Canakkale Military Hospital

Çanakkale, Turkey

Canakkale Military Hospital

Çanakkale, Turkey
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PubMed | Corlu State Hospital, Kecioren Training and Research Hospital, Balikesir University, Marmara University and 58 more.
Type: Journal Article | Journal: Health and quality of life outcomes | Year: 2016

The aim of this study was to assess health-related quality of life (HRQOL) among chronic hepatitis B (CHB) patients in Turkey and to study related factors.This multicenter study was carried out between January 01 and April 15, 2015 in Turkey in 57 centers. Adults were enrolled and studied in three groups. Group 1: Inactive HBsAg carriers, Group 2: CHB patients receiving antiviral therapy, Group 3: CHB patients who were neither receiving antiviral therapy nor were inactive HBsAg carriers. Study data was collected by face-to-face interviews using a standardized questionnaire, Short Form-36 (SF-36) and Hepatitis B Quality of Life (HBQOL). Values equivalent to p<0.05 in analyses were accepted as statistically significant.Four thousand two hundred fifty-seven patients with CHB were included in the study. Two thousand five hundred fifty-nine (60.1%) of the patients were males. Groups 1, 2 and 3, consisted of 1529 (35.9%), 1721 (40.4%) and 1007 (23.7%) patients, respectively. The highest value of HRQOL was found in inactive HBsAg carriers. We found that total HBQOL score increased when antiviral treatment was used. However, HRQOL of CHB patients varied according to their socio-demographic properties. Regarding total HBQOL score, a higher significant level of HRQOL was determined in inactive HBV patients when matched controls with the associated factors were provided.The HRQOL score of CHB patients was higher than expected and it can be worsen when the disease becomes active. Use of an antiviral therapy can contribute to increasing HRQOL of patients.

Karagoz E.,Van Military Hospital | Ozturker C.,Canakkale Military Hospital | Sivrioglu A.K.,Kasimpasa Military Hospital
World Journal of Hepatology | Year: 2016

In a previous issue of the World Journal of Gastroenterology, we have read the article by Li et al with great interest. We would like to thank the authors for their comprehensive contribution. However, it is our wish to make minor criticism over the present study from the perspective of methodology. © The Author(s) 2016.

Gulses A.,Canakkale Military Hospital
Oral health and dental management | Year: 2012

"Kissing" or "rosetting" of molars refers to contacting occlusal surfaces of impacted permanent mandibular second, third, and, very rarely, fourth molars. It is a rare phenomenon. The aim of this study was to assess the incidence, dental involvement type, associated pathologies and treatment outcomes of kissing molars in all patients who underwent lower third molar surgery between March 2008 and October 2011, at a military hospital in Turkey. The panoramic radiographs of the patients who underwent extraction of lower third molars at Marmara University Faculty of Dentistry, Gulhane Military Medical Academy and Surgical Infirmary at Commando Troop No. 5 Gokceada between March 2008 and October 2011 were analysed retrospectively. The patients found to have kissing molars (KM), were classified according to the teeth involved and associated pathologies were evaluated. Among nine patients (five female, four male) with a mean age of 27.4 years who were found to have KM, one presented with rosetting of first and second lower molars (Class I), six with rosetting of second and third lower molars (Class II), and two with rosetting of lower third and fourth molars (Class III). Three of the KM presented with dentigerous cyst formation and two with granulamatous changes of the adjacent dental follicle. Following surgical removal, three patients presented with mild paraesthesia of the lower lip, which resolved 3 to 6 months after the operation. KM is a rare phenomenon. Early surgical therapy is essential as this condition can cause serious complications, including formation of pathologies such as dentigerous cyst or destruction of the adjacent bone.

Gulses A.,Canakkale Military Hospital | Bayar G.R.,Surgery Academy | Aydintug Y.S.,Surgery Academy | Sencimen M.,Surgery Academy | And 2 more authors.
Journal of Cranio-Maxillofacial Surgery | Year: 2013

Introduction: In recent years injection of autologous blood into the temporomandibular joint (TMJ) has been reintroduced as a treatment of chronic recurrent TMJ dislocation. The effects of this treatment on components of the TMJ is not fully understood. The purpose of this article is to evaluate the effects of autologous blood on TMJ capsule and the retrodiscal ligament. Material and methods: A total of 16 healthy adult country bred pig were used in this study. Autologous blood were injected into the upper joint space (4 ml) and around the capsule of TMJ unilaterally (1 ml). This procedure was then repeated on the opposite side only by using 5 ml of 0.9% saline. TMJ capsules and retrodiscal ligaments were examined four weeks following the injections. Results: Histological examination of TMJs injected with autologous blood revealed fibrotic changes in 81.25% of the retrodiscal ligaments and 56.25% of the capsular areas. Whilst no changes were seen in the retrodiscal ligaments nor in the capsules of TMJs injected with saline alone. Conclusion: There is little published clinical data on the use of autologous blood injection and as such the mechanism of action is still unclear. The rate of induction of fibrosis within the retrodiscal ligaments in this study were similar to previously reported studies and case series. However, further studies to evaluate the mechanism of this safe and simple technique are needed. © 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Bayar G.R.,Surgery Academy | Gulses A.,Canakkale Military Hospital
International Journal of Oral and Maxillofacial Surgery | Year: 2013

The authors describe a simple and time saving technique for the ex-vivo production of oral mucosa keratinocytes by the direct explant method. © 2012 International Association of Oral and Maxillofacial Surgeons.

Alan C.,Canakkale Onsekiz Mart University | Kocoglu H.,Canakkale Military Hospital | Ates F.,Gulhane Military Medical Academy | Ersay A.R.,Canakkale Onsekiz Mart University
Urological Research | Year: 2011

The purpose of this study was to examine the effectiveness and safety of percutaneous nephrolithotomy with ultrasonography-guided renal access in the flank position without the use of fluoroscopy in any stage of the procedure. Percutaneous nephrolithotomy was performed in flank position under the guidance of ultrasound (USG) without the use of fluoroscopy between December 2008 and January 2010 on 43 patients who had kidney stones bigger than 20 mm. Access to the kidney's proper calyx was achieved by dilatation through the guide wire placed after insertion of the needle through the needle director under the guidance of transrectal ultrasound probe placed on the patient's flank area. A convex USG probe was used for imaging during dilatation and lithotripsy instead of fluoroscopy. Access to the targeted calyx was achieved successfully in all patients (100%). The percentage stone free rate was 86.1% (37 patients). Residual stones were detected in six patients. Their dimensions ranged from 5 to 12 mm. The mean stone diameter was 29 (20-41) mm, duration of surgery was 87.1 ± 43.2 (55-210) min and duration of hospital stay was 3.1 (2-8) days. Blood transfusions were given to two patients; none of the patients had major intraoperative or postoperative complications. In comparison with standard percutaneous nephrolithotomy, percutaneous nephrolithotomy in flank position under ultrasonographic imaging instead of using fluoroscopy seems to be safe and effective. This procedure has to be limited to selected cases with one or maximum two big stones in the pelvis or in a single calyx in absence of complex intrarenal anatomy. Both surgical team and the patients were protected from the harmful effects of radiation. Regarding anesthesia, flank position is more comfortable for the patient than prone position. © 2010 Springer-Verlag.

Alan C.,Canakkale Onsekiz Mart University | Kocoglu H.,Canakkale Military Hospital | Altintas R.,Istanbul University | Alici B.,Istanbul University | Ersay A.R.,Canakkale Onsekiz Mart University
Archives of Medical Science | Year: 2011

Introduction: Transforming growth factor-β1 (TGF-β1) has a crucial role in collagen synthesis and fibrosis. TGF-β1 can be antagonized and/or reduced by the action of certain agents. We propose to identify the role of decorin in treatment of tubular and interstitial fibrosis and in the inhibition of TGF-β1 in an acute ischaemic kidney. Material and method: We grouped 34 female Sprague Dawley type rats into 3 groups as 9 sham, 9 ischaemia-reperfusion (I/R) and 16 I/R + decorin respectively. The rats in the I/R + decorin group had decorin administered intraperitoneally at the dose of 0.1 mg/kg for 9 days after reperfusion. After 9 days, all the rats in the 3 groups were unilaterally nephrectomized. The TGF-β1 level was measured immunohistochemically in the nephrectomized material. Results: The TGF-β1 level was lower in the I/R + decorin group. Evaluation of apoptotic activity level by caspase staining showed a statistically significant difference between the 3 groups. The number of caspase stained cells was lower in the I/R + decorin group. The amount of collagen in interstitial tissue was higher in the I/R group than in the I/R + decorin group, but this difference was not statistically significant. Conclusions: We found that the TGF-β1 level - the so-called initiator of fibrotic activity - and apoptotic activity were low in the I/R + decorin group. Additional studies must be performed to understand the role of decorin in inhibition of TGF-β1 and to assess decorin's routine use in acute renal ischaemia. Copyright © 2011 Termedia & Banach.

Unver V.,Gulhane Military Medical Academy | Tastan S.,Gulhane Military Medical Academy | Coskun H.,Canakkale Military Hospital
Archives of Environmental and Occupational Health | Year: 2012

The aim of this study is to determine the number and causes of occupational incidents that occurred in nursing students. This study was a descriptive, cross-sectional study performed at a military nursing school in Turkey in June 2009 with 218 nursing students as subjects. A data collection form for identifying the characteristics of the students and their exposure to incidents was used. The frequency of incidents increased with the increase in the number of years enrolled in the nursing program. It was determined that needlesticks (47.3%) and broken ampules during edication preparation (37.8%) were the 2 most common reasons for injuries. This study showed that although nursing students had high percentage of penetrating injuries, the overall incidence of injury waslow. For prevention of occupational incidents, information about occupational incidents, risks, and prevention methods must be included in the nursing curriculum. © 2012 Taylor & Francis Group, LLC.

Alp B.F.,Gulhane Military Medical Academy | Uguz S.,Agri Military Hospital | Malkoc E.,Corlu Military Hospital | Ates F.,Gulhane Military Medical Academy | And 4 more authors.
International Journal of Impotence Research | Year: 2014

The aim of the study is to investigate whether there is an effect of adult circumcision on ejaculation parameters and to research the relationship between intravaginal ejaculation latency time (IELT) and premature ejaculation diagnostic tool (PEDT). Adults who underwent voluntary circumcision between September 2010 and November 2011 were enrolled in this prospective study. The IELT before and 3 months following circumcision was recorded. Also, PEDT was filled out before and 3 months after circumcision. During statistical evaluation, the comparison of situations before and after circumcision was made using IELT averages and PEDT total scores. Furthermore, the correlation between changes in IELT and PEDT has also been evaluated. A total of 30 volunteers (mean age 21.25±0.44) were enrolled in the study. The volunteers' mean and median IELT before were 104.36±66.21 and 88 (26-307) seconds, whereas mean and median IELT after circumcision were 123.56±54.44 and 107.5 (67-300) seconds, respectively. The increase after circumcision was statistically significant (P=0.001). The mean and median PEDT score were 4.26±2.91 and 3 (1-12) before, and 2.63±1.82 and 2 (0-7) after circumcision. Improvement was statistically significant (P<0.0001). No correlation could be found between ejaculation time and PEDT scores. Circumcision during adulthood does not adversely affect ejaculatory function; it may slightly improve. However, it could not be interpreted as a justification for circumcision in men with premature ejaculation (PE). © 2014 Macmillan Publishers Limited.

Gokce G.,Sarikamis Military Hospital | Sobaci G.,Gulhane Military Medical Academy | Durukan A.H.,Gulhane Military Medical Academy | Erdurman F.C.,Canakkale Military Hospital
Clinical Ophthalmology | Year: 2014

Purpose: This study was conducted to compare the efficacy and safety of intravitreal triamcinolone acetonide (IVTA) and intravitreal bevacizumab (IVB) in the treatment of macular edema related to branch retinal vein occlusion (BRVO), using the new optical coherence tomography parameters. Material and methods: The medical records of 62 patients (IVTA n=26; IVB n=36) with macular edema secondary to BRVO and at least 12 months follow-up between 2007 and 2011 were evaluated by within-group and inter-group comparisons. Results: Both groups were similar in terms of demographic characteristics (P>0.05). Best corrected visual acuity (BCVA) improvement and central subfoveal thickness (CST) reduction were significantly higher in the IVTA group at only the third month (P<0.05). In nonischemic BRVO, while BCVA improvement was significantly higher in the IVTA group at the third and sixth months (P<0.05), no significant difference was found in CST reduction at all visits (P>0.05). In ischemic BRVO, no significant difference was found in BCVA improvement at all visits, but CST reduction was significantly higher in the IVTA group at the first and third months. Logarithmic optical coherence tomography change (LogOCTc) and relative change in retinal thickness (RCRT) showed the same levels of significance in the comparisons. Relative change in retinal thickening (RCRTing) was more valuable compared to the other parameters in the subgroup analyses. Conclusion: There was no difference between groups at the 12th month. IVTA was more efficient than IVB in regard to BCVA improvement in nonischemic BRVO in the early follow-up. IVTA made significant retinal thinning compared to IVB in ischemic BRVO in the early period. RCRTing and LogOCTc are important parameters used to monitor the response to treatment in BRVO. Because of the similar levels of significance, RCRT and LogOCTc can be used interchangeably. © 2014 Gokce et al.

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