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Gaygisiz U.,Erzurum Regional Training and Research Hospital | Lajunen T.,Norwegian University of Science and Technology | Gaygisiz E.,Middle East Technical University
Journal of Infection and Public Health | Year: 2017

There are considerable cross-national differences in public attitudes towards antibiotics use, use of prescribed antibiotics, and self-medication with antibiotics even within Europe. This study was aimed at investigating the relationships between socio-economic factors, cultural values, national personality characteristics and the antibiotic use in Europe. Data included scores from 27 European countries (14 countries for personality analysis). Correlations between socio-economic variables (Gross National Income per capita, governance quality, life expectancy, mean years of schooling, number of physicians), Hofstede's cultural value dimensions (power distance, individualism, masculinity, uncertainty avoidance, long-term orientation, indulgence), national personality characteristic (extraversion, neuroticism, social desirability) and antibiotic use were calculated and three regression models were constructed. Governance quality (r = -.51), mean years of schooling (r = -.61), power distance (r = .59), masculinity (r = .53), and neuroticism (r = .73) correlated with antibiotic use. The highest amount of variance in antibiotic use was accounted by the cultural values (65%) followed by socio-economic factors (63%) and personality factors (55%). Results show that socio-economic factors, cultural values and national personality characteristics explain cross-national differences in antibiotic use in Europe. In particular, governance quality, uncertainty avoidance, masculinity and neuroticism were important factors explaining antibiotics use. The findings underline the importance of socio-economic and cultural context in health care and in planning public health interventions. © 2017 The Authors.


Baykan A.R.,Erzurum Regional Training and Research Hospital
Molecular Genetics and Metabolism Reports | Year: 2017

Klinefelter syndrome (KS) is a chromosomal abnormality characterised by a 47, XXY karyotype associated with hypogonadism and infertility. We present a case of a 20-year-old patient who applied to our clinic because of growth deficiency and was concurrently diagnosed with Klinefelter syndrome and celiac disease. © 2017 The Author


Ozel B.,Surgery Academy | Sezgin B.,Erzurum Regional Training and Research Hospital | Guney K.,Konya Regional Training and Research Hospital | Latifoglu O.,Gazi University | Celebi C.,Gazi University
Aesthetic Plastic Surgery | Year: 2015

Abstract: Although aesthetic procedures are known to have a higher impact on women, men are becoming more inclined toward such procedures since the last decade. To determine the reason behind the increase in demand for male aesthetic procedures and to learn about the expectations and inquietude related to body contouring surgery, a prospective questionnaire study was conducted on 200 Turkish males from January 1, 2011–May 31, 2012. Demographic information, previous aesthetic procedures and thoughts on body contouring procedures with given reasons were questioned. The results of the study showed that 53 % of all participants considered undergoing body contouring surgery with the given reason that they believed their current body structure required it. For those who did not consider contouring operations, 92.5 % said they felt that they did not need such a procedure. The results of the statistical analysis showed that BMI was a significant factor in the decision making process for wanting to undergo body contouring procedures. The results of the study showed that mens’ consideration for aesthetic operations depends mainly on necessity and that the most considered region was the abdominal zone in regard to contouring. We can conclude that men are becoming more interested in body contouring operations and therefore different surgical procedures should be refined and re-defined according to the expectations of this new patient group.Level of Evidence III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. © 2014, Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery.


Mutlu M.,Erzurum Regional Training and Research Hospital | Cayir Y.,Erzurum Regional Training and Research Hospital | Aslan Y.,Karadeniz Technical University
World Journal of Pediatrics | Year: 2014

Background: Hyperbilirubinemia is a frequently seen condition in neonates. This study was undertaken to determine the role of urinary tract infections (UTIs) in the etiology of indirect hyperbilirubinemia in neonates with jaundice in their first two weeks of life. Methods: The study was conducted prospectively. The subjects were neonates aged 4-14 days with hyperbilirubinemia which could not be detected by routine tests and was sufficiently severe to necessitate phototherapy. Results: The study was performed in 104 neonates, of whom 18% (n=19) had UTI. The most frequently identified micro-organism was Escherichia coli (43%). Phototherapy duration and rebound bilirubin level were higher in neonates with UTI (P<0.05). Conclusion: UTI should be investigated in neonates with hyperbilirubinemia of unknown etiology in the first two weeks of life. © 2013 Children's Hospital, Zhejiang University School of Medicine and Springer-Verlag.


We aimed to assess the use and reporting-quality of multivariate logistic regression analysis (MVLRA) in articles published in two Turkish cardiology journals. We reviewed all original articles published in two Turkish cardiology journals (The Anatolian Journal of Cardiology and Archives of the Turkish Society of Cardiology) between January 2010 and August 2011. The articles that used MVLRA were analyzed comprehensively based on 10 predefined criteria. A total of 212 articles were reviewed, of which MVLRA was used in 33 (15.6%). Twenty-nine articles (87.9%) properly included the main components of the MVRLA, namely, odds ratios, 95% confidence intervals, and p values. However, none of the articles reported MVRLA-related data such as the modeling type, validation, goodness-fit, multicollinearity and interaction tests. There were severe reporting flaws and faults as to the ratio of the total number of events or sample size to the number of independent variables included into the MVLRA model, the use of fitness procedures, and how the independent variables were selected. Our results indicate that MVLRA has become a standard statistical method in the Turkish cardiology literature. However, overall reporting of MVLRA data still has seriously inadequate and inaccurate aspects.


Basaran H.,Erzurum Regional Training and Research Hospital | Koca T.,Erzurum Regional Training and Research Hospital | Cerkesli A.K.,Erzurum Regional Training and Research Hospital | Arslan D.,Erzurum Regional Training and Research Hospital | Karaca S.,Erzurum Regional Training and Research Hospital
Asian Pacific Journal of Cancer Prevention | Year: 2015

Purpose: To present information about prognostic factors of gastric cancer patients treated in our Erzurum center including age, gender, tumour location, pathological grade, stage and the effect of treatment on survival. Materials and Methods: This retrospective study was performed on patients who applied to our clinic and diagnosed as gastric cancer. Age and gender of the patients, primary location, histopathological characteristics, TNM stage of the gastric cancers (GCs), treatment applied, oncological treatment modalities and survival outcomes were studied. A univariate analysis of potential prognostic factors was performed with the log-rank test for categorical factors and parameters with a p value < 0.05 at the univariate step were included in the multivariate regression. Results: A total of 228 patients with a confirmed diagnosis of gastric cancer were included in the study with a male/female ratio of 1.47. Median follow-up period was estimated as 22.3 (range, 3 to 96) months. When diagnosis of the patients at admission was analysed, stage III patients were most frequently encountered (n=147; 64.5%). One hundred and twenty-six (55.3%) underwent surgical treatment, while 117 (51.3%) were given adjuvant chemotherapy. Median overall survival time was 18.0 (±1.19) months. Mean overall survival rates for 1, 2, 3 and 5 years were 68±0.031%, 36±0.033%, 24±0.031% and 15.5±0.036%, respectively. Univariate variables found to be significant for median OS in the multivariate analysis were evaluated with Cox regression analysis. A significant difference was found among TNM stage groups, location of the tumour and postoperative adjuvant treatment receivers (p values were 0.011, 0.025 and 0.001, respectively). Conclusions: This study revealed that it is possible to achieve long-term survival of gastric cancer with early diagnosis. Besides, in locally advanced GC patients, curative resection followed by adjuvant concomitant chemoradiotherapy based on the McDonald regimen was an independent prognostic factor for survival.


Emsen I.M.,Erzurum Regional Training and Research Hospital
Journal of Craniofacial Surgery | Year: 2015

Background: Meningomyelocele is a kind of spina bifida. In this deformity, the spinal canal and the back bone is open. This type of birth defect is also called a neural tube defect. There are many and different methods on the closure of large meningomyelocele defects. Although small meningomyeloceles may be agreeable to direct or primary closure with the local surrounding skin, the closure of large meningomyelocele skin defects needs more complex methods. Purpose: The author presented a different surgical procedure for the closure of large meningomyelocele defects. Material and Methods: The authors presented 9 neonates treated with an O-S (O is the shape of the defect, and S is the final scar shape) advancement procedure. After neurosurgical repair of the placode performed, the skin defect is closed with the O-S flap. This flap method is used for the closure of largemeningomyelocele defects in 8 patients, aged between 4 days to 3 months. The defect size was 9.0 to 12.0cm to 5.3 to 8.5cm on an average. Results: Mean follow-up was 9.25 months (range: 2-19 months). In all patients, there was no any flap ischemia, and the tension-free 1-stage closure was ensured. All patients healed without any complication. In one patient, cerebrospinal fluid leakage was observed. Revision surgery was done for this patient. No wound dehiscence was seen at follow-up period. Conclusions : The major advantages of this technique are: defects can be closed with only 2 incisions, short operative time, and there is no additional muscle transfer. Our suggested technique also provides a well-vascularized cutaneous tissue covering over the neural tissues. This suggested new technique seems to be a safe and practical solution for closure of the large meningomyelocele defects. Copyright © 2015 by Mutaz B. Habal, MD.


Baccioglu A.,Erzurum Regional Training and Research Hospital | Yilmazel Ucar E.,Atatürk University
Tuberkuloz ve Toraks | Year: 2013

Introduction: Level of knowledge about anaphylaxis was evaluated in health care providers by using a self-administered questionnaire. Materials and Methods: A total of 1172 participants responded to the survey, and previously half of them had met a case with anaphylaxis with a highest rate in primary and a lowest rate in tertiary care (p= 0.005). Results: 84.7% of participants answered the questions about the symptoms of anaphylaxis correctly. Although 62.6% of the group knew correctly anaphylaxis treatment steps, 44.7% of them agreed to administer epinephrine if they suspected of a subject with anaphylaxis. One third of the group indicated appropriate route of epinephrine administration. 85.2% of participants agreed to refer the patient to allergy clinic despite 33.7% of the group were unaware of where the nearest allergy clinic was. Only 20.3% of the respondents have heard about epinephrine auto-injector. Conclusion: Anaphylaxis was often diagnosed and managed inadequately, regardless of practice location, employment status and speciality in north-eastern Turkey.


Akca K.,Erzurum Regional Training and Research Hospital | Aytekin A.,Atatürk University
Breastfeeding Medicine | Year: 2014

Background: Starting and continuing breastfeeding are influenced by many factors affecting the mother and the infant. No study is found in the literature investigating how to achieve success in the first nutrient-sucking experiences by decreasing the stress experienced by newborns during the adaptation phase of the early postpartum period. The objective of this study was to determine the effect of soothing noise on sucking success in full-term infants. Materials and Methods: This semi-experimental study was conducted with a total of 127 newborns: 64 in the control group and 63 in the experimental group. The data were collected by the researchers using the Mother and Infant Descriptive Information Form and the LATCH Breastfeeding Assessment Tool, in accordance with the literature. Infants in the experimental group (n=63) were exposed to soothing noise (a song) during the first breastfeeding after birth and again 24 hours later, and their sucking success was assessed. No intervention was applied to the infants in the control group. Results: The results demonstrated that the sucking success of newborns who were exposed to soothing noise in the early postpartum period was higher than that of the control group (p<0.05). Conclusions: It was revealed that exposure to soothing noise is effective for the development of newborns' sucking behaviors as they adapt to extrauterine life in the early postpartum period. © Mary Ann Liebert, Inc. 2014.


Dag O.,Erzurum Regional Training and Research Hospital | Kaygin M.A.,Erzurum Regional Training and Research Hospital | Erkut B.,Erzurum Regional Training and Research Hospital
The Scientific World Journal | Year: 2012

Background. We retrospectively examined the records of 822 patients who underwent a total of 901 operations for acute peripheral arterial occlusion of the upper or lower extremities between 1999 and 2009. We analyzed the effects of atherosclerotic structure, the time of admission to hospital, and re-embolectomies on amputation in the early postoperative period. Methods. There were 466 (56.7) men and 356 (43.3) women. The time of admission to hospital was in the range of 58 hours. There were lower extremity emboli in 683 (83). Bypass procedures were done in 27 (3.3) patients. Fasciotomy, patchplasty, and endarterectomy were made in 19 (2.3), 9 (1.1), and 7 (0.8) patients, respectively. Results. Early revision (re-embolectomy) was performed in 77 (9.3) patients. Amputation was performed in 112 (13.6) patients. Delay after six hours from the onset of complaints and re-embolectomies increased the risk of amputation and rates. Conclusion. If the embolectomy, which is a rapid and easy technique for treatment of acute arterial emboli, is performed by experienced surgeons without delay, the complications associated with the emboli may be prevented. Otherwise, delayed operation and repeated re-embolizations in acute arterial play important roles in morbidity. Copyright 2012 Ozgur Dag et al.

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