Bezmialem Vakıf Üniversitesi Kurumsal Akademik Arşiv
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Final adult height and bone mineral density of the children who were treated with gonadotropin releasing hormone analogues near the age eight
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Dithiocarbamates and dithiocarbonates containing 6-nitrosaccharin scaffold: Synthesis, antimycobacterial activity and in silico target prediction using ensemble docking-based reverse virtual screening
No full textInfluence of Peri-Implant Bone Defect Type on Insertion Torque and Resonance Frequency Analysis: An In Vitro Study
No full textAcute Effect of Unilateral Muscle Training Supported with Visual Feedback on Contralateral Muscle Strength and Joint Position Sense
No full textImpact of N‑Acetylcysteine and Antibiotics Against Single and Dual Species Bioflms of Pseudomonas aeruginosa and Achromobacter xylosoxidans
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ALT HAVA YOLU TRAVMALARI VE KAÇAK SENDROMLARI
No full textÖZETAlt hava yollarında hava kaçağına, dolayısıyla pnömotoraks veya pnömomediyastinuma, neden olan patolojiler veya travma nedeniyle akciğer parankiminin zedelenmesi ile oluşan posttravmatik psoudokistler ve akciğer kontüzyonları gibi patolojiler basit, klinik gözlem ve destek tedavi ile tedavi edilebilecek derecede hafif olabileceği gibi, cerrahi müdahale gerektirebilecek şiddette olabilir. Bazı hastalar patolojinin şiddeti ve eşlik eden başka hastalık veya organ yaralanması nedeniyle hayati tehlike arz edebilirler. Spontan veya travmatik, her ne şekilde olursa olsun, havayolu ve akciğer parankimi yaralanması nedeniyle ortaya çıkan pnömotoraks, pnömomediyastinum gibi hava kaçağı ile giden durumlar erken tanınmalıdır. Kontüzyonlar ve travmatik parankim kistlerinin ayırıcı tanısı titizlikle yapılmalıdır. Tanıda, radyolojik incelemeler ilk plandadır ve önemi büyüktür. Hastanın durumunun ciddiyetine göre tedavi stratejisi bir an önce belirlenerek gerekirse hızı cerrahi tedavi uygulanmalıdır.Anahtar Kelimeler: Pnömotoraks; pnömomediyastinum; akciğer kontüzyonu; posttravmatik psödokistABSTRACTPathologies in the lower airways that cause air leakage, thus pneumothorax or pneumomediastinum, or pathologies such as post-traumatic pseudocysts and lung contusions, which are caused by damage to the lung parenchyma due to trauma may be simple, mild enough to be treated with clinical observation and supportive treatment, or may be severe to require surgical intervention. Some patients may be life-threatening due to the severity of the pathology and concomitant disease or organ injury. Conditions with air leakage, such as pneumothorax, pneumomediastinum, which occur due to airway and lung parenchyma injury, whether spontaneous or traumatic, should be recognized early. Differential diagnosis of contusions and traumatic parenchymal cysts should be made meticulously. In diagnosis, radiological examinations are in the first place and are of great importance. According to the severity of the patient\"s condition, the treatment strategy should be determined as soon as possible and surgical treatment should be applied if necessary.Keywords: Pneumothorax; pneumomediastinum; lung contusion; post-traumatic pseudocys
The Role of the Urine Dipstick Test in the Detection of Abnormal Proteinuria Using Different Cut-off Levels in Hypertensive Pregnancies Hipertansif Gebeliklerde Farklı Kesim Değerleri Kullanılarak Anormal Proteinüri Saptanmasında Spot İdrar Protein Ölçümünün Rolü
No full text© 2022, Duzce University Medical School. All rights reserved.Aim: The aim of this study was to determine the diagnostic accuracy of different urine dipstick protein threshold levels in predicting the presence of abnormal proteinuria in pregnant women with hypertension. Material and Methods: A total of 326 singleton pregnant women who underwent 501 urine protein tests and who had suspected preeclampsia were included in this retrospective study. Patient data was taken including medical and obstetric history. The results of dipstick urinalysis and concurrent 24-hour urine protein excretion measurements were compared to determine the accuracy of urinalysis. Results: A dipstick result of 1+ was found to be the best cut-off to predict 500 mg of protein excretion per day, with sensitivity and specificity of 62.09% and 88.97%, respectively. A 2+ proteinuria dipstick cut-off had high specificity and positive predictive value (PPV) (99.05% and 98.84%, respectively) for the prediction of 300 mg of protein excretion per day; this cut-off had low sensitivity (21.46%). A cut-off of 1+ also provided satisfactory specificity and PPV (91.43% and 94.48%, respectively) for the detection of 300 mg of protein excretion per day, but sensitivity was compromised (38.89%). Among 301 patients with negative dipstick results, 212 had a 24-hour urine protein extraction greater than 300 mg, with a false negative rate of 70.43%. Conclusion: The results suggest that the urine protein dipstick measurement has limited quantitative ability for the prediction of abnormal proteinuria. Additionally, the use of 500 mg 24-hours protein excretion as a cut-off value for abnormal proteinuria may provide useful data