Selçuk Tıp Dergisi Arşiv

İn our study 85 (40 male and 45 female) human skulls were obtained from skeletal collections belong to the Anatomy Department of the Medical Faculty, University of Selçuk. İn this study the use of anthropometric data from the skulls to evaluate the gender differences, and to identify their anthropological cranial types according to the cephalic indices results. Anthropometric skull measurements were used to establish a comparative study betvveen the obtained literatüre data from previous anthropometric studies on skulls from Aşıklıhöyük area belong to Neolithic age (5000-3000 B.C.) and skulls from Panaztepe area belong to Islamic period (800 A. D.) on one hand, and on the other hand, skulls belong to contemporary individuals from Konya city (Mid-Anatolia) and Ceyhan city (Sourthern Anatolia),who died during the tvventieth century. The results demonstrated that bi-orbital and bizygomatic measurements showed significantly higher values in males (p<0.05) those can be used in the gender differentiation. İn males, cephalic index was 79.07 ± 5.22, in females it was 79.50 ± 5.76. İn males %30.7 of the skulls and in females %41.6 of the skulls were demostrated the Mesocephal (oval-shape) type which was found to be the most common type in the present study.

This study has been planned for investigating the effects of TİVA, vvhich is formed by the combination of midazolam-fentanyl and VİMA with inhalation of sevoflurane on the induction and maintenance of anesthesia, recovery period and cognitive functions of anesthesia in geriatric age. Patients undergoing to transurethral prostatectomy ( TUR-P ) were randomly divided two groups as Group M and S. İnduction vvas performed with midazolam and fentanyl in group M and inhalation ın Group S. Mask tolerance, induction time, reflexes of respiration, extubation, eye-opening time and time for telling his/her name, and advers effects were examined in both groups. The mean arterial blood pressure and heart rate vvere also recorded during the operation. The hemoglobin and 02 saturation values vvere recorded before the operation, 2 and 24 hours after the operation. The mental status test vvas applied. The induction time of Group M vvas found to be longer and eye-opening time and time for telling name vvere significantly shorter than Group S ( p<0.05). Heart rate vvas significantly lovver in group M 2 minutes after operation starts and at 30th minute of the operation ( p<0.05 ). The mental status test shovved no difference betvveen two groups in every mental status examining period ( p>0.05 ). There vvas no difference betvveen the preoperative values and postoperative 24 hours’ values.İn conclusion, each of the anesthesia methods can be a choice for this group of age by providing a heamodynamically stable anesthesia, fast and comfortable recovery. İn addition, the effects of these methods on early cognitive functions did not differ from each other.

İn this retropective study, patients with atherosclerotic risk factors and the related clinical diagnosis, angiographic scoring and regional distribution were investigated. A total of 630 patients (450 male, 180 female, mean age 56,2 ± 9.3) t hat underwent coronary angiography were enrolled. Patients were classified according to the clinical characteristic and Reardon’s modified severity scoring which is the indicator of the extend of coronary artery disease, was calculated. A parallel increase in coronary disease along with higher triglicehdes was observed, which was significantly different betvveen single and double vessel disease(p<0,05). The same correlation was apparent between HDL levels and the extent of the disease vvhich was remarkable in single and triple vessel disease group (p<0,05). Triglyceride levels varied as higher in males younger than 60 year of age vvhile smoking was lower in the same group (p<0,05). On the other hand hypertension was observed more frequently in elder patients (<60 year of age) (p<0,05). As a conclusion, ali risk factors other than smoking appeared to be higher than TEKHARF cohort, which were given for Central Anatolia region.

/Ve observed patients with Herpes Zoster for the malignant diseases who came to dermatology elinle in the last five years. Of the 213 patients, in 12 ( % 5.68) we found malignant diseases such as pulmonary, hepatic, ovary, bladder cancers, squamous celi carcinoma, chronic lymphositic leukemia and non- hodgkin lymphoma. We suggest that, patients with Herpes Zoster must be searehed for malignant diseases, but it doesn ’ t mean that Herpes Zoster is a cancer marker.

Aerosol glucocorticoids and bronchodilators are highly effective in the treatment of obstructive lung disease. Treatment failures can often be attributed to poor patient compliance or incorrect use of the inhaler. IVe surveyed the patients with chronic We showed that training in application associated with demonstration and subsequent exercise reduces the error ratio to a tolerable level in COPD patients.obstructive pulmonary disease (COPD) to assess their knovvledge of and ability to use four widely used inhaler devices; metered-dose inhaler, turbuhaler and diskus. Fourteen paitents with COPD were asked to demonstrate the use of each device using placebo inhalers. The inhalation technique was assessed in ten steps. Correct use was considered if 10 points were obtained. This study showed a high incidence of incorrect usage of inhalers amongst COPD patients.

İn this study, we aimed to investigate; diagnostic usefulness and sensitivity-specisifity values of some of the tumor markers (such as:CEA, CA 19-9, CA 125, and AFP) in totally 112 patients (75 male, 37 female) with gastric cancer. Gastric cancer group; the 57 patients (38 male, 17 female) mean age 55.36±1.37 years, benign disease group; the 30 patients (20 male, 10 female) mean age 53.53+1.97 years, control group; the 25 healtly (17 male, 8 female) mean age 57.11 ±2.87 years. No statistical significant difference was found betvveen the groups for age and sex (p>0.05). Preoperative tumor marker values; CEA, CA 125 and CA 19-% levels in gastric cancer group were found to be highly significiant among benign disease and control groups (p<0.05). Postoperative tumor marker values; CA 125 and CA 19-9 levels in gastric cancer group were found to be highly significant control group (p<0.05), but only CA 125 level were found to be highly significant benign disease group (p<0.05). Preoperative tumor marker value; No statistical significant difference was found between benign disease group and control group from ali of the tumor marker levels (p>0.05). Postoperative tumor marker values; CA 19-9 levels in benign disease group were found to be highly significant control group (p<0.01). The sensitivity and specificity of AFP were 3.5-100%, sensitivity and specificity of CEA were 63-100%, sensitivity and specificity of CA 125 were 35-96%, sensitivity and specificity of CA 19-9 were 47-100% in gastric cancer, respectively. İn conclusion, tumor markers, especially CA 125 and CA 19-9 can be used in clinical applications (e.g. diagnosis, preoperative evaluation and follow up ete.) of gastric cancers.

Though so far, several histological studies on fibrin-glued microvascular anastomosis have been performed. We have noticed only one experimental angiographical study. The present study was designed to investigate the short term arterial patency of vascular end to end anastomosis not only histologically but also angiographically. Sixteen New Zealand type rabbits were used. The left femoral artery was used as a control which sutured with conventional microvascular suturing technique and the right was sutured with fibrin glue using fifty percent reduced suture number. At the first postoperative week fallowing the angiographic examination a histologic examination was also performed. VVe have found no patency difference betvveen the right and the left sides angiographically. Histological findings were similar betvveen the two sides.

House dust mites are found in human housing, particularly in bedding and furniture in many parts of world. İt feeds on epidermal flakes shied from human skin and, some humans become allergic disease. Because of the fact that house dust mites and their dropping are the most important causative of the allergic rhinitis, asthma and atopic dermatitis world wide. Medical and economical importance, taxonomy, biology, description, detection, control of such mites are revievved in the light of recent literatüre.

İt was suggested that translocations and other chromosomal rearrangements disturb meiotic disjunction mechanism and increase predisposition to trisomic offsprı'ngs. VVe report a case with Down syndrome whose karyotype was 47,XY,t(5;12)(5pter->5q11 ::12q24->12qter;12pter->12q24::5q11-> 5qter),+21. Because of the absence of any phenotypic findings, except Down syndrome stigmata, he has been accepted as a balanced translocation carrier with trisomy 21. His father was a carrier of this translocation so, the possible effect of parental translocations to the meiotic disjunction was discussed.

Lymphocytic adenohypophysitis is a rare disease associated with late pregnancy and early postpartum. Autoimmune mechanism is blamed as cause. İt is frequent in females, and may be misdiagnosed as pituitary adenoma. 29 years-old -female with 2 children presented with headache follovving cryptic tonsillitis. Recently she had problems vvith her Vision. Clinical and radiological work up including magnetic rezonance imaging revealed a mass in the sellar and suprasellar region. She undervvent surgical decompression follovving functional hormona! studies. Histopathologic evaluation of the specimen was reported as lymphocytic hypophysitis. Differential diagnosis of lymphocytic hypophysitis from that of adenoma is important in planning surgery. Relation to the pregnancy, a severe hypopituitarism, edematous anterior and posterior pituitary lobe are in favour of lymphocytic hypophysitis. But certain diagnosis is made via histopathologic diagnosis. İt is thought to be autoimmune in origin especially in pregnant or recently delivered vvomen. But in nonpregnant persons it may start or be aggravated after an infection as it is in our patient.

Distruction of urethral anatomic continuation resulted from some complication like infections , rupture and fistula which arise from foreign body insertion . These foreign bodies are inserted for desire, erotic stimulation and infravesical obstruction. A 60 years old male patient presented with uretheral foreign body (90 cm electric cable) which thought to be inserted for overcoming the infravesical obstruction which resulted from BPH.