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    Association between allergic diseases and attention deficit hyperactivity disorder in childhood
    (Bilimsel Tip Yayinevi, 2015) Akyol, Sule Turan; Kilic, Mehtap; Guner, Sukru Nail; Karakurt, Melih Nuri; Akbas, Seher; Ozturk, Fadil; Sancak, Recep
    Objective: Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood problem similar to allergic disorders. The aim of the study is to determine whether allergic disorders and atopy are associated with physician-diagnosed ADHD. Materials and Methods: This study was designed as a nested casecontrol study. One hundred sixty children were divided into three groups; 55 patients with ADHD, 55 children of healthy siblings of the study group and 50 unrelated healthy children. For each subject, an International Study of Asthma and Allergies in Children (ISAAC) questionnaire was completed. The total eosinophil count, total IgE levels were measured and skin prick tests were performed. Results: The prevalence of asthma was significantly higher in the ADHD group than the control group but was similar to the sibling group. Even though prevalence of rhinitis was significantly higher in ADHD group relative to the other groups, atopic rhinitis was similar in all groups. There were no significant differences for prevalence of eczema, elevated total IgE levels, eosinophil count and positive skin prick testing between any of the groups. Conclusion: The rhinitis seems to be a risk factor for ADHD while atopic status does not appear to be involved. Nasal obstruction and sleep disturbances due to rhinitis may affect the cognitive functions of individuals with ADHD. These individuals should be evaluated to determine whether or not (allergic) rhinitis accompanies ADHD.
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    Results of treatment in our patients with toxic epidermal necrolysis
    (Bilimsel Tip Yayinevi, 2014) Celiksoy, Mehmet Halil; Sancak, Recep; Sogut, Ayhan; Gusner, Sukru Nail; Paksu, Sukru; Ozturk, Fadil
    Objective: Toxic epidermal necrolysis is a rare disease that has very high mortality and morbidity. Despite the high mortality rate of the disease, treatment is still controversial today. In this study, we discussed the treatment of patients who were treated and followed up due to the toxic epidermal necrolysis in our hospital. Materials and Methods: This is a s tudy of children diagnosed as toxic epidermal necrolysis in our hospital between January 2011 and April 2013. We retrospectively analyzed response to the treatment. Results: We followed five patients in this period with a clinical diagnosis of toxic epidermal necrolysis. The median age at diagnosis was nine years (min: 2, max: 15), and three of them were male. Toxic epidermal necrolysis occured in three of the patients after the use of anticonvulsants, in one of the patients after use of antibiotic and in one of the patients after the use of antihypertensive. Three of the patients were given combination of intravenous immunoglobulin (IVIG) (1 g/kg) with corticosteroid (1 mg/kg/day), two of the patients only were given IVIG (1 g/kg/day). In two patients, corticosteroid therapy was given for five days. In one case who was given corticosteroid therapy for seven days and with lesions more severe according to SCORTEN developed gram-negative sepsis in clinical follow. Especially patients developed toxic epidermal necrolysis after anticonvulsant showed more severe clinic and longer recovery period. Conclusion: Improvement was observed in all patients. When only IVIG therapy compared to corticosteroid plus IVIG treatment, there were no superiority to each other.
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    Students' unchanging smoking habits in urban and rural areas in the last 15years
    (Wiley, 2016) Akca, Gulfer; Guner, Sukru Nail; Akca, Unal; Kilic, Mehtap; Sancak, Recep; Ozturk, Fadil
    BackgroundSmoking is the main preventable public health problem particularly for youth worldwide. The aim of the present study was to determine the prevalence of smoking habits among students at secondary and high schools, and to compare the findings with those of a study conducted 15years ago in the same area. MethodsIn this cross-sectional study 6212 students (51.2% female; 48.8% male) were selected randomly from rural and urban areas in Samsun. All students completed a face-to-face questionnaire. ResultsThe overall prevalence of smoking was 13.0% (male students, 18.1%; female students, 8.2%). The mean starting age of smoking was 14.1 1.5years. Prevalence of smoking was 15.7% in urban areas and 8.1% in rural areas. The most important factors for starting smoking were social group and families. Compared with a study conducted 15years previously in the same area for male students, smoking prevalence was increased in rural, but decreased in urban areas. ConclusionsSmoking prevalence in students in Samsun was similar to that in a study conducted 15years previously. It is important to use anti-smoking campaigns directly targeted at teenager and they should be fully informed of the harmful effects of smoking.