Ventricular septal defect (VSD) can be repaired using cardiopulmonary bypass, resulting in a favorable postoperative outcome with minimal bleeding. Thrombocytopenia-absent radius (TAR) syndrome is rare, occurring in approximately 0.42 out of 100,000 live births. This syndrome is characterized by hypo-megakaryocytic thrombocytopenia and bilateral absent radii. TAR syndrome can be life-threatening within the first 14 months of life due to severe bleeding. In this report, we present the case of a 4-month-old male patient diagnosed with both VSD and TAR syndrome. We describe the surgical management of the VSD as well as the perioperative treatment for hemorrhagic diathesis.
{"title":"How to manage a congenital heart defect in a patient with thrombocytopenia-absent radius syndrome?","authors":"H. İştar, B. Harmandar","doi":"10.28982/josam.7580","DOIUrl":"https://doi.org/10.28982/josam.7580","url":null,"abstract":"Ventricular septal defect (VSD) can be repaired using cardiopulmonary bypass, resulting in a favorable postoperative outcome with minimal bleeding. Thrombocytopenia-absent radius (TAR) syndrome is rare, occurring in approximately 0.42 out of 100,000 live births. This syndrome is characterized by hypo-megakaryocytic thrombocytopenia and bilateral absent radii. TAR syndrome can be life-threatening within the first 14 months of life due to severe bleeding. In this report, we present the case of a 4-month-old male patient diagnosed with both VSD and TAR syndrome. We describe the surgical management of the VSD as well as the perioperative treatment for hemorrhagic diathesis.","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140681153","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}
Ergül Bayram, D. Ayan, T. Balcı, Kader Zeybek Aydoğan, Dogan Bahadır Inan, Umut Karabay
Background/Aim: Epidemiological investigations consistently indicate a widespread deficiency and insufficiency of vitamin D on a global scale. Vitamin D deficiency can lead to various acute and chronic diseases, including pre-eclampsia, autoimmune disorders, cardiovascular diseases, certain cancers, type 2 diabetes, and neurological disorders. However, the relationship between vitamin D status and its implications for global and public health has not been comprehensively explored. Notably, the differing clinical decision thresholds for diagnosing vitamin D deficiency and insufficiency established by various associations can create diagnostic confusion. Therefore, our study aimed to assess the distribution of vitamin D levels in Niğde province, considering variations by month, gender, and season, with respect to the clinical decision thresholds defined by different associations. Methods: The study sample comprised 57,731 cases (71% women and 19% men) admitted to our hospital between January 2021 and December 2022. We retrospectively evaluated 25-hydroxyvitamin D (25(OH)D) levels based on months, seasons, age, and gender. Additionally, we examined 25(OH)D levels separately using the clinical decision thresholds set by the Vitamin D Council, the Endocrine Society, and the Food and Nutrition Board. Patients with chronic renal insufficiency, hepatic insufficiency, and gastrointestinal malabsorption were excluded from the study, encompassing patients of all age groups. Furthermore, we categorized patients into different age decades and analyzed their vitamin D levels. We compared the same months in 2021 and 2022, monitoring changes in vitamin D levels throughout the year. Vitamin D levels were measured using the electrochemiluminescence assay (ECLIA) on a Roche Cobas E801 instrument. Results: When comparing the same months in 2021 and 2022, there was no statistically significant decrease or increase in 25(OH)D levels (The P-values for January and December were 0.066, 0.395, 0.907, 0.465, 0.705, 0.541, 0.625, 0.860, 0.695, 0.549, 0.892, and 0.838, respectively). Vitamin D insufficiency was observed in 70.3% of women and 29.7% of men. Participants under one year of age exhibited the highest mean 25(OH)D level (34.9 ng/mL), while participants between 20 and 29 years of age had the lowest mean 25(OH)D level (15.7 ng/mL). The lowest mean 25(OH)D level was recorded in April 2022 (15.6 ng/mL), whereas the highest mean 25(OH)D level was observed in July 2021 (22.7 ng/mL). There was a slight negative correlation between age and 25(OH)D levels (r=-0.038, P<0.001). The Vitamin D Council classification identified the highest number of patients with vitamin D deficiency (n=50,833; 88%). The Food and Nutrition Board included the lowest number of patients with vitamin D deficiency (n=15,049; 26.1%). Conclusion: Vitamin D deficiency is prevalent in Niğde province, particularly among women, and remains a significant public health concern. We advocate for the adoption o
背景/目的：流行病学调查一致表明，全球普遍存在维生素 D 缺乏和不足的现象。维生素 D 缺乏可导致各种急性和慢性疾病，包括先兆子痫、自身免疫性疾病、心血管疾病、某些癌症、2 型糖尿病和神经系统疾病。然而，维生素 D 状态之间的关系及其对全球和公共健康的影响尚未得到全面探讨。值得注意的是，各种协会制定的诊断维生素 D 缺乏和不足的临床决策阈值不同，可能会造成诊断混乱。因此，我们的研究旨在评估尼德省维生素 D 水平的分布情况，同时考虑不同月份、性别和季节的差异，以及不同协会规定的临床判定阈值：研究样本包括 2021 年 1 月至 2022 年 12 月期间我院收治的 57731 例病例（71% 为女性，19% 为男性）。我们根据月份、季节、年龄和性别对 25- 羟维生素 D（25(OH)D）水平进行了回顾性评估。此外，我们还根据维生素 D 委员会、内分泌学会和食品与营养委员会设定的临床决策阈值，分别检测了 25（OH）D 水平。研究排除了慢性肾功能不全、肝功能不全和胃肠道吸收不良的患者，涵盖了所有年龄段的患者。此外，我们还将患者分为不同的年龄段，并分析了他们的维生素 D 水平。我们比较了 2021 年和 2022 年的相同月份，监测全年维生素 D 水平的变化。在罗氏 Cobas E801 仪器上使用电化学发光法（ECLIA）测量维生素 D 水平：结果：与 2021 年和 2022 年相同月份相比，25(OH)D 水平没有统计学意义上的显著下降或上升（1 月和 12 月的 P 值分别为 0.066、0.395、0.907、0.465、0.705、0.541、0.625、0.860、0.695、0.549、0.892 和 0.838）。70.3%的女性和 29.7%的男性存在维生素 D 不足的情况。一岁以下的参与者平均 25（OH）D 水平最高（34.9 纳克/毫升），而 20 至 29 岁的参与者平均 25（OH）D 水平最低（15.7 纳克/毫升）。2022 年 4 月的 25（OH）D 平均水平最低（15.6 纳克/毫升），而 2021 年 7 月的 25（OH）D 平均水平最高（22.7 纳克/毫升）。年龄与 25（OH）D 水平呈轻微负相关（r=-0.038，P<0.001）。维生素 D 委员会的分类确定了最多的维生素 D 缺乏症患者（人数=50,833；88%）。食物与营养委员会的分类中，维生素 D 缺乏症患者的人数最少（n=15,049；26.1%）：结论：维生素 D 缺乏症在尼德省很普遍，尤其是在妇女中，这仍然是一个重大的公共卫生问题。我们主张采用统一的临床决策阈值，并将国家维生素 D 补充计划扩大到青少年和成年人。
{"title":"Vitamin D distribution by month, sex, and season in Turkey, Niğde province: A retrospective cohort study","authors":"Ergül Bayram, D. Ayan, T. Balcı, Kader Zeybek Aydoğan, Dogan Bahadır Inan, Umut Karabay","doi":"10.28982/josam.7939","DOIUrl":"https://doi.org/10.28982/josam.7939","url":null,"abstract":"Background/Aim: Epidemiological investigations consistently indicate a widespread deficiency and insufficiency of vitamin D on a global scale. Vitamin D deficiency can lead to various acute and chronic diseases, including pre-eclampsia, autoimmune disorders, cardiovascular diseases, certain cancers, type 2 diabetes, and neurological disorders. However, the relationship between vitamin D status and its implications for global and public health has not been comprehensively explored. Notably, the differing clinical decision thresholds for diagnosing vitamin D deficiency and insufficiency established by various associations can create diagnostic confusion. Therefore, our study aimed to assess the distribution of vitamin D levels in Niğde province, considering variations by month, gender, and season, with respect to the clinical decision thresholds defined by different associations.\u0000Methods: The study sample comprised 57,731 cases (71% women and 19% men) admitted to our hospital between January 2021 and December 2022. We retrospectively evaluated 25-hydroxyvitamin D (25(OH)D) levels based on months, seasons, age, and gender. Additionally, we examined 25(OH)D levels separately using the clinical decision thresholds set by the Vitamin D Council, the Endocrine Society, and the Food and Nutrition Board. Patients with chronic renal insufficiency, hepatic insufficiency, and gastrointestinal malabsorption were excluded from the study, encompassing patients of all age groups. Furthermore, we categorized patients into different age decades and analyzed their vitamin D levels. We compared the same months in 2021 and 2022, monitoring changes in vitamin D levels throughout the year. Vitamin D levels were measured using the electrochemiluminescence assay (ECLIA) on a Roche Cobas E801 instrument.\u0000Results: When comparing the same months in 2021 and 2022, there was no statistically significant decrease or increase in 25(OH)D levels (The P-values for January and December were 0.066, 0.395, 0.907, 0.465, 0.705, 0.541, 0.625, 0.860, 0.695, 0.549, 0.892, and 0.838, respectively). Vitamin D insufficiency was observed in 70.3% of women and 29.7% of men. Participants under one year of age exhibited the highest mean 25(OH)D level (34.9 ng/mL), while participants between 20 and 29 years of age had the lowest mean 25(OH)D level (15.7 ng/mL). The lowest mean 25(OH)D level was recorded in April 2022 (15.6 ng/mL), whereas the highest mean 25(OH)D level was observed in July 2021 (22.7 ng/mL). There was a slight negative correlation between age and 25(OH)D levels (r=-0.038, P<0.001). The Vitamin D Council classification identified the highest number of patients with vitamin D deficiency (n=50,833; 88%). The Food and Nutrition Board included the lowest number of patients with vitamin D deficiency (n=15,049; 26.1%).\u0000Conclusion: Vitamin D deficiency is prevalent in Niğde province, particularly among women, and remains a significant public health concern. We advocate for the adoption o","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"37 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229336","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}
Songül Tomar Güneysu, O. Güleryüz, N. Karakaş, Özlem Çolak
Constipation is one of the most common symptoms in childhood. Sodium-phosphate enemas are frequently preferred for the treatment of constipation and bowel cleansing. We present a case of a 5-year-old boy who presented to the Pediatric Emergency Department with complaints of constipation, abdominal pain, abdominal distension and vomiting; had been constipated for about two years and had poor nutrition, and received a full dose of CT enema® twice in the last 12 hours before admission to the hospital. Upon arrival at the Pediatric Emergency Department, the patient was given a pediatric fleet enema because he had dense stools according to radiographic evidence. Poisoning due to Sodium-phosphate enema was considered due to severe hyperphosphatemia and hypocalcemia in the laboratory evaluation. Rapid intravenous hydration and 1 mL/kg calcium gluconate intravenous infusion were started. Electrolytes returned to the normal range at the 14th hour of follow-up without the need for additional treatment. This case is presented to emphasize that due to the widespread use of sodium-phosphate enemas in the treatment of chronic constipation, these enemas can cause phosphate poisoning even when used in healthy patients at therapeutic doses.
{"title":"Does sodium phosphate enema use cause electrolyte disorder?","authors":"Songül Tomar Güneysu, O. Güleryüz, N. Karakaş, Özlem Çolak","doi":"10.28982/josam.7440","DOIUrl":"https://doi.org/10.28982/josam.7440","url":null,"abstract":"Constipation is one of the most common symptoms in childhood. Sodium-phosphate enemas are frequently preferred for the treatment of constipation and bowel cleansing. We present a case of a 5-year-old boy who presented to the Pediatric Emergency Department with complaints of constipation, abdominal pain, abdominal distension and vomiting; had been constipated for about two years and had poor nutrition, and received a full dose of CT enema® twice in the last 12 hours before admission to the hospital. Upon arrival at the Pediatric Emergency Department, the patient was given a pediatric fleet enema because he had dense stools according to radiographic evidence. Poisoning due to Sodium-phosphate enema was considered due to severe hyperphosphatemia and hypocalcemia in the laboratory evaluation. Rapid intravenous hydration and 1 mL/kg calcium gluconate intravenous infusion were started. Electrolytes returned to the normal range at the 14th hour of follow-up without the need for additional treatment. This case is presented to emphasize that due to the widespread use of sodium-phosphate enemas in the treatment of chronic constipation, these enemas can cause phosphate poisoning even when used in healthy patients at therapeutic doses.","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"105 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236449","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}
Background/Aim: In 2020, the World Health Organization declared the Coronavirus disease of 2019 (COVID-19) a pandemic due to its widespread nature. The severity of COVID-19 infections leading to patient deaths is influenced by various factors. Therefore, it is crucial to identify and address these contributing causes for effective treatment of COVID-19. Methods: This study was conducted between 23 January 2021 and 19 June 2021 at a hospital with 100 beds in Western Nepal. Patient demographic data and High-resolution computed tomography severity scores were recorded. Microsoft Excel and Statistical Package for the Social Sciences were used for statistical data analysis. Binomial regression and Chi-square tests were applied, setting the significance level at P<0.05 with a confidence interval of 95%. Results: The study found a significant association between computed tomography (CT) severity, gender, and age with the treatment outcome among COVID-19-infected patients admitted to the hospital. Patients with a CT severity score between 16 and 25 had an eightfold higher mortality rate (OR: -8.802; 95% CI: 3.506–18.491). Conclusion: The severity and mortality of COVID-19 infections are influenced by factors such as age, gender, and biomarkers indicated by CT severity scores. Identifying additional factors that worsen COVID-19 patient’s conditions and increase the risk of mortality is essential.
{"title":"HRCT severity score as a predictive biomarker in severity assessment of COVID-19 patients","authors":"Dipesh Karki, Sundar Adhikari","doi":"10.28982/josam.7518","DOIUrl":"https://doi.org/10.28982/josam.7518","url":null,"abstract":"Background/Aim: In 2020, the World Health Organization declared the Coronavirus disease of 2019 (COVID-19) a pandemic due to its widespread nature. The severity of COVID-19 infections leading to patient deaths is influenced by various factors. Therefore, it is crucial to identify and address these contributing causes for effective treatment of COVID-19.\u0000Methods: This study was conducted between 23 January 2021 and 19 June 2021 at a hospital with 100 beds in Western Nepal. Patient demographic data and High-resolution computed tomography severity scores were recorded. Microsoft Excel and Statistical Package for the Social Sciences were used for statistical data analysis. Binomial regression and Chi-square tests were applied, setting the significance level at P<0.05 with a confidence interval of 95%.\u0000Results: The study found a significant association between computed tomography (CT) severity, gender, and age with the treatment outcome among COVID-19-infected patients admitted to the hospital. Patients with a CT severity score between 16 and 25 had an eightfold higher mortality rate (OR: -8.802; 95% CI: 3.506–18.491).\u0000Conclusion: The severity and mortality of COVID-19 infections are influenced by factors such as age, gender, and biomarkers indicated by CT severity scores. Identifying additional factors that worsen COVID-19 patient’s conditions and increase the risk of mortality is essential.","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"5 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140239646","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}
S. Yavuz, Huseyin Kaya, Abdullah Sert, Ozgül Yigit
Background/Aim: This study examines patients diagnosed with vitamin B12 deficiency in our department. Although rare, vitamin B12 deficiency is one of the causes of megaloblastic anemia, which can lead to negative outcomes in patients. We aim to promote earlier diagnosis to protect patients from these negative effects. Therefore, this study will contribute to raising awareness in the literature. Methods: Retrospectively, we included a total of 127 outpatient children, aged 0–18 years (0–215 months), who were diagnosed and treated for vitamin B12 deficiency at the Bagcilar Training and Research Hospital Child Health and Disease Clinic between October 2014 and February 2015. Results: Among the patients, 67 (53%) with vitamin B12 deficiency were female, while 60 (47%) were male, indicating a higher occurrence in girls. Vitamin B12 deficiency was most commonly observed in the age groups of 0-2 years and 12-17 years (adolescents). The mean vitamin B12 level was 168.1 (34.1) pg/mL, the mean hemoglobin level was 12 (1.9) g/dL, and the mean MCV (mean corpuscular volume) was 78.4 (8.1) fl. Anemia was observed in 38% of the patients, bicytopenia in 4%, neutropenia in 6%, thrombocytopenia in 9%, pancytopenia in 3%, and macrocytosis in 2%. Non-iron-deficient patients showed no difference in mean hemoglobin and RDW (red cell distribution width) when compared to iron-deficient patients. However, their B12 levels were lower. The prevalence of iron deficiency did not differ between girls and boys. Comparing patients with vitamin B12 levels lower than 150 pg/mL to those with higher levels, there were no significant differences in average Hb, MCV, and RDW. Conclusion: It should be noted that macrocytic anemia is not exclusive to vitamin B12 deficiency. Vitamin B12 deficiency can manifest as normocytic anemia and should not be overlooked in biochemical assessments. It is recommended to conduct nationwide and regional prevalence studies to evaluate vitamin B12 deficiency as a public health issue and to develop new solutions accordingly.
{"title":"Retrospective evaluation of patients with vitamin B12 deficiency in the pediatrics outpatient clinic","authors":"S. Yavuz, Huseyin Kaya, Abdullah Sert, Ozgül Yigit","doi":"10.28982/josam.7587","DOIUrl":"https://doi.org/10.28982/josam.7587","url":null,"abstract":"Background/Aim: This study examines patients diagnosed with vitamin B12 deficiency in our department. Although rare, vitamin B12 deficiency is one of the causes of megaloblastic anemia, which can lead to negative outcomes in patients. We aim to promote earlier diagnosis to protect patients from these negative effects. Therefore, this study will contribute to raising awareness in the literature.\u0000Methods: Retrospectively, we included a total of 127 outpatient children, aged 0–18 years (0–215 months), who were diagnosed and treated for vitamin B12 deficiency at the Bagcilar Training and Research Hospital Child Health and Disease Clinic between October 2014 and February 2015.\u0000Results: Among the patients, 67 (53%) with vitamin B12 deficiency were female, while 60 (47%) were male, indicating a higher occurrence in girls. Vitamin B12 deficiency was most commonly observed in the age groups of 0-2 years and 12-17 years (adolescents). The mean vitamin B12 level was 168.1 (34.1) pg/mL, the mean hemoglobin level was 12 (1.9) g/dL, and the mean MCV (mean corpuscular volume) was 78.4 (8.1) fl. Anemia was observed in 38% of the patients, bicytopenia in 4%, neutropenia in 6%, thrombocytopenia in 9%, pancytopenia in 3%, and macrocytosis in 2%. Non-iron-deficient patients showed no difference in mean hemoglobin and RDW (red cell distribution width) when compared to iron-deficient patients. However, their B12 levels were lower. The prevalence of iron deficiency did not differ between girls and boys. Comparing patients with vitamin B12 levels lower than 150 pg/mL to those with higher levels, there were no significant differences in average Hb, MCV, and RDW.\u0000Conclusion: It should be noted that macrocytic anemia is not exclusive to vitamin B12 deficiency. Vitamin B12 deficiency can manifest as normocytic anemia and should not be overlooked in biochemical assessments. It is recommended to conduct nationwide and regional prevalence studies to evaluate vitamin B12 deficiency as a public health issue and to develop new solutions accordingly.","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258614","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}
Background/Aim: The COVID-19 pandemic led to a significant threat to the lives of individuals, particularly frontline healthcare workers. This brought about negative emotions, such as anxiety and hopelessness. Despite the existence of research evaluating psychiatric symptoms among healthcare personnel during the COVID-19 pandemic, this study is also significant in terms of evaluating and emphasizing the common negative emotions experienced by frontline healthcare workers during the pandemic. This study aimed to evaluate anxiety and hopelessness levels in emergency service workers during the COVID-19 pandemic and to examine these levels in terms of specific variables. Methods: This cross-sectional study was conducted among emergency service healthcare workers, including doctors, nurses, and healthcare officers working in a training and research hospital from July 10 to August 10, 2020 during the pandemic. Participants completed a survey that included a sociodemographic information form, the State and Trait Anxiety Inventory (STAI), and the Beck Hopelessness Scale (BHS). A total of 135 personnel without a history of psychiatric illness or use of psychiatric medication were included in the study. Results: Of the 135 participants in the study, 67 were female, and 68 were male. The mean state anxiety score for all participants was 44.5 (12.6), trait anxiety score was 44.2 (7.3) and hopelessness score was 7.1 (5.2). It was found that the anxiety of emergency service workers during the pandemic was at a moderate level and their hopelessness was at a mild level. In the study, higher scores were found in hopelessness and state-trait anxiety measurements in married individuals compared to single participants (P=0.040, P=0.003, P=0.001, respectively). Trait anxiety scores were significantly higher among those with chronic diseases compared to those without chronic diseases, and in those living with families compared to those living alone (P=0.039 and P=0.017, respectively). A positive and moderate relationship was observed between hopelessness levels and state-trait anxiety levels (P<0.001 for all, r=0.457, r=0.425, respectively). Conclusion: During the COVID-19 pandemic, increased levels of anxiety and hopelessness were detected among healthcare workers in emergency services. It was observed that as the working time in the emergency department increased, hopelessness and state anxiety levels of the employees also increased.
{"title":"Evaluation of anxiety and hopelessness levels in emergency service workers during the COVID-19 pandemic in Turkey","authors":"D. Canlı, Sema Can","doi":"10.28982/josam.7840","DOIUrl":"https://doi.org/10.28982/josam.7840","url":null,"abstract":"Background/Aim: The COVID-19 pandemic led to a significant threat to the lives of individuals, particularly frontline healthcare workers. This brought about negative emotions, such as anxiety and hopelessness. Despite the existence of research evaluating psychiatric symptoms among healthcare personnel during the COVID-19 pandemic, this study is also significant in terms of evaluating and emphasizing the common negative emotions experienced by frontline healthcare workers during the pandemic. This study aimed to evaluate anxiety and hopelessness levels in emergency service workers during the COVID-19 pandemic and to examine these levels in terms of specific variables.\u0000Methods: This cross-sectional study was conducted among emergency service healthcare workers, including doctors, nurses, and healthcare officers working in a training and research hospital from July 10 to August 10, 2020 during the pandemic. Participants completed a survey that included a sociodemographic information form, the State and Trait Anxiety Inventory (STAI), and the Beck Hopelessness Scale (BHS). A total of 135 personnel without a history of psychiatric illness or use of psychiatric medication were included in the study.\u0000Results: Of the 135 participants in the study, 67 were female, and 68 were male. The mean state anxiety score for all participants was 44.5 (12.6), trait anxiety score was 44.2 (7.3) and hopelessness score was 7.1 (5.2). It was found that the anxiety of emergency service workers during the pandemic was at a moderate level and their hopelessness was at a mild level.\u0000In the study, higher scores were found in hopelessness and state-trait anxiety measurements in married individuals compared to single participants (P=0.040, P=0.003, P=0.001, respectively). Trait anxiety scores were significantly higher among those with chronic diseases compared to those without chronic diseases, and in those living with families compared to those living alone (P=0.039 and P=0.017, respectively). A positive and moderate relationship was observed between hopelessness levels and state-trait anxiety levels (P<0.001 for all, r=0.457, r=0.425, respectively).\u0000Conclusion: During the COVID-19 pandemic, increased levels of anxiety and hopelessness were detected among healthcare workers in emergency services. It was observed that as the working time in the emergency department increased, hopelessness and state anxiety levels of the employees also increased.","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"10 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140436119","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}
Tahir Buran, Sanem Gökçen Merve Kılınç, Mustafa Sahin
Background/Aim: The severity and extent of ulcerative colitis (UC) guide us in determining the treatment method for each case. It has been suggested in the literature that high neutrophil-lymphocyte and platelet-lymphocyte ratios can serve as markers of active ulcerative colitis. This study retrospectively analyzes the relationship between neutrophil-lymphocyte ratio and platelet-lymphocyte ratio with clinical activity indices and endoscopic activity indices in predicting disease severity in patients with ulcerative colitis. There are few studies in the literature regarding the relationship between platelet-lymphocyte ratio (PLR) and disease activation in ulcerative colitis. This study contributes to the follow-up and outcomes of these patients, as there is a lack of sufficient retrospective studies on the platelet/lymphocyte ratio in patients diagnosed with UC in our country and worldwide. Methods: This study is a population-based, single-center, case-controlled study. It was conducted by retrospectively analyzing the hospital information system for data recorded during the routine diagnosis and treatment of ulcerative colitis patients followed and treated at Celal Bayar University Medical Faculty Gastroenterology Division between January 2014 and December 2021. A total of 135 patients with ulcerative colitis were included in the study. The patients were divided into 2 groups, active disease and disease in remission, based on clinical activity indices and endoscopic activity indices. Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), hemoglobin (Hb), white blood cell (WBC), neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR) levels were checked during routine follow-up of patients with ulcerative colitis. These values were recorded at the first presentation to the hospital and 3 months after treatment. Results: Laboratory values at presentation were compared with those at the third month of treatment in a group of 113 patients with UC in remission: NLR (5.529 (3.485) and 4.374 (2.335), [P<0.001]), erythrocyte sedimentation rate (26.81 (20.42) and 21.78 (19.32), [P=0.015]), C-reactive protein (4.087 (6.729) and 1.696 (3.525), [P<0.001]), and white blood cell count (9,864 (3,514) and 8,067 (1,927), [P<0.001]) were found to be lower than the baseline values. As expected, decreases in inflammatory markers were observed in patients in remission. In a group of 22 patients with active disease, values at presentation were compared with those at the third month of treatment: neutrophil count (8,508 (2,908) and 9,646 (3,265), [P=0.037]) and platelet count (289,591 (95,123) and 323,364 (127,647), [P=0.010]) were found to be high. Similarly, ESR (19.63 (15.43) and 27.89 (21.11), [P=0.036]) was found to be high. These values were higher in active disease compared to the time of admission. Conclusion: In our study, neutrophil-lymphocyte ratios and platelet-lymphocyte ratios were significantly higher in patients with active ulce
{"title":"New trends associated with disease activity in patients with ulcerative colitis","authors":"Tahir Buran, Sanem Gökçen Merve Kılınç, Mustafa Sahin","doi":"10.28982/josam.7984","DOIUrl":"https://doi.org/10.28982/josam.7984","url":null,"abstract":"Background/Aim: The severity and extent of ulcerative colitis (UC) guide us in determining the treatment method for each case. It has been suggested in the literature that high neutrophil-lymphocyte and platelet-lymphocyte ratios can serve as markers of active ulcerative colitis. This study retrospectively analyzes the relationship between neutrophil-lymphocyte ratio and platelet-lymphocyte ratio with clinical activity indices and endoscopic activity indices in predicting disease severity in patients with ulcerative colitis. There are few studies in the literature regarding the relationship between platelet-lymphocyte ratio (PLR) and disease activation in ulcerative colitis. This study contributes to the follow-up and outcomes of these patients, as there is a lack of sufficient retrospective studies on the platelet/lymphocyte ratio in patients diagnosed with UC in our country and worldwide.\u0000Methods: This study is a population-based, single-center, case-controlled study. It was conducted by retrospectively analyzing the hospital information system for data recorded during the routine diagnosis and treatment of ulcerative colitis patients followed and treated at Celal Bayar University Medical Faculty Gastroenterology Division between January 2014 and December 2021. A total of 135 patients with ulcerative colitis were included in the study. The patients were divided into 2 groups, active disease and disease in remission, based on clinical activity indices and endoscopic activity indices. Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), hemoglobin (Hb), white blood cell (WBC), neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR) levels were checked during routine follow-up of patients with ulcerative colitis. These values were recorded at the first presentation to the hospital and 3 months after treatment.\u0000Results: Laboratory values at presentation were compared with those at the third month of treatment in a group of 113 patients with UC in remission: NLR (5.529 (3.485) and 4.374 (2.335), [P<0.001]), erythrocyte sedimentation rate (26.81 (20.42) and 21.78 (19.32), [P=0.015]), C-reactive protein (4.087 (6.729) and 1.696 (3.525), [P<0.001]), and white blood cell count (9,864 (3,514) and 8,067 (1,927), [P<0.001]) were found to be lower than the baseline values. As expected, decreases in inflammatory markers were observed in patients in remission. In a group of 22 patients with active disease, values at presentation were compared with those at the third month of treatment: neutrophil count (8,508 (2,908) and 9,646 (3,265), [P=0.037]) and platelet count (289,591 (95,123) and 323,364 (127,647), [P=0.010]) were found to be high. Similarly, ESR (19.63 (15.43) and 27.89 (21.11), [P=0.036]) was found to be high. These values were higher in active disease compared to the time of admission.\u0000Conclusion: In our study, neutrophil-lymphocyte ratios and platelet-lymphocyte ratios were significantly higher in patients with active ulce","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"28 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962473","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}
Canan Satır Özel, M. Küçükbaş, O. Yardımcı, Vildan Nalbant, Ateş Karateke
Background/Aim: Sacrocolpopexy is considered the gold-standard surgical treatment for patients with symptomatic uterine prolapse. This technique can be performed using a laparoscopic approach. Laparoscopic lateral suspension has emerged as a new alternative pelvic organ prolapse surgery method. This study aims to compare the postoperative anatomical improvement and sexual function outcomes in patients who underwent laparoscopic sacrocolpopexy (Group 1) versus laparoscopic lateral suspension (Group 2) for pelvic organ prolapse at our institution. Methods: Group 1 consisted of 14 patients, while Group 2 comprised seven patients. Relevant data were collected using the Turkish-validated Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), A Simple Questionnaire to Screen for Sexual Dysfunction, and the Pelvic Organ Prolapse Quantification System (POP-Q) questionnaires. Results: There was no statistically significant difference between Group 1 and Group 2 in terms of the preoperative stage of uterine prolapse (2.6 (0.8) vs. 2.7 (0.7) [P=0.534]). The postoperative period was significantly longer in Group 1 compared to Group 2 (1,014.7 (348.8) days vs. 598.4 (276.5) days [P=0.013]). In the POP-Q evaluation, point C was measured as -6.6 (1.1) cm in Group 1 and -5.2 (1.5) cm in Group 2, indicating a statistically more proximal location (P=0.037). The total vaginal length was greater in Group 1 than in Group 2, but this difference was not statistically significant (8.7 (1.2) cm vs. 8.1 (1.3) cm, [P=0.343]). There was no statistical difference between the groups in terms of uterine prolapse stages and sexual function during the follow-up period. Conclusion: Laparoscopic lateral suspension is an alternative method for patients with uterine prolapse, offering comparable anatomical and sexual outcomes to laparoscopic sacrocolpopexy.
背景/目的：骶尾部结肠切除术被认为是治疗症状性子宫脱垂患者的黄金标准手术方法。这项技术可通过腹腔镜方法进行。腹腔镜侧位悬吊术已成为盆腔脏器脱垂手术的一种新的替代方法。本研究旨在比较在本院接受腹腔镜骶骨整形术（第1组）和腹腔镜侧悬吊术（第2组）治疗盆腔器官脱垂的患者术后的解剖学改善和性功能结果：第一组有 14 名患者，第二组有 7 名患者。采用经土耳其验证的盆腔器官脱垂/尿失禁性问卷（PISQ-12）、性功能障碍筛查简易问卷和盆腔器官脱垂定量系统（POP-Q）问卷收集相关数据：第 1 组和第 2 组在子宫脱垂的术前分期（2.6 (0.8) vs. 2.7 (0.7) [P=0.534]）方面无统计学差异。与第二组相比，第一组的术后时间明显更长（1,014.7 (348.8) 天 vs. 598.4 (276.5) 天 [P=0.013]）。在 POP-Q 评估中，第 1 组 C 点的测量值为 -6.6 (1.1) 厘米，第 2 组为 -5.2 (1.5) 厘米，从统计学角度看，C 点的位置更近（P=0.037）。第一组的阴道总长度大于第二组，但差异无统计学意义（8.7 (1.2) cm vs. 8.1 (1.3) cm，[P=0.343]）。在随访期间，两组在子宫脱垂分期和性功能方面没有统计学差异：结论：腹腔镜侧位悬吊术是子宫脱垂患者的另一种治疗方法，在解剖学和性功能方面的效果与腹腔镜骶骨结节成形术相当。
{"title":"Results of the laparoscopic lateral suspension and laparoscopic sacrocolpopexy techniques done for uterine prolapse","authors":"Canan Satır Özel, M. Küçükbaş, O. Yardımcı, Vildan Nalbant, Ateş Karateke","doi":"10.28982/josam.7548","DOIUrl":"https://doi.org/10.28982/josam.7548","url":null,"abstract":"Background/Aim: Sacrocolpopexy is considered the gold-standard surgical treatment for patients with symptomatic uterine prolapse. This technique can be performed using a laparoscopic approach. Laparoscopic lateral suspension has emerged as a new alternative pelvic organ prolapse surgery method. This study aims to compare the postoperative anatomical improvement and sexual function outcomes in patients who underwent laparoscopic sacrocolpopexy (Group 1) versus laparoscopic lateral suspension (Group 2) for pelvic organ prolapse at our institution.\u0000Methods: Group 1 consisted of 14 patients, while Group 2 comprised seven patients. Relevant data were collected using the Turkish-validated Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), A Simple Questionnaire to Screen for Sexual Dysfunction, and the Pelvic Organ Prolapse Quantification System (POP-Q) questionnaires.\u0000Results: There was no statistically significant difference between Group 1 and Group 2 in terms of the preoperative stage of uterine prolapse (2.6 (0.8) vs. 2.7 (0.7) [P=0.534]). The postoperative period was significantly longer in Group 1 compared to Group 2 (1,014.7 (348.8) days vs. 598.4 (276.5) days [P=0.013]). In the POP-Q evaluation, point C was measured as -6.6 (1.1) cm in Group 1 and -5.2 (1.5) cm in Group 2, indicating a statistically more proximal location (P=0.037). The total vaginal length was greater in Group 1 than in Group 2, but this difference was not statistically significant (8.7 (1.2) cm vs. 8.1 (1.3) cm, [P=0.343]). There was no statistical difference between the groups in terms of uterine prolapse stages and sexual function during the follow-up period.\u0000Conclusion: Laparoscopic lateral suspension is an alternative method for patients with uterine prolapse, offering comparable anatomical and sexual outcomes to laparoscopic sacrocolpopexy.","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139806085","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}
Canan Satır Özel, M. Küçükbaş, O. Yardımcı, Vildan Nalbant, Ateş Karateke
Background/Aim: Sacrocolpopexy is considered the gold-standard surgical treatment for patients with symptomatic uterine prolapse. This technique can be performed using a laparoscopic approach. Laparoscopic lateral suspension has emerged as a new alternative pelvic organ prolapse surgery method. This study aims to compare the postoperative anatomical improvement and sexual function outcomes in patients who underwent laparoscopic sacrocolpopexy (Group 1) versus laparoscopic lateral suspension (Group 2) for pelvic organ prolapse at our institution. Methods: Group 1 consisted of 14 patients, while Group 2 comprised seven patients. Relevant data were collected using the Turkish-validated Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), A Simple Questionnaire to Screen for Sexual Dysfunction, and the Pelvic Organ Prolapse Quantification System (POP-Q) questionnaires. Results: There was no statistically significant difference between Group 1 and Group 2 in terms of the preoperative stage of uterine prolapse (2.6 (0.8) vs. 2.7 (0.7) [P=0.534]). The postoperative period was significantly longer in Group 1 compared to Group 2 (1,014.7 (348.8) days vs. 598.4 (276.5) days [P=0.013]). In the POP-Q evaluation, point C was measured as -6.6 (1.1) cm in Group 1 and -5.2 (1.5) cm in Group 2, indicating a statistically more proximal location (P=0.037). The total vaginal length was greater in Group 1 than in Group 2, but this difference was not statistically significant (8.7 (1.2) cm vs. 8.1 (1.3) cm, [P=0.343]). There was no statistical difference between the groups in terms of uterine prolapse stages and sexual function during the follow-up period. Conclusion: Laparoscopic lateral suspension is an alternative method for patients with uterine prolapse, offering comparable anatomical and sexual outcomes to laparoscopic sacrocolpopexy.
背景/目的：骶尾部结肠切除术被认为是治疗症状性子宫脱垂患者的黄金标准手术方法。这项技术可通过腹腔镜方法进行。腹腔镜侧位悬吊术已成为盆腔脏器脱垂手术的一种新的替代方法。本研究旨在比较在本院接受腹腔镜骶骨整形术（第1组）和腹腔镜侧悬吊术（第2组）治疗盆腔器官脱垂的患者术后的解剖学改善和性功能结果：第一组有 14 名患者，第二组有 7 名患者。采用经土耳其验证的盆腔器官脱垂/尿失禁性问卷（PISQ-12）、性功能障碍筛查简易问卷和盆腔器官脱垂定量系统（POP-Q）问卷收集相关数据：第 1 组和第 2 组在子宫脱垂的术前分期（2.6 (0.8) vs. 2.7 (0.7) [P=0.534]）方面无统计学差异。与第二组相比，第一组的术后时间明显更长（1,014.7 (348.8) 天 vs. 598.4 (276.5) 天 [P=0.013]）。在 POP-Q 评估中，第 1 组 C 点的测量值为 -6.6 (1.1) 厘米，第 2 组为 -5.2 (1.5) 厘米，从统计学角度看，C 点的位置更近（P=0.037）。第一组的阴道总长度大于第二组，但差异无统计学意义（8.7 (1.2) cm vs. 8.1 (1.3) cm，[P=0.343]）。在随访期间，两组在子宫脱垂分期和性功能方面没有统计学差异：结论：腹腔镜侧位悬吊术是子宫脱垂患者的另一种治疗方法，在解剖学和性功能方面的效果与腹腔镜骶骨结节成形术相当。
{"title":"Results of the laparoscopic lateral suspension and laparoscopic sacrocolpopexy techniques done for uterine prolapse","authors":"Canan Satır Özel, M. Küçükbaş, O. Yardımcı, Vildan Nalbant, Ateş Karateke","doi":"10.28982/josam.7548","DOIUrl":"https://doi.org/10.28982/josam.7548","url":null,"abstract":"Background/Aim: Sacrocolpopexy is considered the gold-standard surgical treatment for patients with symptomatic uterine prolapse. This technique can be performed using a laparoscopic approach. Laparoscopic lateral suspension has emerged as a new alternative pelvic organ prolapse surgery method. This study aims to compare the postoperative anatomical improvement and sexual function outcomes in patients who underwent laparoscopic sacrocolpopexy (Group 1) versus laparoscopic lateral suspension (Group 2) for pelvic organ prolapse at our institution.\u0000Methods: Group 1 consisted of 14 patients, while Group 2 comprised seven patients. Relevant data were collected using the Turkish-validated Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), A Simple Questionnaire to Screen for Sexual Dysfunction, and the Pelvic Organ Prolapse Quantification System (POP-Q) questionnaires.\u0000Results: There was no statistically significant difference between Group 1 and Group 2 in terms of the preoperative stage of uterine prolapse (2.6 (0.8) vs. 2.7 (0.7) [P=0.534]). The postoperative period was significantly longer in Group 1 compared to Group 2 (1,014.7 (348.8) days vs. 598.4 (276.5) days [P=0.013]). In the POP-Q evaluation, point C was measured as -6.6 (1.1) cm in Group 1 and -5.2 (1.5) cm in Group 2, indicating a statistically more proximal location (P=0.037). The total vaginal length was greater in Group 1 than in Group 2, but this difference was not statistically significant (8.7 (1.2) cm vs. 8.1 (1.3) cm, [P=0.343]). There was no statistical difference between the groups in terms of uterine prolapse stages and sexual function during the follow-up period.\u0000Conclusion: Laparoscopic lateral suspension is an alternative method for patients with uterine prolapse, offering comparable anatomical and sexual outcomes to laparoscopic sacrocolpopexy.","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139865812","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}
Abdominal cystic lymphangiomas are rare entities that can manifest as retroperitoneal cystic lesions, presenting a diagnostic and therapeutic challenge. Managing these cases often requires laparotomy, laparoscopy, or percutaneous intervention, with outcomes varying in terms of success. Here, we present a case of an infected abdominal cystic lymphangioma that was successfully managed through laparoscopy, following thorough preoperative planning.
{"title":"Laparoscopic management of an adult abdominal cystic lymphangioma presenting as a retroperitoneal mass with sepsis","authors":"Ganesh Shenoy, Sanjay Natarajan","doi":"10.28982/josam.7531","DOIUrl":"https://doi.org/10.28982/josam.7531","url":null,"abstract":"Abdominal cystic lymphangiomas are rare entities that can manifest as retroperitoneal cystic lesions, presenting a diagnostic and therapeutic challenge. Managing these cases often requires laparotomy, laparoscopy, or percutaneous intervention, with outcomes varying in terms of success. Here, we present a case of an infected abdominal cystic lymphangioma that was successfully managed through laparoscopy, following thorough preoperative planning.","PeriodicalId":508175,"journal":{"name":"Journal of Surgery and Medicine","volume":"22 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139868020","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：