Aim: This study was undertaken to evaluate the association between uterine artery Doppler velocimetry performed between 11-14 and 20-24 weeks of gestation and birth weight in healthy pregnant women. Methods: Uterine arteries of 119 healthy pregnant women were examined by color Doppler sonography either in their 11-14th or20-24th weeks of gestation. The uterine artery mean resistivity index (RI), pulsatility index (PI), absence or presence of bilateral notch were recorded in both uterine arteries. Results: The uterine artery mean resistance index (RI) in 11-14 weeks gestation was 0.72±0.1 (min: 0.45, max: 0.94) and mean PI 1.63±0.5 (min: 0.62, max: 2.99). Bilateral notch were determined in 25 (21.7%) pregnant. The correlation between birth weight and uterine artery Doppler indices were not determined. The uterine artery mean resistance index (RI) in 20-24 weeks gestation was 0.55 ±0.8 (min: 0.32, max: 0.87) and mean PI 0.91±0.26 (min: 0.47, max: 2.22). Bilateral notch were determined in 5 (4.3%) pregnant. There was positive correlation between birth weight and uterine artery Doppler indice (RI p<0.05 ve PI p<0.01) 20-24 weeks pregnancy due to the small number of patients, statistical calculation could not be done for between bilateral notch and birth weight. Conclusion: A significant negative correlation exists between birth weight and second-trimester uterine artery Doppler parameters. Uterine artery Doppler is a reliable and non-invasive method of examining uteroplacental perfusion.

Aim: To anallyze our newborn hearing screening results. Methods: All newborns between November 2009 and June 2012 were tested with autoacoustic emission test in our hospital. A total of 2284 infants were examined (1220 males and 1064 females). Results: Of these, 1922 infants were found to pass the screening test (84.15%). Forty-nine neonates who didn’t pass the autoacoustic emission test couldn’t pass Auditory Brain Response test either. Conclusion: Screening tests should be performed in all newborns for early detection of hearing loss.

Aim: The aim of our study was to determine the frequency of obstructive sleep apnea syndrome (OSAS) in patients with pulmonary hypertension (PH) by polysomnography. Materials and Methods: Fifty-six (female/male=35/21) patients with PH were enrolled in this study. Patients were grouped into four groups according to etiology (Chronic obstructive pulmonary disease COPD, congestive heart failure CHF, scleroderma, and isolated PH). Anthropometric features, tobacco consumption, estimating pulmonary artery pressure (PAB) by echocardiography, the results of blood gas analysis, and hematocrit levels were recorded for all subjects. We performed Epworth sleepiness scale (ESS) to determine excessive daytime sleepiness. All patients were assessed by polysomnography. Results: The frequency of OSAS was found 60.7% (34/56) in patients with PH. It was found as 54.5%, 88.9%, 50%, and 58.3 in patients with COPD, CHF, scleroderma, and isolated PH, respectively. There were no statistical significant differences between groups. The frequency of OSAS in patients with snore and apnea was higher than in patients without snore and apnea. OSAS was found in all of patients with daytime hypersomnolence. The patients with OSAS had higher neck circumference than others. Conclusion: The frequency of OSAS was found quite common in patients with PH than general population. It was shown that polysomnography should be used for OSAS diagnosis in patients with PH, especially PH with obscure etiology. The PH patients with high neck circumference should be questioned about symptoms of OSAS. If major symptoms are found, polysomnographic sleep measures should be done.

Aim: The aim of the study was to determine the level of information about COPD and attitudes towards smoking addiction of physicians working in primary health care. Materials and methods: Informational meetings were held on family physicians in the province center about COPD and smoking, questionnaires were applied associated with COPD. Results: The questionnaire was completed by 64 physicians. Majority of physicians faced with smokers of 0-5 in one day. The most common factor in the development of COPD, the necessary diagnostic test for COPD and spirometric measurements mostly used for diagnosis of COPD were answered correctly. At the physicians working unit, 34.4% had only blood counter, 28.1% had just electrocardiogram (ECG), 18.8% had ECG and blood counter, while 18.8% had no tools. None of the family health centers had spirometer. Definition of COPD, the treatment of stable COPD were the most incorrectly answered questions. The question of common comorbidities in COPD was answered as cardiovascular diseases, anxiety, depression, and cancer. Comment: All of the physicians had information about the etiology and diagnostic method of COPD, in contrast the questions about definition and treatment of COPD showed that there was a lack of information. More frequent post graduate seminars on COPD is thought to be able to provide increasing early diagnosis of the disease.

Aim: In this study open cardiac surgery results were evaluated in the new Van Regional Training and Research Hospital after Van earthquake occured in 23th october 2011, in which 604 casualties occured. Material and Method: Between 23th October 2011 and 31th December 2012, open cardiac surgery was performed in a total of 224 patients (131 male, 93 female). Age range of patients were between 17 and 84 years and median age was 47 ± 3 years. 165 coronary bypass surgery (114 patients with beating beart, 51 patients with cardio-pulmonary bypass), 49 valve operation, 2 atrial septal defect closure, 1 sub aortic membrane resection, 3 myxoma resection, 1 heart penetrating tool injury operation, 3 Type 1 aortic dissection operation were performed. Left Internal Mammarian Artery (LIMA) was used in all coronary operations except 2. Results: Hospital mortality was seen in 9 (4.01%) of the patients. Post operatively in 10 (4.4%) patients atrial fibrillation, in 9 (4%) patients low cardiac output, in 3 (1.3%) patients acute renal failure, in 6 (2.6%) sternal infection, in 10 (4.4%) saphenous location infection, in 1 (0.4%) temporary cerebral event occured. 9 (4.01%) patients with low cardiac output had Intra Aortic Baloon Pumping (IABP). 3 (0.01%) patients had revision for bleeding. Conclusion: After Van earthquake which occured in 23th October 2011, Van High Specialization Hospital moved to newly constitued Van Regional Training and Research Hospital because of earthquake and there after continued succesively to open heart surgeries. Van Regional Training and Research Hospital has still 2 operating rooms, 5 intensive care beds, a 24-bed cardiac and vascular surgery patients in the region with service being shipped to other provinces and continue to successful open-heart operations, with acceptable morbidity and mortality rates.

The aim of our study was to evaluate the effect of tonsillectomy operation on growth and development of children. Method: In this prospective study were included 100 cases who underwent tonsillectomy operation because of recurrent tonsil infection and airway obstruction between June 2004 and February 2005. Izmir Dr. BehçetUz Children's Health Diseases and Surgery Training and Research Hospital ethics committee approval was obtained. Body height, weight and percentile distributions of cases were recorded preoperatively and at postoperative 1 - 3 months to examine the impact of growth and development of the operation. SPSS 10 was used for statistical analysis. p <0.05 was considered statistically significant. Preoperative, postoperative first and third month’s body weights were compared with each other as well as body height. Results: Weight gain at postoperative first and third months were significant compared to preoperative period (p< 0,05). Also extension of height increased at postoperative first and third months (p<0,05). Conclusion: Chronic tonsillitis negatively affects the growth and development of children. Weight and height measurements of patients increase and the growth curves pass through the upper curve after tonsillectomy.

Aim: To determine the organizational commitment of nurses working in a university hospital. Methods: All the nurses (N=250) working in Cumhuriyet University comprised the universe of this descriptive study. In the study, 80.8% of the nurses were contacted. For data collection, the socio-demographic form and the 7-point Likert-type Organizational Commitment Questionnaire developed by Porter et al. (1974) and adapted to Turkish were used. The Cronbach alpha coefficient of the questionnaire used in the study was 0.86. Evaluation of the data was conducted with the significance of the difference between two means test and the analysis of variance. Results: It was determined that the nurses considered the item “I am ready to contribute to the success of this hospital more than expected” as the most powerful source of organizational commitment (4.72 ± 1.88), and the item "I am worried about the future of this hospital” as the weakest source of organizational commitment (2.40 ± 1.67). It was also determined that those who were over 30, who were married, who were the graduates of associate degree and who had 11 or more years of service had higher organizational commitment scores (p =0.004, p =0.001, p=0.001, p=0.001). The nurses’ overall organizational commitment score was 3.62±1.08 (54.24±16.13). Conclusion: It was determined that the nurses working in Cumhuriyet University Hospital displayed a middle level of the organizational commitment to their hospitals, and that their age, education, marital status, and length of service affected their commitment.

The triad of acute osteomyelitis, deep venous thrombophlebitis, and septic pulmonary embolism is a rare, but life-threatening syndrome in adolescents that requires prompt recognition and treatment. Detection of any single component of the triad should prompt a search for the other associated disorders. In this article, we present a case of pulmonary embolism as a complication of acute osteomyelitis and septic thrombophlebitis in a 22 years old male patient.

Acute and gradual correction can be used in deformity surgery. Up to 40 degree of tibial deformities are suggested to be corrected with acute correction whereas deformities greater than 40 degrees should be corrected gradually. A 16 years old male patient with 50 degrees of sagittal and 33 degrees of coronal deformity of tibia was corrected with acute closed wedge osteotomy and fixated with intramedullary nailing. Coronal and sagittal deformities were completely corrected postoperatively. Neurovascular problem which is important within the first there weeks was not encountered.

Ureter diverticula, defined as an outward expansion of the ureter is a rare seen clinical condition, the etiology of which is unknown. In radiological examinations carried out in a 13-year-old girl with left side pain, ureter diverticula and stone inside it were detected. The stone was broken with pneumatic lithotriptor in the accompaniment of ureterorenoscopy. According to our available knowledge, we have presented this case of us since the urethral diverticulum case with stone inside it has not been reported in children.

Enterobius vermicularis (E. vermicularis) is a worldwide common parasite that is located in caecum and appendix frequently affecting children. Acute appendicitis due to E. vermicularis is very rare. The aim of this study is to report a rare case of acute appendicitis due to E. vermicularis. A 19-year-old woman was referred to our Emergency Service with acute pain at right lower quadrant. A physical examination revealed right iliac fossa tenderness and the laboratory examination showed leukocytosis. After the performed appendectomy the pathological studies indicated the presence of E. vermicularis and acute inflammation signs in the lumen of the appendix. It should be kept in mind that E. vermicularis can unusually cause acute appendicitis.

Hypotension has symptoms such as dizziness, weakness and syncope. Hypotension, defined as below systolic blood pressure below 80-90 mmHg, and diastolic blood pressure below 50-60 mmHg. Hypotension is dangerous causing falls and fractures in older people. Quetiapine is a atypical antipsychotic drug more used in elderly patients because it does not cause extrapyramidal symptoms and anticholinergic side effects and does not lead to increased plasma levels of prolactin. In this article, we introduced a case report with a history of hypotension and using antihypertensive medicine, however, after a single dose of 100 mg quetiapine, complaints of dizziness and blackouts that have been stabilized under intensive care conditions.

Tongue hemangioma is a benign vascular tumor that causes bleeding, difficulty in breathing, pain, difficulty in chewing and speaking; and it is observed rarely. Hemangiomas are separated histologically into three types as capillary, cavernous, or mixed. Hemangiomas are seen most commonly on cheeks, upper lip and upper eyelids on head and neck while they are observed in very small proportions on tongue. Surgery, corticosteroids, sclerosing agents, radiation therapy, diathermy, electrocauterization, cryosurgery, embolization, laser, radiofrequency, and interferon are used in treatment of hemangiomas. In this study, cavernous hemangioma was detected in the physical examination of the right lateral of tongue of a 14-year-old female patient. Relevant literature studies with the patient's symptoms and treatment information was discussed and presented.

Thyroid nodule is a lesion which has a different appearance from the rest of the thyroid tissue. In our country the most important etiological factor is iodine deficiency but both genetic and other environmental factors may play roles in the development of nodular goiter. The patients may present with compressive symptoms such as dyspnea, dysphagia and hoarseness and symptoms associated with thyrotoxicosis but most thyroid nodules are asymptomatic. To reveal malignant nodules a detailed anamnesis and physical examination should be supported by laboratory, imaging and most importantly fine needle aspiration biopsy. L-T4 suppression treatment may be performed in some cases. Severe compressive symptoms or suspicion of malignancy necessiate surgical treatment.