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Kaba M, Karadağ ÇA, Sever N, Ser İ, Demir M, Yıldız A, Usta AM. A rare cause of intestinal obstruction in children trichobezoar: How to diagnose? ULUS TRAVMA ACIL CER 2023; 29:1288-1295. [PMID: 37889030 PMCID: PMC10771247 DOI: 10.14744/tjtes.2023.08434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 07/25/2023] [Accepted: 10/02/2023] [Indexed: 10/28/2023]
Abstract
BACKGROUND Trichobezoar is a rare clinical condition in children, which is caused by the accumulation of swallowed hair mass in the digestive tract. This condition is most common in young women with psychiatric histories who suffer from trichotillomania (TTM), where they have an irresistible urge to pull out their hair. Diagnosis and treatment of this pathology, which is already extremely rare, and its variable clinical presentations are challenging. The aim of this study was to increase awareness of trichobezoar in the differential diagnosis of signs of intestinal obstruction in children and to evaluate the diagnosis and management of this rare pathology. METHODS The clinical data of six patients who were treated for trichobezoars in the pediatric surgery department of our hospital between 2009 and 2022 were retrospectively analyzed. RESULTS Six female patients were treated with the diagnosis of trichobezoar during this period. Patients were diagnosed with the help of anamnesis, physical examination, abdominal ultrasonography (USG), and finally, endoscopy. USG can predict the intestinal wall infiltration and the tail extended to the duodenum through pylorus in the series. All patients were evaluated with contrast-enhanced abdominal radiography. Five surgical interventions were performed in four of the cases. In a case who underwent surgery twice, the distal intestinal satellite bezoar was not noticed in the first operation. Two patients were diagnosed to have trichobezoar, but surgery was not required. These patients were younger and had early-onset TTM (before 10 years old). The patients were followed for an average of 10.8 years and no recurrence was detected. CONCLUSION Trichobezoar is a rare cause of intestinal obstruction in children with fatal complications when diagnosed late. Failure to follow an algorithm for the management of the disease causes difficulties in the diagnosis and treatment. Especially in pa-tients with a known psychiatric history, whole abdominal USG and laparoscopy performed with awareness can prevent unnecessary examinations.
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Affiliation(s)
- Meltem Kaba
- Department of Pediatric Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Türkiye
| | - Çetin Ali Karadağ
- Department of Pediatric Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Türkiye
| | - Nihat Sever
- Department of Pediatric Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Türkiye
| | - İlayda Ser
- Department of Pediatric Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Türkiye
| | - Mesut Demir
- Department of Pediatric Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Türkiye
| | - Abdullah Yıldız
- Department of Pediatric Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Türkiye
| | - Ayşe Merve Usta
- Department of Pediatric Gastroenterology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Türkiye
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Saglam B, Albayrak M, Yıldız A, Tığlıoğlu P, Tığlıoğlu M, Aras MR, Yilmaz F, Maral S, A Öztürk HB. The prognostic impact of comorbidity, nutritional and performance status on patients with diffuse large B cell lymphoma. Niger J Clin Pract 2023; 26:1512-1518. [PMID: 37929528 DOI: 10.4103/njcp.njcp_175_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2023]
Abstract
Background The aim of the study was to investigate the impact of nutritional status, comorbidity, and performance status on patients with diffuse large B-cell lymphoma (DLBCL). Methods A retrospective study was conducted on 112 DLBCL patients who were diagnosed at our center between 2009 and 2018. Demographic and disease characteristics and laboratory test results were recorded. Assessments were made using the age-adjusted Charlson comorbidity index (CCI-A) for comorbidity, albumin level for nutritional status, and Eastern Cooperative Oncology Group (ECOG) score for performance status. Results The mean age of the patients was found to be 62.63 ± 15.16 years. The ECOG score of 65 patients (69.1%) was in the range of 0-1. The mean follow-up time of the patients was determined to be 25.24 ± 25.11 months, and at the end of the follow-up period, 64 patients (57.1%) were survivors. The progression-free survival (PFS), overall survival (OS), and 5-year OS rates of those with CCI-A > 4 were found to be significantly lower than those with CCI-A score ≤4 (P < 0.05). As a result of the Cox-Regression (Backward: LR method) analysis, ECOG and albumin levels were found to be independent risk factors for both OS and PFS (P < 0.05). Conclusion This study demonstrated that CCI-A, ECOG, and nutritional status are independent prognostic markers for DLBCL patients. Initial evaluation of these patients should include all these parameters, which are easily available at the time of diagnosis.
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Affiliation(s)
- B Saglam
- Department of Hematology, Liv Hospital Gaziantep, Gaziantep, Turkey
| | - M Albayrak
- Department of Hematology, Ministry of Health Ankara Etlik City Hospital, Ankara, Turkey
| | - A Yıldız
- Ministry of Health Hitit University, Erol Olçok Training and Research Hospital, Çorum, Turkey
| | - P Tığlıoğlu
- Department of Hematology, University of Health Sciences, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
| | - M Tığlıoğlu
- Department of Hematology, University of Health Sciences, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
| | - M R Aras
- Department of Hematology, Ministry of Health Ankara Etlik City Hospital, Ankara, Turkey
| | - F Yilmaz
- Department of Hematology, Ministry of Health Ankara Etlik City Hospital, Ankara, Turkey
| | - S Maral
- Department of Hematology, Medicine Faculty, Istanbul Medipol University, Istanbul, Turkey
| | - H B A Öztürk
- Department of Hematology, Ministry of Health Ankara Etlik City Hospital, Ankara, Turkey
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Tiglioglu M, A Öztürk HB, Yıldız A, Tığlıoğlu P, Yılmaz F, Aras MR, Albayrak M. The utility of CONUT score in indolent lymphoma patients. Niger J Clin Pract 2023; 26:1290-1296. [PMID: 37794541 DOI: 10.4103/njcp.njcp_20_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Abstract
Background and Aim Similar to the uncertainties in the treatment criteria for indolent non-Hodgkin lymphoma (iNHL), the prognostic criteria have not been fully clarified. The Controlled Nutritional Status (CONUT) score is not only used as a predictor of malnutrition but also indicates prognosis in many chronic or malignant diseases. The aim of this study is to investigate the predictive and prognostic significance of the CONUT score in patients with iNHL. Patients and Methods A retrospective evaluation was made of 109 patients with iNHL. The CONUT scores of the patients were compared between those with an indication for treatment and those followed without treatment. The same analysis was performed between patients who developed relapse after treatment. Survival analysis was performed on all patients, and associations between survival and the CONUT score were examined. Results The median CONUT score was found to be higher in those who had treatment indications compared to those who did not (2 vs 1; P = 0.014). In the regression model, a CONUT absolute value above 5 was found as an independent risk factor predicting relapse. In the whole study population, a CONUT absolute value >2 predicted the risk of mortality with 53.9% sensitivity and 68.7% specificity (AUC ± SE = 0.639 ± 0.07; +PV = 35%; -PV = 82.6%; P = 0.034). Conclusion CONUT score is a predictive and prognostic factor for patients with iNHL. The development of simple, low-budget prognostic and predictive biomarkers is critical not only for determining the course of the disease but also for follow-up and treatment management.
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Affiliation(s)
- M Tiglioglu
- Dr. Ersın Arslan Traınıng and Research Hospıtal, Hematology, Gazıantep, Turkey
| | - H B A Öztürk
- Ankara Cıty Hospıtal, Hematology, Ankara, Turkey
| | - A Yıldız
- Hıtıt Unıversıty, Hematology, Corum, Turkey
| | - P Tığlıoğlu
- Dr. Ersın Arslan Traınıng and Research Hospıtal, Hematology, Gazıantep, Turkey
| | - F Yılmaz
- Ankara Cıty Hospıtal, Hematology, Ankara, Turkey
| | - M R Aras
- Ankara Cıty Hospıtal, Hematology, Ankara, Turkey
| | - M Albayrak
- University of Health Sciences Diskapi Yildirim Beyazit Education and Research Hospital, Turkey
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Cömert HSY, Güney D, Durakbaşa ÇU, Dökümcü Z, Soyer T, Fırıncı B, Çiftçi İ, Öztan MO, Demirel BD, Parlak A, Göllü G, Karaman A, Akkoyun İ, Gül C, İlhan H, Oral A, Özcan R, Özen Ö, Kıyan G, Erdem AO, Özaydın S, Uzunlu O, Yıldız A, Erginel B, Ertürk N, Bilici S, Samsum H, Özen MA, Özçakır E, Aydın E, Mert M, Topbaş M. The effect of postoperative ventilation strategies on postoperative complications and outcomes in patients with esophageal atresia: Results from the Turkish Esophageal Atresia Registry. Pediatr Pulmonol 2023; 58:763-771. [PMID: 36398363 DOI: 10.1002/ppul.26251] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 11/07/2022] [Accepted: 11/13/2022] [Indexed: 11/19/2022]
Abstract
OBJECTIVES Postoperative ventilatory strategies in patients with esophageal atresia (EA) and tracheoesophageal fistula (TEF) may have an impact on early postoperative complications. Our national Esophageal Atresia Registry was evaluated to define a possible relationship between the type and duration of respiratory support on postoperative complications and outcome. STUDY DESIGN Among the data registered by 31 centers between 2015 and 2021, patients with esophago-esophageal anastomosis (EEA)/tracheoesophageal fistula (TEF) were divided into two groups; invasive ventilatory support (IV) and noninvasive ventilatory support and/or oxygen support (NIV-OS). The demographic findings, gestational age, type of atresia, associated anomalies, and genetic malformations were evaluated. We compared the type of repair, gap length, chest tube insertion, follow-up times, tensioned anastomosis, postoperative complications, esophageal dilatations, respiratory problems requiring treatment after the operation, and mortality rates. RESULTS Among 650 registered patients, 502 patients with EEA/TEF repair included the study. Four hundred and seventy of patients require IV and 32 of them had NIV-OS treatment. The IV group had lower mean birth weights and higher incidence of respiratory problems when compared to NIV-OS group. Also, NIV-OS group had significantly higher incidence of associated anomalies than IV groups. The rates of postoperative complications and mortality were not different between the IV and NIV-OS groups. CONCLUSION We demonstrated that patients who required invasive ventilation had a higher incidence of low birth weight and respiratory morbidity. We found no relation between mode of postoperative ventilation and surgical complications. Randomized controlled trials and clinical guidelines are needed to define the best type of ventilation strategy in children with EA/TEF.
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Affiliation(s)
| | - Doğuş Güney
- Department of Pediatric Surgery, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey
| | - Çiğdem Ulukaya Durakbaşa
- Department of Pediatric Surgery, Faculty of Medicine, Istanbul Medeniyet University, İstanbul, Turkey
| | - Zafer Dökümcü
- Department of Pediatric Surgery, Faculty of Medicine, Ege University, İzmir, Turkey
| | - Tutku Soyer
- Department of Pediatric Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Binali Fırıncı
- Department of Pediatric Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - İlhan Çiftçi
- Department of Pediatric Surgery, Faculty of Medicine, Selçuk University, Konya, Turkey
| | - Mustafa Onur Öztan
- Department of Pediatric Surgery, Faculty of Medicine, Izmir Katip Celebi University, İzmir, Turkey
| | - Berat Dilek Demirel
- Department of Pediatric Surgery, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
| | - Ayşe Parlak
- Department of Pediatric Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - Gülnur Göllü
- Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Ayşe Karaman
- Department of Pediatric Surgery, Dr Sami Ulus Maternity and Children Health and Research Application Center, Ankara, Turkey
| | - İbrahim Akkoyun
- Department of Pediatric Surgery Konya, Konya Education and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey
| | - Cengiz Gül
- Department of Pediatric Surgery, Zeynep Kamil Maternity and Children Health and Research Application Center, University of Health Sciences Turkey, İstanbul, Turkey
| | - Hüseyin İlhan
- Department of Pediatric Surgery, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey
| | - Akgün Oral
- Department of Pediatric Surgery, Dr. Behcet Uz Education and Research Hospital, Izmir, Turkey
| | - Rahşan Özcan
- Department of Pediatric Surgery, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Önder Özen
- Department of Pediatric Surgery, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - Gürsu Kıyan
- Department of Pediatric Surgery, Faculty of Medicine, Marmara University, Istanbul, Turkey
| | - Ali Onur Erdem
- Department of Pediatric Surgery, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey
| | - Seyithan Özaydın
- Department of Pediatric Surgery, Başakşehir Çam and Sakura City Hospital, University of Health Sciences Turkey, İstanbul, Turkey
| | - Osman Uzunlu
- Department of Pediatric Surgery, Faculty of Medicine, Pamukkale University, Denizli, Turkey
| | - Abdullah Yıldız
- Department of Pediatric Surgery, Sisli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey
| | - Başak Erginel
- Department of Pediatric Surgery, Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Nazile Ertürk
- Department of Pediatric Surgery, Faculty of Medicine, Muğla Sıtkı Kocaman University, Muğla, Turkey
| | - Salim Bilici
- Department of Pediatric Surgery, Diyarbakır Gazi Yaşargil Education and Research Hospital, Diyarbakır, Turkey
| | - Hakan Samsum
- Department of Pediatric Surgery, Private Antakya Academy Hospital, Hatay, Turkey
| | - Mehmet Ali Özen
- Department of Pediatric Surgery, School of Medicine, Koç University, Istanbul, Turkey
| | - Esra Özçakır
- University of Health Sciences Bursa Yuksek Ihtisas Training And Research Hospital, Bursa, Turkey
| | - Emrah Aydın
- Department of Pediatric Surgery, Faculty of Medicine, Tekirdağ Namık Kemal University, Tekirdağ, Turkey
| | - Mehmet Mert
- University of Health Sciences Van Training And Research Hospital, Van, Turkey
| | - Murat Topbaş
- Department of Public Health, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
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Karakurt E, Coskun N, Aydın U, Beytut E, Dag S, Ataseven VS, Yılmaz V, Dogan F, Nuhoglu H, Ermutlu CS, Kuru M, Yıldız A. An investigation of bovine papillomaviruses from ocular squamous cell carcinomas in cattle. Iran J Vet Res 2023; 24:51-57. [PMID: 37378381 PMCID: PMC10291527 DOI: 10.22099/ijvr.2022.43152.6282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 12/06/2022] [Accepted: 12/11/2022] [Indexed: 06/29/2023]
Abstract
Background Ocular squamous cell carcinomas (OSCCs) in cattle has been studied for many years, but no definite etiology has been established. Squamous cell carcinomas (SCCs) may occur in different body parts of cattle. Depending on the location, it can cause an economic loss of varying degrees. Aims The aim of this study was to investigate the causes of OSCCs in the eye region of cattle. Methods: Sixty tumoral masses taken form 60 cattle with proliferation in the eye region that were collected between the years 2012-2022 were used. These cases were admitted to our department for routine diagnosis. The tissues were diagnosed as OSCC using histopathological methods. The presence of bovine papillomavirus (BPV), one of the causative factors, was investigated using immunohistochemical and polymerase chain reaction (PCR). Results Macroscopically masses were nodular or cauliflower-like and fragile and had hemorrhagic surfaces. Considering the keratin pearls, tumoral islands, and squamous differentiation, 20 out of 60 cases were classified as well, 20 as moderately, and 20 as poorly-differentiated OSCCs. 47 of the 60 cases were BPV positive using immunohistochemical methods. However, BPV nucleic acid was detected in only two cases with PCR. Only one of the cases could be sequenced. After phylogenetic analysis, virus strain was identified as BPV-1. Conclusion Our results indicated that papillomaviruses can contribute to the development of OSCCs, in both precursor lesions and also advanced stage OSCCs. We found that BPV-1 has a possible causative role; however, more studies are needed to investigate the role of other viral agents and their interaction with secondary factors.
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Affiliation(s)
- E Karakurt
- Department of Pathology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - N Coskun
- Department of Virology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - U Aydın
- Department of Surgery, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - E Beytut
- Department of Pathology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - S Dag
- Department of Pathology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - V. S Ataseven
- Department of Virology, Faculty of Veterinary Medicine, Mustafa Kemal University, Hatay, Turkey
| | - V Yılmaz
- Department of Virology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - F Dogan
- Department of Virology, Faculty of Veterinary Medicine, Mustafa Kemal University, Hatay, Turkey
| | - H Nuhoglu
- Ph.D. Student in Pathology, Department of Pathology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - C. S Ermutlu
- Department of Surgery, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - M Kuru
- Department of Obstetrics and Gynecology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
| | - A Yıldız
- Ph.D. Student in Pathology, Department of Pathology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey
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Yıldız A. Lichtenstein and Total Extraperitoneal Techniques in Inguinal Hernia Surgery: A Comparison of the Intraoperative and Early Postoperative Complications Between the Two Approaches. Cureus 2022; 14:e28020. [PMID: 36134111 PMCID: PMC9471982 DOI: 10.7759/cureus.28020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/15/2022] [Indexed: 11/30/2022] Open
Abstract
Background and objective The Lichtenstein technique (LSt) and total extraperitoneal technique (TEPt) are the most frequently performed surgical procedures for inguinal hernia (IH). This study aimed to compare LSt and TEPt in terms of intraoperative and postoperative complications as well as recurrence rates. Methods This retrospective study involved patients hospitalized for IH repair. The study included a total of 262 patients (LSt group: n=125; TEPt group: n=137). Results The follow-up period of the patients ranged between 16 and 30 months (mean: 22.3 months). While intraoperative complications were more commonly reported in the TEPt group, postoperative complications were more common in the LSt group (2.9% vs. 1.6%). Postoperative bleeding/hematoma developed in three (2.4%) patients in the LSt and three (2.2%) in the TEPt group. One of the patients in the LSt group was reoperated due to persistent bleeding. Two patients in the LSt and two in the TEPt group were reoperated for postoperative recurrence (1.6% vs. 2.4%). One patient was reoperated due to chronic persistent pain. Seroma was aspirated in three (2.4%) patients in the LSt and two (1.5%) in the TEPt group. Conclusion This study revealed no significant difference between TEPt and LSt groups regarding intraoperative and postoperative complications. We propose that both TEPt and LSt could be safely performed in cases of primary and complex IH by selecting the appropriate method based on the hernia type and patient and with sufficient surgical experience.
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Keleş Ş, Gül Ş, Yıldız A, Karabulut SD, Eren H, İskender MD, Baykara ZG, Yalım NY. Ethical Discourse of Medical Students on the Phenomenon of Death: A Qualitative Study. Omega (Westport) 2021; 87:146-176. [PMID: 34018435 DOI: 10.1177/00302228211014772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The aim of this study is to discover medical students' ideas on the phenomenon of death; produce information on how these students interpret the value-related problems regarding death that they come across in different units of hospitals; and assess this data in ethical terms. This study included a qualitative research in which 12 focus group interviews were conducted with 92 fifth- and sixth-year medical students. Data obtained from interviews were assessed using a thematic content secondary analysis. The main themes were specified according to the medical students' statements and were reviewed under the contexts of the "dying process"; "effects of death"; "attitude and behavior of health professionals"; "seeing a dead body/looking at a dead body"; "accepting death"; and "forms of expressions of death." Medical students' encounters with death in different units of hospitals leads them to question their values and familiarize themselves with the borders of their areas of profession.
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Affiliation(s)
- Şükrü Keleş
- Department of Medical History and Ethics, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
| | - Şenay Gül
- Fundamentals of Nursing Department, Faculty of Nursing, Hacettepe University, Ankara, Turkey
| | - Abdullah Yıldız
- Department of Medical History and Ethics, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Seyhan Demir Karabulut
- Department of Medical History and Ethics, Faculty of Medicine, Baskent University, Ankara, Turkey
| | - Handan Eren
- Department of Nursing, Health Sciences Faculty, Yalova University, Yalova, Turkey
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Yıldız A, Arda B. Is sensible medicine a virtuous approach as an antidote against immediate action pressure on physicians? Balkan Med J 2021; 38:65-67. [PMID: 33593718 PMCID: PMC8909250 DOI: 10.5152/balkanmedj.2021.21090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
- Abdullah Yıldız
- Department of History of Medicine and Ethics, Ankara University School of Medicine, Ankara, Turkey
| | - Berna Arda
- Department of History of Medicine and Ethics, Ankara University School of Medicine, Ankara, Turkey
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Yildiz S, Yurttaş İS, Gözü Pirinççioğlu A, Aktar İ, Senkal E, Yıldız A, Kelle İ, Yıldız İ. European medical students’ attitudes on distance learning during COVID-19 pandemic [Version 2]. MedEdPublish 2021. [DOI: 10.15694/mep.2021.000172.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Yildiz S, Yurttaş İS, Gözü Pirinççioğlu A, Aktar İ, Senkal E, Yıldız A, Kelle İ, Yıldız İ. European medical students’ attitudes on distance learning during COVID-19 pandemic. MedEdPublish 2021. [DOI: 10.15694/mep.2021.000172.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Gül Ş, Demir Karabulut S, Eren H, Durmuş İskender M, Göçmen Baykara Z, Keles Ş, Yıldız A, Yalim NY. Nursing Students' Experiences With Death and Terminal Patients During Clinical Education. Omega (Westport) 2020; 85:628-649. [PMID: 32838653 DOI: 10.1177/0030222820950510] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The aim of this study is to explore nursing students' experiences with death and terminal patients during clinical education. A secondary analysis of qualitative data that were collected through 11 focus group interviews with nursing students was performed. Data obtained from the interviews were analyzed using thematic analysis. There were a total of 9 themes across 3 contexts. Data were grouped under the following themes: feelings experienced when encountering death for the first time, reactions to the first encounter with death, factors affecting the reactions to death, involvement in terminal patient care, being informed about the physical process that terminal patients are going through, students' approach toward terminal patients and their relatives, health professionals' approach toward terminal/dying patients/their relatives, changes in the ideas about death, and changes in the ideas about terminal/dying patients. The study shows a lack of guidance on the part of teachers who also avoid patients and families who are considered terminally ill.
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Affiliation(s)
- Şenay Gül
- Fundamentals of Nursing Department, Faculty of Nursing, Hacettepe University, Ankara, Turkey
| | - Seyhan Demir Karabulut
- Department of Medical Ethics and History, Faculty of Medicine, Baskent University, Ankara, Turkey
| | - Handan Eren
- Department of Nursing, Health Sciences Faculty, Yalova University, Yalova, Turkey
| | | | | | - Şükrü Keles
- Department of Medical Ethics and History, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
| | - Abdullah Yıldız
- Department of Medical Ethics and History, Faculty of Medicine, Ankara University, Ankara, Turkey
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Cerit MN, Öner AY, Yıldız A, Cindil E, Şendur HN, Leventoğlu S. Perianal fistula mapping at 3 T: volumetric versus conventional MRI sequences. Clin Radiol 2020; 75:563.e1-563.e9. [PMID: 32334811 DOI: 10.1016/j.crad.2020.03.034] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Accepted: 03/23/2020] [Indexed: 01/06/2023]
Abstract
AIM To evaluate volumetric contrast-enhanced three-dimensional T1-weighted (CE 3D T1) turbo spin-echo (TSE) with variable flip angle (SPACE), CE 3D T1 volumetric interpolated breath-hold examination (VIBE) sequences with conventional CE-two-dimensional (2D)-T1 and 2D-T2-weighted imaging (WI) sequences in assessing perianal fistulas. METHODS AND MATERIALS Twenty-three patients with perianal fistula were included in this prospective study and underwent pelvic magnetic resonance imaging (MRI) at 3 T including fat-supressed CE 3D T1 SPACE, CE 3D T1 VIBE, axial and coronal 2D-T1WI together with 2D-T2WI sequences in the axial and coronal planes. Acquisition times were recorded. Performance of each sequence was evaluated in terms of image quality, presence of artefacts, lesion conspicuity, fistula type, presence of abscess, visibility of internal orifice, and number of internal orifices. Results were compared with post-surgical findings defined as the reference standard. RESULTS Both CE 3D T1 VIBE and CE 3D T1 SPACE were the best sequences to determine fistula type and in terms of image quality, artefacts, and determining locations of internal orifices. The number of internal orifices was detected correctly in 23 (100%) patients for CE 3D T1 SPACE and CE 3D T1 VIBE sequences, in 17 (73.9%) patients on CE-T1WI, and in seven (30.4%) patients on 2D-T2WI. Lesion conspicuity was higher for CE 3D T1 SPACE and CE 3D T1 VIBE sequences compared to the 2D sequences (p<0.05). The overall acquisition time for each 3D sequence was shorter compared to the 2D sequences combined. CONCLUSION CE 3D T1 SPACE and CE 3D T1 VIBE sequences may outperform conventional 2D sequences in the evaluation of perianal fistulas in terms of visibility and number of internal orifices with a shorter scanning time.
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Affiliation(s)
- M N Cerit
- Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey.
| | - A Y Öner
- Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - A Yıldız
- Department of General Surgery, Yıldırım Beyazıt University, Yenimahalle Research and Training Hospital, Ankara, Turkey
| | - E Cindil
- Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - H N Şendur
- Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - S Leventoğlu
- Department of General Surgery, Gazi University Faculty of Medicine, Ankara, Turkey
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Calapkulu M, Sencar ME, Yıldız A, Unsal IO, Cakal E. A Rare Clinical Manifestation of Graves' Disease: Evans Syndrome and a Review of the Literature. Acta Endocrinol (Buchar) 2020; 16:518-521. [PMID: 34084247 DOI: 10.4183/aeb.2020.518] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Evans syndrome is a rare combination of autoimmune hemolytic anemia and immune thrombocytopenia. Evans syndrome in cases of Graves' disease is extremely rare. The coexistence of these autoimmune diseases suggests that they may share a common pathogenic pathway. The case here presented is of a 36-year old female patient who was admitted for anemia and thrombocytopenia and was diagnosed with Evans syndrome associated with Graves' disease, and was then treated with methimazole and methylprednisolone (MPSL). During follow-up, MPSL was discontinued gradually over the course of two months. Interestingly, while Evans syndrome is characterized by frequent relapses, this patient has been in remission of Evans syndrome for approximately 1 year without MPSL therapy. The remission of Evans syndrome associated with Graves' disease in the absence of immunosuppressive therapy suggests that these 2 diseases have a common pathogenetic mechanism.
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Affiliation(s)
- M Calapkulu
- University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital - Endocrinology and Metabolism - Ankara, Turkey.,University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital - Endocrinology and Metabolism - Ankara, Turkey
| | - M E Sencar
- University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital - Endocrinology and Metabolism - Ankara, Turkey
| | | | - I O Unsal
- University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital - Endocrinology and Metabolism - Ankara, Turkey
| | - E Cakal
- University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital - Endocrinology and Metabolism - Ankara, Turkey
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Sağlam B, Albayrak M, Yıldız A, Tığlıoğlu M, Cömert P, Öztürk ÇP, Maral S, Öztürk HA, Şahin O. Localized skin edema associated with ATRA in a patient with acute promyelocytic leukemia: a case report. Leuk Res 2019. [DOI: 10.1016/s0145-2126(19)30342-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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15
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Cömert P, Yıldız A, Albayrak M, Yıldırım M, Tığlıoğlu M, Sağlam B, Maral S, Öztürk HA, Aylı M, Şahin O. Clinical features and possible prognostic factors in patients with marginal zone lymphoma: retrospective analysis from two centers. Leuk Res 2019. [DOI: 10.1016/s0145-2126(19)30277-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Cömert P, Albayrak M, Yıldız A, Tığlıoğlu M, Sağlam B, Şahin O. Richter transformation in patients with chronic lymphocytic leukemia: three cases and literature review. Leuk Res 2019. [DOI: 10.1016/s0145-2126(19)30344-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Aras MR, Albayrak M, Maral S, Cömert P, Yıldız A, Sağlam B. A rare association, myelofibrosis secondary to essential thrombocytosis and monoclonal gammopathy of undetermined significance. Leuk Res 2019. [DOI: 10.1016/s0145-2126(19)30313-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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18
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Gunduz S, Ozdogan M, Yıldız A, İlkgül Ø, Kargı A, Kaya V, Øzozan Ø. Oligometastatic breast cancer can be cured? Breast 2019. [DOI: 10.1016/s0960-9776(19)30227-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Taslidere E, Vardi N, Parlakpinar H, Yıldız A, Taslidere B, Karaaslan MG. Effects of melatonin on acetylsalicylic acid induced gastroduodenal and jejunal mucosal injury. Biotech Histochem 2018; 93:485-495. [PMID: 30388896 DOI: 10.1080/10520295.2018.1442020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
We evaluated the effects of melatonin on acetylsalicylic acid (ASA) induced gastroduodenal and jejunal mucosal injury. We used 40 postpubertal rats divided randomly into five groups of eight animals. The control group consisted of untreated animals. The Mel group was injected intraperitoneally (i.p.) with 5 mg/kg melatonin. The ASA group was injected i.p. with 200 mg/kg ASA. The ASA + Mel group was injected i.p. with 5 mg/kg melatonin 45 min after administering 200 mg/kg ASA i.p. The Mel + ASA group was injected i.p. with 5 mg/kg melatonin 45 min before administering 200 mg/kg ASA i.p. We found no statistically significant differences in mean histopathological scores in the ASA + Mel group compared to the ASA group. ASA caused shortened villi and loss of the apical villus in the duodenum. The histopathological score was increased and villus height was decreased in the ASA group compared to untreated controls. Treatment with melatonin attenuated the histological damage. In the ASA group, occasional areas showed erosion of villi in the jejunum; however, differences in mean histopathological score in ASA group compared to the other groups were not statistically significant. Malondialdehyde (MDA), glutathione (GSH) and superoxide dismutase (SOD) activities were measured in stomach, duodenal and jejunum tissue. We found increased MDA activity in both stomach and duodenal tissues in the ASA group compared to the control group (p < 0.05). We found no statistically significant changes in MDA levels in jejunal tissue in the ASA group compared to the control group. We found no change in SOD activity in either stomach or duodenal tissues in the ASA group compared to the control group. We observed decreased SOD activity in jejunal tissue in the ASA group compared to the control group (p < 0.05). We detected no change in GSH activity in stomach, duodenal or jejunal tissues in the ASA group compared to the control group. The stomach damage was less in melatonin treated groups, but the lesions were not completely eliminated. The jejunum in the ASA group retained a nearly normal appearance. We found that melatonin exhibited some healing effects on ASA induced duodenal mucosal injury.
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Affiliation(s)
- E Taslidere
- a Department of Histology and Embryology, Medical Faculty , Bezmialem Vakif University , Istanbul
| | - N Vardi
- b Department of Histology and Embryology, Medical Faculty , Inonu University , Malatya , Turkey
| | - H Parlakpinar
- c Department of Pharmacology, Medical Faculty , Inonu University , Malatya , Turkey
| | - A Yıldız
- b Department of Histology and Embryology, Medical Faculty , Inonu University , Malatya , Turkey
| | - B Taslidere
- d Department of Emergency Medicine , Malatya State Hospital , Malatya , Turkey
| | - M G Karaaslan
- e Department of Biochemistry, Medical Faculty , Inonu University , Malatya , Turkey
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Dizdar O, Yıldız A, Gul B, Gunal A, Ersoy A, Gundogan K. Effects of renal replacement therapies on nutritional status and micronutrient levels. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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21
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Akın M, Erginel B, Sever N, Özel K, Bayraktar B, Yıldız A, Karadağ ÇA, Tokel M, Dokucu Aİ. Can serum soluble urokinase plasminogen activator receptor be an effective marker in the diagnosis of appendicitis and differentiation of complicated cases? ULUS TRAVMA ACIL CER 2018; 24:110-115. [PMID: 29569681 DOI: 10.5505/tjtes.2017.05752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Soluble urokinase plasminogen activator receptor (suPAR) is a new biomarker of inflammation level. The aim of the study was to evaluate whether suPAR levels could be useful to detect acute appendicitis and to differentiate uncomplicated appendicitis (UA) from complicated appendicitis (CA). METHODS We prospectively studied 105 patients consisting of 40 UA cases, 40 CA cases, and 25 control patients. Blood samples were collected to measure suPAR level, C-reactive protein level, leukocyte counts, neutrophil counts, and neutrophil percentages preoperatively. RESULTS Median values of suPAR level, C-reactive protein level, leukocyte counts, neutrophil counts, and neutrophil percentages in UA and CA were significantly higher than control patients. suPAR levels of the UA and CA groups showed a statistically significant difference (p=0.016). CONCLUSION The current study demonstrated that serum suPAR concentrations can be helpful in differentiating CA from UA and in diagnosing acute appendicitis.
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Affiliation(s)
| | - Başak Erginel
- Department of Pediatric Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Turkey.
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Karadağ ÇA, Abbasoğlu L, Sever N, Kalyoncu MK, Yıldız A, Akın M, Candan M, Dokucu Aİ. Ultrasound-guided hydrostatic reduction of intussusception with saline: Safe and effective. J Pediatr Surg 2015; 50:1563-5. [PMID: 25863544 DOI: 10.1016/j.jpedsurg.2015.03.046] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Revised: 03/01/2015] [Accepted: 03/07/2015] [Indexed: 10/23/2022]
Abstract
PURPOSE The study was undertaken to assess the efficacy of ultrasound-guided saline enema in reducing intussusception and to determine the role of age and duration of symptoms on this event. METHODS The case records of patients who were treated for intussusception at our institutions over the past 10 years were retrospectively analyzed. A total of 419 patients were treated for intussusception and 375 of them were included into the study. Patients were excluded if they had symptoms and signs of acute abdominal disease and required surgery as an initial treatment. RESULTS Hydrostatic reduction was successful in 313 of the 375 patients (83.46%). The procedure-related complication rate was nil. There were 29 episodes of recurrences in 23 patients, and recurrence rates did not differ between patients who responded to hydrostatic reduction and those who required surgery. Younger age [median (range); 11 months (3-108 months) vs. 20 months (1-180 months); p<0.05], rectal bleeding (p<0.01) and long duration of symptoms [mean (range); 1.95 days (1-7 days) vs. 1.44 days (1-10 days); p<0.01] were significantly associated with failed hydrostatic reduction. CONCLUSION Ultrasound-guided hydrostatic reduction is an easy, safe and effective method for the treatment of intussusception in the absence of acute abdominal findings.
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Affiliation(s)
- Çetin Ali Karadağ
- Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey.
| | - Latif Abbasoğlu
- Acıbadem University Faculty of Medicine, Department of Pediatric Surgery, Istanbul, Turkey
| | - Nihat Sever
- Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey
| | - Meltem Kaba Kalyoncu
- Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey
| | - Abdullah Yıldız
- Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey
| | - Melih Akın
- Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey
| | - Mustafa Candan
- Acıbadem Kadıköy Hospital, Department of Pediatric Surgery Istanbul, Turkey
| | - Ali İhsan Dokucu
- Şişli Hamidiye Etfal Training and Research Hospital, Department of Pediatric Surgery, Istanbul, Turkey
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Erginel B, Vural S, Akın M, Karadağ CA, Sever N, Yıldız A, Tanık C, Demir AA, Yanar O, Dokucu Aİ. Wilms' tumor: a 24-year retrospective study from a single center. Pediatr Hematol Oncol 2014; 31:409-14. [PMID: 25007381 DOI: 10.3109/08880018.2014.930767] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Medical records of 71 children with Wilms' tumor at Sisli Etfal Education and Research Hospital between 1990 and 2014 were reviewed. Mean age at diagnosis was 3.11 years (2 days-7 years). Male to female ratio was M/F = 6/10. The incidence of associated anomaly was 16.9%. Clinical manifestations included abdominal mass (89%), hematuria (30%), hypertansion (25%), abdominal pain (15%), fever (5%), restlessness (2%), weight loss (2%), varicocele (1%). Ultrasound (USG) was the most often initial study in a child presenting with abdominal mass. Doppler USG was also made to evaluate the inferior vena cava (IVC) for the presence of tumor extension in children with renal mass. The left kidney was affected in 33 patients (46.5%), the right was affected in 31 patients (43.7%). Two patients was extrarenal (2.8%). And 5 patients (7.04%) were bilateral on the presentation. Preoperative chemotheraphy was done in 14 cases. In 63 patients with unilateral Wilm tm, unilateral radical nefrectomy is performed. In one patient with solitary kidney, nephron sparing surgery (NSS) is performed. In 3 patients with bilateral tm NSS is performed and in 2 patients with bilateral Wilms' tm NSS is performed in one side and nefrectomy on the other side. Out of 71 Wilms tumor (WT) patients, 17 of them has been out of our follow. And 4 of them are died. Ten of them has metastases. Forty children are under follow with no metastases. Patients with WT needs a multimodal, multidisiplinary treatment with the cooperation of pediatric oncologist and pediatric surgeon and needs close follow-up.
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Affiliation(s)
- Başak Erginel
- 1Department of Pediatric Surgery, Sisli Etfal Education and Research Hospital, Istanbul, Turkey
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Abstract
Crossed testicular ectopia or transverse testicular ectopia is an extremely rare anomaly characterised by migration of one testis towards the opposite inguinal canal, usually associated with unilateral inguinal hernia. This report describes six cases of crossed ectopic testes, one of the largest series, and with unusual clinical histories.
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Affiliation(s)
| | - Başak Erginel
- Şişli Etfal Education and Research Hospital, Departments of Pediatric Surgery, Istanbul, Turkey
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Oylumlu M, Doğan A, Oylumlu M, Yıldız A, Yüksel M, Kayan F, Kilit C, Amasyalı B. PP-266 Relationship Between Platelet to Lymphocyte Ratio and Coronary Slow Flow. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Duyuler S, Çoner A, Bayır P, Demirkan B, Korkmaz A, Yıldız A. OP-027 Aortic Distensibility in Postmenopausal Grandmultiparous Women with Metabolic Syndrome: A Comparison Between Revised NCEP ATP III and IDF Definitions in Diagnosing Metabolic Syndrome. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Akın M, Erginel B, Yıldız A, Bayraktar B, Yanar F, Karadağ CA, Sever N, Dokucu AI. Role of dissemination of microorganisms during laparoscopic appendectomy in abscess formation. ULUS TRAVMA ACIL CER 2014; 20:28-32. [PMID: 24639312 DOI: 10.5505/tjtes.2014.40359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND The aim of this study was to investigate the potential contributory role of laparoscopic appendectomy in the occurrence of postoperative intra-abdominal infections. METHODS A prospective single-center study including 48 patients who underwent laparoscopic appendectomy was conducted between August 2010 and September 2011. Two peritoneal samples were obtained from each patient in the pre- and post-appendectomy period. Aerobic and anaerobic microbiological cultures were obtained from the samples. The data were analyzed with statistical methods. RESULTS The mean age of the 48 patients (29 male, 19 female) was 10.9 years. Among the pre-appendectomy aerobic cultures, microorganisms were isolated in 18 of the patients (38%), with Escherichia coli being the most common. In post-appendectomy aerobic cultures, various bacteria were isolated in 7 patients (14.6%), with the numbers of bacteria statistically significantly reduced (p<0.05). Anaerobic microorganisms were isolated in 12 patients (25%) and 4 patients (8.3%) in pre- and post-appendectomy cultures, respectively, with Bacteroides fragilis the most common organism; there was a significant reduction in the bacterial count (p<0.05). Each patient was regarded as their own control. CONCLUSION Our results suggest that laparoscopic appendectomy does not cause an increase in intra-abdominal infections, and particularly not infections associated with anaerobic bacteria.
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Affiliation(s)
- Melih Akın
- Department of Pediatric Surgery, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Başak Erginel
- Department of Pediatric Surgery, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Abdullah Yıldız
- Department of Pediatric Surgery, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Banu Bayraktar
- Department of Microbiology, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Fatih Yanar
- Department of General Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey
| | - Cetin Ali Karadağ
- Department of Pediatric Surgery, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Nihat Sever
- Department of Pediatric Surgery, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Ali Ihsan Dokucu
- Department of Pediatric Surgery, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
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Abstract
Described herein are six cases of transverse testicular ectopia. All patients who underwent orchidopexy at the one pediatric surgical unit between October 2001 and January 2008 were evaluated. The medical records of all patients diagnosed with transverse testicular ectopia were evaluated retrospectively. Five patients (84%) were admitted with a symptomatic right inguinal hernia and empty scrotum on the left side. Only one child (16%) had left-sided hernia and right non-palpable testis (age ranged from 1 month to 3 years). Four patients (66%) were diagnosed in the operating theatre and the last two (33%) on inguinal ultrasound preoperatively. Magnetic resonance imaging was also performed in the last patient. Herniorrhaphy with fixation of the ectopic gonad to the opposite hemiscrotum through a transseptal incision was performed in all patients. Postoperative complications were not observed.
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Affiliation(s)
- Abdullah Yıldız
- Department of Pediatric Surgery, Şişli Etfal Research and Training Hospital, Istanbul, Turkey
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Çelebi S, Yıldız A, Üçgül A, Karadağ ÇA, Sever N, Akın M, Dokucu Aİ. Do open repair and different laparoscopic techniques in pediatric inguinal hernia repairs affect the vascularization of testes? J Pediatr Surg 2012; 47:1706-10. [PMID: 22974610 DOI: 10.1016/j.jpedsurg.2012.03.044] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2012] [Revised: 02/26/2012] [Accepted: 03/09/2012] [Indexed: 11/18/2022]
Abstract
PURPOSE The aim of this study was to evaluate, using Doppler ultrasonography, the effects of different hernia repair techniques on testicular perfusion in the pediatric age group. METHODS This study was based on a prospective clinical trial of 72 pediatric patients over 2 years of age with unilateral inguinal hernia. They were operated on using 1 of 3 different techniques. Group 1 included 26 patients who were treated with a conventional open hernia repair technique. Group 2 included 22 patients who underwent Schier intracorporeal laparoscopic suture technique. Group 3 included 24 patients who underwent the laparoscopic partial excision and purse-string technique described by Montupet. In all cases, blood flow index of the centripetal and capsular arteries of the testes, including peak systolic velocity (PSV) and resistivity index (RI), were examined by using Doppler ultrasound preoperatively and early and late postoperatively. RESULT The conventional open technique group (group 1) had transient temporary changes in PSV and RI values compared with preoperative findings; however, these changes were not statistically significant. No such changes were observed in the 2 laparoscopic groups. CONCLUSION Neither conventional open nor laparoscopic hernia repair techniques impaired testes vascularization. Surgical manipulations performed using the conventional open repair technique caused transient, but not significant, changes in PSV and RI values.
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Affiliation(s)
- Süleyman Çelebi
- Department of Paediatric Surgery, Şişli Etfal Training and Research Hospital, 34381 Istanbul, Turkey
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Bertozzi M, Yıldız A, Kamal B, Mustafa M, Prestipino M, Yiğiter M, Al-Darawany H, Oral A, Nardi N, Appignani A. Multicentric experience on double dartos flap protection in tubularized incised plate urethroplasty for distal and midpenile hypospadias. Pediatr Surg Int 2011; 27:1331-6. [PMID: 21935592 DOI: 10.1007/s00383-011-2978-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/05/2011] [Indexed: 10/17/2022]
Abstract
PURPOSE We report a multicenter experience using double dartos flap to protect the neourethra in TIP urethroplasty for distal and midpenile hypospadias. METHODS A total of 394 patients underwent tubularized incised plate urethroplasty for primary distal and midpenile hypospadias using double dartos flap protection by ten pediatric surgeons and urologists at five different institutions. RESULTS Tubularized incised plate urethroplasty protected by a double dartos flap was simple to perform and flaps were easy to obtain. Complications occurred in 23 patients (5.83%): fistulas 1.01% (4 cases), stenosis 0.25% (1 case), mild stenosis 2.53% (10 cases), dehiscence of ventral cutis 0.50% (2 cases) and penile torsion 1.26% (5 cases). All fistulae had a spontaneous resolution. CONCLUSION Double dartos flap to protect tubularized incised plate urethroplasty is safe with a low complication rate. The neourethra is covered entirely with a double layer of vascularized tissue and the double coverage appears a good choice for preventing urethrocutaneous fistula formation.
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Affiliation(s)
- M Bertozzi
- S. C. di Clinica Chirurgica Pediatrica, Ospedale S. Maria della Misericordia, Università degli Studi di Perugia, 06100 S. Andrea delle Fratte, Perugia, Italy.
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Orhan A, Okuyan E, Okcun B, Uslu N, Nurkalem Z, Sayar N, Eren M, Mutlu H, Hasdemir H, Yıldız A, Kucukoglu S. THE EFFECTS OF PLASMA HOMOCYSTEINE LEVELS ON THE DEVELOPMENT OF LEFT VENTRICULAR THROMBUS IN PATIENTS WITH ANTERIOR MYOCARDIAL INFARCTION. ATHEROSCLEROSIS SUPP 2008. [DOI: 10.1016/s1567-5688(08)70341-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Yıldız A, Hayirli A, Okumuş Z, Kaynar Ö, Kısa F. Physiological Profile of Growing Rats: Effects of Cage Type and Cage Density. Asian Australas J Anim Sci 2006. [DOI: 10.5713/ajas.2007.263] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Hayirli A, Esenbuğa N, Macit M, Yörük MA, Yıldız A, Karaca H. Nutrition Practice to Alleviate the Adverse Effects of Stress on Laying Performance, Metabolic Profile and Egg Quality in Peak Producing Hens: II. The Probiotic Supplementation. Asian Australas J Anim Sci 2005. [DOI: 10.5713/ajas.2005.1752] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Abstract
The secondary metabolites in Lobaria pulmonaria and L. scrobiculata collected in northeast Anatolia are studied using HPLC. Constictic, nortictic and stictic acids are the major components in L. pulmonaria; in addition connorstictic, cryptostictic, and menegazziaic acids are present as minor constituents. In L. scrobiculata constictic, stictic, and usnic acids and m- scrobiculin are the major compounds; while cryptostictic and norstictic acids, and p- scrobiculin are present as minors.
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