Selçuk Tıp Dergisi Arşiv

All employees (N=498) of Seydişehir Public Hospital’s (SDH) were included, who were working in the period of 2013 and 2015, in the study in order to assess their seroprevalence of Hepatitis B virus (HBV), Hepatitis C virus (HCV) and Human Immunodeficiency Virus (HIV). After getting the official permission, data on employees’ personnel follow-up forms (health information forms) kept by the Hospital’s Infection Control Unit and records of Hospital Information Management System (HIMS) were retrospectively analyzed. Results showed that employees were HBsAg (+), anti-HBs (+) and anti-HCV (+) as in 0.8%, 86.7% and 0.2% levels, respectively. A statistically significant relationship between occupational status (doctor, nurse/ medical staff, health technician, cleaning personnel and other group) and anti-HBs was found (p<0.001). In the further analysis, the proportion of anti-HBs (+) was lower in the other group (including medical secretary, biologist, psychologist, dietician, pharmacist, security, kitchen worker, driver, information processing, technical service, tailor, social worker, and researcher) than the groups of doctor, nurse / health officer, health technician, cleaning staff. There was no difference in terms of anti-HBs between doctor, nurse / health officer, health technician and cleaning staff group (p=0.442). Also, a statistically significant relationship was observed between the employed units (internal services, surgical services, operating room, intensive care unit, emergency services, dialysis, laboratory and other units). An important difference for anti-HBs seropositivity was found (p=0.011). In the further analysis, the ratio of anti-HBs positivity was lower in the other units including kitchen, security, data entry and technical service than internal services, surgical services, operating room, intensive care, emergency service, dialysis and laboratory groups. There was no difference in terms of anti-HBs positivity among the internal services, surgical services, operating room, intensive care, emergency service, dialysis, and laboratory groups (p=0.717). There were no statistically significant relations of the HBsAg seropositivity with the employed unit (p=0.96) and the professional status of the employees (p=0.566). Consequently, HBV, HCV and HIV seroprevalence levels of SDH employees were in parallel with the other studies.

It is claimed that the use of ultrasound-assisted liposuction in bodyshaping surgery produces less blood loss and more skin contraction than conventional liposuction. In the literature, however, we could not find any studies comparing the efficacy of conventional liposuction with ultrasonic liposuction in the treatment of arm contour deformities. In this study, therefore, it is aimed to compare the efficacy, complications and bleeding rates of conventional liposuction with ultrasonic liposuction in the treatment of arm contour deformities. Twenty patients with the complaints of arm contour deformity during the period of 2012-2016 were included in the study. All of the patients were treated with liposuction. The patients were divided into two groups; ultrasonic liposuction (Group 1; n: 10) and conventional liposuction (Group 2; n: 10). Necrosis was defined as a major complication. Seroma, hematoma, asymmetry and roughness in the skin were defined as minor complications. The location of the thickest part of both arms of patients in both groups were measured at the end of the surgery and at the end of the first postoperative year. A total of 5 ml lipoaspirate samples were taken from each patient intraoperatively. The specimens were stained with hematoxylin-eosin and the numbers of erythrocytes per unit area were determined. According to Triceps Skin Classification, 4 of the patients were Type 2, 3 were Type 3 and 3 were Type 4, in Group 1. In Group 2, 3 of the patients were Type 2, 3 were Type 3 and 4 were Type 4. The average arm circumference of the patients in Group 1 was 36 cm (minimum 32 cm - maximum 40 cm), while in Group 2 the average arm circumference was 35 cm (minimum 31 cm - maximum 39 cm). At the end of the operation, the average arm circumference of the patients in Group 1 was 31 cm (minimum 28 cm - maximum 32 cm) while in Group 2 the average arm circumference of the patients was 32 cm (minimum 28 cm - maximum 33 cm). At the end of the first postoperative year, the average arm circumference was decreased to 30 cm in Group 1 and 31.8 cm in Group 2. Moreover, the number of erythrocytes calculated in cm2 in Group 2 was 50-60 / 1HPF (HPF: high power field) at 40x magnification and this value was calculated as 20 / 1HPF in Group 1. The mean arm thickness before the surgery was similar in both groups. However, the mean postoperative arm thickness of the patients in Group 1 was significantly lower than Group 2 (p <0.05). Moreover, the number of erythrocytes seen in the lipoaspirate unit area was significantly lower in Group 1 than in Group 2 (p<0.05). In this study, we have demonstrated that ultrasonic liposuction could provide more skin contraction in the treatment of arm contour deformities with appropriate patient selection. In this indication, a better appearance can be obtained with less sagging compared with conventional liposuction.

Multiple myelom (MM) is a plasma cell malignancy and is characterized by anemia, recurrent infections, serum and/or urine monoclonal protein, osteolytic bone lesions, hypercalcemia and renal failure. The prevalence of nephropathy varies between 20 and 50% in MM. In this study, the prevalence of nephropathy and related factors were aimed to investigate in MM patients who admitted to the Hematology and Nephrology clinics of Meram Faculty of Medicine, Necmettin Erbakan University. A total of 104 MM patients (F/M: 55/49) were retrospectively examined who were administered in the last five years. The mean follow up duration was 29 months. The mean age was 64±10.6 years. During the follow-up period, 30.8% of our patients died and 58% were still alive. The fate of the 10.6% of the patients could not be learned. Patients with serum creatinine ≥2 mg/dL were considered as patients with nephropathy. The vincristine-adriamycindexamethasone or melfelan-methylprednisolone (for patients >65 years) were administered as initial therapy. Statistical analysis was performed with SPSS 15.0. Renal involvements were observed in 33 patients (31.7%). Hyperuricemia (p=0.002), hypercalcemia (p=0.037), hypovolemia (p<0.001) and oliguria (p<0.001) were found to be higher in patients with creatinine ≥2 mg/dL. In 31 patients (29.8%), hemodialysis (HD) treatment was required, 19 of these (61.2% of HD patients, 18.2% of all patients) were treated with HD permanently. Mortality rates were found as %42 in patients with nephropathy and %25.3 without nephropathy (p=0.034). Renal failure is a poor prognostic marker in multiple myeloma. In this study one-third of MM patients had nephropathy requiring HD. Although renal insufficiency is mainly due to monoclonal light chain nephropathy, reversible causes such as hypovolaemia should be carefully evaluated. We think that particular attention should be paid to this group because of the increased risk of mortality.

In the course of infectious diseases in children, hematopoiesis and coagulation systems may be effected as a result of several pathological mechanisms. Some hematological problems may occur especially in infection term or in post infection term as a complication. Selection of an appropriate approach to hematological problems as well as infection treatment may be useful to reduce mortality and morbidity related to infectious diseases in children. In this review, hematologic manifestations of infectious diseases in children were evaluated in detail.

Melkersson-Rosenthal syndrome is a disease, characterized by recurrent orofacial edema that predominantly involves the lips, recurrent facial nerve paralysis and fissured tongue. It is usually seen in second decade of life. The most common finding is orofacial edema. Facial paralysis, another finding of syndrome, is typically recurrent, can be unilateral or bilateral and may be partial or complete. The fissured tongue is the least common symptom and considered as congenital. Although Melkersson-Rosenthl Syndrome’s etiology is unknown, genetic tendency and environmental factors suspected to play role. The syndrome is diagnosed clinically. Although various medical and surgical methods implemented, there is no consensus for its treatment protocol. In this case report, we presented a Melkersson-Rosenthal Syndrome case which classic triad seen together and taken a late diagnosis.

Sialolipom is a rare benign tumor, defined as the variant of intraoral lipoma. Tumour is completely surrounded by thin fibrous capsule and consisted of mature adipocytes and normal salivary gland tissue. In here, we present a 55 years old female patient with submandibular gland located sialolipoma.