H3B2 Scoring Validation and Comparing of the Other Scoring Systems in Patients with Upper Gastrointestinal Bleeding: A Retrospective Study

Objective:We had validation of H3B2 scoring on Turkish patients in this study. In addition, it was compared with Glasgow-Blatchford and AIMS65 scoring.Method:This study was conducted retrospectively and single centered. It was continued by scanning of tertial education hospital datum in 07-2021 to 07-2022. Patients were the adults who was made endoscopic intervention during initial 24 hours. Glasgow-Blatchford, AIMS65 and H3B2 scoring were calculated according to initial parameters.Results:The study included 116 patients. Median age was 60 (45,53) years. H3B2, AIMS65 and Glasgow-Blatchford scoring were significantly higher in non-survivor group than survivor group (p=0.005, <0.001, 0.013. respectively). With the addition of lactate and albumin to H3B2, the area under the curve value reached 0.910 and gained a stronger predictive ability.Conclusion:H3B2 was successful in predicting short-term mortality in Turkish patients, we recommend adding lactate and albumin to the H3B2 for stronger predictivity

The Effect of Early Diuretic Treatment on Clinical Outcomes in Patients with Acute Heart Failure: Door to Diuretic

Objective:It was aimed to investigate the effect of early diuretic treatment on hospitalization and short-term mortality in patients with acute heart failure.Method:Our study was carried out as a retrospective, single-centered, observational study in the department of emergency a tertiary training and research hospital. The study population was the patients presenting with signs and symptoms of acute heart failure. The primary outcome was all-cause 30-day mortality and hospitalization. Univariant tests and ROC analysis were used for analysis.Results:A total of 325 patients were included. The median age of the patients was 76.0 years (interquartile range 69.0-83.0). The mortality rate of our study population was %14.4 (47). Systolic blood pressure and diastolic blood pressure were significantly higher in the survivor group (p=0.018, 0.033, respectively). Age, troponin-I, and pro-brain natriuretic peptide were significantly higher in the non-survivor group (p<0.001, <0.001, <0.001, respectively). For hospitalization, the area under the curve for the high door to diuretic time was 0.570, the cut-off value was 99 minutes, and the odds ratio was 1.75 (95% confidence interval: 1.09-2.82).Conclusion:Early initiation of diuretic treatment has no effect on short-term mortality. However, delayed initiation of diuretic treatment may affect hospitalization rates. According to our results, early initiation of diuretic treatment may reduce hospitalization rates

Characteristics of school injuries presenting to the emergency department

School injuries account for approximately one-fifth of pediatric injuries. We aimed to investigate the frequency and severity of school injuries among school-aged children and determine clinical diagnoses and surgery requirement data. Methods In this prospective study, children who were admitted to the emergency department due to school accidents over a 5-month period were included. Demographics, activity during trauma, mechanism of trauma, nature, severity, emergency department outcomes, and surgery requirement were evaluated. Results The study included a total of 504 school-aged children, of whom 327 (64.9%) were male and 177 (35.1%) were female. Of the children, 426 (84.5%) had no evidence of injury or minor injury, while 78 (15.5%) had moderate or severe injury. There was a statistically significant difference between these two groups in terms of gender ( p = 0.031). Of the 78 children with moderate or severe injuries, 45 had extremity fractures, 18 had lacerations, 5 had maxillofacial injuries, 4 had cerebral contusion, 1 had lung contusion, and 1 had cervical soft-tissue damage. Two patients with fractures and two with eyelid lacerations were treated surgically, and four patients with brain contusion were hospitalized for a close follow-up. Conclusion This study revealed that the most common moderate or severe injuries in school accidents referred to emergency department were distal radius fractures and lacerations

Health literacy and mushroom poisoning

ağlık okuryazarlığını bireylerin uygun sağlık kararları vermek için gereken temel sağlık bilgilerini elde etme, işleme ve anlama kapasitesine sahip olma becerisidir. Düşük sağlık okuryazarlığı dünya genelinde bir halk sağlığı sorunudur. Mantar zehirlenmesi ülkemizde yaygın görülen bir zehirlenmedir ve bu hasta grubunda tedaviden vaz geçme yaygın görülmektedir. Sağlık okuryazarlığının yükseltilmesi güncel tedavi kılavuzlarına uyumu arttıracaktır.Health literacy is the ability of individuals to have the capacity to obtain, process and understand the basic health information needed to make appropriate health decisions. Low health literacy is a public health problem worldwide. Mushroom poisoning is a common poisoning in our country and it is common to withdrawal treatment in this patient group. Increasing health literacy will increase compliance with current treatment guidelines

The role of erythrocyte distribution width in predicting poor outcomes in geriatric patients with acute pancreatitis

Introduction and aim. In our study, our aim was to evaluate the relationship between red cell distribution width (RDW) values and prognosis in geriatric patients with acute pancreatitis. Material and methods. Patients over the age of 65 and diagnosed with acute pancreatitis who applied to the Emergency Department of Ümraniye Training and Research Hospital between 16.07.2021 and 15.05.2022 were included in our retrospective study. RDW levels were recorded using the hospital data system. Results. Our study included 184 patients, 19 (10.3%) of which died. Sixty-five percent of our patients were women. The mean hospital stay was 5 days (from 3 to 9). A statistically significant relationship was also observed between high RDW and mortality (p=0.006). The diagnostic test performance analyses of CRP, and RDW in predicting mortality revealed that they were statistically significant in predicting mortality, with the AUC value being calculated as 0.66 (0.6061–0.7368) for CRP, with a cut-off value of 22; and 0.69 (0.6909–0.7368) for RDW, with a cut-off value of 14.5 (p=0.019, p=0.006, respectively). Conclusion. Hematological parameters can help predict a prognosis in patients with acute pancreatitis. Although RDW is not statistically more significant than CRP, it can be used as a prognostic marker in patients with acute pancreatitis

n investigation for the role of Caprine Arthritis-Encephalitis Virus (CAEV) infection in Goat herds with Chronic Respiratory System Disorders

Caprine Arthritis-Encephalitis Virus (CAEV) Retroviridae familyasının Lentivirus subfamilyasında sınıflandırılmış olup, keçilerde başlıca arthritis, mastitis, intersitisyel pnömoni ve ensefalitise neden olur. Bu çalışmanın amacı normal ve kronik solunum sistemi bozuklukları olan keçi sürülerinde CAEV enfeksiyonu’nun rolünün araştırılmasıdır. Bu amaçla 13 keçi sürüsünden toplam 422 kan serum örneği elde edildi, bunlardan 4 sürüde hafif-orta seviyede kronik solunum sistemi bozuklukları bulunmakta idi. Örneklenen keçilerin yaşları 6 ay ile üzerinde ve çoğunluğu dişilerden oluşmaktaydı. Örnekleme sırasında klinik muayene bulguları ile Body Condition Score (BCS) verileri de elde edilmiştir. Serum örnekleri indirekt ELISA kullanılarak kontrol edildi. Test sonuçlarına göre; klinik olarak normal olan 9 sürünün 4’ünde %1.2 (1/78) ile %6.7 (4/59) arasında değişen oranlarda CAEV yönünden pozitiflik tespit edildi. Kronik solunum sistemi bozuklarının olduğu belirlenen 4 işletmenin tümünde seropozitiflik belirlendi. Buna göre, oranların %2.2 (1/45) ile %12 (3/25) arasında değişmekle birlikte ortalama %6.8’inin (11/160) pozitif olduğu görüldü. BCS değerlerinin aritmetik ortalaması sağlıklı sürülerde 3.1 iken diğer sürülerde 2.7 olduğu tespit edildi. Veriler istatistiksel olarak olarak incelendi ve gruplar arasındaki fark anlamlı bulundu.Caprine Arthritis-Encephalitis Virus (CAEV) is classified in Lentivirus subfamily in the Retroviridae family and cause to mainly arthritis, mastitis, intersitital pneumonia and encephalitis in goats. Aim of the study to is to investigate the role of CAEV infection in both normal and chronic respiratory system disorders determined goat flocks. For this purpose total of 422 blood serum samples were collected from 13 goat flocks, which 4 of them have low-mild level chronic respiratory disorders. The sampled goats were 6 month and older, the most of them female. Clinical examination and the Body Condition Score (BCS) data have been obtained during sampling. Serum samples were controlled for CAEV using indirect ELISA. According to the test results; out of clinically normal 9 flocks, CAEV positivity was detected in 4 between 1.2% (1/78) and 6.7% (4/59) proportions. Seropositivity was detected in all of the 4 enterprises that have clinical respiratory system disorders; proportions were varied between 2.2% (1/45) and 12% (3/25), average 6.8% (11/160). Arithmetic means of BCS were 3.1 in clinically healthy goat flocks while 2.7 in the other flocks. Obtained data statistically analysed, difference between the groups was found to be significant

Comparison of blood gas analysis&nbsp;parameters, biochemical tests&nbsp;and hematological parameters in&nbsp;geriatric patients admitted to the&nbsp;emergency department

Aim: The primary aim is to compare blood gas parameters (sodium, potassium, glucose, hemoglobin, hematocrit) with biochemical test and hospital hemogram results and thus to investigate the compatibility of blood gas estimation with other laboratory tests in geriatrics. The secondary aim is to compare the effects of these parameters on patient mortality. Material and methods: Patients over the age of 65 who applied to the emergency department were included in our retrospective study. Statistical Package for Social Sciences (SPSS Inc., version 20.0; Chicago, IL) was used for statistical analyzes applying to the emergency department. Statistical significance was accepted as p&lt;0.05. Results: 102 patients were included in our study and 51.97% were male. 9.8% of our patients died. The diagnostic test performance analyzes of BG (blood gas) hemoglobin, hemoglobin, BG hematocrit, hematocrit, BG glucose, glucose, BG sodium, sodium, BG potassium, potassium in predicting mortality revealed with the AUC(area under curve) value being calculated as unsuccessful for BG hemoglobin, hemoglobin, BG hematocrit and hematocrit (AUC value: 0.47, 0.45, 0.46, 0.50). AUC (area under curve) value being calculated as weak for BG glucose, glucose and BG sodium (AUC value: 0.64, 0.61, 0.63 respectively). AUC value being calculated as medium for sodium (AUC value: 0.71). Conclusion: There is no superiority of blood gas parameters over hematological and biochemical parameters in predicting mortality in the geriatric patient group. However, blood gas parameters can be used in patient management as they correlate with other laboratory tests

n investigation for the role of Caprine Arthritis-Encephalitis Virus (CAEV) infection in Goat herds with Chronic Respiratory System Disorders

Caprine Arthritis-Encephalitis Virus (CAEV) Retroviridae familyasının Lentivirus subfamilyasında sınıflandırılmış olup, keçilerde başlıca arthritis, mastitis, intersitisyel pnömoni ve ensefalitise neden olur. Bu çalışmanın amacı normal ve kronik solunum sistemi bozuklukları olan keçi sürülerinde CAEV enfeksiyonu’nun rolünün araştırılmasıdır. Bu amaçla 13 keçi sürüsünden toplam 422 kan serum örneği elde edildi, bunlardan 4 sürüde hafif-orta seviyede kronik solunum sistemi bozuklukları bulunmakta idi. Örneklenen keçilerin yaşları 6 ay ile üzerinde ve çoğunluğu dişilerden oluşmaktaydı. Örnekleme sırasında klinik muayene bulguları ile Body Condition Score (BCS) verileri de elde edilmiştir. Serum örnekleri indirekt ELISA kullanılarak kontrol edildi. Test sonuçlarına göre; klinik olarak normal olan 9 sürünün 4’ünde %1.2 (1/78) ile %6.7 (4/59) arasında değişen oranlarda CAEV yönünden pozitiflik tespit edildi. Kronik solunum sistemi bozuklarının olduğu belirlenen 4 işletmenin tümünde seropozitiflik belirlendi. Buna göre, oranların %2.2 (1/45) ile %12 (3/25) arasında değişmekle birlikte ortalama %6.8’inin (11/160) pozitif olduğu görüldü. BCS değerlerinin aritmetik ortalaması sağlıklı sürülerde 3.1 iken diğer sürülerde 2.7 olduğu tespit edildi. Veriler istatistiksel olarak olarak incelendi ve gruplar arasındaki fark anlamlı bulundu.Caprine Arthritis-Encephalitis Virus (CAEV) is classified in Lentivirus subfamily in the Retroviridae family and cause to mainly arthritis, mastitis, intersitital pneumonia and encephalitis in goats. Aim of the study to is to investigate the role of CAEV infection in both normal and chronic respiratory system disorders determined goat flocks. For this purpose total of 422 blood serum samples were collected from 13 goat flocks, which 4 of them have low-mild level chronic respiratory disorders. The sampled goats were 6 month and older, the most of them female. Clinical examination and the Body Condition Score (BCS) data have been obtained during sampling. Serum samples were controlled for CAEV using indirect ELISA. According to the test results; out of clinically normal 9 flocks, CAEV positivity was detected in 4 between 1.2% (1/78) and 6.7% (4/59) proportions. Seropositivity was detected in all of the 4 enterprises that have clinical respiratory system disorders; proportions were varied between 2.2% (1/45) and 12% (3/25), average 6.8% (11/160). Arithmetic means of BCS were 3.1 in clinically healthy goat flocks while 2.7 in the other flocks. Obtained data statistically analysed, difference between the groups was found to be significant

Can the Neutrophil/Lymphocyte*Platelet Ratio Predict Acute Appendicitis? An Analytical Study

Aim: Our primary aim is to determine whether the neutrophil/lymphocyte*platelet ratio (NLPR) has the ability to predict acute appendicitis. Our secondary aim is to show whether the NLPR is effective in differentiating complicated and non-complicated acute appendicitis. Materials and Methods: Our study was planned retrospectively, and patients over 18 years of age who were diagnosed with acute appendicitis and admitted to the Health Sciences University Turkey, Ümraniye Training and Research Hospital between 01.04.2022 and 01.04.2023, were included in the study. Results: A total of 492 patients were included in our study, and 242 (49.18%) of them were diagnosed with acute appendicitis. Neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR) and NLPR were statistically significantly higher in patients with acute appendicitis compared to the control group (p<0.001, p<0.001, p<0.001, respectively) (the area under the curve was 0.96, 0.70, 0.94, respectively). Conclusion: NLR, PLR and NLPR can be used as predictors for the diagnosis of acute appendicitis, but according to our study, NLR, PLR and NLPR should not be used as prognostic indicators of acute appendicitis

Effect of the prognostic nutritional index and systemic immuneinflammatory index in predicting short-term mortality in geriatric patients with SARS-CoV-2 infection

Introduction and aim. We aimed to investigate whether systemic immune inflammatory index (SII) and prognostic nutritional index (PNI) were associated with short-term mortality in geriatric patients with SARS-CoV-2.Material and methods. Our study was designed retrospectively. The data of patients that presented to a single center. The primary outcome of the study was the diagnostic value of SII and PNI in predicting 28-day mortality in geriatric patients with SARS-CoV-2 pneumonia. Results. 272 geriatric patients with SARS-CoV-2 included. The median PNI was 42.5, and the median SII was 687.6 (430–1404.2). In univariant analysis, PNI and SII has a significant relationship with mortality (p40.1) and SII (<1.267) for 30-day mortality were determined as 1.12 , and 1. Conclusion. In conclusion, the blood tests used to calculate PNI and SII are routinely included in complete blood count and biochemistry tests that can be performed in every hospital. According to the results of the current study, the mortality group had significantly higher SII values and significantly lower