Pub Date : 2023-01-01DOI: 10.14744/hnhj.2022.31644
Murat Tan
{"title":"Breast conservation surgery in breast cancer","authors":"Murat Tan","doi":"10.14744/hnhj.2022.31644","DOIUrl":"https://doi.org/10.14744/hnhj.2022.31644","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81935001","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.2021.26097
O. Uzundere
{"title":"Is HELLP syndrome that occurs after the 34th week of pregnancy more risky for mothers?","authors":"O. Uzundere","doi":"10.14744/hnhj.2021.26097","DOIUrl":"https://doi.org/10.14744/hnhj.2021.26097","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88401357","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.2022.85437
A. Mert
{"title":"Hygiene Practice among the Primary School Children During Covıd-19 Pandemıc in Turkey: A Descriptive Analysis On the Significance of Social Awareness","authors":"A. Mert","doi":"10.14744/hnhj.2022.85437","DOIUrl":"https://doi.org/10.14744/hnhj.2022.85437","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87324872","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.2022.37108
A. O. Balık
{"title":"A 12-Years-Old Pediatric Case with Hydrocephalus Presenting with Gait Disorder: Spinal Myxopapillary Ependymoma","authors":"A. O. Balık","doi":"10.14744/hnhj.2022.37108","DOIUrl":"https://doi.org/10.14744/hnhj.2022.37108","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81587813","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.2021.43815
A. N. Demir
Introduction: Predicting acute liver damage caused by mushroom poisoning from hemogram parameters at first admission to hospital. Methods: This retrospective study involved adults ≥18 years old who presented to the emergency room with mushroom poisoning from January 2011 to January 2017. Diagnosis of mushroom poisoning was made by a recent history of eating mushrooms, the onset of gastrointestinal symptoms such as diarrhea, vomiting, or abdominal pain after eating mushrooms, and excluding other possible causes of acute liver damage. Acute liver injury was defined as a 5-fold or greater increase in liver enzymes or the development of moderate coagulopathy (international normalized ratio > 2.0). First admission hemogram parameters of those who had liver damage and those who did not develop liver damage in the emergency department were compared. Results: Acute liver injury developed in ten of 136 patients (68 women (50%), 68 men (50%), and mean age 39.5 years) included in the study. Three of them died (in-hospital mortality – 30% and mushroom poisoning overall mortality – 2.2%). Among the hemogram parameters, hemoglobin (13.9±1.7 g/dL vs. 15.4±1.7 g/dL, p=0.013), mean platelet volume (MPV) (7.6±1.02 fl versus 8.8±1.1 fl, p<0.05), and red cell distribution width (RDW) (16.5±4.8% vs 24.3±13.7%, p=0.034) in those who developed acute liver injury were significantly higher than those that did not develop. Discussion and Conclusion: The high levels of MPV and RDW in the hemogram examination of the patients presented to the emergency department with mushroom poisoning may help to predict the progression of acute liver injury.
前言:利用首次入院血象参数预测蘑菇中毒急性肝损害。方法:本回顾性研究纳入2011年1月至2017年1月期间因蘑菇中毒而就诊于急诊室的≥18岁成年人。蘑菇中毒的诊断是根据最近吃蘑菇的历史，吃蘑菇后出现腹泻、呕吐或腹痛等胃肠道症状，并排除其他可能引起急性肝损伤的原因。急性肝损伤定义为肝酶升高5倍以上或出现中度凝血功能障碍(国际标准化比值> 2.0)。比较急诊科有肝损害与无肝损害患者的首次入院血象参数。结果:136例患者中有10例发生急性肝损伤(68例女性(50%)，68例男性(50%)，平均年龄39.5岁)。其中三人死亡(住院死亡率为30%，蘑菇中毒总死亡率为2.2%)。急性肝损伤组血红蛋白(13.9±1.7 g/dL vs 15.4±1.7 g/dL, p=0.013)、平均血小板体积(MPV)(7.6±1.02 fl vs 8.8±1.1 fl, p<0.05)、红细胞分布宽度(RDW)(16.5±4.8% vs 24.3±13.7%，p=0.034)显著高于未发生急性肝损伤组。讨论与结论:食用菌中毒急诊患者血象检查中高水平的MPV和RDW可能有助于预测急性肝损伤的进展。
{"title":"Prediction of the development of acute liver injury in mushroom poisoning by hemogram parameters","authors":"A. N. Demir","doi":"10.14744/hnhj.2021.43815","DOIUrl":"https://doi.org/10.14744/hnhj.2021.43815","url":null,"abstract":"Introduction: Predicting acute liver damage caused by mushroom poisoning from hemogram parameters at first admission to hospital. Methods: This retrospective study involved adults ≥18 years old who presented to the emergency room with mushroom poisoning from January 2011 to January 2017. Diagnosis of mushroom poisoning was made by a recent history of eating mushrooms, the onset of gastrointestinal symptoms such as diarrhea, vomiting, or abdominal pain after eating mushrooms, and excluding other possible causes of acute liver damage. Acute liver injury was defined as a 5-fold or greater increase in liver enzymes or the development of moderate coagulopathy (international normalized ratio > 2.0). First admission hemogram parameters of those who had liver damage and those who did not develop liver damage in the emergency department were compared. Results: Acute liver injury developed in ten of 136 patients (68 women (50%), 68 men (50%), and mean age 39.5 years) included in the study. Three of them died (in-hospital mortality – 30% and mushroom poisoning overall mortality – 2.2%). Among the hemogram parameters, hemoglobin (13.9±1.7 g/dL vs. 15.4±1.7 g/dL, p=0.013), mean platelet volume (MPV) (7.6±1.02 fl versus 8.8±1.1 fl, p<0.05), and red cell distribution width (RDW) (16.5±4.8% vs 24.3±13.7%, p=0.034) in those who developed acute liver injury were significantly higher than those that did not develop. Discussion and Conclusion: The high levels of MPV and RDW in the hemogram examination of the patients presented to the emergency department with mushroom poisoning may help to predict the progression of acute liver injury.","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82562141","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.2022.45712
H. Gök
{"title":"Retrospectıve evaluatıon of the effect of surgery and cyberknıfe on recurrence and neurologıcal defıcıts ın cases dıagnosed as vestibular schwannoma","authors":"H. Gök","doi":"10.14744/hnhj.2022.45712","DOIUrl":"https://doi.org/10.14744/hnhj.2022.45712","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76036979","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.2021.15945
E. Coskunpinar
{"title":"Investigation of awareness level of Spinal Muscular Atrophy disease in Turkish society","authors":"E. Coskunpinar","doi":"10.14744/hnhj.2021.15945","DOIUrl":"https://doi.org/10.14744/hnhj.2021.15945","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79517495","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.2022.93284
Eren Ekici
{"title":"Early postoperative effects of uncomplicated phacoemulsification on corneal parameters in patients with pseudoexfoliation syndrome.","authors":"Eren Ekici","doi":"10.14744/hnhj.2022.93284","DOIUrl":"https://doi.org/10.14744/hnhj.2022.93284","url":null,"abstract":"","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73987457","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.2023.75010
Demet Doğan
{"title":"The radiologic diagnosis and result of endovascular management of May Thurner Syndrome","authors":"Demet Doğan","doi":"10.14744/hnhj.2023.75010","DOIUrl":"https://doi.org/10.14744/hnhj.2023.75010","url":null,"abstract":"","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":"89699026","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.2022.32858
Ezel Yaltırık Bilgin
Introduction: We questioned the relationship between apparent diffusion coefficient (ADC) values and the presence of locoregional invasion and systemic metastases in patients with cervical cancer. We aimed to evaluate the role of ADC values in predicting tumor cellularity and aggressiveness. Methods: Forty patients with histopathologically proven cervical cancer diagnosis who applied to our center between January 2018 and January 2022 were evaluated retrospectively and included in the study. ADC values were measured from the ADC maps created from the diffusion-weighted images of the patients. In addition, invasion of adjacent organs (bladder-rectum) was evaluated with pelvic magnetic resonance examination (MRI) and distant organ metastases were evaluated, primarily by PET-CT and, if any, other scanning methods (brain MRI, bone scintigraphy) at the time of diagnosis. Results: The mean ADC value of patients with locoregional invasion was found to be 0.89×10–3 mm 2 /s, and the mean ADC value of patients without locoregional invasion was 0.96×10–3 mm 2 /s. Although the mean ADC value of the patients with locoregional invasion was lower than the patients who were not detected, this difference between the two groups was not statistically significant (p=0.466). The mean ADC value of patients with systemic metastasis was 0.73×10–3 mm 2 /s, and the mean ADC value of patients without systemic metastasis was 0.96×10–3 mm 2 /s. The mean ADC value of patients with systemic metastasis was found to be low, close to the statistical significance level (t=1.954, p=0.058). As a result of ROC analysis, the most appropriate cutoff limit for ADC value for systemic organ metastasis was found to be 0.93 (sensitivity=59% and specificity=83%). Discussion and Conclusion: Systemic metastasis risk and poor prognosis can be predicted by diffusion-weighted imaging and ADC values.
简介:我们对宫颈癌患者的表观扩散系数(ADC)值与局部浸润和全身转移之间的关系提出了质疑。我们的目的是评估ADC值在预测肿瘤细胞性和侵袭性方面的作用。方法:回顾性评估2018年1月至2022年1月期间申请本中心的40例经组织病理学证实诊断为宫颈癌的患者并纳入本研究。ADC值由患者弥散加权图像生成的ADC图测量。此外，通过盆腔磁共振检查(MRI)评估邻近器官(膀胱-直肠)的侵犯，主要通过PET-CT评估远处器官转移，如果有的话，在诊断时通过其他扫描方法(脑MRI，骨显像)评估。结果:局部侵犯患者的ADC平均值为0.89×10-3 mm 2 /s，无局部侵犯患者的ADC平均值为0.96×10-3 mm 2 /s。虽然局部侵袭患者的平均ADC值低于未检出患者，但两组间差异无统计学意义(p=0.466)。有全身转移的患者ADC平均值为0.73×10-3 mm 2 /s，无全身转移的患者ADC平均值为0.96×10-3 mm 2 /s。系统性转移患者的平均ADC值较低，接近统计学显著水平(t=1.954, p=0.058)。通过ROC分析，发现ADC值对于系统性器官转移最合适的临界值为0.93(敏感性为59%，特异性为83%)。讨论与结论:通过弥散加权成像和ADC值可以预测全身转移风险和预后不良。
{"title":"Role of Apparent Diffusion Coefficient Value to Predict Locoregional Invasion and Systemic Metastasis in Cervical Cancer.","authors":"Ezel Yaltırık Bilgin","doi":"10.14744/hnhj.2022.32858","DOIUrl":"https://doi.org/10.14744/hnhj.2022.32858","url":null,"abstract":"Introduction: We questioned the relationship between apparent diffusion coefficient (ADC) values and the presence of locoregional invasion and systemic metastases in patients with cervical cancer. We aimed to evaluate the role of ADC values in predicting tumor cellularity and aggressiveness. Methods: Forty patients with histopathologically proven cervical cancer diagnosis who applied to our center between January 2018 and January 2022 were evaluated retrospectively and included in the study. ADC values were measured from the ADC maps created from the diffusion-weighted images of the patients. In addition, invasion of adjacent organs (bladder-rectum) was evaluated with pelvic magnetic resonance examination (MRI) and distant organ metastases were evaluated, primarily by PET-CT and, if any, other scanning methods (brain MRI, bone scintigraphy) at the time of diagnosis. Results: The mean ADC value of patients with locoregional invasion was found to be 0.89×10–3 mm 2 /s, and the mean ADC value of patients without locoregional invasion was 0.96×10–3 mm 2 /s. Although the mean ADC value of the patients with locoregional invasion was lower than the patients who were not detected, this difference between the two groups was not statistically significant (p=0.466). The mean ADC value of patients with systemic metastasis was 0.73×10–3 mm 2 /s, and the mean ADC value of patients without systemic metastasis was 0.96×10–3 mm 2 /s. The mean ADC value of patients with systemic metastasis was found to be low, close to the statistical significance level (t=1.954, p=0.058). As a result of ROC analysis, the most appropriate cutoff limit for ADC value for systemic organ metastasis was found to be 0.93 (sensitivity=59% and specificity=83%). Discussion and Conclusion: Systemic metastasis risk and poor prognosis can be predicted by diffusion-weighted imaging and ADC values.","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"164 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75977099","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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