Selçuk Tıp Dergisi Arşiv

The aim of the study was carried out to investigate the diagnostic value of the AgNOR to distinguishing betvveen preneoplastic and neoplastic lesions of the endometrium. Retrospective analysis included tissue material obtained from 50 patients with simple and complex hyperplasia with and without atypia and well differantiated endometrial adenocarcinoma. Sections were stained with AgNOR technique. The results obtained indicate that AgNOR counts have statistical significant in differantiating betvveen well differantiated endometrial adenocarcinoma and, simple hyperplasia and complex hyperplasia with and vvithout atypia.

The renin angiotensin system is thought to be modulated by gonadal steroids. After unilateral nephrectomy and unilateral nephrectomy + bilateral ovariectomy, occured changes were investigated in this study. Right nephrec- tomized and rigth nephrectomized + bilateral ovariectomized female rats left kidneys were examined histopatho- logically after four week. Severe inflammatory reaction was observed in only nephrectomized rats after four week. Moreover acut renal ischaemia was observed in the unilateral nephrectomized + total ovariectomized rats left kid- ney. Our results showed that gonadal steroids may have a role in modulating acut renal ischaemia.

İn this descriptive study, determining the demographic features, death causes and death origins of medicolegal deaths which vvere occured betvveen the years of 1991 and 2000 in Konya was aimed. Totally 4281 death cases to vvhom forensic examination and autopsy vvere performed vvere taken for evaluation. İt was observed that death cases vvere more dense in summer months. Male / female ratio was 3.32/ 1 in forensic deaths. The cases vvere cumulated betvveen the ages of 20 and 29. Deaths due to accidents was the main death origin with 75.3 % and it was follovved by homicides (8.0 %) and suicides (5.9 %). İt was stated that the ratio of the deaths due to traffic accidents was 53.5 % of the total deaths and was 71.1 % of the accident originated deaths. The cause of death in 69.5 % of the cases was blunt trauma and it was follovved by pathological deaths with 6.8 % and asphyxic deaths vvith 5.8 %. İt was concluded that causes and origins of the deaths vvere varied by gender and age differences.

Aim: İn this study, it was aimed to determine the effect of vvorking status of mothers on breastfeeding and using additive food for feeding. Methods: The study vvas consisted of 458 mothers (302 housevvives and 156 vvorking women) having at least 12 months old children. The population samples chosen by using a formula vvere select- ed in tvvo steps. İn the first step, the cluster sampling systematically based on population localities. İn the second step, the mothers of children living in day-center vvere taken into the survey population. Data vvere obtained via çuestonnaire techniçue by intervvieving. Results: The ratio of mothers vvho continued educating after primary school vvas 25% of housevvives and 96% of vvorking mothers. The median of breastfeeding period in housevvives vvas 12 months, but in vvorking mothers it vvas 8 months. This difference vvas significant. The ratio of initiation time of using additive food for feeding before the first four month in vvorking mothers vvas tvvo-fold than that in the house- vvifes. One third of mothers started to feed their babies with commercial supplement foods. The ratio of housevvife mother, starting vvith fluid of home made meal, vvas higher than in vvorking mothers. Conclusion: VVorking moth­ ers could be supported for breastfeeding their babies for longer period. İn addition, increasing education levels of female population and education on infant feeding may encourage to positive attitudes for giving the supplement­ ed food and breastfeeding in population.

The aim of this study was to evaluate aerobic bacterial infections which were ocurred in febrile neutropenic patients, infectious agents and their antibiotic susceptibilies. Eighty-two febrile neutropenic attacks in 67 patients (42 male, 25 female) betvveen age 2-82 years were evaluated in this study. Two hundred and forty-nine samples were evaluated and 45 pathogen agents (21 from urine, 16 from blood, 3 from wound, 2 from throat, 2 from abcess and 1 from palate sputum) were isolated. 33.3% of these pathogens were gram-positive and 66.7% of them were gram-negative microorganisms. Escherichia coli is the most commonly isolated pathogen and than Staphylococcus aureus, Enterobacter cloaca, Klebsiella pneumoniae are isolated. Staphylococcus aureus was the most common organism isolated from blood. As there are differences in infectious agents and infection sites from one to another centereach çenter must define its own infectious agents, infection sites and antibiotic suscepti­ bilies.

Most of the coagulation factors and their proteins are synthesized in the liver. Therefore many kind of coagulation disorders occur during chronic liver diseases. Prothrombin time (PT) is one of the most important coagulation tests which can be used in chronic liver diseases as the first line measurement of the severity of hepatic tissue insuffi- ciency. On the other hand the level of thyroid hormone can often change during chronic liver diseases. İn our study we measured PT and free T3 values of the patients with chronic liver diseases diagnosed by clinical findings and confirmed histopathologically and we also compared them with the same parameters obtained from the healh con- trol group with chronic liver diseases. İn the patient group we have detected significant decrease in free T3 and an increase in PT and a negative correlation between free T3 and PT. V/e think that, the decreased level of free T3 , is a manifestation of decreased liver tissue capacity and tike PT it can be used as a hepatic failure index.

Decubitus ulcers can develop in immobilized patient. Patients with spinal cord injury and elderly patients are at high risk. We presented 36 patient with pressure sore that we operated between May 1994 and January 2000 and our reconstructive procedures. Sacral, trochanteric and ischial pressure sores we are included the study, other sites were excepted. As 3 patient with ischial ulcer were accepted because of recurrence, there were no recur- rence for sacral and trochanteric ulcers. This recurrences were not depend on surgical techniçues perhaps due to pressure. Selecting the proper surgical technique for decubitus ulcer, is important eitherpreventing recurrence and funtional loss. We revievved our experience with reconstruction of decubit ulcers betvveen 1994 and 2000 years.

Lipoleiomyomas of the uterus are extremly rare. The reported incidence differs, from 0.03% to 0.2%. Lipoleiomyomas are composed of mature smooth muscle, fat, and connective tissue. This article, one new case of uterine lipoleiomyoma are presented.

Horseshoe kidney is the most common type of renal fusion malformation. The incidence rate is % 0.25 İn public. This malformation may accompany to the chromosomal abnormalities. The most freguent renal abnormality in Turner syndrome is horseshoe kidney. There might be seen complications such as hydronephrosis, freguent uri- nary tract infections, lumber pain and recurrent stone formation due to ureteral obstruction. So that obstruction should be corrected by endoscopic and surgical methods. W e present a horseshoe kidney case with hydronephro­ sis due to isolated ureteropelvic junction obstruction in a patient who has turner syndrome.

İn this study, karyotipic distribution of reciprocal translocations were investigated in 15 cases who referred to our laboratory because of reproductive vvastage and having a baby with multiple congenital defects. They distributed as follovvs; 6 unbalanced reciprocal translocations; 7 balanced reciprocal translocations and 2 balanced reciprocal translocations with trisomy 21. Ali of the unbalanced karyotypes were partal trisomies and three of them were inherited maternally while the other three were inherited paternally. Family investigations were done in balanced reciprocal translocation carriers and it was seen that three of them were de novo, two paternal and one maternal. Mechanisms of reciprocal translocations, their population rates and risks of carriers were evaluated by using our results.