Objective: Population-based studies of olfactory dysfunction are currently lacking in Turkey. We evaluated the prevalence of subjective olfactory dysfunction, and its risk factors, among the general population of Eskişehir, Turkey. Methods: In this prospective descriptive study. The "Sniffin' Sticks" odor test was applied to 478 volunteers selected from among patients and relatives who were admitted to health centers in Eskişehir for any reason. Results: The participants' mean odor identification (OI) score was 8.23 ± 2.37. There were no significant differences between males and females, and no association between smoking status (smokers vs. non-smokers) and OI score (p<0.05). Steroid use was associated with impaired OI. The detection accuracy for pen #5 (banana) was 85.1% compared to 82.6% for pen #12 (fish). Garlic, a frequently used spice in Turkey, was associated with a relatively low detection accuracy rate of 7.1%. This result may be due to insufficient similarity between the odor contained in the test pen and the odor of the type of garlic widely used within Turkish society. Conclusions: In older subjects, OI scores were decreased; scores were also lower in steroid users, suggesting that topical nasal steroids should only be used when absolutely necessary. By using this test we can detect olfactory dysfunction which can be the earliest sign of serious diseases. A family doctor is the most important step in preventive medicine. And we think that it can be a great earning to our daily practice.
Childhood poisonings are among the major causes of the admission to emergency units. In this study, we aimed retrospectively to determine the epidemiological and clinical characteristics of childhood poisoning among our patients. This study consisted of 1168 cases who admitted to pediatric emergency unit of our institution due to poisoning between 01/01/2011 and 14/06/2015. Poisonings were common at 13-48 months (44.18%). The most common poisoning agent was drugs with 545 cases (47.9%), while the second common factor was carbon monoxide poisoning with 283 cases (24.9%). Analgesic / antipyretic agents and muscle relaxants were common agents that leads to drug poisonings(127cases, 21.67%); getting multi drugs(20.3%) and mood stabilizers followed them. Among mood stabilizers, tricyclic antidepressants were the most causes of drug poisonings. 792 cases(67.8%) exposed to poisoning agent by digestion (67.8%) and 301cases (25.7%) by inhalation. Drugs appeared to be primer poisoning agents in our study. Unlike the previous studies in Turkey; poisoning by opioid analgesics and anti-neoplastic agents were also found. Although childhood poisonings are often circumvented without sequelae, they are stil major causes of admission to emergency units.
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