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Yozgat, Turkey

Celik T.,Bolu Gerede State Hospital | Kosker M.,Yozgat State Hospital | Turkoglu E.B.,Sakarya Training and Research Hospital
Seminars in Ophthalmology | Year: 2013

Purpose: To describe an unusual case of oculoglandular tularemia associated with unilateral acute dacryocystitis and purulent conjunctivitis with 18 weeks pregnancy. Methods: It is difficult to culture francisella tularensis on media so serological tests such as micro-agglutination methods are used to diagnose the infection. PCR test results were weak positive. The serum sample was analyzed for the presence of f. tularensis antibody, which was determined positive with a titer of 1/160. Results: Oral amoksicilin-clavulonic acid treatment was applied to the patient because of the side-effects of other antibiotics on the fetus. Dacryocystitis was surgically drained but relapsed a few weeks later, so it was drained again and a ciprofloksasin-impregnated sponge was placed into the tissue defect that occured after drainage. No relapses were seen after recovery of dacryocystitis. Conclusions: Oculoglandular tularemia is not only suspected in cases who complain of fever, cervical lymphadenopathy and purulent conjunctivitis, it should also be suspected in cases who are admitted to the hospital with acute dacryocystitis, which is a rare component of oculoglandular syndrome. Copyright © Informa Healthcare USA, Inc.

Gencer Z.K.,Bozok University | Ozkiris M.,Bozok University | Gencer M.,Yozgat State Hospital | Saydam L.,Bozok University
American Journal of Rhinology and Allergy | Year: 2013

Background: This study investigates the effects of local anesthetics application on pain and hemorrhage caused by nasal pack removal. Methods: The study included 140 patients. Of these, 72 were women and 68 were men. The mean age and weight of the patients were 33.67 ± 10.2 years (range, 21-63 years) and 69.6 ± 13.6 kg. The patients were divided randomly into four groups. Three of the four groups received one of the local anesthetics studied in our trial (lidocaine + adrenaline, 0.25% bupivacaine, or 2% prilocaine) before removal of the nasal packing material and the control group received saline solution. Local anesthetics and 0.9% saline solution were applied to Merocel nasal packs 15 minutes before removal. Each patient was given a questionnaire where verbal analog score and amount of postoperative hemorrhage was noted. Results: The mean pain score was 3.5 ± 1.2 (median, 4; range, 3-5) in the lidocaine group, 4.5 ± 1.2 (median, 4; range 3-5) in the prilocaine group, 4.7 ± 1.3 (median, 6; range, 3-5) in the bupivacaine group, and 6.35 ± 1.2 (median, 6; range, 5-7) in the saline group during nasal packing removal. The lidocaine group had significantly better pain scores versus other groups (p < 0.05). Bupivacaine and prilocaine had significantly better pain scores versus the control group, respectively. Analysis of bleeding scores after pack removal showed that all three study groups had significantly better bleeding scores versus the control saline group (p < 0.05). The lidocaine group had significantly less bleeding score than bupivacaine and prilocaine groups (p < 0.05). Conclusion: Topical lidocaine application before removal of nasal packs in patients who undergo nasal septal surgery can decrease discomfort and bleeding and improve patient tolerance. Copyright © 2013, OceanSide Publications, Inc., U.S.A.

Albayrak Y.,KIrklareli State Hospital | Ekinci O.,Yozgat State Hospital | Caykoylu A.,Ataturk Education and Research Hospital
Comprehensive Psychiatry | Year: 2012

Introduction: Schizophrenia is associated with a significant risk of suicide, and suicide still remains one of the main causes of death in schizophrenic patients. Beside classic risk factors for suicidality, temperament and character traits have been researched and considered as risk factors for suicidal behavior in recent years. Method: Subjects were 94 patients with schizophrenia who were under treatment. All patients were in a stable phase of the illness. Patients with lifetime suicide attempt (n = 46) and without suicidal attempt (n = 48) were compared with each other in terms of temperament and character traits by using the Temperament and Character Inventory. Results: Harm avoidance and persistence scores were higher in suicidal schizophrenic patients compared with nonsuicidal schizophrenic patients. The scores of self-directedness and cooperativeness were lower in suicidal schizophrenic patients compared with nonsuicidal schizophrenic patients. These 4 variables remained significant predictors of lifetime suicidal attempts in a logistic regression model. Conclusion: To the best of our knowledge, the present study is the first that specifically compares schizophrenic patients with and without suicidal behavior by the Cloninger temperament and character model. Our data indicate that schizophrenic patients will show a greater risk for suicide according to certain personality configurations. However, to establish causal relationships between personality and suicidality in schizophrenia, longitudinal studies are warranted within a multifactorial interactive framework of biologic and clinical variables. © 2012 Elsevier Inc. © 2012 Elsevier Inc. All rights reserved.

Zengin B.,Yozgat State Hospital
Journal of Clinical and Analytical Medicine | Year: 2016

The adrenal glands have a unique role in the physiological regulation of the human body. Although they are very small, the adrenal glands can be affected by many benign and malign lesions. Through the improvements in imaging modalities, determination of adrenal incidentalomas has substantially increased. The differentiation of benign adrenal lesions from malign lesions is very important to determine the appropriate management and to avoid unnecessary invasive tests. For this differentiation, various criteria have been determined for all imaging modalities. But, sometimes benign and malign lesions may overlap and the differentiation can be very difficult. The imaging modalities should be used to complement each other and the choice of imaging modality must be based on the clinical and laboratory histories of patients. © 2016, Journal of Clinical and Analytical Medicine. All rights reserved.

Tekin G.,Bozok University | Tekin Y.K.,Yozgat State Hospital | Erbay A.R.,Bozok University | Turhan H.,Gozde Hospital | Yetkin E.,Ortadogu Hospital
Angiology | Year: 2013

We evaluated the association between serum uric acid (SUA) and atrial fibrillation (AF) in patients with chronic heart failure (HF). Totally, 363 patients with chronic HF were included in the study. Of all, 78 patients had AF and 285 patients were in normal sinus rhythm. Serum uric acid was significantly increased in patients with AF compared with patients in normal sinus rhythm (P <.05). Comparing patients with AF and normal sinus rhythm, we found that age was significantly higher in patients group with AF. Echocardiographic parameters including ejection fraction, left atrial diameter, left ventricle end-diastolic diameter, and left ventricle end-diastolic volume were also significantly higher in patients with AF compared with patients in normal sinus rhythm. We have shown that patients with AF have significantly higher SUA and this was independently associated with AF in patients with ischemic HF. © The Author(s) 2012.

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