high prevalence chronic kidney disease population","authors":"A. Jusoh, Ikram Ishak, A. Karim, Kushairi Zuradi, Izzat Awang","doi":"10.5455/im.46144","DOIUrl":"https://doi.org/10.5455/im.46144","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793403","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":"Spontaneous coronary artery dissection presented as posterior ST-Elevation myocardial infarction.","authors":"E. Sdogkos, Antonios Papadopoulos, T. Konstantinou, I. Vogiatzis","doi":"10.5455/im.98288","DOIUrl":"https://doi.org/10.5455/im.98288","url":null,"abstract":"A 48-year-old female, head nurse in a neighboring hospital, during her morning occupation at the hospital, felt an acute pain in the mid-chest, with radiation in her left shoulder. She was a non-smoker, with no cardiovascular history or predisposing factors for atherosclerotic disease, under treatment with thyroid hormone replacement due to hypothyroidism. Although a mild ST-segment depression was revealed at the 12-lead electrocardiogram left precordial leads, the appearance of an ST-segment elevation at the posterior leads V7, V8, and V9 was in favor of posterior – lateral ST-Elevation Myocardial Infarction (STEMI) [Figure 1].","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795804","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":"Investigation for medical and long-term care in Japan","authors":"Yozo Takehisa","doi":"10.5455/IM.75223","DOIUrl":"https://doi.org/10.5455/IM.75223","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795178","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":"Stereotactic radiotherapy for intramedullary spinal lesions","authors":"Y. Mori","doi":"10.5455/im.97473","DOIUrl":"https://doi.org/10.5455/im.97473","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795626","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":"Single-side open groin hernia repair with mesh or without mesh: Which is the best?","authors":"M. Yeni, T. Kalaycı","doi":"10.5455/im.71060","DOIUrl":"https://doi.org/10.5455/im.71060","url":null,"abstract":"Background: Groin hernia repair, which is a common operation performed by general surgeons, is still a controversial issue. Although some surgeons recommend mesh repair as the gold standard, the mesh also has its complications. In this study, it was aimed to investigate whether there is an advantage of using mesh in unilateral groin hernia operations. Methods: Patients who were operated on for groin hernia with open surgery at Erzurum Regional Education and Research Hospital, Erzurum, Turkey between 2019 and 2021 were selected for the study retrospectively. After collecting data of the patients, patients were divided into two groups according to mesh usage. Differences between the group in which mesh was used and the group without mesh were evaluated. Results: 173 patients were operated on with open surgery due to groin hernia, and 163 (94.2%) were men. The mean age of all patients was 51.29±18.24 (range from 19 to 91). 84 (48.6%) patients were operated on with mesh, while 89 (51.4%) patients were operated on without mesh. The use of mesh was more common in the elderly (p<0.001). Comorbidity (p=0.042) and the need for a drainage catheter (p<0.001) were higher in the mesh group. Concomitant spermatic cord lipoma (p<0.001), length of hospital stay was longer (p=0.002) and mean rank of leucocyte count was higher (p=0.023) in the non-mesh group. In addition, the use of mesh decreased testicular complications (p=0.029). Conclusions: The use of mesh in groin hernia surgery is more preferred in elderly patients and patients with the comorbid disease, while the leukocyte count is higher and the need for additional imaging is higher in repairs performed without the use of mesh. The presence of cord lipoma during surgery was higher in surgeries without mesh, and the need for a drainage catheter was higher in the mesh group. The hospital stay was longer in cases without mesh with longer postoperative follow-up. Also, the use of mesh in cases does not affect the overall morbidity and recurrence. We emphasize that groin hernia surgeries without mesh can be performed safely like repair with mesh.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795143","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":"Recent perspectives for clinical inertia for diabetes mellitus","authors":"H. Bando","doi":"10.5455/im.88573","DOIUrl":"https://doi.org/10.5455/im.88573","url":null,"abstract":"Diabetes mellitus (DM) has been a chronic disease with high social, medical, economic, and health burdens. Across the world, type 2 DM (T2DM) patients were observed at 425 million in 2017 and will be 629 million in 2045 [1]. The main concern would be a rapidly growing number, related complications and adequate treatment in response to various situations [2]. Clinical inertia or therapeutic inertia was defined as the failure to intensify or initiate adequate treatment in accordance with evidence-based guidelines. It is often a key cause for persisting hyperglycemia in T2DM patients [3,4]. Diabetic inertia occurs when healthcare professionals recognize the clinical situation for uncontrolled glucose variability, but do not conduct proper treatment The recent consensus of the American Diabetes Association (ADA) and European Association for the Study of Diabetes (EASD) has been presented, indicating to evaluate and to modify the treatment regularly at the 3-6-month interval, when HbA1c values remain above the target level [6]. International Diabetes Federation (IDF), ADA, and Japanese Clinical Practice Guidelines (JCPG) have presented the recommendation of HbA1c level as <7.0% for the majority of T2DM adults [7-9]. On the other hand, the American Association of Clinical Endocrinologists (AACE) has supported a slightly strict HbA1c level of <6.5% for most diabetic patients [10]. ADA and JCPG recommend rather stringent goals <6.5% and <6.0% for selected patients if achievable without the history of significant hypoglycemia or other adverse effects [7,8]. However, when the case has found severe hypoglycemia, advanced cardiovascular or extensive complications, the goal will be the less stringent level of <8.0%","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795560","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":"Psychological and illness-related correlates of insomnia in mildly symptomatic Nigerian COVID-19 adult patients during self-isolation","authors":"O. Aloba, T. Opakunle","doi":"10.5455/im.82937","DOIUrl":"https://doi.org/10.5455/im.82937","url":null,"abstract":"Background: Globally, the advent of the COVID-19 pandemic has severely impacted the sleep quality of healthcare workers and healthy subjects. There is a dearth of studies on the extent and factors associated with insomnia among COVID-19 patients in Nigeria and Sub-Saharan Africa. Our aim in this study is to assess the extent and the illness-related and psychological correlates of insomnia in a cross-sectional sample of mildly symptomatic Nigerian COVID-19 adult patients. Methods: Nigerian COVID-19 patients (n=498) aged 18 years and above completed an online survey that consisted of sociodemographic and illness-related details, the Insomnia Severity Index (ISI), the Generalized Anxiety Disorder Scale (GAD-7), the Patient Health Questionnaire (PHQ-8), suicidal ideation (item 9 of the PHQ-9) and the Brief Symptoms Rating Scale (BSRS-5). Results: Insomnia of varying degrees was present in 22.5%. Hierarchical linear regression analysis showed that the combination of psychological distress, suicidal ideation, and duration of self-isolation were significantly associated with insomnia (accounts for 86% of the variance on ISI scores). Conclusions: Our study revealed that insomnia is relatively common among the mildly symptomatic COVID-19 Nigerian adult patients. The associated factors may serve as a template for the development of insomnia improving interventions for mildly symptomatic Nigerian COVID-19 patients.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795251","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":"Rapid and severe worsening of diabetes in a heart transplant recipient after Johnson and Johnsons Janssen COVID-19 vaccine administration","authors":"Run Yu","doi":"10.5455/IM.79278","DOIUrl":"https://doi.org/10.5455/IM.79278","url":null,"abstract":"The COVID-19 vaccines are usually safe, effective, and well-tolerated by the general population. After the COVID-19 vaccines are widely used, rare and potentially severe vaccine complications become more manifest. Here reported is a case of rapid and severe worsening of diabetes after the Johnson & Johnson's Janssen COVID-19 vaccine (J&J COVID vaccine) administration. A 55-year-old male heart transplant recipient with metformin (500 mg twice daily)-controlled mild diabetes started to have flu-like symptoms a few days after receiving the J&J COVID vaccine. His fasting glucose levels had ranged between 130-150 mg/dL (normal 65-99) before he received the J&J COVID vaccine. The fasting glucose rose to ~200 mg/dL one day after the vaccine administration and gradually rose to ~400 mg/dL over the next few weeks. He presented to the endocrine clinic urgently. Point-of-care fasting glucose was 382 mg/dL and A1c 13.0 (which was 6.7 six months before). Bicarbonate and anion gap were normal, insulin and C-peptide in the low normal range, and β cell autoantibodies negative. Multi-dosing insulin treatment was immediately started and the doses titrated up to insulin glargine 30 units daily and insulin lispro 10 units before each meal. He improved clinically with well-controlled glycemia. The rapid and severe worsening of his diabetes after the vaccination suggests that the J&J COVID vaccine could severely deteriorate diabetes control in some patient populations.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795339","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":"Assessment of atrial conduction time by tissue doppler echocardiography and P-wave dispersion in patients with benign prostatic hyperplasia","authors":"Ayhan Cosgun, Huseyin Oren","doi":"10.5455/im.92442","DOIUrl":"https://doi.org/10.5455/im.92442","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795607","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":"Has gender attitude changed over time? Comparison of three generations","authors":"B. Beyazgul, Fatma Koruk, I. Koruk","doi":"10.5455/im.96358","DOIUrl":"https://doi.org/10.5455/im.96358","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795618","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}