Pub Date : 2022-08-31DOI: 10.47493/abantmedj.1016189
Aziz Çataltepe, Kadir Öznam
Amaç: Tek taraflı total diz artroplastisinde (TDA) traneksamik asidin (TXA) peri-artiküler (PA) uygulama şekli yeterince incelenmemektedir. Bu çalışmanın birincil amacı, TDA'da TXA'nın PA enjeksiyonunun uygulanmasından sonra postoperatif kan kaybı ve transfüzyon oranlarını değerlendirmekti. Ek olarak, PA TXA, TDA sonrası hemartrozun azalması nedeniyle ağrıyı azaltabilir.Gereç ve Yöntemler: Bu retrospektif çalışmaya TXA PA enjeksiyonu olan veya olmayan primer tek taraflı TDA uygulanan 113 hasta dahil edildi. Protezin simante edilmesinden sonra, ancak kapsül kapanmadan ve turnike indirilmeden 15 dakika önce, medial, lateral kapsüller ve kuadriseps tendonu çevresindeki kas yumuşak doku çevresindeki eklem dışı yumuşak dokuya toplam 1500 mg/50 ml TXA enjekte edildi. Kontrol grubundaki toplam 56 hasta TXA almadı. Tüm hastalarda cerrahi prosedür standardize edildi.Bulgular: Kontrol grubuna kıyasla TXA grubunda gizli kan kaybında, tahmini kan kaybında ve postoperatif allojenik kan transfüzyonu almada istatistiksel olarak anlamlı bir azalma vardı (p=0,0001). Kan transfüzyonu ile hastanede kalış süresi arasında anlamlı bir ilişki bulduk (p=0,0001). Postoperatif 1. gün ve postoperatif 3. günden sonra ağrı VAS skoru açısından anlamlı bir fark bulunmadı (p=0,597 ve p=0,183, sırasıyla). 1500 mg/50 ml (30 mg/ml) TXA, 50 mg/ml. ile karşılaştırıldığında diz çevresindeki yumuşak doku üzerindeki sitotoksik etkileri en aza indirmek için nispeten optimal bir dozdu. Hiçbir hastada herhangi bir tromboembolik ve yara komplikasyonu görülmedi.Sonuç: TXA'nın PA uygulaması, tromboembolik komplikasyon ve kıkırdak ve periartiküler yumuşak doku üzerinde sitotoksik etki riskini artırmadan, postoperatif kan kaybı ve transfüzyon oranlarında ve hastanede kalış süresinde önemli bir azalma sağlayabilir. Ancak postoperatif ağrı VAS skorunda anlamlı bir azalma gözlemlemedik.
{"title":"Tek Taraflı Total Diz Artroplastisi Sonrası Traneksamik Asit Peri-artiküler Enjeksiyonunun Kan Kaybı ve Kan Transfüzyonları ile İlgili Endişemiz Var mı?","authors":"Aziz Çataltepe, Kadir Öznam","doi":"10.47493/abantmedj.1016189","DOIUrl":"https://doi.org/10.47493/abantmedj.1016189","url":null,"abstract":"Amaç: Tek taraflı total diz artroplastisinde (TDA) traneksamik asidin (TXA) peri-artiküler (PA) uygulama şekli yeterince incelenmemektedir. Bu çalışmanın birincil amacı, TDA'da TXA'nın PA enjeksiyonunun uygulanmasından sonra postoperatif kan kaybı ve transfüzyon oranlarını değerlendirmekti. Ek olarak, PA TXA, TDA sonrası hemartrozun azalması nedeniyle ağrıyı azaltabilir.Gereç ve Yöntemler: Bu retrospektif çalışmaya TXA PA enjeksiyonu olan veya olmayan primer tek taraflı TDA uygulanan 113 hasta dahil edildi. Protezin simante edilmesinden sonra, ancak kapsül kapanmadan ve turnike indirilmeden 15 dakika önce, medial, lateral kapsüller ve kuadriseps tendonu çevresindeki kas yumuşak doku çevresindeki eklem dışı yumuşak dokuya toplam 1500 mg/50 ml TXA enjekte edildi. Kontrol grubundaki toplam 56 hasta TXA almadı. Tüm hastalarda cerrahi prosedür standardize edildi.Bulgular: Kontrol grubuna kıyasla TXA grubunda gizli kan kaybında, tahmini kan kaybında ve postoperatif allojenik kan transfüzyonu almada istatistiksel olarak anlamlı bir azalma vardı (p=0,0001). Kan transfüzyonu ile hastanede kalış süresi arasında anlamlı bir ilişki bulduk (p=0,0001). Postoperatif 1. gün ve postoperatif 3. günden sonra ağrı VAS skoru açısından anlamlı bir fark bulunmadı (p=0,597 ve p=0,183, sırasıyla). 1500 mg/50 ml (30 mg/ml) TXA, 50 mg/ml. ile karşılaştırıldığında diz çevresindeki yumuşak doku üzerindeki sitotoksik etkileri en aza indirmek için nispeten optimal bir dozdu. Hiçbir hastada herhangi bir tromboembolik ve yara komplikasyonu görülmedi.Sonuç: TXA'nın PA uygulaması, tromboembolik komplikasyon ve kıkırdak ve periartiküler yumuşak doku üzerinde sitotoksik etki riskini artırmadan, postoperatif kan kaybı ve transfüzyon oranlarında ve hastanede kalış süresinde önemli bir azalma sağlayabilir. Ancak postoperatif ağrı VAS skorunda anlamlı bir azalma gözlemlemedik.","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80350356","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}
Pub Date : 2022-08-31DOI: 10.47493/abantmedj.1008821
Çağlar Yildirim, Mehmet Yılmaz Salman, Mehmet Şirin Ertek, Goksel Bayar
Objective: Our aim was to assess the outcomes for ureter stones with delayed treatment due to the SARS-CoV-2 pandemic. Materials and Methods: Data from patients with ureterorenoscopy (URS) performed due to ureter stones were retrospectively assessed in the period during the pandemic of 1-31 January 2021 and the period before the pandemic of 1-31 January 2020. On first attendance, patients were assessed for emergency drainage requirements, ureter JJ stent requirement, post-op stone-free rate, re-URS requirements, and the presence of complications rated Clavien-2 and above. Results: The study included 102 patients in total, 38 after and 64 before the pandemic. The post-pandemic group had a significantly higher impacted stone rate (15.8%) compared to the pre-pandemic group (3.1%) (p = 0.021). Seven patients (18.4%) in the first group and two patients (3.1%) in the second required emergency drainage (p = 0.008). Further, ureteral JJ stent requirements were significantly higher in the first group (71%) than in the second group (29.7%) (p<0.001). The re-URS requirements in the first group were significantly higher (18.4% vs 4.7%, p = 0.024), and in the postoperative period, stage 2 and higher complications developed in 10 patients in the first group (26.3%) and 3 patients in the second (4.7%) (p = 0.002). Conclusion: Ureter stones with delayed treatment linked to the SARS-CoV-2 pandemic caused increased complications, permanent morbidity, and more difficult treatment processes.
目的:我们的目的是评估因SARS-CoV-2大流行而延迟治疗的输尿管结石的结局。材料和方法:回顾性评估了2021年1月1日至31日大流行期间和2020年1月1日至31日大流行之前因输尿管结石行输尿管镜检查(URS)患者的数据。首次就诊时，评估患者的紧急引流需求、输尿管JJ支架需求、术后无结石率、再尿路需求以及Clavien-2级及以上并发症的存在。结果:本研究共纳入102例患者，其中大流行后38例，大流行前64例。大流行后组的阻生结石率(15.8%)明显高于大流行前组(3.1%)(p = 0.021)。第一组7例(18.4%)，第二组2例(3.1%)需要紧急引流(p = 0.008)。此外，输尿管JJ支架需求在第一组(71%)显著高于第二组(29.7%)(p<0.001)。第一组患者的re-URS需求明显高于对照组(18.4% vs 4.7%， p = 0.024)，术后出现2期及以上并发症的患者分别为1组10例(26.3%)和2组3例(4.7%)(p = 0.002)。结论:与SARS-CoV-2大流行相关的输尿管结石延迟治疗导致并发症增加，永久性发病率增加，治疗过程更加困难。
{"title":"Sars-Cov-2 Pandemisi Nedeniyle Geciktirilen Üreter Taşı Tedavisinin Klinik Sonuçları","authors":"Çağlar Yildirim, Mehmet Yılmaz Salman, Mehmet Şirin Ertek, Goksel Bayar","doi":"10.47493/abantmedj.1008821","DOIUrl":"https://doi.org/10.47493/abantmedj.1008821","url":null,"abstract":"Objective: Our aim was to assess the outcomes for ureter stones with delayed treatment due to the SARS-CoV-2 pandemic.\u0000Materials and Methods: Data from patients with ureterorenoscopy (URS) performed due to ureter stones were retrospectively assessed in the period during the pandemic of 1-31 January 2021 and the period before the pandemic of 1-31 January 2020. On first attendance, patients were assessed for emergency drainage requirements, ureter JJ stent requirement, post-op stone-free rate, re-URS requirements, and the presence of complications rated Clavien-2 and above.\u0000Results: The study included 102 patients in total, 38 after and 64 before the pandemic. The post-pandemic group had a significantly higher impacted stone rate (15.8%) compared to the pre-pandemic group (3.1%) (p = 0.021). Seven patients (18.4%) in the first group and two patients (3.1%) in the second required emergency drainage (p = 0.008). Further, ureteral JJ stent requirements were significantly higher in the first group (71%) than in the second group (29.7%) (p<0.001). The re-URS requirements in the first group were significantly higher (18.4% vs 4.7%, p = 0.024), and in the postoperative period, stage 2 and higher complications developed in 10 patients in the first group (26.3%) and 3 patients in the second (4.7%) (p = 0.002).\u0000Conclusion: Ureter stones with delayed treatment linked to the SARS-CoV-2 pandemic caused increased complications, permanent morbidity, and more difficult treatment processes.","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"10 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82995804","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 aim of this study is to determine the accuracy and usefulness of fine needle aspiration biopsy(FNAB) in the diagnosis of parotid masses. Materials and Methods: FNAB findings of 123 patients who were operated over a last ten years period were retrospectively analyzed and compared with histopathological findings. We examined the sensitivity, the specificity, the positive predictive value (PPV), the negative predictive value (NPV) of FNAB. Results: FNAB results of the patients who participated in the study are as follow; non-diagnostic for 7 patient (%5.7), atypia of undetermined significance for 7 patients(%5.7), bening neoplasm for 98 patients (79.7%) and malign cytology for 11 patients (%8.9). Histopathological results were maligned found in 1 out of 98 patients with benign neoplasm in cytology results in FNAB. The histopathological result was benign in 2 of 11 patients with malignant neoplasm in the cytology findings with FNAB. The specificity of FNAB in the diagnosis of parotid masses was found as 98% and the sensitivity was 90%. The positive predictive value (PPD) was detected as 86% and the negative predictive value was detected 98%. Conclusion: Since malignant masses of the parotid are rare and diverse, diagnosis with FNAB can be difficult. Another complicating factor is the similarity of low-grade malignant tumor and benign tumor. As a result, FNAB has high accuracy for benign parotid tumors, but low for malignant parotid tumors.
{"title":"Parotis Kitlelerinin Teşhisinde İnce İğne Aspirasyon Biyopsisinin Rolü","authors":"Ercan Kurt, Mahmut Çorapli, Safiye Kafadar, Bilge AYDIN TÜRK, Koray Tümüklü","doi":"10.47493/abantmedj.1061042","DOIUrl":"https://doi.org/10.47493/abantmedj.1061042","url":null,"abstract":"Objective: The aim of this study is to determine the accuracy and usefulness of fine needle aspiration biopsy(FNAB) in the diagnosis of parotid masses.\u0000Materials and Methods: FNAB findings of 123 patients who were operated over a last ten years period were retrospectively analyzed and compared with histopathological findings. We examined the sensitivity, the specificity, the positive predictive value (PPV), the negative predictive value (NPV) of FNAB.\u0000Results: FNAB results of the patients who participated in the study are as follow; non-diagnostic for 7 patient (%5.7), atypia of undetermined significance for 7 patients(%5.7), bening neoplasm for 98 patients (79.7%) and malign cytology for 11 patients (%8.9). Histopathological results were maligned found in 1 out of 98 patients with benign neoplasm in cytology results in FNAB. The histopathological result was benign in 2 of 11 patients with malignant neoplasm in the cytology findings with FNAB. The specificity of FNAB in the diagnosis of parotid masses was found as 98% and the sensitivity was 90%. The positive predictive value (PPD) was detected as 86% and the negative predictive value was detected 98%.\u0000Conclusion: Since malignant masses of the parotid are rare and diverse, diagnosis with FNAB can be difficult. Another complicating factor is the similarity of low-grade malignant tumor and benign tumor. As a result, FNAB has high accuracy for benign parotid tumors, but low for malignant parotid tumors.","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"369 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80420556","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}
Pub Date : 2022-08-31DOI: 10.47493/abantmedj.1072722
H. Kafadar, Hasibe Arican
This study aimed to adapt the Executive Function Index (Spinella, 2005) to Turkish. The psychometric characteristics of the scale were determined in the sample groups where the participants were university students. The linguistic equivalence of the scale was tested with the participation of 88 people, while data from 605 participants was used to test the construct and criterion validity and reliability of the measurement tool. 383 females and 219 males participated in the study. The age range of the participants was between 16 and 31, with a mean age of 21.93 (SD=2.47). In order to identify the psychometric characteristics of the Executive Function Index, Explanatory factor analysis, Linear regression analysis, Pearson correlation analysis, and t-test were performed, and the Cronbach’s alpha internal consistency coefficient was calculated. The participants were administered the Frontal System Behavior Inventory, Barrat Impulsivity Scale Short Form, and Interpersonal Reactivity Index to test the criterion validity of the Executive Function Scale. The explanatory factor analysis conducted for construct validity showed that the Turkish version of the scale had the same number of sub-tests as the original Executive Function Scale, and the Cronbach’s alpha reliability coefficients of the Turkish scale ranged from .54 to .76. The sub-tests of the scale were determined as impulse/impulse control, strategic planning, organization, empathy and motivational impulse. The linear regression analysis showed that age significantly predicted the total score, while gender did not predict the total score significantly. The t-test results showed that gender was significant only in impulse/impulse control and empathy sub-tests and had a moderate effect size. The results of the Pearson correlation analysis performed to test the criterion validity of the scale were mainly significant. The findings were largely similar to the original form of the scale. As a result, the research findings indicated that the scale could be used to measure the executive functions of Turkish university students.
{"title":"Executive Function Index: A Scale Adaptation Study","authors":"H. Kafadar, Hasibe Arican","doi":"10.47493/abantmedj.1072722","DOIUrl":"https://doi.org/10.47493/abantmedj.1072722","url":null,"abstract":"This study aimed to adapt the Executive Function Index (Spinella, 2005) to Turkish. The psychometric characteristics of the scale were determined in the sample groups where the participants were university students. The linguistic equivalence of the scale was tested with the participation of 88 people, while data from 605 participants was used to test the construct and criterion validity and reliability of the measurement tool. 383 females and 219 males participated in the study. The age range of the participants was between 16 and 31, with a mean age of 21.93 (SD=2.47). In order to identify the psychometric characteristics of the Executive Function Index, Explanatory factor analysis, Linear regression analysis, Pearson correlation analysis, and t-test were performed, and the Cronbach’s alpha internal consistency coefficient was calculated. The participants were administered the Frontal System Behavior Inventory, Barrat Impulsivity Scale Short Form, and Interpersonal Reactivity Index to test the criterion validity of the Executive Function Scale. The explanatory factor analysis conducted for construct validity showed that the Turkish version of the scale had the same number of sub-tests as the original Executive Function Scale, and the Cronbach’s alpha reliability coefficients of the Turkish scale ranged from .54 to .76. The sub-tests of the scale were determined as impulse/impulse control, strategic planning, organization, empathy and motivational impulse. The linear regression analysis showed that age significantly predicted the total score, while gender did not predict the total score significantly. The t-test results showed that gender was significant only in impulse/impulse control and empathy sub-tests and had a moderate effect size. The results of the Pearson correlation analysis performed to test the criterion validity of the scale were mainly significant. The findings were largely similar to the original form of the scale. As a result, the research findings indicated that the scale could be used to measure the executive functions of Turkish university students.","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89483368","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}
Pub Date : 2022-08-31DOI: 10.47493/abantmedj.1112507
A. K. Taşkin, Bülent Özçetin
Amaç: Peptik ülser perforasyonu en önemli cerrahi acillerden birisidir. Bu çalışmada ramazan ayının ve mevsimlerin peptik ülser perforasyonları üzerine olan muhtemel etkilerinin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Kliniğimizde peptik ülser perforasyonu nedeniyle opere edilen hastalar retrospektif olarak değerlendirildi. Hastalara ait demografik ve klinik veriler, operasyon tarihi, uygulanan ameliyat tekniği ve post-operatif takip verileri kaydedildi. Ayrıca, vakaların ramazan ayında görülme sıklığı ve kliniği de kaydedildi. Elde edilen veriler ile vakaların mevsimsel ve aylık karşılaştırması yapıldı.Bulgular: Çalışmaya toplam 72 hasta dahil edildi. Hastaların 14 (%19)’ü kadın, 58 (%81)’ i erkek idi. Kadın hastaların yaş ortalaması 64±23, erkek hastaların ise 44±17 idi ( p <0,001). Hastaların 8 (%11)’nin ramazan ayında, 64 (%89)’ünün ramazan ayı dışında opere olduğu saptandı. Ramazan ayı ile diğer aylar arasında ameliyat sayısı açısından anlamlı bir farklılık saptanmadı (p >0,05). Olguların kış, ilkbahar, yaz ve sonbahar mevsiminde görülme sıklıkları sırası ile 12 (%16,7), 21 (%29,2), 23 (%31,9) ve 16 (%22,2) idi. Mevsimlere göre vaka sıklığı açısından anlamlı bir farklılık yoktu (p >0,05).Sonuç: Ramazan ayının ve mevsimsel farklılıkların peptik ülser perforasyonlarının sıklığı ve klinik prognozu üzerine olumsuz bir risk faktörü teşkil etmediği saptanmıştır.
{"title":"Evaluation of the Effects of the Ramadan and the Seasons on Peptic Ulcer Perforations","authors":"A. K. Taşkin, Bülent Özçetin","doi":"10.47493/abantmedj.1112507","DOIUrl":"https://doi.org/10.47493/abantmedj.1112507","url":null,"abstract":"Amaç: Peptik ülser perforasyonu en önemli cerrahi acillerden birisidir. Bu çalışmada ramazan ayının ve mevsimlerin peptik ülser perforasyonları üzerine olan muhtemel etkilerinin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Kliniğimizde peptik ülser perforasyonu nedeniyle opere edilen hastalar retrospektif olarak değerlendirildi. Hastalara ait demografik ve klinik veriler, operasyon tarihi, uygulanan ameliyat tekniği ve post-operatif takip verileri kaydedildi. Ayrıca, vakaların ramazan ayında görülme sıklığı ve kliniği de kaydedildi. Elde edilen veriler ile vakaların mevsimsel ve aylık karşılaştırması yapıldı.Bulgular: Çalışmaya toplam 72 hasta dahil edildi. Hastaların 14 (%19)’ü kadın, 58 (%81)’ i erkek idi. Kadın hastaların yaş ortalaması 64±23, erkek hastaların ise 44±17 idi ( p <0,001). Hastaların 8 (%11)’nin ramazan ayında, 64 (%89)’ünün ramazan ayı dışında opere olduğu saptandı. Ramazan ayı ile diğer aylar arasında ameliyat sayısı açısından anlamlı bir farklılık saptanmadı (p >0,05). Olguların kış, ilkbahar, yaz ve sonbahar mevsiminde görülme sıklıkları sırası ile 12 (%16,7), 21 (%29,2), 23 (%31,9) ve 16 (%22,2) idi. Mevsimlere göre vaka sıklığı açısından anlamlı bir farklılık yoktu (p >0,05).Sonuç: Ramazan ayının ve mevsimsel farklılıkların peptik ülser perforasyonlarının sıklığı ve klinik prognozu üzerine olumsuz bir risk faktörü teşkil etmediği saptanmıştır.","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80381495","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}
Pub Date : 2022-08-31DOI: 10.47493/abantmedj.996342
O. Akyüz, Haydar Kamil Cam
Objective: We aimed to determine the contribution of the clinical experience gained in cognitive fusion prostate biopsy with the increase in the number of cases to the cancer detection rate. Materials and Methods: The records of 120 patients who underwent cognitive fusion biopsy were retrospectively analyzed. All patients underwent 3-T multiparametric magnetic resonance imaging (Mp-MRI) and they were evaluated with Prostate Imaging Reporting and Data System (PIRADS). The initial 60 cases were included in group 1, and the later subsequent 60 cases performed by the same surgeon were included in group 2. Any cancer and clinically significant prostate cancer (CSPrCa) detection rates in groups 1 and 2 were compared. Results: The mean ages of the patients for group 1 and group 2 were determined as 64.08 ± 8.15 and 65.15 ± 6.93 years, respectively. Age, prostate specific antigen (PSA), prostate volumes and the number of suspicious lesions of the groups were similar. Any cancer positivity rate was 33.3% for group 1, and 40% for group 2, without any significant intergroup difference (p=0.494). CSPrCa positivity was 40% and 70.83% for groups 1 and 2, respectively, and there was a significant improvement in CSPrCa detection in favor of group 2 (p=0.027). Conclusion: Regarding the cognitive fusion biopsies, a learning curve is required. It was concluded that the rate of detecting clinically significant prostate cancer was almost doubled with the increased experience in fusion biopsy. Keywords: Biopsy, Cognitive Fusion, Learning Curve, Magnetic Resonance Imaging, Prostate Cancer
{"title":"Kognitif Füzyon Prostat Biyopsisinde Deneyim Kanser Tespit Oranını Etkiliyor Mu? İlk ve Son 60 Vakanın Karşılaştırılması","authors":"O. Akyüz, Haydar Kamil Cam","doi":"10.47493/abantmedj.996342","DOIUrl":"https://doi.org/10.47493/abantmedj.996342","url":null,"abstract":"Objective: We aimed to determine the contribution of the clinical experience gained in cognitive fusion prostate biopsy with the increase in the number of cases to the cancer detection rate.\u0000Materials and Methods: The records of 120 patients who underwent cognitive fusion biopsy were retrospectively analyzed. All patients underwent 3-T multiparametric magnetic resonance imaging (Mp-MRI) and they were evaluated with Prostate Imaging Reporting and Data System (PIRADS). The initial 60 cases were included in group 1, and the later subsequent 60 cases performed by the same surgeon were included in group 2. Any cancer and clinically significant prostate cancer (CSPrCa) detection rates in groups 1 and 2 were compared.\u0000Results: The mean ages of the patients for group 1 and group 2 were determined as 64.08 ± 8.15 and 65.15 ± 6.93 years, respectively. Age, prostate specific antigen (PSA), prostate volumes and the number of suspicious lesions of the groups were similar. Any cancer positivity rate was 33.3% for group 1, and 40% for group 2, without any significant intergroup difference (p=0.494). CSPrCa positivity was 40% and 70.83% for groups 1 and 2, respectively, and there was a significant improvement in CSPrCa detection in favor of group 2 (p=0.027).\u0000Conclusion: Regarding the cognitive fusion biopsies, a learning curve is required. It was concluded that the rate of detecting clinically significant prostate cancer was almost doubled with the increased experience in fusion biopsy.\u0000Keywords: Biopsy, Cognitive Fusion, Learning Curve, Magnetic Resonance Imaging, Prostate Cancer","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90825953","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}
Pub Date : 2022-07-27DOI: 10.47493/abantmedj.1133849
A. Demirel, B. Adak
ABSTRACT Objective The neck is an important region that connects the head and body with the vital structures it contains. Pain originating from the cervical vertebral axis constitutes a significant part of the pain in this region and is the most common musculoskeletal problem after low back pain. Deviations such as decreased cervical lordosis or the development of kyphosis are associated with pain and disability. Although cervical axis flattening is a very common condition, there is not enough data on its causes. This study aimed to reveal the underlying causes of cervical lordosis straightening. Material and method Cervical radiographs of the cases were taken in the neutral position and the cervical axis angle was measured between C2-C7 by the Cobb method. A regional detailed physical examination was performed for the locomotor system and the Beck Depression and Beck Anxiety scales were filled in. A cervical MRI was performed in all cases. Three months later, regional detailed physical examinations and radiography were performed again. Cases in which lordosis flattening continued in the last cervical radiographs were considered chronic. The cases were divided into two groups: acute and chronic phases. Results 25% of the acute cases were diagnosed with fibromyalgia syndrome (FMS),45% of them with tension-type headache (TTHA), 45% of them cervical spondylosis (CS), 30% of them with cervical disc herniation (CDH), 15% of them with myofascial pain syndrome (MPS), 10% of them with anxiety, and 10% of them with depression. In cases with chronic phases, 60% of them were diagnosed with FMS, 45% of them with TTHA, 22.5% of them with CS, 55% of them with CDH, 17.5% of them with MPS, 30% of them with anxiety, 7.5% of them with depression and 20% of them with migraine. Conclusion Since cervical region pain has a very complex cause, regional diseases related to this region and problems such as FMS, TTH, depression, and anxiety should be differentiated in the diagnosis. This study will make an important contribution to the literature as a guide.
{"title":"Cervical Vertebral Axis Flattening: Demographics and Causes","authors":"A. Demirel, B. Adak","doi":"10.47493/abantmedj.1133849","DOIUrl":"https://doi.org/10.47493/abantmedj.1133849","url":null,"abstract":"ABSTRACT \u0000Objective \u0000The neck is an important region that connects the head and body with the vital structures it contains. Pain originating from the cervical vertebral axis constitutes a significant part of the pain in this region and is the most common musculoskeletal problem after low back pain. Deviations such as decreased cervical lordosis or the development of kyphosis are associated with pain and disability. Although cervical axis flattening is a very common condition, there is not enough data on its causes. This study aimed to reveal the underlying causes of cervical lordosis straightening. \u0000Material and method \u0000Cervical radiographs of the cases were taken in the neutral position and the cervical axis angle was measured between C2-C7 by the Cobb method. A regional detailed physical examination was performed for the locomotor system and the Beck Depression and Beck Anxiety scales were filled in. A cervical MRI was performed in all cases. Three months later, regional detailed physical examinations and radiography were performed again. Cases in which lordosis flattening continued in the last cervical radiographs were considered chronic. The cases were divided into two groups: acute and chronic phases. \u0000Results \u000025% of the acute cases were diagnosed with fibromyalgia syndrome (FMS),45% of them with tension-type headache (TTHA), 45% of them cervical spondylosis (CS), 30% of them with cervical disc herniation (CDH), 15% of them with myofascial pain syndrome (MPS), 10% of them with anxiety, and 10% of them with depression. In cases with chronic phases, 60% of them were diagnosed with FMS, 45% of them with TTHA, 22.5% of them with CS, 55% of them with CDH, 17.5% of them with MPS, 30% of them with anxiety, 7.5% of them with depression and 20% of them with migraine. \u0000Conclusion \u0000Since cervical region pain has a very complex cause, regional diseases related to this region and problems such as FMS, TTH, depression, and anxiety should be differentiated in the diagnosis. This study will make an important contribution to the literature as a guide.","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84600333","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}
Pub Date : 2022-04-29DOI: 10.47493/abantmedj.957341
Nasim Ejraei, Aysel Yildiz
{"title":"Trunk Stabilization and Its Rehabilitative Effects in Children with Cerebral Palsy","authors":"Nasim Ejraei, Aysel Yildiz","doi":"10.47493/abantmedj.957341","DOIUrl":"https://doi.org/10.47493/abantmedj.957341","url":null,"abstract":"","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"357 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78100479","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}
Pub Date : 2022-04-29DOI: 10.47493/abantmedj.912375
İlknur Bodur, Deniz Yüksel, Y. Gürer
{"title":"Travma Dışı Akut Bilinç Kaybı ile Gelen Çocuk Hastaların Değerlendirilmesi","authors":"İlknur Bodur, Deniz Yüksel, Y. Gürer","doi":"10.47493/abantmedj.912375","DOIUrl":"https://doi.org/10.47493/abantmedj.912375","url":null,"abstract":"","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"111 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80141109","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}
Pub Date : 2022-04-29DOI: 10.47493/abantmedj.945564
R. Baydemir, M. Dogan, M. Gültekin, A. Kaya, Şeyma Benli̇
{"title":"Assessment of Voice Changes in Myasthenia Gravis Patients","authors":"R. Baydemir, M. Dogan, M. Gültekin, A. Kaya, Şeyma Benli̇","doi":"10.47493/abantmedj.945564","DOIUrl":"https://doi.org/10.47493/abantmedj.945564","url":null,"abstract":"","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"20 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72390130","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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