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Search Results: 1 - 10 of 56 matches for " ahir Kurtulu? Yolda? "
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Opercular Syndrome Due to an Unilateral Opercular Infarction
Caner Baydar,H. Nalan Güne?,Ufuk ?ener,ahir KurtuluYolda
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)
Relation of Serum Uric Acid Level with Cognitive Functions and Number of Plaques in Patients with Relapsing-Remitting Multiple Sclerosis
Tahir KurtuluYolda,Hava D?nmez Kekliko?lu,?zkan Zengin,Elif Banu SOLAK
N?ropsikiyatri Ar?ivi , 2010,
Abstract: Objective: Several studies have identified impaired performance on the cognition test in people with multiple sclerosis (MS), yet uncertainty remains over the cause of this impairment. The aim of this study was to evaluate the correlation of serum uric acid (UA) level with cognitive impairment and magnetic resonance imaging (MRI) lesions in patients with relapsing-remitting multiple sclerosis (RRMS).Methods: In this study, 50 adults patients with RRMS (disease period 1-5 years) were assessed with neuropsychological test batteries and laboratory blood studies. All the patients were subjected to oranial MRI examination and clinical evaluation with the expanded disability status scale (EDSS) was applied. Results: Cognitive impairment was found in 44% of the patients. Mean UA serum level was measured as 4.38±1.60 mg/dl (2-9 mg/dl) and the mean EDSS score was 2.09±2.01 (0-7). Even it is not statistically significant, the relation between serum UA level and cognitive functions or number of plaques on MRI was found at about statistically significant level (p=0.09). A statistically significant correlation was observed between the scores of the concentration and distractibility subtest scores of the ADAS-cog test and the serum UA levels (p=0.01). However, the effects of exhaustion and emotional disorders on this relation can not be excluded.Conclusion: Our findings suggest that in RRMS patients there is no primary deficit in serum uric acid. Cognitive impairment and total MRI lesion load in RRMS patients are not directly effected by serum UA level. (Archives of Neuropsychiatry 2010; 47: 333-7)
Neuropsychiatric Findings in a Delayed Encephalopathy Due to Carbon Monoxide Intoxication
A. Emre SARGIN,Hava D?NMEZ,Sibel ?RSEL,Tahir KurtuluYOLDA
N?ropsikiyatri Ar?ivi , 2009,
Abstract: Carbon monoxide (CO) intoxication can be a deadly condition and is a very common public health problem in Turkey due to the use of coal stoves during the winter months in homes. Carbon monoxide intoxication accounts for more than half of the deaths due to intoxications in Turkey. It is very likely to misdiagnose the cases of delayed anoxic encephalopathy (DAE) which are seen after the latent period following the acute intoxication. In delayed anoxic encephalopathy, following complete recovery and after a latent period, neurologic and/or psychiatric symptoms appear again. The symptom triad of DAE is mental deterioration, urinary and/or gaita incontinence and gait disturbances. The psychiatric appearance in DAE can be seen in a variety of very different findings including dementia, amnestic syndromes, organic affective disorders, personality disorders and psychosis. In this case report, we present a 35-year-old man, who was admitted to the hospital because of irritability and loose mind. The patient did not have any previous psychiatric or neurologic disorder, but he had CO intoxication 33 days before the admission and was discharged from the hospital following a hyperbaric oxygen treatment with a complete recovery. After a 15-day latency period he was admitted to the hospital because of the mentioned symptoms. The differential diagnosis of the rich neuropsychiatric findings together with cranial magnetic resonance imaging findings (MRI) are discussed in this patient. (Archives of Neuropsychiatry 2009; 46: 121-4)
The Prognostic Value of Serum Uric Acid Level in Acute Ischemic Stroke
Hava D?NMEZ KEKL?KO?LU,Selda KESK?N,Tahir KURTULUYOLDA
Journal of Neurological Sciences , 2009,
Abstract: Introduction and Objective: Uric acid is a natural anti-oxidant that plays a role in acute oxidative stress reactions like acute ischemic stroke. In this study, we aimed to search the relation between serum uric acid level, length of hospital stay and severity of stroke in acute stroke patients, and consequently, the prognostic value of serum uric acid level.Patients and Methods: We performed a retrospective study on 100 patients who had presented to the emergency department with the findings of acute ischemic stroke. All the laboratory, radiological and clinical investigations were recorded. All the risk factors, National Institute of Health Stroke Scale (NIHSS), laboratory values, clinical findings, length of hospital stay of the patients and the treatment modalities were recorded.Results: The median serum uric acid level was 5.25±2.03 mg/dl. The median level in females was found to be higher than that in males. The length of hospital stay varied from 2 to 57 days and the median value was 13±8.66 days. In the multivariate analysis, increases in the levels of serum uric acid measured were significantly associated with decreased length of hospital stay. We detected a low value correlation between NIHSS and serum uric acid levels, but it was statistically insignificant. According to our results, there was a strong negative correlation between serum uric acid levels and the length of hospital stay, and a weak correlation between the serum uric acid level and the severity of stroke.
Methanol Poisoning and Putaminal Hemorrhage: Case Report
Hava D?NMEZ KEKL?KO?LU,Tahir KURTULUYOLDA,Y?ld?z ?ORUH
Journal of Neurological Sciences , 2007,
Abstract: Methanol is a highly toxic substance used as an industrial solvent and automotive antifreeze. The central nervous system and the visual pathway are the main targets of methanol poisoning. We present the cranial computerized tomography (CT) imaging findings in acute methanol intoxication in a 44-years-old man who was admitted to the emergency department with weakness, blurred vision and a progressive decrease in the level of consciousness. CT imaging showed bilateral putaminal hemorrhagic lesions. A case is hereby presented in which CT played an important role in making the diagnosis due to poor patient's history and unavailability of methanol assay.
Carbon Monoxide Induced Parkinsonism
Havva D?NMEZ KEKL?KO?LU,Hafize Nalan GüNE?,Tahir KurtuluYOLDA
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.
A Research on the Impacts of Core Employees on the Performances of SME’s  [PDF]
Kurtulu? Y?lmaz Gen?
Sociology Mind (SM) , 2014, DOI: 10.4236/sm.2014.43021
Abstract:
This study includes a research on the impacts of core employees on the perceived performances of Small and Medium Sized Enterprises (SME’s). Employees, who are working at manufacturing department or basic function, were taken as core employees in the frame of the research. This research was conducted at the Middle and Eastern Black Sea region of Turkey; at 60 SME’s. The research was realised on the bases of the resource-based view of the firm; the relation between the characteristics of core employees as rareness, hardness to imitation and the perceived performances of SME’s were given. This study contributes to the literature for its regional focus to the topic and for the presentation of how SME’s perceive organizational performance as dimensional context. The results of the research didn’t support the hypothesis which claims that there is a positive relationship between the expertises of core employees, whose superior characteristics are specific to firms and the organizational performance.
Teachers’ and Students’ Views Toward The Activities of the Primary Science and Technology Curriculum
Nur Kurtulu,Oylum ?avdar
Necatibey Faculty of Education, Electronic Journal of Science and Mathematics Education , 2011,
Abstract: The aim of this study is to find out teachers’ and students’ views about preparation, application and evaluation of activities in which the Primary Science and Technology Curriculum began to be used since 2004-2005 education year. In the study, qualitative research design was used. The data were gathered through semi-structured interviews conducted with 3 science and technology teachers who work at various primary schools in Trabzon and 9 primary school students. The gathered data were presented by classifying under categories. One of the most important result of the study is that activities are generally applied teacher-centered because of material shortage, lack of time and overcrowded classrooms. It is suggested as the first step for solution of problems that physical conditions in the schools are got better and the teachers are educated in In-Service Teacher Education Program systematically.
Perceptions and Attitudes of Resident Doctors about Malaria Treatment as Per National Drug Policy on Malaria
Ghanshyam Ahir, D V Bala
National Journal of Community Medicine , 2012,
Abstract: Background: The involvement of public and private health care providers in malaria treatment, particularly understanding their knowledge and practices will aid in devising strategies to increase the rational use of antimalarial drugs. They should be aware about rationale and implement national drug policy on malaria to prevent morbidity and mortality of malaria as well as development of antimalarial drug resistance. Therefore, a study was planned on the same issue among resident doctors of a tertiary care teaching hospital. Objective: To study the perceptions and attitudes of resident doctors regarding use of anti malarial drugs for treatment of all types of malaria cases in accordance with national drug policy on malaria-2010. Methodology: This cross-sectional study was conducted at tertiary care teaching hospital with sixty four (64) resident doctors of medicine (24), pediatrics (24) and obstetrics (16) departments with the help of pre tested; semi-structured questionnaire based on national drug policy on malaria-2010 from 15th July to 30th August 2010. Results: Only 12 (18.8%) residents were aware about drug policy. Dose and duration and indication of primaquine was known to 21 (32.8%) of resident doctors. Artesunate (49.2%) and Arteether (16.9%) were commonly prescribed in case of uncomplicated P.falciparum and P.vivax malaria. Conclusion: It was noticeable that knowledge and awareness regarding drug policy among resident doctors was unsatisfactory. Regular sensitization programme on malaria drug policy should be conducted.
Content Centric Networking and its Application
Deepali damodar Ahir,Prashant Kumbharkar
Journal of Global Research in Computer Science , 2013,
Abstract: Growing use of digital devices and penetration of social networking has created lot of personal content which is being shared over internet. Content sharing is becoming popular and it is one of the most used applications of internet, yet internet design has little consideration for content sharing. It was mainly designed to connect different nodes in the network, so to keep up with latest trend and to efficiently use internet for content sharing a new concept is evolving called Content centric networking (CCN). CCN provides lower communication overhead and shorted download time, this paper will explain CCN, its applications, and possible enhancements to CCN. Key words: Named data, Content Centric Networking (CCN), Mobile content sharing.
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