Yıl: 1996, Cilt: 12, Sayı: 2
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Amebıasıslı Ve Giardıasislı Hastalarda Barsak Bakterıyel Florasının De 6erlendirilmesı
Emel Türk Arıbaş, Mehmet Bitirgen, Mehmet Özcan
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Amebıasıslı Ve Giardıasislı Hastalarda Barsak Bakterıyel Florasının De 6erlendirilmesı
EvaluatIon Of IntestInal BacterIal Flora In Pa-TIents WIth AmebIasIs And GIardIasIs
Bu çalışmada ishalli 147 hastanin gotta ornegi patojen protozoon yoniinden degerlendirildi. Otuz-bir ornekte patojen protozoon saptandt, bunlartn 20'si Entanzobea histolytica (E. hisiolytica) ye 117 Giardia lamblia (G. lamblia) idi. Gaita ornekkri pa-tojen non-patojen bakterikrin izolasymu kin bakteriyolojik yOtukn incelendi. Patojen protozoon pozitif olan Urneklerin yalnizra ikisinde patojen bak-teri edildi ye istatistiksel olarak anlamsiz bit-hindu. Patojen intestinal protozon bulunan pita Or-neklerinde Escherichia coli (E. coil) amp gdzIendi ye bit ariq isiatistiksel olarak anlanalt buhtndu.
In this study, stool samples of 147 patients with diarrhea were examinated for pathogen protozoa. Pathogen protozoa were detected in 31 of stool samples: These were identified as Entamobea his-tolytic: (E. histolytica) in 20 and as Giardia latnblia (G. lamblia) in 11„5tool samples were examined for isolation of pathogenic and non-pathogenic bacteria by using bacteriological methods. Pathogen bac-teria in 2 also were isolated from the samples yi-elded positive for pathogen protozoa and this was found to be statistically in significant. The inc-reasing E. coli in stool samples with pathogen in-testinal protozoa were observed and that increase was found to be statistically significant.
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Graves Hastalıgının Doku Antıjenlerı Ile Ilıkısı
Hakkı Polat, Nurşen Düzgün, Ahmet Kaya, Güner Tokgöz
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Graves Hastalıgının Doku Antıjenlerı Ile Ilıkısı
Hla ImmunogenetIc HeterogeneIty TurkIsh PatIents WIth Graves DIsease.
Graves hastahgt olan 27 vakada 111A-A, -B, -C, DR anttjen dagthnu aragtrdih. Rasta grubundaki HIA-DR3 frekanstnda (9:18.51) 50 kifilik kontrol grubuna gore ('4) anlamit farkIthk (P<0.05) bit-luntni Relatif risk 5.45 olarak hesaplannuotr. Yapilan bircok rahmada Avrupah Ye Kuzey Ante-rikah Graves hastalarinda HIA-DR3 ve B8 fe-notiplerinin claim stk oldugu tespit edilmiitir (3,4). Biz inn sonuclarmuz beyadarda tespit edilen bit so-nuclarla uywnIttluk gOstennektedir (1,3,4,5,6,13.1 4, 15). Tiirkiye 'de aynt konu ile u gh bircok caltiFina yayadannuotr (13.14,15). Bu calionalardan birinde Graves hasialigi ile HLA-DR3. DR4 ye DR 10 be-raberligi anlamh bulunmultur (14). Turkiye'de ya pdan diger rahmalann sonurlart ik bizim sonuclarmuz ttywnliduk göstermektedir.
Twenty seven Turkish patients with graves di-sease were typed for -B, -C, -DR antigens. There vas a significant increase in HLA-DR3 an-tigens frequency (% 18.51) compared with fifty Tur-kish controls (%4). Our findings support previous reports for im-munogenetk heterogeneity in patients with toxic Graves disease in American whites HLA-DR3 as-sociation was well recognised in most reports (1). HIA associations in Graves 'disease is stronger with HLA-DR loci titan with HLA-B loci (1). We analyzed HLA distibution in our Turkish patients to evaluate the possibility results of previous reports of Turkish Graves 'disease, except for one (13.14.15). In the later, DR4-DR10 association was do-cumented (14).
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Guvenlık Nedenıyle Kırsal Bolgelerden Van E-Hir Merkezıne Goc Etmek Zorunda Kalan Gocmenlerde Depresyon Yaygınlıgı
Hayrettin Kara, Yücel Ağargün, Nevzat Akman, Hasan Bilgin, Fevzi Kıncır
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Guvenlık Nedenıyle Kırsal Bolgelerden Van E-Hir Merkezıne Goc Etmek Zorunda Kalan Gocmenlerde Depresyon Yaygınlıgı
The Prevalence Of DepressIon Among Im-MIgrants Who To Inumgrate From Country To The Center Of Van Because Of Safety Problems
Göçle ilgili yapılan çalışmaların hemen tümünde göçmenler ve mülteciler arasında ruhsal bozuklukların yaygınlığı yerleşik populasyona göre daha yüksek bulunmuştur.
In almost all the studies made about immigration it has been found out that the rates of mental prob-lems are more common among the immigrants and refugees than the living inhabitants of the region. The reasons of migration, the events that take place during the migration, the problems that arise after migration have negative influences on the mental he-alth with a complicated interaction. Especially, du-ring the last year widespread immigrations have taken place from the country villages to the center of Van because of safety problems. In this study dep-ression prevalence has been investigated among the immigrants who to leave their homeland and settle in the center of Van. To achieve this aim, 122 im-migrants who have been living in different regions and who had been chosen at random by an exemp-lary method., have interviewed using DIS. Besides, in order to get enough knowledge about the inf-luences of migration on their mental life, a qu-estionnaire has been applied on the immigrants. Consucently, the depression prevalence was found predominnantly higher in nien than in women.
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Adolesan Donemindeki Ogrencılerde Boy Uzunlu6u, Vccut Agırlı6ı, Hemoglobın Ye Serum Demir Duzeyı 15lcumlerinin Karsılastırmalı İncelenmesı
Nesrin Hadimli, Sennur Demirel, Ferhan Paydak
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Adolesan Donemindeki Ogrencılerde Boy Uzunlu6u, Vccut Agırlı6ı, Hemoglobın Ye Serum Demir Duzeyı 15lcumlerinin Karsılastırmalı İncelenmesı
Adolescence HeIght, WeIght, HemoglobIn, And Serum Iron Levels A ComparatIve InvestIgatIon
Bu calışmada. Kadıköy Anadolu Lisesi giirrdiizlri re Gii:el Sanatlar Anadolu Lisesi yattlt. 16 ya,y grubu. ve erkek 35'er ogrencide boy, kilo, he-moglobin ve serum demir dikeylerilerek. de-:Oder karplaittrmali olarak incelenmictir. ve yank kr: ve erkek ogrencilerin boy. ve hemoglobin degerkri m-astndaki farkm istalistiksel olarak onem taltmadigt (P>0.05). sadece t`• atrlt erkek Orencileri► serum demir dfizeyleri arasmda anlamh bir farklatk oldubt belirlenmivir (P<0.001).
Teenagers. 16 years age groups; 35 male and female students each from Kadtkay Anatolian High School and Fine-Art Anatolian Boarding High Scho-ol were included for this study. Their heights. body weights. hemoglobin. arm serum iron levels were de-termined. The values were compared for boarding and regular students. Except the serum iron levels (P<0.001) the other measurements did not differ each other significantly (p>0.05).
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Ust Gastroıntestınal Sıstem Endoskopısı Uygulanan Olgularda Asemptomatık Slıdıng Hernı Sıklıgı
İhsan Taşçı, Feridun Şirin, Berat Apaydın, Sinan Çarkman, Kağan Zengin, Can Gökdoğan
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Ust Gastroıntestınal Sıstem Endoskopısı Uygulanan Olgularda Asemptomatık Slıdıng Hernı Sıklıgı
The IncIdance Of AsymptomatIc SlIdIng Her-NIas In The PatIents Undergone Gastroscopy
Ozofagogastrik bileyigin ve /veya midenin prok-shnal ktsnunin arahkli ya da devamh protrtizyonuna hiatal herniasyon denir. Bu anatomik konum de-gonigi kardia kontinansinda bozukluga neden ohm Sonurta semptomsuz seyredebilecegi gibi gam-rotizofageal refill, peptik Ozofajit gibi komp-likasyonlara yol acabilir. bu caltymada 1995 ythnda endoskopik in-reknte yapt►nnak amactyla Cerrah,yapa Tip Fa-ktiltesi Genel Cerrahi Klinigi Endeskopi Sek-siyontena bayvuran 76 hastada hiatal herni insidensini, bayvunt yikayetkrini, tantlannt ret-rospektif olarak inceledik. Hastalannuzin 47 ta-nesinde (%61.8) sliding herni saptadik. Sliding herni saptanan hastalann 3(%6.4) tanesinde sliding herni'ye bagh sempto►t bulduk. Bona gore toplumda asentplontatik sliding herni insidanstntn ytiksek ol-dugu ye herhangi bir nedenle yaptlan inceleme st-rastnda, ortaya rtkan bit patolojinin semptom ver-tneden herhangi bir tedavi gerektinnedigi kanistna yard► ve bunu az olan litettirle karytlayurdtk.
Endoscopic diagnosis and Evaluation of Asym-ptomatic sliding Hernias Intermittent or continous protrision of esophagogastric junction and/or pro-xitnal segment of stomach is called "Hiatal Her This anatomical change of location results in dysfunction of cardia continence. While it can have an asymptomatic course, hiatal hernia can re-sult in complications like gastroesophageal reflux and peptic esophagitis. In this stdudv we observed retrospectively. The incidence of hiatal hernia, the complaint and diagnoses of 76 patients who can re-sulted Cerrahyapa Medical faculty General Surgery Department Endoscopy section in order to have en-doscopic investigation in 1995. Sliding Hiatal Hernia was detected in 47 (61.8%) of our patients. We found symptoms due to sliding Hernia in 3 (6.4%) of these patients. Ac-cording to this we concluded that the incidence of asymptomatic sliding hernia is quite high in the so-ciety and that this pathology that reveals itself du-ring investigations due to other causes does not re-quire any therapy as for as it is not symptomatic and we compared this with the literature that is scant.
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Kalpte Kitle Yapan Nedenler Ve Tedavısı
Ufuk Tütün, Ufuk Özergin, Kadir Durgut, Tunç Solak, Mehmet Gök, Tahir Yüksek, Hasan Solak
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Kalpte Kitle Yapan Nedenler Ve Tedavısı
Masses Of The Heart And Treatment
Selcuk Universitesi Tip Fakillesi GogUs Ka1p Damar CerrahiSi kliniginde 1987-1995 ytllart ara-stnda yaptlan 692 kalp ameliyatinda, 11 vakada kalpde yer i c al eden kitle (% 1.59) tesbit Bu vakalarm 6'stnt kist hidatik (%0.87) 5'ini 0.72) neoplaztnalar oluiturmu,stur. Kist hi-datiklerinin 0.721si de sol ventriktil serbest On du-vanna yerlepnivir.
In 692 cardiac surgeries performed between 1987-1995 years in Selcuk University Faculty of Medicine GogUs Ka1p Vascular Surgery Clinic, 11 cases (1.59%) were detected in the heart mass in 6 of these cases (0.87%) and 5 of them were 0.72). formed neoplasms, stur. 0.721 of the cyst hy-dynamics are also placed on the left ventricle free on the du-vanna.
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Lıpoproteın(a) Duzeyı Ye Dıabetık Retınopatının Sıddetı Arasındakı Irak İ
Nazmi Zengin, Mehmet Kemal Gündüz, Şerife Acaroğlu, Nilgün Özbayrak, Mehmet Okka
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Lıpoproteın(a) Duzeyı Ye Dıabetık Retınopatının Sıddetı Arasındakı Irak İ
The RelatIonshIp Between LIpoproteIn(a) Level And The SeverIty Of DIabetIc RetInopathy
Bu calt,vmada tip II diabetli 56 hastada lipoprotein (a)fLp(a)I dtizeykri ile retinopatinin ,sickbed arasindaki iliivki arattrrldr. Fundoskopik ve .floresein anjiografik bulgularma gore hastalar relittopatisiz(n=10), zemin diabetik retinopati(DR)7i (n=15), preproliferatif DRIi(n=14) ve proliferatif DRii(n=12 ) olarak srn flandrrrldr. Sadece preproliferatif DR'li hastalarda diger gruplara oranla anlanth derecede yuksek Lp(a) dlizeyleri bulundu (p<0.05). Beklentilerimizin aksine proliferatif DR'li hastalarda Lp(a) dtizeyleri retinopatisiz ya da zemin hastalardan farklt de, ildi. Bu reliiki dti ciik Hb Ale dtizeylerinden de tailaplacagt gibi proliferatif DR grubunda diabet kontroltiniin mkt obnasina baglandt. Bulgularatuz Lp(a)'nin proliferatif DR geliFiminde bir risk faktorti olabilecegini dtigindtirmekle birlikte kesin bir karara vannak kin bitylik kohortlarda yaptlacak prospektif caltpnalara gereksinitn vardir.
In the present study, the relationship between lipoprotein (at( Lp(a) levels and the severity of retinopathy was assessed in 56 patients with type II diabetes. According to the fundoscopic and flourescein angiographic findings, patients were classified as having no retinopathy (n=10), background diabetic retinopathy (DR) (n=15), preproliferative DR (n=14) and proliferative DR(n=14). Only patients with preprohfrrative DR were found to have significantly higher Lp(a) levels compared to the other groups (p<0.05). Contrary to our expectations, Lp (a) levels in patients with proliferative DR were not different from patients without retinopathy or bakcground DR. This discrepancy was attributed to strict diabetes control as evidenced by lower Hb Ale levels in the proliferative DR group. Our findings suggested that Lp(a) might be a risk factor in the development of proliferative DR, however, prospective studies on larger cohorts are warranted.
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Ilerlemı Mesane Tumorlerının Radyoterapı Ve Radyokemoterapi Ile Mesane Koruyucu Tedavısı
Z. Akçetin, J. Dunst, R. Kühn, K.m. Schrott
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Ilerlemı Mesane Tumorlerının Radyoterapı Ve Radyokemoterapi Ile Mesane Koruyucu Tedavısı
Bladder SparIng Treatment Of Advanced Bladder Cancer By RadIotherapy And RadInchemotherapy
Radyoterapi veya radyokemoterapi 152 lokal mesane kanserli hastada TUR- T son-rastnda uygulandt. Tedaviye tarn yam! orant % 71.5 5 yilltk sagkahm oram % 65 idi. TUR'un ha-,varisi 5 yilhk sagkahm aristndan ert &tenth factor olarak hithilithr. Organ koruyttcu radyoterapi radyokemoterapi mesane kanserinde radikal sistektornive en azindan degerde bir metod olup, ilk tercih edilecek metod olmandir.
Radiotherapy or radiochemotherpy as applied to 152 patients with locally advanced bladder cancer following transurethral tumor resection. Complete response rate was 71%, the 5- year survival 65%. The success of the initial transurethral resection was found to be the most important factor the 5-year sur-vival. Organ sparing radiotherapy/ radiochemotherapy is in the treatment of bladder cancer at least an equ-ally efficient method like radical cystectomy and should be the method of choice.
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Monoflamen Poupropilen Mesh (marlex) Kullanılarak Yapılan Hernıoplastılerde Topikal Antıbıyotık Profılaksısının Enfeksıyon Rıskı Uzerıne Etkisi
Mustafa Şahin, Nuri Aydın Kama, Filiz Avşar, Hasan Yavuz, Hakan Kulaçoğlu
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Monoflamen Poupropilen Mesh (marlex) Kullanılarak Yapılan Hernıoplastılerde Topikal Antıbıyotık Profılaksısının Enfeksıyon Rıskı Uzerıne Etkisi
The Effect Of TopIcal AntIbIotIc ProphylaxIs On The InfectIon RIsk After HernIoplaxty WIth Mo-Nofflamented Polypropylene Meshes (marlex).
Amac: Polipropilen mesh kullandarak yaptlan hernioplasti opera.syonlarmda enfeksivon stkligt ve topikal antibiyotik profilaksisinin enfeksivon stkhgt tizerinde etkisini araptrmak. Cal:maims Yaptldtir yer: Ankara Mutilate Has-tanesi 4. Cerrahi Klinigi. Materyal ve Metodlar: Mays 1995- Ocak 1996 ta-riltleri herni nedenifle opere edilen 75 hasta fahonaya aim& I, gntba 25 hasta clinch ve klasik .1.on-tentkrle hernioplasti vaprkh. 11. gruba 26 hasta ahndt. Polipropilen mesh kllantlarak hernioplasti _vapildt. Ill gruba 24 hasty ahndt ve polipropilen mesh her-nioplasti + topikal antibiotik uygulandt. Bulgular: I. Grupta enfeksiyon gazknntedi. !ki hastada enflamatuar reaksiyon, bir hastada cord odemi gelisti. Il. grupta bir hastada yara en-jeksiymit (%4) ve bir hastada enflamatuar re-aksiyon gelilti. 111. grupta bir hastada yarn en-feksiyonu (%4) ye bir hastada cord odemi Sonuf: Polipropilen mesh kullantlarak yapdan hernioplastilerde enfeksiyon riskinin artmadtgt ve topikal antibiyoik profilaksisine gerek ohnadigt ka-naat ine vanldt.
Purpose: The aim of this study is to investigate the incidence of infection after polypropylen mesh hernioplasty and the effect of topical antibiotic prophylaxis. Instution: Ankara Numune Hostipal, 4th Su•-gical Clinic. Metarial and Methods: 75 patients operated on between May 1995- Jan 1996 for hernia were included in this study. Group 1: 25 patients were included in this group and clasical hernioplasty techniques were app-lied. Group 11:26 patients were included in this group and poloropylen mesh was used for hernia repair. Group III: 24 patients were included in this group and polypropylen mesh + npical antibiodtic propylaxis were used for hernia repair. Findings: Group I: There was no infection, but inflammatory reaction occured in two patients and Cord edema occured in one patient. Group II: There was infection in one patient (4%) and inflammatory reaction in one patient. Group 111: There was in-fection in one patient (4%) and Cord edeme in one paient.. Conclusion: We concluded that, polypropylene mesh did not increase the incidence of infection and there was no need to use topical antibiotic prophylaxis.
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Selcuk Unıversıtesı Egıtım Ve Aratırma Hastanesı Calısanlarının Hepatıt B Ye Awı Ile Ilgili Tutumlar
Said Bodur, Mustafa Altındiş, Emel Türk Arıbaş
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Selcuk Unıversıtesı Egıtım Ve Aratırma Hastanesı Calısanlarının Hepatıt B Ye Awı Ile Ilgili Tutumlar
The AttItudes Of HospItal Staff Towards He-PatItIs B InfectIon And Its VaccIne At The Sekuk UnIversIty HostIpal
Bu çalışmada, Hepatic B yintimkn riskli grup-Malan plan hastane cakanlart ve trlr faktiltesi son my' ogerencikrinin, HBV enfeksiyonu ve a►s, Ale tutuntlart degerlendirildi. AraFtirmaya kaidan 267 hastarte cahlamnin 121'i(%45.3) hekim, (%14.91 heist ire- ebe, 291u(%10.9) laborant-Saghk teknisveni, 2471 (%8.9) hastabalac, Ye 531il (9019.8) son snuf Ogrencisi idi. Saghk personelinin % 28.07 calt,yntalarmda kendilerine hepatit bula►na riskinin olmadtguu ifade etti. Gorfigilenkrin % 61.7'sinin daha once hepatit tahlilleri yapthgt, %14.2'sinin kendisinin, % 11.6'smm da birinci derece yaktnm hepatit 13 gecirdigi Ogrenildi. Hekimkrin yam assth iken (%48.7), bu oran henwire-ebe, laborant- saghk tekniAyeni ve hasta bakullara dogru giderek %20.8'e kadar dtipnekteydi. Hastane rakyanlannin % 58.17 rahimalar, esnasmda HBV enfeksivonu bu-lapnasma karp &km alamadiklaruu soylerken, hekint dip personelin % 15.07nin bulaima ollarr hakkutda ohnathg, anlaphh.
In this study, groups include 121 (45.3%) physi-cians, 40( 14.9%) nurses, 29(10.9%) laboratory tech-nicians, 24(8.9%) trained nurse and 53(19.8%) me-dical students. While 28% of the health care ►vorkers considered themselves not to be in risk of HBV transmission, 61.7% of these have been investigated for HBV markers. 14.2% of the interviewed group and first degree relatives of 11.6% of the same group sustained hepatitis B infection. While half of physicians were given vaccine. the rate of infection seen in nurse aids. laboratory technicians and tra-ined nurses decreased to 20.8%. 58.1% of health care workers didn't describe control measures to prevent HBV transmission in the course of working. 15.0% of the interviewed people with the exception of physicians $vere not knowledgeable about trans-mission routes.
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Vitılıgoda Goz Bulguları
Nazmi Zengin, Hüseyin Tol, Mehmet Kemal Gündüz, Şükrü Balevi, Süleyman Okudan, Hüseyin Endoğru
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Vitılıgoda Goz Bulguları
Ocular FIndI>gn In VItIlIgo
Olasi goz bulgulanni belirlemek amactyla 36 vi-riligolti hastayi gozden gerirdik. Goz kapag: tu-na:unit ve poliozisli 11 hasta (%30.5) hark tu-tulursa sadere 1 hastada daha Once gefiribniir koryoretinit wag: ditgindieren koryoretinal skar bu-lunch. Vitiliginoz lezyonla aynt taraf gozlerde iris ve jiindus pigmentasyonlarmda herhangi bir kaydedilmedi. Literaiiirdeki genet kanatnin aksine, bulgularoniz uveal tutulumun ender oldugunu Bu enderligin Asal farkldiklara bağ olabilecegini düşündük
In order to determine possible ocular findings, we surveyed 36 patients with vitiligo. Apart from eyelid involvement and poliosis in 11 patients (30.5%) only one patient was found to have a re-tinochoroidal scar suggesting a previous attack of retinochoroiditis. No difference was noted in iris and fundus pigmentations in the eyes ipsilateral to the vitiliginous lesion. In contrast to the general opi-nion in the literature, our findings suggested that the involvement of uveal tract is rare. We proposed that this rarity might be due to racial differences.
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Klınıgımızde Rehabılıte Edılen Paraplejık Hasaların Tedavı Sonularının Degerlendırılmesı
İsrafil Şimşek, Önder Murat Özerbil, Ömer Faruk Şendur, Kazım Erdoğan, Sami Küçükşen
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Klınıgımızde Rehabılıte Edılen Paraplejık Hasaların Tedavı Sonularının Degerlendırılmesı
The Assessment Of Treatment Results Of Pa-RaplegIc PatIents That RehabIlItated In Our ClInk
Bu calışmadaada rehabilite edilen pa-raplejik hastalann tedavi sonuflan de-gerlendirilerek kaynaklarla uv:u kar-idaprildt. cah,smaya (that kadin dokuzu erkek 15 hasta altnnu,s, hastalar de►ografik vzellikleri .vamnda, lez-yon sevivesi, ekli, varalanma nedeni, vataga vataktan Aran gecif, ye yiirume mesane Ye barsak aktiviteleri ve fonksiyonel durumlan yonii►ckn de-, erlendirilini,sdi. rahismarun sonuflan kaynaklarla uvunilu bu-lundu. Parapleji etiyolojisinde can siralan 4gal eden trafik kazasi. yuksekten Arnie ve ateFli silrthla ya-ralannumm hala ulusal sorun ()Imo ko-rudugu Ye ktsttlr ko,cullarda bile rehabilitas•mla onemli cticiide iyileoneler elde edilebilecegi kanisma
In ibis study the outcomes of paraplegic patients that we rehabilitated in our clinic were evaluated and compared to previous studies. Six women and nine men, totally 15 patients were included. Beside their demographic cha-racteristics the patients were assessed according to their lesion level. cause of injury, transfer activities in bed, walking activities, bladder and bowel con-ditions and functional status. At the end of the study the results were found comparable to previous ones and factors which take primarily part in i►e etiology of paraplegia like traf-fic accident, fall from height and gunshot wounding are still thought to be an important national pmb-lent.
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Sıroz Vakalarında Ultrasonografık Portal Yen' Capı İle Ozefagus Varısı Ve Varıs Kanaması Arasındakı Ilıksı
Hakkı Polat, Hamdi Ekici, Şamil Ecirli
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Sıroz Vakalarında Ultrasonografık Portal Yen' Capı İle Ozefagus Varısı Ve Varıs Kanaması Arasındakı Ilıksı
RelatIon Hetween UltrasonographIc Portal VeIn DIameter And EndoscopIc EasophagIal VarIcess And VarIcess BleedIng In CronIc ParanchImal LIver DIsease.
SeIc•uk Oniversitesi Tip Fakiihesi Anabilim Dali kiliniginde 1984-1994 ydlan arasmda yatan ye siroz teltisi alan hastalar arasmda ultrasonografik ola-rak portal ►en rapt olriihniii endoskopik olarak ifize-fagus varisi ve vans kanamast tespit edilnu4 vakalar retrospektif olarak incelenmi ciir. Vakalar, 1- Ozefagus varisi ve varis kanamast olanlar, 2- Ozefagus varisi olanlar ve fakat kanamasi ol-mayanlar, 3- Ozefagus varisi ye kanamasr olmavanlar, ohnak fizere 3 gruba ayrildt. Her grub kin 17 vaka ineelendi. Vena porta rapt ile ozefagus varisi ye varis kanamast arastridaki iliFkiler aragtrtldt. tilt-rasonografik olarak Venn porta cape ne kadar genii ire lizaefagus varisi bulimmast ve varis kan.ama ris-kinin artabilecegi sonucuna vartldt. Bu sonurlar Tiirkiye'de diger raltimalarla uyumlu buluninuFtur. Ancak, yaptlan yurt chit raltpnalarda bit kadar stk bir ilivki tespit edilmenziitir. Bet da, buralarda has-talann rok daha erken hastaneye baivunnalart ile artklanabilir.
This study was performed retrospectively by eva-luating the 51 patient's data who had chronic pa-ranchimal liver disease and who had ultrasonographic portal vein diameter from 1989 to 1994 in Internal Me-dicine Department of Selruk University School of Me-dicine. The cases were divided into three categories: the first who has easophagial varicess and varicess bleeding, the second who has easophagial varicess and not varicess bleeding. 17 cases was evaluated in each groubs. The finding of endoscopic and ult-rasonographic examinations was also consistent with other studies which performed in Turkey that implies the wider Vena porta diameter, the more common ea-sophagial varicess and varicess bleeding. Lack of such a strong correlation about this topic in France and Austria might be due to more earlier seeking medical advise of the patients in these countries.
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Norolook Bozukludu Clan Hastala Rda Beyın-Omırılik Sıvısının Norosfılız Yonunden Degerlendırılmesı
Emel Türk Arıbaş, Ülkü Türk Börü, Mustafa Altındiş
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Norolook Bozukludu Clan Hastala Rda Beyın-Omırılik Sıvısının Norosfılız Yonunden Degerlendırılmesı
EvaluatIon Of CerebrospInal FluId For Ne-UrosphIlIs In PatIents WIth NeurologIcal DIsease.
kabul edilen 54 pasta nci-ro yOntinden incelendi. Hastalann serum ve bevin omirilik sivisinda VDRL (Venereal Disease Research Laboratory) ve TPHA (Treponema pal-lidun: hemagglutination assay) cahlddr. Tamanunda BOS hiicre saps: ye protein miktan nonnaldi. Serum ye beyin omurilik sivisinda VDRL ve TPHA hastalann tamanunda negatif bulundu.
54 patients admitted to neurological unit were examined for neurosphilis. VDRL (Venereal Disease Reseacrh Laboratory) and TPHA (Treponema Pal-lidum Hemagglutination Assay) were tested from serum and cerebrospinal fluid in all patients. Ce-rebrospinal fluid cell count and protein content were normal in all patients. VDRL and TPHA in the serum and ('SF were negative in all patients.
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Bromektazı Nedenıyle Rezeks1yon Uyguladı6ımız 30 Vakanın Analızı
Kazım Gürol Akyol, Güven Sadi Sunam, Sami Ceran, Mehmet Gök, Işık Solak, Hasan Solak
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Bromektazı Nedenıyle Rezeks1yon Uyguladı6ımız 30 Vakanın Analızı
AnalysIs Of 30 PatIents Who And Had Been Ca-Used By BronchestasIa Were Operated
Selcuk Universitesi Tip Fakilltesi Gaps Ka1p Damar Cerrahisi Kliniginde 1983-1995 yillari ara-sinda 30 bron,rektazi vakasi opere edibnivir. Va-kalardan 16'si erkek 1471 kadindir. En ktictik va-kamiz 6 yaistnda en bilytigti 60 ya,sindadir. 2 hastaya sag alt lobektomi, 3 hastaya sag orta lobektomi, 4 hastaya sag orta ve alt lobekiomi, 1 hastaya sol list lobektomi, 9 hastaya sol alt lobelaomi, I hastaya lin-gulektomi, 8 hastaya sol alt lob ve lingula re-zeksiyonu, 2 hastaya sol pntimonelaomi uy-gulanmigir. Postoperatif erken donemde 3 vaka kaybedilmif, diger vakalarda ise tam pia gii-riihniiftar.
Between 1983-1995 thirty patients had been ope-rated at the Department of Thorax and Car-diovasculer Surgery. 14 of whom were female others were male. The stnalest patient had six years old and the oldest patient had sixty years old. 2 patient were treated with right lower lobectomy, 3 were right middle lobectomy, 4 were right midle and lower lobectomy, 1 was left upper lobectomy, 9 were left lower lobectomy, 1 was lingulectomy, 8 were left lower lobectomy and lingulectomy, 2 were left pne-umonectomy. In early postoperative period, 3 pa-tient were lost, others were healed.
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Bır Hem0fili A Vakasında Ve Eınde Aıds Hastalıgı
Hakkı Polat, Mehdi Yeksan, Şamil Ecirli, Ümran Çalışkan, Berkay Kırımlı
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Bır Hem0fili A Vakasında Ve Eınde Aıds Hastalıgı
A Case Of Aıds In PatIent WIth HeamophIlIa a.
Akkiz inumin yetmezlik sendronne (AIDS) ilk defa tip literattirtine 1981 yilinda gir,nicIir. 0 za-mandan bu yana AIDS bildirimlerinde adeta pat-lama olmu,slur. Ti•ari olarak hazirlanmq labor VIII verilen he-tnofilik hastalarda AIDS bildirilmigir. Banka kant tininlerinden fok, faktor VIII ile gemesinin sebebi; bir Unite jailor VIII 2000-50000 finite verici ka-mndan elde edilmesinden kaynaklanmaktadtr. Bit-0k cahpnada erickin hemofilik erkeklerde HIV enfeksiyon orannun % 50-90 arastrzda degiltigi liildirilrni, tit: Bunlardan ancak % I acikar klinik be-lirti vermekiedir. Henzofilik hastalarin kendileri, ve c0- cukiart risk alttndadirlar. Biz, klinigimizde tesbit ettigimiz ilk vakayz bil-dinnek, literature gOzden gecinnek ve dikkatleri tek-rar bu noktaya relonek istedik.
The acquired immune deficiency syndrome (AIDS) was first described in the ntedical literature in June 1981. Since that time there has been exp-losion in the number of reports of AIDS. AIDS has been reported in patients with ha-emophilic patients who were receiving commercially prepared factor VIII concentrate more than from blood- bank produced cryoprecipitate. This is pro-bably due to the fact that each unit of factor VIII concentrate is made from blood obtained from 2000-5000 blood donors. The prevalence of HIV infection amog adult ha-emophilic men in most studies is reported to range from %50-90 percent. About % 1 of these patients developed AIDS. The heamophilic patients and their heterosexually partner and their children are risk for AIDS We would like to present the first one case of AIDS in hemophilic patients and his wife in our cli-nic.
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Hepatıt C Sonrası Geıaen Fatal Aplastik Anemi
Mehmet Bitirgen, R. Korur, Mustafa Sünbül, Şamil Ecirli, Hakkı Polat
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Hepatıt C Sonrası Geıaen Fatal Aplastik Anemi
Fatal AplastIc AnemIa AssocIated WIth HepatIt C
Aplastik anemi viral hepatitin ciddi ve nadir bir komplikasyonudur. Bu komplikasymulan daha fok non-A. non-B vimslart (Ozellikle hepatit C virusu) soriwilu tutulmaktaysa da diner hepatit viruslerin de sebep oldugu gosteriltnivir. Sunmak istedigimiz17 ya,unda hepatit erkek bir hastada aplastik anemi geligi. 3 ay sonra re-misym gortilen hastada 26 ay sonra relaps gortild11. Hasta ailesinin zararh geleneksel uygulamalarmin da katkisiyla E. coli sepsisi sonucunda karbedildi.
Aplastik anemia is a rare and severe comp-lication of viral hepatitis. It's mortality rate is al-most 85%. This coplication has been observed most often in association with non A, non-B viruses (es-pecially hepatitis C virus) and also the other he-patitis viruses can cause this complication. We presented a 17 years old male patient who had aplastir anemia associated with hepatitis C virus. Although full hematologic recovery occured in three months but aplastic anemia recurred after 26 months. The patient died of E. roll septicemia ca-used by harmful traditional application.
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Troıd-Follıkuler Karsınom Metastazı Saptanan Sternum Tumoru Vakası
Aydın Şanlı, Sami Ceran, Güven Sadi Sunam, Mehmet Gök, Işık Solak, Hasan Solak
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Troıd-Follıkuler Karsınom Metastazı Saptanan Sternum Tumoru Vakası
A Sternal MetastasIs Of FollIculer CarcInoma Of ThyroId Case Report
56 yquidaki bayan hastada saptanan sternuma metastaz yapnus troid folikiiler karsinomu nadir ol-mast sebebiyle literatiir go den gecirilerek su-nuhnnflrir.
Fifty six old year women with sternal metastazis of foliculer carcinoma of thyroid was operated on since it is rarely seen, it is thqught to publish in-volving the subject.
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Santral Sınır Sıstemı Prion Hastalıkları
Emel Türk Arıbaş, Mustafa Altındiş
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Santral Sınır Sıstemı Prion Hastalıkları
Plant Nervous System PrIon Dıseases
Salival sinir sisteminin (SSS) prion hastaliklan, henzer klinik seyir ye histopatolojik hulgular teren, insanlar ye bazi hayvanlarda spongiforin en-sefalopati denilen tabloya neden olan infeksiyoz has-talikiardandir (Tablo 1). Spongiform ensefalopatiler, SSS'nin yaya§ infeksiyonlanndan olup, prionlar ta-rafindan olu§turulur. Sigurdsson, uzun inkiibasyon, uzun klinik seyir, oldurucu sonuc, tek organ sis-temine sinirlanan patoloji ye kisitli sayida duyarli ko-nakgiya sahip ohm bu hastaliklan tanimlamak igin "slow" infeksiyonlar terimini kullanmi§tir. Bu has-taliklarda nbron kaybi, astrositlerde proliferasyon ve hipertrofi, noronal vakualizasyon va zayif inf-lamatuvar cevap ortak Ozellikler olup, patolojik tab-lolan aynidir ye transmissible (gegirilebilir) no-rodejent.trati f hastalik olarak isirnlendirilir
Prion diseases of the salival nervous system (CNS) are among the infectious diseases that cause a similar clinical course, histopathological hulgular, and the picture called spongiforin en-cephalopathy in humans and some animals (Table 1). Spongiform encephalopathies are pedestrian infections of the CNS and are caused by prions. Sigurdsson used the term "slow" infections to describe these diseases, which have long incubation, long clinical course, fatal outcome, pathology limited to single organ system and a limited number of sensitive co-iris. In these diseases, nbron loss, proliferation and hypertrophy in astrocytes, neuronal vacualization and weak inflammatory response are common features, the pathological picture is the same and the transmissible, no-rodejent.trati f disease is irritated.
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Insanda Mıtokondrıal Kalıtımın Ozellıklerı
Sennur Demirel
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Insanda Mıtokondrıal Kalıtımın Ozellıklerı
Characterıstıcs Of Mıtocondrıal Herıtage In Human
Tam memeli hticreleri en azindan iki farkh ge-netik sisters icermektedir. Bunlardan hirincisi sa-yisal, fonksiyonel ye patolojik olarak cok onemli olan nükleer genler, ikincisi sitoplazmada yer alan ye her hir mitokondride 2-10 adet sirkiiler, gift-sarmalli DNA molektilft olarak hulunan mi-tokondrial genlerdir. 16.569 niikleotid cifti (nc) uzunlugunda olan ye total hücre DNA'sının yaklaşlk olu§turan insan mitokondrial DNA (traDNA)'situn dizi analizi tam olarak yapilmıştır.
Whole mammalian cells contain at least two different genetic sisters. The first of these are nuclear genes that are numerically, functional and pathologically very important, the second is the mi-tochondrial genes that are located in the cytoplasm and are used as 2-10 circuses, gift-helix DNA molecules in each mitochondria. A complete sequence analysis of the human mitochondrial DNA (traDNA) site, which is about 16,569 nichleotide pairs (nc) in length, is approximately the total cell DNA.
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Kalp Hucrelerınde Ca2+ Homeostazısı
İsmail Meral, Suat Ekin
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Kalp Hucrelerınde Ca2+ Homeostazısı
Ca2 + Homeostasıs In Heart Cells
izole edilmi§ doku ye hticreler spesifik ilac, hor-mon ve norotransmitterlerin hticresel me-kanizmalarint ara§tirmak -igin Amerika ye Avrupa `da oldukca fazla kullandmaktadir. Hatta tek hir hiicre izole edilcrek ultraviyolc t§tgina duyarli spe-si li k iyon boyalan ile hoyanmakda ve komputerize elektron mikroskobu ile ge§itli maddelerin hiicre fizerindeki kimyasal etkileri incelenmektedir, izole edilmi§ hticreler He cali§abilmek icin ise o hticrede hulunan iyon kanallan ve transpor proteinlerinin fonksiyonlart ve hu fonkiyonlara ctki eden liziksel ve farmakolojik etkilerin cok iyi bilinmesi eerelunektedir. Bu nedenle hir hiicrede iyon ho-meostasinin mist! olu§tugunun tam olarak an-tilkemizde de izole hiicre kullantlarak yapilacak cali§malarin daha fazla yogunla§masma neden olacakttr
Isolated tissue cells are used extensively in America and Europe to investigate the cellular mechanisms of specific drugs, hormones, and neurotransmitters. Even the chemical effects of various substances on the fizer are examined with the use of ultraviolet-sensitive ion dyes that are sensitive to ultraviolet sparks, and with computerized electron microscopy, isolated cells. and the lysis and pharmacological effects of transport proteins on their functions and on these functions are well known. For this reason, the ion ho-meostasin mist! exactly how it is formed will cause more intensification of the studies to be carried out by using isolated cell in our an-fox.
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Parvovırus B19 Enfeksiyonları
Emel Türk Arıbaş, Mustafa Altındiş
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Parvovırus B19 Enfeksiyonları
ParvovIrus 819 InfectIons
Human partiovirus 819. eritema infeksivozum, aplastik kriz. hidrops fetalis ye adultlerde Awn po-liartraljiyi iceren birkar haswIdala sebep ajan ola-rak tanunlannuozr. Infeksiyonun major pa-tofizyolojik etkisinin eritrosit prektirsOrlerinin sitolitik infeksiyonuna bairn olarak eritropoezisin durmast oldugu gorithir. Hidrops fetalise bagh ne-onatal Oliint Avinda, parvovirus infek.siyordu has-talarm prognozu genellikie iyidir. B19 in-feksivonunun tams' klinik gortintimle konulabilir, fakat szklikla serum antikor testleri ile dogndannwst gerekir. Tedavi klinik durum bagh olarak des-tekleyi•i baktm, analjezik, kan transflizyonu veya int-ravendz iffinzunglobulin mulanmasi ,ceklindedir.
The human parvovirus B19 has been identified as the causative agent in several diseases, including erythema infectiosum, aplastic crisis,hydrops fetalis and a polyarthralgia that occurs in adults. The major pathophysiologk effect of infection seems to be cessation seems to be cessation of erythropoiesis a result of cytolitic infection of red cell precursors. Except for the potential of neonatal death due to fetal hydrops, the prognosis of patients with par-vovirus infection is generally good. The diagnosis of B19 infection may be established on clinical ob-servations but often requires cofirmation with serum antibody testing. Treatment strategies may include supportive care, analgesic medications, transfusions with red blood cells or administration of intravenous inuniunglobulinidepending on the clinical cir-cumstances.
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