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Full-Text Articles in Medicine and Health Sciences

Horner´S Syndrome Post-Excision Of A Huge Cervical Sympathetic Chain Schwannoma, Sedat Aydin, Ari̇f Şanli, Ömer Taşdemi̇r, Ayli̇n Ege Gül Jan 2007

Horner´S Syndrome Post-Excision Of A Huge Cervical Sympathetic Chain Schwannoma, Sedat Aydin, Ari̇f Şanli, Ömer Taşdemi̇r, Ayli̇n Ege Gül

Turkish Journal of Medical Sciences

Schwannoma of the cervical sympathetic chain is a rare nerve tumor. These lesions typically present as an asymptomatic neck mass and are easily mistaken for a carotid body tumor during the initial work-up. In this report, a rarely seen huge cervical sympathetic chain schwannoma case, who experienced partial Horner´s syndrome postoperatively, is presented. We report a case of schwannoma on the cervical sympathetic chain, which to our knowledge is the largest reported in the current literature.


Excretion Rate And Composition Of Skin Surface Lipids On The Foreheads Of Adult Males With Type Iv Hyperlipoproteinemia, Tayfun Güldür, Ni̇hayet Bayraktar, Özgür Kaynar, Gülçi̇n Beker, Muzaffer Koçer, Hamdi̇ Özcan Jan 2007

Excretion Rate And Composition Of Skin Surface Lipids On The Foreheads Of Adult Males With Type Iv Hyperlipoproteinemia, Tayfun Güldür, Ni̇hayet Bayraktar, Özgür Kaynar, Gülçi̇n Beker, Muzaffer Koçer, Hamdi̇ Özcan

Turkish Journal of Medical Sciences

Aim: Most of the lipids of the skin surface come from the sebaceous glands, which secrete an oily substance called sebum. Some of the sebum lipids are synthesized by sebaceous cells while some are reported to be derived from the plasma. The role of blood lipoproteins in sebum secretion rate and composition is unclear. To this end, excretion rate and composition of skin surface lipids in normo- and type IV hyperlipoproteinemic adult male subjects were compared. Materials and Methods: Quantitative analysis of skin surface lipids of subjects with type IV hyperlipoproteinemia (n:21) and normolipoproteinemia (n:15) was performed by three successive …


Perioperative Deaths In A Nigerian Tertiary Teaching Hospital, Chibundu E. Ohanaka, Charles O. Imarengiaye Jan 2007

Perioperative Deaths In A Nigerian Tertiary Teaching Hospital, Chibundu E. Ohanaka, Charles O. Imarengiaye

Turkish Journal of Medical Sciences

Aim: Perioperative deaths may be categorized into avoidable and non-avoidable. An audit of such deaths should be carried out periodically with a view to improving the standard of clinical practice. Materials and Methods: The master registry of the main theater of the hospital was examined to identify all deaths that occurred within the main theater environment (reception, operating room, and recovery room) over a five-year period (January 2000- December 2004). Patients’ ages, sex and timing of surgery (elective or emergency), American Society of Anesthesiologists (ASA) status and the diagnosis were noted. The diagnosis was further categorized in relation to the …


K26 Antigen From L. Infantum Mon1: Sequence Based Function-Localization Analysis, Behrooz Darbani, Mahmoud Toorchi, Safar Farajnia, Seyyed Abolghasem Mohammadi, C. Neal Stewart Jan 2007

K26 Antigen From L. Infantum Mon1: Sequence Based Function-Localization Analysis, Behrooz Darbani, Mahmoud Toorchi, Safar Farajnia, Seyyed Abolghasem Mohammadi, C. Neal Stewart

Turkish Journal of Medical Sciences

No abstract provided.


Is There A Correlation Between Extroversion Personality Characteristics Of Medical Students And Awareness Of Works Of Art?, Sare Alkan, Musaci̇de Zehra Ordulu, Yi̇ği̇t Sezer, Emi̇n Soyer, Di̇lek Aslan, İskender Sayek Jan 2007

Is There A Correlation Between Extroversion Personality Characteristics Of Medical Students And Awareness Of Works Of Art?, Sare Alkan, Musaci̇de Zehra Ordulu, Yi̇ği̇t Sezer, Emi̇n Soyer, Di̇lek Aslan, İskender Sayek

Turkish Journal of Medical Sciences

Aim: In this study, we aimed to assess the relation between extroversion personality characteristics and awareness of works of art among a group of university students. Materials and Methods: One hundred thirty-five phase II students of the Medical Faculty of Hacettepe University registered in the 2005-2006 academic year participated in this descriptive study. In order to assess extroversion personality characteristics, Eysenck Extroversion Personality Scale was used. For determining awareness of works of art on the campus, researchers photographed selected works of arts and presented them for evaluation by the participants in a questionnaire. Four categories were determined as follows: category …


Effect Of Montelukast Treatment On Serum Paraoxonase Activity In Asthmatic Children, Murat Can, A. Görkem Mungan, Şerefden Açikgöz, Bi̇rol Yüksel, Selda Demi̇rtaş, Nazan Tomaç Jan 2007

Effect Of Montelukast Treatment On Serum Paraoxonase Activity In Asthmatic Children, Murat Can, A. Görkem Mungan, Şerefden Açikgöz, Bi̇rol Yüksel, Selda Demi̇rtaş, Nazan Tomaç

Turkish Journal of Medical Sciences

Montelukast, widely used in the treatment of asthma, is a selective and potent oral cysteinyl leukotriene-1 receptor antagonist. In this study, we investigated the effects of montelukast on oxidative stress and antioxidant defense in childhood asthma by measuring malondialdehyde and the paraoxonase activity. Twenty-five children with mild to moderate atopic asthma and 25 nonatopic children as controls were enrolled in the study. Asthmatic children were treated with montelukast, 5 mg tablets, for one month. Serum paraoxonase, malondialdehyde and high-density lipoprotein (HDL) cholesterol levels were measured before and after treatment. Serum paraoxonase and paraoxonase/HDL ratios were significantly increased after montelukast treatment. …


Comparison Of The Antibacterial Effects Of Two Local Anesthetics: Lidocaine And Articaine, Kadi̇r Kaya, Seyyal Rota, Bora Doğan, Gi̇zem Kökten, Berri̇n Günaydin, Gülendam Bozdayi Jan 2007

Comparison Of The Antibacterial Effects Of Two Local Anesthetics: Lidocaine And Articaine, Kadi̇r Kaya, Seyyal Rota, Bora Doğan, Gi̇zem Kökten, Berri̇n Günaydin, Gülendam Bozdayi

Turkish Journal of Medical Sciences

Aim: The antibacterial effect of lidocaine has been studied widely, but the effect of articaine has not yet been evaluated. We aimed to investigate whether commercially available articaine possesses bactericidal or bacteriostatic effect in comparison with lidocaine in a prospective laboratory setting. Materials and Methods: The antibacterial effects of articaine and lidocaine were studied on Pseudomonas aeruginosa ATCC27853, Staphylococcus aureus ATCC25923, Escherichia coli ATCC35218, and Proteus mirabilis ATCC7002 strains and a patient isolate of Serratia marcescens. For this study, 2% lidocaine HCl and articaine HCl were diluted to 10, 5, 2.5, 1.25, 0.625, 0.312, 0.156, and 0.078 mg ml^{-1} concentrations …


Risk Factors For Fecal Carriage Of Extended-Spectrum Beta-Lactamase Producing Escherichia Coli And Klebsiella Spp. In The Community, Özlem Kurt Azap, Hande Arslan, Sedef Ö. Karaman, Turhan Togan Jan 2007

Risk Factors For Fecal Carriage Of Extended-Spectrum Beta-Lactamase Producing Escherichia Coli And Klebsiella Spp. In The Community, Özlem Kurt Azap, Hande Arslan, Sedef Ö. Karaman, Turhan Togan

Turkish Journal of Medical Sciences

Aim: Community-acquired infections caused by extended-spectrum beta-lactamase (ESBL)-producing bacteria are an emerging problem. Digestive tract colonization is a prerequisite for infections by ESBL-producing microorganisms. The aim of this study was to determine the prevalence of and risk factors for fecal carriage of ESBL-producing Escherichia coli (E. coli) or Klebsiella spp. in the community. Materials and Methods: A total of 928 stool samples admitted to the laboratory during a four-month period were included in the study. Samples were diluted in saline and cultured in two EMB agar plates supplemented with either 1 µg/ml cefotaxime or 1 µg/ml ceftazidime. All isolates that …


The Role Of Periodontal Disease On Acute Phase Proteins In Patients With Coronary Heart Disease And Diabetes, Gonca Çayir Keleş, Burcu Özkan Çeti̇nkaya, Selen Burçak Şi̇mşek, Di̇yar Köprülü, Hakki Kahraman Jan 2007

The Role Of Periodontal Disease On Acute Phase Proteins In Patients With Coronary Heart Disease And Diabetes, Gonca Çayir Keleş, Burcu Özkan Çeti̇nkaya, Selen Burçak Şi̇mşek, Di̇yar Köprülü, Hakki Kahraman

Turkish Journal of Medical Sciences

Aims: Chronic infections such as periodontal disease (PD) have been suggested to be a risk factor for coronary heart disease (CHD). Elevated levels of acute phase proteins are associated with increased risk for cardiovascular events in both healthy individuals and patients with known CHD. This study aimed to investigate the role of PD on C-reactive protein (CRP) and fibrinogen levels in patients with either CHD or type 2 diabetes. Materials and Methods: 80 subjects were evaluated in four groups: individuals with CHD+PD (group 1; n: 20), individuals with type 2 diabetes+PD (group 2; n: 20), individuals with PD without any …


Water Sorption And Solubility Of Different Luting And Restorative Dental Cements, Fi̇li̇z Keyf, S. Hakan Tuna, Murat Şen, Agnes Safrany Jan 2007

Water Sorption And Solubility Of Different Luting And Restorative Dental Cements, Fi̇li̇z Keyf, S. Hakan Tuna, Murat Şen, Agnes Safrany

Turkish Journal of Medical Sciences

Aim: The purpose of this study was to compare the water sorption and solubility of four provisional, three permanent luting cements and five restorative cements. Methods: A split ring mould was fabricated for the preparation of specimen discs which were 15.0 mm in diameter and 1.5 mm thick. All specimens were manipulated according to the manufacturer's instructions and then subjected to water sorption and solubility tests. Data were analysed with Wilcoxon Signed Ranks Test. Scanning electron microscopy was used to evaluate surface topography and roughness. Results: All tested materials demonstrated different degrees of sorption and solubility. The difference between sorption …


Brain Perfusion Single-Photon Emission Computed Tomography Findings In A Patient With Aicardi Syndrome, Mustafa Aydin, Tansel Ansal Balci, Ni̇met Kabakuş Jan 2007

Brain Perfusion Single-Photon Emission Computed Tomography Findings In A Patient With Aicardi Syndrome, Mustafa Aydin, Tansel Ansal Balci, Ni̇met Kabakuş

Turkish Journal of Medical Sciences

Aicardi syndrome is a rare X-linked dominant genetic disorder characterized by infantile spasms, agenesis or hypogenesis of the corpus callosum, and chorioretinal lacunae. There remain many unresolved questions regarding the clinical features of this disorder. Recent advancements in neuroimaging techniques have allowed us to obtain information about brain development and perfusion. Thus, we present herein the brain single-photon emission computed tomography (SPECT) findings in a 15-month-old female with Aicardi syndrome, which revealed that perfusion had shifted from the posterior to anterior regions. Furthermore, the right temporal lobe was not visualized, while significant hypoperfusion was determined on the occipital regions and …


The Role Of Heart-Type Fatty Acid-Binding Protein (H-Fabp) In Acute Myocardial Infarction (Ami) Compared To Conventional Cardiac Biochemical Markers, Hati̇ce Paşaoğlu, Ebru Ofluoğlu, Mustafa İlhan, Ati̇ye Çengel, Murat Özdemi̇r, Emre Durakoğlugi̇l, Murat Erden Jan 2007

The Role Of Heart-Type Fatty Acid-Binding Protein (H-Fabp) In Acute Myocardial Infarction (Ami) Compared To Conventional Cardiac Biochemical Markers, Hati̇ce Paşaoğlu, Ebru Ofluoğlu, Mustafa İlhan, Ati̇ye Çengel, Murat Özdemi̇r, Emre Durakoğlugi̇l, Murat Erden

Turkish Journal of Medical Sciences

Aim: To investigate the clinical implications of serum heart-type fatty acid-binding protein (H-FABP) compared to myoglobin, cardiac troponin I (cTnI), and creatine kinase MB isoenzyme (CK-MB) in patients with early phase acute myocardial infarction (AMI). Material and Methods: Patients were grouped clinically according to the American College of Cardiology/European Society of Cardiology new definition of myocardial infarction (MI) and by clinician diagnosis of MI. Serum concentrations of H-FABP, myoglobin, cTnI, and CK-MB were determined in 21 patients with AMI and 44 non-AMI patients. From each patient 3 blood samples were obtained 1-2, 3, and 6 h after the onset chest …


Development Of A Highly Sensitive Elisa For Quantification Of Hepatitis B Virus (Hbv) Surface Antigen (Hbsag), Resul Karakuş, Lati̇fe Arzu Aral, Bi̇lkay Baştürk, Cemaletti̇n Aybay Jan 2007

Development Of A Highly Sensitive Elisa For Quantification Of Hepatitis B Virus (Hbv) Surface Antigen (Hbsag), Resul Karakuş, Lati̇fe Arzu Aral, Bi̇lkay Baştürk, Cemaletti̇n Aybay

Turkish Journal of Medical Sciences

Background: Hepatitis B Virus (HBV) infection is of global importance and many studies are aimed to develop more sensitive diagnostic tools and improve therapeutic options. HBV infection is diagnosed and followed-up basically by serological studies, among which the enzyme-linked immunosorbent assay (ELISA) is widely used. Aim: To develop a sensitive HBsAg ELISA for both research and diagnostic purposes. Materials and Methods: A hybridoma (clone 4D1) secreting anti-HBs IgG2a monoclonal antibody (mAb) was used for the establishment of our in-house ELISA. Tests were performed for both cell culture medium and human sera. The hepatoma cell lines of human origin PLC/PRF/5 and …


Correlations Of Serum Il-6 Levels And Prolidase Activity Between Bone Turnover Markers And Bone Mineral Density In Postmenopausal Women With And Without Osteoporosis, Aysun Toker, Hülya Aksoy, Bünyami̇n Börekçi̇, Asuman Özkan Jan 2007

Correlations Of Serum Il-6 Levels And Prolidase Activity Between Bone Turnover Markers And Bone Mineral Density In Postmenopausal Women With And Without Osteoporosis, Aysun Toker, Hülya Aksoy, Bünyami̇n Börekçi̇, Asuman Özkan

Turkish Journal of Medical Sciences

Aim: The purpose of this study was to measure serum prolidase activity and interleukin-2 and 6 (IL-2, IL-6) levels and to investigate the relationship of these parameters with bone mineral density (BMD) and bone turnover markers in postmenopausal women with and without osteoporosis. Materials and Methods: 59 postmenopausal women were included in this study (21 women with osteoporosis and 38 without). Serum IL-2 and IL-6 levels, prolidase activity, osteocalcin (OSC), calcium (Ca), alkaline phosphatase (ALP), urinary deoxypyridinoline (DPD) and BMD were measured in postmenopausal women with and without osteoporosis. Results: Serum prolidase activity was slightly higher in postmenopausal nonosteoporotic women …


Cobalamin Deficiency During Pregnancy Expressed As Elevated Urine Methylmalonic Acid Levels Determined By A Photometric Assay, Osman Meti̇n İpçi̇oğlu, Mustafa Gültepe, Ömer Özcan Jan 2007

Cobalamin Deficiency During Pregnancy Expressed As Elevated Urine Methylmalonic Acid Levels Determined By A Photometric Assay, Osman Meti̇n İpçi̇oğlu, Mustafa Gültepe, Ömer Özcan

Turkish Journal of Medical Sciences

Aim: Deficiency of cobalamin and folate during pregnancy is associated with megaloblastic anemia. Lower levels of folate and vitamin B12 were reported in mothers whose offspring had neural tube defects compared to unaffected controls. Increased methylmalonic acid (MMA) levels are a sensitive indicator of mild vitamin B12 deficiency and elevated homocysteine levels denote vitamin B12 or folate deficiency. We aimed to evaluate cobalamin state in pregnancy by using urine MMA levels determined by an economic spectrophotometric method. Materials and Methods: For this cross-sectional study, plasma total homocysteine (tHcy), serum folate and vitamin B12, and urine MMA levels were measured in …


Is Serum Prostate Specific Antigen Level Affected By In-And-Out Urethral Catheterization?, Yilmaz Aslan, Altuğ Tuncel, Ümi̇t Tekdoğan, Osman Özergi̇n, Ali̇ Atan Jan 2007

Is Serum Prostate Specific Antigen Level Affected By In-And-Out Urethral Catheterization?, Yilmaz Aslan, Altuğ Tuncel, Ümi̇t Tekdoğan, Osman Özergi̇n, Ali̇ Atan

Turkish Journal of Medical Sciences

Aim: In this study, we aimed to investigate the effect of in-and-out urethral catheterization on serum total and free prostate specific antigen (PSA) levels and free/total PSA ratio. Materials and Methods: This is a prospective study including 24 patients who admitted with lower urinary tract symptoms and underwent in-and-out urethral catheterization with 18 F Foley catheter inserted for postvoiding residual urine measurement. Blood samples were withdrawn to determine serum total and free PSA levels and free/total PSA ratio immediately before, and at 1, 24 and 72 hours after urethral catheterization. Results: There was no alteration in total and free PSA …


Spectrum Of Clinical Infectious Diseases In Hospitalized Elderly Patients In The Southeast Of Iran, Batool Sharifi-Mood, Maliheh Metanat Jan 2007

Spectrum Of Clinical Infectious Diseases In Hospitalized Elderly Patients In The Southeast Of Iran, Batool Sharifi-Mood, Maliheh Metanat

Turkish Journal of Medical Sciences

Aim: The elderly have defective host defenses that compromise their ability to ward off infectious agents; factors influencing immunocompetence include impaired host defenses such as diminished cell-mediated immunity, changes in chronic diseases, medications, malnutrition and functional impairments. This study was conducted in order to determine the pattern of clinical infectious diseases in a series of hospitalized elderly patients. Materials and Methods: In this cross-sectional study, all elderly patients who were admitted to our hospital in Zahedan (Southeast Iran) between 2001 and 2006 were evaluated. We retrospectively reviewed the 1278 patients for diagnostic studies, risk factors, treatment options and morbidity and …


Quality Assurance Standards Task Force Global Standards: Route For Accreditation In Medical Education In Europe, İskender Sayek, Hans Karle Jan 2007

Quality Assurance Standards Task Force Global Standards: Route For Accreditation In Medical Education In Europe, İskender Sayek, Hans Karle

Turkish Journal of Medical Sciences

No abstract provided.


Prevalence Of Lower Urinary Tract Symptoms In Men Over 40 Years: A Cross-Sectional Study In Samsun, Ahmet Tevfi̇k Sünter, Ci̇had Dündar, Sevgi̇ Canbaz, Sennur Dabak, Yildiz Pekşen Jan 2007

Prevalence Of Lower Urinary Tract Symptoms In Men Over 40 Years: A Cross-Sectional Study In Samsun, Ahmet Tevfi̇k Sünter, Ci̇had Dündar, Sevgi̇ Canbaz, Sennur Dabak, Yildiz Pekşen

Turkish Journal of Medical Sciences

Aim: Lower urinary tract symptoms (LUTS) are a common problem in ageing men. The aim of this study was to estimate the prevalence of LUTS, as measured by the International Prostate Symptom Score (IPSS), and to establish the relationship between the IPSS and quality of life (QoL) in different age groups of men over 40 years old living in Samsun city center in northern Turkey. Materials and Methods: In all, 1860 men aged over 40 years were included in this cross-sectional study. The Turkish version of the IPSS was applied to all participants using face-to-face interview. Results: The median IPSS …


Anesthesia For An Adult Patient With Congenital Diaphragmatic Eventration, Hale Yarkan Uysal, Solmaz Günal, Ahmet Ş. Uyar, Hülya Başar Jan 2007

Anesthesia For An Adult Patient With Congenital Diaphragmatic Eventration, Hale Yarkan Uysal, Solmaz Günal, Ahmet Ş. Uyar, Hülya Başar

Turkish Journal of Medical Sciences

Congenital diaphragmatic eventration is an uncommon condition in adults and is defined as an abnormal elevation of the diaphragm. In adults, diaphragmatic eventration causes respiratory impairment that is associated with severe dyspnea, orthopnea and hypoxia. Most of the symptomatic patients may survive with supportive therapy without any need for surgical correction, though they are at risk of spontaneous diaphragm rupture. Spontaneous diaphragmatic rupture may develop in a patient with diaphragmatic eventration as a result of any event that leads to increase in intraabdominal pressure. In this case report, we present the anesthetic management of an adult patient with congenital diaphragmatic …


Effect Of Different Drugs Influencing Monoamine Neurotransmission On Haloperidol-Induced Catalepsy In Mice, Omar Mohamed Abdel-Salam, Ayman Ragab Baiuomy Jan 2007

Effect Of Different Drugs Influencing Monoamine Neurotransmission On Haloperidol-Induced Catalepsy In Mice, Omar Mohamed Abdel-Salam, Ayman Ragab Baiuomy

Turkish Journal of Medical Sciences

Aim: Catalepsy occurs following high dopamine D2 receptor blockade by the typical antipsychotic drug haloperidol. The present study investigated the effect of different drugs affecting monoamine neurotransmission in this animal model of Parkinson's disease in mice. Materials and Methods: Drugs were intraperitoneally administered with haloperidol 30 min prior to testing. Catalepsy was measured using the bar test. Results: Catalepsy duration was reduced by the non-selective noradrenaline and serotonin reuptake inhibitors imipramine and amitriptyline (21.1% and 22.3% reduction by 20 mg/kg imipramine and amitriptyline, respectively). Catalepsy duration was increased by the selective serotonin reuptake inhibitors (SSRIs) fluoxetine, fluvoxamine, and citalopram and …


Autopsy Status And Pathologists’ Attitude Towards Autopsy In Turkey, Kemal Kösemehmetoğlu, Ali̇ Riza Tümer, Alp Usubütün Jan 2007

Autopsy Status And Pathologists’ Attitude Towards Autopsy In Turkey, Kemal Kösemehmetoğlu, Ali̇ Riza Tümer, Alp Usubütün

Turkish Journal of Medical Sciences

Aim: While there have been efforts to slow the recent declining trend in autopsy practice in the world, in Turkey there is already a low level of medical autopsy audit, practically nearing zero. In this study, we determine and evaluate the autopsy status in Turkey; reveal pathologists' attitudes towards autopsy practice; propose several factors to explain current autopsy audit; and discuss differences in Turkey's autopsy practice with that of the rest of the world. Materials and Methods: We directed a questionnaire to 85 pathologists and requested autopsy numbers from 50 universities for the period 1995 to 2003. Results: Mean values …


New Replacement Of A Thrombosed Mitral Valve Via Right Anterolateral Thoracotomy In A Patient With Coronary Artery By-Pass Graft And Functioning Internal Mammary Artery Graft, Münacetti̇n Cevi̇z, Neci̇p Beci̇t, Bi̇lgehan Erkut, Hi̇kmet Koçak Jan 2007

New Replacement Of A Thrombosed Mitral Valve Via Right Anterolateral Thoracotomy In A Patient With Coronary Artery By-Pass Graft And Functioning Internal Mammary Artery Graft, Münacetti̇n Cevi̇z, Neci̇p Beci̇t, Bi̇lgehan Erkut, Hi̇kmet Koçak

Turkish Journal of Medical Sciences

A 49-year-old male, who had undergone mitral valve replacement with mechanical cardiac valve and coronary arterial by-pass grafting six years previously, was admitted to our hospital with acute dyspnea. Transesophageal echocardiography revealed that one of the leaflets of the prosthetic valve was entirely immobilized in the closed position, and an immobile soft tissue mass was detected on the ventricular side of the obstructed leaflet. We performed re-replacement using a 29-mm mechanical prosthetic St. Jude valve under deep hypothermic circulatory arrest via right atrial thoracotomy. Postoperative course was uneventful, and the patient was discharged with oral anticoagulant therapy on day 7 …


Pregnancy Associated Plasma Protein-A And Epilepsy, Abdurrahman Coşkun, Burcu Özdemi̇rli̇, Ramazan Memi̇şoğullari Jan 2007

Pregnancy Associated Plasma Protein-A And Epilepsy, Abdurrahman Coşkun, Burcu Özdemi̇rli̇, Ramazan Memi̇şoğullari

Turkish Journal of Medical Sciences

In this study, we aimed to investigate the role of pregnancy-associated plasma protein-A (PAPP-A) as insulin-like growth factor binding protein-4 (IGFBP-4) protease in epilepsy patients. We studied 16 epilepsy patients and 10 healthy controls. Serum PAPP-A levels of epilepsy patients (6.8 ± 3.2 mU/L) were higher than of the control group (5.1 ± 1.9 mU/L), but the difference was not statistically significant (P > 0.05). We concluded that PAPP-A may increase the bioavailability of insulin-like growth factors (IGFs) due to decreased neurogenesis and synthesis of IGFs in chronically epilepsy patients.


Ogilvie`S Syndrome: Presentation Of 15 Cases, S. Selçuk Atamanalp, M. İlhan Yildirgan, Mahmut Başoğlu, Bülent Aydinli, Gürkan Öztürk Jan 2007

Ogilvie`S Syndrome: Presentation Of 15 Cases, S. Selçuk Atamanalp, M. İlhan Yildirgan, Mahmut Başoğlu, Bülent Aydinli, Gürkan Öztürk

Turkish Journal of Medical Sciences

Background: Ogilvie's syndrome is characterized by acute, massive colonic dilatation, without any mechanical obstruction. Methods: The records of 15 patients with Ogilvie's syndrome were retrospectively reviewed with respect to gender, age, associated problems, symptom duration, symptoms, signs, treatment, morbidity, mortality, and recurrence. Results: Mean age of the patients (8 male, 7 female) was 49.9 years (range: 32-76 years). Among them, 5 had medical problems, while 4 patients had had abdominal surgery, and 2 patients had burns. Mean symptom duration was 2.9 days (range: 1-7 days). The most common symptoms were abdominal pain and distention, while the most common signs were …


Left Atrial Myxoma And Trichilemmal Cysts, Hasan Kocatürk, M. Cengi̇z Çolak, Hi̇kmet Koçak Jan 2007

Left Atrial Myxoma And Trichilemmal Cysts, Hasan Kocatürk, M. Cengi̇z Çolak, Hi̇kmet Koçak

Turkish Journal of Medical Sciences

A 56-year-old man had a 6 x 5-cm mass originating from the fossa ovalis in the atrial septum found by echocardiography and multiple enlarging scalp masses. The mass had a regular surface and was prolapsing into the mitral valve during diastole. The tumor was successfully treated by surgical excision, which revealed a well-defined mass with a narrow-base stalk originating from the fossa ovalis in the atrial septum. Histological examination confirmed the diagnosis of myxoma. The scalp masses were also removed surgically; histopathologic examination corresponded to benign trichilemmal cyst. The patient recovered without complication and was discharged 10 days after the …


Antioxidants And Pain Control In Patients With Chronic Pancreatitis: A Never-Ending Story, Raffaele Pezzilli, Lorenzo Fantini Jan 2007

Antioxidants And Pain Control In Patients With Chronic Pancreatitis: A Never-Ending Story, Raffaele Pezzilli, Lorenzo Fantini

Turkish Journal of Medical Sciences

Chronic pancreatitis is a benign disease often characterized by recurrent episodes of abdominal pain accompanied by progressive pancreatic exocrine and endocrine insufficiency; it sometimes requires multiple hospitalizations. This disease is frequently the result of chronic alcohol abuse, even if other factors such as genetic alterations, autoimmune disorders, and obstructive disease of the biliary tract and the pancreas may cause the disease. The pain can be considered the most important symptom; it significantly modifies the quality of life of patients with chronic pancreatitis and its control represents a challenge in the treatment of the disease. Among the several modalities for controlling …


The Frequency Of Ccr5delta32 Polymorphism In The Central Black Sea Coastal Region In A Healthy Population, Sezgi̇n Özgür Güneş, Nurten Kara, Hasan Bağci Jan 2007

The Frequency Of Ccr5delta32 Polymorphism In The Central Black Sea Coastal Region In A Healthy Population, Sezgi̇n Özgür Güneş, Nurten Kara, Hasan Bağci

Turkish Journal of Medical Sciences

Aim: Delta32 polymorphism in the chemokine receptor 5 (CCR5) gene affects human immune deficiency virus type 1 (HIV-1) entry, transmission, and outcome. The aim of this study was to determine the allelic frequencies of genetic variant CCR5delta32, which influence susceptibility to HIV-1 infection, in a northern Turkish population. Materials and Methods: We determined the allelic frequencies of CCR5delta32 in 449 unrelated healthy individuals from the central Black Sea coastal region without any known history of HIV-1 infection. The polymorphism was analyzed using polymerase chain reaction (PCR). The population was in the Hardy-Weinberg equilibrium. Delta32 allelic frequencies were calculated. Results: The …


Increased Lipid Peroxidation And Decreased Antioxidant Response In Serum And Cerebrospinal Fluid In Acute Ischemic Stroke, Abdulkadi̇r Yildirim, Di̇lcan Kotan, Serap Yildirim, Recep Aygül, Fati̇h Akçay Jan 2007

Increased Lipid Peroxidation And Decreased Antioxidant Response In Serum And Cerebrospinal Fluid In Acute Ischemic Stroke, Abdulkadi̇r Yildirim, Di̇lcan Kotan, Serap Yildirim, Recep Aygül, Fati̇h Akçay

Turkish Journal of Medical Sciences

Background and Aim: The pathogenesis of brain damage in ischemic stroke is highly complex. The aim of the present study was to investigate the presence of oxidative stress in ischemic stroke and to determine whether the measured oxidative stress markers in serum and cerebrospinal fluid (CSF) were associated with infarction volume, and the Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS). Materials and Methods: The study included 32 patients with acute ischemic stroke within 48 h of onset and 18 suitable controls. Superoxide dismutase (SOD) and glutathione peroxidase (GPX) activity, glutathione (GSH) and malondialdehyde (MDA) level, and total antioxidant …


Ultrasonographic Mapping Reduces The Complications Of Diagnostic Laparoscopy For Abdominal Tuberculosis, Müjdat Balkan, Arzu Balkan, Taner Yi̇ği̇t, Mutlu Sağlam, Yüksel Ateş, Ahmet Tüzün Jan 2007

Ultrasonographic Mapping Reduces The Complications Of Diagnostic Laparoscopy For Abdominal Tuberculosis, Müjdat Balkan, Arzu Balkan, Taner Yi̇ği̇t, Mutlu Sağlam, Yüksel Ateş, Ahmet Tüzün

Turkish Journal of Medical Sciences

Background and Aim: Diagnostic laparoscopy is of great value in the early diagnosis of abdominal tuberculosis and to help improve bed turnover. Diagnostic laparoscopy, however, is subject to all the risks and complications inherent to any invasive procedure. Our aim was to evaluate the role of ultrasonography in the prevention of complications when using diagnostic laparoscopy, and to present its efficacy in the monitoring of response to therapy. Materials and Methods: Nineteen male patients who had ascites with unknown etiology or with suspected abdominal tuberculosis were recruited. In order to analyze the potential role of ultrasonographic mapping as an aid …