Pub Date : 2021-04-30DOI: 10.4274/JAREM.GALENOS.2020.3773
Mustafa Doğan Özçil
Objective: Comparison of the effects of twin pregnancies using assisted reproductive technology (ART) and spontaneous twin pregnancies on maternal-fetal parameters. Methods: A total of 5,670 patients who were deliveried in our clinic between 01.01.2011 and 31.12.2017 were analyzed retrospectively. The fetomaternal results of 94 mothers who deliveried to twins and their infants were compared. Results: Of the 5,670 patients who gave birth, 94 were twins (1/60) and 8 were triplets (1/709). Twin births account for 92% of multiple births. The incidence of spontaneous twin pregnancy was 1/77 and constituted 79% of all the twin deliveries. The effect of ART on was found to be 21% [17% in vitro fertilization (IVF), 4% ovulation induction]. Mean maternal age was 29.25±6.00 years in twin pregnancy deliveries, 28.50±6.09 years in mothers who had spontaneous twin group, and 32.54±5.09 years in twin births due to ART. When anemia was excluded, maternal morbidity was 27% in twin pregnancy deliveries. Pre-eclampsia was determined in 19% of the cases and anemia in 63%. Delivery before 37 gestational weeks was recorded in 72.3% of IVF twins and 70.2% of spontaneous twins. The rate of live births was found to be higher in spontaneously conceived twins (p=0.004). The fetal mortality rate was 5.4% in spontaneous twin pregnancies and 20% in Hatay Mustafa Kemal Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Hatay, Türkiye İkiz Gebelikler ve Yardımcı Üreme Teknikleri ile Oluşan İkiz Gebeliklerin Feto-maternal Etkilerinin Karşılaştırılması Comparison of Feto-maternal Effects of Twin Pregnancies and Twin Pregnancies Caused By Assisted Reproductive Technology ÖZ Amaç: Yardımcı üreme teknikleri (YÜT) kullanılarak oluşan ikiz gebelikler ile spontan oluşan ikiz gebeliklerin maternal-fetal parametreler üzerine etkilerinin karşılaştırılmasıdır. Yöntemler: Kliniğimizde doğum yapan 01.01.2011-31.12.2017 tarihleri arasında toplam 5.670 hasta retrospektif olarak incelendi. İkiz doğum yapan 94 anne ve bebeklerinin feto-maternal sonuçları karşılaştırıldı. Bulgular: Doğum yapan 5.670 hastadan 94 tanesi ikiz (1/60), 8 tanesi ise üçüzdü (1/709). İkiz doğumlar, çoğul doğumların %92’sini oluşturmaktadır. Spontan ikiz gebelik insidansını 1/77 bulduk. Spontan oluşan ikiz gebelik doğumları, tüm ikiz doğumların %79’unu oluşturmaktadır. YÜT’nin ikiz gebeliğe etkisi %21 olarak saptandı [%17 tüp bebek (IVF), %4 ovulasyon indüksiyonu]. İkiz gebelik doğumlarında anne yaş ortalaması 29,25±6,00 yıl, spontan ikiz doğum yapan annelerin yaş ortalaması 28,50±6,09 yıl, YÜT’e bağlı ikiz doğumlarda anne yaş ortalaması 32,54±5,09 yıl bulundu. İkiz gebelik doğumlarında, anemi dışlandığında, maternal morbideteyi %27 idi. Olguların %63’ünde anemi, %19’unda preeklampsi saptandı. IVF ikizlerinin %72,3’ü, spontan ikizlerin %70,2’si 37 gebelik haftasından önce doğum yapmıştır. Canlı doğan bebek oranı spontan ikizlerde daha yüksek bulundu (p=0,004). Fetal mortalite oranı, spontan ikiz gebel
目的：比较使用辅助生殖技术（ART）的双胎妊娠和自然双胎妊娠对母胎参数的影响。方法：对2011年1月1日至2017年12月31日在我院分娩的5670例患者进行回顾性分析。对94位产下双胞胎的母亲及其婴儿的胎儿期结果进行了比较。结果：5.670例分娩患者中，双胞胎94例（1/60），三胞胎8例（1/709）。双胞胎占多胞胎的92%。自然双胎妊娠的发生率为1/77，占所有双胎分娩的79%。ART的效果为21%[17%的体外受精（IVF），4%的促排卵]。双胎分娩的平均产妇年龄为29.25±6.00岁，自然双胎组为28.50±6.09岁，ART双胎分娩为32.54±5.09岁。如果排除贫血，双胎分娩中的产妇发病率为27%。先兆子痫占19%，贫血占63%。72.3%的试管婴儿双胞胎和70.2%的自发性双胞胎在37周前分娩。自然受孕双胞胎的活产率更高（p=0.004）。自然受孕双胞胎中的胎儿死亡率为5.4%，哈塔伊·穆斯塔法·凯末尔大学医学院妇女疾病和生日Anabilim班的胎儿死亡率分别为20%，土耳其伊斯坦布尔Gebelikler ve YardımcıÜreme Teknikleri ile Oluşan Il kiz Gebeliklerin Feto mother Etkilerin KarşılaşTırılması辅助生殖技术引起的双胎妊娠和双胎妊娠对胎儿-母亲影响的比较比较对参数的影响。方法：在我们的临床中，共有5670名患者进行了回顾性测试，他们出生于2017年1月1日至2017年12月31日。94名母亲和婴儿与胎儿到母亲的结果进行了比较。结果：5670例患者中94例为双胎（1/60），其中8例为三胎（1/709）。两次分娩占大多数分娩的92%。Spontan发现了1/77的双重肥料。Spontane的两个新生儿占所有两个新生儿的79%。YOUT的2D效果为%21[%17试管婴儿（IVF），%4促排卵]。在29.25±6.00岁时，两位出生母亲的平均年龄为28.50±6.09岁，两位母亲的平均寿命为32.54±5.09岁。伊基兹·格贝里克·多姆拉兰达，阿涅米·德·伊什兰·伊兰达，母亲莫尔比代伊%27 idi。在这些病例中，63%的病例在19日发生贫血。72.3%的试管婴儿双胞胎和70.2%的自发性双胞胎出生于一周前。自发性双胞胎的活胎率较高（p=0.004）。自发性双桥的死亡率为5.4%，双桥的出生率为20%（p=0.003）。在周期性死亡率指数中，我们发现81对双胞胎中有117对，YOUT，p=0.006。因此，在YOUT的两块骨头上，借口高于自发双胞胎的出生和死亡。使用低剂量的促性腺激素，即单胚胎移植，可以降低与许多桥梁相关的死亡率，例如大多数胎儿的胚胎减少。关键词：两座桥梁，辅助生产技术，大多数桥梁高级日期/接收日期：2020年9月17日接受日期：2020年底12月23日Mustafa Nature Specials。YOUT的多细分效应J.；Res Med 2021；11（1）：17-23 18
{"title":"Comparison of Feto-maternal Effects of Twin Pregnancies and Twin Pregnancies Caused By Assisted Reproductive Technology","authors":"Mustafa Doğan Özçil","doi":"10.4274/JAREM.GALENOS.2020.3773","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2020.3773","url":null,"abstract":"Objective: Comparison of the effects of twin pregnancies using assisted reproductive technology (ART) and spontaneous twin pregnancies on maternal-fetal parameters. Methods: A total of 5,670 patients who were deliveried in our clinic between 01.01.2011 and 31.12.2017 were analyzed retrospectively. The fetomaternal results of 94 mothers who deliveried to twins and their infants were compared. Results: Of the 5,670 patients who gave birth, 94 were twins (1/60) and 8 were triplets (1/709). Twin births account for 92% of multiple births. The incidence of spontaneous twin pregnancy was 1/77 and constituted 79% of all the twin deliveries. The effect of ART on was found to be 21% [17% in vitro fertilization (IVF), 4% ovulation induction]. Mean maternal age was 29.25±6.00 years in twin pregnancy deliveries, 28.50±6.09 years in mothers who had spontaneous twin group, and 32.54±5.09 years in twin births due to ART. When anemia was excluded, maternal morbidity was 27% in twin pregnancy deliveries. Pre-eclampsia was determined in 19% of the cases and anemia in 63%. Delivery before 37 gestational weeks was recorded in 72.3% of IVF twins and 70.2% of spontaneous twins. The rate of live births was found to be higher in spontaneously conceived twins (p=0.004). The fetal mortality rate was 5.4% in spontaneous twin pregnancies and 20% in Hatay Mustafa Kemal Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Hatay, Türkiye İkiz Gebelikler ve Yardımcı Üreme Teknikleri ile Oluşan İkiz Gebeliklerin Feto-maternal Etkilerinin Karşılaştırılması Comparison of Feto-maternal Effects of Twin Pregnancies and Twin Pregnancies Caused By Assisted Reproductive Technology ÖZ Amaç: Yardımcı üreme teknikleri (YÜT) kullanılarak oluşan ikiz gebelikler ile spontan oluşan ikiz gebeliklerin maternal-fetal parametreler üzerine etkilerinin karşılaştırılmasıdır. Yöntemler: Kliniğimizde doğum yapan 01.01.2011-31.12.2017 tarihleri arasında toplam 5.670 hasta retrospektif olarak incelendi. İkiz doğum yapan 94 anne ve bebeklerinin feto-maternal sonuçları karşılaştırıldı. Bulgular: Doğum yapan 5.670 hastadan 94 tanesi ikiz (1/60), 8 tanesi ise üçüzdü (1/709). İkiz doğumlar, çoğul doğumların %92’sini oluşturmaktadır. Spontan ikiz gebelik insidansını 1/77 bulduk. Spontan oluşan ikiz gebelik doğumları, tüm ikiz doğumların %79’unu oluşturmaktadır. YÜT’nin ikiz gebeliğe etkisi %21 olarak saptandı [%17 tüp bebek (IVF), %4 ovulasyon indüksiyonu]. İkiz gebelik doğumlarında anne yaş ortalaması 29,25±6,00 yıl, spontan ikiz doğum yapan annelerin yaş ortalaması 28,50±6,09 yıl, YÜT’e bağlı ikiz doğumlarda anne yaş ortalaması 32,54±5,09 yıl bulundu. İkiz gebelik doğumlarında, anemi dışlandığında, maternal morbideteyi %27 idi. Olguların %63’ünde anemi, %19’unda preeklampsi saptandı. IVF ikizlerinin %72,3’ü, spontan ikizlerin %70,2’si 37 gebelik haftasından önce doğum yapmıştır. Canlı doğan bebek oranı spontan ikizlerde daha yüksek bulundu (p=0,004). Fetal mortalite oranı, spontan ikiz gebel","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"17-23"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44503547","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 : 2021-04-30DOI: 10.4274/JAREM.GALENOS.2021.32042
O. Demiray, S. Sayar, A. Er, Aylin Hasanefendioğlu Bayrak, D. Gönüllü
Objective: Conservative treatment of perianastomotic pouch due to low anastomosis in rectal surgery is possible in patients without generalized peritonitis. This report describes the treatment of this complication using Endo-SPONGE® and transrectal endoscopic lavage. Methods: Sixteen patients with abscess resulting from anastomotic leakage after rectal resections were retrospectively reviewed; nine of them were treated with transrectal endoscopic lavage and the other seven patients were treated with endoscopic vacuum therapy. Results: During the initial operation, 13 patients underwent loop ileostomy. In three patients, diverting stoma was created after anastomotic leakage was observed. The mean volume of the abscess cavity was 82.6 cc (24.7-128) for those treated with EndoVAC (vacuum-assisted closure) and 33.3 cc (10.5-61.1) for those treated with endoscopic lavage. The number of sponges exchanged was 13.8 (5-25), and the time required for pouch closure was 74.3 days (20-136) for negative aspiration therapy and 66.1 days (30-210) for transrectal endoscopic lavage. As a late anastomotic complication, we recorded stricture in only one of seven patients (14.2%) treated with Endo-SPONGE®. Four of nine patients (44.4%) that underwent endoscopic lavage developed strictures, which needed reoperative procedures. Conclusion: According to our experience, the sponge placement and negative pressure aspiration can be helpful in the treatment of anastomotic leakage after low anterior resections for rectal cancer. The results of time until cavity closure are not inferior to those of the conventional treatment, and a functional advantage over the conventional approach was observed. Patients with Endo-SPONGE® placement had less stricture and defecation problems.
{"title":"An Approach to Perianastomotic Pouches due to Anastomotic Leakage After Rectal Resection","authors":"O. Demiray, S. Sayar, A. Er, Aylin Hasanefendioğlu Bayrak, D. Gönüllü","doi":"10.4274/JAREM.GALENOS.2021.32042","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.32042","url":null,"abstract":"Objective: Conservative treatment of perianastomotic pouch due to low anastomosis in rectal surgery is possible in patients without generalized peritonitis. This report describes the treatment of this complication using Endo-SPONGE® and transrectal endoscopic lavage. Methods: Sixteen patients with abscess resulting from anastomotic leakage after rectal resections were retrospectively reviewed; nine of them were treated with transrectal endoscopic lavage and the other seven patients were treated with endoscopic vacuum therapy. Results: During the initial operation, 13 patients underwent loop ileostomy. In three patients, diverting stoma was created after anastomotic leakage was observed. The mean volume of the abscess cavity was 82.6 cc (24.7-128) for those treated with EndoVAC (vacuum-assisted closure) and 33.3 cc (10.5-61.1) for those treated with endoscopic lavage. The number of sponges exchanged was 13.8 (5-25), and the time required for pouch closure was 74.3 days (20-136) for negative aspiration therapy and 66.1 days (30-210) for transrectal endoscopic lavage. As a late anastomotic complication, we recorded stricture in only one of seven patients (14.2%) treated with Endo-SPONGE®. Four of nine patients (44.4%) that underwent endoscopic lavage developed strictures, which needed reoperative procedures. Conclusion: According to our experience, the sponge placement and negative pressure aspiration can be helpful in the treatment of anastomotic leakage after low anterior resections for rectal cancer. The results of time until cavity closure are not inferior to those of the conventional treatment, and a functional advantage over the conventional approach was observed. Patients with Endo-SPONGE® placement had less stricture and defecation problems.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"102-106"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42071084","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 : 2021-04-30DOI: 10.4274/JAREM.GALENOS.2021.3794
B. Geniş, B. Coşar, Z. Arıkan
Objective: In this study, it was aimed to investigate psychiatric comorbidity, long hospitalization reasons and readmission reasons of opiate addicts treated in inpatient service. Methods: The study data consisted of patient records treated at Gazi University Hospital Alcohol and Drug Addiction Clinic between 1 January 2005 and 31 December 2017. Four hundred eighty four people with primary diagnosis of opiate addiction were included in the analysis. One hundred of these patients had recurrent hospitalizations. Results: While the average age of the sample was 29.74±7.05, 89.9% (n=435) were male. The presence of depression as a comorbidity in opiate addiction increased the length of hospitalization 3.3 times [odds ratio (OR): 3.362] and the psychotic symptom 5.4 times (OR: 5.417). In addition to opiate addiction, the diagnosis of anxiety disorder increased the risk of readmission 3.3 times (OR: 3.321), while the diagnosis of personality disorder reduced the risk of readmission 4.58 times (OR: 0.218). It was observed that 5% (n=5) of the patients were re-admitted within the first month and 29% (n=29) within the first three months. Conclusion: One of every three opiate addicts is admitted in the first three months after discharge. Having anxiety disorder increases recurrent hospitalization 3.3 times, while having personality disorder decreases 4.5 times. Further studies should be conducted on whether short hospitalization periods increase readmission rates.
{"title":"Psychiatric Comorbidity, Length of Hospital Stays and Readmission Rates in Opiate Addicts Treated in Inpatient Service","authors":"B. Geniş, B. Coşar, Z. Arıkan","doi":"10.4274/JAREM.GALENOS.2021.3794","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.3794","url":null,"abstract":"Objective: In this study, it was aimed to investigate psychiatric comorbidity, long hospitalization reasons and readmission reasons of opiate addicts treated in inpatient service. Methods: The study data consisted of patient records treated at Gazi University Hospital Alcohol and Drug Addiction Clinic between 1 January 2005 and 31 December 2017. Four hundred eighty four people with primary diagnosis of opiate addiction were included in the analysis. One hundred of these patients had recurrent hospitalizations. Results: While the average age of the sample was 29.74±7.05, 89.9% (n=435) were male. The presence of depression as a comorbidity in opiate addiction increased the length of hospitalization 3.3 times [odds ratio (OR): 3.362] and the psychotic symptom 5.4 times (OR: 5.417). In addition to opiate addiction, the diagnosis of anxiety disorder increased the risk of readmission 3.3 times (OR: 3.321), while the diagnosis of personality disorder reduced the risk of readmission 4.58 times (OR: 0.218). It was observed that 5% (n=5) of the patients were re-admitted within the first month and 29% (n=29) within the first three months. Conclusion: One of every three opiate addicts is admitted in the first three months after discharge. Having anxiety disorder increases recurrent hospitalization 3.3 times, while having personality disorder decreases 4.5 times. Further studies should be conducted on whether short hospitalization periods increase readmission rates.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"24-31"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44913756","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 : 2021-04-30DOI: 10.4274/JAREM.GALENOS.2021.21931
F. Akbaş, H. Usta Atmaca, Ş. Değirmencioğlu
Objective: Visceral adiposity index (VAI) and lipid accumulation product index (LAPI) are the new methods to determine the visceral adiposity and to predict the cardiometabolic risks in patients with. In this study, it was aimed to determine whether VAI or LAPI could be a predictor for metabolic syndrome (MS) in obesity, and to evaluate their relationship with other biochemical and anthropometric parameters. Methods: All patients who were admitted to the obesity outpatient clinic for the first time in January-February 2020 were included in the study. Age, gender, height, weight, body mass index, waist circumference (WC), hip circumference, waist/hip (W/H) ratio, biochemical parameters, and degree of hepatosteatosis were recorded. The presence of MS was determined according to the National Cholesterol Education Program Adult Treatment Panel-III criteria. VAI and LAPI were calculated according to fixed formulations. Results were evaluated by SPSS. Results: A total of 49 subjects, (48 females), with obesity were included in the study. Thirty-two patients (65.3%) had MS. In the MS (+) group, fasting blood glucose (FBG), insulin resistance (HOMA-IR) and triglyceride (TG) levels, VAI, LAPI, diabetes mellitus and hypertension ratios were higher than the group with MS (-). A positive correlation was observed between VAI and LAPI. There was a positive correlation between the VAI and the TG value, and a negative correlation between the VAI and high density lipoprotein value. A positive correlation was observed between LBU and TG, FBG, HOMA-IR, WC, W/H ratios. DOI: 10.4274/jarem.galenos.2021.21931 ÖZ Amaç: Visseral adipozite indeksi (VAİ) ve lipid birikim ürünü indeksi (LBÜİ) obezite hastalarında visseral adipoziteyi belirlemek ve kardiyometabolik riskleri öngörmek için kullanılan yeni yöntemlerdir. Burada; obezitede, VAİ ve LBÜİ’nin metabolik sendrom (MS) için bir prediktör olup olamayacağını belirlemek, ayrıca diğer biyokimyasal ve antropometrik parametrelerle ilişkilerini değerlendirmek amaçlanmıştır. Yöntemler: Hastanemiz obezite polikliniğine Ocak-Şubat 2020’de ilk kez başvuran tüm hastalar çalışmaya alındı. Hastaların yaş, cinsiyet, boy, kilo, vücut kitle indeksi, bel çevresi (BÇ), kalça çevresi, bel/kalça (B/K) oranı, biyokimyasal parametreler, hepatosteatoz derecesi kaydedildi. Ulusal Kolesterol Eğitim Programı-Yetişkin Tedavi Paneli-III kriterlerine göre MS varlığı belirlendi. Sabit formülasyonlara göre VAİ ve LBÜİ hesaplandı. Sonuçlar SPSS ile değerlendirildi. Bulgular: Çalışmaya obezitesi olan 48 kadın, 1 erkek, toplam 49 kişi dahil edildi. Otuz iki hastada (%65,3) MS mevcuttu. MS (+) olan grupta açlık kan şekeri (AKŞ), insülin direnci (HOMA-IR) ve trigliserid (TG) düzeyi, VAİ, LBÜİ, diabetes mellitus ve hipertansiyon oranı MS (-) olan gruptan yüksekti. VAİ ve LBÜİ arasında pozitif korelasyon gözlendi. VAİ ile TG değeri arasında pozitif, yüksek yoğunluklu lipoprotein değeri arasında negatif korelasyon gözlendi. LBÜ ile TG, AKŞ, HOMA-IR, BÇ, B/K o
{"title":"Evaluation of the Relationship Between Metabolic Syndrome, Visceral Adiposity Index and Lipid Accumulation Product in Patients with Obesity","authors":"F. Akbaş, H. Usta Atmaca, Ş. Değirmencioğlu","doi":"10.4274/JAREM.GALENOS.2021.21931","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.21931","url":null,"abstract":"Objective: Visceral adiposity index (VAI) and lipid accumulation product index (LAPI) are the new methods to determine the visceral adiposity and to predict the cardiometabolic risks in patients with. In this study, it was aimed to determine whether VAI or LAPI could be a predictor for metabolic syndrome (MS) in obesity, and to evaluate their relationship with other biochemical and anthropometric parameters. Methods: All patients who were admitted to the obesity outpatient clinic for the first time in January-February 2020 were included in the study. Age, gender, height, weight, body mass index, waist circumference (WC), hip circumference, waist/hip (W/H) ratio, biochemical parameters, and degree of hepatosteatosis were recorded. The presence of MS was determined according to the National Cholesterol Education Program Adult Treatment Panel-III criteria. VAI and LAPI were calculated according to fixed formulations. Results were evaluated by SPSS. Results: A total of 49 subjects, (48 females), with obesity were included in the study. Thirty-two patients (65.3%) had MS. In the MS (+) group, fasting blood glucose (FBG), insulin resistance (HOMA-IR) and triglyceride (TG) levels, VAI, LAPI, diabetes mellitus and hypertension ratios were higher than the group with MS (-). A positive correlation was observed between VAI and LAPI. There was a positive correlation between the VAI and the TG value, and a negative correlation between the VAI and high density lipoprotein value. A positive correlation was observed between LBU and TG, FBG, HOMA-IR, WC, W/H ratios. DOI: 10.4274/jarem.galenos.2021.21931 ÖZ Amaç: Visseral adipozite indeksi (VAİ) ve lipid birikim ürünü indeksi (LBÜİ) obezite hastalarında visseral adipoziteyi belirlemek ve kardiyometabolik riskleri öngörmek için kullanılan yeni yöntemlerdir. Burada; obezitede, VAİ ve LBÜİ’nin metabolik sendrom (MS) için bir prediktör olup olamayacağını belirlemek, ayrıca diğer biyokimyasal ve antropometrik parametrelerle ilişkilerini değerlendirmek amaçlanmıştır. Yöntemler: Hastanemiz obezite polikliniğine Ocak-Şubat 2020’de ilk kez başvuran tüm hastalar çalışmaya alındı. Hastaların yaş, cinsiyet, boy, kilo, vücut kitle indeksi, bel çevresi (BÇ), kalça çevresi, bel/kalça (B/K) oranı, biyokimyasal parametreler, hepatosteatoz derecesi kaydedildi. Ulusal Kolesterol Eğitim Programı-Yetişkin Tedavi Paneli-III kriterlerine göre MS varlığı belirlendi. Sabit formülasyonlara göre VAİ ve LBÜİ hesaplandı. Sonuçlar SPSS ile değerlendirildi. Bulgular: Çalışmaya obezitesi olan 48 kadın, 1 erkek, toplam 49 kişi dahil edildi. Otuz iki hastada (%65,3) MS mevcuttu. MS (+) olan grupta açlık kan şekeri (AKŞ), insülin direnci (HOMA-IR) ve trigliserid (TG) düzeyi, VAİ, LBÜİ, diabetes mellitus ve hipertansiyon oranı MS (-) olan gruptan yüksekti. VAİ ve LBÜİ arasında pozitif korelasyon gözlendi. VAİ ile TG değeri arasında pozitif, yüksek yoğunluklu lipoprotein değeri arasında negatif korelasyon gözlendi. LBÜ ile TG, AKŞ, HOMA-IR, BÇ, B/K o","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"56-61"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46599292","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 : 2021-04-30DOI: 10.4274/JAREM.GALENOS.2021.3822
Önder Karabay, N. Hacım, Mert Gençtürk
Objective: This study aimed to investigate the colonoscopic findings of patients with increased colonic wall thickness (ICWT) detected by abdominal computed tomography (CT) and to define the effectiveness of neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and mean platelet volume (MPV) together with colonic wall thickness in predicting malignancy. Methods: Data of patients who underwent abdominal CT for any reason between January 2017 and August 2019 were retrospectively reviewed. Records of patients with ICWT in the abdominal CT report were retrospectively analysed. Patients whose colon wall thickness could be measured and who were evaluated with colonoscopy and biopsy within 1-3 months after CT were included in the study. Haemoglobin (hb), albumin, NLR, PLR and MPV values, colon wall thickness and colonoscopy and biopsy results were recorded. Results: Ninety-seven patients had ICWT data on CT. The colonic wall thickness and presence of positive lymph node were significantly higher in the malignancy group (p<0.001). Similarly, values of hb, NLR, PLR and MPV were different in the malignancy group (p<0.001). According to the receiver operating characteristics analysis, colon wall thickness over the 8.5 mm threshold value was a significant factor in predicting colon cancer (p<0.001). Conclusion: In patients who do not have a history of gastrointestinal injury or disease, the incidental detection of ICWT >8.5 mm may be an important finding for a possible diagnosis of colon cancer.
{"title":"Relationship Between Colon Wall Thickness in Computed Tomography Scan and Colon Cancer: A Retrospective Study","authors":"Önder Karabay, N. Hacım, Mert Gençtürk","doi":"10.4274/JAREM.GALENOS.2021.3822","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.3822","url":null,"abstract":"Objective: This study aimed to investigate the colonoscopic findings of patients with increased colonic wall thickness (ICWT) detected by abdominal computed tomography (CT) and to define the effectiveness of neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and mean platelet volume (MPV) together with colonic wall thickness in predicting malignancy. Methods: Data of patients who underwent abdominal CT for any reason between January 2017 and August 2019 were retrospectively reviewed. Records of patients with ICWT in the abdominal CT report were retrospectively analysed. Patients whose colon wall thickness could be measured and who were evaluated with colonoscopy and biopsy within 1-3 months after CT were included in the study. Haemoglobin (hb), albumin, NLR, PLR and MPV values, colon wall thickness and colonoscopy and biopsy results were recorded. Results: Ninety-seven patients had ICWT data on CT. The colonic wall thickness and presence of positive lymph node were significantly higher in the malignancy group (p<0.001). Similarly, values of hb, NLR, PLR and MPV were different in the malignancy group (p<0.001). According to the receiver operating characteristics analysis, colon wall thickness over the 8.5 mm threshold value was a significant factor in predicting colon cancer (p<0.001). Conclusion: In patients who do not have a history of gastrointestinal injury or disease, the incidental detection of ICWT >8.5 mm may be an important finding for a possible diagnosis of colon cancer.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"11 1","pages":"46-50"},"PeriodicalIF":0.2,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44443986","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 : 2021-04-20DOI: 10.4274/JAREM.GALENOS.2021.43043
Oktay Çalışkan, Z. Güngör, Özlem Balcı Ekmekçi, H. Ekmekçi, K. Barut, S. Şahin, Amra Adroviç Yıldız, Şeyma Dümür, Ö. Kasapçopur, M. Kucur
Presented in: Congress & LAB. Expo 2018 with International Participation and 1st Hereditary Metabolic Diseases Symposium (01-04 October 2018, Antalya) P4-02. Received Date/Geliş Tarihi: 15.02.2021 Accepted Date/Kabul Tarihi: 26.03.2021 Oktay Çalışkan1, Zeynep Banu Güngör1, Özlem Balcı Ekmekçi1, Hakan Ekmekçi1, Kenan Barut2, Sezgin Şahin2, Amra Adroviç Yıldız2, Şeyma Dümür1, Özgür Kasapçopur2, Mine Kucur1
出席：2018年大会和实验室博览会，国际参与和第一届遗传代谢疾病研讨会（2018年10月1日至4日，安塔利亚）P4-02。接收日期/进展日期：2021年2月15日接受日期/喀布尔历史：2021年10月26日工作1，Zeynep Banu South1，Self Baltic Eagles1，Hakan Ekmekçi1，Kenan Barut2，SezginŞahin2，Amra Adrovic Star
{"title":"Evaluation of the Serum Visfatin and Adiponectin Levels Related with the Activity of Juvenile Idiopathic Arthritis","authors":"Oktay Çalışkan, Z. Güngör, Özlem Balcı Ekmekçi, H. Ekmekçi, K. Barut, S. Şahin, Amra Adroviç Yıldız, Şeyma Dümür, Ö. Kasapçopur, M. Kucur","doi":"10.4274/JAREM.GALENOS.2021.43043","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.43043","url":null,"abstract":"Presented in: Congress & LAB. Expo 2018 with International Participation and 1st Hereditary Metabolic Diseases Symposium (01-04 October 2018, Antalya) P4-02. Received Date/Geliş Tarihi: 15.02.2021 Accepted Date/Kabul Tarihi: 26.03.2021 Oktay Çalışkan1, Zeynep Banu Güngör1, Özlem Balcı Ekmekçi1, Hakan Ekmekçi1, Kenan Barut2, Sezgin Şahin2, Amra Adroviç Yıldız2, Şeyma Dümür1, Özgür Kasapçopur2, Mine Kucur1","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47613972","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 : 2021-02-26DOI: 10.4274/JAREM.GALENOS.2021.3897
Gonca Sağlam, Gizem Pektaş, S. Karakullukçu, A. Pektaş, Demet Sağlam Aykut
Objective: Vitamin D deficiency is prevalent in pregnancy and has been associated with psychological symptoms in non-pregnant patient populations. This study aimed to evaluate the relationship between depression, anxiety, sleep quality and vitamin D deficiency in pregnant women. Methods: In this prospective cross-sectional study, data from a total of 153 pregnant women including demographic, pregnancy and laboratory were obtained. Participants were divided into two groups with low (<20 ng/mL) and normal (≥20 ng/mL) serum 25 (OH) vitamin D levels. Pregnant women were screened for symptoms of depression and anxiety using the Beck depression inventory (BDI) and Beck anxiety inventory (BAI). Pittsburgh sleep quality index (PSQI) was utilised to investigate sleep quality. Groups were compared statistically. Results: BDI, BAI and PSQI scores were significantly higher in patients with low vitamin D levels. Overall, 22.2% of pregnant women had depression symptoms and 37.8% had moderate-severe anxiety symptoms in vitamin D deficient group. Conclusion: Depression, anxiety and poor quality sleep during pregnancy were associated to vitamin D deficiency. This study emphasises the importance of screening for vitamin D deficiency among pregnant women.
{"title":"Vitamin D Deficiency is Associated with Depression, Anxiety and Sleep Disturbance in Pregnant Women","authors":"Gonca Sağlam, Gizem Pektaş, S. Karakullukçu, A. Pektaş, Demet Sağlam Aykut","doi":"10.4274/JAREM.GALENOS.2021.3897","DOIUrl":"https://doi.org/10.4274/JAREM.GALENOS.2021.3897","url":null,"abstract":"Objective: Vitamin D deficiency is prevalent in pregnancy and has been associated with psychological symptoms in non-pregnant patient populations. This study aimed to evaluate the relationship between depression, anxiety, sleep quality and vitamin D deficiency in pregnant women. Methods: In this prospective cross-sectional study, data from a total of 153 pregnant women including demographic, pregnancy and laboratory were obtained. Participants were divided into two groups with low (<20 ng/mL) and normal (≥20 ng/mL) serum 25 (OH) vitamin D levels. Pregnant women were screened for symptoms of depression and anxiety using the Beck depression inventory (BDI) and Beck anxiety inventory (BAI). Pittsburgh sleep quality index (PSQI) was utilised to investigate sleep quality. Groups were compared statistically. Results: BDI, BAI and PSQI scores were significantly higher in patients with low vitamin D levels. Overall, 22.2% of pregnant women had depression symptoms and 37.8% had moderate-severe anxiety symptoms in vitamin D deficient group. Conclusion: Depression, anxiety and poor quality sleep during pregnancy were associated to vitamin D deficiency. This study emphasises the importance of screening for vitamin D deficiency among pregnant women.","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"1 1","pages":"0-0"},"PeriodicalIF":0.2,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47678331","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 : 2020-12-01DOI: 10.4274/jarem.galenos.2020.3764
E. Altınbilek, M. Çalık, M. Tümer, A. Erdem, D. Öztürk
{"title":"Retrospective Evaluation of Patients Undergoing Cardiopulmonary Resuscitation in the Emergency Department","authors":"E. Altınbilek, M. Çalık, M. Tümer, A. Erdem, D. Öztürk","doi":"10.4274/jarem.galenos.2020.3764","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2020.3764","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"10 1","pages":"264-268"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49435615","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 : 2020-12-01DOI: 10.4274/jarem.galenos.2020.3729
M. Kafadar, Mehmet Ali Kırşan, Suat Cal, M. Okur, S. Gırgın
{"title":"Giant Juvenile Fibroadenoma of the Breast: Clinical Manifestation in Two Cases","authors":"M. Kafadar, Mehmet Ali Kırşan, Suat Cal, M. Okur, S. Gırgın","doi":"10.4274/jarem.galenos.2020.3729","DOIUrl":"https://doi.org/10.4274/jarem.galenos.2020.3729","url":null,"abstract":"","PeriodicalId":56162,"journal":{"name":"Journal of Academic Research in Medicine-JAREM","volume":"10 1","pages":"303-305"},"PeriodicalIF":0.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42139725","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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