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Urinary tract infections in neonates with jaundice in their first two weeks of life

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World Journal of Pediatrics 2014年第2期10卷 164-167页

作者： mehmet mutlu Yasemin Cayır Yakup Aslan Department of Neonatology Erzurum Regional Training and Research HospitalNeonatal Intensive Care UnitErzurumTurkey Department of Family Physician Erzurum Regional Training and Research HospitalNeonatal Intensive Care UnitErzurumTurkey Department of Neonatology Karadeniz Technical UniversityNeonatal Intensive Care UnitTrabzonTurkey

Background:Hyperbilirubinemia is a frequently seen condition in *** study was undertaken to determine the role of urinary tract infections(UTIs)in the etiology of indirect hyperbilirubinemia in neonates with jaundice in their fi rst two weeks of ***:The study was conducted *** subjects were neonates aged 4-14 days with hyperbilirubinemia which could not be detected by routine tests and was suffi ciently severe to necessitate ***:The study was performed in 104 neonates,of whom 18%(n=19)had *** most frequently identified micro-organism was Escherichia coli(43%).Phototherapy duration and rebound bilirubin level were higher in neonates with UTI(P<0.05).Conclusion:UTI should be investigated in neonates with hyperbilirubinemia of unknown etiology in the fi rst two weeks of life.

关键词： hyperbilirubinemia neonate urinary tract infection

Fourier analysis of corneal Scheimpflug imaging:clinical use in keratoconus

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International Journal of Ophthalmology(English edition) 2021年第12期14卷 1963-1969页

作者： Dorukcan Akincioglu Gokhan Ozge Onder Ayyildiz Gokcen Gokce Umut Karaca Fatih mehmet mutlu Ataturk State Hospital Antalya 07040Turkey Department of Ophthalmology Gulhane School of MedicineUniversity of Health SciencesAnkara 06010Turkey Department of Ophthalmology Gülhane Training and Research HospitalAnkara 06010Turkey Memorial Hospital Kayseri 38010Turkey Department of Ophthalmology Suleyman Demirel UniversityIsparta 32040Turkey

AIM:To evaluate the clinical use of Fourier analysis of videokeratography data in the diagnosis and follow-up of keratoconus(KC).METHODS:We conducted a chart review of consecutive patients presented to our cornea clinic.A team of two experienced cornea specialists divided the patients into three groups:normal cornea,forme fruste KC(FFKC),and clinical *** exclusion criteria were a history of previous ocular surgery,any accompanying corneal pathology other than KC,high myopia(>6.00 diopters),amblyopia,pregnancy,breastfeeding,or any current autoimmune *** data of Fourier series harmonic analysis were evaluated for their diagnostic capacity using the receiver operating characteristic(ROC)curve.A binary logistic regression analysis was also conducted to construct a diagnostic model.A total of 259 eyes showed progression in the clinical KC group and underwent a combination of accelerated corneal collagen cross-linking and topographyguided customized treatment with an excimer ***:The study included 1262 eyes(618 normal,530 KC,and 114 FFKC)of 1262 *** observed that maximum decentration(MaxDec)was almost as good as maximum keratometry(Kmax)in detecting progressive *** area under the curve(AUC)was 0.95 for KC[95%confidence interval(CI):0.93-0.96]and 0.84 for FFKC(95%CI:0.79-0.88).Higher predictive accuracy was obtained using a model combining the spherical component,MaxDec,irregularity,and regular astigmatism in the center of the cornea(AUC:0.97;sensitivity:89%,and specificity:96%).CONCLUSION:Decentration,Kmax,and posterior radii of curvatures from a 3.0-mm optical zone centered on the thinnest point of the cornea provide the highest accuracy with low reproducibility of Kmax.

关键词： Fourier keratoconus Scheimpflug imaging tomography topography

Comment on survival analysis following early surgical success in intermittent exotropia surgery

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International Journal of Ophthalmology(English edition) 2016年第10期9卷 1532-1534页

作者： Onder Ayyildz Gokhan Ozge Cem Ozgonul Gokcen Gokce Fatih mehmet mutlu Department of Ophthalmology Gulhane Military Medical School Ankara 06010 Turkey Department of Ophthalmology Van Military Hospital Van65100 Turkey Department of Ophthalmology Kayseri Military HospitalKayseri 38100 Turkey

Dear Editor,We read the article by Lee et al with great *** would like to congratulate the authors for venturing into this area that assess the consecutive recurrence following early success of intermittent exotropia[X（T）]surgery and to determine the clinical factors that affect the ***,we would like to make the following *** the present study,it was discussed about the correlation of early postoperative overcorrection with long-term outcomes.

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Selective Detection of Dopamine in the Presence of Ascorbic Acid at Poly (m-Aminobenzene Sulfonic Acid)

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American Journal of Analytical Chemistry 2011年第5期2卷 582-588页

作者： Gamze Erdogdu mehmet mutluhan mutlu Department of Chemistry Faculty of Arts and SciencesInonu UniversityMalatyaTurkey Department of Chemistry Faculty of Arts and SciencesHarran UniversitySanliurfaTurkey

Poly (m-aminobenzene sulfonic acid, m-ABSA) films were electrochemically prepared by cyclic voltammetry (CV) in 0.1 mol L–1 KCl solution. The dopamine (DA) selectivity of polymeric electrodes prepared at the different thicknesses was examined in the presence of ascorbic acid (AA). The results showed that the modified electrode showed an excellent electrocatalytical effect towards oxidation of dopamine (DA) and ascorbic acid (AA). Electrostatic interaction between the negatively charged poly(m-ABSA) film and either cationic DA species or anionic AA species favorably contributed to the redox response of DA and AA. Moreover, the regular and repetitive responses for dopamine were obtained even in the presence of the some interfering substances such as ascorbic acid, NaCl, NaClO4, Na2SO4 ,NaNO3 and KCl.

关键词： Poly(m-Aminobenzene Sulfonic Acid) Dopamine Ascorbic Acid

土耳其人Duane眼球后退综合征的临床特点及手术疗效分析（英文）

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国际眼科杂志 2019年第5期19卷 714-718页

作者： Osman Melih Ceylan Adem Turk Gken Gkce ?nder Ayyildiz Fatih mehmet mutlu Halil Ibrahim Altinsoy Diskapi Yildirim Beyazit 培训及研究医院眼科土耳其安卡拉06110 Karadeniz 工业大学医学院眼科土耳其特拉布宗61080 开塞利纪念医院眼科土耳其开塞利38010 Gülhane 培训及研究医院眼科土耳其06010 土耳其伊斯坦布尔世界眼科医院 34337

目的:分析Duane眼球后退综合征(DRS)患者的临床特点及手术疗效。方法:评估94例DRS患者临床数据。记录完整的眼科数据,包括年龄、性别、侧位、DRS类型、偏角、异常头部姿势(AHP)、眼球后退、过冲及手术入路类型。结果:患者年龄为15.4±9... 详细信息

目的:分析Duane眼球后退综合征(DRS)患者的临床特点及手术疗效。方法:评估94例DRS患者临床数据。记录完整的眼科数据,包括年龄、性别、侧位、DRS类型、偏角、异常头部姿势(AHP)、眼球后退、过冲及手术入路类型。结果:患者年龄为15.4±9.18岁,其中78例男性,16例女性。单侧和双侧受累分别为87%和13%。在单侧DRS患者中,左眼占65%。94例患者中,59.5%的患者为I型,29.7%的患者为II型,8.5%的患者为III型,2.1%的患者为IV型。大多数患者(36,38%)为嗜热性,43例(96%)患者术前AHP出现10°以上。有40例(43%)患者出现过度调校,通常为II型。对45例(48%)患者进行手术治疗。共32例(78%)行水平直肌手术后获得了较好疗效,24例(53%)患者AHP改善。结论:侧直肌的Y分裂和后榫固定在有明显过校的情况下都有令人满意的结果。垂直直肌转位增强术在限制外展方面取得了最佳效果。

关键词： Duane眼球后退综合征斜视手术结果

Evaluation of penile hemodynamic status and adjustment of treatment alternatives in Peyronie's disease

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Asian Journal of Andrology 2002年第3期4卷 187-190页

作者： Tibet Erdogru Murat Savas Namik Yilmaz Mustafa Faruk Usta Turker Koksal mutlu Ates mehmet Baykara Department of Urology Akdeniz University Faculty of Medicine Kampus 07059 TurkeyDepartment of Urology Akdeniz University Faculty of Medicine Kampus 07059 TurkeyDepartment of Urology Akdeniz University Faculty of Medicine Kampus 07059 TurkeyDepartment of Urology Akdeniz University Faculty of Medicine Kampus 07059 TurkeyDepartment of Urology Akdeniz University Faculty of Medicine Kampus 07059 TurkeyDepartment of Urology Akdeniz University Faculty of Medicine Kampus 07059 TurkeyDepartment of Urology Akdeniz University Faculty of Medicine Kampus 07059 Turkey

Aim: Erectile dysfunction may be observed in up to 80% of patients with Peyronie's disease. An objective evaluation of the erectile function is attempted to work out in patients with Peyronie's disease. Methods: Penile deformity, sexual function and penile vascular status were analyzed in 123 patients with Peyronie's disease, who had not received any pertinent treatment. Results: Penile deformity, palpable plaque and pain on erection were seen in 112 (91%), 97(78.8%) and 27 (21.9%) of the 123 patients, respectively. Of the 76 patients evaluated by color Doppler ultrasounography, veno-occlusive dysfunction as the vascular component for erectile dysfunction was found in 17 (22.3%), arterial insufficiency in 10(13.1%) and a mixed picture in 23 (30.2%). Conclusion: The documentation of penile erectile function and the determination of the vascular status using color Doppler ultrasonography can guide the appropriate therapeutic choice.

关键词： Peyronie's disease sexual function penile vascular status color Doppler ultrasonography

Effects of hyperbaric oxygen and Pgg-glucan on ischemic colon anastomosis

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World Journal of Gastroenterology 2006年第9期12卷 1421-1425页

作者： Suna Guzel Oguzhan Sunamak Abdullah AS Varol Celik mehmet Ferahman Muhammed MK Nuri Ertugrul Gazioglu Pinar Atukeren Ozgur mutlu Department of General Surgery Cerrahpasa Faculty of Medicine IstanbulTurkey Department of Biochemistry Cerrahpasa Faculty of Medicine IstanbulTurkey Department of Underwater and Hyperbaric Oxygen Istanbul Faculty of Medicine IstanbulTurkey

AIM： In colorectal surgery, anastomotic failure is still a problem in ischemia. Here, we analyzed the effects of hyperbaric oxygen and beta-glucan on colon anastomoses in ischemic condition. METHODS： Colonic resection and anastomosis in rectosigmoid region were done in forty Wistar-Albino rats of four groups of equal number. Colon mesentery was ligated to induce ischemia. The first group was the control group. The subjects of second group were treated with hyperbaric oxygen; the third group with glucan and the forth group were treated with both. At the forth day, rats were sacrificed, anastomotic segment was resected and burst pressures and hydroxyproline levels of anastomotic line were measured. RESULTS： The burst pressure difference of second and third groups from the control group were meaningful （P〈0.01）; the forth group differed significantly from the control （P〈0.001）. There was no difference between the treated groups on burst pressure level （P〉0.05）. The hydroxyproline levels in all treated groups were different from the control group significantly （P〈0.001）. Hydroxyproline levels in the forth group were higher than those of the second and the third groups （P〈 0.001）. There were no significant differences between the second and the fourth groups in burst pressure and hydroxyproline levels （P〉 0.05）. CONCLUSION： Hyperbaric oxygen and glucan improve healing in ischemic colon anastomoses by anti-microbic,immune stimulating properties and seem to act synergistically when combined together.

关键词： Anastomosis Ischemic colon Hyperbaric oxygen PGG-Glucan

Internet and social media usage of orthopaedic patients:A questionnaire-based survey

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World Journal of Orthopedics 2017年第2期8卷 178-186页

作者： Tahir mutlu Duymus Hilmi Karadeniz mehmet Akif Cacan Baran Komür Abdullah Demirtas Sinan Zehir Ibrahim Azboy Department of Orthopaedics Haydarpasa Numune Training and Research Hospital Department of Orthopaedics and Traumatology Bah?elievler Medikal Park Hospital Department of Orthopaedics Bitlis State Hospital Department of Orthopaedics Kanuni Sultan Süleyman Training and Research Hospital Department of Orthopedics and Traumatology G?ztepe Training and Research HospitalIstanbul Medeniyet University Department of Orthopaedics and Traumatology Hitit University Faculty of Medicine Department of Orthopaedics and Traumatology Dicle University Faculty of Medicine

AIM To evaluate social media usage of orthopaedic patients to search for solutions to their health problems. METHODS The study data were collected using face-to-face questionnaire with randomly selected 1890 patients aged over 18 years who had been admitted to the orthopaedic clinics in different cities and provinces across Turkey. The questionnaire consists of a total of 16 questions pertaining to internet and social media usage and demographics of patients, patients' choice of institution for treatment, patient complaints on admission, online hospital and physician ratings, communication between the patient and the physician and its *** It was found that 34.2%(n = 647) of the participants consulted with an orthopaedist using the internet and 48.7%(n = 315) of them preferred websites that allow users to ask questions to a physician. Of all questionaskers, 48.5%(n = 314) reported having found the answers helpful. Based on the educational level of the participants, there was a highly significant difference between the rates of asking questions to an orthopaedist using the internet(P = 0.001). The rate of questionasking was significantly lower in patients with an elementary education than that in those with secondary, high school and undergraduate education(P = 0.001) The rate of reporting that the answers given was helpful was significantly higher in participants with an undergraduate degree compared to those who were illiterate, those with primary, elementary or high school education(P = 0.001). It was also found that the usage of the internet for health problems was higher among managers-qualified participants than unemployed-housewives, officers, workers-intermediate staff(P < 0.05).CONCLUSION We concluded that patients have been increasingly using the internet and social media to select a specific physician or to seek solution to their health problems in an effective way. Even though the internet and social media offer beneficial effects for physician

关键词： Patient Internet Orthopedist Social media Communication

Preliminary Results of Double-Bundle Anterior Cruciate Ligament Reconstruction and Technique-Specific Problems

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Open Journal of Orthopedics 2014年第8期4卷 205-214页

作者： Olcay Guler Ferdi Donmez Mahir Mahirogullari mehmet Isyar Selami Cakmak Serhat mutlu Orthopedics and Traumatology Department Gulhane Military Medical Academy Haydarpasa Training Hospital Istanbul Turkey Orthopedics and Traumatology Department Kanuni Sultan Suleyman Training Hospital Istanbul Turkey Orthopedics and Traumatology Department Medical Faculty Medipol University Istanbul Turkey Orthopedics and Traumatology Department Yuzyil Hospital Istanbul Turkey

Background: In this study, we determined the efficiency of anterior cruciate ligament (ACL) reconstruction using the double-bundle technique and addressed technique-specific problems. Patients and Methods: Twenty-nine patients who underwent ACL reconstruction due to ACL rupture with the arthroscopic double-bundle ENDOBUTTON CL method using autogenous hamstring tendons were evaluated. All patients were males and the mean age was 24.3 years (range 20 - 41 years). The mean follow-up period was 36.4 months (minimum 16 and maximum 53 months). Diagnosis was based on medical history and physical examination. Lachman, anterior drawer and pivot shift tests were performed. The patient diagnosis was verified with X-ray roentgenogram and magnetic resonance imaging (MRI). Tunnel mergence and graft hanging problems were discussed. Results: Pre- and postoperative clinical assessments of the patients showed the mean Lysholm score increased from 60.2 (48 - 72) preoperatively to 91.5 (85 - 98) at the final visit, whereas the mean Tegner score increased from 5.58 (3 - 9) preoperatively to 6.03 (4 - 9) at the final visit. According to the International Knee Documentation Committee (IKDC) knee ligament standard evaluation system, five patients were classified as B (17%);11 patients were classified as C (38%);and 13 patients were classified as D (45%) before the surgery. At the postoperative evaluation, 17 (59%) patients were classified as A;11 (38%) patients were classified as B;and 1 (3%) patient was classified as C. Conclusion: The double-bundle technique using hamstring tendons and femoral braces is an efficient and satisfactory method for ACL reconstruction.

关键词： ACL Reconstruction Double-Bundle Hamstring Tendon Graft Femoral Brace