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    The continuing scourge of congenital syphilis in 21st century: A case report
    (Elsevier Ireland Ltd, 2005) Gurlek, A; Alaybeyoglu, NY; Demir, CY; Aydogan, H; Coban, K; Fariz, A; Arslan, A
    Although the rate of congenital syphilis is declining in developed countries, a significant increase has been observed in the underdeveloped countries. Unfortunately, little concern is raised about the increasing numbers of babies born with congenital syphilis. The procedure to prevent congenital syphilis through antenatal screening and treatment is well established. But implementation of effective programs has proved very difficult especially in resource - poor settings. Congenital syphilis, if not treated promptly and adequately, may result in significant physical and emotional squeal in children. A case of complicated late congenital syphilis is reported in order to emphasize that syphilis is still present nowadays, and re-emerging many countries even some of the industrialized ones. Most of the cases can not be prevented by routine antenatal screening. Thus it is essential to develop strategies to prevent sexually transmitted disease from being a hidden and neglected problem. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
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    A transverse rectus abdominis myocutaneous (TRAM) flap for reconstruction of a large deformity in the buttock
    (Taylor & Francis As, 2005) Gürlek, A; Demir, CY; Askar, I; Aydogan, H; Alaybeyoglu, N; Coban, K
    A rectus abdominis myocutaneous flap has been used to repair the abdominal wall, chest wall, sternum, breast, and groin. We describe a patient in whom a large deformity in the buttock caused by a road crash was repaired with a transverse rectus abdominis myocutaneous (TRAM) flap. Distally-based TRAM flaps provide a good and reliable way of reconstructing the buttock. Its advantages are a long arc of rotation and well-vascularised bulky tissue that serve as a partition and promote quick healing of the defect. However, the flap is not the first choice for traumatic and infected wounds where fatty tissue is not desired.