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Eskisehir Medical Journal, Eskisehir City Hospital最新文献

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The Evaluation Of The Response To Cardiac Resynchronization Therapy In Patients With Dilated Cardiomyopathy By Using Fragmented QRS 利用 QRS 分段评估扩张型心肌病患者对心脏再同步化疗法的反应
Pub Date : 2022-07-31 DOI: 10.48176/esmj.2022.61
A. Kup, S. Kulahcioglu, A. Uslu, Mert Evlice
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引用次数: 0
Leg Length Measurement with Smartphone Application during Surgery: Useful, Easy and Reliable Method 手术中使用智能手机测量腿长:有用、简单、可靠的方法
Pub Date : 2022-07-31 DOI: 10.48176/esmj.2022.72
İbrahim Yavuz
Giriş: Bacak Uzunluk Eşitsizliği (BUE), Kalça Artroplastisindeki ana problemlerden biridir. Ameliyat sırasında tanımlanmış birçok yönteme rağmen altın standart yöntem henüz mevcut değildir. Bu çalışmanın amacı, kalça artroplastisi ameliyatlarında bir ölçüm yöntemi olarak akıllı telefon uygulama programını değerlendirmek ve uygulama ölçüm yöntemlerini karşılaştırmaktır.Yöntemler: Aralık 2018 ile Aralık 2019 tarihleri arasında primer koksartroz nedeniyle opere edilen ardışık 166 hasta çalışmaya dahil edildi. Ameliyat sırasında bacak uzunluğunu eşitlemek için iki yöntem (steril mezura ve uygulama programı) kullanıldı. Bu yöntemler birbirleriyle ve ameliyat öncesi ve sonrası ortoröntgenografi ile karşılaştırıldı.Bulgular: Preoperatif ve intraoperatif uygulama ile ölçülen değerler ile preoperatif ve postoperatif ortoröntgenografi ile ölçülen değerler arasında istatistiksel olarak anlamlı fark yoktu (p<0.05). Steril mezura ile yapılan ölçüm sonucu bulunan değerler ile uygulama ile bulunan sonuçlar arasında istatistiksel olarak anlamlı fark bulundu (p<0.05).Sonuç: Uygulama programı kullanımı, ameliyat sırasında BUE'ni değerlendirmek için kullanılan kolay, ucuz ve güvenilir bir yöntemdir. Bu yöntemle ölçümler doğru bir şekilde yapılabilmektedir. Bu yöntem, BUE'ni değerlendirmede ek veya birincil yöntem olarak kullanılabilir.
导言:腿长不等(LLI)是髋关节置换术中的主要问题之一。尽管在手术过程中定义了许多方法,但目前还没有金标准方法。本研究旨在评估智能手机应用软件作为髋关节置换手术中的测量方法,并比较应用软件的测量方法:2018年12月至2019年12月期间,166名连续接受原发性髋关节置换手术的患者被纳入研究。在手术过程中使用两种方法(无菌卷尺和应用方案)来均衡腿部长度。研究人员将这两种方法相互比较,并与术前和术后的正畸基因图谱进行比较:结果:术前和术中应用所测得的数值与术前和术后正位断层扫描所测得的数值在统计学上没有显著差异(P<0.05)。使用无菌卷尺测量的数值与使用应用程序测试的数值之间的差异有统计学意义(P<0.05):结论:使用练习程序是在手术过程中评估 IME 的一种简便、廉价和可靠的方法。使用这种方法可以准确地进行测量。这种方法可作为评估 ICI 的附加方法或主要方法。
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引用次数: 0
Stereotactic Radiotherapy for Multiple Lung Metastases: Early Clinical Outcomes 立体定向放疗治疗多发性肺转移:早期临床结果
Pub Date : 2022-07-31 DOI: 10.48176/esmj.2022.66
F. Tugrul
Introduction: Oligometastatic lung cancers are usually small in size and high doses of radiation increase the chance of local control. In this study, it was aimed to treat patients with stereotactic body radiotherapy (SBRT) technique and to examine the early effects of treatment in order to control these tumors of patients whose primary tumor was controlled but 3 and 4 metastases developed in their lungs.Methods: Computed tomography (CT) images of seven patients with three to four lung metastases were acquired using 2 mm sections. Treatment plans were prepared to deliver a total of 48 Gray (Gy) in four fractions at two isocenters. All plans were created using the Monaco treatment planning system (TPS) and the MonteCarlo algorithm at a filter-free 6MV energy (6FFF - dose rate: 1600 MU/min). During all these processes, the exact target was irradiated through active breathing control (ABC). Patients were administered a pulmonary function test (PFT) before and after the treatment and the results were compared.Results: 100% of the intended dose was prescribed to the tumor volumes of the patients. Critical organ doses met the TG101 standards. The maximum dose of the plans was kept below 120%. All treatment plans reached desired values and were clinically accepted.Conclusion: Local control was achieved in the patients and there was no grade 3-4-5 radiation pneumonia (RP). In particular, patients with severe pulmonary comorbidities should be carefully monitored for RP during the few months of follow-up after SBRT. Depending on the patient's condition (holding the breath, being stable, etc.) or the characteristics of the linear accelerator, SBRT can be safely administered to metastases at two or three isocenters and the metastases can be controlled when patients with locally controlled primary tumors develop multiple distant metastases in the lungs.
少转移性肺癌通常体积小,高剂量放疗可增加局部控制的机会。在本研究中,目的是用立体定向放射治疗(SBRT)技术治疗患者,并检查治疗的早期效果,以控制原发肿瘤,但3和4转移到肺部的患者的肿瘤。方法:对7例3 ~ 4例肺转移瘤患者进行2 mm断层扫描。治疗计划在两个等中心分四部分共提供48格雷(Gy)。所有计划均采用摩纳哥治疗计划系统(TPS)和MonteCarlo算法,在无滤波器的6MV能量(6FFF -剂量率:1600 MU/min)下创建。在所有这些过程中,通过主动呼吸控制(ABC)照射精确的目标。患者在治疗前后进行肺功能测试(PFT),并比较结果。结果:患者的肿瘤体积达到预定剂量的100%。关键器官剂量达到TG101标准。计划的最大剂量保持在120%以下。所有治疗方案均达到预期值,临床接受。结论:患者局部得到控制,无3-4-5级放射性肺炎(RP)。特别是,有严重肺部合并症的患者应在SBRT后的几个月随访期间仔细监测RP。根据患者的病情(屏气、病情稳定等)或直线加速器的特点,SBRT可以安全地应用于2个或3个等中心的转移灶,当局部控制的原发肿瘤在肺部发生多发远处转移灶时,SBRT可以得到控制。
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引用次数: 0
When Should High-dose Chemotherapy and Autologous Stem Cell Transplantation Be Performed in a Pediatric Local High-Risk Ewing Sarcoma A Case Report 小儿局部高危尤文氏肉瘤何时应该进行大剂量化疗和自体干细胞移植
Pub Date : 2022-03-03 DOI: 10.48176/esmj.2022.53
H. Cakmak, Y. Bildirici, F. Tugrul, Meral Bahar, M. Baloglu, Muge Gundogdu
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引用次数: 0
Giant Left Atrium Causing Acute Pulmonary Edema: A Case Report 巨大左心房引起急性肺水肿1例
Pub Date : 2022-03-03 DOI: 10.48176/esmj.2022.52
Murat Duyan, S. Gunlu, Ali Sarıdaş, Resmiye Nur Okudan Kıldan, Ibrahim Ulas Ozturen
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引用次数: 0
COVID-19 and Mental Health: What do Current Research Show Us COVID-19和心理健康:目前的研究向我们展示了什么
Pub Date : 2022-03-03 DOI: 10.48176/esmj.2022.57
G. Gurcan, Ş. Korkmaz, Şule BIÇAKCI AY, A. Gurcan
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引用次数: 0
Interaction of Covid-19 Pandemic with Diabetes Mellitus Covid-19大流行与糖尿病的相互作用
Pub Date : 2022-03-03 DOI: 10.48176/esmj.2022.56
Sevilay Sureyya Ermis
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引用次数: 0
Comfort and tolerability of protective face masks used by healthcare professionals during the COVID-19 pandemic COVID-19大流行期间卫生保健专业人员使用防护口罩的舒适性和耐受性
Pub Date : 2022-03-03 DOI: 10.48176/esmj.2022.48
Murat Duyan, I. U. Ozturan, Mustafa Ayhan Ozbek, H. Sevil, Okkes Zortuk, Resmiye Nur Okudan Kıldan, F. Selvi, Aslihan Yurutmen Unal, Y. Cete
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引用次数: 0
Sorafenib as a maintenance therapy in an adolescent with relapsed-metastatic osteosarcoma 索拉非尼作为青少年复发转移性骨肉瘤的维持治疗
Pub Date : 2022-03-03 DOI: 10.48176/esmj.2022.55
H. Cakmak, Y. Bildirici, F. Çorapçıoğlu, H. Ozger, A. Kayı Cangır, Meral Bahar, Yuksel Adiguzel
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引用次数: 0
A Rare Case Diagnosed After Permanent Dialysis Catheter Malposition: Persistent Left Superior Vena Cava 一例罕见的永久性透析导管错位后诊断:持续性左上腔静脉
Pub Date : 2022-03-03 DOI: 10.48176/esmj.2022.58
İ. Kaya
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引用次数: 0
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Eskisehir Medical Journal, Eskisehir City Hospital
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