OBJECTIVE: The risk of osteopenia and osteoporosis has not been clearly found in sickle cell anemia (SCA) patients. In this study, we aimed to find the frequency of abnormal bone mineral dansity and determine the relationship of abnormal BMD with clinical/laboratuary findings of our SCA patients.
METHODS: We added sickle cell anemia patients without vasooclusive crisis during rutine control in our hemoglobinopahy center. Bone mineral danistometry measurements were done with dual energy x-rayabsorbtiometry (DEXA) at lumbar spinal colon and proximal femur regions. Osteopenia and osteoporosis were evaluated according to WHO criteria.
RESULTS: We evaluated 63 patients’ results. There were 39,7% osteopenia, 36,5% osteoporosis, 23,8% normal BMD. There was no relationship among abnormal BMD with hemoglobin, leukocyte, lactat dehidrogenase, total bilirubin, uric acit, alkalen phosphatase and vitamin B12 levels.
CONCLUSION: According to our study, osteopenia and osteoporosis are frequent in our SCA patients. Clinicians sould be careful about osteoporosis and these patients should be screen with BMD measurements for avoiding fractures.

INTRODUCTION: OBJECTIVE: This research aims to show the factors about cigarettes, alcohol, drugs consumption of the students at Health Institution of Higher Education at Inonu University and the effects of social support coming from their families.
METHODS: The data of this descriptive study were collected at Inonu University Vocational School of Health Sciences on October 3, 2010. 504 of 540 students could be included in the study. Questionnaire was conducted, which consists of two parts: the first part contains 21 items to collect sociodemographic data, 42 items on smoking, alcohol and drug addiction, and the Fagerstrom Test for Nicotine Dependence, while the Social Support Scale/Questionnaire was used in the second part.
RESULTS: Female participants account for 72,8%, and nursing students for 69,8% of the sampling. The mean age was calculated to be 20,74±1,85. It was revealed that 12,3% of the participants smoke. 3,2% of them were found to be highly addicted to smoking. Moreover, 29% were discovered to smoke shisha. The analyses showed that 16,9% of the sampling drink alcoholic drinks and 47% started drinking out of curiosity. 54,5% of drug addicts (2,2%) stated that they smoke marijuana. 63,6% of them were revealed to have tried marijuana out of curiosity. Majority of the smoking and drug addicts were male. The number of addicts was higher in cases where participants have addicted family members. The research showed that 53,8% received education on addiction. 9,6% were observed to smoke and 16,2% to have tried alcoholic drinks despite the education. The study revealed that the participants whose family social support scores were lower had higher addiction.
DISCUSSION AND CONCLUSION: CONCLUSION: As a result, it has been figured out that the number of the students who use cigarettes, alcohol and substance is particularly low and social support coming from their families is quite high.

INTRODUCTION: The comparison of the written and werbal patient information methods on infertility treatment protocol.
METHODS: A total of 90 patients who was accepted for the infertility treatment included this prospective observational study. Half of the subjects were informed werbal way about the doses of the medications and the days of hospital control and they enounced to take notes if they want to. Other 45 subjects were informed by given a medication and administration form. Criterions for efficiency consideration were true timing, dosage and usage way of the medications and obeying the hospital control days. The data analysed by SPSS-21 statistical programme.
RESULTS: The mean age of the cases was 32,22±4,89 (21-42). Both case and control group subjects were literate. A total of 74 cases taken into IVF and 23 cases taken into IUI protocol. Seven cases (15,2%) was found to be make mistake in the treatent protocol; in 1 case date of hospital control, 1 case in USG date and 3 cases made mistake in drug injection date at werbally informed group. No mistake in criterions for efficiency consideration determined in written informed group.
DISCUSSION AND CONCLUSION: Usage of the written patient information forms in the exposition of the infertil patient about the teratment protocol increases the patient’s adaptation to the treatment protocol and decreases the patient’s concern level about the treatment process.

OBJECTIVE: Coronary hearth diseases are the leading causes of death in developed countries. Blood uric acid levels are known to be associated with cardiovascular diseases. The aim of our study is to search for the blood uric acid level association with acute coronary syndromes and its early complications.
METHODS: This retrospective study includes a total of 150 patients, 45 male and 105 female, under the age of 65, who were treated in Bezmialem Valide Sultan Vakýf Gureba Hospital Coronary Intensive Care Unit between years of 2006-2009.
RESULTS: Uric acid levels were high in %23.8 of male patients and in %33.3 of female patients who had acute coronary syndrome. These findings were not statistically significant. Average uric acid levels were 5.63 ± 2.10 mg/dL in ST eleveted myocardial infarction (MI) cases, 6.04 ± 1.64 mg/dL in non-ST elevated MI cases and 5.19 ± 1.18 mg/dL in unstable angina pectoris (USAP) cases. We couldn’t obtain a statistical relationship between uric acid levels and coronary syndrome types. There was no statistical correlation of uric acid levels between the patients with acute coronary syndorme complications and the patients without any complications.
CONCLUSION: In our study we couldn’t observe a direct effect of uric acid levels on acute coronary syndromes. When evaluated along with the various studies in literature we consider that reducing high uric acid levels may have positive effects on acute coronary syndrome cases however it should not be determined as an independent risk factor.

INTRODUCTION: Fibromyalgia is a condition characterized by generalized chronic musculoskeletal pain. In the current study, we aimed to explore feelings of loneliness, level of life satisfaction and related factors among patients with fibromyalgia.
METHODS: The study enrolled 30 female patients with fibromyalgia from 18 to 55 years of age and 30 age-matched healthy controls. UCLA scale was used to assess feelings of loneliness, Satisfaction with Life Scale (SWLS) to assess the level of life satisfaction, Hospital Anxiety Depression Scale (HADS) to assess symptoms of anxiety and depression and revised fibromyalgia impact questionnaire (rFIQ) to assess disability level for all subjects.
RESULTS: Patients with fibromyalgia had highly significantly higher UCLA scale scores and anxiety and depression scores but significantly lower SWLS scores (all p < 0.001). Among patients, UCLA loneliness scores were positively correlated with depression scores and negatively correlated with SWLS scores (all p < 0.05). Both anxiety and depression scores showed positive correlation with rFIQ scores (all p < 0.05).
DISCUSSION AND CONCLUSION: Management of fibromyalgia should be planned with a patient-centric approach that includes social support taking also into account their psychosocial problems and the environment they live in.

The arteriovenous fistulas are the most frequently used ways of vascular access to hemodialysis in patients with chronic renal failure. Venous aneurysms are the most common complications due to the usage of fistulas at long-term follow-up. It is well known that there are complications such as embolization, thrombosis, hemorrhage, infection occur when these aneurysms are not treated surgically. In our case, we aimed to present the surgical approach that we performed to treat a complicated aneurysm of the arteriovenous fistula.

The main causes of iron poisoning adults include suicide attempts or iron overdose during pregnancy and it may cause end organ failure. Time of the patient's iron intake, the type of the iron preparation and the onset of symptoms are guiding for determining the treatment scheme. Initial treatment approaches mostly consists of supportive treatment and removal of iron from the body with bowel irrigation. Deferoxamine which doesn’t cross the plasenta and advocated as nonteratogenic may be lifesaving in acute iron poisoning. In this case report we aimed to present acute iron intoxication of a parturient at her 24 weeks of her gestation, due to suicidal ingestion of elemental iron and she approached deferoxamine as treatment in Istanbul Kanuni Sultan Süleyman Treatment and Research Hospital’ s Adult Intensive Care Unit (ICU).

Recently in comparison to laparotomy, total laparoscopic hysterectomy operations are being more widely used in minimally invasive surgery. On the other hand, in case of larger uterine and myomas, TLH operations can not be used. Usually, several morcellation tecniques are prefferred for large uterine. It has been observed that, if the sizes of uterine and vagina mismathces, several obstructions for TLH operations occur. In the belowgoing specific case, uterine size is decreased through T shaped incision tecniques, twice. Afterwards, venous blood has been evacuated by increasing traction. As a result, size of uterine has been decreased, morcellation is avoided and uterine has been removed from vagina. In this sense, removal for large sized uterine through vagina has been facilitated.

Pneumatized superior concha is a rare cause of headache. Nasal endoscopy may not give sufficient information for diagnosis and coronal computerized tomography might be needed to confirm the exact diagnosis.
A 52-year-old female patient with a complaint of chronic headache unresponsive to medical treatment for 6 months was admitted to our clinic. Endoscopic sinus surgery was commenced after the diagnosis of over pneumatized superior concha by physical examination and imaging techniques. Patient’s complaints were relieved after the operation.

Trigger finger occurs as a result of inflammation and hypertrophy in flexor tendon and tendon sheath. It results pain, triggering and loss of function at the affected finger resulting narrowing at the level of A1 pulley. This condition is more common in middle-aged women and patients who have a predisposing factor. Here, we present a case who have seven trigger finger that begun simultaneously without any underlying pathology and who was treated with corticosteroid injection and surgery.