Triple Synchronous Tumors in a Patient: Gastric Adenocarcinoma, Omental Gastrointestinal Stromal Tumor and Renal Angiomyolipoma

Introduction: The presence of synchronous distinct tumors is uncommon in the literature, and the etiology of it is still unknown.Presentation of Case: Herein, we report a 42 year-old-woman with synchronous triple tumors of gastric adenocarcinoma, renal angiomyolipoma (AML), and omental gastrointestinal stromal tumor (GIST). She underwent total gastrectomy after the diagnosis of adenocarcinoma by endoscopic biopsy. During macroscopic examination of gastrectomy specimen, an ulcerated tumor about 4.5 cm in diameter was observed in the fundus. Histopathologically, it was diagnosed as adenocarcinoma harboring some signet-ring features. While dissecting lymph nodes of the omentum of the lesser curvature, a nodular mass about 4.2 cm in diameter seemed to be a lymph node was detected macroscopically. However, it was diagnosed as GIST by histopathological and immunohistochemical features. Also, partial nephrectomy was performed during the same session due to a mass detected radiologically in the left kidney about 2.2 cm in diameter. It was indicated to be metastatic gastric adenocarcinoma clinically but AML was determined by histopathological and immunohistochemical findings.Conclusion: To the best of our knowledge, our patient is the first case in the literature that has synchronous tumors of gastric adenocarcinoma, omental GIST and renal AML

Diagnostic Role of Intravesical Prostatic Protrusion and Visual Prostate Symptom Score in Lower Urinary Tract Symptoms in Male

INTRODUCTION: In this study, it was aimed to evaluate non-invasive, effective and low-cost diagnostic methods of bladder filling and voiding abnormalities in male patients. METHODS: Visual Prostate Symptom Score (VPSS) and the International Prostate Symptom Score (IPSS) were completed by the patients. Patients' intravesical prostatic protrusion (IPP), prostate volume, and post voiding residual urine (PVR) were measured by suprapubic ultrasound. Bladder Outlet Obstruction Number (BOON) was used to calculate urethral resistance. Patients with a BOON value above -20 were considered obstructive. RESULTS: This study included 219 male patients aged 50 years and over.The number of patients with a BOON value over -20 were 34 (obstructed) and below -20 were 61 (non-obstructed). There was a significant difference between these two groups in terms of PSA, prostate volume, IPP, Qmax, PVR, IPSS, and VPSS. It was observed that IPSS and VPSS were correlated (r=0.786, p=0.001). Obstructive (r=0.779, p=0.000) and irritative symptoms (r=0.813, p=0.000) of IPSS and VPSS were also observed to be correlated. DISCUSSION AND CONCLUSION: VPSS was found to be equivalent to IPSS in the diagnosis of lower urinary tract symptoms (p=0.001). IPP is an important, practical, and non-invasive method that correlates with IPSS, VPSS, and BOON

The Relation between Social Development Indicators in Early Childhood and Parenting Practices

The first institution in which a child interacts with his/her social environment is the family. At this point, parenting practices take their place as an important concept in the literature. The concept of social competence is based on the interaction of individuals with sociocultural contexts such as family, school, and peer relations. Early childhood is a critical phase for promoting social competence in children. In this sense, the research examines the relationship between the parenting practices of parents and their children's social development. A relational screening method was used in the quantitative designed research. In the first step of the study, the validity and reliability analyses of the Social Skills Scale for Preschool Children (SSS) were made. 301 parents participated in the analyses. In the second step of the study, the relationship between children's social development indicators and their parents' parenting practices was examined. In this context, 226 children and their parents participated in this study. In the study, the Personal Information Form, and SSS filled by teachers for children to evaluate children's social skills, and the Parenting Practices Scale-Preschool Form to evaluate parenting practices of the parents of the children participating in the research were used. It was concluded that the SSS for preschool children, which was adapted into Turkish within the scope of the study, consisted of three sub-dimensions. These are; cooperation, self-control, and interpersonal relationships. According to the results of the reliability analysis of the scale, the total α coefficient was .96, while the total variance explained because of the construct validity was 69,66. According to the results of the research, the SSS consisting of 3 factors and 24 items adapted into Turkish is a valid and reliable tool. In the study, the correlation value between the scales was also calculated to examine the relationship between children's social development indicators and their parents' parenting practices, and no significant relationship was found between the scales

Carpet weaving: an occupational risk for onychomycosis?

BACKGROUND: Some occupations carry a risk for fungal infections. OBJECTIVE: To investigate the prevalence of onychomycosis in carpet weavers. METHODS: Seventy-seven weavers (the mean age +/- SD = 32.97 +/- 12.38) from three factories and 77 controls (the mean age +/- SD = 38.32 +/- 12.38) were examined for onychomycosis. Samples from nails and the carpets, which were being weaved, were taken for mycological investigations. RESULTS: Direct microscopic examination of only two controls' normal-appearing nails was positive. Fungal growth was observed in the culture of four weavers' normal-appearing nails. It was watched over that most of the weavers had polished-appearing nails and were using a glue containing cyanoacrylate to restore their broken nails due to weaving. CONCLUSION: The fungal growth observed in weavers' nails has been accepted as colonization. There is no data about the presence of fungi on normal-appearing nails. So, we thought that the weavers with fungal colonization should be followed for the development of onychomycosis

Carpet weaving: an occupational risk for onychomycosis?

BackgroundSome occupations carry a risk for fungal infections.ObjectiveTo investigate the prevalence of onychomycosis in carpet weavers.MethodsSeventy-seven weavers (the mean age +/- SD = 32.97 +/- 12.38) from three factories and 77 controls (the mean age +/- SD = 38.32 +/- 12.38) were examined for onychomycosis. Samples from nails and the carpets, which were being weaved, were taken for mycological investigations.ResultsDirect microscopic examination of only two controls' normal-appearing nails was positive. Fungal growth was observed in the culture of four weavers' normal-appearing nails. It was watched over that most of the weavers had polished-appearing nails and were using a glue containing cynoacrylate to restore their broken nails due to weaving.ConclusionThe fungal growth observed in weavers' nails has been accepted as colonization. There is no data about the presence of fungi on normal-appearing nails. So, we thought that the weavers with fungal colonization should be followed for the development of onychomycosis

Carpet weaving: An occupational risk for onychomycosis?

Background Some occupations carry a risk for fungal infections. Objective To investigate the prevalence of onychomycosis in carpet weavers. Methods Seventy-seven weavers (the mean age ± SD = 32.97 ± 12.38) from three factories and 77 controls (the mean age ± SD = 38.32 ± 12.38) were examined for onychomycosis. Samples from nails and the carpets, which were being weaved, were taken for mycological investigations. Results Direct microscopic examination of only two controls' normal-appearing nails was positive. Fungal growth was observed in the culture of four weavers' normal-appearing nails. It was watched over that most of the weavers had polished-appearing nails and were using a glue containing cynoacrylate to restore their broken nails due to weaving. Conclusion The fungal growth observed in weavers' nails has been accepted as colonization. There is no data about the presence of fungi on normal-appearing nails. So, we thought that the weavers with fungal colonization should be followed for the development of onychomycosis. © 2009 European Academy of Dermatology and Venereology

Carpet weaving: An occupational risk for onychomycosis?

Background Some occupations carry a risk for fungal infections. Objective To investigate the prevalence of onychomycosis in carpet weavers. Methods Seventy-seven weavers (the mean age ± SD = 32.97 ± 12.38) from three factories and 77 controls (the mean age ± SD = 38.32 ± 12.38) were examined for onychomycosis. Samples from nails and the carpets, which were being weaved, were taken for mycological investigations. Results Direct microscopic examination of only two controls' normal-appearing nails was positive. Fungal growth was observed in the culture of four weavers' normal-appearing nails. It was watched over that most of the weavers had polished-appearing nails and were using a glue containing cynoacrylate to restore their broken nails due to weaving. Conclusion The fungal growth observed in weavers' nails has been accepted as colonization. There is no data about the presence of fungi on normal-appearing nails. So, we thought that the weavers with fungal colonization should be followed for the development of onychomycosis. © 2009 European Academy of Dermatology and Venereology

Device-Associated Nosocomial Infections in the General Intensive Care Unit of Baskent University Istanbul Research and Education Center

Introduction: In this study, device-associated infection rates, isolated organisms and their antibiotic susceptibilities were investigated in the General Intensive Care Unit of Baskent University Istanbul Research and Education Center from January 2007 to May 2009. Patients and Methods: Patients were followed by patient- and laboratory-based active prospective surveillance method. Results: During the study period, a total of 91 device-associated infections were detected in 44 of 336 patients. The device-associated infection rates were as follows: ventilator-associated pneumonia rate was 30.2/1000 ventilator days; central catheter-associated bloodstream infection rate was 17.7/1000 catheter days; urinary catheter-associated urinary tract infection rate was 2.9/1000 urinary catheter days. Totally, 89 microorganisms were isolated; 48.1% of them were determined as gram-negative rods while 37.4% were gram-positive cocci and 12.1% were Candida spp. The most commonly isolated microorganisms were Staphylococcus spp. (24.2%), Pseudomonas spp. (15.4%), Enterococcus spp. (13.2%), and Candida spp. (12.1%). 77.8% and 72.3% of the Enterobacteriaceae isolates were resistant to ciprofloxacin and ceftriaxone, respectively. Forty-two percent of Pseudomonas aeruginosa isolates were resistant to imipenem. Imipenem, with a resistance rate of 25%, was the most effective agent against the isolates of Acinetobacter spp.; however, the isolates were highly resistant (91.7%) to other antibiotics including ceftriaxone, cefepime and amikacin. Methicillin resistance was 86.4% in the Staphylococcus spp. isolates. Fifty percent of Enterococcus isolates were resistant to vancomycin. Conclusion: In our study, ventilator-associated pneumoniae rate and central-catheter-associated blood stream infection rate were higher than the rates reported in the related literature