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Full-Text Articles in Medicine and Health Sciences

Effect Of Leptin Gene Polymorphisms On Milk Production Traits Of Jersey Cows, Hanna Kulig, Marek Kmiec, Inga Kowalewska Luczak, Gabriela Andziak Jan 2009

Effect Of Leptin Gene Polymorphisms On Milk Production Traits Of Jersey Cows, Hanna Kulig, Marek Kmiec, Inga Kowalewska Luczak, Gabriela Andziak

Turkish Journal of Veterinary & Animal Sciences

A total of 181 Jersey cows were used to investigate how leptin gene polymorphisms affect milk production traits such as milk yield, fat and protein yield, and fat and protein content. Two single-nucleotide polymorphisms (SNPs) were genotyped, including the A59V in exon 3 and Sau3AI in intron 2. The genotype, allele, and haplotype frequencies were estimated. Statistical analysis revealed that the A59V polymorphism significantly affected the milk, protein, and fat yield (P Keywords: Leptin, SNP, Jersey cows, milk production traits


Surgical Correction Of Small Colon Faecalith In A Dare-Shuri Foal, Behrooz Nikahval, Nasser Vesal, Mohsen Ghane Jan 2009

Surgical Correction Of Small Colon Faecalith In A Dare-Shuri Foal, Behrooz Nikahval, Nasser Vesal, Mohsen Ghane

Turkish Journal of Veterinary & Animal Sciences

A 6-month-old male Dare-Shuri foal was admitted for acute abdominal pain unresponsive to medical treatment. The foal was anxious and exhibiting signs of abdominal pain. The foal had not defecated in the previous 5 days and severe abdominal distension was present. Based on clinical signs and the results of the diagnostic work-up, gastrointestinal obstruction was suspected. Midline exploratory celiotomy revealed a faecalith in the small colon. A longitudinal incision was made through the antimesenteric border of the involved intestine and an approximately 350 g mass mostly composed of dried roughage was removed. The day after surgery, intestinal sounds were detectable; …


Nuclear Morphometry In Relation To Tumor Grade In Canine Spontaneous Cutaneous Squamous Cell Carcinomas, Radostin Simeonov Jan 2009

Nuclear Morphometry In Relation To Tumor Grade In Canine Spontaneous Cutaneous Squamous Cell Carcinomas, Radostin Simeonov

Turkish Journal of Veterinary & Animal Sciences

In a retrospective study on cytological specimens from 17 dogs with histologically confirmed cutaneous squamous cell carcinoma, the morphometric variables were studied and compared to tumors' nuclear grade. The morphometric parameters evaluated in this study were mean nuclear area (MNA, µm2), mean nuclear perimeter (MNP, µm), mean nuclear diameter (D mean, µm), minimum nuclear diameter (D min, µm), and maximum nuclear diameter (D max, µm). Associations between MNA, MNP, D mean, D min, and D max and tumors' grade were assessed using the ANOVA/LSD test (Statistica 6.0, StatSoft, USA) at a level of significance of P < 0.05. The result indicated an increase in the mean values of the nuclear parameters with increasing tumor grade. In the cases examined, significant differences in MNA, MNP, and D mean occurred between tumors in all grades. Besides, no significant differences in D max (between grade I-II and II-III) and D min (grade II-III) were found. In conclusion, nuclear morphometry could be used as an additional tool for differentiating nuclear grade in canine cutaneous squamous cell carcinomas.


The Effect Of Dust-Mites On Nitric Oxide Production, Süleyman Yazar, Eser Kiliç, Meti̇n Atambay, Aysun Bay Karabulut, Özlem Makbule Aycan, Gülden Sönmez Tamer, Ni̇lgün Daldal Jan 2009

The Effect Of Dust-Mites On Nitric Oxide Production, Süleyman Yazar, Eser Kiliç, Meti̇n Atambay, Aysun Bay Karabulut, Özlem Makbule Aycan, Gülden Sönmez Tamer, Ni̇lgün Daldal

Turkish Journal of Medical Sciences

Aim: We aimed to investigate the effect of house dust mite on the level of nitric oxide in patients who had dust mite in their houses and suffering from rhinitis and/or asthma and/or eczema-like allergic symptoms and were positive for skin tests (Prick). Materials and Methods: The effect of dust-mites on nitric oxide concentration was investigated using Griess method in patients who had allergic symptoms and were positive for skin tests. Results: The plasma nitric oxide level was found to be statistically higher in patients who had dust mite in their houses and suffering from allergic symptoms and were positive …


Orbital Emphysema Due To Nose Blowing, Mustafa Sever, Tunç Büyükyilmaz Jan 2009

Orbital Emphysema Due To Nose Blowing, Mustafa Sever, Tunç Büyükyilmaz

Turkish Journal of Medical Sciences

Orbital emphysema is a rare ocular emergency in the absence of trauma, sinusitis and/or surgical intervention. We report a case of orbital emphysema in a 29-year-old male caused by forceful blowing of the nose. The patient presented with sudden and painful onset of right periorbital swelling and nose-bleed following forceful blowing of the nose. There was no history of sinusitis, facial trauma or previous surgery. Examination of the patient disclosed crepitant eyelid swelling, ptosis, and mild unilateral exophthalmos and inferomedial strabismus in the neutral position. Otorhinolaryngologic and ophthalmic examinations were accompanied by computerized tomography, which demonstrated areas of emphysema in …


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 …


The Problem Of Antimicrobial Resistance In Nosocomial Medical And Surgical Intensive Care Units Infections In A University Hospital; A Two-Year Prospective Study, Şaban İnceci̇k, Neşe Saltoğlu, Akgün Yaman, İbrahi̇m Karayaylali, Mehmet Özalevli̇, Murat Gündüz, Refi̇k Burgut Jan 2009

The Problem Of Antimicrobial Resistance In Nosocomial Medical And Surgical Intensive Care Units Infections In A University Hospital; A Two-Year Prospective Study, Şaban İnceci̇k, Neşe Saltoğlu, Akgün Yaman, İbrahi̇m Karayaylali, Mehmet Özalevli̇, Murat Gündüz, Refi̇k Burgut

Turkish Journal of Medical Sciences

Aim: To determine the frequency of nosocomial infections (NIs) and the antimicrobial resistance of pathogens isolated from patients admitted to 4 intensive care units (ICUs) at a university hospital. Materials and Methods: The patients were prospectively followed over 2 years in medical, surgical, and reanimation ICUs. The isolates were collected from patients with NI determined by the Center for Diseases Control and Prevention criteria. The identification was performed and susceptibility to antibiotics was determined in an automated system Sceptor (Becton Dickinson) as described by the CCLS. Results: Among the 3962 patients in the ICUs, total NI incidence was 6.9%, with …


Giant Lobular Capillary Hemangioma Of The Nasal Septum, Selahatti̇n Genç, Ş. Si̇nan Kürkçüoğlu, Hayri̇ye Karabulut, Baran Acar, Ümi̇t Tunçel, Semi̇h Değerli̇ Jan 2009

Giant Lobular Capillary Hemangioma Of The Nasal Septum, Selahatti̇n Genç, Ş. Si̇nan Kürkçüoğlu, Hayri̇ye Karabulut, Baran Acar, Ümi̇t Tunçel, Semi̇h Değerli̇

Turkish Journal of Medical Sciences

Lobular capillary hemangioma is a benign, rapidly growing lesion of the skin and mucous membranes. It may rarely present as a mass of considerable size and thus entirely fill the nasal cavity; such lesions have been termed giant lobular capillary hemangioma. Its etiology remains obscure. Although it has no predilection for age, it is more common in the third decade and in females. Lobular capillary hemangioma usually involves the gingiva, lips, tongue, and buccal mucosa. However, the nasal cavity is a rare location for this lesion. The most common symptoms are epistaxis and nasal obstruction. The treatment of choice is …


Local Reccurence Of Giant Renal Cell Carcinoma Without Distant Metastases 25 Years After Radical Nephrectomy, Turgut Yapanoğlu, Yilmaz Aksoy, İsa Özbey, Cemal Gündoğdu, Özkan Polat Jan 2009

Local Reccurence Of Giant Renal Cell Carcinoma Without Distant Metastases 25 Years After Radical Nephrectomy, Turgut Yapanoğlu, Yilmaz Aksoy, İsa Özbey, Cemal Gündoğdu, Özkan Polat

Turkish Journal of Medical Sciences

A 64-year-old man underwent a left radical nephrectomy 25 years ago. The pathological examination revealed renal cell carcinoma (RCC) and no lymph node metastasis. He suffered a recurrence in the renal fossa 25 years after the operation. To our knowledge, this is the first report of late (about 25 years) recurrence of RCC without distant metastases after radical nephrectomy. The isolated fossa recurrence of RCC without any distant metastasis is very uncommon. We suggest that the patients with RCC who underwent radical nephrectomy should undergo lifelong follow up.


Endovascular Treatment Of A Cerebral Single-Hole Arteriovenous Fistula Associated With A Giant Aneurysmal Sac In A Pediatric Patient, Si̇bel Bakan, Meli̇ke Kale, Hüseyi̇n Akan Jan 2009

Endovascular Treatment Of A Cerebral Single-Hole Arteriovenous Fistula Associated With A Giant Aneurysmal Sac In A Pediatric Patient, Si̇bel Bakan, Meli̇ke Kale, Hüseyi̇n Akan

Turkish Journal of Medical Sciences

Cerebral arteriovenous fistulas (AVFs) are rare in childhood and are generally associated with arteriovenous malformations (AVMs). They may lead to an increase in intracerebral pressure, seizure, hemorrhage, or cardiac decompression. They may be treated with endovascular embolization. Herein we present the radiological findings, before and after endovascular treatment, of a pediatric patient with a cerebral AVF associated with a giant aneurysmal sac.


Increased P Wave Dispersion In Hypothyroidism: A Sign Of Risk Of Atrial Fibrillation, Ramazan Akdemi̇r, Nesli̇han Ebru Eryaşar, Kudret Çeli̇k, Aşkin Güngüneş, Hakan Ci̇nemre, Cemi̇l Bi̇li̇r, Nermi̇n Akdemi̇r, Harun Kiliç Jan 2009

Increased P Wave Dispersion In Hypothyroidism: A Sign Of Risk Of Atrial Fibrillation, Ramazan Akdemi̇r, Nesli̇han Ebru Eryaşar, Kudret Çeli̇k, Aşkin Güngüneş, Hakan Ci̇nemre, Cemi̇l Bi̇li̇r, Nermi̇n Akdemi̇r, Harun Kiliç

Turkish Journal of Medical Sciences

Aim: As in hyperthyroidism, cardiac arrhythmias can be seen in hypothyroidism. In this study, we measured P wave dispersion among hypothyroid patients to evaluate atrial fibrillation risk. Methods: 75 patients who received first time diagnosis of hypothyroidism and 40 normal control patients were included in this study. Each patient had echocardiographic and electrocardiographic studies were carried out. Groups were compared for statistically significant difference in P wave dispersion, minimum P wave duration and maximum P wave duration. Results: The groups were similar in echocardiographic and electrocardiograpic features. P wave dispersion was significantly higher in the hypothyroid group compared to normal …


Measurement Of Total Antioxidant Response In Colorectal Cancer Using A Novel Automated Method, Abdullah Özgönül, Nurten Aksoy, Fuat Di̇lmec, Ali̇ Uzunköy, Şahi̇n Aksoy Jan 2009

Measurement Of Total Antioxidant Response In Colorectal Cancer Using A Novel Automated Method, Abdullah Özgönül, Nurten Aksoy, Fuat Di̇lmec, Ali̇ Uzunköy, Şahi̇n Aksoy

Turkish Journal of Medical Sciences

Aim: The aim of this study was to compare the antioxidative status in patients with colorectal cancer and healthy controls, based on measurements made using a novel method. Materials and Methods: The study was conducted between 2005 and 2007, and included 30 patients with colorectal cancer and 30 healthy controls. To determine the antioxidative status of the patients and healthy controls, serum total antioxidant capacity was measured using a novel automated method. Blood samples were taken from the healthy controls and the patients. Results: Total serum antioxidant capacity was significantly lower in colorectal cancer patients than in healthy persons (P < 0.023). Conclusions: Patients with colorectal cancer are exposed to oxidative stress, which may have a role in the pathogenesis of the disease. The novel automated method used in this study was developed in our laboratory, and is feasible and fully automated; therefore, it may be useful for evaluating oxidative-antioxidative balance in patients with colorectal cancer.


Femoral Neck Fracture Following An Epileptic Seizure, Ahmet Demi̇rcan, Murat Özsaraç, Fi̇kret Bi̇ldi̇k, Ayfer Keleş, Gülbi̇n Aygencel Jan 2009

Femoral Neck Fracture Following An Epileptic Seizure, Ahmet Demi̇rcan, Murat Özsaraç, Fi̇kret Bi̇ldi̇k, Ayfer Keleş, Gülbi̇n Aygencel

Turkish Journal of Medical Sciences

Although the occurrence of dislocations in shoulders is a well-known complication of convulsive activity, femoral fractures are seen very rare. In this study, a case of a femur neck fracture after epileptic seizure was reported. A 49-year-old man presented to the emergency department following a first grand mal seizure. There was no history of trauma and co-morbid disease. Initial physical examination was normal. When the patient was taken to the computerized tomography room, he experienced 2 generalized tonic-clonic seizures. After the post-ictal period, the patient complained of pain on the left hip and left shoulder. Anteroposterior pelvic and shoulder x-rays …


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 …


The Predictive Role Of Ast Level, Prothrombin Time, And Platelet Count In The Detection Of Liver Fibrosis In Patients With Chronic Hepatitis C, Özlem Kandemi̇r, Gürbüz Polat, Güli̇z Saraçoğlu, Bahar Taşdelen Jan 2009

The Predictive Role Of Ast Level, Prothrombin Time, And Platelet Count In The Detection Of Liver Fibrosis In Patients With Chronic Hepatitis C, Özlem Kandemi̇r, Gürbüz Polat, Güli̇z Saraçoğlu, Bahar Taşdelen

Turkish Journal of Medical Sciences

Aim: We aimed to assess the predictive value of a combination some of basic serum biochemical markers for the diagnosis of clinically significant fibrosis in chronic hepatitis C. Materials and methods: Blood samples from 68 patients with chronic hepatitis C infection were analyzed for aspartate aminotransferase, prothrombin INR, and platelet count. The liver histopathology was evaluated using the Knodell protocol. The relationship between the serum biochemical markers and severity of the stages were examined. Results: A strong association was found between the fibrosis stage and platelet count and GUCI (P < 0.001, P = 0.035 respectively) but not APRI ([AST/ULN] / Platelet count [ ×109 /L]) × 100) (P = 0.052). The relationship between the platelet count


Erythrocyte Tao And Tbars Levels In Patients Who Suffered Missed Miscarriage, Ayşe Nur Aksoy, Hülya Aksoy, Nuri̇nni̇sa Öztürk, Çağlar Bulut Jan 2009

Erythrocyte Tao And Tbars Levels In Patients Who Suffered Missed Miscarriage, Ayşe Nur Aksoy, Hülya Aksoy, Nuri̇nni̇sa Öztürk, Çağlar Bulut

Turkish Journal of Medical Sciences

Aim: Missed miscarriage is a pregnancy-related condition, and lipid peroxidation and alterations in antioxidant levels may be of importance in the pathogenesis of this disorder. The aim of the study was to assess whether erythrocyte total antioxidant activity (TAO) and thiobarbituric acid reactive substance (TBARS) levels altered in patients who suffered missed miscarriage. Materials and methods: We measured levels of TAO and TBARS, as a lipid peroxidation marker, in erythrocytes of women with a diagnosed missed miscarriage (n = 36) during 7-16 weeks of pregnancy. The control group consisted of women (n = 34) with uncomplicated pregnancy similarly matched for …


Short Term Outcomes Of The Use Of High Dose Intravenous Methylprednisolone For Acute Optic Neuritis In A Central Anatolian Population, Yasemi̇n Özdamar, Gölge Acaroğlu, Bayazit İlhan, Seyhan S. Özkan, Kuddusi̇ Teberi̇k Jan 2009

Short Term Outcomes Of The Use Of High Dose Intravenous Methylprednisolone For Acute Optic Neuritis In A Central Anatolian Population, Yasemi̇n Özdamar, Gölge Acaroğlu, Bayazit İlhan, Seyhan S. Özkan, Kuddusi̇ Teberi̇k

Turkish Journal of Medical Sciences

Aim: To describe the clinical characteristics and outcome of optic neuritis (ON) cases treated with high dose intravenous methylprednisolone (IVMP) in a tertiary referral clinic in Ankara, Turkey. Materials and methods: Consecutive patients in the past 5 years with acute isolated ON, who were treated with IVMP and had a follow-up of at least 3 months, were reviewed. Symptoms and findings, results of brain magnetic resonance imaging (MRI), etiologies, visual outcomes, and side effects of the treatment were evaluated. Results: Etiological causes could be elicited in 57 (85.1%) of 67 patients; the most common of which was multiple sclerosis (MS). …


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 …


Risk Factors For Acquisition Of Methicillin-Resistant Staphylococcus Aureus And Clonal Spread Of The Isolates In A Medical Intensive Care Unit, Emi̇ne Alp, Mehmet Yerer, Duygu Esel, Gökhan Metan, Mehmet Doğanay Jan 2009

Risk Factors For Acquisition Of Methicillin-Resistant Staphylococcus Aureus And Clonal Spread Of The Isolates In A Medical Intensive Care Unit, Emi̇ne Alp, Mehmet Yerer, Duygu Esel, Gökhan Metan, Mehmet Doğanay

Turkish Journal of Medical Sciences

Aim: Methicillin-resistant Staphylococcus aureus (MRSA) is still the commonest pathogen in hospital-acquired infections with high morbidity and mortality. MRSA colonization usually precedes infection and dissemination of the microorganism. The aim of this study was to determine risk factors for the colonization and infection with MRSA in a medical intensive care unit (MICU) and to show the genetic relation of strains. Materials and methods: This study was conducted prospectively between 1 December 2004 and 31 January 2006 in MICU. Patients (>16 years) admitted to the MICU were screened for MRSA on admission (in the first 48 hours), at the end …


Molecular Typing Of Methicillin-Resistant Staphylococcus Aureus Isolated From Bloodstream Infections In A University Hospital, Gülay Yetki̇n, Çi̇gdem Kuzucu, Bengül Durmaz, Riza Durmaz, Zeynep Çi̇zmeci̇, Lati̇fe İşeri̇ Jan 2009

Molecular Typing Of Methicillin-Resistant Staphylococcus Aureus Isolated From Bloodstream Infections In A University Hospital, Gülay Yetki̇n, Çi̇gdem Kuzucu, Bengül Durmaz, Riza Durmaz, Zeynep Çi̇zmeci̇, Lati̇fe İşeri̇

Turkish Journal of Medical Sciences

Aim: Bloodstream infections due to methicillin-resistant Staphyococcus aureus (MRSA) strains are one of the major problems in many hospitals. Molecular typing provides very useful information about the origin and the spreading ways of strains. The aim of the present study is to assess the clonal relationship amongst MRSA strains isolated from bloodstream infections of patients in Turgut Özal Medical Center, İnönü University in Turkey. Materials and methods: A total of 37 consecutive MRSA strains were identified from the blood cultures from January to December 2003. Methicillin resistance was confirmed with amplification of the mecA gene by polymerase chain reaction (PCR). …


Evaluation Of The Performance Of A Carotid Subclavian By-Pass As A Source For Internal Thoracic Artery, İbrahi̇m Duvan, Alper Gürbüz, Meti̇n Demi̇rci̇n Jan 2009

Evaluation Of The Performance Of A Carotid Subclavian By-Pass As A Source For Internal Thoracic Artery, İbrahi̇m Duvan, Alper Gürbüz, Meti̇n Demi̇rci̇n

Turkish Journal of Medical Sciences

The concomitance of atherosclerotic subclavian occlusive lesion with coronary artery disease has an extraordinary importance in coronary artery bypass surgery. The development of a lesion in the subclavian artery proximal to the internal thoracic artery (ITA) before or after coronary artery bypass graft (CABG) by ITA can result with the coronary-subclavian steal syndrome and myocardial ischemia may occur. It is pretty vital to be aware of the presence of the subclavian occlusive lesion in patients undergoing CABG. We present in this paper an atherosclerotic case that had a concomitant brachiocephalic and coronary artery disease. He had both carotid and subclavian …


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 …


Reliability Of A Functional Test Battery Evaluating Functionality, Proprioception And Strength Of The Ankle Joint, Yavuz Yildiz, Ufuk Şeki̇r, Bülent Hazneci̇, Fati̇h Örs, Tolga Saka, Taner Aydin Jan 2009

Reliability Of A Functional Test Battery Evaluating Functionality, Proprioception And Strength Of The Ankle Joint, Yavuz Yildiz, Ufuk Şeki̇r, Bülent Hazneci̇, Fati̇h Örs, Tolga Saka, Taner Aydin

Turkish Journal of Medical Sciences

Aim: In contrast to the one-sided evaluation methods used in the past, combining multiple tests allows one to obtain a global assessment of the ankle joint. Materials and Methods: Twenty healthy male volunteers participated in this study. One component of the test battery included five different functional ability tests, which included: single limb hopping course, one-legged and triple-legged hop for distance, and six-meter (6-m) and cross 6-m hop for time. Ankle joint position sense and one leg standing test were used for proprioceptive evaluation. Isokinetic strength of the ankle invertor and evertor muscles were evaluated at a velocity of 120°/sec. …


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 …