Paroxysmal atrial fibrillation and intermittent left bundle branch block: an unusual electrocardiographic presentation of mad honey poisoning

Saritas, Ayhan/0000-0002-4302-1093; Saritas, Ayhan/0000-0002-4302-1093; Kandis, Hayati/0000-0001-9151-6050WOS: 000297498400025PubMed: 22179175

Effects of Urtica dioica on hepatic ischemia‐reperfusion injury in rats

OBJECTIVES: To evaluate the effects of Urtica dioica on hepatic ischemia-reperfusion injury. METHODS: Thirty adult male Wistar albino rats were divided into three groups: sham group (group 1), control group (group 2), and Urtica dioica group (group 3). All the rats were exposed to hepatic ischemia for 60 min, followed by 60 min of reperfusion. In group 2, a total of 2 ml/kg 0.9% saline solution was given intraperitoneally. In group 3, a total of 2 ml/kg Urtica dioica was given intraperitoneally. At the end of the procedure, liver tissue and blood samples were taken from all rats. Serum aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, ceruloplasmin, catalase, paraoxonase, arylesterase, and lipid hydroperoxide levels were measured. Liver tissue histopathologies were also evaluated by light microscopy. RESULTS: Serum aspartate aminotransferase, alanine aminotransferase and lactate dehydrogenase levels were significantly higher in group 2 than in group 1, and significantly lower in group 3 than in group 2. Also, group 2 had higher serum lipid hydroperoxides and ceruloplasmin levels but lower catalase, paraoxonase, and arylesterase levels than group 1. In group 3, serum lipid hydroperoxides and ceruloplasmin levels were significantly lower, and catalase, paraoxonase, and arylesterase levels were higher than those in group 2. Histopathological examination showed that liver tissue damage was significantly decreased in group 3 compared with group 2. CONCLUSIONS: Urtica dioica has a protective effect on the liver in hepatic ischemia-reperfusion-injured rats

The evaluation of Pat-Pat related injuries in the western black sea region of Turkey

BACKGROUND: Accidents caused by motorized vehicle in the agricultural sector are frequently observed. In Turkey; accidents arising from motorized vehicles, named Pat-Pat, which are used by farmers in the Western Black Sea region is not unusual. METHODS: One hundred five patients who were brought into the Emergency Department of Duzce University, Medical Faculty Hospital between September 2009 and August 2010 due to Pat-Pat related accidents were evaluated. RESULTS: The cases consisted of 73 (69.5%) males and 32 (30.5%) females, ranging from 2 to 73 years of age. In the 10-39 age group, a total of 63 (60.0%) cases were determined. The months when the greatest rate of cases applied to the hospital consisted of July, August, September and the season is summer. The cases were exposed to trauma in roads in 54 (51.4%), and 51 (48.6%) occurred in agricultural area without roads. Eighty seven (82.9%) cases were injured due to the overturning of vehicle. The patients were brought to the hospital using a private vehicle in 54 (51.4%) of the cases and in 51 (48.6%) cases, 112 ambulance system was used. The cases were determined to apply to the hospital most frequently between 6 pm-12 am. The injuries frequently consisted of head-neck and spine traumas, thorax traumas and upper extremity traumas. In 55 (52.4%) cases, open wound-laceration was determined. Seventy five (71.4%) cases were treated in the Emergency Department, and 28 (26.7%) were hospitalized. Three (2.9%) cases were deceased. CONCLUSIONS: Serious injuries can occur in Pat-Pat related accidents, and careful systematic physical examination should be conducted. In order to prevent these accidents, education of farm operators and engineering studies on the mechanics and safety of these vehicles should be taken and legal regulations should be created

The Efficiency Evaluation Of The Training Activity Given To Ambulance Personnel

Aim: It was aimed to evaluate the efficiency of the three days module given to the assistant health personnel working in 112 ambulances. Material and Methods: It was assumed that all the personnel working in the 112 ambulance systems under the health directory of Kirikkale city would be involved. Theoretic and practical first aid training was given to all the personnel attending to the course in 6 groups of 20-25 with duration of 3 days for each. A 50 itemed questionnaire was applied to all the groups before and after the training. Results: 132 people working in ambulance system in Kirikkale city were involved in training. 63,6% of the personnel involved in the study were male and 66% were married. When they were grouped according to age, it was determined that 44% of them were in 26-35 age group. When they were grouped according to branches, it was determined that 47 % of them were emergency medical technician (EMT) and 40,2% were health officer. When their level of education was taken into consideration, it was determined that 53% of them were graduates of high school and 43,2% were graduates of associate degree. 50,8 of all the personnel had a job experience of 1-5 years. When all the groups were evaluated together, there was a statistical meaningful difference (p<0,001) between pretest success grade (29,58&#177;6,74) and posttest success grade (39,81&#177;4,68). When EMT, paramedics and the other groups were compared; there was a pr test grade difference(p=0,003) between EMT and paramedics group(31,55&#177;6,52) and the others&#8217; group(27,70&#177;6,4). There wasn&#8217;t a grade difference between EMT, paramedics group and the others&#8217; group in posttest (p=0,765). Conclusion: The occupational training module which was done in a limited time was determined to be effective in providing a meaningful positive difference in knowledge level and providing personnel knowledge level standardization. [TAF Prev Med Bull 2013; 12(2.000): 151-156

Carbohydrate Antigen-125 and N-Terminal Pro-Brain Natriuretic Peptide Levels: Compared in Heart-Failure Prognostication

Carbohydrate antigen-125 (CA-125) is emerging as a prognostic biomarker of risk in heart failure. In a prospective study, we compared the prognostic values of CA-125 and amino-terminal pro-brain natriuretic peptide (NT-proBNP) in patients with stable heart failure

Comparison of effects on the oxidant/antioxidant system of sevoflurane, desflurane and propofol infusion during general anesthesia

BACKGROUND AND OBJECTIVES: Desflurane and sevoflurane are frequently used for maintenance of anesthesia and studies have shown that these anesthetics cause a variety of changes to the oxidative stress and antioxidative defense mechanisms. This study aims to compare the effects of sevoflurane, desflurane and propofol infusion anesthesia on the oxidant and antioxidant systems of patients undergoing laparoscopic cholecystectomy. METHODS: 45 patients between 18 and 50 years with planned laparoscopic cholecystectomy under general anesthetic were included in the study. Patients were divided into three groups on the way to surgery: propofol (group P n: 15), sevoflurane (group S n: 15) and desflurane (group D n: 15). All groups were given hypnotic 2 mg/kg propofol IV, 1 mcg/kg fentanyl IV and 0.1 mg/kg vecuronium IV for induction. For maintenance of anesthesia group S were ventilated with 2% sevoflurane, group D cases were given 6% desflurane and group P were given propofol infusions of 12 mg/kg/h for the first 10 min, 9 mg/kg/h for the second 10 min and 6 mg/kg/h after that. Before induction and after the operation venous blood samples were taken to evaluate the levels of glutation peroxidase, total oxidants and antioxidants. RESULTS AND CONCLUSIONS: The 45 patients included in the study were 22 male and 23 female patients. The demographic characteristics of the groups were similar. In the postoperative period we observed that while sevoflurane and propofol increased antioxidants by a statistically significant level, desflurane increased the total oxidants level by a significant amount compared to levels before the operation

THE RETROSPECTIVE EVALUATION OF CASES WITH HIGH BLOOD PARACETAMOL LEVELS

KARA, ISMAIL HAMDI/0000-0003-2022-1882; KARA, ISMAIL HAMDI/0000-0003-2022-1882WOS: 000372137700009Introduction: the aim of the study is to compare laboratory parameters and clinical outcomes of the patients taking paracetamol only and those of the patients using other medications in addition to paracetamol. Material and method: 471 cases whose ages were 15 or over, and who had a history of paracetamol intake as a single drug or in addition to other medications, and had high serum paracetamol levels, admitted to our emergency department (ED) in a 24-month period. Patients were divided into 3 groups according to Modified Rumack-Matthew nomogram and whether they took paracetamol only or together with other drugs: Paracetamol levels higher than toxic level (Group 1), lower than toxic level and using only paracetamol (Group 2), lower than toxic level and using other medications in addition to paracetamol (Group 3). in all cases, alanine amino transferase, aspartate aminotransferase, platelet counts and INR values were retrospectively recorded. Cases were evaluated in terms of the rates of discharge from the ED, hospitalization and mortality. Results: Eighty two of 471 patients were in the Group 1, 264 cases were in the Group 2, and 125 cases were in the Group 3. Forty nine of patients admitted to the ED within-2 hours after drug ingestion. Gastric lavage was performed and activated charcoal was administered in 94% (n=443) of patients presenting to ED in the following 4 hours after ingestion of paracetamol. Only the cases in the Group 1 had a statistically significant difference in ALT, AST, PLT and INR values measured on admission and at the 12th hour 377 cases were discharged after ED observation, and 94 patients were hospitalized. All patients were discharged with full recovery. Conclusion: Determining the treatment protocol by measuring serum paracetamol level shortens the duration of hospital stay, decreases treatment costs and helps avoid unnecessary N-acetylcysteine applications

Bir bina çökmesi nedeniyle edinilen tecrübeler

In this study, it has been purposed to share practice of event-scene administration, search and rescue and evacuation of injured and acquired experiences carried out throughout a building collapse. After an explosion at Diyarbakır Kurdo?lu housings at 11 December 2006 about 08:20AM, five flats of an apartment that has five floors-ten flats were collapsed. Local military hospital ambulances, city ambulances, and fire-fighting vehicles arrived to event-place 10 minutes later. It has been found out that there were 13 people inside, 6 of which were children. Army rescue team arrived event-place about 01:30PM, then all non-professional persons has been sent away from region. Eight dead including five children, and five injured including one child have been taken out. Two people from close area have been also injured mildly due to the explosion. It has been found out that accident caused by boiler tank exploding. Sixth of total eight injured had only superficial wounds. Other two injured have been followed because of head trauma at first one and hepatic contusion and rib fracture at the other one. No complication observed after follow-up. Building collapses can create disaster potential according to the number of people inside and facilities of nearby region of the place accident taken place. The evaluation of the direction of building collapse during search and rescue operation would enhance possibility to reach more living in shorter time. Building collapses which can be considered as a miniature of big disaster potentials like earthquakes can be appraised as an important practical training and experience source on event-place administration, search and rescue operations and injured evacuation. We believe that share of the analysis and acquired experiences of this kind of studies would contribute interfering big disaster potentials

Predictors of mortality in childhood burns: An 8-year review

Saritas, Ayhan/0000-0002-4302-1093; Saritas, Ayhan/0000-0002-4302-1093; Kandis, Hayati/0000-0001-9151-6050; Ozturk, Gurkan/0000-0001-8662-636XWOS: 000332462600008PubMed: 23728930This study aims to analyze the epidemiological characteristics and predictors of mortality from burn injuries in childhood patients admitted to our hospital during an eight-year period. the medical records of acute childhood burn patients were reviewed retrospectively. All variables thought to be associated with mortality were entered in a multiple binary logistic regression model (method = stepwise). the magnitude of risk was measured by the odds ratio, and the 95% confidence interval was estimated. A total of 2269 acute childhood burn patients were admitted during the study period. A total of 86 (3.8%) children died due to burn injuries. Deaths were seen 1.849 times more in males than in females. According to the 1%-10% total body surface area (TBSA) burned group, mortality occurred 121.116 times more in the >41% TBSA burned group. Most burn injuries can be avoided by keeping children away from hazardous and dangerous environments. Also, requiring a multidisciplinary management in these patients, quality of care services given by physicians and nurses certainly will create a positive impact on patients' outcomes