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Öğe A case of sudden death due to lighter refill gas ınhalation(Turgut Özal Tıp Merkezi Dergisi, 2016) Petekkaya, Semih; Ayaz, Nusret; Doğan, Mustafa; Oruç, Mücahit; Öner, Bedirhan Sezer; Göktürk, Cihan; Çelebi, Ahmet; Budak, Adalet Eda; Soylu, Özcan; Celbiş, OsmanAbstract A component of lighters refill tubes, butane is a colourless and flammable substance with gasoline-like or natural gas odour. The abuse of easily accessible lighter gas butane is increasing among children and adolescants and this abuse causes euphoric effects. Inhalants are the most commonly used drug after alcohol and tobacco among adolescents. In the literature, it is reported that butane inhalation directly affects central nervous system, respiratory and cardiovasculer systems. To prevent this increasing trend, we believe that society, especially youth, should be educated through precautionary educational activities, sales of lighter refill tubes should be monitored and be made agerestricted, and lighter refill tubes should have warning signs that everyone would understand and attract attention. We present a case of the sudden death of a seventeen-year-old male due to inhaling butane containing lighter refill gas with friends along with the autopsy findings and the results of toxicology and histopathology investigations. Keywords: Butane; Lighter Refill Gas; Sudden Death; Autopsy.Öğe Counterfeit Probiotic Drugs(2022) Oruç, Mücahit; Duman, Yücel; Altın, İsmail; Celbiş, OsmanAim: Counterfeit drugs are a threat to human health worldwide. It can be seen that insufficient research has been conducted on the subject of counterfeit drugs related to potentially addictive drugs seized by the authorities. The aim of this study was to investigate whether or not there are drugs for sale in the Turkish market, which are counterfeit drugs under the heading of probiotics which are defined as micro-organisms with a positive effect on health when taken in certain quantities. Material and Method: A total of 17 different probiotic products in capsule, drops or sachet form, which were permitted for sale, were obtained from randomly selected chemist’s shops in the province of Malatya. Results: There was nothing missing or counterfeit on the packaging of the 17 products examined. When the contents were investigated, no deficiencies or excess micro-organism production was determined in the first 12 products. In product #13, there was no production of one of the mentioned micro-organisms. In products # 14,15, 16, and 17, more than one micro-organism stated in the prospectus could not be obtained. Conclusion: As the checking of products sold in chemist’s but controlled by the Ministry of Food, Agriculture and Livestock is not easy, there is a need for tighter supervision. This can be provided by sending the samples taken during audits to the correct laboratories, making detailed examinations, and evaluation the amount of active substance.Öğe Evaluation of home accidents of forensic nature among children(2020) Ayaz, Nusret; Turgut, Kasım; Turtay, Muhammet Gökhan; Güven, Taner; Oruç, Mücahit; Celbiş, OsmanTo examine the clinical and demographic characteristics of forensic home accidents and fatal injuries. Hospital and forensic records were examined and patients aged ?16 years, referred to our hospital after a home accident, were included in the study. The age, gender, type of injury, injured body area, month of accident, outcome, and department of admission were recorded for each patient. Then, the forensic records were examined and the cases were divided into two groups as those with and without fatal injuries.The characteristics of the two groups were compared using the chi-square test, and the statistical differences were determined.In a three-year period, a total of 453 home accidents considered to be forensic cases were identified. The mortality rate was calculated as 1.8%, and according to the forensic reports, 33.3% of the cases had fatal injuries.While blunt traumas were most common with a rate of 54.1%, burn injuries were found to be most fatal (p<0.001). The majority of injuries were seen in the head and neck, and the risk of fatal injuries was higher in multiple trauma cases in which two or more body systems were affected (p<0.001).Pediatric home accidents are most seen in the age range of 3-6 years, and the risk of fatal injuries is higher in patients with burns and injuries affecting more than one system.Öğe An examination of forensic autopsy cases with pulmonary embolism(2020) Dündar, Ahmet Sedat; Oruç, Mücahit; Altın, İsmail; Öner, Bedirhan Sezer; Petekkaya, Semih; Şamdancı, Emine Türkmen; Celbiş, OsmanAbstract: Aim: This study was conducted for the purpose of adapting the Public Attitudes Toward Epilepsy Scale (PATE) for the Turkish context and determining its validity and reliability. Material and Methods: This is a methodological research and conducted in a family health centre located in the eastern Turkey between February 2018 and September 2018. In this study, 268 individuals, who were older than 18 years and registered in a Family Health Centre, were reached. Results: The result of the KMO test was determined to be 0.783 and that of Bartlett’s test 1002.772, and both were observed to be significant at a level of p , 0.001. Conclusion: Our study determined that the Turkish version of the PATE has validity and reliability and can be used in Turkish society.Öğe Incest Relationship between a Sister and Mentally Retarded Brother which Resulted in Pregnancy and Birth: A Case Report(2016) Doğan, Mustafa; Oruç, Mücahit; Celbiş, Osman; Özdemir, Bora; Petekkaya, SemihAbstract: Incest is an illegal sexual relationship which is encountered in all societies and more often seen in childhood with psychologically destructive effects. Most cases of incest remain hidden when there is no tangible evidence such as a witness or a subsequent pregnancy or become more chronic until the child reaches a mental level where they can understand the wrongness of the event. The study presented between an anatomically virgin girl who experienced sexual relations resulting pregnancy and birth, with her older brother who didn't have adequate sexual relationship information and thought he was playing games, re-enacting what seen on films and television. The girl 12 year-old at the time of incest, didn't realize that she was pregnant so the pregnancy couldn't be terminated and she gave birth to a baby. Applied tests, the accused brother were determined with mild mental retardation, but he had been educated to high school level. The girl was determined to have developed a severe mental disorder because of the event. In this case of incest which resulted in a birth, the girl was found to be victim, the sister and the infant's mother and the boy with mental retardation was the perpetrator. Our aim was to draw attention to destructive effects within the family of incest. In addition, incest cases are rarely seen, it should be pointed out that besides the girl as victim, the mentally-retarded brother and the newborn infant were also victims.Öğe Knowledge levels of physicians in samsun about Patients' rights(2022) Oruç, M. Ali; Oruç, Mücahit; Yazıcıoğlu, BahadirThe patient-physician relationship is an issue that includes mutual rights in medical ethics. Patient rights is one of the sub-topics of human rights that has defined and developed in the last century. In this study, it was aimed to measure the knowledge level of physicians in Samsun province about patient rights. The study is a descriptive, cross-sectional and analytical study with a prospective survey prepared by literature review to measure the knowledge level of physicians about patient rights in Samsun. The data measurement tool includes questions measuring demographic data and knowledge level and was filled with face-to-face interviews with physicians who agreed to participate in the study. SPSS package program was used in the analysis of the data. The study was conducted with 287 physicians. 49.5% of the participants in the study reported that they received training on patient rights. It has been observed that general practitioners are more knowledgeable about patient rights. Physicians at the highest rate (98.3%) stated that “In health institutions, it is necessary to provide all kinds of hygienic conditions befitting human dignity, and to eliminate noise and all other disturbing factors”. “The medical and social benefits expected from medical research may be prioritized over the life and bodily integrity of the volunteer who consents to the research” was the most negatively reported situation (13.6%). Physicians working in Samsun have a high level of awareness and perception of patient rights. Female doctors are more sensitive than male doctors in approaching patients within the framework of the principles of justice and equity, protecting privacy in case of death and hiding the diagnosis of the disease according to the psychological structure of the patientÖğe Mercury intake by gastrointenstinal track and importance of blood level measurement method: a case report(Turgut Özal Tıp Merkezi Dergisi, 2016) Oruç, Mücahit; Doğan, Mustafa; Celbiş, Osman; Özdemir, BoraAbstract Mercury is found in nature in liquid form at room temperature. Because it always freely moves in nature with natural distribution, it is found in trace amounts in all living organisms. Mercury exposure can occur by inhalation, gastrointenstinal absorption, or dermal contact. Forms of poisoning change according to occupations and living conditions. After exposure, the mercury-exposed patient can show cardiac symptoms like itchy rashes, burning sensation, arrhythmia, and hypertension along with neuropsychiatric symptoms ranging from personality changes to seizures. Mercury esposure can be seen in children. Children are exposed to mercury accidentally. As it is the case in many toxic substances, methods of analysis are of utmost importance in treatment and follow-ups of such cases. There may be distruptions while conducting these analyses and passing the results of these analyses to the practitioners that will decide on the treatment. It seems difficult to enable toxicological analyses in all hospitals. We believe that there must be regional hospitals with accredited laboratories capable of carrying out such analyses in similar cases of poisoning and that these cases should be promptly referred to these designated centres. Keywords: Mercury; Intoxication; Minimata Disease.