Gaziantep Medical Journal最新文献

{"title":"Nadir rastlanan bir bakteriyemi etkeni: Leuconostoc spp","authors":"Ebru Uncu, Yasemin Zer, Mustafa Pehlivan, Tekin Karsligi̇l, H. Şahin, Vahap Okan","doi":"10.5455/GMJ-30-2012-100","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-100","url":null,"abstract":"Immunsupresif tedavi alan akut myelositik losemili (AML) 53 yasindaki kadin hastada tekrarlayan bakteriyemi ataklari sonrasinda, kan kulturu orneginden Leuconostoc spp. izole edildi. Dogada yaygin olarak bulunan Leuconostoc spp. vankomisine dogal direncli Gram pozitif bir bakteridir. Enfeksiyonlarda nadiren hastalik etkeni olarak soyutlansa da ozellikle immunsuprese hastalarda cesitli sistemik enfeksiyonlara neden olmaktadir. Bu olgu laboratuvarimizda ilk kez bakteriyemi etkeni olarak Leuconostoc spp izole edilmesinden dolayi sunulmustur.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"69 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125968692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immunological and clinical progress of HIV-infected patients on highly active antiretroviral therapy in north west Ethiopia -","authors":"N. Wabe, M. Alemu","doi":"10.5455/GMJ-30-2011-65","DOIUrl":"https://doi.org/10.5455/GMJ-30-2011-65","url":null,"abstract":"The survival benefits of highly active antiretroviral therapy (HAART) in HIV infected patients have been studied well in the developed world. In resource poor settings like Ethiopia such treatment was started only in 2003. As a result, the existing treatment guidelines and recommendations are based on data from the developed world. The objective of this study was to determine the immunological and clinical progress in HIV/AIDS patients in one year data review of patients' card who initiated on HAART in Ethiopia. A retrospective cohort study was done based on past medical records of HIV/AIDS patients, using a structured data collection format. All patient cards of one year data with patients who initiated HAART from October 1, 2006 to November 30, 2007 were included in the study. The data collected was analyzed using SPSS for window version 16.0. The majority of the study population (383, 64.2%) were prescribed zidovudine/lamivudine/neverapine (ZDV/3TC/NVP) regimen initially. Overall functional status change showed that ability to work was increased by 31.5%, being ambulatory decreased by 93.4% and bedridden status decreased by 80%. A total of 240 (46.9%) patients have showed functional status improvement. Average mean weight change of 5.9 kg (increment by 11.9%) was seen during a one year follow-up. The patients showed immunological change from 132.883 mean CD4/mm3 count to 335.87 mean CD4/mm3. About 492 (82.4%) patients present with different type of opportunistic infections (OIs) at start of therapy which dramatically dropped to only 40 (6.7%) patient after one year of receiving HAART. HAART initiation has decreased progression of the diseases and improved the patients' quality of life. Most patients have showed a significant increment in their CD4 count. The restoration of CD4 in turn has improved the clinical status of most patients. Despite the significant progression of health of patients, greater immunological and clinical success should be attained by encouraging patients for effective use of those lifesaving drugs with maximal adherence.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122300684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Şizofreni tanısıyla izlenen bir olguda vitamin B12 eksikliği","authors":"Ibrahim Duvarci, M. Yılmaz, Fahri Tuna","doi":"10.5455/GMJ-30-2012-86","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-86","url":null,"abstract":"Medical disorders may be mistaken for a primary psychiatric disturbance because of prominent and commonly associated psychiatric or behavioral manifestations. The lack of recognition of the underlying medical condition precludes optimal treatment even though the psychiatric treatment might be appropriate for the symptoms, often manifesting as inadequate response or psychotropic treatment resistance. Deficiency of vitamin B12 has a well-established association with a wide variety of neurologic and psychiatric presentations includes slowed mentation, delirium, affective disorder, personality change, and acute or chronic psychosis. We present here a 41 year-old female patient who was previously hospitalized and then followed as schizophrenia without remission. During our current hospitalization, laboratory investigations confirmed very low serum B12 level and consequent megaloblastic anemia. She recovered dramatically with short term antipsychotic medication and intramuscular vitamin B12 supplementation. She remained asymptomatic and functionally independent at four months follow up. This case underscores the importance of considering vitamin B12 deficiency in the differential diagnosis of patients with schizophrenia.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121099555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parotid gland papillary adenocarcinoma in a child","authors":"B. Abdullah, I. Zainon, Farveen Marican, M. Ayub","doi":"10.5455/GMJ-30-2012-88","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-88","url":null,"abstract":"Papillary adenocarcinoma or cystadenocarcinoma is a rare malignancy of salivary gland which usually affects major salivary gland such as parotid. Although, papillary adenocarcinoma has a higher incidence in older age group, it should also be considered in younger patients. Local excision such as total parotidectomy with or without neck dissection, followed by radiotherapy is the main treatment. A case of parotid gland papillary adenocarcinoma in a 14 years old patient was reported. A total parotidectomy and postoperative radiotherapy were performed. There was no recurrence of tumor after 1 year of follow up.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115160668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum adenosine deaminase activity in Iraqi patients with breast cancer on tamoxifen therapy","authors":"Al-Rubaye Faisal, Morad Taha","doi":"10.5455/GMJ-30-2012-96","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-96","url":null,"abstract":"Meme kanseri meme dokusundan kaynaklanan bir kanser tipidir. Tamoksifen hem postmenapozal hem de premenapozal kadinlardaki meme kanserleri icin kullanilan yaygin bir endokrin terapisidir. Adenozin deaminaz(ADA) purin metabolizmasinda yer alir ve ayni zamanda cogu kanserde artmistir. Bu calismada tamoksifen terapisi alan meme kanserli hastalardaki ADA durumunu degerlendirilmesi amaclanmistir. Mevcut calisma kesitsel bir calisma olup 2010-2011 yillari arasinda Al-Kadhuma Egitim Hastanesi’nde yapilmistir. Bu prosedur ostrojen pozitif (tamoksifen tedavisi alan veya almayan) olan meme kanserli hastalarin serumlarindaki ADA olcumunu icermektedir. Bu olcum ELISA Kit for Adenosine Deaminase (ADA) E91390Hu kullanilarak yapilmistir. Toplam 160 hasta calismaya dahil edilmis olup bunlar yeni teshis edilmis premenopozal kadinlar BC G1: (n=40); yeni teshis edilmis postmenopozal kadinlar BC G2: (n=40); tamoksifen terapisindeki meme kanserli premenopozal kadinlar G3: (n=40); tamoksifen terapisindeki meme kanserli postmenopozal kadinlar G4: (n=40) olarak siniflandirilmislardir. Karsilastirma grubu olarak 80 saglikli kadin, kontrol grubu olarak (n=80) calismaya dahil edilmis olup premenopozal kadinlar G5: (n=40); postmenopozal kadinlar G6: (n=40) olarak siniflandirilmislardir. Yeni teshis edilmis meme kanserli kadinlarla karsilastirildiginda, serum ADA seviyesi tamoksifen alan hastalarda onemli olcude dusmustu (p","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132525842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent hypertensive intracerebral hemorrhage: a case series from a single institution in Iraq","authors":"Amin Osama Shukir Muhammed, H. M. Zangana","doi":"10.5455/GMJ-30-2012-97","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-97","url":null,"abstract":"Hipertansif intraserebral kanama (HIK) genellikle yasam boyunca bir kez gorunur. Calismamizda ise tekrarlayan HIKin kanama ozelliklerini ve prognozunu aydinlatmayi amacladik. Haziran 2008 ile Nisan 2012 tarihleri arasinda Suleymaniye Genel Egitim ve Arastirma Hastanesi, Irakta calisma prospektif, ardisik vaka serileri ile surdurulmustur. Primer HIK sonrasi yasayan hastalar degisken surelerde izlendi; sadece 4 hastada tekrarlama goruldu. Tum hastalara ilk ve ikinci basvurularinda ve belirli zaman araliklarinda tarama testi olarak kontrastsiz bilgisayarli beyin tomografisi testi uygulandi. Klinik tablolari, prognozlari ile beraber kanama bolgeleri kayit edildi. Dort hastada kadin idi yaslari 58 ve 72 yil arasinda degismekteydi. Hastalarin hepsinde uzun sureli hipertansiyon ve hiperkolesterolemi oykusu vardi. Ilk kanama odaklari beynin sol ve sag yanlarina esit dagilmisken, tekrarlayici olanlar daha cok sol yandaydi. Ucunun tekrarlayici atagi kontro-lateral iken sadece birinin ipsilateral kanama idi; putamenal-putamenal, talamik-talamik, serebellar-serebellar ve lobar-talamik. Tekrarlar arasi sure 54 gun ile 3 yil arasindaydi. Cogu hastada ilk kanama sonrasi fonksiyonel duzelme daha iyiydi ama ikinci inme belirgin norolojik hasar ile sonuclandi. Tekrarlayan HIK nadir olmasina ragmen belirgin norolojik fonksiyonel bozulma ile sonuclanir. Baskin olan sekil kontro-lateral olandir. Vakalarin yarisinda talamus hedef organdir.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128849618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ankarada ebeveynlerin rotavirüs hakkında bilgi düzeyleri ve çocukların rotavirüs aşılanma oranları","authors":"Ali Osman Koksal, Tülin Köksal","doi":"10.5455/GMJ-30-2012-104","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-104","url":null,"abstract":"Bu calismanin amaci, Ankara’da hasta yakinlarinin rotavirus gastroenteriti ve asisi hakkindaki bilgi duzeyleri ve rotavirus asisi yapilma oranlarini belirlemektir. 2010 ve 2011 yillarinda poliklinigimize basvuran 4 ayini doldurmus 500 hasta calismaya dahil edildi. Hasta yakinlarina rotavirus gastroenteriti ve asisi hakkinda bilgi sahibi olup olmadiklari, rotavirus asisinin 1.dozunu yaptirip yaptirmadiklari ve yaptirmadilarsa nedeni soruldu. 2010 yilinda calismaya alinan 250 hasta yakininin %19,2 (48/250)’ sinin rota gastroenteriti ve asisi hakkinda bilgi sahibi olduklari, %6,4 (16/250)’nun rota asinin 1.dozunu yaptirdiklari ve asi hakkinda bilgi sahibi olanlarin asi yaptirma oraninin %33,3( 16/48) oldugu bulunmustur. 2011 yilinda ise bu oranlar %24,8 (62/250 ) , %10,4 (26/250) ve %41,9 (26/62) olarak tespit edilmistir. 2010 yilinda hastalarin asi yaptirmama nedenleri; asiya guvensizlik %27,1 (13/48) ve maliyetin yuksek olusu %72,9 (35/48) ve 2011 yilinda ise bu oranlar %17,7 (11/66) ve %82,3 (55/66) olarak bulunmustur. Rotavirus gastroenteriti ve rotavirus asisi hakkinda hasta yakinlarinin bilgi duzeyinin ve asilama oranlarinin dusuk oldugu gosterilmistir. Onemli bir ishal nedeni olan rotavirus gastroenteritini onlemek icin hasta yakinlari bu konuda bilgilendirilmeli ve rotavirus asisi ulusal asilama programina alinmalidir.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"8 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120873564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ani kardiyak ölümün nadir nedeni olarak mitral kapak prolapsusu vaka sunumu ve literatür derlemesi","authors":"Mehmet Alici, Suleyman Ercan, İbrahim Sarı, Muhammed Oylumlu, Vedat Davutoğlu","doi":"10.5455/GMJ-30-2012-89","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-89","url":null,"abstract":"Mitral valve prolapsus (MVP) is common heart valve disease which is often accepted as benign. Rarely arrhythmias, mitral insufficiency and infective endocarditis can be seen in this disease. Much more rarely, MVP can lead to sudden cardiac death. We want to report and discuss that successful resuscitation of sudden cardiac death of a young male patient who had MVP. After then implantable cardiac defibrillator (ICD) was implanted to him with documented ICD defibrillation of 17 times for ventricular tachycardia/fibrillation. There was no reason for malignant arrhythmia as the cause of ICD discharge other then MVP. As a rare cause of sudden cardiac death, we aimed to discuss MVP and review sudden death risk factors in this entity.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127107277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyke-Davidoff-Masson sendromu olgusu","authors":"Mehmet Canpolat, Hatice Gamze Poyrazoğlu, Ali Yikilmaz, P. Soylu, Hüseyin Per, H. Gumuş, Sefer Kumandaş","doi":"10.5455/GMJ-30-2012-81","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-81","url":null,"abstract":"Dyke-Davidoff-Masson syndrome is a condition characterized by seizures, facial asymmetry, contralateral hemiplegia or hemiparesis and mental retardation. The clinical findings may be of variable degree according to the extent of brain injury. Cerebral hemiatrophy is frequently associated with hemiplegia, convulsions, mental deficit and subsequent epilepsy. In this article, a case of a ten-year-old boy with Dyke-Davidoff-Masson syndrome characterized by cerebral hemiatrophy in magnetic resonance imaging, left hemiparesis in physical examination and presence of seizures is presented.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129318569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The incidence and distribution of the congenital anomalies in our University Hospital","authors":"O. Balcı, Z. Ş. Taviloğlu, A. Yilmaz, M. Coşkun, Celal Varan, M. Almacıoğlu, M. Kılınç, E. Si̇vasli","doi":"10.5455/GMJ-30-2012-90","DOIUrl":"https://doi.org/10.5455/GMJ-30-2012-90","url":null,"abstract":"With the neighboring cities, our university hospital provides service to a wide area, and in this study we aimed to expose the incidence, and distribution of the congenital anomalies of the newborns that hospitalized in the period of September 2009 and December 2011. The records of the 788 patients followed in newborn intensive care unit between September 2009 and December 2011 were investigated, One hundred and seventeen newborns were detected as having congenital anomalies. Twenty seven of the 117 babies had cardiovascular system anomalies, 21 had central nervous system anomalies, 15 had gastrointestinal, 14 had urinary, and 8 had skeletal system anomalies. In 9 patients, multiple congenital anomalies detected that affects at least three systems. Trisomies were detected in 6 patients; three of them were trisomy 13. In 4 patients, we indicated respiratory system anomalies. In case of the development of the prenatal diagnostic techniques, and the awareness of the parents, the congenital anomalies could be detected before the birth and the families prefer the advanced health centers for having healthcare for their babies with congenital anomaly. In fact, the number of advanced hospitals all over the country is inadequate, and it is too risky to transfer a newborn with cardiac anomaly from one hospital to another. So the number of experienced units should be promoted. And also, the data achieved from university hospitals do not reflects the true incidence and distribution of the population. A database should be created all over the country to have real numbers of congenital malformations of the Turkish population.","PeriodicalId":290827,"journal":{"name":"Gaziantep Medical Journal","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116388525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}