Pub Date : 2021-04-23DOI: 10.52142/OMUJECM.38.3.23
Hayrullah Yönak, S. Özdemir, K. Kokulu, H. Akça, Mehmet Muzaffer Islam, A. Algın, M. Yunusov, S. Eroğlu
Objective We aimed to investigate the use and superiority of AIMS65 (Albumin, INR, Alteration in mental status, Systolic blood pressure, age) and Glasgow-Blatchford scores in predicting hospital health costs in patients admitted to emergency department with upper gastrointestinal bleeding. Methods Patients above the age of 18 who were admitted to the Emergency Department of Umraniye Training and Research Hospital between 01.06.2018 and 31.05.2019, who were diagnosed with upper gastrointestinal bleeding were included in the study. Patients’ calculations of AIMS65 and Glasgow-Blatchford Bleeding scores (GBS) were recorded. Pearson’s Chi-square test was used and statistical significance was assessed. Results Out of 151 patients included in the study, 109 (72.2%) were male. Of the patients 2(1.3%) were discharged from the emergency department and 7 (4.6%) were exitus. According to AIMS65 risk scoring, costs of emergency department and non-emergency clinics and total clinical costs were higher in high risk group compared to the low risk group (p=0.007, p=0.007 and p=0.003 respectively). The costs of emergency department and non-emergency clinic and total costs were found statistically significantly different between GBS groups (p<0.001, p=0.019, and p=0.001 respectively). Conclusion AIMS65 risk score and GBS have been revealed to be useful in predicting the costs of emergency department and non-emergency clinics and total clinical costs for patients with upper gastrointestinal bleeding. However, the usefulness of GBS in predicting possible costs according to risk score of the patient could not be revealed.
{"title":"Are AIMS65 and glasgow-blatchford scores useful in predicting health costs in patients admitted to emergency department with acute upper gastrointestinal bleeding: a prospective and observational study","authors":"Hayrullah Yönak, S. Özdemir, K. Kokulu, H. Akça, Mehmet Muzaffer Islam, A. Algın, M. Yunusov, S. Eroğlu","doi":"10.52142/OMUJECM.38.3.23","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.23","url":null,"abstract":"Objective We aimed to investigate the use and superiority of AIMS65 (Albumin, INR, Alteration in mental status, Systolic blood pressure, age) and Glasgow-Blatchford scores in predicting hospital health costs in patients admitted to emergency department with upper gastrointestinal bleeding. Methods Patients above the age of 18 who were admitted to the Emergency Department of Umraniye Training and Research Hospital between 01.06.2018 and 31.05.2019, who were diagnosed with upper gastrointestinal bleeding were included in the study. Patients’ calculations of AIMS65 and Glasgow-Blatchford Bleeding scores (GBS) were recorded. Pearson’s Chi-square test was used and statistical significance was assessed. Results Out of 151 patients included in the study, 109 (72.2%) were male. Of the patients 2(1.3%) were discharged from the emergency department and 7 (4.6%) were exitus. According to AIMS65 risk scoring, costs of emergency department and non-emergency clinics and total clinical costs were higher in high risk group compared to the low risk group (p=0.007, p=0.007 and p=0.003 respectively). The costs of emergency department and non-emergency clinic and total costs were found statistically significantly different between GBS groups (p<0.001, p=0.019, and p=0.001 respectively). Conclusion AIMS65 risk score and GBS have been revealed to be useful in predicting the costs of emergency department and non-emergency clinics and total clinical costs for patients with upper gastrointestinal bleeding. However, the usefulness of GBS in predicting possible costs according to risk score of the patient could not be revealed.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"4 1","pages":"326-330"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80307717","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 : 2021-04-23DOI: 10.52142/OMUJECM.38.3.37
T. Ayyildiz, İbrahim Gönen, B. Yildirim, K. Karabulut, F. Karagöz, M. Danacı, A. Bektaş, K. Erzurumlu
The coexistence of gastrointestinal tumors (GIST’s) with other several primary malignant neoplasms has been demonstrated. However, there is no study that reported simultaneous occurrence of primary small bowel adenocarcinoma (SBA) and a GIST located in the stomach. Here, we report the first case of SBA and a synchronous gastric GIST. Surgical resection and clinicopathological characterization were performed for the masses identified through endoscopic and radiologic studies. Computed tomography scan showed a 13 mm mass located at the gastric antrum and another mass lesion partially occluding the jejunum. A biopsy specimen was obtained from the mass at the proximal jejunum by enteroscopy. The tumor was reported as adenocarcinoma. The patient was operated by the general surgery team. The features of the submucosal lesion resected from the antrum were consistent with a diagnosis of a GIST which contained spindle cells and showed positive staining with CD-117 and CD-34. Mitosis was not observed and Ki67 index was below 10%. This is the first case of coexistence of GIST of the stomach and a SBA to be reported in English-language literature. The prominent characteristics of our case include its antral localisation, male sex, absence of mitosis and incidental diagnosis.
{"title":"Coexistence of gastrointestinal stromal tumor of the stomach and small bowel adenocarcinoma: A case report","authors":"T. Ayyildiz, İbrahim Gönen, B. Yildirim, K. Karabulut, F. Karagöz, M. Danacı, A. Bektaş, K. Erzurumlu","doi":"10.52142/OMUJECM.38.3.37","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.37","url":null,"abstract":"The coexistence of gastrointestinal tumors (GIST’s) with other several primary malignant neoplasms has been demonstrated. However, there is no study that reported simultaneous occurrence of primary small bowel adenocarcinoma (SBA) and a GIST located in the stomach. Here, we report the first case of SBA and a synchronous gastric GIST. Surgical resection and clinicopathological characterization were performed for the masses identified through endoscopic and radiologic studies. Computed tomography scan showed a 13 mm mass located at the gastric antrum and another mass lesion partially occluding the jejunum. A biopsy specimen was obtained from the mass at the proximal jejunum by enteroscopy. The tumor was reported as adenocarcinoma. The patient was operated by the general surgery team. The features of the submucosal lesion resected from the antrum were consistent with a diagnosis of a GIST which contained spindle cells and showed positive staining with CD-117 and CD-34. Mitosis was not observed and Ki67 index was below 10%. This is the first case of coexistence of GIST of the stomach and a SBA to be reported in English-language literature. The prominent characteristics of our case include its antral localisation, male sex, absence of mitosis and incidental diagnosis.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"101 1","pages":"393-395"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84731529","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 : 2021-04-23DOI: 10.52142/OMUJECM.38.3.19
Vijayashri Basavaraj Hanchinal, Ambhuja Sambrani, V. Baljoshi
Objective: Menstruation is the most common phenomenon observed in fertile women. Menstrual cycle (MC) is of 3 phases: proliferative phase, secretory phase and menstruation phase. It is controlled by endocrine system. Natural fluctuations in sex steroid hormones during MC causes changes in hematological parameters. The aim of the present study to assess the impact of different phases of MC on hematological parameters. Methods: The study was conducted in KIMS, Hubli, from 01st March 2011 to 31st March 2012. Women aged between 20-30 years with regular menstrual cycle of 27-30 days were included in the study. During each visit, the subjects’ blood was collected and analyzed using KX-21 SYSMEX for various hematological parameters. Results: A total of 50 healthy young women were included in the study. On statistical comparing of hematological parameters, hematocrit, hemoglobin, neutrophil count and eosinophil count showed a significant difference while no statistically significant difference was observed in RBC, leucocyte count, lymphocyte count, monocyte count, erythrocyte sedimentation rate (ESR) and platelet count between different phases of MC. Conclusion: To conclude, the hematological parameters during the MC are highly dependent on the phasic changes in the immune response mechanism and sex steroid hormones.
{"title":"A study on influence of different phases of menstrual cycle on hematological parameters","authors":"Vijayashri Basavaraj Hanchinal, Ambhuja Sambrani, V. Baljoshi","doi":"10.52142/OMUJECM.38.3.19","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.19","url":null,"abstract":"Objective: Menstruation is the most common phenomenon observed in fertile women. Menstrual cycle (MC) is of 3 phases: proliferative phase, secretory phase and menstruation phase. It is controlled by endocrine system. Natural fluctuations in sex steroid hormones during MC causes changes in hematological parameters. The aim of the present study to assess the impact of different phases of MC on hematological parameters. Methods: The study was conducted in KIMS, Hubli, from 01st March 2011 to 31st March 2012. Women aged between 20-30 years with regular menstrual cycle of 27-30 days were included in the study. During each visit, the subjects’ blood was collected and analyzed using KX-21 SYSMEX for various hematological parameters. Results: A total of 50 healthy young women were included in the study. On statistical comparing of hematological parameters, hematocrit, hemoglobin, neutrophil count and eosinophil count showed a significant difference while no statistically significant difference was observed in RBC, leucocyte count, lymphocyte count, monocyte count, erythrocyte sedimentation rate (ESR) and platelet count between different phases of MC. Conclusion: To conclude, the hematological parameters during the MC are highly dependent on the phasic changes in the immune response mechanism and sex steroid hormones.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"114 1","pages":"308-311"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80743639","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 : 2021-04-23DOI: 10.52142/OMUJECM.38.3.27
Fatma Öz, Tuğçe Akkuş, M. Keskin, H. Hallaçeli
Purpose: Although musculoskeletal system injuries are frequently seen in the area of meat industry, studies on this topic are insufficient. The purpose of this study it to identify the occupational accidents and musculoskeletal problems of butcher shop workers in the city of Hatay. Method: A survey consisting of 32 questions was given to 69 butchers who work in the city of Hatay with 38,20±1,32 in a face to face interview. Their social status, activities in the butcher shop, past injuries and activities after their injuries were questioned with the survey. Findings: It was determined that the butchers were most frequently injured in their hand and finger area (60,9%). It was determined that 40,6% of the butchers had an accidents in the last 5 years; their injuries were mostly non-dominant hand injuries and infections were seen in 15,9% of the butchers after their injuries. It was found that the most frequent injuries took place during the hanging of carcasses; carelessness played an important role in getting injured; use of sharp tools led to injuries in 97,1% of the butchers and that 2,9% of the butchers were left with permanent handicaps after their injuries. Conclusion: It was determined that hand-finger injuries and back pain complaints were frequently seen in butcher shop workers and that they do not use any protective equipment to avoid injuries. Therefore, it was concluded that the necessary analyses need to be done on the butcher shop workers and that training should be provided for them on protective precautions and posture problems.
{"title":"Analysis of occupational accidents and musculoskeletal system problems of butchers in Hatay","authors":"Fatma Öz, Tuğçe Akkuş, M. Keskin, H. Hallaçeli","doi":"10.52142/OMUJECM.38.3.27","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.27","url":null,"abstract":"Purpose: Although musculoskeletal system injuries are frequently seen in the area of meat industry, studies on this topic are insufficient. The purpose of this study it to identify the occupational accidents and musculoskeletal problems of butcher shop workers in the city of Hatay. Method: A survey consisting of 32 questions was given to 69 butchers who work in the city of Hatay with 38,20±1,32 in a face to face interview. Their social status, activities in the butcher shop, past injuries and activities after their injuries were questioned with the survey. Findings: It was determined that the butchers were most frequently injured in their hand and finger area (60,9%). It was determined that 40,6% of the butchers had an accidents in the last 5 years; their injuries were mostly non-dominant hand injuries and infections were seen in 15,9% of the butchers after their injuries. It was found that the most frequent injuries took place during the hanging of carcasses; carelessness played an important role in getting injured; use of sharp tools led to injuries in 97,1% of the butchers and that 2,9% of the butchers were left with permanent handicaps after their injuries. Conclusion: It was determined that hand-finger injuries and back pain complaints were frequently seen in butcher shop workers and that they do not use any protective equipment to avoid injuries. Therefore, it was concluded that the necessary analyses need to be done on the butcher shop workers and that training should be provided for them on protective precautions and posture problems.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"35 1","pages":"345-349"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82161630","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}
Background: Stroke is a multifactorial disease. Arylesterase (ARE) activities have been considered as an anti-atherosclerosis factor. Increased pulse pressure (PP) may lead to a high risk of coronary artery disease and neurovascular morbidity and mortality. Nevertheless, there are limitations for PP as an evaluation index. Objectives: In order to overcome the defects of PP, there is a novel parameter, “pulse pressure/systolic pressure” named “pulse pressure index (PPI)” for evaluation of cardiovascular effect. We researched the relationship between ARE activities and pulse pressure index (PPI) in acute ischemic stroke patients. Methods: We evaluated and compared the ARE activity and PPI in 87 ischemic stroke patients and 48 control patients. ARE activity was measured with the ultraviolet (UV) spectrophotometric method by using “Rel Assay Diagnostic” kits . Pulse pressure was measured by subtraction of diastolic blood pressure from systolic blood pressure. PPI was calculated as “ pulse pressure / systolic pressure”. Results: Hypertension, age, diabetes mellitus, dyslipidemia importantly higher in ischemic stroke patients than the control group (p<0.05). PPI was significantly higher in ischemic stroke patients than the control group (0.486±0.075 and 0.417±0.051, p<0.05). ARE activity was significantly lower in ischemic stroke patients than in the control group (511.59 ± 68.51 and 584.16 ± 81.74 p=0.019). Conclusion: This study demonstrated that ARE activity is lower and PPI is higher in acute ischemic stroke patients than control subjects. Our results suggested that, ARE activity and PPI are important risk factors in acute ischemic stroke patients.
{"title":"Relationship between arylesterase activity and pulse pressure index in patients with an acute ischemic stroke","authors":"Pınar Aydin Ozturk, U. Ozturk, O. Ozturk","doi":"10.52142/OMUJECM.38.3.7","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.7","url":null,"abstract":"Background: Stroke is a multifactorial disease. Arylesterase (ARE) activities have been considered as an anti-atherosclerosis factor. Increased pulse pressure (PP) may lead to a high risk of coronary artery disease and neurovascular morbidity and mortality. Nevertheless, there are limitations for PP as an evaluation index. Objectives: In order to overcome the defects of PP, there is a novel parameter, “pulse pressure/systolic pressure” named “pulse pressure index (PPI)” for evaluation of cardiovascular effect. We researched the relationship between ARE activities and pulse pressure index (PPI) in acute ischemic stroke patients. Methods: We evaluated and compared the ARE activity and PPI in 87 ischemic stroke patients and 48 control patients. ARE activity was measured with the ultraviolet (UV) spectrophotometric method by using “Rel Assay Diagnostic” kits . Pulse pressure was measured by subtraction of diastolic blood pressure from systolic blood pressure. PPI was calculated as “ pulse pressure / systolic pressure”. Results: Hypertension, age, diabetes mellitus, dyslipidemia importantly higher in ischemic stroke patients than the control group (p<0.05). PPI was significantly higher in ischemic stroke patients than the control group (0.486±0.075 and 0.417±0.051, p<0.05). ARE activity was significantly lower in ischemic stroke patients than in the control group (511.59 ± 68.51 and 584.16 ± 81.74 p=0.019). Conclusion: This study demonstrated that ARE activity is lower and PPI is higher in acute ischemic stroke patients than control subjects. Our results suggested that, ARE activity and PPI are important risk factors in acute ischemic stroke patients.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"27 1","pages":"246-250"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90483544","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 : 2021-04-23DOI: 10.52142/OMUJECM.38.3.38
A. Çeçen, E. Kavaz, S. Gün
Amac: Renal Hucreli Karsinom, bobregin en sik malign tumorudur. Erkeklerde ve 30-60 yaslari arasinda daha sik izlenmektedir. Bobrek hucreli karsinomlarin yaklasik % 15'i bas ve boyun bolgesine metastaz yapmaktadir. Bu calismanin amaci; bobrek hucreli karsinom oykusu olan ve alt dudak metastazi ile basvuran cok nadir bir vakanin raporunu sunmaktir. Olgu: On yil once Renal hucreli karsinom nedeniyle sag nefrektomi yapilmis olan 65 yasindaki kadin hasta, 3 haftadir olan alt dudakta 2x1 cm boyutunda hizla buyuyen kanamali kitle nedeniyle klinigimize basvurmustur. Yapilan eksizyonel biyopsi sonucu Renal hucreli karsinom metastazi olarak raporlanmistir. Hastada takip eden 3 hafta icerisinde beyin metastazi saptanmis ve hizli ilerleyen genel durum bozuklugu nedeniyle hayatini kaybetmistir. Sonuc: Renal hucreli karsinom metastaz yapma potansiyeli yuksel olan bir malignitedir. Oykusunde Renal hucreli karsinom olan hastalarda izlenen patolojik olusumlarin, beklenen yayilim sahasi icinde olmasa dahi akla oncelikli olarak metastazi getirmesi gerektigi dusunulmektedir
{"title":"A rare case: Renal cell carcinoma metastasis to lower lip","authors":"A. Çeçen, E. Kavaz, S. Gün","doi":"10.52142/OMUJECM.38.3.38","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.38","url":null,"abstract":"Amac: Renal Hucreli Karsinom, bobregin en sik malign tumorudur. Erkeklerde ve 30-60 yaslari arasinda daha sik izlenmektedir. Bobrek hucreli karsinomlarin yaklasik % 15'i bas ve boyun bolgesine metastaz yapmaktadir. Bu calismanin amaci; bobrek hucreli karsinom oykusu olan ve alt dudak metastazi ile basvuran cok nadir bir vakanin raporunu sunmaktir. Olgu: On yil once Renal hucreli karsinom nedeniyle sag nefrektomi yapilmis olan 65 yasindaki kadin hasta, 3 haftadir olan alt dudakta 2x1 cm boyutunda hizla buyuyen kanamali kitle nedeniyle klinigimize basvurmustur. Yapilan eksizyonel biyopsi sonucu Renal hucreli karsinom metastazi olarak raporlanmistir. Hastada takip eden 3 hafta icerisinde beyin metastazi saptanmis ve hizli ilerleyen genel durum bozuklugu nedeniyle hayatini kaybetmistir. Sonuc: Renal hucreli karsinom metastaz yapma potansiyeli yuksel olan bir malignitedir. Oykusunde Renal hucreli karsinom olan hastalarda izlenen patolojik olusumlarin, beklenen yayilim sahasi icinde olmasa dahi akla oncelikli olarak metastazi getirmesi gerektigi dusunulmektedir","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"18 1","pages":"396-397"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89387727","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 : 2021-04-23DOI: 10.52142/OMUJECM.38.3.30
F. Kolbakir, S. Yucel, S. B. Deşer, D. Karakaya, K. Soylu, M. Demirağ, Murat Muzafer Guclu, Merve Polat
New coronavirus (COVID-19) outbreak, which started in Wuhan, China and spread rapidly all over the world, has become the most important cause of the emotional distress for susceptible people. Because the people also remained in fear and anxiety during the period when the elderly population in the whole country was desperate due to the COVID-19 outbreak and was asked to stay at home in fear of death. In addition, the fact that the patients were hospitalized together with COVID-19 patients caused his psychological distress to be experienced even more. Takotsubo Syndrome (TTS) is known as a distress-induced transient left ventricular dysfunction. In our patient with TTS, it was found that a new apical thrombus, which was not seen in the left ventricle, was seen in previous echo and computerized tomographic investigation, and that it was a source of thromboemboli, by stress triggering neurocardiac reactions. While under the medical treatment of viral pneumonia, under the Coronavirus transmission measures, thrombus in the LV was removed by being taken to the emergency open heart surgery. Our case is the first patient in the literature where a new thrombus developed in the LV and splenic infarction in TTS triggered by the pandemic. In this article;We have presented the experience of TTS triggered by pandemic, etiopathogenesis of left ventricular thrombus, open heart surgery indications when COVID-19 is suspected, coronavirus transmission measures in the surgical approach, the postoperative treatment and literature is reviewed.
{"title":"Thromboembolic complications in Takotsubo Syndrome during Covid-19 outbreak. A review with case report","authors":"F. Kolbakir, S. Yucel, S. B. Deşer, D. Karakaya, K. Soylu, M. Demirağ, Murat Muzafer Guclu, Merve Polat","doi":"10.52142/OMUJECM.38.3.30","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.30","url":null,"abstract":"New coronavirus (COVID-19) outbreak, which started in Wuhan, China and spread rapidly all over the world, has become the most important cause of the emotional distress for susceptible people. Because the people also remained in fear and anxiety during the period when the elderly population in the whole country was desperate due to the COVID-19 outbreak and was asked to stay at home in fear of death. In addition, the fact that the patients were hospitalized together with COVID-19 patients caused his psychological distress to be experienced even more. Takotsubo Syndrome (TTS) is known as a distress-induced transient left ventricular dysfunction. In our patient with TTS, it was found that a new apical thrombus, which was not seen in the left ventricle, was seen in previous echo and computerized tomographic investigation, and that it was a source of thromboemboli, by stress triggering neurocardiac reactions. While under the medical treatment of viral pneumonia, under the Coronavirus transmission measures, thrombus in the LV was removed by being taken to the emergency open heart surgery. Our case is the first patient in the literature where a new thrombus developed in the LV and splenic infarction in TTS triggered by the pandemic. In this article;We have presented the experience of TTS triggered by pandemic, etiopathogenesis of left ventricular thrombus, open heart surgery indications when COVID-19 is suspected, coronavirus transmission measures in the surgical approach, the postoperative treatment and literature is reviewed.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"5 1","pages":"367-375"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75667927","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 : 2021-04-23DOI: 10.52142/OMUJECM.38.3.40
Azar Abiyev, Serkan Dumanli, Feray Başkaya, M. İbi̇ş
While mild gastrointestinal bleeding is common in Crohn's disease, massive gastrointestinal bleeding is extremely rare. In this case, we present a Crohn's patient who presented with massive lower gastrointestinal bleeding. A literature review of such a rare presentation in Crohn's disease will be discussed.
{"title":"Rare presentation of Crohn’s Disease: Massive lower gastrointestinal bleeding","authors":"Azar Abiyev, Serkan Dumanli, Feray Başkaya, M. İbi̇ş","doi":"10.52142/OMUJECM.38.3.40","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.40","url":null,"abstract":"While mild gastrointestinal bleeding is common in Crohn's disease, massive gastrointestinal bleeding is extremely rare. In this case, we present a Crohn's patient who presented with massive lower gastrointestinal bleeding. A literature review of such a rare presentation in Crohn's disease will be discussed.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"20 1","pages":"402-403"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75904957","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}
N. Dokuzeylül Güngör, S. Çelik, M. Güçlü, S. Çelik, F. Cengiz
Polycystic ovary syndrome(PCOS) is the most common endocrinopathy which is frequently associated with metabolic syndrome. The aim of this study is to compare the clinical,biochemical and hormonal characteristics of healthy women and women with PCOS in Black Sea Region.91 healthy women(Group=1) and 109 PCOS(Group=2) patients were included in this retrospective study. This study was conducted in Samsun Women and Children’s Health Research and Training Hospital between October 2019-May 2020.The anthropometric, clinical and laboratory characteristics of the women were recorded. The Institutional Review Board of the hospital approved the study. IBM SPSS Statistics 22 programme was used for statistical analysis. . Variables were expressed as mean ± standard deviation or as a number (percentage), and statistical significance was defined as a p value of less than 0.05.In this study, no statistically significant difference was found between patients with PCOS and control subjects in age,height ,BMI, waist circumference and waist-to-hip ratio. Weight ,BP systolic,BP diastolic and FG scores, were significantly higher in patients with PCOS compared to control subjects.In this study,no statistically significant difference was found between patients with PCOS and control subjects in FSH, estradiol prolactin ,TSH,fT3,fT4 and DHEASO4 levels.But,LH, cortisol, total and free testesterone and 17-OH progesteron levels were significantly higher in patients with PCOS compared to control subjects.Also in this study, vitamin B12 and the 25-OH-D levels were significantly lower in patients with PCOS compared to control subjects.HbA1C,fasting blood glucose levels,fasting insulin levels and HOMA-IR were significantly higher in patients with PCOS compared to control subjects . Total-C , LDL-C and TG levels were significantly higher in women with PCOS compared to control subjects.Also HDL-C levels were significantly lower in women with PCOS compared to control subjects.As a result, the risk of metabolic syndrome is increased in PCOS patients because of high androgen levels,obesity and insulin resistance.
{"title":"Evaluation of metabolic and hormonal parameters in women with PCOS living in Black Sea Region","authors":"N. Dokuzeylül Güngör, S. Çelik, M. Güçlü, S. Çelik, F. Cengiz","doi":"10.52142/OMUJECM.38.3.5","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.5","url":null,"abstract":"Polycystic ovary syndrome(PCOS) is the most common endocrinopathy which is frequently associated with metabolic syndrome. The aim of this study is to compare the clinical,biochemical and hormonal characteristics of healthy women and women with PCOS in Black Sea Region.91 healthy women(Group=1) and 109 PCOS(Group=2) patients were included in this retrospective study. This study was conducted in Samsun Women and Children’s Health Research and Training Hospital between October 2019-May 2020.The anthropometric, clinical and laboratory characteristics of the women were recorded. The Institutional Review Board of the hospital approved the study. IBM SPSS Statistics 22 programme was used for statistical analysis. . Variables were expressed as mean ± standard deviation or as a number (percentage), and statistical significance was defined as a p value of less than 0.05.In this study, no statistically significant difference was found between patients with PCOS and control subjects in age,height ,BMI, waist circumference and waist-to-hip ratio. Weight ,BP systolic,BP diastolic and FG scores, were significantly higher in patients with PCOS compared to control subjects.In this study,no statistically significant difference was found between patients with PCOS and control subjects in FSH, estradiol prolactin ,TSH,fT3,fT4 and DHEASO4 levels.But,LH, cortisol, total and free testesterone and 17-OH progesteron levels were significantly higher in patients with PCOS compared to control subjects.Also in this study, vitamin B12 and the 25-OH-D levels were significantly lower in patients with PCOS compared to control subjects.HbA1C,fasting blood glucose levels,fasting insulin levels and HOMA-IR were significantly higher in patients with PCOS compared to control subjects . Total-C , LDL-C and TG levels were significantly higher in women with PCOS compared to control subjects.Also HDL-C levels were significantly lower in women with PCOS compared to control subjects.As a result, the risk of metabolic syndrome is increased in PCOS patients because of high androgen levels,obesity and insulin resistance.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"36 1","pages":"235-240"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75368580","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 : 2021-04-23DOI: 10.52142/OMUJECM.38.3.28
S. Kaya, Özgür Kemal, Sevgi SOYLU KOYUNCU
Background: This research was conducted to investigate the contribution of visual and written expression to nasal surgery education and the preferences of usage. The research was conducted with the observation of cases in the Ear, Nose and Throat (ENT) Surgery Department of Ondokuz Mayis University Medical Faculty. During the study, the processes of the ‘closed dorsum rhinoplasty’ cases were observed. Methods: The case illustrations made as a result of the observations were presented to the study population comprising 36 medical students from 3 different universities (Ondokuz Mayis University, Hitit University, Istanbul Medeniyet University). Data were obtained concerning the sampling of the research, the specialization areas of the participants, title groups, number of participants, and the information from the Likert type responses and the non-parametric statistical findings. Results: The results showed that although the use of illustrations was seen to be more important according to the opinion of specialists and non-specialists in the area, sole use was concluded to be insufficient. A total of 43 of 60 ENT specialists and 9 of 11 Plastic Surgery specialists preferred the use of illustrations, photographs and written expression together. Non-specialists were seen to be undecided about their responses while no significant difference was found between specialists. The preferences of the participants were determined to be illustration, photography and written expression, respectively. Conclusion: The results of this study indicate that the use of visual and written expression forms together when they are available is related to the quality of surgery education at a semantic level.
{"title":"The opinions of specialists and students regarding the use of visual and written expression forms in rhinoplasty education","authors":"S. Kaya, Özgür Kemal, Sevgi SOYLU KOYUNCU","doi":"10.52142/OMUJECM.38.3.28","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.28","url":null,"abstract":"Background: This research was conducted to investigate the contribution of visual and written expression to nasal surgery education and the preferences of usage. The research was conducted with the observation of cases in the Ear, Nose and Throat (ENT) Surgery Department of Ondokuz Mayis University Medical Faculty. During the study, the processes of the ‘closed dorsum rhinoplasty’ cases were observed. Methods: The case illustrations made as a result of the observations were presented to the study population comprising 36 medical students from 3 different universities (Ondokuz Mayis University, Hitit University, Istanbul Medeniyet University). Data were obtained concerning the sampling of the research, the specialization areas of the participants, title groups, number of participants, and the information from the Likert type responses and the non-parametric statistical findings. Results: The results showed that although the use of illustrations was seen to be more important according to the opinion of specialists and non-specialists in the area, sole use was concluded to be insufficient. A total of 43 of 60 ENT specialists and 9 of 11 Plastic Surgery specialists preferred the use of illustrations, photographs and written expression together. Non-specialists were seen to be undecided about their responses while no significant difference was found between specialists. The preferences of the participants were determined to be illustration, photography and written expression, respectively. Conclusion: The results of this study indicate that the use of visual and written expression forms together when they are available is related to the quality of surgery education at a semantic level.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"109 1","pages":"350-360"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76093144","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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