REVIEW | |
1. | Otitis media, classification and treatment features Murat Koçyiğit, Safiye Giran Örtekin, Taliye Çakabay doi: 10.5222/iksst.2016.065 Pages 65 - 70 Otitis media is the common name for the inflammatory disease of the middle ear mucoperiosteum, regardless of the cause and pathogenesis. Otitis media usually develops as a complication of a simple upper respiratory tract infection, begins from the nasal cavity. In the mucous membrane of the middle ear cavity via the eustachian tube leads to inflammation settlement. Almost all of the cases seen in children, otitis media is one of the main topics of pediatric otorhinolaryngology. Otitis media is the most common bacterial infection in children. Although spontaneous recovery is possible, it causes a global health problem because of the potentially serious complications. In this section aimed principles are; identification, classification and treatment approaches of the otitis media. |
2. | Renal Biomarkers: Review Hüseyin Koçan, Şiir Yıldırım, Enver Özdemir doi: 10.5222/iksst.2016.071 Pages 71 - 74 Renal damage is closely related to morbidity and mortality. The level of serum creatinine (SCr) is not sufficient in early diagnosis. Therefore, new biomarkers have been identified in recent years. The purpose of this review is to analyze the kidney function tests help in the diagnosis of clinical disease and the current and new markers. |
RESEARCH ARTICLE | |
3. | Retrospective Analysis of Children Diagnosed with Bicytopenia Clinically and Etiologically in Kanuni Sultam Süleyman Training and Research Hospital Pediatric Department: A Single Center Experience Gonca Keskindemirci, Altay Abdullayev, Gönül Aydoğan, Nuray Aktay Ayaz, Deniz Tuğcu, Arzu Akçay, Zafer Şalcıoğlu, Ferhan Akıcı, Helen Bornaun doi: 10.5222/iksst.2016.075 Pages 75 - 80 INTRODUCTION: Etiology of bicytopenia is examined in a wide range from temporary viral suppression to malignant infiltration of bone marrow. In our study, we aimed to investigate the patients who were admitted to our hospital and diagnosed with bicytopeni, with etiological and clinical features retrospectively METHODS: Fifty-eight patients with the age range of 2-17 years and diagnosed with bicytopenia were analyzed retrospectively between January 2011- March 2012. Patients’ complaints, physical examinations, blood count, peripheral blood semar findings, Ebstein Barr Virus, Cytomegalovirus, parvovirus B19, Salmonella and Brucella agglutination test results, antinuclear antibody, anti-double-stranded DNA, bone marrow aspiration results were recorded. RESULTS: Fifty-eight patient (28 female, 30 male) were enrolled in the study. The average age were 6.5 (± 4.0) years for girls and 8.8 (± 3.6) for boys. The most frequent compliants were fatigue, fever, upper respiratory tract infection symptoms (sneezing, watery eyes, cough, fever), bone pain, dyspeptic complaints and bruises. The most frequent physical examination findings were pallor, lymphadenopathy, splenomegaly, fever, hepatomegaly, upper respiratory tract infection symptoms and ecchymosis. Etiologies of bicytopenia were detected as; 48.3% acute leukemia, 5.2% B12 vitamin deficiency, 3.4% Brucella infection, 1.7% storage disease, 1.7% portal hypertension, 1.7% aplastic anemia, 1.7% systemic lupus erythematosus, and 36.2% unknown etiology. DISCUSSION AND CONCLUSION: Peripheral blood smear should be performed and malignant causes must be excluded in all patients with bicytopenia. Viral etiologies of the upper respiratory tract infection should be kept in mind in bicytopenia etiology too. |
4. | Results And Experience Of In Our Clinic: Three Year Analysis Efser Öztaş, Sibel Özler, Abdullatif Bakır, İpek Savaşçıoğlu Keskin, Dilek Uygur doi: 10.5222/iksst.2016.081 Pages 81 - 87 INTRODUCTION: We aimed to present indications, cytogenetic analysis and results of chorionic villus sampling (CVS) and we share our experiences with CVS. METHODS: We did CVS 354 pregnancy between the years of 2012-2015 and we did a retrospective analysis. We were divided into four sub-groups such as; NT ≥ 2,5 mm, risk of first trimester combined, cystic hygroma and one of the parents who is a carrier of a translocation. RESULTS: 98/354 (%27,68) cases revealed fetal cytogenetic abnormalities. In this cases 34 (%34,69) cases with trisomy 21, 3 (%3.06) cases with trisomy 13, 8 (%8,16) cases with trisomy 18, 14 (%14,28) case with monosomy. 9 (%64,9) of monosomy cases were made CVS due to cystic hygroma, and this ratio was high than other indications of CVS. 17 (%17,34) cases revealed masochism. The rate of fetal loss after the procedure, 6 (% 1,69) and rate of culture failure 9 (%2,54). Termination of pregnancy rate significantly higher the CVS according to the combined test than CVS according to cystic hygroma and NT ≥ 2.5 mm (p=0,018). DISCUSSION AND CONCLUSION: CVS is the gold standard test used for first trimester prenatal diagnosis. The most the of fetal cytogenetic analysis results trisomy as regardless of cvs indications. Abnormal fetal cytogentic analysis, fetal loss and medical evacuation rate increases those with NT thickness and cystic hygroma. |
5. | A Comparison of The Resistance Ratio Obtained in The Three Different Time Intervals in Escherichia coli Strains Against Ciprofloxacin, Cefotaxime and Imipenem Selahattin Atmaca, Tuncer Özekinci, Nida Özcan, Kadri Gül doi: 10.5222/iksst.2016.088 Pages 88 - 92 INTRODUCTION: Escherichia coli is the most fequently isolated microorganism from both community-acquired and nosocomial urinary tract infections in Turkey. The studies concerning antibiotic susceptibility of E.coli have been published from different times throughout the laboratory. The aim of this study was evaluate the antibiotic resistance patterns E.coli strains isolated from urine cultures between 1997-2014. METHODS: In this study, the resistance rates obtained in E. coli strains against ciprofloxacin, cefotaxime and imipenem in 2014 were compared against the resistance rates obtained in the same laboratory in 1997 and 2006. RESULTS: In 2006, rates of resistance to ciprofloxacin was 44%, on the other hand, in 2014 this ratio was found to be 38% (P = 0.367); 49% of cefotaxime resistance was as ceftazidime 53% (P = 0.462), and 4% of imipenem resistance was found to be 0.7% (P = 0.056), respectively. DISCUSSION AND CONCLUSION: In conclusion, information obtained by systematic evaluation of regional data will be valuable fort he determination of optimal antibiotic regimens in prevention of unnecessary antibiotic use. |
6. | The Relationship between Helicobacter Pylori İnfection and Sex, Blood groups and Rhesus Factor at the patients with Chronic Gastritis Tolga Önder, Nuri Barış Hasbal, Şahin Kahramanca, Turgut Anuk doi: 10.5222/iksst.2016.093 Pages 93 - 96 INTRODUCTION: We aimed to evaluate the relationship between the prevelance of Helicobacter pylori and sex, ABO blood groups, Rhesus factor in eastern Turkey localized patients diagnosed chorinic gastritis. METHODS: Between March 2012 and June 2014, 175 patients who had diagnosed with chronic gastritis from several clinics in Sarıkamış Governmental Hospital are accepted for this retrospective study. Patients’ data are analyzed according to age, sex, ABO blood groups, RH factor, tobacco use, endoscopic findings and relationsbetween these features and HP positivity. RESULTS: Of all patients, % 45.1 were female, %54.9 were male. The mean age was 32.42 ± 12. Dissociation for ABO blood groups for A blood group, B blood groups, AB blood group and O blood group were %44.6, %18.3, % 6.9 and %30.3, respectively. Of all group %89.7 were Rh positive, %10.3 were Rh negative. Results showed that %76.6 were seropositive for HP. In evalution of HP seropositivity and blood groups there were no statistical significance, but HP seropositivity in patients with AB blood group were fewer than others (p: 0,008). There were 53 patients (%30,3) had been diagnosed with duedonal ulcer, and of these patients %88.6 were HP seropositive (p: 0,013). DISCUSSION AND CONCLUSION: The prevelance of HP in eastern part of Turkey is no associated with A, B, O blood gropus, Rh Factor positivity and tobacco use but patients with AB blood group are less succeptible to enfected with HP. |
7. | Evaluation of Reports of Peripheral Arterial Colour Doppler Ultrasonography and Demographic Characteristics of Patients Admitted to Department of Emergency Medicine of Kanuni Sultan Suleyman Education And Research Hospital with Prediagnosed Periphera Ayşe Fethiye Kalafat, Tarık Ocak, Utku Murat Kalafat, Mustafa Baştürk, Serkan Doğan, Ali Sağlık doi: 10.5222/iksst.2016.097 Pages 97 - 101 INTRODUCTION: In our study, we aimed to determine the prevalence and epidemiological characteristics of PAD in our clinic through the demographic characteristics and reports of the colour doppler ultrasonography of the patients with prediagnosed PAD who were intended colour doppler ultrasonography. METHODS: Our study was designed as retrospectively consent with approved by Ethics Commitee of Kanuni Sultan Süleyman Training and Research Hospital at 02.02.2015. We scanned the hospital information system retrospectively and we deteceted the patients who were doubted to PAD preliminarily through colour doppler ultrasonography. Then we collected results of 376 patients’ demographic datas and ultrasonographic reports. The examination of patients by the expert radiologist were studied with using the linear probe 7.5-11 mHz range with Toshiba Xario device throughout all traces. The age, gender and ultrasonographic pathologies identified in the reports were recorded. RESULTS: Our emergency medicine clinic has filed a total of 179.411 patients during this period; colour doppler ultrasonography required 376 patients, 51 were found signs of PAD. 43.13% of these patients (n=22) were female, 56.87% (n=29) were male. Determination rate of PAD via colour doppler ultrasonography were similar in both of male and female patients (13%, 14%). DISCUSSION AND CONCLUSION: In our study, the prevalence of PAD was found to be 0.02%. In our opinion; because of the presence of cardiac and vascular surgery hospital around ours, the patients who have PAD’s symptoms and signs admitted to this hospital. There is a need for more comprehensive studies to determine the prevalence of PAD. |
CASE REPORT | |
8. | Diabetic Papillopathy After Panretinal Photocoagulation Treatment With İntravitreal Ranibizumab: A Case Report Ahmet Ekizoğlu, Nihat Sayın, Mehmet Erdoğan, Sadık Etka Bayramoğlu, Dilbade Yıldız Ekinci doi: 10.5222/iksst.2016.102 Pages 102 - 105 Diabetic papillopathy is a syndrome characterized by self-limited unilateral or bilateral optic disk edema associated with minimal or no permanent loss of visual function. The cause of disease is not fully understood, although some authors have argued that it would be a form of ischemic optic neuropathy. Although various treatment regimens have been administered for diabetic papillopathy until now, there is no approved treatment altering the natural course. İn this case, we report the efficicacy of intravitreal ranibizumab injection for diabetic papillopathy after panretinal photocoagulation for proliferative diabetic retinopathy. |
RESEARCH ARTICLE | |
9. | Formed of ingested foreign bodies Gastrointestinal Surgery Problems Seyithan Özaydın, Meltem Erol, Süleyman Çelebi, Cemile Başdaş, Ünal Güvenç, Birgül Karaaslan, Serdar Sander doi: 10.5222/iksst.2016.106 Pages 106 - 110 INTRODUCTION: Foreign body ingestion is common problem of childhood period. In this study, our experiences in children of complicated with foreign body ingestion were presented and discused with the literature. METHODS: In two centers between 1987 and 2013; all hospital files of patients with complicated with foreign body ingestion and requared surgery were analised retrospectively. RESULTS: 13 cases were diagnosed complicated with foreign body ingestion during the 26 years in two centers; 6 of them (46%) were male, 7 of them (54%) were female. Mean age was 36.6 months (5 months and 9 years old); and 10 of them had history of foreing body ingestion at admission, in three patients had nor history of foreing body ingestion neither findings of graphy. These 3 patients had required emergency surgery and waxcloth piece, pine tree leaf and small plastic balls were found in the gut. Other 10 patients had required surgery because of persistence foreing body in the same place. One of them was removed by rectal touch, others 12 were removed by laparotomy. In one patient foreing body was pushed to rectosigmoid colon; one had removed with appendectomy while 11 of them had remowed with enterotomy. Two patients had mental retardation All patients had recovered completely, one of them required laparotomy due to brid ileus. DISCUSSION AND CONCLUSION: Foreing body ingestion may cause serious problems in children. The diagnosis and treatment of foreing body ingestion may be delayed or become difficult if the medical record is not obtained or it is not found in the graph. We think that these kinds of diseases should be supervised closely by hospitalizing the patient. |
CASE REPORT | |
10. | A case of abdominal pain; rectus sheath hematoma Mansur Kürşad Erkuran, Arif Duran, Musa Kaya, Hayrettin Meftun Kaptan doi: 10.5222/iksst.2016.111 Pages 111 - 113 INTRODUCTION: Abdominal pain is present in 5-10% of all patients presenting to emergency departments which constitutes a major part of the cases presenting to emergency departments. Rectus sheath hematoma is a rare cause of abdominal pain and is seen more frequently in elderly female patients. METHODS: One of the most important predisposing factors is anticoagulation treatment. RESULTS: We presented here a case of a rectus sheath hematoma which is one of the rare causes of abdominal pain. DISCUSSION AND CONCLUSION: Rectus sheath hematoma should be considered in patients presenting to the emergency department. |
11. | Superior mesenteric artery syndrome (Wilkie's syndrome) in child patient with cerebral palsy Adnan Ayvaz, Ferda Özbay Hoşnut, Mustafa Devran Aybar doi: 10.5222/iksst.2016.114 Pages 114 - 116 Superior mesenteric artery syndrome (Willkie’s syndrome) is a rare cause of the duodenal obstruction in childhood. Rapid weight loss, spinal surgery in implementing body cast, lie on back for too long, an abnormal position of the ligament of Treitz are predisposing factors for etiology of the syndrome caused by the changes of aortomesenteric angle. The development of superior mesenteric artery syndrome in pediatric patient with cerebral palsy who vomited for nearly a year has been reported due to a rare condition. |
12. | Anaesthetic Management of a Child with Hallermann–Streiff Syndrome in Remote Location and in Operating Room Çiğdem Akyol Beyoğlu, Gürcan Güngör, İlhan Beyoğlu, Pervin Sutaş Bozkurt, Yusuf Tunalı, Beyhan Tüysüz doi: 10.5222/iksst.2016.117 Pages 117 - 120 Hallermann-Streiff-Francois (HSF) syndrome is a genetic disorder with autosomal recessive inheritance that includes dyscephaly, hypoplastic mandible, depressed nasal bridge, congenital cataracts and macroglossi. These craniofacial anomalies may lead to upper airway obstruction and difficult airway. In this article, we reported our anaesthetic managements of a 4 years old patient with HSF syndrome due to congenital bilateral cataracts in operating room and in remote location. |
13. | Primary Epiploic Appendagitis: A Rare Cause of Acute Abdominal Pain Yasin Kara, Azamet Cezik, Nail Uzunlulu, Nuri Alper Şahbaz, Yahya Kemal Çalışkan, Mustafa Uygar Kalaycı doi: 10.5222/iksst.2016.121 Pages 121 - 124 Primary epiploic appendagitis is a clinical entity that probably results from infarction of the colonic appendige(s) secondary to torsion of pediculle or thrombosis of central veins of appendige(s), rarely encountered and mimicking surgical acute abdominal pain. It is a benign and self limiting inflamatory disease of appendage(s) epiploic. In emergency departments, by mimicking some acute abdominal causes as acute appendicitis, acute cholecystitis or acute diverticulitis which need to be treated with surgical intervention, may cause negative unnecessary laparatomies. In this paper we present a patient whose lab and examination findings mimic surgical acute abdominal diseases, who diagnosed as primary epiploic appendagitis with the use of contrast enhanced abdominal CT, treated succesfully by conservative means. |