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.
Patients
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
Infants:
• Frequent nausea, vomiting • Rejection of feeding (bottle) • Grouching • Restlessness • Frequent crying spells • Recurrent cough • Recurrent otitis media • Slow development
Children:
• 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

Always Before You Travel!

8 reasons to increase your summer
Although we do not want to bring the disease to mind in the summer months, there are many factors such as food sold outdoors, overuse of common areas, tick and mosquito. The fire comes with. Yeditepe University Hospital, Department of Infectious Diseases and Clinical Microbiology. Dr. Çağrı Büke tells about the problems and solutions that have taken the rise in the summer months and show themselves with fire.

gastroenteritis

It is one of the most common infections in the summer. These infections, which can be transmitted by foods and water, are accompanied by abdominal pain, diarrhea and some with high fever. In order to avoid disease, it is necessary to avoid non-hygienic, uncooked, open-sold food, not to wash unwashed vegetables and fruits, to make sure that the waters are clean and in no way use antimicrobial drugs without consulting the physician.

Crimean Congo haemorrhagic fever, Lyme and Q fever

High fever and ticks are also seen in our country. In order to be protected, it is important to take necessary measures in the wetlands, bushes, forests and rural areas where ticks can be found. In addition, people who have contact with tick, in order to be evaluated in terms of these diseases that can cause serious consequences, a doctor must be consulted.

Malaria

In recent years, the number of malaria cases in our country is generally made up of people going to foreign countries. Malaria, which is an infectious disease transmitted by mosquitoes, is important in terms of causing severe and serious consequences. Professor Dr. Çağrı Büke underscores that malaria should not be ignored in the case of high fever during the summer months, especially if people are traveling and returning to Africa and Asia.

Legionnaires’ disease

In summer, air conditioner and shower water and legionnaire disease which is transmitted from the airways can cause pneumonia. Especially in facilities where storage water is used, about 1 minute of water flow before the shower, the maintenance and cleaning of the filters of the air conditioners are among the measures to be taken to protect the disease. He stated that the results of this infection can be fatal in the elderly and the insufficient immune system. Dr. Çağrı Büke states that, ini Therefore, people who have complaints of cough and fever in the summer should be evaluated for legionnaires’ disease.

Zika virus

Especially in recent years, the name of this infectious disease we hear more often is transmitted by mosquitoes. Zika virus infection is now spreading rapidly in 23 countries, including Central and South America, Pacific Islands, Tropical Africa and Southeast Asia. In our country, 4 people returned to Cuba to date and returned to the disease. The disease can lead to serious developmental retardations, especially when the baby is infected. For this reason, it is important to take care of pregnant people and to take necessary precautions against mosquitoes when traveling to countries and regions where zika virus is widespread.

West Nile Fire

The West Nile Fire, another important infectious disease transmitted by mosquitoes, is today seen in France, Romania, Russia, Greece, Algeria, Morocco, Tunisia, Israel and the Americas. Sudden high fever can develop this disease can be severe results. It is vital to take precautions against mosquitoes as there is no cure. If fever develops after mosquito bites, the physician should be consulted for diagnosis and support treatment.

Adenovirus infections

In summer, it is mostly affected by eye, respiratory and bowel diseases. The disease manifests itself with complaints of redness, cough, fever, and diarrhea. People with respiratory droplets and hands are infected with the disease. Therefore, in order to be protected, it is necessary to avoid contact with sick people and consume clean and well-cooked foods. In addition, washing of hands and maintenance and control of the pools is also important in controlling the disease.

BOXHearts also raises fire

Infections, cancer, collagen tissue and autoimmune diseases in the summer, especially in extreme heat and sun exposure in case of exposure to fire may rise. Professor Dr. Çağrı Büke, this situation can cause serious and fatal consequences especially for children and the elderly, e In the event of heat stroke and excessive sun exposure, and a high fever develops when a health institution should be consulted immediately,, he says.

KUTUDo not cling to antibiotics

In general, one of the biggest mistakes made in the febrile patients seen during the course of infectious diseases is the use of antibiotics without detailed evaluation. He underlined that antibiotics are ineffective in the treatment of viral infections. Dr. Çağrı Büke, therefore, can use antibiotics only when the physician sees fit.

Ete Touch

Use gloves when contacting meat
Things to consider when touching meat

Kurban Bayramı’da the indispensable part of the table is preparing and consuming meat must be careful. Yeditepe University Specialization Hospital, Department of Infectious Diseases Dr. Meral Sönmezoğlu, from the selection of the victim to the preparation of the meat until the feast has listed the need to pay attention during the,

Choose from among the veterinary control of sacrificial animals
In order to prevent the risks that may occur, it is important that the sacrificial animals are chosen under veterinary control. People who come into contact with sacrificial animals without the necessary health checks have the risk of transmission of many diseases such as hydatid cyst, tuberculosis, rabies, anthrax, brucellosis, salmonellosis, tapeworm and toxoplasmosis.
Always use gloves when contacting meat
Underlining that the place to be cut clean and should comply with the rules of hygiene Professor. Dr. Meral Sönmezoğlu lists the points to be taken into consideration in order to prevent disease-causing microorganisms: The animals to be slaughtered should not be fed up to 6-12 hours before the slaughter. It is important that the hands of the cutting tools such as knives and lines used in the meat cutting are clean. In addition, people who come into contact with meat should work with gloves, not naked hands. In order to prevent the transmission of disease by microorganisms to the meat; cutting, swimming and meat cutting operations should be done in a cool and clean place, stomach and intestinal contents should not be transmitted to the carcass, ie body. The body should be washed if there is only visible contamination. The outer face of the skin should not come into contact with meat at any stage of the cutting and swimming process. Yüzme
Soak in the cool place before meat, then put in the refrigerator
There are some points that should be considered after sacrificing the flesh. Large pieces of clean containers placed in a cool, clean place in the sun for 5-6 hours should be kept. Then it is important to remove them into small pieces and put them in refrigerator bags. In addition, during all operations when touching the meat must always be used gloves.
Do not consume meat absolutely raw or undercooked
It is recommended to consume meat for 24-36 hours after cutting. Also, it should not be consumed as raw or undercooked. It is important to pay attention to some points during the storage of sacrificial meat. The meat is expected to last at +4 degrees in the refrigerator, 1-3 days in the ground meat, 4-5 days in the meat and 6 months in the freezer. It is also important that frozen meats are not frozen again after thawing.
Do not give internal organs to dogs and cats
Underlining that inedible organs must be destroyed or buried in deep pits. Dr. Meral Sönmezoğlu said, gibi When burying organs are put in depth that cannot be removed by animals such as cats and dogs, attention should be paid to excretion of lime on unmounted organs. Thus, both animals such as cats and dogs, as well as the spread of diseases is prevented. Internal organs such as the liver and lungs should not be given to dogs and cats. Kar

Those who should be in contact with meat

Sacrificial animals should be selected among veterinarians.
Cutting should be done by experienced butchers in hygienic conditions.
Preventive measures should be taken during cutting.
In case of injury, contact with the health institution should be treated.
When storing and cooking sacrificial animals, the bare hands should not be touched, especially if there are scratches or wounds on the hands.
If the patient has symptoms such as diarrhea, abdominal pain, fever, headache, constipation, weight loss and night sweats after touching or consuming, contact your healthcare facility.