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Drinking water is a significant source in mineral intake due to the fact that waterborne minerals are present in ionic form and are instantly absorbed by the gastrointestinal tract. However, up until now, no comprehensive research has been encountered about how levels of trace elements in drinking water are related with body compositions of the children. Thereupon, in this study, it was aimed to assess the relationship between clinically important trace element levels in public drinking water and body composition of the children in Batman. The universe of the study consisted of female children, at the age range of 13-18 (mean age 15.9±1.68), who were divided into overweight, obese and normal weight groups of 20 participants, according to body mass index (BMI) and percentile curves, and who applied to Batman Regional State Hospital Diet Policlinic. The levels of lithium (Li), nickel, lead (Pb), silicon, stannum, strontium (Sr), boron, aluminium (Al), barium and rubidium were measured in water samples obtained from municipality and individual wells by employing inductively coupled plasma spectrometry. Body composition measurements were performed by means of bioelectrical impedance analysis (Tanita BC 418). Li levels in drinking water showed significantly positive correlations with BMI, fat mass and fat percentage in all children. Similarly, Pb levels in drinking water showed significantly positive correlations with BMI, fat mass and fat percentage in children. Finally, Al and Sr levels in drinking water showed significantly positive correlations with body weight, BMI, fat percentage and several variables of body composition in children. According to the findings obtained, it may be suggested that there is a relationship between Li, Pb, Al and Sr contents in drinking water and body composition of children aged 13-18.

Femoral shaft fractures are mostly seen in children and all cases of this condition require hospital admission. In school-age children (5 to 12 years), femoral fractures may be treated with elastic nails or spica cast. The current study aims to compare the outcomes of elastic nail to the immediate spica cast method for school-age children with femoral fracture. We evaluated the patients who had undergone immediate hip spica cast (IHSC as Group 1; n=31) or flexible intramedullary titanium nail (FITN as Group 2; n=31) for femoral fracture. Age, sex, cause of fracture, localization of the fracture, cost of treatment, times of hospitalization, radiologic and clinical assessment of femoral union, condition of the wound and soft tissue, times of union and walking were recorded. The mean followup was 58 (26-62) months. All fractures were healed. The time for weight-bearing and walking were shorter (39/52) in Group 2 than it was in Group 1 (52/63). In terms of cost, IHSC (114.99$) was cheaper than FITN (380.82$). Although IHSC is still a a widely accepted method of treatment, with the use of modern surgical techniques and implants, satisfactory outcomes of fracture healing can make FITN a better surgical option among all other treatments.

Acne vulgaris patients have several psycho-social problems because of lesion localization and seconder problems. There are several alternative treatment modalities in acne vulgaris. One of these, for example, isotretinoin is used for moderate or severe acne vulgaris. There are several studies in the literature about quality of life in dermatology patients. However, there are still need for other studies about acne vulgaris patients who are using isotretinoin for treatment. Aim of this study is to assess the quality of life in acne vulgaris patients who are treated with isotretinoin. Visual Analog Scale and Dermatology Life Quality Index were applied and compared for patients treated with isotretinoin at the beginning, 3rd and 6th months of the treatment. Both Visual Analog Scale and Dermatology Life Quality Index were decreased among patients with significant statistical importance. Consequently systemic isotretinoin treatment is effective for clinical healing and increase the quality of life for patients.

The advantages of laparoscopic surgery are similar for pregnant and nonpregnant women; nevertheless, this procedure was avoided during pregnancy because of concerns that it may be harmful to the fetus. Within the last decade, however, multiple case reports and case series describing the safe performance of laparoscopic procedures in pregnant patients have been published, resulting in a paradigm shift. Appendicitis, gallbladder disease, mesenteric cysts, and adnexal masses/torsion have been successfully managed laparoscopically during pregnancy. More advanced laparoscopic procedures, such as radical nephrectomy, splenectomy, salpingectomy, adrenalectomy, retroperitoneal lymphadenectomy, and ventral hernia repair, have also been reported in gravid patients. This topic will discuss issues specific to laparoscopic surgery during pregnancy. Discussions of laparoscopic surgery in the general population and specific laparoscopic procedures can be found separately.

Acute myeloid leukemia is the most common type seen in adults with 3-4/100000 incidence and accounting for %20 newly diagnosed patients each year. Patient may present with a broad variety of symptoms including low-grade fever, easy bruising, anemia, weakness in immune system. Cytogenetic analysis is a key component in diagnostic of acute myeloid leukemia. Chromosomal abnormality is present in the majority of malignant cells in acute myeloid leukemia patients. We presented a rare acute myeloid leukemia case with 46, XX del11q(13) karyotype organization.

The chronic inflammatory demyelinating polyneuropathy, which occurs by autoimmune mechanisms, is characterized as multifocal demyelination of the peripheral nerves. The clinical onset and progression may vary. Because of treatable neuropathy, the diagnosisis very important. We describe a rare patient with chronic inflammatory neuropathy presenting with asymmetric weakness and asymmetric facial paralysis.