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Success Of Extracorporeal Shock Wave Lithotripsy In Patients With Lower Caliceal Stone And Favorable Anatomy, Sedat Soyupek, Taylan Oksay, Abdullah Armağan, Alper Özorak, Ali̇m Koşar, Hakki Perk Jan 2006

Success Of Extracorporeal Shock Wave Lithotripsy In Patients With Lower Caliceal Stone And Favorable Anatomy, Sedat Soyupek, Taylan Oksay, Abdullah Armağan, Alper Özorak, Ali̇m Koşar, Hakki Perk

Turkish Journal of Medical Sciences

Aim: We assessed the efficacy of extracorporeal shock wave lithotripsy (ESWL) monotherapy for isolated lower pole nephrolithiasis with favorable anatomy and compared treatment efficacy with regard to different stone sizes. Materials and Methods: From February 1999 to December 2002, adult patients with simple, radiopaque lower pole kidney stones were treated using a Stonelith V3 Lithotriptor (PCK, Turkey). Patients were stratified into four groups based on stone diameter. These groups included stone diameters of =70°, IL5 mm) were included in the study. Results: The overall stone-free rate was 84.5%. The stone-free rates in patient groups according to stone size were 90%, …


Digito-Palmar Complex In Non-Insulin Dependent Diabetes Mellitus, Vadgaonkar Rajanigandha, Pai Mangala, Prabhu Latha, Saralaya Vasudha Jan 2006

Digito-Palmar Complex In Non-Insulin Dependent Diabetes Mellitus, Vadgaonkar Rajanigandha, Pai Mangala, Prabhu Latha, Saralaya Vasudha

Turkish Journal of Medical Sciences

Background: It is only recently that the knowledge of dermatoglyphics has been applied to the field of medical and genetic diagnosis. Aim: The aim of the present study was to compare and evaluate the dermatoglyphic pattern in individuals with non-insulin dependent diabetes mellitus (NIDDM) with a normal adult population. Materials and Methods: Both quantitative as well as qualitative parameters were analyzed in 112 (63 male and 49 female) subjects and compared with the data from 142 (65 male and 77 female) healthy controls. Modified Purvis-Smith ink method was used for obtaining the prints, and statistical analyses were done using Student's …


Laparoscopic Cholecystectomy In The Elderly, I. Oskay Kaya, Alper Özkardeş, Fati̇h Özdemi̇r, Gaye Şeker, Mehmet Tokaç, M. Mahi̇r Özmen Jan 2006

Laparoscopic Cholecystectomy In The Elderly, I. Oskay Kaya, Alper Özkardeş, Fati̇h Özdemi̇r, Gaye Şeker, Mehmet Tokaç, M. Mahi̇r Özmen

Turkish Journal of Medical Sciences

Aim: Our aim was to evaluate the rate of laparoscopic surgery in elderly patients with gallstones and to compare it with their younger counterparts. The relation between age and the rate of conversion was also evaluated. Materials and Methods: Medical records of the patients who underwent surgery for gallstones during the last six years were evaluated. Patients were divided into two groups according to their age as below and above 65 years. Age, sex, type of operation and rate of conversion were all recorded for both groups and analyzed. Results: There were 1783 patients aged under 65 years in Group …


Cardioembolic Strokes In Eastern Iran And The Importance Of Rheumatic Valvular Disease, Kavian Ghandehari, Zahra Izadi Mood Jan 2006

Cardioembolic Strokes In Eastern Iran And The Importance Of Rheumatic Valvular Disease, Kavian Ghandehari, Zahra Izadi Mood

Turkish Journal of Medical Sciences

Background: Rheumatic valvular disease is a common complication of rheumatic fever in children in developing countries. Later in life, rheumatic valvular disease becomes an important modifiable risk factor of stroke. The incidence of rheumatic valvular disease and its complications are unknown in Iran. Materials and Methods: This is a prospective study of 302 consecutive patients admitted to a tertiary care hospital in Iran with a diagnosis of non-hemorrhagic stroke from June 2003 to June 2005. All patients underwent diagnostic work-up to determine stroke etiology according to clinical indications. Diagnosis and classification of stroke were made according to World Health Organization …


Effect Of Methanolic Extracts Of Artemisia Aucheri And Camellia Sinensis On Leishmania Major (In Vitro), Mehdi Sharif, Hajar Ziaei, Mohammad Azadbakht, Ahmad Daryani, Akbar Ebadattalab, Masoumeh Rostami Jan 2006

Effect Of Methanolic Extracts Of Artemisia Aucheri And Camellia Sinensis On Leishmania Major (In Vitro), Mehdi Sharif, Hajar Ziaei, Mohammad Azadbakht, Ahmad Daryani, Akbar Ebadattalab, Masoumeh Rostami

Turkish Journal of Medical Sciences

Aim: Infections caused by protozoa of the genus Leishmania are major worldwide health problems with high endemicity in developing countries. The incidence of leishmaniasis has increased in the absence of a vaccine. Usual drugs for treatment of the disease have many side effects; therefore, there is an urgent need to find new effective alternatives. The plant kingdom is a valuable source of new medicinal agents. Methods: In this randomized, one-blind clinical trial, the in vitro leishmanicidal effects of Artemisia aucheri and Camellia sinensis on Leishmania major were evaluated. The methanolic extracts were prepared by percolation method. The extracts were dried …


Trichonamas Vaginalis Infection Among Palestinian Women: Prevalence And Trends During 2000-2006, Adnan Ibrahim Al-Hindi, Abdel Monem Hissein Lubbad Jan 2006

Trichonamas Vaginalis Infection Among Palestinian Women: Prevalence And Trends During 2000-2006, Adnan Ibrahim Al-Hindi, Abdel Monem Hissein Lubbad

Turkish Journal of Medical Sciences

Aim: Trichomonas vaginalis has not been studied in Gaza and there is no available data on the prevalence of this sexually transmitted disease (STD). The objectives of this study were to determine the prevalence of Trichomonas vaginalis (T. vaginalis) among Palestinian women attending a child and mother care center in Gaza, Palestine and to estimate the trend of prevalence over the period from 2000-2006. Materials and Methods: A cross-sectional descriptive study was conducted among 430 pregnant women attending a child and mother care center in Gaza. The clinical and gynecologic examinations were performed according to the complaints reported by each …


Complications Of Brucella Infection Among Adults: An 18-Year Retrospective Evaluation, Mustafa Ertek, Hali̇l Yazgi, Ayten Kadanali, Kemaletti̇n Özden, Mehmet Akin Taşyaran Jan 2006

Complications Of Brucella Infection Among Adults: An 18-Year Retrospective Evaluation, Mustafa Ertek, Hali̇l Yazgi, Ayten Kadanali, Kemaletti̇n Özden, Mehmet Akin Taşyaran

Turkish Journal of Medical Sciences

Aim: Brucellosis is a systemic infection in which any organ or system of the body can be involved. We evaluate here complications and involvement of Brucella infection in Erzurum, Turkey. Materials and Methods: We analyzed retrospectively 216 adult (89 female and 127 male) cases of brucellosis who were diagnosed and treated in the Infectious Disease Clinic of Atatürk University Research Hospital from 1985 to 2002. The diagnosis was based on clinical findings and serologic results and/or blood culture confirmations. Results: All isolates from cultures were identified as Brucella melitensis biotype 1. Skeletal complications were the most frequent, found in 147 …


Ethidium Bromide Spot Test Is A Simple Yet Highly Accurate Method In Determining Dna Concentration, Murat Kasap, Si̇nem Torol, Gülçi̇n Gacar, Fatma Budak Jan 2006

Ethidium Bromide Spot Test Is A Simple Yet Highly Accurate Method In Determining Dna Concentration, Murat Kasap, Si̇nem Torol, Gülçi̇n Gacar, Fatma Budak

Turkish Journal of Medical Sciences

A commonly used method to measure the amount of DNA in nucleic acid preparations is to use UV irradiation. However, if the DNA sample contains impurities, measuring UV irradiation is misleading. A quick way to estimate the amount of DNA in such samples is to analyze spot densities created by UV-induced fluorescence emitted by ethidium bromide. The amount of DNA is proportional to the amount of fluorescence. In many references, the spot density analysis is recommended for rough estimation of DNA concentration and is done by visual examination and comparison of the densities of each spot with the densities of …


The Oncocytic Variant Of Papillary Thyroid Carcinoma, Reşi̇t Doğan Köseoğlu, Nurper Onuk Fi̇li̇z Jan 2006

The Oncocytic Variant Of Papillary Thyroid Carcinoma, Reşi̇t Doğan Köseoğlu, Nurper Onuk Fi̇li̇z

Turkish Journal of Medical Sciences

Papillary thyroid carcinoma (PTC) has many subtypes. A rare subtype consisting of papillary projections covered by cells oncocytic in character has been defined in recent years. Oncocytes with characteristic nuclear features of PTC are seen in the thyroid aspiration cytology of this subtype. In the cytological diagnosis, this variant could be confused with other oncocytic lesions of the thyroid. We discuss here the cytological and histopathological features of the oncocytic variant of PTC diagnosed in the aspiration biopsy and thyroid resection material in a 42-year-old female patient.


Spinal Anesthesia Management In Central Core Disease: A Case Report, Bi̇nnur Sarihasan, Ebru Kelsaka Jan 2006

Spinal Anesthesia Management In Central Core Disease: A Case Report, Bi̇nnur Sarihasan, Ebru Kelsaka

Turkish Journal of Medical Sciences

Central core disease is a rare neuromuscular disorder associated with leg weakness. It is a familial disease with autosomal dominant inheritance. Central core disease has been reported to be associated with malignant hyperthermia. A 25-year-old woman with central core disease was scheduled to be operated for lumbar disc hernia at L4-5 and L5-S1 interspaces. Oral dantrolene was administered prophylactically. Spinal anesthesia was performed with a 25 G Whitacre spinal needle at the L3-4 interspace. No complication was observed during the intraoperative and postoperative periods. We present a case with central core disease who was operated under spinal anesthesia with oral …


Acute Isoniazid Intoxication: Convulsion, Rhabdomyolysis And Metabolic Acidosis, Sadi̇ Kerem Okutur, Fati̇h Borlu, Çi̇ğdem Yazici Ersoy, Fatma Paksoy Jan 2006

Acute Isoniazid Intoxication: Convulsion, Rhabdomyolysis And Metabolic Acidosis, Sadi̇ Kerem Okutur, Fati̇h Borlu, Çi̇ğdem Yazici Ersoy, Fatma Paksoy

Turkish Journal of Medical Sciences

Isoniazid is one of the most commonly used antituberculous drugs. Acute intoxication is characterized by repetitious convulsions, high anion gap metabolic acidosis and coma. The basis of therapy consists of parenteral pyridoxine administration in a dose equivalent to that of isoniazid ingested. Here we present a case of acute isoniazid intoxication presenting with convulsions and metabolic acidosis with consequent rhabdomyolysis and discuss the clinical signs and pathophysiology of isoniazid intoxication.