Pub Date : 2022-10-29DOI: 10.30565/medalanya.1159175
S. Oktar
Medical education today faces many problems. But the most serious problem is the inability to integrate basic and clinical sciences. For this reason, students alienate from basic sciences and also clinicians are leaving sciences to basic scientists every day. The basic medical sciences learned in the preclinical term are remembered less by the students and cannot be sufficiently associated with clinical reality. Because a basic scientific knowledge learned without clinical framework is a low-value data that the student does not know how to use. Therefore, all reform initiatives in the medical education curriculum stick to the obstacle of basic sciences. Now is the time to take bold steps. The first step should be to removed the preclinical term from medical education. Medical education should only consist of clinical education term. This will gain the student and clinician a lot more time for clinical training. The second step should be to take basic sciences education from basic scientists and place it under the responsibility of clinicians. Clinician can decide much better how much of a basic sciences knowledge is clinically relevant. As a component of clinical education, it is best for the students to internalize the basic sciences during classroom, bedside and other clinical practices under the clinician's authority. Thus, students may be graduated as academic clinicians who have internalized the basic sciences and integrated the basic sciences with the clinical reality.
{"title":"Basic medical sciences should be mainly taught by the clinicians for a tightly integration of basic and clinical sciences in medical education.","authors":"S. Oktar","doi":"10.30565/medalanya.1159175","DOIUrl":"https://doi.org/10.30565/medalanya.1159175","url":null,"abstract":"Medical education today faces many problems. But the most serious problem is the inability to integrate basic and clinical sciences. For this reason, students alienate from basic sciences and also clinicians are leaving sciences to basic scientists every day. The basic medical sciences learned in the preclinical term are remembered less by the students and cannot be sufficiently associated with clinical reality. Because a basic scientific knowledge learned without clinical framework is a low-value data that the student does not know how to use. Therefore, all reform initiatives in the medical education curriculum stick to the obstacle of basic sciences. Now is the time to take bold steps. The first step should be to removed the preclinical term from medical education. Medical education should only consist of clinical education term. This will gain the student and clinician a lot more time for clinical training. The second step should be to take basic sciences education from basic scientists and place it under the responsibility of clinicians. Clinician can decide much better how much of a basic sciences knowledge is clinically relevant. As a component of clinical education, it is best for the students to internalize the basic sciences during classroom, bedside and other clinical practices under the clinician's authority. Thus, students may be graduated as academic clinicians who have internalized the basic sciences and integrated the basic sciences with the clinical reality.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87539865","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 : 2022-10-29DOI: 10.30565/medalanya.1152279
Başak Büyük, Ü. A. Malçok
Aim: To investigate the effects of melatonin and miRNA-17/20 administration on vasospasm and vascular damage on the bacillary artery in the Subarachnoid hemorrhage (SAH) model of rats. Methods: Rats were divided into 6 groups: Sham,SAH,SAH+NegmiRNA,SAH+MEL,SAH-miRs-17/20 group,SAH+MEL+miRs-17/20.For creating the SAH model the skin was cut with a vertical incision in the anterior region of the head.120 µL of fresh non-heparinized autologous arterial blood collected from the tail artery was injected into the prechiasmatic cistern under aseptic conditions. All steps in the Sham were the same as in the SAH group, except for blood injection. In the SAH+NegmiRs-17/20, miRs-17/20 miRNA Mimic-Negative Control#1 was administered 1 hour after SAH operation. In the SAH+MEL,10 mg/kg melatonin was administered intraperitoneally 1 hour after the SAH operation. In the SAH-miRs-17/20,mimic-miR-17 and mimic-miR-20 were given intranasally 1 hour after the SAH operation.In the SAH+MEL+miRs-17/20,intranasal mimic-miR-17 and intraperitoneal melatonin were administered 1 hour after the SAH operation. Brain samples, including the bacillary artery, were taken and subjected to routine tissue processing procedures. Vessel samples were evaluated and graded in histological sections stained with the H-E method in terms of vasospasm, edema in the tunica media, and folding of the lamina elastica interna. Results: The co-administration of melatonin and miRs-17/20 reduced the vasospasm and edema formation in the vessel wall. It has also been demonstrated that the application of miRs-17/20 after SAH alone reduces the development of edema in the vessel wall and folding of the internasal lamina elastica due to vasospasm. Conclusion:It has been shown that miRs-17/20 can reduce vasospasm in the vessel wall and prevent vessel damage by reducing edema.
目的:探讨褪黑素和miRNA-17/20给药对大鼠蛛网膜下腔出血(SAH)模型中细菌动脉血管痉挛和血管损伤的影响。方法:将大鼠分为Sham组、SAH组、SAH+NegmiRNA组、SAH+MEL组、SAH- mir -17/20组、SAH+MEL+ mir -17/20组。为了创建SAH模型，在头部前区用垂直切口切开皮肤。取尾动脉新鲜非肝素化自体动脉血120µL，无菌条件下注入交叉前池。除注射血液外，Sham组的所有步骤与SAH组相同。在SAH+ negmir -17/20中，在SAH手术后1小时给予mir -17/20 miRNA模拟阴性对照#1。在SAH+MEL中，SAH手术后1小时腹腔注射10 mg/kg褪黑素。在SAH- mir -17/20中，在SAH手术后1小时鼻内给予mimi - mir -17和mimi - mir -20。在SAH+MEL+ mir -17/20组中，SAH手术后1小时鼻内给予mimic-miR-17和腹腔内给予褪黑激素。取脑样本，包括杆菌动脉，并进行常规组织处理程序。血管样本在H-E染色的组织学切片上根据血管痉挛、中膜水肿和内弹性板折叠进行评估和分级。结果:褪黑素与mir -17/20联合用药可减轻血管痉挛和血管壁水肿的形成。也有研究表明，仅在SAH后应用mir -17/20可减少血管壁水肿的发展和血管痉挛引起的鼻间弹性板折叠。结论:研究表明miRs-17/20可减轻血管壁的血管痉挛，通过减轻水肿来预防血管损伤。
{"title":"Effect of miRs-17/20 on Vasospasm in Subarachnoid Hemorrhage Model of Rats","authors":"Başak Büyük, Ü. A. Malçok","doi":"10.30565/medalanya.1152279","DOIUrl":"https://doi.org/10.30565/medalanya.1152279","url":null,"abstract":"Aim: To investigate the effects of melatonin and miRNA-17/20 administration on vasospasm and vascular damage on the bacillary artery in the Subarachnoid hemorrhage (SAH) model of rats. \u0000Methods: Rats were divided into 6 groups: Sham,SAH,SAH+NegmiRNA,SAH+MEL,SAH-miRs-17/20 group,SAH+MEL+miRs-17/20.For creating the SAH model the skin was cut with a vertical incision in the anterior region of the head.120 µL of fresh non-heparinized autologous arterial blood collected from the tail artery was injected into the prechiasmatic cistern under aseptic conditions. All steps in the Sham were the same as in the SAH group, except for blood injection. In the SAH+NegmiRs-17/20, miRs-17/20 miRNA Mimic-Negative Control#1 was administered 1 hour after SAH operation. In the SAH+MEL,10 mg/kg melatonin was administered intraperitoneally 1 hour after the SAH operation. In the SAH-miRs-17/20,mimic-miR-17 and mimic-miR-20 were given intranasally 1 hour after the SAH operation.In the SAH+MEL+miRs-17/20,intranasal mimic-miR-17 and intraperitoneal melatonin were administered 1 hour after the SAH operation. Brain samples, including the bacillary artery, were taken and subjected to routine tissue processing procedures. Vessel samples were evaluated and graded in histological sections stained with the H-E method in terms of vasospasm, edema in the tunica media, and folding of the lamina elastica interna. \u0000Results: The co-administration of melatonin and miRs-17/20 reduced the vasospasm and edema formation in the vessel wall. It has also been demonstrated that the application of miRs-17/20 after SAH alone reduces the development of edema in the vessel wall and folding of the internasal lamina elastica due to vasospasm. \u0000Conclusion:It has been shown that miRs-17/20 can reduce vasospasm in the vessel wall and prevent vessel damage by reducing edema.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76772098","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 : 2022-10-29DOI: 10.30565/medalanya.1094182
Muslih Ürün, I. Beypınar, S. E. Davarcı, H. Demir, M. Baykara
Background and aim: Coronavirus disease 2019 (COVID-19) pandemic increased the mortality of cancer patients by causing direct infection or collateral damage to the healthcare system. After the development of effective vaccines against COVID-19 infection, mortality rates declined. In this study, we try to investigate the vaccination among cancer patients. Material and Methods: A survey was applied to patients with cancer in order to investigate the attitudes towards vaccination and the factors effecting vaccination in two medical oncology centers in Turkey. Results: 271 patients were included in the study. No difference was observed in the attitudes of patients towards vaccination according to cancer type. 83% of the patients were vaccinated against COVID-19. In 75% of the study population, vaccine was administered in the earliest available time. Receiving chemotherapy was the most significant reason to avoid vaccination among the study group (p=0,002). There was no significant difference in terms of treatment type for COVID-19 between patients with or without adequate vaccination. The most negative factor affecting vaccination was active chemotherapy treatment. Social relations and traditional media were the most positive factors for vaccination. Discussion: Vaccination is of vital importance for patients who are treated or on remission. Even if patients are to receive chemotherapy, they should be informed about vaccination and should be encouraged for vaccination.
{"title":"The evaluation of vaccination status and the factors affecting vaccination in cancer patients","authors":"Muslih Ürün, I. Beypınar, S. E. Davarcı, H. Demir, M. Baykara","doi":"10.30565/medalanya.1094182","DOIUrl":"https://doi.org/10.30565/medalanya.1094182","url":null,"abstract":"Background and aim: \u0000Coronavirus disease 2019 (COVID-19) pandemic increased the mortality of cancer patients by causing direct infection or collateral damage to the healthcare system. After the development of effective vaccines against COVID-19 infection, mortality rates declined. In this study, we try to investigate the vaccination among cancer patients. \u0000Material and Methods: \u0000A survey was applied to patients with cancer in order to investigate the attitudes towards vaccination and the factors effecting vaccination in two medical oncology centers in Turkey. \u0000Results: \u0000271 patients were included in the study. No difference was observed in the attitudes of patients towards vaccination according to cancer type. 83% of the patients were vaccinated against COVID-19. In 75% of the study population, vaccine was administered in the earliest available time. Receiving chemotherapy was the most significant reason to avoid vaccination among the study group (p=0,002). There was no significant difference in terms of treatment type for COVID-19 between patients with or without adequate vaccination. The most negative factor affecting vaccination was active chemotherapy treatment. Social relations and traditional media were the most positive factors for vaccination. \u0000Discussion: \u0000Vaccination is of vital importance for patients who are treated or on remission. Even if patients are to receive chemotherapy, they should be informed about vaccination and should be encouraged for vaccination.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76202674","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 : 2022-10-28DOI: 10.30565/medalanya.1074247
Seçkin AYDIN SAVAŞ
Objective: The aim of this study is to show the differences about patient profile and treatment selections in outpatient plastic surgery clinic by comparing the pre-pandemic and the pandemic period for one year processes. Methods: The patients who applied to outpatient clinic of plastic surgery during the pre-pandemic and pandemic periods were included in the study. The data related to demographic characteristics, reasons for application of outpatient plastic surgery clinic, pre-diagnosis, and treatment modalities -outpatient or inpatient- were collected retrospectively. Results: It was observed that there was a significant numerical difference in the number of applications of the patients between the pre-pandemic and the pandemic periods. The application rate of females decreased, while the rate of males increased during the pandemic period. When we examined the application rates in the age groups, the patient application rates in the 12-18, 18-25, and 25-40 age groups increased. In the other age groups, the patient application rates were decreased (p
{"title":"The Patient Application to the Outpatient Plastic Surgery Clinic and Management of Treatments During the Covid-19 Pandemic: Comparison of Prepandemic and Postpandemic Periods","authors":"Seçkin AYDIN SAVAŞ","doi":"10.30565/medalanya.1074247","DOIUrl":"https://doi.org/10.30565/medalanya.1074247","url":null,"abstract":"Objective: The aim of this study is to show the differences about patient profile and treatment selections in outpatient plastic surgery clinic by comparing the pre-pandemic and the pandemic period for one year processes. \u0000Methods: The patients who applied to outpatient clinic of plastic surgery during the pre-pandemic and pandemic periods were included in the study. The data related to demographic characteristics, reasons for application of outpatient plastic surgery clinic, pre-diagnosis, and treatment modalities -outpatient or inpatient- were collected retrospectively. \u0000Results: It was observed that there was a significant numerical difference in the number of applications of the patients between the pre-pandemic and the pandemic periods. The application rate of females decreased, while the rate of males increased during the pandemic period. When we examined the application rates in the age groups, the patient application rates in the 12-18, 18-25, and 25-40 age groups increased. In the other age groups, the patient application rates were decreased (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85131448","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 : 2022-10-28DOI: 10.30565/medalanya.1127833
Oğuzhan Dikici, Osman Durgut
Objectives: The aim of this study was to investigate the effects of nasal pathologies in paediatric patients with recurrent epistaxis. Methods: A total of 100 (61 boys, 39 girls) patients aged 2–17 years (mean age: 8.9 ± 3.6 years) were included in this study. Anterior rhinoscopy and flexible nasal endoscopy were used to examine all the patients. The epistaxis duration, treatment in active epistaxis by parents, medical history, medical treatment and interventions were recorded. The location of the epistaxis site, nasal mucosa type, the presence of nasal vestibulitis, nasal septum deviation location and type, adenoid size and the degree of inferior turbinate hypertrophy were recorded. Results: The deviation was present in 31 (62%) patients with recurrent epistaxis and in 14 (28%) patients without epistaxis. The presence of deviation was significantly higher in the epistaxis group than control group (p = 0.001). The nasal mucosa type was friable mucosa in 37 (74%) patients, vascularised mucosa in 11 (22%) patients and friable – vascularised mucosa in 2 (4%) patients in recurrent epistaxis group. A significant relationship was detected between nasal mucosa type and age, the presence of the deviation, deviation location, Mladina type in epistaxis group (p = 0.005, p = 0.004, p = 0.008, p = 0.015). Conclusion: Nasal septum deviation, inferior turbinate hypertrophy and nasal mucosa type are associated with paediatric recurrent epistaxis.
目的:本研究的目的是探讨鼻腔病理对儿童复发性鼻出血的影响。方法:共纳入100例(男61例，女39例)患者，年龄2 ~ 17岁，平均年龄8.9±3.6岁。所有患者均采用鼻前镜及鼻软内镜检查。记录患儿鼻出血持续时间、家长对活动性鼻出血的治疗情况、病史、治疗及干预措施。记录鼻衄部位的位置、鼻黏膜类型、有无鼻前庭炎、鼻中隔偏曲的位置和类型、腺样体大小、下鼻甲肥大程度。结果:31例(62%)复发性鼻出血患者和14例(28%)无复发性鼻出血患者存在鼻出血偏离。鼻出血组的偏差明显高于对照组(p = 0.001)。复发性鼻出血组鼻黏膜类型为脆弱型37例(74%)，血管化型11例(22%)，脆弱-血管化型2例(4%)。鼻出血组鼻黏膜类型与鼻黏膜年龄、鼻黏膜是否存在偏曲、鼻黏膜偏曲位置、鼻黏膜类型有显著相关性(p = 0.005, p = 0.004, p = 0.008, p = 0.015)。结论:小儿鼻出血复发与鼻中隔偏曲、下鼻甲肥大、鼻黏膜类型有关。
{"title":"Effects of Nasal Pathologies in Paediatric Epistaxis","authors":"Oğuzhan Dikici, Osman Durgut","doi":"10.30565/medalanya.1127833","DOIUrl":"https://doi.org/10.30565/medalanya.1127833","url":null,"abstract":"Objectives: The aim of this study was to investigate the effects of nasal pathologies in paediatric patients with recurrent epistaxis. \u0000Methods: A total of 100 (61 boys, 39 girls) patients aged 2–17 years (mean age: 8.9 ± 3.6 years) were included in this study. Anterior rhinoscopy and flexible nasal endoscopy were used to examine all the patients. The epistaxis duration, treatment in active epistaxis by parents, medical history, medical treatment and interventions were recorded. The location of the epistaxis site, nasal mucosa type, the presence of nasal vestibulitis, nasal septum deviation location and type, adenoid size and the degree of inferior turbinate hypertrophy were recorded. \u0000Results: The deviation was present in 31 (62%) patients with recurrent epistaxis and in 14 (28%) patients without epistaxis. The presence of deviation was significantly higher in the epistaxis group than control group (p = 0.001). The nasal mucosa type was friable mucosa in 37 (74%) patients, vascularised mucosa in 11 (22%) patients and friable – vascularised mucosa in 2 (4%) patients in recurrent epistaxis group. A significant relationship was detected between nasal mucosa type and age, the presence of the deviation, deviation location, Mladina type in epistaxis group (p = 0.005, p = 0.004, p = 0.008, p = 0.015). \u0000Conclusion: Nasal septum deviation, inferior turbinate hypertrophy and nasal mucosa type are associated with paediatric recurrent epistaxis.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89752592","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 : 2022-10-22DOI: 10.30565/medalanya.1170379
B. Yaprak, L. Keskin, I. Sahin
Aim: Obesity is a risk factor for sexual dysfunction. The aim of this study is to investigate the frequency of sexual dysfunction in morbidly obese patients. Methods: The sample of the study consisted of 78 morbidly obese patients with BMI>40 kg/m2 and 68 individuals with normal weight. The data was obtained using the sociodemographic information form completed by the participants, Beck anxiety scale, Beck depression scale and Golombok Rust Inventory of Sexual Satisfaction. Results: The frequency of sexual dysfunction was found to be higher in obese women and men (p
{"title":"Evaluation Of Morbid Obese Patients İn Terms Of Sexual Dysfunctions: A Cross-Sectional Study","authors":"B. Yaprak, L. Keskin, I. Sahin","doi":"10.30565/medalanya.1170379","DOIUrl":"https://doi.org/10.30565/medalanya.1170379","url":null,"abstract":"Aim: Obesity is a risk factor for sexual dysfunction. The aim of this study is to investigate the frequency of sexual dysfunction in morbidly obese patients. \u0000Methods: The sample of the study consisted of 78 morbidly obese patients with BMI>40 kg/m2 and 68 individuals with normal weight. The data was obtained using the sociodemographic information form completed by the participants, Beck anxiety scale, Beck depression scale and Golombok Rust Inventory of Sexual Satisfaction. \u0000Results: The frequency of sexual dysfunction was found to be higher in obese women and men (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76772558","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 : 2022-10-21DOI: 10.30565/medalanya.1069144
A. Akgün, A. Tekcan
Aim: The objective of the present study was to evaluate the femoral notch type, notch width index (NWI), notch angle (NA) and α angle in patients with ACL injury and compare with nonathletic male population using magnetic resonance imaging (MRI). Methods: 79 patients with complete ACL tear and 80 patients as control group (aged 19-43 years) who had knee MRI were evaluated. NWI, NA measurements and notch shape were evaluated on axial fat-saturated proton-weighted sequences. Femoral notch shape was classified as A, U and W types. Results: A statistically significant association was found between notch type, NWI, NA and ACL injury (p
{"title":"Assessment Of Femoral Notch Morphology In Male Patients With Anterior Cruciate Ligament Injury: An MRI Study","authors":"A. Akgün, A. Tekcan","doi":"10.30565/medalanya.1069144","DOIUrl":"https://doi.org/10.30565/medalanya.1069144","url":null,"abstract":"Aim: The objective of the present study was to evaluate the femoral notch type, notch width index (NWI), notch angle (NA) and α angle in patients with ACL injury and compare with nonathletic male population using magnetic resonance imaging (MRI). \u0000Methods: 79 patients with complete ACL tear and 80 patients as control group (aged 19-43 years) who had knee MRI were evaluated. NWI, NA measurements and notch shape were evaluated on axial fat-saturated proton-weighted sequences. Femoral notch shape was classified as A, U and W types. \u0000Results: A statistically significant association was found between notch type, NWI, NA and ACL injury (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78687946","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 : 2022-08-20DOI: 10.30565/medalanya.1106046
Oktay Aslaner
Objective: Palmar and axillary hyperhidrosis is caused by overstimulation of the sympathetic nervous system that control the sweat glands. This study compares the clinical consequences of uniportal and multiportal thoracic endoscopic thoracic sympathectomy (ETS), in cases of severe palmar and axillary hyperhidrosis. Methods: In this retrospective study, forty-one patients who were diagnosed as severe palmar and axillary primary hyperhidrosis were analyzed. These underwent multiportal ETS between 2015 and 2020 at our thoracic surgery clinic. They were divided into two groups, 24 as uniportal (58.5%) and 17 as multiportal (41.5%). They were compared in terms of the length of hospital stay, the initial complications and possible recurrences after three months. Descriptive statistics were used to evaluate stratified and continuous variables. Results: There was no significant difference in moderate pain between the two groups. There was a significant difference between the two groups in terms of 3 days or more hospitalization. There were no significant difference related to the rate of complications such as ptosis, Horner syndrome, increased duration of surgery and recurrence rate of hyperhidrosis 3 months after surgery. Some mild to moderate side effects disappeared spontaneously at 6-month follow-up. Conclusion: The results showed that uniportal and multiportal endoscopic thoracoscopic sympathectomy (EST) are very effective, safe and minimally invasive methods for the treatment of palmar and axillary hyperhidrosis. Compared to the multiportal approach, uniportal EST causes less postoperative pain and less surgical duration.
{"title":"Clinical Outcomes of Uniportal Versus Multiportal Endoscopic Thoracic Sympathectomy in Patients With Severe Palmar and Axillary Hyperhidrosis","authors":"Oktay Aslaner","doi":"10.30565/medalanya.1106046","DOIUrl":"https://doi.org/10.30565/medalanya.1106046","url":null,"abstract":"Objective: Palmar and axillary hyperhidrosis is caused by overstimulation of the sympathetic nervous system that control the sweat glands. This study compares the clinical consequences of uniportal and multiportal thoracic endoscopic thoracic sympathectomy (ETS), in cases of severe palmar and axillary hyperhidrosis. \u0000Methods: In this retrospective study, forty-one patients who were diagnosed as severe palmar and axillary primary hyperhidrosis were analyzed. These underwent multiportal ETS between 2015 and 2020 at our thoracic surgery clinic. They were divided into two groups, 24 as uniportal (58.5%) and 17 as multiportal (41.5%). They were compared in terms of the length of hospital stay, the initial complications and possible recurrences after three months. Descriptive statistics were used to evaluate stratified and continuous variables. \u0000Results: There was no significant difference in moderate pain between the two groups. There was a significant difference between the two groups in terms of 3 days or more hospitalization. There were no significant difference related to the rate of complications such as ptosis, Horner syndrome, increased duration of surgery and recurrence rate of hyperhidrosis 3 months after surgery. Some mild to moderate side effects disappeared spontaneously at 6-month follow-up.\u0000Conclusion: The results showed that uniportal and multiportal endoscopic thoracoscopic sympathectomy (EST) are very effective, safe and minimally invasive methods for the treatment of palmar and axillary hyperhidrosis. Compared to the multiportal approach, uniportal EST causes less postoperative pain and less surgical duration.","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74108346","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 : 2022-08-18DOI: 10.30565/medalanya.1161785
Ahmet Aslan
hip fracture in elderly; an overwiev hip fracture in elderly; an overwiev hip fracture in elderly; an overwiev
老年髋部骨折;老年人完全性髋部骨折;老年人完全性髋部骨折;一个overwiev
{"title":"yaşlılarda kalça kırığı; genel bir bakış","authors":"Ahmet Aslan","doi":"10.30565/medalanya.1161785","DOIUrl":"https://doi.org/10.30565/medalanya.1161785","url":null,"abstract":"hip fracture in elderly; an overwiev \u0000hip fracture in elderly; an overwiev \u0000hip fracture in elderly; an overwiev","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90448109","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}
Objectives: The well-being of healthcare workers is a critical indicator in the provision of high-quality care. Although researchers have stressed the importance of social interactions and social support, scarce data exist about their effects on healthcare workers’ well-being. In this study, we aim to advance the research on the relationships between social network diversity (SND), social support and thriving. Methods: In a cross-sectional design, an anonymous online link was shared among healthcare workers in a university hospital. The survey included questions on demographics, medical diseases, as well as items from the SND index, the multidimensional perceived social support scale, and the brief and comprehensive inventories of thriving scales. Results: A total of 103 individuals participated in the study (mean age ± standard deviation = 33±7.2; male/female = 33/70). Men and women did not differ in SND, perceived social support, or thriving scores. Healthcare workers older than 38 years exhibited higher scores in belonging (p=0.032), skills (p=0.006), self-worth (p=0.048), meaning and purpose (p
{"title":"Sosyal ağ çeşitliliği ve sosyal desteğin sağlık çalışanlarının gelişimine etkisi","authors":"Ozge Kilic, Merve YALÇINAY -İNAN, Esra Bilir, Ozge Pasi̇n, Kemal Kuşçu","doi":"10.30565/medalanya.1073643","DOIUrl":"https://doi.org/10.30565/medalanya.1073643","url":null,"abstract":"Objectives: The well-being of healthcare workers is a critical indicator in the provision of high-quality care. Although researchers have stressed the importance of social interactions and social support, scarce data exist about their effects on healthcare workers’ well-being. In this study, we aim to advance the research on the relationships between social network diversity (SND), social support and thriving. \u0000Methods: In a cross-sectional design, an anonymous online link was shared among healthcare workers in a university hospital. The survey included questions on demographics, medical diseases, as well as items from the SND index, the multidimensional perceived social support scale, and the brief and comprehensive inventories of thriving scales. \u0000Results: A total of 103 individuals participated in the study (mean age ± standard deviation = 33±7.2; male/female = 33/70). Men and women did not differ in SND, perceived social support, or thriving scores. Healthcare workers older than 38 years exhibited higher scores in belonging (p=0.032), skills (p=0.006), self-worth (p=0.048), meaning and purpose (p","PeriodicalId":7003,"journal":{"name":"Acta Medica Alanya","volume":"35 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91486223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：