Superficial Dorsal Vein Rupture Imitating Penile Fracture

Dorsal vein rupture of the penis is a rare condition, and few cases have been reported in the literature. Herein we report a 41-year-old man who presented with mildly painful and acute swollen penis, which initially imitated a penile fracture but was surgically explored and shown to be a superficial dorsal vein rupture

Seroprevalences of Hepatitis B and Hepatitis C among healthcare workers in Tire State Hospital

Objective: The risk of infection with HBV and HCV in healthcare workers has been increased as risks such as contact with the blood or open wound of the infected people. The aim of the study was to investigate the seroprevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections among healthcare working at Tire State Hospital. Methods: Screening records of total 518 hospital personnel working in the Tire State Hospital between January 2012 and April 2017 were retrospectively reviewed. HBsAg, Anti-HBs and Anti HCV tests on the blood samples obtained for screening were performed in our laboratory using Siemens advia centaur XP chemiluminescence technique. Results: Between January 2012 and April 2017, a total of 518 health workers, ranging in age from 18 to 63 working in the State Hospital, were evaluated in infectious diseases and clinical microbiology clinics. Our personnel were negative for Anti-HBs 61 (11.8%) and anti-HBs positivity was detected in 457 (88.2%) of the obtained samples, 6 (1.2%) of these personnel were positive for HBsAg. It was detected that two cleaning personnel and a nurse were positive for anti-HCV. Conclusion: Hospital workers should be screened for HBV and HCV and individuals without HBV vaccination should be vaccinated. In our country, HBsAg positivity in healthcare workers has decreased especially in recent years. Nevertheless, healthcare workers are still under the risk of HBV and HCV. Therefore, it is important to keep and review the records of hospital workers regularly

A comparative evaluation of semen parameters in pre- and post-Hurricane Katrina human population

A natural disaster leading to accumulation of environmental contaminants may have substantial effects on the male reproductive system. Our aim was to compare and assess semen parameters in a normospermic population residing in the Southern Louisiana, USA area pre- and post-Hurricane Katrina. We retrospectively evaluated semen analyses data (n = 3452) of 1855 patients who attended the Tulane University Andrology/Fertility Clinic between 1999 and 2013. The study inclusion criteria were men whose semen analyses showed ≥ 1.5 ml volume; ≥15 million ml -1 sperm concentration; ≥39 million total sperm count; ≥40% motility; >30% morphology, with an abstinence interval of 2-7 days. After the inclusion criteria applied to the population, 367 normospermic patients were included in the study. Descriptive statistics and group-based analyses were performed to interpret the differences between the pre-Katrina (Group 1, 1999-2005) and the post-Katrina (Group 2, 2006-2013) populations. There were significant differences in motility, morphology, number of white blood cell, immature germ cell count, pH and presence of sperm agglutination, but surprisingly there were no significant differences in sperm count between the two populations. This long-term comparative analysis further documents that a major natural disaster with its accompanied environmental issues can influence certain semen parameters (e.g., motility and morphology) and, by extension, fertility potential of the population of such areas

A case of Ross syndrome presented with Horner and chronic cough

Ross syndrome is a rare sweating disorder associated with Adie’s tonic pupil, decreased or diminished tendon reflex and unknown etiology. Although autonomic disturbances affecting sudomotor and vasomotor functions are seen commonly, they are rarely symptomatic. While Ross syndrome is typically characterized with dilated tonic pupil, it may be rarely manifested with miotic pupils (little old Adie’s pupil), which can make diagnosis difficult. In this article, we aim to specify the atypical clinical manifestations of syndrome by means of Ross syndrome manifested by autonomic symptoms, Horner syndrome, chronic cough together with bilateral little old Adie’s pupil

The Place of Cow Milk Allergy in Gastroenterology Practice

WOS: 000219056100004Aim: Cow milk allergy (CMA) prevalence is between 2-7.5%; this prevalence decreases towards adolescence. In this study, children with cow milk allergy were evaluated retrospectively in terms of clinical findings at referral and responses to the treatment. Materials and Methods: In this study, 36 children (Female/Male: 13/23) diagnosed with CMA were assessed in terms of diarrhea type, other accompanying system findings, laboratory values, serological tests, endoscopic findings, histopathological findings and treatment. Results: Cow milk specific IgE (Fx2) was positive only in 11 cases (30%). The most common symptom was discomfort 63.9% (n=23); frequency of gastrointestinal system findings were as follows: vomiting 52.8% (n=19), diarrhea 50% (n=18), bloody diarrhea 22.2% (n=8). Also, atopic skin findings 44% (n=16), chronic cough 38.8% (n=14) and reactive airway disease were observed in 22.2% (n=8) cases. Eosinophilic inflammation colitis was detected in patients undergoing colonoscopy. Of the 5 cases undergoing gastroduodenoscopy, results were compatible with eosinophilic esophagitis in 3 and with eosinophilic gastroenteritis in 2. We determined that 33 of the cases (92%) gave full response to elimination diet while in 2 cases symptoms persisted although their intensity decreased. Conclusion: In children with CMA, most frequent complaints were discomfort, vomiting and diarrhea. In 47% of cases, more than one organ was involved. Eosinophilic infiltration was detected in all patients undergoing endoscopy

İstanbul Valiliği yerleşkesinin tarihçesi

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2017.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Öztürk, İbrahim Mert

Infants with extrahepatic biliary atresia: Effect of follow-up on the survival rate at Ege University Medical School transplantation center

WOS: 000406275100011PubMed ID: 28699603Background/Aims: Biliary atresia (BA) is the main cause of neonatal cholestasis and the primary reason for infant liver transplants worldwide. It is an obliterative cholangiopathy observed only in children and caused by progressive inflammation and fibrosis of the bile duct. We collaborated with a liver transplantation center to investigate the effects of follow-up in patients with BA. Materials and Methods: Medical records of 99 patients who were diagnosed with BA and monitored at our center from 1990 to 2002 (27 patients) and from 2003 to 2015 (72 patients) were analyzed retrospectively. Patients were evaluated for birth weight; age at jaundice onset; age at alcoholic stool detection; age at the time of Kasai portoenterostomy (KPE), if performed; age at admission to our center; age at liver transplantation; duration between KPE and transplantation; pediatric end-stage liver disease (PELD) scores during transplantation; and growth and developmental status. The periods 1990-2002 and 2003-2015 were defined as phases I and II, respectively. Results: The median age of the patients at presentation to our hospital was 149 (range: 20-730) days during phase I and 61 (range: 28-720) days during phase II. The median age at jaundice onset was 7 days, and the median age at alcoholic stool detection was 15 days. There was no significant difference between phases I and II in terms of age at jaundice onset, age at alcoholic stool detection, or birth weight. Twenty-five (92.5%) of the 27 patients in the phase I group were admitted to our center after undergoing KPE. Forty-four (61.1%) of the 72 patients in the phase II group (median age at the time of KPE: 47 days) were operated at our center. Median ages of the patients at the time of KPE at our center were 67.5 (range: 25-220) and 47 (range: 28-139) days during phases I and II, respectively. The median age of the 28 patients who were transferred from another center was 70 (range: 45-105) days during phase II. Liver transplantation was performed in 55 of 99 patients (55.5%). Significant differences were observed in the age at transplantation, duration between KPE and transplantation, and PELD scores between patients with BA who underwent KPE at our center and who underwent KPE at other institutes from other institutes. Conclusion: These findings demonstrate the importance of a timely diagnosis of BA and undergoing KPE before malnutrition and/or cirrhosis deteriorate the patient's health. Furthermore, follow-up of patients with BA at a liver transplantation center increased the success of KPE and improved survival rates