Aim: Postpartum is one of the most critical processes in women. Many changes occur in the female body during this process. Exercise is the easiest method to manage these changes. Our study aimed to understand how postpartum depression, sleep quality, and functional levels affect women who perform pilates exercises. Material and Methods: In this randomized controlled study, 57 postpartum volunteer women between six weeks and six months, aged 25-38, with a single baby, were randomly included in 28 pilates and 29 control groups. The pilates group was given pilates exercises for one hour a day, two days a week for 12 weeks, by a physical therapist. The control group was given a home program consisting of relaxation and breathing exercises. Before and after the study, depression was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), sleep quality, the Postpartum Sleep Quality Scale (PSQS), and postnatal functional levels, the Inventory of Functional Status After Childbirth (IFSAC) was evaluated using the questionnaire form-filling method. Results: EPDS (8.71±1.42 versus 7.06±1.21, p=0.001), PSQS (25.69±3.40 versus 22.91±3.04, p=0.001), IFSAC (2.47±0.41 versus 2.93±0.21, p=0.001) scores statistically significant improvements were observed in pilates group. While the control group did not show a significant difference in depression levels (8.85±1.50 versus 8.95±1.23, p=0.479), statistically worsening of sleep quality (26.17±3.41 versus 27.59±2.94, p=0.009) and postpartum functional level parameters were observed (2.65±0.42 versus 2.48±0.46, p=0.016). Conclusion: The results showed that 12-week pilates exercises applied during the postpartum period could improve postpartum women’s functional levels, depression levels, and sleep quality.
{"title":"Effects of Pilates Exercises to Depression and Sleep Quality on the Postpartum Period: A Randomized Controlled Study","authors":"H. I. Bulguroglu, Merve Bulguroglu, Cansu Gevrek","doi":"10.29058/mjwbs.1248606","DOIUrl":"https://doi.org/10.29058/mjwbs.1248606","url":null,"abstract":"Aim: Postpartum is one of the most critical processes in women. Many changes occur in the female \u0000body during this process. Exercise is the easiest method to manage these changes. Our study aimed to \u0000understand how postpartum depression, sleep quality, and functional levels affect women who perform \u0000pilates exercises. \u0000Material and Methods: In this randomized controlled study, 57 postpartum volunteer women between \u0000six weeks and six months, aged 25-38, with a single baby, were randomly included in 28 pilates and 29 \u0000control groups. The pilates group was given pilates exercises for one hour a day, two days a week for \u000012 weeks, by a physical therapist. The control group was given a home program consisting of relaxation \u0000and breathing exercises. Before and after the study, depression was evaluated using the Edinburgh \u0000Postpartum Depression Scale (EPDS), sleep quality, the Postpartum Sleep Quality Scale (PSQS), and \u0000postnatal functional levels, the Inventory of Functional Status After Childbirth (IFSAC) was evaluated \u0000using the questionnaire form-filling method. \u0000Results: EPDS (8.71±1.42 versus 7.06±1.21, p=0.001), PSQS (25.69±3.40 versus 22.91±3.04, \u0000p=0.001), IFSAC (2.47±0.41 versus 2.93±0.21, p=0.001) scores statistically significant improvements \u0000were observed in pilates group. While the control group did not show a significant difference in \u0000depression levels (8.85±1.50 versus 8.95±1.23, p=0.479), statistically worsening of sleep quality \u0000(26.17±3.41 versus 27.59±2.94, p=0.009) and postpartum functional level parameters were observed \u0000(2.65±0.42 versus 2.48±0.46, p=0.016). \u0000Conclusion: The results showed that 12-week pilates exercises applied during the postpartum period \u0000could improve postpartum women’s functional levels, depression levels, and sleep quality.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115374142","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}
Pilomatricoma is a benign skin tumor, which is generally spotted in neck region along with the head. Isolated lesions are the usual detected. Malignant transformations are considered as seldom occurrences. A 17-year-old boy with a pilomatricoma on his left arm was presented as our case in this study. On ultrasonography, the hypoechoic solid lesion with calcification spots defined 15x8 mm sized, well-defined margins localized in the subcutaneous fatty tissue. Definitive diagnosis is made by histopathology. From histopathological point of view, shadow or ghost cells are characteristic. Pilomatricoma should be taken into consideration in the differential diagnosis of superficial or subcutaneous, painless masses of head, neck and extremities. Surgical excision is curative and the recurrent rate is low
{"title":"Üst Ekstremite Yerleşimli Pilomatrikoma: Olgu Sunumu","authors":"Yusuf Doruk Bi̇lgi̇li̇, Gülden TAŞOVA YILMAZ","doi":"10.29058/mjwbs.1243354","DOIUrl":"https://doi.org/10.29058/mjwbs.1243354","url":null,"abstract":"Pilomatricoma is a benign skin tumor, which is generally spotted in neck region along with the head. \u0000Isolated lesions are the usual detected. Malignant transformations are considered as seldom occurrences. \u0000A 17-year-old boy with a pilomatricoma on his left arm was presented as our case in this study. On \u0000ultrasonography, the hypoechoic solid lesion with calcification spots defined 15x8 mm sized, well-defined \u0000margins localized in the subcutaneous fatty tissue. Definitive diagnosis is made by histopathology. From \u0000histopathological point of view, shadow or ghost cells are characteristic. Pilomatricoma should be taken \u0000into consideration in the differential diagnosis of superficial or subcutaneous, painless masses of head, \u0000neck and extremities. Surgical excision is curative and the recurrent rate is low","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129778285","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}
Dyke-Davidoff-Masson sendromu (DDMS) ilk kez 1933 yılında Dyke, Davidoff ve Masson tarafından tanımlanan, sıklıkla çocukluk döneminde ortaya çıkan, nöbet, hemipleji/ hemiparezi, zihinsel yetersizlik, serebral hemiatrofi, fasiyal asimetri, kalvaryal kalınlaşma, frontal sinüslerin hiperpnömatizasyonuyla karakterize nadir görülen bir sendromdur. Bu vakada, fokal epilepsi ve hemiparezi tanısı ile izlenen, eşlik eden fasiyal asimetri, zihinsel yetersizlik ve kraniyal görüntülemesinde DDMS ile uyumlu bulguları olan 15 yaşında bir kız hasta sunularak serebral hemiatrofi ayırıcı tanısında DDMS düşünülmesi gerektiği vurgulanmak istenmiştir. DDMS’nin tedavisi semptomatiktir ve tedavi epileptik nöbetler, hemiparezi veya hemipleji ve öğrenme güçlüğü gibi sorunlara yönelik olmalıdır. Sonuç olarak, epilepsi tanısı ile izlenen hastaların nörolojik muayenesinde fasial asimetri ve hemiparezi saptanması durumunda mutlaka kranyal MRG yapılmalı ve görüntülemede serebral hemiatrofi, kafatası kemiklerinde kalınlaşma gibi bulguların eşlik etmesi durumunda DDMS de aklımıza gelmeli ve diğer serebral hemiatrofi yapan nedenlerle ayırıcı tanı yapılmalıdır.
{"title":"Nadir Görülen Bir Vaka: Dyke-Davidoff-Masson Sendromu","authors":"Öznur ADIGÜZEL AKMAN, Ayşe Doğru, Ayşegül Kartal","doi":"10.29058/mjwbs.1136494","DOIUrl":"https://doi.org/10.29058/mjwbs.1136494","url":null,"abstract":"Dyke-Davidoff-Masson sendromu (DDMS) ilk kez 1933 yılında Dyke, Davidoff ve Masson tarafından \u0000tanımlanan, sıklıkla çocukluk döneminde ortaya çıkan, nöbet, hemipleji/ hemiparezi, zihinsel yetersizlik, \u0000serebral hemiatrofi, fasiyal asimetri, kalvaryal kalınlaşma, frontal sinüslerin hiperpnömatizasyonuyla \u0000karakterize nadir görülen bir sendromdur. Bu vakada, fokal epilepsi ve hemiparezi tanısı ile izlenen, eşlik \u0000eden fasiyal asimetri, zihinsel yetersizlik ve kraniyal görüntülemesinde DDMS ile uyumlu bulguları olan \u000015 yaşında bir kız hasta sunularak serebral hemiatrofi ayırıcı tanısında DDMS düşünülmesi gerektiği \u0000vurgulanmak istenmiştir. DDMS’nin tedavisi semptomatiktir ve tedavi epileptik nöbetler, hemiparezi \u0000veya hemipleji ve öğrenme güçlüğü gibi sorunlara yönelik olmalıdır. Sonuç olarak, epilepsi tanısı ile \u0000izlenen hastaların nörolojik muayenesinde fasial asimetri ve hemiparezi saptanması durumunda \u0000mutlaka kranyal MRG yapılmalı ve görüntülemede serebral hemiatrofi, kafatası kemiklerinde kalınlaşma \u0000gibi bulguların eşlik etmesi durumunda DDMS de aklımıza gelmeli ve diğer serebral hemiatrofi yapan \u0000nedenlerle ayırıcı tanı yapılmalıdır.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124920727","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}
E. Özdemir, Ozan Altun, Yılmaz Ergişi, Uygar Daşar, Muhammed Nadir Yalçin
Aim: Regional obesity around the wrist due to local excessive fat or local swelling due to edema has not been studied as a risk factor to predict the possibility of reduction loss during conservative treatment of distal radius fractures. We aimed to investigate the impact of wrist circumference on reduction loss risk in conservatively treated distal radius fractures. Material and Methods: Patients with distal radius fractures who were conservatively in our institution between January 2021 and December 2021 are retrospectively reviewed. Patients’ demographics, wrist circumference, radiographic parameters were obtained from hospital registry notes. Wrist circumference was measured with an unstretchable tape positioned on a line passing from lister tubercle of the distal radius and distal ulna. The difference in the wrist circumferences between the injured and uninjured extremities represented local swelling. The association of these factors with reduction loss was evaluated. Results: A total of 73 consecutive patients (19 male, 54 female) with a mean age of 61.1 ± 12.9 were included. There were 18 reduction losses. There was no association with reduction loss between injured and uninjured wrist circumferences (p>0.05). However, local swelling, initial displacement at dorsal angulation and radial inclination, presence of dorsal comminution, and accompanying ulnar styloid fracture were associated with reduction loss (p<0.05). Local swelling had an odd ratio of 6.661 (1.848 – 24.006, p= 0.004). Conclusion: Excessive local swelling is found to be a risk factor to predict reduction loss in conservative treatment of distal radius fractures while regional obesity is not.
{"title":"The Role of Wrist Circumference (Regional Obesity Versus Local Swelling) in Conservatively Treated Distal Radius Fractures: A Single Center Experience","authors":"E. Özdemir, Ozan Altun, Yılmaz Ergişi, Uygar Daşar, Muhammed Nadir Yalçin","doi":"10.29058/mjwbs.1232968","DOIUrl":"https://doi.org/10.29058/mjwbs.1232968","url":null,"abstract":"Aim: Regional obesity around the wrist due to local excessive fat or local swelling due to edema has not\u0000been studied as a risk factor to predict the possibility of reduction loss during conservative treatment of\u0000distal radius fractures. We aimed to investigate the impact of wrist circumference on reduction loss risk\u0000in conservatively treated distal radius fractures.\u0000Material and Methods: Patients with distal radius fractures who were conservatively in our institution\u0000between January 2021 and December 2021 are retrospectively reviewed. Patients’ demographics, wrist\u0000circumference, radiographic parameters were obtained from hospital registry notes. Wrist circumference\u0000was measured with an unstretchable tape positioned on a line passing from lister tubercle of the distal\u0000radius and distal ulna. The difference in the wrist circumferences between the injured and uninjured\u0000extremities represented local swelling. The association of these factors with reduction loss was\u0000evaluated.\u0000Results: A total of 73 consecutive patients (19 male, 54 female) with a mean age of 61.1 ± 12.9 were\u0000included. There were 18 reduction losses. There was no association with reduction loss between injured\u0000and uninjured wrist circumferences (p>0.05). However, local swelling, initial displacement at dorsal\u0000angulation and radial inclination, presence of dorsal comminution, and accompanying ulnar styloid\u0000fracture were associated with reduction loss (p<0.05). Local swelling had an odd ratio of 6.661 (1.848\u0000– 24.006, p= 0.004).\u0000Conclusion: Excessive local swelling is found to be a risk factor to predict reduction loss in conservative\u0000treatment of distal radius fractures while regional obesity is not.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127798560","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}
Ayşegül TOMRUK ERDEM, Ahmet Hazar Büyükakpinar, Kübra Özaydin, Semih Erol, Enes Karataş, Sinem Edi̇nç, Zeynep Aşik, İlayda Başoğlu, Zeynep Kuru, Veli Mert Büyükdumlu, Ece Tuna, Kadriye Tabak, Ayşen Alay, Farice Beyza Demi̇rel
Amaç: Çalışmada amacımız COVID-19 pandemisi sırasında tıp fakültesinde öğrenim gören öğrencilerde sigara tüketimini etkileyen faktörleri ve bunun COVID-19 korkusu ile ilişkisini belirlemektir. Gereç ve Yöntemler: Çalışma kesitsel ve tanımlayıcı tipte dizayn edilmiş olup, çalışmaya Zonguldak Bülent Ecevit Üniversitesi Tıp Fakültesinde öğrenim gören 293 öğrenci katıldı. Öğrencilere hazırlanan anketler elektronik ortamda iletildi, çalışmaya gönüllü olanlar katıldı. Anket formunda öğrencilerin sosyodemografik özellikleri, sigara alışkanlıkları sorgulandı, Fagerström nikotin bağımlılık testi ve COVID-19 Korku Ölçeği kullanıldı. Bulgular: Çalışmaya dahil olan öğrencilerin %70.6’sı kadın idi. Yaş ortalaması 21.38±04 saptandı. Halen sigara içen katılımcı oranı %17.7 (n=52) idi. Daha önce hiç sigara içmemiş katılımcıların %7.1’inin (n=15) pandemi sırasında sigaraya başlamayı düşündüğü öğrenildi. Sigarayı bırakmış katılımcıların %64.5’i (n=20) pandemi sırasında bu kararı almıştı. Sigarayı bırakanların %54.5’i (n=12) mevcut sağlık sorunları ve hastalanma kaygısı nedeniyle sigara içmeyi bırakmış ve %74.2’si (n=23) tekrar sigara içmeyi düşünmemekteydi. Sigara içmeye devam eden ve düşük bağımlılık düzeyine sahip katılımcı oranı %69.2 (n=36) idi. Pandemi sırasında sigara içen katılımcıların %38.4’ünde (n=20) tüketim miktarında değişiklik olmazken, %34.6’sında (n=18) tüketimde azalma, %27’sinde (n=14) ise tüketimde artış olduğu görüldü. Sigara tüketiminin değişmesinde haberlerin, kamu spotlarının, sigara yasağının rol almadığı belirlendi. Sigara içen ve COVID-19 hastalığı geçirenlerin de sigara ile ilgili fikirlerinde değişiklik olmadığı belirlendi. Katılımcıların COVID-19 korku puanı ortalaması 18.71± 4.91 olup, korku düzeyi orta seviyede olarak belirlendi. COVID-19 korku düzeyi kadın katılımcılarda erkek katılımcılara göre istatistiksel olarak anlamlı düzeyde yüksekti (p=0.001). COVID-19 korku düzeyinin sigara kullanım özellikleri ve diğer sosyodemografik özellikler ile arasında istatistiksel anlamlı fark bulunmadı (p>0.05). Sonuç: Katılımcılarda COVID-19 korku düzeyi orta seviyede saptanmış olup, kadın katılımcılarda daha yüksekti. Sigarayı bırakmış olan öğrencilerin çoğunluğu pandemi sırasında bu kararı vermişti. Haberlerin, kamu spotlarının, sigara yasağının, COVID-19 geçirmenin sigara içen katılımcılarda tüketimde değişikliğe yol açmadığı belirlendi.
{"title":"Evaluation of the Factors Affecting the Smoking Habit and Fear of COVID-19 Among Faculty of Medicine Students","authors":"Ayşegül TOMRUK ERDEM, Ahmet Hazar Büyükakpinar, Kübra Özaydin, Semih Erol, Enes Karataş, Sinem Edi̇nç, Zeynep Aşik, İlayda Başoğlu, Zeynep Kuru, Veli Mert Büyükdumlu, Ece Tuna, Kadriye Tabak, Ayşen Alay, Farice Beyza Demi̇rel","doi":"10.29058/mjwbs.1143866","DOIUrl":"https://doi.org/10.29058/mjwbs.1143866","url":null,"abstract":"Amaç: Çalışmada amacımız COVID-19 pandemisi sırasında tıp fakültesinde öğrenim gören öğrencilerde \u0000sigara tüketimini etkileyen faktörleri ve bunun COVID-19 korkusu ile ilişkisini belirlemektir. \u0000Gereç ve Yöntemler: Çalışma kesitsel ve tanımlayıcı tipte dizayn edilmiş olup, çalışmaya Zonguldak \u0000Bülent Ecevit Üniversitesi Tıp Fakültesinde öğrenim gören 293 öğrenci katıldı. Öğrencilere hazırlanan \u0000anketler elektronik ortamda iletildi, çalışmaya gönüllü olanlar katıldı. Anket formunda öğrencilerin \u0000sosyodemografik özellikleri, sigara alışkanlıkları sorgulandı, Fagerström nikotin bağımlılık testi ve \u0000COVID-19 Korku Ölçeği kullanıldı. \u0000Bulgular: Çalışmaya dahil olan öğrencilerin %70.6’sı kadın idi. Yaş ortalaması 21.38±04 saptandı. Halen \u0000sigara içen katılımcı oranı %17.7 (n=52) idi. Daha önce hiç sigara içmemiş katılımcıların %7.1’inin \u0000(n=15) pandemi sırasında sigaraya başlamayı düşündüğü öğrenildi. Sigarayı bırakmış katılımcıların \u0000%64.5’i (n=20) pandemi sırasında bu kararı almıştı. Sigarayı bırakanların %54.5’i (n=12) mevcut sağlık \u0000sorunları ve hastalanma kaygısı nedeniyle sigara içmeyi bırakmış ve %74.2’si (n=23) tekrar sigara \u0000içmeyi düşünmemekteydi. Sigara içmeye devam eden ve düşük bağımlılık düzeyine sahip katılımcı \u0000oranı %69.2 (n=36) idi. Pandemi sırasında sigara içen katılımcıların %38.4’ünde (n=20) tüketim miktarında \u0000değişiklik olmazken, %34.6’sında (n=18) tüketimde azalma, %27’sinde (n=14) ise tüketimde \u0000artış olduğu görüldü. Sigara tüketiminin değişmesinde haberlerin, kamu spotlarının, sigara yasağının \u0000rol almadığı belirlendi. Sigara içen ve COVID-19 hastalığı geçirenlerin de sigara ile ilgili fikirlerinde \u0000değişiklik olmadığı belirlendi. Katılımcıların COVID-19 korku puanı ortalaması 18.71± 4.91 olup, korku \u0000düzeyi orta seviyede olarak belirlendi. COVID-19 korku düzeyi kadın katılımcılarda erkek katılımcılara \u0000göre istatistiksel olarak anlamlı düzeyde yüksekti (p=0.001). COVID-19 korku düzeyinin sigara kullanım \u0000özellikleri ve diğer sosyodemografik özellikler ile arasında istatistiksel anlamlı fark bulunmadı (p>0.05). \u0000Sonuç: Katılımcılarda COVID-19 korku düzeyi orta seviyede saptanmış olup, kadın katılımcılarda \u0000daha yüksekti. Sigarayı bırakmış olan öğrencilerin çoğunluğu pandemi sırasında bu kararı vermişti. \u0000Haberlerin, kamu spotlarının, sigara yasağının, COVID-19 geçirmenin sigara içen katılımcılarda \u0000tüketimde değişikliğe yol açmadığı belirlendi.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126492483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Bestepe, H. Baser, Ayşegül Aksoy Altınboğa, A. Yalçın, O. Topaloğlu, R. Ersoy, B. Çakır
Objectives: The incidence of differentiated thyroid cancer (DTC) has been increasing rapidly in recent years. Patient age at diagnosis is a good prognostic factor for thyroid cancer. DTC is the only malignancy that includes age as part of its staging system. The American Joint Committee on Cancer (AJCC) staging system currently uses 55 years of age as the cutoff point. In this study, we aimed to compare the clinicopathological features of DTC in patients
{"title":"Comparison of Clinicopathological Features in Differentiated Thyroid Carcinomas at 55 Age Cut-Off Point: A Single Center Experience","authors":"N. Bestepe, H. Baser, Ayşegül Aksoy Altınboğa, A. Yalçın, O. Topaloğlu, R. Ersoy, B. Çakır","doi":"10.29058/mjwbs.1201993","DOIUrl":"https://doi.org/10.29058/mjwbs.1201993","url":null,"abstract":"Objectives: The incidence of differentiated thyroid cancer (DTC) has been increasing rapidly in recent years. Patient age at diagnosis is a good prognostic factor for thyroid cancer. DTC is the only malignancy that includes age as part of its staging system. The American Joint Committee on Cancer (AJCC) staging system currently uses 55 years of age as the cutoff point. In this study, we aimed to compare the clinicopathological features of DTC in patients","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121254009","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}
İlken Uguz, Derya Karasu, Canan Yılmaz, G. Durmus, Ezgi ÜNAL ASAN, S. E. Ozgunay, M. Gamlı
Aim: Our purpose is to compare the characteristics and 30-day mortality of ventilator-associated pneumonia (VAP) patients that developed in two different intensive care units (ICUs) in a tertiary hospital. Material and Methods: Patients who were over the age of 18 who developed VAP in two different ICUs of our hospital over two years were included in the study. Acute Physiology and Chronic Health Assessment II (APACHE II), Sepsis-Related Organ Failure Assessment (SOFA), Glasgow Coma Score (GCS), Clinical Pulmonary Infection Score (CPIS), infection markers, and 30-day mortality of the patients were evaluated. Physical conditions of Group 1 and Group 2, hand hygiene rates in ICU, nurse education level, and hospitalization rate in intensive care units were compared. Results: A total of 104 patients, 48 being in Group 1 and 56 being in Group 2, were analyzed. There was no significant difference between the two groups with regards of GKS, SOFA and CPIS scores. Acinetobacter baumanni was the most common agent in both groups. The hospitalization rate was found to be significantly higher in Group 2. 30-day mortality was 45.8% in Group 1 and 48.2% in Group 2. It was found that a one unit increase in the SOFA hospitalization period reduced the risk of 30-day mortality. It was determined that a one unit increase in the age ratio in Group 2 increased the risk of 30-day mortality 1.085 times, and the increase in the mean SOFA score in all patients and Group 1 decreased the length of the hospitalization period. Conclusion: We found a 30-day mortality rate of 47.1% in patients diagnosed with VAP. An increase in SOFA score increases the risk of 30-day mortality, while a prolonged hospitalization period decreases the risk of mortality.
{"title":"Comparison of Patients with Ventilator-Associated Pneumonia Developed in Two Different Intensive Care Units of a Tertiary Hospital","authors":"İlken Uguz, Derya Karasu, Canan Yılmaz, G. Durmus, Ezgi ÜNAL ASAN, S. E. Ozgunay, M. Gamlı","doi":"10.29058/mjwbs.1117289","DOIUrl":"https://doi.org/10.29058/mjwbs.1117289","url":null,"abstract":"Aim: Our purpose is to compare the characteristics and 30-day mortality of ventilator-associated \u0000pneumonia (VAP) patients that developed in two different intensive care units (ICUs) in a tertiary hospital. \u0000Material and Methods: Patients who were over the age of 18 who developed VAP in two different \u0000ICUs of our hospital over two years were included in the study. Acute Physiology and Chronic Health \u0000Assessment II (APACHE II), Sepsis-Related Organ Failure Assessment (SOFA), Glasgow Coma Score \u0000(GCS), Clinical Pulmonary Infection Score (CPIS), infection markers, and 30-day mortality of the \u0000patients were evaluated. Physical conditions of Group 1 and Group 2, hand hygiene rates in ICU, nurse \u0000education level, and hospitalization rate in intensive care units were compared. \u0000Results: A total of 104 patients, 48 being in Group 1 and 56 being in Group 2, were analyzed. There \u0000was no significant difference between the two groups with regards of GKS, SOFA and CPIS scores. \u0000Acinetobacter baumanni was the most common agent in both groups. The hospitalization rate was \u0000found to be significantly higher in Group 2. 30-day mortality was 45.8% in Group 1 and 48.2% in Group \u00002. It was found that a one unit increase in the SOFA hospitalization period reduced the risk of 30-day \u0000mortality. It was determined that a one unit increase in the age ratio in Group 2 increased the risk of \u000030-day mortality 1.085 times, and the increase in the mean SOFA score in all patients and Group 1 \u0000decreased the length of the hospitalization period. \u0000Conclusion: We found a 30-day mortality rate of 47.1% in patients diagnosed with VAP. An increase in \u0000SOFA score increases the risk of 30-day mortality, while a prolonged hospitalization period decreases \u0000the risk of mortality.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123645028","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}
Aim: Hereditary spherocytosis (HS) is a prevalent cause of congenital hemolytic anemia in Northern Europeans. It is characterized by spherocytes resulting from defects in the erythrocyte structural membrane proteins spectrin and ankyrin. To date, more than five candidate genes, including ANK1, SPTB, SPTA1, SLC4A1, and EPB42 have been linked to HS. Here, we aim to investigate the presence of novel as well as known mutations in eight Turkish children with clinically suspected HS. Material and Methods: We presented the clinical features of the patients and identified the causative gene variants using targeted exome sequencing. Eight children who were clinically suspected of having HS enrolled in this study. A family and medical history, clinical examination, relevant laboratory test results, osmotic fragility test (OFT), and genetic results were evaluated. Results: Six causative variants, including three ANK1 variants, two SPTB variants and one SLC4A1 variant were detected. All these mutations were novel variants. ANK1 and SPTB are the most common mutant genes in children with HS. Conclusion: This study expanded the mutation spectrum of ANK1, SPTB and SLC4A1. This is the first study to determine the genetic and clinical characteristics of children with HS in Turkey.
{"title":"Identification of Novel Mutations in Children with Hereditary Spherocytosis by Targeted Exome Sequencing: A Single Center Experience","authors":"A. Kocaaga, H. Cakmak","doi":"10.29058/mjwbs.1200958","DOIUrl":"https://doi.org/10.29058/mjwbs.1200958","url":null,"abstract":"Aim: Hereditary spherocytosis (HS) is a prevalent cause of congenital hemolytic anemia in Northern \u0000Europeans. It is characterized by spherocytes resulting from defects in the erythrocyte structural \u0000membrane proteins spectrin and ankyrin. To date, more than five candidate genes, including ANK1, \u0000SPTB, SPTA1, SLC4A1, and EPB42 have been linked to HS. Here, we aim to investigate the presence \u0000of novel as well as known mutations in eight Turkish children with clinically suspected HS. \u0000Material and Methods: We presented the clinical features of the patients and identified the causative \u0000gene variants using targeted exome sequencing. Eight children who were clinically suspected of having \u0000HS enrolled in this study. A family and medical history, clinical examination, relevant laboratory test \u0000results, osmotic fragility test (OFT), and genetic results were evaluated. \u0000Results: Six causative variants, including three ANK1 variants, two SPTB variants and one SLC4A1 \u0000variant were detected. All these mutations were novel variants. ANK1 and SPTB are the most common \u0000mutant genes in children with HS. \u0000Conclusion: This study expanded the mutation spectrum of ANK1, SPTB and SLC4A1. This is the first \u0000study to determine the genetic and clinical characteristics of children with HS in Turkey.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131793995","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}
Burçak Kurucu, Süleyman Yeşil, Ceyhun Bozkurt, Nazmiye Yuksek, Ali Fettah, Gürses Şahin
Amaç: Langerhans hücreli histiositoz (LHH), tüm organ ve sistemleri etkileyebilen ve çok çeşitli klinik bulgulara neden olabilen nadir bir hastalıktır. Tedavi ve prognoz organ tutulumu bölgesine ve riskine göre değişkenlik gösterir. Bu çalışmada, kliniğimizde LHH tanısıyla takip edilen hastaları değerlendirmeyi amaçladık. Gereç ve Yöntemler: Çalışmada Ocak 2000 ile Aralık 2019 arasında LCH tanısı alan 24 hastanın verileri geriye dönük olarak incelendi. Hastalar tanı anındaki yaş, cinsiyet, başvuru semptomları, organ tutulumu, tedaviler, takip süresi ve tetavi yanıtları açısından değerlendirildi. Bulgular: Hastaların tanı yaşı ortalaması 4,7±4,6 (0,6-16,6) yıl ve ortalama takip süresi 91,6±67,8 (12,1-240) ay idi. Tanı anındaki en sık görülen bulgu cilt lezyonları iken, en sık görülen organ tutulumları kemik ve ciltti. Bunu sırasıyla hipofiz, karaciğer, lenf nodu, akciğer, dalak, periodontal bölge, tiroid, orbital bölge, mastoid, pankreas ve kemik iliği izledi. Hastalara risk gruplarına göre LCH-III çalışma protokolüne uygun olarak tedavi uygulandı. Progresyon gösteren 6 hastanın 5’ine kladribin tedavisi, 1 hastaya hematopoetik kök hücre nakli (HKHN) uygulandı ve hepsinde tam yanıt elde edildi. Sonuç: LHH’de tutulan organ ve sistemlere, hastalığın yaygınlığına göre kemoterapi, radyoterapi ve cerrahi tedavi seçenekleri farklı kombinasyonlarda uygulanmaktadır. Yanıtsızlık veya progresyon durumlarında bizim serimizde olduğu gibi kladribin ve HKHN tedavileri başarılı bir şekilde uygulanmaktadır.
{"title":"Langerhans Hücreli Histiositoz: Tek Merkez Deneyimi","authors":"Burçak Kurucu, Süleyman Yeşil, Ceyhun Bozkurt, Nazmiye Yuksek, Ali Fettah, Gürses Şahin","doi":"10.29058/mjwbs.1094748","DOIUrl":"https://doi.org/10.29058/mjwbs.1094748","url":null,"abstract":"Amaç: Langerhans hücreli histiositoz (LHH), tüm organ ve sistemleri etkileyebilen ve çok çeşitli klinik bulgulara neden olabilen nadir bir hastalıktır. Tedavi ve prognoz organ tutulumu bölgesine ve riskine göre değişkenlik gösterir. Bu çalışmada, kliniğimizde LHH tanısıyla takip edilen hastaları değerlendirmeyi amaçladık. \u0000Gereç ve Yöntemler: Çalışmada Ocak 2000 ile Aralık 2019 arasında LCH tanısı alan 24 hastanın verileri geriye dönük olarak incelendi. Hastalar tanı anındaki yaş, cinsiyet, başvuru semptomları, organ tutulumu, tedaviler, takip süresi ve tetavi yanıtları açısından değerlendirildi. \u0000Bulgular: Hastaların tanı yaşı ortalaması 4,7±4,6 (0,6-16,6) yıl ve ortalama takip süresi 91,6±67,8 (12,1-240) ay idi. Tanı anındaki en sık görülen bulgu cilt lezyonları iken, en sık görülen organ tutulumları kemik ve ciltti. Bunu sırasıyla hipofiz, karaciğer, lenf nodu, akciğer, dalak, periodontal bölge, tiroid, orbital bölge, mastoid, pankreas ve kemik iliği izledi. Hastalara risk gruplarına göre LCH-III çalışma protokolüne uygun olarak tedavi uygulandı. Progresyon gösteren 6 hastanın 5’ine kladribin tedavisi, 1 hastaya hematopoetik kök hücre nakli (HKHN) uygulandı ve hepsinde tam yanıt elde edildi. \u0000Sonuç: LHH’de tutulan organ ve sistemlere, hastalığın yaygınlığına göre kemoterapi, radyoterapi ve cerrahi tedavi seçenekleri farklı kombinasyonlarda uygulanmaktadır. Yanıtsızlık veya progresyon durumlarında bizim serimizde olduğu gibi kladribin ve HKHN tedavileri başarılı bir şekilde uygulanmaktadır.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130453007","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}
Aim: The aim of study was to investigate effects of nordic walking exercise (NWE) on physical fitness, physical activity, anxiety-depression level and quality of life in smokers. Material and Methods: 30 smoking individuals with a mean age of 31.45±12.75 years were assigned randomly into two groups: NWE (n=15) or control group (n=15). NWE group performed NWE three times a week for 6 weeks and gradually increasing to 45 min a day. No intervention was made in control group. The health-related physical fitness level was assessed with arm curl test (upper extremity endurance), chair sit and stand test (lower extremity endurance), two minutes step test (aerobic endurance), sit and reach and back scratch test (flexibility), eight foot up and go test (balance), 6-minute walk test (MWT) (cardiopulmonary endurance). Physical activity levels with International Physical Activity Questionnaire (IPAQ) short form, anxiety-depression level with Beck Depression Questionnaire, quality of life with Nottingham Health Profile (NHP) were evaluated. The differences in measurement parameters between two groups were evaluated by the Mann Whitney U Test since the data distribution was nonparametric. The distinction between categorical variables were determined by Chi-square test. Results: 6-MWT distance (p=0.005), two minutes step (p=0.022), IPAQ walking scores (p=0.028) statistically significant improvements were observed in NWE group. In control group, 6 MWT distance (p=0.025), two minutes step (p=0.032), sit and reach (p=0.043) scores decreased statistically significantly. 6 MWT distance (p=0.006), two minutes step (p=0.021), 8 foot up and go (p=0.005), IPAQ walking (p=0.045), moderate intensity activity (p=0.038), total scores (p=0.013), NHP emotional (p=0.045), total (p=0.045) scores significantly differed in favor of NWE group. Conclusion: It is thought that NWE may be effective and alternative exercise approache in increasing physical fitness, physical activity level and quality of life in smokers and guided to rehabilitation programme.
{"title":"The Effect of Nordic Walking Exercise Training on Physical Fitness, Physical Activity Level, Anxiety-Depression and Quality of Life in Smokers: A Randomized Controlled Trial","authors":"M. Acar, Nur Sena Yarimkaya, M. Tekindal","doi":"10.29058/mjwbs.1132188","DOIUrl":"https://doi.org/10.29058/mjwbs.1132188","url":null,"abstract":"Aim: The aim of study was to investigate effects of nordic walking exercise (NWE) on physical fitness, \u0000physical activity, anxiety-depression level and quality of life in smokers. \u0000Material and Methods: 30 smoking individuals with a mean age of 31.45±12.75 years were assigned \u0000randomly into two groups: NWE (n=15) or control group (n=15). NWE group performed NWE three times \u0000a week for 6 weeks and gradually increasing to 45 min a day. No intervention was made in control group. \u0000The health-related physical fitness level was assessed with arm curl test (upper extremity endurance), \u0000chair sit and stand test (lower extremity endurance), two minutes step test (aerobic endurance), sit and \u0000reach and back scratch test (flexibility), eight foot up and go test (balance), 6-minute walk test (MWT) \u0000(cardiopulmonary endurance). Physical activity levels with International Physical Activity Questionnaire \u0000(IPAQ) short form, anxiety-depression level with Beck Depression Questionnaire, quality of life with \u0000Nottingham Health Profile (NHP) were evaluated. The differences in measurement parameters between \u0000two groups were evaluated by the Mann Whitney U Test since the data distribution was nonparametric. \u0000The distinction between categorical variables were determined by Chi-square test. \u0000Results: 6-MWT distance (p=0.005), two minutes step (p=0.022), IPAQ walking scores (p=0.028) \u0000statistically significant improvements were observed in NWE group. In control group, 6 MWT distance \u0000(p=0.025), two minutes step (p=0.032), sit and reach (p=0.043) scores decreased statistically \u0000significantly. 6 MWT distance (p=0.006), two minutes step (p=0.021), 8 foot up and go (p=0.005), \u0000IPAQ walking (p=0.045), moderate intensity activity (p=0.038), total scores (p=0.013), NHP emotional \u0000(p=0.045), total (p=0.045) scores significantly differed in favor of NWE group. \u0000Conclusion: It is thought that NWE may be effective and alternative exercise approache in increasing \u0000physical fitness, physical activity level and quality of life in smokers and guided to rehabilitation \u0000programme.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121585517","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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