bluuebunny/crossref_metadata_2025 huggingface dataset:
Tube-like echogenic structures in the common bile duct caused by spontaneous rupture of hepatic hydatid cyst
Authors: Bayram Metin , Şirikçi Akif , Ekşi Zülküf
Published: June 2023

Rupture of hepatic hydatic cyst into the biliary tree results in clinical picture of obstructive jaundice because of obstruction of common bile duct with hydatic material. Detection of nonshadowing intraluminal structures in the bile duct may complicate the diagnosis since it resembles other biliary disorders such as ascariasis, stone or infection.
Vernal Conjunctivitis and It's Treatment
Authors: Kaya Ümit , Güngör Kıvanç , Erbağcı İbrahim , Bekir Necdet
Published: June 2023

In this article anatomy, pathology, etiology and diagnosis treaımcnt aspects of venıal conjunctivitis have been reviewed through the literature.
Views and attitudes of Turkish psychiatrists about informed consent
Authors: Savaş Haluk A. , Coşkun Ahmet , Hayran Osman , Gergerlioğlu H. Serdar , Arkonaç Oğuz , Erkoç Şahap
Published: June 2023

In this study views and attitudes of psychiatrists about some ethical dilemmas containing problems related with informed consent in psychiatry is surveyed A semi-structured questionarre was used which contains 67 questions asking to psychiatrists sociodemografic statues, questions about some ethical dilemmas and about theoretical, philosophical, psychiatric views. Of these questions three were fictive cases (vignettes) about recession of treatment of patient for the research purposes, one was about the view of psychiatrists whether they believe that the patients are informed and their consent are taken formally or not. Three questions were about theoretical-philosophical psychiatric views of psychiatrists. one question was about whether they find the education of ethics sufficient in psychiatry or not. Four questions were about sociodemographic statues of psychiatrists. Thus totally aforementioned 12 questions contained in this article and other questions are not related with the issue are not handled here and will be a subject of another investigation. Views and attidudes of psychiatrists are found to be significantly different according to their socidemographic variables and theoretical philosophical psychiatric views. Especially psychologically oriented psychiatrists are found to be paternalistic in attitudes as informed consent considered. Additionally as views of psychiatrsits about social etiology considered significant differences are found in attitudees about informed consent. Biologically oriented psychiatrists are found to be giving more importance to consent of the relatives rather than the patients' in schizophrenic cases. And women psychiatrists are found to be more conservative in deciding the recession of treatment of the bipolar patient case.
The Frequency Of Hepatitis B Markers In The Patients Referring To Gaziantep Children's Hospital Outpatient Clinics
Authors: Çöl Araz Nilgün
Published: June 2023

Our country is in a mid-endemic area for Hepatitis B infection, however, the dynamics of Hepatitis B infection vary in every part of our country. The aim of this study was to examine seroprevalence of HBsAg and frequency of antiHBs positivity in children referring to Gaziantep Children's Hospital and to examine Hepatitis B vaccination status in anti HBs positive children. In 529 patients referring to the outpatient pediatrics clinic of this hospital and for whom acute hospitalization was not needed and a history of chronic diseases was not present, HBsAg and antiHBs antibodies were screened. We questioned the vaccination status for Hepatitis B infection in anti-HBs positive children. Of 529 patients, 289 were male and 240 were female, and the mean age was 8.2 ± 2.8 years. HBsAg were positive in 6 (1.1%) patients. In 218 (41.7%) patients, anti-HBs antibodies were positive out of 523 HbsAg negative patients. 147 (67.4%) of 218 anti-HbsAg positive patients had a history of Hepatitis B vaccination; the remaining 71 (32.6%) patients had never been vaccinated. In the pediatrics population, in a study performed by Turkish National Research Group, in the age group of children from 6 to 10 years old, HBsAg antibodies were positive in 6.2% and anti-HbsAg antibodies were positive in 12.1%. In our study, although we have found a lower seroprevalence in the pediatrics age group in this area, especially in school-aged children, larger studies are needed to determine Hepatitis B immunity status and vaccination policies.
Congenital Anomaly Frequencies in Maternity Hospital Of Gaziantep
Authors: Çöl Araz Nilgün
Published: June 2023

Congenital anomaly is a change of anatomical structure, which exists at delivery. in our study, we aimed to investigate the congenital anomalies and their frequencies. To do this, the records of 11,840 live births in the maternity hospital of Gaziantep between June 2003 and February 2005 were screened retrospectively. Major anomalies that were noticed at routine newborn examination were recorded. 6,152 of the newborns were male, and 5688 were female. The mean age of the mothers included in this study was 25.5 ± 8.2 years. The mean age of the mothers whose babies had any anomaly was 31±6.6 years. Congenital anomalies were noted in 123 newborns out of 11,840 (1.0 %). The most frequent anomalies were related to the urogenital system, and the most frequent anomaly of this system was hypospadias (43/82; 52.43 %). Major anomaly frequency is between 1-4 % in alive newborns. This study was conducted in Gaziantep Maternity Hospital, which provides health care to a large population, and the distribution of congenital anomalies were determined and found to be compatible with literature.
Vesicoureteral Reflux In Cases With Low Capacity Bladder:Is Ureteral Reimplantation Routinely Need During Augmentation Cystoplasty?
Authors: Erturhan Sakıp , Solakhan Mehmet , Şen Haluk , Erbağcı Ahmet , Seçkiner İlker , Yağcı Faruk
Published: June 2023

In our study, the necessity of ureteral reimplantation (URI) with augmentation cystoplasty (OSP) in cases who had low capasity, hypocompliant neurogenic bladder and vesicoureteral reflux (VUR) were assessed. Between January 1996 and March 2006, A total of 44 myelodysplasic patients (age ranged 2.5-16 (mean 6.4)years, 23 male, 21 girl) were included to the study who had performed OSP. Vesicoureteral reflux (VUR) was found in 24 patients (38 reno-ureteral units-RUU ) in first admission which had grade 3 and lower grade in 12 RUU, grade 4 in 6 RUU and grade 5 in 20 RUU. While ureteral reimplantation was performed with OSP in 5 patients (10 RUU) who had grade 5 VUR, additional operation was not done to remaining other patients. We evaluated that VUR was disappeared in patients who had grade 3 and lower grade VUR, in postoperatively 3th and 12 th months. While persistent VUR was not found in patients who had performed URI together with OSP, low grade persistent VUR established in three of patients who had sole OSP. Ureteral reimplantation is not routinely needed in patients with low capacity, hypocompliant bladder and associated VUR who undergo OSP.
A Case Report of Maternal Diabetes and Fetal Caudal Regression Syndrome
Authors: Dikensoy Ebru , Balat Özcan , Cebesoy F. Bahar , Yazıcıoğlu Çağlar , Özkur Ayhan
Published: June 2023

A 28 old years women patients with 16 weeks pregnant and tip 1 insulin dependent diabetes mellitus referred to our department for her routin control. On her obstetric ultranography a single, viable, appropriate with 16 weeks fetus was seen.The fetal spine was sudden cut at lumbosacral vertebrae level and low limbs were shorter. After termination of her pregnancy, the baby's pelvic anteroposterior and lateral X-Ray of the lower segment showed absence of all sacral and distal lumbar vertebrae, resulting in fusion of iliac bones in the midline.
Weber Christian Disease Presenting With Pacytopenia and Anticardiolipin Antibodies
Authors: Yılmaz Mehmet , Dagdaş Simten , Allı Nuran , Erdoğan Sibel , Akı S. Zeynep , Özet Gülsüm
Published: June 2023

Weber-Christian disease is a controversial entity that represents reccurent fever, inflamation of adipose tissue and tender subcutaneus nodules. The etiolgy of WCD remains unknown. However, ıt has been related to an immunologically mediated reaction to diverse antigenic stimuli. We present a 50 year-old man with Weber-Christian disease presented with fever, reccurent pancytopenia attacks, IgG and IgM anticardiolipin antibody positivitiy.. The patient showed fever and characteristic redish subcutaneous nodules. Biopsy taken from the lesion showed areas of fat necrosis, accumulation of leucocytes and macrophages with foamy cytoplasm. and no evidence of vasculitis. Histopathologic findings were consistent with Weber-Christian panniculitis. Bone marrow aspirate and biopsy disclosed mild hypercellularitiy with concomitant mild increasing lympocyte and plasma cells. Patients with pancytopenia, cutaneous lesions and ACA positivity must be searched for WCD.
Pelvic Wall Metastasis From Malignant Melanoma Mimicing Subserous Myoma Uteri
Authors: Dikensoy Ebru , Balat Özcan , Özkur Ayhan , Aydın Abdullah , Bekerecioğlu Mehmet
Published: June 2023

A 67-year-old woman presented with a solid adnexial mass (as a subseruos myomas) which was detected during her routine control. Her past medical history revealed that her left leg's fifth finger was amputated for nodular type malignant melanoma two years ago. During her following up, the solid mass size measured bigger. Because of suspecting leimyosarcoma, we performed explorotive laparotomy. The mass was seen on the left arterio-venous iliac region and resected succesfully. Histopathological examination revealed neoplastic cell proliferation in iliac lymph node (metastasis of malign melanoma).
Breast Cancer And Spouses Support
Authors: Güner İlkay Coşkun
Published: June 2023

Today the wost theatful health problem for woman is breast cancer. To deal with the illness is as important as it's treatment. Woman with breast cancer stated that the main factor whichhelps them overcome their ilness was supportive behaviours of their family members. Women with mastectomy operatoin needs shared responsibility, mutual understanding and supportive behaviourswith their husbands. Social support coming from family and the spouse has positive effects on recavery phase ofthe illness.
Editör'den
Authors: Balat Ayşe
Published: June 2023

Sevgili Meslektaşlarım,
Dergimizin 2008 yılının birinci sayısında hepinizi sevgi ve saygıyla selamlıyorum. Her alanda bilgi ve tecrübe paylaşımının önemi büyüktür. Sağlıkta başarı için ise bu paylaşım kaçınılmaz olmaktadır.
KONFİÇYÜS bunun önemini şöyle özetlemektedir:
"Bende 1 yumurta var, sende 1 yumurta var. Ben sana 1 yumurta versem, sen bana 1 yumurta versen, bende 1 yumurta sende 1 yumurta olur. Bende 1 bilgi var, sende 1 bilgi var. Ben sana 1 bilgi versem, sen bana 1 bilgi versen, bende 2 bilgi, sende 2 bilgi olur."
Araştırmalarımızı sürdürerek, tecrübelerimizi ve yeni bilgileri paylaşarak çağımızın sağlık sorunlarının çözümünde önemli katkılar yapabileceğimize inanıyorum. Mükemmele ulaşmamız için görüş, öneri ve yapıcı eleştirilerinizi almak bizleri mutlu edecektir.
Dergimizin yayına hazır hale getirilmesinde ve sürekliliğinde bizlere yardımcı olan değerli arkadaşlarıma teşekkür eder, bir sonraki sayıda buluşabilmeyi diler, sevgi ve saygılarımı sunarım.
 
Prof. Dr. Ayşe Balat
Editör
Conservative Management Of Bronchopleural Fistula After Pulmonary Resections
Authors: Şanlı Maruf , Işık Feridun , Tunçözgür Bülent , Akar Erkan , Elbeyli Levent
Published: June 2023

Pulmoner rezeksiyon sonrası gelişen bronkoplevral fistül (BPF), tedavisi zor olduğu için korkunç bir sorundur. Bu çalışmada küçük girişimlerle kabul edilebilir iyileşme elde edilen BPF'li olguları değerlendirmeyi amaçladık. Kliniğimizde 6-1996 yılları arasında pulmoner rezeksiyon sonrası geç dönem BPF yapılan hastalardan majör cerrahi olmadan yeterli iyileşme sağlanan 2007 hastanın kayıtları retrospektif olarak değerlendirildi. Tüp torakostomi uygulandıktan sonra plevral kavite yıkamaları için açık drenaj oluşturuldu. Açık drenajın takibi sırasında granülasyon dokusunun oluşumu ile plevral kavitenin küçülmesi bekleniyordu. Drenler drenaj minimum olduğunda (günde yaklaşık 10 ml) geri çekildi ve ardışık üç gün içinde mikrobiyolojik kültürlerde üreme görülmedi. İki hastada akciğer kanseri, iki aspergilloma, bir hastada dirençli tüberküloz ve bir hastada akciğer apsesi ve trafik kazası sonrası yırtılma saptanan bir hastada pulmoner rezeksiyon sonrası BPF saptandı. Bir hastada sağ üst lobektomi, üç hastada sağ pnömonektomi ve iki hastada sol üst lobektomi yapıldı. Bir olguda fistül kendiliğinden kapandı. Diğer olgularda plevral kavitelerde enfeksiyon bulgusu saptanmadı, ancak minimal drenaj sürekli görüldü ve yaşam kalitesinde azalma olmaksızın tüm hastalarda balgam söktürücü ile kabul edilebilir iyileşme kaydedildi. BPF'nin geç döneminde çeşitli tedavi yöntemleri uygulanmaktadır. Konservatif yöntemlerle makul sonuçlar elde etme olasılığı göz önünde bulundurulmalıdır. Ancak hastalar çok yakından takip edilmelidir.
The Relation Between AST, ALT Ratio And Stage Of The Disease In Chronic Viral Hepatitis Importance Of AST/ALT In Chronic Hepatitis
Authors: Pehlivan Yavuz , Koruk Mehmet , Gülşen Murat T. , Savaş Cemil , Kadayıfçı Abdurrahman
Published: June 2023

Viral etiyolojinin neden olduğu kronik karaciğer hastalığı olan hastalarda AST/ALT (AAR) oranının hastalığın şiddetini gösteren bir parametre olduğu iddia edilmiştir. Bu çalışmada hastalığın evresi ile AAR arasındaki ilişkiyi ortaya koymayı amaçladık. Çalışmaya, 247-2001 yılları arasında kliniğimizde takip ve tedavisi yapılan, viral etiyolojiye bağlı kronik karaciğer hastalığı olan 2004 hasta retrospektif olarak alındı. Hastaların 127'si erkek, 120'si kadındı ve yaş ortalaması 54±11 idi. Grup 1'de kronik hepatit B veya C'li 108 hasta, grup 2'de kompanse sirozlu 19 hasta ve grup 3'te Child Pugh B ve C olan 120 hasta vardı. Hastalarla ilgili bilgiler arşivden alınmıştır. Tanıda klinik, biyokimyasal, serolojik ve karaciğer biyopsi teknikleri kullanılmaktadır. Hastaların transaminaz düzeyleri enzim spektrometrik analizi kullanılarak ölçüldü. AAR, grup 84'de 78 hastada (%1) birden azdı (%0.79±0.31), grup 11'de 58 hastada (%2) birden büyüktü ve oran 1.21±0.61, grup 108'te 90 hastada (%3) birden büyük ve oran 1.73±0.67 idi. Sirozlu hastalarda AAR 1'den fazla (p<0.0001), duyarlılığı %86 ve özgüllüğü %78 olarak bulundu. AAR ortalaması gruplar arasında istatistiksel olarak anlamlı fark gösterdi. (s<0.0001). Sirozlu hastaların SP skoru grup 5'de 9.0±6.2, grup 9'te 6.1 ±5.3 olarak saptandı. AAR, SP skoru ile pozitif korelasyon gösterdi (r:0.59, p<0.0001). AAR, sirozlu hastalarda viral hepatit ortamında siroz gelişimini veya hastalığın evresini ortaya koyan ucuz ve güvenilir bir parametre olarak düşünülebilir.
Congenital Intrahepatik Hepatoportal Arteriovenous Fistulae: A Rare Case Report
Authors: Kervancıoğlu Selim , Kervancıoğlu Reşat , Akşamoğlu Melih , Özkur Ayhan , Şirikçi Akif , Bayram Metin
Published: June 2023

Fistulae between the hepatic artery and portal vein, known as hepatoportal arteriovenous fistula (HPAVF), is a very rare condition. We report the radiological features of a 10-year-old boy with a congenital HPAVF, who had a 2-month history of gastrointestinal symptoms without the history of trauma or surgery.
Autosomal Recessive Type SCID and Prenatal Diagnosis: Case Report
Authors: Onay Hüseyin , Özkınay Ferda , Çoğulu Özgür , Kütükçüler Necil , Sağol Samet , Özkınay Cihangir
Published: June 2023

Şiddetli Kombine İmmün Yetmezlik (SCID), T hücresi, B hücresi veya her iki lenfosit grubundaki eksikliğe bağlı tekrarlayan enfeksiyonlarla karakterize genetik bozukluklar grubundan oluşur. 32 yaşında hamile bir anne gebeliğin 17. haftasında bize başvurdu. Ebeveynler ilk kuzenlerdi. Ailenin önceki iki çocuğu (5 aylık erkek, 3 aylık kız) SCID'den öldü. İleri gebelik yaşı ve moleküler analizin yapılmaması nedeniyle prenatal tanı için alternatif bir tanı planlandı. Gebeliğin 20. haftasında kordosentez yapıldı ve T ve B lenfosit düzeyleri değerlendirildi. Dolaşımda lenfosit olup olmadığını anlamak için lenfosit kültürü ve fetal karyotip yapıldı. Lenfositlerin immünolojik belirteçlerine göre dağılımı ve lenfosit kültüründen fetal karyotipin mevcudiyeti açısından fetüsün normal olduğu düşünüldü.
HBA Mutations Detected By MLPA In Beta-Thalassemia Patients
Authors: Onay Hüseyin , Ekmekçi Aslıhan , Ataman Esra , Akgül Mehmet , Vahabi Ali , Aydınok Yeçim , Vergin Canan , Özkınay Ferda
Published: June 2023

Thalassemia syndromes are the most common monogenic disorders in humans and b-thalassemia major is one of the most important public health problems in Turkey. Many genetic factors play roles in modifying the disease severity such as mutations in the alpha globin gene (HBA), UGT1 gene (bilirubin metabolism) or HFE gene (iron metabolism). Deletions or duplications in HBA gene determine the accumulation of a chain in b-thalassemia major patients. The human alpha globin gene cluster is located on chromosome 16 and deletions or duplications are the most important mutations. Multiple ligation dependent probe amplification (MLPA) technique is a simple and rapid technique and used in many genetic disorders in which deletions and duplications are common. In this study we used a commercial MLPA kit for detecting alpha globin gene mutations. The kit contains 24 different probes in the HBA region. In this study we aimed to investigate the incidence of alpha globin gene mutations using MLPA technique in 19 b-thalassemia major patients which were diagnosed in our department.Alpha globin gene deletions were detected in 2 out of 19 (10.5%) b-thalassemia major patients. In one of the patients the deletion was located between the HBA2 gene and HBA1P gene. The deletion detected in the other patient was located between the HBA1 gene and HBA2 gene. This result suggests that alpha globin gene mutations in b-thalassemia major patients are not rare. MLPA technique is suitable to investigate the mutations in this complex gene cluster.
Extended Spectrum Beta Lactamase Frequency In Cefhtazidime Resistant Pseudomonas Aeruginosa Strains
Authors: Çeliksöz Canan , Karslıgil Tekin , Balcı İclal
Published: June 2023

One of the resistance mechanisms of Pseudomonas aeruginosa, which is an increasing resistance problem to antibiotics, is beta lactamase production. Especially it becomes more and more difficult to apply a treatment to the infections developed by extended spectrum beta lactamase (ESBL) producing strains. It is of importance for the success of the treatment that ESBL is determined in P. aeruginosa and reported to the clinician. In recent years, some ESBL types such as PER-1 in class A and OXA group in class have been determined in P. aeruginosa. These enzymes hydrolyze third generation cefhalosporins and   some   of   them   hydrolyze  especially  cefhtazidimes. In the study, ESBL existence was researched in ceftazidime-resistant (n:50) and cefhtazidim-sensitive (n:20) 70 P. aeruginosa strains with double disc synergy test. ESBL existence was determined in 35 (50%) of the strains. ESBL positivity was reported in cefhtazidime-resistant strains, but not in cephtazidime-sensitive ones. ESBL should be remembered in P. aeruginosa infections not treated with other beta lactam antibiotics except for carbapenem and waste of costs and treatments should be avoided by researching ESBL existence with the help of routine antibiogram tests and double disc synergy method.
The Frequency Of Congenital Hypothyroidism In The Newborn With Prolonged Jaundice
Authors: Çöl Araz Nilgün
Published: June 2023

Konjenital hipotiroidi, yenidoğan döneminde uzamış sarılığın önde gelen nedenlerinden biridir ve önlenebilir zeka geriliğinin en sık nedenidir. Bu kesitsel çalışmada Eylül 80-Mart 2005 tarihleri arasında Gaziantep Çocuk Hastanesi'ne başvuran uzamış sarılığı olan 2006 ayaktan hastada konjenital hipotiroidi sıklığı araştırıldı. Plazma total bilirubin düzeyi 5 mg/dL'nin üzerinde olan hastalar çalışmaya dahil edildi (12.3±4.6 mg/dL), direkt hiperbilirubinemisi olan hastalar çalışmaya dahil edilmedi. Hastalar 15-45 gün arasındaydı. Konjenital hipotiroidi tanı kriterleri serum TSH düzeyi 20 mU/L'nin üzerinde idi. Konjenital hipotiroidi tanısı uzamış sarılığı olan 3 hastanın 4'inde (%5.6) konuldu. TSH düzeyi dört hastada 3 mU/L'nin, bir hastada ise 80 mU/L'nin üzerindeydi. Verilerimiz, konjenital hipotiroidizmin uzamış sarılığı olan yenidoğanların önemli bir bölümünü oluşturduğuna işaret etmektedir.
Improvement Of “Parent Anxiety Resources Scale” Under Conditions Of Disease And Hospitalization Of School Age Children And Influence Over “Children Anxiety Resources”
Authors: Gönener Demet , Pek Hatice
Published: June 2023

Araştırma, okul çağındaki çocukların hastalık ve hastaneye yatış koşulları altında "Ebeveyn Kaygı Kaynakları Ölçeği"ni geliştirmek ve "Çocuk Kaygı Kaynakları"nı etkilemek amacıyla metodolojik ve deneysel olarak planlanmıştır. Araştırma Eylül 2002-Ekim 2003 tarihleri arasında Sinop Atatürk İlköğretim Okulu, Sinop SSK Hastanesi, Sinop Devlet Hastanesi, Samsun SSK Bölge Hastanesi, Samsun Doğum ve Çocuk Hastanesi'nde gerekli izinler alındıktan sonra uygulanmıştır. Çalışma grubunu Sinop Atatürk İlköğretim Okulu'na devam eden çocuklar, Sinop Devlet Hastanesi ve Sinop SSK Hastanesi'nde yatan veya ayakta tedavi gören çocukların ebeveynleri ile Samsun SSK Bölge Hastanesi ve Samsun Doğum ve Çocuk Hastanesi'nde yatan ve basit rastgele örnekleme yöntemiyle belirlenen anne ve baba ve çocuklar oluşturmuştur. Çalışma grubunda 60 çocuk ve 239 ebeveyn bulunmaktadır. Veriler "Anksiyeteye Neden Olan Düşüncelerin Kaynakları" (RACT), "Sırt Kaygısı Envanteri" (BAI), Devlet-Ticaret Kaygısı Envanteri (STAI), Aile Bilgi Formu uygulanarak elde edilmiştir. Ebeveyn Kaygı Kaynakları Ölçeği'nin alfa sabiti 0,94 olarak bulunmuştur. Vaka grubundaki ebeveynlerin Anksiyete Kaynaklarından aldıkları ortalama puanların karşılık gelen standart sapmaları eğitimden önce yüksek, eğitimden sonra ise düşük bulunmuştur. Sonuç olarak, "Ebeveyn Kaygı Kaynakları Ölçeği"nin güvenirliği ve geçerliliği doğrulanmaktadır. Okul çağındaki çocukları hastaneye yatırılan ebeveynlerin kaygılarındaki artışın çocuklarının kaygısını doğrudan artırdığı belirlenmiştir. Hemşireler tarafından ebeveynlere verilen eğitimin ebeveynlerin kaygısını azalttığı, dolayısıyla çocuklarının kaygısını azalttığı kanıtlanmıştır. p<0.001
Assessing The Forensic Reports Documented By Forensic Medicine Department Of Medicine Faculty Of Gaziantep University Between 1998 And 2005 Years
Authors: Karasu Mehmet , Baransel Isır Aysun , Aydın Neriman , Dülger Ergin
Published: June 2023

In this study, 5318 cases whose reports were documented by Forensic Medicine Department of Medicine Faculty of Gaziantep between 1998 January and December 2005 examined retrospectively. The results were assessed and tried to determine whether were parallel with literature or not, and to examine in the view of new Turkish Panel Code (TPC). All cases were classified as an age, report date, sex, and types of forensic case. 4392 of cases were male and 926 of cases were female. The mean age of the cases was 28.5±15.7 years and most of them were between 21-30 years old. Traffic accidents constituted most of the cases (28.9%). 5086 of cases had came department before 2005 June, and 232 of cases had came after 2005 June. Analysis of the cases which examined before 2005 June in the view of the new TPC, revealed that 87 of cases which were (0-10 days) daily activity failure should be determined as untreatable by Simple Medical Treatment; and 8 cases which were under 11 ages should not be examined. 23 cases will be determined as a “distinct and permanent scar on the face”. After adaptation of the reports of cases which have the conclusion of “a situation which endangers a person's life” as to new TPC, it is found that there will be no differences between reports about that conclusion.
Camurati-Engelmann Disease: A Late And Rare Sporadic Case With Vertebral And Pelvic Involvement
Authors: Mete Ahmet , Andıç Çağatay , Özkur Ayhan , Parlak Eda
Published: June 2023

Camurati-Engelmann hastalığı (KED) veya ilerleyici diyafiz displazisi, nadir, otozomal dominant kalıtsal bir kemik hastalığıdır. Ağırlıklı olarak uzun kemiklerin diyafizlerini etkileyen ilerleyici genişleme ve skleroz bu hastalığın karakteristik özellikleridir. Vertebral ve göğüs kafesi tutulumu sadece en ağır vakalarda görülür. Bu olgu, vertebral cisimlerin, kaburgaların ve pelvisin aynı anda belirgin şekilde tutulması, şiddetli formu ve sporadik prezentasyonu nedeniyle ilgi çekicidir. Ayrıca literatürde bu kadar yaygın bir katılım içeren bir rapor bulamadık.
Importance Of Polymorphisms Of The MIF Gene At Acute Leukemia And Its Effect On Febrile Neutropenic Attacks
Authors: Güven Sebahat , Pehlivan Mustafa , Yılmaz Mehmet , Okan Vahap , Pehlivan Sacide
Published: June 2023

The objective of this study is to research polymorphisms in MIF gene -173 site in variable haemotological malignities and evaluate its effects on febrile neutropenic attacks after chemotherapy in acute leukemia. Single nucleotide polymorphisms (SNPs) at -173 site of the MIF gene was analysed with the PCR-RFLP method (restriction endonuclease Alu I) with isolated DNA samples from 48 patients who were treated for ALL and AML and 53 healthy controls, and G and C allel frequencies were compared statistically between patients and healthy controls groups. As a result of the analyzis, it was observed that the rate of patients with GG genotypes was 70.9%, with GC genotypes 29.1%, and with CC genotypes 0%. Association is evaluated between MIF pozitivities in acute leukemias and distribution of infections, its factors, duration of feveral days and neutropenia. Within the GC allel group; no significant differences were observed (p>0.05) in infection factors, duration of neutropenia (<500/L), duration of feveral days, fungal pnomoni, blood infections and FN mortality compared to the GG allel group. In conclusion, fungal pneumonia was observed at a higher rate in the CG allel group (22%) compared to the GG allel group (11.5%); a repeat of the study with an expended group can yield more information about this relationship.
The Prevalence of Obesity and Overweight among Children from Lower Socioeconomic Status
Authors: Atamtürk Derya
Published: June 2023

Obesity relays a threatening disease that born of hyper nutrition and unbalanced nutrition in nowadays communities. In this study it is aimed to determine the prevalence of overweight and obesity among children come from lower socioeconomic classes in Ankara, Turkey. Totally, 891 students (446 female, 445 male) aged and between 7-14 years from lower socieconomic classes were measured anthropometrically and their the body mass indices were calculated. Obesity and overweight ratios were assessed using by the reference values obtained from NHANES I and II (National Health and Nutritional Examination Survey) conducted in U.S children. The children who take place of 85-94.9th percentile of the reference data were accepted to be "overweight", and the ones take place in the 95th percentile and over accepted as "obese". Our analyses showed that 7.69% of boys and 3.82% of girls were overweight and 1.49% of boys and 2.29% of girls were obese. The ratios of obesity and overweight are lower than those of other studies Which were conducted in lower socieconomic status. As a conclusion, present study indicated that obesity is not a common problem among lower socioeconomic classes in our country.
Bicuspid Aortic Valve Prevalence In A Large Series Of Echocardiograms In The Area Of Frequent Consanguineous Marriage
Authors: Sucu Murat , Davutoğlu Vedat , Özer Orhan , Başpınar Osman , Aksoy Mehmet , Kılıç Metin
Published: June 2023

Bicuspid aortic valve (BAV) is one of the most common congenital anomalies of the heart, though its definitive prevalence is not clear. We sought to determine the prevalence of BAV in a large database of echocardiographic measurements from a single institution in the area of frequent consanguineous marriage (South-east Anatolia region) and we present the frequencies of BAV-related complications such as stenosis, regurgitation, and assendan aorta dilatation. We retrospectively analyzed 31.265 echocardiograms performed at our academic institution between 2004 and 2007 for various indications. BAV is often associated with aortic stenosis, regurgitation, and ascending aorta dilatation and BAV is an independent risk factor for infective endocarditis. The prevalence of BAV was calculated, and the frequency of aortic stenosis, regurgitation, and ascending aorta dilatation among BAV cases was determined. Our database revealed a gender distribution of 11.339 males (47%) and 12.926 (53%) females.The total prevalence of BAV was 0.57% (n = 180). The rate of consanguineous marriage is 20.9% in overeall Turkey. The rate of consanguineous marriage is 40.4% in our region The gender-specific prevalence was 1.08% in males and 0.44% in females. Regurgitation was observed in 58.3% (28.9% mild, 29.4% severe) of BAV cases, stenosis in 40% (17.8% mild, 22.2% severe), and dilatation in 33.3%. The prevalence determined in our study is similar to the prevalence determined in other recent echocardiography and autopsy studies, suggesting a lower incidence of BAV than previously thought despite high rate of consanguineous marriage. Regurgitation was the most common valvular complication in our database.
Mini-Open Carpal Tunnel Release-Without Tourniquet And Under Local Anesthesia
Authors: Ertürk Cemil , Karakurum Günhan , Kalender Ali Murat , Neval Abdurrahman
Published: June 2023

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. Surgery is generally preferred in cases of CTS which do not respond to conservative measures. We evaluated the results and complications of patients who underwent mini open release for CTS. Mini-open carpal tunnel release was performed in 36 hands of 30 patients with CTS. There were 27 females, and 3 males, with ages ranging from 23 to 71 years. (mean age 45.6 years) Clinical and electromyographic findings were compatible with CTS. All cases were done under local anesthesia without using a tourniquet. The mean follow-up period was 16 months. (range 10 to 20 months) The mean duration of the operation was 15 minutes (range: 10-20 minutes) No serious surgical complication has occurred. Excellent results were achieved in 32 hands (88%). Mini-open carpal tunnel release is a safe and simple procedure with satisfactory outcome.
Intestinal Perforation In The Hernia Sac Due To A Blunt Trauma: A Case Report
Authors: Dirican Abuzer , Ara Cengiz , Ünal Bülent , Özgür Dinçer
Published: June 2023

Inguinal hernia is one of the most common forms of hernias. The complications such as necrosis or perforation of intestine in the hernia sac result in hazardous conditions. A blunt trauma to the inguinal area may cause intestinal perforation in the presence of an inguinal hernia as our case.
Prenatal Sonography Of Dandy-Walker Malformation
Authors: Tosun Alptekin , Bozan Sıtkı
Published: June 2023

Dandy-Walker malformation is a part of Dandy-Walker complex and characterized as development anomaly of posterior fossa. Etiology is not definitely known. Many theories suggested as agenesis of Luschka and Magendie foramens, malformation of fourth ventricle root and delayed opening of foramen Magendie. Prenatal ultrasonography is important on diagnosis. Cystic dilatation of posterior fossa, hypo- or agenesis of cerebellar vermis is the main sonographic findings. Hydrocephaly may exist. This study reveals Dandy-Walker malformation with existence of hypoplasia of cerebellar hemispheres, meningocele and polyhydramnios.
Late Onset Papillon-Lefevre Syndrome (A Clinical Report)
Authors: Erciyas Kamile , Pehlivan Sacide , İnalöz Serhat , Erciyas Ali Fuat , Sever Tuğçe
Published: June 2023

Papillon-Lefevre syndrome is a rare autosomal recessive disorder characterized by the association of palmoplantar hyperkeratosis and premature loss of both deciduous and permanent teeth. Although there were a number of studies with respect to classical PLS patients, the number of studies on the late-onset PLS was limited. This paper reports the treatment planning of the mildly affected periodontal component of a patient with late-onset Papillon-Lefevre syndrome and in DNA by investigating cytokine and MIF genotyping. Cytokine (IL- 6, IL-10, IFN-g, TGF-B1, TNFa) genotyping was performed by the PCR- SSP method. The TNFa (-238,-857) and MIF (-173) genotyping were determined by PCR-RFLP method. These results are the first detailed genetic study data concerning the Late-Onset Papillon-Lefevre Syndrome in literature. The IL-6, IL-10, TNFa and IFN-g polymorphisms were detected as high expression while TGF-B1 was detected as intermediate expression and GC genotype in the MIF (-173) gene.
Prolonged Jaundice In Newborn Babies
Authors: Sivaslı Ercan
Published: June 2023

Up to 50% of all newborns may develop jaundice. If serum bilirubin level is above 2 mg/dl in adults and 6 mg/dl in newborns, jaundice is visible. Prolonged neonatal jaundice is definite that high serum bilirubin (>10 mg/dl) that persists beyond 14 days of life in a matür infant or 21 days of life in a prematür infant. There may be either direct bilirubin or indirect bilirubin is high in prolonged jaundice. Prolonged jaundice can be a sign of serious underlying liver disease if direct bilirubin is high. Therefore, causes and treatments of prolonged jaundice in newborn will be reviewed  in this collection.
The Retrospektif Evaluation Of The Patients Applied To Our Pain Clinic Between The Years Of 2001-2007
Authors: Pirbudak Çöçelli Lütfiye , Avcı Neslihan , Ganidağlı Süleyman , Görgü Ali , Oyucu Serpil , Öner Ünsal
Published: June 2023

The number of the patiens referring to pain clinics for pain or other reasons, is increasing day by day since their establishment. In this study, we aimed to investigate the files of the patients referred to our pain clinic between the years 2001-2007. The sending clinics , the cause of the cronic pain, the pharmacological and other invasive therapies were evaluated. Considering the sending clinics, 47.8% of the patients came directly by themselves, 42.3% were sent by The Department of Oncology, 34.1% were directed from the The Department of Orthopedics. Analyzing the type of therapies over the years , the number of medical therapy decreased while the invasive procedures such as epidural steroid injection, epidural catheter application, trigger point injection, were increased. We assume that the satisfaction of the patients due to our multidisciplinary approach and successful treatment, will increase the number of the patients applying to Our Pain Clinic.
Rheumatoid Arthritis and Periodontal Health
Authors: ERCİYAS Kamile , ÜSTÜN Kemal , PEHLİVAN Yavuz , ONAT Ahmet Mesut
Published: June 2023

Periodontal diseases are characterized with inflammation in periodontal supportive tissues and alveolar bone resorption. They might interfere with systemic health or systemic disease pattern via local and systemic host response occurred against bacteria. The aim of this study is to compare the oral and periodontal health status of rheumatoid arthritis. 65 subjects with rheumatoid arthritis (55 female, 10 male) were included in this study. Patients were evaluated both clinically and radio graphically. The measurement of gingival index, plaque index, probing depth, clinical attachment levels and the number of missing teeth were recorded. All of the clinical periodontal parameters were found significantly higher in RA group. Our results showed that percentage of patients with gingivitis was 63%, patients with chronic periodontitis was 22%, periodontitis patients with aggressive periodontitis was 4.6%. The results of this study showed weak oral health and periodontal  status  in  patients  with  rheumatoid  arthritis.
Congenital Perıslyvian Syndrome; Report Of Three Cases
Authors: YİŞ Uluç , BAŞTEMİR Murat
Published: June 2023

Congenital perisylvian syndrome is a rare neurological disorder characterized by pseudobulbar palsy, cognitive deficits, epilepsy associated with bilateral perisylvian cortical dysplasia on magnetic resonance imaging. We herein report three cases with congenital bilateral perisylvian syndrome who presented with psychomotor retardation, speech delay and feeding difficulty because of the rarity of the syndrome.
Intubation Experience In Patient With Bilateral Cleft Lip And Palate
Authors: KORUK Senem , Özkan TANRIVERDİ Gülşen , GÜL Rauf , TEMEL Metin , GÖKSU Sıtkı , ÖNER Ünsal
Published: June 2023

Cleft lip and palate is one of the common congenital malformations of head and neck region. Cleft lip and palate anomaly may be component of other syndromes like ectrodactily - ectodermal dysplasia (EEC) syndrome and cleft palate - cardiac defect - genital anomalies - ectrodactily acrocardiofacial (CCGE) syndrome. The diagnosis of accompanying malformations to cleft lip/palate and also syndrome complexes are increased in recent years. Difficult intubation is a desirable complication in maxillo-facial defects. For risk stratification of difficult intubation some tests are defined. Mallampati, Wilson, Cormack and Lehane tests can be used for this purpose. Our aim in this study was to discuss the difficult intubation risk and our experience of 10 years old, 30 kg of body weight girl with cleft lip and palate.
Editör'den
Authors: Balat Ayşe
Published: June 2023

Sevgili Meslektaşlarım,
Gaziantep Tıp Dergisi'nin 2009 yılı 3. sayısında hepinizi sevgi ve saygıyla selamlıyorum. Değerli çalışmalarıyla dergimizi destekleyen bütün araştırıcılara ve yayına hazırlanmasında emeği geçenlere teşekkür eder, bir sonraki sayıda buluşabilmek umuduyla sevgi ve saygılarımı sunarım.
 
Prof. Dr. Ayşe BALAT Editör
 
 
 
"Bir kuruluşun sahip olduğu yeri doldurulamaz tek sermaye, insanların bilgi ve yeteneğidir."
Andrew Carnegie
Incontinence, Neglect Syndrome and Emotional Status in Ischemic Stroke Patients and Relation With Lateralization and Functional Independency
Authors: Akçalı Aylin , Altındağ Özlem , Aydeniz Ali , Koca İrfan , Gürsoy Savaş
Published: June 2023

Stroke is characterized by the sudden loss of blood circulation of the brain. Various studies suggested that age, gender, severity of the stroke, urinary incontinence, impairment in cognitive function, unilateral neglect syndrome are the most determining factors effecting the outcomes of stroke. The aim of the study was to evaluate the incidence of urinary and fecal incontinence and neglect syndrome, anxiety, depression status level and also the relation of them with lateralization and functional independency. In this study 44 stroke patients in neurology in-patient clinic were examined for motor limitation, anxiety and depression levels, neglect syndrome, urinary and fecal incontinence. Functional independency level was measured with Barthel Index, National Institute of Health Stroke Scale (NIHSS) and Rankin scales, anxiety level was evaluated with State-Trait Anxiety Inventory (STAI) 1 and 2 and depressive symptom severity was assessed with Beck Depression Inventory (BDI). Neglect syndrome was evaluated by subscale of NIHSS, urinary incontinence was assessed by clinical observations and the information from the relatives. Frequency of fecal and urinary incontinence, neglect syndrome and BDI scores were higher in left hemiparesia than in right hemiparesia (p =0.004, p =0.02, p=0.02, p<0.001, respectively). STAI 2 was negatively correlated with Barthel Index and positively correlated with Rankin and NIHSS scores (r=-0.663, p<0.001; r=0.664, p<0.001; r=05.28, p=0.008; respectively). Our findings indicated that the incidence of urinary and fecal incontinence were higher in left hemiparesia than in right hemiparesia. Our findings shows that neglect syndrome, frequency of incontinence, and depression level were higher in right hemiparesia than in left hemiparesia. Functional independency level was lower in patients having incontinence and anxiety.
Axillary Block Application In Forearm Surgery And The Comparison Of Bupivacaine And Levobupivacaine Effıciency In Axillary Block
Authors: Altay Mehmet Akif , Altay Nuray , Ertürk Cemil
Published: June 2023

The aim of this study was to investigate the adequacy of axillary block with bupivacain and levobupivacain on forearm surgery. This study were performed in 45 patients, (ages of 18-55, ASA 1-11 risk group) underwent forearm surgery. 1n Group B (n=21) 0.5% bupivacain + fentanyl and in Group L (n=24) 0.5% levobupivacain + fentanyl were administered in 40 ml for axillary blockage. Sensorial and motor blockage levels were evaluated in process of surgery. All patients had adequate axillary block during surgical procedures. Sensorial and motor blockage levels and additional analgesic requirement were found similarly between the groups. We think that axillary blockage with bupivacain and levobupivacain is adequate in forearm surgery.
Recanalization of a Coronary Artery During Coronary Angiogram
Authors: Sucu Murat , Sarı İbrahim , Davutoğlu Vedat
Published: June 2023

Dear Editor;
Atherosclerosis is the name given to the build up of cholesterol and fatty deposits or plaques in the coronary artery walls. The coronary arteries become narrow and hardened, their elasticity disappears and it becomes difficult for blood to flow through.The fatty plaques can also rupture, causing blood to clot around the rupture. Plaque ruptures are a common cause of unstable angina pectoris (1). Coronary artery reperfusion are commonly achieved by intravenous administration of thrombolytic agents and mechanical recanalization (2). A 62 year old man was admitted to the coronary care unit with unstable angina pectoris. His ECG showed minimal ST segment elevation in the leads V1-3 and ST depression in leads II-III, and V4-6. The patient underwent coronary angiography. In anteroposterior cranial view, it was clearly seen that left anterior descending coronary artery (LAD) was totaly occluded before the first diagonal branch (Panel A). After opaquie injection distal of LAD was clearly visualized (Panel B). This case showed that opaque injection caused recanalization of occluded LAD artery by means of mechanical affect to the existing thrombus.
Editör'den
Authors: Balat Ayşe
Published: June 2023

Sevgili Meslektaşlarım,
 
2010 yılının ilk sayısında buluşabilmenin mutluluğunu yaşarken, hepinizi sevgi ve saygıyla selamlıyorum.
Dergimizin bu sayısında 2010 yılı içinde yapılacak olan "Mezuniyet Sonrası Eğitim Programı" nın listesini bulacaksınız. Katılımınız bu etkinliklerimize değer katacaktır. Ayrıca 10 Mart 2010 tarihinde "Yaşamak Yetmez: Kronik Böbrek Hastalığında Yaşam Kalitesi'' adı altında bir toplantı yapılacaktır. "Dünya Böbrek Günü'' etkinlikleri içinde yapılacak olan bu toplantı, uluslararası yürütülen bir programın parçası olarak ülkemizde ilk kez Gaziantep'te gerçekleşecektir. Dergimiz içinde ayrıntılarını bulacağınız bu programa katılımınız bizleri mutlu edecektir.
Dergimize giderek artan ilginiz ve katkılarınızla bilimsel alanda birçok şeyi paylaşacağımıza ve üreteceğimize yürekten inanıyorum.
Değerli çalışmalarıyla dergimizi destekleyen araştırıcılara ve yayına hazırlanmasında emeği geçenlere içtenlikle teşekkür eder, bir sonraki sayıda buluşabilmek umuduyla sevgi ve saygılarımı sunarım.
 
Prof. Dr. Ayşe BALAT
Editör
 
“Sanat benim; bilim biziz”
Claude Bernard
Coincdence Of An Insular Thyroid Carsinoma And Chronic Lymphocytic Leukemia; A case Report
Authors: Yılmaz Mehmet , Alanoğlu Güçhan , Güler Nil , Akı S.Zeynep , Seçkin Selda , Kama Nuri Aydın , Özet Gülsüm
Published: June 2023

Chronlc lymphoc.ytlc leukemla (CLL) Is a hematologlcal mallgnancy characterlzed wlth proliferation and accumulation of lymphocytes of mature appearance in blood, liver, bone marrow, lymph nodes and other tissues. Second malignancles occur with an increased frequency in CLL. The most frequent of these are large cell lymphoma, known as Richter's syndrome and Hodgkin's disease among hematological second malignancies, lung and skin cancers among solid tumors. The defect in humoral and cellular functions may be the underlying mechanism of increased tendency towards infections and second malignancies ın CLL patients. Here we report a coexistence of insular thyroid carcinoma (ITC) and B-CLL in the same patient. The occurrence of both CLL and insular thyroid carcinoma described because of the rarity of the coexistence of these two disorders in the same patient.
Ovarian Pathologies in Childhood
Authors: Sımsık Sedat , Özokutan Bülent Hayri , Ceylan Haluk , Aydın Abdullah , Güler Elif
Published: June 2023

Ovarian diseases are not rare in childhood and some problems are encountered with in evaluation of ovarian pathologies such as existance of different terminologies, lack of pathological criteria and different types of tumor classiffications. 55 patients younger than 16 years who had ovarian disease were treated and followed up and then the results were evaluated retrospectively. Patients were seperated in 3 groups as ovarian torsions (n:21), neoplastic ovarian pathologies (n:19) and non-neoplastic ovarian pathologies (n:28). Most frequent clinical symptom was abdominal pain and most frequent clinical finding was abdominal sensitivity in all groups. 1n non-neoplastic ovarian pathology group, 21 patients were treated surgically whereas seven were treated conservatively. As the result of histopathological examinations follicular cysts (n:11), simple cysts (n:8), corpus luteum cysts (n:7), paraovarian cyst (n:1) and massive ovarian edema (n:1) were observed. 1n the neoplastic ovarian pathology group, all patients were treated surgically and 8 serous cystadenoma, 7 mature cystic teratoma, 2 dysgerminoma, 1 juvenile granulosa cell tumor, and 1 seromucinous borderline tumor were observed after histopathological examinations. 1n the ovarian torsion group, torsions were due to non- neoplastic pathology in 7 and neoplastic pathology in 6 patients. Torsions were developed without any cysts or tumor in 8 patients. Oopherectomy or salphingoopherctomy was performed in twenty patients. 1n one patient ovary was preserved as circulation turned normal after detorsion. Ovarian pathologies are not rare in childhood and should be included in the differential diagnosis of abdominal pain in girls. Extensive use of radiological studies have facilitated the diagnosis of these lesions.