Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.97658
D. Ozdemir
Introduction: We aimed to compare red cell distribution width (RDW), mean platelet volume (MPV), and some other laboratory parameters in patients with papillary thyroid carcinoma (PTC) or benign thyroid nodule (BTN). Methods: A total of 365 cases (186 with PTC and 179 with BTN) who underwent lobectomy or bilateral total thyroidectomy were included in the study. The patients were divided into two groups, PTC and BTN, according to histopathological diagnosis. Results: 76.4% of the patients were female and the mean age was 54.94±13.76 years. The median RDW value was 13.3% (12.7–13.9) in the PTC group and 13.2% (12.7–14.2%) in the BTN group. Mean MPV value was 10.28±1.20 fL in the PTC group and 10.26±1.07 fL in the BTN group. The groups were similar in terms of MPV and RDW values (p=0.477 and p=0.883, respectively). Thyroid gland size and detected nodule sizes were significantly greater in the BTN group compared to the PTC group (p<0.001 for all). Discussion and Conclusion: Complete blood count results, including RDW and MPV, were found to have no clinical value in distinguishing between PTC and BTN
{"title":"Use of hemogram parameters in the differentiation of benign thyroid nodules and thyroid papillary carcinoma cases","authors":"D. Ozdemir","doi":"10.14744/hnhj.2022.97658","DOIUrl":"https://doi.org/10.14744/hnhj.2022.97658","url":null,"abstract":"Introduction: We aimed to compare red cell distribution width (RDW), mean platelet volume (MPV), and some other laboratory parameters in patients with papillary thyroid carcinoma (PTC) or benign thyroid nodule (BTN). Methods: A total of 365 cases (186 with PTC and 179 with BTN) who underwent lobectomy or bilateral total thyroidectomy were included in the study. The patients were divided into two groups, PTC and BTN, according to histopathological diagnosis. Results: 76.4% of the patients were female and the mean age was 54.94±13.76 years. The median RDW value was 13.3% (12.7–13.9) in the PTC group and 13.2% (12.7–14.2%) in the BTN group. Mean MPV value was 10.28±1.20 fL in the PTC group and 10.26±1.07 fL in the BTN group. The groups were similar in terms of MPV and RDW values (p=0.477 and p=0.883, respectively). Thyroid gland size and detected nodule sizes were significantly greater in the BTN group compared to the PTC group (p<0.001 for all). Discussion and Conclusion: Complete blood count results, including RDW and MPV, were found to have no clinical value in distinguishing between PTC and BTN","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82818442","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.11129
Eylem Burcu Kahraman Özlü
Introduction: In this study, it was aimed to evaluate the clinical outcomes of patients who underwent surgical resection for meningioma. Methods: Medical records were retrospectively reviewed for all cranial and spinal cases diagnosed and underwent surgery at BRSHH Hospital between 2012 and 2016. All intracranial meningioma patients constituted the core sample for this study. Results: This series included 136 (88 females, 48 males) patients, with a mean age of 55.1±14.1 years. The mean preoperative course was 23.0±40.5 months. The most common symptom was headache (71.3%). The most common location was the frontal region which was seen in 29 patients (21.3%). The mean follow-up period was 36.0±18.95 months. 84.4% of grade I, and 68.2% of grade II demonstrated isointense lesions on T1-weighted magnetic resonance imaging (MRIs) (p=0.027). 15.5% of grade I and 47.7% of grade II showed irregularity (p=0.04). Giant tumors were more commonly associated with non-grade I meningiomas than grade I (p=0.006). 58.9% of grade I and 79.5% of grade II meningiomas demonstrated peritumoral edema on MRIs. The presence of preoperative neurological deficit (p<0.0001), irregularity on MRI (p=0.002), and recurrence (p=0.002) were associated with poor prognosis of surgical outcomes. Gross-total resection (GTR) (p=0.0003) was associated with a good prognosis. Discussion and Conclusion: The presence of preoperative neurological deficit, irregularity on MRI, and recurrence were factors associated with poor prognosis of surgical outcomes. GTR was associated with good surgical outcomes. The presence of preoperative deficits and irregularity on MRIs were associated with a high recurrence rate.
{"title":"Surgical Outcomes of Intracranial Meningiomas: A Retrospective Study","authors":"Eylem Burcu Kahraman Özlü","doi":"10.14744/hnhj.2022.11129","DOIUrl":"https://doi.org/10.14744/hnhj.2022.11129","url":null,"abstract":"Introduction: In this study, it was aimed to evaluate the clinical outcomes of patients who underwent surgical resection for meningioma. Methods: Medical records were retrospectively reviewed for all cranial and spinal cases diagnosed and underwent surgery at BRSHH Hospital between 2012 and 2016. All intracranial meningioma patients constituted the core sample for this study. Results: This series included 136 (88 females, 48 males) patients, with a mean age of 55.1±14.1 years. The mean preoperative course was 23.0±40.5 months. The most common symptom was headache (71.3%). The most common location was the frontal region which was seen in 29 patients (21.3%). The mean follow-up period was 36.0±18.95 months. 84.4% of grade I, and 68.2% of grade II demonstrated isointense lesions on T1-weighted magnetic resonance imaging (MRIs) (p=0.027). 15.5% of grade I and 47.7% of grade II showed irregularity (p=0.04). Giant tumors were more commonly associated with non-grade I meningiomas than grade I (p=0.006). 58.9% of grade I and 79.5% of grade II meningiomas demonstrated peritumoral edema on MRIs. The presence of preoperative neurological deficit (p<0.0001), irregularity on MRI (p=0.002), and recurrence (p=0.002) were associated with poor prognosis of surgical outcomes. Gross-total resection (GTR) (p=0.0003) was associated with a good prognosis. Discussion and Conclusion: The presence of preoperative neurological deficit, irregularity on MRI, and recurrence were factors associated with poor prognosis of surgical outcomes. GTR was associated with good surgical outcomes. The presence of preoperative deficits and irregularity on MRIs were associated with a high recurrence rate.","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83686752","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.25986
Sefa Sağ
Introduction: Bloody nipple discharge (BND) in children is an exceptionally rare entity. The aim of the study was to evaluate the underlying etiologies, treatment strategies, and clinical outcomes in children with BND. Methods: The retrospective study included pediatric patients (aged below 18 years) who presented with BND in our clinic between May 2015 and May 2020. Demographic and clinical characteristics including age, gender, laboratory, ultrasound (US), and histopathological findings, treatment modalities, and follow-up records were evaluated for each patient. Results: Patients comprised six (75%) girls and two (25%) boys. Median age at diagnosis was 15 years (minimum-maximum: 3–192 months) and all the girls were adolescents. BND was located in the left breast in five and in the right in three patients, and bilateral BND was not detected in any patient. All patients had normal serum hormone levels and a negative discharge culture. In US examination, mammary ductal ectasia (MDE) was diagnosed in two patients, one patient had hypoechoic tissue in the subareolar region, whereas the others had normal US findings. Cytology showed ductal epithelial cells without malignancy, which confirmed MDE in all patients. BND resolved with antibiotic treatment in one patient and resolved with no treatment in other patients. Discussion and Conclusion: BND can occur in adolescent girls as well. MDE is a leading cause of BND. Given that MDE is usually a self-limiting condition, unnecessary invasive interventions should be avoided. Cytological and US examinations seem to be highly useful in the diagnosis and follow-up of patients with BND.
{"title":"Bloody nipple discharge in children: Single center experience","authors":"Sefa Sağ","doi":"10.14744/hnhj.2022.25986","DOIUrl":"https://doi.org/10.14744/hnhj.2022.25986","url":null,"abstract":"Introduction: Bloody nipple discharge (BND) in children is an exceptionally rare entity. The aim of the study was to evaluate the underlying etiologies, treatment strategies, and clinical outcomes in children with BND. Methods: The retrospective study included pediatric patients (aged below 18 years) who presented with BND in our clinic between May 2015 and May 2020. Demographic and clinical characteristics including age, gender, laboratory, ultrasound (US), and histopathological findings, treatment modalities, and follow-up records were evaluated for each patient. Results: Patients comprised six (75%) girls and two (25%) boys. Median age at diagnosis was 15 years (minimum-maximum: 3–192 months) and all the girls were adolescents. BND was located in the left breast in five and in the right in three patients, and bilateral BND was not detected in any patient. All patients had normal serum hormone levels and a negative discharge culture. In US examination, mammary ductal ectasia (MDE) was diagnosed in two patients, one patient had hypoechoic tissue in the subareolar region, whereas the others had normal US findings. Cytology showed ductal epithelial cells without malignancy, which confirmed MDE in all patients. BND resolved with antibiotic treatment in one patient and resolved with no treatment in other patients. Discussion and Conclusion: BND can occur in adolescent girls as well. MDE is a leading cause of BND. Given that MDE is usually a self-limiting condition, unnecessary invasive interventions should be avoided. Cytological and US examinations seem to be highly useful in the diagnosis and follow-up of patients with BND.","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87182361","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.09825
U. Öğüşlü
Introduction: To evaluate the safety, effectiveness, and outcomes of tunneled dialysis catheters (TDC) placed through supr-aclavicular brachiocephalic vein (BCV) access in patients with bilateral internal jugular vein (IJV) thrombosis. Methods: Between January 2017 and October 2020, TDCs were placed through supraclavicular BCV access in 46 patients with bilateral IJV thrombosis. Patient demographics, number of attempts, technical and clinical success rates, complications, and patency rates were noted. Results: 21 (45.7%) patients were male. The mean age was 65.9 years (range 20–89). All catheters were placed at the first attempt. The right BCV was accessed in 16 (34%) patients. The technical and clinical success rate was 100%. No major complication was encountered. The mean follow-up period was 573.5 (range 50–1698) days. 44/46 (95.7%) of the catheters were functional at 30 days. The infection rate was 2.7/1000 catheter days. 38 catheter exchanges (mean: 1.9, range: 1–6) were required in 20 patients. The primary and secondary patency rates were 77.8% and 95.2% at 6 months, 77.8% and 95.2% at 12 months, and 74.8% and 84.8% at 24 months, respectively. Discussion and Conclusion: TDC placement through supraclavicular BCV access is a viable option in patients with bilateral IJV thrombosis. High success rates and low complication rates with acceptable outcomes make this route an attractive alternative before proceeding to more complex access routes.
{"title":"Supraclavicular Brachiocephalic Vein Access for Tunneled Dialysis Catheter Placement in Patients with Bilateral Internal Jugular Vein Thrombosis","authors":"U. Öğüşlü","doi":"10.14744/hnhj.2022.09825","DOIUrl":"https://doi.org/10.14744/hnhj.2022.09825","url":null,"abstract":"Introduction: To evaluate the safety, effectiveness, and outcomes of tunneled dialysis catheters (TDC) placed through supr-aclavicular brachiocephalic vein (BCV) access in patients with bilateral internal jugular vein (IJV) thrombosis. Methods: Between January 2017 and October 2020, TDCs were placed through supraclavicular BCV access in 46 patients with bilateral IJV thrombosis. Patient demographics, number of attempts, technical and clinical success rates, complications, and patency rates were noted. Results: 21 (45.7%) patients were male. The mean age was 65.9 years (range 20–89). All catheters were placed at the first attempt. The right BCV was accessed in 16 (34%) patients. The technical and clinical success rate was 100%. No major complication was encountered. The mean follow-up period was 573.5 (range 50–1698) days. 44/46 (95.7%) of the catheters were functional at 30 days. The infection rate was 2.7/1000 catheter days. 38 catheter exchanges (mean: 1.9, range: 1–6) were required in 20 patients. The primary and secondary patency rates were 77.8% and 95.2% at 6 months, 77.8% and 95.2% at 12 months, and 74.8% and 84.8% at 24 months, respectively. Discussion and Conclusion: TDC placement through supraclavicular BCV access is a viable option in patients with bilateral IJV thrombosis. High success rates and low complication rates with acceptable outcomes make this route an attractive alternative before proceeding to more complex access routes.","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"176 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90439884","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.56667
Hilal Ilbars
{"title":"Ethics Committee Application Procedures in Clinical Trials","authors":"Hilal Ilbars","doi":"10.14744/hnhj.2022.56667","DOIUrl":"https://doi.org/10.14744/hnhj.2022.56667","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87910475","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2021.54926
Gizem Yel
{"title":"Comprasion of The Results of Plication and Resection Techniques in Horizontal Strabismus Surgery","authors":"Gizem Yel","doi":"10.14744/hnhj.2021.54926","DOIUrl":"https://doi.org/10.14744/hnhj.2021.54926","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91076000","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2021.76148
Elif Küçük
{"title":"The first case of Pediatric Multisystem Inflammatory Syndrome (MIS-C) to be diagnosed in our clinic in the late stages of the pandemic","authors":"Elif Küçük","doi":"10.14744/hnhj.2021.76148","DOIUrl":"https://doi.org/10.14744/hnhj.2021.76148","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75667054","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.70446
A. Ozgultekin
{"title":"Cerebral Oxygen Desaturation And Postoperative Cognitive Effects In Elderly Patients Operated In Beach Chair Position","authors":"A. Ozgultekin","doi":"10.14744/hnhj.2022.70446","DOIUrl":"https://doi.org/10.14744/hnhj.2022.70446","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77862563","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.49091
Sibel Süzen Özbayrak
{"title":"The evaluation of Sleep Hygiene in Subacromial Impingement Syndrome: A case control study","authors":"Sibel Süzen Özbayrak","doi":"10.14744/hnhj.2022.49091","DOIUrl":"https://doi.org/10.14744/hnhj.2022.49091","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"492 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77056957","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}
Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.88886
Ayşe Gümüş Özçelik
{"title":"Maturity-Onset Diabetes of the Young-2(MODY2)","authors":"Ayşe Gümüş Özçelik","doi":"10.14744/hnhj.2022.88886","DOIUrl":"https://doi.org/10.14744/hnhj.2022.88886","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78823592","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}
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