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Aile Hekimliği ve Palyatif Bakım, 2016
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Minerva pediatrica, 2017
The aim of this study was to determine the effect of socio-demographic factors and anthropometric... more The aim of this study was to determine the effect of socio-demographic factors and anthropometric measurements on 2/4 digit ratio in the school aged children. This cross-sectional study was completed in primary and secondary schools in the city center of Canakkale, Turkey. The students were seated at a table by the responsible doctor, and were asked to extend the palm of the right and left hand in the schools. Using a Vernier Caliper the 2/4 fingers were measured from the palm twice, and the results were noted together with socio-demographic information. Weight, length, waist and hip measurements were taken while students were behind a folding screen. A total of 1860 students from 5-14 years were included in the study. The right hand 2/4 digit ratio was 0.9765±0.035 and the left hand ratio was 0.9716±0.036 for girls. For the boys the ratios were 0.9688±0.035 for right hand and 0.9653±0.033 for left hand. The digit ratios of girls were significantly higher than boys and the right han...
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Aile Hekimliği ve Palyatif Bakım, 2016
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Pakistan Journal of Medical Sciences, 2016
The present study aimed to assess the prevalence of decreased visual acuity, strabismus, and spec... more The present study aimed to assess the prevalence of decreased visual acuity, strabismus, and spectacle wear in children aged 5 to 13 years. A cross-sectional study was performed in primary education schools. A total of 1938 participants, including 940 females (48.5%) and 998 males (51.5%) with a mean age 8.96 ± 2.31 (5-13 years old), were screened. The comparisons were performed with gender, age, and age groups. The children attended to vision screening were assigned to three age groups as 5-6 years, 7-9 years, and 10-13 years. The prevalence of the parameters was detected as decreased visual acuity 12.4%, strabismus 2.2%, and spectacle wear 6.9%. The prevalence of decreased visual acuity was significantly higher in girls and in children aged 7-9 years old (p = 0.013, p < 0.001). The prevalence of spectacle wear was significantly higher in girls and in children aged 7-9 years old (p = 0.019, p < 0.001). There was a visual acuity decrease in 33 of 106 (31.1%) children despite wearing own spectacle. There was no significant difference among three age groups for strabismus. Increased prevalence of decreased visual acuity, as well as the higher frequency of spectacle wear in children at ages of 7-9 years old may point out a threshold for visual impairment.
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Aile Hekimliği ve Palyatif Bakım, 2016
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Ankara Medical Journal, 2012
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Ankara Medical Journal, 2012
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Advances in Dermatology and Allergology, 2016
Skin lesions may be of dermatological importance, affect appearance, and cause problems communica... more Skin lesions may be of dermatological importance, affect appearance, and cause problems communicating with peers and may be especially more significant in childhood. Information on the prevalence of pediatric dermatoses in Western Turkey. This study was aimed to define the existing data. A cross-sectional study was conducted in Canakkale, Turkey, in September-December 2013. It involved 1,957 students from five randomly selected primary and secondary schools. Each student was interviewed for age, gender, and family history, and a dermatologic examination was performed by a dermatologist. Data were coded and analyzed. Of the students, 79.9% revealed at least one dermatosis. The most common disease was benign neoplasms (76%), followed by pigmentary disorders (26.8%), and xerosis (5.8%). In primary schools, the acquired melanocytic nevus, hypopigmented macule, and xerosis; in secondary school the acne was statistically significantly more common. Acne and xerosis was more common in girls, and pityriasis alba was statistically more common in boys. Students who had at least one dermatosis were positively correlated with monthly income. In Turkish school age children, the prevalence of dermatosis is 79.9%. It may be due to not using preventive means for adequate protection from the sun and other environmental factors. Infectious dermatosis and atopic dermatitis are rare and it may depend on the adequacy of public health work.
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Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2016
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Cornea, 2016
To investigate the antiapoptotic effect of topically administered azithromycin (AZM) on corneal e... more To investigate the antiapoptotic effect of topically administered azithromycin (AZM) on corneal epithelial and endothelial cells in a rat model of corneal alkali burn. Twenty-four Wistar albino rats were divided into 4 equal groups as pseudovehicle (group 1), control (group 2), alkali burned (group 3), and treatment (group 4) groups. Alkali injury was induced only in the right corneas of rats belonging to groups 3 and 4 using 1N NaOH. The rats in group 3 and the rats in group 4 were respectively treated either with an artificial tear gel or with 1.5% AZM eye drops for 5 days. At the fifth day of the experiment, the apoptosis in the corneal epithelium and endothelium of all rats was assessed using a terminal dUTP nick-end labeling (TUNEL) assay. In addition, tumor necrosis factor-alpha (TNF-α) density in the corneal epithelium was measured in all rats. The mean numbers of TUNEL+ cells in the corneal epithelium and endothelium of rats in group 3 were 117.1 ± 23.8 and 34.6.± 11.3, respectively, whereas in group 4, they were 75.8 ± 15.7 and 14.7 ± 3.5, respectively. Also the mean TNF-α densities in the corneal epithelium in group 3 and group 4 were 2.65 ± 1.3 and 1.65 ± 1.1, respectively. There was a significant decrease in the mean number of TUNEL+ cells in the corneal epithelium and endothelium and in the mean TNF-α density in the corneal epithelium of rats in group 4, when compared with group 3. Topically applied AZM can decrease TNF-α-induced apoptosis in corneal alkali burn.
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Drug Safety - Case Reports, 2015
Drugs represent one of the etiologic causes of acute rhabdomyolysis (AR) with drug-induced rhabdo... more Drugs represent one of the etiologic causes of acute rhabdomyolysis (AR) with drug-induced rhabdomyolysis most commonly associated with HMG-CoA reductase inhibitors. AR etiology can also result from the use of diclofenac, a non-steroidal anti-inflammatory drug, and omeprazole, a proton pump inhibitor. Cases of AR triggered by pantoprazole have never before been reported, although it has been observed that its inclusion in multiple drug therapies can result in muscle events. A 45-year-old man presenting with complaints of fatigue and extensive body pain was diagnosed with acute rhabdomyolysis. His symptoms started on the fourth day of the concomitant use of diclofenac and pantoprazole. The patient was using diclofenac 50-mg tablets once daily for 1 month and pantoprazole 40-mg tablets once daily during the previous week for headaches and pyrosis, resulting in an increase in his creatinine kinase levels to 3114 IU/L (reference range 24-190 IU/L) on the fifth day of concomitant use. His creatinine kinase levels returned to normal and his complaints disappeared after the seventh day of discontinuation of both treatments. A third case of diclofenac-induced rhabdomyolysis was defined in which, different from previous cases, AR was detected during the concomitant use of diclofenac and pantoprazole. The timing of the symptom development and the limited number of AR cases induced by diclofenac and pantoprazole suggested a drug interaction. The close relationship between diclofenac and pantoprazole, and the cytochrome P450 and P-glycoprotein systems offers a strong indication that a drug interaction may be occurring. While evaluating the side effects of drugs in patients undergoing monotherapy, clinicians should also consider the mechanisms that play a part in drug absorption and distribution.
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Turkiye Aile Hekimligi Dergisi, 2013
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Introduction: Peripartum cardiomyopathy (PKM) is a form of congestive heart failure that results ... more Introduction: Peripartum cardiomyopathy (PKM) is a form of congestive heart failure that results from an enlarging of the heart and a weakening of the heart muscle in the last month of pregnancy and in the first five months of the postnatal period. Major risk factors include pregnancy at >30 years of age, multiparity, chronic hypertension and eclampsia. Patients suffering from PKM generally present with symptoms akin to heart failure, and the condition can be considered normal during the late period of pregnancy. A diagnosis of PKM can be made from anamnesis, a physical examination and echocardiography.
Case Presentation: A 34-year old female patient, visiting the family medicine polyclinic for vaccinations of her 1-month-old infant, was noted to be suffering from shortness of breath, palpitations and coughing. There was no medical history of any disease or medication before or during the pregnancy. The patient’s blood pressure was 120/70 mmHg and her pulse was rhythmic at 122/min. There was no cardiac murmur, rales were present in both pulmonary bases and the results of an abdominal examination were normal. Pitting edemas were observed in both lower extremities, and a further anamnesis revealed that the patient’s palpitations had begun two weeks prior to the birth, and had increased in the first postpartum week. The patient was transferred to a cardiologist due to concerns of heart failure and a pulmonary embolism, and was then admitted to the intensive care unit for treatment with a diagnosis of acute decompensated heart failure.
Conclusion: Given the higher incidence of disease in mothers >30 years, and the advanced average age of maternity in the present day, the odds of encountering PKM in the primary care is increasing. Family physicians can overcome this low-prevalence of the disease by investigating risk factors, following-up symptoms and consulting experts.
Keywords: Family physicians, pregnancy, cardiomyopathies, peripartum period, postpartum period
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Introduction: In this study, we aimed to determine the most common pathologies by examining the e... more Introduction: In this study, we aimed to determine the most common pathologies by examining the ear, nose and throat (ENT) of school-aged population and the relation with the associated factors.
Methods: A cross-sectional study was conducted between September-December 2013 at the primary and secondary schools in the city center of Çanakkale. A questionnaire was applied with the students’ and parents’ disease history and their habits. Ear, nose and throat examination was performed and noted to the examination form.
Results: A total of 1938 students were enrolled in the study. 1369 students (70.6%) were in primary schools, 569 (29.4%) were in secondary schools. Mean age of the students was 8.6 ± 2.3 years. The prevalence of tonsillar hypertrophy was 25.2%, prominent ear 14.8%, otitis media 3.3%, anterior nasal deviation 10.4% respectively. Prominent ear were found more frequent in male children than female children (p<0,001). There were no significant differences between children according to gender and the level of classes with having at least one ear-nose-throat pathology (p>0.05).
Conclusion: Tonsillar hypertrophy, anterior nasal deviation, and otitis media were the most common pathologies in the school aged children respectively. The students’ and the parents’ medical histories and the parents’ habits were not risk factors for having at least one ear-nose-throat pathology.
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Family Practice and Palliative Care
Original Research
1- 4. Weight change and associated factors in Atatürk University Faculty of Med... more Original Research
1- 4. Weight change and associated factors in Atatürk University Faculty of Medicine employees
5 - 11. Evaluation of lower extremity perfusion in organ scintigraphy in patients who are planned for amputation
12 - 17. Health knowledge of medical students about family planning and sexually transmitted diseases
Case Report
18 - 21. Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain
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Case Presentation: A 34-year old female patient, visiting the family medicine polyclinic for vaccinations of her 1-month-old infant, was noted to be suffering from shortness of breath, palpitations and coughing. There was no medical history of any disease or medication before or during the pregnancy. The patient’s blood pressure was 120/70 mmHg and her pulse was rhythmic at 122/min. There was no cardiac murmur, rales were present in both pulmonary bases and the results of an abdominal examination were normal. Pitting edemas were observed in both lower extremities, and a further anamnesis revealed that the patient’s palpitations had begun two weeks prior to the birth, and had increased in the first postpartum week. The patient was transferred to a cardiologist due to concerns of heart failure and a pulmonary embolism, and was then admitted to the intensive care unit for treatment with a diagnosis of acute decompensated heart failure.
Conclusion: Given the higher incidence of disease in mothers >30 years, and the advanced average age of maternity in the present day, the odds of encountering PKM in the primary care is increasing. Family physicians can overcome this low-prevalence of the disease by investigating risk factors, following-up symptoms and consulting experts.
Keywords: Family physicians, pregnancy, cardiomyopathies, peripartum period, postpartum period
Methods: A cross-sectional study was conducted between September-December 2013 at the primary and secondary schools in the city center of Çanakkale. A questionnaire was applied with the students’ and parents’ disease history and their habits. Ear, nose and throat examination was performed and noted to the examination form.
Results: A total of 1938 students were enrolled in the study. 1369 students (70.6%) were in primary schools, 569 (29.4%) were in secondary schools. Mean age of the students was 8.6 ± 2.3 years. The prevalence of tonsillar hypertrophy was 25.2%, prominent ear 14.8%, otitis media 3.3%, anterior nasal deviation 10.4% respectively. Prominent ear were found more frequent in male children than female children (p<0,001). There were no significant differences between children according to gender and the level of classes with having at least one ear-nose-throat pathology (p>0.05).
Conclusion: Tonsillar hypertrophy, anterior nasal deviation, and otitis media were the most common pathologies in the school aged children respectively. The students’ and the parents’ medical histories and the parents’ habits were not risk factors for having at least one ear-nose-throat pathology.
Family Practice and Palliative Care
1- 4. Weight change and associated factors in Atatürk University Faculty of Medicine employees
5 - 11. Evaluation of lower extremity perfusion in organ scintigraphy in patients who are planned for amputation
12 - 17. Health knowledge of medical students about family planning and sexually transmitted diseases
Case Report
18 - 21. Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain
Case Presentation: A 34-year old female patient, visiting the family medicine polyclinic for vaccinations of her 1-month-old infant, was noted to be suffering from shortness of breath, palpitations and coughing. There was no medical history of any disease or medication before or during the pregnancy. The patient’s blood pressure was 120/70 mmHg and her pulse was rhythmic at 122/min. There was no cardiac murmur, rales were present in both pulmonary bases and the results of an abdominal examination were normal. Pitting edemas were observed in both lower extremities, and a further anamnesis revealed that the patient’s palpitations had begun two weeks prior to the birth, and had increased in the first postpartum week. The patient was transferred to a cardiologist due to concerns of heart failure and a pulmonary embolism, and was then admitted to the intensive care unit for treatment with a diagnosis of acute decompensated heart failure.
Conclusion: Given the higher incidence of disease in mothers >30 years, and the advanced average age of maternity in the present day, the odds of encountering PKM in the primary care is increasing. Family physicians can overcome this low-prevalence of the disease by investigating risk factors, following-up symptoms and consulting experts.
Keywords: Family physicians, pregnancy, cardiomyopathies, peripartum period, postpartum period
Methods: A cross-sectional study was conducted between September-December 2013 at the primary and secondary schools in the city center of Çanakkale. A questionnaire was applied with the students’ and parents’ disease history and their habits. Ear, nose and throat examination was performed and noted to the examination form.
Results: A total of 1938 students were enrolled in the study. 1369 students (70.6%) were in primary schools, 569 (29.4%) were in secondary schools. Mean age of the students was 8.6 ± 2.3 years. The prevalence of tonsillar hypertrophy was 25.2%, prominent ear 14.8%, otitis media 3.3%, anterior nasal deviation 10.4% respectively. Prominent ear were found more frequent in male children than female children (p<0,001). There were no significant differences between children according to gender and the level of classes with having at least one ear-nose-throat pathology (p>0.05).
Conclusion: Tonsillar hypertrophy, anterior nasal deviation, and otitis media were the most common pathologies in the school aged children respectively. The students’ and the parents’ medical histories and the parents’ habits were not risk factors for having at least one ear-nose-throat pathology.
1- 4. Weight change and associated factors in Atatürk University Faculty of Medicine employees
5 - 11. Evaluation of lower extremity perfusion in organ scintigraphy in patients who are planned for amputation
12 - 17. Health knowledge of medical students about family planning and sexually transmitted diseases
Case Report
18 - 21. Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain