Aims: Syncope is defined as a temporary loss of consciousness in any disorder characterized by a self-limited loss of consciousness, whatever the mechanism. It constitutes 3% of emergency service applications. NT-proBNP, D-dimer and lipids are important parameters in the diagnosis and differential diagnosis of patients with syncope. This study aims to determine the levels of these biomarkers during and after treatment in patients admitted to the emergency department(ED) due to syncope. Methods: Forty-nine patients admitted to the emergency department due to syncope were included in this study. Forty-nine age- and sex-matched individuals without a history of syncope were taken as the control group. Blood samples were taken from the patient group three times, at the time of admission to the emergency department, 24 hours after admission, and on the day they were discharged from the hospital, and only once from the control group. The patient and control groups were compared in terms of NT-proBNP, D-dimer and lipids. Results: The mean HDL level at discharge was 33.63±9.62 mg/dl, which was significantly lower than the mean HDL level in the control group (38.77±10.33 mg/dl) (t=2.14, p=0.012). Although the mean LDL levels at discharge (108.02±48.03 mg/dl) were higher than the control group (92.53±37.39 mg/dl), this increase was not statistically significant (t=1.78, p=0.078). However, the mean LDL levels during hospitalization and after 24 hours (126.08±51.88 mg/dl, 116.26±48.21 mg/dl, respectively) compared to the control group (92.53±7.39 mg/dl) were statistically significantly higher (t=3.67, p=0.001, t=2.73, p=0.008). NT proBNP and D-dimer median values at the time of admission to the emergency department (844.00 pg/ml, 616.50 mcg/L, respectively), after 24 hours (1985.00 pg/ml, 662.00 mcg/L, respectively) and at discharge (748.00 pg/ml, 702.50 mcg/L respectively) compared to the control group (85.00 pg/ml, 176.00 mcg/L, respectively), a statistically significant increase was detected (p=0.001). Conclusion: In the patients admitted to the ED with a diagnosis of syncope, early treatment can be achieved getting the differential diagnosis of syncope in a short time with NT-proBNP, D-dimer and lipid blood levels that can be worked easily. In addition, the need for serious interventional procedures and further investigations in the diagnostic process will be reduced.
{"title":"Efficacy of lipid, NT-proBNP and D-dimer biomarkers in the differential diagnosis of patients presenting to the emergency department with syncope","authors":"Ş. Çelik, Fatma Mutlu Kukul Güven, İ. Korkmaz","doi":"10.51271/kmj-0108","DOIUrl":"https://doi.org/10.51271/kmj-0108","url":null,"abstract":"Aims: Syncope is defined as a temporary loss of consciousness in any disorder characterized by a self-limited loss of\u0000consciousness, whatever the mechanism. It constitutes 3% of emergency service applications. NT-proBNP, D-dimer and lipids are important parameters in the diagnosis and differential diagnosis of patients with syncope. This study aims to determine the levels of these biomarkers during and after treatment in patients admitted to the emergency department(ED) due to syncope.\u0000Methods: Forty-nine patients admitted to the emergency department due to syncope were included in this study. Forty-nine age- and sex-matched individuals without a history of syncope were taken as the control group. Blood samples were taken from the patient group three times, at the time of admission to the emergency department, 24 hours after admission, and on the day they were discharged from the hospital, and only once from the control group. The patient and control groups were compared in terms of NT-proBNP, D-dimer and lipids.\u0000Results: The mean HDL level at discharge was 33.63±9.62 mg/dl, which was significantly lower than the mean HDL level in the control group (38.77±10.33 mg/dl) (t=2.14, p=0.012). Although the mean LDL levels at discharge (108.02±48.03 mg/dl) were higher than the control group (92.53±37.39 mg/dl), this increase was not statistically significant (t=1.78, p=0.078). However, the mean LDL levels during hospitalization and after 24 hours (126.08±51.88 mg/dl, 116.26±48.21 mg/dl, respectively) compared to the control group (92.53±7.39 mg/dl) were statistically significantly higher (t=3.67, p=0.001, t=2.73, p=0.008). NT proBNP and D-dimer median values at the time of admission to the emergency department (844.00 pg/ml, 616.50 mcg/L, respectively), after 24 hours (1985.00 pg/ml, 662.00 mcg/L, respectively) and at discharge (748.00 pg/ml, 702.50 mcg/L respectively) compared to the control group (85.00 pg/ml, 176.00 mcg/L, respectively), a statistically significant increase was detected (p=0.001).\u0000Conclusion: In the patients admitted to the ED with a diagnosis of syncope, early treatment can be achieved getting the\u0000differential diagnosis of syncope in a short time with NT-proBNP, D-dimer and lipid blood levels that can be worked easily. In addition, the need for serious interventional procedures and further investigations in the diagnostic process will be reduced.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133105121","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}
Aims: Sexual dysfunction negatively affects women’s biological, psychological and social aspects of life, reducing their quality of life. In this study, we aimed to investigate the effects of bariatric surgery (BS) on sexual life, depression and quality of life in women. Methods: This prospective study was conducted at Medistate Hospital and İstanbul Medipol University Çamlıca Hospital between December 2022 and March 2023. Female sexual function index (FSFI) total score and FSFI subgroups (desire, arousal, hydration, orgasm, satisfaction, pain), Beck anxiety inventory (BAI) and Beck depression inventory (BDI) were compared in before and after BS. Results: The mean age and body mass index (BMI) of the subjects were 32.59±3.92 years and 33.44±3.18, respectively. BS led to significant improvement in total FSFI score (p<0.001) and all sexual domains. Results found a statistically significant association between BS andimprovement in total BDI score in women (p<0.001). There was statistically significant association between BS andimprovement in total BAI score in women (p<0.001). Conclusion: Our findings show the benefits of BS in improving sexual life and quality of life, at least for the first three months postoperatively.
{"title":"The effects of bariatric surgery on sexual life, depression and quality of life in women","authors":"S. Öktemer, Ayşe Şeyma Küçükakça","doi":"10.51271/kmj-0102","DOIUrl":"https://doi.org/10.51271/kmj-0102","url":null,"abstract":"Aims: Sexual dysfunction negatively affects women’s biological, psychological and social aspects of life, reducing their quality of life. In this study, we aimed to investigate the effects of bariatric surgery (BS) on sexual life, depression and quality of life in women.\u0000Methods: This prospective study was conducted at Medistate Hospital and İstanbul Medipol University Çamlıca Hospital\u0000between December 2022 and March 2023. Female sexual function index (FSFI) total score and FSFI subgroups (desire, arousal, hydration, orgasm, satisfaction, pain), Beck anxiety inventory (BAI) and Beck depression inventory (BDI) were compared in before and after BS.\u0000Results: The mean age and body mass index (BMI) of the subjects were 32.59±3.92 years and 33.44±3.18, respectively. BS\u0000led to significant improvement in total FSFI score (p<0.001) and all sexual domains. Results found a statistically significant\u0000association between BS andimprovement in total BDI score in women (p<0.001). There was statistically significant association between BS andimprovement in total BAI score in women (p<0.001).\u0000Conclusion: Our findings show the benefits of BS in improving sexual life and quality of life, at least for the first three months postoperatively.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131598526","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}
Aims: Although COVID-19 disease has many effects on patients after recovery, it is not known whether these effects are part of the recovery process or trigger other diseases. This study has aimed to investigate whether ferritin, which is used as an acute phase reactant to determine the severity and prognosis of the disease, has a role in determining the symptoms that occur after the disease. Methods: The study was conducted with 300 patients who were hospitalized with PCR positive and lung involvement. Patients' hospital admissions and initial ferritin levels were recorded within 6 months of discharge. It was examined whether there was a relationship between ferritin levels and the re-admission reasons. Results: 177(59.0) people had no symptoms during the six-month period and 123(41.0) patients were admitted to the hospital due to various symptoms. 6(2.0) of the patients became ex within six months after discharge. The most common symptoms in patients were 28(9.3) shortness of breath, 22(7.3) myalgia, 15(5.0) chest pain, 10(3.3) headache and 10(3.3) palpitations, respectively. Ferritin levels were found to be high in those with no symptoms and low in those with symptoms. Conclusion: Determining the symptoms, re-admissions, mortality rates and predictors that will guide Covid -19 is very important for the recognition, treatment and follow-up of this disease after discharge. More studies are needed to make a prediction according to ferritin levels in the process after recovery from Covid-19.
{"title":"Evaluation of hospital admissions in the first 6 months after the COVID-19 discharge","authors":"Miraç Koç, Özgür Önen, Begüm Üzer, B. Çalışır, Fatma Mutlu Kukul Güven","doi":"10.51271/kmj-0107","DOIUrl":"https://doi.org/10.51271/kmj-0107","url":null,"abstract":"Aims: Although COVID-19 disease has many effects on patients after recovery, it is not known whether these effects are part of the recovery process or trigger other diseases. This study has aimed to investigate whether ferritin, which is used as an acute phase reactant to determine the severity and prognosis of the disease, has a role in determining the symptoms that occur after the disease.\u0000Methods: The study was conducted with 300 patients who were hospitalized with PCR positive and lung involvement. Patients' hospital admissions and initial ferritin levels were recorded within 6 months of discharge. It was examined whether there was a relationship between ferritin levels and the re-admission reasons.\u0000Results: 177(59.0) people had no symptoms during the six-month period and 123(41.0) patients were admitted to the hospital due to various symptoms. 6(2.0) of the patients became ex within six months after discharge. The most common symptoms in patients were 28(9.3) shortness of breath, 22(7.3) myalgia, 15(5.0) chest pain, 10(3.3) headache and 10(3.3) palpitations, respectively. Ferritin levels were found to be high in those with no symptoms and low in those with symptoms.\u0000Conclusion: Determining the symptoms, re-admissions, mortality rates and predictors that will guide Covid -19 is very important for the recognition, treatment and follow-up of this disease after discharge. More studies are needed to make a prediction according to ferritin levels in the process after recovery from Covid-19.\u0000","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"403 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122856420","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}
Colorectal cancer ranks third among all cancers in terms of prevalence. It is the second most common cause of death overall. The patterns of spread are lymphatic, hematogenous, and direct invasion. Lymph node involvement is a prognostic factor and has a strong correlation with survival and disease free interval. Regional lymph nodes are frequently the first structures to get affected. Metastatic disease (stage IV) is defined as the spread of disease to lymph nodes other than regional ones. Because of this, the type of treatment that is administered and the patient's survival rate are both affected when the cancer spreads to non-regional lymph nodes. In this particular instance, we report a patient who had results that were consistent with having a pancreatic tumor. Nevertheless, with the aid of endoscopic ultrasonography, we determined that the patient had metastatic colon cancer. And the patient's trajectory takes a dramatic turn for the worse, shifting from resectable pancreatic cancer to metastatic colon cancer.
{"title":"A mass mimicking primary pancreatic malignancy","authors":"Idris Kurt","doi":"10.51271/kmj-0110","DOIUrl":"https://doi.org/10.51271/kmj-0110","url":null,"abstract":"Colorectal cancer ranks third among all cancers in terms of prevalence. It is the second most common cause of death overall. The patterns of spread are lymphatic, hematogenous, and direct invasion. Lymph node involvement is a prognostic factor and has a strong correlation with survival and disease free interval. Regional lymph nodes are frequently the first structures to get affected. Metastatic disease (stage IV) is defined as the spread of disease to lymph nodes other than regional ones. Because of this, the type of treatment that is administered and the patient's survival rate are both affected when the cancer spreads to non-regional lymph nodes. In this particular instance, we report a patient who had results that were consistent with having a pancreatic tumor. Nevertheless, with the aid of endoscopic ultrasonography, we determined that the patient had metastatic colon cancer. And the patient's trajectory takes a dramatic turn for the worse, shifting from resectable pancreatic cancer to metastatic colon cancer.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122044117","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}
Aims: In this study we aimed to share our treatment approach in patients with intermediate -high risk pulmonary embolism (PE). Methods: This is a single center retrospective observational study. Patients diagnosed with PE at Akdeniz University Hospital between January 1, 2015, and January 1, 2021, were retrospectively analyzed. Patients whose diagnosis of PE was confirmed by computed tomography angiography (CTA) or perfusion/ventilation scintigraphy were considered to have PE. Patients with intermediate-high risk were included in the study. Patients with a diagnosis of low-risk, low-intermediate risk, high-risk PE, patients younger than 18 years of age, and pregnant were excluded from the study. Results: A total of 150 patients, 64 (42.7%) male and 86 (57.3%) female, with a mean age of 62.2±16.2 years, who met the criteria of these patients were included. 22.7% (34) of the patients received thrombolytic therapy. While 67.7% (23) of the patients who received thrombolytic therapy received half-dose (50mg rt-PA) thrombolytic therapy, 32.3% (11) received full-dose (100mg rt-PA) thrombolytic therapy. Major hemorrhage (3 intracranial hemorrhages, 1 femoral hemorrhage) was detected in 11.7% (4) of the patients who received thrombolytic therapy. Conclusion: In conclusion, no significant effect of thrombolytic therapy or full or half dose on mortality and long-term TTE findings was found in the intermediate -high risk group.
{"title":"Evaluation of patients diagnosed with intermediate - high risk pulmonary thromboembolism","authors":"S. Çiçek, F. Üzer, Tülay Özdemir","doi":"10.51271/kmj-0093","DOIUrl":"https://doi.org/10.51271/kmj-0093","url":null,"abstract":"Aims: In this study we aimed to share our treatment approach in patients with intermediate -high risk pulmonary embolism (PE).\u0000Methods: This is a single center retrospective observational study. Patients diagnosed with PE at Akdeniz University Hospital between January 1, 2015, and January 1, 2021, were retrospectively analyzed. Patients whose diagnosis of PE was confirmed by computed tomography angiography (CTA) or perfusion/ventilation scintigraphy were considered to have PE. Patients with intermediate-high risk were included in the study. Patients with a diagnosis of low-risk, low-intermediate risk, high-risk PE, patients younger than 18 years of age, and pregnant were excluded from the study.\u0000Results: A total of 150 patients, 64 (42.7%) male and 86 (57.3%) female, with a mean age of 62.2±16.2 years, who met the criteria of these patients were included. 22.7% (34) of the patients received thrombolytic therapy. While 67.7% (23) of the patients who received thrombolytic therapy received half-dose (50mg rt-PA) thrombolytic therapy, 32.3% (11) received full-dose (100mg rt-PA) thrombolytic therapy. Major hemorrhage (3 intracranial hemorrhages, 1 femoral hemorrhage) was detected in 11.7% (4) of the patients who received thrombolytic therapy.\u0000Conclusion: In conclusion, no significant effect of thrombolytic therapy or full or half dose on mortality and long-term TTE findings was found in the intermediate -high risk group.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116309998","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}
M. Öz, K. E. Nurullahoğlu Atalık, Durmuş Ali Aslanlar
Aims: The aim of the present study was to evaluate the effect of an acetylcholinesterase inhibitor donepezil on the diabetes-induced anxiety and depression and the role of nitric oxide in these effects. Methods: Thirty male Wistar rats were randomly divided into 2 groups at first; the control group (n=6) and the diabetic group (n=24). The diabetic group divided into four groups, a single dose of streptozotocin was used to induce experimental type 1 diabetes. After 30 days, one group was separated as diabetic control, while the other three received 4 mg/kg p.o. donepezil for 20 days. One of the DON groups was administered 20 mg/kg i.p., L-NAME for 20 days, while the other group was administered 40 mg/kg i.p., L-arginine for 20 days. Results: Anxiety-like behaviors were assessed using the open field test (OFT), and depression-like behaviors were estimated using the forced swim test (FST). In the OFT, all diabetic rats spent less time in the center and engaged in less exploratory behavior than the control group. The number of lines crossed where locomotor activity was assessed did not differ significantly between groups. In the FST, duration of immobility increased significantly in diabetic groups compared to the control. Donepezil administration did not affect either depression or anxiety responses. Moreover, donepezil plus L-arginine increased diabetes-induced depression significantly. Conclusion: These findings may suggest that cholinergic and nitrergic systems may interact on depression-like behaviors in diabetic rats.
{"title":"The effects of donepezil on anxiety- and depression-like behaviors in diabetic rats and the role of nitric oxide modulators","authors":"M. Öz, K. E. Nurullahoğlu Atalık, Durmuş Ali Aslanlar","doi":"10.51271/kmj-0088","DOIUrl":"https://doi.org/10.51271/kmj-0088","url":null,"abstract":"Aims: The aim of the present study was to evaluate the effect of an acetylcholinesterase inhibitor donepezil on the diabetes-induced anxiety and depression and the role of nitric oxide in these effects.\u0000Methods: Thirty male Wistar rats were randomly divided into 2 groups at first; the control group (n=6) and the diabetic group (n=24). The diabetic group divided into four groups, a single dose of streptozotocin was used to induce experimental type 1 diabetes. After 30 days, one group was separated as diabetic control, while the other three received 4 mg/kg p.o. donepezil for 20 days. One of the DON groups was administered 20 mg/kg i.p., L-NAME for 20 days, while the other group was administered 40 mg/kg i.p., L-arginine for 20 days.\u0000Results: Anxiety-like behaviors were assessed using the open field test (OFT), and depression-like behaviors were estimated using the forced swim test (FST). In the OFT, all diabetic rats spent less time in the center and engaged in less exploratory behavior than the control group. The number of lines crossed where locomotor activity was assessed did not differ significantly between groups. In the FST, duration of immobility increased significantly in diabetic groups compared to the control. Donepezil administration did not affect either depression or anxiety responses. Moreover, donepezil plus L-arginine increased diabetes-induced depression significantly.\u0000Conclusion: These findings may suggest that cholinergic and nitrergic systems may interact on depression-like behaviors in diabetic rats.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132811993","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}
Aims: In this study, it was aimed to determine preoperative anxiety levels, related factors, the relationship between health literacy and anxiety in parents of pediatric patients. Methods: This descriptive cross-sectional study was conducted on the parents of children who will be operated in a tertiary hospital between 15 June and 15 September 2022. The number of 82 people were included in the study. Information form introducing children and families, Health Literacy Scale(HLS), State Trait Anxiety Inventory(STAI) questionnaires were applied to parents. p<0.05 was considered significant in statistical analysis. Results: The state anxiety score of the parents participating in the study was 37.51±9.50, trait anxiety score was 42.55±8.83, HLS 45.46±14.34. Preoperative state anxiety level of mothers(39.63±9.97) was higher than that of fathers(34.36±8.71)(p=0.040), trait anxiety level was similar(p=0.189), mothers' health literacy(40.36±11.11) was found to be lower (48.11±15.19) than fathers(p=0.019). The state anxiety level of parents whose income is equal to expenditure was found to be the lowest(33.43±7.33)(p<0.001). While the state anxiety score was found to be significantly lower(p=0.024), the trait anxiety score was similar(p=0.560) and the health literacy score was higher(p=0.042), among the parents who had knowledge about anesthesia. The relationship between state anxiety score and health literacy score was negative and significant(p<0.001). Conclusion: It is seen that the anxiety levels of parents with low health literacy increase before the surgery. It is important to know the factors related to the anxiety levels of the parents before the surgery.
{"title":"Preoperative anxiety in parents of pediatric patients: related factors and the role of health literacy","authors":"Şule Özdemir, A. Cecen, D. Özdemir","doi":"10.51271/kmj-0087","DOIUrl":"https://doi.org/10.51271/kmj-0087","url":null,"abstract":"Aims: In this study, it was aimed to determine preoperative anxiety levels, related factors, the relationship between health literacy and anxiety in parents of pediatric patients.\u0000Methods: This descriptive cross-sectional study was conducted on the parents of children who will be operated in a tertiary hospital between 15 June and 15 September 2022. The number of 82 people were included in the study. Information form introducing children and families, Health Literacy Scale(HLS), State Trait Anxiety Inventory(STAI) questionnaires were applied to parents. p<0.05 was considered significant in statistical analysis.\u0000Results: The state anxiety score of the parents participating in the study was 37.51±9.50, trait anxiety score was 42.55±8.83, HLS 45.46±14.34. Preoperative state anxiety level of mothers(39.63±9.97) was higher than that of fathers(34.36±8.71)(p=0.040), trait anxiety level was similar(p=0.189), mothers' health literacy(40.36±11.11) was found to be lower (48.11±15.19) than fathers(p=0.019). The state anxiety level of parents whose income is equal to expenditure was found to be the lowest(33.43±7.33)(p<0.001). While the state anxiety score was found to be significantly lower(p=0.024), the trait anxiety score was similar(p=0.560) and the health literacy score was higher(p=0.042), among the parents who had knowledge about anesthesia. The relationship between state anxiety score and health literacy score was negative and significant(p<0.001).\u0000Conclusion: It is seen that the anxiety levels of parents with low health literacy increase before the surgery. It is important to know the factors related to the anxiety levels of the parents before the surgery.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114320971","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}
Aims: This study aimed to investigate alarm fatigue, which has a negative impact on nurses working in intensive care units. Methods: A questionnaire of 20 questions consisting of the alarm fatigue scale in nursing and sociodemographic questions prepared on Google Forms was sent to the nurses working in intensive care units as a social messaging platform and e-mail between 1 January-1 February 2022. Results: 219 nurses provided feedback. Nurses working in adult intensive care units participated with 70.6%. It was observed that alarm fatigue scores decreased as the duration of working in the intensive care unit and the working time in the nurse increased. Conclusion: As the age and professional experience of the nurses increase, the fatigue caused by the alarms decreases. Since this situation may pose a danger to the safety of patients who young nurses follow in the first years of the profession, it would be appropriate to develop nurses' methods of coping with alarms.
{"title":"Evaluation of alarm fatigue in nurses working in intensive care units and alarm fatigue","authors":"İ. Ceylan, E. Karakoç","doi":"10.51271/kmj-0091","DOIUrl":"https://doi.org/10.51271/kmj-0091","url":null,"abstract":"Aims: This study aimed to investigate alarm fatigue, which has a negative impact on nurses working in intensive care units.\u0000Methods: A questionnaire of 20 questions consisting of the alarm fatigue scale in nursing and sociodemographic questions prepared on Google Forms was sent to the nurses working in intensive care units as a social messaging platform and e-mail between 1 January-1 February 2022.\u0000Results: 219 nurses provided feedback. Nurses working in adult intensive care units participated with 70.6%. It was observed that alarm fatigue scores decreased as the duration of working in the intensive care unit and the working time in the nurse increased.\u0000Conclusion: As the age and professional experience of the nurses increase, the fatigue caused by the alarms decreases. Since this situation may pose a danger to the safety of patients who young nurses follow in the first years of the profession, it would be appropriate to develop nurses' methods of coping with alarms.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134534501","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}
Eosinophilic gastroenteritis is a rare disease, characterized by eosinophilic infiltrates in the intestinal layers. Its etiology is not well known. A biopsy is mandatory for accurate diagnosis. Clinical presentation is variable and can be seen in numerous diseases. There are no pathognomonic findings. Serosal-type involvement is the rarest and usually is associated with ascites. In this case, we report a 21-year-old female patient presented with abdominal pain, diarrhoea, vomiting and ascites. Diagnosis of eosinophilic gastroenteritis was made after eliminating broad-spectrum mimicking causes of tissue eosinophilia. The patient recovered completely after treatment with steroids.
{"title":"An unusual cause of ascites: eosinophilic gastroenteritis","authors":"Idris Kurt, Ezgi Bulut","doi":"10.51271/kmj-0096","DOIUrl":"https://doi.org/10.51271/kmj-0096","url":null,"abstract":"Eosinophilic gastroenteritis is a rare disease, characterized by eosinophilic infiltrates in the intestinal layers. Its etiology is not well known. A biopsy is mandatory for accurate diagnosis. Clinical presentation is variable and can be seen in numerous diseases. There are no pathognomonic findings. Serosal-type involvement is the rarest and usually is associated with ascites. In this case, we report a 21-year-old female patient presented with abdominal pain, diarrhoea, vomiting and ascites. Diagnosis of eosinophilic gastroenteritis was made after eliminating broad-spectrum mimicking causes of tissue eosinophilia. The patient recovered completely after treatment with steroids.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114831130","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}
T. Onur, A. Onur, A. Demirel, Ş. Özgünay, Ü. Karaca, Osman Sıla Aydın
Aims: Kyphoplasty (KP) surgeries are commonly performed under local, general and regional anesthesia. The purpose of our study was to compare the perioperative and postoperative effects of ultrasound (USG) guided erector spinae plane blocks (ESPB) and paravertebral blocks (PVB) in patients with KP. Methods: Forty patients who underwent kyphoplasty were evaluated retrospective as Group 1 (ESPB, n=20) and Group 2 (PVB,n=20). Perioperative additional opioid, hemodynamic parameters, complications, postoperative analgesia requirement, pain with visual analog scale (VAS) at specified times, amount of analgesic used within 24 hours, first mobilization and discharge time, and complications were compared. Results: There was no difference between the study groups regarding demographic data, ASA, preoperative analgesic use, mean arterial pressure (MAP), heart rate (HR), SpO2, additional opioid requirement, perioperative complication rates, VAS and surgical level. A significant difference was observed between Group 1 and Group 2 regarding the VAS score and paracetamol dose at 6 hours postoperatively (p:0.023 and p:0.006, respectively). There was no statistical difference between the groups first mobilization and discharge time, postoperative complications, postoperative intensive care needs (PICU), and tramadol dose rates used (p>0.05). Conclusion: The USG-guided ESPB and PVB did not appear superior to one another in kyphoplasty procedures regarding 12 and 24-hour VAS scores, first mobilization and discharge time, postoperative complications, PICU needs and tramadol dose. The analgesic effect of ESPB in KP surgery was superior to that of PVB, 6hours postoperatively. Therefore, it is possible to consider them a safe and alternative method of anesthesia and analgesia.
目的:后凸成形术(KP)手术通常在局部、全身和区域麻醉下进行。本研究的目的是比较超声(USG)引导下直立脊柱平面阻滞(ESPB)和椎旁阻滞(PVB)在KP患者围术期和术后的效果。方法:回顾性分析40例后凸成形术患者，分为1组(ESPB, n=20)和2组(PVB,n=20)。比较围手术期附加阿片类药物、血流动力学参数、并发症、术后镇痛需求、规定时间疼痛视觉模拟评分(VAS)、24小时内镇痛药用量、首次活动及出院时间、并发症。结果:在人口学数据、ASA、术前镇痛药使用、平均动脉压(MAP)、心率(HR)、SpO2、额外阿片类药物需求、围手术期并发症发生率、VAS和手术水平方面，研究组间无差异。1组和2组术后6 h VAS评分和扑热息痛剂量比较，差异有统计学意义(p:0.023和p:0.006)。两组患者首次活动出院时间、术后并发症、术后重症监护需求(PICU)、曲马多剂量率比较，差异均无统计学意义(p>0.05)。结论:usg引导下ESPB和PVB在12和24小时VAS评分、首次活动和出院时间、术后并发症、PICU需求和曲马多剂量方面均无明显优势。ESPB在KP手术后6小时的镇痛效果优于PVB。因此，有可能认为它们是一种安全的麻醉和镇痛的替代方法。
{"title":"Efficacy of erector spina plane blocks and paravertebral blocks in kyphoplasty surgery","authors":"T. Onur, A. Onur, A. Demirel, Ş. Özgünay, Ü. Karaca, Osman Sıla Aydın","doi":"10.51271/kmj-0095","DOIUrl":"https://doi.org/10.51271/kmj-0095","url":null,"abstract":"Aims: Kyphoplasty (KP) surgeries are commonly performed under local, general and regional anesthesia. The purpose of our study was to compare the perioperative and postoperative effects of ultrasound (USG) guided erector spinae plane blocks (ESPB) and paravertebral blocks (PVB) in patients with KP. Methods: Forty patients who underwent kyphoplasty were evaluated retrospective as Group 1 (ESPB, n=20) and Group 2 (PVB,n=20). Perioperative additional opioid, hemodynamic parameters, complications, postoperative analgesia requirement, pain with visual analog scale (VAS) at specified times, amount of analgesic used within 24 hours, first mobilization and discharge time, and complications were compared. Results: There was no difference between the study groups regarding demographic data, ASA, preoperative analgesic use, mean arterial pressure (MAP), heart rate (HR), SpO2, additional opioid requirement, perioperative complication rates, VAS and surgical level. A significant difference was observed between Group 1 and Group 2 regarding the VAS score and paracetamol dose at 6 hours postoperatively (p:0.023 and p:0.006, respectively). There was no statistical difference between the groups first mobilization and discharge time, postoperative complications, postoperative intensive care needs (PICU), and tramadol dose rates used (p>0.05). Conclusion: The USG-guided ESPB and PVB did not appear superior to one another in kyphoplasty procedures regarding 12 and 24-hour VAS scores, first mobilization and discharge time, postoperative complications, PICU needs and tramadol dose. The analgesic effect of ESPB in KP surgery was superior to that of PVB, 6hours postoperatively. Therefore, it is possible to consider them a safe and alternative method of anesthesia and analgesia.","PeriodicalId":369732,"journal":{"name":"Kastamonu Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129997534","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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