Menü Kapat

Laparoscopic Evaluation of Nonspecific Abdominal Pain in Females

Original Article

Laparoscopic Evaluation of Nonspecific Abdominal Pain in Females

Syed Mushtaq Shah, Azhar Mushtaq, Hanief Mohamed Dar, Wasim Qadir

   

Abstract
The aim was to determine the role of laparoscopy in the management of nonspecific abdominal pain (NSAP) in sexually active females. Fifty (50) patients with NSAP were included in the study which then underwent laparoscopy to make a definitive diagnosis. Peroperative laparoscopic findings were; Acute appendicitis in 17 patients (34%); Pelvic Inflammatory diseases (PID)/salpingitis in 9 patients (18%); Adhesions in pelvis and RIF in 5 patients (10%); Ovarian Cyst in10 patients (20%); Endometriosis in 2 patients (4%); Peritoneal Tuberculosis in 3 patients (6%); No diagnosis in 4 patients (8%). The age wise incidence of various Laparoscopic findings in patients with NSAP were: Acute appendicitis was common in 13 to 20 year age group ( 10/17 patients) followed by 21 to 28 year age group (5/17 patients); PID was common in 21 to 28 year age group (6/9 patients); Endometriosis was found common in 29 to 36 year age group (2/2 patients); while as ovarian cysts were observed with increased frequency in 21 to 28 year age group (8/10 patients). The study revealed appendicitis to be more common in females in their early reproductive years of life. PID, was more frequently noticed in sexually active females. Endometriosis was observed only in two patients and both of them where in the middle of their reproductive age while as symptomatic ovarian cysts was a more common finding in unmarried females in 21-28 years of age group. This study concluded that laparoscopy has a diagnostic as well as a therapeutic implication in management of NSAP.

Key words: Abdomen, laparoscopy, nonspecific abdominal pain, appendicitis

Med-Science. 2015; 4(4): 2700-8

Medicine Science Vol:4 Issue:4 Year:2015 PP:2700-2988

Hematoprotective Effect of N(G)-Nitro-L-Arginine Methyl Ester and Lycopene on Hematoxicity in Trinitrobenzene Sulfonic Acid–Induced Colitis in Rat

Original Article

Hematoprotective Effect of N(G)-Nitro-L-Arginine Methyl Ester and Lycopene on Hematoxicity in Trinitrobenzene Sulfonic Acid–Induced Colitis in Rat

Songul Cetik, Adnan Ayhanci, Yilmaz Altuner, Ahmet Musmul, Varol Sahinturk

   

Abstract
Anemia is a neglected manifestation of inflammatory bowel disease (IBD) although it is commonly observed in IBD patients. Attempts to overcome anemia in IBD would help not only general well being of the patients but also minimize disease consequences. In this experimental study, the possible hematoprotective effects of lycopene and NG –nitro-L- arginine methyl ester (L-NAME) on colitis induced by TNBS were analyzed. 112 rats were assigned to 16 groups; control group, intrarectal 120 mg/kg TNBS group, intraperitoneal 40 mg/kg L-NAME group, 1 mg/kg olive oil group, 5 and 10 mg/kg lycopene groups. Each experimental group was divided into 3 subgroups according to duration of treatment. On the very first day of treatment number of erythrocytes decreased in all groups except TNBS treated group whereas leukocyte numbers increased in all groups except TNBS treated group pointing out an inflammation. The number of platelets decreased in all study groups with the exception of TNBS group. On the second day, while erythrocyte and platelet numbers increased in all but not in TNBS group, leukocytes decreased in all the groups. On the third day, erythrocyte and platelet numbers increased in all groups except for the 10 mg/kg lycopene group. While the number of leukocytes decreased in the 10 mg/kg lycopene group, it remained the same in the other groups as those observed on the second day. These results show that lycopene could have effects on hemopoiesis as well as in prevention of anemia in IBD.

Key words: TNBS, colitis, lycopene, hematoprotectivity

Med-Science. 2015; 4(4): 2709-20

Satisfaction Levels of the Adults who Benefit from the Family Medicine Care in Malatya City Center and the Factors that Affect it [Malatya İl Merkezinde Aile Hekimliği Hizmetinden Yararlanan Yetişkinlerin Memnuniyet Düzeyleri ve Etkileyen Faktörler]

Original Article

Satisfaction Levels of the Adults who Benefit from the Family Medicine Care in Malatya City Center and the Factors that Affect it [Malatya İl Merkezinde Aile Hekimliği Hizmetinden Yararlanan Yetişkinlerin Memnuniyet Düzeyleri ve Etkileyen Faktörler]

Burak Mete, Erkan Pehlivan, Cigdem Tekin, Erkay Nacar, Ertan Unver, Ayse Baran

   

Abstract
This study is a descriptive cross-sectional study and aims to determine the satisfaction level, and the factors that affect this level in adults who benefit from the family medicine services in Malatya city center. 10 people from each center, in total 383 people were randomly selected from the 39 Family Health Centers in Malatya city center and were contacted for the study in the 2014 March-June period. The European General Practitioners or European Patients Evaluate General/Family Practice (EUROPEP) Scale has been used in the study. In the statistical analyses, the Mann-Whitney U was used for the data that did not suit the normal distribution, and the Student t and the One Way Anova tests were used for those which suited the normal distribution; and the p0.05). When the average points received from the scale in terms of satisfaction levels of the family medicine services are considered, the adults who are very satisfied with the services have received significantly more points than the other groups (p

Key words: Family practice, patient satisfication, Malatya

Med-Science. 2015; 4(4): 2721-31

Effect of Adding Dexamethasone to Bupivacaine on Transversus Abdominis Plane Block [Transversus Abdominis Plane Bloğa Eklenen Deksametazonun Etkisi]

Original Article

Effect of Adding Dexamethasone to Bupivacaine on Transversus Abdominis Plane Block [Transversus Abdominis Plane Bloğa Eklenen Deksametazonun Etkisi]

Nurcin Gulhas, Gulay Kayhan, Mukadder Sanli, Arzu Kitlik, Mahmut Durmus

   

Abstract
We aimed to evaluate the effect of dexamethasone added TAP block on postoperative analgesia accompanied by ultrasound in the TAH. After obtaining the Ethics Committee and the patient’s consent a total of 60 ASA I-II patients undergoing planned total abdominal hysterectomy with general anesthesia were enrolled in the study. After surgical termination, ultrasound guided TAP block was performed by the same anesthesiologist. The patients were randomly divided into two groups using the envelope method. TAP block was obtained with 19 mL of bupivacaine hydrochloride 0.25%+1 mLsaline 0.9% (Group B, n=30) or 19 mL of bupivacaine hydrochloride 0.25%+1 mLdexamethasone (4 mg) (Group BD, n=30). Postoperatif pain scores were evaluated with Visual Analog Scale (VAS) at the recovery room and postoperative 2, 4, 6, 12 and 24 hours. Time to first analgesic requirement, morphine consumption, incidence of nausea and vomiting, and sedation scores were recorded. VAS scores at rest and on movement in recovery room and postoperative 2 h were significantly lower Group BD than Group B (p

Key words: Bupivacaine, dexamethasone, transversus abdominis plane block

Med-Science. 2015; 4(4): 3732-42

Application of Medical Data Mining on the Prediction of APACHE II Score

Original Article

Application of Medical Data Mining on the Prediction of APACHE II Score

Cemil Colak, Mustafa Said Aydogan, Ahmet Kadir Arslan, Aytac Yucel

   

Abstract
The Acute Physiology and Chronic Health Evaluation (APACHE II) is a beneficial tool for the estimation of risk and the comparison of the patients who received care with similar risk properties. Machine learning based systems can assist clinicians in the early diagnosis of diseases. This research aimed at predicting the APACHE II score using Support Vector Machine (SVM) from Medical Data Mining (MDM). The records of 280 patients from intensive care unit included the dataset containing the target variable (the APACHE II score), and 23 demographical/clinical predictor variables. Genetic algorithm based feature selection and 10-fold cross validation method were employed. SVM with radial basis (RBF) was constructed. The performance of the proposed approach was assessed using root mean squared error (RMSE), mean absolute error (MAE), correlation (R) and coefficient of determination (R2). Mean age of the individuals was 51±23 years. 153 (54.6%) were females, and 127 (45.4%) were males. The proposed approach yielded the values of 1.037 for RMSE, 0.727 for MAE, 0.993 for R and 0.986 for R2, respectively. The results demonstrated that the proposed approach had an excellent predictive performance of the APACHE II score. Additionally, ensemble approaches such as bagging, boosting, voting etc. can improve markedly the performance of the prediction and classification tasks.

Key words: APACHE II, Medical Data Mining, Support Vector Machines (SVM)

Med-Science. 2015; 4(4): 2743-50

Evaluation of Sexual Function Levels of Women between the Ages of 20-50 Living in Central Malatya [Malatya İl Merkezinde Yaşayan 20-50 Yaş Arasındaki Kadınların Cinsel Fonksiyon Düzeylerinin Değerlendirilmesi]

Original Article

Evaluation of Sexual Function Levels of Women between the Ages of 20-50 Living in Central Malatya [Malatya İl Merkezinde Yaşayan 20-50 Yaş Arasındaki Kadınların Cinsel Fonksiyon Düzeylerinin Değerlendirilmesi]

Filiz Ciledag Ozdemir, Erkan Pehlivan

   

Abstract
The aim is to evaluate sexual function levels of the women living in Malatya province and determine the factors affecting them. This study was a cross-sectional study. Stratified cluster sampling method was used by the number of admission to the hospital. The study includes 430 women between 20-50 years of age. In the analysis; Chi-square and logistic regression were used. The average age of those entering the study is 38.5±0.5 years. Of the women entering the study, 10.5% are illiterate. Female Sexual Function Index average value of the individuals entering the study (Index of Female Sexual Function =IFSF) has been detected as 26.9±7.8. IFSF score of 69.1% of the patients is under 30, and that of 30% is 30.9. In our study, statistically significant differences (p

Key words: Sexual dysfunction, risk factors, IFSF

Med-Science. 2015; 4(4): 2751-61

Investigation of Pelvic Floor Muscle Strength of the Women Admitted to the Gynecology Clinics and the Evaluation of Affecting Factors [Malatya İl Merkezinde Jinekoloji Polikliniklerine Başvuran Kadınların Pelvik Taban Kas Kuvvetinin Değerlendirilmesi ve Etkileyen Faktörlerin İncelenmesi]

Original Article

Investigation of Pelvic Floor Muscle Strength of the Women Admitted to the Gynecology Clinics and the Evaluation of Affecting Factors [Malatya İl Merkezinde Jinekoloji Polikliniklerine Başvuran Kadınların Pelvik Taban Kas Kuvvetinin Değerlendirilmesi ve Etkileyen Faktörlerin İncelenmesi]

Filiz Çiledag Ozdemir, Erkan Pehlivan

   

Abstract
The aim of this study is to investigate the factors affecting pelvic floor muscle strength of the women admitted to the gynecology clinics in Malatya by evaluating their pelvic floor muscle strengths with perineometry device. This study is of a cross-sectional type. In the sample selection, stratified cluster sampling method was used. 430 women between the ages of 20-50 were included in the study. In the analysis process; Chi-square and logistic regression were used. In our study, the mean value of pelvic floor muscle strength has been found to be 31.4±9.6 cmH2O. According to results of this research, it has been found out that there are primary relational factors between having a normal or mixed births (OR=5.546, CI=2.586-11.895), being at the age of 40 years and older (OR=3.484, CI=1.982-6.125) and pelvic floor muscle strength weakness (p

Key words: Pelvic floor muscle strength, perineometry, risk factors

Med-Science. 2015; 4(4): 2762-71

The Relationship Between Hepatic Activity Index and Serum Tumor Necrosis Factor Alpha Levels in Patients with Chronic Active Hepatitis-B and Chronic Active Hepatitis-C

Original Article

The Relationship Between Hepatic Activity Index and Serum Tumor Necrosis Factor Alpha Levels in Patients with Chronic Active Hepatitis-B and Chronic Active Hepatitis-C

Yılmaz Bilgic, Murat Harputluoglu, Bulent Yaprak, Mehmet Burak Dal, Mehmet Bugra Bozan, Abdurrahman Sahin, Fatih Mehmet Yazar, Yasir Furkan Cagın, Nihat Okcu

   

Abstract
In the present study, we investigated the relationship between serum TNF-α levels and hepatic activity in liver biopsies of chronic hepatitis B and C patients.The study was performed on 30 chronic hepatitis B patients, 25 chronic hepatitis C patients and 25 healthy controls. Serum samples of patients who underwent biopsy and healthy controls were collected. Control group was seronegative for hepatitis and had normal liver function tests. TNF- α levels measured by ELISA. Knodell’s hepatic activity index was used in evaluation of liver biopsies. Serum TNF-α levels were determined higher in chronic hepatitis B and C patients than control group. HAI and TNF- α compared in chronic hepatitis B and C patients. Although we detected a relationship between HAI and TNF-α levels in chronic hepatitis B patients, no true correlation was shown in chronic hepatitis C patients. Cytokines have an important role in progression of chronic hepatitis B and C infections. There is a relationship between hepatic activity index and TNF-α level in chronic hepatitis B infection.But There is not relationship between hepatic activity index and chronic hepatitis C infection.only in two patients and both of them where in the middle of their reproductive age while as symptomatic ovarian cysts was a more common finding in unmarried females in 21-28 years of age group. This study concluded that laparoscopy has a diagnostic as well as a therapeutic implication in management of NSAP.

Key words: Hepatic activity index, serum tumor necrosis factor alpha, chronic active hepatitis-b, chronic active hepatitis-c

Med-Science. 2015; 4(4): 2772-81

Effects of Administering Dietetics to Cancer Patients Receiving Radiotherapy on Preventing and Decreasing Malnutrition

Original Article

Effects of Administering Dietetics to Cancer Patients Receiving Radiotherapy on Preventing and Decreasing Malnutrition

Berna Bayir, Rukuye Aylaz, Kemal Ekici

   

Abstract
The aim of this research was to determine the effect of dietetics in preventing and reducing malnutrition in cancer patients receiving radiotherapy. This study enrolled 147 cancer patients receiving radiotherapy who had just started treatment at Inonu University, Malatya, Turkey. All of the enrolled patients had just started radiotherapy, could communicate readily, and agreed to take part in the study. The data were obtained using patient information sheets, the Subjective Global Assessment Scale (SGA), and anthropometric measurements. Weight measurements were performed in the experimental group after education and revealed that weight increased in 23% of patients, decreased in 40.5%, and remained stable in 36.5% of subjects. In the control group, 23.3% of patients exhibited an increase in weight, 43.8% experienced a decrease, and 32.9% remained stable. Statistical analyses revealed a significant difference among groups after education (p

Key words: Cancer, radiotherapy, malnutrition, education

Med-Science. 2015; 4(4): 2782-96

Investigation of Reasons for Age Assessment Demands among Cases who Appear to Be in Children Age Bracket According to Their Birth Records: 6.5 Years of Experience [Nüfus Kaydına Göre Çocuk Yaş Grubunda Görünen Olguların Yaş Tayini Raporu İstem Nedenlerinin İrdelenmesi: 6,5 Yıllık Deneyim]

Original Article

Investigation of Reasons for Age Assessment Demands among Cases who Appear to Be in Children Age Bracket According to Their Birth Records: 6.5 Years of Experience [Nüfus Kaydına Göre Çocuk Yaş Grubunda Görünen Olguların Yaş Tayini Raporu İstem Nedenlerinin İrdelenmesi: 6,5 Yıllık Deneyim]

Hulya Guler, Ahsen Kaya, Orhan Meral, Nihal Erdogan, Suheyla Erturk

   

Abstract
Age assessment remains an important subject of forensic medicine due to true age disputes caused by unorganized birth records and registrations. In this study, it is aimed to draw attention to the importance of age assessment, reasons for age assessment demands and demographics of cases who appear to be in children age bracket according to their birth records. Study consisted of cases who were evaluated at Ege University, Medicine Faculty, Department of Forensic Medicine between 01.01.2008 and 30.06.2014 for age assessment and who were under 18 at the time of application. Reports were examined retrospectively to establish gender, age according to birth record, occupation, number of siblings, birthplace, birth order, claimed age, assessed age, owner of the demand and reason for age assessment of the cases. Data were analysed using SPSS (version 18.0). Of the 214 cases involved in the study, 155 (72.4%) were female and 59 (27.6%) were male. Age according to birth record ranged between 3 and 17, mean age was 14.0±3.1 Civil Courts of First Instance ranked first (61.7%) among the owners of the demand for age assessment. Most frequent reason for age assessment demands was found to be early sexual activity and pregnancy (n=49, 22.9%) 63.6% of the cases claimed to be older than their ages according to their birth registrations. Various legal and social circumstances call for age assessment, particularly age assessment for sex crimes are prominent among children age bracket. As the hospital birth rates increase and birth registrations remain well-organized, applications for the age assessment of living individuals are expected to decline.

Key words: Age assessment, children, sex crimes, pregnancy

Med-Science. 2015; 4(4): 2797-812