Appendicoumbilical Fistula: A Rare Reason for Neonatal Umbilical Mass

The normal umbilicus is a simple structure, but the intrauterine development of the umbilicus is highly complex. Neonatal umbilical mass anomalies usually represent failure of obliteration of the vitelline duct or the allantois which results in persistence of remnants, which can lead to a wide variety of disorders. In this paper, we present a case of an appendicoumbilical fistula in a neonate along with the differential diagnosis and management options. Embryologic explanation of the etiology was discussed with the possible association with different forms of malpositioning and rotation of the gut

The problem of preventable public health: Evaluation of demographic characteristics of patients followed up and treated for corrosive esophagitis

Objective: This study aims to evaluate the demographic characteristics of patients treated for corrosive esophagitis, highlighting key risk factors and the importance of immediate endoscopic evaluation. Materials and methods: Retrospective demographic data of 340 (age, gender, number of siblings, maternal education level, region of incidence, type of treatment) patients with corrosive esophagitis who were followed up and treated and between the ages of 0 and 18 was examined. All patients had endoscopies 24-36 hours after exposure to stage their esophagitis, and the Zargar classification was applied for this staging. Results: Corrosive esophagitis was shown to occur equally in both sexes. Patients were mainly exposed to 27.94% bleach, 15% air conditioner cleaner, and 12.64% sink cleaner. Pre-kindergarten age group had the highest exposure rate (40.58%), while rural residents had the highest exposure rate (64.12). Mothers with primary school education level were 55.2%. In 42.64% of the patients, the number of siblings in the household was 4 or more. 71.87% of patients had Stage 2A or below, while 25.29% had esophageal dilatation. Conclusions: This study highlights the urgent need for preventive measures and education to reduce corrosive esophagitis, especially in vulnerable populations. Stricter regulations and targeted interventions are essential for effective prevention

Anadolu Selçuklu başkentinde dini mimaride devşirme malzeme kullanımı

ÖZETKonya ve çevresi; Anadolu’nun merkezinde, ticaret yollarının kesişme noktasında bulunması sebebiyle, Neolitik Çağ’dan itibaren önemli bir iskân sahası olmuştur. Hitit, Frig, Roma ve Bizans uygarlıkları sonrasında, Anadolu Selçuklu şehri olarak Konya, önemli ve çok sayıda imar faaliyetinin gerçekleştiği başkent konumuna yükselmiştir. Konya ve diğer Anadolu Selçuklu şehirlerinde; günümüze ulaşan, farklı işlevlere sahip birçok yapı, yoğun devşirme malzeme kullanımı ile de dikkat çekicidir. Anadolu Selçuklu başkenti Konya’da, Ilgın ve Akşehir ilçeleri de dâhil olmak üzere, dini mimari başlığı altında bir araya getirilen; cami, mescit, medrese, türbe, zaviye ve tekke gibi farklı türde toplam kırk yapıda devşirme malzeme kullanıldığı tespit edilmiştir. Bu örneklerden on sekizi mescit, on beşi türbe, dördü cami ve geriye kalan üç yapı birer örnekle temsil edilen; zaviye, tekke ve medresedir. Kullanılan devşirme malzemelerden sütun, sütun başlığı, sütun kaidesi, lento ve sövelerin işlevleri doğrultusunda kullanıldıkları tespit edilmiştir. Diğer taraftan levha, templon sütunu, arşitrav, pencere ve niş çerçevesi, ambon yan levhası, templon payesi, templon levhası ve lahit sandığı gibi çeşitli parçalar genellikle süsleme unsuru olarak kullanılmışlardır. Biçim, malzeme ve sahip olduğu dekoratif unsurlar açısından niteliği yüksek devşirme malzemelerin yanında, yüzeyindeki tek bir farklı unsurla ya da boyutları ile devşirme malzeme olduğu anlaşılan, niteliği düşük parçaların, sadece inşa malzemesi olarak özellikle yapıların temel seviyesinde, bol miktarda kullanıldıkları görülmektedir. Devşirme malzeme kullanıldığı tespit edilen yapılarda, dikkat çeken önemli bir husus, çeşitli nedenlerle meydana gelen değişimlerdir. Özellikle onarımlar sırasında gerçekleşen değişim, son yıllarda Akşehir’de Hacı Hamza Mescidi, Kileci Mescidi, Kızılca Mescit ve Ulu Cami’de tamamlanan restorasyonlar sonrasında net bir şekilde gözlemlenebilir. SUMMARYKonya and its surroundings have always been an important settlement area, since they are located at the centre of the Anatolia and in the middle of the crossroads of the trade routes. After Hittite, Phrygian, Roman and Byzantine civilizations, Konya, as a city of Anatolian Seljuk became the capital where lots of construction activities were carried out. The buildings located in Konya and in other Anatolian Seljuk’s cities, which survive today, stand out with intensive usage of spolia materials.It is found out that, the spolia materials were used in the forty different buildings such as madrasah, masjid, tomb and dervish lounge. These buildings, which are located in the capital of the Anatolian Seljuk and its districs; Ilgın and Akşehir, are clustered under the heading of ‘religious architecture’. 18 of these examples are masjids, 15 of them are tombs, 4 of them are mosques and the rest of them include a dervish lodge and a madrasah.It is detected that in these buildings, the spolia materials such as columns, capitals, column bases, lintels and frames are used to serve their original purposes. On the other hand the other various pieces like carved plaques, ambo, ambo stringboards, piers, and sarcophagus chests are mostly utilized as decorative elements. It is observed that in addition to the spolia materials which were highly qualified in terms of structure, material and decorative elements, large amount of low quality materials which are revealed to be spolia with different surface elements or size were used particularly in the construction foundation of these buildings solely as a building material.Another important characteristic of these buildings which comprise spolia materials is the changes that resulted from various reasons. Especially, the changes that were caused by recent restorations can be best seen clearly in the masjids of Hacı Hamza, Kileci, Kızılca and Ulu Mosque in Akşehir

Anadolu Selçuklu başkentinde dini mimaride devşirme malzeme kullanımı

Konya ve çevresi; Anadolu’nun merkezinde, ticaret yollarının kesişme noktasında bulunması sebebiyle, Neolitik Çağ’dan itibaren önemli bir iskân sahası olmuştur. Hitit, Frig, Roma ve Bizans uygarlıkları sonrasında, Anadolu Selçuklu şehri olarak Konya, önemli ve çok sayıda imar faaliyetinin gerçekleştiği başkent konumuna yükselmiştir. Konya ve diğer Anadolu Selçuklu şehirlerinde; günümüze ulaşan, farklı işlevlere sahip birçok yapı, yoğun devşirme malzeme kullanımı ile de dikkat çekicidir. Anadolu Selçuklu başkenti Konya’da, Ilgın ve Akşehir ilçeleri de dâhil olmak üzere, dini mimari başlığı altında bir araya getirilen; cami, mescit, medrese, türbe, zaviye ve tekke gibi farklı türde toplam kırk yapıda devşirme malzeme kullanıldığı tespit edilmiştir. Bu örneklerden on sekizi mescit, on beşi türbe, dördü cami ve geriye kalan üç yapı birer örnekle temsil edilen; zaviye, tekke ve medresedir. Kullanılan devşirme malzemelerden sütun, sütun başlığı, sütun kaidesi, lento ve sövelerin işlevleri doğrultusunda kullanıldıkları tespit edilmiştir. Diğer taraftan levha, templon sütunu, arşitrav, pencere ve niş çerçevesi, ambon yan levhası, templon payesi, templon levhası ve lahit sandığı gibi çeşitli parçalar genellikle süsleme unsuru olarak kullanılmışlardır. Biçim, malzeme ve sahip olduğu dekoratif unsurlar açısından niteliği yüksek devşirme malzemelerin yanında, yüzeyindeki tek bir farklı unsurla ya da boyutları ile devşirme malzeme olduğu anlaşılan, niteliği düşük parçaların, sadece inşa malzemesi olarak özellikle yapıların temel seviyesinde, bol miktarda kullanıldıkları görülmektedir. Devşirme malzeme kullanıldığı tespit edilen yapılarda, dikkat çeken önemli bir husus, çeşitli nedenlerle meydana gelen değişimlerdir. Özellikle onarımlar sırasında gerçekleşen değişim, son yıllarda Akşehir’de Hacı Hamza Mescidi, Kileci Mescidi, Kızılca Mescit ve Ulu Cami’de tamamlanan restorasyonlar sonrasında net bir şekilde gözlemlenebilir. SUMMARY Konya and its surroundings have always been an important settlement area, since they are located at the centre of the Anatolia and in the middle of the crossroads of the trade routes. After Hittite, Phrygian, Roman and Byzantine civilizations, Konya, as a city of Anatolian Seljuk became the capital where lots of construction activities were carried out. The buildings located in Konya and in other Anatolian Seljuk’s cities, which survive today, stand out with intensive usage of spolia materials. It is found out that, the spolia materials were used in the forty different buildings such as madrasah, masjid, tomb and dervish lounge. These buildings, which are located in the capital of the Anatolian Seljuk and its districs; Ilgın and Akşehir, are clustered under the heading of ‘religious architecture’. 18 of these examples are masjids, 15 of them are tombs, 4 of them are mosques and the rest of them include a dervish lodge and a madrasah. It is detected that in these buildings, the spolia materials such as columns, capitals, column bases, lintels and frames are used to serve their original purposes. On the other hand the other various pieces like carved plaques, ambo, ambo stringboards, piers, and sarcophagus chests are mostly utilized as decorative elements. It is observed that in addition to the spolia materials which were highly qualified in terms of structure, material and decorative elements, large amount of low quality materials which are revealed to be spolia with different surface elements or size were used particularly in the construction foundation of these buildings solely as a building material. Another important characteristic of these buildings which comprise spolia materials is the changes that resulted from various reasons. Especially, the changes that were caused by recent restorations can be best seen clearly in the masjids of Hacı Hamza, Kileci, Kızılca and Ulu Mosque in Akşehir

A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience

Objective: In recent years several techniques have been recommended for intussusception treatment. In this study, an evaluation was made of intussusception cases that presented at our clinic and had reduction applied together with saline under ultrasonography (USG) and cases, which were surgically treated. Patients and Methods: A retrospective evaluation was made of the records of 72 cases treated for a diagnosis of intussusception between January 2010 and July 2012. Patients were evaluated demographics, clinical presentation, management strategy, during the hospitalisation and  outcome. Results: A total of 72 cases which consists of 44 male and 28 female with age range between 5 and 132 months were treated with a diagnosis of  intussusception. USG was applied to all cases on initial presentation. Astreatment, hydrostatic reduction (HR) together with USG was applied to 47 cases. Of these, the HR was unsuccessful in 13 cases. Surgical treatmentwas applied to 38 cases. Of these cases, ileocolic intussusception was observed in 30 cases, ileoileal in seven cases and colocolic in one case. Meckel diverticulum was determined in five of these cases, polyps in two cases, lymphoma in two cases, lymph nodule in one case and 28 cases were observed to be idiopathic. There was no mortality in any case. Conclusion: HR together with USG is a safe technique in the treatment of intussusception, which also shortens the duration of hospitalisation andsignificantly reduces the treatment costs.Key words: Hydrostatic reduction, intussusception, treatment,  ultrasonograph