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A rare complication of a rare disease: Amyloidosis in situs inversus

Open Journal of Internal Medicine 2013年第2期3卷 55-57页

作者： Abdullah Ozkok Mirac Vural Keskinler Erhan Eken Osman Kostek Ozge Caklili Alihan Oral Kubra Aydin Bahat omer celal elcioglu Ali Bakan Ali Riza Odabas Istanbul Medeniyet University Goztepe Training and Research Hospital Nephrology Clinic Istanbul Turkey

A 31-year-old female admitted with productive cough and progressively increasing edema in her legs. Four years ago she had the diagnosis of situs inversus (SI) totalis. She had6.5 g/day proteinuria in 24-hour urine analysis. High resolution computed tomography revealed bronchiectatic areas in the left lung. In renal biopsy, kongo and amyloid AA antibody positivity was detected in arteriolar walls and mesangial areas. The patient is currently being followed with ramipril and colchicine treatments. Primary ciliary dyskinesia (PCD) and resultant SI totalis are very rare anomalies characterized by the total inversion of all organs and chronic bronchiectasis. There are very few reports on the association of SI totalis with nephrotic syndrome. Patients with SI totalis and chronic bronchiectasis have increased risk of AA amyloidosis and possibly end stage renal disease and thus these patients should be regularly followed with proteinuria and serum creatinine levels.

关键词： Situs Inversus Amyloidosis Bronchiectasis Nephrotic Syndrome

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Determination of ^(210)Po and ^(210)Pb depositions in lichen and soil samples collected from K?prüba??-Manisa,Turkey

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Nuclear Science and Techniques 2018年第6期29卷 92-100页

作者： Sermin Cam Kaynar Umit H. Kaynar Umran Hicsonmez omer S. Sevinc Department of Physics Faculty of Sciences and Arts Manisa Celal Bayar University 45140 Manisa Turkey Science Education Faculty of Education Manisa Celal Bayar University 45900 Manisa Turkey Department of Chemistry Faculty of Sciences and ArtsManisa Celal Bayar University 45140 Manisa Turkey Primary School Science Teaching Duzce University81620 Manisa Turkey

üIn this study, we aimed to determine the accumulations of ^(210) Po and ^(210) Pb in soil and lichen samples in K? prü bas??. The K? prü bas?? district is home to the largest uranium deposits in Turkey. To date, there has been no study recorded in the literature related to ^(210) Po and ^(210) Pb depositions in lichens in K? prü bas??. Six different lichen species(Cladonia convoluta, Parmelina tiliacea, Physcia stellaris, Pleurosticta acetabulum, Xanthoparmelia conspersa, and Xanthoria parietina) as well as soil samples were collected from seven sampling locations around K? prü bas??. Lichens were used as biomonitors for ^(210) Po and ^(210) Pb deposition. The ^(210) Po and ^(210) Pb activity concentrations were measured in all the samples by alpha spectrometry. The activity concentrations in the lichen samples ranged from 64 to 577 Bq kg^(-1) with an average of 266 Bq kg^(-1) for ^(210) Po and from 78 to 565 Bq kg^(-1) with an average of 333 Bq kg^(-1) for ^(210) Pb. The activity ratios of ^(210) Po/ ^(210) Pb ranged from 0.80 to 1.99. In the lichen species,the mean ^(210) Po activity values varied from 154 Bq kg^(-1) in Pleurosticta acetabulum to 390 Bq kg^(-1) in Xanthoparmelia conspersa. The range of the mean ^(210) Pb activity was between 153 Bq kg^(-1) in Cladonia convoluta and 378 Bq kg^(-1) in Parmelina tiliacea. In the soil samples, ^(210) Po and ^(210) Pb activity concentrations were ranged from14 to 1268 Bq kg^(-1) and from 19 to 1113 Bq kg^(-1),respectively. While the values of ^(210) Po and ^(210) Pb measured in the lichen samples are comparable with those of the literature, the results of ^(210) Po and ^(210) Pb in the soil taken from the uranium mine are higher than the results of the literature studies.

关键词：土壤样品地衣种土耳其收集样品测量 alpha 平均数 Po

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Erectile function and late-onset hypogonadism symptoms related to lower urinary tract symptom severity in elderly men

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Asian Journal of Andrology 2013年第6期15卷 785-789,I0008页

作者： Ozan Bozkurt Deniz Bolat omer Demir Oktay Ucer Ali Sahin Burak Ozcift Abdulkadir Pekta Tahir Turan Bilal H Gümü Ertan Cans Ahmet Bolukbasi Haluk Erol Adil Esenx Department of Urology Dokuz Eylul University Faculty of Medicine Izmir 35340 Turkey Division of Urology Doc. Dr. Yasar Eryilmaz Dogubayazit State Hospital Agri 04900 Turkey Department of Urology Celal Bayar University Manisa 45040 Turkey Department of Urology Sifa University Izmir 35230 Turkey Clinic of Urology Ataturk Training and Research Hospital Izmir 35965 Turkey Division of Urology Adiyaman 82. Yll State Hospital Adiyaman 02040 Turkey Department of Urology Pamukkale University Faculty of Medicine Denizli 20020 Turkey Clinic of Urology Tepecik Training and Research Hospital Izmir 35120 Turkey Department of Urology Adnan Menderes University Faculty of Medicine Aydin 09100 Turkey

The aim of this study was to evaluate the relationship between lower urinary tract symptoms （LUTSs）, erectile dysfunction （ED） and symptomatic late-onset hypogonadism （SLOH） in ageing men in the Aegean region of Turkey. Five hundred consecutive patients 〉40 years old who had been in a steady sexual relationship for the past 6 months and were admitted to one of six urology clinics were included in the study. Serum prostate-specific antigen and testosterone levels and urinary flow rates were measured. All patients filled out the International Prostate Symptom Score and Quality of Life （IPSS-QoL）, International Index of Erectile Function （IIEF） and Aging Males＇ Symptoms （AMS） scale forms. Of the patients, 23.9% had mild LUTSs, 53.3% had moderate LUTSs and 22.8% had severe LUTSs. The total testosterone level did not differ between groups. Additionally, 69.6% had ED. The presence of impotence increased with increasing LUTS severity. Symptomatic late-onset hypogonadism （AMS 〉27） was observed in 71.2% of the patients. The prevalence of severe hypogonadism symptoms increased with the IPSS scores. A correlation analysis revealed that all three questionnaire scores were significantly correlated. In conclusion, LUTS severity is an age-independent risk factor for ED and SLOH. LUTS severity and SLOH symptoms appear to have a strong link that requires etiological and biological clarification in future studies.

关键词： ageing male erectile dysfunction lower urinary tract symptoms symptomatic late-onset hypogonadism symptom scores testosterone

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A candidate identification questionnaire for postmenopausal osteoporosis patients switched from daily or weekly bisphosphonate to once-monthly ibandronate: An open, prospective, multicenter study—BONCURE study

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Health 2013年第7期5卷 30-40页

作者： Yesim Gokce Kutsal Nurten Eskiyurt Jale Irdesel Vesile Sepici Hatice Ugurlu Yesim Kirazli Fusun Ardic Mirko Korsic Tonko Vlak Mane Grlickov Snezana Markovic Temelkova Miroslav Lazarov Nada Pilipovic Vera Popovic Aleksandar Dimic Branka Kovacev Dorina Ruci Argjend Tafaj Elma Kucukalic-Selimovic Dijana Avdic Hajrija Seleskovic Snjezana Pejicic Bulent Butun Gulseren Akyuz Lale Cerrahoglu omer Faruk Sendur Peyman Yalcin Sema Oncel Merih Saridogan Tunay Sarpel Mehmet Tosun Kazim Senel Savas Gursoy Ferhan Canturk Huseyin Demir Blazenka Miskic Dalibor Krpan Franjo Skreb Simeon Grazio Zeljka Crncevic-Orlic Fatih Ozdener Hakan Oncel Clinic for Orthopaedic Surgery Clinical Centre Vodnjansk Skopje Macedonia Clinic of Endocrinology Diabetes and Metabolic Disorders Skopje Macedonia Clinic of Rheumatology Clinical Centre Skopje Macedonia Clinical Center of Vojvodina Novi Sad Serbia Clinical Center Banja Luka Bosnia and Herzegovina Clinical Hospital Centre Split Croatia Department of PMR Cerrahpasa School of Medicine Istanbul University Istanbul Turkey Department of PMR Clinical Hospital Center Rijeka Rijeka Croatia Department of PMR Dr. Josip Bencevic General Hospital Slavonski Brod Croatia Department of PMR Istanbul School of Medicine Istanbul University Istanbul Turkey Department of PMR Polyclinic for Internal Medicine Zagreb Croatia Department of PMR School of Medicine Adnan Menderes University Aydin Turkey Department of PMR School of Medicine Akdeniz University Ankara Turkey Department of PMR School of Medicine Ankara University Ankara Turkey Department of PMR School of Medicine Ataturk University Erzurum Turkey Department of PMR School of Medicine Celal Bayar University Manisa Turkey Department of PMR School of Medicine Cukurova University Adana Turkey Department of PMR School of Medicine Dokuz Eylul University Izmir Turkey Department of PMR School of Medicine Ege University Izmir Turkey Department of PMR School of Medicine Erciyes University Kayseri Turkey Department of PMR School of Medicine Gazi University Ankara Turkey Department of PMR School of Medicine Gaziantep University Gaziantep Turkey Department of PMR School of Medicine Hacettepe University Ankara Turkey Department of PMR School of Medicine Karadeniz Technical University Trabzon Turkey Department of PMR School of Medicine Marmara University Istanbul Turkey Department of PMR School of Medicine Ondokuz Mayis University Samsun Turkey Department of PMR School of Medicine Pamukkale University Denizli Turkey Department of PMR School of Medicine Selcuk University Konya Turkey Department

A candidate identification questionnaire (CIQ) was tested to determine its predictive value for patient-reported satisfaction in patients switched from once-weekly or once-daily treatment with a bisphosphonate to once-monthly dosing. This was a prospective, open-label, multicenter international study in patients with postmenopausal osteoporosis who had been receiving once-daily or once-weekly alendronate or risendronate for at least 3 months. Patients completed a CIQ, then commenced 150 mg monthly ibandronate for 6 months. Patients completed the Osteoporosis Patient Satisfaction Questionnaire (OPSAT-QTM) at baseline for 6 months. Scores were converted to composite satisfaction scores (CSS, scale 0-100). Totally 677 patients completed a CIQ, 645 were enrolled in the treatment phase and comprised the intent-to-treat (ITT) population, and 630 completed the study. In the ITT population, 68.1% patients answered “yes” to one or more CIQ questions. OPSAT-Q scores increased for the convenience, quality of life and overall satisfaction domains (p scores for the side effects domains were significant (p < 0.001) in the CIQ “yes” group, but not for the degree of bother (decrease in mean of 0.1 points, p = 0.50) or duration (no change, p = 0.84) of non-gastrointestinal side effects. Of 638 patients who completed the preference questionnaire, 93.0% of patients preferred the once-monthly dosing schedule and 563 patients (90.7%) found it more convenient. The most common adverse events were dyspepsia (1.9%), nausea (1.1%), and upper abdominal pain (0.9%). Patients are likely to prefer treatment with monthly ibandronate to a weekly or monthly bisphosphonate irrespective of their stated preference before switching treatment.

关键词： Bisphosphonate Compliance Ibandronate Postmenopausal Osteoporosis

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