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Koseoglu S, Derin S, Huddam B, Sahan M. The effect of non-diabetic chronic renal failure on olfactory function. Eur Ann Otorhinolaryngol Head Neck Dis 2016; 134:161-164. [PMID: 27988196 DOI: 10.1016/j.anorl.2016.04.022] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Revised: 04/13/2016] [Accepted: 04/13/2016] [Indexed: 01/01/2023]
Abstract
OBJECTIVES In chronic renal failure (CRF), deterioration of glomerular filtration results in accumulation of metabolites in the body which affect all organs. This study was performed to investigate the olfactory functions, and determine if hemodialysis or peritoneal dialysis improves olfactory function in non-diabetic CRF patients. MATERIALS AND METHODS The olfactory functions were analyzed in CRF patients not on a dialysis program and had a creatinine level≥2mg/dL, in CRF patients on hemodialysis or peritoneal dialysis, and in healthy controls. Diabetic patients were excluded since diabetes alone is a cause of olfactory dysfunction. The study group consisted of a total of 107 individuals including 38CRF patients on a hemodialysis program, 15 CRF patients on peritoneal dialysis, 30 patients with a creatinine level ≥ 2mg/dL without any need for dialysis, and 24 healthy controls with normal renal functions. Olfactory functions were analyzed with "Sniffin' sticks" test, and the groups were compared for the test results. RESULTS All test parameters were impaired in patients with CRF. The median TDI scores of the patients with CRF and the healthy subjects were 24.75 (13-36) and 32.5 (27.75-37.75), respectively, with a statistically significant difference in between (P<0.001). The olfactory functions for the dialysis patients were better than those for the CRF patients not on a dialysis program (P=0.020). CONCLUSION Non-diabetic CRF affects olfactory functions negatively. Dialysis improves olfactory functions in those patients.
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Affiliation(s)
- S Koseoglu
- Department of Otolaryngology, Mugla Sıtkı Kocman University, School of Medicine, Mugla, Turkey
| | - S Derin
- Department of Otolaryngology, Mugla Sıtkı Kocman University, School of Medicine, Mugla, Turkey.
| | - B Huddam
- Department of Nephrology, Mugla Sıtkı Kocman University, School of Medicine, Mugla, Turkey
| | - M Sahan
- Department of Otolaryngology, Mugla Sıtkı Kocman University, School of Medicine, Mugla, Turkey
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Sahan M, Beydilli H, Deveer M, Derin S, Sahan L, Cullu N. Is nasal packing required in epistaxis? Clin Ter 2016; 165:e24-7. [PMID: 24589956 DOI: 10.7471/ct.2014.1667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To demonstrate the efficacy of identification of bleeding source with nasal endoscopy and cauterization (bipolar or radiofrequency) without nasal packing in adults with posterior epistaxis unable to be treated with nasal packing. MATERIALS AND METHODS The average age of patients was 56.16 ± 12.6 (38-72) years, and female-male ratio was 1/5. The average systolic blood pressure was found to be 150 ± 30, while diastolic blood pressure was 90 ± 20 mmHg. Average hemoglobin concentration was 11.2 ± 3.1 (7-15). The bleeding was on the left side in 8 patients and on the right in 4 patients. Probable etiology was considered hypertension crisis (33.3%), use of nasal steroids (8.3%), nasal surgery (8.3%), however in half (50%) of the cases the cause was unidentified. Of the cases, 6 had hypertension, 4 COPD, 10 tobacco use and 5 alcohol use. The source of epistaxis was anterior ethmoidal artery in 2 cases and spheopalatine artery in 10 cases. Two of the cases were treated with radiofrequency coagulation, and ten with bipolar cauterization. Only one of the cases was administered 2 units of packed red blood cells, and one of the cases had postoperative recurrent bleeding. The patients were hospitalized in average 3.2 (2-5) days and no reccurence of hemorrhage was seen in 3 month follow up. CONCLUSIONS Dundee epistaxis menagement protocol described by Barnes and Spielman may be applied in adults. Endoscopical detection of the bleeding site and cauterizing the arterial feed source is highly successful in the treatment. Nasal packing may more commonly lead to complication especially in the elderly and in patients with heart and respiratory problems.
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Affiliation(s)
- M Sahan
- Departments of Otorhinolaryngology Mugla Sitki Kocman University School of Medicine, Mugla, Turkey
| | - H Beydilli
- Departments of Mugla Sitki Kocman University School of Medicine, Mugla, Turkey
| | - M Deveer
- Departments of Emergency Radiology Mugla Sitki Kocman University School of Medicine, Mugla, Turkey
| | - S Derin
- Departments of Otorhinolaryngology Mugla Sitki Kocman University School of Medicine, Mugla, Turkey
| | - L Sahan
- Departments of Anesthesiology and Reanimation Mugla Sitki Kocman University School of Medicine, Mugla, Turkey
| | - N Cullu
- Departments of Radiology Mugla Sitki Kocman University School of Medicine, Mugla, Turkey
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Tel E, Akça S, Sahan M, Depedelen M, Sarpun IH. The Comparison of (n,p), (n,α), (n,2n) and (α,n) Reaction Cross-Sections for 7Li and 9Be Target Nuclei. J Fusion Energ 2016. [DOI: 10.1007/s10894-016-0094-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Cullu N, Deveer M, Sahan M, Tetiker H, Yilmaz M. Radiological evaluation of the styloid process length in the normal population. Folia Morphol (Warsz) 2013; 72:318-21. [PMID: 24402753 DOI: 10.5603/fm.2013.0053] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2013] [Revised: 06/19/2013] [Accepted: 06/19/2013] [Indexed: 11/25/2022]
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Sahan M, Sebe A, Acikalin A, Akpinar O, Koc F, Ay MO, Gulen M, Topal M, Satar S. Acute-phase reactants and cytokines in ischemic stroke: do they have any relationship with short-term mortality? Eur Rev Med Pharmacol Sci 2013; 17:2773-2777. [PMID: 24174359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND Many unknown risk factors play a role in the etiopathogenesis of stroke. The appearance of inflammatory cells within the damaged tissue after cerebral ischemia suggests that an inflammatory response may play a role in stroke pathogenesis. In our study, we examined whether an association exists between the acute-phase reactants and the levels of cytokines, the volume and diameter of the stroke, and short-term mortality in patients who were diagnosed as acute ischemic a stroke after admission to the Emergency Department. PATIENTS AND METHODS A total of 50 consecutive patients who applied to the Emergency Service with acute ischemic stroke were enrolled in the study. Their stroke volume were calculated and serum samples were obtained as soon as they arrived into the Emergency Service. The patients were evaluated according to the Glasgow Coma Scale (GCS) and National Institutes of Health Stroke Scale (NIHSS). RESULTS There was no significant correlations between stroke volume and levels of cytokine and acute-phase reactants in dead patient group or in living patient group. A correlation and statistical significance was found between stroke volume and hospital stay time in living patient group. In addition, GCS and NIHSS scores were correlated with stroke volume and was found a significant statistically. CONCLUSIONS Scales such as GKS and NIHHS, which evaluate the functional state of patients, are the best indicators for defining prognosis in our daily practices. In addition, we found a positive correlation between levels of CRP (C reactive protein) and prognosis. However, we did not observe a statistically significant correlation between prognosis and other acute-phase reactants such as TNF-alpha, IL-6, IL-8, IL-10, fibrinogen, and leukocytes.
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Affiliation(s)
- M Sahan
- Emergency Medicine Service, Elazıg Education and Research Hospital, Elazig, Turkey.
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Sahan M, Yılmaz M, Gokel Y, Erden ES, Karakus A. Nebulized salbutamol for asthma: effects on serum potassium and phosphate levels at the 60 min. Rev Port Pneumol 2013; 19:200-3. [PMID: 23659992 DOI: 10.1016/j.rppneu.2012.12.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2012] [Revised: 12/01/2012] [Accepted: 12/17/2012] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVE We conducted this prospective study to expand available information in relation to serum phosphate levels in treatment of acute asthma. A β-adrenergic agonist, salbutamol, was used for this purpose. MATERIAL AND METHODS Twenty-six patients who met the inclusion criteria as; age over 16 years, asthma history, and an acute exacerbation were included. Serum blood urea nitrogen, creatinine, glucose were within normal limits in all the patients. None of the patients were on chronic theophylline therapy. Baseline serum phosphate and potassium levels were measured. Nebulized salbutamol (2.5mg) was used three times at every hour. After 60 min, serum phosphate and potassium levels were measured. RESULTS Serum phosphate levels decreased from 3.7±0.9 mg/dL (baseline) to 3.6±0.9 mg/dL at 60 min. This decrease was not statistically significant (p=0.373). Serum potassium levels decreased significantly (p<0.001) from 4.6±0.7 mmol/L (baseline) to 4.3±0.7 mmol/L (60 min). CONCLUSION Administration of nebulized salbutamol during the emergency treatment of acute exacerbation of asthma is not associated with a statistical decrease in serum phosphate. There was significant hypokalemia. This study indicates that a further study is needed to elucidate the clinical significance of nebulized salbutamol on serum phosphate.
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Affiliation(s)
- M Sahan
- Department of Emergency Medicine, Elazig Training & Education Hospital, Elazig, Turkey
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Ugur FA, Turhan S, Gören E, Gezer F, Yegingil Z, Sahan H, Sahan M, Tel E, Karahan G. A survey of distribution of terrestrial radionuclides in surface soil samples in and around the Osmaniyeprovince, Turkey. Radiat Prot Dosimetry 2013; 154:483-489. [PMID: 23045718 DOI: 10.1093/rpd/ncs259] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The purpose of this survey was to determine the distribution of terrestrial radionuclides ((238)U, (232)Th and (40)K) in surface soil samples collected from different locations in and around Osmaniye and assess the radiological implications of outdoor external exposure. The activity concentrations of (238)U, (232)Th and (40)K in soil samples ranged from 2.6 to 38.1 Bq kg(-1) with a mean of 10.4±0.7 Bq kg(-1), 3.7-40.5 Bq kg(-1) with a mean of 12.2±0.7 Bq kg(-1) and 30.0-639.7 Bq kg(-1) with a mean of 243.4±12.8 Bq kg(-1), respectively. The concentrations of these radionuclides, presented in this article, were compared with those obtained from similar studies related to Turkey reported in the literature as well as earth's crust average values. The results of the activity concentrations were used to assess the external absorbed gamma dose rate (GDR) in outdoor air and the annual effective dose (AED). The outdoor absorbed GDRs fluctuate from 5.2 to 53.6 nGy h(-1) with a mean of 22.4±9.5. The corresponding mean AED is found to be 0.03 mSv.
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Affiliation(s)
- F A Ugur
- Department of Physics, Faculty of Science and Letters, Korkut Ata University, 80010 Osmaniye, Turkey
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Uğur FA, Turhan S, Sahan H, Sahan M, Gören E, Gezer F, Yeğingil Z. Investigation of the activity level and radiological impacts of naturally occurring radionuclides in blast furnace slag. Radiat Prot Dosimetry 2012; 153:502-508. [PMID: 22826355 DOI: 10.1093/rpd/ncs131] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The activity level and possible radiological impacts of naturally occurring radionuclides on the health of workers and members of the public, as a result of utilisation of blast furnace slag (BFS) samples as a substitute for aggregate in road construction were investigated by using a gamma-ray spectrometer and potential exposure scenarios given in Radiation Protection 122. The mean activity concentrations of the (226)Ra, (232)Th and (40)K in BFS samples were found to be 152.4, 54.9 and 183.1 Bq kg(-1), respectively. These values are compared with typical values measured in BFS samples from the European Union countries, which are 270, 70 and 240 Bq kg(-1) for (226)Ra, (232)Th and (40)K, respectively. The values of radium equivalent activity index calculated for BFS samples were within the recommended safety limits. The highest total annual effective doses evaluated as 0.9 and 0.4 mSv y(-1) for members of the public and workers, respectively, were lower than the annual limit of 1 mSv y(-1).
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Affiliation(s)
- F A Uğur
- Department of Physics, Faculty of Science and Letters, Korkut Ata University, Osmaniye, Turkey
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Sahan M, Tel E, Aydin A, Yegingil I. Investigation of Some Stellar Iron Group Fusion Materials for (n, p) Reactions. J Fusion Energ 2011. [DOI: 10.1007/s10894-011-9430-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Gokel Y, Sertdemir Y, Yilmaz M, Sahan M. Gastric lavage with normal saline: effects on serum electrolytes. BRATISL MED J 2010; 111:216-218. [PMID: 20586149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVE The aim of this study is to determine the intensity of changes in serum calcium, ionized calcium, and magnesium levels after gastric lavage with normal saline in patients with amitriptyline intoxication. MATERIAL AND METHODS In this study, thirty patients older than 16 years with the history of intoxication with amitriptyline were included. After the baseline serum calcium, ionized calcium, and magnesium levels had been measured, gastric lavage with normal saline was performed. Serum levels of calcium, ionized calcium, and magnesium were monitored at 15 minutes, 6 hours, and 12 hours. RESULTS Serum calcium levels decreased significantly from 9.32 +/- 0.47 mg/dL to 8.40 +/- 0.61 mg/dL (15 minutes, p < 0.001), 8.92 +/- 0.54 mg/dL (6 hours, p < 0.001), and 8.93 +/- 0.54 mg/dL (12 hours, p < 0.001). Serum ionized calcium levels decreased significantly from 1.26 +/- 0.10 mmol/L to 1.20 +/- 0.07 mmol/L (15 minutes, p = 0.004), 1.21 +/- 0.08 mmol/L (6 hours, p = 0.024), and 1.21 +/- 0.08 mmol/L (12 hours, p = 0.034). Serum magnesium levels decreased from 2.41 +/- 0.43 mg/dL to 2.04 +/- 0.25 mg/dL (15 minutes, p < 0.001), 2.14 +/- 0.26 mg/dL (6 hours, p < 0.001), and 2.16 +/- 0.25 mg/dL (12 hours, p < 0.001). CONCLUSION Our study demonstrated that gastric lavage with normal saline can cause a statistically significant decrease in serum calcium, ionized calcium, and magnesium (Fig. 4, Ref. 8).
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Affiliation(s)
- Y Gokel
- Department of Emergency, School of Medicine, Cukurova University, Adana, Turkey.
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Abstract
This study compared the aetiology and pathological characteristics of adult and childhood adenoid hypertrophy (AH). Clinical and morphological features and accompanying otolaryngological pathologies were recorded in 40 adults and 23 children undergoing adenoidectomy for obstructive AH. Both AH forms were similar in terms of symptomatology and associated inflammations. There were, however, significant differences in otitis media rate, with effusion and dullness, and retraction in the eardrum both more prevalent in childhood AH. Adult AH was associated with nasal septum deviation in 25.0% of patients. Histopathological features of adenoidal lymphoid tissue were dissimilar in the two groups: numerous lymph follicles with prominent germinal centres was the chief finding in childhood adenoids, whereas adult adenoids showed chronic inflammatory cell infiltration and secondary changes (e.g. squamous metaplasia). These results underline the importance of considering AH as a cause or contributing factor in nasal obstruction and related pathologies in adults and supports the theory that it represents a long-standing inflammatory process rather than being a novel clinical entity.
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Affiliation(s)
- N Yildirim
- Department of Otolaryngology, Yuzuncuyil University Medical Faculty, Kazim Karabekir Caddesi, Van, Turkey.
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Yildirim N, Sahan M. Delayed surgical treatment of traumatic hearing loss due to ossicular disruption. B-ENT 2008; 4:207-213. [PMID: 19227025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
OBJECTIVE Surgical treatment of dislocation and fracture of the middle ear ossicles is recommended to be carried out within months of the initial injury. Here we present 6 patients with traumatic ossicular injury whose surgery was delayed over 1 year. We evaluated the clinical and pathological changes that occurred over time and assessed the surgical outcomes in delayed cases. METHODOLOGY Histories of the causative traumas, computerized tomography (CT) and tympanometry findings, pre- and postoperative hearing thresholds, and ossicular damages assessed at the tympanotomies were evaluated. RESULTS The time lapse between the trauma and the surgery varied from 1 to 6 years. The resultant hearing losses were moderate or moderately severe, conductive, mixed or sensorineural type. Tympanometry and CT revealed ossicular discontinuity in only two cases. In operations, various types of ossicular abnormalities in the form of absence, displacement, fracture and/or fixation were identified. Continuity and mobility of the ossicular chains were restored with various techniques. Air-bone conduction gap was brought to within 20 dBHL in all cases, and within 10 dB in 3 (50%) of the cases. Gains in the bone conduction were also notable. CONCLUSION Trauma to the middle ear may result in an elevation in the air and/or bone conduction thresholds due to ossicular disruption and fixation. Our findings confirmed that tympanotomy is superior to methods such as CT and tympanometry in delineating the type and extent of the traumatic ossicular damage, and usually gives favorable results even in delayed cases.
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Affiliation(s)
- N Yildirim
- Department of Otolaryngology, Yüzüncüyil University Medical Faculty, Kazim Karabekir Caddesi, Van, Turkey.
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Abstract
The hypertrophy of the lingual tonsil is a rare occurrence in adults. This disorder may cause obstructive sleep apnea (OSA) and also may lead to a life-threatening obstruction of the upper airway. Diagnosis of lingual tonsil hypertrophy in patients with OSA requires a careful examination by advanced technologic methods. The sleep apnea is successfully treated by lingual tonsillectomy, with or without tracheotomy. In this study the case of an adult with OSA caused by lingual tonsil hypertrophy which was treated with lingual tonsillectomy is presented, and the diagnosis and the treatment procedure of such cases are discussed.
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Affiliation(s)
- A Dündar
- Department of Otorhinolaryngology, Head and Neck Surgery, Gülhane Military Medical Academy, Etlik-Ankara, Turkey
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