Introduction:To generate a prediction model for miscarriage in women with a viable single pregnancy from first-trimester ultrasound findings and maternal characteristics.Material and Methods:A prospective, cross-sectional study of 415 singleton pregnancies was performed. The initial ultrasound parameters were crown-rump length (CRL), mean gestational sac diameter (MGSD), yolk sac diameter (YSD), and the sum of the differences between gestational ages and embryonic heart rate (EHR). Potential predictors for spontaneous miscarriage occurring prior to 20 weeks were evaluated.Results:Fifty-three (12.8%) patients had miscarriages and 362 (87.2%) had normal outcomes. Forty-three (81.2%) miscarriages occurred in the first trimester, 5 (9.4%) in the second trimester, and 5 (9.4%) represented fetal anomalies. EHR, CRL, and MGSD were decreased in the miscarriage group (p<0.001); YSD showed no difference (p=0.21). Gestational age by CRL and by MGSD were different between the groups (p<0.001). The proposed sum of differences was higher in the miscarriage group (p<0.001). Maternal age, indication for scan, gestational age by MGSD and CRL, heart rate, and proposed sum of differences were found to be potential predictors. Predictive ability of our proposed model was calculated sensitivity as 0.509, and specificity as 0.975 with a cut-off=0.5. The prediction model’s false positive rate is 0.025, and its false negative rate is 0.491.Conclusions:Miscarriage can be predicted via maternal characteristics and ultrasound findings. Advancing maternal age, low EHR, and high proposed sum of differences increase the probability of miscarriage.
{"title":"Ultrasound prediction of spontaneous abortions in live embryos in the first trimester","authors":"H. Alptekin, T. Acar, H. Işık, T. Cengiz","doi":"10.29333/EJGM/81756","DOIUrl":"https://doi.org/10.29333/EJGM/81756","url":null,"abstract":"Introduction:To generate a prediction model for miscarriage in women with a viable single pregnancy from first-trimester ultrasound findings and maternal characteristics.Material and Methods:A prospective, cross-sectional study of 415 singleton pregnancies was performed. The initial ultrasound parameters were crown-rump length (CRL), mean gestational sac diameter (MGSD), yolk sac diameter (YSD), and the sum of the differences between gestational ages and embryonic heart rate (EHR). Potential predictors for spontaneous miscarriage occurring prior to 20 weeks were evaluated.Results:Fifty-three (12.8%) patients had miscarriages and 362 (87.2%) had normal outcomes. Forty-three (81.2%) miscarriages occurred in the first trimester, 5 (9.4%) in the second trimester, and 5 (9.4%) represented fetal anomalies. EHR, CRL, and MGSD were decreased in the miscarriage group (p<0.001); YSD showed no difference (p=0.21). Gestational age by CRL and by MGSD were different between the groups (p<0.001). The proposed sum of differences was higher in the miscarriage group (p<0.001). Maternal age, indication for scan, gestational age by MGSD and CRL, heart rate, and proposed sum of differences were found to be potential predictors. Predictive ability of our proposed model was calculated sensitivity as 0.509, and specificity as 0.975 with a cut-off=0.5. The prediction model’s false positive rate is 0.025, and its false negative rate is 0.491.Conclusions:Miscarriage can be predicted via maternal characteristics and ultrasound findings. Advancing maternal age, low EHR, and high proposed sum of differences increase the probability of miscarriage.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90345388","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}
Introduction:Preemptive analgesia is an antinociceptive treatment that prevents establishment of altered processing of afferent input. Gabapentin, a structural analogue of gamma-amino butyric acid, has been used as an anticonvulsant and antinociceptive drug and is claimed to be more effective in preventing neuropathic component of acute nociceptive pain of surgery.Material and Methods:Fifty patients of ASA grade I and II were assigned to receive oral 600mg Gabapentin or Placebo 2 hours before surgery. Surgeries were conducted under spinal anesthesia. Post operatively pain was assessed by visual analogue score (VAS) at 2, 4, 8, 12 and 24 hrs. Patients were given rescue analgesic on demand. Sedation score and total numbers of analgesics during first 24 hours postoperatively were noted.Results:Gabapentin group resulted in faster onset of motor and sensory block, significantly longer duration of analgesia, substantial reduction in post-operative pain and the rescue analgesics. Patients remained in sleeping but co- operative state and Gabapentin group were not associated with side effects when compared with placebo group.Conclusions:Preemptive use of Gabapentin 600mg orally significantly prolongs the analgesia with reducing postoperative pain and rescue analgesics in patients undergoing total abdominal hysterectomy under spinal anesthesia.
{"title":"To evaluate the role of Gabapentin as preemptive analgesic in patients undergoing total abdominal hysterectomy in spinal anesthesia","authors":"U. Bhatia, Mona Panchal, N. Gupta","doi":"10.29333/EJGM/81758","DOIUrl":"https://doi.org/10.29333/EJGM/81758","url":null,"abstract":"Introduction:Preemptive analgesia is an antinociceptive treatment that prevents establishment of altered processing of afferent input. Gabapentin, a structural analogue of gamma-amino butyric acid, has been used as an anticonvulsant and antinociceptive drug and is claimed to be more effective in preventing neuropathic component of acute nociceptive pain of surgery.Material and Methods:Fifty patients of ASA grade I and II were assigned to receive oral 600mg Gabapentin or Placebo 2 hours before surgery. Surgeries were conducted under spinal anesthesia. Post operatively pain was assessed by visual analogue score (VAS) at 2, 4, 8, 12 and 24 hrs. Patients were given rescue analgesic on demand. Sedation score and total numbers of analgesics during first 24 hours postoperatively were noted.Results:Gabapentin group resulted in faster onset of motor and sensory block, significantly longer duration of analgesia, substantial reduction in post-operative pain and the rescue analgesics. Patients remained in sleeping but co- operative state and Gabapentin group were not associated with side effects when compared with placebo group.Conclusions:Preemptive use of Gabapentin 600mg orally significantly prolongs the analgesia with reducing postoperative pain and rescue analgesics in patients undergoing total abdominal hysterectomy under spinal anesthesia.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78118861","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}
Orhan Yağmurkaya, E. Dikicier, G. Cakmak, H. Demir, N. Firat, R. Çapoğlu, Yener Uzunoğlu, F. Altıntoprak
Malignant tumors of the appendix are rare and the histopathological diagnosis can often be made in the postoperative period. The clinical records of 1800 patients who underwent surgery in emergency conditions with a preliminary diagnosis of acute appendicitis were reviewed retrospectively. Carcinoid tumor was detected in 7 patients (0.38%) on histopathological examination. Of these patients, 4 were male (57.1%), 3 were female (42.9) and the mean age was found to be 36 (22-49). Appendiceal carcinoid tumors are tumors with a good prognosis. Even though their prognosis is good, close monitoring of the patients is recommended due to the likelihood of the detection of a proportion (13-33%) of synchronous and/or metachronous colorectal cancer in the literature.
{"title":"Carcinoid tumor of appendix; retrospective review of 1800 appendectomy patients","authors":"Orhan Yağmurkaya, E. Dikicier, G. Cakmak, H. Demir, N. Firat, R. Çapoğlu, Yener Uzunoğlu, F. Altıntoprak","doi":"10.29333/EJGM/81762","DOIUrl":"https://doi.org/10.29333/EJGM/81762","url":null,"abstract":"Malignant tumors of the appendix are rare and the histopathological diagnosis can often be made in the postoperative period. The clinical records of 1800 patients who underwent surgery in emergency conditions with a preliminary diagnosis of acute appendicitis were reviewed retrospectively. Carcinoid tumor was detected in 7 patients (0.38%) on histopathological examination. Of these patients, 4 were male (57.1%), 3 were female (42.9) and the mean age was found to be 36 (22-49). Appendiceal carcinoid tumors are tumors with a good prognosis. Even though their prognosis is good, close monitoring of the patients is recommended due to the likelihood of the detection of a proportion (13-33%) of synchronous and/or metachronous colorectal cancer in the literature.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90116717","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}
Introduction:As oxidative status may be an influential factor for increasing the progress of the disease and decreasing the effectiveness of the treatment, the aim of this study was to measure the oxidative stress and anti-oxidative markers among Saudi patients with chronic hepatitis C (CHC) versus nonalcoholic steatohepatitis (NASH).Material and Methods:This study was carried out on a sample of 150 consecutive patients (75 with CHC and 75 with NASH), selected from gastroenterology outpatient clinic, King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Also, this study included 75 healthy volunteers, mostly, relatives of the patients who came with them to the clinic. Measurements of oxidative stress and anti-oxidative stress markers were measured for all participants.Results:The mean values of oxidative stress markers included conjugated dienes (CD), malondialdehyde (MDA), nitric oxide (NO) and myeloperoxidase (MPO) were significantly elevated in patients with CHC and patients with NASH when compared with Healthy controls group. Also, these parameters were significantly elevated in patients with NASH than patients with CHC. However, the mean values of anti-oxidative stress markers include glutathione peroxidase (GPx), superoxide dismutase (SOD), glutathione (GSH), arylesterase (AE) and paraoxonase (PON) were significantly reduced in patients with CHC and patients with NASH when compared with Healthy controls group. Also, these parameters were significantly reduced in patients with NASH than patients with CHC.Conclusions:In this study, patients with NASH have higher levels of oxidative and lower anti-oxidant markers than patients with CHCs.
{"title":"Oxidative stress biomarkers among Saudi patients withnon-alcoholic steatohepatitis versus chronic hepatitis C","authors":"O. Al-Jiffri","doi":"10.29333/ejgm/81755","DOIUrl":"https://doi.org/10.29333/ejgm/81755","url":null,"abstract":"Introduction:As oxidative status may be an influential factor for increasing the progress of the disease and decreasing the effectiveness of the treatment, the aim of this study was to measure the oxidative stress and anti-oxidative markers among Saudi patients with chronic hepatitis C (CHC) versus nonalcoholic steatohepatitis (NASH).Material and Methods:This study was carried out on a sample of 150 consecutive patients (75 with CHC and 75 with NASH), selected from gastroenterology outpatient clinic, King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Also, this study included 75 healthy volunteers, mostly, relatives of the patients who came with them to the clinic. Measurements of oxidative stress and anti-oxidative stress markers were measured for all participants.Results:The mean values of oxidative stress markers included conjugated dienes (CD), malondialdehyde (MDA), nitric oxide (NO) and myeloperoxidase (MPO) were significantly elevated in patients with CHC and patients with NASH when compared with Healthy controls group. Also, these parameters were significantly elevated in patients with NASH than patients with CHC. However, the mean values of anti-oxidative stress markers include glutathione peroxidase (GPx), superoxide dismutase (SOD), glutathione (GSH), arylesterase (AE) and paraoxonase (PON) were significantly reduced in patients with CHC and patients with NASH when compared with Healthy controls group. Also, these parameters were significantly reduced in patients with NASH than patients with CHC.Conclusions:In this study, patients with NASH have higher levels of oxidative and lower anti-oxidant markers than patients with CHCs.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83908968","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}
The control of port site bleedings (PSB) is particularly difficult in obese patients. PSB can lead to morbidity via inhibiting the minimally invasive features of laparoscopic surgery such as the increase in the incision size. PSB can be controlled by Foley catheter. PSB has been observed in four patients with body mass index >35 and the bleeding cannot be prevented with different hemostasis techniques (for instance cauterization, etc.). Bleeding can be controlled upon placing the Foley catheter and then the balloon was inflated and putting it to the traction in the port site. Umbilical cord clamp was used instead of traditional methods for traction. In addition to the hemostatic effect of traction, the effect of compression of the umbilical clamp contributed to hemostasis. Catheter was removed after 24-36 hours. Bleeding did not occur again upon the usage of Foley catheter in these patients. Foley catheter traction is an easy and efficient hemostatic technique in patients with PSB.
{"title":"The control of the port site bleedings with Foley catheterin obese patients","authors":"K. Gemici, A. Okuş, Y. Tanrıkulu","doi":"10.29333/EJGM/81759","DOIUrl":"https://doi.org/10.29333/EJGM/81759","url":null,"abstract":"The control of port site bleedings (PSB) is particularly difficult in obese patients. PSB can lead to morbidity via inhibiting the minimally invasive features of laparoscopic surgery such as the increase in the incision size. PSB can be controlled by Foley catheter. PSB has been observed in four patients with body mass index >35 and the bleeding cannot be prevented with different hemostasis techniques (for instance cauterization, etc.). Bleeding can be controlled upon placing the Foley catheter and then the balloon was inflated and putting it to the traction in the port site. Umbilical cord clamp was used instead of traditional methods for traction. In addition to the hemostatic effect of traction, the effect of compression of the umbilical clamp contributed to hemostasis. Catheter was removed after 24-36 hours. Bleeding did not occur again upon the usage of Foley catheter in these patients. Foley catheter traction is an easy and efficient hemostatic technique in patients with PSB.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72984776","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}
Introduction:Vitamin D deficiency is now considered a public health problem around the world that is strongly associated with all-cause and cardiovascular mortality. However, vitamin D deficiency may play a role in mediating low-grade inflammation and insulin resistance among type 2 diabetic patients.Material and Methods:One hundred obese Saudi patients with T2DM (60 males and 40 females). Their age was46.38 ± 7.53 year, and a control group included one hundred healthy volunteers, who was gender and age matched.Results:Obese T2DM patients showed significantly higher glucose, insulin, glycosylated hemoglobin (HBA1c), Homeostasis Model Assessment-Insulin Resistance (HOMA-IR) index, interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α) and C-reactive protein(CRP) in addition to significantly lower values of the quantitative insulin-sensitivity check index (QUICKI) and 25(OH) vitamin D levels in comparison to controls. Serum levels of TNF-α , IL-6 and CRP showed an inverse relationship with QUICKI and a direct relationship with HOM-IR and HBA1c among obese Saudi type 2 diabetic with vitamin D deficiency.Conclusions:Within the limit of there is an association between insulin resistance and inflammatory cytokines among obese Saudi type 2 diabetic with vitamin D deficiency.
{"title":"Association between insulin resistance and inflammatory cytokines among obese Saudi type 2 diabetic with vitamin D deficiency","authors":"F. M. Al-Sharif","doi":"10.29333/EJGM/81757","DOIUrl":"https://doi.org/10.29333/EJGM/81757","url":null,"abstract":"Introduction:Vitamin D deficiency is now considered a public health problem around the world that is strongly associated with all-cause and cardiovascular mortality. However, vitamin D deficiency may play a role in mediating low-grade inflammation and insulin resistance among type 2 diabetic patients.Material and Methods:One hundred obese Saudi patients with T2DM (60 males and 40 females). Their age was46.38 ± 7.53 year, and a control group included one hundred healthy volunteers, who was gender and age matched.Results:Obese T2DM patients showed significantly higher glucose, insulin, glycosylated hemoglobin (HBA1c), Homeostasis Model Assessment-Insulin Resistance (HOMA-IR) index, interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α) and C-reactive protein(CRP) in addition to significantly lower values of the quantitative insulin-sensitivity check index (QUICKI) and 25(OH) vitamin D levels in comparison to controls. Serum levels of TNF-α , IL-6 and CRP showed an inverse relationship with QUICKI and a direct relationship with HOM-IR and HBA1c among obese Saudi type 2 diabetic with vitamin D deficiency.Conclusions:Within the limit of there is an association between insulin resistance and inflammatory cytokines among obese Saudi type 2 diabetic with vitamin D deficiency.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76563786","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}
Femoral nerve palsy seconder to iliacus hematoma has been rarely reported in terms of blood coagulation abnormalities, either from anticoagulant medications or from hemophilia. The clinical symptoms vary from femoral neuropathy to fatal hypovolemic shock with increased used of anticoagulant agents; femoral nerve palsy subsequent to hemorrhage within the iliopsoas muscle has become a frequent clinical problem. In our case, a 73-year-old male patient presented to hospital with left leg pain and weakness. Lumbar magnetic resonance imaging (MRI) and abdomen computed tomography (CT) showed a left-sided iliopsoas hematoma. An extraperitoneal inguinal incision (Gibson incision) was made. The hematoma was superior of the external iliac artery in the iliopsoas muscle. It was nearly 8 cm deep and was drained and evacuated. After the operation, the left leg pain decreased, and the weakness of left leg improved (3/5).
{"title":"Femoral nerve palsy due to Iliopsoas hematoma","authors":"Metin Gürel, O. Eser, E. Sari, Akif Sönmez","doi":"10.29333/EJGM/81760","DOIUrl":"https://doi.org/10.29333/EJGM/81760","url":null,"abstract":"Femoral nerve palsy seconder to iliacus hematoma has been rarely reported in terms of blood coagulation abnormalities, either from anticoagulant medications or from hemophilia. The clinical symptoms vary from femoral neuropathy to fatal hypovolemic shock with increased used of anticoagulant agents; femoral nerve palsy subsequent to hemorrhage within the iliopsoas muscle has become a frequent clinical problem. In our case, a 73-year-old male patient presented to hospital with left leg pain and weakness. Lumbar magnetic resonance imaging (MRI) and abdomen computed tomography (CT) showed a left-sided iliopsoas hematoma. An extraperitoneal inguinal incision (Gibson incision) was made. The hematoma was superior of the external iliac artery in the iliopsoas muscle. It was nearly 8 cm deep and was drained and evacuated. After the operation, the left leg pain decreased, and the weakness of left leg improved (3/5).","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79818180","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}
The most commonly used anthropometric measurement to diagnose obesity is the body mass index (BMI), which is calculated as weight in kilograms divided by height in meters squared. However, the use of BMI has limitations, because it does not distinguish between fat mass and muscle or identity the distribution of body fat. The aim of this brief report was to compare clinical assessment of obesity with measurements obtained using BMI and subscapular skinfold thickness (SST). According to our study results and present report, we observed that female adults with excess body weight had higher SST which is a handy indicator for obesity evaluation.
{"title":"Subscapular skinfold thickness is a handy tool till body mass index in the evaluation of obesity","authors":"F. Armutcu, Ş. Aras, Seyfettin Üstünsoy","doi":"10.29333/EJGM/81761","DOIUrl":"https://doi.org/10.29333/EJGM/81761","url":null,"abstract":"The most commonly used anthropometric measurement to diagnose obesity is the body mass index (BMI), which is calculated as weight in kilograms divided by height in meters squared. However, the use of BMI has limitations, because it does not distinguish between fat mass and muscle or identity the distribution of body fat. The aim of this brief report was to compare clinical assessment of obesity with measurements obtained using BMI and subscapular skinfold thickness (SST). According to our study results and present report, we observed that female adults with excess body weight had higher SST which is a handy indicator for obesity evaluation.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81212638","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}
Introduction:Tracheobronchial foreign body aspiration is serious health problem in children. In this paper, we aimed to present our experience in tracheobronchial foreign body aspirations and rigid bronchoscopy in children.Material and Methods:Between January 1990 and May 2015, 693 patients less than 17 years of age with presumptive diagnosis of tracheobronchial aspiration of foreign bodies were included this study. Patients records were retrospectively analysed according to age, gender, symptoms and physical fndings, foreign body type and localization, radiologic fndings and treatments.Results:Three hundred ffty one of the patients were male (51%) and 342 patients were female (49%). All patients underwent rigid bronchoscopy procedure except six patients. Foreign bodies were found in 589 patients (85%). Mcgill clemp was used for removing of foreign bodies settled on vocal cords in six patients and subsequently, rigid bronchoscopy was performed for checking of tracheobronchial system. Thoracotomy was required in four patients (0.7%). The most common foreign bodies were nuts (n=373). The most frequent localization site of foreign bodies was right bronchial system (n=292). The chief radiologic fnding was obstructive emphysema (n=296). Cardiopulmonary arrest occurred in 11 patients and 2 of them died (0,3%).Conclusions:The gold standard in diagnosis and management of tracheobronchial foreign body aspiration is bronchoscopy, which can be performed with a low complication rate.
{"title":"A Common Health Problem in Children: Tracheobronchial Foreign Body Aspirations","authors":"B. Altuntas, Y. Aydın, I. İnce, A. Eroğlu","doi":"10.29333/EJGM/81895","DOIUrl":"https://doi.org/10.29333/EJGM/81895","url":null,"abstract":"Introduction:Tracheobronchial foreign body aspiration is serious health problem in children. In this paper, we aimed to present our experience in tracheobronchial foreign body aspirations and rigid bronchoscopy in children.Material and Methods:Between January 1990 and May 2015, 693 patients less than 17 years of age with presumptive diagnosis of tracheobronchial aspiration of foreign bodies were included this study. Patients records were retrospectively analysed according to age, gender, symptoms and physical fndings, foreign body type and localization, radiologic fndings and treatments.Results:Three hundred ffty one of the patients were male (51%) and 342 patients were female (49%). All patients underwent rigid bronchoscopy procedure except six patients. Foreign bodies were found in 589 patients (85%). Mcgill clemp was used for removing of foreign bodies settled on vocal cords in six patients and subsequently, rigid bronchoscopy was performed for checking of tracheobronchial system. Thoracotomy was required in four patients (0.7%). The most common foreign bodies were nuts (n=373). The most frequent localization site of foreign bodies was right bronchial system (n=292). The chief radiologic fnding was obstructive emphysema (n=296). Cardiopulmonary arrest occurred in 11 patients and 2 of them died (0,3%).Conclusions:The gold standard in diagnosis and management of tracheobronchial foreign body aspiration is bronchoscopy, which can be performed with a low complication rate.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79166280","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}
Y. Aydemir, A. C. Güngen, Belma Doğan-Güngen, Yeşim Guzey-Aras, Aysun Şengül
Introduction:Psychiatric comorbidities are prevalent in patients with chronic respiratory diseases. But, there is no clear evidence comparing asthma and COPD. The aim of the present study was to investigate and compare the emotional status of patients with asthma and COPDMaterial and Methods:The study included 132 consecutive patients who were diagnosed with asthma (n=78) and COPD (n=54) who did not receive therapy for pshiciatric disorders. Emotional status were evaluated using the Beck and Hamilton surveys.Results:There was signifcant difference between patients asthma an COPD in terms of anxiety and depression level. The patients with COPD achieved signifcantly worse scores in emotional status. Anxiety and depression was signifcantly greater in patients with uncontrolled asthma. But, there was no signifcant correlation between GOLD stages and spirometric values and emotional disorders in COPD patients.Conclusions:It was concluded that anxiety and depression are prevalent in patients with COPD and particularly uncontrolled asthma, and patients with such chronic diseases; psychosocial support may be helpful, alongside the treatment of existing disease.
{"title":"The evaluation of asthma and COPD patients in emotional status: A cross-sectional study.","authors":"Y. Aydemir, A. C. Güngen, Belma Doğan-Güngen, Yeşim Guzey-Aras, Aysun Şengül","doi":"10.29333/EJGM/81897","DOIUrl":"https://doi.org/10.29333/EJGM/81897","url":null,"abstract":"Introduction:Psychiatric comorbidities are prevalent in patients with chronic respiratory diseases. But, there is no clear evidence comparing asthma and COPD. The aim of the present study was to investigate and compare the emotional status of patients with asthma and COPDMaterial and Methods:The study included 132 consecutive patients who were diagnosed with asthma (n=78) and COPD (n=54) who did not receive therapy for pshiciatric disorders. Emotional status were evaluated using the Beck and Hamilton surveys.Results:There was signifcant difference between patients asthma an COPD in terms of anxiety and depression level. The patients with COPD achieved signifcantly worse scores in emotional status. Anxiety and depression was signifcantly greater in patients with uncontrolled asthma. But, there was no signifcant correlation between GOLD stages and spirometric values and emotional disorders in COPD patients.Conclusions:It was concluded that anxiety and depression are prevalent in patients with COPD and particularly uncontrolled asthma, and patients with such chronic diseases; psychosocial support may be helpful, alongside the treatment of existing disease.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89120306","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：