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ACADEMIC JOURNAL OF HEALTH - Acad J Health: 1 (3)
Volume: 1  Issue: 3 - 2023
1.Front Matter

Pages I - IV

ORIGINAL ARTICLE
2.Post-COVID Syndrome: From the Perspective of Physiatrists
Zeynep Tuba Bahtiyarca, Zeynep Kıraç Ünal, Cuma Uz, Fatma Ballı Uz, Ece Ünlü Akyüz
doi: 10.14744/ajh.2023.25744  Pages 63 - 69
INTRODUCTION: The presence of various symptoms with a duration that exceeds the acute phase of coronavirus disease 2019 (COVID-19) is called post-COVID syndrome (PCS). This study aimed to evaluate the patients with PCS who applied to outpatient clinics of Physical Medicine and Rehabilitation (PMR).
METHODS: This study included 70 patients who developed PCS after COVID-19 infection and 45 patients who recovered completely from the infection without ongoing symptoms related to the disease as a control group. The patients’ demographic and clinical features were recorded. The signs in the acute phase of COVID-19 infection, the treatment content, location, duration, and persistent symptoms were recorded. The patients’ kinesiophobia, anxiety-depression levels, and quality of life were evaluated.
RESULTS: The study population consisted of 78 (67.8%) women and 37 (32.2%) men, with an average age of 48.88±12.89. The frequency of females was significantly higher in the PCS group than in the control group (p=0.024). The most common complaints reported by PCS patients were fatigue (64.3%), weakness (44.3%), myalgia (35.7%), and back pain (31.4%). PCS was significantly higher in patients hospitalized during the acute infection, those with COVID-19 pneumonia, and those with chronic diseases, especially hypertension. The kinesiophobia scores of patients in the PCS group were considerably higher than those of patients in the control group (p<0.001).
DISCUSSION AND CONCLUSION: PCS appears to be related to the female gender and the severity of the acute disease. In this study, the most frequently reported persistent symptom by patients with PCS was fatigue, and back pain was the most common reason for admission to the PMR outpatient clinics.

3.The Relationship Between Revised Cardiac Risk Index and Postoperative Morbidity After Major Abdominal Oncologic Surgery
Idil Kaya, Menşure Kaya, Dilek Kalaycı, Özlem Şen, Süheyla Ünver
doi: 10.14744/ajh.2023.35744  Pages 70 - 75
INTRODUCTION: Major abdominal surgery is associated with postoperative morbidity, including perioperative cardiac ischemic events. Preoperative risk stratification is important for optimal surgical care, which is only possible once the risk has been identified. We aimed to determine a relationship between the Revised Cardiac Risk Index (RCRI) and postoperative morbidity after major abdominal oncologic surgery.
METHODS: Ethics committee approval was obtained by protocol number 2018-04151. A total of 350 patients, aged over 18 years, undergoing elective major abdominal oncologic surgery and were expected to continue for more than two hours participated in the study. ASA classification, RCRI score, duration of surgery, and postoperative morbidity survey (POMS) on postoperative days 1 and 5 were recorded. We followed the length of hospital stay, hospital admissions after discharge, and postoperative mortality within 30 and 90 days.
RESULTS: There was no significant correlation between RCRI and postoperative first-day morbidity (p=0.233). A moderate positive correlation was found between the ASA classification and the RCRI (r=0.443; p<0.001). The patients with high ASA scores had high RCRI scores. The most common morbidities were renal (99,1%), pain (93,7%), and gastrointestinal morbidity (84.3%) on the postoperative first day. As the RCRI score increased, the length of hospital stay was longer; however, this difference was not statistically significant (p=0.180). There was a weak positive correlation between the RCRI score and mortality (r=0.127, p=0.017).
DISCUSSION AND CONCLUSION: Our study showed an insufficient correlation between RCRI as a preliminary assessment tool and postoperative morbidity. We considered a need for different risk-scoring systems that are practical and useful in predicting patients with a high risk of morbidity after major abdominal oncologic surgery.

4.Comparison of Intracardiac and Intrathecal KCL Application as an Alternative Method in the Reduction of Multiple Pregnancies in the First Trimester: Results of a Tertiary Centre
Gizem Aktemur, Betul Tokgöz, Sadun Sucu, Gülşan Karabay, Mevlut Bucak, Can Ozan Ulusoy, cantekin iskender
doi: 10.14744/ajh.2023.60362  Pages 76 - 80
INTRODUCTION: This retrospective study compares the outcomes of intracranial (IC) and intrathoracic (IT) potassium chloride (KCl) applications for fetal reduction in multiple pregnancies.
METHODS: Nineteen patients undergoing termination between December 2022 and November 2023 were analyzed. Transabdominal IC (n=8) and IT (n=11) KCl groups were compared for maternal age, gestational age, indication for reduction, and procedural details. P-values <0.05 were interpreted as statistically significant.
RESULTS: While both groups exhibited similar maternal characteristics, the number of fetuses before reduction differed significantly (p=0.016). No significant distinctions were observed in operative time, reduction outcomes, or obstetric complications between the IC and IT groups (p>0.05). Premature rupture of membranes occurred in 13.3% (IT) and 23.1% (IC), with no significant intergroup differences.
DISCUSSION AND CONCLUSION: The study suggests that IC KCl application may be a viable alternative, potentially simplifying the procedure without compromising safety or efficacy. The findings advocate for a nuanced approach to selecting the reduction method based on fetal position and number, highlighting the need for further research with larger sample sizes.

REVIEW
5.An Overview of Psychopathological Manifestations in DDX3X Syndrome: A Narrative Review
Ayşegül Efe
doi: 10.14744/ajh.2023.66375  Pages 81 - 86
Typical behavioral traits play a crucial role in the recognition of neurodevelopmental features in rare disorders, such as DDX3X syndrome. DDX3X syndrome is an X-linked genetic neurodevelopmental disorder and often presents with complex symptoms in the neurological, psychiatric, cardiological, ophthalmologic, and gastrointestinal domains, as well as structural brain abnormalities and preco-cious puberty. This overview study aims to review the psychopathological traits that are concurrent with DDX3X mutations. Although there are nearly 300 studies recorded in academic databases related to psychiatric comorbidities in this syndrome, it has been observed that most of these reports are at the case-report level, the number of cohort studies is quite low and there is only one review. A wide range of psychopathological manifestations is presented in patients with DDX3X syndrome, which may consist of but not limited to cognitive impairments, developmental delay, intellectual disability, language difficulties/delays, autistic traits, attention deficit-hyperactivity disorder, and conduct disor-ders. The complexity of neurodevelopmental issues in DDX3X syndrome highlights the requirement for a broader-based psychiatric screening, particularly for autism spectrum disorders.

CASE REPORT
6.Adeloye – Odeku Disease in Turkish children: A Case Report and a Short Literature Review
Muhammed Erkan Emrahoğlu, Erdal Reşit Yılmaz, Habibullah Dolgun
doi: 10.14744/ajh.2023.43153  Pages 87 - 91
Congenital dermoid inclusion cysts located in the anterior fontanelle were defined as Adeloye-Odeku Disease by Adeloye and Odeku in 1971. The epidemiological characteristics of this rare disease are still unclear. These cysts are subgaleal benign lesions, and the main treatment is surgical excision. Radiological imaging is important in diagnosis and surgical planning due to their location. Although adult cases have been reported in the literature, Adeloye-Odeku Disease is primarily a subject of pediatric neurosurgery. In this study, we present a 10-month-old case of an anterior fontanel dermoid cyst and conduct the first national review of the disease with 9 cases reported from our country.

7.Brachymetatarsia of The First Metatarsal
Rasime Pelin Kavak, Meltem Özdemir, Nezih Kavak, Evrim Duman
doi: 10.14744/ajh.2023.57966  Pages 92 - 93
Brachymetatarsia, also known as hypoplastic metatarsal, is a rare skeletal anomaly characterized by the abnormal shortening of the metatarsal bones. This condition can be congenital, idiopathic, or secondary to surgery, trauma, or other underlying conditions. Radiographic findings typically reveal a shortened and underdeveloped metatarsal. The clinical manifestations of brachymetatarsia can vary significantly, influenced by various factors. The fourth metatarsal is most commonly affected, followed by the first metatarsal.
The current report presents a unique case of congenital unilateral brachymetatarsia with radiographic findings in the first metatarsal of a young adult male. Understanding the anatomical and clinical implications of brachymetatarsia is crucial for radiologists, orthopedic surgeons, and other medical professionals, as it informs diagnosis, management, and potential surgical interventions.

LETTER TO THE EDITOR
8.The Relationship Between Microorganisms That Cause Pelvic Inflammatory Disease and Serum Cortisol Level
Belma Gözde Özdemir, Metin Özsoy, Işılay Gökçe Benk Uğur
doi: 10.14744/acadjhealth.2023.14632  Pages 94 - 95
Abstract |Full Text PDF