Pub Date : 2024-04-23DOI: 10.30565/medalanya.1443645
Yusuf Kantar, Necmi Baykan, F. İpekten, Melih Imamoğlu
Aim: In this study, it was evaluated whether the anamnesis taken by paramedics before the hospital and the physical examination performed by paramedics in a limited time in non-traumatic patients brought to a second-level district state hospital by ambulance showed targeted effectiveness and whether the appropriate preliminary diagnosis was made in the evaluations made, and these preliminary diagnoses were compared with the final diagnoses made after the examinations in the emergency department. Methods: Between 01.01.2023 and 30.06.2023, patients brought to a State Hospital by ambulance were retrospectively analyzed. All age groups brought from the field for non-traumatic reasons were included in the study. Results: During the study period, all patients brought to our emergency department by ambulance were examined. The mean age of the patients was 66. More than half of the cases were female (57.7%). Comparison of the body systems belonging to the symptoms and preliminary diagnoses considered by the paramedics with the body systems belonging to the definitive diagnoses made in the emergency department showed a statistically moderate level of agreement between the pathologies considered by the 112 teams and the pathologies considered by the emergency department physicians in all body systems except the pathologies of the genitourinary system (Kappa 0.558). Conclusion: It was observed that the preliminary diagnosis or symptom stated in the case form by ambulance workers working in prehospital emergency health services was similar to the definitive diagnostic systems in the emergency department. However, it was found that 74.9% of the case forms indicated symptoms instead of preliminary diagnosis. This may have been due to the fact that paramedics did not want to take responsibility by stating a more general approach in patient delivery.
{"title":"COMPARISON OF PRE-HOSPITAL PRELIMINARY DIAGNOSIS AND DEFINITIVE DIAGNOSIS IN EMERGENCY DEPARTMENT IN PATIENTS BROUGHT BY AMBULANCE","authors":"Yusuf Kantar, Necmi Baykan, F. İpekten, Melih Imamoğlu","doi":"10.30565/medalanya.1443645","DOIUrl":"https://doi.org/10.30565/medalanya.1443645","url":null,"abstract":"Aim: In this study, it was evaluated whether the anamnesis taken by paramedics before the hospital and the physical examination performed by paramedics in a limited time in non-traumatic patients brought to a second-level district state hospital by ambulance showed targeted effectiveness and whether the appropriate preliminary diagnosis was made in the evaluations made, and these preliminary diagnoses were compared with the final diagnoses made after the examinations in the emergency department. \u0000Methods: Between 01.01.2023 and 30.06.2023, patients brought to a State Hospital by ambulance were retrospectively analyzed. All age groups brought from the field for non-traumatic reasons were included in the study. \u0000Results: During the study period, all patients brought to our emergency department by ambulance were examined. The mean age of the patients was 66. More than half of the cases were female (57.7%). Comparison of the body systems belonging to the symptoms and preliminary diagnoses considered by the paramedics with the body systems belonging to the definitive diagnoses made in the emergency department showed a statistically moderate level of agreement between the pathologies considered by the 112 teams and the pathologies considered by the emergency department physicians in all body systems except the pathologies of the genitourinary system (Kappa 0.558). \u0000Conclusion: It was observed that the preliminary diagnosis or symptom stated in the case form by ambulance workers working in prehospital emergency health services was similar to the definitive diagnostic systems in the emergency department. However, it was found that 74.9% of the case forms indicated symptoms instead of preliminary diagnosis. This may have been due to the fact that paramedics did not want to take responsibility by stating a more general approach in patient delivery.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"56 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140666303","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 : 2024-04-23DOI: 10.30565/medalanya.1447887
Turgut Kuytu, A. Karaoglu
The morphology of the coccyx varies. This variety makes it difficult to understand the radiologic pathologies in idiopathic coccydynia. The study aimed to examine the morphology of the coccyx in Turkish society to create a set of societal reference values. Retrospective analysis of 1000 adult CT scans evaluated the following: number of coccygeal segments, type of coccyxes, sacrococcygeal and intercoccygeal joint fusion, coccygeal spicules, sacrococcygeal straight length, sacrococcygeal and intercoccygeal curvature angles and lateral deviation of the coccyx tip. The most common number of coccygeal segments was determined to be four, and the most common coccyx type was II. Sacrococcygeal fusion was observed in 69.5%, and intercoccygeal fusion in 83.6%. Coccygeal spicule was seen in 3.7% of the cases. The mean sacrococcygeal straight length was 34.3 mm in males and 32.2 mm in females; this length was also significantly higher in the male group (p
{"title":"DETAILED COCCYGEAL MORPHOLOGY ON MULTISLICE 3D CT IN 1000 ASYMPTOMATIC TURKISH ADULTS","authors":"Turgut Kuytu, A. Karaoglu","doi":"10.30565/medalanya.1447887","DOIUrl":"https://doi.org/10.30565/medalanya.1447887","url":null,"abstract":"The morphology of the coccyx varies. This variety makes it difficult to understand the radiologic pathologies in idiopathic coccydynia. The study aimed to examine the morphology of the coccyx in Turkish society to create a set of societal reference values. Retrospective analysis of 1000 adult CT scans evaluated the following: number of coccygeal segments, type of coccyxes, sacrococcygeal and intercoccygeal joint fusion, coccygeal spicules, sacrococcygeal straight length, sacrococcygeal and intercoccygeal curvature angles and lateral deviation of the coccyx tip. The most common number of coccygeal segments was determined to be four, and the most common coccyx type was II. Sacrococcygeal fusion was observed in 69.5%, and intercoccygeal fusion in 83.6%. Coccygeal spicule was seen in 3.7% of the cases. The mean sacrococcygeal straight length was 34.3 mm in males and 32.2 mm in females; this length was also significantly higher in the male group (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"61 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140666830","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 : 2024-04-23DOI: 10.30565/medalanya.1457860
Arife Uslu Gökçeoğlu, Ahmet Aslan
Acute kidney injury (AKI) is a clinical condition characterized by sudden deterioration in kidney functions, increase in blood urea nitrogen (BUN) and serum creatinine, hyperkalemia, metabolic acidosis and hypertension. When defining AKI, current guidelines that consist of criterias determined by serum creatinine level and urine output are used. There are three main causes of AKI; prerenal, renal and postrenal. Prerenal AKI is most common etiology in children. Clinical symptoms of AKI differ according to the etiology. When evaluating a children with AKI, it should be noted that an increase in creatinine typically occurs 48 hours after renal injury and is the result of events 2-3 days before. The prognosis of AKI depends on the etiology.
急性肾损伤（AKI）是一种以肾功能突然恶化、血尿素氮（BUN）和血清肌酐升高、高钾血症、代谢性酸中毒和高血压为特征的临床症状。在定义急性肾功能衰竭时，目前使用的指南包括根据血清肌酐水平和尿量确定的标准。肾性 AKI 主要有三种原因：肾前性、肾性和肾后性。肾前性 AKI 是儿童最常见的病因。肾前性 AKI 的临床症状因病因而异。在对患有 AKI 的儿童进行评估时，应注意肌酐升高通常发生在肾损伤后 48 小时，是 2-3 天前发生的事件的结果。AKI 的预后取决于病因。
{"title":"Acute Kidney Injury In Children","authors":"Arife Uslu Gökçeoğlu, Ahmet Aslan","doi":"10.30565/medalanya.1457860","DOIUrl":"https://doi.org/10.30565/medalanya.1457860","url":null,"abstract":"Acute kidney injury (AKI) is a clinical condition characterized by sudden deterioration in kidney functions, increase in blood urea nitrogen (BUN) and serum creatinine, hyperkalemia, metabolic acidosis and hypertension. When defining AKI, current guidelines that consist of criterias determined by serum creatinine level and urine output are used. There are three main causes of AKI; prerenal, renal and postrenal. Prerenal AKI is most common etiology in children. Clinical symptoms of AKI differ according to the etiology. When evaluating a children with AKI, it should be noted that an increase in creatinine typically occurs 48 hours after renal injury and is the result of events 2-3 days before. The prognosis of AKI depends on the etiology.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"137 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668587","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 : 2024-04-23DOI: 10.30565/medalanya.1459206
A. Ahlatcı, Kenan Yıldızhan, A.S. Taskiran
Purpose: Neurodegeneration is the progressive loss and structural deterioration of neuronal cells. Hydrogen peroxide (H2O2) is formed by dismutation and causes oxidative stress in neuronal cells. Venlafaxine is a drug that increases both serotonin and noradrenaline in the synaptic gap. This study investigated the effect of venlafaxine on H2O2-induced cytotoxicity in C6 cells. Methods: First, different doses of venlafaxine (25, 50 and 100 µM) were tried to find the appropriate dose in C6 glioma cells. Then, the effect of venlafaxine on H2O2-induced cytotoxicity in the cells was investigated. For this purpose, cell viability rate, proinflammatory markers IL-1β and TNF-α, and NO and iNOS levels were examined by ELISA kits. Results: H2O2-treated caused cytotoxicity in the C6 glioma cells; when venlafaxine 25, 50 and 100 μM doses were evaluated in terms of cell viability, it was observed that the 100 μM venlafaxine applied group significantly increased cell viability compared to the other groups. When we look at the levels of IL-1β and TNF-α, it is observed that there is an increase in the H2O2 applied group and a significant decrease in the venlafaxine (100 μM) applied group. It was observed that NO and iNOS levels increased in the H2O2 applied group compared to the other groups. It was observed that Venlafaxine treatment reduced the increased NO and iNOS levels caused by H2O2. Conclusion: The study results showed that venlafaxine may have a protective effect on H2O2-induced C6 glioma cells.
{"title":"The protective effect of venlafaxine on hydrogen peroxide-induced cytotoxicity in C6 glioma cells","authors":"A. Ahlatcı, Kenan Yıldızhan, A.S. Taskiran","doi":"10.30565/medalanya.1459206","DOIUrl":"https://doi.org/10.30565/medalanya.1459206","url":null,"abstract":"Purpose: Neurodegeneration is the progressive loss and structural deterioration of neuronal cells. Hydrogen peroxide (H2O2) is formed by dismutation and causes oxidative stress in neuronal cells. Venlafaxine is a drug that increases both serotonin and noradrenaline in the synaptic gap. This study investigated the effect of venlafaxine on H2O2-induced cytotoxicity in C6 cells. \u0000Methods: First, different doses of venlafaxine (25, 50 and 100 µM) were tried to find the appropriate dose in C6 glioma cells. Then, the effect of venlafaxine on H2O2-induced cytotoxicity in the cells was investigated. For this purpose, cell viability rate, proinflammatory markers IL-1β and TNF-α, and NO and iNOS levels were examined by ELISA kits. \u0000Results: H2O2-treated caused cytotoxicity in the C6 glioma cells; when venlafaxine 25, 50 and 100 μM doses were evaluated in terms of cell viability, it was observed that the 100 μM venlafaxine applied group significantly increased cell viability compared to the other groups. When we look at the levels of IL-1β and TNF-α, it is observed that there is an increase in the H2O2 applied group and a significant decrease in the venlafaxine (100 μM) applied group. It was observed that NO and iNOS levels increased in the H2O2 applied group compared to the other groups. It was observed that Venlafaxine treatment reduced the increased NO and iNOS levels caused by H2O2. \u0000Conclusion: The study results showed that venlafaxine may have a protective effect on H2O2-induced C6 glioma cells.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"128 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668902","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 : 2024-04-23DOI: 10.30565/medalanya.1456072
Hakan Zora, G. Bayrak
Aim: Patients with De Quervain's stenosing tenosynovitis (DQT) experience problems in daily living activities due to the chronic inflammatory process and tenderness around the wrist. This study aimed to compare the effects of prolotherapy and steroid injection on short-term functional outcomes in DQT patients. Methods: In this retrospective study between January 2022 and 2023, a cohort of 34 patients with complete demographic data and elbow pain and functional scores which recorded at pre-treatment, two weeks, and six weeks post-treatment, was divided into the steroid injection (n=17) and prolotherapy (n=17) groups. Demographic and clinical data of all patients were recorded. The outcomes of Visual Analogue Scale (VAS) score for wrist pain, and Quick Disability Assessment of Arm, Shoulder, and Hand Problems (QuickDASH) and the Health Assessment Questionnaire (HAQ) for wrist functions were examined. Results: Initial assessments did not reveal any differences between groups in VAS (p=0.756), QuickDASH (p=0.168), and HAQ (p=0.615). In the second week post-treatment, there was a significant reduction in VAS, QuickDASH, and HAQ in steroid injection compared to the prolotherapy (p=0.001). This difference continued at sixth-week post-treatment; VAS (p=0.007), QuickDASH (p=0.003), and HAQ (p=0.011) were significantly lower in steroid injection than in the prolotherapy. Conclusion: The findings underscore the superior efficacy of steroid injection in alleviating wrist pain and enhancing functional outcomes compared to prolotherapy among patients with DQT, as evidenced by sustained improvements at six-week follow-up. These findings benefit orthopedic settings in choosing treatment options logically, though further research is needed to understand long-term effects and mechanisms.
{"title":"The Impact of Prolotherapy and Steroid Injection on De Quervain's Tenosynovitis: A Retrospective Outcome Study","authors":"Hakan Zora, G. Bayrak","doi":"10.30565/medalanya.1456072","DOIUrl":"https://doi.org/10.30565/medalanya.1456072","url":null,"abstract":"Aim: Patients with De Quervain's stenosing tenosynovitis (DQT) experience problems in daily living activities due to the chronic inflammatory process and tenderness around the wrist. This study aimed to compare the effects of prolotherapy and steroid injection on short-term functional outcomes in DQT patients. \u0000Methods: In this retrospective study between January 2022 and 2023, a cohort of 34 patients with complete demographic data and elbow pain and functional scores which recorded at pre-treatment, two weeks, and six weeks post-treatment, was divided into the steroid injection (n=17) and prolotherapy (n=17) groups. Demographic and clinical data of all patients were recorded. The outcomes of Visual Analogue Scale (VAS) score for wrist pain, and Quick Disability Assessment of Arm, Shoulder, and Hand Problems (QuickDASH) and the Health Assessment Questionnaire (HAQ) for wrist functions were examined. \u0000Results: Initial assessments did not reveal any differences between groups in VAS (p=0.756), QuickDASH (p=0.168), and HAQ (p=0.615). In the second week post-treatment, there was a significant reduction in VAS, QuickDASH, and HAQ in steroid injection compared to the prolotherapy (p=0.001). This difference continued at sixth-week post-treatment; VAS (p=0.007), QuickDASH (p=0.003), and HAQ (p=0.011) were significantly lower in steroid injection than in the prolotherapy. \u0000Conclusion: The findings underscore the superior efficacy of steroid injection in alleviating wrist pain and enhancing functional outcomes compared to prolotherapy among patients with DQT, as evidenced by sustained improvements at six-week follow-up. These findings benefit orthopedic settings in choosing treatment options logically, though further research is needed to understand long-term effects and mechanisms.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"65 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668038","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 : 2024-04-23DOI: 10.30565/medalanya.1452540
Hüseyin Kürüm, S. Demir, Sefa Key
Aim: In recent studies, it has been observed that bone metabolism parameters such as vitamin D, calcium (Ca), parathormone (PTH), magnesium (Mg) and alkaline phosphatase (ALP) are not adequately investigated in the diagnosis and treatment of children with genu varum or valgus. The aim of this study was to investigate the role of these bone metabolism parameters in the formation of genu varum or genu valgus deformities. Methods: 45 patients with genu varum and genu valgus whose vitamin D, Ca, PTH, Mg and ALP parameters were analysed in our outpatient clinic were included in the study. Results: 44 (97.8%) of the patients were bilateral and one (2.2%) was unilateral. The mean age of patients with genu varum (4.3±4.8) was significantly lower than that of patients with genu valgus (11.9±4.1) (p
目的：最近的研究发现，在诊断和治疗膝下曲或外翻患儿时，对维生素 D、钙（Ca）、副激素（PTH）、镁（Mg）和碱性磷酸酶（ALP）等骨代谢指标的研究不够充分。本研究旨在探讨这些骨代谢参数在形成膝内翻或外翻畸形中的作用。方法：45 名膝外翻和足外翻患者在我院门诊接受了维生素 D、Ca、PTH、Mg 和 ALP 参数分析。研究结果44例（97.8%）患者为双侧，1例（2.2%）为单侧。膝外翻患者的平均年龄（4.3±4.8）明显低于膝内翻患者（11.9±4.1）（P＜0.05）。
{"title":"THE ASSESSMENT OF BONE METABOLISM PARAMETERS IN PAEDIATRIC PATIENTS WITH GENU VARUM AND GENU VALGUS DEFORMITIES","authors":"Hüseyin Kürüm, S. Demir, Sefa Key","doi":"10.30565/medalanya.1452540","DOIUrl":"https://doi.org/10.30565/medalanya.1452540","url":null,"abstract":"Aim: In recent studies, it has been observed that bone metabolism parameters such as vitamin D, calcium (Ca), parathormone (PTH), magnesium (Mg) and alkaline phosphatase (ALP) are not adequately investigated in the diagnosis and treatment of children with genu varum or valgus. The aim of this study was to investigate the role of these bone metabolism parameters in the formation of genu varum or genu valgus deformities. \u0000Methods: 45 patients with genu varum and genu valgus whose vitamin D, Ca, PTH, Mg and ALP parameters were analysed in our outpatient clinic were included in the study. \u0000Results: 44 (97.8%) of the patients were bilateral and one (2.2%) was unilateral. The mean age of patients with genu varum (4.3±4.8) was significantly lower than that of patients with genu valgus (11.9±4.1) (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"52 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668177","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 : 2024-04-23DOI: 10.30565/medalanya.1455770
Ayça Araci, Ş. Aslan, E. Gür Kabul, U. Baş Aslan, Bilge Başakçı Çalık
Aim:Self-esteem is a crucial psychological concept for mental health. The aim of our study is to compare the levels of self-esteem in visually impaired individuals engaged and not engaged in sports. Methods:A total of 85 visually impaired individuals, including 42 engaged in sports and 43 not engaged in sports, were included in the study. A structured personal information form and the Rosenberg Self-Esteem Scale were used in the research. Results:The average age of visually impaired adults engaged in sports was 20.86±3.0 years, while those not engaged in sports was 20.88±2.92 years. Among visually impaired adults engaged in sports, 22 were female and 20 were male, while among those not engaged in sports, 26 were female and 17 were male. The analysis revealed that visually impaired adults engaged in sports had significantly higher levels of self-esteem compared to those not engaged in sports (p:0.001). When comparing by gender, there was no significant difference, but the self-esteem of both female and male visually impaired adults engaged in sports was significantly higher than that of females and males not engaged in sports (female p:0.001, male p:0.020). Conclusion:Engaging in sports increases self-esteem in both female and male visually impaired adults.
{"title":"Comparison Of Self-Esteem In Visually Impaired Adults Engaged And Not Engaged In Sports: Cross-Sectional Study","authors":"Ayça Araci, Ş. Aslan, E. Gür Kabul, U. Baş Aslan, Bilge Başakçı Çalık","doi":"10.30565/medalanya.1455770","DOIUrl":"https://doi.org/10.30565/medalanya.1455770","url":null,"abstract":"Aim:Self-esteem is a crucial psychological concept for mental health. The aim of our study is to compare the levels of self-esteem in visually impaired individuals engaged and not engaged in sports. \u0000Methods:A total of 85 visually impaired individuals, including 42 engaged in sports and 43 not engaged in sports, were included in the study. A structured personal information form and the Rosenberg Self-Esteem Scale were used in the research. \u0000Results:The average age of visually impaired adults engaged in sports was 20.86±3.0 years, while those not engaged in sports was 20.88±2.92 years. Among visually impaired adults engaged in sports, 22 were female and 20 were male, while among those not engaged in sports, 26 were female and 17 were male. The analysis revealed that visually impaired adults engaged in sports had significantly higher levels of self-esteem compared to those not engaged in sports (p:0.001). When comparing by gender, there was no significant difference, but the self-esteem of both female and male visually impaired adults engaged in sports was significantly higher than that of females and males not engaged in sports (female p:0.001, male p:0.020). \u0000Conclusion:Engaging in sports increases self-esteem in both female and male visually impaired adults.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"33 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671030","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 : 2023-12-31DOI: 10.30565/medalanya.1412356
Kenan Türkdoğan, Ahmet Aslan
Bu yazıda afet yönetimi konusu kısaca gözden geçirilmiştir.
本文简要回顾了灾害管理这一主题。
{"title":"Afet Yönetimi","authors":"Kenan Türkdoğan, Ahmet Aslan","doi":"10.30565/medalanya.1412356","DOIUrl":"https://doi.org/10.30565/medalanya.1412356","url":null,"abstract":"Bu yazıda afet yönetimi konusu kısaca gözden geçirilmiştir.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"84 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139132018","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 : 2023-12-29DOI: 10.30565/medalanya.1401259
Mehmet Mert Tuna
Amaç: Bu çalışmada, transüretral cerrahi vakalarında tek doz spinal anestezi yöntemi ile son yıllarda bu yönteme alternatif olarak popülerlik kazanmış, sürekli spinal anestezi yönteminin, hemodinamik parametreler, duyusal – motor blok seviyesi, kullanılan lokal anestezik dozu ve intraoperatif uygulanan sıvı miktarı açısından karşılaştırılması amaçlanmıştır. Yöntem: Transüretral cerrahi planlanan 40-75 yaş arası ASA I-III grubu 40 hasta tek doz spinal anestezi (grup 1)(n: 20) ve sürekli spinal anestezi (Grup 2) (n=20) olarak rastgele iki gruba ayrıldı. Hastaların hemodinami, analjezi ve motor bloğu değerlendirildi. Bulgular: Hemodinamik parametreler açısından, uygulama öncesine göre tek doz spinal anestezi grubu (grup 1) sistolik-diastolik kan basıncı ve kalp hızı ortalama değerleri sürekli spinal anestezi grubuna göre anlamlı olarak düşük bulundu (p
{"title":"Transüretal Cerrahi Vakalarinda, Sürekli Spinal Ve Tek Doz Spinal Anestezi Tekniklerinin Hemodinami, Duyusal Ve Motor Blok Seviyesi Üzerine Etkilerinin Karşilaştirilmasi","authors":"Mehmet Mert Tuna","doi":"10.30565/medalanya.1401259","DOIUrl":"https://doi.org/10.30565/medalanya.1401259","url":null,"abstract":"Amaç: Bu çalışmada, transüretral cerrahi vakalarında tek doz spinal anestezi yöntemi ile son yıllarda bu yönteme alternatif olarak popülerlik kazanmış, sürekli spinal anestezi yönteminin, hemodinamik parametreler, duyusal – motor blok seviyesi, kullanılan lokal anestezik dozu ve intraoperatif uygulanan sıvı miktarı açısından karşılaştırılması amaçlanmıştır. Yöntem: Transüretral cerrahi planlanan 40-75 yaş arası ASA I-III grubu 40 hasta tek doz spinal anestezi (grup 1)(n: 20) ve sürekli spinal anestezi (Grup 2) (n=20) olarak rastgele iki gruba ayrıldı. Hastaların hemodinami, analjezi ve motor bloğu değerlendirildi. Bulgular: Hemodinamik parametreler açısından, uygulama öncesine göre tek doz spinal anestezi grubu (grup 1) sistolik-diastolik kan basıncı ve kalp hızı ortalama değerleri sürekli spinal anestezi grubuna göre anlamlı olarak düşük bulundu (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139145282","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 : 2023-12-26DOI: 10.30565/medalanya.1394770
Necati Doğan
Objectives: The aim of this study is to share the solution methods obtained in the management of foci that cause bleeding in the modified stoppa approach to acetabulum quadrilateral region fractures. In addition, it is to reveal the amount of perioperative bleeding and the clinical effect of ligated arteries in patients whose surgery was performed with advanced bleeding control technique. Patients and methods: Between May 1, 2020 and June 30, 2023, perioperative bleeding data of 13 patients with acetabulum quadrilateral region fractures who were operated on with modified stoppa approach and advanced bleeding control technique were evaluated retrospectively. Age, gender, fracture mechanism, fracture side, fracture type, amount of perioperative bleeding and follow-up periods were determined. The clinical effect of ligated arteries was observed in the postoperative period. In the CT scans taken in the postoperative period, the diameters of the gluteal muscles and adductor muscles were compared to the healthy side. Results: Of the 13 patients included in the study, 5 were women and 8 were men. While the average age was 35.6 years, the average follow-up period was 15.3 months. The average number of sponges used during the modified stoppa approach and the amount of bleeding measured with an aspirator was calculated as 284.2 ml. The average area of the gluteal muscles compared to the healthy side was 0.89, while the average area of the adductor muscles was 0.89. No problems related to the ligated vessels were observed in any patient during the postoperative period and outpatient follow-up. Conclusions: Routine ligation of the obturator artery does not have any clinically observable negative effects, and with advanced bleeding control, it facilitates both the hemodynamic management of the patient in terms of anesthesia and the management of the surgical field for the surgeon.
{"title":"Asetabulum quadrilateral bölge kırıklarına stoppa yaklaşımda kanama kontrolünde efektif ve güvenilir yeni bir teknik; obturatör arteri bağlamak","authors":"Necati Doğan","doi":"10.30565/medalanya.1394770","DOIUrl":"https://doi.org/10.30565/medalanya.1394770","url":null,"abstract":"Objectives: The aim of this study is to share the solution methods obtained in the management of foci that cause bleeding in the modified stoppa approach to acetabulum quadrilateral region fractures. In addition, it is to reveal the amount of perioperative bleeding and the clinical effect of ligated arteries in patients whose surgery was performed with advanced bleeding control technique. Patients and methods: Between May 1, 2020 and June 30, 2023, perioperative bleeding data of 13 patients with acetabulum quadrilateral region fractures who were operated on with modified stoppa approach and advanced bleeding control technique were evaluated retrospectively. Age, gender, fracture mechanism, fracture side, fracture type, amount of perioperative bleeding and follow-up periods were determined. The clinical effect of ligated arteries was observed in the postoperative period. In the CT scans taken in the postoperative period, the diameters of the gluteal muscles and adductor muscles were compared to the healthy side. Results: Of the 13 patients included in the study, 5 were women and 8 were men. While the average age was 35.6 years, the average follow-up period was 15.3 months. The average number of sponges used during the modified stoppa approach and the amount of bleeding measured with an aspirator was calculated as 284.2 ml. The average area of the gluteal muscles compared to the healthy side was 0.89, while the average area of the adductor muscles was 0.89. No problems related to the ligated vessels were observed in any patient during the postoperative period and outpatient follow-up. Conclusions: Routine ligation of the obturator artery does not have any clinically observable negative effects, and with advanced bleeding control, it facilitates both the hemodynamic management of the patient in terms of anesthesia and the management of the surgical field for the surgeon.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"3 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156653","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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