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Emsen I.M.,Erzurum Regional Training and Research Hospital
Journal of Craniofacial Surgery | Year: 2015

Background: Meningomyelocele is a kind of spina bifida. In this deformity, the spinal canal and the back bone is open. This type of birth defect is also called a neural tube defect. There are many and different methods on the closure of large meningomyelocele defects. Although small meningomyeloceles may be agreeable to direct or primary closure with the local surrounding skin, the closure of large meningomyelocele skin defects needs more complex methods. Purpose: The author presented a different surgical procedure for the closure of large meningomyelocele defects. Material and Methods: The authors presented 9 neonates treated with an O-S (O is the shape of the defect, and S is the final scar shape) advancement procedure. After neurosurgical repair of the placode performed, the skin defect is closed with the O-S flap. This flap method is used for the closure of largemeningomyelocele defects in 8 patients, aged between 4 days to 3 months. The defect size was 9.0 to 12.0cm to 5.3 to 8.5cm on an average. Results: Mean follow-up was 9.25 months (range: 2-19 months). In all patients, there was no any flap ischemia, and the tension-free 1-stage closure was ensured. All patients healed without any complication. In one patient, cerebrospinal fluid leakage was observed. Revision surgery was done for this patient. No wound dehiscence was seen at follow-up period. Conclusions : The major advantages of this technique are: defects can be closed with only 2 incisions, short operative time, and there is no additional muscle transfer. Our suggested technique also provides a well-vascularized cutaneous tissue covering over the neural tissues. This suggested new technique seems to be a safe and practical solution for closure of the large meningomyelocele defects. Copyright © 2015 by Mutaz B. Habal, MD.

We aimed to assess the use and reporting-quality of multivariate logistic regression analysis (MVLRA) in articles published in two Turkish cardiology journals. We reviewed all original articles published in two Turkish cardiology journals (The Anatolian Journal of Cardiology and Archives of the Turkish Society of Cardiology) between January 2010 and August 2011. The articles that used MVLRA were analyzed comprehensively based on 10 predefined criteria. A total of 212 articles were reviewed, of which MVLRA was used in 33 (15.6%). Twenty-nine articles (87.9%) properly included the main components of the MVRLA, namely, odds ratios, 95% confidence intervals, and p values. However, none of the articles reported MVRLA-related data such as the modeling type, validation, goodness-fit, multicollinearity and interaction tests. There were severe reporting flaws and faults as to the ratio of the total number of events or sample size to the number of independent variables included into the MVLRA model, the use of fitness procedures, and how the independent variables were selected. Our results indicate that MVLRA has become a standard statistical method in the Turkish cardiology literature. However, overall reporting of MVLRA data still has seriously inadequate and inaccurate aspects.

Ozel B.,Surgery Academy | Sezgin B.,Erzurum Regional Training and Research Hospital | Guney K.,Konya Regional Training and Research Hospital | Latifoglu O.,Gazi University | Celebi C.,Gazi University
Aesthetic Plastic Surgery | Year: 2015

Abstract: Although aesthetic procedures are known to have a higher impact on women, men are becoming more inclined toward such procedures since the last decade. To determine the reason behind the increase in demand for male aesthetic procedures and to learn about the expectations and inquietude related to body contouring surgery, a prospective questionnaire study was conducted on 200 Turkish males from January 1, 2011–May 31, 2012. Demographic information, previous aesthetic procedures and thoughts on body contouring procedures with given reasons were questioned. The results of the study showed that 53 % of all participants considered undergoing body contouring surgery with the given reason that they believed their current body structure required it. For those who did not consider contouring operations, 92.5 % said they felt that they did not need such a procedure. The results of the statistical analysis showed that BMI was a significant factor in the decision making process for wanting to undergo body contouring procedures. The results of the study showed that mens’ consideration for aesthetic operations depends mainly on necessity and that the most considered region was the abdominal zone in regard to contouring. We can conclude that men are becoming more interested in body contouring operations and therefore different surgical procedures should be refined and re-defined according to the expectations of this new patient group.Level of Evidence III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. © 2014, Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery.

Baccioglu A.,Erzurum Regional Training and Research Hospital | Yilmazel Ucar E.,Ataturk University
Tuberkuloz ve Toraks | Year: 2013

Introduction: Level of knowledge about anaphylaxis was evaluated in health care providers by using a self-administered questionnaire. Materials and Methods: A total of 1172 participants responded to the survey, and previously half of them had met a case with anaphylaxis with a highest rate in primary and a lowest rate in tertiary care (p= 0.005). Results: 84.7% of participants answered the questions about the symptoms of anaphylaxis correctly. Although 62.6% of the group knew correctly anaphylaxis treatment steps, 44.7% of them agreed to administer epinephrine if they suspected of a subject with anaphylaxis. One third of the group indicated appropriate route of epinephrine administration. 85.2% of participants agreed to refer the patient to allergy clinic despite 33.7% of the group were unaware of where the nearest allergy clinic was. Only 20.3% of the respondents have heard about epinephrine auto-injector. Conclusion: Anaphylaxis was often diagnosed and managed inadequately, regardless of practice location, employment status and speciality in north-eastern Turkey.

Akgol G.,Frat University | Ulusoy H.,Erzurum Regional Training and Research Hospital | Kamanli A.,Frat University
Archives of Rheumatology | Year: 2014

A 44-year-old female patient was admitted to our clinic with complaints of episodic pain, swelling attacks, and progressive deformity in both wrists and metacarpophalangeal joints lasting for five years. Based on her complaints, she had been diagnosed with rheumatoid arthritis and taken methotrexate, sulphasalazine, and prednisolone for two years, however, the patient had discontinued her treatment a year earlier due to ongoing symptoms. Physical examination revealed limited range of motion of both wrists and flexion deformity of the fingers without active inflammation signs. Hand X-ray showed typical signs of osteoarthritis characterized by narrowed joint spaces, subchondral sclerosis, and cyst formation. The distal and proximal interphalangeal joints were markedly preserved, and there were large, hook-like osteophytes in the heads of the metacarpal bones, indicating a typical presentation of hemochromatosis. Laboratory tests revealed that the erythrocyte sedimentation rate and C-reactive protein and uric acid levels were within the normal range, and the antibody tests were negative for rheumatoid factor, anti-nuclear antibodies, and anti-cyclic citrullinated peptides. Although the serum iron and ferritin levels were normal, there was a high transferrin saturation rate. Magnetic resonance imaging demonstrated a hepatic iron concentration of 44 μmol/g (reference: <36 μmol/g). Genetic studies showed homozygous for the H63D mutation. Based on these findings, the patient was diagnosed with hereditary hemochromatosis and scheduled for follow-up visits. In conclusion, hemochromatosis should be considered in the differential diagnosis in patients suffering from slow-progressing arthritis with chronic deformity. © 2014 Turkish League Against Rheumatism. All rights reserved.

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