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Van Yüzüncü Yıl Üniversitesi

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    Article
    Impact of Buried Versus Exposed Flexible Intramedullary Nails Osteosynthesis on Pediatric Forearm Fractures
    (Soc Chilena Pediatria, 2024) Dundar, Abdulrahim; Kaya, Sehmuz
    In elastic stable intramedullary nailing (ESIN), there are different opinions among surgeons on whether to leave the nail buried in the same arm or to leave it exposed. Objective: To determine the risk of re -fracture in patients with a nail buried directly into the amr or left exposed as a treatment for forearm fractures, and to investigate postoperative complications. Patients and Method: The study included 113 pediatric patients with a forearm fracture of both diaphyses. Two groups were formed according to whether the nail was buried (Group B, n: 53) in the same arm or left exposed (Group E, n: 60). Data on the number of open reductions, the time to nail removal, the anesthesia type used for its removal, the number of re -fractures, skin infection, and nail entry site irritation were analyzed. Results: The mean union times between the groups were not significantly different ( P = 0.371). The mean time of nail removal in group B (16.02 +/- 1.29 weeks) was significantly longer than that of group E (6.65 +/- 0.95 weeks) ( P < 0.001). Open reduction rates were similar between groups ( P = 0.401). The general anesthesia rate for nail removal in group B (77.4%) was significantly higher than group E (11.7%) ( P < 0.001). The re -fracture rate was higher in patients who underwent open reduction in both groups ( P < 0.001). Conclusion: The results of this study demonstrated that, despite the increased infection rate, leaving the nail exposed did not increase the re -fracture rate, which was associated with open reduction.
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    Prevalence of Cryptosporidiosis in Humans and Calves and Molecular Detection of Cryptosporidium Parvum
    (Univ Cordoba, 2022) Ekici, Abdurrahman; Yilmaz, Hasan; Beyhan, Yunus Emre
    Objective. To investigate of the prevalence of Cryptosporidium species in humans and calves in the province of Van, Turkey. Materials and methods. Included in this research were 150 patients, comprising 50 hemodialysis patients, 40 immunosuppressed patients with diarrhea, 30 patients with diarrhea only, and 30 immunocompetent patients. Collected were stool rectal samples from 50 calves that were housed in stables and farms in 10 central villages of Van, Turkey. Results. Cryptosporidium parvum was detected in 17.3% of the 150 human stool samples. C. parvum was observed in 20% of the 50 samples from the hemodialysis patients, 32.5% of the 40 samples from the immunosuppressed patients with diarrhea, and 10% of the 30 samples from patients with diarrhea only, whereas no Cryptosporidium spp. was detected in the samples from the immunocompetent patients. C. parvum was observed in only 6% of the samples from the diarrheic 30 calves. Conclusions. It was clearly understood that cryptosporidiosis was detected at a high rate in the samples from the immunosuppressed patients and those who were immunosuppressed with diarrhea, and that the active and effective species that causes cryptosporidiosis in the Van region is C. parvum. Hence, these patient groups should be evaluated in terms of cryptosporidiosis.