CIVIL DEFENSE ORGANIZATIONS IN HOSPITALS OF ISTANBUL

Objective: The study was designed to determine the civil defense profiles in both private and state hospitals in Istanbul and to give contribution to first and emergency aid organizations in prospective extraordinary circumstances

KNOWLEDGE LEVEL OF 4th AND 6th GRADE MEDICAL SCHOOL STUDENTS ABOUT ADULT TETANUS AND DIPHTERIA VACCINES

Objective: Tetanus and diphtheria (Td) can be prevented between 95-99% if vaccination is done as recommended. Medical school students should know about this high effective vaccine

Microbiological Evaluation of Indoor Air of Kindergartens in Fatih District of Istanbul

Objective: The aim of this study was to determine the total mould and bacteria levels in the kindergartens in Istanbul City, Fatih District

KNOWLEDGE AND BEHAVIOR OF ELEMENTARY SCHOOL STUDENTS ON PERSONAL HYGIENE

Objective: Personal hygiene is health maintenance activities to sustain one's health. These activities should become personal behavior from childhood from the preventive health perspective. Therefore, determination of knowledge and behavior of elementary school students regarding personal hygiene is aimed in this study

PERCEPTION OF SELF HEALTH AMONG PRIMARY SCHOOL STUDENTS AND THEIR KNOWLEDGE OF HEALTH MATTERS

Objective: It is accepted that the perception of self health of adolescent is associated with the common health matters they face, their immunization status, searching for disease risks and security applications. The aim of this study is to obtain the level of perception of self health of primary school students and to investigate the association between their health perception, and their knowledge in health matters and the accidents they had

Respiratory Health Symptoms among Students Exposed to Different Levels of Air Pollution in a Turkish City

In this study, we aimed to investigate the frequency of respiratory health symptoms among high school students attending schools at industrial, urban and rural areas in a Turkish city. Three schools located in different zones of the city having different pollution characteristics were chosen based on the pollutant distribution maps using Geographical Information Systems (GIS) software. A cross-sectional survey was performed among 667 high school students in the schools. Outdoor and indoor nitrogen dioxide (NO2) and ozone (O-3) concentrations were also measured by passive samplers in the same schools to investigate possible routes of exposure. Chronic pulmonary disease (OR = 1.49; 95% CI: 1.11-1.99; p = 0.008), tightness in the chest (OR = 1.57; 95% CI: 1.22-2.02; p = 0.001), morning cough (OR = 1.81 95% CI: 1.19-2.75; p = 0.006) were higher among students in the industrial zone where nitrogen dioxide and ozone levels were also highest. There were no indoor sources of nitrogen dioxide and ozone exists in the schools except for the dining hall. As a conclusion, this study has noticed that air pollution and respiratory health problems among high school students are high in industrial zones and the use of passive samplers combined with GIS is an effective tool that may be used by public health researchers to identify pollutant zones and persons at risk

Insulin Like Growth Factor-I and IGF-Binding Protein-3 Levels in A Healthy Adult Turkish Population

Tuzun, Hakan/0000-0002-6376-8979WOS: 000298720200004Objective: Insulin-like growth factor-I (IGF-I) and IGF binding protein-3 (IGFBP-3) levels are important markers in diagnosis of growth hormone (GH) related disorders. The normal levels of IGF-I and IGFBP-3 vary among different ethnic groups, and using the references derived from different populations may sometimes be misleading during diagnosis, treatment and follow-up. We examined the levels of IGF-I and IGFBP-3 in healthy adult Turkish population. Material and Methods: Eight hundred and thirty-three subjects (512 females, 321 males) were enrolled in the study. Serum IGF-I and IGFBP-3 levels were measured by immunoradiometric assay in all participants. The study population was divided into age groups (18-20, 21-23, 24-25, 26-30, 31-40, 41-50, >50 years of age) and gender groups (females and males separately in the population 30 years of age (p<0.05). Conclusion: Serum IGF-I concentrations of our study population are generally higher than the reference values of the commercial kit. Centers dealing with GH disorders might benefit from defining their own population's normal values for IGF-I and IGFBP-3 to overcome possible diagnostic and follow-up pitfalls

46 XX male syndrome with hypogonadotropic hypogonadism: A case report.

We report a 46 XX male syndrome diagnosed after failure of gonadotropin therapy taken for hypogonadotropic hypogonadism due to a pituitary macroadenoma. A 39-year-old man with a non-functioning pituitary macroadenoma was admitted to our clinic due to vision loss and infertility. After pituitary surgery, vision loss improved while infertility still existed. Low testosterone levels without elevated gonadotropins were established suggesting hypogonadotropic hypogonadism due to pituitary adenoma. Gonadotropin treatment was initiated. There was no response to treatment after 12 months. A karyotype analysis was ordered to investigate other causes of infertility. Karyotype analysis showed a 46 XX male syndrome that can explain the failure of gonadotropin therapy. Testosterone therapy was started instead of gonadotropin therapy. 46 XX male syndrome usually presents with hypergonadotropic hypogonadism. However, in our case, it presented with hypogonadotropic hypogonadism due to pituitary mass not responding to gonadotropin therapy. It is important to keep in mind to obtain a genetic analysis of patients whose gonadotropin therapy failed, even if their gonadotropin levels are not elevated

Advantage of the Subcutaneous Immunoglobulin Replacement Therapy in Primary Immunodeficient Patients With or Without Secondary Protein Loss

In recent years subcutaneous immunoglobulin is widely used for primary immunodeficient patients. Subcutaneous administration provides a more stable and higher serum immunoglobulin levels due to continuous and steady transition from lymphatics to the systemic circulation. We aimed to evaluate the changes in serum immunoglobulin levels under subcutaneous immunoglobulin therapy in patients with primary immunodeficiency with or without secondary protein loss. Nine patients with primary immunodeficiency who switched to subcutaneous immunoglobulin were enrolled. Age, gender, diagnosis, reasons of transition to subcutaneous route, reasons of secondary protein loss were recorded. A questionnaire consisting of frequencies and types of infections, side effects observed with intravenous and subcutaneous routes; date and reason of transition to subcutaneous route were asked to all participants. Serum immunoglobulin levels at the 3rd and the 6th months before and after subcutaneous route were recorded. Of the 9 patients (M/F=4/5) the median age was 12 years (6.1-28.7) and 5 of them had protein loss. In total, 444 injections were applied, and all patients experienced local reactions. Infections were more frequent under intravenous than subcutaneous route (p=0.004). We observed an increase in immunoglobulin levels under subcutaneous route (p=0.069 at 3rd; p=0.13 at 6th month). This increase was evident at the 3rd month of transition to subcutaneous route in patients with protein loss (p=0.080). There was an increase in serum immunoglobulin levels under subcutaneous route. However, increase was not statistically significant since the study group was small. This increment was prominent in patients with protein loss. Subcutaneous administration may be a good alternative for primary immunodeficient patients with protein loss who have persistent low serum immunoglobulin levels despite increments in the intravenous immunoglobulin doses

RESPIRATORY FUNCTIONS OF THE PEOPLE WORKING IN SOLID WASTE STORAGE CENTERS IN ISTANBUL

Objective: Solid storage sanitarian workers are exposed to many chemical and physical hazards. The aim of this study is to find out the environmental effects of the work-places on the respiratory functions of the people working in solid waste storage centers