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Copyright of Kafkas Journal of Medical Sciences / Kafkas Tıp Bilimleri Dergisi is the property of Kafkas Journal of Medical Sciences, Kafkas Tip Bilimleri Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The aim of the present study was to retrospectively evaluate geriatric oncology cases hospitalized in the clinic. Methods: Files of oncology patients hospitalized between May 2012 and March 2013 were analyzed. Demographic data was recorded, including the 5 most common types of cancer according to gender, duration of hospitalization, and prognosis of patients diagnosed at 65 years of age or older. Results: The 5 most common types of cancer in male patients (28.3%, n=17) were hematological malignancies (21.7%, n=13), lung cancer (13.3%, n=8), colon cancer (10%, n=6), bladder cancer (8.3%, n=12) and prostate cancer. The 5 most common types of cancer in female patients (26.7%, n=12), were hematological malignancies, colon cancer (24.4%, n=11), breast cancer (13.3%, n=6), lung cancer (11.1%, n=5), and bladder cancer (4.4%, n=2). Conclusion: In cases of geriatric oncology, incidence of cancer types may also vary. The most common cancer type in both men and women in the present study was hematologic malignancy. [ABSTRACT FROM AUTHOR]

Background: The aim of the present study was to retrospectively evaluate geriatric type 2 diabetic patients admitted to emergency services as a result of diabetes. Methods: All files of geriatric patients admitted to emergency services between January and August 2013 were analyzed. Patients admitted as a result of diabetes and related acute complications were included in the study. Results: Hypoglycemia was diagnosed in 28.2% (n=42) of patients, and hyperglycemic hyperosmolar state was found in 26.9% (n=40). Hyperglycemia, diabetic ketoacidosis, diabetic foot infection, and lactic acidosis were diagnosed in 20.1% (n=30), 16.1% (n=24), 6.7% (n=10), and 2% (n=3) of patients, respectively. Conclusion: Difficulties can occur in follow-up and treatment of diabetes mellitus in geriatric patients. Further comprehensive studies are needed on the topic. [ABSTRACT FROM AUTHOR]

Background: The aim of the present study was to investigate the relationship between disease duration and emergency hospitalization rates in type 2 diabetes. Methods: 197 patients (93 women, 104 men) with type 2 diabetes admitted to emergency services between February and July 2013 were evaluated retrospectively. Results: Hospitalization rate was 30.4% in patients with disease duration ≥10 years and 18.1% in patients with disease duration <10 years. Conclusion: Prolongation of disease duration in type 2 diabetes increases emergency hospitalization rates due to diabetic complications. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Kartal Training & Research Hospital / Kartal Egitim ve Arastirma Hastanesi Tip Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Neuroleptic malignant syndrome is a life-threatening neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic drugs. It is characterized by central neurotransmitter imbalance. The syndrome is thought to be caused by Dopaminergic block. Pooled data suggests the incidence of NMS is between 0.2%-3.20%. The mortality rate is very high at 55%, but may be reduced significantly by early recognition and improved management. We present this case as an example of the difficulty in diagnosing NMS. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Kartal Training & Research Hospital / Kartal Egitim ve Arastirma Hastanesi Tip Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Kartal Training & Research Hospital / Kartal Egitim ve Arastirma Hastanesi Tip Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Adult-onset Still's disease is a rare inflammatory disorder of unknown etiology. Its main features are high fever, rash, polyarthralgia, lymphadenopathy, hepatosplenomegaly, leukocytosis and elevated liver enzymes, high erythrocyte sedimentation rate, and ferritin. High levels of ferritin are commonly observed in Adult onset Still's Disease, but ferritin levels were found to be normal in our patient. We diagnosed iron deficiency anemia as a result of further evaluation. For this reason, we thought ferritin levels were normal. We presented this case because of its rarity in the literature. [ABSTRACT FROM AUTHOR]

Background: The objective of this study was to evaluate the compliance to treatment and quality of life of the diabetic patients admitted to our hospital using SF-36 health survey. Methods: We evaluated the compliance to therapy and sociocultural factors of a total of 133 type 2 diabetic patients whom were admitted and treated in our internal medicine department. Of 133 patients, 41.4% of them were male (n=55) and 58.6% of them were female (n=78). Classification regarding age showed that 29% of patients were between 46-55 years of age, whereas 53.4% of them were over 56. Results: Our records indicate that 38.2% (n=50) of the patients were illiterate. Patients that graduated from primary school or from the university were 49.6% (n=65) and 3.6% (n=5); respectively. Of the patients that participated in our study, 48.8% (n=65) were diagnosed with diabetes 5 years ago and 24% (n=36) of them were diagnosed 11 or more years ago. Treatment modalities included oral diabetics (OADs) alone (48%; n=65), insulin alone (27%; n=36) or insulin and OAD both (25%; n=23). Patients with a diabetic age younger than 5 years had better quality of life scores when compared to patients with 6 years or older diabetes (p=0.001). Similarly, patients with graduated from primary school or higher education had better quality of life score than illiterate patients (p=0.02). The same association was not observed in comparison of patients graduated from primary school or lower and the patients with high school graduation or higher (p=0.98). Treatment modalities had similar effect on quality of life (p=0.13). There were no association between quality of life and the institution treating the patients (p>0.05). Conclusion: As the diabetic patient gets older, quality of life deteriorates. Moreover, illiterate diabetic patients have worse quality of life scores than literate patients. However, there is no statistically significant difference between patients that graduated from primary school and patients with higher education in terms of health survey scores. Treatment modality was not found associated with quality of life. [ABSTRACT FROM AUTHOR]

Background: To determine the prevalence of diabetes and hypertension in patients in the preoperative preparation polyclinic and to evaluate reasons for delays to surgery. Methods: Patients admitted to internal medicine preoperative preparation polyclinic between January and June 2008 were retrospectively and randomly reviewed. The frequency of diabetes, hypertension and availability for operation were checked and the number of delayed operations were evaluated. Results: A total of 930 patients (492 female and 438 male) were included in the study. Of these, 401 patients (43%) had hypertension, 142 patients (15%) were unaware that they were hypertensive, 158 patients who received treatment (total: 259; 61%) were not the target patients, 60 women and 42 men were diabetic, 99 patients (10%) had uncontrolled hypertension, and 24 patients (2%) had delayed surgery due to uncontrolled diabetes. Conclusion: Diabetes and hypertension are common reasons for delays in surgical procedures. In the patient group, hypertension was the most prevalent in patients whose surgeries were delayed. We also found that 25% of diabetics in the study could not undergo surgery due to poor glycemic control. The results indicated that diabetes and hypertension are frequentlydetected causes for delays in surgical procedures. [ABSTRACT FROM AUTHOR]

Background: This study evaluates the rate of reaching glycemic goals in patients with type-2 diabetes admitted to outpatient clinic of our internal medicine department and their medication profile. Methods: A total of 375 diabetic patients visited the outpatient clinic of Internal Medicine Department within 3 months between March 2011 and May 2011. HbA1c levels, age of the patients, and medication were investigated. Medication profiles of the patients with HbA1c levels of ⩽7% (good glycemic control group) were evaluated. Results: Regardless of age, 66% of all patients (n=248) were in good glycemic control group. In patients that reached glycemic goal, 81% of them were using oral antidiabetics (OADs) (n=203); 15% of them (n=36) were using OADs and insulin; and only 4% of them (n=9) were using insulin. There were 169 patients who had diabetes 5 years or longer; in these patients, good glycemic control was seen in 36% of them (n=36). In these patients, 98% of them (n=61) were using OADs, and only 1 patient (2%) was using insulin and OADs. Conclusion: In the diabetic population, increased disease duration is correlated with decreased glycemic control. In good glycemic control group, we unexpectedly observed that there were more patients under OAD medication than patients under insulin therapy. [ABSTRACT FROM AUTHOR]

Background: Trials including diabetic and pre-diabetic patients have shown that the risk of cardiovascular event is increased in patients in whom blood glucose levels are high. In this study, we analyzed the achieval rate of target cholesterol levels in patients with diabetes mellitus. Methods: 344 diabetic patients admitted to our hospital between March and May 2012 were randomly included. Low density lipoprotein (LDL), high density lipoprotein (HDL) and triglycerides (TG) were measured in our hospital biochemistry laboratory. Patients' treatments were recorded. Results: Although all 135 male and 209 female diabetic patients were undergoing treatment for diabetes, 83% (n=286) had LDL cholesterol levels greater than 100mg/dl. Despite this, only 47.3% (n=163) were taking lipid-lowering medications. The mean level of LDL-cholesterol was: 126.4±33.5 mg/ dl, TG: 179.2±6.53 mg/dl; HDL-cholesterol: 45.9±10.8 mg/dl. In 16.8% of the patients (n=58) target LDL cholesterol was achieved. In addition, all lipid targets (LDL <100 mg/dl, triglyceride <150 mg/dl and HDL >40 mg/dl in men and >50 mg/dl in women) were achieved in nearly 5% (n=17) of the patients. Conclusion: This study, which was done in a randomly selected group of follow-up diabetic patients, showed that we are far away from lipid targets. We must approach more aggressive for treatment of hyperlipidemia. [ABSTRACT FROM AUTHOR]

Multiple myeloma (MM) is characterized by a proliferation of malignant plasma cells and a subsequent overabundance of monoclonal paraprotein (M protein). In the presence of obvious clinical findings (e.g., lytic bone lesions, hypercalcemia, elevated sedimentation rate, hyperglobulinemia), diagnosis is easy; however, in the case of atypical findings, with high clinical suspicion, further testing is required for the diagnosis. As in light chain disease, the paraproteins that cannot be detected in standard electrophoresis can be determined easily in immunofixation electrophoresis. Through this case report, the clinical findings of light chain myeloma and the clinical use of immunofixation electrophoresis are reviewed. [ABSTRACT FROM AUTHOR]

Background: Hyponatremia is a serious clinical condition characterized by a high morbidity and mortality that shows an increasing incidence in presentation to the emergency department. We aimed to evaluate the etiology and prognosis of patients with hyponatremia hospitalized to the emergency internal medicine service. Methods: 118 consecutive patients with hyponatremia hospitalized to emergency internal medicine service from February 2012 to July 2013 were included in our study. We recorded demographic data, serum Na+ levels, volume status, factors that led to hyponatremia and prognosis of all patients. Results: 57 (48.3%) men and 61 (51.7%) women were included in our study. Median age was 68 years. The mean level of Na+ was 114.6±8.4 mEq/l. We detected normovolemic hyponatremia in 51 patients (43.2%), hypervolemic hyponatremia in 37 patients (31.4%) and hypovolemic hyponatremia in 30 patients (25.4%). Syndrome of inappropriate ADH was the leading cause of hyponatremia. Normovolemic patients had the highest mortality rate. Conclusion: The results of our study suggest that the most common cause of hyponatremia in tertiary health care units is not hypotonic solutions, but rather syndrome of inappropriate ADH. [ABSTRACT FROM AUTHOR]