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Öğe Alcohol and Substance Use among Children and Adolescents in an Orphanage(Duzce Univ, 2015) Sucakli, Mustafa Haki; Keten, Hamit Sirri; Celik, Mustafa; Olmez, Soner; Yilmaz, AhmetAim: This study aimed to investigate smoking and alcohol and substance use among children and adolescents in an orphanage Methods: Children, living in the orphanage of Kahramanmaras city comprised the study sample. A questionnaire including questions regarding socio-demographic characteristics, smoking and substance use habits was filled in by the participants. Results: Seventy-six children aged between 9 and 18 years, with a mean of 14.66 +/- 2.35 years accepted to participate in the study and gave informed consent. Of all the participants, 31 (40.8%) were male and 45 (59.2%) were female. Out of all, 18 (23.7%) were cigarette smokers, 6 (7.9%) were alcohol users, and 2 (2.6%) were marijuana users. The number of female cigarette smokers was significantly higher (p <0.001) and a significant relationship was observed between smoking and increasing age (p=0.021). Alcohol and substance use was significantly higher in smokers than in nonsmokers (p<0.001, p=0.01, respectively). A significant relationship was observed between alcohol use and substance abuse (p <0.001). Forty-four (57.9%) participants were willing to be educated about harmful effects of smoking and substance use. Conclusion: Smoking and alcohol and substance abuse, with its individual and social problems, were found to be quite common in an orphanage under the state control. Children living in the orphanage reported a need for education about harmful effects of smoking and substance use. Furthermore, professionals working in orphanages should be educated in order to increase their awareness.Öğe Analysis of cancer cases from Dicle University Hospital; ten years' experience Analysis of cancer cases(Derman Medical Publ, 2018) Arslan, Necmi; Yilmaz, Ahmet; Firat, Ugur; Tanriverdi, Mehmet HalisAim: Cancer is the most common mortality and morbidity reason in the world. In Turkey cancer prevalence is high, and the treatment is expensive. The most important step in preventing and treating cancer is an early diagnosis. We aimed to contribute to the literature by specifying the common cancer types and etiological factors present in Diyarbakir region. Material and Method: Archived biopsy reports of patients diagnosed with malignant cancers after histopathological evaluation were studied retrospectively. The cases were dated between 2001 and 2010 and were all taken from the Dicle University Medical Faculty Hospital. Results: In total, 3624 cases were examined according to age, gender, year, location, and pathological diagnosis. Of the patients, 41.7% of the cases were female, and 58.3% were male. The average age of the patients was 54.8 years, and the most frequent age of cancer occurring were between 51-60 years (26.7%). In the pathological results distribution, the years that had the most cancer cases were 2006 and 2007. In general, the most frequent cancer location was lung (11.9%). In terms of specific types of cancers, the most frequent type was adenocarcinoma (24.1 %). Discussion: The most common type in both genders was adenocarcinoma, and it was found that the most common cancer location was the lung. Our study found that cancer was common in older age groups. We tried to determine the most frequent cancer types in the area by using data from Diyarbakir region.Öğe Anti-Oxidant and Anti-Inflammatory Activity of Nebivolol in L-Arginine-Induced Acute Pancreatitis: An Experimental Study on Rats(Wiley-Blackwell, 2015) Elbey, Bilal; Yazgan, Umit Can; Yilmaz, Ahmet; Ibiloglu, Ibrahim; Kaplan, Ibrahim; Baykal, Burhan; Yalinkilic, Ibrahim[Abstract Not Available]Öğe Attention for fetomaternal and obstetric outcomes of advanced maternal age: a broad range clinical evaluation(Derman Medical Publ, 2019) Yilmaz, Ahmet; Yolbas, Ilyas; Yilmaz, Hatice; Bucaktepe, Gamze; Ulucas, Unal; Aktar, Fesih; Ertugrul, SabahattinAim: Pregnancy >= 35years may lead to different health problems in neonates. The present study was aimed to investigate the effect of pregnancy >= 35 on maternal and infant health. Material and Method: Mothers of the neonates in our neonatal unit were separated into two groups and compared: Group I comprised those between 18 and 35 years old, and Group II comprised those >= 35. Results: Out of 1.193 mothers, 22.1% (264) were above the age of 35 years, whereas 77.8 % (929) were under the age of 35 years. However, there was no significant difference between the groups regarding gender, number of previous delivery, gestational week, the rate of neonatal mortality, polyhydramnios, and oligohydramnios. A statistically significant increase in gestational diabetes, the rate of cesarean delivery and the rate of delivery meconium aspiration syndrome and occurrence of preeclampsia were found in the group for those with advanced age than the other group. Discussion: Much attention should be taken in terms of developing preeclampsia and gestational diabetes in advanced maternal age pregnancies. For a closer follow-up of pregnant women >= 35, establishing relevant units and referral of mother candidates at this age to experienced centers may help to decrease the higher feto-maternal risks for advanced maternal age population.Öğe Biochemical and Histopathological Examination of the Effect of Cigarette Smoking on Rat Kidneys(Sci Printers & Publ Inc, 2017) Donder, Ahmet; Balahoroglu, Ragip; Dulger, Haluk; Sekeroglu, Mehmet Ramazan; Yilmaz, Ahmet; Aslanhan, Hamza; Deveci, SenayOBJECTIVE: To study the negative effects of cigarette smoke on the kidney, and to determine if those effects are reversed after smoking cessation. STUDY DESIGN: A total of 40 rats were divided into 5 groups of 8 each: group I, control group; group II, rats exposed to cigarette smoke; group III, rats that discontinued smoking for 1 month; group IV, rats that discontinued smoking for 3 months; and group V, rats that discontinued smoking for 5 months. Serum urea, creatinine, cotinine, IL-18, NGAL, and KIM-1 levels were measured in the blood samples. RESULTS: Cotinine levels in all groups were similar to those of the control group, but only the nicotine group had a significant increase. The active smoker group exposed to cigarette smoke displayed dense vacuolization. As a result of the exposure to cigarette smoke, increasing levels of urinary creatine, microalbumin, and beta-2 microglobulin and urea in serum led to changes in KIM-1 and NGAL values, which result in dysfunction of glomeruli and tubules. CONCLUSION: We observed that smoking cessation may lead to improvement after 3 months in both biochemical parameters and glomerular and tubular changes and approaches their normal values/structures 5 months later.Öğe Caffeic acid phenethyl ester prevents fluoxetine-induced hepatotoxicity in rats(Wiley-Blackwell, 2015) Yilmaz, Ahmet; Elbey, Bilal; Yazgan, Umit Can; Turkoglu, Ahmet[Abstract Not Available]Öğe Cancer Development and Electromagnetic Fields in Near Future(Aras Part Medical Int Press, 2015) Yilmaz, Ahmet; Nart, Maruf; Akan, Zafer[Abstract Not Available]Öğe A case of pulmonary hydatid cyst, Nonspesific history and atypical chest graphics A case of pulmonary hydatid cyst(Derman Medical Publ, 2018) Ayan, Orhan; Yilmaz, AhmetCyst hydatid is a helminthic zoonotic disease caused by Echinococcosis granulosus infestation. It continues to be a major health problem in an inadequate hygienic environment and in areas where veterinary control is not good. The majority of cases live in rural areas. In this study, we aimed to present the diagnosis and the management of a case of a hydatid cyst initially misdiagnosed as malignancy.Öğe Cordycepin prevents postoperative formation of intra-abdominal adhesion in a rat model: An experimental study(Turkish Assoc Trauma Emergency Surgery, 2017) Arslan, Serkan; Zeytun, Hikmet; Basuguy, Erol; Ibiloglu, Ibrahim; Uygun, Ibrahim; Yilmaz, Ahmet; Tan, IlhanBACKGROUND: The aim of the present study was to investigate whether cordycepin prevented adhesion formation in a rat model. METHODS: Rats were randomly assigned to 3 groups of 10 rats. Control group: The absence of adhesion was confirmed via laparotomy. Adhesion group: The cecum was removed from the abdomen and scraped with a dry gauze bandage until petechial hemorrhagic foci developed. Cordycepin group: The same surgical procedure was performed as in the adhesion group, and 10 mg/kg cordycepin was administered intraperitoneally. After 15 days, the rats were sacrificed humanely via cardiac blood withdrawal under anesthesia. The rats were then analyzed morphologically and histopathologically, and hydroxyproline (OH-p) and malondialdehyde (MDA) levels were measured. RESULTS: Macroscopic analysis revealed significantly less adhesion in the cordycepin group than in the adhesion group (p<0.01). Furthermore, significant histopathological improvement was also evident in the cordycepin group compared to the adhesion group (p<0.05). The levels of OH-p and MDA in blood and tissue were higher in the adhesion group than in the control group, and lower in the cordycepin group than the adhesion group. Interestingly, MDA level was significantly lower (blood: p<0.05; tissue: p<0.01) in the cordycepin group than in the adhesion group, whereas only tissue OH-p was significantly lower in the cordycepin group compared with the adhesion group (p<0.05). One rat in both adhesion group and cordycepin group died postoperatively. CONCLUSION: Results indicated that cordycepin effectively reduced adhesion in a rat abrasion model. Thus, this agent may be valuable to prevent postoperative adhesion.Öğe Effect of fully charged and discharged batteries on esophageal tissue: an experimental study(E-Century Publishing Corp, 2016) Oruc, Menduh; Yilmaz, Ahmet; Ekin, Nazim; Durkan, Atilla; Sahin, Atalay; Nergiz, YusufThe aim of this study was to compare the effect of charged and discharged alkaline batteries on esophageal tissue, and to determine the impact of duration due to the exposure to alkaline batteries. Thirty-five rabbits were divided into 5 groups each containing 7 rabbits. Alkaline batteries were ingested by rabbits [except for the control group [Group 1]]. Rabbits in Group 2 were exposed to discharged alkaline batteries for 180 minutes. In Group 3-5, the fully charged batteries were left in esophagus for 60, 120, and 180 minutes, respectively. Macroscopic appearance of esophageal mucosa as well as histopathologic examination of battery induced esophageal injury and pH of environment were compared. Battery capsules were intact in each group. No color change was observed in the anode pole of batteries for Group 2. Color change was evident in the anode pole of batteries for 3 rabbits in Group 3, in 4 rabbits in Group 4, and in 7 rabbits from Group 5; while no significant change was observed in any rabbit from Group 2. Histopathologically, mucosal erosion was observed in 7 rabbits of Group 3. In Group 4, mucosal erosion extended to the internal muscular layer. Necrosis was exceeding external muscular layer in Group 5. Alkaline batteries may cause erosion as a result of electrical currency without corrosive substrate leakage. Duration of exposure is an important determinant of tissue injury.Öğe The effects of CAPE on the oxidant status of the liver and the serum in rat model of acute methanol intoxication(Wiley-Blackwell, 2015) Yazgan, Umit Can; Elbey, Bilal; Kus, Seyyit; Baykal, Burhan; Keskin, Idris; Sahin, Alparslan; Yilmaz, Ahmet[Abstract Not Available]Öğe Effects of enuresis nocturna on parents of affected children: Case-control study(Wiley, 2014) Tanriverdi, Mehmet Halis; Palanci, Yilmaz; Yilmaz, Ahmet; Penbegül, Necmettin; Bez, Yasin; Daggulli, MansurBackgroundEnuresis nocturna (EN) is a chronic medical disorder that may cause a parent to question their parenting ability and contribute to an inability to perform the parental role. The aim of the study was to investigate the effects of EN on the relationship between parents, and the effect of mood changes in the couples on the children. MethodsForty children with EN (group 1) were enrolled in the study, and 44 consecutive healthy children (group 2) were randomly selected from the same school. The clinical diagnosis for the patient group was based on a careful history. Spielberg's State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and Dyadic Adjustment Scale (DAS) were applied to all parents, and the answers were recorded. ResultsSTAI scores differed between the mothers in the two groups in terms of trait anxiety, while significant differences between the fathers in terms of both state and trait anxiety were observed. The BDI scores were similar between the two groups. The scores of dyadic consensus were lower in the mothers, while the affectional expression scores were lower in the EN study group fathers compared with controls. The total DAS scores were significantly lower in the parents of the children with EN. ConclusionThe parents of children with EN seem to experience increased levels of anxiety. Their desire to continue the marital relationship, the overall quality of their marital relationship and their comfort as a family may also be negatively affected by having a child with EN.Öğe Environmental Radioactivity and High Incidence Rates of Stomach and Esophagus Cancer in the Van Lake Region: A Causal Relationship?(Asian Pacific Organization Cancer Prevention, 2014) Akan, Zafer; Baskurt, Busranur; Asliyuksek, Hizir; Kam, Erol; Yilmaz, Ahmet; Yuksel, Mehmet Bilgehan; Biyik, RecepThis study examined the incidence rates of cancer cases (averages for 2006-2010) and relationships with environmental radioactivity levels. Soil and water samples were collected from provincial and district centers of Van city and the outdoor gamma doses were determined using a portable gamma scintillation detector. Gross alpha and beta, (226)Ra, (232)Th, and (40) K activities were measured in both tap water and soil samples. Although high rates of stomach and esophagus cancers have been reported previously in Van the underlying reasons have not hitherto been defined. Incidences of cancers were highest in the Gurpinar (326.0) and Ozalp (377.1) counties (p<0.001). As to the results of the gross alpha and gross beta radioactivity measurements in the drinking water, these two counties also had high beta radionuclide levels: Gurpinar (140 mBq/dm(3)) and Ozalp (206 mBq/dm(3)). Even if within the normal range, a relation between the higher rate of the incidence of stomach and esophagus cancers with that of the higher rate of beta radionuclide activity was clear. On Spearman correlation analysis, the relation between higher beta radionuclide levels and cancer incidence was found to be statistically significant (p<0.01). According to the results of the analysis, Van residents receive an average 1.86 mSv/y annual dose from outdoor gamma radiation, ingestion of radionuclides in the drinking water, and indoor Rn-222 activity. Moreover, gross alpha and beta activities were found to be extremely high in all of the lakes around the city of Van, Turkey. Further investigations with long-term detailed environmental radiation measurements are needed regarding the relationship between cancer cases and environmental radioactivity in the city of Van.Öğe Evaluation of acute stroke patients applying to a university emergency service in terms of risk factors(Bayrakol Medical Publisher, 2020) Tuncay, Suheyp; Yilmaz, Ahmet; Gocen, Omer; Aslanhan, Hamza; Dirican, EmreAim: Stroke is a group of diseases that causes morbidity and loss of function at the highest rate worldwide that mostly affects the quality of life and is the second leading cause of death after heart diseases. In the present study, we aimed to determine the risk factors of the patients who applied to the emergency service and their distributions. Material and Method: Our study was formed retrospectively by evaluating the follow-up files of 194 patients who applied to Dicle University Medical Faculty Emergency and Traumatology Polyclinic and were diagnosed with stroke and were followed between June1, 2014 and June 1, 2016. Results: Of the 194 patients included in the study, 98 (51%) were female and 96 (49%) were male, the mean age was 69.6 +/- 13.4. One hundred and seventeen of patients (60%) were diagnosed with ischemic stroke, 77 of them (40%) were diagnosed with a hemorrhagic stroke. The mean age of men and women were 69.9 +/- 10 and 69.3 +/- 15.7 years respectively. According to the types of stroke, the mean age for those with ischemic stroke was 69.9 +/- 12.6, for those with hemorrhagic stroke was 69.3 +/- 14.8. In both types of stroke, the values of systolic and diastolic blood pressure were higher than normal. When the age of the patients was compared in terms of both sex and type of stroke, no significant difference was determined in terms of age in the groups. The incidence of stroke was greater between the ages of 45 and 84 in 164 patients (84.5%). Discussion: The average age of the patients was in the advanced group and their average tension values were higher than normal. For this reason, advanced age and high blood pressure were considered as risk factors contributing to stroke development in our study group. It is significant to evaluate the risk factors of the patients during the continuous health services given to the patients and to provide appropriate treatment and regular follow-ups for those with risk factors.Öğe Evaluation of empathy and biopsychosocial approaches of medical faculty assistant doctors(Wolters Kluwer Medknow Publications, 2019) Cicek, Ebru; Yilmaz, Ahmet; Aslanhan, HamzaINTRODUCTION AND AIM: Biopsychosocial approach suggests that the individual's health condition is partly influenced by the interactions of biological, psychological, and social processes. It also concludes that the clinical method should be patient-centered, which is based on the physician's involvement in the patient's world and the physician's ability to see the illness from the patient's view. In this study, we aimed to determine the extent to which medical faculty assistant doctors use the biopsychosocial approach in their clinical practice. MATERIALS AND METHODS: Our study is a cross-sectional type, descriptive, and analytical research. The sample size consisted of assistant doctors who met the inclusion criteria which were accepted to participate in the study between December 1, 2017, and March 1, 2018, at the medical faculty hospital of Dicle University. Two hundred and three physicians participated in our study. The Patient-Physician Orientation Scale (PPOS), The Jefferson Scale of Physician Empathy (JSPE), and a survey study including questions in relation with sociodemographic characteristics were conducted in our study. The reliability of the Patient-Physician Orientation Scale (PPOS) and JSPE used in our study was tested with Cronbach's alpha and found to be 0.878 and 0.931, respectively. Questionnaires were administered by a face-to-face interview method during interview. Information on the purpose and method of the study was given. RESULTS: A total of 203 physicians participated in our study. One hundred and forty-three (70%) participants were male and 60 (30%) were female. According to medical disciplines, eight physicians (3, 9%) from psychiatry, 21 (10, 3%) from family medicine, 104 (51, 2%) from other internal medical disciplines, and 70 (34, 5%) from surgical medical disciplines participated in the study. In the first subgroup of the PPOS, which is used in our study, the average score of psychiatry physicians was 3.67 +/- 0.99, family medicine assistant doctors 3.92 +/- 0.67, other internal medical disciplines 3.98 +/- 0.65, and surgical medical discipline 3.83 +/- 0.61. In the second subgroup, which is defined as the care in the same scale, the average score of psychiatry assistant doctors was found to be 3.20 +/- 0.45, family medicine assistant doctors 3.68 +/- 0.54, other internal medical disciplines 3.49 +/- 0.60, and surgical medical discipline 3.68 +/- 0.58. The results of the Jefferson Scale used to determine the level of empathy in our study are found as psychiatry 78.25 +/- 14.78, family physician 67.71 +/- 14.69, other internal medical disciplines 72.03 +/- 13.46, and surgical medical discipline 70.87 +/- 15.24. CONCLUSIONS: The biopsychosocial approach is primarily an elementary approach model in medical discipline such as family medicine and should be applied to other internal and surgical medical disciplines as well. With conducting this study, the awareness of this area will be increased and related issues in the literature will be enriched.Öğe Evaluation Of The Relationship Of Kinesiophobia With Anxiety, Upper Extremity Disability And Quality Of Life In Patients With Frozen Shoulders(Georg Thieme Verlag Kg, 2023) Batmaz, Oznur Uysal; Yakar, Burkay; Mirzaoglu, Tacettin; Yilmaz, Ahmet; Em, Serda; Batmaz, IbrahimIntroduction Frozen shoulder is a painful shoulder disease in which glenohumeral joint movements are actively and passively restricted in all directions. If not treated, it can cause various psychological diseases and muscle and joint diseases. Kinesiophobia; this is defined as a fear of physical activity resulting from excessive sensitivity and an uncomfortable feeling due to painful or repeated injury. In this study, it was aimed to evaluate the relationship of kinesiophobia to upper extremity disability, anxiety and quality of life in patients with frozen shoulder.Materials and methods Firat University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, between September 2020 and March 2021; As a result of clinical evaluation and radiological examinations, patients were enrolled between the ages of 18-75 and who agreed to participate in the study; 48 patients were diagnosed with frozen shoulder and met the inclusion and exclusion criteria of the study and were included in the patient group; Fourty healthy subjects aged between 18-75 years, who did not have shoulder disease and who met the inclusion and exclusion criteria of the study, were included in the control group. A total of 88 cases were included in the study. The following scales were used. TAMPA kinesiophobia scale to assess kinesiophobia in patients and control group, Beck Anxiety scale to assess anxiety in patient group; The Disabilities of The Arm, Shoulder and Hand (DASH) scale to assess upper extremity disability; Short Form (SF)-36 was used to assess quality of life.Results TAMPA kinesiophobia scale was found to be significantly different in the patient group when the patient group and control group were compared. According to the correlation analysis, the TAMPA kinesiophobia scale showed a positive correlation with the Beck-Anxiety and DASH scales in the patient group, while a negative correlation was found with the SF36-Physical function, emotional role difficulty and social functionality.Conclusion In patients with frozen shoulder, kinesiophobia seems to be associated with increased anxiety and upper extremity disability, as well as low quality of life. Structural disorders as well as psychological factors should be taken into account among the reasons for the prolonged limitation of movement and delayed recovery. When the physicians serving in the primary care are experienced with patient management with frozen shoulder, as evaluated for therapeutic purposes, planning psychological support treatments in addition to medical and physical therapy will increase the quality of health care provided to patients.Öğe Factors influencing insulin usage among type 2 diabetes mellitus patients: A study in Turkish primary care(Taylor & Francis Ltd, 2016) Yilmaz, Ahmet; Ak, Muharrem; Cim, Abdullah; Palanci, Yilmaz; Kilinc, FarukBackground: DM (diabetes mellitus) patients with poorly regulated blood glucose levels are at risk of increased morbidity and mortality. There are different factors that cause resistance to the initiation of insulin therapy such as beliefs and perceptions concerning diabetes and its treatment and the nature and consequences of insulin therapy. Objectives: We aimed to explore the reasons for this reluctance and how these obstacles could be overcome so that DM patients who require insulin could initiate therapy. Methods: This was a cross-sectional, descriptive study of diabetic patients with glycated haemoglobin A(1c) (HbA(1C)) levels above 7.0%, who were followed-up at a primary care and endocrinology outpatient clinic. Results: Ninety-four patients (57.4% females, 42.6% males) were recruited for this study. Most patients (57.4%) considered that insulin was a drug of last resort. Among all patients, 34.1% thought that insulin lowered blood glucose levels to an extreme degree and 14.9% disagreed. The patients thought that self-injection was hard (27.6%), required someone else to administer the injection (27.6%), insulin injection was painful (33.0%). 59.6% of all patients believed that their religion did not restrict the use of insulin, 52.1% stated that their family physicians had sufficiently informed them. Conclusion: Our most significant finding is that a lack of adequate information relating to insulin appears to be the major factor behind DM patients' refusal of insulin treatment. The fact that patients consider insulin treatment as a final solution to DM could be related to resistance to the initiation of insulin therapy.Öğe Factors that Affect Drain Indwelling Time after Breast Cancer Surgery(Aves, 2016) Uslukaya, Omer; Turkoglu, Ahmet; Gumus, Metehan; Bozdag, Zubeyir; Yilmaz, Ahmet; Gumus, Hatice; Kaya, SeyhmusObjective: The most common procedure to prevent seroma formation, a common complication after breast and axillary surgery, is to use prophylactic surgical drains. Ongoing discussions continue regarding the ideal time for removing drains after surgical procedures. In this study, we aimed to investigate factors that affect drain indwelling time (DIT). Materials and Methods: From 2014 to 2015, a total of 91 consecutive patients with breast cancer were included in the study. The demographic characteristics of the patients, treatment methods, histopathologic features of the tumor, size of removed breast tissue (BS), tumor size (TS), number of totally removed lymph nodes (TLN), and metastatic lymph nodes (MLN), whether they had neoadjuvant chemotherapy, and the DIT were retrospectively recorded from the hospital database. Results: The mean age of the patients was 48.9 years, and the mean DIT was 4.8 days. The mean size of breast removed was 17.3 cm and tumor size was 4.7 cm, and the mean number of metastatic lymph nodes was 3.3, and mean total number of lymph nodes was 14.1. Patients who had neoadjuvant chemotherahpy had longer DIT. There was a positive correlation between the BS, TS, TLN, MLN, length of hospital stay, and DIT. Linear regresion analysis revealed that the BS, TLN, and history of neoadjuvant chemotherahpy were independent risk factors for DIT. Conclusion: DIT primarily depends on BS, TLN, and history of neoadjuvant chemotherahpy. A policy for the management of removing drains to prevent seroma formation should thus be individualized.Öğe High Social Anxiety and Poor Quality of Life in Patients With Pulmonary Tuberculosis(Lippincott Williams & Wilkins, 2015) Kibrisli, Erkan; Bez, Yasin; Yilmaz, Ahmet; Aslanhan, Hamza; Taylan, Mahsuk; Kaya, Halide; Tanrikulu, Abdullah CetinPulmonary tuberculosis (PT) has been previously related with various psychosocial adverse consequences including stigmatization and social isolation. Social anxiety is a psychiatric condition that may be associated with social isolation and fear of social exclusion. To date no study has investigated social anxiety and its impact on quality of life (QoL) among patients with PT. Therefore, we aimed to determine the severity of social anxiety in a group of patients with PT. Among patients who were recently discharged from hospital with the diagnosis of PT 94 patients and 99 healthy control subjects who had similar demographical features have been included in the study. A psychiatrist interviewed all participants and a semistructured interview form, which was prepared by the authors, Liebowitz Social Anxiety Scale (LSAS), and Short Form-36 were administered to them. Patients with PT showed higher levels of performance avoidance and social avoidance than healthy control subjects. They reported lower QoL scores across all dimensions. Among patients women showed higher levels of LSAS subscale scores and total score. Fear of social exclusion was predicted by perceived illness severity and emotional role difficulty. On the other hand, perceived illness severity was predicted by fear of exclusion and sedimentation level. PT patients seem to experience higher levels of social anxiety and associated fear of social exclusion that add to their worse QoL during the earlier months of their disease. Among them fear of social exclusion is related with perceived illness severity.Öğe Mean Platelet Volume: Is It a Predictive Parameter in Diagnosis of Acute Mesenteric Ischemia?(Int College Of Surgeons, 2015) Turkoglu, Ahmet; Gul, Mesut; Oguz, Abdullah; Bozdag, Zubeyir; Ulger, Burak Veli; Yilmaz, Ahmet; Aldemir, MustafaOur objective for this study was to discuss the usability of mean platelet volume, which is associated with numerous vascular pathologies, in the early diagnosis of acute mesenteric ischemia. Acute mesenteric ischemia is an uncommon, life-threatening clinical condition mostly seen in the elderly. Early diagnosis of acute mesenteric ischemia and correction of blood circulation before necrosis occurs are important factors affecting prognosis. A total of 95 patients who underwent emergency surgery for acute mesenteric ischemia and 90 healthy volunteers as control group were included in this study. Age, gender, hemoglobin values, white blood cell counts, mean platelet volume, and platelet counts are recorded for evaluation. The mean platelet volume values were significantly higher in patients with acute mesenteric ischemia than in the controls (9.4 +/- 1.1 fL and 7.4 +/- 1.4 fL, respectively; P < 0.001). Receiver-operating characteristic analysis demonstrated a cutoff value of mean platelet volume as 8.1 fL (area under the curve, 0.862), a sensitivity of 83.2%, and a specificity of 80%. As a result, in the patients who are admitted to the hospital with acute nonspecific abdominal pain and suspected of having acute mesenteric ischemia, high mean platelet volume values in routine hemograms support the diagnosis of acute mesenteric ischemia.
