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Neutrophil/Lymphocyte Ratio and Platelet/Lymphocyte Ratio in Fibromyalgia 纤维肌痛患者中性粒细胞/淋巴细胞比值及血小板/淋巴细胞比值
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1525
Erdem Ilgün, Ö. Akyürek, A. Kalkan, Fethi Demir, M. Demirayak, M. Bilgi
Objective:We aimed at contributing to the understanding of the pathophysiology of Fibromyalgia (FM) by measuring neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio (PLR), which are the systemic inflammatory response (SIR) markers in patients with fibromyalgia.Method:The study population consisted of 70 patients newly diagnosed with FM (mean (SD) age: 43.9 (±9.8) years, 80% were female) and 52 healthy volunteers (mean (SD) age: 43.4 (±10.4) years, 76.9% were female). American College of Rheumatology-ACR 1990 criteria regarding the evaluation of widespread pain and tender points were used for the diagnosis of FM. Demographic characteristics, anthropometrics and laboratory findings were used to make comparisons between patient and control groups.Results:PLR was 128.0 (±40.2) in the patient group while it was 110.5 (±33.6) in the control group and the difference was found to be significant (p=0.03). NLR was similar in both groups. The tender point count was significantly higher in the patient group (p<0.001) whereas there was a negative correlation between the tender point count and the lymphocyte count (r= -0.200; p=0.020) and a strong positive correlation with PLR (r=0.022; p=0.001).Conclusion:Our findings indicate that NLR levels were similar in both groups while the PLR values of the FM patients were found to be significantly higher than those of the control group and there was a positive correlation between PLR and the tender point count.
目的:通过测定纤维肌痛患者全身炎症反应(SIR)指标中性粒细胞/淋巴细胞比值(NLR)和血小板/淋巴细胞比值(PLR),了解纤维肌痛(FM)的病理生理学。方法:研究人群包括70例新诊断为FM的患者(平均(SD)年龄:43.9(±9.8)岁,80%为女性)和52名健康志愿者(平均(SD)年龄:43.4(±10.4)岁,76.9%为女性)。美国风湿病学会- acr 1990年关于评估广泛疼痛和压痛点的标准被用于FM的诊断。采用人口统计学特征、人体测量学和实验室结果对患者和对照组进行比较。结果:患者组PLR为128.0(±40.2),对照组为110.5(±33.6),差异有统计学意义(p=0.03)。两组NLR相似。患者组的压痛点计数明显高于对照组(p<0.001),而压痛点计数与淋巴细胞计数呈负相关(r= -0.200;p=0.020),与PLR呈正相关(r=0.022;p = 0.001)。结论:两组患者NLR水平相似,但FM患者PLR值明显高于对照组,且PLR与压痛点计数呈正相关。
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引用次数: 17
Surgical Complications of Simple and Complex Gastroschisis in Newborn 新生儿单纯性和复杂性胃裂的手术并发症
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1495
S. Méndez-Martínez, M. García-Carrasco, C. Mendoza-Pinto, E. García-Cano, Á. Montiel-Jarquín
Objective:To determine early or late post surgical complications secondary to simple and complex gastroschisis.Methods:The association between early (acid-base disorders, electrolyte disturbances and presence of hypoalbuminemia), and late postnatal complications (respiratory, gastrointestinal, infectious) was investigated in newborn.Results:42 children, 54.8% male, 73.8% premature, average gestational age of 35.6±2.5 gestational weeks of age (GWA), weight 2147±537gr, they have a NICU stay of 192±14 days, PNT of 19.2±20 days, mortality of 26.2%. The frequent immediate postoperative complications were base-acid imbalance; the metabolic acidosis was associated to simple gastroschisis (p=0.049). The complex gastroschisis was associated to necrotizing enterocolitis (p=0.025), surgical closure type (p=0.003), reinterventions (p=0.025).Conclusion:Acid-Base alterations (76.1%), hypoalbuminemia (59.5%) as early complications and Late sepsis (40.4%), cholestasis (26.1%) as late complications are the most common in patients with Gasthoschisis.
目的:探讨单纯和复杂胃裂术后早期或晚期的并发症。方法:研究新生儿早期(酸碱失调、电解质紊乱和低白蛋白血症)与产后晚期并发症(呼吸道、胃肠道、感染性)的关系。结果:42例患儿,男54.8%,早产73.8%,平均胎龄35.6±2.5胎周(GWA),体重2147±537克,NICU住院192±14天,PNT 19.2±20天,死亡率26.2%。术后最常见的直接并发症是酸碱失衡;代谢性酸中毒与单纯性胃裂相关(p=0.049)。复杂性胃裂与坏死性小肠结肠炎(p=0.025)、手术闭合类型(p=0.003)、再干预(p=0.025)相关。结论:酸碱改变(76.1%)、低白蛋白血症(59.5%)是胃裂病患者最常见的早期并发症,晚期脓毒症(40.4%)、胆汁淤积(26.1%)是晚期并发症。
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引用次数: 6
In the Absence of Co-Morbidities Mean Platelet Volume is not A Severity Indicator in OSAS 在没有合并症的情况下,平均血小板体积不是OSAS的严重程度指标
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1555
Özgür Bilgin Topçuoğlu, G. Afşar, Sema Sarac, O. Oruc, Tülin Kuyucu
Objective: To evaluate the relationship of mean platelet volume and OSAS severity, in OSAS patients without any vascular risk factors and co-morbidites. Method: The patients files and polysomnographies of OSAS patients who admitted to sleep laboratory between January 1st 2011 and April 1st 2012 have been retrospectively evaluated. Inclusion criteria are to have no vascular risk factors and no co-morbidities, to be a non-smoker, to be older than 18 years of age and not be taking any medications. Patients have been grouped as severe and non-severe OSAS according to their apne- hypopne indices. Mean platelet volume (MPV) of patients in the two groups have been compared. Results: Among 81 patients who met the inclusion criteria, 39.6% of the patients had severe OSAS while 60.4% had non-severe OSAS. MPV in the severe group was 9.05+0.89 (fL), while it was 9.00+0.82 (fL) in the non-severe group. The difference of MPV between two groups was not significant (p:0.800). Conclusion: Controversially with the former studies which declared higher MPV in severe OSAS, our study concludes that when all other risk factors are excluded MPV is not an indicator of severity in OSAS.
目的:探讨无血管危险因素及合并症的OSAS患者平均血小板体积与OSAS严重程度的关系。方法:回顾性分析2011年1月1日至2012年4月1日在睡眠实验室收治的OSAS患者的病历和多导睡眠图。纳入标准为无血管危险因素,无合并症,非吸烟者,年龄大于18岁,未服用任何药物。根据apne- hypopine指数将患者分为重度和非重度OSAS。比较两组患者的平均血小板体积(MPV)。结果:81例符合纳入标准的患者中,重度OSAS占39.6%,非重度OSAS占60.4%。重度组MPV为9.05+0.89 (fL),非重度组MPV为9.00+0.82 (fL)。两组间MPV差异无统计学意义(p:0.800)。结论:与以往的研究中认为重度OSAS患者MPV较高有争议,我们的研究得出结论,当排除所有其他危险因素时,MPV不是OSAS严重程度的指标。
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引用次数: 5
Challenges in Managing Severe Lower Limb Spasticity Associated with Bilateral Hip Joints Subluxation 处理双侧髋关节半脱位相关的严重下肢痉挛的挑战
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1475
O. Htwe, R. I. Hussain, A. S. Naicker
Management of severe spasticity in spinal cord injured patients is challenging especially when associated with bilateral hip joint subluxation. A 22-year-old paraplegic girl presented with very severe lower limbs spasticity and unstable hips. She was treated with botulinum toxin a injections to her lower limb muscles. This method of treatment was shown to be effective in a case of severe spasticity with unstable hips.
脊髓损伤患者的严重痉挛管理是具有挑战性的,特别是当伴有双侧髋关节半脱位时。一个22岁的截瘫女孩表现为非常严重的下肢痉挛和髋部不稳定。她的下肢肌肉注射了肉毒杆菌毒素。这种治疗方法被证明是有效的病例严重痉挛与不稳定的髋关节。
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引用次数: 2
Recurrent Hypoglycaemia: an Uncommon Presentation in Sheehan Syndrome. 复发性低血糖:希恩综合征中一种罕见的表现。
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1457
H. Aggarwal, D. Jain, S. Pawar, A. Mittal, P. Jain
Sheehan’s syndrome is a rare but potentially serious postpartum complication. Though most common and early symptoms are lactation failure and amenorrhea, some cases might be relatively asymptomatic which are diagnosed in later years when features of hypothyroidism and adrenal insufficiency predominate. Recurrent hypoglycaemia, due to adrenal insufficiency, though described is a rare complication of Sheehan syndrome. Here we report a case of Sheehan syndrome which presented with recurrent episodes of hypoglycaemia,
希恩氏综合症是一种罕见但潜在严重的产后并发症。虽然最常见的早期症状是泌乳失败和闭经,但一些病例可能相对无症状,这些症状在晚年诊断时以甲状腺功能减退和肾上腺功能不全为主要特征。复发性低血糖,由于肾上腺功能不全,虽然描述是一个罕见的并发症的希恩综合征。在此,我们报告一例以低血糖反复发作为表现的希恩综合征。
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引用次数: 0
The Role of Surgical Diagnosis in The Choice of Anesthetic Technique 手术诊断在麻醉技术选择中的作用
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1458
Nureddin Yüzkat, L. Soyoral, M. B. Çeğin, B. Özkan, U. Goktas
Spinal anesthesia is a regional anesthetic technique applied by the anesthesiologist, more than a hundred years. The growing popularity of ambulatory surgical procedures have led to more frequent use of spinal anesthesia. This is an anesthetic technique which enhances the satisfaction of the patient and surgeon with this aspect. Chordoma is a rare, slow growing primary malignant tumor of the axial skeleton. It is seen at sacrum and skull base in the spine especiallay sacrococcygeal area (%50). In this paper, we presented a rare case of sacral chordoma up our spinal anesthesia. Perioperative potential risks can be minimized by close monitoring and good preoperative evaluation. Thus; anesthesic technique which even thought as an unappropriate method can be prefered and we believe that diagnosis can remain in the secondary plan in this decision.
脊髓麻醉是麻醉医师应用的一种区域麻醉技术,已有一百多年的历史。随着门诊手术的日益普及,脊髓麻醉的使用也越来越频繁。这是一种提高患者和外科医生在这方面满意度的麻醉技术。脊索瘤是一种罕见的、生长缓慢的原发性中轴骨骼恶性肿瘤。它见于脊柱的骶骨和颅底,特别是骶尾骨区(% 50%)。在本文中,我们提出了一个罕见的病例骶脊索瘤在我们的脊髓麻醉。围手术期的潜在风险可以通过严密的监测和良好的术前评估降到最低。因此;麻醉技术被认为是一种不合适的方法,我们认为在这个决定中,诊断可以保留在次要计划中。
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引用次数: 2
Effect of Urtica Dioica against Doxorubicin-InducedCardiotoxicity in Rats through Suppression ofHistological Damage, Oxidative Stress and LipidPeroxidation 荨麻通过抑制组织损伤、氧化应激和脂质过氧化作用对抗阿霉素诱导的大鼠心脏毒性
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1567
M. Erboğa, Yeliz Bozdemir Donmez, U. Sener, Z. Erboğa, C. Aktas, M. Kanter
Objective: Doxorubicin (DOX) is a highly effective anti-cancer drug with limited clinical use due to its serious cardiotoxicity. Urtica dioica L. seeds (UD), have been widely used in folk medicine, particularly in the therapy for advanced cancer patients, possesses a potent anti-oxidant properties. The goal of present study was to investigate the cardioprotective effects of UD on DOX-induced cardiotoxicity. Method: The rats in the UD treated group were given intraperitoneally 2 ml/kg UD. To induce cardiotoxicity, 30 mg/kg DOX was injected intraperitoneally by a single dose and the rats were sacrificed after 48 h. Results: The present study revealed for the first time a protective role of UD against DOXinduced cardiotoxicity. UD therapy significantly protected against DOXinduced myocardial damage which was characterized by conduction abnormalities, vacuolization, inflammatory cell infiltration, hemorrhag es, and myofibrillar disarrangement. As indicators of oxidative stress, DOX caused significantly increase lipid peroxidation and reduction in activities of antioxidant enzymes; superoxide dismutase, glutathione peroxidase, and catalase. UD treatment significantly attenuated DOXinduced oxidative injury. Conclusion: The present study showed that UD might be a suitable cardioprotector against toxic effects of DOX.
目的:阿霉素(DOX)是一种高效的抗癌药物,因其严重的心脏毒性而限制了临床应用。杜鹃花种子具有较强的抗氧化作用,在民间医学中被广泛应用,特别是在晚期癌症患者的治疗中。本研究的目的是探讨UD对dox诱导的心脏毒性的保护作用。方法:UD治疗组大鼠腹腔注射2 ml/kg UD。为了诱导心脏毒性,采用单剂量腹腔注射DOX 30 mg/kg, 48 h后处死大鼠。结果:本研究首次揭示了UD对doxin诱导的心脏毒性的保护作用。UD治疗对doxin引起的心肌损伤有明显的保护作用,心肌损伤以传导异常、空泡化、炎症细胞浸润、出血和肌纤维紊乱为特征。DOX作为氧化应激的指标,引起脂质过氧化反应显著增加,抗氧化酶活性降低;超氧化物歧化酶,谷胱甘肽过氧化物酶和过氧化氢酶。UD处理可显著减轻doxin诱导的氧化损伤。结论:UD可能是一种较好的抗DOX毒性的心脏保护剂。
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引用次数: 8
Multiple Ileo-ileal Intussusceptions in a 3-Year-Old Child 1例3岁儿童多发回肠-回肠肠套叠
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1454
B. Kızılyıldız, B. Beger, B. Sönmez, K. Karaman
Intussusception is the most common intestinal obstruction among infants and young children. Most of the pediatric cases are ileocecal. Isolated small bowel intussusception accounts for fewer than 10% of all pediatric cases. We reported a previously healthy 3-year-old child who presented with multiple ileo-ileal intussusceptions. Preoperatively, diagnosis made by ultrasonography. During surgery, edematous and dilated small bowel loops with four intussusceptions were found. Ileocecal junction was normal. Our experience shows that the rare entity of multiple intussusceptions with no obviously causative agent may present in pediatric patients.
肠套叠是婴幼儿最常见的肠梗阻。大多数儿科病例为回盲。孤立性小肠肠套叠占所有儿科病例的不到10%。我们报告了一个先前健康的3岁儿童,他表现出多发性回肠-回肠肠套叠。术前超声诊断。在手术中,发现水肿和扩张的小肠袢和四个肠套叠。回盲交界处正常。我们的经验表明,罕见的实体多发性肠套叠没有明显的病因可能存在于儿科患者。
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引用次数: 2
Tracheobronchial Foreign Bodies Aspirations in Adults: A 25-Years Experience 成人气管支气管异物插管:25年的经验
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1506
B. Altuntas, Y. Aydın, A. Eroğlu
Objective:The incidence of tracheobronchial aspirations of foreign bodies in adults is lower than in children. In this article, we aimed to present our experience in tracheobronchial aspiration of foreign bodies in adults during 25-years.Methods:From January 1990 to January 2015, 122 patients older than 16 years with suspected tracheobronchial aspiration of foreign body were included in this study. Patients’ data cards were retrospectively assessed according to age, gender, clinical symptoms and physical examination findings, localization and type of foreign body, radiologic findings and therapeutic options.Results:Ninety-six of the patients were female (78.7%) and 26 were male (21.3%). The age range was 17-70 years and mean age was 30.3 years. Rigid bronchoscopy was performed in all patients. Foreign bodies were seen in 112 patients (91.8%). Foreign bodies were extracted by rigid bronchoscopy in 109 patients. Thoracotomy and pneumotomy were performed in the remaining 3 patients. The most common foreign body was pin (83%). The chief symptom was cough (100%). The most common anatomic location of foreign bodies was right bronchial system (60.7%). The main radiologic finding was radiopaque image of the related foreign body (88.4%). Right lower lobectomy was performed in two patients because of bronchiectasis.Conclusion:If tracheobronchial aspirations of foreign bodies are not treated in early period, irreversible and suppurative lung diseases may occur as results of aspirations in later years. The education of societies about this subject is principal precaution in reducing the frequency of tracheobronchial aspirations of foreign bodies.
目的:成人气管支气管异物吸入的发生率低于儿童。在本文中,我们旨在介绍我们25年来成人气管支气管异物吸入的经验。方法:选取1990年1月至2015年1月期间122例16岁以上疑似气管支气管异物吸入患者。根据患者的年龄、性别、临床症状和体格检查结果、异物的定位和类型、放射学表现和治疗方案对患者的数据卡进行回顾性评估。结果:女性96例(78.7%),男性26例(21.3%)。年龄17 ~ 70岁,平均30.3岁。所有患者均行刚性支气管镜检查。异物112例(91.8%)。采用刚性支气管镜取出异物109例。其余3例均行开胸和气腹手术。最常见的异物是针(83%)。主要症状为咳嗽(100%)。异物最常见的解剖位置为右支气管系统(60.7%)。主要影像学表现为相关异物不透像(88.4%)。2例患者因支气管扩张而行右下肺叶切除术。结论:气管支气管异物进气道如不及早治疗,可在晚年发生不可逆的化脓性肺部疾病。社会对这一主题的教育是减少气管支气管异物吸入频率的主要预防措施。
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引用次数: 2
Linezolid-induced Lactic Acidosis 利奈唑胺致乳酸性酸中毒
Pub Date : 2016-04-06 DOI: 10.15197/EJGM.1439
H. Rehman
Lactic acidosis is a known complication of long-term linezolid therapy. We present a case where lactic acidosis developed only after 2 doses of linezolid. A review of literature revealed only 2 cases in which lactic acidosis developed soon after linezolid treatment was commenced. Both patients had underlying immunocompromising conditions. Our patient, like the previous 2 reports had an underlying immunocompromising condition – acute myeloid leukemia. It seems that linezolid has the propensity of inducing lactic acidosis soon after its commencement in immunocompromised patients.
乳酸性酸中毒是长期利奈唑胺治疗的已知并发症。我们目前的情况下,乳酸酸中毒发展仅后2剂量利奈唑胺。文献回顾显示,只有2例乳酸酸中毒发生后不久,利奈唑胺治疗开始。两名患者都有潜在的免疫损害。我们的病人,像之前的2个报告有一个潜在的免疫损害条件-急性髓性白血病。似乎利奈唑胺在免疫功能低下患者开始使用后不久就有诱发乳酸酸中毒的倾向。
{"title":"Linezolid-induced Lactic Acidosis","authors":"H. Rehman","doi":"10.15197/EJGM.1439","DOIUrl":"https://doi.org/10.15197/EJGM.1439","url":null,"abstract":"Lactic acidosis is a known complication of long-term linezolid therapy. We present a case where lactic acidosis developed only after 2 doses of linezolid. A review of literature revealed only 2 cases in which lactic acidosis developed soon after linezolid treatment was commenced. Both patients had underlying immunocompromising conditions. Our patient, like the previous 2 reports had an underlying immunocompromising condition – acute myeloid leukemia. It seems that linezolid has the propensity of inducing lactic acidosis soon after its commencement in immunocompromised patients.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87110100","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: 37
期刊
European journal of general medicine
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