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Öğe Aberrant origin of the right ventricular coronary artery: A case report(2003) Uyan, Cihangir; Akdemir, Ramazan; Uyan, Ayten P.; Erbilen, EnverThis case describes a 45-year-old man with an abnormal origin of the right ventricular branch of the right coronary artery originating from a separate ostium in the right coronary sinus. Coronary arteries with abnormal origin constitute roughly 0.64% to 1.2% of all the representations encountered during coronary angiography. We suggest that the presence of such a vessel must be shown in patients undergoing coronary angiography and/or cardiac surgery.Öğe Can acute rheumatic fever and acute poststreptococcal glomerulonephritis occur simultaneously?(2002) Özyürek, Hamit; Uyan, Ayten P.; Korkut, Sabriye; Kocabay, KenanAcute rheumatic fever (ARF) and acute poststreptococcal glomerulonephritis (APSGN) are nonsuppurative complications of streptococcal infection. In many parts of the world, especially in developing countries, the two poststreptococcal sequelae continue to be prevalent and to be major public health problems. We report a case diagnosed as ARF associated with APSGN.Öğe Can Both of the Acute Rheumatic Fever and Acute Poststreptococcal Glomerulonephritis Occur Simultaneously? [2](2004) Özyürek, Hamit; Uyan, Ayten P.; Korkut, Sabriye; Kocabay, Kenan[No abstract available]Öğe Comparison of two different bronchodilators in the treatment of acute bronchiolitis(2002) Özyürek, Hamit; Uyan, Ayten P.; Keskin, Mahmut; Afşar, Yılmaz; Kocabay, KenanBronchiolitis is an acute inflammatory respiratory illness of children less than two years of age. Therapies used in the treatment of bronchiolitis include adequate hydration, supplementary oxygen, bronchodilators, ribavirin, corticosteroids, immune globulin, interferon alfa and vitamin A. We enrolled 34 infants who were hospitalized for bronchiolitis to evaluate the efficacy of two different bronchodilators. Thirty-four infants under two years of age were randomized to receive either nebulized salbutamol (Group I) or nebulized ipratropium bromide (Group II). Clinical severity was scored on admission and 12-hour intervals after the start of nebulization. The symptom score evaluated five items: respiratory rate, presence of wheezing, presence of retraction, presence of nasal flaring, and general appearance. No difference was observed between the two groups in the clinical improvement on hospital admission and at the 12th, 24th, 36th and 48th hours during treatment. The mean duration of hospital stay was not significantly different between the two groups. When the groups were evaluated independently, there was a significant difference in scores before treatment and at the 48th hour of nebulization. We conclude that, ipratropium bromide and salbutamol are equally effective in the clinical recovery of bronchiolitis. Because of the side effects of salbutamol, ipratropium bromide may be primarily preferred as a bronchodilator.Öğe Concurrent septic arthritis and urinary tract infection in a patient with nephrocalcinosis and vesicoureteral reflux(Turkish J Pediatrics, 2006) Baysoy, Gökhan; Gürel, Safiye; Çakıcı, Hüsamettin; Uyan, Ayten P.An eight-month-old boy who presented with a 15-day history of vomiting was revealed to be suffering from urinary tract infection and nephrocalcinosis caused by vitamin D intoxication. During the treatment of vitamin D intoxication (alendronate, 5 mg/day), he developed urinary tract infection and septic arthritis of the left hip joint. Escherchia coli was isolated from his blood, urine, and joint fluid culture. He was operated, joint drainage was performed and appropriate intravenous antibiotic treatment was given for four weeks. After discharge, a voiding cystoureterogram revealed grade 4 vesicoureteral reflux in the right ureter. Combination of complex urinary anomalies associated with stagnation of urine flow and altered urinary dynamics, and metabolic urinary anomalies, such as hypercalciuria/nephrocalcinosis, may facilitate the occurrence of rare systemic complications of urinary tract infection.Öğe Early diagnosis of iliopsoas pyomyositis by computed tomography and muscle biopsy in an epileptic child(Springer, 2007) Baysoy, Gökhan; Gürel, Kamil; Uyan, Ayten P.Pyomyositis is an acute pyogenic infection of the skeletal muscle due to transient bacteremia in the setting of preexisting or concurrent muscular injury [1]. We present a case of iliopsoas pyomyositis diagnosed at the early suppurative phase by computed tomography (CT) and fine needle aspiration/biopsy (FNAB)Öğe IBS and depression in young adults in Turkey : results of a questionnaire survey(Springer Tokyo, 2007) Baysoy, Gökhan; Baysoy, Nüket Güler; Kesicioğlu, Aynur; Akın, Demet; Dündar, Tuğba; Uyan, Ayten P.We read the article by Shiotani et al.1 with great enthusiasm. These authors stated that epidemiological studies of irritable bowel syndrome (IBS) among young adults are few, especially in Asian countries. We have just finished the first part of a similar study in Abant Izzet Baysal University in Turkey.Öğe Nasal carriage of Staphylococcus aureus in children with allergic rhinitis and the effect of intranasal fluticasone propionate treatment on carriage status(Elsevier Ireland Ltd, 2007) Baysoy, Gökhan; Arslan, Sezai; Karabay, Oğuz; Uyan, Ayten P.Objective: The aim of this study is to determine the rate of nasal carriage of Staphylococcus aureus (NCSA) in children with allergic rhinitis (AR) and to determine the effect of intranasal fluticasone propionate spray on the NCSA. Patients and methods: Nasal swabs were taken from the children admitted to general pediatrics and pediatric pulmonology clinics. Patients were divided into two groups according to the presence or absence of AR. Diagnosis of AR was based on the patient's symptoms. Nasal swabs were taken from AR patients before and after the treatment with intranasal fluticasone propionate, and from the control group at the beginning and after 2 months. Results: Whole NCSA rate was 17.9%; it was 21.4% for AR patients and 15.9% for control group, respectively (p > 0.05). Treatment with intranasal fluticasone propionate spray did not influence NCSA in AR patients. Conclusion: It seemed that NCSA was not increased in children with AR and treatment with intranasal fluticasone propionate spray did not change NCSA in AR patients. It is obvious that better understanding of the factors affecting the acquisition and loss of NCSA might increase our knowledge about the relationship between NCSA, allergic airway diseases and their treatments. (C) 2006 Elsevier Ireland Ltd. All rights reserved.Öğe Re: The micturition habits and prevalence of daytime urinary incontinence in Japanese primary school children [5] (multiple letters)(Lippincott Williams and Wilkins, 2004) Baysoy, Gökhan; Aydoğmuş, Tuğba; Akın, Demet; Uyan, Ayten P.f late urinary retention following brachytherapy and found as predictive factors age greater than 65 years and a planning prostate volume of more than 35 cc. The authors quote our group as reporting on 82 similarly treated patients without development of urethral strictures during a median followup of 24 months.1 Our group further reported data on 230 patients with a median followup of 40 months in 2002 regarding late grade 3 to 4 toxicity (Radiation Therapy Oncology Group criteria) in 12.2% of patients. Of our patients 7.4% had development of urethral strictures and 3% had grade 2 to 3 incontinence. In addition, we reported 1.7% of patients had development of a rectourethral fistula after rectal ulceration requiring colostomy.2 All patients with rectourethral fistula underwent rectal biopsy 1 year after treatment, and, therefore, there appears to be an increased risk when biopsies are taken from the anterior rectal wall after high dose rate brachytherapy. In our experience patients undergoing transurethral prostatectomy or urethrotomy within 1 year are at higher risk for grade 3 to 4 complications.Öğe Sinus of valsalva aneurysm as a cause of right proximal coronary artery spasm(Elsevier Sci Ireland Ltd, 2003) Uyan, Cihangir; Akdemir, Ramazan; Uyan, Ayten P.; Tataroğlu, CenkSinus of Valsalva aneurysm (SVA) is an infrequent cardiac anomaly. Variations in the origin and course or distribution of the epicardial coronary arteries are rarely found in the population. SVA can be acquired, secondary to infectious, degenerative or traumatic processes. This paper describes congenital right SVA and abnormal origin of conus branch of right coronary artery as a cause of acute coronary syndrome. After surgical repair of the SVA, the prognosis is usually good, and the risk of recurrence is rare.
