Kecioren Egitim ve Arastirma Hastanesi

Ankara, Turkey

Kecioren Egitim ve Arastirma Hastanesi

Ankara, Turkey
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Buyukkaragoz B.,Kecioren Egitim Ve Arastirma Hastanesi | Yilmaz A.C.,Kecioren Egitim Ve Arastirma Hastanesi | Saylam E.,Cocuk Sagligi Ve Hastaliklari Klinigi | Yilmaz D.,Cocuk Noroloji Klinigi | Ozdemir O.,Cocuk Kardiyoloji Klinigi
Turkiye Klinikleri Pediatri | Year: 2016

We present 6.5 years-old girl with left peripheral facial paralysis which developed by hypertension secondary to renal etiology. After getting 1 mg/kg/day prednisolone for peripheral facial paralysis in another center, she was hospitalized for high fever and stage 2 hypertension [blood pressure 190/140 mmHg (>99p+5 mmHg/>99p+5 mmHg)]. Oral nifedipine followed by enalapril and amlodipine successfully normalized blood pressure. Intravenous ceftriaxone was given for acute pyelonephritis. Fundoscopy revealed stage 1-2 hypertensive retinopathy. Echocardiography demonstrated left ventricular hypertrophy. Ultrasonography showed right renal focal pyelonephritic zone and atrophic left kidney. She had left grade 3 and right grade 2 vesico-ureteral reflux on voiding cystourethrography and stage 2 chronic renal disease. Dimercaptosuccinic acid scintigraphy showed right renal scarring in upper-middle poles and left renal atrophy. After subureteric dextranomer/ hyaluronic acid injection, vesico-ureteral reflux was corrected. As peripheral facial paralysis was complication of hypertension secondary to reflux nephropathy, importance of blood pressure measurement and urinary tract infection diagnosis in children should be remembered. Copyright © 2016 by Türki ye Klinikleri.

Goz I.,Acibadem University | Karahan S.K.,Kecioren Egitim ve Arastirma Hastanesi | Tekcan A.I.,Bogazici University
Journal of Obsessive-Compulsive and Related Disorders | Year: 2016

Previous research on memory and metamemory processes in obsessive compulsive disorder (OCD) almost exclusively addressed veridical memory. The present study investigated veridical and false memory (recall and recognition of nonpresented information) as well as confidence in OCD. We compared checker OCD, non-checker OCD, and healthy control participants (HC) by using the Deese-Roediger-McDermott (DRM) false memory paradigm. Participants were given word lists, each of which consisted of semantically related words which were strong associates of a non-presented critical target word. They were then given a free recall and a recognition task. Although both OCD groups showed comparable correct recall and recognition performance to that of the HC group, OCD groups were less prone to false memories and reported lower confidence for these false memories than the HC group. Accuracy of global recognition estimates were similar across three groups. This pattern of results may partly be due to OCD groups' reliance on item-based rather than relational processing at encoding. © 2016 Elsevier Inc.

Bahceci B.,Recep Tayyip Erdoğan University | Bagcioglu E.,Afyon Kocatepe University | Ozturk A.,Bolge Egitim ve Arastirma Hastanesi | Bulbul F.,University of Gaziantep | And 4 more authors.
Complementary Therapies in Clinical Practice | Year: 2013

Purpose: The aim of this study was to determine the prevalence of complementary and alternative medicine (CAM) use and the associated socio-demographic factors among patients with mental disorders in the Turkish community. Methods: One thousand and twenty-seven patients with a diagnosis of mental disorders who were attending psychiatric outpatient clinics in five Turkish cities were interviewed. A survey questionnaire, which included questions on socio-demographic characteristics and CAM use, was administered face-to-face by psychiatrists. Results: 22.2% of patients with mental disorders were using some form of CAM in the Turkish community. CAM and medication concurrent users had a higher level of education and income compared to CAM users only or medicine users only ( p<0.001). The most common type of CAM used was herbal therapy ( n=146, 64%). Conclusion: Use of CAM by patients with mental disorders should be investigated and taken into account by psychiatrists. © 2013 Elsevier Ltd.

Azboy I.,Dicle University | Yalvac R.S.,Dicle University | Azboy N.,Kecioren Egitim ve Arastirma Hastanesi | Sahin I.,Kecioren Egitim ve Arastirma Hastanesi | Zehir S.,Hitit University
Eklem Hastaliklari ve Cerrahisi | Year: 2016

Objectives: This study aims to determine the pre- and postoperative approaches of orthopedic surgeons and operative room environment facilities in total knee arthroplasty (TKA) and total hip arthroplasty (THA) in Turkey. Materials and methods: Data for this study were collected through a questionnaire completed by 234 physicians randomly identified from the database of Turkish Society of Orthopedics and Traumatology. The questionnaire comprised 19 questions investigating the operative room environment, demographic characteristics of surgeons, laboratory and radiologic analyses required by surgeons in pre- and postoperative patient evaluation, and management of postoperative complications. Results: In Turkey, 48% of the operating rooms where TKA and THA are performed lack laminar airflow, while 35% lack HEPA filters. Only 20.5% of surgeons continue antibiotic prophylaxis for postoperative 24 hours. Low molecular weight heparins are the most preferred anticoagulant (86%) for thromboembolism prophylaxis. While all surgeons perform primary TKA or THA, only 63.7% perform revision TKA or THA. Of the surgeons, 84.6% do not recommended antibiotic prophylaxis before dental or urologic procedures in patients who were performed TKA or THA. Conclusion: In Turkey, although consensus has been built on many issues regarding TKA and THA, different approaches are adopted based on academic position, duration of specialty, and employer institution.

Balta I.,Kecioren Egitim Ve Arastirma Hastanesi | Balta S.,Gulhane Askeri Tip Akademisi | Demirkol S.,Gulhane Askeri Tip Akademisi
Gulhane Medical Journal | Year: 2014

Psoriasis isa chronic inflammatory disease that affectsapproximately 1-3% of the population. Psoriasis is associated with conventional cardiovascular risk factors, including hypertension, diabetes mellitus, obesity, smoking and hyperlipidaemia. Furthermore, psoriasis, like other type 1 helper T-cell-driven inflammatory disorders such as rheumatoid arthritis and systemic lupus erythromatosus, is an independent risk factor for atherothrombotic disease. Because of psoriasis and atherosclerosis are both characterized by T helper 1 and T helper type 17 activation and reduced T regulatory cell function. Therefore, psoriasis is associated with increased risk of adverse cardiovascular events. Young age, severe skin affection ano/or psoriatic arthritis carry the most risk. The high-risk group of patients with psoriasis may be candidates for early cardiovascular risk factor modification. © Gülhane Askeri Tip Akademesi 2014.

Abaci A.,Kecioren Egitim ve Arastirma Hastanesi | Bober E.,Dokuz Eylül University | Buyukgebiz A.,Cocuk Endokrinoloji Bolumu
Turkiye Klinikleri Pediatri | Year: 2010

Diabetic ketoacidosis is a life-threatening acute metabolic disorder that is characterized by absolute or relative deficiency of circulating insulin and increased counter regulatory hormone levels in the circulation. The entity may be the presenting clinical picture or may occur at any time after diagnosis in type 1 diabetes. After diagnosis, major causative factors are forgetting insulin dose or intercurrent infections. The diagnosis depends on clinical suspicion and subsequent confirmation via biochemical tests (namely, hyperglycemia, metabolic acidosis, and ketonuria/ketonemia). Therapy consists of correction of fluid and electrolyte disorders, insulin administration, and careful ongoing monitoring of clinical and laboratory factors. The success of diabetic ketoacidosis treatment depends on the appropriate correction of dehydration, hyperglycemia, ketoacidosis, and electrolyte imbalance. In children, mortality is frequently associated with cerebral edema and encountered in 0.5-3% of all diabetic ketoacidosis episodes. It mostly reported in children with newly diagnosed diabetes and the exact mechanisms are unknown. The most important signs and symptoms of cerebral edema include severe headache, sudden deterioration in mental status, bradycardia, hypertension, cranial nerve dysfunction, and incontinence. Failure of the serum sodium to increase with treatment, intravenous administration of sodium bicarbonate, degree of hypocapnia and dehydration are the most important risk factors. Mannitol (0.25-1 g/kg, 20-30 minute) or 3% NaCL (5-10 mL/kg, 30 minute) treatment should be given immediately in any clinical suspicion or finding, and following the rate of fluid must be reducing. Many cases of diabetic ketoacidosis can be prevented by a better education of patients and health care providers and an easier access to medical care. Copyright © 2010 by Türkiye Klinikleri.

Demir M.,Kecioren Egitim ve Arastirma Hastanesi | Tuncay E.,Yedikule Gogus Hastaliklari ve Gogus Cerrahisi Egitim ve Arastirma Hastanesi | Yenturk E.,Yedikule Gogus Hastaliklari ve Gogus Cerrahisi Egitim ve Arastirma Hastanesi | Kanmaz D.,Yedikule Gogus Hastaliklari ve Gogus Cerrahisi Egitim ve Arastirma Hastanesi
Anatolian Journal of Clinical Investigation | Year: 2014

To determine the influence of frequent exposure on the risk of tuberculosis and to define some features of employee who had tuberculin skin test conversion in a chest diseases hospital and a general hospital without a chest diseases clinic.In this observational study, to determine tuberculin skin test conversion and compare the risks of tuberculosis among health care workers, tuberculin skin tests were performed two times, at least one year apart, in the study hospitals. An increase of 10 mm and above in size was accepted as conversion. Chi square test and correlation analysis were used for the statistical analysis.In total, 201 subjects had two tuberculin skin tests, 12 to 18 months apart. The test was found positive in 60 subjects out of 134 (44.7%) in the chest diseases hospital and in 4 subjects out of 67 (%5.9) in the general hospital. Tuberculosis risk was 7.4 times higher among chest disease hospital's health care workers and it was statistically significant.The tuberculosis infection risk was significantly greater in health care workers who expose to tuberculosis more frequently. If necessary preventive measures are taken, the tuberculosis infection risk will decrease significantly.

Akarsu S.,Kecioren Egitim ve Arastirma Hastanesi | Sahin S.,Kecioren Egitim ve Arastirma Hastanesi | Kara C.,Kecioren Egitim ve Arastirma Hastanesi | Akdemir N.,Kecioren Egitim ve Arastirma Hastanesi | Degerli S.,Kecioren Egitim ve Arastirma Hastanesi
Turk Jinekoloji ve Obstetrik Dernegi Dergisi | Year: 2010

Objective: The aim of this study was to assess the analgesic efficacy and adverse effects of intravenous paracetamol in comparison with intramuscular diclofenac in patients with postoperative pain after cesarean section Materials and methods: Eighty patients of ASA class I-II, 20-39 years of age, undergoing cesarean section under spinal anesthesia were assigned in a randomized manner into two groups. In Group 1 (n=40), 1 gr paracetamol intravenously, in Group 2 (n=40) 75 mg diclofenac intramuscularly was given at the time to first analgesic requirement after the operation. Postoperative pain scores were evaluated before medicine and at 30 min, 1, 2, 4, and 6 hours after the administration of the analgesic. 1 mg/kg meperidine was given in patients whom VAS □5 after the analgesic. First analgesic time and adverse effects such as nausea, vomiting, pruritis, injection site pain, allergic reaction, hypotension and hypertension were recorded. Results: The demographic data and adverse effects were similar in all groups. Conclusion: No significant differences were found between paracetamol and diklofenac for measures of analgesic activity.

Ozayar E.,Kecioren Egitim ve Arastirma Hastanesi | Degerli S.,Kecioren Egitim ve Arastirma Hastanesi | Gulec H.,Kecioren Egitim ve Arastirma Hastanesi | Sahin S.,Kecioren Egitim ve Arastirma Hastanesi | Dereli N.,Kecioren Egitim ve Arastirma Hastanesi
Journal of Medical and Surgical Intensive Care Medicine | Year: 2011

Aim: In this study, we aimed to analyse the epidemiological and demographic features, prognosis and length of stay of patients admitted to the hospital ICU with poisoning over a two-year period. Materials and Methods: Patients accepted to the ICU with poisoning from 1 January, 2008-1 January, 2011 were evaluated according to their demographic characteristics, ethology, admission time to emergency service and length of stay in the ICU. Results: Seventy-six (70.4%) of 108 patients who were accepted to the ICU with poisoning were female and 32 (29.6%) were male. The mean age was 27.9 years. Eightyseven percent of all patients were drug overdoses as suicide attempts; 64.90% of these patients took multiple drugs and 35.10% took one kind of drug. The most frequent drug combination were antidepressants and NSAIDs. Four of the patients were exposed to carbon monoxide, five to mushrooms, three to insecticides, one to methanol and there was one case of honey intoxication. The mean admission time to the emergency department was 4.4 hours, while the mean time for ICU admission was 2.4 hours. The mean duration of stay in the ICU was 2.7 days. Antidotes were used in 100 patients, six patients were intubated and one patient died. The mortality rate was 0.92%. Conclusion: Cases of poisoning admitted to the ICU with a drug overdose as a suicide attempt were mostly young women. The most common agents were NSAIDs and antidepressants. With this retrospective study, we determined the patient profile for intoxication cases in our ICU and also we have a chance of self-evaluation.

Honca M.,Kecioren Egitim ve Arastirma Hastanesi | Kulah B.B.,Zekai Tahir Burak Kadin Sagligi Egitim ve Arastirma Hastanesi | Kose E.A.,Kirikkale University | Turker T.,GATA Halk Sagligi Anabilim Dali | Horasanli E.,Kecioren Egitim ve Arastirma Hastanesi
Anestezi Dergisi | Year: 2014

Objective: The aim of this study was to compare the hemodynamic parameters between preeclamptic and healthy women undergoing cesarean delivery with spinal bupivacaine and fentanyl retrospectively. Methods: A retrospective randomised study of women with severe preeclampsia and ASA I healty women requiring cesarean section with spinal anesthesia from January 2012 to December 2012 was carried out. Maternal age, weight, gestational age at delivery, duration of operation, duration of anesthesia, hemodynamic parameters during intraoperative period (non invasive blood pressure, heart rate, peripheral oxygen saturation), intraoperative volume replacement (colloid-crystalloid) , requirement of ephedrine, neonatal body weight and APGAR scores were recorded. Results: Consisting of 223 preeclamptic patients and 221 and healty women, a total of 444 patients were included in the study. The incidence of hypotension and ephedrine treatment were less in preeclamptic women. Neonatal body weight and APGAR scores were lower in the preeclamptic patient group. Conclusion: The incidence of hypotension and requirement of ephedrine were less in preeclamptic patients undergoing cesarean delivery with spinal anesthesia and it was concluded that this method was safe.

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