{"title":"Evaluation of Subclinical Inflammation in children with Premature Adrenarche","authors":"Gözde Köylü","doi":"10.14744/etd.2022.39699","DOIUrl":"https://doi.org/10.14744/etd.2022.39699","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83464332","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}
Objective: The coronavirus disease 2019 (COVID-19) has placed huge strains on medical systems. Therefore, it is essential to determine the predictors of the long hospital stay. We sought to investigate whether alterations in left ventricular (LV) geometry in COVID-19 patients are associated with the length of stay (LoS) and a long hospital stay. Materials and Methods: 108 consecutive hospitalized COVID-19 patients were incorporated in the study and 89 patients remained for statistical analysis. All participants underwent standard two-dimensional (2D) and Doppler echocardiographic examinations. Patients were classified according to LV geometry characteristics namely normal geometry (NG), concentric remodeling, concentric hypertrophy and eccentric hypertrophy. Results: Multiple binary logistic regression model adjusted for clinical and laboratory variables yielded significant and independent association of LV mass index (LVMI) (OR: 1.12, 95% CI: 1.06-1.19, p<0.001), 10 g/m(2) increase in LVMI (OR: 3.63, 95% CI: 2.00-6.59, p<0.001), LV geometry patterns (OR: 2.92, 95% CI: 1.46-5.34, p=0.002), and altered geometric patterns compared to NG (OR: 3.97, 95% CI: 1.08-14.5, p=0.037) with long hospital stay. Correlation analysis of LVMI and LoS demonstrated significant and moderate correlation (rho=0.58, p<0.001). Conclusion: LVMI and LV geometric patterns independently predict long hospital stays in COVID-19 patients. The significant correlation between LoS and LVMI underlies the significance of LV geometry in this infection.
{"title":"The Impact of Left Ventricle Geometry Patterns on Length of Hospital Stay in COVID-19 Patients","authors":"M. Erdoğan","doi":"10.14744/etd.2022.08365","DOIUrl":"https://doi.org/10.14744/etd.2022.08365","url":null,"abstract":"Objective: The coronavirus disease 2019 (COVID-19) has placed huge strains on medical systems. Therefore, it is essential to determine the predictors of the long hospital stay. We sought to investigate whether alterations in left ventricular (LV) geometry in COVID-19 patients are associated with the length of stay (LoS) and a long hospital stay. Materials and Methods: 108 consecutive hospitalized COVID-19 patients were incorporated in the study and 89 patients remained for statistical analysis. All participants underwent standard two-dimensional (2D) and Doppler echocardiographic examinations. Patients were classified according to LV geometry characteristics namely normal geometry (NG), concentric remodeling, concentric hypertrophy and eccentric hypertrophy. Results: Multiple binary logistic regression model adjusted for clinical and laboratory variables yielded significant and independent association of LV mass index (LVMI) (OR: 1.12, 95% CI: 1.06-1.19, p<0.001), 10 g/m(2) increase in LVMI (OR: 3.63, 95% CI: 2.00-6.59, p<0.001), LV geometry patterns (OR: 2.92, 95% CI: 1.46-5.34, p=0.002), and altered geometric patterns compared to NG (OR: 3.97, 95% CI: 1.08-14.5, p=0.037) with long hospital stay. Correlation analysis of LVMI and LoS demonstrated significant and moderate correlation (rho=0.58, p<0.001). Conclusion: LVMI and LV geometric patterns independently predict long hospital stays in COVID-19 patients. The significant correlation between LoS and LVMI underlies the significance of LV geometry in this infection.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85340834","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}
Hematogenous metastases of primary brain tumors are extremely rare and often overlooked (1). Glioblastoma, medulloblastoma, germ cell tumors, and ependymoma are the most common primary brain tumors that can present with hematogenous metastasis (2). A 21-year-old male patient was referred for an abdominal ultrasound due to elevated liver enzymes. He had been diagnosed with pineal germinoma with spinal drop metastases 11 months ago (Fig. 1a, b), and was treated with gamma knife radiosurgery and craniospinal radiotherapy. The abdominal ultrasound revealed hy-poechoic liver nodules. Magnetic resonance imaging (MRI) showed multiple small liver nodules with diffusion restriction and peripheral enhancement, indicating metastases (Fig. 1c, d). A liver biopsy confirmed the diagnosis of liver metastasis of intracranial germinoma. Systemic chemotherapy was initiated, and the two years of follow-up were uneventful. Metastases should be considered in the differential diagnosis when nodular lesions are detected in solid organs in patients with aggressive brain tumors.
{"title":"Intracranial germinoma metastasizing to the liver","authors":"Ahmet Yasin Yitik","doi":"10.14744/etd.2022.78380","DOIUrl":"https://doi.org/10.14744/etd.2022.78380","url":null,"abstract":"Hematogenous metastases of primary brain tumors are extremely rare and often overlooked (1). Glioblastoma, medulloblastoma, germ cell tumors, and ependymoma are the most common primary brain tumors that can present with hematogenous metastasis (2). A 21-year-old male patient was referred for an abdominal ultrasound due to elevated liver enzymes. He had been diagnosed with pineal germinoma with spinal drop metastases 11 months ago (Fig. 1a, b), and was treated with gamma knife radiosurgery and craniospinal radiotherapy. The abdominal ultrasound revealed hy-poechoic liver nodules. Magnetic resonance imaging (MRI) showed multiple small liver nodules with diffusion restriction and peripheral enhancement, indicating metastases (Fig. 1c, d). A liver biopsy confirmed the diagnosis of liver metastasis of intracranial germinoma. Systemic chemotherapy was initiated, and the two years of follow-up were uneventful. Metastases should be considered in the differential diagnosis when nodular lesions are detected in solid organs in patients with aggressive brain tumors.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75785129","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}
{"title":"Incidence of SARS-CoV-2 Infection in Asthma Patients on Omalizumab Therapy","authors":"Ö. Özdemir","doi":"10.14744/etd.2022.28938","DOIUrl":"https://doi.org/10.14744/etd.2022.28938","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76358333","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}
{"title":"A Historical Perspective of the Management of Scoliosis","authors":"G. Yagci","doi":"10.14744/etd.2022.23682","DOIUrl":"https://doi.org/10.14744/etd.2022.23682","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79658690","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}
{"title":"The relationship between premature coronary atherosclerosis and helicobacter pylori infection","authors":"Gökay Taylan","doi":"10.14744/etd.2022.54069","DOIUrl":"https://doi.org/10.14744/etd.2022.54069","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75959452","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}
{"title":"Evaluation of serum growth arrest specific-6/sAXL levels in type 2 diabetes mellitus","authors":"Merve Özel","doi":"10.14744/etd.2022.45403","DOIUrl":"https://doi.org/10.14744/etd.2022.45403","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79346357","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}
{"title":"The war against the resistance of Acinetobacter baumannii: A Meta-Analysis in Turkey","authors":"Imdat Kilbas","doi":"10.14744/etd.2022.94770","DOIUrl":"https://doi.org/10.14744/etd.2022.94770","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78744774","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}
{"title":"The Assessment Of CD63 And CD203c Basophil Activation Tests In Patients With Immediate Drug Hypersensitivity Reaction To Rocuronium","authors":"F. Doğruel","doi":"10.14744/etd.2022.80633","DOIUrl":"https://doi.org/10.14744/etd.2022.80633","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73201441","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}
{"title":"Retrospective analysis of tularemia cases in Tokat","authors":"Emine Türkoğlu","doi":"10.14744/etd.2022.45793","DOIUrl":"https://doi.org/10.14744/etd.2022.45793","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75381791","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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