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Öğe Bir Ayak Makrodaktili Olgusu: Literatürün Gözden Geçirilmesi(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2009) Kafadar, Safiye; Kafadar, HüseyinNadir bir konjenital anomali olan makrodaktili elin ve daha nadir olarak ayak parmaklarının büyük oluşu ile karakterizedir. Kemik ve yumuşak dokuda aşırı büyüme mevcuttur. Makrodaktili bazı sendromlara eşlik edebilir. Tedavide, cerrahi uygulanır. Radyolojik olarak, direkt grafi, bilgisayarlı tomografi (BT) ve manyetik rezonans görüntüleme (MRG) lezyonun boyutunu, yumuşak doku ve kemik tutulumunu tespit eder ve cerrahi tedavinin planlanmasında önemli rol oynar. Biz bu yazıda ayağın 1. ve 2. parmaklarında makrodaktilisi bulunan erişkin bir kadın olguyu literatür eşliğinde sunmayı amaçladık.Öğe Evaluation of renal traumas according to forensic radiology(2020) Kafadar, Huseyin; Kafadar, SafiyeAim: The goal of the study is to retrospectively assess cases of renal injuries.Material and Methods: The cases of renal injury presenting at Adiyaman Training and Research Hospital between January 1st, 2013, and December 31st, 2017 were investigated in terms of age, gender, radiologic findings, grade of renal injury, and cause of injury. The degree of kidney injury determined by imaging methods was evaluated in terms of the American Association for the Surgery of Trauma (AAST). Results: Of the 123 patients with renal injury, 27 were female (21.95%) and 96 were male (78.05%), with an average age of 32.6 ± 16.7 years. In total, 59 cases (47.96%) were younger than 35 years. When the cases were examined according to age groups, 11 (8.94%) cases were under the age of 14 years, 23 (18.70%) cases were aged 15–24 years, and 25 (20.32%) cases were aged 25–34 years. The older age groups included 23 (% 18.70) cases aged 35–44 years, 19 (15.46%) aged 45–54 years, 9 (7.31%) aged 55–64 years, and 13 (10.57%) older than 65 years. Overall, 59(47.96%) injuries were from traffic accidents (p0.005), 36 (28.96%) from falls, 12 (9.74%) from sharp and penetrating object injuries, seven (5.69%) from gunshot wounds, five (4.07%) from assaults, and four (3.25%) from work accidents. Conclusion: Renal traumas are life-threatening injuries. We have evaluated renal injuries in terms of radiological and forensic medicine, and we believe the findings contribute to the existing literature on this subject.Öğe Vertebrobaziller Yetmezlik Semptomları Olan Hastalarda Vertebral Arterin Dupleks Doppler Us Yöntemiyle Değerlendirilmesi(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2008) Kafadar, Safiye; Aydın, Ayşe Murat; Kafadar, Hüseyin; Çolak, Cemil; Burakgazi, GülenVertebrobaziller yetmezliği olan hastalarda (VBY) vertebral arter (VA) hemodinamisindeki değişikliklerin araştırılmasıdır. Gereç ve Yöntem: VBY li 48’i erkek, 52’si kadın toplam 100 hastada Doppler US yöntemi ile her iki VA’in hız, volüm, toplam volüm, RI ve PI parametreleri değerlendirildi. Hastalar VA volumlerine göre 3 gruba ayrıldı. Grup 1 de VA volümünde şiddetli derecede azalma (<120 ml/dk), grup 2 de orta veya hafif derecede azalma (120–200 ml/dk) olan hastalar ve grup 3 te VA volumleri (>200 ml/dk) normal olan hastalar yer aldı. Bulgular: Tüm olguların ortalama VA akım volümü 256 ± 51.80 mL/min (24–280 mL/min) olarak hesaplandı. VA pik sistolik akım hızında sağ tarafta ortalama 35.07±12.57 cm/s ve sol tarafta ortalama 42.99±12.99 cm/s idi. Akım volümü açısından taraflar karşılaştırıldığında sol taraf sağ taraftan belirgin olarak önemli derecede yüksekti (127.34 ± 54.69 mL/min vs. 83.46 ± 37.82 mL/min, P= 0.001). Sonuç: VBY tanısında doppler US kullanışlı bir tanı yöntemdir. VBY’ li hastalarda VA akım hızı ölçümlerine ek olarak volüm ölçümlerinin de yapılmasının tanıya katkısı mevcuttur.Öğe What is the optimum time to decompressive surgery in the patients with malignant middle cerebral artery infarction?(2019) Yucetas, Seyho Cem; Ucler, Necati; Kafadar, Safiye; Cakir, Tayfun; Kilinc, SuleymanAim: In the patients with malignant middle cerebral artery (MCA) infarctions, the mortality was as high as 70% with conservative treatment. Decompressive craniectomy (DC) was shown to decrease mortality especially in 48 hours. We aimed to investigate both the effect of decompression time and the size of craniectomy on the mortality in this patient group. Material and Methods: 45 adult patients underwent to DC due to malignant MCA infarction were evaluated in this study. The demographic and clinical features were recorded retrospectively. The patients were splitted into three groups: Group 1, DC in the first 24 hours; group 2, in 24-48th hours; group3, in 48-96th hours of the admission. The size of craniectomy was the same as the infarct (standard), or it was two centimeters larger than the size of infarct (larger). Results: Of all patients, 53.3% (n=24) was female; and mean age of the sample was 67.38±4.76. 66.7% (n=30) of the patients died due to malign MCA infarction. The size of craniectomy was larger in 26.7% (n=12), and was standard in the others. Mean time to surgery was 43.07±29.87 hours. Mortality rate was minimum in group 2 (p=0.01). The patients undergoing to larger craniectomy survived longer than the others, but the difference was non-significant (p=0.06). Conclusion: We suggested that not the approach of “surgery as soon as possible” but the surgery between 24-48th hours of the admission would be the optimal approach. This issue is especially important, because earlier or later interventions not only have a less benefit on the outcome but also may lead several unnecessary complications.
