1950-1960 Türkiye karikatür incelemesi

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2012.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Yasemin Başaran Doğan.Doğan, Yasemin Başaran. HIST 203-09DOĞAN HIST 203-09/1 2011-1

Prevalence of the Accessory Cardiac Bronchus on Multidetector Computed Tomography: Evaluation and Proposed Classification

WOS: 000383915400008PubMed: 27442525Purpose:Accessory cardiac bronchus (ACB) is a very rare congenital anomaly and may cause some clinical complications, such as recurrent episodes of both infection and hemoptysis. The purpose of this study was to assess the multidetector computed tomography (MDCT) characteristics of ACB and to classify this anomaly according to the MDCT aspects.Materials and Methods:The routine thoracic CT scans from 5790 patients were evaluated retrospectively. The prevalence, location, length, diameter, division angle, distance from the carina, and the type of ACB were evaluated.Results:A total of 12 ACBs were identified, with a prevalence of 0.2%. All ACBs originated from the intermediate bronchus. The median largest diameter of the ACBs was 7.75 mm (range: 5.8 to 10.30 mm), the median length was 12.1 mm (range: 8.6 to 35 mm), the median division angle was 61 degrees (range: 42 to 93 degrees), and the median distance from the carina was 16.95 mm (range: 5.7 to 22.20 mm). Six cases (50%) had a blind extremity (type 1: diverticulum or stump type), 3 cases (25%) had a mutiloculated cystic change at the end (type 2: cystic type), and 3 cases (25%) had a ventilated lobulus demarcated by an anomalous fissure (type 3: ventilated type).Conclusions:ACBs can be classified into 3 types according to their MDCT features. Recognition of ACB is important, as it is associated with clinical complications and is also salient in trauma cases

An interesting combination of anterior and posterior arch defects of atlas

TURAN SONMEZ, Feruza/0000-0001-8817-8521WOS: 000376447200014PubMed: 26482979

Sigmoid diverticulitis: Our experiences with 13 patients

Amaç: Sigmoid divertikülit tanısı konan hastalara tedavi yaklaşımlarımızı ve sonuçlarını sunmayı amaçladık. Yöntem ve Gereç: Mart 2009-Şubat 2010 tarihleri arasında acil polikliniğe müracaat eden, klinik ve radyolojik olarak sigmoid divertikülit tanısı konan hastalar değerlendirmeye alındı. Veriler prospektif olarak toplanıp retrospektif olarak değerlendirildi. Hastalarımızı Hinchey sınıflamasına göre evrelendirerek tedavileri, komplikasyon oranlarını ve hastanede yatış sürelerini literatür eşliğinde sunduk. Bulgular: On üç hastaya sigmoid divertikülit tanısı kondu. Bu hastaların dokuzu erkek, dördü kadın olup median yaş 58 (35-88), ortalama yaş ise 52 idi. Eşlik eden hastalık olarak; bir hastada diyabet, bir hastada da kronik akciğer hastalığı mevcuttu. Peritonit ve perforasyon saptanan beş hasta (Hinchey evre III-IV) ameliyat edildi. Dört hastaya Hartman prosedürü uygulanırken, bir hastaya rezeksiyon ve primer anastomoz uygulandı. Sekiz hasta ise Hinchey sınıflamasına göre evre I-II (divertikülit, apse) olarak değerlendirildi ve medikal tedavi ile takip edildi. Ortalama yatış süresi Hinchey evre I-II gurubunda 8,6 (4-21), Hinchey evre III-IV gurubunda ise 17,4 (10-27) gün olarak hesaplandı. Medikal tedavi ile takip edilen hastalarda komplikasyon gelişmezken, ameliyat edilen hastaların hepsinde en az bir komplikasyon gelişti. Sonuç: Hinchey sınıflamasına göre evre III-IV hastalara cerrahi işlem gereklidir. Bu hastaların ameliyat sonrası komplikasyon oranları evre I-II’ye göre fazla ve yatış süreleri uzun olmuştur. Evre I-II olan hastaların medikal tedavi ile başarılı bir şekilde tedavi edilebileceğini düşünmekteyiz. (Ha se ki T›p Bül te ni 2012; 50: 21-4)Objective: We aimed to present our treatment approach and results of the treatment in patients with the diagnosis of sigmoid diverticulitis. Material and Methods: In this study, we evaluated patients who presented to the emergency unit between March 2009 and February 2010 and have been diagnosed with sigmoid diverticulitis. The data were prospectively collected and retrospectively analyzed. Our patients were classified and staged according to Hinchey's classification system. The results of the treatment, complication rates, and duration of hospitalization were presented in the light of the literature. Results: Thirteen patients (9 males, 4 females) with a mean age of 52 years and median age of 58 (35-58 years) were diagnosed with sigmoid diverticulitis. Five patients underwent laparotomy (Hinchey III-IV), while Hartmann's procedure was carried out in 4 patients and resection and primer anastomosis was performed in 1 patient. Eight patients who were classified as Hinchey I-II (diverticulitis-abscess) were followed up with medical treatment. The mean duration of hospitalization was 8.6 (4-21 days) and 17.4 (10-27 days) days in Hinchey I-II and III-IV groups, respectively. All patients in the laparotomy group developed at least one complication. Conclusion: Hinchey stage III-IV sigmoid diverticulitis requires laparotomy. Complication rates are higher and duration of hospitalization is longer in patients with Hinchey stage III-IV when compared to those with Hinchey I-II. We conclude that Hinchey stage I-II diverticulitis can be successfully managed with medical treatment. (The Me di cal Bul le tin of Ha se ki 2012; 50: 21-4

An unusual cause of recurrent spontaneous pneumothorax: the Mounier-Kuhn syndrome

Balbay, Ege Gulec/0000-0002-1557-7019; Annakkaya, Ali Nihat N/0000-0002-7661-8830;WOS: 000366159400049PubMed: 26127019We present a case of 63-year-old man who was referred to the emergency department with a right-sided pneumothorax. He had a history of spontaneous pneumothorax for 2 times. The chest computed tomographic scan showed tracheobronchomegaly with an increase in the diameter of the trachea and right and left main bronchus. Fiberoptic bronchoscopy revealed enlarged trachea and both main bronchus with diverticulas. These findings are consistent with a diagnosis of Mounier-Kuhn syndrome. Mounier-Kuhn syndrome is a rare clinical and radiologic condition. It is characterized by a tracheal and bronchial dilation. Diagnosis is made by computed tomography and bronchoscopy. Mounier-Kuhn syndrome should be kept in mind in the differential diagnosis of recurrent spontaneous pneumothorax