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    Öğe
    Amlodipine-induced gingival overgrowth
    (Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2016) Ertekin, Yusuf Haydar; Ertekin, Hulya; Uludag, Aysegul; Yakar, Burkay; Tekin, Murat
    [Anstract Not Available]
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    Öğe
    Birinci basamakta bir Peripartum Kardiyomiyopati vakası
    (Yusuf Haydar ERTEKİN, 2016) Yakar, Burkay; Ertekin, Yusuf Haydar; Korkut, Yasemin
    Giriş:  Peripartum Kardiyomiyopati (PKM), gebeliğin son ayında ve doğumdan sonraki ilk 5 ay içerisinde, kalp genişlemesi ve kalp kasının zayıflaması sonucu ortaya çıkan konjestif kalp yetmezliği formudur.  Otuz yaş ve üzeri gebelik, multiparite, kronik hipertansiyon ve eklampsi PKM gelişiminde önemli risk faktörleridir.  Nefes darlığı, çarpıntı, halsizlik, alt extremitede ödem gibi hastalığın erken belirtileri, gebeliğin son dönemlerinde normal karşılaşılabilecek sorunlar olduğundan kalp yetmezliğinden ayırt edilemeyip erken tanı gözden kaçabilmektedir.  PKM tanısı anamnez, fizik muayene ve ekokardiyografi ile konur.Vaka Sunumu: Otuzdört yaşındaki kadın hasta, bir aylık bebeğinin aşısını yaptırmak için aile hekimliği polikliniğimize müracaat etti. Hastanın nefes darlığı, çarpıntı ve öksürük şikayeti mevcuttu.  Özgeçmişinden iki sağlıklı doğum yaptığı, soygeçmişinde ise annesinin Primer Hipertansiyon ve Tip 2 Diyabet hastası olduğu öğrenildi.  Gebeliklerinde ve öncesinde herhangi bir hastalık veya ilaç kullanım öyküsü yoktu.  Fizik muayenesinde kan basıncı 120/70mmHg, nabzı ritmik ve 122/dakika, kalp seslerinde üfürümü yok, her iki akciğer bazallerde ralleri mevcut, batın muayenesi doğal saptandı.  Her iki alt ekstremitede ise gode bırakan ödemi mevcuttu.  Anamnez derinleştirildiğinde çarpıntısının doğumdan iki hafta önce başladığı ve postpartum birinci haftada artış gösterdiği öğrenildi.  Kalp yetmezliği ve pulmoner emboli ön tanıları düşünülerek kardiyoloji uzmanına sevk edilen hasta akut dekompanse kalp yetmezliği tanısıyla yoğun bakıma yatırılarak tedavi edildi.Sonuç: PKM gebelikte sık karşılaşılan çarpıntı ve nefes darlığı şikayetlerinin nonspesifik olması sebebiyle erken tanısı güç bir hastalıktır.  Hastalığın 30 yaş üzeri annelerde daha sık ortaya çıkması ve günümüzde anne olma yaşının ileri yaşlara gelmesi sebebiyle birinci basamakta PKM’yle karşılaşma olasılığı artmaktadır.  Aile hekimleri düşük prevalansta görülen bu hastalığın risk faktörlerini sorgulama, semptomlarını takip etme ve uzmanına danışma yöntemleriyle üstesinden gelebilir
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    Children with drug poisoning: Demographic characteristics and assessment of familial factors
    (Anatolian Journal of Clinical Investigation, 2015) Yakar, Burkay; Ertekin, Yusuf Haydar; Ertekin, Hülya
    In this study; drug intoxication, which is one of the most common childhood health problems, demographic characteristics, and to document the before and after the event was aimed to investigate the role of familial factors. The dermographic properties of the children admitted to our emergency department with drug intoxication, the properties regarding to the drug,family behaviours and attitude, the other facts that will effect the drug intake, were documented retrospectively between 01.04.2009-01.10.2009 from the questionary form. Of the 137 intoxication cases that were documented, mean age was 5.3±4.72 (5month-15age), 80 cases were girl (58.3%), 57 were boy (41.6%). When preschool children (n=101, 73.3%) (51 girls,50 boys) compared with school children(n=36, 26.8%), in school children girls were more in the foreground. The number of the admittance to the emergency department in 6 months was 59310. The ratio of the 137 intoxication cases to all intoxication cases was 0.23%. In our case series, the ratio of 85 intoxication cases to all emegency admittance generates 0.14%(62% of all intoxication cases).The most often drugs leading to intoxication were paracetamol (27%), antidepressant (8.1%), and pseudoefedrin (9.4%). The drug intake was especially for attempting suicide in the adolescent period girls. In our country, the probability of intoxication was higher when the children often left alone at home, the drugs were easy to reach and the package of drug has no protection.The families education and income were generally lower. Preventing drug intoxication in childhood period, children protection in the drugs are important as well as family education. In this subject, the community and social organizations should work well conducted. © 2015, Anatolian Journal of Clinical Investigation. All rights reserved.
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    Knowledge, attitude and anxiety of medical students about the current COVID-19 outbreak in Turkey
    (2020) Yakar, Burkay; Kaygusuz, Türkkan; Pirinçci, Edibe; Önalan, Erhan; Ertekin, Yusuf Haydar
    Introduction: The aim of this study was to assess the knowledge, attitude, and behavior of medical students about the COVID-19 and the effect of the outbreak on the students' anxiety levels. Methods: The cross-sectional study was carried out between 07-14 April, with the online questionnaire forms applied to the medical students. A questionnaire forms were sent to one of every two students in the faculty using the systematic sampling method. A total of 530 volunteers were included in the study. The data was collected through a self-administered questionnaire of the socio-demographic characteristics, opinions about the epidemic, knowledge, and attitude of medical students regarding COVID-19. Anxiety levels of the participants were measured with the StateTrait anxiety inventory. Results: A total of 530 medical students had a mean score of knowledge and attitude of 7.83±1.27 and 45.18±5.12, respectively. Participants demonstrated good knowledge and a positive attitude towards COVID-19. Clinical period students had a higher level of knowledge (p<0.001) and positive attitude (p=0.025) compared to preclinical students. While the knowledge score was higher in men (p = 0.033), the attitude score was higher in women (p <0.001). There was a negative correlation between attitude scores and state (p=0.003) and trait anxiety scores (p<0.001). Conclusion: Medical students had sufficient knowledge and attitude towards COVID-19. Anxiety caused by the outbreak may have negative effects on the positive attitudes of the participants
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    Screening Cardiovascular Risk in Patients with High Depression Scores
    (Professional Medical Publications, 2018) Yakar, Burkay; Ertekin, Yusuf Haydar
    Objective: Protection against cardiovascular diseases is provided by the dynamics of risk screening and counseling of primary health care services. Depression is known to pose a risk for cardiovascular diseases. The aim of our study was to determine which specific features of well-known depressed people who had not yet experienced a cardiovascular event were associated with cardiovascular risk. Methods: This study was conducted in patients at the Corum Gulabibey Family Health Center between June 2016 and June 2017. Patients without a known cardiovascular disease were subjected to Beck Depression Inventory (BDI) and Framingham risk scale. Framingham risk scores were compared by dividing the participants into two groups according to having Beck depression scores of equal/above 10 points (high BDI = HBDI) and below 10 points (low BDI = LBDI). Results: Age, LDL, total cholesterol, triglyceride, and blood pressure were all correlated with risk scores. In contrast, HDL and body mass index were only correlated with the risk scores in HBDI participants. From the HBDI patients, those who were obese had higher risk scores than those without obesity. Conclusion: Obesity is a high cardiovascular risk predictor that can be screened at one site in depression. While the body mass index of depressed individuals was correlated with the cardiovascular risk, this index being above 30 was indicative of high cardiovascular risk.
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    The effects of antipsychotic drugs on depression level in patients with schizophrenia: clozapine vs. other atypical antipsychotics
    (Yusuf Haydar ERTEKİN, 2016) Ertekin, Hülya; Özayhan, Hatice Yardım; Er, Mehmet; Yakar, Burkay
    Introduction: Depressive symptoms may occur in all stages of schizophrenia disorder. Clozapine is the only antipsychotic that has been demonstrated superior efficacy in schizophrenia and suicidal ideation. The aim of this study is to evaluate depressive symptoms in patients with schizophrenia treated with clozapine and to compare with treated with other atypical antipsychotics.Methods: A cross-sectional descriptive study was carried out on patients with schizophrenia according to DSM-IV-TR between December 2012 and May 2013. All participants were evaluated for demographic characteristics and points of Brief Psychiatric Rating Scale, Positive, Negative Syndrome Scale, and Calgary Depression Scale for Schizophrenia.Results: A total 23.6% (n = 13) patients treated with clozapine, while 76.4% (n = 42) patients were treated with other antipsychotic drugs. 23.1% (n = 3) of patients taking clozapine were women, 76.9% (n = 10) were male. The mean age of patients treated with clozapine was 43.0 ± 11.2. The level of depression of patients treated with clozapine was 15.4% (n = 2). No statistically significant difference was found between patients between treated with clozapine and other antipsychotics regarding age, sex, marital status, education years, work history, age at onset of disease, depression and history of suicide attemptConclusion: As a result of this study it is found that clozapine did not effect on the level of depression in patients with schizophrenia, and depression level of patients with schizophrenia treated with clozapine had no difference from  patients treated  with other antipsychotics