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2007

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Articles 2431 - 2460 of 3121

Full-Text Articles in Medicine and Health Sciences

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 Blood samples were withdrawn to determine serum total and free PSA levels and free/total PSA ratio immediately before, and at 1, 24 and 72 hours after urethral catheterization.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 …


An Investigation On The Natural Radioactivity Of Building Materials, Raw Materials And Interior Coatings In Central Turkey, Arman Erkan Jan 2007

An Investigation On The Natural Radioactivity Of Building Materials, Raw Materials And Interior Coatings In Central Turkey, Arman Erkan

Turkish Journal of Medical Sciences

Aim: The aim of this investigation was to measure the amount of g-decay of several building materials (brick and cement), raw materials (fly-ash and soil), interior coating materials (foam [used as a thermal insulator], water-based paints, solvent-based paints and phosphogypsum) from central Turkey, in terms of Bq kg^{-1}, and to calculate the biological damage caused by this radioactivity. Materials and Methods: Gamma-spectrometry technique has been used throughout the research in order to determine the activity of natural radionuclides. Later, annual doses were calculated. Results: The average radioactivity values were 632.2 Bq kg^{-1}for fly-ash, 4.4 Bq kg^{-1} for brick, 73.3 Bq …


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 …


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 …


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 …


Ventilation Tubes In Secretory Otitis Media Associated With Cleft Palate: A Retrospective Analysis, Bi̇rol Ci̇velek, Seli̇m Çelebi̇oğlu, Mustafa Sağit, İstemi̇han Akin Jan 2007

Ventilation Tubes In Secretory Otitis Media Associated With Cleft Palate: A Retrospective Analysis, Bi̇rol Ci̇velek, Seli̇m Çelebi̇oğlu, Mustafa Sağit, İstemi̇han Akin

Turkish Journal of Medical Sciences

Aim: The insertion of ventilation tubes at the time of cleft palate surgery is a controversial issue. We assessed the status of hearing and the middle ear in long-term follow-up after the treatment of cleft palate. Materials and Methods: 56 patients with cleft palate repair at the ages of 15 to 24 months were included in the study. The control group consisted of 15 patients in whom ventilation tubes were inserted previously for secretory otitis media. They all had audiologic analyses. Results: In the control group, only one patient was found to have perforation of tympanic membrane on one side. …


Supernumerary Tooth In The Nose, Cengi̇z Öztürk, Keri̇m Eryilmaz, Bi̇nali̇ Çakur Jan 2007

Supernumerary Tooth In The Nose, Cengi̇z Öztürk, Keri̇m Eryilmaz, Bi̇nali̇ Çakur

Turkish Journal of Medical Sciences

The presence of a supernumerary tooth in the nose is an unusual phenomenon and a rare form of ectopic tooth eruption in the maxillofacial region. In this case, the patient was referred to the hospital with the complaint of severe headache. In the endoscopic examination, the supernumerary tooth crown was not covered with mucosa or granulation tissue. In the present study, the clinical and radiological diagnosis of a supernumerary tooth located in the nose is reported.


Gastric Duplication Cyst Mimicking Pancreatic Pseudocyst/Hydatid Cyst: A Rare Presentation, Prasad Seetharam, Gabriel Rodrigues Jan 2007

Gastric Duplication Cyst Mimicking Pancreatic Pseudocyst/Hydatid Cyst: A Rare Presentation, Prasad Seetharam, Gabriel Rodrigues

Turkish Journal of Medical Sciences

Congenital gastrointestinal duplications are rare, and gastric duplication cysts are even rarer. Most cases are seldom diagnosed preoperatively. We present a case of gastric duplication cyst, which in preoperative imaging studies mimicked a hydatid/pseudocyst of the pancreas. The diagnosis was made only intraoperatively and was confirmed by histopathological examination of the completely excised cyst.


Case Of Tuberous Sclerosis With Pulmonary Involvement, Arzu Balkan, Cantürk Taşci, Carl R. Fuhrman Jan 2007

Case Of Tuberous Sclerosis With Pulmonary Involvement, Arzu Balkan, Cantürk Taşci, Carl R. Fuhrman

Turkish Journal of Medical Sciences

Tuberous sclerosis is a rare genetic disorder. The diagnosis of tuberous sclerosis requires the presence of two major or one major and two minor features. Pulmonary involvement has been reported to occur in less than 1% in patients and carries a poor prognosis. We present a female tuberous sclerosis patient with pulmonary involvement, evaluated for a positive PPD reaction.


Diagnostic Neglect Regarding Ureter Ligation After Hysterectomy, Yaşar Bi̇lge Jan 2007

Diagnostic Neglect Regarding Ureter Ligation After Hysterectomy, Yaşar Bi̇lge

Turkish Journal of Medical Sciences

Complications following cesarean and hysterectomy operations can occur, one of which is ureter ligation. Aims: Urological injuries that occur during hysterectomy are rare but important causes of morbidity. It was aimed to investigate in this case report whether there was any evidence to support malpractice in Court. Case Report: The patient was a woman in her 34^3 week of pregnancy with familial Mediterranean fever (FMF) and nephrotic syndrome with renal amyloidosis. Preterm operational diagnosis was placenta previa totalis and repeat cesarean section was performed with confirmed consent. When the placenta spontaneously ruptured, hysterectomy was undertaken. Ureter ligation with acute renal …


Sacral Chondroblastic Osteosarcoma Misdiagnosed As Chondrosarcoma And Chordoma, Nusret Akpolat, Hanefi̇ Yildirim, Kürşat Poyraz Jan 2007

Sacral Chondroblastic Osteosarcoma Misdiagnosed As Chondrosarcoma And Chordoma, Nusret Akpolat, Hanefi̇ Yildirim, Kürşat Poyraz

Turkish Journal of Medical Sciences

Chondroblastic osteosarcoma (COS), a subgroup of intramedullary osteosarcoma, is usually located in the knee region of the body. It is most common in adolescents and early adulthood. COS has similar clinical and radiological features to those of conventional osteosarcomas. A 17-year-old male suffered from walking problems and lower limb pain. CT and MRI revealed a mass with soft tissue density and bone destruction at the level of L5-S1. It was described as \"posttraumatic hematoma\". In cytopathologic examination, initial diagnosis was chordoma in fine-needle aspiration cytology (FNAC), chondrosarcoma in incisional biopsy, and finally COS in total resection specimen. Because sacral location …


How Should Glucocorticoids Be Used?, Şi̇nasi̇ Özsoylu Jan 2007

How Should Glucocorticoids Be Used?, Şi̇nasi̇ Özsoylu

Turkish Journal of Medical Sciences

No abstract provided.


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.


Interleukin-6 And Nitric Oxide Levels In Neonatal Sepsis, Anil Aktaş Tapisiz, Ebru Ergenekon, Deni̇z Erbaş, Murat Öktem, Ni̇hal Demi̇rel, Kivilcim Gücüyener, Canan Türkyilmaz, Esra Önal, Yildiz Atalay Jan 2007

Interleukin-6 And Nitric Oxide Levels In Neonatal Sepsis, Anil Aktaş Tapisiz, Ebru Ergenekon, Deni̇z Erbaş, Murat Öktem, Ni̇hal Demi̇rel, Kivilcim Gücüyener, Canan Türkyilmaz, Esra Önal, Yildiz Atalay

Turkish Journal of Medical Sciences

Aim: The objectives of this study were to compare interleukin-6 (IL-6) and nitric oxide (NO) levels in newborns with culture-proven sepsis with levels in age- and gestational age (GA)-matched controls, and to investigate the correlation between mediator levels and circulatory functions in the septic group. Materials and Methods: Samples for IL-6 and NO levels were obtained from newborns with blood culture-proven sepsis before the beginning of antibiotic therapy and on the 3rd day of treatment. Heart rate, blood pressure and other treatment modalities including inotropic support were also recorded. Age- and GA-matched newborns without infection were included as controls. Minitab …


Plasma Thrombin Activitable Fibrinolysis Inhibitor Levels In Behçet´S Disease, Mehmet Ali̇ Özcan, Servet Akar, İnci̇ Alacacioğlu, Özden Pi̇şki̇n, Fai̇ze Yüksel, Oğuz Gürler, Nurullah Akkoç, Fati̇h Demi̇rkan, Güner Hayri̇ Özsan, Şebnem Özkan, Fatoş Önen, Bülent Ündar Jan 2007

Plasma Thrombin Activitable Fibrinolysis Inhibitor Levels In Behçet´S Disease, Mehmet Ali̇ Özcan, Servet Akar, İnci̇ Alacacioğlu, Özden Pi̇şki̇n, Fai̇ze Yüksel, Oğuz Gürler, Nurullah Akkoç, Fati̇h Demi̇rkan, Güner Hayri̇ Özsan, Şebnem Özkan, Fatoş Önen, Bülent Ündar

Turkish Journal of Medical Sciences

Aim: The precise pathogenetic mechanisms causing thrombotic complications in Behçet´s disease (BD) are still not known. To explain the pathogenesis with coagulation induction or a defective fibrinolysis superimposed on endothelial dysfunction, various hemostatic parameters were studied. Thrombin activatable fibrinolysis inhibitor (TAFI), downregulating plasmin generation and fibrinolysis, is a novel risk factor for thrombotic disorders. We studied plasma TAFI levels in BD in comparison with healthy controls. Materials and Methods: Twenty-three patients with BD (mean age: 38.3 ± 10.83, M/F: 5/18) diagnosed according to the criteria of the International Study Group and 20 healthy volunteers (mean age: 38.05 ± 6.29, M/F: …


Genetic Variants Account For Differences In Responses In Blood Pressure And Blood Flow Values To Laryngoscopy/Intubation/Extubation, Hülya Gönen, Zeynep Kayhan, Fatma Belgi̇n Ataç, Ayşe Canan Yazici, Feri̇de İffet Şahi̇n Jan 2007

Genetic Variants Account For Differences In Responses In Blood Pressure And Blood Flow Values To Laryngoscopy/Intubation/Extubation, Hülya Gönen, Zeynep Kayhan, Fatma Belgi̇n Ataç, Ayşe Canan Yazici, Feri̇de İffet Şahi̇n

Turkish Journal of Medical Sciences

Aim: There is a variation in drug response among individuals. In this study, we determined angiotensin-converting enzyme (ACE) insertion/deletion (I/D), beta2-adrenergic receptor (ADRB2) Arg16Gly and dopamine D1 receptor (DRD1) -48 G/A polymorphisms, which are presumed to be related to the transient hypertension induced by the mechanical stimulation of laryngoscopy and tracheal intubation/extubation. Materials and Methods: One hundred American Society of Anesthesiologists (ASA) class I patients were enrolled in this study. Heart rate and blood pressure were recorded before induction (T_0), after induction (T_1), during laryngoscopy/intubation (T_i) and 1, 2, 3, 4 and 5 min thereafter (T_{i-1}-T_{i-5}), before extubation (T_e) and …


Effects Of Acute Fenthion Toxicity On Liver And Kidney Function And Histology In Rats, Mustafa Kerem, Nurdan Bedi̇rli̇, Nesli̇han Gürbüz, Özgür Eki̇nci̇, Abdulkadi̇r Bedi̇rli̇, Taylan Akkaya, Ömer Şakrak, Hati̇ce Paşaoğlu Jan 2007

Effects Of Acute Fenthion Toxicity On Liver And Kidney Function And Histology In Rats, Mustafa Kerem, Nurdan Bedi̇rli̇, Nesli̇han Gürbüz, Özgür Eki̇nci̇, Abdulkadi̇r Bedi̇rli̇, Taylan Akkaya, Ömer Şakrak, Hati̇ce Paşaoğlu

Turkish Journal of Medical Sciences

Aim: The aim of this study was to investigate the dose-related effects of fenthion on the liver and kidney and the correlation between severity of organ damage and serum butyrylcholinesterase (BChE) enzyme levels. Materials and Methods: Ninety rats were randomly subdivided into control group and 4 study groups. Control group was administered 1 ml of saline intraperitoneally. Study groups received 25, 50, 75 and 100 mg/kg of fenthion, intraperitoneally. Blood samples and renal and hepatic tissues were collected 24 h after dosing and survival was monitored for 7 days. Results: Mortality was observed in 2 rats receiving 75 mg/kg fenthion …


Effects Of Esmolol On Hemodynamic Responses To Laryngoscopy And Tracheal Intubation In Diabetic Versus Non-Diabetic Patients, Taner Taşyüz, İsmet Topçu, Sabri̇ Özaslan, Melek Sakarya Jan 2007

Effects Of Esmolol On Hemodynamic Responses To Laryngoscopy And Tracheal Intubation In Diabetic Versus Non-Diabetic Patients, Taner Taşyüz, İsmet Topçu, Sabri̇ Özaslan, Melek Sakarya

Turkish Journal of Medical Sciences

Aim: We aimed to investigate the efficiency of esmolol, a short-acting ß-blocker, in preventing the hemodynamic response to laryngoscopy and endotracheal intubation in diabetic patients. Materials and Methods: Eighty diabetic or non-diabetic patients with ASA physical status I-II scheduled for noncardiac surgery were included in this study. They were divided randomly into 4 groups (Non-diabetic control: NDC, Non-diabetic esmolol: NDE, Diabetic control: DC, Diabetic esmolol: DE). Blood glucose analyses were measured in the preoperative period and at the 10^{th} min of the study. Prior to anesthetic induction, 1 mg/kg esmolol to Groups NDE and DE and saline to Groups NDC …


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 …


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 …


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 …


A Real-Time Transthoracic Echocardiographic Imaging Of Pulmonary Embolism In A Patient With Suspected Primary Antiphospholipid Syndrome, Hasan Kocatürk, M. Cengi̇z Çolak, Mustafa Yilmaz, Ednan Bayram, Sebahatti̇n Ateşal Jan 2007

A Real-Time Transthoracic Echocardiographic Imaging Of Pulmonary Embolism In A Patient With Suspected Primary Antiphospholipid Syndrome, Hasan Kocatürk, M. Cengi̇z Çolak, Mustafa Yilmaz, Ednan Bayram, Sebahatti̇n Ateşal

Turkish Journal of Medical Sciences

Clinical manifestations of antiphospholipid syndrome (APS) include repeated episodes of arterial and/or venous thrombosis, recurrent fetal wastage, and premature births. Correct diagnosis of APS requires identification of lupus anticoagulant (LA) and anticardiolipin antibodies (aCL). Other antibodies such as anti-b2 glycoprotein-I have also been detected. A 32-year-old man presented with acute left-sided hemiplegia and was admitted with a possible diagnosis of primary APS. A pulmonary embolus-in-transit was captured incidentally by transthoracic echocardiographic study.


Pain In Upper Abdominal Malignancy, Colin Johnson, Jon Birtwistle, Carol Davis Jan 2007

Pain In Upper Abdominal Malignancy, Colin Johnson, Jon Birtwistle, Carol Davis

Turkish Journal of Medical Sciences

No abstract provided.


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 …


Does Lanz® Endotracheal Tube Offer Advantage In Nitrous Oxide Anesthesia?, Özgün Cuvaş, Fatma Dokumaci, Mehmet Aki̇f Yazar, Hülya Başar Jan 2007

Does Lanz® Endotracheal Tube Offer Advantage In Nitrous Oxide Anesthesia?, Özgün Cuvaş, Fatma Dokumaci, Mehmet Aki̇f Yazar, Hülya Başar

Turkish Journal of Medical Sciences

Aim: Increasing intracuff pressure and postoperative laryngotracheal complications are the important issues in nitrous oxide anesthesia. The Lanz® endotracheal tube is a new kind of tube with a pressure-regulating valve. We aimed to investigate whether or not this tube may be useful in nitrous oxide anesthesia in terms of postoperative laryngotracheal complications. Materials and Methods: The study included 70 female patients, aged 18-60 years. Patients were intubated with the standard endotracheal tube in Group S (n = 35) and the Lanz® endotracheal tube in Group M (n = 35). The intracuff pressures were monitored with a manometer during general anesthesia. …


Levels Of Protein C And Protein S, Tissue-Plasminogen Activator, And Fibrinogen During Cardiopulmonary Bypass, Yahya Ünlü, Sali̇m B. Teki̇n, Hi̇kmet Koçak Jan 2007

Levels Of Protein C And Protein S, Tissue-Plasminogen Activator, And Fibrinogen During Cardiopulmonary Bypass, Yahya Ünlü, Sali̇m B. Teki̇n, Hi̇kmet Koçak

Turkish Journal of Medical Sciences

Aim: The exposure of blood to foreign surfaces during cardiopulmonary bypass (CPB) leads to an activation of the coagulation system. The goal of this study was to evaluate the levels of protein C and protein S, tissue-plasminogen activator (t-PA) and fibrinogen before, during and after CPB. Materials and Methods: Thirty-three patients undergoing elective coronary artery bypass grafting (CABG) and 11 patients undergoing non-cardiac surgery (control group) were included in this study. Blood samples were taken at different time intervals preoperatively, before, during and after CPB, and in the postoperative period. Protein C and protein S, t-PA and fibrinogen levels were …


The Investigation Of Nasal Mrsa Carriage And Colonization Of Nasopharyngeal Pathogens At A Primary School In Düzce, Mustafa Yildirim, İdri̇s Şahi̇n, Semra Başak, Şükrü Öksüz, Çi̇ğdem Özaydin, Selda Acar, İrfan Şencan, Oğuz Karabay Jan 2007

The Investigation Of Nasal Mrsa Carriage And Colonization Of Nasopharyngeal Pathogens At A Primary School In Düzce, Mustafa Yildirim, İdri̇s Şahi̇n, Semra Başak, Şükrü Öksüz, Çi̇ğdem Özaydin, Selda Acar, İrfan Şencan, Oğuz Karabay

Turkish Journal of Medical Sciences

Aim: The aim of the study was to investigate nasopharyngeal colonization of respiratory tract pathogens and nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) in healthy schoolchildren (6-14 years old). Materials and Methods: The present study was conducted at Konuralp Primary School by Düzce University and 484 healthy children were included. Isolates obtained from nasal and nasopharyngeal cultures were identified by conventional microbiological procedures and Api 20 strep, NH. Results: 56.6% of healthy schoolchildren had at least one nasopharyngeal potential bacterial pathogen. Isolated bacteria species were as follows: 6% group A streptococcus (GAS), 5.0% S. pneumoniae, 33.1% M. catarrhalis, and 34.9% …


Cryptosporidiosis Among Children Attending Al-Nasser Pediatric Hospital, Gaza, Palestine, Adnan Ibrahim Al-Hindi, Abdelraouf A. Elmanama, Kamal Jad Allah Elnabris Jan 2007

Cryptosporidiosis Among Children Attending Al-Nasser Pediatric Hospital, Gaza, Palestine, Adnan Ibrahim Al-Hindi, Abdelraouf A. Elmanama, Kamal Jad Allah Elnabris

Turkish Journal of Medical Sciences

Aim: The present study was undertaken to determine the prevalence of cryptosporidiosis in patients with diarrhea who attended Al-Nasser Pediatric Hospital in Gaza. Materials and Methods: From January to May 2005, single stool specimens from each of 416 children attending Al-Nasser Hospital were examined by Ziehl Neelsen (ZN) stain and ELISA for the presence of Cryptosporidium oocysts. Results: Cryptosporidium oocysts were detected in 62 (14.9%) of the tested specimens by acid-fast staining technique and in 68 (16.3%) using ELISA kit. The number of infected females was found to be significantly higher than males (P = 0.03). The highest number of …


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. …


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 …