Biomedical subjects

S Kurt

Publications and source records attributed to S Kurt.

3 recordsLinked to original sources

PubMed2006

Testing non-additivity (interaction) in two-way ANOVA tables with no replication.

Testing for any significant interaction between two variables depends on the number of replicates in each cell of the two-way table and structure of the interaction. If there is interaction between two factors model of observations include interaction term and is called 'non-additive model' which makes interaction and non-additivity equivalent in terms of meaning. When there are several observations taken at each level combination of two variables, testing non-additivity can easily be done by usual two-way ANOVA method which cannot be used when there is only one observation per cell. For the cases with only one observation per cell, some methods have been developed starting with Tukey's one-degree-of-freedom test in which interaction is supposed to be the product of two factor's effects. There are other methods which are used for different structures of interaction when there is only one observation. In this paper, we review some of these tests. After presenting general methodology for the two-factor linear model with interaction effect and the general two-way ANOVA method when there are n > 1 observations per cell, we present some methods for testing non-additivity when there is only one observation per cell. Finally, we illustrate these methods on examples.

Analysis of Variance↗

PubMed2006

Surgery in temporal lobe epilepsy patients without cranial MRI lateralization.

High resolution MRI is very important in the evaluations of patients with intractable temporal lobe epilepsy in preoperative investigations. Morphologic abnormalities on cranial MRI usually indicate the epileptogenic focus. Intractable TLE patients who have normal cranial MRI or bilateral hippocampal atrophy may have a chance for surgery if a certain epileptogenic focus is determined. We evaluated the patients who were monitorized in Gazi University Medical Faculty Epilepsy Center from October 1997 to April 2004. Seventy three patients, who had a temporal epileptogenic focus, underwent anterior temporal lobectomy at Ankara University Medical Faculty Department of Neurosurgery. Twelve of them (16, 4%), did not have any localizing structural lesion on cranial MRI. Of the 12 patients examined 6 had normal findings and 6 had bilateral hippocampal atrophy. Of these 12 patients, 6 (50%) were women and 6 (50%) were men. The ages of patients ranged from 7 to 37 (mean: 24.5). Preoperatively long-term scalp video-EEG monitoring, cranial MRI, neuropsychological tests, and Wada test were applied in all patients. Five patients, whose investigations resulted in conflicting data, underwent invasive monitoring by the use of subdural strips. The seizure outcome of patients were classified according to Engel with postsurgical follow-up ranging from 11 to 52 (median: 35.7) months. Nine patients (75%) were classified into Engel's Class I and the other 3 patients (25%) were placed into Engel's Class II. One patient who was classified into Engel's Class II had additional psychiatric problems. The other patient had two different epileptogenic foci independent from each other in her ictal EEG. One of them localized in the right anterior temporal area, the other was in the right frontal lobe. She was classified in Engel's Class II and had no seizure originating from temporal epileptic focus, but few seizures originating from the frontal region continued after the surgery. In conclusion, surgery was successful in all 12 patients. We think that patients with no MRI lateralizing or localizing lesion should undergo epilepsy surgery after detailed presurgical evaluations, including invasive monitoring.

Adolescent↗

PubMed2005

A prosthodontic management alternative for scleroderma patients.

Hardening of the skin around the mouth causes the oral opening to become limited in scleroderma patients. A maximal oral opening that is smaller than the size of a complete denture can make prosthetic treatment challenging. This clinical report presents the prosthodontic management of a total edentulous patient with microstomia induced by scleroderma. Sectional mandibular and maxillary trays and a collapsed mandibular denture were fabricated for the total edentulous patient. With the use of lingual midline hinge, the collapsed denture was successfully and easily inserted and provided adequate function in the patient's mouth. The cast hinge design reduced the overall costs and simplified the laboratory technique.

Adult↗