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    Complete blood count, Vitamin D, Vitamin B12, Hepatitis A and Hepatitis B screening results in students of faculty of dentistry
    (2020) Dayi, Burak; Kayhan Tetik, Burcu; Kayhan, Eda; Yakıncı, Cengiz
    Abstract: Abstract Aim: To evaluate the blood tests of the students of faculty of dentistry, to complete their vaccination and to start their treatment if necessary depending on the vitamin levels and complete whole blood count. Material and Methods: The study was conducted between December 2017 and March 2018 in Inönü University Faculty of Dentistry. Three tubes of venous blood sample were collected from all of the students for the tests. The data were analyzed by using SPSS ver. 22.0 software. A value of p< 0.05 was considered statistically significant in all tests. Results: A total of 283 students, 160 (56.5%) female and 123 (43.5%) male, were included in the study. The mean age was 21.7 years. Anemia was detected in 46 (16.2%) of the students. Only 13 (4.59%) students had no HBV immunity and 117 (41.3%) had no immunity against Hepatitis A. Vitamin B12 deficiency was detected in only 20 (7.06%) students, while vitamin D deficiency was detected in 206 (72.79%) students. Conclusion: Most of the students had vitamin D deficiency and a large number of them were unimmunized against hepatitis A. In order the students to be able to be successful in the pre-service education and to protect both themselves and their patients from infectious diseases, we should check the vitamins and anemia levels, immunity against hepatitis and complete the deficiencies.
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    Complete blood count, Vitamin D, Vitamin B12, Hepatitis A and Hepatitis B screening results in students of faculty of dentistry
    (2020) Dayi, Burak; Kayhan Tetik, Burcu; Kayhan, Eda; Yakinci, Cengiz
    Aim: To evaluate the blood tests of the students of faculty of dentistry, to complete their vaccination and to start their treatment if necessary depending on the vitamin levels and complete whole blood count. Material and Methods: The study was conducted between December 2017 and March 2018 in Inönü University Faculty of Dentistry. Three tubes of venous blood sample were collected from all of the students for the tests. The data were analyzed by using SPSS ver. 22.0 software. A value of p 0.05 was considered statistically significant in all tests.Results: A total of 283 students, 160 (56.5%) female and 123 (43.5%) male, were included in the study. The mean age was 21.7 years. Anemia was detected in 46 (16.2%) of the students. Only 13 (4.59%) students had no HBV immunity and 117 (41.3%) had no immunity against Hepatitis A. Vitamin B12 deficiency was detected in only 20 (7.06%) students, while vitamin D deficiency was detected in 206 (72.79%) students.Conclusion: Most of the students had vitamin D deficiency and a large number of them were unimmunized against hepatitis A. In order the students to be able to be successful in the pre-service education and to protect both themselves and their patients from infectious diseases, we should check the vitamins and anemia levels, immunity against hepatitis and complete the deficiencies.
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    Evaluation of hepatitis a, b and c serological assays and complete blood count results in medical school students
    (İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 2018) Tetik, Burcu Kayhan; Kayhan, Eda; Demirbag, Omer; Yakinci, Cengiz
    Öz: Aim: Healthcare workers are at high risk for infectious diseases that can be transmitted from patients and the physical environment. In addition, university students staying at dormitories are at risk for anemia due to nutritional disorder. In this study, our aim is to conduct serological screening of hepatitis A, B and C and to complete the missing vaccinations and to conduct complete blood counts, and to perform the necessary treatments in medical faculty students. Material and Methods: The study was conducted on the first-year students in Malatya İnönü University Faculty of Medicine, between September and October 2017. SPSS ver. 22.0 software is used in analysis of the data. A value of p<0.05 was considered statistically significant. Results: A total of 302 students participated in the study; 153 (50.7%) were female and 149 were (49.3%) male. We found that, anemia is present in 8% of the students, HbsAg is positive in 1.2% and Anti HCV is positive in 0.66% of the students. In addition, 13% of students had not been immunized against Hepatitis B, and 60% had not been immunized against Hepatitis A. Conclusion: The results of our study suggest that serological analysis of HAV, HBV and HCV and to ensure necessary immunization is required and screenings for anemia should also be performed, in order to keep education performance of medical students at a sufficient level.
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    İnfantil spazm tanılı hastalarımızın klinik değerlendirilmesi
    (İnönü Üniversitesi, 2018) Kayhan, Eda; Güngör, Serdal
    İnfantil Spazm Tanılı Hastalarımızın Klinik Değerlendirilmesi Amaç: İnfantil spazm yaşamın ilk iki yılına özgü yaşa bağımlı bir epileptik ensefalopati tablosudur. Patofizyolojisi halen tam açıklanamamıştır. Herkes tarafından kabul gören standart bir tedavi şeması da yoktur. Bu çalışmada infantil spazm tanılı hastaların demografik, klinik özellikleri, EEG ve nöroradyolojik görüntüleme bulguları, etiyoloji, uygulanan tedaviler, tedavi yanıtı, izlemde nöromotor gelişimleri ve risk faktörlerinin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Bu çalışmada İnönü Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Nörolojisi Bilim Dalı'nda 2009 ile 2017 yılları arasında "infantil spazm" tanısı ile takip edilen 94 hastanın verileri geriye dönük dosya taraması yapılarak incelendi. Bulgular: Çalışmaya 53'ü erkek, 41'i kız toplam 94 hasta dahil edildi. Hastaların %91,4'ünde spazmların bir yaşın altında başladığı saptandı. Ortalama tanı yaşı 7,01±4,8 ay idi. İlk başvuruda hastaların %80,9'unda anormal nörolojik muayene bulguları, %37,2'sinde ise mikrosefali saptandı. Hastalarda görülen en sık nöbet tipi (%86,2) spazm tipi nöbet ve en sık spazm tipi ise fleksör spazm idi. Tedavi öncesi saptanan en sık EEG bulgusu (%40,4) hipsaritmi idi. Hastaların nöroradyolojik görüntüleme bulguları incelendiğinde %69,1'inde patoloji saptandı. Etiyolojik açıdan hastalar incelendiğinde %58,5 semptomatik, %24,5 kriptojenik, %17 idiyopatik etiyoloji saptandı. Semptomatik etiyolojide en sık görülen nedenler hipoksik iskemik ensefalopati (%25,5) ve santral sinir sistemi malformasyonları (%17) idi. Başlangıç tedavisinde vigabatrin ve ACTH beraber kullanımının tedavi başarı oranı (%83,3) diğer ilaçlara göre anlamlı olarak yüksek bulundu. Başlangıç tedavisinde kullanılan ilaç ile relaps ve en az 6 aylık izlem sonrasında değerlendirilen nöbet prognozu açısından ilişki saptanmadı. Devam tedavisinde ACTH kullanılan hastalarda tedaviye yanıt oranı (%84,6) diğer gruplara göre yüksek bulundu. Ortalama 31,4±25,6 ay olan takip süresi sonunda hastaların %6,4'ünün ilaç tedavisi almadığı ve nöbetsiz takip edildiği, %21,3'ünün monoterapi ile nöbetsiz izlendiği, %50'sinde ise dirençli epilepsi geliştiği, %94,7'sinde nöromotor gelişimin geri olduğu belirlendi. Semptomatik ve kriptojenik etiyolojinin nöbet prognozu ve nöromotor gelişim açısından kötü prognozla ilişkili olduğu saptandı. Sonuç: İnfantil spazm ciddi nörolojik sekeller, dirençli nöbetler ile morbiditesi ve mortalitesi yüksek bir ensefalopatidir. Etiyoloji prognozu belirleyen en önemli faktörlerdendir. Hipoksik doğum infantil spazmla ilişkili en önemli önlenebilir perinatal faktördür. Spazmlar, gelişimi devam eden santral sinir sisteminde daha fazla hasarlanmaya yol açar, erken ve uygun tedavi ile prognoz açısından olumlu katkı sağlanabilir. Anahtar kelimeler: İnfantil spazm, risk faktörleri, etiyoloji, ACTH, vigabatrin, prognoz
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    The prevalence of vitamin d deficiency-insufficiency in medical faculty students
    (Inonu University Medical Faculty Department of Pediatrics, Malatya, Turkey, 2018) Sevimli, Resit; Yakinci, Cengiz; Encan, Mehmet Esref; Polat, Haci; Sakci, Mehmetsah; Sagir, Ahmet; Kayhan, Eda
    Öz: Aim: The vitamin D deficiency is a pandemic health problem due to worldwide modernization. We tried to determine the impact of the reduced sun exposure on the vitamin D levels of the medical faculty students due to the long study hours and indoor study environment and classrooms. Material and Method: Two-hundred and eleven (113 women, 98 men) medical faculty students were included in the study. Blood samples were obtained from the students and serum 25 hydroxyvitamin D3 levels were measured on the same day. Students were healthy individuals, aged 17-29 years (mean age= 19 years). Data were analyzed using SPSS software program. The frequency distribution of the qualitative data and arithmetic mean, minimum, maximum and standard deviation of the quantitative data were used to define descriptive statistics. Non-parametric tests and Chi-square test were used for the analysis of qualitative data; the analysis of the quantitative data was done by observing normally distributed data. The significance level of Chi-square test, independent-student t-test and Mann-Whitney U test were accepted as p?0.05. Results: Serum 25 hydroxyvitamin D3 levels was below 20 ng/ml in 56% (n=118) of the students, of which 72% (n=85) were women. Conclusion: Especially, women had high levels of vitamin D deficiency in our study. This high ratio gives rise to thought that women spend more of their time indoor spaces due to modernization., women are exposed to sun light less than men, and thus they have higher levels of vitamin D deficiency.
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    The prevalence of vitamin D deficiency-insufficiency in medical faculty students
    (2018) Sevimli, Reşit; Yakinci, Cengiz; Encan, Mehmet Esref; Polat, Haci; Sakci, Mehmetsah; Sagir, Ahmet; Kayhan, Eda
    Aim: The vitamin D deficiency is a pandemic health problem due to worldwide modernization. We tried to determine the impact of the reduced sun exposure on the vitamin D levels of the medical faculty students due to the long study hours and indoor study environment and classrooms. Material and Method: Two-hundred and eleven (113 women, 98 men) medical faculty students were included in the study. Blood samples were obtained from the students and serum 25 hydroxyvitamin D3 levels were measured on the same day. Students were healthy individuals, aged 17-29 years (mean age= 19 years). Data were analyzed using SPSS software program. The frequency distribution of the qualitative data and arithmetic mean, minimum, maximum and standard deviation of the quantitative data were used to define descriptive statistics. Non-parametric tests and Chi-square test were used for the analysis of qualitative data; the analysis of the quantitative data was done by observing normally distributed data. The significance level of Chi-square test, independent-student t-test and Mann-Whitney U test were accepted as p≤0.05. Results: Serum 25 hydroxyvitamin D3 levels was below 20 ng/ml in 56% (n=118) of the students, of which 72% (n=85) were women. Conclusion: Especially, women had high levels of vitamin D deficiency in our study. This high ratio gives rise to thought that women spend more of their time indoor spaces due to modernization., women are exposed to sun light less than men, and thus they have higher levels of vitamin D deficiency.
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    Son beş yıldaki akrep sokması olgularımız
    (Ege Tıp Dergisi, 2015) Yakıncı, Cengiz; Almiş, Habip; Demirbağ, Ömer; Kayhan, Eda; Elkıran, Özlem
    Öz: Amaç: Bu çalışmada, İnönü Üniversitesi Turgut Özal Tıp Merkezi , Çocuk Sağlığı ve Hastalıkları Kliniğine 1 Ocak 2008-1 Ağustos 2013 tarihleri arasında başvuran akrep sokması olguları geriye dönük olarak incelendi. Gereç ve Yöntem: Olgular; demografik, kardiyak tutulum, merkezi sinir sistemi tutulumu, sokma yeri ve yaşadığı bölgeye göre değerlendirildi . Bulgular: Hastaların ortalama yaşı 8. 7±2. 3 olup olgu ların 50 si (%48. 5) kadın , 53 ü (%51 . 5) ise erkekti. Olguların yaş gruplarına göre dağılımına bakıldığında; 0 3 yaş grubunda 15 (%14. 5), 4 6 yaş grubunda 23 (%22. 3), 7 9 yaş grubunda 23 (%22. 3), 10 12 yaş grubunda 13 (%12. 6), 13 15 yaş grubunda 17 (%16. 5), 16 18 yaş grubunda ise 12 (%11 . 8) olgu mevcuttu. Olguların tamamı tetanoza karşı aşılan dı. Sonuç: Adıyaman da, dünyanın en tehlikeli c anlıları arasında yer alan sarı akrep (Leiurus abdullahbayrami) türü, Malatya da ise kara akrep (Androctonus crassicauda) bulunmaktadır. Bu nedenle bölgemizde akrep sokmaları sık görülmekte ve ölümcül seyredebilmektedir. Bu çalışmada, Adıyaman ve Malatya bölgeleri için akrep sokmaları ile ilgili önemli veriler sunulmakta ve sağlık çalışanlarına akrep sokmalarını önleme konus unda yardımcı olunması amaçlanmaktadır.