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Full-Text Articles in Medicine and Health Sciences

The Distribution Of Telomerase Activity In Patients With Helicobacter Pylori Positive Gastritis, Nai̇me Canoruç, Ebru Kale, Şeri̇f Yilmaz, Kadi̇m Bayan, Mehmet Dursun, Sabri̇ Batun, Abdurrahman Kaplan Jan 2010

The Distribution Of Telomerase Activity In Patients With Helicobacter Pylori Positive Gastritis, Nai̇me Canoruç, Ebru Kale, Şeri̇f Yilmaz, Kadi̇m Bayan, Mehmet Dursun, Sabri̇ Batun, Abdurrahman Kaplan

Turkish Journal of Medical Sciences

Helicobacter pylori is considered a class I carcinogen by the World Health Organization. We aimed to determine whether H. pylori has an effect on telomerase activity in patients with H. pylori related non-specific gastritis, atrophy, and intestinal metaplasia. Materials and methods: One hundred and seventy-two adult patients who underwent upper gastroduodenoscopy were enrolled in the study. Three biopsy specimens were taken from the antrum: 1 from the incisura angularis and 2 from the mid-antrum. Biopsy specimens taken from the incisura angularis were evaluated using the urease test for detection of H. pylori. The mid-antrum specimens were sent for histopathology and …


Effect Of Mechanical Closure Of Dead Space On Seroma Formation In Modified Radical Mastectomy, Ci̇hangi̇r Özaslan, Keri̇m Bora Yilmaz, Lütfi̇ Doğan, Can Atalay, Mehmet Altinok Jan 2010

Effect Of Mechanical Closure Of Dead Space On Seroma Formation In Modified Radical Mastectomy, Ci̇hangi̇r Özaslan, Keri̇m Bora Yilmaz, Lütfi̇ Doğan, Can Atalay, Mehmet Altinok

Turkish Journal of Medical Sciences

Seroma is an important complication of breast surgery. This study investigated the effects of fixation of the flaps and obliterating the dead space on seroma formation. Materials and methods: Patients undergoing modified radical mastectomy were separated into 2 random groups of 50 according to wound closure methods: either flap fixation/mechanical obliteration or standard wound closure group. The fluid that collected under the flaps assessed at the physical examination after the drains were removed was accepted as seroma. The patients' characteristics, duration of the operation, drainage amount, removal time of the drains, flap necroses, and infection were recorded. The groups were …


Dissection Of Mesoappendix In Laparoscopic Appendectomy: A Comparison Of Monopolar Cautery And Bipolar Vessel Sealing System, Emrah Şenel, Fati̇h Akbiyik, Hali̇l Faruk Atayurt, Hüseyi̇n Tuğrul Ti̇ryaki̇ Jan 2010

Dissection Of Mesoappendix In Laparoscopic Appendectomy: A Comparison Of Monopolar Cautery And Bipolar Vessel Sealing System, Emrah Şenel, Fati̇h Akbiyik, Hali̇l Faruk Atayurt, Hüseyi̇n Tuğrul Ti̇ryaki̇

Turkish Journal of Medical Sciences

Various technique and different instruments like endoscopic stapler, endoscopic clip, monopolar cautery, harmonic scalpel, and bipolar vessel sealer can be used in the dissection of appendix mesentery when performing laparoscopic appendectomy. The aim of this study is to evaluate the effects of using monopolar cautery and bipolar vascular sealing instruments in the dissection of mesentery of appendix on the duration of the operation of pediatric patients. Materials and methods: Sixty three patients, operated laparoscopically for acute appendicitis in between June 2008 and June 2009 at the Pediatric Surgery Clinic of Dışkapı Children's Hospital, are evaluated retrospectively. Monopolar cautery was used …


Serum Lipid And Lipoprotein Levels, Dyslipidemia Prevalence, And The Factors That Influence These Parameters In A Turkish Population Living In The Province Of Tokat*, İlhan Çeti̇n, Beytullah Yildirim, Şemsetti̇n Şahi̇n, İdri̇s Şahi̇n, İlker Eti̇kan Jan 2010

Serum Lipid And Lipoprotein Levels, Dyslipidemia Prevalence, And The Factors That Influence These Parameters In A Turkish Population Living In The Province Of Tokat*, İlhan Çeti̇n, Beytullah Yildirim, Şemsetti̇n Şahi̇n, İdri̇s Şahi̇n, İlker Eti̇kan

Turkish Journal of Medical Sciences

To determine the mean total LDL and HDL cholesterol values and trigliseride levels as well as dyslipidemia and the factors that influence the parameters mentioned above in the population living in the province of Tokat located in the Middle Black Sea (Northeastern) region of Turkey. Materials and methods: The study was performed in 58 rural and 12 urban residential areas. The 58 rural regions were selected using a cluster sampling method. A total of 1095 subjects were selected through a random sampling method. Results: The total serum cholesterol level was 186 ± 42 mg/dL with 33.7% of the participants having …


Prevalence Of Anaemia In Women Of Reproductive Age In Meghalaya: A Logistic Regression Analysis, Sanku Dey, Sankar Goswami, Madhuchhanda Goswami Jan 2010

Prevalence Of Anaemia In Women Of Reproductive Age In Meghalaya: A Logistic Regression Analysis, Sanku Dey, Sankar Goswami, Madhuchhanda Goswami

Turkish Journal of Medical Sciences

To examine the prevalence of anaemia in Meghalaya, India, by exploring the 2005-2006 National Family Health Survey (NFHS -3) data. Materials and methods: The study population consisted of 3934 ever-married women of reproductive age (15-49 years) from the state Meghalaya, India, which were taken from the NFHS-3 survey, to explore the predictors responsible for the prevalence of anaemia by using different background characteristics such as age, place of residence, nutritional status, number of children ever born, pregnancy status, educational achievement, and economic status. As a response variable, anaemia levels were categorised as a dichotomous variable, and the predicted probabilities were …


Restricted Universal Guidelines For Rop Screening: A Possible Misguidance For Middle Income Countries, Ömer Erdeve, Begüm Atasay, Saadet Arsan, Fi̇gen Batuoğlu, Huban Ati̇lla, Tomri̇s Türmen Jan 2010

Restricted Universal Guidelines For Rop Screening: A Possible Misguidance For Middle Income Countries, Ömer Erdeve, Begüm Atasay, Saadet Arsan, Fi̇gen Batuoğlu, Huban Ati̇lla, Tomri̇s Türmen

Turkish Journal of Medical Sciences

The objective of all studies evaluating retinopathy of prematurity (ROP) screening criteria has been to minimize the number of infants screened while missing no patients with ROP who required treatment. Studies supporting the recommendation that screening for ROP could be restricted to infants born at less than 30 weeks of gestation with birth weights of less than 1250 g have been reported recently, especially from Western countries. However, with the lack of local outcome data, application of the new restricted screening guidelines to infants in middle income countries may lead to misguidance. We aimed to investigate ROP screening requirements in …


Is The Tanner–Whitehouse (Tw3) Method Sufficiently Reliable For Forensic Age Determination Of Turkish Children?*, Bora Büken, Alp Alper Şafak, Erhan Büken, Burhan Yazici, Zerri̇n Erkol, Ömer Utku Erzengi̇n Jan 2010

Is The Tanner–Whitehouse (Tw3) Method Sufficiently Reliable For Forensic Age Determination Of Turkish Children?*, Bora Büken, Alp Alper Şafak, Erhan Büken, Burhan Yazici, Zerri̇n Erkol, Ömer Utku Erzengi̇n

Turkish Journal of Medical Sciences

The purpose of our study was to determine the accuracy of Tanner-Whitehouse 3 (TW3-RUS) bone age (BA) assessments for forensic age estimations of Turkish children. Materials and methods: Plain radiographs of left hands and wrists of 324 children were evaluated. Mean chronological age (CA) was compared with mean bone age (BA) according to the TW3 atlas for each sex, and differences by age group were determined. Pearson correlation coefficients and cubic regression were used to determine the differences and model the relationships between mean BA and CA. Statistical analyses were carried out using R-project. Results: The difference between the mean …


Endoscopic Biliary Tract Brush Cytology In 54 Cases, Işin Soyuer, Arzu Taşdemi̇r, Şebnem Gürsoy, Alper Yurci̇, Ertuğrul Mavi̇li̇, Nevzat Özcan Jan 2010

Endoscopic Biliary Tract Brush Cytology In 54 Cases, Işin Soyuer, Arzu Taşdemi̇r, Şebnem Gürsoy, Alper Yurci̇, Ertuğrul Mavi̇li̇, Nevzat Özcan

Turkish Journal of Medical Sciences

Duct brushing cytology is an important tool in the evaluation of the extrahepatic biliary tract. New liquid-based preparations and ancillary tests have emerged with the intent of addressing this issue. Materials and methods: Fifty-four consecutive patients and 68 specimens with a suspected malignant obstruction of the common bile duct were included in a consecutive, nonrandomized order. We selected patients whose follow-up, in the form of either histology (25/54, 46%) or at least 6 months of clinical observation, was available. They underwent sampling during ERCP (33 patients/40 materials) or PTC (21 patients/28 materials) using the brush method. Results: A total of …


Feminizing Genitoplasty: An Evaluation Of 41 Patients In 8 Years, Fati̇h Akbiyik, Hüseyi̇n Tuğrul Ti̇ryaki̇, Emrah Şenel, Ervi̇n Mambet, Yusuf Zi̇ya Li̇vaneli̇oğlu, Hali̇l Faruk Atayurt Jan 2010

Feminizing Genitoplasty: An Evaluation Of 41 Patients In 8 Years, Fati̇h Akbiyik, Hüseyi̇n Tuğrul Ti̇ryaki̇, Emrah Şenel, Ervi̇n Mambet, Yusuf Zi̇ya Li̇vaneli̇oğlu, Hali̇l Faruk Atayurt

Turkish Journal of Medical Sciences

The authors present early results of feminizing genitoplasty procedures. Materials and methods: Medical records of 41 patients who underwent feminizing genitoplasty in between 2001 and 2009 were evaluated retrospectively. Results: Follow-up period was 1 month to 7.5 years. Clitorolabial cosmesis was good in all patients except one. Neither clitoral necrosis nor enlargement was noted in postoperative period. The most common complication observed was vaginal stenosis. For 7 patients with severe stenosis, reoperations are planned at puberty. Conclusion: One-stage or staged genitoplasty is performed for disorders of sexual development (DSD) patients. Although results of clitoroplasty are satisfactory, reoperation rates due to …


Gastric Volvulus Due To Diaphragmatic Eventration And Paraesophageal Hernia, Nuretti̇n Özgür Doğan, Gökhan Aksel, Ahmet Demi̇rcan, Ayfer Keleş, Fi̇kret Bi̇ldi̇k Jan 2010

Gastric Volvulus Due To Diaphragmatic Eventration And Paraesophageal Hernia, Nuretti̇n Özgür Doğan, Gökhan Aksel, Ahmet Demi̇rcan, Ayfer Keleş, Fi̇kret Bi̇ldi̇k

Turkish Journal of Medical Sciences

Acute gastric volvulus occurs when the stomach or a part of it rotates more than 180 degrees. It is a potentially life-threatening entity and most cases of gastric volvulus occur in association with eventration of left hemidiaphragm or a hiatal hernia. Gastric volvulus is a rare condition and presents with nonspecific epigastric pain and vomiting, and therefore may be missed. Chest x-ray and CT can help the diagnosis. Emergent surgical approach is mandatory. Two elderly patients admitted to ED with epigastric pain and intractable vomiting did not respond to the treatment and we were not able to pass nasogastric tube. …


Crimean-Congo Hemorrhagic Fever Cases In The Eastern Black Sea Region Of Turkey: Demographic, Geographic, Climatic, And Clinical Characteristics, Nurgün Günaydin, Kemaletti̇n Aydin, Gürdal Yilmaz, Hati̇ce Rahmet Çaylan, İftahar Köksal Jan 2010

Crimean-Congo Hemorrhagic Fever Cases In The Eastern Black Sea Region Of Turkey: Demographic, Geographic, Climatic, And Clinical Characteristics, Nurgün Günaydin, Kemaletti̇n Aydin, Gürdal Yilmaz, Hati̇ce Rahmet Çaylan, İftahar Köksal

Turkish Journal of Medical Sciences

Crimean-Congo hemorrhagic fever (CCHF) is a disease that is known since 1944 affecting many people across the world and causing a high mortality rate. The aim of this study was to determine the epidemiological and clinical characteristics of the CCHF cases in our region. Materials and methods: The present study was conducted in patients with CCHF who were hospitalized between 2004 and 2006 at Karadeniz Technical University. Demographic, geographic, climatic, and clinical characteristics of all patients were investigated. Results: A total of 102 patients with confirmed CCHF were investigated in this study. All of the patients were from rural areas. …


Prevalence Of Cardiac Arrhythmia In Obstructive Sleep Apnea Syndrome, Ni̇hal Akar Bayram, Bülent Çi̇ftçi̇, Selma Firat Güven, Hüseyi̇n Bayram, Hasbi̇ Erdem Di̇ker, Tahi̇r Durmaz, Telat Keleş, Engi̇n Bozkurt Jan 2010

Prevalence Of Cardiac Arrhythmia In Obstructive Sleep Apnea Syndrome, Ni̇hal Akar Bayram, Bülent Çi̇ftçi̇, Selma Firat Güven, Hüseyi̇n Bayram, Hasbi̇ Erdem Di̇ker, Tahi̇r Durmaz, Telat Keleş, Engi̇n Bozkurt

Turkish Journal of Medical Sciences

Repetitive transient activation of the parasympathetic and sympathetic systems in obstructive sleep apnea syndrome (OSAS) constitutes the basis for development of cardiac arrhythmias. We aimed to examine the prevalence of arrhythmias in OSAS. Materials and methods: Eighty-eight patients with suspected OSAS were included in the study. Polysomnography was performed overnight in all patients. Patients with apnea-hypopnea index (AHI) < 5 were considered OSAS negative, while patients with AHI >= 5 were OSAS positive. Arrhythmia was defined as sinus bradycardia, sinus tachycardia, > 10/h supraventricular premature beats (SVPBs), > 10/h ventricular premature beats (VEBs), complex VPBs (bigeminal, trigeminal VEB or nonsustained VT), supraventricular tachycardia, ventricular tachycardia, > 2 s sinus arrest, second or third …


Predisposing Factors For Serum Sodium Disturbance In Patients With Severe Traumatic Brain Injury (Sbi), Mohammadreza Safavi, Saied Abrishamkar, Poria Tvakoli, Daruosh Moradi, Azim Honarmand Jan 2010

Predisposing Factors For Serum Sodium Disturbance In Patients With Severe Traumatic Brain Injury (Sbi), Mohammadreza Safavi, Saied Abrishamkar, Poria Tvakoli, Daruosh Moradi, Azim Honarmand

Turkish Journal of Medical Sciences

Disturbances in the plasma sodium level in patients with severe brain injury (SBI) is not a rare phenomenon and may cause adverse effects on prognosis and treatment outcomes. The knowledge of the prevalence of risk factors helps in early detection and good management of the serum sodium level disturbance. Materials and methods: This is a prospective clinical trial double blind study. The target population included patients with SBI who had disturbances in their plasma sodium level and were admitted at the ICU of Kashani Hospital, Isfahan, Iran, between January and October 2006. The patients with renal insufficiency, diuretic therapy, massive …


The Association Of Tafi (Thrombin-Activatable Fibrinolysis Inhibitor) With Insulin Resistance And Components Of Metabolic Syndrome In Patients With Metabolic Syndrome, Alev Kural, Ahmet Omma, Hati̇ce Seval, Maci̇t Koldaş, Namik Yi̇ği̇t, Tülay Omma Jan 2010

The Association Of Tafi (Thrombin-Activatable Fibrinolysis Inhibitor) With Insulin Resistance And Components Of Metabolic Syndrome In Patients With Metabolic Syndrome, Alev Kural, Ahmet Omma, Hati̇ce Seval, Maci̇t Koldaş, Namik Yi̇ği̇t, Tülay Omma

Turkish Journal of Medical Sciences

To investigate the association of TAFI with components of metabolic syndrome and insulin resistance in patients with metabolic syndrome. Materials and methods: Patients between 20 and 70 years of age, who met at least 3 of the metabolic syndrome criteria, and had no known coronary artery disease were included in the study. The control group consisted of 20 healthy subjects with demographic characteristics similar to the patients. Fasting blood glucose, HbA1c, lipid profile, insulin, microalbumin, and TAFI Ag levels were investigated in the patients and controls. Insulin resistance was calculated according to the HOMA-IR [(fasting plasma insulin (\muIU/ml) x fasting …


Incidence And Risk Factors For Bloodstream Infections Stemming From Temporary Hemodialysis Catheters, Hati̇ce Rahmet Çaylan, Gürdal Yilmaz, Ebru Emel Sözen, Kemaletti̇n Aydin, İftahar Köksal Jan 2010

Incidence And Risk Factors For Bloodstream Infections Stemming From Temporary Hemodialysis Catheters, Hati̇ce Rahmet Çaylan, Gürdal Yilmaz, Ebru Emel Sözen, Kemaletti̇n Aydin, İftahar Köksal

Turkish Journal of Medical Sciences

Catheter-related bloodstream infection (CR-BSI) is considered as an important complication of hemodialysis catheters. The purpose of this prospective study was to evaluate the incidence and risk factors of temporary hemodialysis catheter-related bloodstream infection. Materials and methods: Prospective data related to temporary hemodialysis catheters inserted in our institution were collected for duration of three years. The risk factors of CR-BSI of patients between the CR-BSI group and the control group were compared. Results: A total of 248 temporary hemodialysis catheters were inserted in 201 patients and remained in situ for a cumulative total of 5192 catheter days. There were 3254 dialysis …


Investigation Of The Hla Class I Antigens In Patients With Primary Spontaneous Pneumothorax, Akin Eraslan Balci, Ebru Önalan, Muharrem Çakmak, Hali̇t Mohammed Elyas, Mehmet Oğuzhan Özyurtkan Jan 2010

Investigation Of The Hla Class I Antigens In Patients With Primary Spontaneous Pneumothorax, Akin Eraslan Balci, Ebru Önalan, Muharrem Çakmak, Hali̇t Mohammed Elyas, Mehmet Oğuzhan Özyurtkan

Turkish Journal of Medical Sciences

There is no report investigating the human leukocyte antigen system (HLA) class I alleles and haplotypes in the patients with primary spontaneous pneumothorax (PSP) without any familial history in the literature. We investigated the association of these alleles and haplotypes, and the occurrence of the PSP in Turkish patients. Materials and methods: The study group consisted of 20 patients diagnosed as PSP (without any familial history), and 20 healthy volunteers as control group. All the participants were Turkish male nonsmokers. Their genomic DNAs were extracted from venous samples, and the HLA class I alleles and haplotypes were analysed. Results: The …


Vitamin C Modulates Oxidative Stress-Induced Colitis In Rats, Mustafa Zeri̇n, Ali̇ Zi̇ya Karakilçik, Muharrem Bi̇ti̇ren, Davut Musa, Abdullah Özgönül, Şehabetti̇n Selek, Yaşar Nazligül, Ali̇ Uzunköy Jan 2010

Vitamin C Modulates Oxidative Stress-Induced Colitis In Rats, Mustafa Zeri̇n, Ali̇ Zi̇ya Karakilçik, Muharrem Bi̇ti̇ren, Davut Musa, Abdullah Özgönül, Şehabetti̇n Selek, Yaşar Nazligül, Ali̇ Uzunköy

Turkish Journal of Medical Sciences

Free radicals are an important factor in the etiopathogenesis of colitis and may increase oxidative damage. The antioxidant vitamin C efficiently scavenges free oxygen radicals. The present study aimed to investigate the probable protective effects of vitamin C on oxidative injury in rats in which colitis was experimentally induced with acetic acid. Materials and methods: This study was conducted with rats for a period of 7 days. Group 1 intrarectally received a placebo (0.9% NaCl) and group 2 intrarectally received 2 mL of 5% acetic acid (AA) and the placebo. Group 3 intrarectally received 2 mL of 5% AA and …


Dermatoglyphics As Markers Of Prenatal Disturbances In Schizophrenia: A Case-Control Study, Bi̇rsen Özyurt, Ahmet Songur, Mustafa Sarsilmaz, Ömer Akyol, Mustafa Namli, Reha Demi̇rel Jan 2010

Dermatoglyphics As Markers Of Prenatal Disturbances In Schizophrenia: A Case-Control Study, Bi̇rsen Özyurt, Ahmet Songur, Mustafa Sarsilmaz, Ömer Akyol, Mustafa Namli, Reha Demi̇rel

Turkish Journal of Medical Sciences

Several studies have reported the importance of dermatoglyphics as markers of a prenatal disturbance in patients with schizophrenia. Due to the fact that finger- and handprints are formed by the end of the second trimester, they may provide clues to disturbances in early development. The aim of this study was to determine specific dermatoglyphical frequencies in a sample of patients with schizophrenia and normal controls. Materials and methods: Fingerprints and palm prints were obtained from 45 schizophrenic patients as well as 45 healthy controls. The dermatoglyphic patterns on the fingers (total finger ridge count [TFRC]) and palms (a-b, b-c, and …


Evaluation Of Coping Strategies, Social Support, And Depressive Symptoms In Spouses Of Patients With Hematological Cancer, Safi̇ye Özkan, Yasemi̇n Kutlu Jan 2010

Evaluation Of Coping Strategies, Social Support, And Depressive Symptoms In Spouses Of Patients With Hematological Cancer, Safi̇ye Özkan, Yasemi̇n Kutlu

Turkish Journal of Medical Sciences

The purpose of this study was the evaluation of coping strategies, social support, and depressive symptoms in spouses of patients with hematological cancer. Materials and methods: A descriptive design was used in current study. The study was carried out at the hematology clinic of 2 university hospitals located in İstanbul. The convenience sample consisted of 150 spouses of patients who had hematological cancer. The data were collected through structured face-to-face interviews using a questionnaire form, the "Ways of Coping" Questionnaire, the Multidimensional Perceived Social Support Scale, and Beck Depression Inventory. Percentage t-tests and Pearson's product moment correlation were used to …


Reliability Of Self-Reported History In Predicting Immunity Against Measles, Rubella, Mumps, And Varicella Among Health Care Workers, Çi̇gdem Ataman Hati̇poğlu, Ferah Ergi̇n, Günay Tuncer Ertem, Cemal Bulut, Ruki̇ye Berkem, Ali̇ Pekcan Demi̇röz Jan 2010

Reliability Of Self-Reported History In Predicting Immunity Against Measles, Rubella, Mumps, And Varicella Among Health Care Workers, Çi̇gdem Ataman Hati̇poğlu, Ferah Ergi̇n, Günay Tuncer Ertem, Cemal Bulut, Ruki̇ye Berkem, Ali̇ Pekcan Demi̇röz

Turkish Journal of Medical Sciences

To determine the immunity of health care workers (HCWs) against measles, rubella, mumps, and varicella infections, and to evaluate the reliability of self-reported history of the disease in predicting immunity. Materials and methods: A self-reported questionnaire was used to obtain the history of the diseases and ELISA to screen specific IgG antibodies. The history of the diseases was compared with serological testing results. Results: Eighty-one HCWs were included in the study. Immunity against measles was 97.5%, rubella 100%, mumps 72.8%, and varicella 96.3%. Positive predictive values of positive histories of the diseases were 100% for measles and rubella, 96.5% for …


Histomorphometric Study On The Effect Of Low Dose Deltamethrin On The Developing Cerebellar Cortex, Mohd Asnizam Asari, Mohammad Shukri Abdullah, Zul Izhar Mohd Ismail Jan 2010

Histomorphometric Study On The Effect Of Low Dose Deltamethrin On The Developing Cerebellar Cortex, Mohd Asnizam Asari, Mohammad Shukri Abdullah, Zul Izhar Mohd Ismail

Turkish Journal of Medical Sciences

Deltamethrin is a widely used type II pyrethroid-based insecticide. Studies have indicated that neonatal exposure to deltamethrin, even at relatively low doses, results in behavioral and neurological changes. In the present study, the effect of early neonatal exposure to low doses of deltamethrin on the histogenesis of the cerebellar cortex was investigated. Materials and methods: Sprague Dawley male pups were exposed to deltamethrin daily at a dose of 1 mg/kg via intraperitoneal injection from the 2nd to the 5th postnatal day and sacrificed on postnatal days 6, 14, and 21. Following intracardiac perfusion, the cerebellum was removed, embedded with paraffin …


The Effects Of Adjuvant Therapies For Sepsis On Hepatic And Renal Function: A Retrospective Analysis Of 108 Icu Patients, Beri̇t Gökçe Ceylan, Lütfi̇ Yavuz, Füsun Eroğlu, Şenol Gülmen, Ömer Ridvan Tarhan, Adnan Alaca Jan 2010

The Effects Of Adjuvant Therapies For Sepsis On Hepatic And Renal Function: A Retrospective Analysis Of 108 Icu Patients, Beri̇t Gökçe Ceylan, Lütfi̇ Yavuz, Füsun Eroğlu, Şenol Gülmen, Ömer Ridvan Tarhan, Adnan Alaca

Turkish Journal of Medical Sciences

As liver and kidney failure have a direct effect on mortality, morbidity, and intensive care unit (ICU) length of stay in sepsis patients, maintaining their functions or minimizing the degree of failure should be one of the most important goals of therapy. In this retrospective study we investigated the effects of recently introduced adjuvant therapies on hepatorenal functions in septic ICU patients. Materials and methods: We conducted comparative and retrospective data analysis of 108 patients with sepsis that were followed-up during a 2-year period in the ICU. We recorded AST, ALT, ALP, albumin, bilirubin, and INR in order to evaluate …


Levels Of Haemophilus Influenzae Type B (Hib) Antibody In Turkey Before Routine Immunization, Cemi̇le Sönmez, Ni̇lay Çöplü, Demet Kurtoğlu, Berri̇n Esen, Annette Crowley Luke, Lorraine Ransley, Ayşegül Gözalan Jan 2010

Levels Of Haemophilus Influenzae Type B (Hib) Antibody In Turkey Before Routine Immunization, Cemi̇le Sönmez, Ni̇lay Çöplü, Demet Kurtoğlu, Berri̇n Esen, Annette Crowley Luke, Lorraine Ransley, Ayşegül Gözalan

Turkish Journal of Medical Sciences

The Haemophilus influenzae type b (Hib) vaccine was introduced into the routine immunization schedule in Turkey on January 1, 2007. This study investigates the immunity to Hib prior to the introduction of the vaccine. Materials and methods: Serum samples were collected from healthy volunteers between the ages of 6 months and 50 + years of age, living in the area of 26 health centers in the Samsun, Antalya, and Diyarbakir provinces during 2000-2001. In total, 1713 sera were selected for this study, and the younger age groups were given priority (range 0-82). A commercial ELISA test was used to measure …


Prevalence Of Helicobacter Pylori Infection In Healthcare Workers, Maliheh Metanat, Batool Sharifi-Mood, Shahrokh Izadi Jan 2010

Prevalence Of Helicobacter Pylori Infection In Healthcare Workers, Maliheh Metanat, Batool Sharifi-Mood, Shahrokh Izadi

Turkish Journal of Medical Sciences

Helicobacter pylori (H. pylori) is a major factor in inflammatory and malignant diseases of the gastrointestinal tract. The epidemiologic pattern of this infection varies among developed and developing countries, and is related to the general standards of living in each region. In view of the importance of this infection and its different prevalence in different regions of Iran, as well as its long-term complications, this study was conducted to investigate the prevalence of H. pylori infection and its contributing factors in Zahedan. Materials and methods: Ninety-seven healthcare workers without digestive symptoms or a history of H. pylori eradication were randomly …


The Prevalence Of Trichomonas Vaginalis Infection Among Patients That Presented To Hospitals In The Kermanshah District Of Iran In 2006 And 2007, Abdolali Chalechale, Isaac Karimi Jan 2010

The Prevalence Of Trichomonas Vaginalis Infection Among Patients That Presented To Hospitals In The Kermanshah District Of Iran In 2006 And 2007, Abdolali Chalechale, Isaac Karimi

Turkish Journal of Medical Sciences

To determine the prevalence of Trichomonas vaginalis (Tv) among women that presented to hospitals in the Kermanshah district of Iran in 2006 and 2007. Materials and methods: This retrospective study included 33.690 women that presented to primary pathology laboratories in Kermanshah. Vaginal and cervical swabs were collected, and then stained with Papanicolaou (Pap) stain. Additionally, seasonal variations in the prevalence rate were compared to identify significant differences in the prevalence of Tv according to season. Results: Among the 33,690 women, 300 were infected with Tv (a prevalence rate of 0.9%). The 30-39-year-old age group had a significantly higher prevalence of …


Atypical Clinical Manifestation Of Dementia: A Progressive Visuospatial Deficit, Mehmet Güney Şenol, Hakan Tekeli̇, Erdem Toğrol, Mehmet Saraçoğlu Jan 2010

Atypical Clinical Manifestation Of Dementia: A Progressive Visuospatial Deficit, Mehmet Güney Şenol, Hakan Tekeli̇, Erdem Toğrol, Mehmet Saraçoğlu

Turkish Journal of Medical Sciences

Clinically and neuropathologically dementia is a very heterogeneous disease. Alzheimer's disease (Alzheimer disease, AD), the most common cause of dementia, is an acquired cognitive and behavioral impairment of sufficient severity that markedly interferes with social and occupational functioning. This disease may be manifested as progressive memory problems, visuospatial deterioration, aphasia and/or deficits of executive functions. The patient we report here is a 73-year-old female patient with loss of ability of finding directions and understanding the shapes of materials. Her complaints increased progressively during the last two years. Even if she had retired from tailoring, she had deterioration in the visuospatial …


The Prognostic Value Of Histological Grade In The Outcome Of Patients With Invasive Breast Cancer, Gül Dağlar, Yunus Nadi̇ Yüksek, Ahmet Uğur Gözalan, Tanju Tütüncü, Yeşi̇m Güngör, Nuri̇ Aydin Kama Jan 2010

The Prognostic Value Of Histological Grade In The Outcome Of Patients With Invasive Breast Cancer, Gül Dağlar, Yunus Nadi̇ Yüksek, Ahmet Uğur Gözalan, Tanju Tütüncü, Yeşi̇m Güngör, Nuri̇ Aydin Kama

Turkish Journal of Medical Sciences

Prognostic factors are useful for the prediction of survival in breast cancer patients. According to many studies, tumor size and lymph node stage are the most powerful predictors of tumor behavior. The aim of the present study was to investigate the prognostic value of tumor histological grade. Materials and methods: The study included 214 operable breast cancer patients treated at the same institution that were evaluated to determine the prognostic value of tumor histological grade. Clinico-histopathological features of the patients were also evaluated for overall survival (OS) and disease-free survival (DFS). Results: Tumor histological grade was an independent factor in …


Can [F-18] Fluorodeoxyglucose Positron Emission Tomography Replace Sentinel Lymph Node Biopsy For The Detection Of Axillary Metastases In Patients With Early-Stage Breast Cancer?*, Semi̇h Görgülü, Mehmet Fati̇h Can, Oğuz Hançerli̇oğullari, Nuri̇ Arslan, Erkan Öztürk, Emel Öztürk, Müjdat Balkan, Turgut Tufan Jan 2010

Can [F-18] Fluorodeoxyglucose Positron Emission Tomography Replace Sentinel Lymph Node Biopsy For The Detection Of Axillary Metastases In Patients With Early-Stage Breast Cancer?*, Semi̇h Görgülü, Mehmet Fati̇h Can, Oğuz Hançerli̇oğullari, Nuri̇ Arslan, Erkan Öztürk, Emel Öztürk, Müjdat Balkan, Turgut Tufan

Turkish Journal of Medical Sciences

To investigate the value of fluorodeoxyglucose positron emission tomography (FDG-PET) in detecting axillary involvement, and to compare its accuracy with sentinel lymph node biopsy (SLNB) in patients with clinically early-stage breast cancer. Materials and methods: Twenty-eight female patients with histologically-confirmed T1-2 breast cancer who were scheduled to have SLNB were included in the study. FDG-PET images were obtained 1-7 days prior to surgery with an intravenous injection of 370 MBq of FDG, while plasma glucose levels were maintained below 120 mg/dL. All the images were interpreted by 2 independent nuclear medicine specialists, who were blinded to the histological diagnoses. SLNB …


Underlying Diseases Of Recurrent Pneumonia In Turkish Children*, Osman Özdemi̇r, Si̇nan Sari, Arzu Bakirtaş, Peli̇n Zorlu, Ülker Ertan Jan 2010

Underlying Diseases Of Recurrent Pneumonia In Turkish Children*, Osman Özdemi̇r, Si̇nan Sari, Arzu Bakirtaş, Peli̇n Zorlu, Ülker Ertan

Turkish Journal of Medical Sciences

The aim of the present study was to determine the relative frequency of recurrent pneumonia in children and to describe its underlying illnesses. Materials and methods: Children between 3 months and 16 years old who had a history of 2 or more episodes of pneumonia per year, or 3 or more episodes in a lifetime were investigated retrospectively at Doctor Sami Ulus Children's Training and Research Hospital between January 2002 and December 2004. Results: Out of 595 children admitted for pneumonia, 62 (10.42%) met the criteria for recurrent pneumonia. An underlying illness was demonstrated in 56 patients (90.32%). In this …


Can Dynamic Multidetector Computerized Tomography Detect Renal Cell Carcinoma Subtypes?, Ayhan Di̇ri̇m, Ni̇hal Tutar, Levent Peşki̇rci̇oğlu, Hüseyi̇n Çeli̇k, Mehmet İlteri̇ş Teki̇n, Hakan Özkardeş Jan 2010

Can Dynamic Multidetector Computerized Tomography Detect Renal Cell Carcinoma Subtypes?, Ayhan Di̇ri̇m, Ni̇hal Tutar, Levent Peşki̇rci̇oğlu, Hüseyi̇n Çeli̇k, Mehmet İlteri̇ş Teki̇n, Hakan Özkardeş

Turkish Journal of Medical Sciences

To evaluate the efficacy of the biphasic and triphasic dynamic multidedector computerized tomography (MDCT) in the preoperative prediction of histological subtypes of renal cell carcinoma (RCC). Materials and methods: The preoperative dynamic MDCT findings of 51 patients with renal mass who had undergone nephrectomy were reviewed retrospectively. Twenty-five of the patients had biphasic (portal and excretory) and 26 had triphasic (arterial, portal, and excretory) MDCT images. Tumor size, presence of calcification, tumor-aorta attenuation values in all phases and homogeneicity of the tumor were noted for every patient. In heterogeneous tumors, the minimum and maximum attenuation values were noted to determine …