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Pinar SİSMAN, Özen Öz GÜL, Soner CANDER,
AHMET BİLGEHAN ŞAHİN , Çoşkun DEMİRTAŞ, Aybuke MUTİ, Onur ELBASAN, Özlem SARAYDAROĞLU, Erdinç ERTÜRK
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Ahmet PEKER, Hakan YARKICI, Mehmet Can UĞUR,
HARUN AKAR , Cengiz CEYLAN, Dudu KAHRAMAN SOLAKOĞLU
Ahmet PEKER, Hakan YARKICI, Mehmet Can UĞUR,
HARUN AKAR ,
Cengiz CEYLAN, Dudu KAHRAMAN SOLAKOĞLU
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Ahmet KIZILAY MD, Alparslan ERSOY MD, Armen Yuri GASPARYAN MD, Basar CANDER MD, Canan CELIK MD, Cristina Florescu MD, Cuma Bulent GUL MD, Demet Cansaran DUMAN, Elif Ekinci MD, Emel YILMAZ MD, Emin USTUNYURT MD, Ender GUCLU MD, Erdem CUBUKCU MD, Francesco CARELLI MD, Gary TSE, Gulsen KOFRALI MD, Haci Murat CAYCI MD, Hasan ARI MD, Ibrahim TAYMUR MD, Koray AYAR MD, KyungKuk HWANG, Lisa LANGSETMO, Metin GUCLU MD, Mohammad Rafiq KHANANI, Muzaffer DEMIR MD, Nazmi ZENGIN MD, Nesrin COBANOGLU MD, Omer Fatih OLMEZ MD, Omer YALCIN MD, Ozkan KANAT MD
Ahmet KIZILAY MD, Alparslan ERSOY MD, Armen Yuri GASPARYAN MD, Basar CANDER MD, Canan CELIK MD, Cristina Florescu MD,
... Devamını oku
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Objectives. The aim of this study was to examine the correlation between sleep disorder and metabolic syndrome disorder in physically disabled people. Methods. The study was conducted among physically disabled persons who were selected from the Education and Rehabilitation Centre of Disabled People in Çorum, a city located in the central north of Turkey. Sleep quality is assessed with Turkish version of Pittsburgh Sleep Quality Index. The metabolic syndrome disorder, weight circumference and blood values of participants are examined by three health personnel from a private hospital in Çorum. Results. One hundred and three persons (56 M, 47
F) participated in this study. Metabolic syndrome disorder was found in 23 (22.3%) participants. Forty (38.8%) participants had bad sleep quality. The correlation between circadian rhythm and metabolic syndrome disorder was significantly positive (p<0.01). It was found that the persons who have a bad sleep quality spend more energy than the persons who have good sleep quality (p=0.001). Energy expenditure of the participants with metabolic syndrome disorder is higher than without metabolic syndrome disorder (p<0.001) at the time of sleeping. Conclusions. This study confirms the positive relationship between circadian rhythm irregularity and metabolic syndrome disorder. Also, the study supports the idea that circadian rhythm irregularities cause an increase in daily energy expenditure which leads further metabolic syndrome disorder.
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İbrahim MUNGAN, Hayriye Cankar DAL, Derya TATLISULUOĞLU ADEMOĞLU, Büşra TEZCAN, Sema TURAN
İbrahim MUNGAN, Hayriye Cankar DAL, Derya TATLISULUOĞLU ADEMOĞLU, Büşra TEZCAN, Sema TURAN
Re-expansion pulmonary edema (RPE) is a rare but potentially hazardous complication following evacuation of the pleural region. Symptomatic RPE occurs in less than 1% of patients after pleural drainage. Early diagnosis and treatment determines the progression of the disease and it is life-saving. The present case describes a 68- year-old man who developed RPE with the ipsilateral collapsed lung 6 hours after pleural drainage of a non-malignant effusion. He was intubated and 6 hours after aggressive treatment with mechanical ventilation support oxygenation was improved and the patient's blood gas analysis recovered. Over the course of his 12- day hospitalization, he was extubated and oxygen support was slowly weaned down. Mortality rate of RPE in severe cases is approximately 20%, therefore preventive interventions gain importance. In spite of the rare incidence of RPE, being aware of this potential condition can allow for early and proper management.
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Cihat TEK, Sonay AYDİN, Elif ERGÜN, Pınar Nercis KOŞAR
Cihat TEK, Sonay AYDİN, Elif ERGÜN, Pınar Nercis KOŞAR
We present a case of celiacomesenteric trunk that was incidentally detected on routine multi-detector row computed tomography angiography of lower extremities. A 59-year-old patient had intermittent claudication. The celiacomesenteric trunk is a rare vascular variation that is important to be detected before surgical and interventional procedures. Multi-detector row computed tomography angiography is excellent on showing vascular anatomy, pathology and variations.
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Status epilepticus is a life-threatening condition, which is associated with a high mortality and morbidity when left untreated. It is defined as a continuous seizure lasting more than 30 min or successive seizures with no recovery between any of them. Mortality of status epilepticus depends on the duration and type of seizure, concomitant diseases and age of the patient. Management of status epilepticus includes ensuring adequate airway, stabilization of circulation and use of antiepileptic drugs. Benzodiazepines, phenobarbital, phenytoin, fosphenytoin, general anesthesia and lidocaine are used for the treatment of status epilepticus. Here, we discuss a patient with refractory status epilepticus who achieved a very good response and full recovery only with lidocaine infusion among all forms of therapy given.
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Fazıl KULAKLI, Canan ÇULHA, Seval AKDEMİR
Fazıl KULAKLI, Canan ÇULHA, Seval AKDEMİR
Charcot neuroarthropathy is a progressive degenerative arthritis which affects nearly every joint of the body associated with an underlying central or peripheral neurological disorder and can cause severe disability. The joints most frequently involved are lower limbs especially foot, shoulder and elbow. However, Charcot neuroarthropathy of the hand is quite rare. Herein, we present a 50-year-old diabetic female patient with CNA of the right hand after upper extremity trauma. Major or minor traumas in diabetic patients can increase the risk of CNA on upper extremity as a complication of diabetes mellitus.
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