Pub Date : 2022-03-31DOI: 10.4274/jarem.galenos.2022.44127
M. Yıldız, F. Haşlak, A. Günalp, Amra Adroviç Yıldız, S. Şahin, K. Barut, Ö. Kasapçopur
Objective: This cross-sectional study was carried out to investigate the vaccination status of children with rheumatic disease and the reasons why children were not vaccinated.
目的：本研究旨在了解儿童风湿性疾病疫苗接种情况及未接种原因。
{"title":"COVID-19 Vaccination Practice of Children with Rheumatic Disease: A Survey-based Study","authors":"M. Yıldız, F. Haşlak, A. Günalp, Amra Adroviç Yıldız, S. Şahin, K. Barut, Ö. Kasapçopur","doi":"10.4274/jarem.galenos.2022.44127","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2022.44127","url":null,"abstract":"Objective: This cross-sectional study was carried out to investigate the vaccination status of children with rheumatic disease and the reasons why children were not vaccinated.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48841781","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 : 2021-12-01DOI: 10.4274/jarem.galenos.2021.02486
Ç. Helvacıoğlu, Güneş Topçu, Gözde Konak, I. Kale, C. Yalçınkaya, Ayşegül Özel
{"title":"Retrospective Analysis of the Perinatal Outcomes in Preeclampsia and Eclampsia in a Tertiary Care Center","authors":"Ç. Helvacıoğlu, Güneş Topçu, Gözde Konak, I. Kale, C. Yalçınkaya, Ayşegül Özel","doi":"10.4274/jarem.galenos.2021.02486","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2021.02486","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45962851","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 : 2021-12-01DOI: 10.4274/jarem.galenos.2021.82473
A. Yılmaz, G. Çinier, F. Kahraman, M. Çetin, Ömer Faruk Çırakoğlu
{"title":"The PR Interval Predicted Major Adverse Cardiovascular Events in Patients with Acute Coronary Syndrome Who Underwent Percutaneous Coronary Intervention: 3 Years Follow-up Results","authors":"A. Yılmaz, G. Çinier, F. Kahraman, M. Çetin, Ömer Faruk Çırakoğlu","doi":"10.4274/jarem.galenos.2021.82473","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2021.82473","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41689964","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 : 2021-12-01DOI: 10.4274/jarem.galenos.2021.77528
B. Başar, Abdulkadir POLAT
Objective: Early motion after surgical treatment of metacarpal fractures is important to prevent joint motion limitation. Contrarily, the loss of reduction in the fracture line with an early motion negatively affects the results. This study aimed to evaluate the reliability of early active and passive motion without immobilization after surgical treatment and compare the results with the traditional rehabilitation program. Methods: This study included 86 patients who were fixed with miniplate screws. Patients were divided into two groups according to the rehabilitation programs. The first group had immobilization with orthosis and traditional rehabilitation program for 4 weeks, whereas the second group had an early active and passive joint range of motion exercises without immobilization. The first group included 37 males and 16 females with a mean age of 34.92±12.97 years who were followed for an average of 43.19±13.03 months. The second group included 23 males and 16 females with a mean age of 31.82±11.92 years who were followed for an average of 39.05±12.74 months. Results: No significant differences were determined between the groups in terms of age, female-male ratio, time from injury to surgery, follow-up period, fractured extremity, and dominant-non-dominant ratio. Additionally, no significant differences were found between the groups in terms of grip strength and time to return to work at the final follow-up. The total joint range of motion and Quick Disabilities of the Arm, Shoulder, and Hand scores were significantly better in the second than the first group. Union at the fracture line without reduction loss was observed in both groups at the final follow-up. Conclusion: Fixation with miniplate screws provides stable fixation in extra-articular metacarpal fracture. Early active and passive motion without immobilization does not cause complications at the fracture line with this stable fixation. Contrarily, more successful results were obtained than the traditional rehabilitation program in terms of the range of motion and functional results.
{"title":"Safety Evaluation of Early Active and Passive Motion Without Immobilization in Metacarpal Fractures","authors":"B. Başar, Abdulkadir POLAT","doi":"10.4274/jarem.galenos.2021.77528","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2021.77528","url":null,"abstract":"Objective: Early motion after surgical treatment of metacarpal fractures is important to prevent joint motion limitation. Contrarily, the loss of reduction in the fracture line with an early motion negatively affects the results. This study aimed to evaluate the reliability of early active and passive motion without immobilization after surgical treatment and compare the results with the traditional rehabilitation program. Methods: This study included 86 patients who were fixed with miniplate screws. Patients were divided into two groups according to the rehabilitation programs. The first group had immobilization with orthosis and traditional rehabilitation program for 4 weeks, whereas the second group had an early active and passive joint range of motion exercises without immobilization. The first group included 37 males and 16 females with a mean age of 34.92±12.97 years who were followed for an average of 43.19±13.03 months. The second group included 23 males and 16 females with a mean age of 31.82±11.92 years who were followed for an average of 39.05±12.74 months. Results: No significant differences were determined between the groups in terms of age, female-male ratio, time from injury to surgery, follow-up period, fractured extremity, and dominant-non-dominant ratio. Additionally, no significant differences were found between the groups in terms of grip strength and time to return to work at the final follow-up. The total joint range of motion and Quick Disabilities of the Arm, Shoulder, and Hand scores were significantly better in the second than the first group. Union at the fracture line without reduction loss was observed in both groups at the final follow-up. Conclusion: Fixation with miniplate screws provides stable fixation in extra-articular metacarpal fracture. Early active and passive motion without immobilization does not cause complications at the fracture line with this stable fixation. Contrarily, more successful results were obtained than the traditional rehabilitation program in terms of the range of motion and functional results.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43398939","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 : 2021-12-01DOI: 10.4274/jarem.galenos.2021.52714
M. Canbaz, Nur Canbolat, Esra Saka, M. Büget
{"title":"Anesthesia and Postoperative Analgesia for a Patient with Mungan Syndrome, Autosomal Recessive Familial Visceral Myopathy: A Case Report","authors":"M. Canbaz, Nur Canbolat, Esra Saka, M. Büget","doi":"10.4274/jarem.galenos.2021.52714","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2021.52714","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46818990","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 : 2021-12-01DOI: 10.4274/jarem.galenos.2021.73745
Emine Yıldırım, Zekeriya Pelen, Murat Keğin, Neşe Uçar, Y. Kayadibi, Özgecan Gündoğar
Objective: Our study aimed to evaluate the accuracy of axillary ultrasonography (AUS) and ultrasonography-guided fine-needle aspiration biopsy (US-FNAB) methods in patients diagnosed with breast cancer. In addition, to investigate the group that does not need sentinel lymph node biopsy (SLNB) and/or axillary lymph node dissection among the clinically negative axilla patients. Evaluation of the Reliability of Preoperative Ultrasonography and Ultrasonography-guided Fine Needle Aspiration Biopsy in Axillary Staging in Patients With Breast Cancer Meme Kanserli Hastalarda Aksiller Evrelemede Preoperatif Ultrasonografi ve Ultrasonografi Eşliğinde İnce İğne Aspirasyon Biyopsisinin Güvenilirliğinin Değerlendirilmesi DOI: 10.4274/jarem.galenos.2021.73745 Yıldırım ve ark. Meme Kanserinde Aksiller Değerlendirme J Acad Res Med 2021;11(3):269-76 270
{"title":"Evaluation of the Reliability of Preoperative Ultrasonography and Ultrasonography-guided Fine Needle Aspiration Biopsy in Axillary Staging in Patients With Breast Cancer","authors":"Emine Yıldırım, Zekeriya Pelen, Murat Keğin, Neşe Uçar, Y. Kayadibi, Özgecan Gündoğar","doi":"10.4274/jarem.galenos.2021.73745","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2021.73745","url":null,"abstract":"Objective: Our study aimed to evaluate the accuracy of axillary ultrasonography (AUS) and ultrasonography-guided fine-needle aspiration biopsy (US-FNAB) methods in patients diagnosed with breast cancer. In addition, to investigate the group that does not need sentinel lymph node biopsy (SLNB) and/or axillary lymph node dissection among the clinically negative axilla patients. Evaluation of the Reliability of Preoperative Ultrasonography and Ultrasonography-guided Fine Needle Aspiration Biopsy in Axillary Staging in Patients With Breast Cancer Meme Kanserli Hastalarda Aksiller Evrelemede Preoperatif Ultrasonografi ve Ultrasonografi Eşliğinde İnce İğne Aspirasyon Biyopsisinin Güvenilirliğinin Değerlendirilmesi DOI: 10.4274/jarem.galenos.2021.73745 Yıldırım ve ark. Meme Kanserinde Aksiller Değerlendirme J Acad Res Med 2021;11(3):269-76 270","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42697802","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 : 2021-12-01DOI: 10.4274/jarem.galenos.2021.19483
Y. Yılmaz, H. M. Yener, Umur Akıner, Özge Tarhan, H. Ekmekçi, Özlem Balcı Ekmekçi, M. Yılmaz, H. Özdoğan
{"title":"Diagnostic and Prognostic Value of M30 and M65 in Laryngeal Squamous Cell Carcinoma","authors":"Y. Yılmaz, H. M. Yener, Umur Akıner, Özge Tarhan, H. Ekmekçi, Özlem Balcı Ekmekçi, M. Yılmaz, H. Özdoğan","doi":"10.4274/jarem.galenos.2021.19483","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2021.19483","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43187708","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 : 2021-12-01DOI: 10.4274/jarem.galenos.2021.21939
S. Tabak Dinçer, E. Uysal
Objective: Erectile dysfunction (ED) is a common side effect of prostate cancer radiotherapy (RT). Stereotactic body RT (SBRT) is a highly conformal RT technique that utilizes ultra-hypofractionated RT with 4-5 fractions, but the effect of SBRT on sexual function remains uncertain. This study aimed to analyze the possible relationship between SBRT and ED in patients with clinically localized prostate cancer. Methods: Between January 2013 and December 2019, the factors affecting ED were analyzed in 55 patients with preserved potency following SBRT +/− hormone therapy for lowto intermediate-risk prostate cancer. While planning RT, the penile bulb was delineated as an organ at risk (OAR) in the computed tomography scan. A total dose of 35-36.25 Gy was administered in five fractions of 7-7.25 Gy through alternating-day SBRT treatment with CyberKnife. Erectile function was assessed using the International Index of Erectile Function (IIEF-5) scale at baseline and 3 months, 1 year, and 2 years after SBRT. Groups were formed with respect to post-treatment potency, as measured by IIEF-5. Results: The median patient age was 68.5 years, and the median follow-up duration was 58 months. After SBRT, 56.4% of the patients had preserved potency. Age and inclusion of the proximal seminal vesicles in the planning target volume (PTV) were significantly different between the potency groups in the univariate analysis (p=0.028 and p=0.036). In the multivariable analysis, the PTV and inclusion of the proximal third of the seminal vesicles in the PTV were significant in the development of ED (p=0.038 and p=0.020). Conclusion: Although modern RT techniques are used in prostate cancer treatment, erectile function may be affected. Considering the complex mechanisms of ED, it would be erroneous to explain the decline in potency based only on dosimetric factors related to OAR doses.
{"title":"Evaluating Factors Associated with Radiation-induced Erectile Dysfunction After Stereotactic Radiotherapy","authors":"S. Tabak Dinçer, E. Uysal","doi":"10.4274/jarem.galenos.2021.21939","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2021.21939","url":null,"abstract":"Objective: Erectile dysfunction (ED) is a common side effect of prostate cancer radiotherapy (RT). Stereotactic body RT (SBRT) is a highly conformal RT technique that utilizes ultra-hypofractionated RT with 4-5 fractions, but the effect of SBRT on sexual function remains uncertain. This study aimed to analyze the possible relationship between SBRT and ED in patients with clinically localized prostate cancer. Methods: Between January 2013 and December 2019, the factors affecting ED were analyzed in 55 patients with preserved potency following SBRT +/− hormone therapy for lowto intermediate-risk prostate cancer. While planning RT, the penile bulb was delineated as an organ at risk (OAR) in the computed tomography scan. A total dose of 35-36.25 Gy was administered in five fractions of 7-7.25 Gy through alternating-day SBRT treatment with CyberKnife. Erectile function was assessed using the International Index of Erectile Function (IIEF-5) scale at baseline and 3 months, 1 year, and 2 years after SBRT. Groups were formed with respect to post-treatment potency, as measured by IIEF-5. Results: The median patient age was 68.5 years, and the median follow-up duration was 58 months. After SBRT, 56.4% of the patients had preserved potency. Age and inclusion of the proximal seminal vesicles in the planning target volume (PTV) were significantly different between the potency groups in the univariate analysis (p=0.028 and p=0.036). In the multivariable analysis, the PTV and inclusion of the proximal third of the seminal vesicles in the PTV were significant in the development of ED (p=0.038 and p=0.020). Conclusion: Although modern RT techniques are used in prostate cancer treatment, erectile function may be affected. Considering the complex mechanisms of ED, it would be erroneous to explain the decline in potency based only on dosimetric factors related to OAR doses.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48527730","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 : 2021-08-27DOI: 10.4274/jarem.galenos.2021.3721
Mehmet Eflatun Deniz, Umut Ünal
Yöntemler: Kliniğimizde Ağustos 2015 ile Temmuz 2018 tarihlerinde ameliyat edilen 24 Peyronie hastalığı (PH) hastaları retrospektif olarak incelendi. Hastaların 8’inin kurvatürü ciddi olmamakla beraber (<60°) diğer 16’sının kurvatürü ciddi (>60°) denilecek boyuttaydı. Kurvatürü 60°’nin altında olanlara Nesbit yöntemi, kurvatürü 60°’nin üstünde olanlar venöz greftleme yöntemiyle opere edildi. Hastaların ameliyat öncesi erektil disfonksiyon (ED), Uluslararası Erektil Fonksiyon İndeksi (IIEF)-5 skoru ve PH sorgulama formu (PDQ) sonuçları post-operatif değerleriyle karşılaştırıldı. Anatomik ve fonksiyonel başarı değerlendirildi.
Yöntemler：Kliniğimizde Ağustos 2015 ile Temmuz 2018 tarihlerinde ameliyat edilen 24 Peyronie hastalığı（PH）hastalarıretrospecif olaak incelendi。患者总数为60°，而患者人数并不严重。Nesbit法对弯曲度低于60°的患者进行手术，静脉移植物法在弯曲度高于60°的情况下进行手术。此前，患者将勃起功能障碍（ED）、国际互动功能指数（IIEF）-5分和PH调查表（PDQ）与术后值进行比较。已经评估了解剖学和功能上的成功。
{"title":"Surgical Treatment of Peyronie’s Disease: Single-centre Experiments","authors":"Mehmet Eflatun Deniz, Umut Ünal","doi":"10.4274/jarem.galenos.2021.3721","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2021.3721","url":null,"abstract":"Yöntemler: Kliniğimizde Ağustos 2015 ile Temmuz 2018 tarihlerinde ameliyat edilen 24 Peyronie hastalığı (PH) hastaları retrospektif olarak incelendi. Hastaların 8’inin kurvatürü ciddi olmamakla beraber (<60°) diğer 16’sının kurvatürü ciddi (>60°) denilecek boyuttaydı. Kurvatürü 60°’nin altında olanlara Nesbit yöntemi, kurvatürü 60°’nin üstünde olanlar venöz greftleme yöntemiyle opere edildi. Hastaların ameliyat öncesi erektil disfonksiyon (ED), Uluslararası Erektil Fonksiyon İndeksi (IIEF)-5 skoru ve PH sorgulama formu (PDQ) sonuçları post-operatif değerleriyle karşılaştırıldı. Anatomik ve fonksiyonel başarı değerlendirildi.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47308194","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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