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    Comparison of the sodium, potassium, chloride and glucose levels measured by a blood gas analyzer and an autoanalyzer
    (2020) Kaya, Omer; Yucel, Kamile
    Aim: A blood gas analyzers (BGA) are vital equipment frequently used in emergency departments and intensive care units. It is clinically important that the measurements of a BGA and an autoanalyzer (AA) provide equivalent results, which is confirmed by their proximitiy to the absolute value. This study aimed to compare the sodium (Na+), potassium (K+), chloride (Cl-) and glucose values in venous blood samples measured with a BGA and a standard AA with external quality control values.Material and Methods: The results of patients that presented to our emergency department between April 1, 2019 and July 1, 2019 and underwent the measurements of Na+ (n = 5,908), K+ (n = 5,755), Cl- (n = 5,101) and glucose (n = 5,871) simultaneously by BGA and AA were retrospectively compared. Results: In the Spearman correlation analysis between the two measurements, the correlation coefficient (r) was found as 0.78, 0.88, 0.89 and 0.97 for Na+, K+, Cl- and glucose, respectively. According to the Bland-Altman analysis, in the comparison of Na+, K+, Cl- and glucose values, the average bias percentages at the 95% confidence interval were -0.8 (4.8 to -6.4), -9 (8.6 to -26.5), -0.2 (6.2 to -6.5), and 0.3 (21.8 to -21.3), respectively. Conclusion: We concluded that the Na+ and Cl- results obtained from BGA can be used instead of those obtained from an AA; however, the blood gas K+ and glucose results of the former cannot replace those of the latter.
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    Evaluation of erectile dysfunction in patients with asthma
    (Wiley, 2021) Kilic, Talat; Kilic Aydin, Naciye; Kirici Berber, Nurcan; Kaya, Omer
    Objectives The aim of the current study was to investigate Erectile dysfunction (ED) in asthma patients without comorbidity and the relationship between the level of asthma control and ED. Methods Forty male patients aged 24-50 years with controlled-to-uncontrolled asthma and 20 healthy volunteers were included in this study. The International Index of Erectile Function Questionnaire (IIEF) for ED was used. Results Evaluation of the IIEF scores for ED showed that 23 (57.5%) of the asthma patients and 4 (20.0%) of the controls had various degrees of ED, and the difference was statistically significant. In total, 25% of asthma patients had mild ED, 22.5% moderate ED, and 10% severe ED. Severe, moderate and mild ED was more frequent in the asthma group. Of the 23 patients who had various degrees of ED, 13 were in the uncontrolled asthma group. While all asthma patients with severe ED were in the uncontrolled asthma group, of the 9 asthma patients with moderate ED, 6 were in the uncontrolled asthma group, 2 were in the partially controlled asthma group and one was in the controlled asthma group. Additionally, of the 10 asthma patients with mild ED, 3 were in the uncontrolled asthma group, 2 were in the partially controlled asthma group and 5 were in the controlled asthma group. Conclusion The current study showed that ED is frequent and more severe in asthma patients than controls with same age. A highly negative correlation was found between ED degree and asthma control severity.
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    A Right Atrial Myxoma Mimicking Pulmonary Embolism: A Case Report
    (Aves, 2014) Kaya, Omer; Ermis, Hilal; Turkkan, Sinan; Aytemur, Zeynep Ayfer; Baysal, Tamer; Acikgoz, Nusret
    Myxoma is the most common primary tumour of the heart. Approximately 75% of primary cardiac myxomas are located in the left atrium and tend to be sporadic. Myxomas are rarely asymptomatic and presenting symptoms may sometimes be confused with respiratory diseases. A 29-year-old male patient was admitted to our outpatient clinic with shortness of breath and chest pain. In the thoracic computed tomography, which was performed for the pre-diagnosis of pulmonary embolism, a hypodense space-occupying lesion, approximately 8X4 cm in size, with irregular margins that did not show contrast enhancement in the right atrium and right ventricle, was identified. The patient, whose diagnosis of myxoma was confirmed by echocardiographic examination, underwent excision of the intracardiac mass. The present case was deemed to be suitable for presentation since the myxoma was located in the right atrium and right ventricle, as well as to remind that an underlying cardiac pathology should be considered in patients presenting with respiratory symptoms.