Yazar "Kara I.H." seçeneğine göre listele
Listeleniyor 1 - 16 / 16
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe The analysis of relationship between suicide attempt and the level of serum lipid(2013) Erdem Ö.; Kara I.H.; Ayyildiz O.Objective: In this study, it is aimed to compare the levels of the cases which have drug with the aim of suicide, by right control groups. Method: In this study, the cases which referred to Hospital of Dicle University with drug intoxication have been analyzed. In the study, their lipid; Triglyceride, Total Cholesterol, High Density Lipoprotein Cholesterol and Low Density Lipoprotein Cholesterol level of during first consultation was determined. Results: The lipid levels mean of the group that attempt to suicide were triglyceride 83,7±76,2 mg/dl, total cholesterol 137,5±46.0 mg/dl, HDL-C 38,0±14,0 mg/dl and LDL-C 74,0±39,2 mg/dl. The lipid levels mean of the control group were triglyceride 123,1±51,2 mg/dl, total cholesterol 176,7±48,7 mg/dl, HDL-C 44,0±6,3 mg/dl and LDL-C 107,7±44,4 mg/dl (in return; p=0.020, p=0.001, p=0.040 ve p<0.001). It was determined that there is a negative correlation between attempting to suicide with drug and the level of triglyceride, total cholesterol, HDL-C and LDL-C. Conclusion: As a result, a meaningful correlation has been determined between the levels of triglyceride, cholesterol, and HDL-C and LDL-C and the attempting to suicide.Öğe Association of thalassemia minor and lead intoxication in a patient who applied with hypochromic microcytic anemia(2006) Süner A.; Balakan O.; Kidir V.; Kara I.H.A 39 year old female patient who admitted to Family Medicine Outpatient Clinic of Dicle University Medical Faculty with symptoms of anxiety, fatigue and effort intolerance had a body mass index (BMI) of 32 kg/m 2 and pale conjunctivae. Etiological investigation of her anemia revealed a hypochromic microcytic anemia. Since, she had normal serum iron level, iron binding capacity and ferritin level, other causes of hypochromic anemia were investigated. Hemoglobin electrophoresis revealed HbA1, HbA2 and HbF values as 93.5%, 3.8% and 2.7%, respectively. In the atomic absorption spectrophotometry (AAS), a serum lead level of 1.01 ppm was measured. These findings of the patient were in accordance with the diagnosis of thalassemia minor and. The patient did not have an environmental or occupational risk factor for lead intoxication, and the only risk factor was found to be smoking. This case seems to be interesting for differential diagnosis of hypochromic microcytic anemia with the associated findings of both thalassemia minor and lead poisoning.Öğe Crescentic glomerulonephritis requiring hemodialysis and elevated MPO-ANCA level and vasculitis allergica cutis in a 21-year-old girl.(2002) Kara I.H.; Yilmaz M.E.; Sari Y.; Gür A.; Büyükbayram H.Microscopic polyangiitis (mPA) is a systemic necrotizing nongranulomatous vasculitis that affects small blood vessels. Clinical features include constitutional symptoms such as fever, anorexia, fatigue, and weight loss. Skin lesions include purpura and splinter hemorrhages, which occur in 50% of patients. Another characteristic feature is rapidly progressive glomerulonephritis, which often affects the kidneys in the early stages of the condition. Diagnosis is based on typical clinical features, biopsy, and presence of antineutrophil cytoplasmic antibodies (ANCA). This disorder tends to involve middle-aged and older persons, with a predilection for males; it is very rare in children. A 21-year-old female patient with mPA who did not respond well to treatment, required hemodialysis, developed vasculitis allergica cutis (VAC) later, and had a relatively short-term survival is reported herein.Öğe The effects of nitric oxide on esophageal alkali burns(Turkish Society of Gastroenterology, 1999) Yagmur Y.; Ozturk H.; Kara I.H.; Kiraz M.The aim of this experimental study was to evaluate the effects of nitric oxide on esophageal alkali burns. Thirty Spraque-Dawley rats weighting between 225 and 250 gram were used. Rats were randomly divided into three groups. In Group I rats (control), the esophageal lumen was washed with normal saline, in Group 2 the distal esophagus was burned with 50% NaOH solution as described by Gehanno and in Group 3 the esophageal lumen was washed with L-Arginine Methyl Ester (10 mg/kg) following esophageal burning. All rats were killed at 21 days and histopathologically evaluated for submucosal collagen increase, muscularis mucosa and tunica muscularis damage. There was no submucosal collagen increase, muscularis mucosa or tunica muscularis damage in Group 1. There was a significant difference for in submucosal collagen increase, muscularis mucosa and tunica muscularis damage when Group 2 was compared with Group 1 (p<0.0001, p<0.0001, p<0.0001) and when Group 3 was compared to Group 1 (p<0.001, p<0.05, p=0.05), There were also significant differences in the three parameters when Group 2 was compared with Group 3 (p<0.003, p<0.05, p<0.001). Nitric oxide may reduce submucosal collagen synthesis, muscularis mucosa and tunica muscularis damage in esophageal alkali burns but its effect in the prevention of stricture is not known.Öğe Epidemiological characteristics of electrical injuries of patients applied to the emergency department(2006) Al B.; Aldemir M.; Güloğlu C.; Kara I.H.; Girgin S.BACKGROUND: In this study, we planned to determine the factors affecting the mortality, and morbidity of electrical injuries. METHODS; Medical records of 165 patients (126 males; 39 females; mean age 21.1 years; range 2.5 to 62 years), who were admitted to the Emergency Department of Dicle University School of Medicine for electrical injuries, between January 2003 and April 2004, were retrospectively reviewed. RESULTS: Among these patients, 60 (36.4%) were children, under 12 years old; 95 (57.6%) were adolescents and adults, and 10 (6%) were aged. Of the victims of electrical accidents, 29 (17.6%) were illiterate and 36 (21.8 %) were educated. Ninety-seven (58.8 %) patients were either graduates or still students of elementary, secondary or high school. The cause of exposure to electricity was accident in 99 (60%), and carelessness and parents' negligence in 66 (40%). Sixty-nine (41.8%) patients were exposed to high voltage, and 96 (58.2 %) to low voltage. Because of electrical injury 16 patients had first degree, 96 patients had second degree, and 86 patients had third degree burns. The most frequent complications were contractures of extremities (10.9%) and compartment syndrome (3.6%). Mortality rate was 9.1% (n=15). Eighty percent of the deaths were due to exposure to high voltage. A positive correlation was demonstrated between mortality and complications (p<0.001). Escarotomy was performed in 10 patients, fasciotomy in 16, and amputation in 9. Two of 5 patients who had intraabdominal hemorrhage underwent surgery. CONCLUSION: A serious education of the society with respect to conscious use of of electricity is the most efficient method to decrease electrical accidents.Öğe Evaluation of anxiety and depression levels of mothers during prepartum and postpartum periods(2010) Erdem Ö.; Erten Bucaktepe P.G.; Özen Ş.; Kara I.H.Purpose: In this study, we aimed to determine the change in depression and anxiety levels of mothers during prepartum and postpartum periods. Methods: Among the mothers who admitted Dicle University Hospital in their third trimester between June 2008 and January 2009 and did not have any physical disorder were enrolled in the study. After their initial evaluation during the third trimester the mothers were re-evaluated in their second and third month after birth. Results: Mean age of the mothers was 28.2±4.2 years. Prepartum and postpartum evaluations of the mothers with BDI revealed 31% and 29% depression ratios, respectively. According to the STAI-I when evaluated at prepartum and postpartum periods, 47% and 49% of the mother were significantly anxious. It was 71% and 63% for prepartum and postpartum evaluations with STAI-II, respectively. There were statistically significant difference between prepartum and postpartum periods in terms of upper threshold of the BDI and STAI-II scores (p=0.002 and p=0.014). Conclusion: Mothers seem to be under as high risk for depression and anxiety at prepartum period as they are at postpartum period. In general, the mothers who had higher levels of depression and anxiety before delivery tend to have also higher levels at postpartum period. © 2010 Düzce Medical Journal.Öğe Evaluation of central venous catheter-related infections in uremic patients: Incidence, pathogens and patient characteristics(Turkiye Klinikleri, 2005) Yilmaz M.E.; Kadiro?lu A.K.; Kara I.H.; Işiko?lu B.Objective: To determine the incidence of central venous catheter (CVC)-related infections, types of pathogenic microorganisms encountered, as well as to annotate the characteristics of patients undergoing catheterization in the nephrology clinic. Material and Methods: CVCs were inserted in 106 consecutive patients hospitalized with uremia during the 2001 calendar year in the nephrology clinic at the hospital of the Medicine Faculty of Dicle University. The predisposing factors of each patient were recorded. The catheter lumen was washed with saline after every hemodialysis session and saline along with low-moleculer weight heparin (LMWH, enoxaparin, 2000U/ml) was injected into both catheter lumen. The catheter tip as well as a blood sample were cultured from patients suspected of catheter-related infection. Results: A total of 122 transient CVCs were inserted in the 106 patients. Infectious signs were established in 22 patients (20.7%). Staphylococcus aureus was isolated in the catheter tip culture of eleven, coagulase-negative staphylococci in seven, and two cases each manifesting Escherichia coli and Pseudomonas aeroginosa. Blood culture was positive in five patients (22.7%). The microorganisms isolated from blood cultures were Staphylococcus aureus in three patients, Staphylococcus epidermidis in one patient and Pseudomonas aeroginosa in another. Septicemia developed as a complication of CVC-related bacteriemia in one patient, who subsequently succumbed. The incidence of CVC-related bacteriemia was established as 4.7/1000 catheter days and the mortality rate was 9/1000. The characteristics of patients who had CVC-related bacteriemia were: age 60 years old and over, male gender, duration of indwelling catheter longer than 21 days, more than one instance of catheter use, anemia and urinary tract infections. Conclusion: The results of our study were similar to those seen in reference studies. Staphylococcus aureus and coagulase-negative staphylococcus were the most prevalent pathogens isolated in blood and catheter tip cultures. Copyright © 2005 by Türkiye Klinikleri.Öğe Evaluation of frequency of chronic fatigue syndrome among nurses working in primar and secondary care in Diyarbakir(2005) Kara I.H.; Özdemir Ö.; Geter Y.; E?ilmez S.In this preliminary study, a public survey was planned to investigate frequency of chronic fatigue syndrome (CFS) among nurses employed in primary and secondary health care centers and its relationship with sociodemographic factors and education. The poll designed by Family Medicine Department of Dicle University Medical Faculty involved 14 open-ended and multiple-choice questions about demographic features work conditions habits and hobbies. The criteria of Center for Disease Control (CDC) for defining chronic fatigue syndrome were also added into the poll. In April 2004, 33 nurses from Diyarbakir State Hospital, Diyarbakir Children Hospital, Diyarbakir Chest Disease Hospital and Batikent Primary Health Care Clinic participated the survey. Two academicians from Dicle University Atatürk Health Institute worked as polestars to complete the survey face-to-face interviews with each nurse. Mean age of the nurses was 29.2±7.9 years. There were four cases (4/33, 12.1%) matching the criteria of CDC for CFS and none of them were found to be related with a chronic disease state. A total of 10 cases (10/33 30.3%) were grouped with diagnosis of CFS, chronic idiopathic fatigue (CIF) and prolonged fatigue (PF). Number of cases with CIF were three (3/33, 9.1%) and one nurse was found to have PF (1/33, 3.0 %). Among 24 cases without CFS. two had some of additional findings. Nurses have CFS, CIF and PF due to stressed work shift and other sources of stress. However, it was observed that marital status and education level did not occur any effect on chronic fatigue.Öğe The evaluation of the case with bradycardia and syncope that caused by hypothyroidism(2005) Kara I.H.; Özdemir Ö.; Acar M.Syncope is defined as transient loss of consciousness due to reduced blood flow. It may occur suddenly or can be associated with alarming symptoms like weakness, confusion, nausea, visual blurring. The purpose of this report is to makes primary care physicians to pay more attention of case of bradycardia and syncope that caused by hypothyroidism. The patient who experienced a faint period lasting half an hour after wake up at the morning and remained unconscious for 10-15 minutes, complaining dizziness, confusion and vomiting at the end of the faint admitted to Family Practice Outpatient Clinic of Dicle University, Medical Faculty. From medical history, it was learned that patient had total thyroidectomy operation in 1997 and had been using thyroxin tb 2x1 regularly, except the last month. Physical examination revealed heart rate 56/min and rhythmic. At ECG sinus bradycardia and low T3, T4 and high TSH levels were detected. The syncope was attributed to hypothyroidism resulting sinus bradycardia because of thyroidectomy in post medical history not using thyroxin replacement for last month. At central visit it was seen that patient restarted thyroxin replacement and has no clinical problem.Öğe Evaluation of the rate of S aureus nasal carriage in nurses and dialysis patients in a dialysis center(2005) Yilmaz M.E.; Süner A.; Kara I.H.; Köko?lu Ö.F.Staphylococcus aureus carriage in hospital staff members are more responsible for epidemy of S aureus. Hemodialysis (HD) patients are tender to the infections due to chronic renal failure (CRF) and in this patients, eradication of S aureus nasal-carriage is important. In this study, in Hemodialysis Center of Dicle University, Faculty of Medicine, from 18 patients in HD program (16 female, two male) and from 16 nurses, cultures of nasal swab were taken to determine the nasal carriage of S. aureus on their nose. The strain of isolated microorganism was defined by Vitec Bio-Meriéux, and classic method. Antibiotic susceptibility was determined by the method of Vitec Bio-Meriéux, nasal carriage of S aureus was determined 8 of 18 HD patients and 6 of 16 nurses. A methicillin-resistant strain of S aureus (MRSA) isolated in 2 of 6 strain of S aureus isolated from hospital staff member, and 4 of 8 strain isolated from HD patients. When totally 14 strain isolated from HD patients and nurses were investigate to susceptibility, of these strains were found to susceptible to vancomisin and teicoplanine as 100%, respectively; however, the all strains were resistant to penicilline G and ampiciline.Öğe An important hazard threatened to preschool children: Home accident(2004) Kara I.H.; Gülo?lu C.; Aldemir M.; Erten G.Injuries are one of the most important factors threatened the health of children in developed or developing countries. In this study, the sociodemographic factors such as age, gender and seasonal features of the patients applied to emergency service due to home accidents were aimed to evaluate. In this retrospective study, 305 home injury cases applied to Dicle University Faculty of Medicine Emergency Service between January and December, 2001 and had adequate records were evaluated. Cases were classified according to the types of accidents, age groups, clinics where they were hospitalized and seasons and months which they applied to the hospital. Among home injuries, burns were seen most frequently (186 cases, 61.0%) and followed by falls (30 cases, 9.8%). Home injury incidence was greatest among pre-school children in 0 to 4 age category (142 cases, 46.6%) and also it was greater for males than females at all ages (M/F=191/114, p<0.0001). Hospital applications were found to be mostly in spring (March and April, 31 cases each) (28.2%) and summer (June and July, 30 cases each) (27.2%). Although the average age was 12.6±14.9 years when the whole cases were evaluated, it exhibited significantly different values due to the injury types. Totally 6 cases (4 females and 2 males, 1.97%) were died because of home injuries. Consequently, in order to prevent and control home injuries, it is necessary to take preventive measures and security systems especially for preschool children whom are the most important risk group and to provide the education of parents, teachers and baby-sitters.Öğe The prevalence of malnutrition and obesity in schoolchildren in the Southeast Anatolia Region of Turkey(2010) Kara I.H.; Dikici, Bünyamin; Yel S.; Özdemir Ö.Objective: The aim of this study was to determine the frequency of malnutrition, obesity and overweight, calculated by body mass index (BMI), in elementary school children in the Southeast Anatolia Region of Turkey. Method: This research is a cross-sectional epidemiological study and elementary school children with aged 7-16 years were included randomly by layered random sampling method. A total of selected 20 schools and 1912 students filled the questionnaires in Diyarbakir and Mardin City Centers. A questionnaire included questions related to the educational and professional status of parents, siblings, household conditions, children's demographic characteristics and body mass indexes, body weight and heights was applied to each student. Determined BMIs were classified according to the percentile values of Center for Disease Control and Prevention (CDC-US) growth charts and International Obesity Task Force (IOTF). Results: Mean age of 1040 boys (52,3%) and 872 girls (47,7%), totally 1912 students was 10,8±2,4 years and mean BMI was 17,6±2,8 kg/m2. According to CDC classification, 7,2% of male students were categorized as "underweight", 12,3% of them as "overweight", and 3,4% of them as "obese" whereas 5,5% of them were categorized as "overweight" and 0,6% of them as "obese" according to IOTF classification. In female students, 8,4% were categorized as "underweight", 11,1% "overweight", and 3,3% as "obese" according to CDC classification whereas 5,2% were categorized as "overweight" and 1,2% "obese" according to IOTF. The prevalences were not between boys and girls (p>0.05). Conclusion: In school children in the Southeast Anatolia Region, one of the most important health problems was malnutrition; however prevalances of overweight and obesity had also nonignorable levels. © 2010 Düzce Medical Journal.Öğe Seroprevalance of hepatitis A and C in nurses(2002) Kara I.H.; Aydin B.; Kizil A.; Saka G.Needlestick injuries are an important and continuing cause of exposure to serious and fatal diseases among health care workers. In present study, we aimed to determine the seroprevalence of hepatitis B and C, and to evaluate the niddlestick injury and other risk factors in nurses. In this descriptive study, 158 nurses were enrolled from different departments of Dicle University Medical Faculty Hospital (in Diyarbakir). Any risk factor for hepatitis B virus (HBV) and hepatitis C virus (HCV) infection (niddlestick injury, blood or blood products transfusion, tooth extraction, hospitalization, surgical intervention, HCV and/or HBV positivity in family members and economic status) was questioned by a questionnaire. Third generation ELISA reagent was used in the study. Mean age of cases was 25.6±4.4 (ranged between 19 and 44), and mean duration time of occupation was 7.3±4.8 (ranged between 1 and 26) years. HbsAg, anti-HbsAg and Anti-HCV seropositivity were % 5.06 (n=8), % 81.0 (n=128) and % 1.9 (n=3), respectively. Anti-HBc IgM positivity was seen in only one case. Present study has again exposed that niddlestick injury is the leading risk factor among the nurses (106 cases, % 67.1). No significant difference was found in HbsAg, anti-HbsAg and Anti-HCV seropositivity between Departments of Surgery, Internal and Laboratory (p>0.05). Preventing the needlestick injury is the best approach to preventing these diseases such as HBV and HCV in all health care workers especially in nurses, and it is an important part of any bloodborne pathogen prevention program in the work place.Öğe Seroprevalence and risk factors of HCV in dialysis patients in a university hemodialysis center of southeast Anatolia, Turkey(2001) Yilmaz M.E.; Kara I.H.; Sari Y.; Düzen S.; Usul Y.; Işikog?lu B.Nowadays, the increased seroprevalence of hepatitis C virus (HCV) in hemodialysis (HD) patients is an important problem. The aim of this study was to investigate the seroprevalence and risk factors that lead to the spread of HCV in HD and continuous ambulatory peritoneal dialysis (CAPD) patients. Sixty-seven HD and 35 CAPD patients were enrolled in the study, 44 (43.1%) of whom were female and 58 (56.9%) of whom were male. Any risk factor for HCV infection was questioned. In our HD center, all precautions have been taken for the prevention of the spread of HCV. Rooms and dialysis machines used by HCV (+) patientsmean age, 41.6 ± 15.3 yr (range, 19-75 yr) are separated from the others. All HCV (+) cases except two had received blood transfusions, and all cases had at least one surgical intervention (central venous catheter and/or arteriovenous shunting operation). Eight (7.8%) of the cases had dental interventions, including conservative tooth treatment or tooth extractions. There was no relation between socioeconomic status or duration on dialysis with a higher prevalence of HCV in the dialysis patients (p > O.05). In general, anti-HCV seropositivity in our center was 41%, and these cases were generally asymptomatic except for elevated liver enzyme levels and slightly decreased albumin levels. All cases had at least one risk factor. The seroconversion rate/yr of our anti-HCV (-) patients was 0.148/patient-yr in HD patients and 0.002/patient-yr in CAPD patients. The seroconversion rate/yr and prevalence of HCV were higher in the HD patients than in the CAPD patients. It is necessary to take additional measures with regard to universal precautions for the prevention of the spread of HCV, including separation of dialysis machines, education of nurses, and the regular changing of gloves when moving from patient to patient.Öğe Smoking initiation in primary school students in Southeast of Turkey: The roles of sociodemographic factors, gender and parental characteristics(2010) Kara I.H.; Dikici, Bünyamin; Yel S.Aim: The objective of this survey was to determine the socio-demographic and the parental features and the extent of active and passive smoking among primary school children in Diyarbakir Province in Southeast Anatolian Region of Turkey. Material and Methods: This survey is an epidemiological study with cross-sectional design. According to the layered random sampling method, 15 schools were visited and taking into account the age and gender distribution a total number of 1124 students filled the questionnaire. The survey included questions about the parental and the socio-demographic features, the social and economic status of the family, number of brothers and sisters, the housing and living conditions, as well as the smoking status of students. Results: 1124 students, consisting of 630 boys (%56.0) and 494 girls (%44.0) had an average age of 11.1±2.4 yr. A total of 771 (68.6%) students told that there were smoking family members living in their houses (p<0.0001). The number of students with smoking habit was 136 (92 male, 44 female) (%12.2). The number of family members and sleeping rooms were 7.5±2.8, 4.5±2.1 and 2.1±0.9, respectively. The reason behind smoking addiction was generally related with either peers (45 person, 52.3%) or relatives (10 person, %11.6). The rate of smokers among boys is 1.38 times (OR: 1.38, %95 CI: 1.070-1.778) greater than that of girls. Conclusions: The survey results show that smoking among primary school students is becoming prevalent, the rate of passive smoking is increasing, and the number of family members living in the house is generally beyond the shelter capacity. Especially most of the mothers are found to be uneducated. Therefore, more effort should be directed to address the problems of smoking and lack of education which have the utmost importance among these related negative factors. © 2010 Düzce Medical Journal.Öğe Sociodemographic, clinic and laboratory features of cases of organic phosphorus intoxications admitted to emergency service(2001) Gülo?lu C.; Kara I.H.In this study, sociodemographic, laboratory and clinical features of cases of organic phosphorus (OP) intoxication in our region were aimed to investigate. In our study, patients of OP intoxication admitted to Emergency Service of Dicle University Medical Faculty Hospital between May and August 1998 were evaluated. Present prospective cohort study included 5 male and 19 female consecutive patients. Five cases due to accidental, however 19 cases due to suicidal goal. Mean age of cases was 24±11 years old; 54.2 % of them were under age of 20 years old and 83.3 % of them were under age of 30 years old. Female/male ratio was found as 3.8/1. The cases of suicidal purposeful intoxications were mostly determined as single (58.4, p<0.05). The most of cases had a primary education levels (16, 66.7 %), and cases had mostly lower socioeconomic status (14, 58.3 %). 79.2 % of cases admitted to our emergency service have received atropine in primary health care centers. In emergency service, pralidoxim (PAM) were performed to only 29.2 % of cases. According to ECG examination, tachycardia (14, 58.3 %), ST changes (13, 54.2 %), and T changes (3, 12.5 %) were mostly seen; bradicardia and serious ventricular arrhythmias weren't seen any case. Cases who received atropine plus PAM had higher rate of arrhythmias, but not found statistically significance (p>0.05). According to biochemical examination, the mostly observed features of cases were hypopotassemia (8 cases), hyponatremia (4 cases) and leukocytosis (21 cases), respectively. Other biochemical features were not evidently altered. In present cases, the most seen symptoms and findings were vomiting (18, % 75), fainting (17, % 70.8), tachycardia and dozing off (14, % 58.3), respectively. As a conclusion: 1. In our cases, serious ventricular arrhythmias weren't determined, and 2. In our region, OP intoxications especially affected to young single girls, and most of them resulted from suicidal purpose.
