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Parkinson’s Disease and the COVID-19 Pandemic: Do Quarantine Affect the Motor and Non-Motor Symptoms of Patients with and without Deep Brain Stimulation? 帕金森病和COVID-19大流行:隔离会影响接受和不接受深部脑刺激的患者的运动和非运动症状吗?
IF 0.3 Q4 Medicine Pub Date : 2022-06-27 DOI: 10.4274/haseki.galenos.2022.8225
N. Helvacı Yılmaz, Basak Bolluk Kilic, T. Zirh, A. Aslan, L. Hanoglu
Aim: Patients with chronic diseases were forced into lockdown due to the coronavirus disease-2019 pandemic. Extended quarantine could lead to physical inactivity and psychiatric problems. We investigated the effects of quarantine and social isolation during the pandemic on the motor and non-motor symptoms (NMS) of Parkinson's disease (PD) patients with and without deep brain stimulation (DBS). Methods: This study included 168 patients with PD who were in quarantine for 2 months (between April 1, 2020 and May 31, 2020). Eighty-three patients had undergone bilateral subthalamic DBS surgery. A questionnaire with three parts was administered via phone: 1) motor symptoms, 2) NMS, and 3) the reasons for impairment. Results: Of the patients, 54.7% reported impairment in at least one motor symptom and 58.9% reported impairment in at least one NMS. Increased tremors, difficulty with turning in bed, and insomnia were significantly more pronounced in patients without DBS. Patients with DBS complained less of being bored due to staying at home and had less deterioration due to lack of exercise and slower disease progression. Conclusion: Half of the symptoms of patients with PD worsened during quarantine, but patients with DBS tolerated the lockdown better. Telemedicine and online physiotherapy programs should be recommended to prevent rapid disease progression.
目的:由于冠状病毒病-2019大流行,慢性疾病患者被迫封锁。长期隔离可能会导致缺乏运动和精神问题。研究了大流行期间检疫和社会隔离对帕金森病(PD)患者进行和不进行深部脑刺激(DBS)的运动和非运动症状(NMS)的影响。方法:本研究纳入168例PD患者,隔离2个月(2020年4月1日至2020年5月31日)。83例患者接受了双侧丘脑下DBS手术。问卷分为三个部分:1)运动症状,2)NMS, 3)损伤原因。结果:54.7%的患者报告至少有一种运动症状受损,58.9%的患者报告至少有一种NMS受损。在没有DBS的患者中,震颤增加、在床上翻身困难和失眠更为明显。DBS患者较少抱怨由于呆在家里而感到无聊,较少因缺乏运动而恶化,疾病进展较慢。结论:一半PD患者的症状在隔离期间加重,但DBS患者对封锁的耐受性较好。应该推荐远程医疗和在线物理治疗方案,以防止疾病的快速进展。
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引用次数: 0
Rhinorrhea due to Infusion of Dexmedetomidine during Rhinoplasty: A Case Report and Current Literature Review 鼻整形术中输注右美托咪定引起的鼻漏:一例报告和当前文献综述
IF 0.3 Q4 Medicine Pub Date : 2022-06-27 DOI: 10.4274/haseki.galenos.2022.8389
Tümay ULUDAĞ YANARAL, P. Karaaslan, Hande Gungor, Y. O. Atalay, J. Tobias
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引用次数: 1
Management of Luc´s Abscess with Extraordinary Clinical Features Resulting in Bilateral Preseptal Cellulitis and Intracranial Complication: A Case Report and Current Literature Review 具有特殊临床特征的Luc ' s脓肿导致双侧隔前蜂窝织炎及颅内并发症的处理:1例报告及当前文献复习
IF 0.3 Q4 Medicine Pub Date : 2022-03-31 DOI: 10.4274/haseki.galenos.2022.7735
M. Uyar, Demet Candemir
Introduction The complication process begins with bone destruction secondary to acute mastoiditis and then spreads the infection to the subperiosteal plane in patients with otitis media. A subperiosteal abscess is called depending on its location (1). Luc’s abscess is only encountered in the case reports, even though it was presented as a relatively benign course compared to other subperiosteal abscesses (2,3). Another feature distinguishing Luc’s abscess from other complications is the possibility of delay in differential diagnosis due to its rare nature (1). In order to prevent the process of life-threatening complications, early identification is vital. We have experienced that if adequate treatment is not given in time, its aggressive course may be inevitable and behave like a locally aggressive tumor. This case is presented to guide the routes of infection, show the clinical symptoms that cause a life-threatening process, and emphasize the importance of timely surgical intervention in possible similar pathologies. In the light of the literature, we wanted to review the clinical approach and surgical planning process in these cases, especially during the pandemic.
中耳炎患者的并发症过程始于急性乳突炎继发的骨破坏,然后扩散到骨膜下平面。骨膜下脓肿的名称取决于它的位置(1)。Luc的脓肿只在病例报告中遇到过,尽管与其他骨膜下脓肿相比,它的病程相对良性(2,3)。Luc脓肿与其他并发症的另一个特点是由于其罕见的性质,可能会延迟鉴别诊断(1)。为了防止危及生命的并发症的发生,早期发现至关重要。我们的经验是,如果不及时给予适当的治疗,它的侵袭过程可能是不可避免的,表现得像局部侵袭性肿瘤。本病例旨在指导感染途径,显示导致危及生命过程的临床症状,并强调在可能出现类似病理时及时进行手术干预的重要性。根据文献,我们希望回顾这些病例的临床方法和手术计划过程,特别是在大流行期间。
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引用次数: 0
Comparison of Perioperative Outcomes and Urethral Complications Between Using 24-French and 26-French Resectoscope Sheaths in Holmium Laser Enucleation of the Prostate 24-French与26-French切除镜鞘行钬激光前列腺切除术围手术期疗效及尿道并发症的比较
IF 0.3 Q4 Medicine Pub Date : 2022-03-31 DOI: 10.4274/haseki.galenos.2022.8104
A. Yıldız, S. Akdemir, H. Anıl, A. Guzel, M. Arslan
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引用次数: 2
Comparison of Treatment Modalities in Adult Idiopathic Sudden Hearing Loss: A 5-year Outcome from a Tertiary Referral Center 成人特发性突发性听力损失的治疗方式比较:来自三级转诊中心的5年结果
IF 0.3 Q4 Medicine Pub Date : 2022-03-31 DOI: 10.4274/haseki.galenos.2022.8092
Y. Yılmaz, Semih Uşaklıoğlu
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引用次数: 1
Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery 当前营养指标对老年髋部骨折术后早期和晚期生存的预后作用
IF 0.3 Q4 Medicine Pub Date : 2022-03-31 DOI: 10.4274/haseki.galenos.2022.7766
M. Ekinci, Serkan Bayram, E. Gunen, Kemal Arda Col, Serkan Önder Sırma, M. Ersin, Mustafa YILMAZ
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引用次数: 0
Evaluation of the ATRIA and CHA2DS2-VASc Scores and Their Performance on Predicting Mortality in Patients with Acute Pulmonary Embolism 急性肺栓塞患者心房和CHA2DS2-VASc评分的评价及其预测死亡率的作用
IF 0.3 Q4 Medicine Pub Date : 2022-03-31 DOI: 10.4274/haseki.galenos.2022.7783
Ozge Ozcan Abacioglu, A. Yıldırım, M. Karadeniz, Ferhat Dindaş, S. Abacioglu, N. Y. Koyunsever, Mustafa Doğduş
Aim: Pulmonary embolism (PE) is a condition caused by thrombosis and is a common cause of death. Although there are studies of PE with CHA2DS2-VASc (C: congestive heart failure or left ventricular systolic dysfunction, H: hypertension, A: age of ≥ 75 years, D: diabetes mellitus, S: previous stroke, V: vascular disease, A: age between 65 and 74 years, Sc: female gender) and PE severity index (PESI) scores, there is no data on Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) score in PE or comparison of CHA2DS2-VASc and ATRIA scores in PE. We investigated whether ATRIA and CHA2DS2-VASc scores can predict PE and mortality in cases of PE. Methods: One hundred ninety-eight patients with PE and two hundred eighty controls between July 2017 and July 2021 were included in this retrospective study. Patients’ data was provided from the hospital’s digital system. Patients’ PESI, ATRIA, and CHA2DS2-VASc scores were calculated, and in-hospital mortality was determined as the primary end-point. Results: The mean age of the patients was 63.9±13.1 years. The frequency of male patients in the PE group was higher (p=0.04), but this difference was invalid in patients with PE who developed primary end-point (p=0.177). ATRIA and CHA2DS2-VASc scores were higher in the PE group (p<0.01 and p=0.02, respectively) and in patients who reached end-point (p=0.001 and p=0.004, respectively). A moderate-high correlation was found between the PESI score and the ATRIA and CHA2DS2-VASc scores (r=0.664, p<0.001, and r=0.484, p<0.001) in the PE group. Pairwise comparison of ROC curve analysis revealed that PESI, ATRIA, and CHA2DS2-VASc scores were not superior to each other in predicting mortality. Conclusion: Both ATRIA and CHA2DS2-VASc scores are simple, easily calculated risk scores as an alternative to the PESI score in predicting mortality in PE.
目的:肺栓塞(PE)是一种由血栓形成引起的疾病,是常见的死亡原因。虽然有关于PE合并CHA2DS2-VASc (C:充血性心力衰竭或左心室收缩功能障碍,H:高血压,A:年龄≥75岁,D:糖尿病,S:既往卒中,V:血管疾病,A:年龄在65 - 74岁之间,Sc:女性)和PE严重程度指数(PESI)评分的研究,但没有关于PE中房颤(ATRIA)评分的抗凝血和危险因素的数据,也没有关于PE中CHA2DS2-VASc和心房评分的比较数据。我们研究了ATRIA和CHA2DS2-VASc评分是否可以预测PE和PE病例的死亡率。方法:2017年7月至2021年7月期间,198例PE患者和280例对照组纳入本回顾性研究。病人的数据来自医院的数字系统。计算患者的PESI、ATRIA和CHA2DS2-VASc评分,并确定住院死亡率作为主要终点。结果:患者平均年龄63.9±13.1岁。PE组中男性患者的发生率较高(p=0.04),但这种差异在出现主要终点的PE患者中无效(p=0.177)。PE组患者ATRIA和CHA2DS2-VASc评分较高(分别为p<0.01和p=0.02),达到终点的患者评分较高(分别为p=0.001和p=0.004)。PE组PESI评分与ATRIA、CHA2DS2-VASc评分呈中高相关性(r=0.664, p<0.001, r=0.484, p<0.001)。ROC曲线两两比较分析显示,PESI、ATRIA和CHA2DS2-VASc评分在预测死亡率方面并不具有优势。结论:ATRIA和CHA2DS2-VASc评分都是简单、易于计算的风险评分,可替代PESI评分预测PE的死亡率。
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引用次数: 0
Giant Pseudoangiomatous Stromal Hyperplasia of the Adolescent Breast: A Case Report with Emphasis on Image Findings and Literature Review 青少年乳房巨大假性血管瘤间质增生1例,强调影像表现及文献复习
IF 0.3 Q4 Medicine Pub Date : 2022-03-31 DOI: 10.4274/haseki.galenos.2022.7445
Betül Duran, Burcin Agridag Ucpinar
Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign mesenchymal proliferation of the breast with unclear etiology. It is diagnosed in a wide spectrum from incidental microscopic findings to palpable breast mass. Diagnosis is generally made in the premenopausal age group. PASH cases seen in adolescents reported in the literature are very rare and none of them has mentioned the radiologic features in detail. In this case report, we present a 12-year-old patient with giant (150x100x127 mm in size) PASH in her right breast, giving emphasis to the findings of the ultrasonography and magnetic resonance imaging, including contrast-enhanced dynamic and diffusion-weighted imaging sequences. To the best of our knowledge, the present case is the second biggest giant PASH seen in the adolescent age.
摘要假性血管瘤间质增生是一种罕见的良性乳腺间质增生,病因不明。它的诊断范围很广,从偶然的显微镜发现到可触及的乳房肿块。诊断通常在绝经前年龄组进行。文献报道的青少年PASH病例非常罕见,没有一例详细提到其放射学特征。在本病例报告中,我们报告了一名12岁的右乳巨大PASH(大小为150 × 100 × 127 mm)患者,重点介绍了超声和磁共振成像的结果,包括对比增强动态和弥散加权成像序列。据我们所知,目前的病例是青春期第二大的PASH。
{"title":"Giant Pseudoangiomatous Stromal Hyperplasia of the Adolescent Breast: A Case Report with Emphasis on Image Findings and Literature Review","authors":"Betül Duran, Burcin Agridag Ucpinar","doi":"10.4274/haseki.galenos.2022.7445","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7445","url":null,"abstract":"Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign mesenchymal proliferation of the breast with unclear etiology. It is diagnosed in a wide spectrum from incidental microscopic findings to palpable breast mass. Diagnosis is generally made in the premenopausal age group. PASH cases seen in adolescents reported in the literature are very rare and none of them has mentioned the radiologic features in detail. In this case report, we present a 12-year-old patient with giant (150x100x127 mm in size) PASH in her right breast, giving emphasis to the findings of the ultrasonography and magnetic resonance imaging, including contrast-enhanced dynamic and diffusion-weighted imaging sequences. To the best of our knowledge, the present case is the second biggest giant PASH seen in the adolescent age.","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74006818","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
Laboratory Parameters Predict Complications in Primary Hyperparathyroidism: A Multicenter Cross-sectional Study 实验室参数预测原发性甲状旁腺功能亢进并发症:一项多中心横断面研究
IF 0.3 Q4 Medicine Pub Date : 2022-03-31 DOI: 10.4274/haseki.galenos.2022.7941
Ozden Ozdemir Baser, D. Koseoglu, Z. Çetin, Merve Çatak
{"title":"Laboratory Parameters Predict Complications in Primary Hyperparathyroidism: A Multicenter Cross-sectional Study","authors":"Ozden Ozdemir Baser, D. Koseoglu, Z. Çetin, Merve Çatak","doi":"10.4274/haseki.galenos.2022.7941","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7941","url":null,"abstract":"","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81746848","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
Evaluation of Oxygenation in Low- and High-Flow Anesthesia Applications by Oxygen Reserve Index: A Randomized Prospective Study 用氧储备指数评价低流量和高流量麻醉应用中的氧合:一项随机前瞻性研究
IF 0.3 Q4 Medicine Pub Date : 2022-03-31 DOI: 10.4274/haseki.galenos.2022.7753
H. Oztoprak, Gamze Kucukosman, B. Aydın, R. D. Okyay, Ozcan Piskin, H. Ayoğlu
{"title":"Evaluation of Oxygenation in Low- and High-Flow Anesthesia Applications by Oxygen Reserve Index: A Randomized Prospective Study","authors":"H. Oztoprak, Gamze Kucukosman, B. Aydın, R. D. Okyay, Ozcan Piskin, H. Ayoğlu","doi":"10.4274/haseki.galenos.2022.7753","DOIUrl":"https://doi.org/10.4274/haseki.galenos.2022.7753","url":null,"abstract":"","PeriodicalId":42416,"journal":{"name":"Haseki TIp Bulteni-Medical Bulletin of Haseki","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83173380","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
期刊
Haseki TIp Bulteni-Medical Bulletin of Haseki
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