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Overactive Bladder Syndrome And Detrusor Overactivity: Is There A Strong Relation Between The Symptoms And Urodynamic Findings?, Orhan Ünal Zorba, Taner Koçak, Kadi̇r Önem Jan 2009

Overactive Bladder Syndrome And Detrusor Overactivity: Is There A Strong Relation Between The Symptoms And Urodynamic Findings?, Orhan Ünal Zorba, Taner Koçak, Kadi̇r Önem

Turkish Journal of Medical Sciences

Aim: Overactive bladder (OAB) and detrusor overactivity (DO) may interfere because one may cause the other. Not all patients with OAB have DO, neither do all patients with DO have OAB. In our study the correlation between OAB symptoms and DO was investigated. Materials and Methods: In the present study, 190 patients with OAB and/or DO were investigated. Patients were divided into 3 groups: OAB with DO group (group 1, n = 63), DO without OAB group (group 2, n = 34), and OAB without DO group (group 3, n = 93). The symptoms and urodynamic findings of the patients …


Does Employment Status Influence Obesity Prevalence Among Females? A Comparative Study From Ankara, Turkey, Di̇lek Aslan, Zeynep Altin, Necmi̇ye Beydağ, Celi̇le Hati̇poğlu Jan 2009

Does Employment Status Influence Obesity Prevalence Among Females? A Comparative Study From Ankara, Turkey, Di̇lek Aslan, Zeynep Altin, Necmi̇ye Beydağ, Celi̇le Hati̇poğlu

Turkish Journal of Medical Sciences

Aim: In this study, we aimed to compare the nutritional habits and obesity status of employed and not-employed (i.e. homemakers) women from an urban population in Ankara between April 2 and 17, 2007. Materials and methods: Employed females (107) were amongst Keçiören (a district of Ankara) municipal employees, and homemakers were selected among the residents of the catchment area of a primary health care unit (PHCU) within the same district. The 2 groups (employed and homemakers) were high school and university graduates and were similar to each other in terms of education and age. The World Health Organization defines "overweight" …


An Analysis Of Adult Patients With Pulmonary And Extrapulmonary Tuberculosis*, Aygün Öztop, İpek Ünsal, Türkan Günay, Vi̇ldan Avkan Oğuz, Riza Çakmak Jan 2009

An Analysis Of Adult Patients With Pulmonary And Extrapulmonary Tuberculosis*, Aygün Öztop, İpek Ünsal, Türkan Günay, Vi̇ldan Avkan Oğuz, Riza Çakmak

Turkish Journal of Medical Sciences

Aim: In this study, it was planned to compare the features of pulmonary and extra-pulmonary tuberculosis patients over age 15 years. Materials and methods: We compared 360 newly diagnosed pulmonary tuberculosis (PTB) and extrapulmonary tuberculosis (EPTB) patients who were treated and followed up in Kahramanlar Tuberculosis Dispensary between 2000 and 2003, and were older than 15 years of age. The medical records of both patient groups were investigated in terms of age, sex, accompanying diseases, contact history and means of diagnosis. Results: The data were compared statistically between the 2 groups. Of these patients 78.1% were diagnosed with PTB while …


Endoscopic Polypectomy: Outcomes Of 467 Cases In 20 Years, S. Selçuk Atamanalp, Fuat Şentürk, Nesri̇n Gürsan, Gürkan Öztürk, Abdul Meci̇t Kantarci, M. İlhan Yildirgan, Mahmut Başoğlu Jan 2009

Endoscopic Polypectomy: Outcomes Of 467 Cases In 20 Years, S. Selçuk Atamanalp, Fuat Şentürk, Nesri̇n Gürsan, Gürkan Öztürk, Abdul Meci̇t Kantarci, M. İlhan Yildirgan, Mahmut Başoğlu

Turkish Journal of Medical Sciences

Aim: Endoscopic polypectomy has an important place in the treatment of polyps—the preliminary lesions of colorectal cancers. This study aimed to discuss the outcomes of endoscopic polypectomy in 467 patients for 692 polyps over the course of 20 years. Materials and methods: The records of 692 endoscopic polypectomies performed in 467 patients between July 1988 and July 2008 were retrospectively evaluated. Results: Patient age ranged from 3 to 85 years (mean: 50.6 years), and 302 of the 467 (64.7%) patients were male. Polypectomy was performed for 692 polyps (mean: 1.5; range: 1-12). The most common polyp location was the rectum …


Progression Of Binocular Vision Following Cataract Surgery*, İlknur Akyol Salman, Murat Arslankurt, Osman Dursun, Ahmet Yazici, Orhan Baykal Jan 2009

Progression Of Binocular Vision Following Cataract Surgery*, İlknur Akyol Salman, Murat Arslankurt, Osman Dursun, Ahmet Yazici, Orhan Baykal

Turkish Journal of Medical Sciences

Aim: To investigate the progression of binocular vision of patients after cataract surgery in the early postoperative period. Materials and methods: Eighty four cataract patients were evaluated at postoperative 1 and 3 months after phacoemulsification and posterior chamber monofocal lens implantation. For the evaluation of the grades of binocular vision, synoptophore was used. Stereoscopic acuity was measured with the Titmus Stereotest. Results: Evaluation at postoperative 3 months was associated with a significantly higher proportion of patients with stereopsis (P = 0.004), better levels of stereoacuities (P < 0.001) than the evaluation at postoperative 1 month. Significantly higher visual acuities (P = 0.001) and lower interocular difference in refraction values (P = 0.023) were also noted at postoperative 3 months. The level of stereoscopic acuity was not significantly correlated with the level of visual acuity, interocular visual acuity difference, interocular difference in refraction, and the age of patients (P > 0.05). In patients without fusion, suppression was found in the operated eyes with favorable …


Fetal Malnutrition In Infants Of Smokers And Passive Smokers Assessed By Clinical Assessment Of Nutritional Status Scoring, Ayşen Kutan Fenerci̇oğlu, Güner Karateki̇n, Asi̇ye Nuhoğlu Jan 2009

Fetal Malnutrition In Infants Of Smokers And Passive Smokers Assessed By Clinical Assessment Of Nutritional Status Scoring, Ayşen Kutan Fenerci̇oğlu, Güner Karateki̇n, Asi̇ye Nuhoğlu

Turkish Journal of Medical Sciences

Aim: Studies have shown that maternal smoking during pregnancy is associated with low birth weight, height and head circumference in newborns. In the present study, along with these anthropometric measures we aimed to determine fetal malnutrition (FM), which is a less known outcome of antenatal tobacco exposure. Materials and methods: Two hundred and sixty-six term singletons without anomalies were evaluated for their birth weight, height, and head circumference and for FM using the Clinical Assessment of Nutritional Status (CANS) scoring. A CANS score equal to or less than 24 is accepted as FM. Results: Smokers' (n = 84) and passive …


General Characteristics Of Paternity Test Applicants, Ayşi̇m Tuğ, Gülümser Gülteki̇n Akduman Jan 2009

General Characteristics Of Paternity Test Applicants, Ayşi̇m Tuğ, Gülümser Gülteki̇n Akduman

Turkish Journal of Medical Sciences

Aim: This research was done to fill the gap in research on the social dimensions of paternity testing by determining the reasons for the suspicion and some characteristics of families who applied for a paternity test. Materials and methods: This research was performed with 50 men that applied for paternity testing. The bi-sectional questionnaire was conducted by means of the interview method. The questionnaire comprised questions on age, education, the reason for and duration of paternity suspicion, domestic violence linked to the paternity suspicion, and plans for the future following the test. The data were assessed with SPSS 10.0 and …


Management Of Thyroid Cancer Associated With Elevated Serum Thyroglobulin And Negative Radioiodine Scanning, Si̇nan Çağlayan, Muammer Urhan, Onur Sildiroğlu, Yavuz Kurt, Mehmet Emi̇n Önde, Yavuz Nari̇n Jan 2009

Management Of Thyroid Cancer Associated With Elevated Serum Thyroglobulin And Negative Radioiodine Scanning, Si̇nan Çağlayan, Muammer Urhan, Onur Sildiroğlu, Yavuz Kurt, Mehmet Emi̇n Önde, Yavuz Nari̇n

Turkish Journal of Medical Sciences

Aim: Differentiated thyroid carcinoma has a favorable prognosis, even in the presence of distant metastases, if the tumor cells are able to concentrate radioiodine. Nonetheless, up to 30% of thyroid cancer patients with elevated serum thyroglobulin (Tg) and negative radioiodine whole-body scan findings represent a diagnostic dilemma. In this study we assessed the diagnostic contribution of anatomical and functional imaging procedures, including US of the thyroid bed and neck, CT scanning of the chest and mediastinum, and FDG PET whole-body scanning, in iodine-negative/Tg-positive thyroid cancer patients. Materials and methods: The study included 28 patients (20 female, 8 male; age range: …


Factors Affecting Adrenal Gland Involvement In Patients Who Underwent Radical Nephrectomy For Renal Cell Carcinoma, Zi̇ya Akbulut, Mehmet Tuzlali, Abdullah Erdem Canda, Karabeki̇r Ercan, Olcay Kandemi̇r, M. Derya Balbay Jan 2009

Factors Affecting Adrenal Gland Involvement In Patients Who Underwent Radical Nephrectomy For Renal Cell Carcinoma, Zi̇ya Akbulut, Mehmet Tuzlali, Abdullah Erdem Canda, Karabeki̇r Ercan, Olcay Kandemi̇r, M. Derya Balbay

Turkish Journal of Medical Sciences

Aim: We investigated pathological characteristics of adrenal involvement in patients who underwent radical nephrectomy (RN) for renal cell carcinoma (RCC). Materials and Methods: 49 patients (34 male, 15 female) who underwent RN and simultaneous ipsilateral adrenalectomy due to RCC were included. Patient and tumor characteristics, histopathologic features, disease stage, and radiologic computerized tomography (CT) features were studied in order to see if any of them are associated with pathological evidence of adrenal involvement. Results: Presence of adrenal irregularity (P = 0.002), venous thrombosis (P = 0.010), tumor necrosis (P = 0.031), and lymph node (LN) involvement (P = 0.013) on …


Relation Between Objectively Measured Growth Determinants And Ambulation In Children With Cerebral Palsy, Ni̇lüfer Kutay Ordu Gökkaya, Asli Çalişkan, Di̇lek Karakuş, Hali̇l Uçan Jan 2009

Relation Between Objectively Measured Growth Determinants And Ambulation In Children With Cerebral Palsy, Ni̇lüfer Kutay Ordu Gökkaya, Asli Çalişkan, Di̇lek Karakuş, Hali̇l Uçan

Turkish Journal of Medical Sciences

Aims: Cerebral palsy (CP) is a well-known neurodevelopmental condition beginning in early childhood and persisting throughout one´s life span. Feeding problems and eating impairments in CP children are well documented in the literature. The aims of our study were to determine the prevalence of linear growth retardation and the other growth determinants in this patient group and to identify the contributing factors and their relationship with ambulation. Materials and Methods: A cross-sectional and prospective study was carried out between March 2007 and July 2007 in our pediatric inpatient rehabilitation service, and a total of 34 CP patients (22 male, 12 …


The Prevalence Of Consanguineous Marriages In The City Of Malatya, Turkey, Şengül Yüksel, Ayşegül Kutlubay, Leyla Karaoğlu, Sai̇m Yoloğlu Jan 2009

The Prevalence Of Consanguineous Marriages In The City Of Malatya, Turkey, Şengül Yüksel, Ayşegül Kutlubay, Leyla Karaoğlu, Sai̇m Yoloğlu

Turkish Journal of Medical Sciences

Aims: The aim of this study was to determine the prevalence of consanguineous marriages and the associated factors in the city of Malatya. Materials and Methods: Thirty cluster survey methodology was used to select the study population. Selecting 13 married women per cluster, a total of 409 women were interviewed at their home. Information on the sociodemographic and fertility characteristics of the women and genetic disorders among children was gathered using a face-to-face questionnaire. Data analysis was done by SPSSWIN 13.0. Results: The overall prevalence of consanguinity was 28.4%, with a mean inbreeding coefficient of 0.01081. The principal type of …


The Relationship Between Plasma Homocysteine And Early Coronary Collateral Vessel Development After Acute Myocardial Infarction, Telat Keleş, Tahi̇r Durmaz, Ni̇hal Akar Bayram, Murat Akçay, Ekrem Yeter, Hüseyi̇n Ayhan, Engi̇n Bozkurt Jan 2009

The Relationship Between Plasma Homocysteine And Early Coronary Collateral Vessel Development After Acute Myocardial Infarction, Telat Keleş, Tahi̇r Durmaz, Ni̇hal Akar Bayram, Murat Akçay, Ekrem Yeter, Hüseyi̇n Ayhan, Engi̇n Bozkurt

Turkish Journal of Medical Sciences

Aim: Homocysteine is known to inhibit endothelial cell proliferation, which is a key event in angiogenesis. Factors responsible for the presence or absence of coronary collateral circulation are poorly understood. Therefore, in this study we investigated the effect of plasma homocysteine level on the early formation of angiographically visible collaterals after acute myocardial infarction. Materials and Methods: The study included 60 patients that had ST-segment elevation myocardial infarction (STEMI). All the patients underwent coronary angiography 1-4 days after admission (mean: 2.3 ± 1.2 days). Patients were graded according to Rentrop classification. Patients with grade 0 or 1 collateral vessels were …


Reproducibility Of Fuhrman Nuclear Grading Of Renal Cell Carcinoma: A Preliminary Study, Si̇bel Bektaş, Fi̇gen Barut, Burak Bahadir, Banu Doğan Gün, Ni̇lüfer Onak Kandemi̇r, Ni̇met Karadayi, Şükrü Oğuz Özdamar Jan 2009

Reproducibility Of Fuhrman Nuclear Grading Of Renal Cell Carcinoma: A Preliminary Study, Si̇bel Bektaş, Fi̇gen Barut, Burak Bahadir, Banu Doğan Gün, Ni̇lüfer Onak Kandemi̇r, Ni̇met Karadayi, Şükrü Oğuz Özdamar

Turkish Journal of Medical Sciences

Background: The aim of this study was to evaluate intraobserver and interobserver reproducibility of Fuhrman nuclear grading of renal cell carcinoma. Methods: Pathology slides from 46 cases of renal cell carcinoma were rescored by 2 pathologists according to the Fuhrman system. Both intraobserver and interobserver reproducibility were assessed using kappa statistics. Results: The initial Fuhrman grade was grade 1 in 4 of the cases (8.7%), grade 2 in 30 (65.2%), grade 3 in 11 (23.9%), and grade 4 in 1 (2.2%). After reviewing the slides by the same pathologist, grades were reassigned as follows: grade 1 in 8 cases (17.4%), …


Association Between Mean Platelet Volume And Autonomic Nervous System Functions: Increased Mean Platelet Volume Reflects Sympathetic Overactivity, Tahi̇r Durmaz, Özcan Özdemi̇r, Telat Keleş, Ni̇hal Akar Bayram, Murat Akçay, Ekrem Yeter, Hüseyi̇n Ayhan, Engi̇n Bozkurt Jan 2009

Association Between Mean Platelet Volume And Autonomic Nervous System Functions: Increased Mean Platelet Volume Reflects Sympathetic Overactivity, Tahi̇r Durmaz, Özcan Özdemi̇r, Telat Keleş, Ni̇hal Akar Bayram, Murat Akçay, Ekrem Yeter, Hüseyi̇n Ayhan, Engi̇n Bozkurt

Turkish Journal of Medical Sciences

Aim: Increased mean platelet volume (MPV) may reflect increased platelet activation and accepted as an independent coronary risk factor. Adrenergic system has effects on platelet activation and thrombocytopoiesis. In this study, we assessed the effects of autonomic nervous system activity on MPV in patients with acute myocardial infarction (MI). Materials and Methods: Forty-seven patients with acute anterior MI were compared with 32 patients having normal coronary arteries. All patients underwent heart rate variability analysis by 24-h holter monitoring and blood samples were taken for MPV measurements during day and night times during holter monitoring. Results: Mean heart rate (HR), Low …


The Epidemiology Of Microsporidias In Humans (Malatya Sample), Ülkü Karaman, Ni̇lgün Daldal, Meti̇n Atambay, Cemi̇l Çolak Jan 2009

The Epidemiology Of Microsporidias In Humans (Malatya Sample), Ülkü Karaman, Ni̇lgün Daldal, Meti̇n Atambay, Cemi̇l Çolak

Turkish Journal of Medical Sciences

Aim: Microsporidias, first isolated and defined in 1857, are obligate intracellular parasites observed in animal groups and especially invertebrates. Generally homosexual patients and patients who are HIV positive and immune suppressed constitute the participants of international studies about the epidemiology of microsporidias. No previous studies about the prevalence of the parasite in Turkey have been found in the literature. This study aimed to determine the epidemiology of microsporidias in and around Malatya. Materials and Methods: Feces samples (n: 2665) from patients who presented at İnönü University Medical Faculty policlinics in 2006 with some digestive system complaints and were referred to …


Coxiella Burnetii Seroprevalence In The Rural Part Of Bolu, Turkey*, Oğuz Karabay, Esra Koçoğlu, Gökhan Baysoy, Selami̇ Konyalioğlu Jan 2009

Coxiella Burnetii Seroprevalence In The Rural Part Of Bolu, Turkey*, Oğuz Karabay, Esra Koçoğlu, Gökhan Baysoy, Selami̇ Konyalioğlu

Turkish Journal of Medical Sciences

Aim: This study was performed to determine the seroprevalence of Coxiella burnetii in the rural part of Bolu, a city located in the western part of the Black Sea region of Turkey. Materials and Methods: The study population was chosen by cluster sampling to represent the rural population of the city. Serum samples were collected from the 9 rural districts of Bolu. Blood samples were taken to the laboratory while stored at 4 °C in ice-cooled boxes. The sera were then stored at -20 °C until testing. The presence of IgG antibodies against C. burnetii phase-II antigens in the sera …


The Effects Of Adding Tramadol To Ropivacaine On Axillary Brachial Plexus Blockade In Uremic Patients*, Bayazit Di̇kmen, Mehmet Gamli, Eyüp Horasanli, Di̇lşen Örnek, Melekşah Pekel, Aydin Selçuk Jan 2009

The Effects Of Adding Tramadol To Ropivacaine On Axillary Brachial Plexus Blockade In Uremic Patients*, Bayazit Di̇kmen, Mehmet Gamli, Eyüp Horasanli, Di̇lşen Örnek, Melekşah Pekel, Aydin Selçuk

Turkish Journal of Medical Sciences

Aim: To evaluate the effect of tramadol added to ropivacaine on quality of anesthesia, onset of sensory and motor blockade, duration of sensory and motor blockade, and first analgesic request time for axillary brachial plexus block in uremic patients. Materials and methods: After institutional approval and informed consent had been obtained, 45 ASA III uremic patients (age range 30-80) scheduled for arteriovenous fistula surgery were included in the study. Patients were randomly allocated into 2 groups. Axillary block was performed with a peripheral nerve stimulator by multiple injection technique. Patients in Group R (n = 23) received 38 mL of …


The Clinical And Laboratory Characteristics Of Vitamin D Intoxication In Children, Hakan Döneray, Behzat Özkan, Asuman Özkan, Celaletti̇n Koşan, Zerri̇n Orbak, Cahi̇t Karakelleoğlu Jan 2009

The Clinical And Laboratory Characteristics Of Vitamin D Intoxication In Children, Hakan Döneray, Behzat Özkan, Asuman Özkan, Celaletti̇n Koşan, Zerri̇n Orbak, Cahi̇t Karakelleoğlu

Turkish Journal of Medical Sciences

Aim: In this retrospective study, patients with vitamin D intoxication (VDI) were evaluated with respect to clinical and laboratory characteristics, treatment protocols and complications. Materials and Methods: The medical records of 27 children with VDI between 2003 and 2008 were investigated. Data included age, gender, nutritional status, dose and duration of prophylactic/therapeutic vitamin D, the reasons for vitamin D therapy prescription, clinical signs and symptoms, laboratory findings, therapy protocol for VDI, and complications. Results: The mean dose of vitamin D prescribed to the patients was 600,000 U (range: 300,000-1,200,000 U). The most prominent reason (80.9%) for physician prescription of vitamin …


Artificial Neural Network Analysis For Prediction Of Headache Prognosis In Elderly Patients, Bahar Taşdelen, Sema Helvaci, Hakan Kaleağasi, Aynur Özge Jan 2009

Artificial Neural Network Analysis For Prediction Of Headache Prognosis In Elderly Patients, Bahar Taşdelen, Sema Helvaci, Hakan Kaleağasi, Aynur Özge

Turkish Journal of Medical Sciences

Aim: To investigate the ability of neural networks to detect and classify the complete improvement of headache in elderly patients during the follow- up period. Materials and Methods: The multilayer perceptron (MLP), which is the most common neural network, was used to predict prognosis of headache in elderly patients. The data set was divided into training and test sets, and back-propagation algorithm was used as the learning algorithm. The accuracies of the models to predict completely improved patients at the end of 20, 40, and 60 months of follow-up were evaluated by means of the areas under the receiver operating …


Evaluation Of Osteoporotic Fractures In A Group Of Turkish Women, Ersi̇n Odabaşi, Mustafa Turan, Faruk Tekbaş, Mustafa Kutlu Jan 2009

Evaluation Of Osteoporotic Fractures In A Group Of Turkish Women, Ersi̇n Odabaşi, Mustafa Turan, Faruk Tekbaş, Mustafa Kutlu

Turkish Journal of Medical Sciences

Aims: The frequency of osteoporotic fractures varies from one country to another. Epidemiologic data related to osteoporotic fractures is limited in Turkey. In this study, we aimed to explore the frequency of osteoporotic fractures in osteoporotic women on the basis of our outpatient clinic data. Additionally, we aimed to define the relationship between osteoporotic fractures and age, menopause status, bone mineral density (BMD), and body mass index (BMI). Materials and Methods: This is a retrospective chart review of 934 osteoporotic women, older than 50 years of age, seen from March 1998 through July 2005 at a musculoskeletal disease outpatient clinic …


Impact Of Socioeconomic Conditions And Parasitic Infection On Hemoglobin Level Among Children In Um-Unnasser Village, Gaza Strip, Bassam F. Al-Zain Jan 2009

Impact Of Socioeconomic Conditions And Parasitic Infection On Hemoglobin Level Among Children In Um-Unnasser Village, Gaza Strip, Bassam F. Al-Zain

Turkish Journal of Medical Sciences

Aims: A cross-sectional study was conducted to examine the impact of socioeconomic conditions and intestinal parasitic infection (IPI) on hemoglobin level among children aged 2-15 years in Um-Unnasser village, North Gaza, Palestine. Materials and Methods: The data were collected using structured questionnaire and laboratory analysis of blood and fecal samples. Results: Of 256 children, 25% were anemic and prevalence was higher in children aged below six years. Overall prevalence of IPI was 46.9%. Ascaris lumbricoides (11.3%), Giardia lamblia (8.2%), Hymenolepis nana (6.2%), Entamoeba histolytica (5.1%), Strongyloides stercoralis (2.0%), Enterobius vermicularis (2.7%), and Trichuris trichiura (0.3%) were the most frequently found, …


Primary Drug Resistance And Molecular Epidemiology Of The Mycobacterium Tuberculosis Strains Isolated In The Kelkit Valley, Yunus Bulut, Gülgün Yeni̇şehi̇rli̇, Bariş Otlu, Zehra Seyfi̇kli̇, Serhat Çeli̇kel, Ayşe Yilmaz, Handan İnönü Jan 2009

Primary Drug Resistance And Molecular Epidemiology Of The Mycobacterium Tuberculosis Strains Isolated In The Kelkit Valley, Yunus Bulut, Gülgün Yeni̇şehi̇rli̇, Bariş Otlu, Zehra Seyfi̇kli̇, Serhat Çeli̇kel, Ayşe Yilmaz, Handan İnönü

Turkish Journal of Medical Sciences

Aim: The aim of this study was to determine the primary drug resistance rates and genotypes of resistant Mycobacterium tuberculosis strains isolated in the Kelkit Valley. Materials and Methods: Primary resistance to isoniazid (INH), rifampicin (RIF), ethambutol (ETB), and streptomycin (SM) was determined with the BACTEC 460 radiometric system. Forty-eight resistant M. tuberculosis strains isolated from tuberculosis patients living in the Kelkit Valley were genotyped using the spoligotyping method. Results: Approximately 11.6% of the strains were resistant against at least one major drug, and 8.3% were resistant against more than one drug. Single-drug resistance for INH, ETB, SM, and RIF …


Histopathological And Clinical Characteristics Of Secretory Carcinoma Of The Breast, Keri̇m Bora Yilmaz, Işin Pak, Can Atalay, Ci̇hangi̇r Özaslan Jan 2009

Histopathological And Clinical Characteristics Of Secretory Carcinoma Of The Breast, Keri̇m Bora Yilmaz, Işin Pak, Can Atalay, Ci̇hangi̇r Özaslan

Turkish Journal of Medical Sciences

Secretory breast carcinoma is a rare form of invasive breast carcinoma constituting less than 1% of all breast cancer cases. Since insufficient data have been compiled about this rare tumor, it is important to report every case of secretory breast carcinoma in an effort to better understand the histopathological and clinical characteristics of this tumor and to contemplate the most appropriate therapeutic approach. In this report, two adult female patients over 50 years of age and a 14-year-old girl were reviewed with a detailed immunohistochemical work-up to define the clinical and molecular characteristics of secretory breast carcinoma.


The Effects Of The Diet And Diet+Exercise On Changes In Weight During Adolescence, Çeti̇n Yaman Jan 2009

The Effects Of The Diet And Diet+Exercise On Changes In Weight During Adolescence, Çeti̇n Yaman

Turkish Journal of Medical Sciences

Aim: This study was carried out in 2121 primary school students in the Sakarya province of Turkey. The body mass index (BMI) of these 2121 students, between 10 and 14 years old, was calculated from their height and weight measurements. Two hundred twenty-nine students with a BMI value of 26 or above were included in the study. Materials and Methods: Diet and diet+exercise were applied to the subjects for 14 weeks under the supervision of expert dieticians and sports trainers. The subjects' heights and weights were measured by the same staff at the end of the 14-week period and their …


Prevalence Of Hepatitis B Infection Among Schoolchildren In Southeast Turkey, Bünyami̇n Di̇ki̇ci̇, Hakan Uzun, Ayfer Gözü, Mücahi̇t Fi̇dan Jan 2009

Prevalence Of Hepatitis B Infection Among Schoolchildren In Southeast Turkey, Bünyami̇n Di̇ki̇ci̇, Hakan Uzun, Ayfer Gözü, Mücahi̇t Fi̇dan

Turkish Journal of Medical Sciences

Aim: Hepatitis B virus (HBV) infection is a worldwide health problem. The objectives of this study were to determine the impact of the Expanded Programme on Immunization (EPI) on the prevalence of HBsAg carrier rate and immunity developed against HBV infection among schoolchildren in southeast Turkey. Materials and Methods: The study population consisted of 147,200 healthy schoolchildren between 6 to 17 years of age living in the Mardin area. A total of 802 children were randomly selected by systematic sampling method. Hepatitis B surface antigen (HBsAg), antibody to HBsAg (anti-HBs), and antibody to hepatitis B core antigen (anti-HBc) were analyzed …


Factors Affecting Quality Of Life In Patients With Coronary Heart Disease, Tahi̇r Durmaz, Özcan Özdemi̇r, Burcu Akyunak Özdemi̇r, Telat Keleş, Ni̇hal Akar Bayram, Engi̇n Bozkurt Jan 2009

Factors Affecting Quality Of Life In Patients With Coronary Heart Disease, Tahi̇r Durmaz, Özcan Özdemi̇r, Burcu Akyunak Özdemi̇r, Telat Keleş, Ni̇hal Akar Bayram, Engi̇n Bozkurt

Turkish Journal of Medical Sciences

Background: Cardiovascular diseases are currently the most common cause of death worldwide and associated with significant impairment of quality of life (QOL). In this study, we aimed to evaluate the QOL patients with coronary heart disease (CHD) in our country and the factors associated with QOL in these patients. Materials and Methods: The study population was composed of 85 patients diagnosed with stable CHD. The data were collected using Ferrans and Powers' Quality of Life Index Cardiac Version- IV and the query designed by the investigators. Results: Eighty-five patients (29 female, 56 male; ages between 38 and 72 years) were …


Fibromyalgia Syndrome In Patients With Chronic Sinusitis, M. Aki̇f Öztürk, Mesut S. Tezer, Zeynep Özbalkan, Adnan Ünal, Damla Güçlü Güven, Yaşar Karaarslan Jan 2009

Fibromyalgia Syndrome In Patients With Chronic Sinusitis, M. Aki̇f Öztürk, Mesut S. Tezer, Zeynep Özbalkan, Adnan Ünal, Damla Güçlü Güven, Yaşar Karaarslan

Turkish Journal of Medical Sciences

Aims: Fatigue, diminished vitality, and increased bodily pain are common symptoms of chronic rhinosinusitis. On the other hand, there is an increased prevalence of rhinosinusitis symptoms among patients with unexplained chronic fatigue and/or bodily pain. Fibromyalgia syndrome is characterized by widespread pain and fatigue. In this study we aimed to determine the prevalence of fibromyalgia among patients with chronic sinusitis. Materials and Methods: This study included 58 consecutive patients who were diagnosed as chronic rhinosinusitis (24 women and 34 men, mean age: 42.61 ± 10.97). Computed tomography (CT) imaging of the paranasal sinuses and nasal endoscopic examinations were performed for …


Sexual Functioning In Hemodialysis Patients And Their Spouses: Results Of A Prospective Study From Turkey, Ayşegül Yilmaz, Ceren Göker, Orhan Murat Koçak, Bahi̇re Aygör, Vesi̇le Şentürk, Gökhan Nergi̇zoğlu, Ati̇lla Soykan, Hakan Kumbasar Jan 2009

Sexual Functioning In Hemodialysis Patients And Their Spouses: Results Of A Prospective Study From Turkey, Ayşegül Yilmaz, Ceren Göker, Orhan Murat Koçak, Bahi̇re Aygör, Vesi̇le Şentürk, Gökhan Nergi̇zoğlu, Ati̇lla Soykan, Hakan Kumbasar

Turkish Journal of Medical Sciences

Aims: This study aimed to evaluate sexual functioning among hemodialysis patients and their spouses. Materials and Methods: The study was conducted by the Consultation Liaison Psychiatry Division at the Hemodialysis Unit of the Department of Nephrology, Ankara University, School of Medicine as well as 3 private dialysis centers in Ankara. The study group consisted of 45 hemodialysis patients and their spouses. All couples filled out a socio-demographic and occupational data form and a validated Turkish version of the Arizona Sexual Experiences Scale. The couples were also evaluated by a psychiatrist using the Hamilton Depression Scale, Hamilton Anxiety Scale, and Mini …


Survival In Esophageal Cancer Patients With Hematogenous Distant Organ Metastases, Ati̇la Türkyilmaz, Ati̇lla Eroğlu, Yener Aydin, Ömer Yilmaz, Nuretti̇n Karaoğlanoğlu Jan 2009

Survival In Esophageal Cancer Patients With Hematogenous Distant Organ Metastases, Ati̇la Türkyilmaz, Ati̇lla Eroğlu, Yener Aydin, Ömer Yilmaz, Nuretti̇n Karaoğlanoğlu

Turkish Journal of Medical Sciences

Objective: Esophageal cancer is a rapidly progressive cancer. In the majority of patients local invasion or distant metastasis may be present at the time of diagnosis. The present study reviewed the records of esophageal cancer patients with hematogenous distant organ metastases with the aim of reporting primary tumor location, histological type, location of metastases, and survival rates, according to treatment administered. Method: Distant organ metastasis was detected in 50 of 316 consecutive patients that presented to the Thoracic Surgery Department of Atatürk University between 2002 and 2007. Patient age and gender, tumor location, history of esophagectomy, metastasis organ, treatment type, …


Hiv/Aids Knowledge Among A Group Of Youngsters Under Social Protection In Turkey, Veli̇ Duyan, Gülsüm Çamur Duyan Jan 2009

Hiv/Aids Knowledge Among A Group Of Youngsters Under Social Protection In Turkey, Veli̇ Duyan, Gülsüm Çamur Duyan

Turkish Journal of Medical Sciences

Aim: A number of radical changes in social conditions have created new hazards, such as STDs and HIV/AIDS, for young people. The purpose of this research was to determine the level of HIV/AIDS knowledge and information sources of the youngsters who are under social protection in Turkey. Materials and Methods: Participants of the study were 649 female and 739 males between the ages of 12 and 24 (M = 15.3, SD = 1.92) who are under social protection in Turkey. Data were collected using a demographic questionnaire, sources of HIV/AIDS information questionnaire, and HIV/AIDS questionnaire. The questionnaires were administered in …