Anatolian Clinic Journal of Medical Science / Anadolu Kliniği Tıp Bilimleri Dergisi

73-74

Authors: Özgür Can Eren, Emine Elif Vatanoğlu Lutz

International treaties are included among the sources of written law. According to Article 90 of the Constitution of the Republic of Turkey, “the ratification of treaties concluded with foreign states and international organizations on behalf of the Republic of Turkey shall be subject to adoption by the Grand National Assembly of Turkey by a law approving the ratification.” The article further states that “international agreements duly put into effect have the force of law” (1). In the legal system, international treaties are hierarchically more powerful norms than national laws. In the hierarchy of norms, international treaties are above the laws. Therefore, unlike laws, no appeal to the Constitutional Court can be made with the claim that an international treaty violates the Constitution (2).........

85-94

Authors: Safinaz Ataoğlu, Handan Ankaralı, Seyit Ankaralı

Aim: Fibromyalgia syndrome (FMS), a complex and multidimensional clinical syndrome, disrupts quality of life, causing many somatic and psychological problems. In this study we aimed to determine which measuring instrument should be chosen for the fastest and most efficient assessment of life quality in patients diagnosed with FMS. The reliability and validity of the SF- 12, SF-8, and SF-6D were also assessed concurrently. Materials and Methods: Fifty-nine patients diagnosed with FMS at Department of Physical Medicine and Rehabilitation, Medical Faculty of Duzce University, who consented to participate in the study and filled out the forms fully were evaluated. Life quality of the patients was investigated by using the instruments SF-36, WHOQOL-BREF, QuickDASH, SF-12, SF-8, and SF-6D. Results: The internal consistency and repeatability of these scales were found to be high in light of the obtained data. When the relation between the SF-36 scores and the scores obtained from the other three short forms (SF) was investigated, the SF-12 and SF-6D scales were found superior to the SF-8 in terms of validity. Discussion and Conclusion: In light of the entire data resulted from our assessment of validity, we suggest that the SF-12 and SF-6D might be preferred over the SF-36 in measuring life quality in patients with FMS. Because its lower efficiency than the SF-12 and SF-6D in all subdimensions and its lack of a mental health-related sub-dimension, the SF-8 is not an appropriate tool for this purpose in FMS.

103-106

Authors: Mehmet Aslan, Yeşim Kutlutürk

Aim: In this study, we aimed to determine demographic, clinical and laboratory characteristics of patients diagnosed with carbon monoxide intoxication at Inonu University Turgut Özal Medical Center’s Pediatric Emergency Department in the last seven years. Materials and Methods: Fifty-seven children who had been diagnosed with carbon monoxide intoxication in the last 7 years between April 2009 and April 2016 were included in the study. The statistical analysis of the data was performed by using SPSS (Ver. 17.0) software package. The comparisons were performed assessing frequency and using minimum, maximum and mean values, standard error rates, and case number (n) and percentage (%) parameters. Results: The mean age of the fifty-seven patients was 8.8±4.8, and of them thirty-six were female (63.2%). It was seen that CO intoxication had most frequently occurred in the year 2013 (36.8%) and in the month January (43.9%). The cases were seen to have most frequently occurred between 7.00 p.m. and 7.00 a.m., peaking between 3.00 and 5.00 a.m. (14%). The most common complaint of the patients was nausea (36.8%), and the most common laboratory finding was leukocytosis (52.6%). Discussion and Conclusion: Our study shows that CO intoxication most frequently occurs in winter and at night after midnight. The most common symptoms are nausea, vomiting, dizziness, and headache. Slightest negligence may result in a tragedy that can involve the entire family. To avoid this, regular maintenance of chimneys and stoves is essential and the stove must be off while the household is asleep. Immediate transfer of the patient from the toxic environment to a safer place is the first rule in the management of these cases.

114-118

Authors: Halil Kara, Murat Kaçar

Exposure to bullying impedes the development of children and adolescents particularly and leaves marks that may have lifelong negative effects. It is also important in the sense that it can trigger development of some psychopathologies. In this paper, we discussed peer bullying over two clinical cases that involve emotional bullying and cyber bullying. In the both cases, depressive symptoms became prominent and problems concerning the families’ attitudes were observed. We need that precautions be taken against bullying and a useful type of empirical social support be determined.

125-130

Authors: M. İhsan Karaman

This paper aims to address female circumcision (FC) from sociocultural, medical, ethical and religious/Islamic perspectives. FC is performed primarily in Africa today; its prevalence varies across countries. None of the sociocultural justifications developed historically for FC is scientifically valid. FC provides no health benefits, but, on the contrary, severely impairs the physical, psychological and social health of the victim in the short and long term. As for sexual health and satisfaction, the outcome is disastrous. Hoodectomy as another relevant surgical intervention, however, can be distinguished as an exception because it can be for the benefit of the woman. When we assess FC ethically, we see that all of the generally accepted, major principles of medical ethics are violated. Finally when we look at FC from an Islamic perspective, the Quran does not contain any verses to ground or adjudicate arguments on FC. The hadiths reporting about the justification of FC have been determined by the hadith scholars to be weak. They have not been accepted as sound justificatory sources that a fatwa can be based on.