Yesim Senayli

Torsion of an Encysted Fluid Collection

Torsion of a cyst within the tunica vaginalis is a rare entity and clinical course can easily be confused with other diseases that cause acute scrotum. We report a 6-year-old child with 3 days of acute scrotum findings. Patient had surgery with the suspicion of testis torsion. Torsion of a cyst within the tunica vaginalis was found intraoperatively. In pathologic evaluation, a necrotic funicular cyst was diagnosed. Two different mechanisms were reported for the reason of this disease: hernia sac protrusion in the hydrocele sac and bell-clapper deformity. Our observations were on the side of bell-clapper deformity. We aimed to share our findings with this report.

Coexistence of sacral dimple, solitary collagenoma and mid‐dorsal hypertrichosis in a child with occult spinal dysraphism

blood complement C1 inhibitor activity. Clin Chim Acta 1988; 174:121–30. 6 Drouet C, Blanch A, Roche O et al. Mutation analysis of the C1NH gene. J Allergy Clin Immunol 2004; 114:S66–74. 7 Cichon S, Martin L, Hennies HC et al. Increased activity of coagulation factor XII (Hageman factor) causes hereditary angioedema type III. Am J Hum Genet 2006; 79:1098–103. 8 Farsetti A, Misiti S, Citarella F et al. Molecular basis of estrogen regulation of the Hageman factor XII gene expression. Endocrinology 1995; 136:5076–83.

Evaluation the Anti-Diabetic Activity of Cherry Laurel (Laurocerasusofficinalis)

Purpose: Cherry laurel has been used as an anti-diabetic drug. In this study, we aimed to evaluate its antidiabetic activity at standard living conditions and under stress by an experimental study. Material and Method: Forty Wistar-Albino rats weighing 300–350 grams were used in this study. Four groups were structured: control, diabetic, glibenclamide and cherry laurel extract. Streptozotocin (50 mg/kg) was injected to induce diabetes. Cherry laurel extract was obtained from the seed of the fruit. Routine blood glucose, insulin, preand intraanesthesia blood glucose levels were measured and compared. The One-way ANOVA followed by Duncan post-hoc test was used for statistical analysis. Results: After the second week of the experiment, Extract 300 and Extract 600 groups had the lower glucose levels (p<0.05). Also, insulin levels measured at the last week of the study revealed that Extract 300 and Extract 600 groups had the highest results (p< 0.01). Glucose levels under stress conditions significantly changed for Extract 300 and glibenclamide group (p<0.05). Glucose level changed more obviously in the Extract 600 group (p<0.001) that means

Letter to the editor: reviewers.

We have published scientific papers since 2001 in peer-reviewed journals in areas of pediatric surgery, anaesthesiology, and in general medicine. Our observations are that the journal’s process in terms of organizations, submission system, tracking, and publications are all well organized in all of the diverse journals in many countries of the world. We think that what is lacking in the well-organized review process is the quality and attitude of the reviewers. From our experience, we get the impression that the reviewing policies and process of these journals have a great deal of variability from the published policies of these journals. Our published and unpublished articles littered with rejections. Rejection rate is approximately 10 times than acceptance. We have learned a great deal from these experiences. There might be three reasons for rejections: The quality of the writing is poor, the merit or the concordance of the articles might be inconsistent with the existing paradigm. For the two leading reasons (quality and merit), we continue to do better. In addition, our experience tells us that the reviewer’s attitude and quality contribute to the rejection of our manuscripts. An additional reason may be that there is an inherent bias toward countries not similar to the advanced countries in research. There are reports in the literature about reviewers, but these evaluations are not sufficient to understand the global reviewing philosophy. There are no universal standards to integrate or to standardize the reviewing process of manuscripts. The only criterion for the evaluation of a paper is the experience of the reviewer. Consequently, the problem in this criterion is how the experience of a reviewer can be measured. To our knowledge, this feature is not systemized, too. In conclusion, we observe that scientific studies and publishing are well designed and schematized at nearly all points of the processes. However, the reviewing process is unclear and incorporated with factors unknown to the

Xeroderma Pigmentosum Olan Bir Hastada Özofagus Dilatasyonu Yönetimi

be a choice for swallowing difficulties of these patients, we could not find a report giving the criterion of the problem. Besides, up to now, xseroderma pigmentosum and esophageal dystonia has not been reported yet. We experienced that patients in this situation could benefit from esophageal dilatation. Also, there has not been much reports giving information in detail for anesthesia management but we suggest that management of these patients within standard anesthetic procedures are not seemed to be harmful in early periods