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    Analysis of children admitted to emergency department with acute abdominal pain in Van
    (Duzce University Medical School, 2012) Arica, Vefik; Arica, Seçil; Tutanç, Murat; Gücük, Sebahat
    Objective: Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The aim of the present study was to determine the prevalence, associated symptoms, and clinical outcomes of children with acute abdominal pain who had been admitted to an emergency department. Material and Methods: Children who presented to the emergency department in Van between October 2008 and October 2009 with acute abdominal pain and other symptoms of acute abdomen were enrolled in this study. A retrospective review of 140 charts of patients aged between 0-15 who presented with acute abdominal pain and possible acute abdomen to the Emergency Department of a Children Training Hospital over a 1-month period were evaluated. Patient demographics, presenting signs, and symptoms were documented. Results: Among 140 cases, 58 (41.4%) were boys, 82 (58.6%) were girls. The prevalent medical diagnoses were: gastroenteritis (27.1%, n=38), urinary tract infection (12.1%, n=17), acute abdominal pain with uncertain etiology (17.2%, n=24), upper respiratory tract infections (10.6%, n=15); familial Mediterranean fever (3.6%, n=5), constipation (17.2%, n=24), appendicitis (5%, n=7), menstruation pain (3.6%, n=5), hepatitis (3.6%, n=5). The most common surgical cause of acute abdominal pain was acute appendicitis (n: 7, 5%). Hundred and twelve children were referred to the department of pediatric surgery, but only 16 of 37 (11.4%) required surgical intervention. Conclusions: The most frequently seen causes of acute abdominal pain were due to internal diseases. The ratio of the surgical causes were 11.4%. © 2012 Düzce Medical Journal.
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    Evaluation of patients hospitalized in pediatric intensive care unit
    (Duzce University Medical School, 2011) Tutanç, Murat; Arica, Vefik; Başarslan, Fatmagül; Karcio?lu, Murat; Yel, Servet; Kaplan, Metin; Arica, Seçil
    Objective: The patients hospitalized in Pediatric Intensive Care Unit (PICU) were evaluated for the diagnosis, gender, length of stay, months at which they were hospitalized and discharged. Method: In this study, 698 patients hospitalized and followed-up in the Pediatric Intensive Care Unit of Pediatric Health and Diseases of Dicle University Faculty of Medicine between dates of November 2002 - February 2005 were evaluated. Results: 95 (13.6%) of patients were hospitalized with the diagnosis of pulmonary infection, 84 of those (%12) with sepsis, 70 (10%) with poisoning, 49 (7%) with infection of central nerve system, 44 (6.3%) with status epilepticus, 28 (4%) with hepatic coma, 27 (3.9%) with snakebite, 24 (3.4%) with scorpion bite, 18 (2.6%) with trauma, 17 (2.4%) with intracranial bleeding, 15 (2.1%) with meningococcemia, 12 (1.7%) with drowning, 8 (1.14%) with electric shock, and 7 of patients (1%) with malignancy. While most frequent hospitalization was recorded in January (10.7%) and June (10.4%), the least frequent hospitalization was observed in October (5.7%). Number of female patients was 300 (42.8%), whereas number of male patients was 398 (57.2%). Mean length of stay was 5.3±6.1 days. 363 (51.8%) of patients were transferred to other services after their general condition had been stabilized, 86 (12.3%) of patients were discharged from the intensive care unit, 8 (1.14%) of patients were referred to an advanced center, and 238 (34.4%) of patients died. Conclusion: In this study, it is intended to highlight the fact that the pulmonary infection and thus the respiratory support are the most frequently recorded conditions in the intensive care unit and that preventable diseases such as poisoning in childhood, trauma, drowning, and electric shock take an important place in hospitalization. © 2011 Düzce Medical Journal.
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    Evaluation of the factors concerning the unexpected pregnancy of women who applied to the mother and child care and family planning center of Van Province
    (Gulhane Military Medical Academy, 2012) Gücük, Sebahat; Alkan, Servet; Arica, Seçil; Cansever, Zeliha
    AIM: The purpose of this study is to evaluate the experiences of unexpected pregnancy and the related factors of the women who have applied to our center. METHOD: The study was planned as a descriptive study which enrolled women in the age range of 15-49 on the basis of volunteerism who have applied to the Mother and Child Care and Family Planning Center of Van Province. The participants were administered a survey in which certain situations were questioned, such as age, educational background, age at first labor, income status, number of living children, miscarriage status, unexpected pregnancy status, the presence of trying to undergo an abortion with alternative methods, and the state of receiving consultancy service on pre- and post-pregnancy family planning. RESULTS: The more increased the educational level of 399 women enrolled in the study, the more significant reduction in unexpected pregnancies was detected (P=0.001). When the educational background and the use of alternative methods to have an abortion were compared, the illiterate women were found to use alternative methods (37.6%) at a significantly high ratio (p=0.0001). The average of children number of women with at least one unexpected pregnancy was significantly high (p=0.0001). While the ratio of receiving consultancy on post-pregnancy family planning from health care personnel of the women with unexpected pregnancy was 79.5%, a ratio of 97.9% was detected for the women with planned pregnancy which was significantly different (p=0.0001). CONCLUSION: The health care personnel may reduce the unexpected pregnancies by training women on family planning in a simple, understandable way and by trying to increase health literacy by taking the dominant social rules in our region into consideration. We consider that the primary healthcare will be more effective and result oriented through newly applied Family Practice in our region.
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    Malondialdehyde level in the cord blood of newborn infants
    (Brieflands, 2011) Gülbayzar, Sayat; Arica, Vefik; Hatipo?lu, Sami; Kaya, Ayşem; Arica, Seçil; Karatekin, Güner
    Objective: In this study, we aim to demonstrate that measurement of the malondialdehyde (MDA) level in the umbilical cord blood of newborn infants born via cesarean section (C/S) and normal vaginal delivery (NVD) is indicative of oxidative stress during the perinatal period. Methods: The study was conducted at Bakirkoy Training and Research Hospital between January 2006 and April 2006 on 15 newborns born via elective C/S, 15 newborns born via emergency C/S, and 15 newborns born via normal vaginal delivery. Complete blood count, total bilirubin, glucose, creatinine phosphokinase (CPK), uric acid, iron, blood gas, and malondialdehyde levels were measured in the umbilical cord blood Findings: Malondialdehyde levels in the umbilical cord blood in the emergency C/S and NVD groups were found to be statistically and significantly higher than those in the elective C/S group. In the emergency C/S group, it was determined that the malondialdehyde level increased as the oxygen saturation of the umbilical cord blood increased. In the NVD group, a positive correlation was detected between the total bilirubin and malondialdehyde levels in the umbilical cord blood. In the emergency C/S group, the malondialdehyde level was recorded to be high in the infants with high level of uric acid in the umbilical cord blood. Conclusion: We concluded that the malondialdehyde level in umbilical cord blood could serve as an indication of perinatal oxidative stress and that it could thus help in preventing permanent damage. © 2011 by Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, All rights reserved.
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    The prevalence of urinary incontinence, sexual dysfunction and quality of life in women of reproductive age admitted to urogynecology departments
    (Acta Medica Mediterranea, 2014) Akkoca, Ayşe Neslin; Kurt, Raziye; Özdemir, Zeynep Tuba; Yengil, Erhan; Özer, Cahit; Arica, Seçil; Özler, Serkan
    Aim: Urinary incontinence (UI) is fairly common among women and reduces common emotional and psychological well-being and also a phenomenon that weakens sexual life. At the same time, social activities and relationships; family life, his relationship with his wife is adversely affected. In this study of prevalence of UI and the sexual dysfunction(SD) and quality of life were examined in women of reproductive age who admitted family medicine, obstetrics, urology clinics with various symptoms (frequent urination, urinary burning, pelvic pain, urinary incontinence, vaginal discharge and similar complaints). Materials and methods: The study included a total of 665 female patients of 15-49 years of age admitted to Family Medicine, Obstetrics and Gynecology, and Urology polyclinics in Mustafa Kemal University Faculty of Medicine, Training and Research Hospital during October 2013-January 2014 with various complaints. General survey form, ICIQ-SF (International Consultation on Incontinence Short Form), FSFI (Female Sexual Function Index) form, and EORTC QLQ-C30 (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30) version 3.0 were applied to these patients. The general survey form addressed demographic characteristics, risk factor for urinary incontinence, concomitant diseases, anamnesis including medical history and family history. The data obtained in the study were assessed for statistical significance by using Student's t-test, Mann Whitney U test, Chi-square test and Fisher's Exact Chi-square test. Results: The sociodemographic characteristics of the women were; mean age was 31.85±9.495 (SD) and mean body mass index (BMI) value was 26.39±4.03. Obstetric history was as follows; number of normal vaginal births was 317 (47,66%);number of caesarean sections 471 (70.8%); number of deliveries of infant over 4 kg of birth weight 138 (20.8%) and number of multiple gestations resulting in live birth was 60 (9%). 235(35.3%) women had previous history of surgery to pelvic floor and 203 (30,5%) of had previous history of abdominal surgery (except cesarean section). Frequency of UI was 42,7%(284 women). Situation that provokes UI; mixed type at 95 (14.3%) women, stress type at 133 (20%) women, urge type at 56 (8.4%) women. The effect on daily life was scored(those who report an effect of 8 on a scale to 10 was 159 (23.9%) of). There was chronic disease at 175(26,4%) of them, disc herniation at 36 (5.4%) of, involuntary defecation at74 (11.1%)of, involuntary flatulence at 191 (28.7%) of, haemorrhoids at 405 (60.9%)of, urinary tract infection at 244 (36,7%), vaginitis 1-2 times a year at 352 (52.9%) women. Sexual dysfunction (FSFI according to survey results); 215 (32.3%) women have not heard of sexual desire in the past month. Self-confidence about being sexually driven present at only in 222 (33.4%) women. 307 (46.2%) women dont feel wetness during sexual intercourse. 136(20.5%) women say sexual intercourse is not satisfactory. 57.9% of all cases not satisfied with your sexual life. Painful intercourse at 74 (11.1%) women. Conclusion: Urinary incontinence in female population is quite a common health problem. A large majority of women perceive it as a result of aging and female gender and do not seek medical assistance.It is important to detect this problem and relevant risk factor among patients who admit to polyclinics. This approach would improve the treatment of this condition which affects quality of life and sexuality.