检索结果-南通市图书馆

Relationship between retinopathy and cirrhosis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2005年第14期11卷 2193-2196页

作者： Colakoglu Onder Taskiran Bengur Dayi Selcuk Sozmen Bulent Unsal Belkis Maden Ahmet Pasa Eser Aslan S. Leyla clinics of Gastroenterology izmir ataturk Teaching and research hospital IzmirTurkey 3rd clinics of internal medicine izmir ataturk Teaching and research hospital izmir Turkey clinics of Ophthalmology izmir ataturk Teaching and research hospital IzmirTurkey 3rd clinics of internal medicine izmir ataturk Teaching and research hospital IzmirTurkey clinics of Ophthalmology 9th September University hospital IzmirTurkey

AIM: To evaluate ophthalmic disorders with special attention to retinopathy in cirrhotic patients. Vitamin A deficiency-related ophthalmopathy, xerophthalmia, and color blindness may be documented in cirrhosis due to various etiologies. Retinopathy is an obscure feature of cirrhosis. METHODS: Thirty-two cirrhotic patients, who were followed up by clinics of Gastroenterology, izmir ataturk Teaching and research hospital, were enrolled to the study. Associated systemic diseases such as diabetes mellitus and hypertension were excluded. Thirty-two healthy volunteers took part as the control subjects. All participants had ophthalmologic examination in the same hospital. RESULTS: Five (15.6%) of the cirrhotic subjects had soft exudate in the retina. None of the control subjects had retinopathy (P＜0.05). Intraocular pressure (IOP) measured for both eyes were also significantly lower in the cirrhotics (P＜0.05 vs P = 0.01). There were no statistically significant differences between the two groups in terms of other ophthalmic pathologies. The ophthalmic findings did not show up any differences according to the etiology of cirrhosis. CONCLUSION: Soft exudates may develop in cirrhotic patients probably due to loss of synthetic function of liver and hemodynamic effects of portal hypertension. Retinopathy must be sought in cirrhosis because of its severe morbidity.

关键词： Cirrhosis Portal hypertension Retinopathy

Visual outcomes of multifocal intraocular lens implantation in patients with cataract and high hyperopia and patient selection

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Ophthalmology(English edition) 2015年第6期8卷 1258-1260页

作者： Servet Cetinkaya Zeynep Dadaci Nursen Oncel Acir Yasemin Fatma Cetinkaya Halil Ibrahim Yener Muammer Ozcimen Ophthalmology clinics Turkish Red Crescent Hospital Department of Ophthalmology Faculty of MedicineMevlana University Department of Ophthalmology Ataturk Training and Research Hospital Konya Eye Center hospital Department of Ophthalmology Konya Training and Research Hospital

Dear Sir,The aim of multifocal intraocular lens(IOL)implantation is to reduce spectacle dependence after the *** optical designs of multifocal IOLs are based on a number of optical concepts that are used to create mul... 详细信息

关键词： IOL LASIK high

Erectile function and late-onset hypogonadism symptoms related to lower urinary tract symptom severity in elderly men

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Journal of Andrology 2013年第6期15卷 785-789,I0008页

作者： Ozan Bozkurt Deniz Bolat Omer Demir Oktay Ucer Ali Sahin Burak Ozcift Abdulkadir Pekta Tahir Turan Bilal H Gümü Ertan Cans Ahmet Bolukbasi Haluk Erol Adil Esenx Department of Urology Dokuz Eylul University Faculty of Medicine Izmir 35340 Turkey Division of Urology Doc. Dr. Yasar Eryilmaz Dogubayazit State Hospital Agri 04900 Turkey Department of Urology Celal Bayar University Manisa 45040 Turkey Department of Urology Sifa University Izmir 35230 Turkey Clinic of Urology Ataturk Training and Research Hospital Izmir 35965 Turkey Division of Urology Adiyaman 82. Yll State Hospital Adiyaman 02040 Turkey Department of Urology Pamukkale University Faculty of Medicine Denizli 20020 Turkey Clinic of Urology Tepecik Training and Research Hospital Izmir 35120 Turkey Department of Urology Adnan Menderes University Faculty of Medicine Aydin 09100 Turkey

The aim of this study was to evaluate the relationship between lower urinary tract symptoms （LUTSs）, erectile dysfunction （ED） and symptomatic late-onset hypogonadism （SLOH） in ageing men in the Aegean region of Turkey. Five hundred consecutive patients 〉40 years old who had been in a steady sexual relationship for the past 6 months and were admitted to one of six urology clinics were included in the study. Serum prostate-specific antigen and testosterone levels and urinary flow rates were measured. All patients filled out the International Prostate Symptom Score and Quality of Life （IPSS-QoL）, International Index of Erectile Function （IIEF） and Aging Males＇ Symptoms （AMS） scale forms. Of the patients, 23.9% had mild LUTSs, 53.3% had moderate LUTSs and 22.8% had severe LUTSs. The total testosterone level did not differ between groups. Additionally, 69.6% had ED. The presence of impotence increased with increasing LUTS severity. Symptomatic late-onset hypogonadism （AMS 〉27） was observed in 71.2% of the patients. The prevalence of severe hypogonadism symptoms increased with the IPSS scores. A correlation analysis revealed that all three questionnaire scores were significantly correlated. In conclusion, LUTS severity is an age-independent risk factor for ED and SLOH. LUTS severity and SLOH symptoms appear to have a strong link that requires etiological and biological clarification in future studies.

关键词： ageing male erectile dysfunction lower urinary tract symptoms symptomatic late-onset hypogonadism symptom scores testosterone

Elevated Ferritin Levels and the Relationship with Fasting Insulin Levels in Elderly Patients with Metabolic Syndrome

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Diabetes Mellitus 2014年第3期4卷 242-248页

作者： Fulden Sarac Sumru Savas Sefa Sarac Fehmi Akcicek Department of Cardiology Katip Celebi University Ataturk Training and Research Hospital Izmir Turkey Department of internal medicine Section of Geriatrics Medical Faculty Ege University Izmir Turkey

Introduction: Elevated serum ferritin levels are associated with insulin resistance, type 2 diabetes and metabolic syndrome (MetS) as well as systemic inflammation and cardiovascular disease. The associations between ferritin and hemoglobin levels with individual components of MetS are unclear. The aims of the study were 1) to compare the ferritin levels, and 2) to investigate the relationships between ferritin, high-sensitivity CRP (hs-CRP), fasting glucose, fasting insulin and homeostasis model assessment (HOMA-IR) levels in elderly patients. Subjects and Methods: Study population included 121 (mean age 64.3 ± 14.1 yrs) (80 female, 41 male) elderly patients. The study population was evaluated for MetS by Adult Treatment Panel III (ATPIII). Demographic and biochemical data such as fasting insulin, hs-CRP, fasting glucose and ferritin levels were evaluated. Biochemical data were evaluated retrospectively. Insulin resistance (IR) was estimated using the HOMA. Results: Metabolic syndrome was diagnosed in 39 elderly patients (32.2%). In elderly patients with MetS, mean levels of ferritin, hs-CRP, fasting glucose, fasting insulin and HOMA were found to be 72.9 ± 33.1 ng/ml, 0.90 ± 0.01, 99.1 ± 20.1 mg/dl, 13.4 ± 1.1 μU/l, 3.0 ± 0.1, respectively. However, mean levels of ferritin, hs-CRP, fasting glucose, fasting insulin and HOMA were found to be 54.1 ± 33.1 ng/ml, 0.67 ± 0.1, 91.9 ± 17.0 mg/dl, 8.4 ± 2.7 μU/l, 2.71 ± 0.9, in the other elderly patients, (p?= 0.0012), (p?= 0.70), (p?= 0.70), (p?= 0.003), (p?= 0.80) respectively. Mean levels of ferritin were positively correlated with diastolic (r = 0.850,?p =?0.03), systolic blood pressures (r = 0.700,?p =?0.02), and fasting insulin (r = 0.444,?p =?0.003) in elderly with MetS. Conclusions: Mean levels of ferritin were increased in elderly patients with metabolic syndrome. And also, ferritin levels were positively correlated with systolic and diastolic blood pressures as well as fasting insulin but not with hs-CRP levels i

关键词： Metabolic Syndrome Ferritin Fasting Insulin Elderly

Rates and associates of influenza and pneumococcus vaccination in diabetes mellitus:A nationwide cross-sectional study(TEMD vaccination study)

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Diabetes 2021年第12期12卷 2107-2118页

作者： Ibrahim Demirci Cem Haymana Serpil Salman Ilker Tasci Demet Corapcioglu Ali Kirik İlhan Yetkin Mustafa Altay Tevfik Sabuncu Fahri Bayram Ilhan Satman Alper Sonmez 无 Department of Endocrinology and Metabolism Gulhane Training and Research HospitalAnkara 06190Turkey Department of Endocrinology and Metabolism Liv HospitalIstanbul 34000Turkey Department of internal medicine University of Health SciencesGulhane Faculty of MedicineAnkara 06018Turkey Department of Endocrinology and Metabolism Ankara UniversityFaculty of MedicineAnkara 06560Turkey Department of internal medicine Balıkesir UniversityFaculty of MedicineBalikesir 10145Turkey Department of Endocrinology and Metabolism Gazi UniversityFaculty of MedicineAnkara 06190Turkey Department of Endocrinology and Metabolism Kecioren Training and Research HospitalAnkara 06190Turkey Department of Endocrinology and Metabolism Harran UniversityFaculty of MedicineSanliurfa 63050Turkey Department of Endocrinology and Metabolism Erciyes UniversityFaculty of MedicineKayseri 38000Turkey Department of Endocrinology and Metabolism Istanbul UniversityFaculty of MedicineIstanbul 34000Turkey Department of Endocrinology and Metabolism University of Health SciencesGulhane Faculty of MedicineAnkara 06190Turkey TEMD Study Group

BACKGROUND Vaccination against influenza and pneumococcus is effective in reducing morbidity and mortality in patients with *** To investigate the prevalence of influenza and pneumococcal vaccinations and to search for the independent associates of vaccination in Turkish patients with *** In this cross-sectional,nationwide,multicenter study,adult patients with type 1 diabetes(T1DM)(n=454)and type 2 diabetes(T2DM)(n=4721),who were under follow-up for at least a year in the outpatient clinics,were consecutively ***,clinical,and laboratory parameters of patients were *** histories were documented according to the self-statements of the *** Patients with T1DM and T2DM had similar vaccination rates for influenza(23.6%vs 21.2%;P=0.240)and pneumococcus(8%vs 7%;P=0.451)*** diabetes duration and older age were the common independent associates of having vaccination for both types of diabetes *** education level,using statin treatment,and having optimal hemoglobin A1c levels were the common independent associates of influenza and pneumococcal vaccination in patients with *** TEMD Vaccination Study shows that patients with T1DM and T2DM had very low influenza and pneumococcal vaccination rates in *** lower rates of vaccination in certain populations urges the necessity of nationwide vaccination strategies targeting these populations.

关键词： Diabetes Influenza Pneumococcus Vaccination Type 1 diabetes Type 2 diabetes

Code blue applications as an indicator of clinical quality

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Acute Disease 2020年第1期9卷 14-19页

作者： Mehmet Süleyman Sabaz Nagihan Sabaz Gokhan Sertcakacilar Sinan Asar Department of Intensive Care Unit Bakirkoy Dr Sadi Konuk Training and Research HospitalIstanbulTurkey Faculty of Health Sciences Division of Nursing Department of Pediatric Nursing Marmara UniversityIstanbulTurkey Department of Anaesthesia and Reanimation Bakirkoy Dr Sadi Konuk Training and Research HospitalIstanbulTurkey

Objective:To investigate the code blue application at a training and research hospital in ***:The code blue declaration forms and the hospital database with 238 complete records between January 2016 and July 2017 were *** form involved individual characteristics,the reason for issuing the code blue call,the unit and block where the code was given,time and location related properties such as working time and arrival duration,properties regarding the intervention process such as its type,duration or *** 24-hour and 30-day long survival data of the patients to whom cardiopulmonary resuscitation was implemented were obtained from the hospital database,or from their *** influencing factors of arrival duration were ***:The median duration of arrival was 2.14(2.00-3.02)*** blue applications were performed more frequently in Departments of General Surgery,internal medicine,Orthopaedics,and Cardiology *** of the code blue calls were due to cardiac arrest;the other half was due to shortness of breath or respiratory distress,syncope,and respiratory ***-out-of four code blue calls were treated with orotracheal intubation and cardiopulmonary resuscitation,or only orotracheal intubation or only medical treatment;one-fourth of the calls were not ***,72.36%of the code blue calls patients were intervened;69.35%of them were made both orotracheal intubation and cardiopulmonary resuscitation,and 20.5%of them were made only orotracheal intubation and 10.55%of them made only medical *** was found that giving the code blue day or night had no effect on the time to reach the area where the code was ***,it was found that giving the code blue within daytime or night shift had no effect on the time to reach the area where the code was given.(P>0.05).The survival rates were 39.1%within the first 24 h and 18.1%within the first 30 ***:Applications of code blue should be anal

关键词： Code blue Cardiopulmonary resuscitation Heart arrest Respiratory arrest Paging system

Scaling-up filariasis lymphoedema management into the primary health care system in Kerala State, Southern India: a case study in healthcare equity

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2022年第1期11卷 74-81页

作者： Suma T.Krishnasastry Charles D.Mackenzie Rajeev Sadanandan Filariasis research Unit WHO Collaborating Center for LF MMDPLymphatic Filariasis Morbidity Management and Disability PreventionDepartment of Internal MedicineGovt.T.D.Medical College HospitalKerala University of Health SciencesAlappuzha688005India NTD Support Center Task Force for Global HealthAtlantaGA30030USA Health Systems Transformation Platform New Delhi110070India

Background:Lymphatic filariasis(LF)remains one of the world’s most debilitating parasitic infections and is a major contributor to poor health in many endemic *** provision of continuing care for all those affected by LF and its consequences is an important component of the United Nations’Sustainable Development *** aim of this study is to integrate lymphedema care into the primary health care system of the State by developing lymphedema clinics at each district,through training of health personnel to fulfill WHO recommendation for morbidity management and disability ***:Selected health care providers from all the districts in Kerala State of India participated in intensive training sessions endorsed by the State’s health *** six training sessions(from 5 June 2017 to 25 May 2018)included appropriate self-care information and development of individual plans for each participating institution to provide instruction and care for their lymphoedema *** learning achieved by attendees was assessed by pre-and post-training *** number of lymphoedema patients receiving care and instruction from the post-training activities of each participating institution was assessed from local records,6 months after the conclusion of the training ***:One hundred and eighty-four medical personnel(91 doctors and 93 nurses)from 82 medical institutions were trained which quickly led to the establishment of active lymphoedema clinics providing the essential package of care(EPC)for lymphoedema patients at all the participating *** months after the training sessions the number of previously unidentified lymphoedema patients registered and receiving care at these clinics ranged from 296 to almost 400 per clinic,with a total of 3,477 new patients receiving training in ***:Generalist health personnel,when appropriately trained,can provide quality lymphoedema care in public health settings and patients

关键词： Lymphatic filariasis Health equity India Lymphoedema Global program to eliminate lymphatic filariasis