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The Role of Prognostic Nutritional Index in Predicting Multivessel Disease in Patients with ST-Segment Elevation Myocardial Infarction 预后营养指数在预测st段抬高型心肌梗死患者多血管病变中的作用
Pub Date : 2023-10-13 DOI: 10.56766/ntms.1363559
Emrah AKSAKAL, Oğuzhan BİRDAL
Acute coronary syndromes (ACS) are common diseases and one of the most common causes of death in the world. The most feared ACS is ST segment elevation myocardial infarction (STEMI). Approximately 50% of STEMI patients have lesions in multivessel disease (MVD), and this is associated with poor outcomes. In this study, we aimed to evaluate prognostic nutritional index (PNI) in patients with STEMI and MVD. 1708 patients diagnosed with STEMI were included in the study. The patients' blood parameters, electrocardiography and echocardiography findings, coronary angiography images were recorded and calculations were made. The mean follow-up period was 38.8±10.3 months. The mean age of 1708 patients was 56.7±12.3 years, and 1370 (80.2) of the patients were male. Lower PNI was associated with MVD (+). Mortality was observed more in the MVD (+) group (p
急性冠状动脉综合征(ACS)是一种常见病,也是世界上最常见的死亡原因之一。最可怕的ACS是ST段抬高型心肌梗死(STEMI)。大约50%的STEMI患者存在多血管病变(MVD),这与不良预后相关。在这项研究中,我们旨在评估STEMI和MVD患者的预后营养指数(PNI)。1708名被诊断为STEMI的患者被纳入研究。记录患者的血液参数、心电图、超声心动图、冠状动脉造影图像并进行计算。平均随访时间38.8±10.3个月。1708例患者平均年龄(56.7±12.3岁),男性1370例(80.2例)。较低的PNI与MVD(+)相关。MVD(+)组死亡率更高(p
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引用次数: 0
Maternal Bisphenol A Levels in Patients Diagnosed with Preeclampsia: A Case-Control Study 先兆子痫患者母体双酚A水平:一项病例对照研究
Pub Date : 2023-09-27 DOI: 10.56766/ntms.1344747
Merve ALDIKAÇTIOĞLU TALMAÇ, Fırat ERSAN, İzel GÜNAY, Gülsen SENER, İbrahim POLAT, Nilüfer ÇETİNKAYA
Objective: This study aims to assess Bisphenol-A levels in serum samples from preeclampsia patients and determine potential distinctions by comparing them against samples from healthy pregnant women Material-Methods: This single-center prospective case-control study aimed to investigate the potential differences in serum Bisphenol-A (BPA) levels between pregnant patients diagnosed with preeclampsia and healthy pregnant women. The study encompassed two distinct groups: the study group consisted of 30 pregnant patients diagnosed with preeclampsia, while the control group included 30 healthy pregnant women matched in terms of gestational weeks and demographic characteristics, maintaining a 1:1 ratio. Serum samples were subjected to analysis using a BPA ELISA kit Results: The study encompassed a total of 60 patients, who were categorized into two groups: preeclampsia (n=30) and control (n=30). Upon comparison of the BPA values between the two groups, no statistically significant difference was detected (p=0.579). Conclusion: Clear-cut scientific evidence establishing a conclusive causal link between BPA and preeclampsia is still lacking. Further research is needed in this area
目的:本研究旨在评估子痫前期患者血清样本中的双酚a水平,并通过将其与健康孕妇样本进行比较来确定潜在的差异 材料-方法:本单中心前瞻性病例对照研究旨在探讨诊断为子痫前期的孕妇与健康孕妇血清双酚a (BPA)水平的潜在差异。该研究包括两个不同的组:研究组包括30名诊断为子痫前期的孕妇,而对照组包括30名在妊娠周和人口统计学特征方面匹配的健康孕妇,保持1:1的比例。血清样品采用双酚a ELISA试剂盒进行分析;结果:本研究共纳入60例患者,分为两组:先兆子痫(n=30)和对照组(n=30)。两组间BPA值比较,差异无统计学意义(p=0.579)。 结论:目前尚缺乏明确的科学证据来证明双酚a与子痫前期之间存在决定性的因果关系。这方面需要进一步的研究
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 Material-Methods: This single-center prospective case-control study aimed to investigate the potential differences in serum Bisphenol-A (BPA) levels between pregnant patients diagnosed with preeclampsia and healthy pregnant women. The study encompassed two distinct groups: the study group consisted of 30 pregnant patients diagnosed with preeclampsia, while the control group included 30 healthy pregnant women matched in terms of gestational weeks and demographic characteristics, maintaining a 1:1 ratio. Serum samples were subjected to analysis using a BPA ELISA kit
 Results: The study encompassed a total of 60 patients, who were categorized into two groups: preeclampsia (n=30) and control (n=30). Upon comparison of the BPA values between the two groups, no statistically significant difference was detected (p=0.579).
 Conclusion: Clear-cut scientific evidence establishing a conclusive causal link between BPA and preeclampsia is still lacking. Further research is needed in this area","PeriodicalId":371755,"journal":{"name":"New Trends in Medicine Sciences","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135635683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiological Characteristics of Immunization Adenitis in the Axilla Following the Covid-19 Vaccine 新冠肺炎疫苗接种后腋窝免疫腺炎的影像学特征
Pub Date : 2023-09-27 DOI: 10.56766/ntms.1341236
Mustafa DÜGER, Abdulkadir EREN
It was aimed to investigate the ultrasonography (US) features of axillary COVID-19 immunization adenitis. Patients with axillary COVID-19 immunization adenitis detected between April 2021 and January 2022 were included. US features of the lymph nodes identified at the patient's initial US were all recorded. Radiological follow-up information and if exists pathology results were investigated. 104 immunization adenitis in the axilla following Covid-19 vaccine were detected. Only 18.3 percent had axillary pain or edema. Biopsy was recommended for 4 patients and follow-up was recommended for the other 100 patients. Core biopsy results were lymphoid tissue with focal micro-abscess formations, reactive lymphoid hyperplasia and plasma cell increase. All of the patients had a history of vaccination in the last 3 months. After immunization, initial US imaging was conducted mean 24-days later. The mean long and short axis were 22-mm and 13-mm, respectively. The mean long-short axes ratio was 2.2. The mean thickness of the cortex was 4.8-mm. The long and short axes of the lymph nodes in the first US and control examinations were compared statistically and they decreased in time. The hilum existed (96%). Elastography revealed soft features. The majority of the immunization adenitis are just enlarged benign-appearing lymph nodes. The majority were found during the extensive immunization campaign and were asymptomatic. Patients and their physicians should be aware of the vaccination and imaging evaluation of specific patient groups considering that these vaccinations will continue to be used for a while in the next years.
目的探讨新冠肺炎免疫腺炎腋窝超声(US)特征。纳入了2021年4月至2022年1月期间检测出的腋窝COVID-19免疫腺炎患者。在患者首次超声检查时发现的淋巴结的超声特征都被记录下来。检查了影像学随访资料和病理结果。检测新冠肺炎疫苗接种后腋窝免疫腺炎104例。只有18.3%的人有腋窝疼痛或水肿。4例患者建议活检,其余100例患者建议随访。核心活检结果为淋巴样组织伴局灶性微脓肿形成,反应性淋巴样增生及浆细胞增多。所有患者在过去3个月内均有疫苗接种史。免疫后,平均24天后进行初始超声成像。平均长、短轴分别为22 mm和13 mm。平均长-短轴比为2.2。皮层平均厚度4.8 mm。第一次US和对照检查的淋巴结长、短轴有统计学差异,随时间推移而减少。门部存在(96%)。弹性成像显示柔软特征。大多数免疫腺炎只是扩大的良性淋巴结。大多数是在广泛的免疫运动中发现的,无症状。考虑到这些疫苗在未来几年将继续使用一段时间,患者及其医生应了解特定患者群体的疫苗接种和影像学评估。
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引用次数: 0
Gonadotropin Versus Gonadotropin/Letrozole Protocol in Previously Failed Antagonist Cycles in Patients with Low Prognosis 促性腺激素与促性腺激素/来曲唑方案在低预后患者先前失败的拮抗剂周期
Pub Date : 2023-09-27 DOI: 10.56766/ntms.1347840
Can KOSE, Ahmet DEMİR, Kübra KARAKOLCU, Ebru ŞAHİN GÜLEÇ
Objective: Letrozole is an aromatase inhibitor which has been used for ovulation induction. Our aim is to evaluate the effectiveness of adding letrozole to gonadotropins in the early follicular phase of gonadotropin-releasing hormone antagonist (GnRH-a) protocol in patients with poor ovarian response who had failed in the preceding GnRH-a cycle. Materials and Method: Ninety-eight patients with poor ovarian response who had previously failed GnRH-a cycle were included. Patients (n; 58) who were treated with letrozole plus gonadotropins (LzGA) were compared with patients (n; 40) who received gonadotropins (GT). The number of total oocytes retrieved, the number of MII oocytes and fertilized oocytes, fertilization and implantation ratios, the rate of cycle cancellation as well as clinical pregnancy and live birth rates Results: The LzGA group had a significantly shorter duration of GnRH-a stimulation and higher progesterone level at trigger day (p=0.005, p=0.049 respectively). Although letrozole administration demonstrated lower estradiol levels at trigger day and the total dose of gonadotropins used were lower in LzGA group, this was statistically non-significant (p=0.13, p=0.13 respectively). Conclusion: Adding letrozole to gonadotropins in GnRH-a protocol in patients with poor prognosis did not improve pregnancy outcomes. But it seems to decrease IVF costs by reducing the GnRH-antagonist and gonadotropin dosage.
目的:来曲唑是一种芳香化酶抑制剂,用于促排卵。我们的目的是评估在促性腺激素释放激素拮抗剂(GnRH-a)方案的早期卵泡期将来曲唑加入促性腺激素的有效性,用于在之前的GnRH-a周期中失败的卵巢反应差的患者。材料与方法:纳入98例既往GnRH-a周期失败的卵巢反应较差的患者。病人(n;58例来曲唑加促性腺激素(LzGA)治疗的患者与(n;40)接受促性腺激素(GT)治疗。总卵母细胞数、MII卵母细胞数与受精卵母细胞数、受精与着床比、周期取消率、临床妊娠率和活产率 结果:LzGA组GnRH-a刺激持续时间显著缩短,触发日孕酮水平显著升高(p=0.005, p=0.049)。虽然来曲唑组在触发日显示雌二醇水平较低,LzGA组使用的促性腺激素总剂量较低,但这在统计学上无显著性(p=0.13, p=0.13)。结论:GnRH-a方案中在促性腺激素的基础上添加来曲唑并不能改善预后不良患者的妊娠结局。但似乎可以通过减少gnrh拮抗剂和促性腺激素的剂量来降低体外受精的成本。
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 Materials and Method: Ninety-eight patients with poor ovarian response who had previously failed GnRH-a cycle were included. Patients (n; 58) who were treated with letrozole plus gonadotropins (LzGA) were compared with patients (n; 40) who received gonadotropins (GT). The number of total oocytes retrieved, the number of MII oocytes and fertilized oocytes, fertilization and implantation ratios, the rate of cycle cancellation as well as clinical pregnancy and live birth rates
 Results: The LzGA group had a significantly shorter duration of GnRH-a stimulation and higher progesterone level at trigger day (p=0.005, p=0.049 respectively). Although letrozole administration demonstrated lower estradiol levels at trigger day and the total dose of gonadotropins used were lower in LzGA group, this was statistically non-significant (p=0.13, p=0.13 respectively).
 Conclusion: Adding letrozole to gonadotropins in GnRH-a protocol in patients with poor prognosis did not improve pregnancy outcomes. But it seems to decrease IVF costs by reducing the GnRH-antagonist and gonadotropin dosage.","PeriodicalId":371755,"journal":{"name":"New Trends in Medicine Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135635693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence of obstetric massive blood transfusion and clinicial features: hospital-based study 产科大量输血发生率与临床特征:基于医院的研究
Pub Date : 2023-09-27 DOI: 10.56766/ntms.1348308
İzzet ÖZGÜRLÜK, Hüseyin Levent KESKİN
Aim: To determine the incidence of obstetric massive blood transfusion in a tertiary center, to determine the characteristics of massive blood transfusion, its main causes and adverse outcomes in obstetric cases, thus trying to contribute to the creation of obstetric emergency plans. Materials and methods: The results of 39 cases who underwent massive blood transfusion for obstetric indications were reviewed retrospectively. Demographic data of the cases (age, gravida, parity, body mass index), indications for hospitalization, vital signs during hospitalization, shock index, hemogram values and INR values, massive transfusion indications, transfused blood products (and in intensive care/intensive care units) from patient medical files. Length of hospital stay, reactions and complications related to massive transfusion were recorded.The cases who underwent obstetric massive blood transfusion were divided into 2 groups as low-risk pregnancy and high-risk pregnancy.The data were also compared between the 2 groups. Results: The rate of massive blood transfusion was found to be 26 (12/4607) in 10000 pregnancies in low-risk pregnancies and 1.2% (27/2269) in high-risk pregnancies. Transfusion was started in 21 of 33 cases who underwent cesarean section due to massive bleeding that occurred intraoperatively. The time between the decision of transfusion due to obstetric hemorrhage and initiation of transfusion, and the vital signs and shock indices of the cases at the time of initiation of transfusion were similar between the groups (p>0.05). However, while the Hb and Htc levels were statistically lower in the low-risk group at the time of initiation of transfusion, the INR value was statistically higher in the high-risk group. Conclusion: In massive obstetric hemorrhages, which is one of the most important causes of maternal mortality, application of surgical procedures (compression sutures, arter ligation or hysterectomy) combined with massive blood transfusion is life-saving.
目的:确定三级医疗中心产科大量输血的发生率,确定大量输血的特点、主要原因和产科病例的不良后果,从而努力为制定产科应急计划作出贡献。 材料与方法:回顾性分析39例产科指征大量输血的临床资料。病例的人口统计数据(年龄、妊娠、胎次、体重指数)、住院指征、住院期间的生命体征、休克指数、血象值和INR值、大量输血指征、输血血制品(以及在重症监护室/重症监护病房)的患者医疗档案。记录大量输血相关的住院时间、反应和并发症。将产科大量输血病例分为低危妊娠组和高危妊娠组。并对两组数据进行比较。 结果:低危妊娠大量输血率为26(12/4607)/ 10000例,高危妊娠大量输血率为1.2%(27/2269)。33例剖宫产患者中有21例因术中大出血而开始输血。从产科出血决定输血到开始输血的时间,以及开始输血时患者的生命体征和休克指标在两组间相似(p>0.05)。然而,输血开始时,低危组的Hb和Htc水平在统计学上较低,而高危组的INR值在统计学上较高。 结论:产科大出血是孕产妇死亡的重要原因之一,应用外科手术(压迫缝合、结扎或子宫切除术)联合大量输血可挽救生命。
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 Materials and methods: The results of 39 cases who underwent massive blood transfusion for obstetric indications were reviewed retrospectively. Demographic data of the cases (age, gravida, parity, body mass index), indications for hospitalization, vital signs during hospitalization, shock index, hemogram values and INR values, massive transfusion indications, transfused blood products (and in intensive care/intensive care units) from patient medical files. Length of hospital stay, reactions and complications related to massive transfusion were recorded.The cases who underwent obstetric massive blood transfusion were divided into 2 groups as low-risk pregnancy and high-risk pregnancy.The data were also compared between the 2 groups.
 Results: The rate of massive blood transfusion was found to be 26 (12/4607) in 10000 pregnancies in low-risk pregnancies and 1.2% (27/2269) in high-risk pregnancies. Transfusion was started in 21 of 33 cases who underwent cesarean section due to massive bleeding that occurred intraoperatively. The time between the decision of transfusion due to obstetric hemorrhage and initiation of transfusion, and the vital signs and shock indices of the cases at the time of initiation of transfusion were similar between the groups (p>0.05). However, while the Hb and Htc levels were statistically lower in the low-risk group at the time of initiation of transfusion, the INR value was statistically higher in the high-risk group.
 Conclusion: In massive obstetric hemorrhages, which is one of the most important causes of maternal mortality, application of surgical procedures (compression sutures, arter ligation or hysterectomy) combined with massive blood transfusion is life-saving.","PeriodicalId":371755,"journal":{"name":"New Trends in Medicine Sciences","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135635940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determination of the Effect of Epigallocatechin Gallate on Oxidative Stress, Apoptosis and Sperm Quality in Rabbit Semen 表没食子儿茶素没食子酸酯对兔精液氧化应激、细胞凋亡及精子质量影响的测定
Pub Date : 2023-09-27 DOI: 10.56766/ntms.1340936
Serkan Ali AKARSU, Recep Hakkı KOCA, Aslıhan ÇAKIR CİHANGİROĞLU, Tutku Can ACISU, İbrahim Halil GÜNGÖR, Mustafa SÖNMEZ, Gaffari TÜRK, Seyfettin GÜR, Ali Doğan ÖMÜR, Harika Eylül ESMER DURUEL
Objectives;In this study, it was aimed to determine the effect of Epigallocatechin gallate (EGCG) on the cryopreservation of rabbit semen. Material and metod; For this purpose, semen was collected from six male New Zealand rabbits. Collected semen were divided into 5 groups as control, 25 µM, 50 µM, 100 µM and 200 µM. Semen samples were reconstituted and frozen after adding EGCG. Frozen straws were then thawed. Results; After freezing and thawing, total motility, progressive motility, and rate of fast and medium speed sperm were significantly higher in the 50 µM group than in the other groups. Static sperm ratio was found to be lower in the 50 µM group than in the other groups. When the flow cytometry results were examined, there was no statistical difference between the groups in terms of the ratio of dead and live sperm. However, the rate of dead sperm with acrosome damage was found to be the lowest in the 50 µM group. High mitochondrial membrane potential sperm ratio was found higher in 50 µM and 100 µM groups compared to other groups (p
目的:研究没食子儿茶素没食子酸酯(EGCG)对兔精液冷冻保存的影响。& # x0D;材料及方法;为此,采集了6只雄性新西兰兔的精液。采集的精液分为对照组、25µM组、50µM组、100µM组和200µM组。精液样品加入EGCG后重组冷冻。然后解冻冷冻的稻草。& # x0D;结果;冷冻和解冻后,50µM组精子总活力、渐进活力、快、中速精子率均显著高于其他各组。静态精子比例在50µM组低于其他各组。流式细胞术检测结果显示,两组之间活精子与死精子的比例差异无统计学意义。然而,顶体损伤的死精子率在50µM组中最低。50µM和100µM组高线粒体膜电位精子比高于其他组(p
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 Material and metod; For this purpose, semen was collected from six male New Zealand rabbits. Collected semen were divided into 5 groups as control, 25 µM, 50 µM, 100 µM and 200 µM. Semen samples were reconstituted and frozen after adding EGCG. Frozen straws were then thawed. 
 Results; After freezing and thawing, total motility, progressive motility, and rate of fast and medium speed sperm were significantly higher in the 50 µM group than in the other groups. Static sperm ratio was found to be lower in the 50 µM group than in the other groups. When the flow cytometry results were examined, there was no statistical difference between the groups in terms of the ratio of dead and live sperm. However, the rate of dead sperm with acrosome damage was found to be the lowest in the 50 µM group. High mitochondrial membrane potential sperm ratio was found higher in 50 µM and 100 µM groups compared to other groups (p","PeriodicalId":371755,"journal":{"name":"New Trends in Medicine Sciences","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of the Effect of Using a Metronome or Song on the Lay Rescuers' Quality of Chest Compressions 节拍器与歌曲对急救员胸外按压质量影响的研究
Pub Date : 2023-09-21 DOI: 10.56766/ntms.1276064
Fatma TORTUM, Erdal TEKİN
Introduction: This study aimed to determine the quality of chest compressions performed by lay rescuers assisted by a healthcare worker over the telephone and investigate the effect of metronome use or the Stayin’ Alive song on the quality of these chest compressions. Material and Method: This study was conducted prospectively at the emergency department of a tertiary hospital. The lay rescuers were assisted by an emergency medicine specialist over the telephone to perform chest compressions using the CPR Lilly PRO+ simulator. Three groups were formed, and the same participants performed three cycles of chest compressions over the telephone for two minutes first without any external stimulus (Group 1), then using a metronome as an external stimulus (Group 2), and finally by listening to the Stayin’ Alive song as another external stimulus (Group 3). The obtained data were analyzed with IBM SPSS v. 23.0. Results: There was no statistically significant difference between the three groups in terms of the target number of chest compressions (p=0.404). However, the compression depth and chest compression fraction statistically significantly differed between the groups (p
简介:本研究旨在确定由医护人员通过电话协助的非专业救援人员进行的胸外按压的质量,并调查节拍器或Stayin ' Alive歌曲对这些胸外按压质量的影响。 材料与方法:本研究在某三级医院急诊科进行前瞻性研究。急救医学专家通过电话协助外行救援人员使用心肺复苏术Lilly PRO+模拟器进行胸部按压。分成三组,同一参与者通过电话进行三个周期的胸外按压,每次2分钟,首先没有任何外部刺激(第一组),然后使用节拍器作为外部刺激(第二组),最后使用Stayin ' Alive歌曲作为另一种外部刺激(第三组)。使用IBM SPSS v. 23.0. 分析获得的数据;结果:三组间胸外按压目标次数比较,差异无统计学意义(p=0.404)。然而,两组间按压深度和胸部按压分数差异有统计学意义(p
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 Material and Method: This study was conducted prospectively at the emergency department of a tertiary hospital. The lay rescuers were assisted by an emergency medicine specialist over the telephone to perform chest compressions using the CPR Lilly PRO+ simulator. Three groups were formed, and the same participants performed three cycles of chest compressions over the telephone for two minutes first without any external stimulus (Group 1), then using a metronome as an external stimulus (Group 2), and finally by listening to the Stayin’ Alive song as another external stimulus (Group 3). The obtained data were analyzed with IBM SPSS v. 23.0.
 Results: There was no statistically significant difference between the three groups in terms of the target number of chest compressions (p=0.404). However, the compression depth and chest compression fraction statistically significantly differed between the groups (p","PeriodicalId":371755,"journal":{"name":"New Trends in Medicine Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136129333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endothelin-1 Gene Polymorphism in Chronic Obstructive Pulmonary Disease : A case-control study 慢性阻塞性肺疾病患者内皮素-1基因多态性:一项病例对照研究
Pub Date : 2023-09-21 DOI: 10.56766/ntms.1331707
Mustafa DÜGER, Gökhan KARAKURT, Ekrem SEYHAN, Mustafa BOLATKALE
Abstract Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a common multifactorial disease which has heterogeneous pathogenesis. The most important risk factor is smoking. In addition to many pathogenic mechanisms taking part in inflammatory process, Our study group does research on the relation of COPD with single nucleotide gene polymorphism at ET-1 gene. In the current studies there being a high ratio of Endotelin-1 (ET-1) in BAL liquid of COPD cases made researchers think ET-1 may have an important role in pathogenesis of COPD. Methods: This prospective case-control study included 89 patients admitted with COPD and 87 control patients. In our study, we search for the density of single nucleotide gene polymorphism (+134 insA/delA) in ET-1 gene in the 87 smoking COPD and 89 healthy cases. Allele ratio and genotype distribution, distribution amongst three genotype in the COPD patient and healthy control group was analyzed. In this study, for endothelin gene -3A/-4A (-138 insertion/deletion) polymorphism analysis, PCR-RFLP method was used. Results: In comparison with the healthy group, the COPD group has higher ratio of ET-1 gene (+134 insA/delA) polymorphism (p< 0,001). Conclusion: Endotelin-1 gene polymorphism (+134 insA/delA) significantly increased in the patients than healthy ones (p
摘要# x0D;慢性阻塞性肺疾病(COPD)是一种常见的多因素疾病,其发病机制具有异质性。最重要的危险因素是吸烟。除了参与炎症过程的多种致病机制外,本课题组还研究了ET-1基因单核苷酸多态性与COPD的关系。在目前的研究中,COPD患者BAL液中内皮素-1 (ET-1)的比例较高,研究人员认为ET-1可能在COPD的发病过程中起重要作用。& # x0D;方法:本前瞻性病例对照研究纳入89例COPD住院患者和87例对照患者。在我们的研究中,我们寻找ET-1基因的单核苷酸多态性密度(+134 insA/delA)在87例吸烟COPD和89例健康患者。分析慢性阻塞性肺病患者和健康对照组的等位基因比例和基因型分布。本研究采用PCR-RFLP方法对内皮素基因-3A/-4A(-138插入/缺失)多态性进行分析。& # x0D;结果:COPD组ET-1基因多态性(+134 insA/delA)比健康组高(p<0001)。& # x0D;结论:患者内皮素-1基因多态性(+134 insA/delA)明显高于健康人群(p
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引用次数: 0
Knowledge and Attitudes of XXX University Medical Faculty Students in the Diagnosis and Treatment of Hypertension: A Cross-sectional Study XXX大学医学院学生高血压诊治知识与态度的横断面研究
Pub Date : 2023-09-21 DOI: 10.56766/ntms.1206520
Ersan GÜRSOY, Mercan YAĞIZ
Objective: Hypertension is an important public health problem with high morbidity and mortality and seen in approximately 1 in 3 people all over the world. Hypertension can cause direct or indirect labor losses, but despite this, awareness in the society remains at low levels. This research was conducted to examine the awareness of hypertension in newly graduated medical school students. Methods: There search is across-sectional descriptive study. The population of the study consisted of 55 students studying in the last year of XXX University Faculty of Medicine. For the study, a questionnaire consisting of 26 questions was sent to the students electronically (Google forms), which was prepared by there searcher and questioned the presence of hypertension risk factors in the participants, the knowledge and attitudes of the participants about the diagnosis and treatment of hypertension. Results: 96,3% (n=53) of 55 people were reached. 43.4% (n=23) of the participants were female and 56.6% (n=30) were male. When the risk factors in the Turkish Hypertension Consensus Report were questioned among the participants, it was seen that the most common risk factor was having a stressful personality with 66% (n=35). 34% (n=18) of the participants had not had their blood pressure measured in the last 6 months. Only 3.8% (n=2) stated that they could completely manage a hypertension patient with their current knowledge. It was seen that the average of correct answers given by the participants to 6 information questions about hypertension was 3.55±1.21. Conclusion: Although the theoretical knowledge of the participants is partially sufficient, it is a situation that should be questioned well what makes them think that they cannot follow up hypertension patients. This may be due to the fact that medical faculties do not give as much importance to practical education as theoretical courses. More emphasis should be placed on the follow-up of common diseases such as hypertension in medical education, and students should be trained on routine practical approaches.
目的:高血压是一个重要的公共卫生问题,发病率和死亡率高,全世界约有1 / 3的人患有高血压。高血压可造成直接或间接的劳动力损失,但尽管如此,社会对高血压的认识仍然很低。本研究旨在调查医学院应届毕业生对高血压的认知。 & # x0D;方法:采用横断面描述性研究。研究对象为XXX大学医学院最后一年的55名学生。在本研究中,通过电子方式向学生发送一份由搜索者准备的包含26个问题的问卷(Google表格),询问参与者是否存在高血压危险因素,以及参与者对高血压诊断和治疗的知识和态度。 & # x0D;结果:55例患者中有96.3% (n=53)得到了治疗。女性占43.4% (n=23),男性占56.6% (n=30)。当对《土耳其高血压共识报告》中的危险因素在参与者中进行质疑时,发现最常见的危险因素是有66% (n=35)的压力人格。34% (n=18)的参与者在过去6个月内没有测量过血压。只有3.8% (n=2)的人表示,他们能够以目前的知识完全控制高血压患者。结果显示,参与者对6道高血压信息题的平均正确率为3.55±1.21。 结论:虽然参与者的理论知识是部分充分的,但是什么让他们认为自己不能对高血压患者进行随访,这是一个值得质疑的情况。这可能是因为医学院没有像重视理论课程那样重视实践教育。在医学教育中应更加重视高血压等常见病的随访,并对学生进行常规实用方法的培训。
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引用次数: 0
Detection of Human Brucellosis by Brucellacapt and Rose Bengal Test in the Endemic Area 布鲁氏杆菌和玫瑰孟加拉试验在流行地区检测人类布鲁氏菌病
Pub Date : 2023-09-21 DOI: 10.56766/ntms.1219271
Elif AYDIN, Yalçın DİCLE, Şerif KAÇTAŞ, Ali Furkan GÜMÜŞ
Objective: Although brucellosis is the most common zoonosis in the world, it remains an infectious disease that has not received sufficient attention. This study’s aim was to retrospectively examine the results of the Rose Bengal and Brucellacapt tests in serum samples from patients with a prior diagnosis of brucellosis sent to our laboratory in our province, a highly endemic area for brucellosis. Materials and Methods: Between June 2019 and June 2021, 7827 serum samples sent to the public health laboratory with a provisional diagnosis of brucellosis were evaluated. The Rose Bengal and Brucellacapt test (Vircell, Spain) was used diagnose infection. Samples with antibody titer ≥1/160 were considered positive. Results: Of the 7827 samples included in the study, 354 (4.6%) of the total 7677 serum samples tested were RBT positive, 118 (3.1%) of the 3776 samples tested were BCAP positive, and 118 (3.3%) of the 3626 samples tested were both RBT and BCAP positive. It was found that seropositivity significantly higher in female patients (p
目的:虽然布鲁氏菌病是世界上最常见的人畜共患病,但它仍然是一种尚未得到足够重视的传染病。本研究的目的是回顾性检查送往我省布鲁氏菌病高流行区我们实验室的既往诊断为布鲁氏菌病的患者血清样本中的孟加拉玫瑰和布鲁氏菌适应体试验结果。材料与方法:2019年6月至2021年6月,对7827份临时诊断为布鲁氏菌病的血清样本进行评估。采用西班牙Vircell公司的孟加拉玫瑰布鲁氏杆菌试验诊断感染。抗体滴度≥1/160为阳性。& # x0D;结果:纳入研究的7827份血清样本中,7677份血清样本中RBT阳性354份(4.6%),3776份血清样本中BCAP阳性118份(3.1%),3626份血清样本中RBT和BCAP均阳性118份(3.3%)。女性患者血清阳性率明显高于男性(p
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引用次数: 0
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