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  1. Article ; Online: Sewage sludge disintegration by electrocoagulation.

    Yildiz, Sayiter / Oran, Ebru

    International journal of environmental health research

    2018  Volume 29, Issue 5, Page(s) 531–543

    Abstract: In this research, reduction of sludge production and improvement of sludge stabilization degree were aimed, and in this regard, the samples received from an urban wastewater treatment plant were subjected to electrocoagulation (EC) as a disintegration ... ...

    Abstract In this research, reduction of sludge production and improvement of sludge stabilization degree were aimed, and in this regard, the samples received from an urban wastewater treatment plant were subjected to electrocoagulation (EC) as a disintegration technique. A monopolar EC reactor was designed and iron electrode was used for sludge disintegration. The effect of reaction time, pH and varying current densities on disintegration degree (DD) was determined, and the optimum conditions were found as pH 7, 30 min (reaction time), and 150 A/m
    MeSH term(s) Electrocoagulation ; Sewage/chemistry ; Waste Disposal, Fluid/methods ; Waste Water/analysis
    Chemical Substances Sewage ; Waste Water
    Language English
    Publishing date 2018-12-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 1104887-6
    ISSN 1369-1619 ; 0960-3123
    ISSN (online) 1369-1619
    ISSN 0960-3123
    DOI 10.1080/09603123.2018.1554181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Self-Expanding Biodegradable Stents for Postoperative Upper Gastrointestinal Issues.

    Köneş, Osman / Oran, Ebru

    JSLS : Journal of the Society of Laparoendoscopic Surgeons

    2018  Volume 22, Issue 2

    Abstract: Background and objectives: Endoscopic stenting is a minimally invasive treatment modality for patients with various gastrointestinal conditions. We evaluated the safety and efficacy of uncovered biodegradable stents for postoperative leaks and ... ...

    Abstract Background and objectives: Endoscopic stenting is a minimally invasive treatment modality for patients with various gastrointestinal conditions. We evaluated the safety and efficacy of uncovered biodegradable stents for postoperative leaks and strictures in the upper gastrointestinal tract.
    Methods: This was a retrospective study of patients treated endoscopically with biodegradable stents from January 2010 through November 2017.
    Results: Thirteen patients were enrolled, 7 of whom were men. Their mean age was 46 (range, 21-82) years. The indications for stent placement were postoperative leakage and stricture in 9 and 4 patients, respectively. The primary diagnoses were obesity in 7 patients, gastric cancer in 5, and peptic ulcer in 1. The average time to stent placement after surgery was 35 (range, 17-125) and 166 (range, 153-185) days for patients with postoperative leakage and stricture, respectively. Stent insertion was successful at the first attempt in all patients. Complete resolution of the leak and stricture was achieved after stent application in 11 patients, for a clinical success rate of 85%. The mean follow-up duration was 50 (range, 24-76) months. There were no major complications.
    Conclusions: Compared to self-expanding metal and plastic stents, the main advantages of uncovered biodegradable stents are that they do not have to be removed and have a low migration rate. Our results suggest that these stents have promise for management of postoperative gastrointestinal complications. Further randomized trials with larger sample sizes are necessary to determine the role of biodegradable stents in the treatment algorithm.
    MeSH term(s) Absorbable Implants ; Adult ; Aged ; Aged, 80 and over ; Anastomotic Leak/therapy ; Constriction, Pathologic/etiology ; Constriction, Pathologic/therapy ; Endoscopy, Gastrointestinal ; Female ; Follow-Up Studies ; Gastrointestinal Diseases/etiology ; Gastrointestinal Diseases/therapy ; Humans ; Male ; Middle Aged ; Postoperative Complications/therapy ; Postoperative Period ; Retrospective Studies ; Stents ; Treatment Outcome
    Language English
    Publishing date 2018-06-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2011211-7
    ISSN 1938-3797 ; 1086-8089
    ISSN (online) 1938-3797
    ISSN 1086-8089
    DOI 10.4293/JSLS.2018.00011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Intraabdominal gossypiboma: Report of two cases.

    Oran, Ebru / Yetkin, Gürkan / Aygün, Nurcihan / Celayir, Fevzi / Uludağ, Mehmet

    Turkish journal of surgery

    2018  Volume 34, Issue 1, Page(s) 77–79

    Abstract: Gossypiboma which cause medico-legal implications is a heritage of previous surgery. In this study, we present two cases of gossypiboma mimicking intraabdominal malignancy. Case 1: A 28-year-old woman presented with an epigastric mass measuring 10 cm in ... ...

    Abstract Gossypiboma which cause medico-legal implications is a heritage of previous surgery. In this study, we present two cases of gossypiboma mimicking intraabdominal malignancy. Case 1: A 28-year-old woman presented with an epigastric mass measuring 10 cm in diameter and a history of open cholecystectomy performed three years ago. Radiological exams revealed a cystic mass at the lesser sac and suggested serous cystadenocarcinoma. Case 2: A 36-year-old female patient with a history of two caesarean sections had a mass in the left lower quadrant. Radiological imaging showed tumoral mass near the left ovary. The exact diagnosis of gossypiboma were achieved by laparotomy and pathological examination in both cases. Gossypibomas usually present with nonspecific symptoms and appear many years after surgery. Therefore, its preoperative diagnosis is very difficult. High degree of suspicion is essential and it should be considered in the differential diagnosis of intraabdominal masses in patients who have previously undergone surgery.
    Language English
    Publishing date 2018-03-01
    Publishing country Turkey
    Document type Journal Article
    ISSN 2564-6850
    ISSN 2564-6850
    DOI 10.5152/turkjsurg.2017.3147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Encapsulating peritoneal sclerosis as a late complication of peritoneal dialysis.

    Oran, Ebru / Seyit, Hakan / Besleyici, Canan / Ünsal, Abdulkadir / Alış, Halil

    Annals of medicine and surgery (2012)

    2015  Volume 4, Issue 3, Page(s) 205–207

    Abstract: Introduction: Encapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction which is characterized by fibrotic encapsulation of the bowel. Although its pathogenesis is still not clear, many etiological factors have been stated.: ... ...

    Abstract Introduction: Encapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction which is characterized by fibrotic encapsulation of the bowel. Although its pathogenesis is still not clear, many etiological factors have been stated.
    Presentation of case: In this report, we present a 26-year old woman with peritoneal dialysis related EPS. Because of the unresolving intestinal obstructive symptoms, she underwent surgical intervention in which the thick dense whitish membranous sac was excised from the surrounding intestine along with adhesiolysis. She recovered uneventfully. She is symptom-free on the eight months of follow-up.
    Discussion: EPS should be born in mind as a complication of the long term peritoneal dialysis in patients with progressive obstructive ileus and recurrent peritonitis. Its treatment either medically or surgically varies depending on the stage of this entity.
    Conclusion: Early identification of EPS is important in order to achieve better prognosis.
    Language English
    Publishing date 2015-04-02
    Publishing country England
    Document type Case Reports
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2015.03.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Extralaryngeal division of the recurrent laryngeal nerve: A common and asymmetric anatomical variant.

    Uludağ, Mehmet / Yetkin, Gürkan / Oran, Ebru Şen / Aygün, Nurcihan / Celayir, Fevzi / İşgör, Adnan

    Turkish journal of surgery

    2017  Volume 33, Issue 3, Page(s) 164–168

    Abstract: Objective: Recognition of extralaryngeal branching of the recurrent laryngeal nerve is crucial because prevention of vocal cord paralysis requires preservation of all branches of the recurrent laryngeal nerve. We assessed the prevalence of ... ...

    Abstract Objective: Recognition of extralaryngeal branching of the recurrent laryngeal nerve is crucial because prevention of vocal cord paralysis requires preservation of all branches of the recurrent laryngeal nerve. We assessed the prevalence of extralaryngeal branching of the recurrent laryngeal nerve and the median branching distance from the point of bifurcation to the entry point of the nerve into the larynx.
    Material and methods: Prospective operative data on recurrent laryngeal nerve branching were collected from 94 patients who underwent thyroid or parathyroid surgery between September 2011 and May 2012.
    Results: A total of 161 recurrent laryngeal nerves were examined (82 right, 79 left). Overall, 77 (47.8%) of 161 recurrent laryngeal nerves were bifurcated before entering the larynx. There were 36 (43.9%) branching nerves on the right and 41 (51.9%) branching nerves on the left, and there was no significant difference between the sides in terms of branching (p=0.471). Among 67 patients who underwent bilateral exploration, 28.4% were found to have bilateral branching, 40.3% had unilateral branching, and the remaining 31.3% had no branching. The median branching distance was 15 mm (5-60mm).
    Conclusion: Extralaryngeal division of recurrent laryngeal nerve is a common and asymmetric anatomical variant. These variations can be easily recognized if the recurrent laryngeal nerve is identified at the level of the inferior thyroid artery and then dissected totally to the entry point of the larynx. Inadvertent division of a branch may lead to vocal cord palsy postoperatively, even when the surgeon believes the integrity of the nerve has been preserved.
    Language English
    Publishing date 2017-09-01
    Publishing country Turkey
    Document type Journal Article
    ISSN 2564-6850
    ISSN 2564-6850
    DOI 10.5152/UCD.2016.3321
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Encapsulating peritoneal sclerosis as a late complication of peritoneal dialysis

    Ebru Oran / Hakan Seyit / Canan Besleyici / Abdulkadir Ünsal / Halil Alış

    Annals of Medicine and Surgery, Vol 4, Iss 3, Pp 205-

    2015  Volume 207

    Abstract: Introduction: Encapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction which is characterized by fibrotic encapsulation of the bowel. Although its pathogenesis is still not clear, many etiological factors have been stated. ... ...

    Abstract Introduction: Encapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction which is characterized by fibrotic encapsulation of the bowel. Although its pathogenesis is still not clear, many etiological factors have been stated. Presentation of case: In this report, we present a 26-year old woman with peritoneal dialysis related EPS. Because of the unresolving intestinal obstructive symptoms, she underwent surgical intervention in which the thick dense whitish membranous sac was excised from the surrounding intestine along with adhesiolysis. She recovered uneventfully. She is symptom-free on the eight months of follow-up. Discussion: EPS should be born in mind as a complication of the long term peritoneal dialysis in patients with progressive obstructive ileus and recurrent peritonitis. Its treatment either medically or surgically varies depending on the stage of this entity. Conclusion: Early identification of EPS is important in order to achieve better prognosis.
    Keywords Encapsulating peritoneal sclerosis ; Peritoneal sclerosis ; Abdominal cocoon ; Medicine (General) ; R5-920
    Language English
    Publishing date 2015-09-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Colonoscopic Perforations, What is Our Experience in a Training Hospital?

    Aras, Abbas / Oran, Ebru / Seyit, Hakan / Karabulut, Mehmet / Gök, İlhan / Aliş, Halil

    Surgical laparoscopy, endoscopy & percutaneous techniques

    2016  Volume 26, Issue 1, Page(s) 44–48

    Abstract: The aim of this study was to describe our experience in patients treated with the diagnosis of colonoscopic perforation. A retrospective institutional computer-based search of the patients treated with the diagnosis of colonoscopic perforation between ... ...

    Abstract The aim of this study was to describe our experience in patients treated with the diagnosis of colonoscopic perforation. A retrospective institutional computer-based search of the patients treated with the diagnosis of colonoscopic perforation between July 2009 and May 2014 was undertaken. Our study included 16 patients. In 9 (56%) patients, perforations occurred during the diagnostic colonoscopy. Snare polypectomy was the causative factor in 5 patients associated with therapeutic colonoscopy. The perforation was significantly higher in patients who underwent therapeutic colonoscopy than those had diagnostic colonoscopy (P<0.007). The sigmoid colon was the most common perforation site (62.5%). Twelve patients (75%) were treated by surgically, 3 (19%) patients by conservatively, and 1 (6%) by endoscopic clipping. Early recognition of the perforation is critical. Therefore, a high index of suspicion is essential for the prompt and accurate diagnosis.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Colon/injuries ; Colon/surgery ; Colon, Sigmoid/injuries ; Colonoscopy/adverse effects ; Early Diagnosis ; Female ; Hospitals, Teaching ; Humans ; Ileum/injuries ; Intestinal Perforation/diagnosis ; Intestinal Perforation/etiology ; Intestinal Perforation/surgery ; Length of Stay ; Male ; Middle Aged ; Postoperative Complications/etiology ; Rectum/injuries ; Retrospective Studies
    Language English
    Publishing date 2016-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1475108-2
    ISSN 1534-4908 ; 1530-4515 ; 1051-7200
    ISSN (online) 1534-4908
    ISSN 1530-4515 ; 1051-7200
    DOI 10.1097/SLE.0000000000000220
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: MASTITIS

    Ebru Şen-Oran / Sibel Özkan Gürdal / Gürsel Remzi Soybir

    European Journal of Breast Health, Vol 9, Iss 1, Pp 1-

    2013  Volume 4

    Abstract: Mastitis is an inflammatory disease of the breast, which occasionally results from infectious microorganisms. Puerperal mastitis is the most common type of mastitis. Milk stasis is the main reason, and Staphylococcus aureus is the primary causative ... ...

    Abstract Mastitis is an inflammatory disease of the breast, which occasionally results from infectious microorganisms. Puerperal mastitis is the most common type of mastitis. Milk stasis is the main reason, and Staphylococcus aureus is the primary causative organism. There is usually a history of difficulty in the breastfeeding. Unless symptomatic treatment is sufficient to recovery, antibiotherapy should be administered. Central or subareolar breast infection predominantly occurs in women in their third decade. The disease may present with recurrent signs of breast infection or abscess. There is history of smoking in 90% of patient’s backgrounds. Nonlactational peripheral infection of the breast is rare, and may be idiopathic or associated with systemic diseases such as diabetes mellitus and rheumatoid arthritis. Idiopathic granulomatous mastitis (IGM) is the most frequent granulomatous disease of the breast, which generally represents as rapidly grown painful breast mass. The diagnosis of IGM is mistaken for breast carcinoma in half of the cases. The disease is frequently associated with recent pregnancy and lactation. Diagnosis of IGM is established by trucut biopsy. Surgical excision or immunosupressive therapy with corticosteroids can be applied in the treatment. All breast infections may proceed to breast abscess. In the earlier period of an abscess, treatment is provided by ultrasonograhy guided aspiration but in the late period via an incision and drainage.
    Keywords mastitis ; puerperal mastitis ; subareolar infection ; idiopathic granulomatous mastitis ; breast abscess ; Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Medicine ; R
    Subject code 616 ; 610
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Galenos Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: The risk of hypocalcemia in patients with parathyroid autotransplantation during thyroidectomy.

    Oran, Ebru / Yetkin, Gürkan / Mihmanlı, Mehmet / Celayir, Fevzi / Aygün, Nurcihan / Çoruh, Bestegül / Peker, Evren / Uludağ, Mehmet

    Ulusal cerrahi dergisi

    2015  Volume 32, Issue 1, Page(s) 6–10

    Abstract: Objective: Thyroidectomy is the most common cause of hypocalcemia. Preservation of parathyroid glands in situ is essential in preventing this complication. The aims of our study were to review patients who underwent parathyroid gland autotransplantation ...

    Abstract Objective: Thyroidectomy is the most common cause of hypocalcemia. Preservation of parathyroid glands in situ is essential in preventing this complication. The aims of our study were to review patients who underwent parathyroid gland autotransplantation during thyroidectomy, and to compare hypocalcemia rates in patients with and without autotransplantation.
    Material and methods: Parathyroid gland autotransplantation was performed in 43 (7.9%) of 543 patients who underwent thyroidectomy between 2008 and 2012.
    Results: Forty-four parathyroid glands were autotransplanted in 43 patients, including 36 women and 7 men. The median age was 55 (range: 30 to 68). The most common cause of autotransplantation was vascular comprise of the parathyroid gland. Early postoperative hypocalcemia developed in 37% of patients with autotransplantation, and none developed permanent hypocalcemia. Transient and permanent hypocalcemia rates were 9.6% and 0.4% in patients without autotransplantation, respectively. The risk of transient hypocalcemia was significantly high in patients with parathyroid autotransplantation (p<0.001). There was no difference between the two groups in terms of permanent hypocalcemia (p=0.156).
    Conclusion: Despite meticulous dissection, parathyroid glands can be devascularized or removed inadvertently during thyroidectomy. Parathyroid autotransplantation is the best method to maintain parathyroid gland function. Although the risk of transient hypocalcemia is increased following parathyroid autotransplantation, long-term results are satisfactory.
    Language English
    Publishing date 2015-08-18
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 1394172-0
    ISSN 1300-0705
    ISSN 1300-0705
    DOI 10.5152/UCD.2015.3013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The effects of educational level on breast cancer awareness: a cross-sectional study in Turkey.

    Gürdal, Sibel Özkan / Saraçoğlu, Gamze Varol / Oran, Ebru Şen / Yankol, Yücel / Soybir, Gürsel Remzi

    Asian Pacific journal of cancer prevention : APJCP

    2012  Volume 13, Issue 1, Page(s) 295–300

    Abstract: Breast self-examination (BSE) is important for early diagnosis of breast cancer (BC). However, the majority of Turkish women do not perform regular BSE. We aimed to evaluate the effects of education level on the attitudes and behaviors of women towards ... ...

    Abstract Breast self-examination (BSE) is important for early diagnosis of breast cancer (BC). However, the majority of Turkish women do not perform regular BSE. We aimed to evaluate the effects of education level on the attitudes and behaviors of women towards BSE. A descriptive cross-sectional study was conducted on 413 women (20-59 years), divided into university graduates (Group I, n = 224) and high school or lower graduates (Group II, n = 189). They completed a 22-item scale assessing the knowledge level, attitudes and behaviors regarding BSE, and the Turkish version of the Champion's Revised Health Belief Model. A significantly higher number of women in Group II did not believe in early diagnosis of BC. A significantly higher number of Group I had conducted BSE at least once, and their BSE frequency was also significantly high. Moreover, a significantly lower number of Group I women considered themselves to not be at risk for BC and the scores for "perceived susceptibility" and "perceived barriers" were significantly higher. Logistic regression analysis identified the university graduate group to have a higher likelihood of performing BSE, by 1.8 times. Higher educational levels were positively associated with BSE performance. Overall, the results suggest that Turkish women, regardless of their education level, need better education on BSE. Consideration of the education level in women will help clinicians develop more effective educational programs, resulting in more regular practice and better use of BSE.
    MeSH term(s) Adult ; Attitude to Health ; Breast Neoplasms/diagnosis ; Breast Neoplasms/prevention & control ; Breast Neoplasms/psychology ; Breast Self-Examination/psychology ; Cross-Sectional Studies ; Educational Status ; Female ; Follow-Up Studies ; Health Knowledge, Attitudes, Practice ; Humans ; Middle Aged ; Prognosis ; Surveys and Questionnaires ; Turkey ; Young Adult
    Language English
    Publishing date 2012
    Publishing country Thailand
    Document type Journal Article
    ISSN 2476-762X
    ISSN (online) 2476-762X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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