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    Carotid intima-media thickness:. a new marker of patients with uterine leiomyoma
    (Elsevier, 2014) Aksoy, Yuksel; Sivri, Nasir; Karaoz, Banu; Sayin, Cenk; Yetkin, Ertan
    Objective: To determine whether or not there are any significant differences in carotid intima-media thickness between patients with uterine leiomyoma and controls. Study Design: Patients whose ages were between 40 and 50 years, with body mass index <30 kg/m(2), and with a pathological diagnosis of uterine leiomyoma constituted the study group. Control subjects had no uterine leiomyoma proven by sonography. Demographic, clinical, and drug history data were collected. Right, left and mean carotid intima-media thickness measurements were obtained by ultrasonography. Results: Carotid intima-media thickness and serum high-density lipoprotein (HDL) levels were significantly different between the groups (p = 0.0001 and p = 0.001 respectively), being respectively higher and lower in the leiomyoma group than in controls. Stepwise binary logistic regression analysis revealed that uterine leiomyoma development ratio was 159.32 times higher when carotid intima-media thickness was over 0.61 mm (p = 0.0001). In patients with uterine leiomyoma, carotid intima-media thickness was significantly less in patients taking statins compared to those not on these drugs (p = 0.0001). Conclusion: The present study demonstrated a positive association between carotid intima-media thickness and the presence of uterine leiomyoma. Conversely, an inverse association was suggested between HDL and uterine leiomyoma. These findings suggest that women with uterine leiomyoma might have an increased risk of subclinical atherosclerosis. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
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    FIRST-AID HOME TREATMENT OF BURNS AMONG CHILDREN AND SOME IMPLICATIONS AT MILAS, TURKEY
    (Elsevier Science Inc, 2010) Karaoz, Banu
    This descriptive study was conducted among 130 families in Milas, Turkey, who have children ages 0 to 14 years. Among the 130 families, a total of 53 children (40.8%) experienced a burn event. Twenty-seven subjects (51%) had treated the burn with inappropriate remedies including yogurt, toothpaste, tomato paste, ice, raw egg whites, or sliced potato. Of the 28 subjects (52.8%) who had applied cold water to the burn site, 21 patients (39.6%) applied only cold water and 7 patients (13.2%) used another substance along with cold water. In addition, 13 subjects (24.5%) applied ice directly on the skin at the time of the burn. Excluding the subjects who had treated their burns with only cold water or with only ice, raw egg whites were the most commonly used agent, both alone (n = 3) or accompanied by cold water or ice (n = 6) in a total of 11 subjects (21%) who applied eggs. Based on these observations, it is suggested that educational programs emphasizing first-aid application of only cold water to burn injuries would be helpful in reducing morbidity and mortality rates. A nationwide educational program is needed to ensure that young burn victims receive appropriate first aid and to reduce the use of inappropriate home remedies and burn morbidity.
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    Knowledge and Attitudes of Health Care Providers Working in Primary Health Care Units Concerning Emergency Contraception
    (Karger, 2010) Aksu, Hilmiye; Kucuk, Mert; Karaoz, Banu; Ogurlu, Nesrin
    Aims: The aim of the current study was to explore the extent of knowledge health care providers working in primary health care units in Aydin, Turkey, had about emergency contraception (EC), to determine whether they provide EC counseling, and to understand the barriers and misconceptions in this context. Methods: A total of 120 health care professionals working in primary health care units agreed to participate, including 71 midwives (59.2%), 21 nurses (17.5%), and 28 general practitioners (23.3%). Results: The study demonstrated that health care providers working in primary health care units had inadequate knowledge about EC. However, it also showed that study participants who had received education on EC were more likely to provide EC counseling during routine family planning counseling and were more knowledgeable about EC. A remarkable majority of the participants were aware of their knowledge deficit and were willing to receive education on EC. The present study also indicated that EC options were not made known to women as part of routine family planning counseling. Conclusion: While the educational needs of health care providers concerning EC should be met, there is a need for new interventions to improve the attitudes toward and actions of primary health care providers regarding EC. Copyright (C) 2010 S. Karger AG, Basel