A Retrospective Analysis of the Burn Injury Patients Records in the Emergency Department, an Epidemiologic Study

Introduction: Burns can be very destructive, and severely endanger the health and lives of humans. It maybe cause disability and even psychological trauma in individuals. . Such an event can also lead to economic burden on victim’s families and society. The aim of our study is to evaluate epidemiology and outcome of burn patients referring to emergency department. Methods: This is a cross-sectional study was conducted by evaluation of patients’ files and forensic reports of burned patients’ referred to the emergency department (ED) of Akdeniz hospital, Turkey, 2008. Demographic data, the season, place, reason, anatomical sites, total body surface area, degrees, proceeding treatment, and admission time were recorded. Multinomial logistic regression was used to compare frequencies’ differences among single categorized variables. Stepwise logistic regression was applied to develop a predictive model for hospitalization. P<0.05 was defined as a significant level. Results: Two hundred thirty patients were enrolled (53.9% female). The mean of patients' ages was 25.3 ± 22.3 years. The most prevalence of burn were in the 0-6 age group and most of which was hot liquid scalding (71.3%). The most affected parts of the body were the left and right upper extremities. With increasing the severity of triage level (OR=2.2; 95% CI: 1.02-4.66; p=0.046), intentional burn (OR=4.7; 95% CI: 1.03-21.8; p=0.047), referring from other hospitals or clinics (OR=3.4; 95% CI: 1.7-6.6; p=0.001), and percentage of burn (OR=18.1; 95% CI: 5.42-62.6; p<0.001) were independent predictive factor for hospitalization. In addition, odds of hospitalization was lower in patients older than 15 years (OR=0.7; 95% CI: 0.5-0.91; p=0.035). Conclusion: This study revealed the most frequent burns are encountered in the age group of 0-6 years, percentage of <10%, second degree, upper extremities, indoor, and scalding from hot liquids. Increasing ESI severity, intentional burn, referring from other hospitals or clinics, and the percentage of burn were independent predictive factors for hospitalization

Are Mean Platelet Volume and Neutrophil-to-Lymphocyte Ratio Related with Hepatosteatosis in Obese Children?

Objective: Obesity is an important health problem, which affects children and adolescents and is highly prevalent throughout the world. Non-alcoholic fatty liver disease is fattening that occurs due to non-alcohol causes, and it is associated with obesity in most of the cases. We investigated the relation of mean platelet volume (MPV) and neutrophil-to-lymphocyte ratio (NLR) to hepatosteatosis in obese children in our study.Material and Methods: 104 obese children aged between 4-16 years, who were determined to have a body mass index (BMI) of 95th percentile or higher according to age and gender, were examined retrospectively. The genders, ages, and examination findings of the patients were recorded. In obese children, leukocyte, hemoglobin, platelet, mean platelet volume, neutrophil and lymphocyte levels were assessed in the complete blood count performed during the first application. Neutrophil-to-lymphocyte ratio was calculated. Fasting blood glucose (FBG) and fasting insulin, serum aminotransferase values, ultrasonographic results of patients were recorded.Results: Hepatosteatosis was determined in 64 of 104 patients (61.53%) while it was not determined in 40 patients (38.47%). The BMI, fasting insulin, HOMA-IR, ALT levels were higher in obese children with hepatosteatosis than patients without hepatosteatosis. The average MPV of the group with hepatosteatosis was 7.78±1.57, and the average MPV of the group without hepatosteatosis was 7.42±1.43, no statistical difference was observed between the groups (p=0.236). The average NLR was 1.62±1.06 in the group with hepatosteatosis and 1.38±0.59 in the group without hepatosteatosis. There was no statistical difference between the NLR averages of both groups (p=0.200).Conclusion: No relation was determined between MPV and NLR and liver fattening in obese children

Evaluation of Extrapulmonary Tuberculosis Cases Presenting with Different Clinical Findings

Introduction: Extrapulmonary tuberculosis cases may display different clinical symptoms and this causes a delay in diagnosis. Nutritional deficiencies, migrations, and wars facilitate the development and the spreading speed of the disease. The aim of this article is to examine extrapulmonary tuberculosis patients with different clinical presentations.Method: In this study, 15 extrapulmoner tuberculosis cases who were hospitalized and treated in our pediatrics clinic in the last two years, has been evaluated retrospectively.Results: The average age of our group was 11.7 ± 4.5 and six of the assessed patients were Syrian origin. The shared complaints of five patients diagnosed with peritoneal tuberculosis were abdominal pain and bloating. Abdominal ultrasonography findings of the patients in concordance with diffuse ascites. Two of these patients, Mycobacterium tuberculosis had peritoneal effusion. All of the five patients diagnosed with lymph node tuberculosis had swelling on the neck, and all had pulmonary involvement. However, only one patient's lymph node biopsy was concordant with tuberculosis. One patient bone tuberculosis patient applied to our clinic with hip and back pain symptom. Pott’s abscess was observed in the patient's thorax MRI and hip MRI was concordant with tuberculous arthritis. Our patient with renal tuberculosis was diagnosed during evaluation of sterile pyuria attacks and in her urine ARB (+) was detected and M. tuberculosis grew in urine culture. One patient with central nervous system involvement applied to our clinic with clouding of consciousness and headache. The cerebrospinal fluid (CSF) findings of the patient were concordant with tuberculosis and growth was observed in the CSF culture. One case with miliary tuberculosis had hypercalcemia and pulmonary involvement. The patient's M. tuberculosis DNA PCR test was positive in bronchoalveolar lavage fluid. Another patient with pericardial tuberculosis applied due to respiratory distress and had cardiomegaly and pericardial effusion. Nine of our patients also had a contact history, 12 had purified protein derivative of tuberculin (PPD) (+), and 11 had pulmonary involvement.Conclusion: Patients were admitted to our outpatient clinic with various clinical symptoms. After careful physical examinations were performed, detailed patient histories were taken and laboratory tests performed for differentials, patients were diagnosed with extrapulmonary tuberculosis. It was desired to emphasize that this disease may appear with different clinical presentations in endemic regions like our country

USING SOME POME FRUIT TREES IN LANDSCAPE DESIGNS

Landscape; when viewed from a point of view, natural and cultural beings that are able to enter into the frame of view are brought together to form a fountain. The materials that make up the live decor of the areas consist of especially the large trees of the plant kingdom, shrubs, undergrowths, ivies, single annual, biennial or perennial herbaceous plants, that is, roots consist of onion, lumpy or rhizomaceous herbaceous plants, grass plants and water plants which can be kept on the ground continuously. Among these, wild and cultured forms of soft-seeded fruits constitute an important place. In this study, the functional and visual use of wild plants such as wild pear, pear, apple, quince and their wild forms in different landscape designs have been investigated. In plantation studies, plants can be used in esthetic, functional or both ways to be more effective. It can also be growth for economic reasons. Economically cultivated species are particularly high economic values. However, they are often used for esthetic purposes outside of commercial assets, such as in other fruit trees. For this reason, the most common uses are to take advantage of both fruit and to benefit from the visual effect of flowers and fruit

Does weight loss affect the parameters that are metabolically related to cardiovascular diseases?

WOS: 000482650400004PubMed ID: 30957127Objectives: To assess the differences in the parameters that are metabolically related to cardiovascular diseases after weight loss in obese people with coronary artery diseases (CADs). Methods: This study was conducted on 184 patients who were diagnosed with CADs in Istanbul University Cardiology Institute Hospital, Istanbul, Turkey. The levels of leptin, fibrinogen, homocysteine, high-sensitivity C-reactive protein (hs-CRP), triglycerides, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol (LDL-C), fasting blood glucose and insulin, glycated hemoglobin, and uric acid of the obese patients who were put on calorie restricted diet were evaluated retrospectively and compared before and after weight loss. For comparison, non-obese control patients were also studied. Student's t-test and Chi-square test were used for the statistical analysis. Results: Levels of homocysteine, glycated hemoglobin, and leptin were significantly higher in the obese patients than in the non-obese patients. Diabetic obese patients with CADs lost (11.1%) and non-diabetic obese patients with CADs lost (10.5%) of their body weight in 6 months. The levels of cholesterol, LDL-C, and fibrinogen were significantly improved in both groups. Conclusion: The obese patients lost weight after being on calorie-restricted diets and showed significant improvement in the levels of cholesterol, LDL-C, fibrinogen. There was no significant difference in the levels of homocysteine, hs-CRP, and leptin before and after weight loss in both diabetic and non-diabetic obese patients

The opinions of the pre-service teachers about e-democracy in Turkey

AbstractToday, Internet has a widespread position in the world and the usage of electronic environments in the context of governance was begun. Because of the important role of e-democracy processes in 21st century and importance of the social studies pre-service teachers in training active citizens, in this study opinions of the social studies pre-service teachers about e-democracy are presented. The data has been collected from pre-service teachers through interviews. The data has been collected from pre-service teachers through interviews