Przypadek dwujamowej prawej komory rozpoznanej na podstawie badania metodą rezonansu magnetycznego i cewnikowania

A double-chambered right ventricle (DCRV) is a heart defect, typically congenital, in which the right ventricle is separated into a proximal high-pressure (anatomically lower) chamber and distal low-pressure (anatomically higher) chamber. Commonly ventricular septal defect is found concomitantly in patients with DRCV. In this case report, we present a 20-year- -old female patient who was found to have a DRCV without any concomitant congenital heart disorder.Dwujamowa prawa komora (DCRV) to wada serca, zwykle wrodzona, w której prawa komora jest podzielona na dwie części — proksymalną (położoną anatomicznie niżej), wysokociśnieniową oraz dystalną (położoną wyżej), w której ciśnienie jest niskie. U pacjentów z DRCV często wykrywa się równocześnie ubytek w przegrodzie międzykomorowej. W niniejszej pracy kazuistycznej przedstawiono przypadek 20-letniej chorej, u której wykryto DRCV bez innych współistniejących wad serca

Knowledge and attitudes of breastfeeding mothers towards breast milk banking

Introduction: This research was conducted to determine the opinions of breastfeeding mothers regarding breast milk banking. The aim of this study was to investigate the attitudes of breastfeeding mothers towards breast milk banking and to determine the potential impact of education on increasing knowledge and awareness of breast milk donation. Methods: The study was carried out with 303 breastfeeding mothers who presented to the healthy child and general pediatrics clinics between April 15, 2020 and September 1, 2020, for various reasons. After a brief information session on breast milk banking, a 20-question survey was conducted face-to-face with the mothers. The questions related to breast milk banking in the survey were prepared according to the literature. The first part of the survey included demographic questions about the mothers, and the second part included questions about breast milk banking. Results: The mean age was found to be 32.6±5.9 years. 67.7% of the mothers had heard of breast milk banking before, while 73.6% did not know if there was a breast milk bank in Turkey. Additionally, 61.7% of the mothers had a positive view of donating breast milk, and 76.2% stated that they could give their milk to another baby if there was a need. As the education level of the mothers increased and the number of pregnancies exceeded three, the rates of those who considered donating breast milk and those who stated that they could use donor milk for their own children if necessary were found to be statistically significant (p lt;0.05). Conclusion: As the education levels and number of pregnancies of the participating mothers increased, the rates of those considering donating breast milk also increased. The most significant difference of our study compared to other similar studies is that, with the brief information provided to the mothers during the study, their knowledge and awareness increased, and they indicated that they could donate their milk to breast milk banks and use donor milk for their own children when necessary. Providing education to mothers about breast milk banks in our country can have a positive impact on establishing breast milk banks. In addition, it is believed that increasing women's education levels is important not only for their own babies but also for providing milk to all high-risk babies in the society. Keywords: Breast Feeding; Health Knowledge, Attitudes, Practice; Infant; Milk Banks; Human Mil

Volume CXIV, Number 4, November 7, 1996

Objective: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial X chromosome monosomy that manifests various clinical features depending on the karyotype and on the genetic background of affected girls. This study aimed to systematically investigate the key clinical features of TS in relationship to karyotype in a large pediatric Turkish patient population.Methods: Our retrospective study included 842 karyotype-proven TS patients aged 0-18 years who were evaluated in 35 different centers in Turkey in the years 2013-2014.Results: The most common karyotype was 45,X (50.7%), followed by 45,X/46,XX (10.8%), 46,X,i(Xq) (10.1%) and 45,X/46,X,i(Xq) (9.5%). Mean age at diagnosis was 10.2±4.4 years. The most common presenting complaints were short stature and delayed puberty. Among patients diagnosed before age one year, the ratio of karyotype 45,X was significantly higher than that of other karyotype groups. Cardiac defects (bicuspid aortic valve, coarctation of the aorta and aortic stenosis) were the most common congenital anomalies, occurring in 25% of the TS cases. This was followed by urinary system anomalies (horseshoe kidney, double collector duct system and renal rotation) detected in 16.3%. Hashimoto's thyroiditis was found in 11.1% of patients, gastrointestinal abnormalities in 8.9%, ear nose and throat problems in 22.6%, dermatologic problems in 21.8% and osteoporosis in 15.3%. Learning difficulties and/or psychosocial problems were encountered in 39.1%. Insulin resistance and impaired fasting glucose were detected in 3.4% and 2.2%, respectively. Dyslipidemia prevalence was 11.4%.Conclusion: This comprehensive study systematically evaluated the largest group of karyotype-proven TS girls to date. The karyotype distribution, congenital anomaly and comorbidity profile closely parallel that from other countries and support the need for close medical surveillance of these complex patients throughout their lifespa

Riociguat treatment in patients with chronic thromboembolic pulmonary hypertension: Final safety data from the EXPERT registry

Objective: The soluble guanylate cyclase stimulator riociguat is approved for the treatment of adult patients with pulmonary arterial hypertension (PAH) and inoperable or persistent/recurrent chronic thromboembolic pulmonary hypertension (CTEPH) following Phase

Takotsubo cardiomyopathy in a patient with subacute sclerosing panencephalitis and type 1 diabetes mellitus

Takotsubo cardiomyopathy (TTC) is a rare clinical syndrome and is associated with intense emotional and physical stress. It has been demonstrated that TTC may be triggered by sepsis, however there is no data relation between type 1 diabetes mellitus (DM), subacute sclerosing panencephalitis (SSPE) and TTC. We present a patient with TTC who was previously diagnosed SSPE and type 1 DM and was admitted to emergency service with sepsis which is triggered by aspiration pnomonia. [Med-Science 2018; 7(2.000): 441-2

An unusual reason for complete atrioventricular block ; Kearn Sayre Syndrome

Kearn sayre syndrome (KSS) is a rare disease with a typical onset before 20 years and charactarized by triad of chronic progressive external ophthalmoplegia, retinitis pigmentosa and progressive cardiac conduction abnormalities. The most important prognostic factor in KSS patients is the involvement of heart characterized by progressive degeneration of the conduction system. In patients with KSS, early diagnosis of cardiac involvement is very important because complete atrioventricular (AV) block may develop and it can be cause of sudden cardiac death. Herein we report a patients with KSS who presented with syncope due to complete AV block . [Med-Science 2016; 5(4.000): 1005-7

An unusual reason for complete atrioventricular block ; Kearn Sayre Syndrome

Kearn sayre syndrome (KSS) is a rare disease with a typical onset before 20 years and charactarized by triad of chronic progressive external ophthalmoplegia, retinitis pigmentosa and progressive cardiac conduction abnormalities. The most important prognostic factor in KSS patients is the involvement of heart characterized by progressive degeneration of the conduction system. In patients with KSS, early diagnosis of cardiac involvement is very important because complete atrioventricular (AV) block may develop and it can be cause of sudden cardiac death. Herein we report a patients with KSS who presented with syncope due to complete AV block . [Med-Science 2016; 5(4.000): 1005-7