hakansabunis/tr-academic-research-agent-index huggingface dataset:
Evaluation of the Newborn Hearing Screening Test Applied in a Secondary Center
Evaluation of the Newborn Hearing Screening Test Applied in a Secondary Center
Yazar: Çakal, Ayşe; Aşcı, Zerrin; Bucak, Abdulkadir; Yılmaz, Beyhan; Aytuğ, Emel
Dergi: Dicle Tıp Dergisi, Vol. 43 No. 1, 2016
Anahtar kelimeler: İşitme kaybı, yenidoğan, tarama programı

Objective: It was aimed to assess the protocols and results of scanning tests retrospectively done at Afyon Zubeyde Hanim Gynecology and Pediatrics Hospital, Audiometric Scanning DepartmentMethods: In this study 23.396 scanning tests of the babies between 0-6 months and born on 01.04.2010-31.01.2014 are analyzed retrospectively. Completely healthy newborn babies were included in the study. Babies with congenital anomalies, those diagnosed with syndrome and premature babies were not included in the study. Audiometric scanning is assessed in two steps by Otoacoustic Emissions method (T-OAE). The first scanning is applied to the newborns before they are discharged from the hospital.Results: 23.396 babies are assessed by the T-OAE method in Zübeyde Hanım Maternity and Children Hospital between the dates; April, 2010-January, 2014. At the end of the two-step method T-OAE, 572 babies are sent to the reference centre. Out of these babies 37 (0.15%) portion is found to have two-sided and 2 (0.008%) is found to have one-sided sensorineural hearing loss.Conclusion: In our country with the increase in audiometric scanning the number of babies having treatment has increased. In this study also the hearing loss doubt found at new born babies is at a proportion not less than the other studies relatively.Key words: Hearing loss, newborn, screening program

Objective: It was aimed to assess the protocols and results of scanning tests retrospectively done at Afyon Zubeyde Hanim Gynecology and Pediatrics Hospital, Audiometric Scanning DepartmentMethods: In this study 23.396 scanning tests of the babies between 0-6 months and born on 01.04.2010-31.01.2014 are analyzed retrospectively. Completely healthy newborn babies were included in the study. Babies with congenital anomalies, those diagnosed with syndrome and premature babies were not included in the study. Audiometric scanning is assessed in two steps by Otoacoustic Emissions method (T-OAE). The first scanning is applied to the newborns before they are discharged from the hospital.Results: 23.396 babies are assessed by the T-OAE method in Zübeyde Hanım Maternity and Children Hospital between the dates; April, 2010-January, 2014. At the end of the two-step method T-OAE, 572 babies are sent to the reference centre. Out of these babies 37 (0.15%) portion is found to have two-sided and 2 (0.008%) is found to have one-sided sensorineural hearing loss.Conclusion: In our country with the increase in audiometric scanning the number of babies having treatment has increased. In this study also the hearing loss doubt found at new born babies is at a proportion not less than the other studies relatively.Key words: Hearing loss, newborn, screening program
Ureteroscopy and Laser Lithotripsy for Treatment of Ureteral Stones in Pregnants: Single Center Experience
Ureteroscopy and Laser Lithotripsy for Treatment of Ureteral Stones in Pregnants: Single Center Experience
Yazar: İstanbulluoğlu, Mustafa; Alptekin2, Hüsnü; Işık2, Hatice; Buldu, İbrahim
Dergi: Dicle Tıp Dergisi, Vol. 43 No. 1, 2016
Anahtar kelimeler: Gebelik, ürolitiyazis, üretereskopi, litotripsi, Holmium-YAG lazer

Objective: To report our ureteroscopic laser lithotripsy experiences in the treatment of symptomatic ureter stones in pregnants which do not respond to conservative treatmentMethods: A total of 6 pregnants aged between 22-33 years in second or third trimester were studied. Holmium-YAG laser lithotripsy was performed with 6.5 F semirigid uretroscope.Results: The diagnosis of ureter stone was made with abdominal ultrasonography in 5 patients and with magnetic resonance in one patient. Adequate stone fragmentation was performed in 2 mid-ureter and 4 distal-ureter stones. J stent was applied in one patient after the fragmentation process. The mean operation time was 24.8 ± 10.0 minutes after the entry of bladder with ureteroscope under spinal anesthesia. No urologic, anesthetic or obstetric complication was seen and all patients gave healthy birth at term.Conclusion: Fine calibrated ureteroscopes for the treatment of ureter stones in pregnants are fast and effective treatment modalities which decrease the operation time and remove difficulties in entering the ureter.Key words: Pregnancy, urolithiasis, ureteroscopy, lithotripsy, Holmium-YAG laser

Objective: To report our ureteroscopic laser lithotripsy experiences in the treatment of symptomatic ureter stones in pregnants which do not respond to conservative treatmentMethods: A total of 6 pregnants aged between 22-33 years in second or third trimester were studied. Holmium-YAG laser lithotripsy was performed with 6.5 F semirigid uretroscope.Results: The diagnosis of ureter stone was made with abdominal ultrasonography in 5 patients and with magnetic resonance in one patient. Adequate stone fragmentation was performed in 2 mid-ureter and 4 distal-ureter stones. J stent was applied in one patient after the fragmentation process. The mean operation time was 24.8 ± 10.0 minutes after the entry of bladder with ureteroscope under spinal anesthesia. No urologic, anesthetic or obstetric complication was seen and all patients gave healthy birth at term.Conclusion: Fine calibrated ureteroscopes for the treatment of ureter stones in pregnants are fast and effective treatment modalities which decrease the operation time and remove difficulties in entering the ureter.Key words: Pregnancy, urolithiasis, ureteroscopy, lithotripsy, Holmium-YAG laser
Chest Pain may be the First Symptom of Malignant Tumors in Children: Report of Two Cases
Chest Pain may be the First Symptom of Malignant Tumors in Children: Report of Two Cases
Yazar: Akın, Alper; Bilici, Meki; Söker, Murat; Aldudak, Bedri; Meteroğlu, Fatih
Dergi: Dicle Tıp Dergisi, Vol. 43 No. 1, 2016
Anahtar kelimeler: Göğüs ağrısı, fibrosarkom, lenfoma, çocuklar

The majority of chest pain in children is idiopathic or associated with locomotor system pathologies. Albeit cardiac and other thoracic malign tumors may cause chest pain, malignancies usually show rapid clinical onset and are presented with multiple systemic symptoms. It is not a usual finding for chest pain being the sole initial symptom. Herein, we report two children who were presented with chest pain as an initial symptom and diagnosed with fibrosarcoma and lymphoma afterwards. Therefore, we want to emphasize that cardiac and pericardial malignant tumors should be remembered in differential diagnosis of chest pain in children.Key words: Chest pain, fibrosarcoma, lymphoma, children

The majority of chest pain in children is idiopathic or associated with locomotor system pathologies. Albeit cardiac and other thoracic malign tumors may cause chest pain, malignancies usually show rapid clinical onset and are presented with multiple systemic symptoms. It is not a usual finding for chest pain being the sole initial symptom. Herein, we report two children who were presented with chest pain as an initial symptom and diagnosed with fibrosarcoma and lymphoma afterwards. Therefore, we want to emphasize that cardiac and pericardial malignant tumors should be remembered in differential diagnosis of chest pain in children.Key words: Chest pain, fibrosarcoma, lymphoma, children
Chronic Viral Hepatitis-Induced Liver Cirrhosis in a Patient with Brucellosis
Chronic Viral Hepatitis-Induced Liver Cirrhosis in a Patient with Brucellosis
Yazar: İnce, Fatma; Aslan, Emel; Deveci, Özcan; Tekin, Recep; Dayan, Saim
Dergi: Dicle Tıp Dergisi, Vol. 43 No. 1, 2016
Anahtar kelimeler: Bruselloz, Hepatit B, transaminaz yüksekliği

Brucellosis is an endemic infectious disease in our country. Clinical signs and symptoms are spread over a wide spectrum; musculoskeletal, gastrointestinal system, cardiovascular system and the genitourinary system can be affected. Elevation of transaminases is a common finding in brucellosis due to involvement of reticuloendothelial system including the liver and spleen. In the patient presented here, hepatic cirrhosis was found due to chronic hepatitis B and delta hepatitis infection in the investigations made for not to overlook viral causes that might cause transaminase elevation and it was emphasized that these possible conditions shouldn’t be overlooked in our region where brucellosis and hepatitis B are common.Key words: Brucellosis, hepatitis B, elevated transaminase

Brucellosis is an endemic infectious disease in our country. Clinical signs and symptoms are spread over a wide spectrum; musculoskeletal, gastrointestinal system, cardiovascular system and the genitourinary system can be affected. Elevation of transaminases is a common finding in brucellosis due to involvement of reticuloendothelial system including the liver and spleen. In the patient presented here, hepatic cirrhosis was found due to chronic hepatitis B and delta hepatitis infection in the investigations made for not to overlook viral causes that might cause transaminase elevation and it was emphasized that these possible conditions shouldn’t be overlooked in our region where brucellosis and hepatitis B are common.Key words: Brucellosis, hepatitis B, elevated transaminase
Intestinal Perforation after Bevacizumab Treatment in Metastatic Colon Cancer: A Rare Case
Intestinal Perforation after Bevacizumab Treatment in Metastatic Colon Cancer: A Rare Case
Yazar: Çetin, Durmuş; Gündeş, Ebubekir; Aday, Ulaş; Çiyiltepe, Hüseyin; Değer, Kamuran; Duman, Mustafa
Dergi: Dicle Tıp Dergisi, Vol. 43 No. 1, 2016
Anahtar kelimeler: Bevacizumab, ince barsak perforasyonu, metastatik kolorektal kanser

Bevacizumab is a monoclonal antibody which is targeting to vascular endothelial growth factor. It has been shown to be a promising drug on metastatic colorectal cancer and is combined with chemotherapeutic agents. One should be aware of serious complications even though bevacizumab is a well-tolerated drug. There are a few intestinal perforation cases that have been reported in the oncologic surgery literature related to the bevacizumab treatment. In this case report, we aimed to represent a 45 years old man who was diagnosed with intestinal perforation after bevacizumab treatment ten months after a metastatic colon cancer surgery.Key words: Bevacizumab, intestinal perforation, metastatic colorectal cancer

Bevacizumab is a monoclonal antibody which is targeting to vascular endothelial growth factor. It has been shown to be a promising drug on metastatic colorectal cancer and is combined with chemotherapeutic agents. One should be aware of serious complications even though bevacizumab is a well-tolerated drug. There are a few intestinal perforation cases that have been reported in the oncologic surgery literature related to the bevacizumab treatment. In this case report, we aimed to represent a 45 years old man who was diagnosed with intestinal perforation after bevacizumab treatment ten months after a metastatic colon cancer surgery.Key words: Bevacizumab, intestinal perforation, metastatic colorectal cancer
An Ischemic Stroke Related to Eltrombopag Use in a Patient with Idiopathic Thrombocytopenic Purpura
An Ischemic Stroke Related to Eltrombopag Use in a Patient with Idiopathic Thrombocytopenic Purpura
Yazar: Arslan, Demet; Kelkitli, Engin
Dergi: Dicle Tıp Dergisi, Vol. 43 No. 1, 2016
Anahtar kelimeler: İdiopatik trombositopenik purpura, Trombopoetin reseptör agonistleri, eltrombopag, İskemik inme

Thrombopoetin receptor agonists like eltrombopag, used for Idiopathic Thrombocytopenic Purpura treatment rarely cause to the ischemic cerebrovascular disease. In this report, a patient, have been followed by ITP diagnosis for 5 years, admitted to the emergency service for right hemiparesis and aphasia. It was diagnosed as ischemic cerebrovascular disease. Etiology of patient’s cerebrovascular event was associated with eltrombopag. Because of this rare seen situation, it was argued by in the light of the literature.Key words: Idiopathic thrombocytopenic purpura, thrombopoietin receptor agonist, eltrombopag, ischemic stroke

Thrombopoetin receptor agonists like eltrombopag, used for Idiopathic Thrombocytopenic Purpura treatment rarely cause to the ischemic cerebrovascular disease. In this report, a patient, have been followed by ITP diagnosis for 5 years, admitted to the emergency service for right hemiparesis and aphasia. It was diagnosed as ischemic cerebrovascular disease. Etiology of patient’s cerebrovascular event was associated with eltrombopag. Because of this rare seen situation, it was argued by in the light of the literature.Key words: Idiopathic thrombocytopenic purpura, thrombopoietin receptor agonist, eltrombopag, ischemic stroke
The frequency of polyneuropathy and comparison of laboratory parameters in patients with multiple myeloma
The frequency of polyneuropathy and comparison of laboratory parameters in patients with multiple myeloma
Yazar: Sakin, Abdullah; Ayer, Mesut; Çelik, Kenan; Berkil, Fatih; Acar, Hürtan; Ayer, Aylin; Sakin, Ayşegül; Şar, Fuat
Dergi: Dicle Tıp Dergisi, Vol. 42 No. 4, 2016
Anahtar kelimeler: Multipl miyelom, polinöropati, elektromiyografi

Objective: Multiple myeloma(MM) is a B-cell neoplasia, characterized by clonal expansion of malignant plasma cells in bone marrow. Polyneuropathy (PN) is the most important complications in the treatment of MM. The aim of our study is to find out whether the lab parameters and the incidence of PN, are markers in MM patients or not.Methods: Totally 70 patients (31 male, 39 female) who presented to hematology outpatient department were retrospectively evaluated. Pre-treatment laboratory parameters and electromyography records of the patients taken from the file.Results: 15.7% of the cases the diagnosis was immediately available PN. Levels of β2 microglubin, uric acid, total protein, calcium, ALT, AST, creatinine, LDH and albumin levels didn’t differ significantly between two groups (p>0.05).Conclusion: Presence or development of PN in MM and its readiness to be used as an early marker, will obviously facilitate the treatment and follow-up of MM.Key words: Multiple myeloma, polyneuropathy, electromyography

Objective: Multiple myeloma(MM) is a B-cell neoplasia, characterized by clonal expansion of malignant plasma cells in bone marrow. Polyneuropathy (PN) is the most important complications in the treatment of MM. The aim of our study is to find out whether the lab parameters and the incidence of PN, are markers in MM patients or not.Methods: Totally 70 patients (31 male, 39 female) who presented to hematology outpatient department were retrospectively evaluated. Pre-treatment laboratory parameters and electromyography records of the patients taken from the file.Results: 15.7% of the cases the diagnosis was immediately available PN. Levels of β2 microglubin, uric acid, total protein, calcium, ALT, AST, creatinine, LDH and albumin levels didn’t differ significantly between two groups (p>0.05).Conclusion: Presence or development of PN in MM and its readiness to be used as an early marker, will obviously facilitate the treatment and follow-up of MM.Key words: Multiple myeloma, polyneuropathy, electromyography
Evaluation of segmental body composition by gender in obese children using bioelectric impedance analysis method
Evaluation of segmental body composition by gender in obese children using bioelectric impedance analysis method
Yazar: Çetin, İhsan; Muhtaroğlu, Sabahattin; Yılmaz, Birsen; Kurtoğlu, Selim
Dergi: Dicle Tıp Dergisi, Vol. 42 No. 4, 2016
Anahtar kelimeler: Obezite, çocukluk obezitesi, vücut kompozisyonu, biyoelektriksel impedans analizi

Objective: In this study, it was aimed to evaluate segmental body composition of children diagnosed with obesity using bioelectrical impedance analysis method in terms of different gender.Methods: 48 children, aged between 6-15 years, 21 of whom were boys while 27 were girls, diagnosed with obesity in Erciyes University Medical Faculty Department of Pediatric Endocrinology Outpatient Clinic were included in our study from April to June in 2011. Those over 95 percentile were defined as obese group. Tanita BC-418 device was used to analyze the body composition.Results: As a result of bioelectrical impedance analysis, lean body mass and body muscle mass were found to be statistically significantly higher in obese girls compared with obese boys. However, lean mass of the left arm, left leg muscle mass and basal metabolic rate were found to be statistically significantly lower in obese girls compared with obese boys.Conclusion: Consequently, it may be suggest that segmental analysis, where gender differences are taken into account, can provide proper exercise pattern and healthy way of weight loss in children for prevention of obesity and associated diseases including obesity and type 2 diabetics and cardiovascular diseases.Key words: Obesity, childhood obesity, body composition, bioelectrical impedance analysis

Objective: In this study, it was aimed to evaluate segmental body composition of children diagnosed with obesity using bioelectrical impedance analysis method in terms of different gender.Methods: 48 children, aged between 6-15 years, 21 of whom were boys while 27 were girls, diagnosed with obesity in Erciyes University Medical Faculty Department of Pediatric Endocrinology Outpatient Clinic were included in our study from April to June in 2011. Those over 95 percentile were defined as obese group. Tanita BC-418 device was used to analyze the body composition.Results: As a result of bioelectrical impedance analysis, lean body mass and body muscle mass were found to be statistically significantly higher in obese girls compared with obese boys. However, lean mass of the left arm, left leg muscle mass and basal metabolic rate were found to be statistically significantly lower in obese girls compared with obese boys.Conclusion: Consequently, it may be suggest that segmental analysis, where gender differences are taken into account, can provide proper exercise pattern and healthy way of weight loss in children for prevention of obesity and associated diseases including obesity and type 2 diabetics and cardiovascular diseases.Key words: Obesity, childhood obesity, body composition, bioelectrical impedance analysis
The predictive value of three-dimensional Doppler ultrasonography in determining implantation in patients underwent in vitro fertilization
The predictive value of three-dimensional Doppler ultrasonography in determining implantation in patients underwent in vitro fertilization
Yazar: Çakmak, Yusuf; Şentürk, Mehmet; Budak, Mehmet
Dergi: Dicle Tıp Dergisi, Vol. 42 No. 4, 2016
Anahtar kelimeler: Doppler ultrasonografi, gebe kadınlar, invitro fertilizasyon

Objective: The aim of this study is to evaluate the relationship between endometrial and sub-endometrial blood flow and implantation rate in patients whose undergone in vitro fertilization.Methods: A prospective study was conducted. Long protocol and antagonist regimens were administered to the patients. Endometrial and sub-endometrial blood flow was evaluated by using 3 dimensional Doppler ultrasonography on the day of oocyt retrieval measurement. For comparison pregnant and non-pregnant women in terms of endometrial and sub-endometrial blood flow, t test was used. The p value was considered statistically meaningful as <0.05.Results: Endometrial and sub-endometrial blood flow was not different between pregnant and non-pregnant women in both groups (p>0.05). In long protocol group, the number of embryo was greater in pregnant women than non-pregnant women (p=0.012). The number of transferred embryo increased pregnancy rate almost 3.5 fold (p=0.002).Conclusion: The endometrial and subendometrial blood flow is not reliable factor in prediction pregnancy or implantation.Key words: Doppler ultrasonography, in vitro fertilization, pregnant women

Objective: The aim of this study is to evaluate the relationship between endometrial and sub-endometrial blood flow and implantation rate in patients whose undergone in vitro fertilization.Methods: A prospective study was conducted. Long protocol and antagonist regimens were administered to the patients. Endometrial and sub-endometrial blood flow was evaluated by using 3 dimensional Doppler ultrasonography on the day of oocyt retrieval measurement. For comparison pregnant and non-pregnant women in terms of endometrial and sub-endometrial blood flow, t test was used. The p value was considered statistically meaningful as <0.05.Results: Endometrial and sub-endometrial blood flow was not different between pregnant and non-pregnant women in both groups (p>0.05). In long protocol group, the number of embryo was greater in pregnant women than non-pregnant women (p=0.012). The number of transferred embryo increased pregnancy rate almost 3.5 fold (p=0.002).Conclusion: The endometrial and subendometrial blood flow is not reliable factor in prediction pregnancy or implantation.Key words: Doppler ultrasonography, in vitro fertilization, pregnant women
Hepatitis A seroprevalence in patients who admitted to a training and research hospital in Southeast Anatolia
Hepatitis A seroprevalence in patients who admitted to a training and research hospital in Southeast Anatolia
Yazar: Temiz, Hakan; Özbek, Erdal; Toprak, Serdar; Onur, Arzu; Ertuğrul, Sabahattin
Dergi: Dicle Tıp Dergisi, Vol. 42 No. 4, 2016
Anahtar kelimeler: Hepatit A virüs, seroprevalans, yaş grupları

Objective: In this study; patients admitted to Diyarbakır Gazi Yaşargil Training and Research Hospital were evaluated retrospectively according to age groups for hepatitis A virus seroprevalence.Methods: Anti HAV IgG and Anti HAV IgM test results of patients who admitted to our hospital for various reasons between January 2010 and December 2014 were evaluated. HAV IgG and HAV IgM antibodies were studied via chemiluminescence immune method in Advia Centaur XP (Siemens, Germany) system following the manufacturer's instructions.Results: 97.30% of the samples was positive for Anti HAV IgG and 0.87 of the samples was positive for Anti HAV IgM. Anti HAV IgM positivity was 10% in the 0-10 years age group and 3.09% in the 11-20 age group. We detected advancing age has been found to reduce the incidence of disease and most of the patients encountered disease in childhood and gained immunity.Conclusion: As a result, in this study we found the HAV seroprevalence in the largest hospital of our province. We thought we could contribute; preventive measures, immunization program studies and determination of vaccine efficacy studies with the light of this data.Key words: Hepatitis A Virus, seroprevalence, age groups

Objective: In this study; patients admitted to Diyarbakır Gazi Yaşargil Training and Research Hospital were evaluated retrospectively according to age groups for hepatitis A virus seroprevalence.Methods: Anti HAV IgG and Anti HAV IgM test results of patients who admitted to our hospital for various reasons between January 2010 and December 2014 were evaluated. HAV IgG and HAV IgM antibodies were studied via chemiluminescence immune method in Advia Centaur XP (Siemens, Germany) system following the manufacturer's instructions.Results: 97.30% of the samples was positive for Anti HAV IgG and 0.87 of the samples was positive for Anti HAV IgM. Anti HAV IgM positivity was 10% in the 0-10 years age group and 3.09% in the 11-20 age group. We detected advancing age has been found to reduce the incidence of disease and most of the patients encountered disease in childhood and gained immunity.Conclusion: As a result, in this study we found the HAV seroprevalence in the largest hospital of our province. We thought we could contribute; preventive measures, immunization program studies and determination of vaccine efficacy studies with the light of this data.Key words: Hepatitis A Virus, seroprevalence, age groups