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Alexithymia; an often missed condition prevelant in the practice of nephrology 述情障碍;肾脏病学实践中经常被忽视的一种疾病
Pub Date : 2023-01-20 DOI: 10.38053/acmj.1192825
Ezgi ERSOY YEŞİL, Ö. Pehlivan, Zeki Toprak, A. Surardamar
Aim: Alexithymia is a disorder associated with difficulty in recognizing and expressing feelings, which can lead to an increased susceptibility to disease development that makes alexithymia a possible risk factor for chronic kidney disease (CKD). This study was performed to evaluate for alexithymia in pre-dialysis CKD and end-stage renal disease patients undergoing hemodialysis.Material and Method: The study was conducted in the Nephrology Outpatient Department and Hemodialysis unit of Ümraniye Research and Training Hospital. The patients had to have a diagnosis of CKD. Demographic data form, routine biochemical follow up data of patients, Toronto Alexithymia Scale (TAS), and Hospital Depression and Anxiety Scale (HADS) were used in this study. The statistical significance level was determined as p<0.05.Results: A total of 111 patients (mean age 58.10±13.48 years, 61% female) were included in the study, 83.9% of whom were found to have alexithymia. The incidence of alexithymia in CDK patients was significantly higher than that in the control group (p=0.004); however, no statistically significant difference was detected in its incidence between the hemodialysis and pre-dialysis groups (p>0.05). The results showed that increased incidence of depression resulted in a 4.47-fold (p=0.035) increase in the incidence of alexithymia. Conclusion: Alexithymia has been found to be high in patients with chronic kidney disease. Therefore, it is essential that we be aware of patients’ emotional stress and assess them for depression, anxiety, and alexithymia.
目的:述情障碍是一种与识别和表达情感困难相关的疾病,这可能导致疾病发展的易感性增加,使述情障碍成为慢性肾脏疾病(CKD)的可能危险因素。本研究旨在评估透析前CKD和终末期肾脏疾病接受血液透析患者的述情障碍。材料与方法:研究在Ümraniye研训医院肾内科门诊部和血液透析部进行。患者必须有慢性肾病的诊断。本研究采用人口统计学资料表、患者常规生化随访资料、多伦多述情障碍量表(TAS)、医院抑郁焦虑量表(HADS)。差异有统计学意义(p0.05)。结果显示,抑郁发生率增加导致述情障碍发生率增加4.47倍(p=0.035)。结论:慢性肾病患者述情障碍发生率高。因此,我们有必要了解患者的情绪压力,并评估他们的抑郁、焦虑和述情障碍。
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引用次数: 0
Correlation of the transcutaneous bilirubin and serum bilirubin levels measured before and after phototherapy in newborns: a prospective observational study 新生儿光疗前后经皮胆红素和血清胆红素水平的相关性:一项前瞻性观察研究
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1165736
S. Ekmen, Y. Deniz
Aim: The purpose of the present study was to show the reliability of the transcutaneous bilirubin (TcB) measurement as an alternative method to total serum bilirubin (TSB) when starting treatment with phototherapy (PT), which is one of the most important treatment methods of hyperbilirubinemia as a very common practice in the neonatal period and eliminates the disadvantages of blood collection. Materyal and Method: Two measurements were made to evaluate whether there was a correlation between the total serum bilirubin and transcutaneous bilirubin level measurement for follow-up in newborns who were hospitalized and prospectively followed up in the Newborn Intensive Care Unit of Karabuk University Medical Faculty Training and Research Hospital between April 13 and June 30, 2022 (Level III Neonatal Center) who were scheduled for starting phototherapy. The primary result was the correlation between TcB and TSB at the first 24 hours and after, at the initiation of FT, termination of FT, and 12 hours after PT was discontinued. Results: The TSB and TcB values of the newborns ​​were measured at the beginning of PT, at the end of PT, and 12 hours after PT was ended. The first measurement values ​​were 11.60±5.16 and 10.72±4.02, respectively; the second measurement values ​​were 7.45±2.34 and 6.35±2.83, respectively; and the third measurement values ​​were 8.03±2.45 and 7.35±2.63 mg/dL, respectively. A strong positive correlation was found among all measurement values. Also, when the newborns who received FT for the first 24 hours were evaluated by subgrouping, the high correlation between TcB and TSB levels continued. Conclusion: The present study showed that there is a significant relationship between TcB taken from the covered skin and TSB at the start, end, and 12 hours after PT. Also, when the newborns who received PT for the first 24 hours were evaluated in a subgroup, it was found that TCB measurement predicted the TSB level at a high level before and after PT. Based on these findings, it was concluded that TcB measurement, including in the first 24 hours, is reliable in the follow-up of newborns receiving PT for the treatment of hyperbilirubinemia. However, we think that larger prospective controlled studies are required in this respect.
目的:本研究的目的是显示经皮胆红素(TcB)测量作为总血清胆红素(TSB)的替代方法在开始光疗(PT)治疗时的可靠性,光疗是高胆红素血症的最重要的治疗方法之一,是新生儿时期非常常见的做法,消除了采血的缺点。材料与方法:对2022年4月13日至6月30日(新生儿三级中心)在卡拉布鲁克大学医学院培训与研究医院新生儿重症监护病房住院和前瞻性随访的新生儿进行随访时血清总胆红素与经皮胆红素水平测量是否存在相关性。主要结果是TcB和TSB在前24小时、FT开始后、FT终止时以及PT停止后12小时的相关性。结果:分别在PT开始时、PT结束时和PT结束后12 h测定新生儿TSB和TcB值。第一次测量值分别为11.60±5.16和10.72±4.02;第二次测量值分别为7.45±2.34和6.35±2.83;第三次测量值分别为8.03±2.45和7.35±2.63 mg/dL。各测量值之间呈显著正相关。此外,当对前24小时接受FT治疗的新生儿进行亚分组评估时,TcB和TSB水平之间的高相关性仍在继续。结论:本研究显示,覆盖皮肤的TcB与PT开始、结束和后12小时的TSB有显著的关系。同时,当对接受PT的新生儿进行前24小时的亚组评估时,发现TcB测量可以较高水平地预测PT前后的TSB水平。基于这些发现,我们认为TcB测量,包括前24小时的TcB测量,在新生儿接受PT治疗高胆红素血症的随访中是可靠的。然而,我们认为在这方面需要更大的前瞻性对照研究。
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引用次数: 0
Hypothermia: what are the trends in recent studies? – a bibliometric analysis with global productivity 体温过低:最近的研究趋势是什么?-全球生产力的文献计量分析
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1140398
E. N. Zengin
Aim: Although the number of global studies on hypothermia, which plays an important role in morbidity and mortality in adults and newborns, has increased, there is still no bibliometric research on this subject in the literature. This study, it was aimed to determine trend topics and global productivity by using various statistical analyzes of scientific articles published on hypothermia. Material and Method: Articles on hypothermia published between 1980 and 2021 were downloaded from the Web of Science (WoS) database and analyzed using various statistical and bibliometric methods. Spearman’s correlation coefficient was used for correlation studies. Network visualization maps were used to identify effective studies, global collaborations, and trend topics with citation analyses. Results: Out of a total of 14410 publications, 8157 articles were analyzed. The top 5 contributors to the literature are USA (n=2938, 36%), Japan (737, 9%), UK (641, 7.8%), Germany (576, 7%), and China (544, 6%). was. The first 3 journals that published the most articles were Resuscitation (n=296), Critical Care Medicine (146), Therapeutic Hypothermia, and Temperature Management (135). The top 3 most active institutions were League of European Research Universities (n=448), University of California System (274), and Pennsylvania Commonwealth System of Higher Education (221). The most active author was Marianne Thoresen (n=69). Conclusion: The most studied trend topics in recent years are determined as hypoxic-ischemic encephalopathy, neonatal encephalopathy, out-of-hospital cardiac arrest, neonates, targeted management, therapeutic hypothermia, extracorporeal membrane oxygenation, perioperative hypothermia, emergency medicine, outcome, mortality, and perinatal asphyxia. This study will guide the authors who want to study in this area.
目的:低温在成人和新生儿的发病率和死亡率中起着重要的作用,尽管全球范围内关于低温的研究越来越多,但文献中仍没有关于这一主题的文献计量学研究。本研究旨在通过对发表的有关低温的科学文章进行各种统计分析,确定趋势主题和全球生产力。材料和方法:从Web of Science (WoS)数据库下载1980年至2021年间发表的关于低温症的文章,并使用各种统计和文献计量学方法进行分析。相关研究采用Spearman相关系数。网络可视化地图用于识别有效的研究、全球合作和趋势主题,并进行引文分析。结果:在14410篇文献中,共分析了8157篇。文献贡献最多的5个国家分别是美国(2938,36%)、日本(737,9%)、英国(641,7.8%)、德国(576,7%)和中国(544,6%)。是什么。发表文章最多的前3种期刊是《复苏》(n=296)、《重症监护医学》(146)、《低温治疗》和《温度管理》(135)。最活跃的前三所大学是欧洲研究型大学联盟(448所)、加州大学系统(274所)和宾夕法尼亚联邦高等教育系统(221所)。最活跃的作者是Marianne Thoresen (n=69)。结论:近年来研究最多的趋势主题是缺氧缺血性脑病、新生儿脑病、院外心脏骤停、新生儿、针对性管理、治疗性低温、体外膜氧合、围手术期低温、急诊医学、转归、死亡率和围产期窒息。本研究将对想要在这一领域进行研究的作者起到指导作用。
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引用次数: 0
Increased QT dispersion and related factors in patients with systemic sclerosis 系统性硬化症患者QT离散度升高及其相关因素
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1132856
Ö. Soysal Gündüz, Kezban Armagan
Introduction: Cardiac arrhythmias and sudden death may occur as a result of ventricular myocardial fibrosis or ischemia in patients with systemic sclerosis (SSc). QT prolongation and QT dispersion, which facilitate the development of ventricular fibrillation, are important cardiac problems associated with increased mortality. In this study, we aimed to investigate the prevalence of corrected QT dispersion (cQTD) and related factors in our patients with systemic sclerosis compared to healthy controls. Material and Method: The 12-lead electrocardiograms with a rate of 25 mm/s of patients with no previous history of cardiovascular disease and controls were analyzed. cQTD was defined as the difference between the maximum QT interval and the minimum QT interval. Nailfold capillaroscopy examination was performed. Disease activity was evaluated using revised European Scleroderma Study Group activity index. Results: Forty-nine SSc patients (45 females, mean age 53.26±10.63 years, and disease duration 8.0 (1-25) years) and 41 controls (37 females, mean age 49.29±8.02 years) were included. While the frequency of smoking was significantly higher in controls (p=0.025), erythrocyte sedimentation rate was higher in patients (p
导读:系统性硬化症(SSc)患者室性心肌纤维化或缺血可能导致心律失常和猝死。QT间期延长和QT离散度可促进室性颤动的发生,是与死亡率增加相关的重要心脏问题。在这项研究中,我们的目的是调查系统性硬化症患者与健康对照者相比校正QT离散度(cQTD)的患病率及相关因素。材料与方法:分析无心血管病史患者和对照组的12导联心电图,心电图速率为25mm /s。cQTD定义为最大QT间期与最小QT间期之差。行甲襞毛细血管镜检查。采用修订后的欧洲硬皮病研究组活动指数评估疾病活动性。结果:纳入SSc患者49例(女性45例,平均年龄53.26±10.63岁,病程8.0(1 ~ 25)年),对照组41例(女性37例,平均年龄49.29±8.02岁)。对照组吸烟频率明显高于对照组(p=0.025),而患者的红细胞沉降率明显高于对照组(p=0.025)
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引用次数: 0
Erythromycin resistance in Group A Beta-hemolytic streptococci A组溶血链球菌对红霉素的耐药性
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1166370
P. Balcı
Aim: Streptococcus pyogenes (Group A Beta-hemolytic streptococci, GABHS) is one of the important bacterial pathogens in clinical microbiology. It often causes upper respiratory tract infections such as tonsillitis, pharyngitis, and laryngitis. It also leads to complications such as acute rheumatic fever and post-streptococcal glomerulonephritis. Early diagnosis and treatment of these bacterial infections will prevent suppurative and non-suppurative complications, the transmission of infection to other people, and chronic carriage. Today, the treatment of streptococcal infections relies entirely on chemotherapy. Beta hemolytic group A streptococci and generally other beta-hemolytic streptococci in groups B (GBBHS), C, and G are generally sensitive to many chemotherapeutics, especially Penicillin and Erythromycin. In patients with penicillin allergy, erythromycin, amoxicillin-clavulanate, or oral cephalosporins are used instead of penicillin. However, it has recently been understood that there are strains resistant to Erythromycin in GABHS and are increasing. In this study, the situation in our region of Erythromycin resistance, which is used as an alternative for people allergic to Penicillin in the treatment of streptococcal infections, was investigated. Material and Method: In our study, throat swab samples were taken from 150 pharyngitis patients and 94 GABHS were obtained by applying the Bacitracin-SXT test with the culture method, and antibiotic susceptibility tests were performed on these 94 GABHS by Kirby-Bauer agar disc diffusion method. Result: GABHS was found susceptible to Bacitracin and resistant to SXT. GBBHS is resistant to Bacitracin and SXT. other beta-hemolytic streptococci were resistant to Bacitracin and susceptible to SXT. Conclusion: In this study, Erythromycin’s resistance was found to be 19.1%. it is observed that Erythromycin resistance has increased over the years when compared to previous studies. Erythromycin should not be used empirically in treatment. An antibiotic susceptibility test should be performed and the antibiotic should be selected according to the results of the antibiogram test.
目的:化脓性链球菌(A群β溶血性链球菌,GABHS)是临床微生物学中重要的致病菌之一。它经常引起上呼吸道感染,如扁桃体炎、咽炎和喉炎。它也会导致并发症,如急性风湿热和链球菌感染后肾小球肾炎。这些细菌感染的早期诊断和治疗将防止化脓性和非化脓性并发症、感染传播给他人和慢性携带。今天,链球菌感染的治疗完全依靠化疗。溶血性A组链球菌和一般其他溶血性B组链球菌(GBBHS)、C组和G组链球菌一般对许多化疗药物敏感,尤其是青霉素和红霉素。对青霉素过敏的患者,可使用红霉素、阿莫西林-克拉维酸酯或口服头孢菌素代替青霉素。然而,最近已经了解到,在GABHS中有对红霉素耐药的菌株,并且正在增加。本研究对我国地区红霉素耐药情况进行了调查,红霉素是青霉素过敏人群治疗链球菌感染的替代药物。材料与方法:本研究采集150例咽炎患者咽拭子标本,采用培养法杆菌肽- sxt试验获得94株GABHS,并采用Kirby-Bauer琼脂盘扩散法对94株GABHS进行药敏试验。结果:GABHS对杆菌肽敏感,对SXT耐药。GBBHS对杆菌肽和SXT具有抗性。其他溶血链球菌对杆菌肽耐药,对SXT敏感。结论:本研究发现红霉素耐药率为19.1%。观察到,与以前的研究相比,红霉素耐药性多年来有所增加。红霉素不应作为经验性用药。应进行抗生素敏感性试验,并根据抗生素谱试验结果选择抗生素。
{"title":"Erythromycin resistance in Group A Beta-hemolytic streptococci","authors":"P. Balcı","doi":"10.38053/acmj.1166370","DOIUrl":"https://doi.org/10.38053/acmj.1166370","url":null,"abstract":"Aim: Streptococcus pyogenes (Group A Beta-hemolytic streptococci, GABHS) is one of the important bacterial pathogens in clinical microbiology. It often causes upper respiratory tract infections such as tonsillitis, pharyngitis, and laryngitis. It also leads to complications such as acute rheumatic fever and post-streptococcal glomerulonephritis. Early diagnosis and treatment of these bacterial infections will prevent suppurative and non-suppurative complications, the transmission of infection to other people, and chronic carriage. Today, the treatment of streptococcal infections relies entirely on chemotherapy. Beta hemolytic group A streptococci and generally other beta-hemolytic streptococci in groups B (GBBHS), C, and G are generally sensitive to many chemotherapeutics, especially Penicillin and Erythromycin. In patients with penicillin allergy, erythromycin, amoxicillin-clavulanate, or oral cephalosporins are used instead of penicillin. However, it has recently been understood that there are strains resistant to Erythromycin in GABHS and are increasing. In this study, the situation in our region of Erythromycin resistance, which is used as an alternative for people allergic to Penicillin in the treatment of streptococcal infections, was investigated. \u0000Material and Method: In our study, throat swab samples were taken from 150 pharyngitis patients and 94 GABHS were obtained by applying the Bacitracin-SXT test with the culture method, and antibiotic susceptibility tests were performed on these 94 GABHS by Kirby-Bauer agar disc diffusion method. \u0000Result: GABHS was found susceptible to Bacitracin and resistant to SXT. GBBHS is resistant to Bacitracin and SXT. other beta-hemolytic streptococci were resistant to Bacitracin and susceptible to SXT. \u0000Conclusion: In this study, Erythromycin’s resistance was found to be 19.1%. it is observed that Erythromycin resistance has increased over the years when compared to previous studies. Erythromycin should not be used empirically in treatment. An antibiotic susceptibility test should be performed and the antibiotic should be selected according to the results of the antibiogram test.","PeriodicalId":307693,"journal":{"name":"Anatolian Current Medical Journal","volume":"22 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120991846","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}
引用次数: 0
Can near infrared spectroscopy predict stroke in coronary artery by-pass graft? 近红外光谱能预测冠状动脉旁路移植术中的中风吗?
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1140522
S. Ketenciler, H. Gemalmaz, Y. Gültekin
Aim: Central nervous system may be affected after coronary artery by-pass graft (CABG) and carotid artery stenosis is an important risk factor. Near infrared spectroscopy (NIRS) is used to measure the regional cerebral oxygen concentration (rScO2). The aim of this study is to determine the relationship of rScO2 in patients with carotid artery lesion and to determine the relation of stroke with rScO2 changes. Material and Method: The patients who had cardiac bypass surgery were involved in the study. Demographic characteristics and presence of carotid artery stenosis, were collected from the files. Bilateral rSO2 measurements performed by 2 sensors. RScO2 values are detected in 5 minutes of cross-clamp (XCL5), XCL30, XCL60, XCL90, XCL120 and after the by-pass. Results: 57 patients were involved in the study (40 male and mean age 62.54±13.08). 17 (29%) patients had carotid stenosis. rScO2 levels are statistically significantly decreased in the patients with stenosis after post-clamp 30 minutes. Three patients had stroke after surgery (5.2%). Two of the patients had carotid stenosis while one patient did not have. Conclusion: RScO2 decreased in carotid artery stenosis irrespective of the degree of the stenosis after 30 minutes of cross-clamp. Cerebral perfusion follow-up is important during the CPB and NIRS is a method that can be used for this purpose.
目的:冠状动脉旁路移植术(CABG)后中枢神经系统可能受到影响,颈动脉狭窄是其重要的危险因素。采用近红外光谱(NIRS)测量脑区脑氧浓度(rScO2)。本研究的目的是确定颈动脉病变患者rScO2的关系,并确定卒中与rScO2变化的关系。材料与方法:研究对象为行心脏搭桥手术的患者。从档案中收集人口统计学特征和颈动脉狭窄的存在情况。双侧二氧化硫测量由2个传感器完成。在交叉夹紧(XCL5)、XCL30、XCL60、XCL90、XCL120和旁路后5分钟检测RScO2值。结果:共纳入57例患者,其中男性40例,平均年龄62.54±13.08岁。17例(29%)患者有颈动脉狭窄。狭窄患者钳夹后30分钟rScO2水平有统计学意义降低。术后发生脑卒中3例(5.2%)。两名患者有颈动脉狭窄,一名患者没有。结论:无论狭窄程度如何,颈动脉交叉夹持30分钟后RScO2均降低。在CPB过程中,脑灌注随访是重要的,近红外光谱是一种可用于此目的的方法。
{"title":"Can near infrared spectroscopy predict stroke in coronary artery by-pass graft?","authors":"S. Ketenciler, H. Gemalmaz, Y. Gültekin","doi":"10.38053/acmj.1140522","DOIUrl":"https://doi.org/10.38053/acmj.1140522","url":null,"abstract":"Aim: Central nervous system may be affected after coronary artery by-pass graft (CABG) and carotid artery stenosis is an important risk factor. Near infrared spectroscopy (NIRS) is used to measure the regional cerebral oxygen concentration (rScO2). The aim of this study is to determine the relationship of rScO2 in patients with carotid artery lesion and to determine the relation of stroke with rScO2 changes. \u0000Material and Method: The patients who had cardiac bypass surgery were involved in the study. Demographic characteristics and presence of carotid artery stenosis, were collected from the files. Bilateral rSO2 measurements performed by 2 sensors. RScO2 values are detected in 5 minutes of cross-clamp (XCL5), XCL30, XCL60, XCL90, XCL120 and after the by-pass. \u0000Results: 57 patients were involved in the study (40 male and mean age 62.54±13.08). 17 (29%) patients had carotid stenosis. rScO2 levels are statistically significantly decreased in the patients with stenosis after post-clamp 30 minutes. Three patients had stroke after surgery (5.2%). Two of the patients had carotid stenosis while one patient did not have. \u0000Conclusion: RScO2 decreased in carotid artery stenosis irrespective of the degree of the stenosis after 30 minutes of cross-clamp. Cerebral perfusion follow-up is important during the CPB and NIRS is a method that can be used for this purpose.","PeriodicalId":307693,"journal":{"name":"Anatolian Current Medical Journal","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131453285","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}
引用次数: 0
The effect of polycystic ovary syndrome on intracytoplasmic sperm injection results in patients with endometriosis 多囊卵巢综合征对子宫内膜异位症患者胞浆内单精子注射结果的影响
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1153597
M. Ağar, N. Gürkan, T. Gürbüz
Aim: In this study, the fertility rate of women with polycystic ovary syndrome (PCOS) and endometriosis was compared with the control group, which included women with normoresponder (NR) endometriosis. Material and Method: This is a retrospective study with control in infertile women aged 25-40, suffering from PCOS and endometriosis, referred to the infertility clinic of Medistate Hospital between September 2018- December 2020. The pregnancy outcomes of age-matched participants were compared. Results: Results did not show a statistically significant association between case and control regarding age and body mass index (BMI) (p>0.05). There was a statistically significant difference between groups regarding anti-mullerian hormone (AMH) (p0.05). Conclusion: Women with PCOS and endometriosis did not show a significant difference in terms of pregnancy outcome compared to women with NR women with endometriosis.
目的:本研究比较多囊卵巢综合征(PCOS)合并子宫内膜异位症患者与正常反应性(NR)子宫内膜异位症患者的生育率。材料和方法:这是一项回顾性研究,对照组为25-40岁,患有多囊卵巢综合征和子宫内膜异位症的不孕女性,于2018年9月至2020年12月在Medistate医院不孕诊所就诊。比较了年龄匹配参与者的妊娠结局。结果:在年龄和身体质量指数(BMI)方面,病例与对照组无统计学意义相关(p>0.05)。抗苗勒管激素(AMH)组间比较差异有统计学意义(p0.05)。结论:PCOS合并子宫内膜异位症患者的妊娠结局与NR合并子宫内膜异位症患者的妊娠结局无显著差异。
{"title":"The effect of polycystic ovary syndrome on intracytoplasmic sperm injection results in patients with endometriosis","authors":"M. Ağar, N. Gürkan, T. Gürbüz","doi":"10.38053/acmj.1153597","DOIUrl":"https://doi.org/10.38053/acmj.1153597","url":null,"abstract":"Aim: In this study, the fertility rate of women with polycystic ovary syndrome (PCOS) and endometriosis was compared with the control group, which included women with normoresponder (NR) endometriosis. \u0000Material and Method: This is a retrospective study with control in infertile women aged 25-40, suffering from PCOS and endometriosis, referred to the infertility clinic of Medistate Hospital between September 2018- December 2020. The pregnancy outcomes of age-matched participants were compared. \u0000Results: Results did not show a statistically significant association between case and control regarding age and body mass index (BMI) (p>0.05). There was a statistically significant difference between groups regarding anti-mullerian hormone (AMH) (p0.05). \u0000Conclusion: Women with PCOS and endometriosis did not show a significant difference in terms of pregnancy outcome compared to women with NR women with endometriosis.","PeriodicalId":307693,"journal":{"name":"Anatolian Current Medical Journal","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128512762","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}
引用次数: 0
The effect of COVID-19 infection on anti mullerian hormone COVID-19感染对抗苗勒管激素的影响
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1167530
Asena Ayar Madenli, N. Gürkan, Şebnem Alanya Tosun
Aim: The possible impact of COVID-19 infection on female reproductive system is a controversial issue. The aim of this study was to investigate the effect of COVID-19 infection on anti mullerian hormone (AMH) as a predictor of ovarian response to ovarian stimulation. Material and Method: This prospective study was conducted at a university-affiliated tertiary medical center between June 2021–February 2022. The study population included 79 reproductive-aged women (22-34 years) with COVID-19 infection. Blood samples were collected for AMH levels before COVID-19 infection and after three months of COVID-19 disease. Results: The mean age of the study group was 28.11±3.49 years. Estradiol and Luteinizing Hormone (LH) was found to be lower after three months of COVID-19 disease (p
目的:新型冠状病毒感染对女性生殖系统的影响是一个有争议的问题。本研究的目的是研究COVID-19感染对抗苗勒管激素(AMH)的影响,该激素是卵巢对卵巢刺激反应的预测因子。材料和方法:本前瞻性研究于2021年6月至2022年2月在一所大学附属三级医疗中心进行。研究人群包括79名感染COVID-19的育龄妇女(22-34岁)。在COVID-19感染前和COVID-19疾病三个月后采集血液样本检测AMH水平。结果:研究组患者平均年龄28.11±3.49岁。在COVID-19疾病三个月后,发现雌二醇和黄体生成素(LH)较低(p
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引用次数: 0
The relationship between ulcerative colitis activity and vitamin D, mean platelet volume and platelet distribution width 溃疡性结肠炎活性与维生素D、平均血小板体积和血小板分布宽度的关系
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1147986
M. Kaya, A. Yıldız
Aim: In our study, we aimed to show the relationship between ulcerative colitis activity and vitamin D, platelet distribution width, and mean platelet volume. Material and Method: Our study was conducted at the Internal Medicine Clinic. We planned to cross-sectionally investigate the severity of ulcerative colitis activity, vitamin D level, mean platelet volume, platelet distribution width and other laboratory parameters of patients admitted to the hospital. The Truelove and Witts’ severity index was used to determine ulcerative colitis activity. In accordance with the guidelines, serum 25-OH vitamin D levels of >30 ng/ml were considered as sufficient vitamin D, 20-30 ng/ml as vitamin D insufficiency,
目的:在我们的研究中,我们旨在显示溃疡性结肠炎活性与维生素D、血小板分布宽度和平均血小板体积的关系。材料与方法:本研究在内科门诊进行。我们拟对入院患者溃疡性结肠炎活动严重程度、维生素D水平、平均血小板体积、血小板分布宽度等实验室参数进行横断面调查。使用Truelove和Witts严重程度指数来确定溃疡性结肠炎的活动。根据指南,血清25-OH维生素D水平>30 ng/ml被视为维生素D充足,20-30 ng/ml被视为维生素D不足,
{"title":"The relationship between ulcerative colitis activity and vitamin D, mean platelet volume and platelet distribution width","authors":"M. Kaya, A. Yıldız","doi":"10.38053/acmj.1147986","DOIUrl":"https://doi.org/10.38053/acmj.1147986","url":null,"abstract":"Aim: In our study, we aimed to show the relationship between ulcerative colitis activity and vitamin D, platelet distribution width, and mean platelet volume. \u0000Material and Method: Our study was conducted at the Internal Medicine Clinic. We planned to cross-sectionally investigate the severity of ulcerative colitis activity, vitamin D level, mean platelet volume, platelet distribution width and other laboratory parameters of patients admitted to the hospital. The Truelove and Witts’ severity index was used to determine ulcerative colitis activity. In accordance with the guidelines, serum 25-OH vitamin D levels of >30 ng/ml were considered as sufficient vitamin D, 20-30 ng/ml as vitamin D insufficiency,","PeriodicalId":307693,"journal":{"name":"Anatolian Current Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125364864","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}
引用次数: 0
The effect of body satisfaction on female sexual life after bariatric surgery: a follow-up study 减肥手术后身体满意度对女性性生活的影响:一项随访研究
Pub Date : 2022-10-22 DOI: 10.38053/acmj.1164283
Merve ŞAHİN CAN, F. Cay
Aim: Discomfort with body shape is common among individuals with obesity and has effects on their sexual life. We aimed to investigate the effects of bariatric surgery on the body satisfaction and sexual life of women in this study. Material and Method: The study consisted of 63 female patients who were aged between 20 and 55. Pre-operative psychiatric evaluations of the candidates were conducted and Hamilton Anxiety Scale , Hamilton Depression Scale, Arizona Sexual Experiences Questionnaire and Body Shape Questionnaire were used. Psychiatric evaluations of the patients were re-evaluated in the first year after surgery. Results: The mean age was 35.4±8.6 years. While 87.3% of the participants had moderate-severe anxiety about the appearance of their bodies before the operation, 57.1% described problems in their sexual life. After the operation, 63.5% of the participants stated that they did not have any concerns about their body appearance, and 73% stated that they did not have any problems in their sexual life. The BSQ-34 scale score was found to be higher in those with an Arizona score of 11 and above before the operation (p=0.045; p
目的:体型不适在肥胖人群中很常见,并对他们的性生活产生影响。本研究旨在探讨减肥手术对女性身体满意度和性生活的影响。材料与方法:研究对象为年龄在20 ~ 55岁的女性患者63例。采用汉密尔顿焦虑量表、汉密尔顿抑郁量表、亚利桑那性经历问卷和体型问卷对患者进行术前精神状态评估。患者的精神病学评估在手术后的第一年重新评估。结果:患者平均年龄35.4±8.6岁。虽然87.3%的参与者在手术前对自己的身体外观有中度至重度的焦虑,但57.1%的人描述了他们性生活中的问题。手术后,63.5%的参与者表示他们对自己的外表没有任何担忧,73%的人表示他们在性生活中没有任何问题。术前亚利桑那评分在11分及以上的患者BSQ-34量表得分较高(p=0.045;p
{"title":"The effect of body satisfaction on female sexual life after bariatric surgery: a follow-up study","authors":"Merve ŞAHİN CAN, F. Cay","doi":"10.38053/acmj.1164283","DOIUrl":"https://doi.org/10.38053/acmj.1164283","url":null,"abstract":"Aim: Discomfort with body shape is common among individuals with obesity and has effects on their sexual life. We aimed to investigate the effects of bariatric surgery on the body satisfaction and sexual life of women in this study. \u0000Material and Method: The study consisted of 63 female patients who were aged between 20 and 55. Pre-operative psychiatric evaluations of the candidates were conducted and Hamilton Anxiety Scale , Hamilton Depression Scale, Arizona Sexual Experiences Questionnaire and Body Shape Questionnaire were used. Psychiatric evaluations of the patients were re-evaluated in the first year after surgery. \u0000Results: The mean age was 35.4±8.6 years. While 87.3% of the participants had moderate-severe anxiety about the appearance of their bodies before the operation, 57.1% described problems in their sexual life. After the operation, 63.5% of the participants stated that they did not have any concerns about their body appearance, and 73% stated that they did not have any problems in their sexual life. The BSQ-34 scale score was found to be higher in those with an Arizona score of 11 and above before the operation (p=0.045; p","PeriodicalId":307693,"journal":{"name":"Anatolian Current Medical Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129934283","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}
引用次数: 0
期刊
Anatolian Current Medical Journal
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