The development of artificial organs and prostheses worldwide and in the Ottoman Empire.

An artificial organ or prosthesis is a man-made device that is implanted or integrated into a human to replace a natural organ. There were many historical steps in the development of artificial organs and prostheses. New surgical techniques, the development of prosthetic materials and the creative ideas of engineers led to progress in this field.

[An evaluation of dog and cat bites over a five-year period: a sample case from Eskisehir]. / Bes yillik süreçte köpek ve kedi isiriklarinin degerlendirilmesi: Eskisehir'den örnek bir çalisma.

BACKGROUND: In this study, it was aimed to evaluate the demographic, medical and forensic aspects of patients who were bitten by cats or dogs and admitted to the Eskisehir Osmangazi University, Education, Training and Research Hospital. METHODS: All the medical records of the last five years inside the automation system of the hospital were investigated. One hundred sixty-seven cases were included according to their ICD-10 diagnostic codes. On statistical evaluation, frequency and chi-square analyses were conducted and SPSS 13.0 program was used. RESULTS: One hundred sixteen patients were bitten by dogs, whereas 46 patients were bitten by cats. Most of the victims were children. 51.9% of the bites were on an upper extremity, and 29.1% were on a lower extremity. Although cat and dog bites demonstrate seasonal changes, summer months were found important, when children were on holidays. Hyperemia, scratch and laceration were the most frequent diagnoses after injury. The length of hospital stay was between 1-22 days and calculated as a mean 7.3±5.8 days. CONCLUSION: Dog and cat bites are very well known public health issues in our country. To know animals and their needs and to respect them should be the priority of families to avoid unexpected injury. Families should teach their children to treat dogs and cats with respect, to avoid direct eye contact with the animals and not to annoy them.

Urinary bladder stone extraction and instruments compared in textbooks of Abul-Qasim Khalaf Ibn Abbas Alzahrawi (Albucasis) (930-1013) and Serefeddin Sabuncuoglu (1385-1470).

PURPOSE: We investigated urinary bladder stone, surgical tools, and procedures in urologic sections of textbooks of Abul-Qasim Khalaf Ibn Abbas Alzahrawi (Albucasis) and Serefeddin Sabuncuoglu. In addition, we compared the relation of their textbooks with urologic surgery. MATERIALS AND METHODS: Al-Tasreef Liman Aajaz Aan Al-Taaleef (Al-Tasreef), a surgery textbook written by Alzahrawi (who lived in Endulus between 930 and 1013) and Cerrahiyyetu'l-Haniyye, written by Sabuncuoglu (who lived in Turkey between 1385 and 1470) were evaluated with regard to urinary bladder stone and surgical instruments. RESULTS: The textbooks give information about urinary bladder stones. They include definitions of diseases, etiologies, and surgical techniques, and describe surgical tools. Cerrahiyyetu'l Haniyye is a colorful miniaturized textbook. CONCLUSION: The urinary bladder stone section in Cerrahiyyetu'l Haniyye is the translation of Al-Tasreef with some additional information and illustrations. Surgical tools and procedures described by the two physicians have reached to our century. Tools and procedures invented by Alzahrawi come to the present day in similar or developed styles.

Intensity and localization of trauma in non-fatal electrical injuries.

BACKGROUND: Electrical injuries currently remain a worldwide problem. In Turkey, burns are relatively small in number among injuries overall, but they continue to be a major public health problem. Electrical injuries may occur due to high- or low-voltage contact. Injuries due to low voltage usually occur at home. High-voltage injuries are usually work-related and result from a shorter contact, but may cause serious tissue destruction and secondary injuries. METHODS: The objective of this study was to review a medical institution's experience with electrical injuries between 1997-2005. The institution admitted 55 electrical injury cases throughout this period. A computerized burns registry was used for data collection and analysis. RESULTS: The burn causes differed among age groups and between the sexes, with males constituting 89.1% of the electrical burn patients. Forty-one of the injuries were due to high voltage whereas 14 injuries were due to low voltage. Complications were most common in the high-voltage group. Mean length of stay was longest in this group, at 33.69+/-21.13 days, and the patients in this group also required the most operations. CONCLUSION: Work-related activity was responsible for the majority of these high-voltage injuries, with the most common occupations being linemen and electricians. These patients tended to be younger men in the prime of their working lives. Our study underlines the need for stronger efforts aimed at prevention, such as better public education and strict regulations regarding the distribution and use of electricity.

Anatomy of the eye from the view of Ibn Al-Haitham (965-1039). The founder of modern optics.

Ibn Al-Haitham (known as Alhazen in Latin [965 Basra, Iraq-1039, Cairo, Egypt]) was a scientist who played an important role in the middle age Islam world. He wrote many books and novels, but only 90 of them are known. His main book Kitab al-Manazir was translated into Western languages in the late twelfth century, and in the early thirteenth century. In this book, he formulated many hypotheses on optical science. The book, which is also known as Optic treasure (opticae thesaurus), affected many famous Western scientists. He became an authority until the seventeenth century in the Eastern and Western countries. Roger Bacon (1212-1294), who made radical changes in the Western optical traditions, reconfirmed Ibn Al-Haitham's findings. Ibn al-Haitham began his book Kitab al-Manazir with the anatomy and physiology of the eye. He specifically described cornea, humor aqueous, lens, and corpus vitreum. He examined the effect of light on seeing. He caused changes in the prevailing ideas of his age, and suggested that light came from objects, not from the eye. He provided information regarding the optic nerve, retina, iris, and conjunctiva. He showed the system of the eye as a dioptric, and the relations between the parts of the eye. It is understood that he mastered all knowledge on the structure of the eye in his century. The best proof of this is the eye picture that he drew.

Telling the truth: Turkish patients' and nurses' views.

The objective of this study was to investigate nurses' communications with patients, particularly regarding getting accurate and truthful information about their medical diagnosis and prognosis. This survey research involved 166 nurses and 435 patients at the Osmangazi University Hospital, Turkey. Although 90% of the nurses said that patients should be informed about their diagnosis, only 66% of the patients said they wanted to be told this information. For those who wanted to be informed, how they should be informed is also discussed.

How do the accounts of the patients on pregnancy and birth process enlighten medical team in terms of narrative ethics?

OBJECTIVE: The aim of this study is to evaluate the relationship between the patient and the physician, midwife and nurse during the process of pregnancy and birth, and to ascertain the importance of communication within this relationship; find out the experiences of patients about the communication process. METHODS: Three hundred eighty-eight people were interviewed about the pregnancy and birth process. Chi square (chi(2)) and t-tests were used for the statistical evaluation of the data. Forty-nine pregnant women, who were participating in any pregnancy training program, were asked to write down their experiences related to the pregnancy and birth process in a notebook. Thirty-two (65.3%) of these notebooks were taken back 3 months after the delivery, and these notebooks were evaluated within the framework of "narrative ethics" and common themes were found out in order to be discussed in this paper. RESULTS: It is found out that communication skills of doctors and midwives/nurses were of primary importance for all the participants. CONCLUSION: Pregnancy and birth are special processes and being informed is of great importance in this process. Every woman has a story to tell about her pregnancy and birth processes. PRACTICE IMPLICATION: These findings may contribute to the development of new hypotheses. Hence, similar research projects should be conducted, and the findings should be compared.

Children's rights and a sample study on accidents in children groups aged 0-5 years old in the light of parents' responsibility in Turkey.

OBJECTIVE: Most frequent reasons for the accidents seen in children under 5 years of age who have a right to be cared and protected are negligence and carelessness. In this study, judicial cases were compiled from children between the age of 0 to 5, who had been injured due to severe family negligence. METHODS: Files of cases were obtained from archives with file numbers, indicating cases obtained from the records of the hospital and police were studied retrospectively. The gender, age, and type of application of patients, the type of interference, and the results obtained from the procedure were studied. This study encompasses the results of cases at Osmangazi University Training, Practice and Research Hospital, Eskisehir, Turkey, between September 1999 and March 2001. RESULTS: Forty of 113 cases (35.4%) were due to poisoning from drugs. The main reasons were unawareness of children regarding the harm of drugs, putting drugs in reach of children and easy access to drugs from pharmacies without prescription. On the other hand, the recognition of international measures by the Turkish government is a guarantee for the children's rights. CONCLUSION: Our study implies that, as suggested by other researchers, the investigation of measures to prevent injuries due to negligence and the application of these measures will certainly improve the welfare of society.

Triage in terms of medicine and ethics.

Human beings are exposed to countless extraordinary events provoked by the nature or by themselves. When the available resources fail to satisfy the medical needs of numerous injured people and patients in such circumstances, triage application which means "selecting, sorting" is indispensable. This paper examines the medical ethics evaluation of triage and its position in Islam.