Objectives: This study aimed to examine the relationship between aortic valve sclerosis (AVS) and arterial stiffness in asymptomatic individuals without known cardiovascular (CV) disease.Both AVS and arterial stiffness are associated with atherosclerosis and have been closely related to CV diseases in previous studies. In this study, we aimed to examine the relationship between arterial stiffness assessed by CAVI and AVS. Methods: Patients who applied to the cardiology outpatient clinic were included in the study sequentially. Subjects were analyzed according to exclusion criteria.One hundred sixty-five patients were included in the study, and AVS was detected in 35 (21%) of them. The remaining 130 (79%) patients were included in the control group.AVS was measured with echocardiography, and arterial stiffness was measured with the VaSera VS-1000 CAVI device. A CAVI value of 9 and above was accepted as abnormal. Statistics were made according to the group with and without AVS. Results: CAVI was statistically different between the AVS and control groups(9.47±1.64 vs. 7.60±1.27 p< 0.001). The Pearson correlation test determined the correlation between AVS and increased CAVI values (p< 0.001).In the multivariable logistic regression analysis model, increased CAVI (OR: 2.048, 95%CI 1.183-3.547, p: 0.010) was an independent predictor for AVS.Others were found as age (p:0.026) and diabetes mellitus (p:0.037). Conclusions: The relationship between AVS and arterial stiffness is associated with the atherosclerotic process.Careful investigation and regular follow-up of asymptomatic individuals with AVS detected during echocardiography or increased CAVI values are important in other CV diseases.
{"title":"The Relationship Between Cardio-Ankle Vascular Index and Clinical Factors with Aortic Valve Sclerosis in Asymptomatic Patients","authors":"A. R. Akyüz, Ahmet Özderya, Ali Hakan Konuş","doi":"10.31832/smj.1030413","DOIUrl":"https://doi.org/10.31832/smj.1030413","url":null,"abstract":"Objectives: This study aimed to examine the relationship between aortic valve sclerosis (AVS) and arterial stiffness in asymptomatic individuals without known cardiovascular (CV) disease.Both AVS and arterial stiffness are associated with atherosclerosis and have been closely related to CV diseases in previous studies. In this study, we aimed to examine the relationship between arterial stiffness assessed by CAVI and AVS. \u0000Methods: Patients who applied to the cardiology outpatient clinic were included in the study sequentially. Subjects were analyzed according to exclusion criteria.One hundred sixty-five patients were included in the study, and AVS was detected in 35 (21%) of them. The remaining 130 (79%) patients were included in the control group.AVS was measured with echocardiography, and arterial stiffness was measured with the VaSera VS-1000 CAVI device. A CAVI value of 9 and above was accepted as abnormal. Statistics were made according to the group with and without AVS. \u0000Results: CAVI was statistically different between the AVS and control groups(9.47±1.64 vs. 7.60±1.27 p< 0.001). The Pearson correlation test determined the correlation between AVS and increased CAVI values (p< 0.001).In the multivariable logistic regression analysis model, increased CAVI (OR: 2.048, 95%CI 1.183-3.547, p: 0.010) was an independent predictor for AVS.Others were found as age (p:0.026) and diabetes mellitus (p:0.037). \u0000Conclusions: The relationship between AVS and arterial stiffness is associated with the atherosclerotic process.Careful investigation and regular follow-up of asymptomatic individuals with AVS detected during echocardiography or increased CAVI values are important in other CV diseases.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75482540","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}
Izzet Ökçesiz, Halil Dönmez, B. Öztürk, Serap Doğan
Amaç: Erişkin kraniofarengiomaların bilgisayarlı tomografi(BT) ve manyetik rezonans görüntüleme(MRG) bulguları üzerinden, radyolojik özelliklerini ortaya koymak ve sellar – parasellar lezyonlardan ayırıcı tanısına katkıda bulunmak amaçlanmıştır. Gereç ve Yöntemler: 2005 – 2022 yılları arasında, histopatolojik açıdan “kraniofarengioma” tanısı doğrulanmış, erişkin hastalar merkezimiz veritabanı üzerinden retrospektif olarak taranmıştır. Olguların preoperatif hipofiz/kranial BT ve/veya kontrastlı hipofiz/kranial MRG görüntüleri iki radyolog tarafından değerlendirilmiş olup, araştırmacılar arasındaki uyumu belirlemek adına intraclass correlation coefficient(ICC) değeri hesaplanmıştır. Görüntüleme analizinde tümör boyutu, şekli, kalsifikasyon varlığı ve tipi, topografik ve morfolojik (kistik-solid) özellikleri, kistik ve solid komponentlerinin radyolojik karakteristikleri ve olası hidrosefali varlığı değerlendirilmiştir. Bulgular: 2005 ve 2022 yılları arasında, çalışma kriterlerine uyan 12 olgu tespit edilmiş olup, çalışma grubunda erkek dominansisi (2/1) izlenmiştir. Görüntüleme analizinde, kraniofarengioma lezyonlarının sıklıkla lobüle kontürlü olduğu(%75) ve yüksek oranda kalsifikasyon gösterdiği(%63.6) tespit edilmiştir. Lezyonların topografik değerlendirilmesinde en sık yerleşimin sellar-suprasellar psödo 3V tip(%41.7) olduğu saptanmıştır. Çalışma grubundaki olguların tamamında kistik komponent tespit edilmiş olup; lezyonların kistik komponenti MRG incelemelerinde T1A’da sıklıkla izointens(%41.6), T2A’da ise olguların önemli bir kısmında(%91.7) hiperintens sinyal özelliği gösterirken, lezyonların solid komponenti T1A görüntülerde ağırlıklı olarak izo-hafif hipointens(%83.3), T2A’da ise sıklıkla izo-hafif hiperintens(%66.6) olarak izlenmiştir. Post-kontrast serilerin değerlendirilmesinde tüm olgularda(%100) kontrast tutulumu saptanmıştır. Lezyonların solid komponentlerinde en sık retiküler paternde kontrastlanma izlenirken(%55.6), kistik komponentlerde kapsüler kontrastlanmanın sıklıkla(%72.7) ince düzgün, lineer rim tarzında olduğu dikkati çekmiştir. Ayrıca kraniofarengioma lezyonlarına, olguların %16.7’ sinde nonkominikan hidrosefalinin eşlik ettiği tespit edilmiştir. Sonuç: Erişkin kraniofarengiomaların radyolojik özellikleri lezyonun natürüne göre değişkenlik gösterebilmektedir. Kalsifikasyon varlığı, sellar – parasellar lezyonlar arasında kraniofarengiomayı öne çıkaran değerli bir radyolojik bulgudur.
{"title":"Radyoloji Penceresinden Erişkin Kraniofarengiomalar","authors":"Izzet Ökçesiz, Halil Dönmez, B. Öztürk, Serap Doğan","doi":"10.31832/smj.1186969","DOIUrl":"https://doi.org/10.31832/smj.1186969","url":null,"abstract":"Amaç: Erişkin kraniofarengiomaların bilgisayarlı tomografi(BT) ve manyetik rezonans görüntüleme(MRG) bulguları üzerinden, radyolojik özelliklerini ortaya koymak ve sellar – parasellar lezyonlardan ayırıcı tanısına katkıda bulunmak amaçlanmıştır. \u0000Gereç ve Yöntemler: 2005 – 2022 yılları arasında, histopatolojik açıdan “kraniofarengioma” tanısı doğrulanmış, erişkin hastalar merkezimiz veritabanı üzerinden retrospektif olarak taranmıştır. Olguların preoperatif hipofiz/kranial BT ve/veya kontrastlı hipofiz/kranial MRG görüntüleri iki radyolog tarafından değerlendirilmiş olup, araştırmacılar arasındaki uyumu belirlemek adına intraclass correlation coefficient(ICC) değeri hesaplanmıştır. Görüntüleme analizinde tümör boyutu, şekli, kalsifikasyon varlığı ve tipi, topografik ve morfolojik (kistik-solid) özellikleri, kistik ve solid komponentlerinin radyolojik karakteristikleri ve olası hidrosefali varlığı değerlendirilmiştir. \u0000Bulgular: 2005 ve 2022 yılları arasında, çalışma kriterlerine uyan 12 olgu tespit edilmiş olup, çalışma grubunda erkek dominansisi (2/1) izlenmiştir. Görüntüleme analizinde, kraniofarengioma lezyonlarının sıklıkla lobüle kontürlü olduğu(%75) ve yüksek oranda kalsifikasyon gösterdiği(%63.6) tespit edilmiştir. Lezyonların topografik değerlendirilmesinde en sık yerleşimin sellar-suprasellar psödo 3V tip(%41.7) olduğu saptanmıştır. Çalışma grubundaki olguların tamamında kistik komponent tespit edilmiş olup; lezyonların kistik komponenti MRG incelemelerinde T1A’da sıklıkla izointens(%41.6), T2A’da ise olguların önemli bir kısmında(%91.7) hiperintens sinyal özelliği gösterirken, lezyonların solid komponenti T1A görüntülerde ağırlıklı olarak izo-hafif hipointens(%83.3), T2A’da ise sıklıkla izo-hafif hiperintens(%66.6) olarak izlenmiştir. Post-kontrast serilerin değerlendirilmesinde tüm olgularda(%100) kontrast tutulumu saptanmıştır. Lezyonların solid komponentlerinde en sık retiküler paternde kontrastlanma izlenirken(%55.6), kistik komponentlerde kapsüler kontrastlanmanın sıklıkla(%72.7) ince düzgün, lineer rim tarzında olduğu dikkati çekmiştir. Ayrıca kraniofarengioma lezyonlarına, olguların %16.7’ sinde nonkominikan hidrosefalinin eşlik ettiği tespit edilmiştir. \u0000Sonuç: Erişkin kraniofarengiomaların radyolojik özellikleri lezyonun natürüne göre değişkenlik gösterebilmektedir. Kalsifikasyon varlığı, sellar – parasellar lezyonlar arasında kraniofarengiomayı öne çıkaran değerli bir radyolojik bulgudur.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89473977","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}
Amaç: Kolon kanserinin tek bir hastalık olmadığı, sağ ve sol kolon kanserinin epidemiyolojik, klinikopatolojik ve prognostik açıdan farklılıklar gösterdiği çok sayıda çalışma ile desteklenmiştir. Biz de çalışmamızda iki grup arasındaki demografik, klinik, biyokimyasal ve inflamatuar belirteçleri ve genel sağ kalım verilerini karşılaştırarak literatüre katkıda bulunmayı amaçladık. Gereç ve Yöntemler: Çalışmaya evre 1-3 kolon kanserli rezektabl 77 hasta dâhil edildi (% 58,40 erkek, % 41,60 kadın). Hastalar sağ ve sol kolon kanseri olarak iki gruba ayrıldı. Gruplar arasında yaş, cinsiyet, evre, lenf nodu sayısı, patolojik ve biyokimyasal parametreler ile inflamatuar belirteçler karşılaştırıldı. Bulgular: Sağ kolon kanserinde total çıkarılan lenf nodu sayısı (p: 0,010) ve mikrosatellit instabilite (MSI) yüksek hasta sayısı (p:0,001) sol kolon kanserine göre anlamlı olarak daha yüksek bulundu. Sol kolon kanserinde ise nötrofil sayısı sağ kolon kanserine göre daha fazlaydı (p: 0,008). Sonuç: Sağ kolon kanserinde MSI yüksek hasta sayısı sola göre daha fazlaydı. Total çıkarılan lenf nodu sayısı da sağ kolon kanserinde daha yüksekti. Bunun aksine nötrofil sayısı sol kolon kanserinde daha yüksek bulundu. Sağ kalım analizleri için daha uzun takip süresine ihtiyaç vardı.
{"title":"Evre 1-3 Kolon Kanserinde Radyolojik Tutulumun Lokalizasyonu ve Sağ Kalıma Etkisi","authors":"Özlem Özkul","doi":"10.31832/smj.1210830","DOIUrl":"https://doi.org/10.31832/smj.1210830","url":null,"abstract":"Amaç: Kolon kanserinin tek bir hastalık olmadığı, sağ ve sol kolon kanserinin epidemiyolojik, klinikopatolojik ve prognostik açıdan farklılıklar gösterdiği çok sayıda çalışma ile desteklenmiştir. Biz de çalışmamızda iki grup arasındaki demografik, klinik, biyokimyasal ve inflamatuar belirteçleri ve genel sağ kalım verilerini karşılaştırarak literatüre katkıda bulunmayı amaçladık. \u0000Gereç ve Yöntemler: Çalışmaya evre 1-3 kolon kanserli rezektabl 77 hasta dâhil edildi (% 58,40 erkek, % 41,60 kadın). Hastalar sağ ve sol kolon kanseri olarak iki gruba ayrıldı. Gruplar arasında yaş, cinsiyet, evre, lenf nodu sayısı, patolojik ve biyokimyasal parametreler ile inflamatuar belirteçler karşılaştırıldı. \u0000Bulgular: Sağ kolon kanserinde total çıkarılan lenf nodu sayısı (p: 0,010) ve mikrosatellit instabilite (MSI) yüksek hasta sayısı (p:0,001) sol kolon kanserine göre anlamlı olarak daha yüksek bulundu. Sol kolon kanserinde ise nötrofil sayısı sağ kolon kanserine göre daha fazlaydı (p: 0,008). \u0000Sonuç: Sağ kolon kanserinde MSI yüksek hasta sayısı sola göre daha fazlaydı. Total çıkarılan lenf nodu sayısı da sağ kolon kanserinde daha yüksekti. Bunun aksine nötrofil sayısı sol kolon kanserinde daha yüksek bulundu. Sağ kalım analizleri için daha uzun takip süresine ihtiyaç vardı.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86873275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
INTRODUCTION: Primary hyperhidrosis is a condition of excessive sweating that severely limits a person's social life. We aimed to investigate factors affecting the quality of life and patient satisfaction in patients undergoing videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis. METHODS: We evaluated 126 patients who underwent videothoracoscopic sympathectomy for primary palmo-axillary hyperhidrosis. The data were analyzed retrospectively in terms of postoperative complications and factors affecting the quality of life. RESULTS: A total of 251 videothoracoscopic sympathectomy operations were performed, 53.2% (n:67) of the patients were female and 46.8% (n:59) were male. The mean age was 24.3±7 (min-max:15-51), whereas the mean body mass index was 23.5±4 (min-max:16.9-34.9). The mean length of hospital stay was 1.3±0.9 days (Min-Max: 1-6). Complications were observed in a total of 13 (10.3%) patients. The most common complication was pneumothorax (n:10). Compensatory hyperhidrosis was observed in 23 patients (18.3%). A significant correlation was detected between compensatory hyperhidrosis and patient satisfaction (p
{"title":"Efficacy of videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis: Quality of Life Change and patient satisfaction","authors":"Y. Aksoy, A. Şehitoğulları","doi":"10.31832/smj.1211820","DOIUrl":"https://doi.org/10.31832/smj.1211820","url":null,"abstract":"INTRODUCTION: \u0000Primary hyperhidrosis is a condition of excessive sweating that severely limits a person's social life. We aimed to investigate factors affecting the quality of life and patient satisfaction in patients undergoing videothoracoscopic sympathectomy for palmo-axillary hyperhidrosis. \u0000METHODS: We evaluated 126 patients who underwent videothoracoscopic sympathectomy for primary palmo-axillary hyperhidrosis. The data were analyzed retrospectively in terms of postoperative complications and factors affecting the quality of life. \u0000RESULTS: A total of 251 videothoracoscopic sympathectomy operations were performed, 53.2% (n:67) of the patients were female and 46.8% (n:59) were male. The mean age was 24.3±7 (min-max:15-51), whereas the mean body mass index was 23.5±4 (min-max:16.9-34.9). The mean length of hospital stay was 1.3±0.9 days (Min-Max: 1-6). Complications were observed in a total of 13 (10.3%) patients. The most common complication was pneumothorax (n:10). Compensatory hyperhidrosis was observed in 23 patients (18.3%). A significant correlation was detected between compensatory hyperhidrosis and patient satisfaction (p","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85540244","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}
C. Yaldiz, Okan Türk, Burak Tahmazoglu, Ö. Şahin, Ö. Baran, Adil Can Karaoğlu, Mehmet Akif Ambarcioglu, M. Kaya, D. Ceylan
Objective: The approaches in posterior fossa surgery are used for accessing various tumors and vascular lesions including neuro-glial tumors, vestibular Schwannomas, inclusion tumors, meningiomas. Materials and Methods: A total of 62 patients who underwent operation due to infra-tentorial intra-cranial mass lesion in Neuro-Surgery Clinic between 2014 and 2018 were included in the study. Result: The study was conducted with 62 patients of whom 61.3% (n=38) were males and 38.72% (n=24) were females between 2014 and 2018. While 33.9% (n=21) of the patients underwent cranioplasty, 66.1% (n=41) did not undergo cranioplasty. Conclusion: The preliminary study suggests that cranioplasty is useful for headache and cerebellar ectopy however insufficient for prevention of CNF fistula development.
{"title":"Development and treatment of CSF fistula, post-operative headache, cerebellar ptosis in 62 patients who underwent posterior fossa cranioplasty or not following posterior fossa surgery","authors":"C. Yaldiz, Okan Türk, Burak Tahmazoglu, Ö. Şahin, Ö. Baran, Adil Can Karaoğlu, Mehmet Akif Ambarcioglu, M. Kaya, D. Ceylan","doi":"10.31832/smj.1220796","DOIUrl":"https://doi.org/10.31832/smj.1220796","url":null,"abstract":"Objective: The approaches in posterior fossa surgery are used for accessing various tumors and vascular lesions including neuro-glial tumors, vestibular Schwannomas, inclusion tumors, meningiomas. \u0000Materials and Methods: A total of 62 patients who underwent operation due to infra-tentorial intra-cranial mass lesion in Neuro-Surgery Clinic between 2014 and 2018 were included in the study. \u0000Result: The study was conducted with 62 patients of whom 61.3% (n=38) were males and 38.72% (n=24) were females between 2014 and 2018. While 33.9% (n=21) of the patients underwent cranioplasty, 66.1% (n=41) did not undergo cranioplasty. \u0000Conclusion: The preliminary study suggests that cranioplasty is useful for headache and cerebellar ectopy however insufficient for prevention of CNF fistula development.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90028950","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}
Amaç: Sezaryen doğum sırasında uygulanan spinal anestezi , maternal hipotansiyona neden olabilmekte ve tedavi amaçlı ilk olarak vazopresörler tercih edilmektedir. Norepinefrin, güçlü α-adrenerjik ve zayıf β-adrenerjik etkisiyle kalp hızı ve kalp debisi üzerinde daha az olumsuz etki ile kan basıncını korumada diğer vazopressörlerden üstün olduğu düşünülmektedir. Bu çalışmada sezaryan doğum sırasında post-spinal hipotansiyon yönetiminde üç farklı bolus doz norepinefrinin etkinlik ve güvenliğini karşılaştırılması amaçlandı. Metot: Çalışmaya elektif şartlarda sezaryen uygulanacak 37-42 haftalık, 18-40 yaşlarında, ASA I-II fiziksel statüsüne sahip 100 hasta dahil edildi. Hastalar 4 gruba ayrılarak spinal anestezi yapıldıktan sonra Grup I’e % 0.9 NaCl (Salin), Grup II’ye 0.05 µg.kg-1, Grup III’e 0.075 µg.kg-1 ve Grup IV’e ise 0.1 µg.kg-1 tek doz norepinefrin toplam 2 ml olacak şekilde bolus uygulandı. Sistolik kan basıncı değeri
{"title":"Spinal Anestezi ile Sezaryen Uygulanan Hastalarda Üç Farklı Doz Norepinefrinin Değerlendirilmesi","authors":"Yusuf Emeli̇, H. Gündüz, Ergun Mendes","doi":"10.31832/smj.1117648","DOIUrl":"https://doi.org/10.31832/smj.1117648","url":null,"abstract":"Amaç: Sezaryen doğum sırasında uygulanan spinal anestezi , maternal hipotansiyona neden olabilmekte ve tedavi amaçlı ilk olarak vazopresörler tercih edilmektedir. Norepinefrin, güçlü α-adrenerjik ve zayıf β-adrenerjik etkisiyle kalp hızı ve kalp debisi üzerinde daha az olumsuz etki ile kan basıncını korumada diğer vazopressörlerden üstün olduğu düşünülmektedir. Bu çalışmada sezaryan doğum sırasında post-spinal hipotansiyon yönetiminde üç farklı bolus doz norepinefrinin etkinlik ve güvenliğini karşılaştırılması amaçlandı. \u0000Metot: Çalışmaya elektif şartlarda sezaryen uygulanacak 37-42 haftalık, 18-40 yaşlarında, ASA I-II fiziksel statüsüne sahip 100 hasta dahil edildi. Hastalar 4 gruba ayrılarak spinal anestezi yapıldıktan sonra Grup I’e % 0.9 NaCl (Salin), Grup II’ye 0.05 µg.kg-1, Grup III’e 0.075 µg.kg-1 ve Grup IV’e ise 0.1 µg.kg-1 tek doz norepinefrin toplam 2 ml olacak şekilde bolus uygulandı. Sistolik kan basıncı değeri","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72985696","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}
Purpose: The purpose of this study is the biomechanical investigation of the rotation, stress and deformation caused in the talus, under a specific load, by various fixation methods in ankle which has supination external rotation (SER) injury and deltoid rupture. Method: Ankle of a healthy individual was analyzed with the help of a package program which was based on finite elements method (FEM). Then, SER injury model was created. Lateral malleolar plate was fixed with a screw and created different repair models for ankle fit. In the analysis section, forces obtained from the literature were applied to the healthy and repaired models. As the result of the analyses, mechanical values which occured in the talus were obtained. Results: As a result of this study, mechanical changes in talus, which were caused by, (in order) deltoid ligament repair, suture button syndesmosis fixation, syndesmosis fixation with transfixation screw, suture button fixation + deltoid ligament repair and transfixation screw + deltoid ligament repair in the SER type 4 injury model with deltoid ligament rupture, were evaluated. Conlusion: This study showed that the application of syndesmosis screw together with deltoid ligament repair in the treatment of SER type 4 ankle injuries with rupture of deltoid ligament made regression, displacement and talus rotations on the talus almost normal. In addition, syndesmosis fixation screw applications give better results than syndesmosis fixation suture button applications.
{"title":"Biomechanical investigation of the effects of various treatment options on the talus in supination external rotation type 4 ankle injuries with ruptured deltoid ligament: Finite element analysis","authors":"Yılmaz Güvercin, Murat Yaylacı","doi":"10.31832/smj.1220996","DOIUrl":"https://doi.org/10.31832/smj.1220996","url":null,"abstract":"Purpose: The purpose of this study is the biomechanical investigation of the rotation, stress and deformation caused in the talus, under a specific load, by various fixation methods in ankle which has supination external rotation (SER) injury and deltoid rupture. \u0000Method: Ankle of a healthy individual was analyzed with the help of a package program which was based on finite elements method (FEM). Then, SER injury model was created. Lateral malleolar plate was fixed with a screw and created different repair models for ankle fit. In the analysis section, forces obtained from the literature were applied to the healthy and repaired models. As the result of the analyses, mechanical values which occured in the talus were obtained. \u0000Results: As a result of this study, mechanical changes in talus, which were caused by, (in order) deltoid ligament repair, suture button syndesmosis fixation, syndesmosis fixation with transfixation screw, suture button fixation + deltoid ligament repair and transfixation screw + deltoid ligament repair in the SER type 4 injury model with deltoid ligament rupture, were evaluated. \u0000Conlusion: This study showed that the application of syndesmosis screw together with deltoid ligament repair in the treatment of SER type 4 ankle injuries with rupture of deltoid ligament made regression, displacement and talus rotations on the talus almost normal. In addition, syndesmosis fixation screw applications give better results than syndesmosis fixation suture button applications.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83937968","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}
Amaç: Bu çalışmada, COVID-19 pandemi sürecinde tip 1 diyabetli çocuğu olan ebeveynlerin sürekli ve durumluk kaygısının aile işlevleri üzerine etkisinin incelenmesi amaçlanmıştır. Yöntem ve Gereçler: Tanımlayıcı, kesitsel ve ilişkisel tipteki bu çalışma rastgele örnekleme yöntemi ile karantina döneminde yapılmıştır. Çalışma, Türkiye’nin batısındaki bir hastanenin pediatrik endokrinoloji polikliniğine kayıtlı 134 tip 1 diyabetli çocuğun ebeveynleri ile tamamlanmıştır. Bulgular: Tip 1 diyabetli çocuğu olan ebeveynlerin aile işlevlerini sırasıyla en çok durumluk kaygı düzeyi ve sürekli kaygı düzeyi etkilediği saptanmıştır. Modelin genelinde aile işlevselliğini etkileyen faktörlerin %43’ünün ((F= 51.356, p
{"title":"COVID-19 Pandemi Sürecinde Tip 1 Diyabetli Çocuğu Olan Ebeveynlerin Kaygısının Aile İşlevleri ve HbA1c Düzeyleri Üzerine Etkisi","authors":"Kübra Pınar Gürkan, Zühal Bahar, Dijle Ayar, Ece Böber, Ayhan Abaci","doi":"10.31832/smj.1197833","DOIUrl":"https://doi.org/10.31832/smj.1197833","url":null,"abstract":"Amaç: Bu çalışmada, COVID-19 pandemi sürecinde tip 1 diyabetli çocuğu olan ebeveynlerin sürekli ve durumluk kaygısının aile işlevleri üzerine etkisinin incelenmesi amaçlanmıştır. \u0000Yöntem ve Gereçler: Tanımlayıcı, kesitsel ve ilişkisel tipteki bu çalışma rastgele örnekleme yöntemi ile karantina döneminde yapılmıştır. Çalışma, Türkiye’nin batısındaki bir hastanenin pediatrik endokrinoloji polikliniğine kayıtlı 134 tip 1 diyabetli çocuğun ebeveynleri ile tamamlanmıştır. \u0000Bulgular: Tip 1 diyabetli çocuğu olan ebeveynlerin aile işlevlerini sırasıyla en çok durumluk kaygı düzeyi ve sürekli kaygı düzeyi etkilediği saptanmıştır. Modelin genelinde aile işlevselliğini etkileyen faktörlerin %43’ünün ((F= 51.356, p","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82998954","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}
Abdulhalim Akar, A. Erdem, N. Turgut, Amet Çağrı Uyar, L. Bayam, M. Erdem
Objective: This study aims to evaluate the clinical and radiological results of patients who were followed for at least 4 years after treatment with total hip arthroplasty, which was performed using a direct anterior approach and to compare the results with different surgical approaches in the literature. Materials and Methods: The study included 37 patients who underwent total hip replacement using the direct anterior approach. Harris hip scores and lower extremity functional scores were recorded. The correlations between the scores and gender, diagnosis, body mass index, time of walking time, length of hospital stay, and inclination angle were examined. Results: Of the cases,26(70.3%) were female and 11(29.7%) were male. The mean age was 51.2 (26-76) years. The patients were followed up for an average of 58 (48-72) months. No significant difference was determined between the improvement in Harris hip score and gender, age, body mass index, and length of hospital stay. Postoperative acetabular inclination was 40.8° (35 - 55). The early dislocation was observed in one of our patients. Serous discharge developed in three patients. In three patients, n.cutaneus femoralis lateralis injury developed. The periprosthetic fracture was observed during surgery in five patients. Conclusion: In our study, it was seen that patients have successful and fast functional results when total hip replacement using a direct anterior approach was performed. Compared to the literature, faster recovery is observed in the early period compared to other approaches; however, no difference is seen between the approaches in the mid- and long term. Keywords: Direct anterior approach, Total hip arthroplasty, mid-term results
{"title":"At least four-year follow-up results of total hip replacement surgery using a direct anterior approach","authors":"Abdulhalim Akar, A. Erdem, N. Turgut, Amet Çağrı Uyar, L. Bayam, M. Erdem","doi":"10.31832/smj.1127792","DOIUrl":"https://doi.org/10.31832/smj.1127792","url":null,"abstract":"Objective: This study aims to evaluate the clinical and radiological results of patients who were followed for at least 4 years after treatment with total hip arthroplasty, which was performed using a direct anterior approach and to compare the results with different surgical approaches in the literature. \u0000Materials and Methods: The study included 37 patients who underwent total hip replacement using the direct anterior approach. Harris hip scores and lower extremity functional scores were recorded. The correlations between the scores and gender, diagnosis, body mass index, time of walking time, length of hospital stay, and inclination angle were examined. \u0000Results: Of the cases,26(70.3%) were female and 11(29.7%) were male. The mean age was 51.2 (26-76) years. The patients were followed up for an average of 58 (48-72) months. No significant difference was determined between the improvement in Harris hip score and gender, age, body mass index, and length of hospital stay. Postoperative acetabular inclination was 40.8° (35 - 55). The early dislocation was observed in one of our patients. Serous discharge developed in three patients. In three patients, n.cutaneus femoralis lateralis injury developed. The periprosthetic fracture was observed during surgery in five patients. \u0000Conclusion: In our study, it was seen that patients have successful and fast functional results when total hip replacement using a direct anterior approach was performed. Compared to the literature, faster recovery is observed in the early period compared to other approaches; however, no difference is seen between the approaches in the mid- and long term. \u0000Keywords: Direct anterior approach, Total hip arthroplasty, mid-term results","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86463841","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}
K. Gonderen, Mehmet Yildirim, F. Yıldırım, Meltem Şimşek
Objective: Barotrauma developing spontaneously or associated with positive pressure ventilation applied as respiratory support therapy is reported more frequently in patients with novel coronavirus 2019 (COVID-19). In this study, we aimed to determine the incidence of barotrauma in critically-ill patients with COVID-19 associated acute respiratory distress syndrome (ARDS) who received invasive mechanical ventilation (IMV), (non-invasive mechanical ventilation NIMV) or high flow nasal oxygen therapy (HFNO) and reveal clinical features, radiological findings and outcomes of these patients. Materials and Methods: In this two-center study, the frequency and clinical characteristics of patients who developed barotrauma while being followed up in the ICU due to COVID-19 were retrospectively investigated. Results: Barotrauma was detected in 29 (4.4%) of 660 patients. Nineteen (65.5%) patients developed pneumothorax, 5 (17.2%) patients developed pneumomediastinum, 5 (17.2%) patients developed subcutaneous emphysema; 18 (62.1%) patients underwent tube thoracostomy, 11 (37.9%) patients were followed conservatively. When barotrauma developed, 17 (58.6%) patients were receiving IMV, 11 (37.9%) patients were receiving NIMV, and 1 (3.4%) patient was receiving HFNO. The mean length of stay in the ICU was 15.3±10.8 days, 19 (65.5%) of the patients died. Conclusion: Barotrauma is not uncommon in COVID-19 ARDS patients; It is a complication that can increase mortality and length of stay in ICU.
{"title":"Radiological Features and Outcomes of COVID-19 Associated ARDS Patients with Barotrauma","authors":"K. Gonderen, Mehmet Yildirim, F. Yıldırım, Meltem Şimşek","doi":"10.31832/smj.1151067","DOIUrl":"https://doi.org/10.31832/smj.1151067","url":null,"abstract":"Objective: Barotrauma developing spontaneously or associated with positive pressure ventilation applied as respiratory support therapy is reported more frequently in patients with novel coronavirus 2019 (COVID-19). In this study, we aimed to determine the incidence of barotrauma in critically-ill patients with COVID-19 associated acute respiratory distress syndrome (ARDS) who received invasive mechanical ventilation (IMV), (non-invasive mechanical ventilation NIMV) or high flow nasal oxygen therapy (HFNO) and reveal clinical features, radiological findings and outcomes of these patients. \u0000Materials and Methods: In this two-center study, the frequency and clinical characteristics of patients who developed barotrauma while being followed up in the ICU due to COVID-19 were retrospectively investigated. \u0000Results: Barotrauma was detected in 29 (4.4%) of 660 patients. Nineteen (65.5%) patients developed pneumothorax, 5 (17.2%) patients developed pneumomediastinum, 5 (17.2%) patients developed subcutaneous emphysema; 18 (62.1%) patients underwent tube thoracostomy, 11 (37.9%) patients were followed conservatively. When barotrauma developed, 17 (58.6%) patients were receiving IMV, 11 (37.9%) patients were receiving NIMV, and 1 (3.4%) patient was receiving HFNO. The mean length of stay in the ICU was 15.3±10.8 days, 19 (65.5%) of the patients died. \u0000Conclusion: Barotrauma is not uncommon in COVID-19 ARDS patients; It is a complication that can increase mortality and length of stay in ICU.","PeriodicalId":21405,"journal":{"name":"Sakarya Medical Journal","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87394070","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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