Browsing by Author "Sahin, Huseyin Avni"

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Are Serum Lipid Levels Associated With Depression in Hemodialysis Patients
(Turk Nefroloji Diyaliz Transplantasyon dergisi, 2006) Sahin, Idris; Kiran, Umit Kemal; Sahin, Huseyin Avni; Ustun, Yusuf; Agargun, Mehmet Yucel; Erkoc, Reha
Background: Recent study suggested a relation between low levels of serum lipids and depression. The aim of this study was to assess the association between serum lipid levels and depression in patients with end-stage renal disease (ESRD). Methods: All the patients who were attending Yuzuncu Yil University Faculty of Medicine Training Hospital Hemodialysis Unit, in Turkey, from August 2000 to July 2001, were prospectively studied. Serum TC, LDL-c, HDL-c, VLDL-c and triglyceride levels were measured and Beck Depression Inventory (BDI) was administered to all patients. Diabetic patients were excluded. Results: There were 46 patients (25 males and 21 females). Mean duration of hemodialysis was 28.1 +/- 30.2 months. Mean Kt/V was 1.2 +/- 0.4. The mean age of study group was 45.2 +/- 16.3 years and the age range was 15-73 years. Mean serum albumin concentration was 3.63 +/- 0.55 (2.5-4.7) g/dL. The patients' mean BDI was 15.9 +/- 6.2 (431). There was association between serum TC (total cholesterol), LDL-c (low density lipoprotein cholesterol), HDL-c (high density lipoprotein cholesterol) and depression but no association between serum VLDL-c (very-low density lipoprotein cholesterol) and triglyceride levels and depression in patients with ESRD. Conclusion: Depression is the most common psychological finding in patients with ESRD. Our study demonstrate that there were associations between low serum TC, LDL-c, HDL-c levels and depression but there was no association between depression and serum triglyceride and VLDL-c levels in patients with ESRD.
Avian Influenza a (H5n1) Infection in Eastern Turkey in 2006
(Massachusetts Medical Soc, 2006) Oner, Ahmet Faik; Bay, Ali; Arslan, Sukru; Akdeniz, Hayrettin; Sahin, Huseyin Avni; Cesur, Yasar; Ceyhan, Mehmet
Background: An outbreak of highly pathogenic avian influenza A (H5N1) that had previously been detected throughout Asia, with major economic and health repercussions, extended to eastern Turkey in late December 2005 and early January 2006. Methods: We documented the epidemiologic, clinical, and radiologic features of all cases of confirmed H5N1 virus infection in patients who were admitted to Yuzuncu Yil University Hospital in Van, Turkey, between December 31, 2005, and January 10, 2006. Results: H5N1 virus infection was diagnosed in eight patients. The patients were 5 to 15 years of age, and all eight had a history of close contact with diseased or dead chickens. The mean (+/- SD) time between exposure and the onset of illness was 5.0 +/- 1.3 days. All the patients had fever, and seven had clinical and radiologic evidence of pneumonia at presentation; four patients died. Results of enzyme-linked immunosorbent assay and rapid influenza tests were negative in all patients, and the diagnosis was made by means of a polymerase-chain-reaction assay. Conclusions: H5N1, which causes a spectrum of illnesses in humans, including severe and fatal respiratory disease, can be difficult to diagnose.
Brucellosis Induced Acute Renal Failure in an Elderly Patient
(Gunes Kitabevi Ltd Sti, 2011) Sahin, Idris; Sahin, Huseyin Avni; Eminbeyli, Lokman; Kaba, Ismet
Although subclinical renal involvement in brucellosis is not rare, brucellosis is a rare cause of acute renal failure. Here, we present an uncommon case of Brucella-induced acute renal failure in a previously healthy 85-year-old male farmer. He was admitted with acute renal failure and vasculitic rash on his legs. He had a 20-day history of fever, malaise, anorexia, and vomiting, and a 10-day history of vasculitic rash on his legs. He had no history of reduced urine output in this period The diagnosis was established by serological tests. Skin biopsy was concordant with leucocytoclastic vasculitis. Steroid and antibiotherapy was started. The serum creatinine began to decrease slowly after starting the specific antibiotherapy. On day 15, the renal parameters and urinalysis returned to normal. Antibiotic therapy was continued for six weeks. Brucella infection must be considered as a rare cause of acute renal failure in endemic areas.
The Effects of Hcv Infection on Serum Lipid Profile in Hemodialysis Patients
(Turk Nefroloji Diyaliz Transplantasyon dergisi, 2010) Sahin, Idris; Eminbeyli, Lokman; Sahin, Huseyin Avni; Kaba, Ismet
Objective: We aimed to investigate effects of hepatitis C virus infection on serum lipid profile in hemodialyzed patients. Method: The serum lipid profile was determined in 108 patients who had been on regular hemodialysis for at least two months. Serum total cholesterol (TC), triglyceride (TG), HDL (high density lipoprotein), VLDL (very low density lipoprotein) and LDL (low density lipoprotein) levels were compared between two groups. Results: The study included 55 HCV- negative (% 58 male) and 53 HCV-positive (% 64 male) hemodialysed patients. Mean age was 43 +/- 16 years in the HCV- negative group and 43 +/- 14 years in the HCV- positive group. There were no significant differences between the two groups with respect to age and gender. Mean duration of HD was 20 +/- 16 months in the HCV (-) group and 50 +/- 32 months in the HCV (+) group. Mean hemodialysis time was longer in HCV (+) patients than HCV (-) patients (p<0.0001). Mean serum TC (129 +/- 27 vs 148 +/- 42 mg/dL; p=0.006), TG (137 +/- 55 vs 162 +/- 64 mg/dL; p=0.032), and HDL levels (32 +/- 11 vs 36 +/- 11 mg/dL; p=0.036) were significantly lower in the HCV-ositive group than in the HCV- negative group. Mean serum LDL and VLDL levels were similar in the two groups. Although we did not find a statistical difference between serum lipid levels and ALT levels; there was a statistically significant correlation between serum AST level and TC, TG, and VLDL-c levels. Serum TC, VLDL levels were significantly higher in patients with AST >30 iu/dL than in patients with AST <30 iu/dL. Conclusion: The present study suggests that HCV infection is associated with lower TC, TG and VLDL-c levels in hemodialysed patients. An increase in serum AST levels was associated with a decrease in lipid levels.
Relationship Between Burnout Syndrome and Internet Addiction, and the Risk Factors in Healthcare Employees in a University Hospital
(Duzce Univ, 2017) Avci, Dilek Kusaslan; Sahin, Huseyin Avni
Objective: We aimed to evaluate the level of internet use and burnout syndrome among the physicians, nurses, and other employees working at a university hospital, to demonstrate the possible relationships between these two factors, and to define the relationships between both conditions and sociodemographic variables. Methods: The population of this study was selected by simple random sampling method and sample size was calculated considering a confidence interval of and an error rate of 0.05. A self-structured questionnaire, Maslach Burnout Inventory (MBI), and Internet Addiction Scale (IAS) were completed. Results: While emotional exhaustion and desensitization were significantly higher among surgical medicine physicians, emotional exhaustion levels were significantly lower among the participants who stated that their job selection was intentional. When the correlations between participants' age or their job experience and the scales were assessed, a significant negative correlation was found with internet addiction. There was a significant correlation between burnout sub-dimensions and internet addiction. Conclusion: This study suggests that factors such as method of preferring jobs, workload, and regular sleep, having hobbies, marriage and having children have significant effects on burnout and internet addiction.
Research of Marital Adjustment and Domestic Violence Among Physicians
(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2019) Cakmak Peksen, Zuhal; Sahin, Huseyin Avni
Objective: This study aimed to determine physicians' level of marital adjustment and their status of exposure to family violence, and to determine the effects of possible factors on marital adjustment and violence. Methods: This study was a cross-sectional descriptive study performed on a total of 296 married volunteer physicians who served at Van city centrum. The questionnaire form contained Marital Adjustment Test (MAT) to assess marital adjustment. The statistical analysis of the study data was done with One-Way ANOVA and chi-square tests. Results: Our study showed that 56.4% of physicians had marital adjustment in their marriages and 43.6% did not. The mean MAT score of all physicians was 41.99 +/- 9.80; they were generally non-adjusted in their marriages. This research revealed that male physicians were more adjusted in their marriage than their female counterparts. It was also shown that physicians who were satisfied with their working position had a significantly greater MAT score than those who were not. Of the enrolled physicians, 41.6% had a history of domestic violence. The exposed domestic violence was emotional in 81.3%, verbal in 74.8%, economic in 25.2%, physical in 10.6%, and sexual in 1.6%. Female physicians were exposed to domestic violence at a greater rate than their male counterparts. Exposure to domestic violence adversely affected marital adjustment. Discussion: This study showed that physicians are generally non-adjusted in their marriages and approximately half of them were subjected to domestic violence. Marital adjustment and domestic violence are interwoven concepts. Among working individuals, both concepts are affected by working conditions. It may be of significant relevance to study in the future the workplace and non-workplace factors, their interaction, and especially gender-specific discrepancies that may influence family life of physicians.