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Öğe Factors affecting dural penetration and prognosis in patients admitted to emergency department with cranial gunshot wound(Springer Heidelberg, 2017) Icer, M.; Zengin, Y.; Dursun, R.; Durgun, H. M.; Goya, C.; Yildiz, I.; Guloglu, C.To explore the effect of admission physical examination findings, anamnesis, and computed tomography on dural penetration and prognosis in patients with cranial gunshot wound (CGW). In this study, the medical data of 56 subjects who were admitted to the Emergency Department of Dicle University Hospital with CGWs between January 2011 and December 2013 were retrospectively reviewed. The effects of type of incident (suicidal vs non-suicidal), pupil diameter and light reflex, hemodynamic status, type (bullet or pellet), velocity, trajectory of foreign material, trauma scores, and imaging findings on dural penetration and mortality were explored. The mean age of the study population was 24.8 +/- 13.50 years. Thirty (53.6 %) patients had penetrating injuries and 26 (46.4 %) had non-penetrating injuries; 9 (16.1 %) patients died and 47 (83.9 %) survived. Suicidal injury, pupil diameter and light reflex, bullet as foreign material, and high velocity and lateral trajectory of foreign material significantly affected dural penetration and mortality (p < 0.05). In addition, dural penetration, bilobar, multilobar, or bihemispheric involvement of brain parenchyma, presence of intracranial hemorrhage, subarachnoid hemorrhage, ventricular hemorrhage, fracture, shift, edema, and trauma scores significantly affected mortality (p < 0.05). In CGWs, dural penetration and prognosis can be predicted by physical examination findings and patient characteristics on initial admission.Öğe Fungal peritonitis in peritoneal dialysis: a 10 year retrospective analysis in a single center(Verduci Publisher, 2012) Basturk, T.; Koc, Y.; Unsal, A.; Ahbap, E.; Sakaci, T.; Yildiz, I.; Kayabasi, H.INTRODUCTION: Fungal peritonitis (FP) is a rare but serious complication in patients undergoing peritoneal dialysis (PD), and is associated with higher morbidity, mortality. We aimed to analyze the predisposing factors, etiological agents, outcome and treatment of FP in patients with PD. METHODOLOGY: We evaluated retrospectively all PD patients PD center between 2001 and 2011. Sixteen patients with FP were included into the study. RESULTS: The clinical records of 16 patients with FP among 355 patients were reviewed for the clinical and laboratory data. Among 506 episodes of PD-related peritonitis in 10 years, we identified 16 episodes of FP. Median PD duration was 36.7 +/- 22.2 months. In 87.5% of patients had one or more previous episode of bacterial peritonitis that were treated with multipl broad-spectrum antibiotics. FP was primary infection in five patients, whereas eleven patients experienced FP during the course of treatment of bacterial peritonitis. Six patients died due to the fungal infection whereas others were transferred to haemodialysis. CONCLUSIONS: Treatment of bacterial peritonitis with broad spectrum antibiotics was an important risk factor predisposing to the development of FR The catheter removal and initiation of antifungal therapy as soon as possible are obligatory in episode of FP because it is responsible from high mortality rate.Öğe IL-17-22-23 PATHWAYS IN PSORIATIC ARTHRITIS AND PSORIASIS(Bmj Publishing Group, 2017) Nas, K.; Cevik, R.; Yildiz, I.; Rech, J.; Schett, G.[Abstract Not Available]Öğe MicroRNA-related gene polymorphisms and idiopathic azoospermia(Wiley-Blackwell, 2016) Balkan, M.; Ay, O. I.; Erdal, M. E.; Rustemoglu, A.; Atar, M.; Hatipoglu, N. K.; Yildiz, I.[Abstract Not Available]
