The relationship between left ventricular mass and insulin resistance in obese patients

AbstractObjectiveIn this study, we investigated the relationship between left ventricular mass and insulin resistance in obese patients.MethodsA total of 90 subjects, 66 women, and 24 men, with an age range from 24 to 56 years, were enrolled in the study. Forty-nine patients were in the obesity group whose body mass index (BMI) was >29.9kg/m2 and 41 subjects were in the control group with a BMI <25kg/m2. All of them were normotensive, nondiabetic, and did not have any cardiovascular disease. They were not taking any medication. Weight, height, and waist circumference were measured and BMI was calculated. Plasma glucose, insulin, serum total, high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol, and triglyceride levels were measured, and insulin resistance was calculated via homeostasis model of assessment-estimated insulin resistance (HOMA-IR). Subjects were examined by echocardiography and left ventricular mass (LVM) and index (LVMI) were calculated with Devereux formula.ResultsInsulin levels, HOMA-IR, LVM, and LVMI were significantly higher in obesity group (p<0.01). Fasting glucose, triglyceride, fasting insulin levels, and waist circumference did not correlate with LVMI.ConclusionIn conclusion, though findings of the present study suggest increased left ventricular hypertrophy (LVH) in obese subjects compared to controls, it appears that the increased LVM or LVH is not linked to BMI and insulin resistance in this study population

Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations

Paraovarian or paratubal cysts (PTCs) constitute about 10 % of adnexial masses. Although they are not uncommon; they rarely cause symptoms and are usually incidentally found. Actual incidence is not known. The symptoms occur when they grow excessively, or in case of hemorrhage, rupture or torsion. Here, literature review reporting the incidence, presentation and complications of PTCs is performed. Uncommon presentations of PTCs in three different cases, a giant PTC, torsion of PTC and borderline paratubal tumor, are also reported and discussed. Ultrasonography, CT or MRI may be performed in preoperative evaluation; but none of these imaging techniques have specific criteria for diagnosis. So, in most cases misdiagnosis as an ovarian mass remains to be a problem. Paratubal cysts can become extremely big before causing symptoms. Torsion is another urgent issue regarding PTCs, necessiating urgent surgery for preservation of the ovary and the tube. Although malignancy is rare, borderline paratubal tumors have been reported in the literature

Analysis of Reaction Times and Aerobic Capacities of Soccer Players According to Their Playing Positions

70 soccer players in Gaziantep amateur league voluntarily participated in this study, (average of their ages 19,17±1,34years, average of their heights 181,28±5,06 cm, average of their body weights 76,75±4,43 kg and average of their sports experiences 3,78±0,95 years) to analyze visual and auditory reaction times and aerobic capacities of amateur soccer players according to their playing positions. The reaction times against light and sound of right and left hands were measured by ‘Newtest Reaction Timer.’ The aerobic capacity measurements of players in this study were determined by shuttle sprint test. In comparison of left and right hand reaction times, it was statistically found that goalkeepers had the best reaction times and midfielders had better reaction times than forwards and defenders (P<0,05). In comparison of aerobic capacities of their playing positions, it was found that MaxVO2 levels of goalkeepers were lower than that of midfielders and forwards (P<0.05). In conclusion, it was found that the factors such as MaxVO2 level and reaction time which affect the performances of players nowadays and differ according to their playing positions. It is considered that these differences result from the different training programs according to the playing positions

Oral antibiotic prophylaxis in elective cesarean deliveries: pilot analysis in tertiary Care Hospital

Introduction: Puerperal infection remains a significant cause of maternal morbidity and mortal ity. Those infections occur more likely after cesarean delivery (CD). Prophylactic antibiotics are administered at the time of CD to prevent complications. In addition to intraoperative prophy laxis; prescription of antibiotics during hospital discharge to prevent surgical site infections (SSI) is quite common. Purpose of this study is to determine the utility of prophylactic oral antibiotic prescription in a cohort of low-risk women undergoing CD. Materials and methods: A prospective observational study was conducted between 2014 and 2018 at Ufuk University School of Medicine, Department of Obstetrics and Gynaecology. Total of 389 low risk elective cesarean deliveries were selected. All cases received intraoperative prophy laxis. In group I (157 subjects), no further antibiotics were given and in group II (232 cases), oral cephuroxime 500 mg was given during hospital discharge. Primary outcome was SSI. Secondary outcomes were endometritis and other infectious conditions. Results: Overall SSI rate was 2.5%. Only 2 SSIs were noted in group 1 (1.2%) compared to eight in group II (3.4%). There was no statistical difference in SSI rate between two groups. Secondary outcomes were also comparable. Conclusion: In this study, we failed to reveal any beneficial effect of oral antibiotic prescription during hospital discharge in low risk elective CDs. Therefore, use of oral antibiotics in addition to intraoperative prophylaxis should be questioned in terms of increased costs, emergence of bacterial resistance and long term effects on new born as a consequence of changes in gut microbiom

Kullanıcı Tercihlerine Göre Hastane Çevresi İyileştirme Tasarımı Önerisi; ADSM Kıbrıs Şehitleri Polikliniği, Denizli

Bu çalışmanın amacı; hastane çevresi kullanıcılarının isteklerinin ve gereksinimlerinin tespit edilmesi ve bu bakış açısının dikkate alınarak hastane çevresinin iyileştirilmesine odaklanmaktadır. Çalışma yöntemi; üç aşamalı bir metodolojik çerçevede yürütülmüştür. Birinci aşamada; örneklem alanı olarak belirlenen hastane çevresinin alan tespit ve gözlem–fotoğraflama çalışmaları ile mevcut durumu ortaya konulmuştur. İkinci aşamada, anket çalışması ile kullanıcıların istek ve gereksinimleri belirlenerek hastane bahçesinin şekillenmesine yönelik fikir ve düşünceleri değerlendirilmiştir. Üçüncü aşamada ise kullanıcı istek ve görüşleri ile hastane bahçesi tasarım kriterlerinin bütünleştirilmesi temelinde bahçenin yenilenmesine ve değiştirilmesine yönelik peyzaj tasarım önerisi geliştirilmiştir. Çalışmanın sonunda, kullanıcıların fikirlerinin değerlendirilmesi ve katılımcı bir yaklaşım ile daha yaşanabilir ve uygulanabilir tasarımların gelişmesine katkı sağlanacağı ortaya konmuştur. Aynı zamanda bu bulguların benzer uygulamalar ve yöntem tartışmalarına da katkı sağlayacağı düşünülmektedir