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Evaluation of MPV and PDW levels by using antihyperglycemic drugs in type 2 DM patients 降糖药物对2型糖尿病患者MPV和PDW水平的影响
Pub Date : 2020-09-25 DOI: 10.15511/tjtfp.20.00302
Hacer Dinçoğlu, İ. Eray
Objectives: MPV and PDW are vascular complications markers and improved glycemic control levels are correlated those indicators in patients with type 2 Diabetes Mellitus. The aim of in this study, MPV and PDW levels were compared type 2 diabetic patients treated with oral antihyperglycemic agent and insulin. Methods: This study was performed retrospectively on type 2 DM patients who were admitted to Ankara Atatürk Training and Research Hospital. 118 randomly selected patients were divided into 3 groups that were non-diabetic (Group 1), who received OAD therapy (Group 2), and those who received insulin therapy (Group 3). HbA1c, MPV, PDW levels were collected, analyzed and compared with each other. Results: MPV and PDW values were increased in type 2 DM patients compared to the control group (Group 2; p <0.001 and Group 3 p <0.001, respectively). There was no statistically significant difference between MPV and PDW values in patients treated OAD and insulin therapy (p=0.736 ve p=0.360 respectively). A statistically significant positive correlation was found between HbA1c values and MPV (p <0.001) and PDW (p <0.001) values. Conclusions: In our study, no significant difference was found between MPV and PDW values of patients using insulin and oad. Early initiation of conventional insulin therapy in patients with type 2 diabetes provides good glycemic control. Rational drug use in accordance with the guidelines; gains importance in treatment success. Skipping this factor may reduce the efficiency of other efforts in relation to rational treatment.
目的:MPV和PDW是2型糖尿病患者血管并发症的标志,血糖控制水平的改善与这两项指标的相关性。本研究的目的是比较口服降糖药和胰岛素治疗2型糖尿病患者的MPV和PDW水平。方法:回顾性研究安卡拉atatatrk培训研究医院收治的2型糖尿病患者,随机选取118例患者分为非糖尿病组(1组)、接受OAD治疗组(2组)和接受胰岛素治疗组(3组),收集HbA1c、MPV、PDW水平,进行分析比较。结果:2型DM患者MPV和PDW值较对照组升高(2组;p <0.001,第三组p <0.001)。OAD组与胰岛素组MPV、PDW值比较,差异无统计学意义(p=0.736, p=0.360)。HbA1c值与MPV值(p <0.001)、PDW值(p <0.001)呈正相关。结论:在我们的研究中,胰岛素和负荷患者的MPV和PDW值无显著差异。2型糖尿病患者早期开始常规胰岛素治疗可提供良好的血糖控制。按照指南合理用药;对治疗成功至关重要。跳过这一因素可能会降低与合理治疗有关的其他努力的效率。
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引用次数: 1
Supplementation disrupts the circannual rhythm of vitamin D: A retrospective analysis 补充剂扰乱了维生素D的年周期节律:一项回顾性分析
Pub Date : 2020-09-25 DOI: 10.15511/tjtfp.20.00308
Özgür Aydın
Objectives: MPV and PDW are vascular complications markers and improved glycemic control levels are correlated those indicators in patients with type 2 Diabetes Mellitus. The aim of in this study, MPV and PDW levels were compared type 2 diabetic patients treated with oral antihyperglycemic agent and insulin. Methods: This study was performed retrospectively on type 2 DM patients who were admitted to Ankara Atatürk Training and Research Hospital. 118 randomly selected patients were divided into 3 groups that were non-diabetic (Group 1), who received OAD therapy (Group 2), and those who received insulin therapy (Group 3). HbA1c, MPV, PDW levels were collected, analyzed and compared with each other. Results: MPV and PDW values were increased in type 2 DM patients compared to the control group (Group 2; p <0.001 and Group 3 p <0.001, respectively). There was no statistically significant difference between MPV and PDW values in patients treated OAD and insulin therapy (p=0.736 ve p=0.360 respectively). A statistically significant positive correlation was found between HbA1c values and MPV (p <0.001) and PDW (p <0.001) values. Conclusions: In our study, no significant difference was found bet-ween MPV and PDW values of patients using insulin and oad. Early initiation of conventional insulin therapy in patients with type 2 diabetes provides good glycemic control. Rational drug use in accordance with the guidelines; gains importance in treatment success. Skipping this factor may reduce the efficiency of other efforts in relation to rational treatment.
目的:MPV和PDW是2型糖尿病患者血管并发症的标志,血糖控制水平的改善与这两项指标的相关性。本研究的目的是比较口服降糖药和胰岛素治疗2型糖尿病患者的MPV和PDW水平。方法:回顾性研究安卡拉atatatrk培训研究医院收治的2型糖尿病患者,随机选取118例患者分为非糖尿病组(1组)、接受OAD治疗组(2组)和接受胰岛素治疗组(3组),收集HbA1c、MPV、PDW水平,进行分析比较。结果:2型DM患者MPV和PDW值较对照组升高(2组;p <0.001,第三组p <0.001)。OAD组与胰岛素组MPV、PDW值比较,差异无统计学意义(p=0.736, p=0.360)。HbA1c值与MPV值(p <0.001)、PDW值(p <0.001)呈正相关。结论:在我们的研究中,使用胰岛素和负荷的患者的MPV和PDW值无显著差异。2型糖尿病患者早期开始常规胰岛素治疗可提供良好的血糖控制。按照指南合理用药;对治疗成功至关重要。跳过这一因素可能会降低与合理治疗有关的其他努力的效率。
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引用次数: 1
Biopsychosocial approach to delirium treatment in patients with COVID-19 COVID-19患者谵妄治疗的生物心理社会方法
Pub Date : 2020-06-15 DOI: 10.15511/tjtfp.20.00283
Yüksel Duygu Altıparmak
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引用次数: 0
Marmara University School of Medicine pre-clinical years students’ knowledge, view and behavior about rational drug use 马尔马拉大学医学院临床预科生对合理用药的认识、看法和行为
Pub Date : 2020-06-15 DOI: 10.15511/tjtfp.20.00268
Aylin Elma, Burcu Başaran Güngör
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引用次数: 0
Views of Marmara University Faculty of Medicine, Family Medicine Department on the Management of the Outbreak of COVID-19 马尔马拉大学医学院家庭医学系对新冠肺炎疫情管理的看法
Pub Date : 2020-06-15 DOI: 10.15511/tjtfp.20.00286
Çiğdem Apaydın Kaya, M. Akman, A. Uzuner
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引用次数: 0
Evaluation of the number and reasons of applying to the family medicine outpatient clinic of the geriatric age group: Retrospective 5 years 老年年龄组家庭医学门诊申请人数及原因评价:回顾性5年
Pub Date : 2020-06-15 DOI: 10.15511/tjtfp.20.00249
I. Fidancı
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引用次数: 0
Workplace management in pandemic outbreak through two samples 通过两个样本分析大流行暴发中的工作场所管理
Pub Date : 2020-06-15 DOI: 10.15511/tjtfp.20.00293
B. Coşkun
Alıntı Kodu: Çoşkun B. İki örnek üzerinden pandemi salgınında işyeri yönetimi. Jour Turk Fam Phy 2020; 11 (2): 93-100. Doi: 10.15511/tjtfp.20.00293. Tüm dünyayı etkileyen bir salgın hastalık dönemini yaşıyoruz ve COVID-19 hastalığı; yer yer değişen vaka ve ölüm sayıları ile seyrini sürdürüyor. Virüse yakalananların %20’sinde hiç bir hastalık belirtisi olmazken, %50’si hafif bulgularla geçirmektedir. Virüsü alanların %20’si hastane tedavisine ihtiyaç duymakta, hastaneye yatanların ortalama %5’i de kaybedilmektedir. Ülkelerin sağlık sistemlerine ve nüfus özelliklerine bağlı olarak öldürücülük oranları değişmekle birlikte mortalite %2,5 olarak bildirilmiştir. Henüz doğrudan virüse etki eden bir tedavi yoktur. Bu özelliklerle COVID 19 salgını tüm toplumu ve üretim süreçlerini de etkilemektedir, tedavisi / aşısı bulunana kadar da etkilemeye devam edecektir. Pandeminin kontrol altına alınması için en önemli faktör toplumsal yaşamın kısıtlanması hatta bir süre engellenmesidir. Ancak üretimin sürdürülmesi bazı sektörlerde kaçınılmaz olduğundan daha çok; eğlence sektörü, kişisel bakım sektörü, okullar gibi “yaşamsal önemde olmayan” kurumların işleyişi duraklatılmıştır. Üretimin zorunlu olduğu sektörlerde hem çalışanların sağlığını korumak, hem de salgının yayılmasını engelSayın Editör,
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引用次数: 0
Knowledge and attitudes towards vitamin / mineral supplements in patients admitted to the family medicine outpatient clinics 家庭医学门诊病人对维生素/矿物质补充的知识和态度
Pub Date : 2020-06-15 DOI: 10.15511/tjtfp.20.00256
D. Kafadar, E. Sayın
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引用次数: 2
A lifetime with gloves: Contact dermatitis case presentation 终身戴手套:接触性皮炎病例介绍
Pub Date : 2020-03-25 DOI: 10.15511/TJTFP.20.00141
I. Fidancı
Alıntı Kodu: Fidancı İ. Eldivenle bir ömür: Kontakt dermatit olgu sunumu. Jour Turk Fam Phy 2020; 11 (1): 41-44. Doi: 10.15511/tjtfp.20.00141. Kimyasalların her alanda kullanımının denetimsiz ve kontrolsüz artması nedeniyle allerjik veya inflamatuar deri reaksiyonu olarak tanımlanan kontakt dermatit sayısında artış gözlenmektedir. Kimyasal çeşitliliğinin artmasıyla tedavide zorluklar yaşanabilmekte ve hastalarda psikolojik rahatsızlıklara neden olabilmektedir. Olgumuzda, Aile Hekimliği Polikliniğimize başvuran, el ve ayaklarında kaşıntılı lezyonları tedavi edilemeyen hastayı sunduk.
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引用次数: 0
Pandemic Management in Family Medicine Centers 家庭医学中心的流行病管理
Pub Date : 2020-03-25 DOI: 10.15511/TJTFP.20.00145
B. Aktura
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引用次数: 5
期刊
The Journal of Turkish Family Physician
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