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May 2017

Original Article

Remodeling capacity of femur diaphysis fracture with non-surgical treatment in preschool children

Savas Camur1, Bekir Eray Kilinc2, Haluk Celik3, Yunus Oc4, Osman Tugrul Eren4, Adnan Kara5

1 Department of Orthopaedics and Traumatology, Umraniye Training and Research Hospital, Istanbul, 2 Department of Orthopaedics and Traumatology, Golhisar State Hospital, Burdur, 3 Department of Orthopaedics and Traumatology, Zonguldak State Hospital, Zonguldak, 4 Department of Orthopaedics and Traumatology, Sisli Etfal Training and Research Hospital, Istanbul, 5 Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey

DOI: 10.4328/ECAM.106

Abstract

Aim: We aimed to evaluate the healing – remodeling capacities of femoral diaphysis fractures treated with non-surgical methods in preschool children. Material and Method: Thirty-six patients aged between 0-6 years with closed femoral diaphysis fractures who were treated with non-surgical methods were evaluated. Two-way graphics of the patients were taken after plaster- ing. Limb lengths were recorded. Patients were divided into 2 groups accord- ing to their follow-up periods: 0-60 months (group A) and over 60 months (group B). The two-sided bilateral femoral graphics taken during their final examinations were used as the basis for radiographic evaluation. Results: The mean age of the patients was 4.2±1.94 years. The mean amount of shortness of the patients measured when the plaster was removed was 1.61±0.84 cm and it was measured at a mean of 0.8±0.74 cm at the last follow-up. Angulation on the coronal and sagittal planes after treatment was significant (p<0.01). The decrease in shortness is statistically significant (p<0.01). Angulation improvement on the coronal plane in patients in group B was statistically significantly higher than in group A (p<0.05). There was no statistically significant difference between groups A and B when the amounts of angular improvement on the sagittal plane were compared (p>0.05). Dis- cussion: In our study we found that coronal plane deformities independent of the direction of joint movement continue remodeling at a statistically signifi- cant rate even after 5 years.

Keywords

Femoral Diaphysis Fracture; Spica Cast; Traction; Remodeling; Femoral He- aling

Corresponding Author: Bekir Eray Kilinc, Golhisar Devlet Hastanesi, Burdur, 15400, Türkiye. GSM: +905306061884 E-Mail :dreraykilinc@gmail.com

How to cite this article: Savas Camur, Bekir Eray Kilinc, Haluk Celik, Yunus Oc, Osman Tugrul Eren, Adnan Kara. Remodeling Capacity of Femur Diaphysis Fracture with Non-Surgical Treatment in Preschool Children. Eu Clin Anal Med 2017;5(2): 17-20.

25 OH vitamin D levels of patients living in İsparta, Turkey

Hasan Basri Savas1, Betul Mermı Ceyhan2, Fatih Gultekin1

1 Department of Medical Biochemistry, Faculty of Medicine, Alanya Alaaddin Keykubat University, Alanya, Antalya, 2 Department of Medical Biochemistry, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey

DOI: 10.4328/ECAM.107

Abstract

Aim: Vitamin D levels influence the risk of fracture, rickets, osteomalacia, and osteoporosis. Vitamin D protects the body against muscle weakness, helps regulate the heartbeat, strengthens the immune system and thyroid func- tion, and is necessary for normal blood clotting. Vitamin D increases calcium absorption from the digestive tract, helps the accumulation of calcium in the bones and also accelerates the active transport of calcium. Humans obtain vitamin D from exposure to sunlight and from diet. Material and Method: The patients admitted to Suleyman Demirel University Faculty of Medicine Research and Application Hospital during a one-year period were examined to determine 25 OH vitamin D levels. 12,920 male and female patients were included in the study. Statistical analysis was performed with SPSS. Results: There was a significant difference between 25 OH vitamin D levels of pa- tients in the winter season and the spring and summer seasons (<0.05). 25 OH vitamin D levels of men were significantly higher than those of women (<0.05). 25 OH vitamin D levels were low in 72.48% of all patients (<20 ng/ ml). The ratio of 25 OH vitamin D levels less than 10 ng/ml was found in 40.92% of the patients. Discussion: When assessing 25 OH vitamin D levels, the season of the year and sex of the patients should be taken into consid- eration.

Keywords

25 OH Vitamin D Deficiency; Human

Corresponding Author: Hasan Basri Savas, Medical Biochemistry Department, Alanya Alaaddin Keykubat University, Faculty of Medicine, Alanya, Antalya, Turkey. T.: +90 2425181144 F.: +90 2425181199 E-Mail: hasan.savas@alanya.edu.tr

How to cite this article: Hasan Basri Savas, Betul Mermı Ceyhan, Fatih Gultekin. 25 Oh Vitamin D Levels of Patients Living in Isparta, Turkey. Eu Clin Anal Med 2017;5(2): 21-3.

Contribution of susceptibility weighted imaging sequence of MRI to diagnosis of parkinsons disease

Derya Güclü1, Ramazan Büyükkaya2, Ömer Önbas2, Fahri Halit Besir2, Ayhan Öztürk3, Mehmet Altan3

1 Department of Radiology, Düzce Atatürk State Hospital, 2 Department of Radiology, Düzce University Faculty of Medicine, 3 Department of Neurology, Düzce University Faculty of Medicine, Düzce, Turkey

DOI: 10.4328/ECAM.108

Abstract

Aim: Parkinson disease is the second most common neurodegenerative dis- ease. In Parkinson disease, iron content in basal ganglia of the brain increas- es. In the present study the contribution of susceptibility weighted imaging (SWI) to the diagnosis of Parkinson disease was evaluated by investigating iron deposition in the basal ganglia of Parkinson disease patients. Material and Method: Thirty-five patients who had a clinical diagnosis of Parkinson disease and nineteen patients with a diagnosis of headache from the neurol- ogy clinic of our hospital from a similar age group were selected. Magnetic resonance images of the patients were compared retrospectively with the images obtained from the control group. Demographic data, disease dura- tion, age of first diagnosis and Parkinson clinical scores of the patients were recorded. Intensity measurements of the basal ganglia were obtained in SWI sequence. To make a quantitative analysis signal-noise ratio (SNR) was cal- culated from obtained measurements. Results: SNR results obtained from the basal ganglia with SWI sequence were significantly lower in the patient group compared with that from the control group (p<0.05). There was no correlation within the patient group between clinical score, disease dura-tion, patients’ age of first diagnosis and SNR results (p>0.05). Discussion: SWI sequence of magnetic resonance imaging may be used as supporting method for the diagnosis of Parkinson disease but it was not found very helpful in evaluating clinical severity, side of involvement and progression of the disease.

Keywords

Iron; Magnetic Resonance Imaging; Parkinson Disease; SWI

Corresponding Author: Derya Güçlü, Radyoloji Departmanı, Düzce Atatürk Devlet Hastanesi, Aziziye Mahallesi, 81010 Düzce, Turkey. E-Mail: deryasr@hotmail.com

How to cite this article: Derya Güclü, Ramazan Büyükkaya, Ömer Önbas, Fahri Halit Besir, Ayhan Öztürk, Mehmet Altan. Contribution of Susceptibility Weighted Imaging Sequence of MRI to Diagnosis of Parkinson’s Disease. Eu Clin Anal Med 2017;5(2): 24-7.

Clinicopathologic features of breast diseases in a clinic

Hasan Calis, Nuraydin Ozlem

Department of General Surgery, Faculty of Medicine, Ahi Evran University, Kırsehir, Turkey

DOI: 10.4328/ECAM.110

Abstract

Aim: The breast tissue in women shows continuous change from birth with the hormonal effect, and various symptoms occur accordingly. Breast diseas- es are among the most common diseases seen in women and their incidence is continuously increasing. Material and Method: The records of patients aged 18 to 75 who were consulted to Ahi Evran University Training and Re- search Hospital General Surgery Clinic between October 2014-January 2016 and who were pathologically diagnosed with primary breast disease were retrospectively examined. Clinical information was analyzed with SPSS 19. Results: The most common patient complaint was breast pain (43 patients). The most commonly encountered benign pathology was fibroadenoma (24 patients). Inflammatory diseases were encountered in 12 patients. 26 pa- tients were diagnosed with malignant breast lesions. Discussion: In our study, similar to the literature, benign breast diseases formed the most commonly observed group, with a rate of 59.5%. Malign breast diseases formed the second most commonly diagnosed group, with a rate of 27.6%. Inflamma- tory breast diseases formed the third most commonly diagnosed group, with a rate of 12.7%.

Keywords

Breast Diseases; Breast Carcinoma; Mastitis

Corresponding Author: Hasan Calis, Department of General Surgery, Ahi Evran University, Faculty of Medicine, Kırsehir, Turkey. GSM: +905055361380 E-Mail: drhasancalis@hotmail.com

How to cite this article: Hasan Calis, Nuraydin Ozlem. Clinicopathologic Features of Breast Diseases in a Clinic. Eu Clin Anal Med 2017;5(2): 28-31.

Review Article

Effects of nutrition style on metabolism

Hasan Basri Savas, Fatih Gultekin

Department of Medical Biochemistry, Faculty of Medicine, Alanya Alaaddin Keykubat University, Antalya, Turkey

DOI: 10.4328/ECAM.109

Abstract

Meal frequency regulation and caloric restriction are gaining importance in modern dietary recommendations. The effects of caloric restriction on metabolism are approximately known. However, the combined effects of meal frequency and caloric restriction have not been adequately investigated. New research is needed to determine the ideal nutritional model that can be effective in preventing diabetes, cardiovascular disease, obesity, and many cancers. The current study emphasizes that there are not enough studies in the literature on the effects of meal frequency and calorie restriction on metabolism.

Keywords

Nutrition; Meal Frequency; Caloric Restriction; Metabolism; Insulin Resistance

Corresponding Author: Hasan Basri Savas, Medical Biochemistry Department, Alanya Alaaddin Keykubat University, Faculty of Medicine, Alanya, Antalya, Turkey. T.: +90 2425181144 F.: +90 2425181199 E-Mail: hasan.savas@alanya.edu.tr

How to cite this article: Hasan Basri Savas, Fatih Gultekin. Effects Of Nutrition Style On Metabolism. Eu Clin Anal Med 2017;5(2): 32-4.