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Chest X-rays in detecting injuries caused by blunt trauma

World Journal of Emergency Medicine 2016年第1期7卷 55-58页

作者： Kadir Agladioglu mustafa Serinken onur Dal Halil Beydilli Cenker Eken Ozgur Karcioglu Department of Radiology Medical Faculty Pamukkale University Denizli Turkey Department of Emergency Medicine Medical Faculty Pamukkale University Denizli Turkey Department of Emergency Meddicine Medical Faculty Adnan Menderes University Aydin Turkey Department of Emergency Medicine Medical Faculty Mugla University Mugla Turkey Department of Emergency Medicine Medical Faculty Akdeniz University Antalya Turkey Department of Emergency Medicine Istanbul Education and Research Hospital Istanbul Turkey

BACKGROUND:The appropriate sequence of different imagings and indications of thoracic computed tomography(TCT)in evaluating chest trauma have not yet been clarified at *** current study was undertaken to determine the value of chest X-ray(CXR)in detecting chest injuries in patients with blunt ***:A total of 447 patients with blunt thoracic trauma who had been admitted to the emergency department(ED)in the period of 2009–2013 were retrospectively *** patients met inclusion criteria(age>8 years,blunt injury to the chest,hemodynamically stable,and neurologically intact)and underwent both TCT and upright CXR in the *** imagings were re-interpreted after they were collected from the hospital database by two skilled ***:Of the 447 patients,309(69.1%)were *** mean age of the 447 patients was 39.5±19.2(range 9 and 87 years).158(35.3%)patients were injured in motor vehicle accidents(MVA).CXR showed the highest sensitivity in detecting clavicle fractures[95%CI 78.3(63.6–89)]but the lowest in pneuomediastinum[95%CI 11.8(1.5–36.4)].The specificity of CXR was close to 100%in detecting a wide array of ***:CXR remains to be the first choice in hemodynamically unstable patients with blunt chest ***,stable patients with normal CXR are candidates who should undergo TCT if significant injury has not been ruled out.

关键词： Chest Blunt trauma X-Rays Computed tomography Emergency department

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Minor Omphalocele,Type IV Ileal Atresia,Congenital Ostomy

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Open Journal of Pediatrics 2014年第3期4卷 177-179页

作者： Barlas Etensel Ali onur Erdem Ozge Coskun Ibrahim Meteoglu Münevver Kaynak Türkmen mustafa Harun Gürsoy Department of Pediatric Surgery Adnan Menderes UniversityAydinTurkey Department of Pathology Adnan Menderes UniversityAydinTurkey Department of Neonatology Adnan Menderes UniversityAydinTurkey

Abstract: Omphalocele is often associated with the presence of other congenital anomalies. Isolated minor omphaloceles are known to have a favorable prognosis. Case reports have demonstrated nonclassical associations occurring in minor omphaloceles. Intestinal atresia is seldom described as being associated with minor omphaloceles. Special attention should be paid to intestinal exploration in small omphaloceles to avoid complications. Here we report a new association of a minor omphalocele, type IV ileal atresia and congenital ostomy.

关键词： Minor Omphalocele Type IV Ileal Atresia Congenital Ostomy

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Use of Subcutaneous Port Catheter in Childhood Malignancies

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World Journal of Cardiovascular Diseases 2016年第5期6卷 126-132页

作者： onur Doyurgan Uğur Karagöz Bengü Demirağ mustafa Karaçelik Yılmaz Ay Raziye Canan Vergin Osman Nejat Sarıosmanoğlu Department of Pediatric Cardiac Surgery Dr. Behcet Uz Children’s Hospital Izmir Turkey Department of Pediatric Hematology-Oncology Dr. Behcet Uz Children’s Hospital Izmir Turkey

Background: The port catheters are used to give long-term total parenteral nutrition, intravenous fluids, blood and blood products, or to be preferred for oncology and hematological diseases. In this study, we sought to review our results concerning the subcutaneous port catheter appliance in childhood malignancies. Methods: Two hundred ten subcutaneous port catheters applied to 192 patients between November 2010 and October 2015 were examined retrospectively in a cross- sectional study. Information such as demographic data, primary diagnoses, port types and implantation durations were recorded. Localization of the intervention, surgical technique, early and late complications and causes of port removal were evaluated. Results: Mean age of patients was 6.4 ± 4.9 years (1 month - 17 years), 77 (40.1%) were female and 115 (59.9%) male. One hundred twenty nine ports were inserted from the right internal jugular vein, 59 to right subclavian vein, 14 to left subclavian vein and 8 to left internal jugular vein. Total duration of implantation was 55,492 days and median duration was 289 days. Early complications were: 1 (0.5%) hemothorax, 1 (0.5%) pneumothorax, 1 (0.5%) carotid artery injury, 1 (0.5%) arrhythmia and in 2 (1%) cases port mal-positioning. Late complications were: 9 (4.3%) infection and 8 (3.8%) mechanical problems, 7 (3.3%) thrombosis, and in 1 (0.5%) port fracture was detected. Port catheter was removed in 18 (8.6%) cases. No significant difference was found when jugular and subclavian vein implantation was compared in terms of all complications, especially infection and thrombosis. Conclusion: Use of port catheter is a safe option in children who are receiving a long-term chemotherapy. Education of the medical team will diminish the complication rate in port catheter insertions.

关键词： Port Catheters Childhood Malignancy Postoperative Complications

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Short-Term Outcomes of Two Surgical Techniques for the Treatment of Coarctation of the Aorta in Infants: Subclavian Flap Repair and Resection with Extended End-to-End Anastomosis Technique

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World Journal of Cardiovascular Diseases 2015年第1期5卷 1-8页

作者： mustafa Karacelik¹ Burcin Abud Ugur Karagoz¹ Pelin Ozturk¹ Gokhan Albayrak onur Doyurgan Koray Aykut Mehmet Guzeloglu Eyup Hazan Osman Nejat Sarıosmanoglu Department of Pediatric Cardiac Surgery Behcet Uz Children’s HospitalIzmirTurkey Department of Cardiovascular Surgery Izmir Tepecik Research and Training HospitalIzmirTurkey Department of Cardiovascular Surgery Izmir University School of MedicineIzmirTurkey

Background: The aims of the study were to analyze the importance of two different surgical procedures, and to determine outcomes for neonates with coarctation of the aorta in two newly established centers. Methods: Outcomes of two different surgical repairs for coarctation of the aorta in 43 infants were evaluated retrospectively. The study was designed as a nonrandomized, cross-sectional study. The subclavian flap repair was applied to 22 patients (51%) and resection with extended end-to-end anastomosis technique to 21 patients (49%). After all operative survivors were followed up with a mean follow-up of 1.8 ± 0.8 years, data analyzed with t-test and the p value < 0.05 were considered statistically significant. Results: The overall mortality rate was 4.6%. Forty mmHg gradients were determined in a patient from Resection Group postoperatively in the fifteenth month. After the balloon angioplasty, the gradient decreased to 25 mmHg. The presence of ventricular septal defect (p = 0.094) was the only significant predictor of adverse short-term outcome among the associated cardiac defects analyzed. The first-year survival rate was 100% in both groups in isolated coarctation (p = 0.965), however;such rate was found as 100% and 93.25% in Waldhausen Group and Resection Group, respectively in complex coarctation (p = 0.294). Conclusions: Both the subclavian flap repair and resection with extended end-to-end anastomosis for coarctation of the aorta in infants provide excellent short-term outcomes with lower recurrence rates requiring surgery or angioplasty.

关键词： Congenital Heart Disease Coarctation of Aorta Infant

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埃尔多安会让土耳其走向独裁吗？

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商业周刊（中文版） 2017年第3期 14-15页

作者： Marc Champion onur Ant 竹西

2016年12月，土耳其国父穆斯塔法·凯末尔·阿塔图尔克（mustafa Kemal Ataturk）在里泽市大广场上的雕像消失了。里泽是坐落在土耳其黑海沿岸茶树种植园中的一座小城，土耳其总统雷杰普·塔伊普·埃尔多安（Recep Tayyip Erdogan）的... 详细信息

2016年12月，土耳其国父穆斯塔法·凯末尔·阿塔图尔克（mustafa Kemal Ataturk）在里泽市大广场上的雕像消失了。里泽是坐落在土耳其黑海沿岸茶树种植园中的一座小城，土耳其总统雷杰普·塔伊普·埃尔多安（Recep Tayyip Erdogan）的家乡。

关键词：埃尔多安土耳其独裁凯末尔种植园阿塔斯塔

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