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Türkiye Güneydoğu Anadolu bölgesinde pediatrik yanık vakalarının analizi:10 yıllık retrospektif çalışma 土耳其Güneydoğu Anadolu bölgesinde pediatrik yanık vakalarının analizi:10 yıllık retrospektifçalışma
Pub Date : 2022-03-08 DOI: 10.17517/ksutfd.1024318
Yasemin DEMİR YİĞİT, Ebral Yi̇ği̇t
Background: Burns continue to be a serious global public health problem all over the world, especially in developing countries. Materials and Methods: The age, gender, cause of injury, and total body surface area (TBSA) of the burn, complications, and mortality rate of 1,038 patients who were hospitalized in our burn center between January 1, 2010, and January 1, 2020, were analyzed. Results: The burned surface area was greater in boys than in girls. The mean burned body surface area for all patients was 9.2 ± 6.35, and the mortality rate was 1.45%. Hot liquids, such as tea, hot milk, hot water, and oily food, were the causes of burns in 84.7% of the patients. Hot objects, hot melted nylon, hot tandoor and embers, and hot asphalt accounted for 7.7% of the burns. Moreover, flame burns, electrical burns and frostbite, and other burn causes accounted for 5.6%, 1.2 %, and 0.8% of burn injuries, respectively. Conclusions: In our region, pediatric burns occurred mostly in boys under the age of three and in children whose parents had low educational levels living in rural areas. We believe that the burn prevention program should be adjusted according to these results.
背景:烧伤在全世界,特别是在发展中国家,仍然是一个严重的全球公共卫生问题。材料与方法:对2010年1月1日至2020年1月1日在我院烧伤中心住院的1038例患者的年龄、性别、损伤原因、烧伤总面积(TBSA)、并发症及死亡率进行分析。结果:男孩烧伤面积大于女孩。所有患者平均烧伤体表面积为9.2±6.35,死亡率为1.45%。热液体,如茶、热牛奶、热水和油性食物是84.7%患者烧伤的原因。热物体、热熔尼龙、热炭和余烬以及热沥青占烧伤的7.7%。此外,火焰烧伤、电烧伤和冻伤以及其他烧伤原因分别占烧伤的5.6%、1.2%和0.8%。结论:本地区儿童烧伤多发生在3岁以下男童和父母受教育程度较低的农村儿童中。我们认为应根据这些结果对烧伤预防方案进行调整。
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引用次数: 0
A Rare Case; Focal Acral Hyperkeratosis 罕见病例;局灶性肢端角化过度
Pub Date : 2022-03-08 DOI: 10.17517/ksutfd.1063964
Neşe GÖÇER GÜROK, Savaş Öztürk, Ahmet Kılıçarslan
Focal acral hyperkeratosis (FAH) is a rare genodermatosis. FAH is usually observed in the second or third decades of life, and it is a type of palmoplantar keratoderma, a heterogeneous group of diseases characterized by abnormal incrassation of the palms and soles. Although it is an autosomal dominant inheritance, it could also be sporadic. It is also known as a rare variant of Costa's Acrokeratoelastoidosis (AKE). Its etiology is not known clearly and there is no effective treatment. In the present study, a 43-year-old recently diagnosed FAH case is presented due to its rarity and frequent confusion with AKE based on current literature
局灶性肢端角化过度症(FAH)是一种罕见的遗传性皮肤病。FAH通常在生命的第二或第三个十年中观察到,它是一种掌跖角化病,一种以手掌和脚底异常增生为特征的异质性疾病。虽然它是常染色体显性遗传,但它也可能是散发性的。它也被称为一种罕见的科斯塔的acrokeratoelastidosis (AKE)变种。其病因尚不清楚,也没有有效的治疗方法。在本研究中,我们报告了一例43岁的FAH病例,由于其罕见且经常与AKE混淆
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引用次数: 0
HEPATİT B VE AŞI KONUSUNDA ÜNİVERSİTE ÖĞRENCİLERİNİN BİLGİ, TUTUM VE DAVRANIŞININ ARAŞTIRILMASI 社区B和AWOLD委员会调查人员声明的国际化
Pub Date : 2022-03-08 DOI: 10.17517/ksutfd.1058823
Tunga Barçın, Yeşim Taşova
Randomizasyonla belirlenen 1850 üniversite öğrencisinin hepatit B için bilgi, tutum ve davranışının araştırılması temel amaç olarak planlanmıştır. İkincil amaç ise belirlenen bu üniversite öğrencilerinin HBsAg ve Anti-HBs yönünden taranması, aşısız sağlıklı bireylerin aşılanması, taşıyıcı ve hasta bireylerin ise takip ve tedavi için kliniklere yönlendirilmesidir
这名1850年的大学生被安排调查乙型肝炎的信息、行为和行为,作为随机化的基础。第二个目的是对这些大学生的HBsAg和抗-HBs进行研究,以进行临床随访和治疗,包括运输人员和患者。
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引用次数: 0
AN EVALUATION OF THROMBOCYTE FUNCTIONS IN PATIENTS WITH IDIOPATHIC SUBJECTIVE TINNITUS 特发性主观性耳鸣患者血小板功能的评价
Pub Date : 2022-03-07 DOI: 10.17517/ksutfd.1050504
S. Sağıroğlu, M. Kılınç, Irfan Kara, Muhammed Gazi Yıldız, N. Bilal, Israfil Orhan
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引用次数: 0
Primeri Küçük Hücreli Dışı Akciğer Kanseri Olan Beyin Metastazlı Hastalarda Radyoterapi Sonuçlarımız 首先,我们有小细胞癌症脑转移的放射治疗结果
Pub Date : 2022-03-03 DOI: 10.17517/ksutfd.978809
Feryal Karaca, Selahattin Menteş, Ali Arslan, M. Sarac, S. Keskin, Timuçin Çil
Amaç: Akciğer kanseri dünya çapında en sık görülen kanserdir ve kanser ölümlerinin önde gelen nedenleri arasındadır. Bu çalışmada amacımız beyin metastazları nedeniyle radyoterapi alan, primeri küçük hücreli dışı Akciğer kanseri olan hastalarda sağkalımları, radyoterapi etkilerini ve çalışmayı etkileyebilecek faktörleri araştırmaktır. Gereç ve Yöntem: Bu çalışmaya primer küçük hücreli dışı Akciğer kanserli 99 hasta dahil edildi. Beyin metastazı olan tüm hastalara radyoterapi uygulandı. Hastalar beyin metastazı sayısı, beyin metastazı için ameliyat yapılıp yapılmadığı, cinsiyet, patoloji ve primer odak evresi, viseral organ tutulumu ve beyin metastazı sonrası ECOG performans durumuna göre gruplandırıldı ve karşılaştırıldı. Bulgular: Tanı anındaki beyin metastaz sayısına göre sağkalım oranındaki değişim istatistiksel olarak anlamlı bulundu p
目的是癌症是世界上最常见的癌症,也是癌症死亡的原因。在这项研究中,我们的目标是探索小细胞癌症患者的健康、放疗和工作的影响,这是由于脑转移而进行的放疗。要求和方法:对99例癌症患者进行原发性非小细胞功能检测。放射治疗已应用于所有脑转移患者。根据ECOG的表现,将患者分组并与脑转移的数量进行比较,无论是否对脑进行了转移手术,无论是性行为、病理学和原发性房间环境、视觉器官停止以及脑转移后。事件:根据给定时刻大脑中转移的数量,心率的变化具有统计学意义
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引用次数: 0
MONOSODYUM GLUTAMAT, LEZZET ARTTIRICI MI, ÖLDÜREN LEZZET Mİ? 味精,我的乐泽艺术,我死了的乐泽?
Pub Date : 2022-02-27 DOI: 10.17517/ksutfd.1067018
Ayper Pekmezekmek
Monosodium glutamat (MSG) 1800’lü yıllardan beri lezzet artırıcı katkı maddesi olarak, işlenmiş ve paketlenmiş tuzlu veya tatlı gıdalarda kullanılmaktadır. Yapılan birçok çalışma MSG kullanımının çok sayıda yapısal ve fonksiyonel bozukluklara yol açabileceğini ortaya çıkarmıştır. Son yıllarda MSG kullanımının çok artması gıda güvenliği konusunda endişelerinde artmasına neden olmuştur.
自1800年以来,味精一直被用于加工和包装的盐或甜食,以增加奢侈。许多研究表明,使用味精会导致许多结构和功能紊乱。近年来,味精在食品安全方面的使用有所增加。
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引用次数: 0
Esansiyel Hipertansiyon Tanılı Hastaların Üstbilişsel Süreçlerinin İncelenmesi: Vaka-Kontrol Çalışması 基础性高血压已知患者监督过程的检查:Vaka控制过程
Pub Date : 2022-02-24 DOI: 10.17517/ksutfd.1039089
Pınar DEMİR GÜNDOĞMUŞ, İbrahim Gündoğmuş
Amaç: Üstbilişsel değişkenlere odaklanan bu araştırma, hipertansiyon hastaları ve sağlıklı kontrol grubu arasında üstbilişsel inançlar, bilişsel dikkat kilitlenmesi sendromu ve anksiyete belirtilerini karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: Vaka-kontrol çalışması şeklinde dizayn edilen mevcut çalışmanın örneklemini kardiyoloji polikliniğine ardışık başvuran 128 hipertansiyon hastası ve 231 sağlıklı kontrol oluşturmaktadır. Çalışmaya dahil edilen gönüllülere sosyodemografik veri formu, Beck Anksiyete Envanteri (BAE), Üstbilişler-30 ölçeği (ÜBÖ-30) ve Bilişsel Dikkat Kilitlenmesi Ölçeği (CAS-1) uygulanmıştır. Elde edilen veriler usulüne uygun hesaplanarak istatistiki işleme tabi tutulmuştur. Bulgular: Çalışmaya dahil edilen katılımcıların yaş ortalaması 51.81±8.07 yıldı ve %75.5’i (n=271) kadındı. İki çalışma grubu arasında sosyodemografik verilerin karşılaştırılmasında istatiksel olarak fark saptanmamıştır (p>0.05). Esansiyel hipertansiyon ve sağlıklı kontrol grubu arasında BAE (t=-3.700, p
目的是比较研究组、高血压患者和健康对照组的症状,重点关注晚期变化。Gereçve Yöntemler:Vaka kontrolçalışmasış。社会人口学数据表、贝克焦虑环境(BAE)、亚30维度(BÖ-30)和科学结论维度(CAS-1)已应用于参与的志愿者。计算所获得数据的方法是基于统计处理的。年龄为51.81±8.07岁,女性占75.5%(n=271)。两个工作组之间的社会人口统计数据的比较尚未得到统计证实(p>0.05)。BAE介于基础性高血压和健康对照组之间(t=-3.700,p)
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引用次数: 0
Adverse Events after Receipt of an Inactive COVID-19 Vaccine in Healthcare Professionals: a Cross-Sectional Study 卫生保健专业人员接种非活性COVID-19疫苗后的不良事件:一项横断面研究
Pub Date : 2022-02-24 DOI: 10.17517/ksutfd.1037370
Tansel Bekiroğlu Ergün, Y. Ergün
Objective: The vaccine manufactured by Sinovac has been licensed according to the emergency use authorization program in Turkey. Inherently, this product has many shortcomings regarding safety issues. The aim was to explore the potential adverse reactions of the vaccine. Materials and methods: A retrospective cross-sectional study via a 24-item self-administered questionnaire was conducted among healthcare professionals. Results: Of 133 persons, 51 subjects (38%) experienced adverse events after the first dose of the vaccine. The most common adverse events were fatigue, headache, diarrhea, and fever. Ninety five percent of the subjects (n=126) had the second dose of the vaccine and only 43 subjects (26%) described adverse events. These events were similar to those seen after the first dose. In one person, acute hypertension elevation was considered to be a serious adverse event. A female dominance regarding the frequency of adverse events was, solely, detected after the first dose administration. Conclusion: Although there is a significant amount of adverse events in response to the vaccine, these cannot be identified as serious events. Therefore, this vaccine seems to be safety enough for those under the threat of the coronavirus disease 2019.
目的:科兴公司生产的疫苗已根据土耳其紧急使用授权程序获得许可。从本质上讲,该产品在安全问题上有许多缺点。目的是探讨疫苗的潜在不良反应。材料与方法:采用回顾性横断面研究,采用24项自填问卷对医疗保健专业人员进行调查。结果:133人中,51人(38%)在首次接种疫苗后出现不良事件。最常见的不良反应是疲劳、头痛、腹泻和发烧。95%的受试者(n=126)接种了第二剂疫苗,只有43名受试者(26%)描述了不良事件。这些事件与第一次注射后的情况相似。其中一人的急性高血压升高被认为是严重的不良事件。女性在不良事件发生频率方面的优势,仅在第一次给药后检测到。结论:尽管疫苗应答中存在大量不良事件,但这些不良事件不能被确定为严重事件。因此,对于受到2019年冠状病毒病威胁的人来说,这种疫苗似乎足够安全。
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引用次数: 0
Evaluation of Postoperative Development of Saphenous Vein Graft Incision Site Infections in Patients Undergoing Isolated Coronary Artery Bypass Graft Surgery: A Single Center Experience 评估孤立冠状动脉搭桥手术患者隐静脉移植切口感染的术后发展:单中心经验
Pub Date : 2022-02-16 DOI: 10.17517/ksutfd.1037822
Özay Akyıldız, Ömer Ulular
Objective: This study aimed to evaluate surgical site infection patients developing saphenous vein graft incision site infection after isolated coronary artery bypass graft surgery performed in the cardiovascular surgery clinic of our hospital in the last 12 years to reveal the causative microorganisms, risk factors, and clinical characteristics. Material and Methods: A total of 34 surgical site infection patients (23 females, 11 males; mean age 68.0±9.0 years; range 51-86 years) who underwent isolated coronary artery bypass graft surgery in the cardiovascular surgery clinic of our hospital between March 2009 and November 2020 and who postoperatively developed saphenous vein graft incision site infection were included in the study. The patients' demographic data, underlying diseases, and preoperative, intraoperative, and postoperative risk factors were analyzed retrospectively. Results: In all isolated coronary artery bypass graft surgeries performed over a period of about 12 years, the rate of saphenous vein graft incision site surgical site infection was found to be 0.8%. Of these, 23 (67.6%) were evaluated as superficial incisional surgical site infection and 11 (32.4%) as deep incisional surgical site infection. In the patients who developed surgical site infection, the parameters of age, female sex, obesity, diabetes mellitus, smoking, emergency surgery, use of more than 1 saphenous vein graft, prolonged operation, cardiopulmonary bypass, and aortic clamp durations, intraoperative blood transfusion, length of stay in the intensive care unit, use of inotropes, and total length of hospital stay were all found to be significant. The microorganisms in purulent discharge cultures consisted of Gram-negative bacteria in 18 (53%), Gram-positive bacteria in 12 (35.3%), and fungi in 1 (2.9%). No pathogenic microorganism growth was observed in 5 (14.7%) patients. In the patients with surgical site infection, coagulase-negative staphylococci (17.6%) and Escherichia coli (17.6%) were the most frequently isolated agents. Conclusion: Particular attention should be paid to surgical site infection in patients undergoing a cardiovascular surgery intervention. It should be noted that post coronary artery bypass graft surgery surgical site infection can be reduced by determining its risk factors, modifying surgical techniques, and postoperative close monitoring of patients. Follow-up and personal care are crucial after discharge and an empirical treatment approach should be determined when an infection occurs, taking into account that coagulase-negative staphylococci and E. coli were the two leading infectious agents in our hospital.
目的:对我院近12年来心血管外科门诊行离体冠状动脉搭桥术后发生隐静脉移植物切口感染的手术部位感染患者进行评价,揭示其致病微生物、危险因素及临床特点。材料与方法:34例手术部位感染患者(女性23例,男性11例;平均年龄68.0±9.0岁;本研究纳入2009年3月至2020年11月在我院心血管外科门诊行孤立性冠状动脉搭桥手术,术后发生隐静脉移植切口感染的患者(年龄51-86岁)。回顾性分析患者的人口学资料、基础疾病及术前、术中、术后危险因素。结果:在12年左右的孤立性冠状动脉搭桥手术中,隐静脉移植物切口手术部位感染发生率为0.8%。其中23例(67.6%)为浅切口手术部位感染,11例(32.4%)为深切口手术部位感染。在发生手术部位感染的患者中,年龄、女性、肥胖、糖尿病、吸烟、急诊手术、使用1根以上隐静脉移植、手术时间延长、体外循环和主动脉夹夹时间、术中输血、重症监护病房住院时间、使用肌力药物和总住院时间等参数均具有显著性。化脓性分泌物培养菌中革兰氏阴性菌18株(53%),革兰氏阳性菌12株(35.3%),真菌1株(2.9%)。5例(14.7%)患者未见病原微生物生长。在手术部位感染患者中,最常分离出凝固酶阴性葡萄球菌(17.6%)和大肠杆菌(17.6%)。结论:心血管手术干预患者应特别注意手术部位感染。需要注意的是,冠状动脉搭桥术后手术部位感染可以通过确定其危险因素、改进手术技术和术后密切监测患者来减少。出院后的随访和个人护理至关重要,一旦发生感染,应确定经验性治疗方法,考虑到凝固酶阴性葡萄球菌和大肠杆菌是我院的两大主要感染源。
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引用次数: 0
Plummer-Vinson syndrome presenting with dysphagia 普卢默-文森综合征表现为吞咽困难
Pub Date : 2022-02-14 DOI: 10.17517/ksutfd.928677
A. Gökçe, A. Uyanıkoğlu, Burcu Di̇keç
Plummer-Vinson sendromu (PVS), disfaji, demir eksikliği anemisi ve özofagusta veb ile karakterize nadir görülen bir sendromdur. Katı ve sıvı gıdaları yutma güçlüğü, halsizlik, yorgunluk, bulantı, kusma, kilo kaybı şikayetleri ile polikliniğimize başvuran, PVS teşhisi konulan, gastroskopik balon dilatasyonu yapılan ileri yaş kadın hasta ve PVS ile ilgili kısa bir derleme sunulmuştur.
普卢默-文森综合征(PVS)、吞咽困难、缺铁性贫血和异食网症状是罕见的。吞咽固体和液体食物的能力、脆弱性、疲劳、潮红、呕吐、向综合诊所投诉的体重减轻,对患病的老年妇女和被诊断为PVS的PVS有一点贬损。
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引用次数: 0
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Kahramanmaras Sutcu Imam Universitesi Tip Fakultesi dergisi
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