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Coagulation of a giant hemangioma in glans penis with holmium laser

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Asian Journal of Andrology 2008年第5期10卷 819-821页

作者： Emin Aydur bulent Erol Lutfi Tahmaz Hasan Cem Irkilata Cenker Eken Ahmet Fuat Peker Department of Urology Gulhane Military Medical Academy Etlik Ankara 06018Turkey Department of Emergency Medicine Gulhane Military Medical Academy Etlik Ankara 06018 Turkey

A 21-year-old man presented with an enlarged giant hemangioma on glans penis which also causes an erectile dysfunction （ED） that partially responded to the intracavernous injection stimulation test. Although the findings in magnetic resonance imaging （MRI） indicated a glandular hemangioma, penile colored Doppler ultrasound revealed an invaded cavernausal hemangioma to the glans. Surgical excision was avoided according to the broad extension of the gland lesion. Holmium laser coagulation was applied to the lesion due to the cosmetically concerns. However, the cosmetic results after holmium laser application was not impressive as expected without an improvement in intracavernous injection stimulation test. In conclusion, holmium laser application should not be used to the hemangiomas of glans penis related to the corpus cavernosum, but further studies are needed to reveal the effects of holmium laser application in small hemangiomas restricted to the glans penis.

关键词： lasers, penis, erectile dysfunction hemangioma holmium laser

Interesting rendezvous location in a liver transplantation patient with anastomosis stricture

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World Journal of Gastroenterology 2014年第42期20卷 15916-15919页

作者： bulent Odemis Erkin Oztas Mehmet Yurdakul Serkan Torun Nuredtin Suna Ertugrul Kayacetin Department of Gastroenterology Yuksek Ihtisas Education and Research Hospital Department of Radiology Yuksek Ihtisas Education and Research Hospital

An endoscopic or radiologic percutaneous approach may be an initial minimally invasive method for treating biliary strictures after living donor liver transplantation; however, cannulation of biliary strictures is sometimes difficult due to the presence of a sharp or twisted angle within the stricture or a complete stricture. When an angulated or twisted biliary stricture interrupts passage of a guidewire over the stricture, it is difficult to replace the percutaneous biliary drainage catheter with inside stents by endoscopic retrograde cholangiopancreatography. The rendezvous technique can be used to overcome this difficulty. In addition to the classical rendezvous method, in cases with complete transection of the common bile duct a modified technique involving the insertion of a snare into the subhepatic space has been successfully performed. Herein, we report a modified rendezvous technique in the duodenal bulb as an extraordinary location for a patient with duct-to-duct anastomotic complete stricture after liver transplantation.

关键词： Liver transplantation Anastomosis stricture Endoscopic radiologic rendezvous Duodenal bulb

Prognostic value of claudin 18.2 expression in gastric adenocarcinoma

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World Journal of Gastrointestinal Oncology 2023年第2期15卷 343-351页

作者： Erkan Kayikcioglu Ramazan Oğuz Yüceer bulent Cetin Kamuran Yüceer Nermin Karahan Department of Medical Oncology Suleyman Demirel UniversityIsparta 32260Turkey Department of Pathology Isparta City HospitalIsparta 32360Turkey Department of Internal Medicine Suleyman Demirel UniversityFaculty of MedicineIsparta 32360Turkey Department of Pathology Suleyman Demirel UniversityIsparta 32360Turkey

BACKGROUND Claudin 18.2(CLDN18.2)is a cell surface protein expressed by gastric cancer *** monoclonal antibody zolbetuximab binds CLDN18.2-positive cancer cells and causes cancer cell death.A few studies researched the prognostic effect of CLDN18.2 expression in metastatic gastric *** To identify the prognostic value of CLDN18.2 expression in patients with metastatic gastric *** This study was conducted with 65 patients over the age of 18 who were diagnosed with metastatic gastric *** investigated the effect of CLDN18.2 expression on clinicopathological characteristics(age,sex,histological grade,Lauren classification,family history,metastatic site,HER2 expression)and prognosis for patients with metastatic gastric *** CLDN18.2 expression was positive in 73.8%(48)of the *** the median 17.7-mo follow-up period,89.2%(58)of the patients *** progression-free survival and overall survival(OS)were 6 mo(95%confidence interval:1.6-10.4)and 12 mo(95%confidence interval:7.5-16.5).There was no statistically significant correlation between CLDN18.2 expression and clinicopathological characteristics of the *** univariate and multivariate Cox regression analysis,there was no correlation between clinicopathological characteristics of patients and progression-free survival or *** CLDN18.2 expression was quite high in patients with gastric adenocarcinoma,identifying the proportion of the patients in whom zolbetuximab would be *** is no statistically significant correlation with clinicopathological characteristics and ***18.2 is not a prognostic marker in patients with gastric adenocarcinoma,although it is predictive.

关键词： Gastric adenocarcinoma Claudin 18.2 Overall survival Clinicopathological characteristics

Social media video analysis methodology for sarin exposure

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Forensic Sciences Research 2022年第2期7卷 279-284页

作者： Sadik Toprak Emine Yilmaz Can bulent Altinsoy John Hart Zekeriya Dogan Mustafa Ozcetin Department of Forensic Medicine Istanbul UniversityIstanbulTurkey Department of Medical Pharmacology Bulent Ecevit UniversityZonguldakTurkey Department of Pulmonary Medicine Bulent Ecevit UniversityZonguldakTurkey James Martin Center for Nonproliferation Studies MontereyCAUSA Department of Civil Engineering Bulent Ecevit UniversityZonguldakTurkey Department of Pediatrics Istanbul UniversityIstanbulTurkey

As social media becomes increasingly ubiquitous,many events are recorded and released on social media platforms,including chemical weapon *** develop an objective tool in order to evaluate brief and unstructured social media videos for analysing sarin exposure from a civilian medical pathology *** developed and validated this new questionnaire using a standardized procedure that includes content domain specification,item pool generation,content validity evaluation,a pilot study,and assessment of reliability and *** total,51 sarin attacks and 48 matched videos were ***’s a for all 20 items was 0.75,which indicates adequate internal *** test–retest reliability was 0.96,which indicates good internal *** inter-observer intraclass correlation coefficient was *** verifying sampling adequacy with the Kaiser–Meyer–Olkin measure and the factorability of the items with Barlett’s test of sphericity,a factor analysis was *** to the principal axis factoring,a six-factor solution explained 51.86%of the total *** receiver-operating characteristic curve analysis showed that the Video Score Questionnaire has a sensitivity of 0.817,a specificity of 0.478,and an efficiency of ***,the Video Score Questionnaire is reliable and valid for evaluating sarin attacks from brief and unstructured social media videos.

关键词： Forensic sciences social media sarin scale questionnaire chemical weapon nerve agent YouTube

Effect of interferon and ribavirin combined with amantadine in interferon and ribavirin non-responder patients with chronic hepatitis C (genotype 1)

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World Journal of Gastroenterology 2005年第4期11卷 580-583页

作者： Dilek Oguz Bahattin Cicek Levent Filik bulent Odemis Mesut Kilic Engin Altintas Neslihan Zengin Emin Altiparmak Turkiye Yuksek Ihtisas Hospital Gastroenterology Clinic Mersin University Department of Gastroenterology Turkiye Yuksek Ihtisas Hospital Department of Pathology Turkiye Yuksek Ihtisas Hospital Gastroenterology Clinic

AIM: To evaluate the efficacy of amantadine plus interferonalpha and ribavirin in non-responder patients with chronic hepatitis ***: Twenty-six non-responder patients received the regimen of IFN-α-2a at a dose of 6 million units three times a week, 1 000-1 200 mg of ribavirin daily, and 200 mg of amantadine daily in divided doses over 48 wk. After the end of treatment, at the 72nd wk, a sustained viral response rate was ***: An early (after 12 wk of therapy) response was seen in 34.6% (9/26) of patients. Response rate at the 24th wk was 42.3% (11/26). End of treatment response (ETR) was 53.8% (14/26). Sustained viral response (SVR) was 42.3% (11/26). There was a statistically significant difference between 0 and 12 wk (P = 0.04), 0 and 24 wk (P = 0.01), 0 and 48 wk (P = 0.00), and 0 and 72 wk (P = 0.001). No patient had severe adverse effects during the ***: Combination regimen of interferon-α,ribavirin and amantadine can enhance sustained viral response on IFN-α and ribavirin non-responder patients with HCV. Triple therapy with amantadine should be evaluated in further studies.

关键词： Chronic hepatitis C IFN-α-2a Ribavirin

Honey prevents hepatic damage induced by obstruction of the common bile duct

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World Journal of Gastroenterology 2008年第23期14卷 3729-3732页

作者： B Imge Erguder Sibel S Kilicoglu Mehmet Namuslu bulent Kilicoglu Erdinc Devrim Kemal Kismet Ilker Durak Department of Biochemistry Ankara University Faculty of MedicineAnkara 06100Turkey Department of Histology and Embriology Ufuk University Faculty of MedicineAnkara 06800Turkey Ankara Research and Training Hospital Clinics of General SurgeryAnkara 06100Turkey

AIM:To examine the possible effects of honey supplementation on hepatic damage due to obstruction of the common bile duct in an experimental rat model. METHODS:The study was performed with 30 male rats divided into three groups:a sham group,an obstructive jaundice group,and an obstructive jaundice plus honey group. At the end of the study period,the animals were sacrificed,and levels of nitric oxide(NO) ,and NO synthase(NOS) activities were measured in liver tissues,and levels of adenosine deaminase(ADA) and alanine transaminase(ALT) activities were measured in serum. RESULTS:Blood ALT and ADA activities were significantly elevated in the jaundice group as compared to those of the sham group. In the obstructive jaundice plus honey group,blood ALT and ADA activities were significantly decreased as compared to those of the jaundice group. In erythrocytes and liver tissues,NO levels were found to be significantly higher in the obstructive jaundice plus honey group compared to those of the sham group. Additionally,NO levels were found to be significantly higher in liver tissues from the animals in the obstructive jaundice plus honey group than those of the jaundice ***:Honey was found to be beneficial in the prevention of hepatic damage due to obstruction of the common bile duct.

关键词： Honey Obstructive jaundice Adenosine deaminase Nitric oxide

Geographically Weighted Regression and Secondary Variables for Mapping of Meteorological Data

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Journal of Geodesy and Geomatics Engineering 2015年第2期2卷 63-72页

作者： Ismail bulent Gundogdu Department of Geomatics Engineering Selcuk University Konya 42100 Turkey

GA （geostatistical analyst） is an indispensable tool to analyze various and plenty of data in GIS （geographic information system）. Spatial distribution is the most effective factor for predicting of meteorological maps at the point of performance or reliability of the model. Generally, classical interpolation methods may not be sufficient to produce accurate maps. GA is more considerable in this state. Secondary variables affect the precious of prediction models especially meteorological data mapping. In this study 245 meteorological data stations have been evaluated to produce precipitation model maps in Turkey. Long term （25 years） mean annual and monthly precipitation data from Turkish State Meteorological Service and elevation, slope and aspect values from DEM （Digital Elevation Model） were registered. OK （Ordinary Kriging）, OCK （Ordinary Co-Kriging） and GWR （Geographically Weighted Regression） have been used as a method to compare the models. With the study if there are effects of secondary variables to precipitation models have been illustrated on the prediction maps. Besides comparing statistical values, regional effects of secondary variables have been determined and illustrated on the maps numerically. As a result to define precipitation distribution spatially R2 values between measured and predicted values have been calculated 0.55 for Kriging, 0.67 for OCK and 0.86 for GWR. Cross validation indicated that GWR interpolation yields the smallest prediction error with elevation, slope and aspect. Spatial distribution of meteorological stations is also other important factor for similar studies.

关键词： Geostatistical analyst precipitation map ordinary Co-Kriging geographically weighted regression meteorological data.

A rare case: Spontaneous cutaneous fistula of infected splenic hydatid cyst

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World Journal of Gastroenterology 2006年第16期12卷 2633-2635页

作者： Kemal Kismet Ali Haldun Ozcan Mehmet Zafer Sabuncuoglu Cem Gencay bulent Kilicoglu Ceyda Turan Mehmet Ali Akkus S.B. Ankara Training and Research Hospital 4th General Surgery DepartmentAnkaraTurkey S.B. Ankara Training and Research Hospital Radiology DepartmentAnkaraTurkey

Hydatid disease is caused by the larval stage of the genus Echinococcus. Live hydatid cysts can rupture into physiologic channels, free body cavities or adjacent organs. Although hydatid disease can develop anywhere in the human body, the liver is the most frequently involved organ, followed by the lungs. Cysts of the spleen are unusual. There are only five case reports of spontaneous cutaneous fistulization of liver hydatid cysts in the literature. But there isn＇t any report about cutaneous fistula caused by splenic hydatid cyst. We report a first case of spontaneous cutaneous fistula of infected splenic hydatid cyst. A 43-year-old man was admitted to our Emergency Service with abdominal pain and fluid drainage from the abdominal wall. He has been suffering from a reddish swelling on the abdominal wall skin for four months. After a white membrane had been protruded out from his abdominal wall, he was admitted to our Emergency Service. On physical examination, a white membrane was seen to protrude out from the 2 crux I cm skin defect on the left superolateral site of the umblicus. Large, complex, cystic and solid mass of 9.5 cm-diameter was located in the spleen on ultrasonographic examination. At operation, partial cystectomy and drainage was performed. After the operation, he was given a dosage of 10 mg/kg per day of albendazole, divided into three doses. He was discharged on the postoperative 10^th d. It should be kept in mind that splenic hydatid cysts can cause such a rare complication.

关键词： Hydatid cyst Cutaneous fistula Spleen

Relationship between retinopathy and cirrhosis

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World Journal of Gastroenterology 2005年第14期11卷 2193-2196页

作者： Colakoglu Onder Taskiran Bengur Dayi Selcuk Sozmen bulent Unsal Belkis Maden Ahmet Pasa Eser Aslan S. Leyla Clinics of Gastroenterology Izmir Ataturk Teaching and Research Hospital IzmirTurkey 3rd Clinics of Internal Medicine Izmir Ataturk Teaching and Research Hospital Izmir Turkey Clinics of Ophthalmology Izmir Ataturk Teaching and Research Hospital IzmirTurkey 3rd Clinics of Internal Medicine Izmir Ataturk Teaching and Research Hospital IzmirTurkey Clinics of Ophthalmology 9th September University Hospital IzmirTurkey

AIM: To evaluate ophthalmic disorders with special attention to retinopathy in cirrhotic patients. Vitamin A deficiency-related ophthalmopathy, xerophthalmia, and color blindness may be documented in cirrhosis due to various etiologies. Retinopathy is an obscure feature of cirrhosis. METHODS: Thirty-two cirrhotic patients, who were followed up by Clinics of Gastroenterology, Izmir Ataturk Teaching and Research Hospital, were enrolled to the study. Associated systemic diseases such as diabetes mellitus and hypertension were excluded. Thirty-two healthy volunteers took part as the control subjects. All participants had ophthalmologic examination in the same hospital. RESULTS: Five (15.6%) of the cirrhotic subjects had soft exudate in the retina. None of the control subjects had retinopathy (P＜0.05). Intraocular pressure (IOP) measured for both eyes were also significantly lower in the cirrhotics (P＜0.05 vs P = 0.01). There were no statistically significant differences between the two groups in terms of other ophthalmic pathologies. The ophthalmic findings did not show up any differences according to the etiology of cirrhosis. CONCLUSION: Soft exudates may develop in cirrhotic patients probably due to loss of synthetic function of liver and hemodynamic effects of portal hypertension. Retinopathy must be sought in cirrhosis because of its severe morbidity.

关键词： Cirrhosis Portal hypertension Retinopathy