E-ISSN: 2791-8823
Volume: 4  Issue: 1 - April 2024

Page I

Merih Çetinkaya
Page II

3.The Role of Fascia in Myofascial Pain Syndrome: A Look at Cinderella Tissue
Mustafa Turgut Yıldızgören, Burak Tayyip Dede
doi: 10.4274/csmedj.galenos.2024.2024-3-1  Pages 1 - 8
The word “myofascia” refers to the interwoven, indivisible nature of the web of connective tissue (fascia) that surrounds muscle tissue (myo-). The “myo” component of myofascial pain syndrome (MPS) has been covered very well, but the same cannot be said for the “fascial” component. In this article, fascia and its relationship with MPS are discussed.

4.Evaluation of HIV Patients in the Pandemic
Sibel Doğan Kaya, Bülent Kaya, Mehmet Emirhan Işık
doi: 10.4274/csmedj.galenos.2023.2023-6-1  Pages 9 - 14
Objective: To analyze the overall characteristics and clinical and laboratory data of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) cases followed up in our clinic during the pandemic.
Material and Methods: Our study included 60 HIV/AIDS patients who were followed up in our center between January 1, 2020 and June 1, 2022. This study was conducted at the Department of Infection Disease, University of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital. Retrospective crosssectional study.
Results: In this study, 57 were male (95%), 3 were female (5%), and the median age was 35 (27-45) years. The median value of HIV-RNA was 168.31 IU/mL. In serological tests, 36% (n=21) of the patients were positive for Toxoplasma gondii immunoglobulin G (IgG) antibody, cytomegalovirus (CMV) IgG (n=59) 98%, anti-hepatitis C virus (HCV) (n=2) 3.4%, venereal disease research laboratory (VDRL) (n=10) 17%, and T. pallidum antibody (n=15) 25.9%. CD4 T-cell count: 329 cells/μL, 17% CD4, CD8 cell count: 888 cells/μL, 53% CD8, CD4/CD8 ratio: 0.35. The prevalence of serological markers of the patients was as follows: antihepatitis A virus IgG was positive in 45 (77.6%), hepatitis B surface antigen 0%, hepatitis B surface antibody 32 (55.2%), hepatitis B core antibody-IgG 17 (29.3%), anti-HCV 2 (3.4%), VDRL 10 (17.2%), anti-Treponema pallidum 15 (25.9%), CMV-IgG 59 (98%), and Toxo-IgG 21 (36.2%).
Conclusion: In recent years, it has been observed that our patients can express their sexual identities more easily, and therefore, the rate of unknown transmission has decreased.

5.Evaluation of the Relationship Between Iron Deficiency Anemia and Febrile Seizures
Hikmet Cilli, Metin Kılınç, Ozan Göçmen, Münevver Tuğba Temel
doi: 10.4274/csmedj.galenos.2023.2023-11-1  Pages 15 - 19
Objective: Febrile convulsions are the most common neurologic problems in children. We investigated whether iron deficiency anemia affects febrile convulsions.
Material and Methods: This study was conducted as a retrospective cross-sectional study with 100 children aged between 6 months and 78 months who visited the Gaziantep University Şahinbey Practice and Research Hospital, Pediatric Emergency Department and Pediatric Outpatient Clinic between January 2016 and September 2019. Participants were examined in two groups in terms of the presence or absence of iron deficiency anemia.
Results: 50% (n=50) of the individuals included in the study had febrile seizures (FS) (case group), and 50% (n=50) did not have FS (control group). The rate of iron deficiency anemia was 22% (n=11) in the case group and 16% (n=8) in the control group.
Conclusion: We observed that the low hemoglobin level was more evident in children with febrile convulsions, but the difference was not statistically significant. It was determined that 22% of patients with FS had iron deficiency anemia, but there was not any notable difference from the control group.

6.Quality of Life, Prevalence of Depression, Independence in Activities of Daily Living Among Individuals Aged 65 and Over Living in the City Center of Bitlis
Fatma Söylemez, Ayşe Gökçe, Ali Özer
doi: 10.4274/csmedj.galenos.2023.2023-8-1  Pages 20 - 28
Objective: This study aimed to determine the quality of life, prevalence of depression, and level of independence in activities of daily living among individuals aged 65 and over and to examine related factors.
Material and Methods: This was a cross-sectional study. Three hundred and fifty-four individuals aged 65 and over were included in the study. In the study, socio-demographic questions, “World Health Organization Quality of Life-Old Module (WHOQOL-OLD)”, “Katz Index of Independence in Activities of Daily Living”, and “Yesavage Geriatric Depression Scale” were used.
Results: The rate of dependence on activities of daily living among the elderly who participated in the study was 27.7%. The level of definitive depression in the elderly was 55.1%. Considering the WHOQOL-OLD total scores, educational level, nutrition, health assessment, pain, physical activity, leisure time, and use of mobile phones significantly affected the quality of life (p<0.05). The difference between age groups, marital status, people with whom they share the same house, pain status, and dependence on daily living activities was significant (p<0.05). The difference between age groups, gender, chronic disease status, health assessment, pain, sleeping pattern, physical activity, leisure time, and depression was significant (p<0.05).
Conclusion: Quality of life, dependency status, and depression in the elderly are affected by many variables, and comprehensive and cross-sectoral studies are required.

7.Optic Nerve Sheath Diameter Changes During Laparoscopic Cholecystectomy in the Reverse Trendelenburg Position: Total Intravenous Anesthesia vs. Desflurane
Selin Sağlam, Tamer Kuzucuoğlu, Ezgi Hatip Ünlü, Merve Aslı Yiğit, Melike Kuvvet Bilen, Yücel Yüce, Kemal Tolga Saracoğlu
doi: 10.4274/csmedj.galenos.2024.2024-1-2  Pages 29 - 35
Objective: We aimed to compare the impacts of total intravenous anesthesia (TIVA) and desflurane on optic nerve sheath diameter (ONSD) among patients undergoing elective laparoscopic surgery in the reverse Trendelenburg position.
Material and Methods: In this prospective randomized trial, individuals aged 18 to 65 scheduled for laparoscopic cholecystectomy were recruited and randomly divided into either the TIVA or desflurane group. ONSD was assessed at four distinct time points: before anesthesia administration (T0), 5 min after carbon dioxide insufflation in the reverse Trendelenburg position (T1), 5 min after pneumoperitoneum termination in the reverse Trendelenburg position (T2), and post-extubation (T3). The primary outcome was the mean ONSD measurement at each of these time points within the TIVA and desflurane groups throughout the surgery.
Results: No statistical difference was found in the mean ONSD values between the groups at all four points. However, the mean change in ONSD between T0 and T1 points and T1 and T2 points was significantly lower in the TIVA group (p=0.025, p=0.006, respectively) than in the desflurane group.
Conclusion: Our findings imply that TIVA may be more appropriate for patients undergoing surgery in the reverse Trendelenburg position because of minor changes in ONSD.

8.Acute Suppurative Parotitis in a 22-Day-Neonate with Sepsis: A Rare Case Report
Mine Özdil, Derya Erçin
doi: 10.4274/csmedj.galenos.2023.2023-7-2  Pages 36 - 38
Acute neonatal suppurative parotitis is a very rare condition that causes parotid swelling and purulent exudation into the oral cavity through the Stenson duct. The prognosis is usually excellent, but may be complicated by sepsis, meningitis, and abscesses. A case of sepsis and unilateral suppurative parotitis in a 22-day-old male infant successfully treated with intravenous antibiotics is presented here. Although rare, acute suppurative parotitis can be discovered in neonates, especially in 2-4 weeks of age, and is mostly caused by Staphylococcus aureus. Prompt diagnosis, appropriate intravenous antibiotics, and adequate hydration should be initiated immediately to prevent complications.

LookUs & Online Makale