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Frequency of Prodromal Symptoms in Patients Suffering from Migraines with Aura 先兆偏头痛患者前驱症状的频率

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8272

Buse Rahime Hasırcı Bayır, G. Gursoy, Murat Fatih Pul

Aim: Prodromal findings of migraine may be overlooked when patients are not questioned well. The International Classification of Headache Disorders classifies the prodromal phase as the symptomatic phase, which may last from 2 to 48 h and manifests before the onset of pain in migraine without aura and before the aura in migraine with aura. This study aimed to evaluate the frequency and duration of prodromal symptoms and their relationship with the presence of aura in migraine patients. Methods: This observational study was designed as a survey where participants took an online questionnaire between July and November 2020. The questionnaire consisted of two parts; in the first part, the diagnostic criteria for migraine were questioned. After the participants completed the migraine diagnostic criteria, they moved on to the second part, in which headache characteristics, the presence and type of the aura, and prodromal symptoms were asked. Results: This study included 521 participants with migraine according to the International Classification of Headache Disorders. Two hundred seventy-one participants responded that they had auras; 169 of these experienced visual auras. Considering the frequency of prodromes, the three most common symptoms in participants with migraine with or without aura were sensitivity to light, sensitivity to sound, and mood changes. When the two groups were compared, the percentages for the prodromal symptoms except for neck pain were found to be higher in patients with migraine with aura (p<0.05 for each). Conclusion: Our study’s findings suggest that migraine patients with or without aura do not recognize the symptoms in this phase well enough. Also, the most crucial finding was that prodromal symptoms were more common in migraine patients with aura. This could be evaluated as the patients with migraine aura might have interpreted prolonged prodromal symptoms as aura. To predict the onset of attacks in migraine patients and enhance their treatment compliance, knowing and recognizing prodromal symptoms is essential

目的:偏头痛的前驱症状可能会被忽视，当患者没有得到很好的询问。《国际头痛疾病分类》将前驱期归类为症状期，可能持续2至48小时，表现在无先兆偏头痛疼痛发作之前，表现在有先兆偏头痛发作之前。本研究旨在评估偏头痛患者前驱症状的频率和持续时间及其与先兆存在的关系。方法:本观察性研究设计为一项调查，参与者在2020年7月至11月期间填写在线问卷。问卷由两部分组成;第一部分，对偏头痛的诊断标准提出了质疑。在参与者完成偏头痛诊断标准后，他们进入第二部分，其中询问头痛特征，先兆的存在和类型以及前驱症状。结果:根据国际头痛疾病分类纳入521名偏头痛患者。271名参与者回答说他们有气场;其中169个经历了视觉光环。考虑到前驱症状的频率，有或没有先兆的偏头痛参与者中最常见的三种症状是对光敏感、对声音敏感和情绪变化。两组比较，除颈部疼痛外，先兆偏头痛患者出现前驱症状的比例更高(p<0.05)。结论:我们的研究结果表明，有或没有先兆的偏头痛患者不能很好地识别这一阶段的症状。此外，最重要的发现是前驱症状在先兆偏头痛患者中更常见。这可以评估偏头痛先兆患者可能将延长的前驱症状解释为先兆。为了预测偏头痛患者的发作，提高其治疗依从性，了解和识别前驱症状是必不可少的

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引用次数: 0

Relationship Between Smell Disorders and Pulmonary Involvement in COVID-19 COVID-19患者嗅觉障碍与肺部受累的关系

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8651

D. Çakan, Semih Uşaklıoğlu

Aim: Some symptoms of coronavirus disease-2019 (COVID-19) are more common in patients without pulmonary involvement and in patients with a good prognosis. Although it is known that smelling disorders are more common in patients with a good prognosis, their relationship with pulmonary involvement is unknown. This study ianvestigated the relationship between smell disorders and pulmonary involvement in COVID-19. Method(s): This cross-sectional study was conducted between May 2022 and July 2022 and included 60 COVID-19 patients with pulmonary involvement and 60 COVID-19 patients without pulmonary involvement. Phone-call interviews were performed with all patients 1 month after the diagnosis of COVID-19 and their sense of smell was questioned with a questionnaire. The prevalence of smell disorders, type and severity of smell disorders were questioned, and participants were asked to grade their answers from 0 to 10. Result(s): In 58 (48.3%) of the patients, smell disorders were found to be present. Hyposmia was detected in 35 (60.34%), and anosmia was detected in 23 (39.66%) of these patients. Smell disorder was present in 20 (33.3%) patients with pulmonary involvement and in 38 (63.3%) patients without pulmonary involvement. The prevalence of smell disorders was significantly higher in patients without pulmonary involvement (p=0.001). Hyposmia in 15 patients (25%) and anosmia in 5 patients (8.3%) were found in patients with pulmonary involvement. Hyposmia in 20 patients (33.3%) and anosmia in 5 patients (8.3%) were found in patients without pulmonary involvement. The prevalence of anosmia was significantly higher in patients without pulmonary involvement (p=0.003). The smell disorders were significantly more severe in patients without pulmonary involvement (p=0.042). Conclusion(s): Smell disorders are seen more frequently and more severely in patients without pulmonary involvement due to COVID-19 than in patients with pulmonary involvement. Copyright © 2022 by The Medical Bulletin of Istanbul Haseki Training and Research Hospital The Medical Bulletin of Haseki published by Galenos Yayinevi.

目的:新型冠状病毒病-2019 (COVID-19)的一些症状在未累及肺部的患者和预后良好的患者中更为常见。虽然已知嗅觉障碍在预后良好的患者中更为常见，但其与肺部受累的关系尚不清楚。本研究探讨了COVID-19患者嗅觉障碍与肺部受累的关系。方法:本横断面研究于2022年5月至2022年7月期间进行，包括60例肺部受累的COVID-19患者和60例未肺部受累的COVID-19患者。在确诊后1个月对所有患者进行电话访谈，并通过问卷调查对其嗅觉进行调查。研究人员询问了嗅觉障碍的患病率、嗅觉障碍的类型和严重程度，并要求参与者从0到10给他们的答案打分。结果:58例(48.3%)患者存在嗅觉障碍。其中35例(60.34%)出现低嗅觉，23例(39.66%)出现嗅觉缺失。20例(33.3%)肺部受累患者存在嗅觉障碍，38例(63.3%)无肺部受累患者存在嗅觉障碍。在没有肺部受累的患者中，嗅觉障碍的患病率明显更高(p=0.001)。肺部受累患者出现15例(25%)低通气，5例(8.3%)嗅觉缺失。无肺受累的患者有20例(33.3%)低通气，5例(8.3%)嗅觉缺失。没有肺部受累的患者嗅觉缺失的患病率明显更高(p=0.003)。未累及肺部的患者嗅觉障碍更为严重(p=0.042)。结论:与肺部受累患者相比，COVID-19无肺部受累患者嗅觉障碍出现的频率和严重程度更高。伊斯坦布尔Haseki培训和研究医院医学公报版权所有©2022。Galenos Yayinevi出版的Haseki医学公报。

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引用次数: 0

Anesthesia Management in Cesarian Section in Pregnant Patients with COVID-19 Diagnoses 诊断为COVID-19的妊娠患者剖宫产的麻醉管理

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8721

Necmiye Ay, D. Akyol, Gizem Nur Koyan Karadeniz, M. Çelik, Funda Gumus Ozcan

Aim: The recommendation to avoid general anesthesia in pregnant women with coronavirus disease-2019 (COVID-19) and to use neuraxial blockade techniques, if possible, has not changed over time. On the other hand, general anesthesia also has to be applied to some patients in clinical practice. In this study, we evaluated anesthesia management, maternal outcomes, and clinical course in pregnant women with COVID-19 who delivered by cesarean section. Method(s): One hundred and seven pregnant women with COVID-19 who underwent cesarean sections between October 2020 and April 2021 were included in the study. Anesthesia methods, presenting symptoms, comorbidities, laboratory test results, and radiological data at admission, length of hospital stay, intensive care unit admissions, and mortality rates were retrospectively analyzed. Result(s): Out of 107 pregnant women, 85 underwent cesarean surgery under spinal anesthesia and 22 under general anesthesia. Forty patients (37%) had at least one symptom, whereas sixty-seven (63%) had no symptoms at all. Fifty percent of symptomatic and only 6% of asymptomatic pregnant women were admitted to the intensive care unit, and there was a significant difference between them. Mortality was 30% in symptomatic patients and only 1% in asymptomatic patients, and the difference in mortality was significant (p<0.05). Conclusion(s): Since the risk of intensive care and mortality is higher, particularly in symptomatic pregnant women with COVID-19, these patients should be evaluated, operated and followed up by experienced teams. Copyright © 2022 by The Medical Bulletin of Istanbul Haseki Training and Research Hospital The Medical Bulletin of Haseki published by Galenos Yayinevi.

目的:建议对感染冠状病毒病-2019 (COVID-19)的孕妇避免全身麻醉，并在可能的情况下使用神经轴阻断技术，这一建议并未随着时间的推移而改变。另一方面，在临床实践中，一些患者也不得不进行全身麻醉。在这项研究中，我们评估了剖宫产分娩的COVID-19孕妇的麻醉管理、产妇结局和临床病程。方法:研究纳入了107名在2020年10月至2021年4月期间接受剖宫产手术的COVID-19孕妇。回顾性分析麻醉方法、表现症状、合并症、实验室检查结果、入院时放射学资料、住院时间、重症监护病房入院和死亡率。结果:107例孕妇中，腰麻下行剖宫产术85例，全身麻醉下行剖宫产术22例。40名患者(37%)至少有一种症状，而67名患者(63%)完全没有症状。50%的有症状孕妇和6%的无症状孕妇进入重症监护病房，两者之间存在显著差异。有症状患者的死亡率为30%，无症状患者的死亡率仅为1%，差异有统计学意义(p<0.05)。结论:由于重症监护的风险和死亡率较高，特别是有症状的COVID-19孕妇，应由经验丰富的团队对这些患者进行评估、手术和随访。伊斯坦布尔Haseki培训和研究医院医学公报版权所有©2022。Galenos Yayinevi出版的Haseki医学公报。

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引用次数: 1

Risk Factors and Predictors of 1-year Overall Mortality in Patients with COVID-19 COVID-19患者1年总死亡率的危险因素和预测因素

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8501

S. Surme, G. Tuncer, O. Bayramlar, Hindirin Takak, B. Copur, M. Yazla, E. Zerdali, İnci Yılmaz Nakir, G. Sengoz, F. Pehlivanoğlu

Aim: To date, limited data exists on 1-year mortality and associated factors in patients with coronavirus diseases-2019 (COVID-19). We determined risk factors and predictors of 1-year mortality. Method(s): In this retrospective and single-center study, hospitalized patients with COVID-19 were enrolled between March 11 and March 11, 2020. The primary outcome was 1-year all-cause mortality after discharge from the hospital. Secondary outcomes were the risk factors and predictors of 1-year mortality. A comparative analysis was applied to patients who died after recovering from acute COVID-19 and patients who survived. Result(s): A total of 567 patients were analyzed. The 1-year mortality occurred in 18 (3.2%) patients. Older age (p=0.001), chronic obstructive pulmonary disease (p=0.001), chronic artery disease (p=0.001), chronic renal failure (p=0.001), presence of pleural fluid (p=0.001), high levels of leukocyte (p=0.001), neutrophil (p=0.001), monocyte (p=0.026), C-reactive protein (p=0.042), procalcitonin (p=0.004), urea (p=0.001), creatinine (p=0.001), troponin (p=0.001), lactate dehydrogenase (p=0.019), potassium (p=0.003), and a low level of alanine aminotransferase (p=0.001) at the first admission were associated with increased long-term mortality. Additionally, the need for intensive care unit (ICU) admission (p=0.007) and invasive ventilation (p=0.019) during the hospital stay for COVID-19 were associated with increased 1-year mortality. Conclusion(s): This study suggests that age, underlying diseases, pleural fluid, certain laboratory parameters, and ICU care are somewhat associated with 1-year mortality. Copyright © 2022 by The Medical Bulletin of Istanbul Haseki Training and Research Hospital The Medical Bulletin of Haseki published by Galenos Yayinevi.

迄今为止，关于2019冠状病毒病(COVID-19)患者1年死亡率及相关因素的数据有限。我们确定了1年死亡率的危险因素和预测因素。方法:在这项回顾性单中心研究中，纳入2020年3月11日至3月11日住院的COVID-19患者。主要结局是出院后1年的全因死亡率。次要结局是1年死亡率的危险因素和预测因素。对比分析了急性COVID-19康复后死亡的患者和存活的患者。结果:共分析567例患者。1年死亡率为18例(3.2%)。老年(p=0.001)、慢性阻塞性肺病(p=0.001)、慢性动脉疾病(p=0.001)、慢性肾衰竭(p=0.001)、胸膜积液(p=0.001)、白细胞(p=0.001)、中性粒细胞(p=0.001)、单核细胞(p=0.026)、c反应蛋白(p=0.042)、降钙素原(p=0.004)、尿素(p=0.001)、肌酐(p=0.001)、肌钙蛋白(p=0.001)、乳酸脱氢酶(p=0.019)、钾(p=0.003)、首次入院时低水平的丙氨酸转氨酶(p=0.001)与长期死亡率增加相关。此外，因COVID-19住院期间需要重症监护病房(ICU) (p=0.007)和有创通气(p=0.019)与1年死亡率增加相关。结论:本研究提示年龄、基础疾病、胸腔积液、某些实验室参数和ICU护理与1年死亡率有一定关系。伊斯坦布尔Haseki培训和研究医院医学公报版权所有©2022。Galenos Yayinevi出版的Haseki医学公报。

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引用次数: 0

Clinical Characteristics of COVID-19 in Active or Previously Treated Tuberculosis Patients in Turkey 土耳其活动性或既往治疗过的结核病患者中COVID-19的临床特征

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8327

Sumeyra Kayali, Fatma Nur Karaçorlu, Mustafa YILMAZ, Zulal Aşçı Toraman, E. Pirinççi

Aim: There is limited literature on coronavirus disease-2019 (COVID-19) and tuberculosis (TB) coinfection, although high rates of coinfection between COVID-19 and other respiratory pathogens are expected. To the best of our knowledge, this is the first study to examine COVID-19 infection in patients diagnosed with active or previously treated TB in Turkey. In this study, the aim was to examine the frequency of COVID-19 and the factors affecting the frequency of COVID-19 in patients with active or previously treated TB. Method(s): The population of the retrospective cohort type study consisted of patients with TB enrolled in the Elazig Tuberculosis Dispensary between January 2015 and April 2021. The TB-related data of the patients was obtained from the Public Health Management System Tuberculosis System, and the COVID-19 information was obtained from the COVID-19 Case Tracking System. The status of being alive or dead and the date of death if they were dead were obtained from the Central Population Management System. Result(s): 23.92% (n=105) of 439 patients with TB were COVID-19 cases. Advanced age, having at least one comorbid disease, and the presence of chronic pulmonary disease, diabetes mellitus, and heart disease increased the risk of developing COVID-19 in active or previously treated patients with TB. Conclusion(s): COVID-19 was detected more frequently in active or previously treated TB patients than in the general population. Within the scope of public health services implemented to prevent the spread of COVID-19 infection, priority should be given to the TB patient group and older people, especially those with comorbid chronic pulmonary disease, diabetes mellitus, and heart disease in this group. Copyright © 2022 by The Medical Bulletin of Istanbul Haseki Training and Research Hospital The Medical Bulletin of Haseki published by Galenos Yayinevi.

目的:关于冠状病毒病-2019 (COVID-19)和结核病(TB)合并感染的文献有限，尽管预计COVID-19与其他呼吸道病原体的合并感染率很高。据我们所知，这是首个在土耳其检查被诊断为活动性结核病或曾接受过治疗的结核病患者中COVID-19感染情况的研究。本研究旨在探讨活动性或既往治疗过的结核病患者中COVID-19的发病频率及其影响因素。方法:回顾性队列型研究的人群包括2015年1月至2021年4月在Elazig结核病药房登记的结核病患者。患者结核病相关数据来自公共卫生管理系统结核病系统，COVID-19信息来自COVID-19病例跟踪系统。他们的生死状况及死亡日期均由中央人口管理系统查询。结果:439例TB患者中有23.92% (n=105)为COVID-19病例。高龄、至少有一种合并症以及存在慢性肺病、糖尿病和心脏病增加了活动性或既往治疗过的结核病患者发生COVID-19的风险。结论:与一般人群相比，在活动性或既往治疗过的结核病患者中检测到COVID-19的频率更高。在为预防COVID-19感染传播而实施的公共卫生服务范围内，应优先考虑结核病患者群体和老年人，特别是这一群体中合并慢性肺病、糖尿病和心脏病的人群。伊斯坦布尔Haseki培训和研究医院医学公报版权所有©2022。Galenos Yayinevi出版的Haseki医学公报。

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引用次数: 0

Diffuse Miliaria Cristalina due to Severe Hypernatremic Dehydration: A Neonatal Case Report with a Current Literature Review 严重高钠血症性脱水导致弥漫性水晶粟疹:1例新生儿病例报告及当前文献综述

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8612

B. Aydın, E. Botan

the patient, who was born by cesarean section at 39 weeks and 3200 g from a 30-year-old mother. It was learned that the sucking reflex of the patient decreased after the postnatal 10 th day, and there was a decrease in the amount of urine and the number of daily stools. The patient was admitted to the neonatal intensive care unit (NICU) with the diagnosis of severe dehydration.

这名患者在怀孕39周、体重3200公斤时，由一名30岁的母亲剖宫产。据了解，患者产后第10天吸吮反射减弱，尿量及日排便次数均有所减少。患者因严重脱水被送入新生儿重症监护病房(NICU)。

引用次数: 0

Evaluation of the Relationship Between Quality of Life, Serum 25 (OH) Vitamin D Levels, and Anxiety and Depression in Patients with Irritable Bowel Syndrome: A Case-Control Study 肠易激综合征患者生活质量、血清25 (OH)维生素D水平与焦虑和抑郁之间关系的评估:一项病例对照研究

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8419

Muharrem Bayrak, K. Çadırcı

引用次数: 0

Evaluating the Information Content, Readability, and Reliability of Turkish Websites about Fibromyalgia 评估土耳其网站关于纤维肌痛的信息内容、可读性和可靠性

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8737

Ramazan Yılmaz, Savaş Karpuz, H. H. Gokpinar, H. Yılmaz

引用次数: 1

Comparison of the Effects of Kinesio Taping Versus Dry Needling on Pain Intensity, Shoulder range of Motion, and upper Limb Function in Patients with Myofascial Pain Syndrome in the Trapezius Muscle: A Randomized Controlled Trial 肌内效贴贴与干针对斜方肌肌筋膜疼痛综合征患者疼痛强度、肩关节活动度和上肢功能影响的比较:一项随机对照试验

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8467

Abdurrahim Yildiz, R. Mustafaoglu, Ş. Dinçer, O. B. Gozubuyuk, G. Metin

引用次数: 0

Association Between Cerebral Small Vessel Disease and Intracranial Arterial Calcification 脑血管疾病与颅内动脉钙化的关系

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Haseki TIp Bulteni-Medical Bulletin of Haseki

Pub Date : 2022-11-01 DOI: 10.4274/haseki.galenos.2022.8449

Cansu Ozturk, O. Gungor

引用次数: 0

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