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Öğe Clinical and echocardiographic evaluation in children with cardiomyopathy(1996) Elevli M.; Kilinc M.; Gunbey S.; Devecioglu C.; Tas M.A.Thirty cases diagnosed cardiomyopathy by echocardiography were evaluated with clinical and laboratory findings. The patients were aged between 2.5 months and 13 years. There was history of consanguinity in of 26 cases with myocarditis and cardiomyopathy. The left ventricular apical thrombus was in two patients with myocarditis and cardiomyopathy. Dyspne, cough, cyanosis weakness and fever were the most often encountered clinical symptoms of patients with idiopathic and dilated myocarditis and cardiomyopathy. The left ventricular apical thrombus was observed in two patients with myocarditis dilated cardiomyopathy. The mean left atrial dimension was 127.04 23.88 % of the predicted normal mean value in patients with myocarditis and dilated cardiomyopathy. In patients with myocarditis and dilated cardiomyopathy left ventricular end-diastolic and right ventricular end-diastolic dimensions were considerably in excess of expected normal upper limits in children with the same body weight (119.58 18.67 % and 136.85 25.89 % respectively. The ejection fraction and fractional shortening were significantly lower than the normal value in all the patients with myocarditis and dilated cardiomyopathy (ejection fraction: 34.21 8.34 %, fractional shortening: 15.99 4.99 % respectively). In cases with hypertrophic cardiomyopathy the mean fractional shortening values were 75.5 22.45 % and 48.92 4.21 %. M-mode and two-dimensional echocardiographic study are valuable diagnostic methods in the diagnosis of myocarditis and dilated and hypertropathy. Color Doppler echocardiographic study is also available by the measurement of flow velocities an the determination of valvular insufficiencies.Öğe The effect of growth hormone therapy on the serum calcium, phosphorus and alkaline phosphatase levels(1995) Narli N.; Haspolat K.; Kilinc M.; Gokten I.; Kirici G.; Kervancioglu M.In this study, the effect of growth hormone (GH) therapy on calcium (Ca), phosphorus (P) and alkaline phosphatase (ALP) serum levels in 23 patients with idiopathic GH deficiency were evaluated. Serum levels of Ca were not significantly different before and after GH therapy, but serum levels of P were significantly different at the end of the first and second years from the beginning of treatment. It was shown that the increase of chondrocytosis effects ALP levels significantly and in the second month of therapy the serum levels of ALP could reflect the biochemical result of therapy.Öğe Febrile seizures(1995) Kilinc M.; Narli N.; Bircan Z.; Haspolat K.In this review, childhood febrile seizures were evaluated and etiopathogenesis, clinical features, prognostic factors and the effect of rectal diazepam in prophylactic therapy were discussed.
