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Öğe Evaluation of Acute Coronary Syndrome with Coronary Angiography Due To Diurnal Variatin in the Patients who Admitted to The Emergency Department(2019) Çaltekin, İbrahim; Hidayet, Şıho; Albayrak, Levent; Gökçen, Emre; Savrun, Atakan; Kuşdoğan, Mikail; Turan, YaşarAbstract: Backround: The aim of this study is to investiate whether patints with acute myocardial infarctin exhibited diurnal variatin and the relatinship between the affcted coronary artery and this diurnal variatin.Material and Methods: The patints admittd to the emergency department of Yozgat Bozok Universitywith symptoms of acute coranary syndrome between January and December 2017 were retrospectielyanalyzed. In 24 hour period diurnal changes were analyzed in 6 groups (00: 01-04: 00, 04: 01-08: 00, 08: 01-12: 00, 12: 01-16: 00, 16: 01-20: 00, 20: 01-00: 00), seasonal changes were analyzed in 4 groups (Spring,Summer, Autumn, Winter), and weekly changes were analyzed in 2 groups (Weekday, Weekend).Results: When diurnal effcts coronary arteries were examined, no statitially signifiant results werefound. When the changes of diurnal effct were observed at weekdays and weekends, it was found thatall three coronary artery lesions were statitially increased at weekdays compared to the lesions seen atweekends (p<0,05).Conclusion: Although daily diurnal variability was not detected as a result of our study, it was clearlydetermined that the increase in coronary artery disease was affcted by social reasons such as stress andintensive work pace during the weekdaysÖğe Evaluation of red blood cell distribution width and mean platelet volume levels in hypertensive and non-hypertensive epistaxis patients(2020) Caltekin, Ibrahim; Demir, Bilgehan; Albayrak, Levent; Atik, Dilek; Gokcen, Emre; Savrun, Atakan; Kaya, Hasan BurakAim: We investigated the development of epistaxis and the effect of red blood cell distribution (RDW) and mean platelet volume (MPV) levels in hypertensive patients compared to non-hypertensive patients. Epistaxis is an urgent rhinologic condition that may manifest itself as recurrent hemorrhages in small quantities or life-threatening hemorrhages. It is known that epistaxis does not develop in every hypertensive patient.Material and Methods: In this retrospective study, the participants were divided into four groups as follows: Group 1 hypertensive epistaxis, Group 2 isolated epistaxis, Group 3 isolated hypertension, Group 4 control. RDW and MPV values were obtained from complete blood count (CBC) samples.Results: There was a statistically significant difference in RDW and MPV blood parameters between all groups (p=0.02). When RDW and MPV blood parameters of Group 1 with hypertensive epistaxis and Group 3 with isolated hypertension were evaluated, there was a statistically significant difference between these two groups in both parameters (p = 0.000, p = 0.011).Conclusion: In our study, we showed that the decrease in RDW and MPV values among the hematological parameters increases the association of epistaxis with hypertension in hypertensive patients compared to non-hypertensive patients.Öğe Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients(2019) Gokdemir, Mehmet Tahir; Albayrak, LeventAim: The purpose of this study was to determine the effects of using a bag-valve-mask (BVM) or endotracheal intubation (EI), and administering epinephrine during the transfer of Out-of-hospital Cardiac Arrests (OHCA) cases, and to show the effects of BVM or EI, and epinephrine use on discharge from the hospital and patient survival.Material and Methods: Totally 109 OHCA patients were included in the study. Group 1 included patients in whom return of spontaneous circulation was achieved after Cardiopulmonary resuscitation (CPR) and who were then discharged from the hospital within 30 days. Group 2 included patients who died after emergency CPR or hospitalization. A Student’s t-test was used for normally distributed continuous values, and a Chi-square (χ2) test was used for numerical data.Results: Sixteen (14.7%) of the OHCA cases survived and were discharged within 30 days, and 93 (85.3%) died. The outcomes were similar between those who received endotracheal intubation (EI) and BVM during hospital transfer (p = 0.569). Epinephrine was administered to 15 (19.2%) patients in group 2 and 5 (45.4%) patients in group 1 during the transfer period, but this difference was not significant (p = 0.167). Logistic regression modelling did not find an association between type of airway management, epinephrine use and 30-day discharge survival. Conclusion: The results of this study show that epinephrine had no effect on patient survival or hospital discharge in OHCA patients. Additionally, the effects of EI and BVM on 30-day survival and hospital discharge were similar.