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Adverse Events Associated With Exchange Transfusion And Etiology Of Severe Hyperbilirubinemia In Near-Term And Term Newborns, Ali̇ Bülbül, Feri̇de Füsun Okan, Emel Kabakoğlu Ünsür, Asi̇ye Nuhoğlu
Adverse Events Associated With Exchange Transfusion And Etiology Of Severe Hyperbilirubinemia In Near-Term And Term Newborns, Ali̇ Bülbül, Feri̇de Füsun Okan, Emel Kabakoğlu Ünsür, Asi̇ye Nuhoğlu
Turkish Journal of Medical Sciences
To assess clinical features, etiology, and complications in term and near-term newborns who received exchange transfusion. Materials and methods: Infants with >=35 gestational weeks admitted to our neonatal intensive care unit in the first 30 days of life and underwent exchange transfusion due to severe hyperbilirubinemia between 2002 and 2008 were included. Clinical features, etiology of hyperbilirubinemia, and complications of exchange transfusion were assessed. Results: Exchange transfusion was performed 86 times in a total of 73 patients. Eleven patients received exchange transfusion twice, and 1 patient 3 times. A great proportion of the patients (61.6%) were male, and mean (± …
Evaluation Of The Tick Bites In A Crimean-Congo Haemorrhagic Fever (Cchf) Endemic Area In Turkey, Serpi̇l Erol, Ahmet Yeni̇solak, Göknur Yapar Toros, Ayşe Albayrak
Evaluation Of The Tick Bites In A Crimean-Congo Haemorrhagic Fever (Cchf) Endemic Area In Turkey, Serpi̇l Erol, Ahmet Yeni̇solak, Göknur Yapar Toros, Ayşe Albayrak
Turkish Journal of Medical Sciences
After the first description of a CCHF outbreak in Turkey, tick bites became an increasing cause of visits to health-care facilities. In this study, we evaluated tick bites in a CCHF endemic region. Materials and methods: The study included cases of tick bites that were referred to 2 hospitals in Erzurum between June and October 2008. All cases were followed-up for 10 days for the results of CCHF. Results: During the study period, 161 patients were admitted for a tick bite. The majority (56.3%) were farmers and housewives. Children ≤ 13 years of age were bitten mostly on the head …
Invasive Device-Associated Nosocomial Infections Of A Teaching Hospital In Turkey; Four Years’ Experience, Aslihan Candevi̇r, Behi̇ce Kurtaran, Fi̇li̇z Ki̇bar, Emre Karakoç, Hasan Sali̇h Zeki̇ Aksu, Yeşi̇m Taşova
Invasive Device-Associated Nosocomial Infections Of A Teaching Hospital In Turkey; Four Years’ Experience, Aslihan Candevi̇r, Behi̇ce Kurtaran, Fi̇li̇z Ki̇bar, Emre Karakoç, Hasan Sali̇h Zeki̇ Aksu, Yeşi̇m Taşova
Turkish Journal of Medical Sciences
To determine our setting's IDAI rates, infecting microorganisms, and their resistance patterns to achieve standardization and make comparisons among other Turkish and developed country hospitals all over the world. Materials and methods: The numbers of total patient days, ventilator days, central catheter days and, urinary catheter days in the ICUs were recorded and IDAI rates were calculated. Clinical specimens were obtained from patients, cultivated at appropriate culture media, and infecting microorganisms and resistance patterns were determined. Results: Totally 1450 invasive device-associated infection episodes were determined (16.4% of patients) with a rate of 21.12/1000 days. Ventilator associated pneumonia rate was 22.05/1000 …
Effects Of Plasma Lipids And Smoking On Cognitive Function, Oğuz Teki̇n, Adem Özkara, Burcu Yanik, M. Ramazan Yi̇ği̇toğlu, Ati̇lla İlhan, Erkan Kibrisli, İrfan Şencan, Meti̇n Canbal
Effects Of Plasma Lipids And Smoking On Cognitive Function, Oğuz Teki̇n, Adem Özkara, Burcu Yanik, M. Ramazan Yi̇ği̇toğlu, Ati̇lla İlhan, Erkan Kibrisli, İrfan Şencan, Meti̇n Canbal
Turkish Journal of Medical Sciences
To research the relations between plasma lipids and smoking as they affect cognitive functions. Some studies have suggested a relationship between plasma cholesterol concentration, smoking, and the frequency of cognitive disturbances. Our hypothesis was that plasma lipids and smoking are related to cognitive impairment. Materials and methods: The plasma lipid profiles and cognitive functions of the subjects were measured and the relations among plasma lipid levels, smoking, and cognitive functions were observed. The study was performed on subjects with no history of chronic disease. Mental status was evaluated by the mini-mental state examination (MMSE) in patients over 40 years of …
Assessment Of The Findings On The Existence Of Complications In Brucellosis, Cemal Bulut, Meltem Arzu Yetki̇n, Gülruhsar Yilmaz, Fatma Şebnem Erdi̇nç, Çi̇ğdem Ataman Hati̇poğlu, Sami̇ Kinikli, Behi̇ç Oral, Necla Tülek, Ali̇ Pekcan Demi̇röz
Assessment Of The Findings On The Existence Of Complications In Brucellosis, Cemal Bulut, Meltem Arzu Yetki̇n, Gülruhsar Yilmaz, Fatma Şebnem Erdi̇nç, Çi̇ğdem Ataman Hati̇poğlu, Sami̇ Kinikli, Behi̇ç Oral, Necla Tülek, Ali̇ Pekcan Demi̇röz
Turkish Journal of Medical Sciences
Brucellosis is a prevalent disease in Turkey. The object of this study was to assess the findings in brucellosis cases with and without complications. Materials and methods: A total of 324 patients diagnosed with brucellosis between 1999 and 2005 were reviewed retrospectively. The diagnosis of brucellosis was established serologically and/or by positivite blood culture. Epidemiologic features, clinical symptoms, and laboratory findings of the patients were assessed in both complicated and noncomplicated brucellosis cases by univariate and multivariate analysis. Results: The mean age of patients was 44.0 ± 18.3 years (range 15-83 years). In addition, 56% of the patients were male. …
Hepatitis B, Hepatitis C, Hiv, And Vdrl Seroprevalence Of Blood Donors In Mersin, Turkey, Seva Öner, Gülçi̇n Yapici, Caferi̇ Tayyar Şaşmaz, Ahmet Öner Kurt, Resul Buğdayci
Hepatitis B, Hepatitis C, Hiv, And Vdrl Seroprevalence Of Blood Donors In Mersin, Turkey, Seva Öner, Gülçi̇n Yapici, Caferi̇ Tayyar Şaşmaz, Ahmet Öner Kurt, Resul Buğdayci
Turkish Journal of Medical Sciences
The aim of this study was to determine the seroprevalence and affecting factors of Hepatitis B surface antigen (HbsAg), hepatitis C virus antibody (anti-HCV), anti human immunodeficiency virus (anti-HIV), and VDRL in blood donors in Mersin. Materials and methods: This was a retrospective, descriptive study. All blood centers in Mersin were included in the study. The medical records of 30,716 blood donors were evaluated. The data were analyzed using descriptive analysis, linear-by-linear association test, and the Pearson chi-square significance test. Results: Of the donors, 691 (2.2%) had positive HbsAg, 125 (0.4%) had positive anti-HCV, and 46 (0.1%) had positive VDRL …
The Paraoxonase 1 (Pon1) Gene Polymorphisms In Coronary Artery Disease In The Southeastern Turkish Population, Abdussemet Hazar, Fuat Di̇lmeç, Mustafa Göz, Aydemi̇r Koçarslan, Mehmet Sali̇h Aydin, Abbas Heval Demi̇rkol
The Paraoxonase 1 (Pon1) Gene Polymorphisms In Coronary Artery Disease In The Southeastern Turkish Population, Abdussemet Hazar, Fuat Di̇lmeç, Mustafa Göz, Aydemi̇r Koçarslan, Mehmet Sali̇h Aydin, Abbas Heval Demi̇rkol
Turkish Journal of Medical Sciences
To investigate the association between the paraoxonase 1 (PON1) c.163T>A and c.575A>G polymorphisms and coronary artery disease (CAD), and whether specific polymorphisms in the PON1 gene are associated with CAD in the southeastern Turkish population. Many different genetic and clinical factors have been identified as causes or contributors to atherosclerosis. Complex diseases such as CAD, hypertension, and diabetes are usually caused by an individual’s susceptibility to various genes, environmental factors, and the interactions between them. The PON1 enzyme has been implicated in the pathogenesis of atherosclerosis and CAD. Materials and methods: Enrolled in this study were 61 patients …
Risk Factors For Smoking Behavior Among University Students, Sevgi̇ Yurt Öncel, Ömer Lütfi̇ Gebi̇zli̇oğlu, Fazi̇l Ali̇ev Ali̇oğlu
Risk Factors For Smoking Behavior Among University Students, Sevgi̇ Yurt Öncel, Ömer Lütfi̇ Gebi̇zli̇oğlu, Fazi̇l Ali̇ev Ali̇oğlu
Turkish Journal of Medical Sciences
To identify factors associated with increased smoking risks among Kırıkkale University students using a questionnaire. Smoking is a widespread habit in Turkey and a major public health problem in the world. Materials and methods: We assessed 1734 (11.6% of 15,000 total) students (869 males and 866 females, both smokers and nonsmokers) at Kırıkkale University with the questionnaire, which included questions about age, gender, smoking status of student, smoking status and education levels of parents, income, daily sports activities, smoking history (age when started or quit smoking, daily average number of cigarettes smoked, attempts to quit smoking, the reasons for starting …
A Pattern Of Lymphadenopathies Seen In A Tertiary Care Hospital In Lahore, Pakistan, Sobia Naseem, Saira Bilal, Maham Akhlaq, Nausheen Henna, Waqas Sami, Abdul Nagi, Muhammad Ashraf
A Pattern Of Lymphadenopathies Seen In A Tertiary Care Hospital In Lahore, Pakistan, Sobia Naseem, Saira Bilal, Maham Akhlaq, Nausheen Henna, Waqas Sami, Abdul Nagi, Muhammad Ashraf
Turkish Journal of Medical Sciences
This cross sectional study was conducted to assess various clinicopathological parameters in 1785 patients from various regions of Punjab. Materials and methods: These cases were collected from Gulab Devi Chest Hospital, Lahore, Pakistan. The data were collected from all patients during a period of 2 years, from June 2006 to June 2008. All the cases were diagnosed after routine hematoxylin and eosin staining. Results: Our observations revealed that the most prevalent lymphadenopathy in these patients was tuberculous lymphadenitis 53% (n = 946), and the most common group of lymph nodes involved is cervical lymph nodes. A significant association was observed …
Metabolic Profile And Insulin Resistance In Patients With Obstructive Sleep Apnea Syndrome, Mustafa Şahi̇n, Berri̇n Berçi̇k İnal, Şahi̇n Öğreden, Özgür Yi̇ği̇t, Hale Aral, Güvenç Güvenen
Metabolic Profile And Insulin Resistance In Patients With Obstructive Sleep Apnea Syndrome, Mustafa Şahi̇n, Berri̇n Berçi̇k İnal, Şahi̇n Öğreden, Özgür Yi̇ği̇t, Hale Aral, Güvenç Güvenen
Turkish Journal of Medical Sciences
The following metabolic parameters were assessed in patients with obstructive sleep apnea syndrome (OSAS) diagnosed by polysomnography (PSG): leptin, IFG (ımpaired fasting glucose), thyroid functions, thyroid autoantibodies, lipid parameters, insulin levels, HOMA-IR index, CRP, obesity, and metabolic syndrome frequency. Materials and methods: Three patient groups were defined based on apnea-hypoapnea index (AHI) levels (Group I: n: 11 male (M)/19 female (F); Group II: n: 19 M/10 F; Group III: n: 21 M/10 F) and 2 control groups (obese (n = 18 M/12 F) and normal (n = 12 M/18 F)) were included with comparable BMI value and age. Results: The …
Aids Knowledge And Risky Sexual Behaviors Among Registered Female Sex Workers In Turkey, Tüli̇n Bedük, Hayri̇ye Ünlü, Veli̇ Duyan
Aids Knowledge And Risky Sexual Behaviors Among Registered Female Sex Workers In Turkey, Tüli̇n Bedük, Hayri̇ye Ünlü, Veli̇ Duyan
Turkish Journal of Medical Sciences
To evaluate AIDS knowledge and risky sexual behaviors of registered female sex workers during their obligatory periodic examination in the Department of Dermatology and Sexually Transmitted Diseases, Ankara Metropolitan Municipality Hospital. Materials and methods: A questionnaire composed of items on socio-demographic features and knowledge levels on HIV/AIDS, its transmission routes, and risky sexual behaviors was administered via face to face interviews. Results: One hundred four sex workers were included in the study. Higher educated ones had more knowledge on AIDS, its transmission routes, and risky behaviors (P >= 0.05, P Keywords: Commercial sex workers, HIV/AIDS transmission, risky sexual behavior
Endoscopic Retrograde Cholangiopancreatography (Ercp): Outcomes Of 3136 Cases Over 10 Years, Sabri̇ Selçuk Atamanalp, Mehmet İlhan Yildirgan, Abdulmeci̇t Kantarci
Endoscopic Retrograde Cholangiopancreatography (Ercp): Outcomes Of 3136 Cases Over 10 Years, Sabri̇ Selçuk Atamanalp, Mehmet İlhan Yildirgan, Abdulmeci̇t Kantarci
Turkish Journal of Medical Sciences
Endoscopic retrograde cholangiopancreatography (ERCP) has an important place in the diagnosis and treatment of hepatobiliary and pancreatic diseases. This study discusses the outcomes of 3664 ERCPs in 3136 patients over the course of 10 years. Materials and methods: The records of 3664 ERCPs of 3136 patients, performed between January 2000 and January 2010, were retrospectively evaluated. Results: The age range was 4-94 years (mean: 55.1 years), and 1816 patients (57.9%) were female. The most common indication was the presence of obstructive jaundice and/or a high serum bilirubin level (2289 patients, 73.0%). The average ERCP duration was 16.5 min (range: 5-45 …
Comparison Of The Open Primary Repair With Augmentation And Without Augmentation In Acute Achilles Tendon Rupture, Durmuş Ali̇ Öçgüder, Meti̇n Doğan, Süleyman Bülent Bektaşer, Erkan Akgün, Tolga Tolunay, Mahmut Uğurlu
Comparison Of The Open Primary Repair With Augmentation And Without Augmentation In Acute Achilles Tendon Rupture, Durmuş Ali̇ Öçgüder, Meti̇n Doğan, Süleyman Bülent Bektaşer, Erkan Akgün, Tolga Tolunay, Mahmut Uğurlu
Turkish Journal of Medical Sciences
To compare the clinical and the functional efficiency of 2 surgical methods that are used in open primary repair of acute Achilles tendon ruptures: one that utilizes the augmentation of the plantaris tendon and one that does not. Materials and methods: Data were evaluated from 41 patients that underwent surgical repair for acute Achilles tendon ruptures with these 2 different surgery methods. In the first group, which included 21 patients (19 male, 2 female; mean age: 36.8 years; age range: 22 to 49), we performed augmentation with the plantaris tendon after an end-to-end primary repair with a modified Kessler technique. …
The Need For Antibiotic Prophylaxis Before Urodynamic Studies, Adnan Şi̇mşi̇r, Rashad Mammadov, Fuat Kizilay, Mehmet Ceyhun Özyurt
The Need For Antibiotic Prophylaxis Before Urodynamic Studies, Adnan Şi̇mşi̇r, Rashad Mammadov, Fuat Kizilay, Mehmet Ceyhun Özyurt
Turkish Journal of Medical Sciences
The use of antibiotic prophylaxis before urodynamic studies (US) is not recommended routinely. We investigated the factors that would enable us to predict bacteriuria that is likely to develop after US, and that make us consider the need for prophylaxis. Materials and methods: One hundred and four patients who would undergo US with a suspicion of lower urinary tract dysfunction were enrolled in the present study and followed up prospectively. The relationship between bacteriuria and several parameters, such as gender, age, body mass index, glomerular filtration rates, systemic diseases, urinary flow rates, residual urine volume, the type of process performed, …
The Seroprevalence Of Anaplasma Phagocytophilum In Humans From Two Different Climatic Regions Of Turkey And Its Co-Seroprevalence Rate With Borrelia Burgdorferi*, Turabi̇ Güneş, Ömer Poyraz, Mehmet Ataş, Nergi̇z Hacer Turgut
The Seroprevalence Of Anaplasma Phagocytophilum In Humans From Two Different Climatic Regions Of Turkey And Its Co-Seroprevalence Rate With Borrelia Burgdorferi*, Turabi̇ Güneş, Ömer Poyraz, Mehmet Ataş, Nergi̇z Hacer Turgut
Turkish Journal of Medical Sciences
To investigate the seroprevalence of Anaplasma phagocytophilum in people living in 2 different climatic regions and to evaluate the co-seroprevalence rate of A. phagocytophilum with Borrelia burgdorferi. Sinop and Tokat provinces, both in the middle Black Sea region of Turkey, have distinct climatic features. Materials and methods: In 2006-2007, serum samples were collected from people living in rural areas of Tokat and Sivas, and anti-A. phagocytophilum IgG antibodies were explored by the IFA method. Positive samples were further investigated for the possible presence of B. burgdorferi IgG antibodies. Results: A. phagocytophilum seropositivity was found in 29 (10.62%) out of 273 …
Some Ethical Reflections On Weight-Loss Diets, Hakan Erti̇n, Bülent Özaltay
Some Ethical Reflections On Weight-Loss Diets, Hakan Erti̇n, Bülent Özaltay
Turkish Journal of Medical Sciences
To assess how weight-loss diets tend to move away from the authority of conventional medicine and become a field of abuse. Endocrinologists and specialists on metabolic diseases are rarely called upon to speak about obesity, whereas physicians from unrelated fields or nonphysicians frequently appear in the media. Materials and methods: The literature related with the field was reviewed and interpreted from an ethical perspective. Results: It is presented medically doubtful solutions via television and the internet. Several weight-loss drugs are introduced to the market without adequate controls and then have to be withdrawn after having caused serious damage to the …
Assessment Of The Left Atrial Longitudinal Myocardial Function By Assessment Of The Left Atrial Longitudinal Myocardial Function By The Strain And Strain Rate Echocardiography In Patients With Rheumatic Mitral Stenosis*, Enbi̇ya Aksakal, Serdar Sevi̇mli̇, Hanefi̇ Yekta Gürlertop, Mehmet Ali̇ Elbey, Muhammed Hakan Taş, Fuat Gündoğdu, Mustafa Kemal Erol, Şule Karakelleoğlu
Assessment Of The Left Atrial Longitudinal Myocardial Function By Assessment Of The Left Atrial Longitudinal Myocardial Function By The Strain And Strain Rate Echocardiography In Patients With Rheumatic Mitral Stenosis*, Enbi̇ya Aksakal, Serdar Sevi̇mli̇, Hanefi̇ Yekta Gürlertop, Mehmet Ali̇ Elbey, Muhammed Hakan Taş, Fuat Gündoğdu, Mustafa Kemal Erol, Şule Karakelleoğlu
Turkish Journal of Medical Sciences
To evaluate the regional left atrial (LA) myocardial functions and time to peak deformations by the longitudinal strain (S) and strain rate (Sr) echocardiography in isolated mitral stenosis (MS) patients for 3 LA periods (contractile, reservoir, and conduit periods). Materials and methods: Included in the study were 30 MS patients and 30 healthy controls. Longitudinal peak S and Sr indices, time to peak S and time to peak Sr, and systolic and diastolic velocities were measured from the color Doppler myocardial imaging data, for each LA period. Results: For all 3 periods, all of the segment S values and most …
Neurological Presentations Of Nutritional Vitamin B12 Deficiency In 42 Breastfed Infants In Southeast Turkey, Mustafa Taşkesen, Ahmet Yaramiş, Selahatti̇n Katar, Ayfer Gözü Pi̇ri̇nççi̇oğlu, Murat Söker
Neurological Presentations Of Nutritional Vitamin B12 Deficiency In 42 Breastfed Infants In Southeast Turkey, Mustafa Taşkesen, Ahmet Yaramiş, Selahatti̇n Katar, Ayfer Gözü Pi̇ri̇nççi̇oğlu, Murat Söker
Turkish Journal of Medical Sciences
Nutritional vitamin B12 deficiency is common in developing and underdeveloped countries and has a wide variety of neurological presentations. The aim of this study was to evaluate the neurological characteristics and laboratory results of infants with vitamin B12 deficiency. Materials and methods: A total of 42 infants were included in this study. All patients were evaluated for clinical, physical, and neurological abnormalities, and an attempt was made to obtain short-term neurologic follow-up. Results: Of 42 patients, 24 (57%) were boys and 18 (43%) were girls. The average age at diagnosis was 13.04 ± 5.68 months. Most of these infants were …
Which Predicts The Cardiovascular Risk Best In Elderly Metabolic Syndrome Patients: Atp Iii Or Idf?, Serpi̇l Aydin, Ayfer Gemalmaz, Tufan Nayi̇r, Şule Özkan
Which Predicts The Cardiovascular Risk Best In Elderly Metabolic Syndrome Patients: Atp Iii Or Idf?, Serpi̇l Aydin, Ayfer Gemalmaz, Tufan Nayi̇r, Şule Özkan
Turkish Journal of Medical Sciences
As metabolic syndrome (MetS) is one of the major determinants of cardiovascular disease, it is important to detect and intervene with MetS in order to minimize cardiovascular risk. The objectives of this study were to identify the prevalence of MetS in our elderly patients and to evaluate the ability IDF and ATP III to predict the cardiovascular risk. Materials and methods: This cross-sectional study included patients above 65 years attending the outpatient clinic of a hospital over a 4-year period and who gave oral informed consent for participation in the study. ATP III and IDF criteria were compared according to …
Obesity In Children And Adolescents And Its Relationship With Hypertension, Dr Vijayanath Itagi, Ramesh Patil
Obesity In Children And Adolescents And Its Relationship With Hypertension, Dr Vijayanath Itagi, Ramesh Patil
Turkish Journal of Medical Sciences
It is difficult to project the prevalence of obesity and overweight among children in India since there is no nationally representative data from India. We determined the time trends in childhood obesity in a representative sample of schoolchildren from Raichur District, Karnataka and investigated the relationship of obesity with blood pressure. Materials and methods: We used a stratified random cluster sampling method to select the children. Anthropometric data were collected from 23,842 students, 5-16 years of age, during 2005-06. Blood pressure and anthropometric data were collected from 19,263 students during 2007-08. Overweight and obesity were defined by body mass index …
Atypical Acute Urticaria In Children And Its Relationship With Urticarial Vasculitis, Zafer Arslan, Serap Özmen, Sara Sürmeli̇, Ni̇lüfer Arda
Atypical Acute Urticaria In Children And Its Relationship With Urticarial Vasculitis, Zafer Arslan, Serap Özmen, Sara Sürmeli̇, Ni̇lüfer Arda
Turkish Journal of Medical Sciences
In childhood, urticarial lesions are sometimes associated with purpura. This form might be identified as atypical, and may also be related to urticarial vasculitis (UV). The aim of this study was to assess the clinicopathologic characteristics of UV in children with atypical urticaria. Materials and methods: Fifteen children with atypical urticaria were evaluated with medical history, physical examination, and laboratory and skin punch biopsy findings. Results: Infections were detected as possible precipitating factor in 12 patients. Complement levels were normal in all. On histological examination, 6 patients (40%) had neutrophil-predominant infiltrate and 9 (60%) patients had lymphocyte-predominant infiltrate. All the …
The Short Term Effect Of The Law Prohibiting Smoking In Enclosed Areas Upon The Smoking Conditions Of Employees In Kayseri, Turkey, Ahmet Öztürk, Serpi̇l Poyrazoğlu, Şule Şarli
The Short Term Effect Of The Law Prohibiting Smoking In Enclosed Areas Upon The Smoking Conditions Of Employees In Kayseri, Turkey, Ahmet Öztürk, Serpi̇l Poyrazoğlu, Şule Şarli
Turkish Journal of Medical Sciences
A law prohibiting smoking in the enclosed areas of public and private workplaces was put into effect in Turkey on 19 May 2008. The objective of this study was to evaluate the effect of this law upon the smoking habits of the employees in this short period of 3 months. Materials and methods: This study was performed in Kayseri, in 3 public and 3 private workplaces, comprising 868 employees. A questionnaire was filled out, face-to-face, in the second week of August. Results: The ratio of the people supporting this smoke-free law was 68.7%. Among the employees who were smoking when …
The Cytomorphological Analysis Of Buccal Mucosa Cells In Smokers, Mustafa Göregen, Hayati̇ Murat Akgül, Cemal Gündoğdu
The Cytomorphological Analysis Of Buccal Mucosa Cells In Smokers, Mustafa Göregen, Hayati̇ Murat Akgül, Cemal Gündoğdu
Turkish Journal of Medical Sciences
To examine the effect of smoking on normal buccal mucosa cytomorphologically. Materials and methods: Forty individuals aged between 40 and 60, comprising 23 smokers (14 male, 9 female) and 17 and non-smokers (10 male, 7 female), were included in the study. The buccal epithelial cells of these individuals were collected with a brush and the cells were measured cytomorphometrically using software. Results: The average nuclear area (NA), nuclear perimeter (NP), minimal nuclear diameter (D-min), and maximal nuclear diameter (D-max) were 46.00 ± 11.31, 28.18 ± 2.43, 6.18 ± 0.88, and 10.00 ± 0.94, respectively, in the control group, and 53.61 …
Suicide Attempts With Amitriptyline In Adults: A Prospective, Demographic, Clinical Study, Şahi̇n Aslan, Mücahi̇t Emet, Zeynep Çakir, Ayhan Aköz, Sultan Tuna Akgöl Gür
Suicide Attempts With Amitriptyline In Adults: A Prospective, Demographic, Clinical Study, Şahi̇n Aslan, Mücahi̇t Emet, Zeynep Çakir, Ayhan Aköz, Sultan Tuna Akgöl Gür
Turkish Journal of Medical Sciences
There are several studies on tricyclic antidepressant (TCA) intoxication in the literature; however, there is no specific study on amitriptyline, a specific TCA, intoxication. Materials and methods: Forty adult patients who had been admitted to the emergency department due to suicide attempts with amitriptyline were included. Medical and social histories of the patients were obtained. The estimated amount of amitriptyline ingested was determined. The psychiatric support and psychiatric diagnosis were all recorded. All patients were contacted by phone 6 months later. Results: Main reason of suicidal attempt was family problems. The stated amount of ingested amitriptyline by the patient or …
Anthropometric Measurements And Body Composition Analysis Of Obese Adolescents With And Without Metabolic Syndrome, Deni̇z Nazi̇re Çağdaş Ayvaz, Fatma Ni̇şanci Kilinç, Feyza Ayşenur Paç, Erman Çakal
Anthropometric Measurements And Body Composition Analysis Of Obese Adolescents With And Without Metabolic Syndrome, Deni̇z Nazi̇re Çağdaş Ayvaz, Fatma Ni̇şanci Kilinç, Feyza Ayşenur Paç, Erman Çakal
Turkish Journal of Medical Sciences
Obesity and risk of metabolic syndrome (MS) are rapidly increasing in children. Therefore, criteria for MS were aimed to be evaluated in obese children (OC). Materials and methods: Anthropometric indices and body composition (bioimpedance) analysis (BIA) were compared in 32 obese and 32 normal-weight children. Biochemical parameters were evaluated in OC. Results of OC with/without MS were compared. Results: Subscapular skinfold thickness (SST) was more sensitive and specific than triceps skinfold thickness in the diagnosis of obesity. According to BIA basal metabolism rate, fat mass (FM), FM%, and FM index were higher, while impedance, FFM%, fat-free-mass (FFM) index, and total-body-water% …
Evaluation Of Health-Related Quality Of Life Of Women Living In A City Center In The East Of Turkey, Nüket Paksoy Erbaydar, Nazmi̇ Bi̇li̇r, Lütfi̇ye Hi̇lal Özcebe, Songül Vai̇zoğlu, Di̇lek Aslan
Evaluation Of Health-Related Quality Of Life Of Women Living In A City Center In The East Of Turkey, Nüket Paksoy Erbaydar, Nazmi̇ Bi̇li̇r, Lütfi̇ye Hi̇lal Özcebe, Songül Vai̇zoğlu, Di̇lek Aslan
Turkish Journal of Medical Sciences
To evaluate the health-related quality of life of women living in Van city center by SF-36 and its association with the women's characteristics. Materials and methods: The women (n = 1527) answered a questionnaire through a face-to-face interview, and some measurements were made. The variations of physical component score (PCS) and mental component score (MCS) of SF-36 were investigated by non-parametric tests, and by linear regression analysis. Results: The percentage of early marriages among married women was 55.6. Number of pregnancies per married woman was 4.5 ± 2.8, the lowest mean in vitality (44.0 ± 20.6) and the highest mean …
Distribution Of Coronary Artery Risk Factors: A Regional Analysis, Mehmet Bostan, Ömer Şatiroğlu, Hüseyi̇n Avni̇ Uydu, Yüksel Çi̇çek, Aytun Çanga, Zaki̇r Karadağ, Ahmet Temi̇z, Yavuz Uğurlu, Mehtap Atak, Engi̇n Bozkurt
Distribution Of Coronary Artery Risk Factors: A Regional Analysis, Mehmet Bostan, Ömer Şatiroğlu, Hüseyi̇n Avni̇ Uydu, Yüksel Çi̇çek, Aytun Çanga, Zaki̇r Karadağ, Ahmet Temi̇z, Yavuz Uğurlu, Mehtap Atak, Engi̇n Bozkurt
Turkish Journal of Medical Sciences
To analyze the frequency and distribution of coronary artery risk factors in the city of Rize and its surrounding areas. Materials and methods: This observational study included 452 patients (333 men, 119 women). In addition to demographic characteristics of the patients, conventional risk factors were also recorded. The patients were grouped according to their ages, gender, and electrocardiographic characteristics. Results: The mean age of participants was 63 ± 13 years and 74% were male. Smoking and hypertension (HT) were seen more often (71%) in younger male patients. No difference among age groups was detected with regard to the occurrence of …
The Causes Of Deaths In An Industry-Dense Area: Example Of Dilovası (Kocaeli)*, Onur Hamzaoğlu, Ni̇lay Eti̇ler, Cavi̇t Işik Yavuz, Çi̇ğdem Çağlayan
The Causes Of Deaths In An Industry-Dense Area: Example Of Dilovası (Kocaeli)*, Onur Hamzaoğlu, Ni̇lay Eti̇ler, Cavi̇t Işik Yavuz, Çi̇ğdem Çağlayan
Turkish Journal of Medical Sciences
Chemical pollutants caused by the industry have changed both mortality rates and morbidity patterns causing new illnesses over the last few decades. This study aimed to determine the causes and characteristics of deaths related to cancer in 2004 in Dilovası, Kocaeli, which was mainly used as a production, storage, and transfer area for a variety of industries, such as chemical, metal and metal products, energy, and machinery. Materials and methods: In this cross-sectional study, death records of 8 different registry/record screenings belonging to 4 public institutions in Dilovası in 2004 were investigated. The study population included deaths in 2004 and …
Nitrous Oxide Anesthesia In Children For Mri: A Comparison With Isoflurane And Halothane, Mehmet Emi̇n Orhan, Ferruh Bi̇lgi̇n, Oğuz Kiliçkaya, Abdulkadi̇r Atim, Ercan Kurt
Nitrous Oxide Anesthesia In Children For Mri: A Comparison With Isoflurane And Halothane, Mehmet Emi̇n Orhan, Ferruh Bi̇lgi̇n, Oğuz Kiliçkaya, Abdulkadi̇r Atim, Ercan Kurt
Turkish Journal of Medical Sciences
To compare the anesthetic effects of nitrous oxide, isoflurane, and halothane on hemodynamic stability and recovery characteristics in pediatric patients during magnetic resonance imaging (MRI). Materials and methods: The present study includes 60 ASA I-II children aged 1-12 years undergoing MRI. After endotracheal intubation, patients were randomly assigned into 1 of 3 anesthetic groups. Group N (n = 20) received nitrous oxide and oxygen (N_2O:O_2 60:40), Group I (n = 20) received 0.5% isoflurane and oxygen, Group H (n = 20) received 0.5% halothane and oxygen to maintain anesthesia. At the completion of the procedure, inhalation anesthetic was discontinued. Extubation, …
Effects Of Different Propofol Injection Speeds On Blood Pressure, Dose, And Time Of Induction, Şennur Uzun, Burcu Akbay Özkaya, Ömer Savaş Yilbaş, Banu Ayhan, Altan Şahi̇n, Ülkü Aypar
Effects Of Different Propofol Injection Speeds On Blood Pressure, Dose, And Time Of Induction, Şennur Uzun, Burcu Akbay Özkaya, Ömer Savaş Yilbaş, Banu Ayhan, Altan Şahi̇n, Ülkü Aypar
Turkish Journal of Medical Sciences
Blood concentration of propofol depends on many factors, such as age, gender, body weight, dose, infusion rate, and cardiac output. This study primarily investigated the effect of infusion rate on blood pressure changes. Secondarily induction time and induction dose were studied. Materials and methods: Propofol was administered at 200 (P200), 300 (P300), or 400 mL h-1 (P400) until loss of consciousness using bispectral index (BIS) monitoring in 72 adult patients. Change in blood pressure, induction time, and dose of propofol were compared among 3 groups. Results: The decreases in systolic and mean arterial pressure were statistically significant in the P200 …