Gulhane Military Medical Academy Hospital

Ankara, Turkey

Gulhane Military Medical Academy Hospital

Ankara, Turkey
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Sahin S.,Baskent University | Akata E.,Baskent University | Sahin O.,Baskent University | Tuncay C.,Baskent University | Ozkan H.,Gulhane Military Medical Academy Hospital
Acta Orthopaedica et Traumatologica Turcica | Year: 2017

Objective: The aim of this study was to propose a new computer based method for measuring acetabular angles on hip radiographs and to assess its practicality, sensitivity and reliability for acetabular angle measurement. Methods: A total of 314 acetabulum were assessed on 157 pelvic X-ray images. Acetabular angles were measured with both the conventional method (Method 1) and our proposed method (Method 2). All the Acetabular Index (AI) angle, Acetabular Angle (AA) and Acetabular Center (ACM) angle were measured with both methods. Results: The mean AI angle for Method 1 is 11.02° ± 2.7° and the mean AI angle for Method 2 is 10.08° ± 1.88°, the mean AA angle for Method 1 is 39.5° ± 5.3° and the mean AA angle for Method 2 is 39.36° ± 4.68°, the mean ACM angle for Method 1 is 50.5° ± 6.01° and the mean ACM angle for Method 2 is 55.42° ± 12.43°. Conclusion: Our novel automated method appear to be reliable and practical for acetabular angle measurement on hip radiographs. Level of Evidence: Level III, Diagnostic study. © 2017 Turkish Association of Orthopaedics and Traumatology.


Yilmaz Yalcinkaya E.,Istanbul Physical Medicine and Rehabilitation Training and Research Hospital | Huner B.,Istanbul Okmeydani Training and Research Hospital | Dincer U.,Gulhane Military Medical Academy Hospital | Diracoglu D.,Istanbul University | And 19 more authors.
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi | Year: 2014

Objective: The objective of this study is to identify epidemiological characteristics of patients with cerebral palsy (CP) in Istanbul, including demographic information, clinical types, risk factors, and some clinical features. Material and Methods: This is a retrospective and multicenter study, with the participation of 11 training and university hospitals in Istanbul. Demographic and clinical data of patients with CP presenting to university and training hospitals in Istanbul between 2005 and 2007 were recorded. Data were collected by the Istanbul Cerebral Palsy Study Group (ICPSG). Results: A total of 730 patients with a mean age of 7.27±4.63 (2-18 years) were enrolled into the study; 429 (58.8%) of the patients were male and 301 (41.2%) were female. During clinical typing, it was seen that 91% of the patients were spastic, 3.6% was mixed, 3.2% was dyskinetic, and 0.7% was ataxic. Also, 51.9 % of the patients had a diagnosis of CP during 0-6 months of age, 24.6% had the diagnosis during 6-12 months of age, and 23.5% in the twelfth month or later. Of the cases, 32% had speech disorders, 23.1% had mental retardation, and 20.9% had epilepsy. Conclusion: There are few studies about the demographic characteristics of patients with SP in our country.This study is a pilot study to determine the profile of cases of CP patients in our country and to create a CP patient pool for the future prospective studies. © 2014 by Turkish Society of Physical Medicine and Rehabilitation.


Kucuk H.O.,Van Education and Research Hospital | Kucuk U.,Van Army District Hospital | Kolcu Z.,Van Education and Research Hospital | Balta S.,Gulhane Military Medical Academy Hospital | Demirkol S.,Gulhane Military Medical Academy Hospital
Human and Experimental Toxicology | Year: 2016

Fentanyl transdermal patches have long been used in the palliative care of patients with chronic pain with a favorable safety profile. However, intoxications secondary to intentional and unintentional misuse have been widely reported. In this study, we report an otherwise healthy woman presented to emergency department who used three patches of fentanyl to alleviate her knee pain and with a picture mimicking acute coronary syndrome. © The Author(s) 2015.


PubMed | Van Education and Research Hospital, Van Army District Hospital and Gulhane Military Medical Academy Hospital
Type: Case Reports | Journal: Human & experimental toxicology | Year: 2015

Fentanyl transdermal patches have long been used in the palliative care of patients with chronic pain with a favorable safety profile. However, intoxications secondary to intentional and unintentional misuse have been widely reported. In this study, we report an otherwise healthy woman presented to emergency department who used three patches of fentanyl to alleviate her knee pain and with a picture mimicking acute coronary syndrome.


Bilici S.,Gazi University | Koksal E.,Gazi University | Kucukerdonmez O.,Gulhane Military Medical Academy Hospital | Sanlier N.,Gazi University
HealthMED | Year: 2012

This study was carried out to determine the attitudes and consumption levels of kefir and factors effecting the kefir consumption among 400 volunteer Turkish adults between 19-65 years age. A questionnaire was administered to determine the study data. The mean age of the subjects was (± SD) 34.2 ± 12.1 years. Only 15.8% of subjects were consumed kefir and the consumption ratio is 20.2% in females, 9.5% in males. In logistic regression analysis; kefir consumption had significantly positive associations with gender [OR: 0.413 (0.232-0.736), p <.01], age [OR: 1.05(1.022-1.078), p<.001] and education [OR: 2.217(1.505-3.266), p<.001]. The mean kefir consumption period and a daily mean intake was found 3.6 ± 3.11 year and 62 ± 61.7 ml, respectively. Majority of the participants stated that they consume kefir because of positive health effects (95.2%) while the most reason for not consuming kefir was lack of knowledge (71.0%). The 96.8% of participants who consume kefir make their own kefir drinks in the home. The use of health claims, advertising and educational campaigns might be necessary in order to make awareness of the health benefits of the product and therefore consider substituting conventional foods by their functional alternatives.


Iyisoy A.,Gulhane Military Medical Academy Hospital | Agac M.T.,Trabzon Numune Training and Research Hospital | Celik T.,Gulhane Military Medical Academy Hospital | Jata B.,Gulhane Military Medical Academy Hospital
International Journal of Cardiology | Year: 2010

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute ischemic coronary events with complex pathophysiology. It usually occurs in middle-aged women during pregnancy and postpartum period without traditional risk factors for coronary artery disease (CAD). Those patients over age 40 are more likely to have dissections associated with atherosclerosis. Several drugs and clinical conditions are associated with SCAD. It is frequently fatal and a great number of cases have been diagnosed at necroscopy. The quick recognition of SCAD and initiation of treatment may be life saving. In this report, we define a case of dissection of left main coronary artery, possibly triggered by hypertensive crisis, with no apparent atherosclerotic involvement detected by intravascular ultrasound (IVUS) and successfully treated with surgical revascularization. © 2008.


Koksal E.,Gazi University | Ayaz A.,Hacettepe University | Kucukerdonmez O.,Gulhane Military Medical Academy Hospital | Bilgili N.,Gazi University
Scientific Research and Essays | Year: 2011

This study was conducted to assess deficiencies in iron, folic acid and Vitamin B 12 as well as nutritional status in a sample of school-age children in Turkey. The study was conducted on 172 children (boys: 80; girls: 92) aged 6 to 13 years from two different primary schools in the capital city of Turkey, Ankara. Data were obtained on children anthropometry, 24 dietary recalls, hematological and biochemical parameters of vitamin and iron bioavailability. The prevalence of deficiencies in iron, folic acid and Vitamin B 12 were 15.7, 0.6 and 3.5%, respectively. In this study 18% of children were determined underweight or risk of underweight and 15.2% of children were determined overweight or obese. Body weight measurements for age were significantly low in children who had iron, folic acid or Vitamin B 12 deficiency (p<0.01). Intake of energy was inadequate in 38% of the subjects, while iron and Vitamin B 12 intake were inadequate in 29 and 58%, respectively. As a result of this study many dietary deficiencies especially for iron, are still common and vitamin B 12 deficiency rather than folic acid deficiency was seemed to be the more prominent in Turkish grade school children. © 2011 Academic Journals.


Arslan F.,Istanbul University | Yilmaz M.,Istanbul University | Paksoy Y.,Istanbul University | Karagoz E.,Gulhane Military Medical Academy Hospital | Mert A.,Istanbul University
Infectious Diseases | Year: 2015

Cytomegalovirus-associated transverse myelitis is a rare disease. We found 12 cases in the medical literature, 8 of which met our criteria for being well documented. Our aim was to review this clinical entity using information from our own clinical experience as well as published cases. © 2014 Informa Healthcare.


Hachamdioglu D.O.,Gulhane Military Medical Academy | Zeybek C.,Gulhane Military Medical Academy Hospital | Gok F.,Gulhane Military Medical Academy Hospital | Pekel A.,Gulhane Military Medical Academy Hospital | Musabak U.,Gulhane Military Medical Academy Hospital
JCRPE Journal of Clinical Research in Pediatric Endocrinology | Year: 2015

Objective: Increasing evidence suggests that T helper (Th) cells play a significant role in the pathogenesis of hypertension. The aim of this study was to evaluate the effect of obesity and anti-hypertensive treatment on urinary Th1 chemokines. Methods: The study groups consisted of three types of patients: hypertensive obese, healthy, and non-hypertensive obese. Pre-treatment and posttreatment samples of the hypertensive obese group and one sample from the other two groups were evaluated for urinary chemokine: regulated on activation, normal T cell expressed and secreted (RANTES), interferongamma- inducible protein 10 (IP10), and monokine induced by interferongamma (MIG). In the hypertensive obese group, urine microalbumin: creatinine ratio was examined before and after treatment. We recommended lifestyle changes to all patients. Captopril was started in those who could not be controlled with lifestyle changes and those who had stage 2 hypertension. Results: Twenty-four hypertensive obese (mean age 13.1), 27 healthy (mean age 11.2) and 22 non-hypertensive obese (mean age 11.5) children were investigated. The pre-treatment urine albumin: creatinine ratio was positively correlated with pre-treatment MIG levels (r=0.41, p<0.05). RANTES was significantly higher in the pre-treatment hypertensive and non-hypertensive obese group than in the controls. The urinary IP10 and MIG levels were higher in the pre-treatment hypertensive obese group than in the non-hypertensive obese. Comparison of the pre- and post-treatment values indicated significant decreases in RANTES, IP10, and MIG levels in the hypertensive obese group (p<0.05). Conclusion: Th1 cells could be activated in obese hypertensive children before the onset of clinical indicators of target organ damage. Urinary RANTES seemed to be affected by both hypertension and obesity, and urinary IP10 and MIG seemed to be affected predominantly by hypertension. © Journal of Clinical Research in Pediatric Endocrinology.


PubMed | Cumhuriyet University, Gazi University, Duzce University and Gulhane Military Medical Academy Hospital
Type: Journal Article | Journal: International journal of nursing practice | Year: 2015

This was a cross-sectional study to analyse the relationship between menopausal symptoms and sexual dysfunction among 229 married Turkish women in the 40-65 age group. The study was carried out at a menopause clinic of a state hospital between 1 October and 31 December 2010. Data were collected with Personal Characteristics Form, Menopause Rating Scale (MRS) and the Arizona Sexual Experience Scale (ASEX). The average age of the women was 52.33 (SD=4.80) years. The average MRS total score was 20.13(SD=9.20). The ASEX mean score was 19.97 (SD=5.44). It was determined that there is a positive meaningful relationship between ASEX mean score, MRS total mean score and the sub-score of women. From the results obtained from this study, it can be said that women have differing levels of menopausal symptoms, and as the severity of menopausal symptoms increases, there is an increase in sexual dysfunction.

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