Objective: Our study, it was aimed to evaluate the patients who applied after being affected by chemical gas in northwest Syria, to examine the treatment results, and to raise awareness about chemical gas attacks. Method: The study included 43 patients who applied to the emergency department of our hospital, who felt an odor similar to the smell of onion and garlic and were sick. Our research is a retrospective study. Retrospective data were collected from the files of patients admitted after gas exposure. Statistical analyzes of the study were performed using Statistical Package for Social Sciences version 25.0 software for Windows. P-value below 0.05 in all statistical analyzes were interpreted as statistically significant. Results: All 43 patients were male. The mean age was 24.86 ∓ 8.81 years. Vital signs at the time of application; mean blood pressure 97.23 ∓ 5.61 mmHg, fever 37.2 ∓ 0.57 °C, heart rate 99.28 ∓ 9.89 / min, oxygen saturation 96.43 ∓ 1.53 %. In total, 3 patients had convulsions. 20 patients had agitation and spasm sensation, 12 patients had redness of the eyes and 42 patients had complaints of shortness of breath. Conclusion: Awareness, rapid decontamination, and symptomatic treatment are thought to be very important in minimizing the devastating effects of chemical attack agents.
目的:本研究旨在评价叙利亚西北部受化学气体影响后申请的患者，检查治疗效果，提高对化学气体袭击的认识。方法:本研究纳入我院急诊科申请就诊的43例患者，患者因闻到类似洋葱和大蒜的气味而生病。我们的研究是回顾性研究。回顾性数据收集自气体暴露后入院的患者档案。本研究采用Statistical Package for Social Sciences version 25.0 for Windows软件进行统计分析。所有统计分析的p值< 0.05解释为有统计学意义。结果:43例患者均为男性。平均年龄24.86±8.81岁。申请时的生命体征;平均血压97.23±5.61 mmHg，发热37.2±0.57℃，心率99.28±9.89 / min，血氧饱和度96.43±1.53%。共有3例患者发生惊厥。20例患者有躁动和痉挛感，12例患者有眼睛发红，42例患者有呼吸急促的主诉。结论:提高意识、快速去污和对症治疗对减少化学攻击剂的破坏性影响非常重要。
{"title":"Evaluation of patients admitted to the emergency room with the claim of being exposed to chemical gas in northwest Syria","authors":"B. Çelik, Bahadır Karaca, I. Tayfur","doi":"10.17944/mkutfd.1101321","DOIUrl":"https://doi.org/10.17944/mkutfd.1101321","url":null,"abstract":"Objective: Our study, it was aimed to evaluate the patients who applied after being affected by chemical gas in northwest Syria, to examine the treatment results, and to raise awareness about chemical gas attacks. \u0000Method: The study included 43 patients who applied to the emergency department of our hospital, who felt an odor similar to the smell of onion and garlic and were sick. Our research is a retrospective study. Retrospective data were collected from the files of patients admitted after gas exposure. Statistical analyzes of the study were performed using Statistical Package for Social Sciences version 25.0 software for Windows. P-value below 0.05 in all statistical analyzes were interpreted as statistically significant. \u0000Results: All 43 patients were male. The mean age was 24.86 ∓ 8.81 years. Vital signs at the time of application; mean blood pressure 97.23 ∓ 5.61 mmHg, fever 37.2 ∓ 0.57 °C, heart rate 99.28 ∓ 9.89 / min, oxygen saturation 96.43 ∓ 1.53 %. In total, 3 patients had convulsions. 20 patients had agitation and spasm sensation, 12 patients had redness of the eyes and 42 patients had complaints of shortness of breath. \u0000Conclusion: Awareness, rapid decontamination, and symptomatic treatment are thought to be very important in minimizing the devastating effects of chemical attack agents.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67624633","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}
ABSTRACT: Objectives : Starting from the 1900's minimally invasive methods such as endovenous laser ablation (EVLA), radiofrequency ablation (RFA), and ultrasound-guided foam sclerotherapy (UGFS) developed. Methods: This study includes a total of 136 patients (81 women/55 men), of whom 22 (10 women/12 men) were treated with classic surgical stripping, 54 (32 women/22 men) with thermal ablation and 60 (39 women/55 men) with non-thermal ablation. Results: Twenty-two patients (10 women/12 men) were treated with surgical stripping. In one female patient a hematoma arose in the medial crural region postoperatively. A radiofrequency catheter (ThermoBLOCK TM) was used in the thermal ablation procedures in 54 patients (32 female/22 male). It is believed that permanent paresthesia occured in one female patient after the procedure. In 3 male patients temporary paresthesia occured postoperatively. Non- thermal ablation was performed in 60 patients(39 female/55 male). Even through a severe burning sensation was present in 6 patients (5 female/1 male) during the procedure, this symptom was only transient. In one of the patients, deep venous thrombosis (DVT) occured at the level of the popliteal vein postoperatively at the sixth day. Conclusion: Even if thermal and non-thermal ablation and surgical procedures have the same pain decreasing rates, hematomas and a longer hospital stay are more frequent in surgical procedures.
{"title":"Thermal Ablation, Nonthermal Ablation And Surgical Striping Applications: 1-Year Single Center Early Results","authors":"M. O. Beyaz, Senem Urfali, O. Koyuncu, I. Fansa","doi":"10.17944/mkutfd.1121446","DOIUrl":"https://doi.org/10.17944/mkutfd.1121446","url":null,"abstract":"ABSTRACT: \u0000Objectives : Starting from the 1900's minimally invasive methods such as endovenous laser ablation (EVLA), radiofrequency ablation (RFA), and ultrasound-guided foam sclerotherapy (UGFS) developed. \u0000Methods: This study includes a total of 136 patients (81 women/55 men), of whom 22 (10 women/12 men) were treated with classic surgical stripping, 54 (32 women/22 men) with thermal ablation and 60 (39 women/55 men) with non-thermal ablation. \u0000Results: Twenty-two patients (10 women/12 men) were treated with surgical stripping. In one female patient a hematoma arose in the medial crural region postoperatively. A radiofrequency catheter (ThermoBLOCK TM) was used in the thermal ablation procedures in 54 patients (32 female/22 male). It is believed that permanent paresthesia occured in one female patient after the procedure. In 3 male patients temporary paresthesia occured postoperatively. Non- thermal ablation was performed in 60 patients(39 female/55 male). Even through a severe burning sensation was present in 6 patients (5 female/1 male) during the procedure, this symptom was only transient. In one of the patients, deep venous thrombosis (DVT) occured at the level of the popliteal vein postoperatively at the sixth day. \u0000Conclusion: Even if thermal and non-thermal ablation and surgical procedures have the same pain decreasing rates, hematomas and a longer hospital stay are more frequent in surgical procedures.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67624192","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}
Objective: Cervical cytology (CC) is a routine screening method used to reduce cervical cancer. Although anal cancer and cervical cancer have similar etiological factors the opinion about the anal cancer screening program is unclear. We aimed to determine the features of women with abnormal anal cytology (AC) who had screened via CC for cervical neoplasia. Methods: Two hundred and five females' CC results were investigated. The patients with normal CC were excluded, finally 87 participants were included. The demographics, medical, sexual, and reproductive features, CC and AC results were analyzed. Results: The study group had a mean age of 40.77 ± 9.50 years. AC was pathological in six patients (6.9%). Four of these (66.7%) were high-grade squamous intraepithelial lesions (HSIL) and two (33.3%) were low-grade squamous intraepithelial lesions (LSIL). The CC results of these patients were all HSIL, all of them were human papillomavirus (HPV) positive, with the most common type being 16 (83.3%). Conclusion: Women with HSIL in CC (especially with concomitant HPV) may be riskier for AC positivity. The others are most likely to have negative AC results. The use of AC for early diagnosis of risky anal intraepithelial lesions (such as a screening tool) may be considered for this group of patients.
{"title":"The analysis of anal cytology positivity in women with pathological cervical cytology","authors":"M. Duymus, Z. Bayramoğlu, Hulya Ayik, Y. Bag","doi":"10.17944/mkutfd.1142816","DOIUrl":"https://doi.org/10.17944/mkutfd.1142816","url":null,"abstract":"Objective: Cervical cytology (CC) is a routine screening method used to reduce cervical cancer. Although anal cancer and cervical cancer have similar etiological factors the opinion about the anal cancer screening program is unclear. We aimed to determine the features of women with abnormal anal cytology (AC) who had screened via CC for cervical neoplasia. \u0000 \u0000Methods: Two hundred and five females' CC results were investigated. The patients with normal CC were excluded, finally 87 participants were included. The demographics, medical, sexual, and reproductive features, CC and AC results were analyzed. \u0000 \u0000Results: The study group had a mean age of 40.77 ± 9.50 years. AC was pathological in six patients (6.9%). Four of these (66.7%) were high-grade squamous intraepithelial lesions (HSIL) and two (33.3%) were low-grade squamous intraepithelial lesions (LSIL). The CC results of these patients were all HSIL, all of them were human papillomavirus (HPV) positive, with the most common type being 16 (83.3%). \u0000 \u0000Conclusion: Women with HSIL in CC (especially with concomitant HPV) may be riskier for AC positivity. The others are most likely to have negative AC results. The use of AC for early diagnosis of risky anal intraepithelial lesions (such as a screening tool) may be considered for this group of patients.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67624247","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}
Emine Kılıçparlar Cengiz, A. Akçali, Yasemin Ekmekyapar Fırat, Cem Öztürkmen, Gulsum Comruk
Introduction: Optic neuritis (ON) is the most common ocular finding of multiple sclerosis (MS). ON can cause axonal loss and abnormalities in both optical coherence tomography (OCT) parameters and visual evoked potentials (VEPs). In this study, the retinal fiber layer (RNFL), ganglion cell complex (GCC) and macular thicknesses were measured with OCT and compared between MS cases with and without a clinical history of ON and healthy individuals. In addition, it was examined whether these values were correlated with VEP and clinical findings and whether they could be used as a marker of axonal loss. Method: The study included 49 patients with MS (98 eyes) and 30 healthy controls (60 eyes) aged 18-55 years. Visual acuity and color vision, VEP measurement, and OCT measurement were evaluated. Results and Conclusion: The RNFL, foveal and macular thickness were found to be smaller among the patients with a history of ON than those without this history and the control group. The RNFL, GCC, foveal and macular thicknesses can be interchangeably used to show the relationship between axonal degeneration and optic nerve involvement in the course of MS.
{"title":"Is there a relationship between the ganglion cell complex thickness and macular thickness in patients with multiple sclerosis?","authors":"Emine Kılıçparlar Cengiz, A. Akçali, Yasemin Ekmekyapar Fırat, Cem Öztürkmen, Gulsum Comruk","doi":"10.17944/mkutfd.1024136","DOIUrl":"https://doi.org/10.17944/mkutfd.1024136","url":null,"abstract":"Introduction: Optic neuritis (ON) is the most common ocular finding of multiple sclerosis (MS). ON can cause axonal loss and abnormalities in both optical coherence tomography (OCT) parameters and visual evoked potentials (VEPs). In this study, the retinal fiber layer (RNFL), ganglion cell complex (GCC) and macular thicknesses were measured with OCT and compared between MS cases with and without a clinical history of ON and healthy individuals. In addition, it was examined whether these values were correlated with VEP and clinical findings and whether they could be used as a marker of axonal loss. \u0000Method: The study included 49 patients with MS (98 eyes) and 30 healthy controls (60 eyes) aged 18-55 years. Visual acuity and color vision, VEP measurement, and OCT measurement were evaluated. \u0000Results and Conclusion: The RNFL, foveal and macular thickness were found to be smaller among the patients with a history of ON than those without this history and the control group. The RNFL, GCC, foveal and macular thicknesses can be interchangeably used to show the relationship between axonal degeneration and optic nerve involvement in the course of MS.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67624273","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}
Cansu ONLEN GUNERİ, Pınar DÖNER GÜNER, Özlem Makbule AYCAN KAYA
Amaç: Demodex folliculorum (D. folliculorum) genellikle yüz ve kirpikler dahil olmak üzere insan cildinde bulunan zorunlu bir ektoparazittir. Çalışmada Hatay huzurevi sakinlerinde D. folliculorum enfestasyonunun değerlendirilmesi amaçlandı. Gereç ve Yöntem: Çalışmaya huzurevinde kalan 81 yaşlı birey dahil edildi. Standart Yüzeyel Deri Biyopsi (SYDB) yöntemi ile yanak ve çene bölgelerinden örnekler alındı ve gliserin damlatılarak ışık mikroskobunda 10x-40x objektif büyütmesi ile D. folliculorum yönünden incelendi. Bulgular: Çalışmaya dahil edilen sakinlerin yaş ortalaması 74 olarak belirlendi. Huzurevi sakinlerinin %77,8’i D. folliculorum yönünden pozitif bulundu. Sakinlerin %84’ü hiperkolesterolemi, hipertansiyon, diyabet, KOAH-astım, kalp hastalıkları, böbrek hastalığı, romatizmal hastalıklar gibi kronik hastalıklara sahipti. Kronik rahatsızlığı bulunmayan %16’lık popülasyonun tamamı D. folliculorum açısından pozitifti. Sonuç: Kronik rahatsızlık ile D. folliculorum arasında anlamlı bir ilişki bulunamadı. Kronik hastalıkları olmasa dahi yaşlı sakinlerin immünsüpresif olduğu ve D. folliculorum enfestasyonunun immünsüpresyonla ilişkili olduğu göz ardı edilmemelidir.
Amaç：毛囊Demodex folliculum（D.folliculrum）的基因是一种非常罕见的疾病。在工作场所，错误群体旨在评估毛囊圆线虫的感染情况。要求和方法：81岁的工作人员中有一人被纳入和平。标准的表面Biyopsi（SYDB）方法检测了b y Folliculum，它在来自燃料和口腔的光微观荧光蒸汽中增加了10 x 40倍。事件：参与这项工作的居民的平均年龄为74岁。77.8%的维和人员检测出毛滴虫阳性。84%的患者患有高胆固醇、高血压、糖尿病、KOAH哮喘、心脏病、肾病、色盲等慢性疾病。总人群中有16%的不适性裙带性疾病对毛囊圆线虫呈阳性反应。因此，慢性不适与毛囊D。如果没有慢性病，老年人对毛囊病的感染是免疫的，一定不要观察。
{"title":"Huzurevi Sakinlerinde Demodex Folliculorum Prevalansının Araştırılması","authors":"Cansu ONLEN GUNERİ, Pınar DÖNER GÜNER, Özlem Makbule AYCAN KAYA","doi":"10.17944/mkutfd.1121089","DOIUrl":"https://doi.org/10.17944/mkutfd.1121089","url":null,"abstract":"Amaç: Demodex folliculorum (D. folliculorum) genellikle yüz ve kirpikler dahil olmak üzere insan cildinde bulunan zorunlu bir ektoparazittir. Çalışmada Hatay huzurevi sakinlerinde D. folliculorum enfestasyonunun değerlendirilmesi amaçlandı. \u0000 \u0000Gereç ve Yöntem: Çalışmaya huzurevinde kalan 81 yaşlı birey dahil edildi. Standart Yüzeyel Deri Biyopsi (SYDB) yöntemi ile yanak ve çene bölgelerinden örnekler alındı ve gliserin damlatılarak ışık mikroskobunda 10x-40x objektif büyütmesi ile D. folliculorum yönünden incelendi. \u0000 \u0000Bulgular: Çalışmaya dahil edilen sakinlerin yaş ortalaması 74 olarak belirlendi. Huzurevi sakinlerinin %77,8’i D. folliculorum yönünden pozitif bulundu. Sakinlerin %84’ü hiperkolesterolemi, hipertansiyon, diyabet, KOAH-astım, kalp hastalıkları, böbrek hastalığı, romatizmal hastalıklar gibi kronik hastalıklara sahipti. Kronik rahatsızlığı bulunmayan %16’lık popülasyonun tamamı D. folliculorum açısından pozitifti. \u0000 \u0000Sonuç: Kronik rahatsızlık ile D. folliculorum arasında anlamlı bir ilişki bulunamadı. Kronik hastalıkları olmasa dahi yaşlı sakinlerin immünsüpresif olduğu ve D. folliculorum enfestasyonunun immünsüpresyonla ilişkili olduğu göz ardı edilmemelidir.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67624178","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: Aort darlığı kalp kapağı hastalıkları içinde en sık görülenidir. Hastalar semptomatik olup, kapak cerrahisi uygulanamadığı durumlarda yaşam beklentisi kısalır. Hastaların asemptomatik dönemde tespiti önemlidir. Bizim bu çalışmadaki amacımız kalp hızı toparlama zamanı, kontraktilite rezervi ve global sol ventrikül hacim yüklenme endeksi parametlerininasemptomatik hafif ve orta derece aort darlığı olan hastalarda aort kapak ciddiyeti ile ilişkisini değerlendirmektir. Yöntem: Çalışmaya 36 hafif aort darlığı, 24 orta aort darlığı olan hasta kabul edildi. Hastaların kalp hızı toparlama zamanı, kontraktilite rezervi ve global sol ventrikül hacim yüklenme endeksi hesaplandı ve bulunan değerler ve hasta sayıları arasındaki fark istatiksel olarak değerlendirildi. Bulgular: Hafif ve orta aort darlığı olan hastalarda kontraktilite rezervi ortalaması arasında anlamlı farklılık saptandı (%5.31±1.21 vs %3.87±1.06, sırasıyla, p
目标：心率在心脏病中最常见。Hastalar semptomatik olup，kapak cerrahisi vigulanamadığıdurumlarda yaşam bekrentisi kısalır。在患者无症状时期，诊断很重要。我们在这项研究中的目标是评估患者心率恢复、对比剂储备和整体左心室负荷强度参数与症状光照和中位主动脉密度之间的关系。方法：36例轻型主动脉液入院，24例中主动脉液入院。已经计算了患者的心率恢复时间、对比剂储备和整体左心室负荷强度，并对值与患者之间的差异进行了统计评估。事件：在轻度和中度主动脉患者中，对比储备平均值之间存在差异（分别为%5.31±1.21和%3.87±1.06，p）
{"title":"Hafif ve orta dereceli aort darlığı ciddiyeti ile global sol ventrikül yüklenme endeksi, kontraktilite rezervi ve kalp hızı toparlanma zamanı karşılaştırılması","authors":"Ülker Kaya","doi":"10.17944/mkutfd.1074650","DOIUrl":"https://doi.org/10.17944/mkutfd.1074650","url":null,"abstract":"Amaç: Aort darlığı kalp kapağı hastalıkları içinde en sık görülenidir. Hastalar semptomatik olup, kapak cerrahisi uygulanamadığı durumlarda yaşam beklentisi kısalır. Hastaların asemptomatik dönemde tespiti önemlidir. Bizim bu çalışmadaki amacımız kalp hızı toparlama zamanı, kontraktilite rezervi ve global sol ventrikül hacim yüklenme endeksi parametlerininasemptomatik hafif ve orta derece aort darlığı olan hastalarda aort kapak ciddiyeti ile ilişkisini değerlendirmektir. \u0000 \u0000Yöntem: Çalışmaya 36 hafif aort darlığı, 24 orta aort darlığı olan hasta kabul edildi. Hastaların kalp hızı toparlama zamanı, kontraktilite rezervi ve global sol ventrikül hacim yüklenme endeksi hesaplandı ve bulunan değerler ve hasta sayıları arasındaki fark istatiksel olarak değerlendirildi. \u0000 \u0000Bulgular: Hafif ve orta aort darlığı olan hastalarda kontraktilite rezervi ortalaması arasında anlamlı farklılık saptandı (%5.31±1.21 vs %3.87±1.06, sırasıyla, p","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67624502","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}
Food allergy is defined as an immune-mediated response to food. Food allergy after solid organ transplantation was first described in 1997 after liver and kidney transplantation. A three years- five-month-old male was admitted with swelling of the lip after food intake. He had received a liver transplant from a living donor at ten months of age due to biliary atresia. Treatment with tacrolimus and mycophenolate mofetil was monitored, and he was admitted to the emergency department with complaints of swelling of the lip that developed immediately after eating eggs in our department at 20 months of age. No associated respiratory, skin, or gastrointestinal findings were observed in the case, who had previously consumed eggs without problems. Later, after consuming honey and tahini mixture, corn with mayonnaise sauce at different times, swelling developed on his lips and eyes. According to tests, egg, peanut, and hazelnut were excluded from the patient's diet. The case was followed up with diet therapy for two years without any problems. Organ donors should be screened for food allergies to predict the risk of organ recipients for new food allergies after transplantation. Although there is no evidence of food allergies in the donor, it should be kept in mind that new food allergy may develop in patients who have undergone solid organ transplantation, and patients should be followed up in this regard.
{"title":"De Novo Multiple Food Allergy After Liver Transplantation: A Case Report","authors":"Gül Şeker, Sinem Kahveci Çelik, Y. Öztürk","doi":"10.17944/mkutfd.1057902","DOIUrl":"https://doi.org/10.17944/mkutfd.1057902","url":null,"abstract":"Food allergy is defined as an immune-mediated response to food. Food allergy after solid organ transplantation was first described in 1997 after liver and kidney transplantation. A three years- five-month-old male was admitted with swelling of the lip after food intake. He had received a liver transplant from a living donor at ten months of age due to biliary atresia. Treatment with tacrolimus and mycophenolate mofetil was monitored, and he was admitted to the emergency department with complaints of swelling of the lip that developed immediately after eating eggs in our department at 20 months of age. No associated respiratory, skin, or gastrointestinal findings were observed in the case, who had previously consumed eggs without problems. Later, after consuming honey and tahini mixture, corn with mayonnaise sauce at different times, swelling developed on his lips and eyes. According to tests, egg, peanut, and hazelnut were excluded from the patient's diet. The case was followed up with diet therapy for two years without any problems. Organ donors should be screened for food allergies to predict the risk of organ recipients for new food allergies after transplantation. Although there is no evidence of food allergies in the donor, it should be kept in mind that new food allergy may develop in patients who have undergone solid organ transplantation, and patients should be followed up in this regard.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47580930","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}
Neonatal hipoglisemi yenidoğan döneminde sık görülen, yaşamın ilerleyen dönemlerini de etkileyen bir sağlık sorunudur. Hipoglisemi akut ve kronik komplikasyonlara neden olarak yenidoğan bebeğin büyümesi ve gelişmesinde kalıcı ve geri dönüşümsüz nörolojik sorunlara yol açabilmektedir. Hipoglisemiyi saptamak için en duyarlı test halen plazma glukozu ile ölçümü olsa da, yıllardır kullanılan geleneksel glukoz ölçüm yöntemleri ile birlikte son yıllarda noninvaziv glukoz ölçüm yöntemlerindeki gelişmeler ile riskli bebeklerde hipogliseminin tanı ve tedavisinde bu teknolojik ölçüm yöntemleri yaygın kullanılmaya başlamıştır. Glukometre, kan gazı analizatörleri, laboratuvarda enzimatik ölçüm geleneksel ölçüm yöntemleri iken, sürekli glukoz ölçüm sistemleri yeni nesil glukoz ölçümünde yer almaya başlayan yeni bir tekniktir. Hipoglisemi gelişimini engellemek için koruyucu önlemler alırken erken dönemde anne sütü ile emzirme desteği sağlanmalı ve teşvik edilmelidir. Hangi durumların hipoglisemi için risk oluşturduğu, hangi glukoz eşik değerinde tedavi vermek gerektiği ve son kullanılan yeni nesil glukoz ölçüm yöntemlerinin etkileri ve güncel tedaviler bu derlemede tartışılmıştır. Riskli bebeklerde kan şekeri ölçümleri ve klinik bulguların gözlenmesi yanında hipoglisemide ayırıcı tanı yapılarak tedavinin yönetilmesi de prognozda önemli bir yer tutar.
新生儿hipoglisemi yenidoğan döneminde sık görülen，yaşamın ilerleyen dönemlerini de etkileyen bir sağlık sorunudur。低血糖可导致急性和慢性并发症中出生的儿童在生长发育过程中出现持续且可逆的神经系统问题。尽管血糖是用最合理的测试低血糖的方法来测量的，但近年来，它已经开始使用这些技术测量，以及用于高危儿童的传统血糖测量方法，开发了无创血糖测量。血糖仪是葡萄糖测量系统的一种新技术，在新一代葡萄糖测量中不断出现，而血气分析仪是实验室中的酶法测量方法。为了防止低血糖的发生，应在母乳喂养和母乳喂养的早期鼓励并保持保护性变化。已经讨论了新一代葡萄糖测量方法和当前治疗方法在治疗哪些病例有低血糖风险，哪些葡萄糖应该用最后一剂进行治疗方面的效果。在高危婴儿中，血糖测量和临床结果在预测低血糖消耗结构和治疗管理方面也很重要。
{"title":"Yenidoğan hipoglisemisine güncel yaklaşım","authors":"Serkan Bilge Koca, Ayşe Halime Altintaş, Büşra Duba","doi":"10.17944/mkutfd.1074719","DOIUrl":"https://doi.org/10.17944/mkutfd.1074719","url":null,"abstract":"Neonatal hipoglisemi yenidoğan döneminde sık görülen, yaşamın ilerleyen dönemlerini de etkileyen bir sağlık sorunudur. Hipoglisemi akut ve kronik komplikasyonlara neden olarak yenidoğan bebeğin büyümesi ve gelişmesinde kalıcı ve geri dönüşümsüz nörolojik sorunlara yol açabilmektedir. Hipoglisemiyi saptamak için en duyarlı test halen plazma glukozu ile ölçümü olsa da, yıllardır kullanılan geleneksel glukoz ölçüm yöntemleri ile birlikte son yıllarda noninvaziv glukoz ölçüm yöntemlerindeki gelişmeler ile riskli bebeklerde hipogliseminin tanı ve tedavisinde bu teknolojik ölçüm yöntemleri yaygın kullanılmaya başlamıştır. Glukometre, kan gazı analizatörleri, laboratuvarda enzimatik ölçüm geleneksel ölçüm yöntemleri iken, sürekli glukoz ölçüm sistemleri yeni nesil glukoz ölçümünde yer almaya başlayan yeni bir tekniktir. Hipoglisemi gelişimini engellemek için koruyucu önlemler alırken erken dönemde anne sütü ile emzirme desteği sağlanmalı ve teşvik edilmelidir. Hangi durumların hipoglisemi için risk oluşturduğu, hangi glukoz eşik değerinde tedavi vermek gerektiği ve son kullanılan yeni nesil glukoz ölçüm yöntemlerinin etkileri ve güncel tedaviler bu derlemede tartışılmıştır. Riskli bebeklerde kan şekeri ölçümleri ve klinik bulguların gözlenmesi yanında hipoglisemide ayırıcı tanı yapılarak tedavinin yönetilmesi de prognozda önemli bir yer tutar.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47973941","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: Kolorektal kanser, erken tespitinde cerrahi kür sağlanabilen yaygın bir kanser türüdür. Bu kanser tipinde tedaviye yanıtın erken belirlenmesi yaşam süresini olumlu etkilemektedir. Çalışmamızda kolorektal kanseri olan hastaların, ameliyat sonrasındaki klinik yönetimlerinde F-18 FDG PET/BT’nin tanısal önemini değerlendirmeyi amaçladık. Gereç ve Yöntem: Haziran 2016 ve Ocak 2020 tarihleri arasında 168 hasta kolorektal kanser yönetimi amacıyla bölümümüze yönlendirilmiştir. Bu hastaların hepsi primer kolon tümörleri için ameliyat edilmişlerdi. Sistemik tedavi öncesinde ve sonrasında tedavi yanıtının değerlendirilmesi amacıyla bazal ve ardışık F-18 FDG PET/BT incelemesi yapılmıştır. F-18 FDG PET/BT taramaları sırasıyla analiz edilmiştir. Bulgular: Hastalar primer tümör lokalizasyonlarına göre gruplandırıldı. Toplam 168 hastanın 55’inde sağ kolonda, 33’ünde sol kolonda, 14’ünde transvers kolonda, 61’inde rektosigmoid kolonda ve 5’inde çekumda primer tümör saptandı. Lokal rekürrens 57 hastada saptanmış olup 33’ü erkek (%57.9) ve 24’ü (%42.1) kadındı. Lokal rekürrense ait ortalama SUVmaks 8.97±3.42 g/ml olarak saptandı. Ek olarak çıkan kolon grubunda 2 hastada (%1.20) yeni tümöral odak gözlendi. Sonuç: Kolorektal kanserli hastalarda, yapılabiliyorsa kolon rezeksiyonu tedavide ilk aşamadır. Küratif cerrahi sonrası ilk iki yıl içinde, hastaların yaklaşık %40’ında rekürrens görülebilmektedir. Rekürrensin erken tespiti, hastaların yaşam süresini iyileştirmektedir.
{"title":"Kolorektal kanseri olan hastaların ameliyat sonrası klinik yönetiminde fluorine-18 fluorodeoxyglucose pozitron emisyon tomografisi/bilgisayarlı tomografi’nin tanısal önemi","authors":"Alev Çınar, Engin Alagöz, Asli Ayan, Aybüke Uçgun","doi":"10.17944/mkutfd.969726","DOIUrl":"https://doi.org/10.17944/mkutfd.969726","url":null,"abstract":"Amaç: Kolorektal kanser, erken tespitinde cerrahi kür sağlanabilen yaygın bir kanser türüdür. Bu kanser tipinde tedaviye yanıtın erken belirlenmesi yaşam süresini olumlu etkilemektedir. Çalışmamızda kolorektal kanseri olan hastaların, ameliyat sonrasındaki klinik yönetimlerinde F-18 FDG PET/BT’nin tanısal önemini değerlendirmeyi amaçladık. \u0000Gereç ve Yöntem: Haziran 2016 ve Ocak 2020 tarihleri arasında 168 hasta kolorektal kanser yönetimi amacıyla bölümümüze yönlendirilmiştir. Bu hastaların hepsi primer kolon tümörleri için ameliyat edilmişlerdi. Sistemik tedavi öncesinde ve sonrasında tedavi yanıtının değerlendirilmesi amacıyla bazal ve ardışık F-18 FDG PET/BT incelemesi yapılmıştır. F-18 FDG PET/BT taramaları sırasıyla analiz edilmiştir. \u0000Bulgular: Hastalar primer tümör lokalizasyonlarına göre gruplandırıldı. Toplam 168 hastanın 55’inde sağ kolonda, 33’ünde sol kolonda, 14’ünde transvers kolonda, 61’inde rektosigmoid kolonda ve 5’inde çekumda primer tümör saptandı. Lokal rekürrens 57 hastada saptanmış olup 33’ü erkek (%57.9) ve 24’ü (%42.1) kadındı. Lokal rekürrense ait ortalama SUVmaks 8.97±3.42 g/ml olarak saptandı. Ek olarak çıkan kolon grubunda 2 hastada (%1.20) yeni tümöral odak gözlendi. \u0000Sonuç: Kolorektal kanserli hastalarda, yapılabiliyorsa kolon rezeksiyonu tedavide ilk aşamadır. Küratif cerrahi sonrası ilk iki yıl içinde, hastaların yaklaşık %40’ında rekürrens görülebilmektedir. Rekürrensin erken tespiti, hastaların yaşam süresini iyileştirmektedir.","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48679036","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}
S. Ural, F. Gokalp, Sinan Karazi̇ndi̇yanğlu, İ. H. Tör
OBJECTIVE: Our study aimed to investigate changes in patient satisfaction and quality of life according to the anesthesia method applied for transurethral resection of the prostate (TUR-P) due to benign prostatic hypertrophy in geriatric patients with lower urinary system symptoms. METHODS: A total of 60 patients scheduled for TUR-P were included in the study. The patients were divided into two groups as those receiving spinal anesthesia and those receiving general anesthesia. We recorded demographic data and preoperative and perioperative parameters. We evaluated the postoperative quality of life and satisfaction of the patients using the Short Form-36 scale. RESULTS: There was no statistically significant difference between the two groups in terms of demographic data and hemodynamic changes. There was a higher rate of patients who consumed alcohol and smoked in the general anesthesia group (p0.005). The scores in the physical functioning (p
{"title":"Comparison of the effects of general and regional anesthesia applications on postoperative life quality in elderly patients with transurethral prostate resection","authors":"S. Ural, F. Gokalp, Sinan Karazi̇ndi̇yanğlu, İ. H. Tör","doi":"10.17944/mkutfd.1025384","DOIUrl":"https://doi.org/10.17944/mkutfd.1025384","url":null,"abstract":"OBJECTIVE: Our study aimed to investigate changes in patient satisfaction and quality of life according to the anesthesia method applied for transurethral resection of the prostate (TUR-P) due to benign prostatic hypertrophy in geriatric patients with lower urinary system symptoms. \u0000METHODS: A total of 60 patients scheduled for TUR-P were included in the study. The patients were divided into two groups as those receiving spinal anesthesia and those receiving general anesthesia. We recorded demographic data and preoperative and perioperative parameters. We evaluated the postoperative quality of life and satisfaction of the patients using the Short Form-36 scale. \u0000RESULTS: There was no statistically significant difference between the two groups in terms of demographic data and hemodynamic changes. There was a higher rate of patients who consumed alcohol and smoked in the general anesthesia group (p0.005). The scores in the physical functioning (p","PeriodicalId":30746,"journal":{"name":"Mustafa Kemal Universitesi Tip Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67624336","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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