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Search Results: 1 - 10 of 139043 matches for " Cenk K?rakl? "
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Fatal Progression of Pseudomonas Aeruginosa Pneumonia in a Health Care Worker
Cenk Krakl,Hakan Koca,Zeynep Zeren U?ar,Ahmet Emin Erbaycu
Turk Toraks Dergisi , 2010,
Abstract: The case of a 43 year-old healthy male with Pseudomonas aeruginosa pneumonia causing septic shock and multiorgan failure within 48 hours of admission is presented. The patient had systemic symptoms and in the chest x-ray, minimal infiltration on the left upper zone was observed. After 36 hours of admission pneumonic infiltration involved all the left lung and the patient was admitted to the intensive care unit for invasive mechanical ventilatory support. Despite appropriate antibiotherapy and supportive therapy, the patient developed pancytopenia, septic shock and multiorgan failure and died 48 hours after admission. Pseudomonas aeruginosa was isolated from the sputum, blood and tracheal aspirate cultures. This case is presented because Pseudomonas aeruginosa pneumonia with fulminant fatal progression in a healthy adult without immunedeficiency, concomitant disease or risk factor is very rarely seen in the literature.
The Effect of Shortening Confirmed Brain Death Diagnosis TimeOn Organ Donation Rates in the Intensive Care Unit
Cenk Krakl,Zeynep Zeren U?ar,Ay?e Berna An?l,?mran ?zbek
Turkish Journal of Medical and Surgical Intensive Care Medicine , 2011,
Abstract: Aim: The aim of this study was to evaluate the effect of the time which elapsed from the clinical diagnosis of brain death (BD) until the confimation report on organ donation rates in a general intensive care unit of a training hospital in Izmir.Materials and Methods: The characteristics of cases diagnosed as brain death in the intensive care unit of a training hospital between 01.01.2007 and 31.12.2008 were evaluated retrospectively. Demographic and clinical features, the time which elapsed from the clinical diagnosis until confirmation report, rates of acceptance and decline, factors affecting these desicions and the characteristics of patients’ relatives were recorded. Cases whose relatives accepted and refused organ donation were compared according to these variables.Results: From the 1759 patients followed up in the ICU during the study period, 48 were diagnosed as brain death. Median age was 48 (33-62) years. The etiologies of BD diagnosis were medical causes in 29 cases and traumatic causes in 19 cases (13 due to traffic accidents). Twenty nine patients (60%) were referred to the ICU from the emergency room, 11 patients (23%) from another center and 8 (17%) from within our hospital. Forty-two patients (88%) needed inotropic or vasopressor agents. Acceptance rate of organ donation was 69% in 33 cases. The median time to confirmation reporting from clinical diagnosis was 6 (5-16) hours in patients whose relatives accepted donation and 22 (60-90) hours in those whose relatives refused donation (p=0.03). The median time from reporting to harvesting was 5 (3-7) hours. Median 4 (3-5) organs were harvested and used for transplantation. The effect of the organ transplant coordinator was predominant in 64% of relatives who agreed to donate. The main cause of refusal was religious factors in 87%.Conclusion: The awareness of intensive care workers of potential donors, maximum effort spent to shorten the time up to reporting after clinical diagnosis and requests to the family made by a trained and experienced organ transplant coordinator may increase the low donation rates in our country.
Zeynep Munteha Ba?er,Zeynep Zeren U?ar,Aydan Merto?lu,Cenk Krakl
Erciyes Medical Journal , 2012,
Abstract: Objective: Sleep problems, which may also affect mortality, frequently occur in chronic obstructive pulmonary disease (COPD) patients, but few studies have addressed sleep problems due to the restless legs syndrome (RLS). This study aimed to investigate the prevalence and severity of RLS and associated clinical and laboratory parameters in COPD patients without accompanying disease.Material and Methods: Fifty male COPD patients without accompanying disease and 20 male controls were enrolled to the study. RLS and RLS severity were assessed with a standard international questionnaire. Clinical and laboratory parameters which may be associated with RLS were investigated in COPD patients. Results: No statistically significant difference was found in the prevalence (COPD: 24%, controls: 10%) and severity of RLS. RLS family history was reported in 16% of COPD patients. No significant association existed between presence and severity of RLS and clinical and laboratory parameters. H A higher proportion of inhaled anticholinergic therapy was reported in COPD patients with RLS (11/12 vs 22/38; p<0.05).Conclusion: To our knowledge this is the first study which investigated the prevalence of RLS in COPD patients without accompanying disease and found an association between RLS and inhaled anticholinergic therapy. The major limitations were small sample size and lack of female patients. Large scale prospective studies would help to elicit these findings.
Adolescent communication through music
Turk Pediatri Ar?ivi , 2011,
Abstract: Famous Greek Philosopher Plato states that young people need gymnastics for their bodies and music for their souls in his famous piece “The Republic” and any adult who observes the behaviours of adolescents can see that adolescents spend so much time with music and sports. Lull shows that music functions as identification, integration and expression for young adolescents. So, music preferences of adolescents may give some clues about their inner world and personality traits; further more social research on this phenomenon shows correlations between adolescents’ music preferences and self-concept. As a result, it might be helpful for adults to communicate with adolescents through trying to understand their preferences for music. (Turk Arch Ped 2011; 46 Suppl: 19-21)
Cenk Büyükünal,?enol Emre
Turk Pediatri Ar?ivi , 2010,
Abstract: ...
The Quantity and Course Of Paraumbilical Veins in Adults, and Their Topographic Relation with the Umbilical Vein (Ligamentum Teres Hepatis)
Nurcan ?mre,Cüneyt Bozer,Cenk K?l??,Esra Erdogan
Journal of Clinical and Analytical Medicine , 2010, DOI: 10.4328
Abstract: Aim : The paraumbilical veins surrounding umbilical vein and running within falciform ligament is of the following three types: Burows veins, Sappeys superior and inferior group veins. Sappey’s veins are referred to as accessory portal veins. They form the connection between portal vein and systemic veins. Burows veins terminate in the middle third of umbilical veins and do not enter the intrahepatic portal system directly. Material and Methods In this study, the falciform ligament specimens from 20 adult cadavers were used to determine the number and course of paraumbilical veins and to expose its topographic relationship with umbilical vein. The falciform ligament separated into four quadrants and examined. Results: Mean numbers of paraumbilical veins were found 6.65 ± 2.1 in microscopical examination. Conclusion: In the relevant literature, there is a lack in studies about the quantity of paraumbilical veins and their topographic relation with the umbilical vein. Detailed information on quantitative parameters of paraumbilical veins may prove helpful in determining pathologies of paraumbilical veins and portalsystemic circulation.
Disintegration of Social Structure into Pre-national Scales: Samples of Divided Society Type
Cenk Reyhan
Journal of Gazi Academic View , 2012,
Abstract: Lebanonisation expresses a destabilizing process used to describe the societies, which have beendeeply divided on ethnic, religious, sectarian, linguistic and ideological grounds and which are open tothe intervention of big-imperialist forces and highly susceptible to civil war. The basic problem in Lebanonisationis the presence of a social-political structure built on an exclusive commitment dependingupon ethnic, religious, sectarian groups and sub-clusters and, in accord, the absence of an interiorizingbelonging to the secular-constitutional citizenship, which constitutes a national upper cluster.As shown in our examples, this process breaks the national structure into ethnic, religious,sectarian pieces and produces a political and governance model based on such representation. In thiscontext, in order to overcome the system crisis caused by “the sub-national scale”, “national-scale” maybe an important instrument for solution.
The Theoretical Framework of the Young Turks Movement
Cenk Reyhan
Journal of Gazi Academic View , 2008,
Abstract: The objective of this study is to produce a theoretical framework of the Ottoman-Turkish process of revolution. This was tried to be accomplished by studying on the ideological debates and demands of the Young Turks before 1908 and determining the limits of the movement in the transformation of the Ottoman political structure. With a provident approach, the Young Turks movement described as a “revolutionary process” even if it ended up with a revolution or not and the ideological properties of it had been analysed.
Unilateral Absence of the Pulmonary Artery Incidentally Found in Adulthood
Cenk Aypak,Hülya Y k lkan,Zekai Uysal,Süleyman G rpelio lu
Case Reports in Medicine , 2012, DOI: 10.1155/2012/942074
Abstract: Unilateral absence of the pulmonary artery (UAPA) or pulmonary artery agenesis is a rare congenital disorder presenting with a wide spectrum of symptoms. UAPA is usually associated with cardiac anomalies and surgically treated in childhood. We report a rare case of a 50-year-old woman who was diagnosed with left pulmonary artery agenesis without any other cardiac anomalies. Clinicians should be aware of the possibility of undiagnosed cases of UAPA in patients through a chest radiograph that suggests the diagnosis. Confirmation of the diagnosis and anatomic details can be discerned by CT scanning.
Can bipolar vaporization be considered an alternative energy source in the endoscopic treatment of urethral strictures and bladder neck contracture?
Basok, Erem K.;Basaran, Adnan;Gurbuz, Cenk;Yildirim, Asif;Tokuc, Resit;
International braz j urol , 2008, DOI: 10.1590/S1677-55382008000500006
Abstract: objective: we evaluated the outcome of bipolar energy by using plasmakinetic? cystoscope instruments in the treatment of urethral stricture and bladder neck contracture. materials and methods: twenty-two male patients with urethral stricture and five with bladder neck contracture were treated by endoscopic bipolar vaporization. the most common etiology for stricture formation was iatrogenic (85.2%) and the mean stricture length was 12.2 mm. all patients were evaluated with urethrography and uroflowmetry one month and 3 months after surgery. urethroscopy was routinely performed at the end of the first year. preoperative mean maximum flow rate (q max) was 4.9 ml/s for urethral stricture and mean q max was 3.4 ml/s for bladder neck contracture. the results were considered as "successful” in patients where re-stenosis was not identified with both urethrography and urethroscopy. minimum follow-up was 13.8 months (range 12 to 20). results: tissue removal was rapid, bleeding was negligible and excellent visualization was maintained throughout the vaporization of the fibrotic tissue. postoperative mean q max was 14.9 ml/s and the success rate was 77.3% for urethral stricture at mean follow-up time of 14.2 months. the success rate was 60% with a mean follow-up time of 12.2 months for bladder neck contracture and the mean q max was 16.2 ml/s, postoperatively. conclusions: the study suggests that bipolar vaporization is a safe, inexpensive and reliable procedure with good results, minimal surgical morbidity, negligible blood loss, and thus, it could be considered as a new therapeutic option for the endoscopic treatment of urethral stricture and bladder neck contracture.
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