A Rare Clinic Entity: Jejunal Diverticular Perforation and Ileus

Jejunal diverticulum are very rare and they are usually asemptomatic. These asemptomatic diverticles are incidentaly encountered during the laparatomy or various radiologic imaging studies. Because of the fact that the delay in the diagnosis of acute complications causes an apparent increase and is rarely seen in mortality and morbidity, the two cases who admitted to the emergency room with acute abdominal syndrome and were admitted to the laparatomy and established jejunal diverticulasis diagnosis were aimed to be reported

Generalized tonic-clonic seizure induced by the extended- release bupropion hydrochloride formulation

Generalized tonic-clonic seizure induced by the extended- release bupropion hydrochloride formulatio

THE P-WAVE DISPERSION AND QTC DURATIONS IN THE PATIENTS WITH ACUTE PANCREATITIS

Aims: The aim of our study was to investigate QT, and QTc interval durations and P-wave dispersion (PWD) in the electrocardiography (ECG) records of patients diagnosed with acute pancreatitis (AP)

Propafenone-induced cardiac arrest: full recovery with insulin, is it possible?

Propafenone may cause mental depression, mania, convulsion, metabolic acidosis, hypotension, prolonged QRS, atrioventricular block, and cardiac arrest if it is taken at a dose greater than recommended. There is no standard specific treatment or antidote for a propafenone overdose, and life-supporting treatments are applied in these cases. In this case report, we report a case of a 15-year-old female patient who experienced cardiac arrest after an oral propafenone overdose. She was successfully treated using cardiopulmonary resuscitation, which took approximately 1.5 hours. Dopamine infusion, sodium bicarbonate, and insulin treatment were also administered to the patient. High-dose insulin treatment may be an effective treatment of propafenone poisoning

The impact of burnout on organizational commitment: A study of public sector employees in Turkey

This study investigates the relationship between burnout and organizational commitment. It tests the relationship using a sample of 700 public officers in Istanbul by using structural equation modeling. The model tested via partial least squares method via SmartPls software. Results have shown that employees’ burnout are negatively related to organizational commitment. Specifically, while emotional exhaustion is negatively related to commitment, personal accomplishment contributes positively to commitment. The experience of depersonalization has no significant relationship with all three dimensions of commitment. Findings discussed and some practical implications offered to practitioners as well as some future directions to researchers

Renal and hepatic injury with elevated cardiac enzymes in Amanita phalloides poisoning: a case report

WOS: 000251450300011PubMed ID: 17984148Amatoxins are one of the most potent toxins that cause hepatic and renal failure. However, this is the first report demonstrating an elevation of cardiac enzymes in a patient with Amanita phalloides poisoning. A 56-year-old male was admitted to the emergency department (ED) 42 h after an unknown type of mushroom ingestion. Hepatic, renal function tests, amylase and cardiac enzymes (troponin 1, creatine kinase (CK), CK-MB isoenzyme and myoglobin) were found elevated in his blood chemistry. The electrocardiogram disclosed sinus tachycardia. Aggressive treatment with fluids, activated charcoal, penicillin G and silibinin were started. The patient was sent to hemodialysis because of anuria. During follow-up, biochemical parameters and clinical findings improved. The patient was discharged from the hospital following the arrangement of hemodialysis schedule because of the chronic renal failure. False elevations of cardiac markers may confuse the clinicians in differantial diagnosis of myocardial infarction in ED. in our patient, amatoxins that have bound the actin filaments within myocardiocytes or renal cells and/or its effects as circulating anti-troponin antibodies might result in elevation of cardiac markers. Elevated cardiac enzyme levels without any acute coronary syndrome are probable in mushroom poisoning cases involving amatoxin ingestion