Pelin Tutuncuoglu

Prolactin levels and examination with breast ultrasound or mammography

ObjectiveStresses including surgery, exercise, nipple stimulation, and chest wall injury such as mechanical trauma, burns, surgery, herpes zoster of thoracic dermatomes, hypoglycaemia and acute myocardial infarction cause significant elevation of prolactin levels. The aim of the present study was to evaluate the changes in prolactin level during mammography and ultrasonographic examination. Materials and Methods: Seventy-four premenopausal (mean age, 32.1±7.3 y) and 81 post-menopausal women (mean age, 48.3±8.9 y) were enrolled into the study. Premenopausal women were evaluated with ultrasound (Senographe 600 T [General Electric]) and post-menopausal women were examined with mammography (Mammomat 3000 [Siemens]). Blood samples for prolactin were taken prior to ultrasound or mammography and 15, 30 and 45 min after ultrasound or mammography. Results: Mean baseline serum prolactin level was 7.2±0.9 ng/ml in premenopausal women before ultrasound. Mean baseline serum prolactin level was 5.4±0.4 ng/ml in post-menopausal women before mammography. It was found that there were no significant changes in prolactin levels after ultrasound or mammography (P>0.05). Mean levels of baseline prolactin were statistically significant higher in premenopausal than in post-menopausal women (P=0.03). Conclusion: Mammography and ultrasonographic examination have no acute effect on serum prolactin levels in either group. There is no need to wait before measuring the prolactin level after mammographic or ultrasonographic breast examination.

A nonspecific complaint such as diarrhea in elderly with hyperthyroidism: evaluation with a case

Sefa Sarac1, Pelin Tütüncüoglu2 , Sumru Savaş3, Fulden Sarac3 1.Department of Cardiology, Katip Celebi University, Ataturk Training and Research Hospital / Izmir / TURKEY 2.Department of Endocrinology and Metabolism, Katip Celebi University, Ataturk Training and Research Hospital / Izmir / TURKEY 3.Department of Internal Medicine, Section of Geriatrics, Ege University Medical Faculty / Izmir / TURKEY

The frequency of fall and risk factors in elderly patients with type 2 diabetes

Falls are a leading cause of unintentional injury among adults, especially those over 65 years of age. Falls and fall-related injuries among older people are major issues for health and social care providers the world, because of the rapid increases in life expectancy observed during the twentieth century . Falls are the most serious and frequent home accident among older people. They are a major reason for admission to hospital or a residential care setting, even when no serious injury has occurred. Fall-induced injuries are increasing more rapidly than can be accounted for by the increase in the elderly population An increased risk of serious injury due to a fall was reported among diabetic adults. The aims of the study were to determine the frequency of falls in elderly patients with type 2 diabetes mellitus. and to evaluate the risk factors for falls.