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Öğe Epidemiology of Cyclospora Species in Humans in Malatya Province in Turkey(Kowsar Publ, 2015) Karaman, Ulku; Daldal, Nilgun; Ozer, Ali; Enginyurt, Ozgur; Erturk, OmerBackground: Cyclospora species are rare among other Coccidia parasites and can cause recurrent gastroenteritis. Cyclospora spp. can infect reptiles, insects, rodents, and mammals. Objectives: The present study aimed to determine the epidemiology of Cyclospora spp. in Malatya province and its neighboring provinces. Patients and Methods: Totally, 2281 stool samples taken from patients with digestive system complaints who referred to the polyclinics affiliated with Inonu University, Faculty of Medicine in Malatya Province and its neighboring provinces, in 2006, and whose stool specimens were submitted to the parasitology department were examined. A questionnaire was developed to determine the epidemiology of Cyclospora spp. in the patients as the dependent variable of the study. All the participants signed an informed written consent. The samples were coated with Entellan T after staining via acid-fast staining and were examined on an immersion microscope objective. The data are presented as mean, standard deviation, or number/percentage. The chi-square test was used for the statistical analyses. Statistically, a P value < 0.05 was accepted as meaningful. Results: The stool samples were examined via direct microscopic examination and acid-fast staining. Positivity was determined in 129 (5.7%) cases. In the overall assessment of the patients with respect to general body itching, rectal itching, allergy, immunosuppression plus cancer, shortness of breath, ulcerative colitis, diarrhea, abdominal pain, salivation, constipation, nausea, vomiting, growth retardation, and anemia, there was no significant relationship. However, in the statistical evaluations among the positive cases, the difference was found to be significant. Conclusions: The study was conducted in Malatya Province, but patients from the neighboring provinces were also included in the evaluation during the study. Of all the positive cases, 5.6% were those from Malatya Province and its surrounding areas. Additionally, Cyclospora spp. were observed among the patients referring to the polyclinics with digestive system complaints in 8.1% of those from the Adiyaman province and in 6.9% of those from the Kahramanmaras region. The incidence of Cyclospora cayetanensis may be higher in these regions if an epidemiological study is performed. Consequently, we suggest that Cyclospora spp. be investigated in digestive system disorders, especially in immunosuppressed patients.Öğe Glutathione and malondialdehyde levels in patients with hydatid cyst(Saudi Med J, 2008) Atambay, Metin; Karaman, Ulku; Kiran, Tugba P.; Colak, Cemil; Karabulut, Aysun B.; Celik, Tuncay; Daldal, NilgunObjective: To investigate the levels of glutathione (GSH), and malondialdehide (MDA) in the sera of patients diagnosed with cyst hydatid. Methods: Forty-six hydatid cyst patients who were indirect hemaglutination (IHA) and indirect fluorescence antibody (IFA) test positive constituted our study group in 2007. Patients diagnosed with hydatid cyst in the Inonu University School of Medicine, Department of Parasitology were re-called for the study. Forty healthy subjects who were negative for hydatid cyst by IRA and IFA methods, and who did not have any parasites on stool inspection formed the control group. The MDA level was analyzed in the sera by Uchiyama and Mihara method. The GSH activity was measured by the Ellman method. Results: The GSH level was 11.31 +/- 3.80 mu mol/L and the MDA level was 67.94 +/- 106.70 mu mol/L in the study group, while they were 24.95 +/- 6.55 mu mol/L and 26.52 +/- 19.42 mu mol/L in the control group. Conclusion: An increase in MDA levels and a decrease in GSH activity in patients with hydatid cyst was observed.Öğe INCIDENCE OF CRYPTOSPORIDIUM SPP. IN THE HUMAN POPULATION OF MALATYA IN TURKEY(Carbone Editore, 2015) Karaman, Ulku; Daldal, Nilgun; Ozer, Ali; Engiyurt, Ozgur; Erturk, OmerAims: Cryptosporidium Species, settled in the microvilli of digestive and respiratory systems of vertebrates, infect mammals, poultry, fish and reptiles. Cryptosporidium species are common worldwide. Symptoms vary depending on species of infected host, condition of the immune system and age. In healthy patients with strong immune system it is characterized by self-limiting diarrhea. in approximately 2 weeks, whereas in people with suppressed immune systems it can cause diarrhea such as cholera and could create a life-threatening clinical condition The aim of this study is to,determine the epidemiology of Cryptosporidium species in the human population of Malatya province and around. Materials and methods: In Malatya province in 2006, 2.281 stool samples were taken from patients admitted to the Inonu University Faculty of Medicine Parasitology Department with the gastrointestinal complaints and analyzed. On the other hand a questionnaire has been prepared to determine the epidemiology of Cryptosporidium species in the human population of Malatya province. Each patient included in the study filled out and signed a patient information form. Results: In the studies, it has been reported that the Cryptosporidium injection rate is 6.1% in the developing countries and it is 2.1% in the developed countries. In different studies carried out in Turkey, it has been reported that the prevalence Of infection is between 0-35.5%. Stool samples were examined by direct microscopy and acid-fast staining method and 161 (7.1%) of them were positive. In this study, a significant relationship hasn't been found in patients with loss of appetite, general body itching, allergies, immunosuppressive and cancer, dyspnea, ulcerative. colitis, diarrhea, abdominal pain, salivation, constipation, nausea, vomiting, growth retardation, the rectal itching and anemia, but in the statistical analysis, the difference is statistically Significant. Conclusion: Consequently, molecular studies are needed to determine the common Cryptosporidium species and their sources in Malatya province and around. This will guide in determining strategies of public health education.Öğe Prevalence of Demodex folliculorum and Demodex brevis in the Eyelash Follicles of Healthy Subjects(Kafkas Univ, Veteriner Fakultesi Dergisi, 2012) Aycan-Kaya, Ozlem; Atambay, Metin; Daldal, NilgunDemodex folliculorum and Demodex brevis mites are parasites of humans only. These mites are usually found on face, eyebrows, eyelashes and meibomian glands. When they appear in large numbers in eyelashe follicules, they may cause Demodex blepharitis. The aim of this study was to determine the prevalence of Demodex species on eyelashes of healthy individuals. Eyelashes were collected from 131 healty individuals who did not have a history of blepharitis. While D. folliculorum was detected in 17 (13.0%) people, D. brevis was only seen in four individuals (3.1%), the differences being statistically significant. It was observed that D. folliculorum occurs more commonly in older people and male/female rates were not different. Since the D. brevis was rarely found in eyelashes, cases of blepharitis are believed to be the result of the co-existance of D. brevis and D. folliculorum.
