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Öğe The concept of "Medical Ethics" according to doctors and nurses and their demands from Ethicists in Turkey(PROFESSIONAL MEDICAL PUBLICATIONS, 2011) Yildirim, Gulay; Kadioglu, Selim; Sumer, HaldunObjective: To determine what the physicians and nurses understand from the concept of ethics and to evaluate their expectations from the specialist who study medical ethics. Methodology: The views of 192 physicians and 192 nurses from all hospital in Sivas were obtained through a questionnaire. The difference between the responses of both groups for each question was assessed by Chi-square test and t-test. Results: The mean score given by all participants for the relationship between the different activities, applications and approaches and ethics approaches was 4.7 "taking extremely important and critical decisions for patients" The highest score for the question of "the necessary qualifications that a medical specialist should have" was 4.7 "the solution ability for the medical problems". Conclusion: Participants had a tendency to reduce medical ethics to practical ethics; and they consider ethics from their occupational point of view.Öğe CYTOTOXIC AND ANTIBACTERIAL ACTIVITY OF THE MIXTURE OF OLIVE OIL AND LIME CREAM IN VITRO CONDITIONS(AFRICAN NETWORKS ETHNOMEDICINES, 2013) Sumer, Zeynep; Yildirim, Gulay; Sumer, Haldun; Yildirim, SahinThe mixture of olive oil and lime cream has been traditionally used to treat external burns in the region of Hatay/Antakya and middle Anatolia. Olive oil and lime cream have been employed by many physicians to treat in many ailments in the past. A limited number of studies have shown the antibacterial effect of olive oil and that it does not have any toxic effect on the skin. But we did not find any reported studies on the mixture of olive oil and lime cream. The aim of this paper is to investigate the cytotoxic and antibacterial activity of olive oil and lime cream individually or/and in combination in vitro conditions, by using disk-diffusion method and in cell culture. The main purpose in using this mixture is usually to clear burns without a trace. Agar overlay, MTT (Cytotoxicity assay) and antibacterial susceptibility tests were used to investigate the cytotoxic and antibacterial activity of olive oil and lime cream. We found that lime cream has an antibacterial activity but also cytotoxic on the fibroblasts. On the other hand olive oil has limited or no antibacterial effect and it has little or no cytotoxic on the fibroblasts. When we combined lime cream and olive oil, olive oil reduced its cytotoxic impact. These results suggest that mixture of olive oil and lime cream is not cytotoxic and has antimicrobial activity.Öğe Does hydatid disease have protective effects against lung cancer?(SPRINGER, 2013) Karadayi, Sule; Arslan, Sulhattin; Sumer, Zeynep; Turan, Mustafa; Sumer, Haldun; Karadayi, KursatWe hypothesized that solid tumors rarely occur in patients with hydatid disease. We obtained the serum of 14 patients diagnosed with hydatid disease, the serum of 10 patients who did not have a history of hydatid disease, and the hydatid cyst fluid from six patients. These sera and fluid samples were added at different concentrations to NCI-H209/An1 human lung small cell carcinoma cells and L929 mouse fibroblasts as a control group. Sera of patients with hydatid diseases had cytotoxic effects on NCI-H209/An1 cells, but they did not have cytotoxic effects on fibroblast cells. Sera from healthy subjects did not have a cytotoxic effect on the tumor cell line or control fibroblasts. Cyst fluid, also, did not have toxic effects on the NCI-H209/An1 cell line, but was toxic to fibroblasts up to a 1:32 dilution. Sera from patients with hydatid disease had cytotoxic effects on human small cell lung cancer cells in vitro.Öğe Effect of a multidimensional exercise intervention on the physical capacity of mentally retarded children(DRUNPP-SARAJEVO, 2011) Keskin, Sirin; Nur, Naim; Sumer, HaldunBackground: This study has been performed on 28 children with mental retardation that can be given orders in a Private Handicapped Children Rehabilitation Center. The objective of this study was to evaluate the effect of a multidimensional exercise intervention on their weight, fat mass, fat ratio, body mass without fat, talent of jumping and success in ten meters running. Methods: Before the children started exercises their physical conditions were evaluated by some measurements at the end of the 5(th) and the 10(th) week. Results of these measurements have been compared by varience analysis method at the end of each repeated measurement. Results: The results showed that exactly after the intervention, there was a continuing increase in hand-claw strength (from 8.7 +/- 8.2kgf to 11.8 +/- 8.6kgf and p<0.05) and in jumping (from 15.1 +/- 9.5cm to 11.8 +/- 8.6cm and p<0.05) in the 10 week periods. While the period of 10 meters running test had a meaningful decrease after 5th week (p<0.05). Conclusion: It has been noted that of the evaluated physical parameters such as jumping, hand-claw and ten meter running are positively effected by physical education programme.Öğe Hearing impairment among preschool children as detected by transient-evoked otoacoustic emission test and tympanometry(2010) Nur, Naim; Altuntas, Emine Elif; Cerrah, Yavuz Sultan Selim; Yildirim, Aaltan; Sumer, HaldunObjective: Hearing impairment is one of the most common disorders of childhood. The earlier children with hearing loss are identified, the better the prognosis for habilitation and remediation. For this reason many tests are being used, such as Transient Evoked Otoacoustic Emissions (TEOAE), Pure Tone Audyometry (PTA) and Auditory Brainstem Responses (ABR). his study is the first in Turkey using TEOAE and tympanometry among preschool aged population as a first-stage hearing screen. Materials and Methods: This cross-sectional study was done in 1,096 preschool children in Sivas city of Turkey. Subjects were tested (TEOAE and tympanometry) individually in non-sound treated rooms within each school. The Chi-squared test was usedto examine the association between variables. A P-value less than 0.05 were considered statistically significant. Results: Type B tympanograms were found in 180 (16.4%); Type C tympanograms were obtained in 6 children (0.6%), whilst the remaining 887 children (80.9%) displayed type A tympanograms. TEOAE screening, 883 (80.6%) passed and required no further follow-up. A total of 180 (16.4%) "Referred" on this screening. Hearing impairment among pre-school children was 2.8%. Conductive hearing loss was found in 1.9% of children and a sensorineural hearing loss was found in 0.9% of the children screened. Hearing impairment increases with age and this increase is statistically significant by the chi-square (Linear by Linear Association) test (P = 0.036). Conclusions: The results of this study should be valuable for planning actions in the prevention of hearing impairment and for raising awareness of the subject in the community and in government agencies. © Copyright 2005 © The Mediterranean Society of Otology and Audiology.Öğe Hearing Impairment Among Preschool Children as Detected by Transient-Evoked Otoacoustic Emission Test and Tympanometry(MEDITERRANEAN SOC OTOLOGY & AUDIOLOGY, 2010) Nur, Naim; Altuntas, Emine Elif; Cerrah, Yavuz Sultan Selim; Yildirim, Altan; Sumer, HaldunObjective: Hearing impairment is one of the most common disorders of childhood. The earlier children with hearing loss are identified, the better the prognosis for habilitation and remediation. For this reason many tests are being used, such as Transient Evoked Otoacoustic Emissions (TEOAE), Pure Tone Audyometry (PTA) and Auditory Brainstem Responses (ABR). This study is the first in Turkey using TEOAE and tympanometry among preschool aged population as a first-stage hearing screen. Materials and Methods: This cross-sectional study was done in 1,096 preschool children in Sivas city of Turkey. Subjects were tested (TEOAE and tympanometry) individually in non-sound treated rooms within each school. The Chi-squared test was used to examine the association between variables. A P-value less than 0.05 were considered statistically significant. Results: Type B tympanograms were found in 180 (16.4%); Type C tympanograms were obtained in 6 children (0.6%), whilst the remaining 887 children (80.9%) displayed type A tympanograms. TEOAE screening, 883 (80.6%) passed and required no further follow-up. A total of 180 (16.4%) "Referred" on this screening. Hearing impairment among pre-school children was 2.8%. Conductive hearing loss was found in 1.9% of children and a sensorineural hearing loss was found in 0.9% of the children screened. Hearing impairment increases with age and this increase is statistically significant by the chi-square (Linear by Linear Association) test (P = 0.036). Conclusions: The results of this study should be valuable for planning actions in the prevention of hearing impairment and for raising awareness of the subject in the community and in government agencies.Öğe Prevalence of hypertension among high school students in a Middle Anatolian province of Turkey(I C D D R B-CENTRE HEALTH POPULATION RESEARCH, 2008) Nur, Naim; Cetinkaya, Selma; Yilmaz, Abduelkerim; Ayvaz, Adnan; Bulut, Mustafa Orhan; Sumer, HaldunHypertension may lead to irreversible damages in vital organs, such as heart, brain, and kidney, and may cause death in children if treatments are not given despite early diagnosis. This cross-sectional epidemiological study was conducted during 1 January-31 March 2004 to investigate the prevalence of hypertension among high school students. The study cohort included 1,041 students of six high schools, who were selected from among 14,789 students of 26 high schools in Sivas province of Turkey, using the cluster-sampling method. A questionnaire was used for collecting information from students on age, gender, smoking, and whether they or their families have any diseases. Blood pressure, height, and weight of the participitants were determined by the research group. Students whose repeated systolic or diastolic blood pressures were higher than the 95th percentile were considered to be hypertensive patients. Hypertension was prevalent among 4.4% (n=45) of the students. There was a significant correlation between prevalence of hypertension and body mass index. No significant correlation was found between prevalence of hypertension and other variables, such as smoking, age, gender, and family history of diabetes. The results suggest that hypertension is an important public-health problem among high school students. The results also showed that the body mass index was an important parameter in hypertension in such a study group. Researchers should consider overweight a causative risk factor for development of hypertension in early-onset groups.Öğe Prevalence of known mutations in the MEFV gene in a population screening with high rate of carriers(SPRINGER, 2011) Ozdemir, Ozturk; Sezgin, Ilhan; Kurtulgan, Hande Kucuk; Candan, Ferhan; Koksal, Binnur; Sumer, Haldun; Icagasioglu, Dilara; Uslu, Atilla; Yildiz, Fazilet; Arslan, Sulhattin; Cetinkaya, Selma; Citli, Senol; Oztemur, Zekeriya; Kayatas, MansurThe Familial Mediterranean Fever (FMF) shows an autosomal recessive pattern of inheritance and affects certain ethnic groups. Disease is caused by mutations in MEFV gene and more than 180 mutations have been defined in affected individuals. Current study aimed to determine the frequency-type of the mutations for MEFV gene in Sivas-middle Anatolian city. The cohort was composed of 3340 patients. MEFV gene mutations were studied by multiplex PCR based reverse hybridization stripAssay method. Patients' clinical features were; family history: 68%, erysipelas-like erythema: 17.6%, fever: 89.9%, abdominal pain: 84.2%, peritonitis: 90.2%, arthritis: 33%, pleuritis: 14.2%, parental consanguinity: 21.2%. Current results revealed that M694V is the most frequent mutation (43.12%), followed by E148Q (20.18), M680I(G/C) (15.00%) and V726A (11.32%). The study population has a high rate of carriers and the E148Q mutation frequency was found to be highest when compared to the other regions of Turkey and other Mediterranean groups.Öğe Prevalence of refraction errors and color blindness in heavy vehicle drivers(IJO PRESS, 2011) Erdogan, Haydar; Ozdemir, Levent; Arslan, Seher; Cetin, Ilhan; Ozec, Ayse Vural; Cetinkaya, Selma; Sumer, HaldunAIM: To investigate the frequency of eye disorders in heavy vehicle drivers. METHODS: A cross-sectional type study was conducted between November 2004 and September 2006 in 200 driver and 200 non-driver persons. A complete ophthalmologic examination was performed, including visual acuity, and dilated examination of the posterior segment. We used the auto refractometer for determining refractive errors. RESULTS: According to eye examination results, the prevalence of the refractive error was 21.5% and 31.3% in study and control groups respectively (P<0.05). The most common type of refraction error in the study group was myopic astigmatism (8.3%) while in the control group simple myopia (12.8%). Prevalence of dyschromatopsia in the rivers, control group and total group was 2.2%, 2.8% and 2.6% respectively. CONCLUSION: A considerably high number of drivers are in lack of optimal visual acuity. Refraction errors in drivers may impair the traffic security.Öğe The Impacts of Urbanization, Global Warming and Climate Change on the Health(Erciyes Univ Sch Medicine, 2008) Nur, Naim; Sumer, Haldun[Abstract Not Available]
