Selçuk Tıp Dergisi Arşiv
Arşiv
Yıl: 1995, Cilt: 11, Sayı: 2-3-4 Tüm Sayı(PDF)
Year: 1995, Vol.: 11, No.: 2-3-4 Issue Full File(PDF)
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Bazı Anestezık Preparatların Mıkroorganızma Ureme Ortamı Olarak Rısk Faktoru Olusturması
Naci Kemal Kırca, Bülent Baysal, Fatma Keklikoğlu
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Bazı Anestezık Preparatların Mıkroorganızma Ureme Ortamı Olarak Rısk Faktoru Olusturması
The MIcrobIologIcal RIsk Of AnaesthetIc Pre-ParatIons Propofol Has PrevIously Been Reported To He A SuItable Culture MedIum FIr Several OrganIsms
Bu calışmada bazi anestezik preparatlartn DAZOLAM , HYPNOMIDATE, VECLIRON1LIM BROMIDE, PROPOFOL, FLUMAZENiL, FEN-TANYL CITRATE, DIHIDROBENZYLPERiDOL, KETAMIN HY DROCHLORiD) mikroorganizmalar • kin bir iireme ortarni olup olmadigini incelemek amacryia yapildt. Vecuronium bromide (V), Pro-pofol (P), Flumazenil (F), ye Fentanyl Citrate (FCida Enterobacter Sp. iireraesi gr ruldu. Mi-dazolam (M), Hypnomidate (H), Ketamin hid-roklorid (K) ve Dihidrobenzil peridol (Dida (kerne olmach.
in this study, we evaluated several other anaesthetic preparations in addition to propofol including (mi-dazolam, hypnomidate, vecuronium bromide, pro-pofol, flumazenil, fentarzyl citrate, dihidrobenzyl pe-ridol, ketamin hydrochlorid) as a growth medium for enterohacter sp. As a result, we observed the growth of en-terohacter in the vecuronium bromide, propofol, flu-mazenil, and fentanyl citrate medium. On the other hand, there was no detectable growth in midazolarn, hypnomidate, ketamin hydrochlorur, and dihydrobenzylperidol.
Tıp Doktorları Ve Dıs Doktorlarının El Florasındakı Bakterıyel Ye Fungal Kolonizasyon
Duygu Fındık, Onur Ural, Bülent Baysal
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Tıp Doktorları Ve Dıs Doktorlarının El Florasındakı Bakterıyel Ye Fungal Kolonizasyon
BacterIal And Fungal ColonIsatIon On The Hands Of The MedIcal Doctors And The DentIsts
Oniversitemiz Tip Fakiiltesinde Dalian 50 tip doktoru ye Disc Fakiiltesiinde calilan 50 did doktorunun el fiorasindaki bakteriyel ve fungal kolonizasyon aragirildi. Tip doktorlarinin 7'sinde' (%14) gram negatif bakteriyel kolonizasyon teshit edilirken hicbirinin elinde mantar iirernedi. Ca-lip-ken eldiven kullanan did doktorlarintn hirinde (%2) gram negatif bakteriyel kolonizasyon bu-lunurken bu grupta da mantar iiremedi. Bir onceki caliptartuzda ayni hastanede hemp-elerin ellerinde %20.4 oraninda gram negatif %8.6 ora-ninda ise fungal kolonizasyon Eldiven kullanmantn ye el yikamanzn bakteriyel ve fungal ko-lonizasyonu azaltngini dolayisi ile hastane in-feksiyonlarindan korunmada ijnemli oldugunu
The bacterial and fungal colonisation of the hands flora of the 50 medical doctors working at the hospital of faculty of medicine and 50 dentists wor-king at the hopsital of faculty of dentist were in-vestigated.From the hands of the 7 (14%) medical doctors we determined gram negative bacterial co-lonisation but no fungus. We determined gram ne-gative colonisation from only one (2%) of the hands of the dentists who were using glovws while working and also from the hands of the dentists we could`nt derirmine fungal colonisation. We had been de-termined 20.4% gram negative and 8.6% fungal co-lonisation from the hands of the nurses that worked at the same hospital in our previous investigation. We thought that using gloves and washing hands had been decreased gram negative and fungal co-lonisation and this is very important for preventing nosocomial infections.
Kornea Alkalı Yanıklarında Deksametazon Sodyum Fosfat Ve Dıklofenak Sodyumun Yara Iyılesmesıne Etkılerı
Nazmi Zengin, Emine Kurt, Özden Vural, Süleyman Okudan, Mehmet Okka, Mehmet Kemal Gündüz
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Kornea Alkalı Yanıklarında Deksametazon Sodyum Fosfat Ve Dıklofenak Sodyumun Yara Iyılesmesıne Etkılerı
The Effects Of Dexamethasone SodIum Phosp-Hate And DIclofenac SodIum On Wound HealIng In Corneal AlkalI Burns.
Kornea alkali yamklari gi5zun game fonk-siyonunun ve anatomik kaybina yol acabilir. Bu cahrmada 18 eriEkin albino tav§.amn 36 goziinde oluourdugumuz alkali yamk modelinde to-pikal deksametazon sodyum fosfat ye diklofenak sod-yumn vara iyilepnesine etkilerini dOerlendirdik. Her iki &win epitel iyilesmesi ye fibroblast pro-liferasyonuna etkileri arasinda fork bulunmach ancak diklofenak sodyumla tedavi edilen grupta enf-lamatuar hiicre infiltrasyonu daha harizdi. Ve-rilerimiz kornea alkali yamklarmin tedavisinde dek-sametazonun diklofenak sodyumdan daha potent oldugunu di4lindiirmektedir.
Alkali burns of the cornea can result in loss of vi-sual function and anatomical integrity of the eye. In the present study, we evaluated the effect of topical dexamethasone sodium phospate and diclofenac so-dium on wound healing in an akali-burn model using 36 eyes of 18 adult albino rabbits. No dic ference was noted between the effects of two drugs on epithelial healing and fibroblast proliferation, but inflammatory cell infiltration was more pro-minent in the group treated with diclofenac sodium. Our data suggest that dexamethasone sodium phosp-hate is more potent than diclofenac sodium in the treatment of corneal alkali burns.
Psıkıyatrı Polıklınıgıne Bır Yıl İcınde Ba$vuran Cocukların Degerlendırılmesı
Ömer Böke, Sıtkı Karaca, Nazmiye Kaya, Rahim Kucur
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Psıkıyatrı Polıklınıgıne Bır Yıl İcınde Ba$vuran Cocukların Degerlendırılmesı
EvaluatIon Of The ChIldren Who Were AdmItted To PsychIatry Department In A Year
Bu calısmada, S.U. Tip Fakiiltesi Psikiyatri pa-liklinigine Eylid 1993- Eylid 1994 tarihleri arasinda ilk kez bapuran 226 cocuk hastanin poliklinik kart-tart sosyodemografik ye klinik ozellikleri yoniinden gerive dijniik olarak arapradt. Kim!' olanaklarla ye cocuk ve Ergen psikivatristi hulunmayan or-tamda verilen hizmetin degerlendirilmesi ye eri§rkin psikiyatristinin, cocuk psikiyatristi bulunmayan yer-lerde cocuk hastalarla karplagtginda sintrlartnin ne olacaginin tartt§ilmasz amaclandt. Bir yrl ifinde erickin psikiyatri poliklinigine 3-16 yaVaz- arasinda 226 pasta hafvurdu. Bunlarin %58'i erkek %42 `si kiz idi. En yiiksek havuru %31.85 lie 12-14 yaVar arasinda, %38.49 hirinci cocuk ge-Olgularin %84.07'si dogrudan ailenin ka-rart ile poliklinige getirilmigir. Polikligine bapuru ekline Ore ikinci strada ktzlar %14.43 kon-sultasyon istegi, erkekler %8.52 adli vaka sebehiyle Bapuru lekline gore kalarla erkekkr arasinda anlamli lark vardir (p<0.05). Bapurzt ya-kinmasi dagthmina gore ise, eniirezis, zeka geriligi, davrang bozuklugu, kekemelik erkekierde. somatik, depresif ye konversif yakinmalar ktzlarda daha cok rastlandi. Aralarzndaki lark istatistiksel olarak an-lamit hulundu (P<0.05). Sonuc olarak hir yil i•inde cocuk Psikiatristi ol-mayan bir klinige 226 ilk bapurunun olrnast gedeki cocuk Psikiyatristine plan gereksinimi aczk-ca orraya koymaktir.
Sociodemographic and clinical features of 226 children, who were admitted to the outpatient clinic of psychiatry department of Selcuk University for the first time, between september 1993-and september 1994. were analyzed retrospectively. The purpose of this study is to reveal the problems of an adult psychiatrist when he come face to face with the children in a condition where female. Most of the children were between 12-14 years old and were the first child of the family. The patients admitted to the clinic mostly because of their parents regrests. The second reason of admittance was other physicians consultation request for female, and legal report for male. The differance was significant (p<0.05). Main complaints were enuresis, mental retardation, con-duct disorder, developmental articulation disorder for males, and somatic. depressive and conversive for females_ The differents was statistically sig-nificantly (p<0.05). As a result, 226 first admissions to a clinic in-dicates the need to a child psychiatrist in this dist-rict.
Alumınyum Sulfatın Insan Perıferal Kan Lenfosıt Kulturlerınde Mıkronukleus Uyarımı Uzerıne Etkıler
Aynur Acar, Hatice Gül Dursun, Ferhan Paydak
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Alumınyum Sulfatın Insan Perıferal Kan Lenfosıt Kulturlerınde Mıkronukleus Uyarımı Uzerıne Etkıler
Effects Of AlumInIum Sulphate On MIc-Ronucleus InductIon In Human PerIpheral Blood Lymphocyte Cultures
Mevcut caltimada; genii hir kulantm alanina sahip olan aliiminyum sultann mutajenik etkikrini incelemek amaciyla 10 kn ye 10 erkek olgunun Stan-dart metodlarla hazirlanmii lenfosit kiiltiirlerine 10, 20 ve 40 pgirn1 konsantrasyonunda aliiminyum sulfa! soliisyonu ilave edilmic ye degerler kontrol gruhu ile karirlaittrilmtittr. Sonucta laz ye erkek olgulartn kontrol ve aliiminyum siilfat ile muamele edilmii kiil-tiirlerinde gozlenen ortalama mikronukleus (MN) degerleri arastndaki Parkin istatistiksel olarak einem-li bulunmuitur (PADS). Toplam 20 al-guda ise konsantrasyon gruplarinda gozlenen or-. talarna MN deg erlerinin, kontrol grubunda gozlenen ortalama MN degerinden Onemli derecede yiiksek oldugu tespit edilmiitir (P<0.005).
In this study, aluminium sulphate solutions at 10, 20 and 40 pgInil of the concentrations were added to the lymphocyte cultures from ten female and ten male subjects by standard protocols to examination the mutagenic effect of aluminium sulphate. have a wide usage. The obtained data were then compared to that of control group. Consequently, it was found that the difference between the mean micronucleus (MN) values in controls and aluminium sulphate-treated cultures from the female and male subjects was not to he statistically significant (P>0.05). Ar total twenty subjects, it was observed that the mean MN value from concentration groups are con-siderably higher than the mean MN value from cont-rol group (P<0.005).
150 Lokantanın Lavabolarında Ortak Kullanılan Kalıp Sabunlardan Yapılan Kultur Sonkları
Mehmet Bitirgen, İbrahim Erayman, Emel Türk Arıbaş, Ekrem Çopur, Onur Ural
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150 Lokantanın Lavabolarında Ortak Kullanılan Kalıp Sabunlardan Yapılan Kultur Sonkları
Culture Results Of Blook Soap Used CollectIve At SInk Of 150 Restaurants
Konya §ehir merkezinde hulunan 150 lokantanin larabolarrnda kullanilan acik sahunlardan yapilan kfiltiir sonucunda; Sabun orneklerinin 90'Inda (% 60) hakteri iiredi. 60 ornekte (%40) creme Sabun Orneklerinin % 47inde Staphylococcus au-reus (S. aureus), % 5.33`iinde Staphylococcus epi-dermidis (S. epidermidis), % 33.337inde S.aureus + S.epidermidis. % 4'unde Escherichia coli (E.coli), % 2.67'sinde Klebsiella + S.epidermidis, %2.67'sinde S. epidermidis + Bacteroides % 1.337inde Kleb-siella. % 1 .337inde E.coli + Pseudomonas, % 1 .33`iinde E.coli + S.aureus + S.epidermidis + Bac-teroides. % 1 .337inde S.aureus + S.epidermidis + Bacteroides, % 1.33 orarunda S.aureus + S.epidermidis + Corynebacterium + A grubu beta hemolitik Streptecoccus üredi.
Cultures of open soaps used at sink of 150 res-taurant at Konya urban were evaluated. Bacteria were isolated in 90 (%60) soap samples, no isolated in 60 (%40) soap samples. When 90 cultures with positive results were eva-luated; Staphylococcus aureus (% 4), Staph-ylococcus epidermidis (% 5.33), Staphylococcus au-reus + Staphylococcus epidermidis (%33.33) Escherichia coli (% 4), Klebsiella + Staphylococcus epidermidis (% 2.67), Staphylococus epidermidis + Bacteroides (% 2.67), Klebsiella (% 1.33), Es-herichia coli + Pseudomonas (% 1.33), Esherichia coli + Staphylococcus aureus + Staphylococcus epi-dermidis + Bacteroides (% 1.33), Staphylococcus aureus + Staphylococcus epidermidis + Bacteroides (% 1.33) and Staphylococcus aureus + Staph-ylococcus epidermidis + Corynebacterium + group A Streptecoccus (% 1.33) were indentified from soap samples.
Vıral Hepatıt Olgularının Epıdemıyolojısı Ve Malıyet Analızlerı
Tahir Kemal Şahin, Selma Çivi, Şerafettin Demirci, Gülfidan Bitirgen
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Vıral Hepatıt Olgularının Epıdemıyolojısı Ve Malıyet Analızlerı
An EpIdemIyologIc And Cost-AnalysIs Of VIral HepatItIs
1 Ocak 1994 ye 30 Haziran 1995 tarihleri ara-sindaki 18 ayltk donemde Seljuk Universitesi Tip Fakiiltesi Intaniye klinigine viral hepatit an tantst ile, toplam 166 olgu yattrildi. Toplam olgulartn 861st erkek (% 51.8) idi. 18 yet§ ve altinda toplam 41 (% 24.7), 19-39 yapa 83 (% 50) 40-59 yava 26 (% 15.7). 60 yav ye iizerinde 16 (% 9.6) olgu 1994 ythndaki toplam olgu sayist 105 olup, 53'ii (% 50.5) erkek, 52'si (%49.5) kadul, 1995 ph ilk 6 dytn-daki toplam olgu sayist 61 olup, 334i (% 55.2) 361st (% 59) kadindt. Toplam olgulartn 122'si (% 73.5) Konya merkezinde, 357 (% 21.1) Konya dye ye koy-lerinde, geriye kalan 9'u (% 5.4) Konya dionda ika-met ediyordu. Olgulartn aylara gore dagilimi in-celendiginde, 1994 Mart ye Haziranda 5 ye 4 olgu olarak en di4iik sayllarda iken, diger aylarda 7-14 arasinda henzer sayllara sahipti. 1995 yilimn ilk 6 ayltk doneminde, Ocak ayinda olgu sayist 22 ile en biiyiik degere sahipti. 166 olgunun viral hepatit tipi HBsAg, Anti-HBc 1gM, HBeAg, Anti-HBe, Anti-HBs, Anti-HAV 1gM, AntiHDV Anti HCV, gibi antijen ye antikorlar ile test edildi. Buna gore 66 olguda (❑ 39.8) tip belirlenemedi. 67 olgu (% 40.4) Hepatit 8, I olgu (% 6.6) Hepatit A, 8 olgu (% 4.9) Kronik aktif hepatit, 1 olgu (% 0.6) Delta hepatit, 3 olgu (% 1.8) Fulminan hepatit, 4 olgu (% 2.4) Hepatit C, I olgu (% 0.6) Lupoid hepatit ye 5 olgu (% 3) Ka-raciger parankim hastaligt olarak degerlendirildi. Ortalama hastanede yati siireleri, 1994 yillnda 13.5 gun. 1995 yilin.da 16.7 gun olarak hulundu. 1994 yilinda ortalama en uzun yatq siiresi 16.5 gun lie Hepatit Wye, 1995 ythnda en uzun yatt§ siiresi ise 18.6 grin ile vine Hepatit Wye aitti. 1995 yth kii bapna hastahk maliyeti hesaplanabilen 37 olguda, ortalama maliyet 11.290.000 TL (250$) idi.
During the period of 18 months between 1 Ja-nuary 1994 and 30 June 1995, 166 cases were hos-pitalized as viral hepatitis in Selguk University Me-dical Faculty, Department of Infectious Diseases. 86 of the cases (51.8 %) were male There were 41 pa-tients (24.7 %) in and below 18 years old, 83 pa-tients (50%) between 19-39 years old, 26 patients (15.7 %) between 40-59 years old and 16 patients (9.6 %) in and above 60 years old. Number of the whole cases in 1994 were 105 and 53 of them (50.5 %) were male. Total number of cases in 1994 were 61 and 36 of them (59 %) were female. Of the cases, 122 (73.5 %) were from city-center of Konya, 35 (21.1 %) were. from vicinity of Konya and 9 (5.4 %) were from out of Konya. When one evaluate the cases as monthly in 1994, it can he seen that june was to had the lowest number of the cases (4 cases),and on the other hand, in 1995, January was to had the highest number of the cases (22 cases). Types of the cases were tested with HBsAg, Anti HBc 1gM, HBeAg, Anti-HBe, Anti-HBs, Anti-HAV 1gM, Anti-HDV, Anti-HCV. According to the results of these tests, the types couldn't been determined in 66 (39.8 %) of the cases. Among the remaining cases, 67 cases (40.4 %) were Hepatitis B. 11 cases (6.6 %) were Hepatitis A, 8 cases were (4.9 %) Chronic active hepatitis, I case (0.6 %) was Delta hepatitis, 3 cases (1.8 %) were Fulminant hepatit, I case (0.6 %) was Lupoid Hepatit and 5 cases (3 %) were considered as Liver paranchym disease. Mean hospitalization time was 13.5 days in 1994 and 16.7 days in 1995. The longest mean hos-pitalization time in 1994 was belonged to Hepatitis B as 16.5 days and in 1995 it was also belonged to Hepatitis B as 18.6 days. The cost of the illness per a person in 1995 was 250$.
Losemı Ve Malıgn Lenfomalarda Serum Kolesterol Ve Trıglıserıd Degerlerı
Şamil Ecirli, Özcan Sardohan, Hakkı Polat, Sait Önal, Alim Koşar
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Losemı Ve Malıgn Lenfomalarda Serum Kolesterol Ve Trıglıserıd Degerlerı
Serum TrIglIserIde And Cholesterol Levels In -LeukemIc And Lympoma PatIents
Selcuk Universitesi Tip Fakiiltesi Ic Hastalzklart Anahilim Dalinda 1992-1994 yillan arasznda takip edilen 15'i non-Hodgkin. 1 Hodgkin hastaligi Ye 19 Insemili vakada trigliserid ye kolesterol degerleri arastinldt. Lenfamalz hastalann 17'sinde (% 65.38), losenzili hastalann 8'inde (% 42.10) trigliserid de-gerleri yiiksek hulundu. Losemili hastalann 1 'inde (% 5.10) trigliserid diizeyi dfictik hulundu. Len-fomall hastalarda trigliserid teshit edil-medi. Lenfomalt hastalann 2'sinde (% 7.80), Lo-sem& hastalann 1 'rode (% 5.10) kolesterol seviveleri yiiksek hulundu. Losemili hastalann ninde (% 15.30) kolesterol diizeyi di4uk hulundu. Letzfornalt hastalarm da 3'i inde (% 10.15) kolesterol tesbit edildi.
In this study, cholesterol and triglyceride levels were evaluated in 15 non-Hodgkin 11 Hodgkin and 19 leukemia patients retrospectively between 1992-1994 in Selcuk University Department of Internal Medicine. Trigylceride levels has been found high in 17 patients with lymphoma (65,38 %) and 8 patients with leukemia (42, 10%). Triglyceride level was low in 1 patient with leukemia (5.10%). Triglyceride level was not low in any lymphoma patients. Cho-lesterol levels were high in 2 patients with lym-phoma (7.8%) and 1 patient with leukemia (5.10%). Cholesterol levels were low in 3 patients with leu-kemia (15.30%). Also cholesterol levels were low in 3 patients with lymphoma (10.15%).
Post Eswl Fragmante Alt Kalıks Tasları Ve Stone Streete Inversıyon Ve Vıbrasyon Uygulaması
İbrahim Ünal Sert, Ercüment Y. Acarer, Nihal Acarer, Hatice Yöndemli, Murat Büyükdoğan
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Post Eswl Fragmante Alt Kalıks Tasları Ve Stone Streete Inversıyon Ve Vıbrasyon Uygulaması
ApplIcatIon Of InversIon And VIbratIon To Fragmented Lower Calyx Stones And Stone Street After Eswl Eswl
Ekstrakorporeal sok dalga litotiripsi (ESWL) lizellikle uriner sistem ve safra kesesi yollarina ait taVartn tedavisinde kullantlan hir tekniktir. Son za-manlarda gelistir ilen hir haVca modeli de Ortopedi ve Travmatoloji hiliminde kullantimaktachr. Ancak, heihrekte ktrilan parcactklarin yercekimi etkisiyle alt kalikste kalmast ve iireterde stone streete neden ol-mast onemli hir dezavantajdzr. Bu ralumada opt 4mm'den biiyiik tap plan ve ESWL uygulanmq ancak diipneyip alt kalikste hi-rikm4 veya stone street olupurmul taVartn amactyla kontroliii inversiyon tedavisi uy-guladik. ESWL .vaptian 33 hastadan diipneyip, alt kaliste tc4 hiriken 21 hastaya gfin aprt 64ar dakika sure ile 45 derecelik trendelenhurg pozisyonunda in-versiyon. vihrasyon tiygulanch. 21 alt kaliks tapndan 18'i (Kivu. ESWL sonrast stone street gelipn 12 has-tava ayakta 6 dakika 1.5 Watt ultrason + 6 dakika vihrasyon uygulandt. 12 stone street'li vakantn 10'unda olumlu sonuy Winch. Ayrtca primer ureter taVt 12 hastaya sadece US + vihrasyon uygulandt ve 8'i dhoti Bu 41emler hastalara 2-5 scans ara-stnda deg4en sfirelerde uygulandt. Onemli hir komplikasyon ESWL sonrast diipneyen taVarda kontrollii in-versiyon tedavisinin gfivenli, etkili ekonomik bir yon-tem oldugu sonucuna varildr.
is a method used especially in the tre-atment of urinary and biliary tract stones. A recent model is also used in Orthopedics. However there is a disadvantage of se-quiestration of broken pieces of stones at the level of lower calyx and leading to stone street. In this study we applied controlled inversion to stones to be fal-len down which were at a diameter of greater than 4 mm and broken by ESWL, but their pieces were se-questered at the level of lower caliyx or formed stone street. ESWL is applied to 33 patients 21 of them who had sequestered pieces at the level of lower caliyx, were treated by inversion-vibration method for 6 minutes at 45 degrees trendeblundum position, we used US with 15 Watticm2 and vib-ration to 12 patiens who had sequestered pieces for 6 minutes each while they are standing. The results were positive in 10. In addition to 12 patients wiho had primary uretery stones, only US and vibration were applied and 8 of them were fallen down. All these procedures were performed in 2-5 sessions. No significant complication was observed. As results we concluded that controlled inversion threapy is a relliable, effective and economic met-hod.
Izole Kobay Mıde Fundusunda Karbakol'e Baglı Kasılma Uzerıne Pınaverıum Bromıd, Verapamıl Ye Dıltıazem'ın Inhıbıtor Etkılerı
Ekrem Çiçek, Esra Kısmet Atalık, H. İbrahim Karabacak
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Izole Kobay Mıde Fundusunda Karbakol'e Baglı Kasılma Uzerıne Pınaverıum Bromıd, Verapamıl Ye Dıltıazem'ın Inhıbıtor Etkılerı
The InhIbItory Effects Of PtnaverIum BromIde, VerapamIl And DIltIazem On Carbachol Induced ContractIons In Isolated GuInea-PIg Stomach Fundus
izole kohay mide fundusunda ycipilan hu in vitro calimada, pinaverium ve kalsiyum an-tagonistlerinden veraparnil ile diltiazemin karhakole bagli kasilmalar iizerine plan gev4.etici etkileri Haztrlanan mide fundus stripleri icinde Krebs-Henseleit soliisyonu hulunan izole organ hanyosuna alimp. 104 M karhakol ile kasildt. Elde edilen hu kasilmalar iizerine kiimiilatif konsantrasyonda (10-9 -104M) uygulanan antagonistlerin doza hagrmlr bir ekilde gevxmeye neden oldugu goriildii. Elde edilen bulgular, izole kohay mide fun-dusunda kullamlan antagonistlerin, karhakole bagli kasilma cevaplarini anlarnlr olarak inhibe ettigini ye 1050 degerlerine gore gii• siraiamasinin pi-naveriun7=verapamil>diltiazem Rklinde oldugunu gastermektedir (p<0.05).
In this in vitro study, the inhibitory effects of pi-naverium bromide and the calcium antagonists such as veraparnil and diltiazem were investigated on carbachol-induced contractions in isolated guinea-pig stomach fundus. The strips were mounted in organ baths con-taining Krebs-Henseleit solution and contracted with 104 M carbachol. The contractions induced witht carbachol showed a dose-dependent re-laxations by addition of cumulative concentration (10-9-104M) of each antagonist. The results suggest that in isolated guinea-pig stomach frnclus the contractions induced by car-bachol were inhibited by antagonists significantly and the rank order of potencies of these antagonists measured as the IC so was pinaverium=verapamil> diltiazem (P<0.05).
Idrar Kulturlerınden Role Edılen Bakterılerın Antibiyotık Duyarlılıkları
Mehmet Bitirgen, Emel Türk Arıbaş, Hayriye Karabacak
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Idrar Kulturlerınden Role Edılen Bakterılerın Antibiyotık Duyarlılıkları
AntIbIotIc SuspectIbIlIty Of BacterIa Isolated From UrIne Cultures
Bu •alumada idrar kiiltiirlerinden izole edilen 86 bakteri stgunun antihiyotiklere karp du-yarlrliklarz incelenmivir. Bu szglara karp en etkili antihiyotikler strastyla; Ofloksasin (67082.55) ye se-Iiitaksim (%67.44) olarak teshit edilirken, en dii§iik duyarlilzk Amlpisillin/Sulhaktam (%29.06) ye Tri-metoprim - Sulfametoksazol (%17.441a karat bu-lutimuour.
In this study suspectihilites of 86 bacteria strains isolated from urine cultures to various antibiotics were invastigated. The most effective antibiotics against these strains were Oflaxacin (%82.55) and cefotaxime (%67.44), while lowest suspectibilities were found against AmpicilliniSulbactam (5629.06) and Trimethoprim-Sulfamethoxazole (%1 7 44).
Konya Hatunsaray Kasabası Evlıyatekke Koyu Kaynak Suyunda Yapılan Değerlendirme Çalışması
Tahir Kemal Şahin, Selma Çivi, Günay Kanber, Tacettin Tütüncü
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Konya Hatunsaray Kasabası Evlıyatekke Koyu Kaynak Suyunda Yapılan Değerlendirme Çalışması
EvaluatIon Of SprIng-Water In EvlIyatekke VIl-Lage In Hatunsaray Town Of Konya DIstrIct
Evliyatekke kayfindeki kavnaktan kimyasal analiz kin airman ye kiikfirt iceren hu suyun hanyo §.eklinde kullarami kapntilt deri hastalzklarinda yarar sag-layict ozelliktedir. Buharina maruz kalma ya da 441- mesi solunum vetmezligi, kollaps. koma, ollim olu,y-. turabilir. Duciik miktarlarda bile mukozalarda irritasyon yapzcz niteliktedir. Bu suyun asit yapida olnzasi da mukozalarda irritasyon nedenidir. Top-lam organik madde ve amonyak bulunmasz, sudaki nitrifikas_yonan tamamlandigint giisterir ye harsak enfeksiyonlarzna ?widen olahilecek organik mad-deleri Toplam organik madde miktarmin ye amonyagzn yiiksek olmasz, koruma alanz ol-maywndan kaynaklanabilir. Kloriirfin yiiksek dii-zeyde olmasz insan ya do hayvan kaynaklz idrartn karivIktna delildir.
Bathing with the water containing suiphure has succesful effects in pruritic dermal lesions. Being ex-posed to its vapour or ingestion may cause collaps, coma and death. Even in low doses of sulphure may cause irritation in mucosa and adverse effects. The acidic characteristic of this water is the main cause of the irritation in mucosa. High levels of organic substance and ammonium show discontinued nit-rification of the water. The water containing organic substances may cause intestinal infections. The absence of protective area may increase ammonium concentration and total organic substance. High chlorine con-centration confirms that the water is contaminated with the urine of human beings or animals.
Bılateral Testıkuler Germ Hucrelı Tumorler
Ferhat Berkmen
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Bılateral Testıkuler Germ Hucrelı Tumorler
BIlateral TestIcular Germ Cell Tumors
Ankara Onkoloji Hastanesinde 1985-1994 yillart arasmda tedavi edilen testikiiler germ hiicre turnorlii 789 olgunun dokuzunda bilateral tutulurn sap-tanm►vir. DOrt hastada senkron (2 seminom, 2 non-seminorn) bilateral tumor, belinde ise 8 ay ile 8 yil 11 ay arasinda de,14en siirelerde metakron tumor (4 seminom, 1 seminom ye nonseminorn) telhis edil-mi§tir. Dokuz olgunun oykiilerinden inmem4 testis nedeniyle operasyon gecirdikleri agrenilmivir. Bilateral testis tiimiirlerinin insidansi, histolojik bulgulari. tedavi ve prognozlart literatiir eViginde tartiplmivir. Bu calurna ile kontrlateral testis gelicme riskinin olmasma karpn kesin Inevaidiyeti, ikinci tumor gelicimine karp hastalarm kontrollerinin uzun yillar siirdt7rulmesr geregi, ay-rwa erken-lantda ultrasonografinin onemi actga ct-kartlmtvir.
The phenomenon of bilateral involvement of the testicles was observed nine times in a series of 789 patients with testicular germ cell tumors which were treated in Ankara Oncology Hospital from 1984 to 1994, Four patients evidenced a synchronous bi-lateral tumor (two seminomas, two non-seminomas) and in five others (4 bilateral seminomas, 1 se-minoma and nonseminoma), a second tumor oc-cured after an interval ranging between eight months and eight years eleven months. Three of nine patients had a history of undescended testes. The incidence, histologic findings, therapy and prognosis of bilateral testis tumors are discussed on the basis of a review of the literature. This study emphasizes the small but definite risk for a development of the second testicular tumor and suggests not only the significance of long-term fol-low-up period but also the importance of ult-rasorzography in the early diagnosis of a cont-rlateral tumor.
Konya Bolgesınde Hodgkın Hastalıgının Epıdemıyolojısı, Klınıgı Ve Hıstopatolojısı
Şamil Ecirli, Seyhan Dura, Alim Koşar, Hakkı Polat
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Konya Bolgesınde Hodgkın Hastalıgının Epıdemıyolojısı, Klınıgı Ve Hıstopatolojısı
The EpIdemIologIc, ClInIc And HystopathologIc PropertIes Of HodgkIn DIsease In Konya RegIon
Selcuk Universitesi Tip Fakaltesi Ic Hastalikian Anahihm Dali'nda 1988-1994 yillan arasinda takip edilen 29 Hodgkin Hasta (HH) =in alnig hasta retrospektif olarak incelendi. Ayni &Mem icerisinde takip edilen 435 malignite vakasi icinde Hodgkin hastaligi garairne sikligi % 6.6 idi. Erkek-Kadin ofani 1.41 'di. Kaditilarin y‘cq ortalamasi 41.3±12.7, erkeklerin ya4. ortalamasi 41.5±14.7 idi. Mikst se-tiller tip en sik rastlanan tipti ye hastalann cogu ileri evre idi. B gruhu semptomlar (atel, gece ter-lemesi, zaytf7ania) vakalarin % 1007inde vardi.
In this study, 29 patients with Hodgkin Disease (HD) were evaluated retrospectively between 1988 and 1994 in Selcuk University, Department of In-ternal Medicine. Among 435 malignant cases fol-lowed up in the same period, incidence of HD was 6.6%. MalelFemale ratio was 1.41. Mean age for women and men were 41.3±12.7 and 41.5±14.7 res-pectively. Mixed cellularity was the most common histologic type (75.86%) and most of the patients had high grade disease. B group symptoms (fever, night sweats, weight loss) were present in 100% of cases.
Genel Dahılıye Polıklıgıne Ba$vuran Hastalarda Uyku Yakınmaları Ve Uyku Bozuklukları
Yücel Ağargün, Ekrem Algün, Hayrettin Kara, Kürşad Türkdoğan
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Genel Dahılıye Polıklıgıne Ba$vuran Hastalarda Uyku Yakınmaları Ve Uyku Bozuklukları
Sleep ComplaInts And Sleep DIsorders In PatIents SubmItted A General MedIcal PolyclInIc
Bu calipnanin amact tibbi hastaligi plan has-talarda uyku yakinmalarinin ye uyku ho-zukluklartmn srkligint aravirmaktir. Yarr ya-pilandtrilmr1 hir gori4me formu ye DSM-IV tam kriterleri kullanrlarak 92 poliklinik hastasi de-gerlendirildi. 40 hastaya (% 43.5) genet tibbi hir duruma baglz uyku bozuklugu (insomni tipi) tams, konuldu. Uyku yakinmalarinin sikItgr % 29.3 ile % 75 arasinda deg4mekteydi. Aynt zamanda uyku ya-krnmalarr ve hagrmsiz deg i4kenler arasindaki ko-relasyon araprildr. Ycq. cinsiyet ve hastalrk sii-resinin uyku yakinmalarinin ortaya crkzpnda belirgin etkileri oldugu hulundu. Bu hulgular trhbi hastaligi olan hastalarm degerlendirilmesinde uyku yakinmalarinin dikkate almmasi gerektigini göstermektedir.
The purpose of this study is to examine the in-cidence of sleep complaints and sleep disorders in patients with medical illness. We evaluated sleep complaints and sleep disorders in 92 outpatients by using a semistructured interview form and DSM-IV diagnostic criteria. Forty patients (43.5 %) di-agnosed as sleep disorder due to a general medical condition (insomnia type). The incidence of sleep complaints varied from 29.3 % to 75 % in the pa-tients. We also examined the correlation between sleep complaints and independent variables. Age, gender. and duration of illness had significant ef-fects on the presence of sleep complaints. These fin-dings suggest that sleep complaints should be con-sidered in the assessment of the medical patients.
Cesitli Klınık Materyallerden Uretılen Anaerop Mıkroorganızmalar
Fatma Keklikoğlu, Duygu Fındık, Bülent Baysal
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Cesitli Klınık Materyallerden Uretılen Anaerop Mıkroorganızmalar
AnaerobIc MIcroorganIsms That Isolated From VarIous ClInIcal Samples
Bu calqmada ce itil kliniklerde yatan ye ana-erohik infekslyon #iphesi clan hastalardan alznan far-kit materyallerin anaerohik kulturr yapzInuou-. Toplam 84 materyalin 22'sinden 23 anaerobik bak-teri izole edilrnitir. Bu anaerohik bakterilerin 19'u saf anaerop, 374 anaerop-aerop kat-41k olarak Lae edilmigir. 20 pelvik inflamatuar hastalik ol-.gusunclan izole edilen 9 anaerohik bakteriden 5'i gram pozitif anaerohik kok, Tsi Bacterokles, Fu-sobacterium. 17 Propinioba•terium, 51 infertilite ol-gusundan cul-de-sac`dan laporoskopla alman turlerden lireyert 5 anaeroptan 37i Peptostreptococcus, 17 Proplonihacterum, 17 ana-erohik Lactobacillus, I douglas absesinden izole edilen 2 anaeroptan Propionihacterum ye 1'1 Peptostreptococcus olarak idantifiye edilmivir. Ay-rtca 5 Pleuropulmoner infeksiyondan 2 Pep-tostreptococcus, 1 akut parotit olgusundan Bac-teroides. 1 nekrotizan fasii olgusundan da Peptostreptococcus iiremigir. API 20A sistemiyle yapilan 10 anaerohik bakterinin tiplendirmesinde 4 gram pozitif sporsuz basil Lactobacillus jensenii gram negatif basil Fu.sobacterium mortiferum 1 grain pozitif sporlui basil Clostridium butyricum olarak hir Gram pozitif kok ise API 20 sistemiyle tiplendirilememivir.
In this study anaerobic cultures of the specimens which were taken from hospitalized patients with suspicion of anaerobic infection were made. From 22 of the 84 specimens 23 anaerobic bacteria were isolated. 19 of them were pure anaerop and 3 of them were mix cultures (aerop+anaerop). of the 9 anaerobic bacteria which were isolated from pa-tients with pelvic inflamatuar disease 5 were gram positive anaerobic cocci, 2 were Bacteroides, 1 was Fusohacterium and 1 was Propionibacterium. Of the 5 anaerobic hacteriae which were isolated from the cul-de-sac of 51 infertility patients with la-parascopy, 3 were Peptostreptococci, 1 was Pro-pionibacterium, I was anaerobic Lactobacillus. From 2 anaerobes isolated from one douglas abs-cess one was Propionibacterium and the other was Peptostreptococcus. From 5 pleuropulmonary in-fections 2 Peptostreptococci and from 3 wand in-fections 1 Peptostreptoccoccus and I Clostridium were isolated. From one gingivitis Pep-tostreptococcus, from one necrotizing fasclitis Pep-tostreptococcus were isolated. 10 of the anaerobic hacteriae were idantified by API 20A system; 4 ana-erobes as P. intermedius, 2 anaerobes as P. niger, 1 anaerop as Ljensenii, I anaerop as F. mortiferum, I anaerop as 4 C. butyricum. One Gram positive coccus couldn't he identified by API 20A system.
Yapay Pnomomediyastenli Bılgısayarlı Tomografı
Kemal Balcı, Mehmet Gök, Bilge Çakır, Alaaddin Vural, Faruk Özer
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Yapay Pnomomediyastenli Bılgısayarlı Tomografı
Computed Tomograply WIth ArtIfIcIal Pne-UrnomedIastIznum.
1994 yilintn ilk 4 ayznda 15 inde retroksifoid, 5 inde transtrakeal yolla yapay pniimomediyasten (YP) yapnktan sonra mediyastenlerini bilgisayarlz tomografi (BT) ile inceledigimiz 20 olgu icinde il-ginc: giirdiigiimiiz iki akciger kanserli olgunun tak-dimini yaptyoruz. Bu iki olguda BT sonuclarzna gore turnorlerin operabl olup olmadtklarz hususunda te-reddiide du mu tiik. Birinci olguda YP li BT me-diyastende tumoral invazyonun olmadzginz giivenilir fekilde gosterdi. Ikinci olguda ise mediyasten in-vazyonunun indirekt helirtilerini ortaya koydu. Her iki olgudada yapilan torakotomi bu bulgulan dog-rulach. Sonuc olarak akciger kanserinde selektif va-kalarda YP ile komhine edilmi. BT nin operahilite tayininde yararlz olahilecegi kanzszna varildz.
In the first 4 months of 1994 we carried out, in 20 cases computed tomography (CT) after artificial pneumomediastinum (AP). In 15 cases for air in-sulation into the mediastinum was used the trans-tracheal route and in 5 cases retroxiphoid route. In this article aong them 2 cases with bronchial car-cinoma is presented because we could not reach a decision whether they were operable or not by cli-nical findings and available methods including CT. But, at the first case CT performed after AP proved clearly no tumoral invasion in the mediastinum, at the second case it showed indirect signs of the me-diastinal invasion. In both cases thoracotomy con-firmed these findings_ As a result, it can be put for-wad that in some cases with bronchial carcinoma CT combined AP may he useful to assess the pos-sibility or chirurgical intervention.
Toraks Travması
Sami Ceran, Güven Sadi Sunam, Mehmet Gök, Simsen Avvuran, Tahir Yüksek, Hasan Solak, Tunç Solak
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Toraks Travması
ThoracIc Trauma
1983 ve 1994 ytllart arastnda klinigimizde toraks yaralatzmast gecirm4 1064 hasta yattrilarak tedavi Bu vakalartn 762'si (%71 .61 ) kiint toraks travinast, 294'u (%23.40) kesici delici alet ya-ralanmast, 537i (%4 .98 ) ateVi silah yaralanmast idi. 1014 (%95.30) vakaya konser-vatif tedavi (kapalt to-raks drenajt, trakeostomi, toraks thwart defekt ta-miri, aspirasyon, medikal tedavi) uygulandt. Diger kalan 50 vakaya (%4.69) ise cerrahi gir4imde bu-lunuldu. Cerrahi miidahale 19 (%1.78) vakada acil olarak 31 (%2.91) vakada da komplikasyonlart do-laytstyla gel' uygulandt. Konservatiif tedavi gO-renlerin 986 (%97.2)'si, erken cerrahi radahale edilenlerin 16 (%84.2)si gec cerrahi miidahale edi-lenlerin 28(%2.76)'st erken cerrahi miidahale edi-lenlerin 3 (% 15.78)'i gel cerrahi miidahale edi-lenlerin 4 (% eksitusla sonuclandi.
1064 cases who were treated in the Thoracic Surgery Clinic, Faculty of Medicine, Universty of Selcuk between 1983 and 1994 were presented 762 of them injured due to blunt trauma, 249 were due to sharp weapons and is were gunshad wounds. 50 cases were treated surgically. Results are sum-marized in the article and involving literature was discussed.
Losemı Ye Malıgn Lenfomalarda Pulmoner Tutulma Insıdansı
Şamil Ecirli, Özcan Sardohan, Hakkı Polat, Sait Önal, Alim Koşar
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Losemı Ye Malıgn Lenfomalarda Pulmoner Tutulma Insıdansı
The IncIdence Of Pulmonary Involvement In Leu-KemIc And Lymphoma PatIents
Seljuk Universitesi Tip Fakiiltesi Hastaliklari Anabilirn Dahl-Ida 1988-1994 yillari arasrnda rakip edilen 45'i non-Hodgkin. 35'i Hodgkin lenfrmalt ye 46 losemili vakada rontgenolojik olarak intratorasik tutulum oran ye tipi arawrildi. 80 lenpmali has-tanin 28'inde (% 35), 46 losemi vakasinin 6'srnda (%15 .2) intratorasik tutulum tesbit edildi. En sik me-diastino-hiler tutulum olup hunu plevral tutulum izliyordu.
The Incidence of Pulmonary Involvement in Leu-kemic and Lymphoma Patients. In this study, the prevalence and type of intro-torasic involvement of 80 cases with malignant lym-phoma (45 non-Hodgkin lymphoma, 35 Hodgkin dis-ease) and 46 cases with leukaemia were evaluated retrospectively between 1988 and 1994 in Selguk University Department of Internal Medicine. The pulmonary involvement has been found in 28 (35 %) of 80 lymphoma and 6 (15,2 %) of 46 leukaemia cas-es. Mediastinal hilar lymphadenopathy was the com-monest manifestation followed by pleural lesions.
Konya Yoresınde Dı$kı Kulturlerınde Escherıchıa Colı 0157:117 Susunun Sıklıgının Arastırılması Duygu Fındık*, Dr. Onur Ural*
Duygu Fındık, Onur Ural
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Konya Yoresınde Dı$kı Kulturlerınde Escherıchıa Colı 0157:117 Susunun Sıklıgının Arastırılması Duygu Fındık*, Dr. Onur Ural*
The Frequency Of EscherIchIa Coll 0157:h7 OrganIsms In Stool Cultures From Konya RegIon
Escherichia coli 0157:117 hemorojik kolit, he-nzolitik iiremi sendromu ye trombotik trom-hositopenik purpuraya eslik edehilen ye sorbitolli fermente etmeyen yeni tanimlanan hir patojendir. Bu calzymada 919 dub orneginde SMAC (Sorhitol Mac,Conkey Agar) kullamlarak sorbitolii fermente etmeyen mikroorganizma srkltgt ara§Prilmistir. Top-lam 15(%1.6) sorbitolii _temente etmeyen bakteri saptanmqur. Bu hakteriler icinde E. coli 0157.H7 supina rastlanmannshr. Bu bakterilerin (%0.8) nongroup E. coli 0157: H7, 6'sz (%0.6) proteus spp. ye 1'i %00.1 pseudomonas spp. olarak tanımlanmıştır.
Escheria coli serotype 0157:H7 is a recently re-cognized human pathogen associated with he-morrhagic colitis, hemolytic uremic syndrome and thrombotic thrombocytopenic purpura. Sorbitol Mac Conkey Agar Medium (SMAC) permitted ready re-cognition of E. Coll 0157:H7 in stool cultures. In this study the frequency of non sorbitol fer-menting organisms was investiageted in 919 stool cultures by using Sorhitol Mac Conkey Agar (SMAC) medium. 15 (1 .6%) Non sorbitol fermenting strains were isolated. 0157:H7 species could not be isolated. The other nonsorhitol fermenting colonies were 8(0.8%) non group E. coli 0157:H7, 6(0.6%). Proteus spp 1(0_1%) Pseudomonas spp.
Kanser Anemısınde Erıtropoıetının Rolu
Andaç Argon, Şamil Ecirli, Hakkı Polat, Mustafa Akgüzel
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Kanser Anemısınde Erıtropoıetının Rolu
The Role Of ErythropoIetIn In Cancer AnemIa We InvestIgated ErythropoIetIn Levels Of 41 Pa-TIents WIth Cancer
Selcuk Universiresi Tip Fakiiltesiinin kli-niklerinde 1991 yili Maps, Haziran ve Temmuz ay-larinda yatzrtlan ye histopatolojik olarak tantlart ke-sinleen kanserli hastalardan 30 tanesi anemik ye 11 tanesi anemik olmayanlardan olmak iizere toplam 41 kanserli hastanin serum eritropoietin seviyelerine baktldi. Anemik elan hastalarin hepsi kronik has-talik anemisi rzelligini tamordu. Anemik plan 30 hastamn serum eritropoietin de-gerleri 17.19110.54 mUlml idi. Anemik olmayan 11 hastanin serum eritropoietin degerleri ise 5.1011.12 mUlml idi. Her iki gruhun ortalamalari arastndaki .firkin onemi kontrol analizi sonucu p<0.01 se-viyesinde bir anlamlrlik ortaya koymaktadir. Fakat anentiA- hastalarda goralen hu yiikselme kullandan kitin normal sinirlartnda kalmiptr ye beklenen yuk-selmenin cok altindadir. Kanserli hastalarda rastlantlan hu endojen erit-ropoietin seviyelerinin anemiye cevapta yetersiz kal-mast fikrinden yola caul) eksojen eritropoietin ye-rilerek anemisinin tedavisi yoluna gidilmesinin rasyonel bir tedavi olabilecegi kanaatindeyiz.
They were admitted to the va-rious clinics of Medical School of Selcuk University from May to July. 1991 and diagnosed pat-hologically. Of them 11 were anemic and 30 non anemic. Serum erythropoietin levels of the anemic and non-anemic patients were 17.19110.54 mUlml and 5.1011.12 mUlml respectively. Although the clic firence between the two groups was statistically sig-nificant (p<0.01), erythropoietin level of anemic pa-tients was between normal range for healty people. Therefore, it was concluded that although eryt-hropietin of cancer patients with anemia was inc-reased, that increase was not enough to correct ane-mia so, for management of anemic patients with cancer, exogen supply of erythropoietin might be considered.
Pnomonı Tedavısının Izlenmesınde Yenı Bir Test
Kemal Balcı, Ali Özkurt, Mehmet Gök, Adil Zamani, Faruk Özer, Mahmut Baykan
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Pnomonı Tedavısının Izlenmesınde Yenı Bir Test
A New Test In The Follow -Up Of The Tre-Atment Of PneumonIa
Pnömoninin klinik seyrinin izlenmesinde ye helirlenmesinde plazma fibrinojen seviyesi (PFL) ile yaklapk olarak uyumlu plan pratik hir slide testin (ST) ne derecede giivenilir olabilecegi 18 hakteriyel pnomonili hastada ve 18 saglikli kontrol gruhunda araprildt. Sonuclar lOkosit saytmuun, pe-riferik yaymada notrofil yazdesittin (PY), eritrosit sedimantasyon hizintn (ESR) ye PFL tayinininin so-nu•lart ile karplaprildt. Bu hes hematolojik testin hepsi de tedavi sonunda (15. gun) tedavi Oncesi de-gerlere gore helirgin hir dame giisterdiginden pno-moninin iyilepnesinin gastergesi olahilecegi so-nucuna varildt. Ancak lijkosit saytmt ye ESRide tedavi Oncesi lie tedavinin 5. ve 10. giinlerinin son-lartndaki degerlerin karpla§ttrilmastnda anlamh hir lark saptanmadt. Buna karphk ST. PY ye PFL de-gerleri tedavi siiresince derece derece azalarak has-taligin iyile§mesi ile heraher normale veya normale cok yakm seviyelere ductii. Sonuc olarak hunlar ara-sinda ST'in ye PYinin ucuzlugu ye kolayllgt nedeni ik pnOmoni tedavisinin takihinde daha uygun testier oldugu kantsina vartldt.
The reliability in the clinical follow - up of prog-ress and recovery from pneumonia of a practical slide test (ST) that is approximately parallel to the plasma fibrinogen level (PFL) has been investigated in a group of 18 patients with bacterial pneumonia and 18 healthy subjects considered as a control group. Test results were compared with white blood cell (WBC) count, WBC differential count, eryt-hrocyte sedimentation rate (ESR) and PFL. It was concluded that since at the end of the treatment (15. day) all five of these hematologic tests showed mar-ked declines compared to pre-treatment levels, they could be accepted as indicators of the cure of pne-umonia. However, no significant differences were observed between pre-treatment levels of WBC count and ESR and the corresponding levels me-asured at the end of the 5. and 10. days of the tre-atment period. In contrast. ST. WBC differential count and PFL values dropped consistently thro-ughout the treatment and returned either to normal or nearly normal levels upon recovery. We conclude that among these tests ST and WBC differential count were better suited to the treatment of bacterial pneumonia because of their low cost and ease in application.
Barsak Infeksıyonlarının Tanımlanması Ve Malıyet Analizi
Tahir Kemal Şahin, Selma Çivi, Şerafettin Demirci, Mehmet Bitirgen
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Barsak Infeksıyonlarının Tanımlanması Ve Malıyet Analizi
A DescrIptIve And Cost-AnalysIs Of InfectIous Bowel DIseases
Ocak 1994 - 30 Haziran 1995 tarihleri ara-smdaki 18 aylik donernde. Sekuk Oniversiresi Tip Fakfiltesi Klinik Bakteriyoloji ve infeksiyon Has-taliklari Anahilim Dalt`nda toplam 136 pasta harsak infeksiyonu tanisi ile _vanrilarak tedavi edildi. Bar-sak infeksiyonu tanist alanlartn (% 59.6) kadin olup, % 5.11i 18 gal. ye altinda. % 43.4'fi 19-39 yava, % 28.7'si 40-59 yalta. % 22.8'i 60 yas. Ye fize-rinde idiler. Klinik ve lahoratuvar bulgulartna Ore 136 hastadan 80'i (% 58.8) Akut gastroenterit, 12'si (% 8.8) Amipli dizanteri. 14'fi (% 10.3) Sal-rnonellozis. 18'i 1% 13.2) Shigellozis, 6frst (% 4.4) Paratilo. 1 'i (% 0.8) Kolera. 3'ii (% 2.2) Giardiazis olup, 2 olguda (% 1.5) Krona,- gastroenterit tams, konuldu. 136 olgudan 99'u (% 72.8) ilk 12 aylik do-nernde, 37'si (% 27.2) son 6 ayltk dOnemde yatarak tedavi giirdfiler. 1994 yilindaki 99 olgudan 39'u (% 39.4) Ocak Maps aylarttula. 60'i (% 60.6) Haziran - Aralik aylarinda, 1995 yilindaki 37 olgudan 117 Mart. 10'u haziran aylnda tespit edildi. 1994 ol-gularmm 8371 (% 83.8), 1995 viii olgularunn 317 (% 83.8) Konya it merkezinde ikarnet edivordu. 1994 vilinda turn barsak infeksivonlarinda ortalama has-tanede yatt► sfiresi 7.7±0.5 ,Mira. 1995 yilinda ise 6.010.8 gfindii. Ortalama yatty sfiresi 1994 ytlinda Salmonelloziste 11.4 gfin ile an uzun, digerlerhlde benzer sayzda olup 7-10 gfindii. Ki ci bapna or-talama hastane maliyeti. 1994 yllinda 3.040.000 TL (95 $). 1995 yilinda ise 5.125.000 TL (115 $) olarak hesaplandt.
In Selok University. Faculty of Medicine, Cli-nical Bacteriology and Infectious Diseases de-partment. 136 patients had treated via hos-pitalization as infectious bowel disease (1BD)from 1 janua•y 1994 to 30 june 1995. 81 % of the patients (59.6 %) were female. 5.1 % of the patients were 18 and below 18. 43.4 % were between 19-39. 28.7 % were between 40-59. 22.8 % were 60 and above. by age. 80 of the 136 patients were diagnosed as Acute gastroenteritis and remaining were Ameobiasis (12), Salnionellosis (14), Shigellosis (18), Salmonella pa-ratyphi (6). Cholera (1), Giardiasis (3) and Chronic gastroenteritis (2). Among all of the cases, 99 pa-tients were determined in first year and 38 patients were determined in last 6 months. Of 37 cases di-agnosed and treated in 1995. 11 cases were fol-lowed in march and 10 cases were followed in june. 83 (f the cases of 1994 and 31 of the cases of 1995 had been lived in the vicinity of the town, Konya. Mean hospitalization time in 1994 was 7.7±0.5 days, and in 1995 was 6.0 ±0.8 days. The longest du-ration of hospitalization time was belonged to the Salmonella inji•ction as 11.4 days. The cost of the ill-ness per patient in 1994 was 95 $ and was 115 $ in 1994.
Narkotık Analjezıklerın Kullanımı
Sema Tuncer, Hülagü Barışkaner
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Narkotık Analjezıklerın Kullanımı
Use Of Narcotıc Analgesıcs
Bu gruptaki ilaclar, oldukca yaygm olarak sant-ral sinir sistemi üzerine depressif etki yaparlar ye az veya cok hepsinde Hag bagimliligt yapma po-tansiyeli mevcuttur. Narkotik analjeziklerin an-tipiretik ve antiinflamatuar etkileri yoktur. Opioidler yiiz yillardir cerrahi ile olu§an agriyi azaltmak, kro-nik agnsi bulunan hastalarda agrilanni hafifletmek, anksiyeteyi yati§tirrnak icin kullanilmaktadir. Sa-dece premedikasyon icin kullanilmayip, cerrahi ye anestezi siiresince ye sonrasinda analjezik olarak da tercih edilmektedir. Opiat sozcugunun sadece papaver somniferum'dan elde edilen morfin, kodein ye papaverin gibi maddeleri. opioid sozciiktiniin ise biitiin grubu ifade etmekte kullanilmasi daha uygundur.
Drugs in this group often have a depressive effect on the central nervous system and more or less all of them have the potential to cause Hag addiction. Narcotic analgesics do not have anti-typiretic and anti-inflammatory effects. Opioids have been used for hundreds of years to relieve pain caused by surgery, to relieve pain in patients with chronic pain, and to alleviate anxiety. It is not used only for premedication, but also as an analgesic after surgery and anesthesia. Substances of the opiate word such as morphine, codeine and papaverine obtained only from papaver somniferum. The opioid word is more appropriate to refer to the complete group.
Kalp Kapagı Protezlerının Swım Ve Komplıkasyonları
Ufuk Özergin, Sami Ceran, Tahir Yüksek, Güven Sadi Sunam, Mehmet Gök, Tunç Solak, Hasan Solak
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Kalp Kapagı Protezlerının Swım Ve Komplıkasyonları
SelectIon And ComplIcatIons Of CardIac Valvular Protheses
Ronzatizmal kalp hastaliklari ülkemizde stk karplaplan bir saglik problemidir ve cogu kez kapak replastnamm gerektirir. Kapak dizaym ye rek-nolojisindeki geliprzeler her hir hasta kin farkli avantajlari olan kapaklarin kullanilmasini gerekli kilar. Bu rnakalede nzekanik ye bioprotez kalp ka-paklarinirz seciminde dikkat edilmesi gereken fak-torler ye komplikasyonlari tartiplmtvir.
Acquired diseases of the heart valves are fre-quently seen in our country and in most of the cases they require valve replacement. Selection of cardiac valves which has different advantages are needed for each patient, because of improvement of valve engineering and technology. In this article, selection of heart valves and their complications were discussed.
Ailesel Yatkınlık Gosteren Rektal Prolapsus (vaka Takdımı)
Alaaddin Dilsiz, Engin Günel, Lütfi Dağdönderen
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Ailesel Yatkınlık Gosteren Rektal Prolapsus (vaka Takdımı)
Rectal Prolapsus Related To FamIlIal In-HerItance(case Report)
Rektal prolapsus; rektal mukozanin bazan de trim duvartnin aniisten dreart dogru &Mere* sark-masidtr. cocuklarda nadir rastlanan ye genellikle kendiliginden hastaltk olarak bi-linmektedir. Rektal prolapsusun etiyolojisi ye in-sidanst tam olarak bilinmemekle beraber haze pre-dispoze faktorler bildirilmektedir. Bu makalede babas,, halasi ye dedesinde rektal prolapsus oykiisii bulunan. 5 ye 8 yaVartndaki iki erkek kardq su-nulmultur. Aile taramasinda prolapsusa neden ola-hile•ek predispoze factor saptanamamtpr. Li-teratiir incelendiginde ailesel yatkinlik ye gecii hakkinda yeterli hilgi mevcut degildir.
Herniation of the rectal mucosa, sometimes whole rectal wall, from anus is known as rectal pro-lapse. In this report, we presented 5 and 8 year-old brothers whose father. aunt, and grandfather had rectal prolapse during their childhood. There is no predisposing factor causing prolapse in their family investigation. There is not enough knowledge about inheritance of rectal prolapse in the literature.
Menenjıt, Orsıt Ve Hepatıtın Bırlıkte Goruldugu Sır Kabakulak Olgusu
Gülfidan Bitirgen, Onur Ural, İbrahim Erayman
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Menenjıt, Orsıt Ve Hepatıtın Bırlıkte Goruldugu Sır Kabakulak Olgusu
A Case Of Mumps AsscoIated WIth MenengItIs, OrchIds And HepatItIs
Kabakulak esas olarak parotitise neden olan, bulaşıcı viral bir hastaliktir. Bu makalede, kabakulaga bagli geliFn menenjit, orsit ye hepatitin hirlikte hir olgu sunulmugur.
Mumps is a contagious viral illness which pri-marily produces parotitis. We reported a case of rnenengitis, orchitis and hepatitis due to mumps in-fection, in this article.
Trakeobronkomegalı
Faruk Özer, Güven Bektemur, Savaş Yaşar
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Trakeobronkomegalı
Tracheobronchomegaly
Trakea ile santral bronVariron geniylemesi olan trakeobronkomegali etyoloji ye patogenezi hi-linmeyen seyrek rastlanan bir patolojidir. Er-keklerde re 30-40 yallarinda daha sik rastlanir. Sik-ltkla hronpktazi ye tekrarlayan bronkopulmoner enfeksiyonlar ile hirlikte hulunur. Tani bronkografi yeya hilgisayarli tomografide trakea capinin artmg oldugunun gosterilmesi ile konur. Bu makalede klinigimilde tam konan bir olgu sunuyoruz.
Tracheobronchomegaly is a rare condition with dilatation of trachea and central bronchi. It is en-countered more commonly in men and middle aged persons. Bronchiectasis and bronchopulmonary in-fections is common in this disorder. The diagnosis is established if the dilatatiton of trachea is de-monstrated by either bronchography or com-puterised tomography. In this article, we present a case of tracheobronchomegaly established in our clinic.
Bır Morgagni Hernısı Olgusu
Faruk Özer, Savaş Yaşar, Alaaddin Vural, Kambiz Dabeşlim
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Bır Morgagni Hernısı Olgusu
A Case Of MorgagnI HernIa
Morgagni hernileri nadirdir ye konjenital di-yafragmatik herniler arasinda en seyrek rast-lanamdir. Daha cok sag tarafta yerleimlidir. Eril-kinlerde cogunlukla asemptomatik olmasina karpn hazen minimal semptomlara neden olabilir. Bu ne-denle genellikle haAa hir nedenle cekilen akciger grafileri Lie radyolojik olarak tam konulur. Arallklarla sag list kadranda kann agrisi ta-mmlayan 69 yapndaki bir erkek hastadaki Mor-gagni hernisi olgusunu sunuyoruz.
Morgagni's hernia are uncommon and it is the least common congenital diaphragmatic hernia. This condition affects the right side more frequently than the left. In adulthood, the majority of cases are asyomtomatic or produce minimal symptoms. Most Morgagni herniations in aduls are recognized ro-entgenographically. We present a case of Morgagni hernia in a 69 years old man suffering from occasioonally a pain at the right upper part of abdomen.
Morgagnı Hernısı Ye Cerrahı Tedavısı
Sami Ceran, Güven Sadi Sunam, Mehmet Gök, Tahir Yüksek, Tunç Solak, Hasan Solak
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Morgagnı Hernısı Ye Cerrahı Tedavısı
MorgagnI HernIa And SurgIcal Treatment's A Case Of ClInIcally SIlent MorgagnI HernIa Is Presented
Klinik olarak sessiz seyreden, morgagni hernisi tants' alan, kiint abdominal agar' olan, 62 yaltnda hir erkek hasta takdim edilmistir. Morgagni hernisi PA Akciger graifisi ye Pnomoperitoneum ile techis Defekt cerrahi olarak tamir Modern goriintilleme yontemlerinin rutin kullanima girmesiyle morgagni hernisi tamp olan olgu sa-ytstnin artacagintn beklenilmesi dogaldir.
The patient has blunt abdominal pain and asyptomatic. The diagnosis of morgagni hernia is X-Ray pnemoperiteneum and CT. The patiend was re-pair surgical treatment. THe diagnosis of silent mor-gagni hernia can he revealed bly using modern ima-ging techniques such as CT or MRI.
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