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Annular Pancreas in Children: A Decade of Experience
Murat Yigiter,Abdullah Yildiz,Binali Firinci,Onur Yalcin
Eurasian Journal of Medicine , 2010,
Abstract: Objective: Annular pancreas is an uncommon cause of duodenal obstruction in children. In this study, the clinical, radiological, and prognostic findings related to this disorder over a 12-year review period were analyzed.Materials and Methods: A retrospective review of 22 patients with annular pancreas who were treated with surgical repair between April 1998 and February 2010 was performed at two different pediatric surgical units. Presenting symptoms, associated anomalies, radiological findings, the type of surgery performed, postoperative outcomes, and complications were analyzed.Results: Twenty-two patients were identified. Thirteen of the 22 patients (59.1%) were born prematurely, 11 patients (50%) had low birth weight, 2 patients (9.1%) had very low birth weight and 1 patient (4.5%) had extremely low birth weight. The mean birth weight was 2285.23±675.12 g. (970-3300). All patients presented with vomiting, which was bilious in nine (40.9%). Nine patients (40.9%) had chromosomal anomalies. Corrective surgery consisted of duodenoduodenostomy in 9 patients (40.9 %), duodenojejunostomy in 9 patients (40.9%), and gastrojejunostomy in 4 patients (18.1%). Fourteen of the 22 patients have survived (63.6%). The causes of death were combinations of sepsis, pneumonia, brain hemorrhage, and cardiac anomaly. Conclusion: Infants with annular pancreas associated with duodenal obstruction were often born prematurely and/or had low birth weights; many had cardiovascular anomalies. Annular pancreas associated with duodenal obstruction correlated strongly with the trisomy 21 karyotype among the chromosomal anomalies, as did duodenal atresia. The oral feeding tolerance time was nearly the same for all patients regardless of the surgical procedure used.
Breastfeeding knowledge, attitude and practice among school teachers in Abha female educational district, southwestern Saudi Arabia
Al-Binali Ali Mohamed
International Breastfeeding Journal , 2012, DOI: 10.1186/1746-4358-7-10
Abstract: Background Inadequate knowledge, or inappropriate practice, of breastfeeding may lead to undesirable consequences. The aim of this study was to assess breastfeeding knowledge, attitude and practice (KAP) among female teachers in the Abha Female Educational District and identify factors that may affect breastfeeding practice in the study population. Methods A cross-sectional study using a self-administered questionnaire was conducted among school teachers in Abha Female Educational District during the months of April to June, 2011. Breastfeeding KAP of participants who had at least one child aged five years or younger at the time of the study were assessed using a self-administered questionnaire, based on their experience with the last child. Results A total of 384 women made up of 246 (61.1%) primary-, 89 (23.2%) intermediate- and 49 (12.8%) high-school teachers participated in the study. One hundred and nineteen participants (31%) started breastfeeding their children within one hour of delivery, while exclusive breastfeeding for 6 months was reported only by 32 (8.3%) participants. Insufficient breast milk and work related problems were the main reasons given by 169 (44%) and 148 (38.5%) of participants, respectively, for stopping breastfeeding before two years. Only 33 participants (8.6%) had attended classes related to breastfeeding. However, 261 participants (68%) indicated the willingness to attend such classes, if available, in future pregnancies. Conclusions This study revealed that breast milk insufficiency and adverse work related issues were the main reasons for a very low rate of exclusive breastfeeding among female school teachers in Abha female educational district, Saudi Arabia. A very low rate of attending classes addressing the breastfeeding issues during pregnancy, and an alarming finding of a high percentage of babies receiving readymade liquid formula while still in hospital, were also brought out by the present study. Such findings, if addressed comprehensively by health care providers and decision-makers, will lead to the improvement of breastfeeding practices in the study community.
Healthcare workers as parents: attitudes toward vaccinating their children against pandemic influenza A/H1N1
Sebahat D Torun, Fuat Torun, Binali Catak
BMC Public Health , 2010, DOI: 10.1186/1471-2458-10-596
Abstract: A cross-sectional questionnaire survey was conducted with health care workers (HCWs) in a public hospital during December 2009 in Istanbul. All persons employed in the hospital with or without a health-care occupation are accepted as HCW. The HCWs who are parents of children 6 months to 18 years of age were included in the study. Pearson's chi-square test and logistic regression analysis was applied for the statistical analyses.A total of 389 HCWs who were parents of children aged 6 months-18 years participated study. Among all participants 27.0% (n = 105) reported that themselves had been vaccinated against pandemic influenza A/H1N1. Two third (66.1%) of the parents answered that they will not vaccinate their children, 21.1% already vaccinated and 12.9% were still undecided. Concern about side effect was most reported reason among who had been not vaccinated their children and among undecided parents. The second reason for refusing the pandemic vaccine was concerns efficacy of the vaccine. Media was the only source of information about pandemic influenza in nearly one third of HCWs. Agreement with vaccine safety, self receipt of pandemic influenza A/H1N1 vaccine, and trust in Ministry of Health were found to be associated with the positive attitude toward vaccinating their children against pandemic influenza A/H1N1.Persuading parents to accept a new vaccine seems not be easy even if they are HCWs. In order to overcome the barriers among HCWs related to pandemic vaccines, determination of their misinformation, attitudes and behaviors regarding the pandemic influenza vaccination is necessary. Efforts for orienting the HCWs to use evidence based scientific sources, rather than the media for information should be considered by the authorities.Pandemic influenza A/H1N1 virus causes disease in all age groups, but it affects children stronger than adults in terms of attack rate and disease severity [1-3]. A study from United States reports that children were twice as susc
Mucoepidermoid Carcinoma in a Minor Salivary Gland in a Child
Fatih Sengul,Sera Simsek,Binali Cakur
Case Reports in Dentistry , 2013, DOI: 10.1155/2013/615948
Abstract: Mucoepidermoid carcinoma (MEC), one of the most common salivary gland malignancies, is rare in children. MEC mainly occurs in the parotid gland, along with minor glands being the second common site, particularly in palate. Clinical, histological, and radiological findings of palatal MEC in a 12-year-old girl are presented with three-year follow-up. Pathologic lesions must be considered in differential diagnoses of intraoral asymptomatic lesions, and their detailed inspection should be taken into consideration. 1. Introduction Mucoepidermoid carcinoma (MEC) is one of the most common salivary gland malignancies. As its name implies, MEC is composed of a mixture of cells, including mucus-producing, epidermoid or squamous, and intermediate types [1]. When MEC appears as asymptomatic swellings in minor salivary glands, being the second most common site of occurrence after the parotid gland, it can be located on palate, in retromolar area, floor of mouth, buccal mucosa, lips, and tongue [2–5]. Few series or case reports describing salivary gland tumors in the pediatric population have been published [6–8]. This report describes an additional case of a low-grade MEC affecting the palate of a 12-year-old girl. 2. Case Report A 12-year-old girl patient visited the Department of Pediatric Dentistry, Ataturk University, Erzurum, Turkey, complaining of the pain in maxillar left central incisor (no. 11) and mandibular left lateral incisor (no. 22). She had a history of untreated Ellis II trauma and grade two mobility in these teeth for two years. Also, clinical examination revealed enlargement of the soft tissue in left posterior hard palate, with 8?mm diameter (Figure 1). During physical examination she had a firm, painless, and nontender mass, near the teeth 24 and 27, overlying the palate with normal color of mucosa, and the median palatal raphe was clearly identified. She denied any symptoms attributed to the mass. Adjacent teeth had no mobility or displacement, and electrical pulp test results were positive. In panoramic and periapical radiographs the alveolar bone had no resorption and the floor of the maxillary sinus appeared intact. Axial plain CT examination showed a moderately enhancing soft-tissue density lesion extending posteriorly and inferiorly destroying the hard palate and the alveolar process (Figure 2). No other abnormalities, including palpable submandibular and cervical lymph nodes, were found. Since fine needle aspiration yielded no fluid, a local oral surgeon performed an open biopsy and noticed a sinus opening near the foramen palatinum
An 11-Year-Old Child with Autosomal Dominant Polycystic Kidney Disease Who Presented with Nephrolithiasis
Fatih Firinci,Alper Soylu,Belde Kasap Demir,Mehmet Turkmen,Salih Kavukcu
Case Reports in Medicine , 2012, DOI: 10.1155/2012/428749
Abstract: Patients with autosomal dominant polycystic kidney disease become symptomatic and are diagnosed usually at adulthood. The rate of nephrolithiasis in these patients is 5–10 times the rate in the general population, and both anatomic and metabolic abnormalities play role in the formation of renal stones. However, nephrolithiasis is rare in childhood age group. In this paper, an 11-year-old child with autosomal dominant polycystic kidney disease presenting with nephrolithiasis is discussed.
Florid cemento-osseous dysplasia: A case report
Dagistan,Saadettin; Tozoglu,ümmühan; G?regen,Mustafa; ?akur,Binali;
Medicina Oral, Patología Oral y Cirugía Bucal (Internet) , 2007,
Abstract: cemento-osseous dysplasias are a group of disorders known to originate from periodontal ligament tissues and involve, essentially, the same pathological process. they are usually classified, depending on their extent and radiographic appearances, into three main groups: periapical (surrounds the periapical region of teeth and are bilateral), florid (sclerotic symmetrical masses) and focal (single lesion) cemental dysplasias. florid cemento-osseous dysplasia clearly appears to be a form of bone and cemental dysplasia that is limited to jaws. patients do not have laboratory or radiologic evidence of bone disease in other parts of the skeleton. for the asymptomatic patient, the best management consists of regular recall examinations with prophylaxis and reinforcement of good home hygiene care to control periodontal disease and prevent tooth lose. management of the symptomatic patient is more difficult. at this stage, there is an inflammatory component to the disease and the process is basically a chronic osteomyelitis involving dysplastic bone and cementum. antibiotics may be indicated but may not be effective. a case of florid cemento-osseous dysplasia occurring in a 47-year-old caucasian female is reported which was rare in regard to race and sex.
Aplasia and Agenesis of the Frontal Sinus in Turkish Individuals: A Retrospective Study Using Dental Volumetric Tomography
Binali ?akur, Muhammed A. Sumbullu, Nurhan Bay?nd?r Durna
International Journal of Medical Sciences , 2011,
Abstract: Agenesis of the paranasal sinuses is an uncommon clinical condition that appears mainly in the frontal (12%) and maxillary (5-6%) sinuses; in some populations, it appears at a higher proportion. This study investigated the prevalence of agenesis of the frontal sinuses using dental volumetric tomography (DVT) in Turkish individuals. The frontal sinuses of 410 patients were examined by DVT scans in the coronal planes for evidence of the absence of the frontal sinuses. A bilateral and unilateral absence of the frontal sinuses was seen in 0.73% and 1.22% of cases, respectively. In one case, both agenesis and aplasia of the frontal sinus was seen (0.24%). The low percentage of frontal sinus agenesis must be considered during pre-surgical planning related to the sinuses. DVT may be used as a diagnostic tool for the examination of frontal sinus aplasia.
The relationship between the school administrators’ anger control and stress coping methods and their conflict management style
Bülent Gündüz,Binali Tun?,Yusuf ?nand?
International Journal of Human Sciences , 2013,
Abstract: The purpose of this study is to determine the school administrators’ approaches of stress coping and anger control that what extent predicted their conflict-management styles. For this purpose, three different scales those are “Organizational Conflict Management Scale”, “The State-Trait Anger Scale” and “Stress Coping Style Scale” were applied to the 279 school administrators who work in the province of Mersin. The results show that administrators’ anger control and stress coping approaches is significantly associated with and predicted the conflict management styles. Administrators’ anger control level is significant predictor of "integration" style, and emotion-focused stress management is significant predictors of “compromises", "domination" and "avoidance" styles. However, problem-focused (positive) and emotion-focused (negative) approaches are significant predictors of the "compromise" style. Administrators who uses integration style has low levels of anger and can control their anger. Administrators who tend to emotion-focused to stress cope uses compromise, avoidance, and domination styles. However, the administrators who tend to emotion-focused and problem-focused to stress cope use consensus style.
The Effects of Some Improving Methods on Dry Matter Yield and Vegetation Cover on Heavy Grazed Rangeland
Mahmut Dasci,Tamer Coskun,Binali Comakli,Hikmet Birham,N. Zeynep Yildirim,Hulya Bakir
Journal of Animal and Veterinary Advances , 2012, DOI: 10.3923/javaa.2010.1676.1680
Abstract: The experiment was conducted on heavy grazed rangelands in Erzurum. In this study, three forage species, crested wheatgrass (Agropyroncristatum), alfalfa (Medicago sativa) and smooth brome (Bromusinermis) were selected and mixed to establish for rangeland improving. Four treatments, artificial pasture, over seeding, fertilization and control were applied; main subjects were grazing free and enclosure to grazing for animal. About 10 kg N da-1 + 7 Kg P2O5 da-1 was applied as a fertilizer on over seeding and artificial seeding plots only in planted year, 6 kg N da-1 + 4 kg P2O5 da-1 on fertilization plots in each year. According to average of five study years, dry matter yield was 264.4 kg da-1 in fertilization plots; 183.2 kg da-1 was in artificial pasture plots in enclosed site. In grazed site, average dry matter yield was 114.7 kg da-1 in fertilized plots, 68.0 kg da-1 in artificial pasture plots and there was not significant difference between control and over seeding plots. There were significant differences among treatments for vegetation cover in enclosed and grazed sites. In all study years, vegetation cover was higher in fertilizer treatment plots than the other treatment plots but especially in 2008 and 2009 years, vegetation cover showed notable increase in fertilizer treatment plots compared to the other treatments.
Burdur’da Evde Sa l k Hizmeti Alan Ya l Hastalar n Profili ve Evde Verilen Sa l k Hizmetleri
Binali ?atak,Ahmet Sel?uk K?l?n?,Okan Bad?ll?o?lu,Sevin? Sütlü
Turkish Journal of Public Health , 2012, DOI: 10.5421/10.5421/1304.1086
Abstract: Ama : 2011 y l nda ülkemizde kamusal düzeyde evde sa l k hizmeti verilmesi fiili olarak ba lat lm t r. al mada; Burdur’da evde sa l k hizmeti kullanan 65 ya ve üzeri ya l hastalar n profilini ve evde verilen sa l k hizmetlerini tan mlamak ama lanm t r. Y ntem: Tan mlay c tipteki bu ara t rman n evrenini, Nisan 2011 tarihinde Burdur l Sa l k Müdürlü ü Evde Sa l k Hizmeti Koordinasyon Merkezi’ne kay tl 65 ya ve üzeri 140 ki i olu turmaktad r. al mada rneklem se ilmemi olup, evrenin tümüne ula lmas hedeflenmi tir. Veriler anket y ntemiyle, yüz yüze g rü me tekni i kullan larak toplanm ve SPSS paket program kullan larak analizler tamamlanm t r. Bulgular: Ya ortalamas 79.6 olan ya l lar n %67.6’s kad n, %53.7’sinin e i lmü , %52.8’i okuryazar de il, %47.2’sinin sosyal güvencesi bulunmamakta ve %25.9’unun sa l k güvencesi ye il kartt r. Ya l larda en ok bulunan hastal klar hipertansiyon (%48.1) ve inmedir (%39.8). Ya l lar n kolayl kla yapabildikleri eylemlerin ba nda yemek yeme gelirken (%30.6); fatura yat rma, hastaneye gitme vb. gibi aktivitelerde hemen hemen tamamen ba ml d rlar (%99.1). Ya l lara evde verilen t bbi hizmetler %46.3 muayene ve ila la tedavi, %26.9 muayene, tetkik ve ila la tedavi, %14.8 enjeksiyon, sonda takma ve yara bak m d r. Ya l lara evde verilen sa l k hizmetlerinin %87.0’sini sadece devlet hastanesi, %3.7’sini ise aile hekimi vermi tir. Evde sa l k hizmeti verenlerin büyük k sm n (%92.6) hekimler olu turmu tur. Sonu : Evde sa l k hizmeti sunulan ya l lar n sosyodemografik zellikleri, hastal k rüntüleri ve ba ml l k durumu toplumdaki ya l populasyonundan farkl d r. Sa l k hizmet sunumuna birden fazla sa l k kurumu dahil olmaktad r, sunulan sa l k hizmeti kapsaml de ildir ve multidisipliner ekip anlay ndan yoksundur. Ya l nüfusun gittik e artaca g z nünde bulunduruldu unda, kamusal düzeyde “evde sa l k hizmeti” birimleri de il, evde sa l k hizmetlerini de i erecek bi imde “evde bak m hizmeti” birimlerinin olu turulmas gerekmektedir. Anahtar Kelimeler: Sa l k Hizmeti, evde bak m, ya l l k Profile of Elderly Patients Who Use Health Services in their Homes and in-Home Care Objective: The actual delivery of public healthcare in the home was initiated in our country in 2011. This study defines the profile of elderly patients over 65 years who use home health services and home care provided in Burdur. Method: 140 people aged 65 and over, who registered in the Burdur Province Directorate of Health Service Coordination Center for Home Care in April 2011 constitute the population of this descriptive study
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