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The Impact of Early Versus Late Amniotomy on Duration of Labor, Maternal and Neonatal Outcomes in Iraqi Primigravida with Spontaneous Labor

Original Article

The Impact of Early Versus Late Amniotomy on Duration of Labor, Maternal and Neonatal Outcomes in Iraqi Primigravida with Spontaneous Labor

Faris Anwer Rasheed, Alyaa Aziz Ahmed, Saad Abdulrahman Hussain

   

Abstract
Amniotomy is defined as the artificial rupture of the amniotic membrane for a primary aim to speed up contraction and shorten the length of labor. The present study aims to evaluate the impact of early vs. late amniotomy on duration of labor, neonatal and maternal outcomes in Iraqi primigravida with spontaneous labor. In this randomized, single blinded prospective study, carried out in Al-Elweyia Maternity Teaching Hospital from March to December 2011, 210 women admitted for spontaneous labor were randomized to either early amniotomy (EA; n=105) or to late amniotomy (LA; n=105) groups. Augmentation with oxytocin was performed in both groups when inefficient uterine contractions present 1.0 hr after amniotomy. The primary outcome includes duration of labor and the rate of cesarean section, secondary outcomes included both maternal and neonatal outcomes. The results shows that EA shortens significantly the duration of 1st stage of labor (5.1 vs. 7.8 hr), increases C/S rate (33.3% vs. 15.2%) and the rate of chorioamnionitis (12.38% vs. 3.81%), with increase in frequency of oxytocin augmentation compared to LA group. Other parameters are not significantly affected. In conclusion, although early amniotomy was associated with increase in C/S and chorioamnionitis rates, it significantly decreases the total duration of labor compared to late amniotomy.

Key words: Amniotomy, labor induction, maternal outcome, neonatal outcome

Med-Science. 2014; 3(3): 1343-51

 
Medicine Science Vol:3 Issue:3 Year:2014 PP:1343-1570

Evaluation of the Usage of Herbal Products among University Students [Universite Ögrencilerinin Bitkisel Urunleri Kullanim Ozelliklerinin Degerlendirilmesi]

Original Article

Evaluation of the Usage of Herbal Products among University Students [Universite Ögrencilerinin Bitkisel Urunleri Kullanim Ozelliklerinin Degerlendirilmesi]

Mustafa Haki Sucakli, Soner Olmez, Hamit Sirri Keten, Cem Yenicesu, Nagihan Sari, Mustafa Celik

   

Abstract
In this study, college students were aimed to evaluate the characteristics of the usage of herbal products. The study included 543 students from different faculties of Sütçü İmam University in Kahramanmaraş. Questions that integrate a standard questionnaire about demographic characteristics of the participants, knowledge/attitudes and behaviors about the use of herbal products were applied. Data were analyzed using the SPSS 20.0 statistical program. 278 students were enrolled in the study. 51.2% were female and mean age was 22.7±3.4 SD (18-37). 218 of all participants (40.1%) has an initial choice of going to a doctor when they get sick. 209 of the participants (38.5%) primarily applied herbal medicines and traditional methods as the first choice. 149 students (27.4%) bought the herbal medicine from a previously known place. 283 participants (52.1%) believed that these drugs are safe. 300 of the participants (55.2%) declared that they used herbal medicine due to suggestion of the doctors, 115 students (21.2%) had seen these drugs in TV advertisements, 93 students (17.1%) had read about or informed by internet on herbal medicines. 317 students (58.4%) have used these drugs for cold, 253 (46.6%) for protection against disease and 159 (29.3%) for skin problems. 321 of the participants (67.6%) declared that they somehow benefitted from the drug and 146 (30.7%) described no benefit or harm. This study has shown that the use of herbal medicine is common among university students. The control of the unlimited usage of the herbal medicine both in our country and throughout the world is very important. Usage of herbal products and effects on the health need further scientific studies.

Key words: Herbal products, health, üniversity students

Med-Science. 2014; 3(3): 1352-60

 

Adaptation of Problematic Mobile Phone Use Scale to Turkish: A Validity and Reliability Study [Cep Telefonu Problemli Kullanim (PU) Olceginin Türkce’ye Uyarlanmasi: Gecerlik ve Guvenilirlik Calismasi]

Original Article

Adaptation of Problematic Mobile Phone Use Scale to Turkish: A Validity and Reliability Study [Cep Telefonu Problemli Kullanim (PU) Olceginin Türkce’ye Uyarlanmasi: Gecerlik ve Guvenilirlik Calismasi]

Cigdem Tekin, Gulsen Gunes, Cemil Colak

   

Abstract
This is a methodological type research that was proceeded to evaluate the validity and reliability of the Scale for the Problematic Mobile Phone Use (PU) among the Turkish society. The related research was conducted within the Spring Semester of 2011-2012 Academic Year on 387 students attending Inonu University Medical Faculty. Besides the scale, a questionnaire for determining the descriptive features of the students was also used in the study. The German original scale was translated into Turkish by using the group translation and retranslation techniques. Content validity index were analyzed for the content validity, exploratory and confirmatory factor analyzes were conducted for the construct validity and of the scale, the stability over time and internal consistency for reliability analyzes were conducted. Turkish questionnaire of the scale was reviewed by 10 experts to determine for the content (theme) validity. The necessary corrections were done in accordance with the suggestions of the experts, and the value of the content validity index of the scale (KGİ) was found 0.89. Exploratory and confirmatory factor analyses performed to test the structure validity of the scale were completed, and a three-factor structure explaining the 45% of the total scale variance was obtained. Cronbach Alpha value calculated for the reliability analyses of the scales was found 0.854, meanwhile the test-retest correlation coefficient of the scale for the total points was found 0.86. Additionally, the difference between the total average points of the pre-test and the re-test of the scale was not found statistically significant (p=0.30). As a result of the Turkish version of the scale of the values obtained from the PU is defined to be a reliable and valid scale.

Key words: Cell phone, addiction, validity, reliability

Med-Science. 2014; 3(3): 1361-81

 

The Relationship between Submissive Behavior and Exposure to Physical Violence in Adolescents in a Semi-Rural Area of Malatya [Malatya’da Yari Kirsal Bir Bolgede Ergenlerde Boyun Egici Davraniş ile Fiziksel Siddete Maruziyet Arasindaki Iliski]

Original Article

The Relationship between Submissive Behavior and Exposure to Physical Violence in Adolescents in a Semi-Rural Area of Malatya [Malatya’da Yari Kirsal Bir Bolgede Ergenlerde Boyun Egici Davraniş ile Fiziksel Siddete Maruziyet Arasindaki Iliski]

Beliz Yekeler, Erkan Pehlivan

   

Abstract
Adolescence and young adulthood are periods that increase in violent behaviors. Perceived by the victims directly and those who witness the violence is important for the development personality, attitudes and behaviors. The aim of this study is to investigate the relationship between submissive behavior characteristics of adolescents and exposure to physical violence in a semi-rural area, in Malatya. This is the cross-sectional survey was conducted in a semi rural area of Malatya. Hekimhan District Centre and randomly selected three town 410 adolescents were included in the study. The research survey and “Submissive Behavior Scale” developed by Savaşır and Şahin (1992) was applied under observation. Unpaired t-test and regression analysis were used for data analysis. 60.2% male and 39.8% were female of 410 adolescents. 33.7% primary and 66.3% high school education of adolescents has been attending. From the adolescents 41.3% at home, 41.9% in school, 41.5% in the street, stated that they had experienced physical violence. Male adolescents SAS mean 34.1 ± 11.4, and 36.2 ± 11.9 with the mean of female showed no significant difference (p = 0.073). Submissive behavior score of adolescents victimized by domestic violence was higher than the ones who do not (t = 1.993, p

Key words: Adolescent, physical violence, submissive behavior

Med-Science. 2014; 3(3): 1382-95

 

A Novel Triage for Crowded Emergency Clinics: Patient Triage

Original Article

A Novel Triage for Crowded Emergency Clinics: Patient Triage

Mehmet Husamettin Akkucuk, Meltem Akkas, Nalan Metin Aksu, Evvah Karakilic, Murat Dogan Iscanli, Hayri Ramadan, Yesim Cetinkaya Sardan

   

Abstract
More effective and accurate methods of triage are needed for overcrowded emergency clinics. In this study, the starting point was taken as ‘the patient is the primary and most important factor in determining emergency condition’, and thus, the triage was conducted by the patient him/herself. The study involved 308 patients over the age of 16 who were admitted to the Adult Emergency Clinic of Emergency Medicine Department, Hacettepe University Medical School, between May 1st and 9th, 2010. The mean age of the patients was 46 years (SD ± 20.894). Of the patients, 47.9% (n=147) were male, 52.1% (n=160) were female. Considering the complaints of the patients at presentation, and compatibility of diagnosis at triage, Kappa statistics were used and the compatibility rates were as follows: 49.8% in the patients, 41.8% in the paramedics, 63.8% in the nurses, 6.2 % in the intern doctors, 62.6% in the junior residents, 65% in the senior residents, and 66.5% in the specialists. The accuracy rates of prediagnosis based on the patient complaints were 53.1% (n=163) for the patients, 67.1% (n=206) for the paramedics, 71.2% for the nurses, 64.5% (n=198) for the intern doctors, 73% (n=224) for the junior residents, 80.8% (n=248) for the senior residents, and 82.4% (n=253) for the specialists. The overtriage and undertriage rates of the patients were 25.1% and 15.5% respectively, which are compatible with the recommendations by American College of Surgeons Committee on Trauma (ACSCOT). The patients were found successful in establishing the correct triage and diagnosis for themselves. Thus, in cases where the patient him/herself cannot cooperate, experimentation with triage scales developed to involve active participation of patients’ relatives may be helpful. In addition, active participation will significantly reduce the rates of complaints for waiting times and related arguments among patients.

Key words: Overcrowding EDs, triage, self triage, length of stay

Med-Science. 2014; 3(3): 1396-407

 

Antibiotic Resistance and ESBL-Presence of Community- Acquired Escherichia Coli Strains [Afsin Devlet Hastanesinde, Idrar Orneklerinden Izole Edilen Toplum Kaynakli Escherichia Coli Suslarinin Antimikrobiyal Direnc Durumu ve GSBL Varlıgı]

Original Article

Antibiotic Resistance and ESBL-Presence of Community- Acquired Escherichia Coli Strains [Afsin Devlet Hastanesinde, Idrar Orneklerinden Izole Edilen Toplum Kaynakli Escherichia Coli Suslarinin Antimikrobiyal Direnc Durumu ve GSBL Varlıgı]

Yucel Duman, Ilkay Bozkurt, Mehmet Sait Tekerekoglu

   

Abstract
Escherichia coli is the most common microorganisms isolated from community-acquired urinary tract infections (UTIs). Furthermore increasing frequency of extended spectrum β-lactamase (ESBL) positive E. coli strains in community-acquired UTIs has led to increasing rates of resistance to antibiotics that used in empirical treatment. The aim of this study was to determine the antimicrobial resistance patterns and epidemiological characteristics of community-acquired E.coli strains in our geographical region. The 3887 (2146 women and 1741 men) urine culture samples examined between September 2011 – September 2013 which were sent to microbiology laboratory from outpatient clinics of our hospital with a preliminary diagnosis of UTIs. 697 (18%) of urine culture samples were find positive; 423 (61%) were female, 274 (39%) were male. By using conventional methods, 352(51%) of the isolated strains were identified as E.coli. Antimicrobial susceptibilities of E.coli strains determined by Clinical Laboratory Standards Institute criteria. Extended spectrum β-lactamase was investigated by double-disk synergy test. The 352 isolated strains of E.coli belong to 47% of urology, 28% of internal medicine and 25% of pediatric patients urine cultures. The highest resistance ratio was observed against to ampicillin according to 68% treatments. There was no resistance found against imipenem and amikacin and 2% of resistance determined to fosfomycin trometamol. The 53 (15%) of isolated strains had extended spectrum β-lactamase. Determination of the antimicrobial resistance rates and selection of the empirical treatment according to these results will prevent the ESBL production and development of resistance to antimicrobials in our region. Also, we hope this study will help to determine the differences between similar geographical regional studies and comparing the results.

Key words: E.coli, ESBL, Community-Acquired UTI, antimicrobial resistance

Med-Science. 2014; 3(3): 1408-18

 

Dose Addition of Tramadol to Levobupivacaine Femoral Nerve Block Prolong Its Analgesic Efficacy in Patients Undergoing Anterior Cruciate Ligament Reconstruction?

Original Article

Dose Addition of Tramadol to Levobupivacaine Femoral Nerve Block Prolong Its Analgesic Efficacy in Patients Undergoing Anterior Cruciate Ligament Reconstruction?

Doaa Rashwan

   

Abstract
This study was designed to evaluate the effect of addition of tramadol to levobupivacaine femoral nerve block in patients undergoing anterior cruciate ligament reconstruction under general anaesthesia. 60 male patients ASA I-II aged 18-45 years, scheduled for anterior cruciate ligament reconstruction under general anaesthesia, patients were randomly allocated into two equal sized groups using closed envelope technique: Group L: (n= 30) femoral nerve block with levobupivacaine (0.5%) 20ml. Group LT: (n= 30) femoral nerve block with levobupivacaine (0.5%) 20ml +2mg/kg tramadol. Time to first request of postoperative analgesia, severity of postoperative pain at rest using VAS, dose of pethidine consumed in 24 h were recorded. There were no statistical significant differences between the two studied groups as regard to patient characteristics, time to first request of postoperative analgesia, postoperative pethidine consumption and 24 hours VAS at rest between the two studied group. The addition of tramadol 2mg/kg did not improve postoperative analgesic efficacy of levobupivacaine (0.5%) femoral nerve block in patients undergoing anterior cruciate ligament reconstruction under general anaesthesia.

Key words: Femoral nerve block, levobupivacaine, tramadol, knee surgery

Med-Science. 2014; 3(3): 1419-26

 

Effects of Apelin-13 on Human Prostate Cancer Lines [Insan Prostat Kanseri Hucre Serilerinde Apelin-13’un Etkileri]

Original Article

Effects of Apelin-13 on Human Prostate Cancer Lines [Insan Prostat Kanseri Hucre Serilerinde Apelin-13’un Etkileri]

Suat Tekin, Süleyman Sandal, Cemil Colak

   

Abstract
Prostate cancer is one of the most prevalent type of cancer in men. The exact solution for the treatment of different types of cancers has not been fully elucideted. Apelin secreted from adipose tissue reveals its effects by binding to APJ receptor. Obesity develops together with increased adipose tissue, and the increase of obesity related-apelin secretion is known. Obesity is a risk factor in the development of cancer, and considering both apelin and its receptor widely localized in the tissues of testis and prostate and apelin may have significant effects on prostate cancer. In the present study, 0.1, 1 and 10 nM concentrations of apelin-13 and three different testosterone concentrations (1, 10 and 100 nM) were separately aplied to human prostate cancer cells with LNCaP (androgen receptor positive) and DU-145 (androgen receptor negative). Then 1, 10 and 100 nM concentrations of testosterone hormone and 10 nM dose of apelin-13 incubated for 24 h in the prostate cancer cells were administrated and were allowed to incubate for 24 h. Effects of apelin-13 and testosterone on prostate cancer cells were determined using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. At the end of the experiment, DU-145 did not affected cell viability while the treatment with apelin -13 and testosterone increased the viability of LNCaP cells (p

Key words: Apelin, testosterone, prostate cancer, LNCaP, DU-145

Med-Science. 2014; 3(3): 1427-41

 

Episodic Alcohol Consumption by Youths

Original Article

Episodic Alcohol Consumption by Youths

Vladimir A Pereverzev

   

Abstract
This paper presents evidence that even rare episodic alcohol consumption by young people is not harmless. Unsafe rare episodic alcohol consumption by youths (students) was reflected in the reduced attention concentration and lower academic buoyancy, compared to those who completely abstain from alcohol.

Key words: Alcohol, youth, students, attention concentration, academic buoyancy

Med-Science. 2014; 3(3): 1442-55

 

Forensic Microbiological Evaluation of the Foods in School Canteens [Okul Kantinlerindeki Yiyeceklerin Adli Mikrobiyolojik Acidan Degerlendirilmesi]

Original Article

Forensic Microbiological Evaluation of the Foods in School Canteens [Okul Kantinlerindeki Yiyeceklerin Adli Mikrobiyolojik Acidan Degerlendirilmesi]

Asiye Karademir, Beytullah Karadayı, Huseyin Cakan, Vecdet Oz, Filiz Ekim Cevik, Sukriye Karadayi

   

Abstract
The reliability of canteens which have an important place in nutrition of students and the reliability of the foods sold in those canteens are very important. In this study, the aim is to examine the food samples in terms of pathogen microorganisms that cause food poisoning and to have the results analyzed in frame of forensic sciences.Under the scope of this study, 240 components belonging to 100 foods, taken from the canteen and buffets of 5 different primary schools in Taksim, Mecidiyeköy, Fatih, Kartal, Nişantaşı townships of Istanbul in 2009-2010 academic year, were microbiologically analyzed. The research was conducted in direction of Turkish food codex microbiological criteria regulation published in formal newspaper with date 06.02.2009 and no: 27133 in İstanbul University Forensic Medicine Institute Lab. At the end of the study, it was determined that microbiological analysis results of 25% of the foods produced in the canteen of primary school no: 2, 50% of the foods produced in the canteens of the primary schools no 1,3 and 5 and 75% of the foods produced in the canteen of the primary school no: 6 are not in accordance with microbiological criteria regulation. This fact makes us think that canteen operators do not pay enough attention to personal and environmental hygiene and they do not follow the proper storage conditions for the ingredients used for preparation of foods and therefore how important are the legal regulations, canteen inspections and the precautions to be taken regarding this issue.

Key words: Pathogenic microorganisms, school canteen, food poisoning, Turkish Food Codex

Med-Science. 2014; 3(3): 1456-69