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Intravenous Chemotherapy Adherence of Cancer Patients in Time of Covid-19 Crisis 新冠肺炎危机时期癌症患者静脉化疗依从性分析
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2020-09-30 DOI: 10.4999/UHOD.204528
I. Beypınar, M. Urun
SARS-CoV-2 is a single-stranded RNA spherical virus spikes formed by glycoproteins The leading cause of death was linked to acute respiratory distress syndrome, myocardial injury, or renal failure After the first case reported on the 11th of March in Turkey Ministry of Health and Interior declared some regulations on the public, such as travel restrictions, traffic restrictions, social distancing homes, and centralized quarantine Although chemotherapy adherence is a highly studied area for both oral and intravenous agents in cancer patients, no available data exist in a pandemic world with many social restrictions The records of patients who have active cancer treatment in the department of medical oncology retrospectively analyzed The age, gender, diagnosis, chemotherapy type, rendezvous, and coming dates recorded Four chemotherapy delays (3 7%) were observed out of 52 patients before the 11th of March 2020, while 43 chemotherapy delays (39,8%9) occurred out of 107 patients after the first COVID-19 case and the restrictions in Turkey Twenty patients had treatment delay without reason and did not show up for treatment on the day of chemotherapy The treatment delays without reasons are significantly different in the pre and post COVID-19 pandemic era The hematologic toxicity rates were similar when compared pre and post COVID-19 period The non-specific regulations and declarations confuse the patients and prevent them from reaching the treatment which is needed In the case of pandemic regulations, oncologic patients may have special considerations for government decisions © 2020, UHOD - Uluslararasi Hematoloji Onkoloji Dergisi All rights reserved
SARS-CoV-2是一种由糖蛋白形成的单链RNA球形病毒尖峰,其主要死因与急性呼吸窘迫综合征、心肌损伤或肾衰竭有关。3月11日土耳其报告了第一例病例后,卫生部和内政部宣布了一些针对公众的规定,如旅行限制、交通限制、保持社交距离、尽管对癌症患者的口服和静脉化疗依从性进行了高度研究,但在大流行的世界中,没有可用的数据,而且有许多社会限制。回顾性分析了肿瘤内科积极接受癌症治疗的患者的记录,包括年龄、性别、诊断、化疗类型、地点、在2020年3月11日之前,52名患者中观察到4名化疗延迟(3.7%),107例患者中有43例(39.8%)出现化疗延迟,20例患者出现治疗无故延迟,化疗当日未到治疗,在COVID-19大流行前后治疗无故延迟有显著差异,与COVID-19前后相比,血液学毒性率相似,非特异性规定和声明使患者感到困惑并阻止他们获得所需的治疗在大流行法规的情况下,肿瘤患者可能对政府的决定有特殊考虑©2020,UHOD - Uluslararasi Hematoloji Onkoloji Dergisi版权所有
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引用次数: 10
The Assessment of the Relationship Between ABO Blood Groups and Covid-19 Infection ABO血型与Covid-19感染关系的评价
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2020-09-30 DOI: 10.4999/UHOD.204348
S. Aktimur, A. Şen, B. Yazıcıoğlu, A. Gunes, S. Genç
The new coronavirus disease-2019 (COVID-19) is rapidly spreading around the world and has been declared an outbreak by WHO However, the effect of blood groups on COVID-19 infection and the severity of the disease is unclear The aim of this study is to determine the relationship between ABO blood group and susceptibility to COVID-19 infection and whether the blood group will be a biomarker for COVID-19 infection Patients diagnosed with SARS-CoV-2 between March and May 2020 were included in this study In order to compare the blood groups of the patients with the healthy group, patients who had previously performed ABO blood group analysis in the blood bank between February and May 2020 were included as the control group Demographic data, clinical data, underlying comorbidities, laboratory findings and clinical results (hospitalization, need for intensive care, mortality) were obtained from the electronic medical records A total of 179 patients with confirmed COVID-19 and 5200 healthy control patients were included in the study Patients with COVID-19 showed a distribution of 62 01% in group A,9 50% in group B, 8 94% in group AB and 19 55% in group O In group A, length of stay in Intensive Care Unit was longer (10 42±11 61 days;p= 0 013) Compared to the blood groups of the healthy control group, COVID-19 patients had higher A blood group than the healthy group (62& vs 46 6%;p 0 001) and lesser of the O blood group (19 6% vs 34 7%;p 0 001) Blood group A can be used as a predictive biomarker for COVID-19 disease In addition, we concluded that the group A had a higher risk for COVID-19 disease and severity © 2020, UHOD - Uluslararasi Hematoloji Onkoloji Dergisi All rights reserved
新型冠状病毒病2019 (COVID-19)正在全球迅速蔓延,世卫组织已宣布疫情爆发。血型对COVID-19感染和疾病严重程度的影响尚不清楚。本研究的目的是确定ABO血型与COVID-19感染易感性之间的关系,以及血型是否将成为COVID-19感染的生物标志物。本研究纳入了2020年3月至5月诊断为SARS-CoV-2的患者,以便将患者的血型与健康组进行比较。在2020年2月至5月期间曾在血库进行ABO血型分析的患者被纳入对照组人口统计数据、临床数据、潜在合并症、实验室检查结果和临床结果(住院、需要重症监护、死亡率)从电子病历获得总共179例患者确认COVID-19患者和5200名健康控制COVID-19患者被纳入研究显示一个分布在A组的62 01%,B组9 50%,8 94%组AB和19 55%组O在A组,在重症监护室的长度更长(10 42±11 61天;p = 0 013)相比,健康对照组的血型,COVID-19患者的A血型高于健康组(62% vs 46.6%;p 0.001), O血型低于健康组(19.6% vs 34.7%;p 0.001) A血型可作为COVID-19疾病的预测性生物标志物。此外,我们得出结论,A组患COVID-19疾病的风险和严重程度更高©2020,UHOD - Uluslararasi Hematoloji Onkoloji Dergisi版权所有
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引用次数: 7
Association Between the Rh Blood Group and the Covid-19 Susceptibility Rh血型与Covid-19易感性的关系
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2020-06-30 DOI: 10.4999/uhod.204247
Eşref Araç, Ihsan Solmaz, H. Akkoç, S. Dönmezdil, Zülküf Karahan, S. Kaya, Yılmaz Mertsoy, M. S. Yıldırım, N. Ekin, S. Araç, C. Demir
We aimed to investigate whether there is a predisposition to COVID-19 with ABO and Rh blood group systems This study was a retrospective study that investigate the patients admitted to our hospital between March 16 -May 20 due to Covid-19 pandemic and conducted with data revealed from the hospital Information Management System A total of 392 patients were included in this study, including 227 PCR test positive patients with blood group information in the system and 165 possible patients with CT findings in favor of Covid-19 Data from a blood group study conducted with 127091 people in our province in 2019 were used as a control group In our study, a significant increase was observed in the blood group A in patients diagnosed with Covid-19, and a decrease was found in the blood groups B, AB and especially O However, statistical analysis showed no significant difference between Covid-19 patients and healthy individuals in terms of ABO blood group system When analyzed in terms of Rh blood group system, it was found that Rh positivity was statistically significantly higher in patients with Covid-19 (p= 0 000) Our study suggests that the Rh (-) blood group is protective and the Rh (+) blood group is predisposed to Covid 19 significantly We think that it is valuable because it is the first study to reveal the relationship between Covid-19 and blood type in our country and the only one to reveal the relationship between Covid-19 and Rh (+) in the world literature
我们的目的是调查ABO和Rh血型系统是否存在COVID-19易感性。这项研究是一项回顾性研究,调查了3月16日至5月20日期间因COVID-19大流行而入院的患者,数据来自医院信息管理系统,共纳入392例患者。我们以2019年我省127091人的血型研究数据作为对照组,在我们的研究中,被诊断为Covid-19的患者中,a型血明显增加,B型血、AB型血,尤其是O型血的患者数量明显减少。统计分析显示,Covid-19患者与健康人在ABO血型系统方面无显著差异。发现Rh患者的积极性在统计学上显著高于Covid-19 (p = 0 000)我们的研究表明,Rh血型(-)保护和Rh(+)血型显著倾向于Covid 19我们认为它是有价值的,因为它是第一个研究揭示我国Covid-19与血型的关系之间的关系和唯一一个揭示Covid-19和Rh(+)在世界文学
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引用次数: 34
A macrophage at work 巨噬细胞在起作用
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2017-01-01 DOI: 10.4999/UHOD.171981
B. Kahwash, S. Kahwash, G. Tan
In this image a macrophage in cerebrospinal fluid (CSF) is caught doing what it does best; cleansing the environment of objects that don’t belong. The patient, a 6-month-old girl, initially presented with choking and feeding difficulty. Brain MRI revealed a large tumour in the right posterior fossa, originating from the inferior aspect of the right cerebellar hemisphere. She underwent surgery to remove the tumour a few days before the CSF was sampled. Histologic examination confirmed the diagnosis of Atypical Teratoid Rhabdoid Tumor. The macrophage is seen stretching its pseudopods –like a well-trained athlete reaching out to make a catch– to grab a red blood cell (RBC) (short arrow). Particles of digested debris from other RBCs are noted within its cytoplasm (long arrow) – evidence that this phagocytic act had been performed several times before. Macrophages, via chemotaxis, play a significant role in cleansing surgical sites by removing debris and organisms.
在这张图片中,脑脊液(CSF)中的巨噬细胞正在做它最擅长的事情;清除不属于该环境的对象。患者为一名6个月大的女婴,最初表现为窒息和进食困难。脑MRI显示右后颅窝有一个大肿瘤,起源于右脑半球的下侧面。在脑脊液取样前几天,她接受了切除肿瘤的手术。病理检查证实为不典型畸胎瘤样横纹肌样瘤。巨噬细胞伸展它的假足,就像一个训练有素的运动员伸出手去抓球一样——抓住红细胞(短箭头)。在其细胞质中可以看到来自其他红细胞的消化碎片颗粒(长箭头),这表明这种吞噬行为之前已经进行了几次。巨噬细胞通过趋化作用,在清除手术部位的碎片和有机体中发挥重要作用。
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引用次数: 0
Küçük hücreli dışı akciğer kanserli hastaların tedavisinde hibrid volümetrik ark radyoterapi, yoğunluk ayarlı radyoterapi ve volumetrik yoğunluk ayarlı ark radyoterapisinin avantajlarını birleştirerek, hızlı, konformal ve homojen bir tedaviyi düşük doz banyosundan sakınarak yapabilmektedir: Dozimetr
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2017-01-01 DOI: 10.4999/UHOD.172064
Y. Sağlam, Yasemin Bolukbasi, Vildan Alpan, Erkan Topkan, Steve M. Kirsner, Matthew Ballo, Joe Y. Chang, A. Bingolbali, Uğur Selek
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引用次数: 0
Tıp bilimlerinde yayinlanan makalelerin istatistiksel hatalar bakimindan incelenmesi
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2015-09-19 DOI: 10.4999/UHOD.15942
Ilker Ercan, P. Karadeniz, Sengul Cangur, Güven Özkaya, Hakan Demirtaş
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引用次数: 3
Macrolide Treatment for Primary Immune Thrombocytopenia 大环内酯治疗原发性免疫性血小板减少症
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2014-03-01 DOI: 10.4999/UHOD.13066
M. Ohe, S. Hashino
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引用次数: 1
foliküler lenfomali{dotless} ve küçük lenfositik lenfomali{dotless} hastalarda nötropenik olmayan enfeksiyon i{dotless}nsidansi{dotless}: Rituximab tedavisinin etkisi
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2012-12-01 DOI: 10.4999/UHOD.11035
Rezwan Islam, Mahbubur Rahman, M. A. H. Mian, Hilmi Ege, Douglas Reding, Abdus Shakoor, Hong Liang, Richard J. Mercier
Rituximab is an anti-CD20 monoclonal antibody that has demonstrated efficacy in patients with indolent and aggressive forms of non-Hodgkin’s lymphoma and has become part of the standard therapy for patients with B-cell malignancies. The study was designed to examine if rituximab increases the risk to develop non-neutropenic infection (NNI). Medical records of 202 patients diagnosed as follicular lymphoma or small lymphocytic lymphoma were reviewed. Negative binomial regression was used to estimate relative risk (RR) of NNI. Rituximab (n= 41) and non-rituximab (n= 161) groups had a total of 31.636 and 195.691 reviewed patient days, and recorded a total of 67 and 154 infections, respectively. Negative binomial regression analysis revealed significant effects for the treatment (rituximab vs. non-rituximab) and age (p< 0.01). The RRs of viral and bacterial NNI for rituximab group compared to nonrituximab group were 3.33 and 2.60, respectively; while the RRs for one year increment of age were 1.03 and 1.04, respectively. The time-to-first viral and bacterial NNI for rituximab group were significantly faster than non-rituximab group. Rituximab may increase the risk of NNI in patients with follicular lymphoma or small lymphocytic lymphoma.
利妥昔单抗是一种抗cd20单克隆抗体,已被证明对惰性和侵袭性非霍奇金淋巴瘤患者有效,并已成为b细胞恶性肿瘤患者标准治疗的一部分。该研究旨在检查利妥昔单抗是否会增加发生非中性粒细胞减少感染(NNI)的风险。本文回顾了202例诊断为滤泡性淋巴瘤或小淋巴细胞淋巴瘤的病例。采用负二项回归估计NNI的相对危险度(RR)。利妥昔单抗组(n= 41)和非利妥昔单抗组(n= 161)共回顾了31.636和195.691个患者日,分别记录了67和154例感染。负二项回归分析显示治疗(利妥昔单抗与非利妥昔单抗)和年龄有显著影响(p< 0.01)。与非利妥昔单抗组相比,利妥昔单抗组病毒和细菌NNI的相对危险度分别为3.33和2.60;年龄增加1年的相对危险度分别为1.03和1.04。利妥昔单抗组首次出现病毒和细菌NNI的时间明显快于非利妥昔单抗组。利妥昔单抗可能增加滤泡性淋巴瘤或小淋巴细胞性淋巴瘤患者发生NNI的风险。
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引用次数: 0
böbrek kanserinin gelişliminde arsenik ve karsinojenik mutasyonlari{dotless}n rolü
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2012-01-01 DOI: 10.4999/UHOD.11079
Bekir Tanriover
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引用次数: 2
Catastrophic antiphospholipid syndrome in a patient with immune thrombocytopenic purpura 免疫性血小板减少性紫癜患者的灾难性抗磷脂综合征
IF 0.6 4区 医学 Q4 ONCOLOGY Pub Date : 2011-09-01 DOI: 10.4999/UHOD.10095
S. John, K. McCrae
A 47-year old Caucasian male with 7-year history of Immune Thrombocytopenic Purpura (ITP) presented with acute onset pain and purplish-blue discoloration of the left fifth toe and pleuritic chest pain. At the time of ITP diagnosis, he was positive for lupus anticoagulant (LA) and high titer of IgG anticardiolipin antibodies (aCL). However, his platelet count had previously remained stable at approximately 40,000/μL and he never required treatment. His examination was normal except for dusky cyanosis and coolness of the left fifth toe associated with extreme tenderness. Abnormal laboratory studies on admission included leukocytosis (11.610/μL), thrombocytopenia (76,000 /μL) and elevated D-dimer (770 ng/mL FEU). Cardiac enzymes, EKG and Chest X-ray were normal. A lower extremity arterial study done prior to admission was normal.
47岁白人男性,免疫性血小板减少性紫癜(ITP)病史7年,表现为急性疼痛,左第5趾紫蓝色变色,胸膜炎性胸痛。在ITP诊断时,他的狼疮抗凝血(LA)和高滴度的抗心磷脂抗体(aCL) IgG阳性。然而,他的血小板计数之前一直稳定在大约40,000/μL,他从未需要治疗。他的检查是正常的,除了暗绀和冷的左第五趾,并伴有极度压痛。入院时实验室检查异常包括白细胞增多(11.610/μL)、血小板减少(76000 /μL)和d -二聚体升高(770 ng/mL FEU)。心脏酶、心电图和胸片检查正常。入院前的下肢动脉检查是正常的。
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引用次数: 0
期刊
Uhod-Uluslararasi Hematoloji-Onkoloji Dergisi
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