BACKGROUND Achenbach’s syndrome is a rare condition, and the etiology is unknown. It is most commonly seen in the volar plate of the hand distal interphalangeal joint. Patients diagnosed with Achenbach’s syndrome in cardiovascular surgery clinic were retrospectively compared with the literature. AIM To investigate the symptoms, findings, sociodemographic conditions, and laboratory data of patients diagnosed with Achenbach’s syndrome. METHODS The study is a retrospective review of 24 patients diagnosed with Achenbach’s syndrome at Afyonkarahisar State Hospital between March 2015 and November 2016, at Sivas Numune Hospital between November 2016 and November 2017, and at Cumhuriyet University Cardiovascular Surgery Department between November 2017 and November 2018. In the study, demographic characteristics of the patients, signs and symptoms of the disease, and laboratory data were analyzed retrospectively. RESULTS The cohort consisted of 83.33% female patients and 16.67% male patients. The disease was most commonly located in the index finger of the right hand. All of the patients complained of bruising and pain. No pathologic findings were present in the laboratory results. According to these results, it can be concluded that Achenbach syndrome is most commonly seen in the right index finger of middle-aged female patients. CONCLUSION Further research is needed to clarify Achenbach’s syndrome and to develop a diagnosis and treatment algorithm. As the awareness of this syndrome increases, large amounts of data will be obtained. According to current knowledge, Achenbach’s syndrome is not among the known causes of mortality or morbidity. However, it is unknown whether it is seen in brain or other vital organs.
This study has shown that deficiency of vitamin D is associated with new onset AF post-CABG surgery.
ObjectiveThe purpose of this study was to reveal the treatment outlook, usage habits, and factors affecting these habits, in addition to providing suggestions for solutions for patients who are frequently recommended the use of compression stockings as treatment for conditions such as chronic venous insufficiency, deep vein thrombosis, lymphedema, and pregnancy.MethodsThe study was conducted as a face-to-face questionnaire session with 1,004 patients who had previously registered at the cardiovascular surgeon’s polyclinic of Sivas Numune Hospital between March 29, 2017, and October 31, 2017. In the study, basic criteria such as the patients’ history, physical examination findings, and the use of compression stockings were evaluated. The survey was conducted in patients who were recommended compression stockings treatment for conditions such as chronic venous insufficiency, deep vein thrombosis, lymphedema, or pregnancy. The patients were asked about their demographics, characteristics of the compression stockings, whether compression stockings were used or not, and doctor evaluations related to the diagnosis.ResultsAt the end of the study, it was found that 20.5% of the patients who were recommended compression stockings never bought them and only 11.5% of the patients regularly used them. Another surprising detail was that only 54.7% of the patients thought that the compression stockings were part of the treatment and 44.0% of the patients thought that they would benefit from using them.ConclusionIn many guidelines, use of compression stockings is the cornerstone of treatment of venous diseases. However, when the treatment incompatibility of the patients is taken into account, many duties fall to the doctors. The first of these is to inform the patient about the treatment and to answer any questions from the patients. In addition, the socioeconomic and sociocultural status of patients should be considered by the doctors.
Servelle-Martorell sendromu, etyolojisi ve prognozu tam olarak bilinmemesine karşın, tutulan ekstremitenin yumuşak doku hipertrofisi ve kas-iskelet sistemi hipotrofisi ile karakterize, genellikle venöz, ancak nadiren arteriyel vasküler malformasyonudur. Genellikle vasküler malformasyonların tedavisinde cerrahi kısıtlı şartlarda uygulanmakla birlikte, komplikasyon gelişiminde kaçınılmazdır. Bu vasküler malformasyonlar sıklıkla kompresyon çorabı ve ilaçlar ile medikal olarak tedavi edilir. Bu yazıda, venöz malformasyon nedeniyle cerrahi olarak tedavi edilen 20 yaşında bir Servelle-Martorell sendromlu erkek olgu sunuldu.
The etiology of deep vein thrombosis disease is multifactorial, and currently, it is seen as a public health problem. Simple, cheap and useful tests that can be used for diagnosis, treatment, and follow-up is increasingly needed day by day because of the increasing number of patients. For this purpose, the changes of platelet indices in routine hemogram tests during DVT follow-up were examined retrospectively. Method: This study is a retrospective analysis of patients who diagnosed with deep venous thrombosis in Sivas Cumhuriyet University School of Medicine between 01.01.2017-31.12.2018 years. The investigation started after the decision of Sivas Cumhuriyet University Local Ethics Committee No. 2019-02/67. The acute, subacute, and chronic phase parameters of patients with deep venous thrombosis were evaluated. The study included 72 patients who developed DVT. Platelet indexes and other hemogram parameters were analyzed statistically according to the phases of deep vein thrombosis. Results: 55.6% of the patients were female, and 44.4% were male. DVT was found most commonly in the left femoral region (48.6%). PDW and MPV tended to increase rapidly in the acute phase of deep vein thrombosis and managed to fall in the subacute and chronic phases. However, there was no statistically significant change in platelet count and platelet crit. Conclusions: PDW and MPV appear to be useful markers in the follow-up of all stages of deep vein thrombosis. It is evident that with the developing technology, more sensitive and specific parameters of platelet indices will be obtained.
Objectives In this study, the effects of anastomosis techniques on the results of patients with autogenous radial-cephalic proximal forearm fistula were investigated. Methods Patients who underwent radial-cephalic proximal forearm fistula surgery (arteriovenous fistula) between April 2015 and August 2017 at the Department of Cardiovascular Surgery of Ordu University were compared retrospectively in terms of the results of anastomosis techniques. The study included 131 patients who had arteriovenous fistulas created by side-to-side and end-to-side anastomosis technique. Results There was no significant difference in demographic data, comorbidities, radial artery, and cephalic vein diameters in patients undergoing radial-cephalic proximal forearm fistula surgery. However, it was observed that fistula maturation was earlier in the group with end-to-side anastomosis technique, and the one-year patency rates were higher in the group with side-to-side anastomosis technique. Conclusion In Arteriovenous fistulas created in the proximal forearm region, the one-year patency rate of the side-to-side anastomosis technique was higher, while the maturation of the end-to-side technique observed earlier.
Background. Titanium dioxide (TiO 2 ) is widely used in many fields such as food, cosmetics, and paper industries. Studies on the photocatalytic properties of TiO 2 on living tissue are limited. Objectives.To examine the histopathological effects of TiO 2 solution on the marginal veins of rabbit ears under ultraviolet (UV) light. Materials and methods.In this study, 4 groups of rabbits (8 rabbits per group) were used: the 1 st group was the control group, the 2 nd group received 20% of nano-TiO 2 only, the 3 rd group received UV light only, and the 4 th group received nano-TiO 2 and UV light, simultaneously. The study lasted for 14 days and samples were taken from the marginal ear vein on the 15 th day.Results. The ear tissues of rabbits in the control and TiO 2 groups showed a normal histological appearance. In the UV group, the results showed severe chronic inflammation due to mononuclear cells around the hair follicles and perivascular areas. However, these findings decreased in the UV/nano-TiO 2 group. Conclusions.The method applied in this study can be used in the treatment of telangiectasia in the future. However, this study investigating the effects of nano-TiO 2 on vascular structures under UV light had a predominantly histological and observational nature. Further studies involving genetic, cytogenetic, biochemical, histochemical, and immunohistochemical analyses need to be performed to test the theories we proposed.
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