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      • KCI등재후보

        Incomplete Isolated C7 Root Injury Caused by Gunshot Wound: A Case Report

        Ulvi Çiftçi,Ahmet Tolgay Akıncı,Emre Delen,Doğan Güçlühan 대한신경손상학회 2017 Korean Journal of Neurotrauma Vol.13 No.1

        Gunshot wounds to the spine cause severe neurological and/or internal organs damages. Although most of publications in the literature are realized on military injuries, increased civilian arming which raises civilian gunshot injuries is a new social danger causing serious health problems. In gunshot injuries to the spine; vertebral column, spinal cord and nerve roots are damaged with direct, indirect and transient cavitation related mechanisms. In this case report, we present 24 years old male patient who had severe pain and monoparesis in left upper extremity followed by gunshot injury to the spine with clinical, radiological and postoperative follow-up fndings.

      • KCI등재

        Periodontitis as a Risk Factor for Preterm Low Birth Weight

        Ismail Marakoglu,Ulvi Kahraman Gursoy,Kamile Marakoglu,Hulya Cakmak,Tamer Ataoglu 연세대학교의과대학 2008 Yonsei medical journal Vol.49 No.2

        Purpose: There is growing evidence showing that a number of complex human diseases are caused or are at least influenced by periodontal diseases. Such diseases include cardiovascular diseases, respiratory diseases, diabetes mellitus and osteoporosis. The aim of study was to evaluate periodontal diseases as a risk factor for a preterm low birth weight. Materials and Methods: A total of 48 mothers, 20 of who had a preterm low birth weight delivery, were examined in the Clinics of Periodontology, Faculty of Dentistry, Cumhuriyet University. The periodontal exams consisted of a full mouth pocket depth, a Loe and Sillness Gingival index score measurements, and a panoramic radiograph analysis. Information on any other factors that may cause a preterm low birth weight was obtained from the family physician. Results: The study results indicated that periodontitis (OR: 3.6 95% CI: 1.06- 12.18) together with bacterial vaginosis (OR: 11.57 95% CI: 1.26-105.7) were independent risk factors of a preterm low birth weight. According to the data obtained from this study, the paternal age, tobacco use and the mothers' height were not significant risk factors for a preterm low birth weight. Conclusion: Within the limits of this study, it is concluded that a poor periodontal health status of the mother may be a potential risk factor for a preterm low birth weight.

      • KCI등재

        Phenytoin-induced gingival overgrowth in un-cooperated epilepsy patients

        Ismail Marakoglu,Ulvi Kahraman Gursoy,Hulya Cakmak,Kamile Marakoglu 연세대학교의과대학 2004 Yonsei medical journal Vol.45 No.2

        Phenytoin-induced gingival overgrowth is a well-known and frequently reported gingival lesion, which was first detected in 1939. However, there are conflicts in the literature about the agents which affect the severity of the lesion. Un-cooperative dental patients are one of the most unsuccessfully treated periodontal patient groups because of the difficulty in maintaining their oral hygiene. This case report consists of two cases with the same characteristics: phenytoin usage, comprehension and speech defects and poor oral hygiene, but each case differs in the duration of the phenytoin therapy. Both of the cases received scaling, root planning and a gingivectomy.

      • KCI등재

        Periodontal Status of Chronic Renal Failure Patients Receiving Hemodialysis

        Ismail Marakoglu,Ulvi Kahraman Gursoy,Serhat Demirer,Hafize Sezer 연세대학교의과대학 2003 Yonsei medical journal Vol.44 No.4

        Host factors such as systemic diseases, genetic polymorphism or drug usage play a major role in the pathogenesis of periodontal disease by modifying the host response to periodontal infection or altering the susceptibility to infection by periodontal organisms. This study was designed to evaluate the clinical response of patients receiving hemodialysis to existing microbial dental plaque. Gingival Index (GI) and Plaque Index (PI) scores and probing depths (PD) were recorded for the entire dentition on 36 chronic renal failure patients receiving hemodialysis (H) and 36 systemically healthy individuals (C), matched with the patient group, based on age and extent of plaque accumulation. No statistically significant difference was observed in the clinical parameters between the two groups (PI: t=1.69 p= 0.096; GI: t=1.057 p=0.294; PD: t=0.01 p=0.99). In the present study, H patients revealed a similar response to existing bacterial plaque and their periodontal status was comparable to that of the control group. Although patients receiving hemodialysis have been suggested to present a certain degree of immunosuppression, based on the findings of the present study chronic renal failure does not seem to be an additional risk factor for more severe periodontal destruction. Host factors such as systemic diseases, genetic polymorphism or drug usage play a major role in the pathogenesis of periodontal disease by modifying the host response to periodontal infection or altering the susceptibility to infection by periodontal organisms. This study was designed to evaluate the clinical response of patients receiving hemodialysis to existing microbial dental plaque. Gingival Index (GI) and Plaque Index (PI) scores and probing depths (PD) were recorded for the entire dentition on 36 chronic renal failure patients receiving hemodialysis (H) and 36 systemically healthy individuals (C), matched with the patient group, based on age and extent of plaque accumulation. No statistically significant difference was observed in the clinical parameters between the two groups (PI: t=1.69 p= 0.096; GI: t=1.057 p=0.294; PD: t=0.01 p=0.99). In the present study, H patients revealed a similar response to existing bacterial plaque and their periodontal status was comparable to that of the control group. Although patients receiving hemodialysis have been suggested to present a certain degree of immunosuppression, based on the findings of the present study chronic renal failure does not seem to be an additional risk factor for more severe periodontal destruction.

      • SCIESCOPUSKCI등재
      • KCI등재

        Persistent organic pollutants in sewage sludge: Occurrence, temporal concentration variation and risk assessment for sewage sludge amended soils

        Fatma Beduk,Senar Aydin,Arzu Ulvi,Mehmet Emin Aydin 대한토목학회 2023 KSCE Journal of Civil Engineering Vol.27 No.9

        In this study, the occurrences, temporal concentration variations and ecotoxicological risks were determined for 18 polycyclic aromatic hydrocarbons (PAHs); 7 congeners of polychlorinated biphenyls (PCBs), and 18 selected organochlorine pesticides (OCPs) in the anaerobically digested sewage sludge samples obtained from a conventional wastewater treatment plant (WWTP) in Konya, Turkey. Flowrate of the evaluated WWTP was 200,000 m3/day, with the production of 140 tons/day treated sewage sludge. Total 18 PAHs were in the range of 1,203 −17,599 μg/kg of dry matter (dm); total PCBs were in the range of 51.26 – 561.37 μg/kg dm, and total OCPs were in the range of 4.90 – 13.11 μg/kg dm. The highest concentrations were determined for fluoranthene among PAHs, with 2445 μg/kg dm, PCB118 congener with 514 μg/kg dm, and δ-HCH among OCPs with 2.44 μg/kg dm. Considering the average daily production amounts of treated sludge, the highest mass loads were 1,785 g/day for total PAHs; 79 g/day for total PCBs; and 1 − 2 g/day for total OCPs, while the annual mass load was estimated to be approximately 7.3 kg. An ecotoxicological risk assessment was performed by estimation of risk quotients (RQs). High risk for soil ecosystem was identified due to PAHs and PCBs ingredient of sludge, while lower risk was determined for OCPs compounds. The highest RQ values were determined for pyrene (RQ: 1337) among PAHs, PCB118 congener (RQ: 7608), and γ-HCH (RQ: 5.23) among OCPs. Findings of this study show that sewage sludge can be an important source in the spread of persistent pollutants to the environment, and may pose a risk for soil ecosystem.

      • Determination of antibiotics by SPE-LC-MS/MS in wastewater and risk assessment

        Aydin, Senar,Aydin, Mehmet E.,Ulvi, Arzu,Kilic, Havva Techno-Press 2018 Advances in environmental research Vol.7 No.3

        In this study, conditions of solid phase extraction (SPE) for determination of some antibiotics such as trimethoprim, oxytetracycline, erythromycin, clarithromycin, azythromycin, doxycycline, sulfamethazine, ciprofloxacin, chlortetracycline, sulfamethoxazole in wastewaters were optimized. After the optimum volume and pH of the sample were determined, the effect of the concentration of the compounds and matrix were investigated. The highest recovery rates for antibiotic compounds were determined between 82% and 105% in 200 mL sample volume and pH 2.5. Then, antibiotic compounds were investigated in influent and effluent samples taken from Konya Urban Wastewater Treatment Plant. The concentration of the antibiotics was detected range of 0.11-101 ng/L in influent waters and <dl-288 ng/L in effluent samples in wastewater treatment plant. Hazard quotients (HQs) of antibiotic compounds determined in WWTP effluents to evaluate the risk towards different aquatic organisms (algae, Daphnia magna and fish) were determined. Azythromycin for fish and erythromycin, sulfamethoxazole, ciprofloxacin, clarithromycin for algae posed a moderate risk while azythromycin, ciprofloxacin, clarithromycin, oxytetracycline posed a high risk for algae in the receiving environment.

      • Complications of Completion Versus Total Thyroidectomy

        Gulcelik, Mehmet Ali,Kuru, Bekir,Dincer, Halil,Camlibel, Mithat,Yuksel, Ulvi Murat,Yenidogan, Erdinc,Reis, Erhan Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.10

        Introduction : The objective of this study was to analyze the complication rates after completion thyroidectomy and compare them with primary total benign and malign thyroidectomy causes in total of 647 patients. Patients and Methods: Among 647 patients, there were 159 receiving completion thyroidectomy for differentiated thyroiud cancer (DTC) (Group 1); 217 patients receiving total thyroidectomy for DTC (Group 2) and 271 given total thyroidectomy for benign diseases (Group 3). Results: When groups were compared for complications, there were no significant difference except temporary hypocalcemia between completion thyroidectomy and total thyroidectomy for DTC. When the total thyroidectomies were compared (Group 2 and 3), there were no significant difference observed except unilateral temporary RLN palsy. Conclusion: With improvements in surgical technique and experience, complication rates of thyroidectomy performed for benign or malign diseases are reduced. In spite of the improvement in surgical experience, temporary RLN palsy and hypoparathyroidism are the main complications in completion thyroidectomies which need special attention. To evaluate the patients more carefully in preoperative period and performing adequate thyroidectomy appears more logical.

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