An Unusual Cause of Right Lower Quadrant Pain: The Caecum Diverticulitis

Purpose. In the study presented, preoperative examinations and surgical methods were discussed along with literature, regarding two cases who were operated with the prediagnosis of acute appendicitis and for whom caecum diverticulitis was determined. Case 1. 21 years old male patient who had applied to hospital with complaint of abdominal pain, underwent an operation with a prediagnosis of acute appendicitis. Right hemicolectomy was performed with mass perioperatively determined in caecum. Histopathological examination revealed necrosis and inflammation in diverticulum wall. Case 2. 36 years old female patient applied to emergency department with abdominal pain and underwent an operation with a prediagnosis of acute appendicitis. Appendectomy and diverticulectomy were performed for whom inflame diverticula in caecum was determined perioperatively. Histopathological examination was revealed acute inflammation in diverticulum wall. Conclusion. Although solitary caecum diverticulitis is a rarely encountered disease, it must be considered in the differential diagnosis of right lower abdomen pain

Demographic Characteristics of Patients Admitted to Private Hospital Emergency Service

Aim: Increasing the productivity of emergency services is only possible with the documentation and analysis of data on services provided. In this study, we aimed to evaluate demographic characteristics of patients admitted to the emergency unit using a computer-based patient registry system. Materials and Methods: 33,886 outpatients admitted to the emergency unit between 01.09.2017 and 31.08.2019 were retrospectively analyzed. Demographic characteristics of the patients, main complaints, time of admission, triage classification, and International Classification of Diseases diagnosis codes were evaluated. Results: Among outpatients admitted to the emergency unit, 58% were males and 42% were females. A total of 43% outpatients were 0-12 months of age, 21% were 1-5 years of age, 15% were 28-39 years of age, and 9% were 40-64 years of age. In total, 39% outpatients were admitted to the emergency unit due to upper respiratory tract diseases. Of the patients, 95,42% were treated in the outpatient setting. The highest admission rates were in December and January. The highest admission rate was on Sunday, while the least was on Wednesday and Thursday. The highest admission time period was between 20:00–00:00, while the least was between 04:00–08:00. Conclusion: Our study results show that supportive measures for healthcare professionals including specialists and medical equipment should be provided, in particular between 20:00–00:00, at the weekends, and in winter seasons, when the overall admission rate increases. Based on these results, we suggest that documentation and analysis of demographic data of patients admitted to the emergency unit can contribute to physical and labor force planning of emergency units

The effects of propofol and a diazepam/alfentanil combination in dogs aged 10 years and above on heart rate, respiratory rate, pulse oximetry data, intraocular pressure, and body temperature

In older patients, it is important to minimise anaesthesia-related deaths and complications. In this study, 2 separate anaesthesia inductions were evaluated with respect to their effects on heart rate, respiratory rate, pulse oximetry data, intraocular pressure, and body temperature. A total of 22 dogs were evaluated and 2 separate anaesthesia groups were formed. Propofol (6 mg/kg) was administered to group G1 via a slow intravenous (IV) injection. In group G2, diazepam (0.5 mg/kg) was first administered via an IV injection, followed immediately by alfentanil (40 mu g/kg), administered via a slow IV route. Each parameter was recorded prior to anaesthesia (T-0), immediately after anaesthesia induction (min 0-T-1), 5 min after induction (T-2), immediately after intubation (min 0-T-3), and 5 min after intubation (T-4). Statistical analysis was performed by repeated measurements of ANOVA and independent samples t-test methods in SPSS 10.0. While no difference was observed between the times of measurements in group G1 regarding heart rate, respiratory rate, and pulse oximetry data, differences were determined between the measurement times in group G2. In group G1, a drop occurred in intraocular pressure immediately after anaesthesia induction. In group G2, a decrease in intraocular pressure was observed in the measurement taken 5 min after induction. Body temperature dropped significantly in both groups. It was concluded that, in the anaesthesia induction of patients aged 10 years and above, propofol, with more reliable findings, should be preferred over the diazepam/alfentanil combination

Effect of different doses of 2‑aminoethoxydiphenyl borate on intestinal ischemia-reperfusion injury

© 2016, Springer-Verlag Wien.Background: Acute mesenteric ischemia is a life-threatening clinical entity. 2‑Aminoethoxydiphenyl borate (2-APB) is a membrane-permeable modulator of intracellular inositol triphosphate-induced calcium release. We investigated the effects of different 2‑APB doses on intestinal ischemia-reperfusion injury in an experimental rat model. Methods: We divided 24 Wistar albino rats into four groups: sham, control, ischemia-reperfusion +2 mg/kg 2‑APB, and ischemia-reperfusion +4 mg/kg 2‑APB. The sham group only underwent laparotomy for 1 h 30 min. A 30-min period of mesenteric ischemia was induced in the control and two treatment groups, followed by 1 h of reperfusion. Before the laparotomy, 2 mg/kg and 4 mg/kg 2‑APB was administered i.v. in the treatments groups, and blood samples were collected after reperfusion. Serum levels of malondialdehyde, superoxide dismutase, glutathione, total antioxidant capacity, tumor necrosis factor (TNF)-α, and interleukin-6 were analyzed. Intestinal tissues were taken for histopathological, DNA fragmentation, and terminal deoxynucleotidyl transferase dUTP nick end labeling analyses to determine the proportion of apoptotic cells. Results: 2-APB reduced serum malondialdehyde, TNF-α, and interleukin-6 levels. However, superoxide dismutase and total antioxidant capacity levels increased significantly in the 4‑mg/kg 2‑APB group (p < 0.05). The intestinal histopathological injury scores were significantly higher in the control group; these injuries were prevented in the 4‑mg/kg 2‑APB dose group. DNA damage after ischemia-perfusion decreased significantly in the 4‑mg/kg 2‑APB group compared with the control group. Conclusion: 2-APB decreases oxidative stress and cell injury. Administering 4 mg/kg 2‑APB prevented ischemia-perfusion injury by diminishing histological damage