Nutrition Recommendations

Examination periods are among the most challenging and stressful periods of student life. For those who will take the exam, pre-examination and on the day of the exam provide a significant contribution when they contain the right choices. As stress factor is effective in this process, nausea and vomiting are frequently encountered in students. People should not be forced to eat in order not to trigger unwanted situations.
Everyone’s eating habits and taste is different because it is useful for your digestive system that you do not like, do not consume foods that may cause distress. Choose the balanced foods you love. One day before the exam, do not try to consume the food you did not eat so far that day. Multi-fatty, heavy foods rather than protein, carbohydrate, fat-balanced light foods should be preferred. If possible, prefer home cooked meals instead of outside meals before the exam. Avoid eating risky foods with mayonnaise, sauce and chicken if you are forced to eat outside.
In order to increase success, high consumption of sweet foods such as sweet and chocolate is inaccurate. Contrary to popular belief, table sugar, simple carbohydrates, blood sugar is rapidly increasing and lowering the brain does not meet the need for sugar and causes hypoglycemia in the blood (drop in blood sugar). This situation; attention disorder, concentration disorder, and sleep state. Foods such as fruit, bran bread, brown rice, wholemeal pasta, bulgur, oats, which do not increase blood sugar, should be consumed.
Stress instantly decreases the tendency to frustration and reluctance, falling asleep. Therefore, it is very important to have regular sleep before the exam and to take the examination with sleep. It has been observed that vitamin C-rich diet reduces adrenaline levels and reduces stress in reducing stress. For this reason, fruits and vegetables rich in vitamin C should be consumed frequently. Vegetables and fruits such as oranges, kiwi, potatoes, peppers, carrots and broccoli are rich in vitamin C. Especially, fish, walnuts, olive oil, green leafy vegetables, red meat, molasses, parsley, green pepper, kiwi, orange, rosehip must be included in your weekly and daily nutrition.
The choices in this meal are of great importance as the nutrition in the exam morning will directly affect the performance of the exam. Definitely breakfast should not be skipped, a balanced meal should be consumed with the right choices. When you wake up in the morning milk, eggs, cheese, bran bread, oatmeal, such as blood sugar quickly raise or lower a balanced breakfast should be done. For breakfast, prefer tea, coffee, herbal tea instead of cola.

Sample breakfast menu:
1 cup of fruit juice (freshly squeezed preferred) or herbal tea
1-2 slices of cheese
1 egg (Boiled or oil-free pan omelet)
Tomato cucumber
4-5 pieces of olives
1 tablespoon of molasses
2 -3 slices of whole wheat bread
3 full walnuts or 5-6 almonds and 1 tablespoon raisins

Avoid consuming sugary foods during the examination. You can consume foods such as small wholemeal sandwiches, wholemeal biscuits, milk and water in order to prevent your blood sugar from falling.

Yeditepe University Hospital
Nutrition and Dietetics Expert Nazlı Şişik

Stay Away from Depression and Protect Your Heart!

If you have not seen a person with a heart attack before, for someone who has a crisis, the first image revived in your mind is similar to that of a movie scene. A man holding his chest with his hand suddenly slumps over the floor; The diagnosis is heart attack. It is believed that the heart attack is seen in men rather than women. This partially correct information does not mean that women will not have a heart attack. Our body gives us signals about what’s going on. The important thing is to read these messages correctly and timely. Male and female body systems are different. Therefore, the same disease can give different signs in two sexes. Heart attack is one of them. If you have problems such as fatigue, heartburn, indigestion, sudden dizziness and poor quality sleep; they may indicate that you are at risk of heart attack. However, those who live up to the symptoms of these symptoms are connected to different reasons. Stress, busy work and city life are among the reasons. However, these are the signals that need attention. The causes of heart attack in women can be listed as follows:
Fatigue is one of the most frequently reported conditions in today’s conditions. The side effects of insomnia, flu and the medications you use can make you feel tired. But the real reason for your complaint is not to be one of them. According to a study on women who had a heart attack; More than 70 percent of women who had a heart attack stated that they experienced a feeling of fatigue in the pre-crisis period.
If you go to bed at night you can not sleep immediately and this situation, a daily period rather than a long period covers; you must pay attention. A study on women with heart attack; he points out that women should pay attention to the problem of insomnia. According to this research; Almost half of the women who had a heart attack said that they had a period of insomnia that continued for some time before the heart attack.
In the course of your routine activities during the day, if you started to experience difficulties compared to the previous one and the most obvious change that bothers you, if the shortness of breath, never leave this situation. Research conducted; shortness of breath, which cannot be attributed to a known condition, and develops at an unexpected time, may indicate a risk of heart attack for women. If you have a complaint of breathlessness as well as completely independent cough, it may be a signal that you should take seriously.
Your diet and stomach ailments you already have; heartburn can cause you to live. If the symptoms of heartburn or indigestion that you have not experienced before have begun to develop, do not overturn this condition. A study on women who have had a heart attack shows that women who experience sudden (sudden) heartburn and indigestion should be careful. According to the survey, almost 40 percent of women who had a heart attack reported experiencing heartburn or indigestion in the pre-crisis period.
In addition to heartburn, unreasonable nausea and vomiting are among the symptoms of heart attack observed in women. One of the studies that examined the symptoms of the period before the heart attack shows that women live twice as often as gastrointestinal system diseases compared to men. In this case, women who suffer from unexplained heartburn, indigestion, nausea and vomiting should pay twice as much attention.
In today’s conditions, depression, internal narrowing and unnecessary anxiety; frequently encountered situations. Panic attack, which has a significant increase in the incidence, is one of the psychological disorders which are easily confused with heart attack. As I mentioned before, if you do not have a known reason, you should take it seriously.
A study on women who have had a heart attack draws attention to the fact that women who experience unresponsive anxiety and internal contraction should be cautious. According to this survey conducted by the survey method, the majority of women who had a heart attack declared that they experienced anxiety and internal contraction in the pre-crisis period.
You can increase your risk of having a heart attack. If you have ailments or habits like high blood pressure, obesity, diabetes, cholesterol, smoking addiction and malnutrition, you don’t have to wait for the insidious signals mentioned above. Each of these conditions indicates that you are at risk of heart attack. Early treatment of such diseases, which can have fatal consequences, saves lives. In particular, the symptoms that women should be aware of, if already developed in the presence of a discomfort, they need to pay attention to twice. Keep in mind that the heart is a center that feeds all other systems. If he’s okay, it’s all good.
Heart attack …

Heart and Vascular Diseases

Cardiovascular diseases are the leading cause of death on a global scale and are expected to continue to be the number one cause of death for a long time. According to World Health Organization data, it is estimated that 17.5 million people died due to cardiovascular diseases in 2005 and this figure constitutes 0 of global deaths.
While it is not possible to change some risk factors such as family history, age and gender, you can avoid a heart problem in the future by adopting a healthy lifestyle.
A study by researchers at the University of Cardiff to investigate the impact of environmental factors on chronic diseases revealed that a healthy diet, regular exercise, low body weight, a cigarette-free and low-alcohol lifestyle reduced the risk of many chronic diseases, especially heart disease.

Here are 5 important nutritional alert to reduce the risk of heart disease!

Stay away from saturated fats and trans fats;

Decreasing the trans-fat intake of HDL cholesterol (benign) increases LDL cholesterol (malignant), increasing the blood cholesterol levels of saturated fats increases your risk of developing heart disease. Trans fats are hydrogenated by chemical means. Ready-to-eat foods, pastry products, fats. You can check the product label to see if it contains trans fat. Saturated fat consumption should not exceed the daily calorie intake.

Flaxseed, avocado, mackerel and salmon are the most important sources of w-3. W-3 protects you from heart diseases and diabetes by reducing inflammation in the body.

Eat 5 servings of vegetables and fruits per day;

Vegetables and fruits help to prevent the formation of free radicals with the contents of vitamins and minerals in antioxidant structure.

Increase the consumption of fiber (fiber);

Whole-grain foods help you lower your blood cholesterol levels with its beta-glucan, as well as its high fiber content.

Reduce salt consumption;

Excess salt consumption leads to increased blood pressure. High blood pressure is the leading risk factor of heart disease, which is the most important cause of death and disease burden in our country. The World Health Organization states that the targets for the daily intake of salt in dietary intake should be <5 g / day. In the SALTurk study conducted in our country, the daily salt consumption was found to be 18 g / day. Bread, traditional products (pickles, pickled, canned, etc.), cheese and other processed products are prepared to prepare food and added to the table overload salt is thought to be.

How should children be fed in the summer months?

With the warming of the air, our body temperature increases and changes in our requirements are observed. Pregnant women, elderly people, chronic illnesses and especially children are among the most affected group during the summer months. It is important to pay attention to and be aware of nutrition in reducing health problems frequently seen in the summer months.
Which foods should be consumed most?
Adequate and balanced nutrition should be taken in every period of life. You can create your daily nutrition program by dividing your plate in four and selecting a nutrient from each group. In summer, due to perspiration, loss of fluid and vitamin and mineral losses are experienced. Therefore, taking care of water consumption in summer should be the first for us. Water needs vary from person to person. You can check your child’s urine to see if he has had enough water. Urine should be very light yellow. Second is to increase the consumption of fruit and vegetables in order to prevent increasing vitamin and mineral losses.
In the summer months, children wake up late, causing breakfast to be close to noon. In such cases, you should not force 3 meals to complete, you can make 2 main meals and frequent meals between breakfast and dinner. It should not be forgotten; The first rule of healthy eating is to start the day with breakfast.

What kind of discomfort can lead to inappropriate nutrition in summer?
Diarrhea (diarrhea) is a common disorder especially in children in summer. There are many reasons such as rapid deterioration of food and rotavirus with increasing temperatures. The following measures should be taken to protect them;

Hand hygiene for protection from rotavirus, good washing of vegetables and fruits
The risk of deterioration of cream foods should be kept short because of the increase in the amount of food, should not wait more than a day in the cupboard
Foods (meat, poultry, fish, milk, etc.) should not be kept in the open conditions.
Shopping at the nearest convenience store should be done despite the risk of deterioration until you come home from frozen groceries

What are the mistakes that parents know correctly about feeding their children in summer?
Parents, the more they feed their children, the better they think. With the increase of heat in summer, the appetite decreases. For this reason, children should not be forced to eat too much. Light and non-fat foods should be preferred. Snacks should be supported with liquid foods and fruit. As we have always said, fruits should be consumed as fruits and not fruit juice. Because fruit juices rapidly increase blood sugar, lowering the glycemic index is among the foods we define as high. In order to prevent sudden drops of sugar with increasing temperatures, it should be avoided from foods with high glycemic index, ie simple carbohydrates (pasta, rice, potatoes, etc.), and complex carbohydrates (bulgur, whole wheat pasta etc.) should be preferred.

Yeditepe University Hospital
Nutrition and Dietetics Expert Nazlı Şişik

Can Cervical Cancer In Women Be Prevented?

Cervical cancer is the third most common cause of cancer among female reproductive organs and can cause serious consequences when not diagnosed early. Every year around 500,000 women worldwide die from cervical cancer, and many of them are in developing countries. The most important difference between cervical cancer and other cancers is that the cause is known and can be prevented. The cause of cervical cancer is the sexually transmitted Human Papilloma virus.
Before the development of cervical cancer in women infected with Human Papilloma virus, some microscopic lesions develop in the cervix and these changes are pre-cancerous changes. These cancer precursors, called cervical dysplasia, can be detected by pap smear examination from the cervix. The initiating agent in cervical dysplasia and carcinogenesis is Human Papilloma Virus (HPV) infection.
Genital HPV infection is the most common sexually transmitted disease worldwide. It is transmitted through skin-to-skin contact during sexual intercourse. The risk of life-long HPV infection in sexually active individuals

Is There Nutritional Differences Between Sports To Increase Body Muscle Mass And Sport For Weight Loss?

In these days when physical activity is gaining speed, how should I be fed? Oldu The question came up more often. To answer this question, one needs to know for what purpose the person is doing sports. There are changes in the recommended nutritional programs in sports to increase body muscle mass with the sport to lose weight.
If you’re only doing sports to lose weight, the energy you spend should be more than the energy (calorie) you are taking. There are important steps you can take to reduce the energy received;

Reduce the consumption of fat that provides more calories. To reduce fat consumption, milk, yoghurt, cheese products such as half-fat use, meat and meat products or vegetables to cook and instead of roasting and roasting instead of healthy cooking methods, such as grilling, oven, or you can provide by boiling.
Reduce alcohol consumption.
Biscuits, chocolates, cakes, sweet carbohydrates instead of foods such as wholemeal bread, bulgur pilav.
Essential oil-containing oilseeds (nuts, walnuts, almonds) and fish to diet with 1 portion of the diet to add.
Meat, chicken, fish, eggs, cheese, protein-like foods must be at every meal.
Vegetables and fruits should be added to the diet with portion control in terms of nutrient diversity.

However, if you want to increase muscle mass, you need to combine the sport with your diet protein. That is, you may need to increase or decrease the amount of protein depending on how many times a week you do. In this process, the energy is obtained from most carbohydrate-rich foods. It should not be forgotten to add essential oil-containing oilseeds (hazelnuts, walnuts, almonds) and fish. Protein helps the body to increase muscle mass. Proteins should be taken in certain amounts in all meals, especially when taken before and after exercise. Low-fat or low-fat yogurt consumption will be a fast and effective option for protein intake after exercise.

About Breast Cancer

What is breast cancer?
Breast cancer occurs as a result of uncontrolled proliferation of cells in the breast by genetic mutation. These cells can jump to other organs of the body, ie they can metastasize.
Is breast cancer a hereditary disease?
Breast cancer alone is hereditary. Although it is not hereditary in -20 of patients, a few people in the family have been diagnosed with breast cancer before. In other words, p-75 patients in the family have no previous diagnosis of breast cancer. All women are at risk for breast cancer. One out of every 8 women has breast cancer.
Is there a specific target group / group of breast cancer?
Breast cancer can be seen in all women, but some factors are known to increase the risk of breast cancer. The incidence of breast cancer increases with age. The age at which menstruation begins before 12 years of age, entering late menopause (after 55 years of age), having no births or giving birth at late age (after 30 years of age), not breastfeeding, having people diagnosed with breast cancer in the family, alcohol and smoking, menopause post-obesity is an increased risk. Although the effect of nutrition on risk-raising is not clear, consuming too much red meat, consuming processed meat and eating too much fat can increase the risk. Vegetable and fruit weighted nutrition, physical activity is shown to reduce the risk of excessive.
Who should be screened for hereditary breast cancer?
Only those who are considered to be at high risk for hereditary breast cancer should be screened. Breast cancer developed in both breasts, the family has been diagnosed with both breast and ovarian cancer, having a family history of male breast cancer, having 2 or more breast cancer on the same side of the family (father or mother side), 1 or more people with ovarian cancer on the same side, first or second degree relatives of breast cancer under the age of 45 people who have been diagnosed with breast cancer suggests that may be hereditary. The most common genetic disorder in hereditary breast cancers is mutation in the BRCA-1 or BRCA-2 gene. Breast cancer develops in -85 of the people with this mutation and ovarian cancer develops in -45. Therefore, if a mutation is detected in BRCA-1 or BRCA-2 gene, preventive approaches are recommended.
The desire to screen for hereditary breast cancer was increased following the detection of this mutation in Angelina Jolie. However, this test is not recommended for everyone. It is recommended for people with a strong family history as in the case of Angelina Jolie.
What should be done to those at risk for hereditary breast cancer?
Preventive surgery, drug prevention and close follow-up are recommended. The most effective method is to reduce the risk by preventive surgeries. These include bilateral mastectomy, ie, the removal of the breast and ovarian ovaries against ovarian cancer. In mastectomy, the skin and nipple are protected and there is no aesthetic problem because silicone implants are placed during surgery. The removal of the ovaries is recommended after the age of 35-40 or after the desired number of children.
What are the symptoms of breast cancer?
The most common symptom of breast cancer is a painless mass in the breast. In addition, breast or skin shrinkage of the breast skin, reddening, edema or orange peel appearance and the armpit hand mass in the breast cancer should consider. Should these symptoms occur, they should consult a doctor immediately. The earlier the diagnosis is made, the easier the treatment.
Is screening and early detection possible in breast cancer?
Breast cancer screening is one of the recommended cancers. For screening for breast cancer in women at standard risk, annual mammography and annual medical examination should be performed after 40 years of age. From the age of 25, women are advised to examine their breasts and to have a medical examination every 1-3 years between 25-40 years of age.
What are the treatment methods?
Breast cancer is a treatable disease in case of early diagnosis and use of modern therapies. A successful treatment cannot be done by one branch. Multidisciplinary approach to success, ie, General Surgery, Medical Oncology, Radiation Oncology, Pathology, Radiology, Nuclear Medicine, such as many branches need to act jointly. For this purpose, patients should be discussed in the tumor council and treatment plans should be made.
The main treatment for early breast cancer is surgery. Radiotherapy, chemotherapy and hormonal treatment are applied to prevent recurrence after surgery. In other metastasized tumors, surgery is not performed and chemotherapy and / or hormonal treatment is applied.
Are there any targeted drugs other than chemotherapy in breast cancer?
Breast cancer consists of 4 different subgroups. These include target-directed agents such as trastuzumab, pertuzumab, T-DM1, which directly target the tumor in patients in the HER2 (cerb-B2) positive group. In hormone-sensitive breast cancers,

Buffer Fear Do Not Delay Your Nose Surgery

Nasal bone curvature, nose size and sinusitis emi
Don’t delay your nose surgery.
One in two people cannot breathe easily from the nose due to problems such as nasal bone curvature, nasal size or sinusitis. The surgery required for treatment is avoided because of the fear of bumper. Chair of ENT and Head and Neck Surgery Department of Yeditepe University Hospital Dr. In recent years, Yavuz Selim Pata says that nasal surgeries can be performed without bumps in physiological problems as well as in aesthetic needs.
Physiological problems related to the nose that prevents breathing can decrease the quality of life and cause problems ranging from sleep apnea to heart growth. These patients need to be treated without losing time. However, after the nasal surgeries, the buffers used so far can create fear in order to facilitate the boiling of the tissues as well as to prevent bleeding. In fact, this is the reason why patients are avoiding surgery. Chairman of the Department of ENT and Head and Neck Surgery, Yeditepe University Hospital Dr. Yavuz Selim Pata, the most important progress at this point is the use of buffer after surgery, he says.
Surgery changed technique
In recent years, the location of the tampon used in the nose surgery, suture technique provides comfort to patients. The method, which can be easily applied by day surgery to people of all ages, is especially important for the elderly.
Professor Dr. Yavuz Selim Pata tells the patient the benefits of not using tampons.
About 5-6 hours after the process of walking back to the house can easily breathe from the nose. Breathing from the nose can not breathe in the throat. Patients can start their daily life the next day.Patients lay Have I really been operated? uy he asks.
After the transition to the buffer-free application, patients can easily get the decision of surgery. Dr. Yavuz Selim Pata, ikna In the past, it was difficult to convince the patients despite the need for surgery due to possible problems. Moreover, the fact that they had heard or read previous experiences made it more difficult. For this reason, even after the operation, relatives of patients could not believe that the procedure was performed. Our patients, who were informed about the comfort in the future, started to want to be operated. İler
The physician experience for this surgery is also very important. Dr. Yavuz Selim Pata, yapıl The procedure, laser, radiofrequency or surgery do not change a lot. The important thing is that the technique can be applied correctly. Önemli

Yeditepe University Hospitals Received International Health Tourism Competency Certificate

It is the priority of Yeditepe University Hospitals to provide reliable health services to patients coming from many different parts of the world, both in our country and in other countries.
Yeditepe University Hospitals always aim to be beyond international standards in their services. The most important indicator of the difference in the services it builds and carries out on the basis of scientific foundations is the approved quality certificates. The lard International Health Tourism Health Facility Competency Certificate olm issued by the Ministry of Health has been one of them.
The most important reference source for patients who are entrusted to Yeditepe University Hospitals in order to find healing in many parts of the world.

Does the Prevalence of Reflux in Children Increase?

Attention if you have weight loss and unrest!
Does the frequency of reflux in children increase?
The reflux problem, which is thought to be an adult problem, can occur even in infants. Research shows that around 15 percent of all children have reflux. Yeditepe University Hospital Pediatric Health and Diseases, Child Gastroenterology Specialist Assoc. Dr. Meltem Uğraş points out that children with discomfort, nausea and especially weight loss should also be evaluated for reflux.
Reflux is the result of the loss of stomach contents to the esophagus due to the slackness in the valve between the esophagus and the stomach. Recently, the increase in signs of reflux in children of all age groups is important. This problem can reduce the quality of life of children and parents, as well as treatment of asthma, esophageal damage, recurrent otitis media and pneumonia can prepare for different diseases such as. Allergies and food allergies in particular can damage the esophagus and cause reflux symptoms. As the development process of infants continues, reflux is more common.
Reflux of children due to difficulty in gaining weight Yeditepe University Hospital Child Health and Diseases, Child Gastroenterologist Specialist Assoc. Dr. Meltem Uğraş states, however, that the development of children can also be affected. In addition, the acid escaping from the stomach to the esophagus, tissue damage and small wounds can lead to the risk of developing anemia.
Symptoms can be mixed
Complaints related to reflux can vary in infants and children. For example, nausea, vomiting and weight loss are observed in infants, but vomiting does not occur in children, but chest burning, hoarseness and slowing in development occur. In general, many of the symptoms are similar to different diseases, Assoc. Dr. Meltem Uğraş speaks: Ta Unless the underlying cause is found in the upper respiratory tract infections that develop with reflux, the child may be exposed to long and recurrent antibiotic treatments. In addition, complaints such as chest pain or compression can also be confused with heart-related diseases. Therefore, it is important to be vigilant about the symptoms of reflux and to consult a physician immediately. Dolayısıyla

Patient history is important in diagnosis
Asserting that the most important factor in the diagnosis of the disease is taking the child’s detailed history. Dr. Meltem Uğraş said, den We use various methods developed for the diagnosis of reflux and we do not approach each child with the same method. Some children only listen to complaints, while the clinical situation of some of them, depending on the severity of the complaint we use endoscopic or radiological methods.
Treatment begins with lifestyle change
In the treatment of reflux disease, first of all, some changes in life style need to be done. In dairy children, changing the contents of the food (intensification) is often one of the measures to be taken when feeding a small amount and raising the head while lying. In older children, orange juice, chocolate, mint-like foods that may cause reflux, and after the dinner need to reduce the intake of fluid. In addition, problems such as constipation, obesity, which leads to increased intraabdominal pressure, not to wear too tight clothes, to sit at the table while eating, eat frequently and a small amount of food, to eat 1.5-2 hours before bedtime and to raise the head while lying other measures that can be taken. Child Health and Diseases Specialist Assoc. Dr. Meltem Uğraş said, çık In accordance with the child, drugs can be used to regulate the movement of the digestive system and to decrease the stomach acid and to strengthen the valve functions. This treatment can last for about 4-6 months. However, surgery can be an option in very rare cases, which cannot improve despite long-term treatment. Ancak
Symptoms indicating reflex
• Frequent nausea, vomiting • Rejection of feeding (bottle) • Grouching • Restlessness • Frequent crying spells • Recurrent cough • Recurrent otitis media • Slow development
• Burning in the chest • Pain in the mouth • Loss of dental brightness • hoarseness • Slowening in development • Common upper respiratory tract infection • Common ear diseases • Common pneumonia / pneumonia