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71.
72.
A 72-year-old female who was admitted to our urology clinic with painless intermittent macroscopic hematuria existing for 3 months with no other voiding symptom was diagnosed with left pyelovenous fistula. Although a rare condition, pyelovenous fistula should be kept in mind when the cause of macroscopic hematuria cannot be diagnosed with routine radiological examinations, and retrograde pyelography should be the method of choice for the diagnosis in this rare condition. 相似文献
73.
Onat A Hergenç G Uyarel H Ozhan H Esen AM Karabulut A Albayrak S Can G Keleş I 《Kidney & blood pressure research》2007,30(2):88-96
AIMS: The association of mild renal dysfunction (estimated glomerular filtration rate [eGFR] 60-89.9 ml/min/1.73 m(2)) with insulin resistance (IR) or metabolic syndrome (MS) needs be investigated in a population in which MS prevails. METHODS: After excluding subjects with diabetes mellitus, 1,678 subjects from a representative cohort (median age 52 years) were studied cross-sectionally. eGFR was based on serum creatinine concentrations using the quadratic GFR equation and categorized by 90 and 60 ml/min/1.73 m(2) as limits. MS was identified using the modified criteria of the Adult Treatment Panel-III. RESULTS: In men, whereas MS was not significantly associated with a reduced eGFR category when controlled for homeostatic model assessment (HOMA), HOMA adjusted for MS or for its components was significantly associated with the likelihood of a reduced eGFR. This likelihood was increased by 14% with a doubling of HOMA in men. Age was the dominant correlate of reduced eGFR in women, whereby an association with HOMA was not significant. CONCLUSION: Mildly impaired kidney function is common in nondiabetic adults among whom MS prevails, and in men it is mainly associated with IR but not with central obesity and MS-related dyslipidemia. The quadratic GFR equation enables an acceptable estimation of GFR in a general population. 相似文献
74.
Doğan Dolanmaz Alparslan Esen Ahmet Mihmanlı Kubilay Işık 《Oral and maxillofacial surgery》2016,20(2):203-209
Purpose
We report the results of the intralesional steroid injections for the management of central giant cell granuloma (CGCG) of the jaws.Methods
Seven CGCGs were treated with intralesional injection of corticosteroids. To accomplish this, 3.5 mL of triamcinolone and 3.5 mL of 0.5 % marcaine with 1/200,000 epinephrine (total 7 mL) were mixed. An adequate amount of steroid was injected into different areas of the lesion. This procedure was repeated on a weekly basis for 6 weeks.Results
Clinical and radiological examination showed complete resolution and ossification of the lesions in four patients. Partial recovery was achieved in two patients. One patient did not respond to the treatment and underwent surgical curettage.Conclusions
We suggest that intralesional steroid injection is safe and effective for the treatment of CGCG, especially in non-aggressive lesions.75.
Gken Kartal
ztürk Seil Conkar Aykut Eki Figen Gülen Ahmet Keskinolu Esen Demir 《Pediatric pulmonology》2020,55(5):1147-1153
With the increase in life expectancy, cardiovascular complications of cystic fibrosis (CF) have come to the forefront. Increased arterial stiffness is a marker of increased cardiovascular risk. The aim of this study was to compare both pulse wave velocity (PWV) and augmentation index (Aix) measurements in children with CF and to compare them with healthy controls. We hypothesized that children with CF had increased arterial stiffness, although traditional risk factors for CVD were not observed. Forty‐four patients and age and sex‐matched 30 healthy controls were included in the study. Hemodynamic measurements were compared in both groups, together with traditional risk factors. Peripheral blood pressure parameters of CF and control groups were similar (P > .05). Bodyweight and BMI were significantly lower in the CF group (P < .001). Serum cholesterol, HDL, and LDL levels were significantly lower in the CF group, whereas fasting blood glucose and triglyceride levels were significantly higher than the control group (P < .05). Mean ± SD Aix was significantly higher in the CF group (33.22 ± 13.87%) compared with the control group (24.93 ± 10.58%), respectively (P < .05), while PWV was similar. No significant correlation between PWV and Aix and fasting blood glucose and lipid profile in both groups (P > .05). Children with CF have been shown to have increased arterial stiffness compared to healthy children. Although there are not many traditional risk factors, increased arterial stiffness have been demonstrated in children with CF. The effects of this process starting from childhood on the development of CVD in adulthood are not known. Therefore, further studies are needed. 相似文献
76.
Comparison of scanning electron microscopy findings regarding biofilm colonization with microbiological results in nasolacrimal stents for external, endoscopic and transcanalicular dacryocystorhinostomy
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Melike Balikoglu-Yilmaz Tolga Yilmaz Sule Cetinel Umit Taskin Ayse Banu Esen Muhittin Taskapili Timur Kose 《国际眼科》2014,7(3):534-540
AIM:To compare bacterial biofilm colonization in lacrimal stents following external dacryocystorhinostomy (EX-DCR), endoscopic dacryocystorhinostomy (EN-DCR), and transcanalicular dacryocystorhinostomy (TC-DCR) with multidiode laser.METHODS: This prospective study included 30 consecutive patients with nasolacrimal duct obstruction who underwent EXT-, EN-, or TC-DCR. Thirty removed lacrimal stent fragments and conjunctival samples were cultured. The lacrimal stent biofilms were examined by scanning electron microscopy (SEM).RESULTS:Eleven (36.7%) of the 30 lacrimal stent cultures were positive for aerobic bacteria (most commonly Staphylococcus epidermidis and Pseudomonas aeruginosa). However anaerobic bacteria and fungi were not identified in the lacrimal stent cultures. Twenty-seven (90%) patients had biofilm-positive lacrimal stents. The conjunctival culture positivity after the DCR, biofilm positivity on stents, the grade of biofilm colonization, and the presence of mucus and coccoid and rod-shaped organisms did not significantly differ between any of the groups (P>0.05). However, a significant difference was found when the SEM results were compared to the results of the lacrimal stent and conjunctival cultures (P<0.001).CONCLUSION: Type of dacryocystorhinostomy (DCR) surgery did not affect the biofilm colonization of the lacrimal stents. SEM also appears to be more precise than microbiological culture for evaluating the presence of biofilms on lacrimal stents. 相似文献
77.
Correct diagnosis and accurate staging of renal cell carcinoma are critical in the evaluation of prognosis and subsequent
treatment planning. Between October 1989 and April 1993, 25 patients with histologically proven renal cell carcinoma (RCC)
were studied, comparing magnetic resonance imaging (MRI), computerized tomography (CT), operative findings and histopathological
results. Two patients with pT3 tumours were understaged by both methods as T2. Three other patients staged as T4 by CT and
T3 by MRI were actually pT3. N and V status were accurately detected by both imaging modalities. One patient with biopsy-proven
liver metastasis missed by CT was correctly diagnosed by MRI. We conclude that MRI is complementary to CT and is especially
helpful in patients with advanced stage and large sized tumours. 相似文献
78.
Background: Chronic periodontitis (CP) and rheumatoid arthritis (RA) appear to share many pathologic features. Oxygen metabolism has an important role in the pathogenesis of both CP and RA. The aim of this study is to evaluate the relationship between these two chronic inflammatory diseases with regard to antioxidant and oxidant status. Methods: A total of 80 participants were divided into four groups of 20 each: group RA–CP (patients with RA and CP), group RA (periodontally healthy patients with RA), group CP (systemically healthy patients with CP), and group C (periodontally and systemically healthy volunteers) were included in the study. After assessment of periodontal measurements, gingival crevicular fluid (GCF) samples were taken at one incisor, premolar, and molar tooth and stored with serum samples at ?80°C for the antioxidant/oxidant assay. Results: Although all clinical measurements in groups RA–CP and CP were statistically higher compared to those of C and RA groups (P <0.001), there were no differences between CP and RA–CP groups (P >0.05). GCF total oxidant status (TOS) values of CP and RA–CP groups were higher than those of the RA group (P <0.05). GCF oxidative stress index (OSI) values of the RA–CP group were higher than those of the RA group (P <0.05). There were no differences among the groups in terms of serum TOS and OSI values (P >0.05). Conclusions: Local OSI values in groups with patients with CP were higher, whereas systemic OSI values showed no difference among the groups. The presence of RA seems not to affect local and systemic OSI values in patients with CP. 相似文献
79.
Levent Midyat Esen Demir Memnune Aşkın Figen Gülen Zülal Ülger Remziye Tanaç Selen Bayraktaroğlu 《European journal of pediatrics》2010,169(10):1171-1177
Scimitar syndrome is a rare congenital anomaly, characterized by partial or complete anomalous pulmonary venous drainage of
the right or left lung into the inferior vena cava. The syndrome is commonly associated with hypoplasia of the right lung,
pulmonary sequestration, persisting left superior vena cava, and dextroposition of the heart. The pathogenesis of the syndrome
is unclear, but it seems to originate from a basic developmental disorder of the entire lung bud early in embryogenesis. Two
main forms of scimitar syndrome have been described. Signs and symptoms can start during infancy (infantile form) or beyond
(childhood/adult form). The infantile form generally presents within the first 2 months of life with tachypnea, recurrent
pneumonia, failure to thrive, and signs of heart failure. The diagnosis of scimitar syndrome is usually made based on the
characteristic chest X-ray films and can be confirmed by angiography; however, it is now done mostly by transthoracic or transesophageal
echocardiography, noninvasive computed tomography, or magnetic resonance angiography. Fetal echocardiography using three-dimensional
power Doppler imaging permits prenatal diagnosis. Most frequently, patients are asymptomatic in the absence of associated
abnormalities and can be followed conservatively. For patients with congestive heart failure, repeated pneumonia, or pulmonary-to-systemic
blood flow ratios greater than 1.5 and pulmonary hypertension, it is important to reroute the anomalous right pulmonary veins
and repair the associated cardiac defects in order to avoid progression to right ventricular failure. The triad of respiratory
distress, right lung hypoplasia, and dextroposition of the heart should alert the clinician to think of scimitar syndrome. 相似文献
80.
Ziya Cetinkaya Kazim Esen Ibrahim Hanefi Ozercan Bilal Ustundag Refik Ayten Erhan Aygen 《World journal of emergency surgery : WJES》2006,1(1):37