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Search Results: 1 - 10 of 192790 matches for " Hafize Nalan GüNE? "
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Carbon Monoxide Induced Parkinsonism
Havva D?NMEZ KEKL?KO?LU,Hafize Nalan GüNE,Tahir Kurtulu? YOLDA?
Journal of Neurological Sciences , 2009,
Abstract: Carbon monoxide (CO) poisoning is a rather common in winter months of our country because of stove and flash gas heater. While low doses CO poisoning induce cardiac and neuropsychiatric symptoms; high doses acute or chronic CO poisoning induce coma and death. We evaluated consuquent 10 patients parkinsonism findings who submitted our hospital in the last 6 months. The patients were minimum 22 maximum 60 years-old (Mean 38). Three patients had unilateral and seven patients had bilateral hypokinesia and rigidity. Together with this symptoms; all patients had encephalopathy, psychotic, cardiac or internal symptoms, at different levels. Patients took hyperbaric oxygen, pramipexola and different treatment for their sypmtoms and one of the patients died at the hospital because of cardiac arrest. Other 9 patients symptoms have reduced and their treatment are continuing.
Low-grade leiomyosarcoma of renal vein: A case report
Nalan NE?E,Demet K. ?AVDAR,Bilal GüMü?,Ayd?n ???SA?
Türk Patoloji Dergisi , 2008,
Abstract: Leiomyosarcomas originating from renal vein are quite rare malignant tumors since only 30 cases have been reported in the literature. Clinical symptoms which are due to a renal mass along with radiological findings, usually mislead to a preoperative diagnosis of renal cell carcinoma. The correct diagnosis is frequently made on nephrectomy specimens. Low-grade leiomyosarcomas need to be differentiated from leiomyomas. Increased mitotic activity and necrosis are known to be gold standards for differential diagnosis. In this report, we present a case of a 62 year old woman whose tumor in the left kidney diagnosed as low-grade leiomyosarcoma together with a brief review of the literature.
Pleural Giant Solitary Fibrous Tumor and Immunohistochemical Profile
Nalan NE?E,Sad?k YALDIZ,Gülgün OVALI,Ayd?n ???SA?
Türk Patoloji Dergisi , 2009,
Abstract: Pleural solitary fibrous tumor is a rare and slow growing intrathoracic neoplasm. It originates from submesenchymal cells of parietal or, more commonly, visceral pleura. Although most cases follow a benign clinical course, it has been reported that a malignant outcome is seen in 7,5-37% of cases. We present here a case considered as pleural solitary fibrous tumor with malignant potential. A 74-yearold woman presented with dyspnea and computerized tomography showed a mediastinal mass connected to the pleura. The tumor was removed by surgery. Grossly, the tumor was lobulated, welldemarcated and mostly encapsulated. Its weight was 754 gr. and it measured 17x12x5.5 cm. The cut surface had a whorled appearance. Focal necrosis and myxoid degenerative areas were noted. Histopathologically, hypocellular areas characterized by uniform, small spindle cells in a collagen rich stroma and hypercellular areas were seen. The tumor had a prominent branching vascular network. Although mitosis was infrequent, necrosis was common. Tumoral cells were strongly immunoreactive for CD34, bcl-2 and vimentin by immunohistochemistry. Cytokeratin, actin, S100, CD117 and desmin were negative. The ratio of Ki-67 positive cells was 10%. The patient was diagnosed as pleural solitary fibrous tumor with malignant potential because of hypercellularity and presence of large necrotic areas although increased mitosis and pleomorphism were almost absent. There was no recurrence or metastasis 15 months after the surgery.
Opercular Syndrome Due to an Unilateral Opercular Infarction
Caner Baydar,H. Nalan Güne,Ufuk ?ener,ahir Kurtulu? Yolda?
N?ropsikiyatri Ar?ivi , 2012,
Abstract: The opercular syndrome is also known as Foix-Chavany-Marie syndrome and also as facio-labio-pharyngo-glosso-laryngo-brachial paralysis or the cortical type of pseudobulbar paralysis. This rare neurological entity generally develops secondary to cerebrovascular accidents affecting the bilateral opercular regions, usually as a result of subsequent strokes. In this paper, we describe a 74-year-old woman who presented with acute onset of inability to speak and swallow. Neurological examination revealed bilateral palsy of lower motor cranial nerves with preservation of reflex and automatic movements. Magnetic resonance images of the brain demonstrated an acute left opercular infarction. This syndrome usually occurs due to bilateral opercular lesions, nevertheless, the typical features of the syndrome may develop as a result of unilateral opercular lesion. (Arc-hi-ves of Neu-ropsy-chi-atry 2012;49: 74-6)
The effect of ursodeoxycholic acid and piperacillin-tazobactam on acute renal failure associated with obstructive jaundice
Murat G?nen?,Metin Kapan,Sibel Erdamar,Hafize Uzun
Medical Journal of Bakirk?y , 2010,
Abstract: Objective: Acute renal failure associated with obstructive jaundice is still a major clinical problem, and has yet not been completely understood. Many studies showed that one of the most important features of the process was endotoxemia and subsequent sepsis. We investigated the effects of ursodeoxycholic acid and piperacillin-tazobactam on acute renal failure associated with obstructive jaundice. Material and Methods: Forty male Spraque-Dawley rats were divided into four equal groups. First group was considered to be control group, and had only sham laparotomy. Obstructive jaundice models were created by ligation of the common bile duct in other three groups. Second group had no treatment; third group had enteral ursodeoxycholic acid treatment; fourth group had parenteral piperacillin-tazobactam treatment. Tissue and blood samples were obtained for the assessment of biochemical and histopathological parameters. Results: Endotoxin levels of treatment groups were significantly lower than the jaundiced group without treatment, but were significantly higher than control group. Histopathological examination revealed obvious renal tubular necrosis in all groups but in control group. Conclusion: Neither ursodeoxycholic acid nor piperacillin-tazobactam has a statistically significant impact on development of acute renal failure associated with obstructive jaundice.
Opinions and practices of the nurses facing with cases of child abuse- neglect: Pilot Study
Canan Ka? Güner, Hafize ?zge Yavuz, Zeynep D?RTBUDAK
Sa?l?k Akademisi Kastamonu , 2016, DOI: 10.25279/sak.204994
Abstract: Aim: This study has been carried out in order to determine the diagnosis methods of the nurses working in pediatrics department for child abuse – neglect cases as well as their level of knowledge about treatment and rehabilitation and their approaches when they encounter with abuse and neglect cases. Tools and Methods: Research has been carried out by including 25 pediatrics nurses working in child and emergency services of a hospital and who are voluntary to participate in the research. Also, semi-structured qualitative interviews have been carried out with five people who want to participate in a more exclusive interview than the facts and who accept the usage of voice recording. In the analysis of data, SPSS 16 program and simple thematic analysis have been used. Findings: 23 of the facts have encountered with the cases having all the characteristics of emotional, physical, sexual abuse and child neglect in their working lives while three of the facts have stated that they have knowledge about the procedure to be applied when they encounter with such cases; 9 of them have stated that they have previously been trained about the issues of abuse and neglect and 21 of them have stated that training is required. Conclusion: It has been realized that nurses do not use this training to diagnose abuse and neglect cases but they inform the doctors or polices of these cases when they encounter with abuse cases. In qualitative interviews, nurses have stated that they are responsible from diagnosing abuse but they cannot fulfill this responsibility because of their workload and they approach towards these cases in a more emotional manner compared to the other patients.
Examining the Level of Service in the Context of Recreational Carrying Capacity in the Erzurum Urban Forest, Turkey  [PDF]
Tendü Hilal G?ktu?, Nalan Demircio?lu Y?ld?z, Metin Demir, Burcu Mestav
Journal of Environmental Protection (JEP) , 2015, DOI: 10.4236/jep.2015.69090
Abstract: Urban forests are confronted with high using pressure because of the increasing demand for recreation and accessibility of these settings. For that purpose, defining and managing recreational carrying capacity is considered as significant in ensuring ecological value’s and recreational satisfaction’s continuity. The purpose of this paper is to investigate the carrying capacity of Erzurum Urban Forest with respect to Level of Service (LOS) as a new management technique that focuses on service quality and visitor satisfaction. The data were obtained by self-administered questionnaire conducted with 166 visitors on weekends and holidays during summer season of the year 2014. Data were analyzed by dimensions/indicators of recreational satisfaction and socio-demographic characteristics with intent to identify tolerance range of visitors. The contribution and relative importance of each of the indicators to the overall satisfaction were analyzed by using Ordinal Logistic Model (OLM). The results indicated that the four indicators were at the greatest degree; “distance from picnic spot to toilets” and “quantity of children’s playground facilities” were decease of overall satisfaction while “distance from picnic spot to parking” and “level of shade at picnic spot” had a positive contribution to the overall satisfaction. The outputs from these analyses were used to calculate LOS. It was revealed that the level of service (0.40) in Erzurum Urban Forest was below the moderate level. Planning and managing strategies for optimizing the LOS were developed and discussed by considering these results.
Nutritional Management of Metabolic Syndrome in Children
Nalan Hakime No?ay,Gülden K?ksal
Güncel Pediatri , 2012,
Abstract: The metabolic syndrome is defined as the presence of at least three of the following criteria: central or abdominal obesity, hypertrglyceridemia, hypertension, low HDL cholesterol and high fasting glucose levels in an individual. Although metabolic syndrome is known as a problem of adults, in recent years it appears to be a major problem in children also. Identification of the metabolic syndrome in children is based on different definitions proposed by different research groups. All of the definitions share common features: First, all definitions include an obesity element (waist circumference or BMI), two “dyslipidemia” elements (elevated triglycerides and low HDL cholesterol), elevated blood pressure, and a component representing glucose metabolism (impaired fasting glucose or impaired glucose tolerance). Because of the age-related differences in children and adolescents, the IDF suggests defining metabolic syndrome according to age groups. The increase in the prevalence of obesity in children, increase in the frequency of metabolic syndrome leading to the cause. Components of metabolic syndrome can be controlled separately by lifestyle interventions such as weight control, diet, and physical activity. Therefore, the primary treatment of metabolic syndrome should focus on factors such as dietary habits and physical activity. In this article, we discuss nutritional therapy of the metabolic syndrome in children.(Journal of Current Pediatrics 2012; 10: 92-7)
In Memory of Prof. Dr. Acar Tokcan
Hafize Yaliniz
Arsiv Kaynak Tarama Dergisi , 2009,
Abstract: [Archives Medical Review Journal 2009; 18(4.000): 276-278]
Splenic Hamartoma
Olcay Ak NALBANT,Nalan NE?E,Mümtaz KAHYA,Ayd?n ???SA?
Türk Patoloji Dergisi , 2009,
Abstract: Splenic hamartoma is a rare, benign lesion of the spleen requiring differential diagnosis. A 60-year-old male patient referred to the hospital with epigastric pain. Abdominal computed tomography revealed a mass in the spleen and multiple lymphadenopathies at the posterior wall of the stomach. The patient underwent splenectomy for diagnostic purposes. A pink to red, solid, well circumscribed tumoral lesion with a greatest diameter of 4.5 cm was observed on the cut surface of the splenectomy specimen in addition to ten other, not well circumscribed, dark red, solid tumoral lesions measuring between 0,3-1 cm in greatest diameter. All of the lesions were diagnosed as splenic hamartoma. As splenic hamartoma is a rare lesion and needs to be differentiated from other benign tumoral lesions of the spleen, this case is found worth to be presented.
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