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Öğe An overlooked nerve in neuropathies associated with intragluteal injections: the posterior femoral cutaneous nerve(Taylor & Francis Ltd, 2022) Polat, Musa; Ayaz, NusretObjective The aim of this study was to investigate the frequency of posterior femoral cutaneous nerve (PFCN) lesions in patients referred to the electrophysiology laboratory with an initial diagnosis of sciatic nerve lesion following injection, and to create awareness that PFCN lesions can occur following intramuscular injections administered to the gluteal region. Methods Fifty-seven patients who were referred to the electrophysiology laboratory because of injection neuropathy were identified from the hospital records. In addition to the routine electrophysiological examination, PFCN sensory conduction study was performed according to the technique of Dumitru and Nelson. The scores of the Hospital Anxiety and Depression Scale (HADS) and the Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale were recorded for all participants. Results Of the 21 participants who agreed to participate in the study, 2 patients were diagnosed with PFCN lesions, one of them had isolated complete PFCN lesion, and another had it accompanied by sciatic nerve lesion. Patients with PFCN lesions had a lower body mass index and a higher HADS score than patients with sciatic nerve lesions (p = 0.01, p = 0.04, respectively) Conclusions As correct diagnosis is the priority starting point for successful treatment, clinicians should plan examinations taking into consideration the fact that PFCN lesions can occur following gluteal region injection.Öğe Assessment of suicide probability and related factors in male incarcerated adolescents; a sample of reformatory center in Turkey(Pergamon-Elsevier Science Ltd, 2021) Karatoprak, Serdar; Ayaz, Nusret; Donmez, Yunus Emre; Dogan, MustafaObjective: Suicidal behavior in adolescents is an important public health problem, and it ranks first among the causes of prison deaths in incarcerated adolescents(IAs). The aim of this study is to determine the probability of suicide and associated risk factors in IAs. Method: Seventy-one male adolescents in a reformatory center were contrasted with a matched group of 71 male adolescent with no psychiatric disorder and no criminal record. Suicidal probability and psychiatric symptomatology were assessed with the Suicide Probability Scale, SA-45 Questionnaire, respectively. Results: It was determined that the probability of suicide was higher in IAs, and depression and hostility symptoms, the presence of another individual involved in delinquency in family had predictive effects. It was also found that there was a positive correlation between the probability of suicide and the number of delinquencies, the number of incarceration, and a negative correlation between attending to school or work while in reformatory and being visited by relatives while in reformatory. Conclusions: The results suggest that when assessing suicide risk for IAS, it may be useful to pay attention to those with symptoms of depression or hostility, those with multiple delinquencies or entrance to reformatory, and those who have family members involved in delinquency.Öğe Eosinophilic Granuloma Confused With Epidural Hematoma in a Trauma Case(2021) Ayaz, Nusret; Kızıloğlu, Alper; Kaya, Ecem; Doğan, MustafaEmergency service physicians have forensic physician duties in addition to providing treatment and protective services. Errors in forensic report writing could affect the judicial process negatively.A 16-year old male presented at the Emergency Department (ED) following an assault. With a diagnosis of epidural hematoma on the computed tomography taken because of head trauma, the patient was transferred to the brain surgery ward. In the forensic report written in ED, there was stated to be a danger to life. In the repeated evaluation, there was seen to be a mass in the calvarium and surgery was performed. In the histopatholgical evaluation, the diagnosis was made of Langerhans Cell Histiocytosis. It must not be forgotten that errors or ommissions in a forensic report constitute malpractice. The necessary care and attention must be paid to forensic reports prepared in the Emergency Department.Öğe Lack of education or abuse?(2019) Altın, İsmail; Dündar, Ahmet Sedat; Ayaz, Nusret; Bork, Turgay; Sener, Serpil; Celbiş, OsmanChild abuse is a significant public health problem nowadays. The case is here presented of an unemployed stepfather, with significant risk factors for child abuse, who caused physical abuse to a child with hot water as a result of incorrect toilet training. In this case, the mother tried to hide the event and as a result of the history taken from the child and findings of lesions in the physical examination, it was learned that these had been made by the stepfather because of urine incontinence. In similar situations to this case, healthcare personnel establishing close communication with the child must pay attention in respect of child abuse, and must inform the authorities in all suspicious cases.