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İstanbul, Turkey

Ari S.,Gebze Fatih Devlet Hastanesi | Gokdemir G.,Liv Hospital
Turkderm Deri Hastaliklari ve Frengi Arsivi | Year: 2013

Background and Design: Dermoscopy is an important tool in the diagnosis of pigmented skin lesions. Newly, this method has also been used in the diagnosis and follow-up of hair and scalp disorders. The objective of this study was to investigate dermoscopic findings in a sample of patients diagnosed with cicatricial alopecia based on clinical and histopathological findings. Materials and Methods: Twenty-nine patients with cicatricial alopecia diagnosed according to the clinical and histological findings were examined by dermoscopy. Results: Dermoscopic features were evaluated in 8 patients with folliculitis decalvans, - 7 with pseudopelade of Brocq, - 6 with lichen planopilaris, - 2 with discoid lupus erythematosus, - 1 with dissecting cellulitis, and in 5 patients with secondary cicatricial alopecia. The structures previously examined with naked eye were evaluated by dermoscopy in more detail. Loss of follicular orifices was seen in all patients with cicatricial alopecia. Perifollicular scaling, arborizing red lines, honeycomb pigment pattern, white dots and tufted hairs were the other most obvious findings. Conclusion: The use of dermoscopy in the clinical evaluation of cicatricial alopecia improves diagnostic capability beyond simple clinical inspection. Larger studies correlating dermoscopic findings with histopathology examinations are necessary to improve our understanding of this method. Source


Irgit K.,Liv Hospital | Richard R.D.,Geisinger Clinic | Beebe M.J.,University of Utah | Bowen T.R.,Geisinger Clinic | And 2 more authors.
Journal of Orthopaedic Trauma | Year: 2015

Objective: To evaluate the healing rate, complications, role of reduction and screw placement, and the 1-year mortality in the treatment of reverse oblique and transverse intertrochanteric femoral fractures treated with the long cephalomedullary nail. Design: Retrospective review. Setting: Two different Level-1 trauma centers: Geisinger Medical Center and the University of Utah. Patients: One hundred forty-eight patients with intertrochanteric fractures (AO/OTA class 31-A3) eligible for review. All patients had a minimum of 12 months of follow-up and were available for radiologic checks and assessment of outcomes and complications. Intervention: Long cephalomedullary nail. Main Outcome Measures: Medical records were reviewed for reoperation, demographic parameters, length of hospital stay, estimated blood loss, and need for transfusion. Mortality rates at 1 month, 6 months, and 1 year were also recorded. Patients were followed clinically and radiographically at 6 weeks, 3 months, 6 months, 12 months, and yearly as needed. Results: The average age of patients was 69.9 (range, 19-95) years. Average length of follow-up was 53 (range, 12-148) months. The average surgical time was 71.8 (range, 26-229) minutes. Twenty-four patients (16%) required blood transfusions, and the average transfusion required was 205.1 mL (range, 20-800). Five different long nail designs were used to treat the patients. One patient (0.6%) experienced an intraoperative complication. Eighteen patients (12%) sustained postoperative complications. Twelve (8%) patients required reoperations. One-year mortality rates were 10.1%. Conclusions: Long cephalomedullary nails remain the preferred treatment option for the treatment of 31-A3-type fractures, demonstrating acceptable complication rates, low reoperation rates, and high rates of healing. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. © 2015 Wolters Kluwer Health, Inc. Source


Tamay Z.,Istanbul University | Akcay A.,Liv Hospital | Ergin A.,Pamukkale University | Guler N.,Istanbul University
International Journal of Pediatric Otorhinolaryngology | Year: 2013

Background: Allergic rhinitis (AR) is a global health problem affecting many people from childhood to adulthood. The aim of this study was to evaluate the prevalence of AR and related symptoms, and to assess the risk factors, dietary habits and the Mediterranean diet affecting AR. Methods: In a cross-sectional study design, 9991 children, aged 13-14 years in 61 primary schools in 32 districts of Istanbul were evaluated. The prevalence of AR symptoms among the children was evaluated using the ISAAC protocol. Results: In our study, total of 10,984 questionnaires were distributed to 13-14. yr-old schoolchildren to 61 schools in 32 district of Istanbul and 9991 questionnaires were suitable for analysis with an overall response of 91.7%. The rates of lifetime rhinitis, rhinitis in last 12 months and lifetime doctor diagnosed AR prevalence were 53.5%, 38.3% and 4.5%, respectively. The variation among districts in the prevalence of doctor diagnosed AR was very high. The highest prevalence was about 10 times higher than in the district with the lowest prevalence (range: 1.4-14.5) of Istanbul.A family history of atopy, mother with a university degree, presence of cat at home during last 12 months and adenoidectomy were significant for increased doctor diagnosed AR risk. Additionally, although fish and other sea foods, fermented drinks made from millets and various seeds, animal fats and butter were independent risk factors for doctor diagnosed AR, fish oil and hamburger were protective foods for doctor diagnosed AR. The MD was not associated with the prevalence of doctor diagnosed AR. Conclusions: This study shows that that there are wide variations for the prevalence of AR related symptoms in 13-14. yr-old schoolchildren among districts of Istanbul in Turkey. Socio-economical, environmental factors, some dietary habits, but not Mediterranean diet may affect the prevalence of AR. © 2013 Elsevier Ireland Ltd. Source


Invited medical book chapters are usually requested of experienced authors who have made significant contributions to the literature in certain fields requested by an editor from an experienced. Before the writing process begins, an agreement between the editor and the author with regard to the title, deadline, specific instructions and content an agreement is crucial. Certain issues concerning a chapter can be negotiated by the parties beforehand, but some issues cannot. As writing a medical book chapter is seen as an honor in its own right, the assignment needs to be treated with sincerity by elucidating the topic in detail, and maximal effort should be made to keep in mind that the chapter will reach a large target audience. The purpose of this review article is to provide guidance to residents and junior specialists in the field of urology to improve their writing skills. © 2013 by Turkish Association of Urology. Source


Ceren E.,Fatih Sultan Mehmet Research and Training Hospital | Gokdemir G.,Liv Hospital | Arikan Y.,Bone Diseases Research and Training Hospital | Purisa S.,Istanbul University
Dermatologic Surgery | Year: 2013

Background The treatment of ingrown toenail is usually bothersome for patients and doctors. Objectives To compare two treatment techniques of ingrown toenails - phenol matricectomy (PM) and nail-splinting using a flexible tube (FT) - in terms of efficacy, postoperative pain, postoperative cosmetic satisfaction, amount of tissue damage, and recurrence. Methods and Materials One hundred twenty ingrown toenails were randomized and divided into PM and FT groups. All cases were evaluated 2 days and 1 and 6 months after treatment. Postoperative pain, cosmetic satisfaction, time to recovery, and recurrence rate were measured. Results Postoperative pain was less and cosmetic satisfaction was good in both groups (p <.001). Our recurrence rate was 8.4%. There were no statistical differences between groups in these measures. Tissue improvement rate was 6% in the PM group and 93% in the FT group 2 days after the procedures (p <.001). Conclusions Although FT provides faster recovery and less postoperative morbidity than PM, the techniques are equally effective in treating ingrown toenails. © 2013 by the American Society for Dermatologic Surgery, Inc. Source

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