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Öğe The evaluation of cases with Factor X deficiency in Southern East of Turkey(Wiley-Blackwell, 2013) Soker, M.; Karabel, M.; Yildirim, A.; Oymak, Y.; Kelekci, S.; Karabel, D.[Abstract Not Available]Öğe Features of patients with immune trombocytopenic purpura south-east of Turkey(Wiley-Blackwell, 2013) Soker, M.; Akyuz, F.; Kelekci, S.; Sen, V; Karabel, M.; Uzel, H.; Yolbas, I[Abstract Not Available]Öğe A newborn with trisomy 13 who had tetralogy of Fallot and metopic synostosis: Case report(Lithographia, 2013) Karabel, M.; Yolbas, I; Kelekci, S.; Sen, V; Haspolat, Y. K.; Timuroglu, L.Background and Aim: Trisomy 13 (Patau syndrome) was first described by Patau et al in 1960. It is characterized by serious head, facial, and extremity anomalies, congenital heart defects, and mental abnormalities. The incidence rate of Trisomy 13 is 1/10.000 live births. Accompanying symptoms and findings vary in rate and severity among the cases. Tetralogy of Fallot and metopic synostosis are very rare abnormalities in patients with Trisomy 13. In this study, we aimed to present a newborn girl with trisomy 13 who had multiple congenital malformations accompanied by tetralogy of Fallot and metopic synostosis. Description of the case: The patient was delivered at 40 weeks of gestation, and admitted to the neonatal intensive care unit due to respiratory distress and physical abnormalities. The newborn examination revealed multiple dysmorphic features. She had boot-shaped appearance on the chest radiograph. Chromosome analysis demonstrated mosaic trisomy 13. Conclusion: Patients with trisomy 13 may have different type of gene variations and malformations; however, the most common type of gene variation is classic trisomy 47, XX + 13, and the most common malformations are facial anomalies and congenital heart defects. In addition, tetralogy of Fallot and metopic synostosis may accompany trisomyÖğe Surgical Outcome of Bronchiectasis in Children: Long Term Results of 60 Cases(Georg Thieme Verlag Kg, 2014) Sahin, A.; Meteroglu, F.; Kelekci, S.; Karabel, M.; Eren, C.; Eren, S.; Celik, Y.Background: Bronchiectasis is described as destruction and the irreversible dilatation of bronchial structure. We wanted to demonstrate our surgical practice and outcome of surgical treatment in bronchiectasis. Methods: We studied records of 60 pediatric patients who underwent surgical resection in our clinic between January 2000 and January 2013. The results were analyzed regarding factors influencing the outcome. Results: There were 32 boys and 28 girls with a mean age of 9.45 years (range 2-15). The most common cause was childhood infection in 25 (41.66 %). The mean duration of the symptoms was 42.93 months. Patients underwent 64 operations including 2 staged thoracotomies and 2 rethoracotomies. Atelectasis was the most frequent complication. Longer duration of symptoms related to postoperative complication. The morbidity and mortality rates were 20 % and 3.33 %, respectively. The outcome was optimal in 92 %. Forced expiratory volume in 1 s less than 60 % of the predicted value, hemoptysis and duration of symptoms were found prognostic variables for postoperative morbidity with high ratios of odds coefficients by using Binary Logistic Regression Method. Conclusions: Complete and early resection of bronchiectasis provides a successful outcome. Duration of symptoms and timely intervention have a major impact on the management and prognosis.
