Browsing by Author "Can, Muhammet"

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Çocuklarda Trakeobronşial Yabancı Cisim Aspirasyonları
(2007) Çabanoğlu, Ufuk; Can, Muhammet
Amaç: Yabancı cisim aspirasyonunda, enfeksiyon odaklı solunum problemleri nedeniyle ölümle sonuçlanan tama yakın tıkanıklıklara kadar uzanan olaylar zinciri ile karşılaşılabilmektedir. Vakalarda orijin sıklıkla kaza olarak bildirilmektedir. Çalışmamızda, YYÜ Tıp Fakültesi Hastanesi ve Elazığ Devlet Hastanesi Göğüs Cerrahisi kliniklerine başvuran aspirasyon vakalarının literatür eşliğinde araştırılması amaçlanmıştır. Yöntem: 1995-2007 yılları arasında, YYÜ Tıp Fakültesi Hastanesi ve Elazığ Devlet Hastanesi Göğüs Cerrahisi kliniklerine başvuran yabancı cisim aspirasyonu ön tanısı ile yatırılmış 52 çocuk hasta; cinsiyet, yaş, yakınmaları, başvuru süresi, fizik muayene bulguları, radyolojik bulgular, yabancı cismin niteliği, yabancı cismin lokalizasyonu, uygulanan tedavi yöntemleri, hastanede yatış süresi, komplikasyonlar ve mortalite açısından retrospektif olarak incelenmiştir. Bulgular: Yaşları 4 ay-5 yaş arasında değişen 52 olgunun, 33’ü (%63) kız, 19’u(%37) erkektir. 52 vakanın 45’inde yabancı cisim tespit edilirken 7 vakada yabancı cisim saptanmamıştır. Hastaların 21’inde öksürük, 11’inde nefes darlığı, 9’unda da hiç bulgu olmadığı görülmüştür. Olguların 43’ünde(%82.6) yabancı cisim rigid bronkoskopi ile, 2’sinde torakotomi ile çıkarılmıştır. Olguların, ilk 6 saatte 21’i(%40.3), ilk 24 saatte 16’sı(%30.7), ilk 15 gün 6’sı(%11.5), bir aydan fazla sürede ise 9’unun(%17.3) başvurduğu tespit edilmiştir. Sonuç: Çocukluk çağı trakeobronşial yabancı cisim aspirasyonu olguları 5 yaş altı çocuklarda çoğunluğu kaza nedenli ve bir kısmı da ihmal sonucu oluşan adli vakalar olması nedeniyle değerli bulunarak hazırlanmıştır.
Dissecting Firearm Injury To the Head and Neck With Non-Linear Bullet Trajectory: a Case Report
(Elsevier Ireland Ltd, 2010) Can, Muhammet; Yildirim, Nadir; Atac, Gokce Kaan
Firearm injuries to the head and neck have a potential for fatal complications caused by damage to neurovascular structures in the region. We herewith present a case of a missile injury to the face, caused by a bullet from a rifle with high muzzle energy that slackened while penetrating a vehicle before hitting the victim. The bullet advanced through the retrofacial spaces following a non-linear course and was retained within the opposite parapharyngeal region without injuring any vital structure. The resultant damage was a 'low-velocity injury'. However, it is noteworthy that the missile had still retained enough energy to penetrate the tissue and travel in a 'dissecting' fashion. It is likely that the blunting of the missile during vehicle penetration and the compactness of the anatomical structures bordering the head and neck spaces, such as fascia and tendons, forced the projectile to follow a non-linear inter-structural path. This case yet again demonstrates that the magnitude of firearm-related tissue damage may also depend upon the shape of the projectile and confirms that the head and neck spaces have anatomical integrity rather than just being arbitrarily designated topographical areas. It has also been confirmed that non-surgical approach with regular follow-ups is a viable option for uncomplicated head and neck injuries. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
Landmine Associated Injuries in Children in Turkey
(Elsevier Sci Ltd, 2009) Can, Muhammet; Yildirimcan, Humeyra; Ozkalipci, Onder; Melek, Mehmet; Edirne, Yesim; Bicer, Umit; Uner, Huseyin Bulent
This study aims to examine trends of injuries due to landmines and unexploded ordnance (UXO) and to determine problems during and after the treatment of children and adolescent victims in Turkey. Data from the records of 23 children injured from landmines and UXO were analyzed from April 2001 to October 2008. Cases consist of 21 (91.3%) males and two (8.7%) females with a mean age of 12.8 years. Cause of injury was landmine explosion in 20 (87.0%) and UXO in three (13.0%) cases. Injuries in upper and lower extremities were determined in eight (34.8%) children. Hand amputation was the result in 10 (43.5%) children where in two cases a leg, in one case an eye, in one case a hand and arm, in two cases a hand and leg, in one case an eye and a leg and in three cases a hand and eye were lost. One case of death was recorded from UXO with an autopsy performed. Contaminated areas in our region should be cleared according to international contracts to prevent injuries in children, centers providing rehabilitation services should be established and policies regarding social support for child victims should be ascertained. (c) 2009 Published by Elsevier Ltd and Faculty of Forensic and Legal Medicine.
Trends, Characteristics, and Outcomes of Adolescent Pregnancy in Eastern Turkey
(Wiley, 2010) Edirne, Tamer; Can, Muhammet; Kolusari, Ali; Yildizhan, Recep; Adali, Ertan; Akdag, Beyza
Objective: To determine the proportion of adolescent births in Van, Turkey, and to identify characteristics and related outcomes. Methods: Mothers who gave birth at three maternity centers in Van, Turkey, were chosen randomly and were invited to complete a face-to-face questionnaire. Participants were asked for demographic information and pregnancy history. Pregnancy outcomes were obtained from the birth records. Results: Of 1872 mothers who completed the questionnaires, 211 (11.3%) were younger than 19 years. Adolescent mothers showed significantly more inappropriate education for age (82.5% vs 70.1; P<0.001) and were married to less educated partners (76.3% vs 59.4%; P<0.001) following unofficial matrimonies (25.6% vs 10.7%; P<0.001) than older mothers. There were no differences between the age groups in rates of arranged marriages with relatives, income, and household structure. Adolescent mothers reported higher rates of intimate partner violence (17.1% vs 10.8%; P=0.008) and inadequate prenatal care use (28.4% vs 17.6%; P<0.001) compared with older mothers. Adolescent births were associated with an increased risk for preterm delivery (P<0.001) and low birth weight (P<0.001). Conclusions: Cultural factors rather than economic factors seem to be related to early age at marriage and adolescent childbearing, which are associated with poor birth outcomes. (C) 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Turban Pin Aspirations in Children in Eastern Anatolia
(Springer india, 2010) Cobanoglu, Ufuk; Can, Muhammet; Melek, Mehmet
Objectives: This study aims to display the increase in turban pin aspirations noticed in the last years and to discuss the clinical characteristics and results of turban pin aspirations in children. Methods: A retrospective study was done to asses data about turban pin aspirations in 21 female children aged below 18 between 2004-2009. Data about patient story, age, educational level, admission interval, physical examination results, radiological images, foreign body localization, treatment methods, morbidity and mortality were evaluated. Results: Mean age was 13.47 +/- 2.52 years. Eleven (52.4%) girls were aged between 12-15 years. We used rigid bronchoscopy in 15 (71.4%) cases, thoracotomy in three (14.3%) cases, laryngoscopy in one (4.8%) cases and fiber-optic bronchoscopy in two (9.6%) case for the removal of the needles. Turban pins were located in the right bronchial tree in 12 (57.1%), in the left bronchial tree in three (14.3%), in the trachea in five (23.8%) cases and in the larynx in one (4.8%) case. Eight (38.1%) cases lived in a rural area and 13 (61.9%) were urban. Conclusion: We recommend safer methods such as the use of adhesive tapes and snap fasteners and to avoid holding the needles with the lips for those that are not accepting unveiling.
Use of Complementary and Alternative Medicines by a Sample of Turkish Women for Infertility Enhancement: a Descriptive Study
(Bmc, 2010) Edirne, Tamer; Arica, Secil Gunher; Gucuk, Sebahat; Yildizhan, Recep; Kolusari, Ali; Adali, Ertan; Can, Muhammet
Background: Infertility patients are a vulnerable group that often seeks a non-medical solution for their failure to conceive. World-wide, women use CAM for productive health, but only a limited number of studies report on CAM use to enhance fertility. Little is known about traditional and religious forms of therapies that are used in relation to conventional medicine in Turkey. We investigated the prevalence and types of complementary and alternative medicine (CAM) used by infertile Turkish women for fertility enhancement. Methods: A face-to-face questionnaire inquiring demographic information and types of CAM used for fertility enhancement were completed by hundred infertility patients admitted to a primary care family planning centre in Van, Turkey between January and July 2009. Results: The vast majority of infertile women had used CAM at least once for infertility. CAM use included religious interventions, herbal products and recommendations of traditional "hodja's" (faith healers). Of these women, 87.8% were abused in the last 12 months, 36.6% felt not being supported by her partner and 80.5% had never spoken with a physician about CAM. Conclusions: Infertile Turkish women use complementary medicine frequently for fertility enhancement and are in need of information about CAM. Religious and traditional therapies are used as an adjunct to, rather than a substitute for, conventional medical therapy. Physicians need to approach fertility patients with sensitivity and should be able to council their patients about CAM accordingly.
Violence and Other Reasons as Cause of Death in Women
(2009) Sözen, Şevki; Yurtsever, Nurşen Turan; Butun, Celal; Can, Muhammet; Dokgöz, Halis
Amaç. Ölümle sonuçlanan kadına yönelik şiddet, sosyal ve toplumsal yaşamın önemli sorunları olarak karşımızda durmaktadır. Bu çalışmada, saldırıya uğrayan kişinin, sosyoekonomik, sosyokültürel ve demografik özellikleri, uğradığı şiddetin niteliği, ölüm şekli ve ölüm nedeni belirlenerek bir saldırgan profili ortaya konarak yorumlanması amaçlanmıştır. Yöntem. Ocak-Haziran 2002 tarihinde Adli Tıp Kurumu Morg İhtisas Dairesi'ne getirilerek otopsisi yapılan 40 kadın olgu incelendi. Olguların yakınları ile görüşülerek, hem kendileri, hem de saldırgan profiline göre ön görüşme formları hazırlandı. Bulgular. Olguların, 17'sinin (%42,5) 19-30 yaş grubunda ve 12'sinin (%30) 31-40 yaş grubunda olduğu tespit edildi. Olguların 33'ünün (%82,5) ilköğretim, altısının eğitimsiz ve birinin de üniversite mezunu olduğu, 27'sinin (%67,5) çocuk sahibi olduğu ve 13'ünün (%32,5) ise çocuk sahibi olmadığı, 10'unun (%25) iki çocuk, dokuzunun (%22,5) üç çocuk, beşinin (%12,5) tek çocuk, üçünün (%7,5) beş ve üstü çocuk sahibi oldukları, 13'ünün (%32,5) ise çocuk sahibi olmadıkları tespit edildi. Olay yeri açısından olguların 34'ünün (%85) evde, birinin iş yerinde ve beşinin sokak ve boş arazi gibi diğer yerlerde geçtiği belirlendi. Sonuçlar. Kadına yönelik şiddet, yalnızca adli tıp uzmanlarının değil diğer hekim grupları, hukukçular, güvenlik güçleri ve demokratik kitle örgütlerinin de içinde yer alacağı bir ekip çalışması ile tanı konulması gerekmektedir. Ülkemizde, şiddet nedeniyle kadın ölümlerinin önlenmesi için, yapılan çalışmaların kapsamlı bir bakış açısına sahip olmasını ve aynı zamanda rehabilitasyon sürecini de kapsayan bütüncül bir yaklaşım gerektiğini düşünüyoruz.