Cilt 5, Sayı 2, Makale Koleksiyonu
Bu koleksiyon için kalıcı URI
Güncel Gönderiler
Öğe Recurrent Suicide Attempts in a Patient with Chronic Obstructive Pulmonary Disease: A Case Report(Aksaray Üniversitesi, 2025) Yeşilkaya, Sema; Hocaoğlu ÇiçekChronic obstructive pulmonary disease (COPD) is characterized by bronchial obstruction and abnormal pulmonary inflammation. Depression prevalence has increased in COPD patients. COPD frequently leads to social isolation and impairments in daily functioning, which contribute as risk factors for suicidal behavior. Although the relationship between COPD and suicide attempts is multifactorial, studies suggest that chronic hypoxia and biochemical factors can lead to increased suicide risk. The association between COPD and suicide has been emphasized in numerous studies, underscoring the need for mental health assessment in COPD patients. Evaluation of suicide risk is critical for all physicians. This case report highlights recurrent suicide attempts in a 70-year-old woman with COPD, aiming to raise awareness about the heightened suicide risk in COPD patientsÖğe A Social Media-Induced Cyanide Poisoning(Aksaray Üniversitesi, 2025) Özer, Muhammet; Ayrancı, Mustafa Kürşat; Avcı, AliFruits such as apples, cherries, peaches, pears and plums are members of the Rosaceae family and are among the most consumed fruits. Although they provide important health benefits to humans, their seeds contain amygdalin, a potential toxin. When the nuclei are broken down by crushing, cyanogenic glycosides interact with endogenous enzymes, causing the formation of hydrogen cyanide. Technological developments and increasing internet use have opened the door to a lot of information for us. Computer and internet usage is generally at very high levels in the young population. In many social platforms, erroneous information in the field of health ranges from unnecessary tips to dangerous claims. In this case, we aimed to show the vital importance of early diagnosis and treatment in a patient who using information learned from the internet attempted suicide with 200 apple seeds.Öğe Seroprevalence of Brucellosis in Aksaray Region(Aksaray Üniversitesi, 2025) Güvenç, Firdevs; Türkel, Selçuk; Akıneden, Altan; Duman, YücelPurpose: Brucellosis is the most common bacterial zoonosis in the world caused by brucella genus bacteria and is a significant cause of morbidity and mortality in humans. The definitive diagnosis of the disease is the isolation of the agent in culture, but serological tests are often used in diagnosis. This study aimed to determine the seroprevalence of brucellosis in our region. Material and Method: The study included 7087 serum samples sent to the medical microbiology laboratory with suspicion of brucellosis from clinics between January 2023 and December 2024 to Aksaray education and research hospital. The Rose-Bengal (RB) and Coombs agglutination test results of sera were retrospectively examined. Results: Out of the 7087 patients included in the study, 622 (8.8%) had a positive RB test, and 579 patients (8.2%) had a Coombs agglutination test titer of 1/160 and above. The median age of patients with a positive Coombs agglutination test was detected as 41.57 ± 3.9 (min 1 - max 80) and 56.8% (n=329) of these patients were male and 43.2% (n=250) were female. Brucellosis seroprevalence was 47.6% in the 20-50 age range and 69.4% in the 20-60 age range. We also determined the seroprevalence of brucellosis as 17.6% in the 0-20 age range and 9.2% in those over 65 years of age. Conclusion: Preventing the transmission of brucellosis to humans primarily depends on controlling and eradicating disease in animals. In this context, we believe that success will be achieved through promotional controls, especially through effective policies, measures and projects that will be jointly developed by the Ministry of Agriculture and universitiesÖğe The Role of Platelet Mass Index in Predicting Short-Term Mortality in Community-Acquired Pneumonia: An Analytical Study(Aksaray Üniversitesi, 2025) Özdemir, Serdar; Altunok, İbrahim; Özkan, AbuzerPurpose: Community-acquired pneumonia (CAP) is a major cause of morbidity and mortality worldwide, particularly among elderly patients and those with comorbidities. Early risk stratification is crucial for optimizing treatment decisions. Platelets play a key role in hemostasis and inflammation, and platelet-related indices have been investigated as potential prognostic markers. The Platelet Mass Index (PMI), calculated as platelet count × mean platelet volume (MPV), has been proposed as a marker of inflammatory severity. This study aims to evaluate the prognostic value of PMI in predicting short-term mortality in hospitalized CAP patients. Material and Method: This retrospective observational study included adult patients diagnosed with CAP and hospitalized between January 1, 2023, and January 1, 2024. Demographic data, clinical parameters, laboratory findings, and severity scores (PSI, CURB-65) were collected. PMI values were compared between survivors and non-survivors. Statistical analyses included Mann-Whitney U tests, chi-square tests, and logistic regression. The predictive performance of the model was assessed using ROC curve analysis. Results: A total of 174 CAP patients (67% male, median age 77 years) were analyzed. The most common symptom was dyspnea (82%). No significant difference in PMI was observed between survivors and non-survivors (p=0.33). Higher PSI and CURB-65 scores, lower albumin levels, and elevated respiratory rates were associated with increased mortality. The predictive model for mortality demonstrated an AUC of 0.814. Conclusion: PMI was not a significant predictor of short-term mortality in hospitalized CAP patients. The inflammatory response in severe cases and potential confounders may have influenced the results. Further prospective studies in broader patient populations are needed to clarify PMI’s prognostic role.Öğe Outcomes of Transurethral Deep Lateral Incision in Bladder Neck Contractures(Aksaray Üniversitesi, 2025) Babayiğit, Muammer; Geyik, Serdar; Bayburtluoğlu, Veyselfollowing prostate surgeries. The aim of this study is to evaluate the outcomes of transurethral deep lateral incision without intralesional agents in the management of recurrent BNC and to compare the results with existing literature. Material and Method: A retrospective analysis of 12 patients who underwent transurethral deep lateral incision for recurrent BNC between January 2023 and June 2024 was performed. Data collected included demographic characteristics, surgical details, and postoperative outcomes. Success was defined as the absence of dilation requirements and a lack of obstructive uroflowmetric patterns within 6 months. Complications were classified according to the modified Clavien-Dindo system. Results: The mean age of the patients was 68.25 years. Etiologies included radical prostatectomy (5 patients), transurethral resection of the prostate (5 patients), and combined radical prostatectomy with radiotherapy (2 patients). The mean operative duration was 32.67 minutes, and the overall success rate was 83.3%. Two patients (16.6%) experienced recurrence requiring additional intervention. Postoperative incontinence was observed in 16.6% of cases and was managed conservatively. No intralesional agents were used, and the procedure achieved comparable success rates to more complex techniques with fewer associated complications. Conclusion: Transurethral deep lateral incision is an effective and minimally invasive technique for managing recurrent BNC, offering high success rates without the need for intralesional agents. This approach can be considered a primary treatment option before resorting to more invasive surgical methods.Öğe Investigation of Faecal-Oral Transmitted Parasites in Communal Toilets(Aksaray Üniversitesi, 2025) Eroğlu, Fadime; Arsu, Dilek; Özlen, Hüseyin; Sarıkaya, ÖmerPurpose: The aim of the study was to determine the parasites transmitted by the faecal-oral route in communal toilets and to study the personal hygiene habits of the users of these toilets. Material and Method: A total of 96 swab samples, 24 each from water containers, door handles, faucet heads and sink edges used for anogenital cleaning in toilets, were investigated for parasites transmitted by fecal-oral route. DNA was isolated from these samples using the DNeasy PowerSoil kit and real-time PCR analysis was performed using parasite-specific primer-probes. A survey was also conducted to determine the personal hygiene habits of students using the toilets, including questions such as hand washing and flushing. Results: In 24 swab samples (n=24) taken from water containers used for anogenital cleansing in toilets, C. parvum was detected in 16.7% (4/24), E. histolytica in 8.3% (2/24) and G. lamblia in 12.5% (3/24), while no parasites were found in 62.5% (15/24). In 24 swab samples taken from door handles, C. parvum was detected in 8.3% (2/24), E. histolytica in 4.2% (1/24) and G. lamblia in 8.3% (2/24), while no parasites were detected in 79.2% (19/24). In 24 swab samples taken from door handles, C. parvum was detected in 8.3% (2/24), E. histolytica in 4.2% (1/24) and G. lamblia in 8.3% (2/24), and no parasites were detected in 79.2% (19/24). In 24 swab samples taken from tap heads, C. parvum was detected in 12.5% (3/24) and G. lamblia in 4.2% (1/24), while no parasites were detected in 83.3% (20/24). In 24 swab samples taken from the sink edges, C. parvum was detected in only 4.2% (1/24) and no parasites were detected in 95.8% (23/24). According to the survey results, it was found that girls paid more attention to hand washing hands and flushing toilets than boys (p<0.05), and it was found that these hygiene habits were first acquired in the family (p<0.05). However, it was found that students were not sufficiently informed about the possibility of contracting diseases through communal toilet facilities. Conclusion: Communal toilets in large centres such as schools and hospitals play an important role in the transmission of faecal-oral parasites and the spread of intestinal parasitic diseases. However, families play the primary role in helping people to adopt personal hygiene habits in toilets.Öğe Evaluation of Cases Admitted to Emergency Service Due to Domestic Violence Against Women: A Retrospective Study(Aksaray Üniversitesi, 2025) Yüksel, Arzu; Mutlu, Hüseyin; Bahadır Yılmaz, EmelAim: One of the most important public health problems in our country is domestic violence against women. One of the first places that people who are exposed to violence apply to is the emergency services. This study aimed to retrospectively evaluate female cases who applied to a training and research hospital due to domestic violence. Material and Method: The data of 25 women who were exposed to violence between January 1, 2018 and December 31, 2020 at Aksaray University Training and Research Hospital were analyzed retrospectively. Descriptive statistics were used in the presentation of the data. Results: Of the women exposed to violence, 48.0% were in the 21-30 age group, and 90.0% experienced domestic violence from their spouses. Of the perpetrators, 30.0% were primary school graduates and 44.0% were in the 21-30 age group. One-fifth of women (20.0%) had suicidal ideation and 12.0% attempted suicide. After being exposed to violence, all of them applied to an official institution. Of women, 40.0% were threatened with death, 52.0% applied to the emergency department between 08.00-16.00, and the highest number of applications was in March (24.0%) and April (16.0%). Conclusion: Majority of the women have been exposed to physical violence and some of them have experienced mental distress such as suicidal ideation and attempt. It has been suggested to determine the health service that the woman needs physically and mentally and to provide her physical and mental treatmentÖğe Evaluating The Readability of Websites Providing Information About Monkeypox(Aksaray Üniversitesi, 2025) Güner, Ece; Yazar, Hümeyra; Türk Bulut, EzgiAim: The aim of this study is to evaluate the readability, reliability, and quality of the content on websites providing information about the monkeypox virus. Material and Method: The Google search engine (www.google.com.tr) was used with the keyword ‘monkeypox,’ and websites from the first 15 pages of search results that were English-language websites, which did not require membership and were freely accessible were included in the study, , from the first 15 pages of search results were included in the study totaling 44 websites. The websites were categorized into four groups: news sites, professional health organizations, government websites, and others. The readability of the texts on the websites was assessed using the Flesch Reading Ease Score (FRES), Gunning Fog Index (GFI), Coleman-Liau Index (CLI), and Simple Measure of Gobbledygook Index (SMOG). The content quality of the texts was evaluated using the JAMA and DISCERN tools.
