Self-efficacy, depression and self-care activities of people with type 2 diabetes in Turkey.

Background: Self-efficacy related to self-care behaviors in people with type 2 diabetes has been well reported. However no work has been reported in Turkey that uses reliable instruments to examine the relationships among self-care activities, depression and self-efficacy. Aim: This study aims to investigate self-care activities, depression and self-efficacy among people with type 2 diabetes in Turkey. Methods: The sample included 200 patients with type 2 diabetes from an endocrinology outpatient clinic at a university hospital. Self-care activities, self-efficacy, and symptoms of depression were measured using established instruments: The Summary for Diabetes Self-Care Activities, the Self-Efficacy Scale, and the Beck Depression Inventory. Descriptive and correlational statistics were used in data analysis. Findings: One in three (37.5%) of participants had depression symptoms. Beck Depression Inventory scores were higher in women and in those with a lower education level, had diabetic complications and difficulty in meeting health care costs. The mean self-efficacy score was 66.5 ±â€…14.0; those who lived alone, were unemployed and knew their HbA1c level had significantly higher scores (p < .05). Demographic and diabetes characteristics including age, education, social support, diabetes complications, HbA1c level, and having diabetes education were found to be significantly associated with all self-care activities except smoking. Conclusion: The association between self-efficacy and self-care activities was positive. Interventions to improve patients' self-efficacy and self-care are needed in order to maximize diabetes self-management.

Frequency of Hepatitis B and C Viruses, and HIV Among Drug Addicts in the Eastern Anatolia, Turkey.

BACKGROUND: Hepatitis B, hepatitis C and HIV infections constitute serious healthcare problems worldwide. OBJECTIVES: There are a limited number of studies regarding the prevalence of hepatitis B, hepatitis C and HIV infections among the drug addicts in Turkey; hence, the current study aimed to determine the frequency of these infections among 235 drug addicts treated in a drug addiction treatment centre/Elazig, Turkey. PATIENTS AND METHODS: HBsAg, anti-HBs, anti-HCV and anti-HIV tests in 235 drug addicts were studied by ELISA technique. Urine samples obtained from drug addicts were analyzed for cannabis, opiate and cocaine metabolites. RESULTS: All the 235 drug users were males, and their mean age was 30.69 ± 9.494 years; 112 (47.7%) of them were in the age group ranging 20 - 29 years (P < 0.05). Of 235 drug addicts, 113 (48.1%) and 115 (48.9%) were only cannabis and opiate users, respectively. In urine samples of seven (3%) drug addicts both cannabis and opiate metabolites were detected. Cocaine was detected in none of the urine samples. The frequencies of HBsAg, anti-HBs and anti-HCV among drug addicts were 2.6%, 38.3%, and 9.4%, respectively. None of the drug addicts was positive for HIV. Anti-HCV was more prevalent in opiate users than in cannabis users: 15.7% vs. 1.8% (P < 0.001). CONCLUSIONS: The obtained results showed that HCV infection was an alarming problem among opiate users in the eastern part of Turkey. It is suggested to rapidly diagnose the infected persons; thus preventive measures and appropriate control may limit further transmission of these infections.

High genetic diversity of hepatitis delta virus in eastern Turkey.

INTRODUCTION: Hepatitis delta virus (HDV) is a serious cause of liver-related mortality in patients infected with hepatitis B virus (HBV). Determination of genotypes of HDV and phylogenetic analysis are important for better understanding the pathogenesis of the liver diseases associated with HBV infection. The aim of this study was to determine the genotype or genotypes of HDV among chronically infected patients with HBV in eastern Turkey. METHODOLOGY: A group of 113 patients infected with HBV and HDV were included in this study. The samples taken from the patients were analyzed by reverse transcriptase-polymerase chain reaction (RT-PCR) and restriction enzyme cleavage. RESULTS: According to the results of the restriction enzyme analysis, all of the RT-PCR products were determined to be HDV genotype I. Furthermore, for phylogenetic analysis and genotyping, 40 of HDV RT-PCR positive products were sequenced. Phylogenetic analysis of the sequences showed that all of the samples were infected with HDV genotype I. In addition, the results of the alignment analysis showed that the sequences of clinical samples were 82%-95% similar. CONCLUSION: These results indicate that high genetic diversity of the virus is possible in endemic areas such as Turkey.

Dietary vitamin D restriction in pregnant female mice is associated with maternal hypertension and altered placental and fetal development.

Epidemiology has linked vitamin D deficiency with preeclampsia in humans. We hypothesized that low vitamin D status in pregnant mice may lead to symptoms of preeclampsia. Female BL6 mice were raised on vitamin D-sufficient or -deficient diets from weeks 4 of age and then mated with vitamin D-sufficient BL6 males at week 8. The resulting pregnant mice were either allowed to deliver pups and monitored for blood pressure (BP) and weight of offspring or euthanized at day 14 or 18 of gestation (E14 or E18) for analysis of serum, placental/kidney tissues, and fetuses. At E14 serum concentrations of 25-hydroxyvitamin D (30.1 ± 5.0 vs 1.8 ± 0.6 ng/mL, P < .001) and 1,25-dihydroxyvitamin D (119.5 ± 18.7 vs 37.4 ± 5.1 pg/mL, P < .01) were higher in sufficient vs deficient pregnant mice. At E14 BP was significantly elevated in vitamin D-deficient pregnant mice relative to vitamin D-sufficient mice for both systolic BP (124.89 ± 2.28 vs 105.34 ± 3.61 mm Hg, P < .001) and mean arterial pressure (115.33 ± 1.93 vs 89.33 ± 5.02 mm Hg, P < .001). This elevation continued through pregnancy until 7 days postpartum (PP7) but returned to baseline by PP14. Analysis of maternal kidneys showed increased expression of mRNA for renin and the angiotensin II receptor (3- and 4-fold, respectively) in vitamin D-deficient vs -sufficient mice at E14. Histological analysis of E14 placentas from vitamin D-deficient mice showed decreased vascular diameter within the labyrinth region. E14 and E18 fetuses from vitamin D-deficient mice were larger than those from vitamin D-sufficient mothers. However, by PP14 pups from vitamin D-deficient mothers weighed significantly less than those from vitamin D-sufficient mothers. Resupplementation of vitamin D periconceptually partially reversed the effects of vitamin D deficiency. These data provide further evidence that low vitamin D status may predispose pregnant women to dysregulated placental development and elevated blood pressure.

Potential relationship between BK virus and renal cell carcinoma.

The objective of the present study was to investigate the potential association between the presence of BK virus (BKV) DNA and mRNA and renal cell carcinoma and bladder transitional cell carcinoma. The formalin-fixed and paraffin-embedded tissue samples were obtained from 50 cancer patients with renal cell carcinoma, 40 cancer patients with bladder transitional cell carcinoma, 45 control patients with the benign renal pathology, and from another 25 control patients with benign bladder pathology. The samples were subjected to nested PCR for detection of BKV DNA and real-time reverse transcription PCR (real-time RT-PCR) for determining mRNA levels of BKV. The results of the nested PCR indicated that 23 (14.3%) of 160 samples were positive for BKV DNA. The relationship between the cancer and the presence of BKV DNA was significant (P < 0.05). The BKV DNA positivity was significantly associated with the histological diagnosis of renal cell carcinoma (P = 0.03), but not with that of bladder transitional cell carcinoma. The results of real-time RT-PCR showed that the mRNA of BKV VP1 was present in 69.5% of the BKV DNA positive samples. The levels of BKV mRNA were significantly higher in the renal cell cancer samples than in the control samples (P < 0.05). The results of the present study confirm the association between BKV and renal cell cancer. The findings also indicated that the presence of BKV DNA resulted in a fivefold increase in the risk of development of renal cell carcinoma.

Presence of herpesviruses in adenoid tissues of children with adenoid hypertrophy and chronic adenoiditis.

OBJECTIVES: The aim of study was to determine the presence of some of the herpesviruses including herpes simplex virus (HSV), Epstein-Barr virus (EBV), and cytomegalovirus (CMV) in adenoid tissues of children with adenoid hypertrophy (AH) and chronic adenoiditis (CA) and to investigate the potential role of the herpesviruses in patogenesis of AH and CA. PATIENTS AND METHODS: A total of 72 patients (41 boys, 31 girls; mean age 4 years and 2 months; range 2 to 9 years) who underwent adenoidectomy or adenotonsillectomy (with or without placement of a ventilation tube) in our clinic between October 2007 and May 2008, were included. The patients were divided into two groups, as AH group (n=42) and the CA group (n=30). Adenoid tissues collected from patients in both groups were analyzed by polymerase chain reaction (PCR) for the presence of HSV, EBV and CMV-DNA. RESULTS: The results of the PCR indicated that 33.3% in the AH group and 36.6% in the CA group were herpesvirus DNA positive. Among the herpesviruses studied, HSV-DNA was detected at the highest level (14.2% and 16.6%, respectively) in both groups, although the difference between the groups was not significant. EBV-DNA positiveness was 11.9% and CMV-DNA was 4.7% in the AH group, whereas, EBV-DNA positiveness was 13.3% and CMV-DNA was 6.6% in the CA group. CONCLUSION: Herpesviruses were determined at a high rate in adenoid tissue of children with AH and CA, suggesting that there may be a potential relationship between the presence of herpesviruses and occurrence of AH and CA in children. However, more extensive studies are required to elucidate the role of herpesviruses in the pathogenesis of AH or CA.

Identification and characterization of OXA-48 producing, carbapenem-resistant Enterobacteriaceae isolates in Turkey.

Carbapenem resistance in Enterobacteriaceae isolates has been reported from Turkey and is most often mediated by OXA-48 type carbapenemases. We report the identification and characterization of four carbapenem-resistant isolates (three Klebsiella pneumoniae and one Escherichia coli) among 515 clinical Enterobacteriaceae isolates collected during a 7-month study period in Ankara, Turkey. The four isolates were recovered from blood and urine specimens in patients with varied clinical manifestations. They had distinct pulsed-field gel electrophoresis patterns and harbored a variety of ß-lactamases including bla(TEM-1), bla(SHV-12) genes, bla(SHV-11), and/or bla(CTX-M-15). PCR and sequencing analysis revealed that the bla(OXA-48) gene was present in all four isolates. Our data indicated that the OXA-48-type carbapenemase was the only mechanism for carbapenem resistance in our hospital.

Synthesis of clay-based superabsorbent composite and its sorption capability.

A novel superabsorbent composite was synthesized by copolymerization reaction of partially neutralized acrylic acid (AA) on bentonite micropowder using N,N'-methylenebisacrylamide as a crosslinker and ammonium persulfate as an initiator in aqueous solution. The superabsorbent composite (SAC) was characterized by Fourier transform infrared spectroscopy (FTIR), thermogravimetric analysis (TGA) and scanning electron microscopy (SEM). The water retention test of SAC was also performed. The water absorbency of SAC synthesized was found to be 352 and 110 g H(2)Og(-1) in distilled water and 0.2% NaCl, respectively. Sorption capacity of SAC was investigated for heavy metal ions (HMI) using Langmuir and Freundlich model of adsorption. The maximum adsorption capacity (Q(m)) of HMI onto the bentonite-based SAC from their solution was 1666.67, 270.27, 416.67 and 222.22 mg g(-1) for Pb(II), Ni(II), Cd(II) and Cu(II), respectively. All results suggested that SAC offers excellent potential for HMI removal from contaminated water.

[Investigation of the presence of human papillomavirus DNA in various gastrointestinal carcinoma samples]. / Cesitli gastrointestinal karsinom örneklerinde insan papillomavirus dna varliginin arastirilmasi.

The role of human papillomavirus (HPV) has been well established in the pathogenesis of cervical cancers. However, HPV-DNA has also been detected in tumor tissues of other malignancies. Recently, detection of HPV-DNA in gastrointestinal cancer tissues with in-situ hybridization and PCR technologies has suggested possible role of HPV in gastrointestinal cancers. In this study, it was aimed to investigate the presence of HPV in the tumor tissues and adjacent normal tissues of gastrointestinal cancers and to determine the types of HPV in positive cases. The study included a total of 106 (59 male, 47 female, age range: 25-80 years, mean age: 57.03 +/- 1.29 years) patients, of them 38 had gastric, 42 colon, 20 rectal, 4 esophageal and 2 small intestinal cancers. Genomic DNAs were isolated from the parafin embedded specimens of tumor and tumor-adjacent normal tissues and the performance of the extraction process was controlled with PCR using beta-globin primer. DNA extraction was achieved in 100 of the tumor tissues and in all of the tumor adjacent normal tissues (n=106). HPV-DNA was searched by,using GP5/GP6 primers and concensus PCR method. HPV-positive DNA samples were further typed by using HPV-11, 16, 18, 33 specific primers. HPV-DNA was detected in 41% (41/100) of tumor tissue samples and 31% (33/106) of tumor-adjacent normal tissue samples. There was no statistically significant difference in terms of HPV-DNA positivity between tumor and tumor-adjacent normal tissues (p > 0.05). HPV-DNA was detected in 44.7% (33/106) of gastric samples, 35.1% (13/37) of colon samples, 47.3% (9/19) of rectal samples, 25% (1/4) of esophagus samples and 50% (1/2) of small intestine samples. Eight of the HPV positive tumor tissues revealed HPV type 16, three type 18 and five type 33, while three of normal tissue samples revealed type 18 and two type 33. Two different HPV types together were detected in two tumor samples, one being type 16 + type 33 and the other being type 18 + type 33. Although these results indicating the presence of HPV-DNA in gastrointestinal tumor and adjacent normal tissues, suggest a possible role of HPV in gastrointestinal tumors, further studies are necessary for the establishment of a definite causative role.

Equilibrium and thermodynamic studies on biosorption of Pb(II) onto Candida albicans biomass.

Biosorption of Pb(II) ions from aqueous solutions was studied in a batch system by using Candida albicans. The optimum conditions of biosorption were determined by investigating the initial metal ion concentration, contact time, temperature, biosorbent dose and pH. The extent of metal ion removed increased with increasing contact time, initial metal ion concentration and temperature. Biosorption equilibrium time was observed in 30min. The Freundlich and Langmuir adsorption models were used for the mathematical description of biosorption equilibrium and isotherm constants were also evaluated. The maximum biosorption capacity of Pb(II) on C. albicans was determined as 828.50+/-1.05, 831.26+/-1.30 and 833.33+/-1.12mgg(-1), respectively, at different temperatures (25, 35 and 45 degrees C). Biosorption showed pseudo second-order rate kinetics at different initial concentration of Pb(II) and different temperatures. The activation energy of the biosorption (Ea) was estimated as 59.04kJmol(-1) from Arrhenius equation. Using the equilibrium constant value obtained at different temperatures, the thermodynamic properties of the biosorption (DeltaG degrees , DeltaH degrees and DeltaS degrees ) were also determined. The results showed that biosorption of Pb(II) ions on C. albicans were endothermic and spontaneous. The optimum initial pH for Pb(II) was determined as pH 5.0. FTIR spectral analysis of Pb(II) adsorbed and unadsorbed C. albicans biomass was also discussed.

Removal of copper (II) from aqueous solution by adsorption onto low-cost adsorbents.

The use of low-cost adsorbents was investigated as a replacement for current costly methods of removing metals from aqueous solution. Removal of copper (II) from aqueous solution by different adsorbents such as shells of lentil (LS), wheat (WS), and rice (RS) was investigated. The equilibrium adsorption level was determined as a function of the solution pH, temperature, contact time, initial adsorbate concentration and adsorbent doses. Adsorption isotherms of Cu (II) on adsorbents were determined and correlated with common isotherm equations such as Langmuir and Freundlich models. The maximum adsorption capacities for Cu (II) on LS, WS and RS adsorbents at 293, 313 and 333 K temperature were found to be 8.977, 9.510, and 9.588; 7.391, 16.077, and 17.422; 1.854, 2.314, and 2.954 mg g(-1), respectively. The thermodynamic parameters such as free energy (delta G0), enthalpy (delta H0) and entropy changes (delta S0) for the adsorption of Cu (II) were computed to predict the nature of adsorption process. The kinetics and the factors controlling the adsorption process were also studied. Locally available adsorbents were found to be low-cost and promising for the removal of Cu (II) from aqueous solution.

Removal of heavy metals from aqueous solution by sawdust adsorption.

The adsorption of lead, cadmium and nicel from aqueous solution by sawdust of walnut was investigated. The effect of contact time, initial metal ion concentration and temperature on metal ions removal has been studied. The equilibrium time was found to be of the order of 60 min. Kinetics fit pseudo first-order, second-order and intraparticle diffusion models, hence adsorption rate constants were calculated. The adsorption data of metal ions at temperatures of 25, 45 and 60 degrees C have been described by the Freundlich and Langmuir isotherm models. The thermodynamic parameters such as energy, entropy and enthalpy changes for the adsorption of heavy metal ions have also been computed and discussed. Ion exchange is probably one of the major adsorption mechanisms for binding divalent metal ions to the walnut sawdust. The selectivity order of the adsorbent is Pb(II) approximately Cd(II)>Ni(II). From these results, it can be concluded that the sawdust of walnut could be a good adsorbent for the metal ions from aqueous solutions.

[Detection of Mycobacterium species distribution in the sputum samples of tuberculosis patients by PCR-RFLP method in Elazig province]. / Elazig yöresinde tüberkülozlu hastalarin balgam örneklerinde mikobakteri tür dagiliminin PCR-RFLP yöntemi ile belirlenmesi.

The aim of this study was to detect the Mycobacterium species in the sputum samples collected from tuberculosis patients in Elazig province (located in Eastern Anatolia, Turkey), by PCR-RFLP (Polymerase Chain Reaction-Restriction Fragment Length Polymorphism) method. A total of 60 samples from patients (32 male, 28 female) who were diagnosed as tuberculosis by culture positivity at Elazig Tuberculosis Control Dispensary, were included to the study. After DNA extraction and isolation from the samples, gene region encoding for 65 kDa protein of mycobacteria was amplified with specific primers (first step primers: TB1; 5'-GAG ATC GAC TGG AGG ATC C-3' and TB2; 5'-AGC TGC AGC CCA AAG GTG TT- 3', second step primers: TB1 and TB3; 5'-GTG TTG GAC TCC TCG ACG GT-3') by using seminested PCR method. According to hsp65 gene region amplification, 51 (85%) samples yielded positive results, while nine (15%) samples could not be identified. Of 51 samples, 44 (86.3%) were identified as M. tuberculosis complex, four (7.8%) were M.scrofulaceum, two (3.9%) were M. avium and one (1.9%) was M. intracellulare, in the restriction assay by Haelll of the PCR products. In order to identify the species of M. tuberculosis complex, gyrB gene region was amplified in those of 44 samples with specific primers (MTUB-f; 5'-TCG GAC GCG TAT GCG ATA TC-3' and MTUB-r; 5'-ACA TAC AGT TCG GAC TTG CG-3'), and the PCR products were restricted by Rsal and Taql enzymes. In this assay, 34 (77.3%), eight (18.2%), one (2.3%) and one (2.3%) of the 44 M. tuberculosis complex samples were detected as M. tuberculosis, M. bovis, M. microti and M. africanum, respectively. Our data indicated that at least seven different Mycobacterium species were the causative agents of tuberculosis in our region. As a result, researching for species distributions of mycobacteria in all of the parts of Turkey by molecular methods and clarifying their resistance patterns against antituberculous drugs are needed for the effective control of tuberculosis.

Adsorption studies on ground shells of hazelnut and almond.

Adsorption behaviour of Ni(II), Cd(II) and Pb(II) from aqueous solutions by shells of hazelnut and almond were investigated. The structural properties and surface chemistry of the shells were characterized using sorption of nitrogen and Boehm titration. The equilibrium time was found to be 120 min. The equilibrium adsorption capacity of shells were obtained by using linear Langmuir and Freundlich adsorption isotherms. The equilibrium adsorption level was determined to be a function of the solution contact time, concentration and temperature. The thermodynamic parameters have been determined. The negative values of free change (DeltaG) indicated the spontaneous nature of the adsorption of Ni(II), Cd(II) and Pb(II) onto shells of hazelnut and almond and the positive values of enthalpy change (DeltaH) suggested the endothermic nature of the adsorption process. The best correlation coefficients were obtained for the pseudo second-order kinetic model. Ion exchange is probably one of the major adsorption mechanisms for binding divalent metal ions to the shells of hazelnut and almond. The selectivity order of the adsorbents is Pb(II)>Cd(II)>Ni(II).

Presence of herpesviruses in middle ear fluid of children with otitis media with effusion.

BACKGROUND: Otitis media with effusion (OME) is a disease that frequently occurs in children. Etiopathogenesis of the diseases has not been completely elucidated. There are limited numbers of studies on the presence of herpesviruses in otitis media cases with OME. The present study was undertaken to determine the rate of some herpesviruses in OME cases of children. METHODS: A total of 92-middle ear fluids were collected from 51 children. The samples were analyzed using polymerase chain reaction (PCR) for detection of herpesviruses including Herpes simplex virus (HSV), cytomegalovirus (CMV), Varicella zoster virus (VZV), and Epstein-Barr virus (EBV). RESULTS: PCR analysis of the 92 samples showed that genomes of EBV in 12 (13.04%), HSV in seven (7.60%), CMV in five (5.43%), and VZV in three (3.26%) were present. Two of these samples were positive for both HSV and EBV genomes. Therefore, 25 (27.17%) of the samples were determined to be infected with any of the herpesviruses tested. CONCLUSIONS: In the present study, herpesviruses were determined at a high rate in middle ear fluids of children with OME. However, the present study is a preliminary study and more extensive studies, especially experimental studies, are required to elucidate the role of herpesviruses in pathogenesis of OME and whether there is a relation between rate of herpesviruses in OME cases, and the reactivation of latent infections.

Equilibrium and kinetics studies for adsorption of direct blue 71 from aqueous solution by wheat shells.

This paper deals with the application of wheat shells (WS), an agricultural by-product, for the removal of direct blue 71 (DR) from aqueous solution. The characteristics of WS surface, such as surface area, Bohem titration and scanning electron microscopy (SEM) were obtained. The removal of direct blue 71 onto WS from aqueous solution was investigated by using parameters, such as pH, temperature, adsorbent dose, contact time and initial concentration. The adsorption process attains equilibrium within 36 h. The extent of dye removal decreased with increasing adsorbent dosage and also increased with increasing contact time, temperature, in solution concentration. Optimum pH value for dye adsorption was determined between 6 and 8. The experimental data were analysed by the Langmuir and Freundlich models of adsorption. It was found that the Langmuir equation fit better than the Freundlich equation. Maximum adsorption capacity (Q(m)) was calculated as at different temperatures (293, 303 and 313 K) 40.82, 45.66 and 46.30 mgg(-1), respectively. In addition, the adsorption data obtained at different temperatures of DR by WS were applied to pseudo first-order, pseudo second-order and Weber-Morris equations, and the rate constants of first-order adsorption (k(1)), the rate constants of second-order adsorption (k(2)) and intraparticle diffusion rate constants (k(3)) at these temperatures were calculated, respectively. The rates of adsorption were found to conform to pseudo second-order kinetics with good correlation (R(2)>or=0.9904). Also, free energy of adsorption (DeltaG degrees), enthalpy (DeltaH degrees), and entropy (DeltaS degrees) changes were determined to predict the nature of adsorption. Furthermore, the results indicate that WS could be employed as a low-cost alternative to other adsorbents in the removal of direct blue 71 from aqueous solution.

The relationship of graft survival and herpes simplex virus latency in recipient corneal buttons.

PURPOSE: To demonstrate relationship between herpes simplex virus (HSV) corneal latency and graft survival. METHODS: Prospective case control study. 28 recipient corneal buttons and donor cornea-scleral remnants were examined for HSV DNA with polymerase chain reaction (PCR). None of the recipient had a history of HSV infection. Serum samples of graft recipients were analyzed for the presence of anti-HSV IgG and IgM with enzyme-linked immunosorbent assay technique. All corneas were free of stromal scarring or epithelial defect before sampling and had an endothelial cell density of >2000 cells/mm(2). RESULTS: In twenty three patients (82%) anti-HSV IgG was detected in serum. In none of the recipients anti-HSV IgM was positive. HSV DNA was positive in six out of twenty eight (21%) of the recipient corneal buttons and none of the donor cornea-scleral remnants. In eighteen-months follow-up period three out of six (50%) HSV DNA positive and one out of twenty-two (4.5%) HSV DNA negative patients experienced late endothelial failure that was statistically significantly different (p = 0.022). CONCLUSION: Even without a history of HSV keratitis, presence of latent HSV virus in recipient cornea is an important risk factor for subsequent graft survival.

Association of cagA+ Helicobacter pylori with adenotonsillar hypertrophy.

Cytotoxin-associated gene A (cagA) of Helicobacter pylori (H. pylori) encodes a highly immunogenic and virulence-associated protein. The presence of cagA(+) H. pylori strains in tonsil and adenoid tissues may affect clinical outcome. The aim of the present study was to determine the presence of H. pylori cagA gene in tonsil and adenoid tissues and to establish the potential association of cagA(+) H. pylori in recurrent adenotonsillitis (RAT) and adenotonsillar hypertrophy (ATH). For this aim, a total of 118 tissue samples (71 tonsil and 47 adenoid tissues) were collected from a total of 71 children: 28 cases with RAT and 43 cases with ATH. The samples were analyzed for glmM gene to detect the infection with H. pylori by polymerase chain reaction (PCR). H. pylori-positive samples were further analyzed for the presence of the cagA gene. The PCR analysis showed that 29 samples (24.6%) were positive for H. pylori. Seventeen out of these 29 samples (58.6%) were found positive for cagA; the cagA gene was detected in 12 samples of ATH and 5 samples of RAT. The presence rate of cagA gene was significantly higher (p < 0.05) in ATH patients than that found in RAT patients. These results suggest that presence of cagA(+) H. pylori may be associated with development of ATH.