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Search Results: 1 - 10 of 1394 matches for " Suna Ay SARIKAYA "
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The Etiologic and Prognostic Importance of High Leukocyte and Neutrophil Counts in Acute Ischemic Stroke
Hayat GUVEN,Asli Ece CILLILER,Suna Ay SARIKAYA,Canan KOKER
Journal of Neurological Sciences , 2010,
Abstract: Objectives: Inflammatory mechanisms play an important role in the pathogenesis of cerebral ischemia and in the risk of stroke. In several studies, elevated leukocyte count has been associated with cardiovascular and cerebrovascular events. The aim of this study is to investigate the relationship between the leukocyte and neutrophil counts and stroke severity, short term prognosis and stroke subtypes of the patients with acute ischemic stroke.Materials/Methods: Leukocyte and neutrophil counts were measured in 166 consecutive acute ischemic stroke patients in the first 24 hour of admission. Clinical findings, stroke risk factors and brain imagings were evaluated. According to their etiology, patients were classified by using the TOAST criteria. Stroke severity was assessed by the modified Rankin Scale(mRS) on admission and discharge, National Institutes of Health Stroke Scale (NIHSS) was used on admission.Results: While 51(%30.72) patients had leukocyte ≥10000/μl and 115(%69.28) patients had leukocyte <10000/ μl, 70(%42.17) patients had neutrophil ≥6100/μl and 96(%57.83) patients had neutrophil<6100/μl. leukocyte and neutrophil counts were significantly higher in severe stroke (p<0.001) hence short term prognosis was significantly poor in these patients. (p<0.001) We found a strong correlation between large vessel disease and high leukocyte count (p<0.05) and also between small vessel disease and normal leukocyte count. (p<0.05) Results were similar for neutrophil levels of patients according to stroke subtypes.Conclus on: According to our study; high leukocyte and neutrophil levels on admission correlate with large vessel disease and therefore could be a predictor of stroke severity and unfavourable outcome.
Warty Dyskeratoma
Hüseyin Anul,Murat Alper,Ay?e Kavak,Mazlume Suna
Turkderm , 2008,
Abstract: Warty dyskeratoma is a benign dermatose that is characterized by a soliter papule or a nodule. Clinical findings are similar to verruca vulgaris, irritated seboreik keratoses and hypertrophic actinic keratoses. A 31- year-old woman with a 5 years duration of a purple-brown colored papule with a crust formation at the central, in 3 mm diameter, on the malar region. Histopathological findings were found resembling to warty dyskeratoma. This condition is rare and is presented with its demonstrative properties in the light of literature data. (Turkderm 2008; 42: 26-7)
Acute mercury poisoning: a case report
Sezgin Sarikaya, Ozgur Karcioglu, Didem Ay, Asl? Cetin, Can Aktas, Mustafa Serinken
BMC Emergency Medicine , 2010, DOI: 10.1186/1471-227x-10-7
Abstract: A 36-year-old woman presented to the ED with a three-day history of abdominal pain, diarrhea and fever. One week ago her daughter had brought mercury in the liquid form from the school. She had put it on the heating stove. One day later, her 14-month old sister baby got fever and died before admission to the hospital. Her blood pressure was 134/87 mmHg; temperature, 40.2°C; heart rate 105 bpm and regular; respiration, 18 bpm; O2 saturation, 96%. Nothing was remarkable on examination and routine laboratory tests. As serine or urinary mercury levels could not be tested in the city, symptomatic chelation treatment with N-acetyl cysteine (NAC) was instituted with regard to presumptive diagnosis and history. At the 7th day of admission she was discharged without any sequelae or complaint. At the discharge day blood was drawn and sent for mercury levels which turned out to be 30 μg/dL (normal range: 0 - 10 μg/dL).Public education on poisoning and the potential hazards of mercury are of vital importance for community health.Acute and chronic mercury exposure represents a potential threat to community health. Mercury poisoning can occur as a result of occupational hazard or suicide attempt. Mercury is silver-colored and liquid at room temperature. Mercury is available in inorganic and organic forms. All compounds of mercury are toxic but differ in the routes of absorption, clinical findings, and responses to therapy. Methylmercury, the soluble form is neurotoxic. Elemental (organic) mercury is especially hazardous for children since it is in liquid form and can easily be found around [1].The clinical effects of mercury poisoning depend on the form and the route of entry to the organism. Neurologic, gastrointestinal and renal systems are predominantly affected depending on the route of exposure.This article presents a 36-year-old case admitted to emergency department (ED) with nausea, vomiting and diarrhea caused by accidental inhalation and skin exposure of metallic mercury
Long-term benefits of breastfeeding - Invited Author
Mukadder Ay?e Selimo?lu,?zgü Suna Celilo?lu,Can Celilo?lu
Turk Pediatri Ar?ivi , 2010,
Abstract: Exclusively breastfeeding during the first six months of life is a worldwide accepted mode of feeding infants. Breast milk not only provides the needs of the infant for appropriate growth and development, but also lowers the mortality and morbidity by protecting against infections. It may also have some benefits for the following years and even for the adulthood. Numerous studies conducted on the late effects of breastfeeding reported sometimes inconsistent findings. We hope that review including last scientific knowledge would be helpful for physicians who deal with pregnants, newborns and infants to remember the benefits of breastfeeding. (Turk Arch Ped 2010; 45: 309-14)
Squamous Cell Carcinoma Arising in a Mature Cystic Teratoma
Suna Avc?,Fatih Selcukbiricik,Ahmet Bilici,Gülkan ?zkan,Ayse Ay?im ?za?ar?,Fatih Borlu
Case Reports in Obstetrics and Gynecology , 2012, DOI: 10.1155/2012/314535
Abstract: Introduction. Malignant transformation in a mature cystic teratoma of the ovary is a rare complication. Squamous cell carcinoma is the most common transformation. We describe a new case of squamous cell carcinoma arising in a mature cystic teratoma. Case Report. A premenopausal 52-year-old female patient is diagnosed with vaginal bleeding. According to examination made on the women and the pelvic scanning, 7?cm mass is found on the right adnexa of the patient. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, pelvic lymph node dissection, and debulking were the treatments completed on the patient. According to histopathological diagnosis, squamous cell carcinoma arising in a mature cystic teratoma is diagnosed as a reason for the mass in the right adnexa of the patient. Conclusion. The prognosis of the malign transformation of MCT depends on surgery stage; however it is extremely poor. The patient should receive chemotherapy regardless of stage. We have decided to administer second cycle carboplatin and paclitaxel treatments on the patient. 1. Introduction Mature cystic teratoma (MCT) is the most common germ cell tumor of the ovary. MCT composes 10–20% of all ovarian tumors. MCT diagnosed as bilateral is roughly 9–16%. MCT develops in a woman’s fifth to sixth decade of life [1]. The clinical presentation, symptoms, and complications show similarities to some other ovarian tumors. Such common symptoms are abdominal pain (54%), mass (31%), constipation, bleeding, weight loss, urinary frequency, and fever. MCT is generally a benign type of tumor; however some cases of malign transformation approximately occur in 1-2% of MCT cases [2]. The most common malignant transformation is squamous cell carcinoma (SCC) which is around 70–80% of malign transformation cases. Furthermore adenocarcinomatous, melanomas, carcinoid tumors, and different soft tissue sarcomas were reported [3–6]. The prognosis of the malign transformation of MCT depends on surgical stage; however it is extremely poor. We presented a case about this rare tumor, squamous cell carcinoma arising in a mature cystic teratoma with analyzing related literature. 2. Case A perimenopausal 52-year-old woman, gravida 3, para3, was admitted by our clinic in April 2012 with a one-month history of vaginal bleeding and progressive abdominal discomfort. She dose not have known medical history, medication, drinking alcohol problem, and family history of cancer. The patient’s gynecologic examination and transvaginal ultrasound showed a mass in the right adnexa. Moreover, pelvic magnetic
A Heuristic Algorithm for Vehicle Routing Problems with Simultaneous Pick-Up and Delivery and Hard Time Windows  [PDF]
Suna Cetin, Cevriye Gencer
Open Journal of Social Sciences (JSS) , 2015, DOI: 10.4236/jss.2015.33008
Abstract:

In this study, Vehicle Routing Problems with Simultaneous Pick-Up and Delivery and Hard Time Windows (VRPSPDHTW), the special case of vehicle routing problems is discussed. The goal of vehicle routing problems is generally, the minimization of travelled distance or travelling cost. In the literature, it is seen that same objective functions are defined in time windows vehicle routing problems. However, in time window vehicle routing problems, waits resulting from time window should be taken into account. In the study, objective function was specified as minimization of waits in VRPSPDHTW and the mathematical model has been defined as a set. In addition, heuristic algorithms are proposed for the solution of the problem.?Solomon data set were modified to fit the structure of the problem and proposed algorithm was tested.

Monkey’s type of anterior cerebral artery mimicking aneurysm: CT angiography findings
Sarikaya B
Neuroanatomy , 2006,
Abstract: We present a case of azygos pericallosal artery mimicking an anterior communicating artery aneurysm in a patient with headache that we thought the first reported case detected by CT angiography.
A New Approach of Identification of Cryptosporidium Strains: Ribotyping
Rabia SARIKAYA
Journal of Kirsehir Education Faculty , 2004,
Abstract: Cryptosporidium, first described in 1907, was not recognized as a cause of human illness until 1976. The protozoan Cryptosporidium parvum is the causative agent for the gastrointestinal disease, cryptosporidiosis, in man and animals. Upon the infection, this protozoan reside principally in the gastrointestinal tract and goes through its life stages as an intracellular parasite. In the intestines, it forms oocysts which are shed in feces and which are the source of infection for new susceptible persons. Different species of Cryptosporidium have been recorded, including C. muris, C. baileyi, C. meleagridis. However, only species that is believed to be an important cause of disease in man is Cryptosporidium parvum. In patients who are immunosuppressed or who suffer from AIDS, Cryptosporidium is now recognized as one of a large group of infections which can contribute to a protracted and life-threateningdiarrhoeal illness. The existence of different species of Cryptosporidium present problems in identification when oocysts are observed in environmental samples since it is not yet possible to differentiate between oocysts of different species. For this reason, molecular methods must use for phylogenic analysis. Purpose of this review to give important information about Cryptosporidium strains and their’s identification methods.
Paradox of the Sense of Time
Suna Luo
Asian Social Science , 2009, DOI: 10.5539/ass.v5n6p157
Abstract: In a study of Gatsby it is found that "time" is the trigger to reveal the myth of Gatsby. This paper aims to explain how time figures itself as a paradox in the greater context of the novel. Time, in its most general lexical meaning, is a continuous measurable condition from the past through the present and into the future. In Gatsby, Fitzgerald evokes a feeling of restlessness of time, which leaves the main character in a state where divisions between periods of time are so vague as if past, present and future were congealed into one condition. Concurrent with this condition, Fitzgerald treats time with the effect of simultaneous detachment and involvement. Through Fitzgerald's manipulation of time, the reader can see a mysterious connection between Gatsby, the protagonist of the story and Nick Carraway, the narrator of the story. Gatsby's story, the core of which is to bring the past into the future, has parallels to Carraway's experience. With not fewer combinations of opposing ideas and facts, the novel is distinguished with conflicts and paradoxes, which is based upon the concept of time, suggesting some intricate themes.
Chorea Gravidarum Presenting in the Last Trimester
Sevda SARIKAYA,Murat ?RTEN,Ba?ar SARIKAYA
N?ropsikiyatri Ar?ivi , 2009,
Abstract: Chorea gravidarum is a rare disorder characterized by choreiform and athetoid movements seen during pregnancy. History of Sydenham chorea can be found in more than one third of the patients. Changes in basal ganglia metabolism secondary to pregnancy-related increase in progesterone and estrogen levels were suggested as the cause of the chorea. Herein we report a 20-year-old patient presenting with chorea in the last trimester without any underlying cause. (Archives of Neuropsychiatry 2009; 46: 118-20)
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