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    Alexithymia is not a good predictor of suicidal ideation in patients with social anxiety disorder
    (Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2018) Altintas, Ebru; Ozlem Kutuk, Meryem; Tufan, Ali Evren; Gozukara Bag, Harika
    Objective: This study was to determine the relation between alexithymia and suicidal ideation and factors associated with suicidal ideation in patients with social anxiety disorder (SAD). Also we determined whether alexithymia is predictor of suicidal ideation related with SAD. Methods: One hundred and sixty-four SAD (n=57), panic disorder (PD) (n=58), healthy controls (HC) (n=49) subjects (according to DSM-5) were included to study. Alexithymia was measured by Toronto Alexithymia Scale-20(TAS-20), suicidal ideation was measured by Suicidal Ideation Scale (SIS), social anxiety level were evaluated with Liebowitz Social Anxiety Scale and anxiety and depression level evaluated with Beck Depression Inventory and Beck Anxiety Inventory, State and Trait Anxiety Scales. Results: Alexithymia, the rate of was found to be 38.6% in SAD patients and 29.3% in PD patients. In SAD group, significant correlation was found between TAS 20, its factors and SIS. With path analysis, it was found that TAS 20 total scores predicted SIS scores only indirectly and via their effects on trait anxiety and subjective depressive symptoms. Conclusion: In alexithymic SAD patient's suicidal ideation may occur when comorbid depression is present. Based upon the findings alexithymia may not be a good predictor of suicidal ideation for preventing suicidal attempts in patients with social anxiety disorder.
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    Alexithymia is not a good predictor of suicidal ideation in patients with social anxiety disorder
    (Anadolu psıkıyatrı dergısı-anatolıan journal of psychıatry, 2018) Altintas, Ebru; Ozlem Kutuk, Meryem; Tufan, Ali Evren; Gozukara Bag, Harika
    Objective: This study was to determine the relation between alexithymia and suicidal ideation and factors associated with suicidal ideation in patients with social anxiety disorder (SAD). Also we determined whether alexithymia is predictor of suicidal ideation related with SAD. Methods: One hundred and sixty-four SAD (n=57), panic disorder (PD) (n=58), healthy controls (HC) (n=49) subjects (according to DSM-5) were included to study. Alexithymia was measured by Toronto Alexithymia Scale-20(TAS-20), suicidal ideation was measured by Suicidal Ideation Scale (SIS), social anxiety level were evaluated with Liebowitz Social Anxiety Scale and anxiety and depression level evaluated with Beck Depression Inventory and Beck Anxiety Inventory, State and Trait Anxiety Scales. Results: Alexithymia, the rate of was found to be 38.6% in SAD patients and 29.3% in PD patients. In SAD group, significant correlation was found between TAS 20, its factors and SIS. With path analysis, it was found that TAS 20 total scores predicted SIS scores only indirectly and via their effects on trait anxiety and subjective depressive symptoms. Conclusion: In alexithymic SAD patient's suicidal ideation may occur when comorbid depression is present. Based upon the findings alexithymia may not be a good predictor of suicidal ideation for preventing suicidal attempts in patients with social anxiety disorder.
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    Comparison of routine laboratory tests in acute appendicitis and intussusception in childhood
    (2019) Gurunluoglu, Kubilay; Tasci, Aytac; Gozukara Bag, Harika; Demircan, Mehmet
    Aim: Acute appendicitis and idiopathic intussusception are two major causes of acute abdomen in childhood. In this study, we investigated the clinical, laboratory and radiological findings of these two surgical emergencies during the first presentation. Material and Methods: In this study, we retrospectively reviewed the records of pediatric patients with acute appendicitis and idiopathic intussusception between 2015-2018. Patients were identified according to inclusion criteria. Results: Physical examination findings were positive in all patients with acute appendicitis and idiopathic intussusception. White Blood Cell (WBC) [15.55] and C-Reaktif Protein (CRP) [3.75] were high in the laboratory test in patients with acute appendicitis. In patients with idiopathic intussusception, lactate dehydrogenase (LDH) [302] and CRP [0.6] were high and Ultrasound findings were positive. In addition, WBC [10,1 (5,07)] was normal in patients with idiopathic intussusception. Conclusion: While WBC, CRP, physical examination is valuable in the diagnosis of acute appendicitis, physical examination, CRP, LDH and USG are valuable in the diagnosis of intussusception. In an Idiopathic intussusception patient, WBC may be normal at first admission.
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    The effects of grapeseed extract and low level laser therapy administration on the liver in experimentally fractured mandible
    (2017) Erdemli, Mehmet Erman; Akgul, Hasan; Ege, Bilal; Aksungur, Zeynep; Gozukara Bag, Harika; Selamoglu, Zeliha
    Aim: The present study investigated the changes in the liver tissues of rats with experimentally fractured mandible following the use of Grape Extract (GSE) and Low Level Laser Therapy (LLLT) in healing the fracture in dentistry. Materials and Methods: 60 adult male Wistar Albino rats were randomly assigned to 5 main groups (Control, Fractured Mandible (FM), FM + GSE, FM + LLLT, FM + LLLT + GSE), and then these groups were divided into two groups of 7 and 21 days (n = 6). A vertical fracture line passing through the molar teeth was formed in the right mandibles of all subjects except for these in the control group, and the fracture was internally fixed with a four-hole microplate and four micro-screws. Malondialdehyde (MDA), reduced glutathione (GSH), superoxide dismutase (SOD), catalase (CAT) activities were analyzed to determine the changes caused by GSE and LLLT administration in rat liver tissues in fractured mandibles. Results: It was determined that MDA and SOD levels in FM group and GSH and CAT activity levels in FM + GSE group and MDA levels in FM + LLLT group and GSH and CAT levels in FM + GSE + LLLT group increased statistically significantly to the control group on days 7 and 21. Conclusion: Biochemical parameters were investigated on the 7th and the 21st days, and it was determined that the oxidative damage caused by mandibular defects could be eliminated substantially in the rat liver especially with the administration of grapeseed that has antioxidant capacity
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    The effects of hydrostatic reduction and operative manual reduction on the success of intussusception reduction
    (2018) Gurunluoglu, Kubilay; Tasci, Aytac; Gozukara Bag, Harika; Sigirci, Ahmet; Demircan, Mehmet
    Aim: Intussusception is the most common cause of bowel obstruction in children aged 3 months to 6 years. Ultrasonically guided Hydrostatic reduction (UGHR) and operative manual reduction (OMR) are among the treatment methods. The aim of this study is to compare the effects of UGHR and OMR techniques on successful reduction in children with intussusception. Material and Methods: This study was performed retrospectively between January 2015 and May 2018. The data of intussusception child patients were reviewed. A total of 63 patients’ records were reached. A total of 31 UGHR procedures and 32 OMR procedures were recorded. Demographic data, recurrence, reduction success of UGHR and OMR patients were calculated and evaluated statistically. Results: No significant difference was found in terms of demographic information. There was no recurrence in both groups. While rate of successful reduction of patient with UGHR is 77.4%, OMR’s success is 87.5%. There was no statistically significant difference in terms of reduction success. It was determined that what was important in the reduction success was the first application time. Conclusions: When we evaluated our results, we found that the factor affecting the reduction success in a patient with intussusception was not the method of reduction. We found that the most important factor affecting reduction success was the time between onset of symptoms and initiation of reduction. If this is less than 24 hours, we have found that the reduction success is very good.
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    The Prevalence of Allergic Diseases and Associated Risk Factors in the 6-7 Age Children Who are Living in Malatya, Turkey
    (Bilimsel Tip Yayinevi, 2017) Topal, Erdem; Kaplan, Fatih; Turker, Kenan; Kutluturk, Kazim; Gozukara Bag, Harika
    Objective: The prevalence of allergic disease in children has been increasing in the recent years. There is no previous study on the prevalence of allergic disease in Malatya, Turkey. We aimed to investigate the prevalence of allergic disease and related risk factors among children aged 6-7 years in Malatya. Materials and Methods: We administered the questionnaire of the International Study of Asthma and Allergies in Childhood (ISAAC) translated into the Turkish language to 480 children aged 6-7 years living in Malatya. The questionnaires were completed by the parents for 413 (86%) of the children. Results: There were 210 (50.8%) males and the overall mean age was 6.6 +/- 0.49 years. The lifetime prevalence of wheezing, rhinitis and eczema was 20.3%, 37% and 7.5% respectively and the reported prevalence for the last 12 months was 12.3%, 32% and 6.5% respectively. When the risk factors associated with allergic disease were analyzed; male gender (p=0.001), history of parental asthma (p=0.002), doctor's diagnosis of allergic rhinitis (p=0.025) and having cockroaches at the home (p=0.002) were associated with asthma. A history of doctor's diagnosis of asthma (p<0.001) and atopic eczema (p=0.001) were associated with rhinitis as risk factors. History of parental atopic eczema (p<0.001) and doctor's diagnosis of asthma (p=0.006) were associated with atopic eczema as risk factors. Conclusion: This study is the first to investigate the prevalence of allergic disease in the 6-7 years age group in Malatya using the ISAAC questionnaire. The current study shows the prevalence of allergic diseases is considerable in children living in Malatya.
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    When is free air a sign of complication on abdominal plain radiography after laparotomy in pediatric patients?
    (2018) Gurunluoglu, Kubilay; Tasci, Aytac; Gozukara Bag, Harika; Demircan, Mehmet; Sigirci, Ahmet
    Aim: Postoperative free air in the abdomen may not be harmful for the patient, it may be innocent, but it may also be an important indicator or marker of an operation-related complication. In this study we aimed to find out retrospectively when post-operative free air in the abdomen disappears in pediatric patients undergone laparotomy. Material and Methods: From January 2009 to April 2018, records of all pediatric patients under 17 years of age undergoing laparotomy were reviewed. The data of 1570 patients who underwent laparotomy were obtained. Among these patients, 101 patients who complained of vomiting on the first postoperative day were identified. On the first postoperative day, 101 patients with vomiting complaints were found to have abdominal plain radiographs (APR). Among these patients, those who were re-operated were identified. Both groups were statistically analyzed in terms of the disappearance time of free air and demographic information in the APR film. Results: The free air in the group of re-laparotomy continued to be seen for a longer time. We found that free air was lost in APR in 28.7% of patients in 1 day, 60.3% in 2 days, 7.9% in 3 days and 2.9% in 4 days. Conclusion: In our study, we found that free air continued to be seen in APR for 2 days after laparotomy in children. We claim that surgical intervention should be considered as a primary consideration if free air is present in the APR after 3rd postoperative day