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Öğe Approach of doctors about diagnosis and treatment of COPD(2005) Abakay A.; Tanrikulu A.Ç.; Kirbaş G.; Eren-Da?li C.; Aritürk Ö.; Palanci Y.It is known that primary care level doctors make mistakes and use spirometry less for the diagnosis of COPD. In this study, it was aimed to learn the approach of doctors about COPD and precautions that must be taken were discussed. A questionnaire including 13 questions were applied to 230 doctors from 1.2. and 3. care levels in Diyarbakir and Mardin in November 2003. 119 (%51.7) practitioners, 68 (% 29.6) interns and 43 (%18.7) specialists (9 chest diseases, 23 internal diseases and 11 other) were included. Of the doctors; 157 (%68.3) expressed dyspnea, 54 (%23.5) cough, 15 (% 6.5) sputum as a symptom of priority. Comparing the period of being a doctor with knowledge of symptom, the level of knowledge was found to decrease as the period increased and this difference was significantly important (p=0.007). The level of awareness that spirometry (SFT) is the definite diagnosis method decreased as the period of being a doctor increased (p=0.0001). This subject was best known by chest diseases specialists then intern doctors. Significant difference was found between branches (p=0.0001). Finding SFT necessary for diagnosis was detected as %78 in doctors having SFT in their institutions and as %56 in doctors not having PFT (p=0.0001). The doctors having SFT found spirometric investigation necessary 2.73 (1.51-4.95) fold higher than the doctors not having SFT. Statistically no significant difference was detected among the doctors about period and branch relating the risk factors of COPD, precautions that must be taken the choice of treatment and usage of antibiotics. The level of information decreases among doctors as the period of being a doctor increases and in the places not having PFT the level of knowledge of doctors is worse. Periodic education and providing PFT in the primary care level will be usefull in the struggle against this disease.Öğe Bruxism: Is it a new sign of the cardiovascular diseases?(2011) Atilgan Z.; Buyukkaya R.; Yaman F.; Tekbas G.; Atilgan S.; Gunay A.; Palanci Y.Aim: To determine the relationship between bruxism and cardiovascular diseases. Materials and Methods: 120 patients who referred to the Dentistry Faculty with the complaint of bruxism were selected. All patients gave informed consent for participation in the study. All of the patients were examined and bruxism was classified. And also these were examined by B-mode ultrasound to measure the Intima Media Thickness (IMT) at the far wall of the common carotid artery. A wide range of vascular risk factors including age, gender, body mass index, and previous history were surveyed. Spearman correlation analysis was performed to ascertain quantitative comparison, Mann-Whitney U and Kruskal-Wallis test were used for comparison of means Results: There were 66 (55%) male and 54 (45%) female patients, with a female to male ratio of 1/1.2. The mean age was 35.6 ± 1,25 years (range 18-65 years). In the analysis of bruxism classification and IMT there was a statistical significance between bruxism classification subgroup 1, 2, 3 and IMT. There was no statistical significance between bruxism classification Subgroup 4 and IMT due to the small number of the patients (n=12). Conclusions: Stressful situations can cause both bruxism and cardiovascular disease such as coronary artery diseases, hypertension, arrhythmias, cardiomyopathy. The statistical analysis supported this hypothesis. However, we need to new studies with large number of samples to confirm this hypothesis. Clearly, future studies in this field will need to take into consideration the influence of the following variables: age, use of medication or drugs, smoking habits, and other sleep disorders.Öğe A comparison of treatment modalities in 69 patients with endometriosis and/or endometrioma and review of the literature(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2015) Ağaçayak Elif; Akdeniz N.; Sak S.; Palanci Y.Objective: Treatment of endometriosis and/or endometrioma are much disscussed subject nowadays. In this study, our aim; was to compare treatment methods laparoscopy, laparotomy and combined treatment (surgery+medical) applied at our clinic of endometriosis and/or endometrioma with current literature knowledge, following postoperative pregnancy, pain, recurrence and CA-125 level. Material and Methods: A total of 69 patients who had endometriosis and/or endometrioma was observed intraoperatively and patients who had been referred with a diagnosis of chronic pelvic pain, infertility or endometrioma to Dicle University Faculty of Medicine, Obstetrics and Gynecology Department between June 2006 and June 2008 were included in the study. Data were obtained retrospectively scanning hospital records. Treatment to patients in our clinic were recorded. Pre-treatment and post-treatment pain history, levels of CA-125, CA15-3, CA19-9, history of infertility and ultrasonographics findings were recorded. Post-treatment outcomes relevant to pregnancy were determined. Among those who had become pregnant after treatment, the rates of spontaneous pregnancies, pregnancies due to ovulation induction and those due to IVF (in vitro fertilization) were determined. Results: Among 69 patients presenting to our outpatient clinic with complaints of chronic pelvic pain, infertility and endometrioma who were diagnosed with endometriosis and/or endometrioma intraoperatively, 40 underwent laparoscopy, 16 underwent laparotomy and 13 received combined treatment. In terms of age group, patients who had undergone laparotomy were significantly older (p=0.002). The study showed that pregnancy rates among the three patient groups after treatment and follow-up were not significantly different. Pregnancy rates of spontaneous, due to ovulation induction, in vitro fertilization when evaluated separetely were significantly higher pregnancy rates of spontaneous in laparoscopic group (p=0.036). Among the tumor markers, CA-125 had significantly decreased after treatment in all three groups (p<0.05), but CA-125 was observed more significant decreased laparoscopy group (p<0.001). Conclusion: In this study, among the three methods applied at our clinic, laparoscopy stands out due to higher spontaneous conceival rates and lower post-treatment CA-125 levels. Therefore we can say that a particular method should be chosen as a priority by the surgeon of laparoscopy in infertile patients. Copyright © 2015 by Türkiye Klinikleri.Öğe Drinking water quality at accommodations in the Southeastern Anatolian Project Region(2006) Ceylan A.; Saka G.; Ilçin E.; Acemoğlu H.; Palanci Y.; Bozkur A.I.; Şahinöz S.This study was aimed to determine drinking water quality at accommodations and houses in the Southeastern Anatolian Project (SEAP) Region. It was designed as a cross-sectional study in 9 cities at SEAP Region, Turkey in 2001. Sample was chosen by Institute of Statistics by sampling method proportional to size. Totally, 230 cluster and 1150 houses were visited with an optimum sample size representing the rural and urban area of SEAP Region. Firstly, questionnaires about house and household water were applied and then, water samples were collected for microbiological and chemical analyses. The level of clorinization of household water was also measured. Totally 79.9% of the houses (59% in rural, 93% in urban) were supplying their drinking-water by piped community water. Approximately 75% of water samples did not contain chlorin, 45.9% of water samples were defined as infected microbiologically and 28.4% chemically. Failure to provide healthy drinking water in this region will result to the risk of outbreaks of intestinal and other infectious diseases.Öğe Sigmoid colon torsion: mortality and relevant risk factors.(2013) Onder A.; Kapan M.; Arikanoglu Z.; Palanci Y.; Gumus M.; Aliosmanoglu I.; Aldemir M.Sigmoid volvulus is an important acute intestinal obstruction, leading to high mortality and requiring urgent operation. The purpose of this study is to analyze risk factors for mortality in patients that were operated on due to sigmoid volvulus at our Department. The retrospective study included 158 patients, who were operated on due to sigmoid volvulus between January 1994-December 2010, in terms of age, gender, complaints at admission, physical signs, period of symptoms before admission, associated diseases, laboratory and radiological parameters, hospital stay, morbidity, and mortality. The study consisted of 135 men (85.4%) and 23 women (14.6%), with a mean age of 62.54 years. Cardiovascular disease and respiratory disease were present in 34 (21.5%) and 42 (26.6%) patients, respectively. Urgent operation was undertaken in 125, while 33 received elective surgery. Abdominal distension and pain was evident in all the patients. Generalized tenderness was detected in 58.2%, while 70.9% had hyperactive bowel sound with tympanism. Plain radiograph revealed an impression of "omega ans" in all patients, while free air was detected in 11.4% of them. Risk factors for mortality included age (p = 0.008), delayed admission (p = 0.001), cardiovascular and respiratory diseases (p = 0.001), fluid-electrolyte imbalance (p =0.001), presence of necrosis (p = 0.001), and major contamination (p = 0.001). Wound infection and intraabdominal abscess were more common in patients that developed mortality (p = 0.001 and p = 0.002). Complications like wound infection and intraabdominal abscess are more frequent in the patients with the risk of mortality. Delayed admission results in higher risk of mortality. Mortality rates can be reduced by early admission, preoperative intensive resuscitation, suitable antibiotics, and emergent and viable surgery.
