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Comparative Study Of Dopamine And Mannitol Effects On Renal Function During Cardiopulmonary Bypass By Using N-Acetyl-\Beta-D-Glucosaminidase Assay, Onur Dural, Asuman Özkara, Bi̇lge Çelebi̇oğlu, Meral Kanbak, Gönenç Ci̇li̇v, Ülkü Aypar

Turkish Journal of Medical Sciences

The protective roles of low-dose dopamine and mannitol infusion in the renal function of patients undergoing cardiovascular surgery were compared in 36 patients by measuring urine N-acetyl-\beta-D- glucosaminidase activity, serum and urinary creatinine, blood urea nitrogen (BUN) levels and urine output. The patients were randomly selected and received a continuous infusion of dopamine, 3 µg/kg/min (Group I), mannitol, 1 mg/kg/h (Group II), no medication (Group III) before the induction of anaesthesia. Urine N- acetyl-\beta-D-glucosaminidase activities, serum and urinary creatinine and BUN were determined preoperatively after aortic cross- clamping, and on the first and second postoperative days. Changes in urine N-acetyl- …

Investigation Of Various Terminal Carbohydrate Structures In Apolipoproteins Of Human Serum Chylomicrons And Vldl, Tayfun Güldür, Tülay İleri̇ Büyükoğlu, Ramazan Yilmaz

Turkish Journal of Medical Sciences

The roles of terminal carbohydrate moieties of serum glycoproteins in their recognition and uptake by receptors and in their rapid removal from the circulation are well established. However, little is known about the detailed structure of the terminal glycan chains in apolipoproteins and their compatibility with the known ligand specificity of carbohydrate recognition systems. The carbohydrate moieties of apolipoproteins in human serum chylomicrons and VLDL were examined. Chylomicrons and VLDL were isolated from the serum by ultracentrifugation for 1.6x10 ^6 g.min and 5.5x10 ^7 g.min respectively. The top 1.5cm fraction containing chylomicrons or VLDL was recovered. Following delipidization, apolipoproteins were …

Effects Of Four Different Hormone Replacement Therapy Regimens On Certain Cardiovascular Risk Factors, Erdal Malatyalioğlu, Ari̇f Kökçü, Fi̇li̇z F. Yanik, Tayfun Alper

Turkish Journal of Medical Sciences

This study was performed to compare the effects of 4 different hormone replacement therapy (HRT) protocols on certain cardiovascular risk factors. Eighty- nine postmenopausal women were treated with oral conjugated estrogens, transdermal 17 beta-E2, cyclic oral E2-17- valerate+cyproterone acetate (E2-17-V+CA) or tibolone. Blood pressure (BP) measurements, fasting blood glucose (FBG), serum total cholesterol, low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL) and triglyceride levels at the 12th month were compared with the pretreatment values in each treatment group. There were no significant changes in the systolic BP, FBG, serum total and LDL-cholesterol levels in any group. Diastolic BP …

Role Of End-Tidal Co_2 Monitoring In Patients Intubated And Resuscitated In The Emergency Department, Özgür Karcioğlu, Yasemi̇n Karcioğlu

Turkish Journal of Medical Sciences

Objective: We examined the reliability of end-tidal CO_2 (ETCO_2 ) level in predicting mortality after endotracheal intubation in emergency situations. Methods: In this prospective study, the reliability of ETCO_2 monitoring in the emergency setting as a useful predictor of outcome was investigated in 36 adult patients with pending cardiopulmonary collapse. The cardiopulmonary resuscitation (CPR) procedure was performed as usual and the cardiac rhythm, arterial O_2 saturation, non- invasive blood pressure and ETCO_2 levels were continuously monitored in all the patients. Results: Patients with an ETCO_2 concentration below 0.5% had significantly lower rates of survival. The sensitivity and specificity values of …

Auditory Brain Stem Response Screening For Hearing Loss In High Risk Neonates, Hülya Bi̇lgen, İpek Akman, Eren Özek, Sezer Külekçi̇, Rahmi̇ Örs, Kürşat Carman, Ferda Akdaş

Turkish Journal of Medical Sciences

Hearing screening of neonates is the key to preventing the most severe consequences of congenital hearing loss. In this paper, the auditory brain stem responses (ABR) of neonates at high risk for hearing impairment at Marmara University Hospital Neonatal Intensive Care Unit are reported. One hundred fifty-four high-risk neonates underwent screening by ABR carried out according to the US Joint Committee on Hearing 1994 Position Statement. One hundred and fourteen of them passed the first ABR test while 40 patients failed. The number of patients with sensorineural and conductive hearing deficit was 5 and 35, respectively. Fifteen of the infants …

Clinical Efficacy Of Topical Clindamycin Phosphate And Azelaic Acid On Acne Vulgaris And Emergence Of Resistant Coagulase-Negative Staphylococci, Meti̇n Özkan, Gül Durmaz, İlham Sabuncu, Nurhan Saraçoğlu, Yurdanur Akgün, Seli̇m Murat Ürer

Turkish Journal of Medical Sciences

In this study, the uses of topical clindamycin phosphate and azelaic acid were compared from point of clinical efficacy and emergence of resistant coagulase-negative staphylococci (CNS). Each group contained 20 patients. Pre- and post-treatment acne grades and comparison of two groups were evaluated by using the Wilcoxon and Spearman statistical techniques. The sensitivity of CNS to azelaic acid and to clindamycin phosphate were searched by microbroth dilution technique. Azelaic acid was found more effective in reducing acne grade. Eleven CNS strains were found resistant to clindamycin phosphate before treatment. After 8 weeks of therapy with topical clindamycin phosphate 18 of …

Lamotrigine Treatment In Childhood Drug-Resistant Epilepsy, Nedret Uran, Gül Serdaroğlu, Şebnem Çalkavur, Erki̇n Serdaroğlu

Turkish Journal of Medical Sciences

Rationale: In this study the efficacy of Lamotrigine was evaluated in children with medically intractable epilepsy. Methods: 22 epileptic children, ranging between 4.2 years and 15 years of age (mean 9.3 years) were included in this study. Twelve (54.5%) were male and 10 (45.5%) were female. The seizure types were classified according to the International League Against Epilepsy criteria: simple partial seizures (8 cases), infantile spasms (4 cases), generalized tonic-clonic seizures (2 cases), tonic seizures (2 cases), complex partial seizure (2 cases), typical absence seizures (2 cases), myoclonic astatic seizures (1 case) and atypical absence seizures (1 case). The neurological …

High-Dose Intravenous Immunoglobulin Treatment In Intractable Childhood Epilepsy, Nedret Uran, Gül Serdaroğlu, Erki̇n Serdaroğlu, Sema Kalkan, Tuğrul Özcan

Turkish Journal of Medical Sciences

Rationale: Intractable childhood epilepsy is characterised by convulsions, which are resistant to treatment with adequate dosage, combination and duration of appropriate anticonvulsant drugs. Many clinical and experimental studies support the role of the immune mechanism in the pathogenesis of childhood epilepsy. The purpose of the present study is to ascertain the possible efficacy of intravenous immunoglobulin in the treatment of intractable childhood epilepsy. Methods: The children aged 4-8 years suffering from intractable childhood epilepsy were treated with high-dose intravenous immunoglobulin (400 mg/kg) 5 times in the first week, on the 15th and 30th days. The treatments were repeated every 4 …

Leukocytosis As A Parameter In Management Of Organophosphate Intoxication, Muhammet Güven, Ayhan Doğukan, Hülya Taşkapan, Mustafa Çeti̇n

Turkish Journal of Medical Sciences

No abstract provided.

Detection Of The Sry Gene In A 46,Xy Phenotypic Female By The Pcr-Sscp Method, M. Emi̇n Erdal, I. Ömer Barlas

Turkish Journal of Medical Sciences

No abstract provided.

Sarcomatoid Renal Cell Carcinoma And Its Chromophobe Connection, Ali̇ Kemal Uzunlar, Enver Özdemi̇r, Mehmet Yaldiz, Özden Kaya, Adem Arslan

Turkish Journal of Medical Sciences

No abstract provided.

Effect Of Calcium, Magnesium, Sodium And Potassium Levels In Seminal Plasma Of Holstein Bulls On Spermatological Characters, Seyfetti̇n Gür, Eşref Demi̇rci̇

Turkish Journal of Veterinary & Animal Sciences

This study was conducted to investigate the levels calcium, magnesium, sodium and potassium in the seminal plasma of bulls, semen volume, sperm motility, sperm concentration and the correlation between these parametres. Five Holstein bulls constituted the material of this study. Twenty ejaculates were collected from each bull and the spermatological characteristics of these ejaculates were determined. Then, seminal plasma was separated from 3ml semen from each ejaculate by centrifugation at 1500g for 20 min at 4 °C. Calcium, magnesium, sodium and potassium concentrations in seminal plasma were determined by atomic absorption spectrophotometry. The average values for calcium, magnesium, sodium and …

Calcium And Phosphate Excretion In Preeclampsia, Pervi̇n Vural, Cemi̇l Akgül, Mukaddes Canbaz

Turkish Journal of Medical Sciences

In preeclampsia, alterations in renal function, electrolyte and water metabolism are common findings. Recent studies have suggested that preeclampsia is associated with hypocalciuria. A total of 59 women were included in the present study, 15 of whom were nonpregnant (NP) healthy women, 20 normotensive pregnant women (NTP), and 24 pregnant women with severe preeclampsia (PEP). We compared the three groups in terms of calcium and phosphate excretion, and some parameters of renal function such as serum urea, creatinine and creatinine clearance. Urinary calcium and phosphate levels in the PEP group were significantly lower than in the NP group (p< 0.001 and p< 0.01, respectively) and NTP group (p< 0.001 and p< 0.01, respectively). The serum urea levels were higher in the PEP group than in the NP and NTP (p< 0.001) groups. The same pattern of increase in the PEP group was valid for serum creatinine concentrations as compared with the NP (p< 0.01) and NTP (p< 0.001) levels. The glomerular filtration rate measured by creatinine clearance was lower in preeclamptic women than in normotensive pregnant women (p< 0.01). Patients with preeclampsia had significantly lower (p< 0.001) excretion of calcium than the NP and NTP groups (p< 0.001). Likewise, the phosphate levels were lower in women with preeclampsia than in the NP and NTP groups (p< 0.01). There was no correlation between parameters of renal function and calcium or phosphate excretion. Hypocalciuria and hypophosphateuria were found to be important features of severe preeclampsia and probably indirectly are related to the altered renal function seen in toxemia of pregnancy.

Experimentally Developed Secondaryechinococcosis In Pleural And Peritoneal Cavitiesand The Utility Of Serological Tests During Thefollow Up, Kadi̇r Kazez, Mustafa Şahi̇n, Celaletti̇n Vatansev, Yücel Aritaş, Faruk Aksoy, Hüsametti̇n Vatansev

Turkish Journal of Medical Sciences

Secondary echinococcosis is an important complication of hydatid disease and is not rare in the peritoneal cavity. However, the frequency of secondary hydatidosis in the pleural cavity is not very well known. This study was planned to elicit the frequency of secondary cyst development in the pleural cavity, and to compare this with secondary peritoneal hydatidosis. It was also intended to follow up cyst development by serological tests. Twelve white female Island rabbits were used. The mean weight of the rabbits was 2450±420 g. Cystic fluid containing protoscolex, hydatid sand and germinative membrane homogenate was injected via an 18 F …

The Isolation Rate And Antibiotic Resistantpattern Of Helicobacter Pylori In Dyspepticpatients, Esra Ağel, Bengül Durmaz, Mehmet Refi̇k Tevfi̇k, Nergi̇s Aşgin

Turkish Journal of Medical Sciences

In order to determine the isolation rates of Helicobacter pylori in dyspeptic patients, 167 biopsy specimens were examined using different methods, including culturing, microscopy and the rapid urease test. Resistance to commonly used antimicrobials was investigated using the disk diffusion method. Of the 167 specimens, 82(49.1%) were found to be positive for Helicobacter pylori in culture and 72(43 %) were positive in the urease biopsy test. Using Gram staining, Helicobacter pylori were observed in 43 (25.7 %) of the specimens. The resistance rate of the isolates was 53 % for metronidazol, 8% for both clarithromycin and ciprofloxacin, and 4% for …

Comparative Studies On The Production Performances Of Chios And Imroz Breeds Kept Under Semi-Intensive Conditionus Ii. Milk Production, Fleece Yields And Characteristics, Şebnem Gündal Çörekçi̇, Mehmet Evri̇m

Turkish Journal of Veterinary & Animal Sciences

This paper is the second part of a study carried out to reveal the comparative production performances and effect of some environmental factors on the production characteristics of Chios and Imroz ewes kept in a single flock under semi-intensive conditions. In this part of the study milk yields, lactation lengths and fleece weights and characteristics were considered. Mean lactation lengths and milk yield of Chios ewes were 203 days and 73.92 kg respectively; the comparative values for Imroz ewes were 223 days and 102.04 kg respectively. At the first shearing (6 months of age), average fleece weights of Chios and …

Determination Of Chilling Requirement Of Arkansas Thornless Blackberry Cultivars, Chrislyn A. Drake, John R. Clark

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Little research has been done to determine the chilling requirement for blackberry cultivars. However, field observations from areas where fewer hours of chilling occur indicate that ‘Navaho’ requires more hours of chilling than does ‘Arapaho’. The objective of our study was to determine a method for measuring the chilling requirement using whole plants of two blackberry cultivars, Arapaho and Navaho. One-year old, bare-root plants were field-dug on 26 October 1999 and placed in a cold chamber at 3ºC. Ten single-plant replications of each cultivar were removed at 100-hour intervals up to 1000 hours. The plants were potted and placed in …

A Learning Disabled Student's Guide To College, Julie R. Welter

Graduate Research Papers

The learning-disabled college student is a relatively recent topic in the history of postsecondary education. The passing of the Vocational Rehabilitation Act of 1973 gives these students the opportunity to attend college and allows for the necessary accommodations needed to succeed. Section 504 of the Vocational Rehabilitation Act of 1973 (Public Law 93-112) requires that colleges make reasonable accommodations for students with disabilities so that they will not be discriminated against. "The accommodations are of three general types (1) the ways in which specific courses are taught, (2) use of auxiliary aids, and (3) modifications in program requirements" (Hallahan & …

A Leader's Vision Of Building A Learning Community, Richard D. Wettengel

Graduate Research Papers

As I prepared my first memo to our high school staff about the weeks activities, an idea about my role as Activities Director came to light. It is the idea of service. Snyder, Dowd, and Houghton (1994) state that the notion of service is central to any administrative post. The root word in administration is minister, meaning, "to serve." That is exactly how I see my role at school. Service is the heart of my work. My ministry extends to students, parents, fellow staff members, administration, the Board of Education, and others in the school community. My personal mission statement …

Reading To Heal: Bibliotherapy With Children, Kimberly Ann Wilkin

Graduate Research Papers

This paper presents a counseling intervention, bibliotherapy, as an adjunctive approach to helping children resolve problems. An overview of the definition and history of bibliotherapy, the effectiveness as an intervention as well as goals, stages, application, limitations, and benefits are included. Additionally, an appendix with recommended bibliotherapy books are provided.

Adolescent Depression : An Overview Of The Symptoms, Causes, Assessments, And Treatment, Joanne C. Wickham

Graduate Research Papers

Adolescence is said to be the most stressful time in a person's life (Greenberg, 1989). Although the majority of adolescents adapt without much trouble, there are those who do not accept the changes as successfully as others (Greenberg, 1989). The pressures from parents, peers, school, and society can often lead to temporary periods of depression. In the 1960s, adolescent depression was unusual. However, depression in the 1990s has become the 'common cold' of mental illness (Seligman, 1995).

Motivating Students With Accelerated Reader, Kirsten J. Wrieden

Graduate Research Papers

Excitement was obvious at Wells-Carey Elementary that day. If you did not know better, you might think it was picture day, the day of a field trip or maybe even the day of the Halloween parties. The students were busy as bees going about their daily morning routines. Smiles proliferated and nary a squabble could be seen. What was happening? What could be the reason for the excitement and unusually well-behaved students? Why, it was the opening day for the Accelerated Reader incentive store!

Interviewing Process Handbook For Library Media Specialists, Vicki H. Stegall

Graduate Research Papers

The purpose of this research was to investigate the job application procedure specifically for the school library media specialist, with an emphasis on interview questions. As a result of this research project, "Employment Handbook for School Library Media Specialists" was written. Research showed the majority of interview questions presented to the school library media specialist were classified in the Professional - Media Specialist category.

What Are The Barriers To Prenatal Care For Women In Rural And Urban Populations, Brenna J. Fleishman

Graduate Research Papers

The purpose of this study was to describe barriers to prenatal care in rural and urban populations. A comprehensive review of literature was conducted and discussed with regards to practical application of health education and recommendations for further research.

Family And Peer Influences Common To Eighth Grade Smokers In The Cedar Falls Community Schools, Judith C. Samek

Graduate Research Papers

The purpose of this study was to examine the influences of family on an adolescent's decision to smoke. This research project also assessed the influences of one's friends when a young person makes the decision to smoke. Gender differences were also of interest in this study

The Mental Health Of Parents And Children Who Are Clients Of Title V Maternal And Child Health Agencies And Child Health Specialty Clinics In Iowa, Gretchen Hageman

Graduate Research Papers

Everyday in communities around the world, millions of children, adolescents, and families are faced with mental health issues. Mental health involves the way people feel, think, make decisions, and handle social interaction. A child's mental health affects not only the child, but the whole family as well. When a child is diagnosed with a chronic condition, the impact on the family can lead to changes in its functioning patterns. The pattern of functioning affects the perception and care of the child, the course of the child's development, and sometimes the course of the condition itself.

Health care providers often over …

Preschoolers And Technology : Effects Of Computer Use On The Preschool Child, Amy M. Clymer

Graduate Research Papers

Computer technology was investigated to examine technology's role in the education of preschool children. A comprehensive review of published literature was performed to determine the effects technology has on the social, cognitive, and emotional development of preschoolers and the guidelines for using computer technology with young children. Computer technology, implemented into preexisting educational activities and curricula, can assist in developing social and cognitive skills in preschool-age children. Computers assist in a child's ability to scaffold information. Appropriate computer software encourages preschoolers to think and act independently. Software that focuses on drill-and-practice skills can be detrimental to the mental growth of …

Children's Memory Scale Discriminate With Ld And Non-Ld Children, Anna Winland

Theses, Dissertations and Capstones

This study evaluated the effectiveness of the Children's Memory Scale at discriminating learning disabled (LD) children from non-learning disabled children between the ages of 9 and 16. A total of 56 children were included in the study; 27 LD and 29 non-LD. Subjects were first determined to be LD or not through the administration of the WISC-Ill and the WIAT to determine if their was a discrepancy of a minimum of 1.75 standard deviations between their individual achievement scores and IQ scores. If the significant discrepancy existed the subject was found to be LD. A neuropsychological battery of tests were …

The Effect Of Cadmium Nitrate On The Longevity Of Drosophilamelanogaster, Eli̇f Yeşi̇lada, Lütfi̇ye Gelegen

Turkish Journal of Biology

The effect of cadmium nitrate on the longevity of Drosophila melanogaster was tested. When cadmium nitrate was given throughout the adult life it caused a decrease in the mean life-span of flies in all treated groups. Furthermore, the effect of cadmium nitrate on young populations was also compared with aged populations. The young populations survived longer than aged populations with the food medium containing cadmium nitrate.

Imagining Justice, Robin West

Georgetown Law Faculty Publications and Other Works

As we approach the new century and the new millennium, those of us who are legal professionals in liberal capitalist democracies need to drastically improve our practices of law if we are to bring those practices in line with our professed ideals. The commodification and marketing of legal services, for example, combined with a nearly blind commitment to overly combative advocacy, puts legal assistance beyond the means of large segments of the public, severely undercutting our commitment to equality before the law. A different and perhaps harder question, however, is whether the ideals against which we judge our practices are …