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Öğe Apricot tree falls: a study from Malatya, Turkey(Allied Acad, 2016) Oguzturk, Hakan; Turgut, Kasim; Turtay, Muhammet Gokhan; Sarihan, M. Ediz; Gur, Ali; Beydilli, Inan; Gurbuz, SukruIntroduction: Falls from trees constitute an important and fatal form of injury. The present study aimed to assess the demographic and clinical features of apricot tree falls. Materials and methods: The patients who were admitted to the emergency department with a fall from an apricot tree between June 2015 and September 2015 were recorded prospectively. The age, gender, fall height, fall time, emergency department admission time, vital signs, injury types, treatments and outcomes, Glasgow coma score, and injury severity score, were studied for each patient. Results: There were 30 falls from apricot trees and all of them were male. The mean age was 29 +/- 18.9 years, and 33% of the patients were in the pediatric age group. The patients suffered from extremity (46.7%), spinal system (30%), chest (13.3%), abdomino-pelvic (6.7%), and head (3.3%) injuries. Arm and forearm fractures were ranked first among all the fractures. The majority of the patients (70%) were managed and discharged from emergency department. None of the patients died, and all of them recovered fully. Conclusion: Falls from apricot trees usually lead to only minor injuries. The emergency department has the most important role in the management of these injuries. A considerable amount of patients are children, therefore, clear and feasible rules regarding child workers will reduce falls from apricot trees.Öğe Bilateral Ureteral Stones Causing Anuria: A Case Report(Aves, 2015) Gur, Ali; Turtay, Muhammet Gokhan; Gurbuz, Sukru; Oguztruk, Hakan; Sarihan, M. Ediz; Oguz, Fatih; Derya, SerdarIntroduction: Bilateral ureteral stone is not known to frequently result in anuria during emergency. Case Report: An 18-year-old male patient was admitted to an emergency department with the complaint of sudden inability to urinate. He did not mention any additional complaints. On conducting a physical examination, we could not detect any pathological findings. From the patient's blood tests, potassium and creatinine levels were found to be 6.4 mmol/L and 9.81 mg/dL, respectively. Subsequently, we found bilateral ureteral stones on ultrasonography and non-contrast spiral computed tomography. Urology consultation was requested. The patient undergoing emergency surgery had ureterorenoscopy, bilateral endoscopic retrograde basket, and DJ stents procedures done by urology. During the follow-up, the patient was able to urinate, and his creatinine and potassium levels decreased. The patient was discharged. Conclusion: For patients admitted with complaint of anuria, we should keep in mind that the patient could have bilateral ureteral stones; therefore, he or she may have acute kidney failure and may subsequently require emergency surgery.Öğe Chilaiditi Syndrome: A Rare Cause of Shortness of Breath and Abdominal Pain(Aves, 2018) Ekmekyapar, Muhammed; Turtay, Muhammet Gokhan; Yucel, Neslihan; Oguzturk, Hakan; Gurbuz, Sukru; Derya, SerdarIntroduction: Chilaiditi syndrome is a rare condition in which a segment of the small or large intestine is interposed in between the diaphragm and the liver. This case report presents a patient who was admitted to the Department of Emergency Medicine, Turgut Ozal Medical Center with complaints of respiratory distress and abdominal pain and then diagnosed with Chilaiditi syndrome. Case Report: An 81-year-old female patient was admitted to the emergency department with complaints of difficulty in breathing and abdominal pain. The patient's anamnesis indicated that difficulty of breathing increased when she had abdominal pain. There was no defense or rebound, but sensitivity was observed on abdominal examination. Other system examinations were normal. Abdominal ultrasonography performed on the patient was also normal. A dynamic thorax-abdominal tomography was obtained in terms of differential diagnosis of the patient who had abdominal pain. In the dynamic thorax-abdominal tomography of the patient, loops of the colon were visualized in the vicinity of the liver anterior segment, and these images indicated with Chiliaditi syndrome. Conclusion: As a result, when the causes of shortness of breath and abdominal pain are investigated, Chiliaditi syndrome should be considered as a differential diagnosis.Öğe Chilaiditi syndrome: a rare cause of shortness of breath and abdominal pain(Aves, buyukdere cad 105-9, mecıdıyekoy, sıslı, ıstanbul 34394, turkey, 2018) Ekmekyapar, Muhammed; Turtay, Muhammet Gokhan; Yucel, Neslihan; Oguzturk, Hakan; Gurbuz, Sukru; Derya, SerdarIntroduction: Chilaiditi syndrome is a rare condition in which a segment of the small or large intestine is interposed in between the diaphragm and the liver. This case report presents a patient who was admitted to the Department of Emergency Medicine, Turgut Ozal Medical Center with complaints of respiratory distress and abdominal pain and then diagnosed with Chilaiditi syndrome. Case Report: An 81-year-old female patient was admitted to the emergency department with complaints of difficulty in breathing and abdominal pain. The patient's anamnesis indicated that difficulty of breathing increased when she had abdominal pain. There was no defense or rebound, but sensitivity was observed on abdominal examination. Other system examinations were normal. Abdominal ultrasonography performed on the patient was also normal. A dynamic thorax-abdominal tomography was obtained in terms of differential diagnosis of the patient who had abdominal pain. In the dynamic thorax-abdominal tomography of the patient, loops of the colon were visualized in the vicinity of the liver anterior segment, and these images indicated with Chiliaditi syndrome. Conclusion: As a result, when the causes of shortness of breath and abdominal pain are investigated, Chiliaditi syndrome should be considered as a differential diagnosis.Öğe Clinical analysis of the cancer patients who admitted to the emergency room(Scientific Publishers India, 2016) Gurbuz, Sukru; Turtay, Muhammet Gokhan; Oguzturk, Hakan; Guven, Taner; Gur, Ali; Colak, Cemil; Durak, Mehmet AkifObjective: Patients with cancer diagnosis often admit to emergency room with complaints that are directly or indirectly related to their current condition. We aimed to analyze what complaints the cancer patients admit with most, how long the cancer patients who are treated with antitumor treatment admit to the emergency room after the antitumor treatment, which departments were consulted with these patients most and the outcomes of these patients in the emergency room. Method: In this study, 1946 male and female patients older than 18 years old with oncological diseases who admitted to the emergency room for any complaints were analyzed retrospectively. Results: 879 (45.2%) of the patients were females and 1067 (54.8%) of them were males. The mean age was 59.1. The most common complaint was abdominal pain with 344 (17.7%) patients. The most common malignancy was lung cancer with 335 (17.3%) patients. 610 (31.3%) of the patients in the study were still receiving chemotherapy whereas 1052 (54%) of the patients never had chemotherapy. 285 (14.6%) patients were not receiving chemotherapy although they previously had. It was found that the patients admitted to the emergency room a mean of 69.9 days after the chemotherapy. 651 (33.5%) of the patients were not consulted with any departments whereas other patients were consulted with other departments, with medical oncology being the most consulted department. 1017 (52.2%) patients were discharged from the emergency room and 895 (46%) patients were hospitalized. 33 patients (1.7%) died in the emergency room. Conclusions: Patients with lung cancer admitted to the emergency rooms more often. Cancer patients admitted to the emergency department with abdominal pain and shortness of breath most. Emergency physicians have increased responsibility for tests, treatment and hospitalization of these patients as the patients are generally older and have multiple conditions.Öğe COMPARISON OF PULMONARY FUNCTION TESTING AMONG NON-SMOKERS, HAND-ROLLED CIGARETTE SMOKERS AND FACTORY MADE CIGARETTE SMOKERS(Southeast Asian Ministers Educ Organization, 2018) Turgut, Kasim; Turtay, Muhammet Gokhan; Kilic, Talat; Oguzturk, Hakan; Gulacti, Umut; Gur, Ali; Guven, TanerTobacco use causes significant health problems. The aim of this study was to compare the following factors among factory-made cigarette (FMC) smokers, hand-rolled cigarette (HRC) smokers and non-smokers (NS): demographic characteristics, pulmonary function testing (PFT) and carboxyhemoglobin (COHb) levels. PFT included checking: forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC, forced expiratory flow from 25-75% of the vital capacity (FEF25-75) and peak expiratory flow (PEF). We wanted to determine the impact of smoking on pulmonary function testing and to determine any differences in PFTs and COHb levels between FMC and HRC smokers. A total of 182 participants (all males) were included in the study. The subjects in the study were randomly chosen from emergency service admissions which had complaints other than respiratory system. The mean age of study subjects was 40.8 (range: 22-92) years. Mean age of starting smoking among HRC smokers was not significantly different from FMC smokers (95% CI: -0.55-2.37, p=0.220). HRC smokers had significantly lower economic and education levels than FMC smokers (95% CI: 9.0-45.2, p<0.01). NS had highest economic and educational levels (95% CI: 35.9-66.6, p<0.01) of the 3 study groups. The mean [+/- standard deviation(SD)] FEV1/FVC was 76.66 (+/- 7.45) among FMC smokers (95% CI: 74.82-78.51), 77.36 (+/- 8.14) among HRC smokers (95% CI: 75.36-79.36) and 83.13 (+/- 5.08) among NS (95% CI: 81.70-84.56, p<0.01). The mean (+/- SD) FEV1 was 84.50 (+/- 17.80) among FMC smokers (95% CI: 80.12-88.92 ), 89.4 (+/- 15.8) among HRC smokers (95% CI: 85.56-93.32) and 95.30 (+/- 13.3) among NS (95% CI: 91.59-99.07, p<0.01). The mean (+/- SD) PEF was 81.90 (+/- 19.30) among HRC smokers (95% CI: 77.19-86.69), 78.10 (+/- 18.70) among FMC smokers (95% CI: 73.47-82.74) and 86.20 (+/- 16.0) among NS (95% CI: 81.70-90.69, p=0.06). The mean FVC, FEV1, FEV1/FVC, FEF25-75%, and PEF values among NS were significantly (p<0.05) higher for each variable than the mean of these values among FMC and HRC smokers. The mean COHb level among NS was significantly (p<0.05) lower than the mean COHb levels in the two smoking groups. There were no significant differences in PFT results or COHb levels between the two smoking groups (p>0.05). Cigarette smoking cause impairment of pulmonary function equally independent of the cigarette type (FMC, HRC) smoked.Öğe Comparıson of pulmonary functıon testıng among non-smokers, hand-rolledcıgarette smokers and factory made cıgarette smokers(Southeast asıan mınısters educ organızatıon, seameo-tropmed, 420-6 rajvıthı rd,, bangkok 10400, thaıland, 2018) Turgut, Kasim; Turtay, Muhammet Gokhan; Kilic, Talat; Oguzturk, Hakan; Gulacti, Umut; Gur, Ali; Guven, Taner; Colak, CemilTobacco use causes significant health problems. The aim of this study was to compare the following factors among factory-made cigarette (FMC) smokers, hand-rolled cigarette (HRC) smokers and non-smokers (NS): demographic characteristics, pulmonary function testing (PFT) and carboxyhemoglobin (COHb) levels. PFT included checking: forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC, forced expiratory flow from 25-75% of the vital capacity (FEF25-75) and peak expiratory flow (PEF). We wanted to determine the impact of smoking on pulmonary function testing and to determine any differences in PFTs and COHb levels between FMC and HRC smokers. A total of 182 participants (all males) were included in the study. The subjects in the study were randomly chosen from emergency service admissions which had complaints other than respiratory system. The mean age of study subjects was 40.8 (range: 22-92) years. Mean age of starting smoking among HRC smokers was not significantly different from FMC smokers (95% CI: -0.55-2.37, p=0.220). HRC smokers had significantly lower economic and education levels than FMC smokers (95% CI: 9.0-45.2, p<0.01). NS had highest economic and educational levels (95% CI: 35.9-66.6, p<0.01) of the 3 study groups. The mean [+/- standard deviation(SD)] FEV1/FVC was 76.66 (+/- 7.45) among FMC smokers (95% CI: 74.82-78.51), 77.36 (+/- 8.14) among HRC smokers (95% CI: 75.36-79.36) and 83.13 (+/- 5.08) among NS (95% CI: 81.70-84.56, p<0.01). The mean (+/- SD) FEV1 was 84.50 (+/- 17.80) among FMC smokers (95% CI: 80.12-88.92 ), 89.4 (+/- 15.8) among HRC smokers (95% CI: 85.56-93.32) and 95.30 (+/- 13.3) among NS (95% CI: 91.59-99.07, p<0.01). The mean (+/- SD) PEF was 81.90 (+/- 19.30) among HRC smokers (95% CI: 77.19-86.69), 78.10 (+/- 18.70) among FMC smokers (95% CI: 73.47-82.74) and 86.20 (+/- 16.0) among NS (95% CI: 81.70-90.69, p=0.06). The mean FVC, FEV1, FEV1/FVC, FEF25-75%, and PEF values among NS were significantly (p<0.05) higher for each variable than the mean of these values among FMC and HRC smokers. The mean COHb level among NS was significantly (p<0.05) lower than the mean COHb levels in the two smoking groups. There were no significant differences in PFT results or COHb levels between the two smoking groups (p>0.05). Cigarette smoking cause impairment of pulmonary function equally independent of the cigarette type (FMC, HRC) smoked.Öğe Demographic features of acute drug poisoning admitted to Inonu University Hospital in Malatya, Turkey(Academic Journals, 2010) Oguzturk, Hakan; Turtay, Muhammet Gokhan; Pamukcu, Esra; Ciftci, OsmanIn this study, the patients appealed to Emergency Medicine Department, Faculty of Medicine, University of Inonu, Malatya, Turkey because the acute drug poisoning in the period from 01/01/2008 to 31/12/2009 were evaluated retrospectively. Demographic features of the patients, the agent responsible for poisoning and hospitalization rates were assessed. In this aim, we evaluated 178 patients, ages ranged from 18 to 77.79 (44.4%) were men and 99 (55.6%) patients were women. The mean ages of male and female were found to be 32.2 +/- 12.2 and 31.3 +/- 12.0, respectively. 91(51.1%) patients were living in rural areas and 87 patients (48.9%) were living in urban centers. It was found that 156 (87.6%) of these patients had first poisoning whilst 19 (10.7%) patients experienced second poisoning event and 3 (1.7%) patients had third poisoning event. The type of the poisoning was ingestion of drugs for suicidal intent in 146 (82%) cases and accidental ingestion in 32 (18%) cases. Poisoning most commonly occurred as ingestion of multiple drugs. Seven patients (3.9%) were discharged from the emergency service (ED), while 132 patients (74.2%) were hospitalized in intensive care unit of anesthesiology and 39 patients (21.9%) in the department of internal medicine. Average duration of hospitalization of all patients was 3.46 +/- 2.22 days. Drugs poisoning occur most frequently as ingestion of multiple drugs in young individuals and female.Öğe Detection of Entamoeba histolytica with different methods admitted to the emergency department in diarrheic patients(Academic Journals, 2011) Kaya, Ozlem Aycan; Oguzturk, Hakan; Turtay, Muhammet Gokhan; Daldal, U. NilgunAntigen screening were conducted to stool samples from 60 patients admitted to our emergency department with diarrhea complaint between June 2009 and October 2009 by the methods of direct microscopic examination, trichrome staining, ELISA (Enzyme-linked immunosorbent assay), respectively. As a result of examination of total 60 samples with direct microscopic, trichrome staining and ELISA method, it was detected positive in 7(11.3%), 6(9.7%) and 8(12.9%) samples, respectively. The presence of Entamoeba histolytica has been accepted exactly in the samples in which ELISA test results were positive and necessary treatment of patients has been started immediately. Due to precise pathogen protozoan discrimination has not been performed with the direct microscopic examination, it was emphasized that unnecessary drug therapy would be prevented as a result of detection of presence of E. histolytica specific antigen by ELISA in the samples sent to the laboratory with the diagnosis of amoebiasis by concerned physician.Öğe THE EFFECT OF CHRONIC CARBON MONOXIDE EXPOSURE ON BRAIN IN BARBECUE WORKERS(Parlar Scientific Publications (P S P), 2014) Turtay, Muhammet Gokhan; Yumrutepe, Sevgi; Kahraman, Aysegul Sagir; Bentli, Recep; Oguzturk, Hakan; Firat, Cemal; Colak, CemilThe aim of our study is to investigate whether chronic carbon monoxide (CO) exposure has effects on the brains of the people who work as barbecue workers (BWs) for a long time. Twenty males who had been working in the indoor environments of various restaurants (Group I) and 20 healthy males who were matched by age with the other group (Group 2) were included in the study. Laboratory tests were performed in both groups of people. Magnetic Resonance Spectroscopy (MRS) was applied to the people whose blood samples were taken. In Group I, significant correlations were not detected between carboxyhemoglobin (COHb) values and the variables of age, working hours, hemoglobin (Hb), white blood cell (WBC), hematocrit (HCT), platelet (PLT), mean platelet volume (MPV), pH, oxygen saturation (Sat O2) (p>0.05). In terms of Hb, WBC, HCT, PLT, MPV, pH, Sat O2, COHb, N-acetylaspartate/creatine in basal ganglion, choline/creatine in basal ganglion, N-acetylaspartate/creatine in frontal lobe periventricular white matter, choline/creatine in frontal lobe periventricular white matter variables, significant differences between Group I and Group 2 were not determined. (p>0.05). As a result of this study; it is detected that chronic exposure to CO in BWs does not have any effects on brain with respect to MRS imaging method.Öğe Effect of renal colic analgesia on oxidative stress parameters(Academic Journals, 2010) Turtay, Muhammet Gokhan; Oguzturk, Hakan; Colak, Cemil; Polat, Alaadin; Tasdemir, CemalOur aim in this study is to investigate serum oxidative stress parameters before and after fentanyl analgesia in renal colic which is a severe pain condition and to reveal if there is correlation between fentanyl analgesia and serum oxidative stress parameters in renal colic pain. Thirty two male patients, aged 18 - 65, (mean age 40.7 +/- 14.9) who applied to our hospital with the complaint of flank pain and were diagnosed with renal colic were accepted to study. Blood samples were taken from the patients who were diagnosed with renal colic as a result of physical examination and tests (urine analysis, plain radiography, ultrasonography, computed tomography) Pain management of the patients was carried out. Fentanyl (50 - 150 mu g), an opioid analgesic, was used in all patients. When patients stated that the pain was definitely gone through, the blood samples were taken again. Blood samples were taken from each participant twice, before and after the analgesic. Malondialdehyde (MDA), superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx) levels were measured from the blood taken. Statistical analysis of the levels which were obtained from before and after the fentanyl treatment was carried out. There were increases in CAT (P < 0.001), SOD (P = 0.002), MDA (P < 0.001), and GPx (P = 0.28) activities in response after analgesic administration in the patients. In our study, the treatment of renal colic pain with fentanyl, an opioid analgesic, led to significant increases in the levels of SOD and CAT, which are antioxidant enzymes.Öğe THE EFFECTS OF CHRYSIN ON BURN HEALING(Carbone Editore, 2021) Turtay, Muhammet Gokhan; Ciftci, Osman; Cetin, Asli; Gurbuz, Sukru; Oguzturk, Hakan; Basak, Nese; Firat, CemalIntroduction: This study aims to investigate the effects of chrysin on burn healing in burned model rats. Materials and methods: Rats were burned and randomly divided into four groups. Group 1; the group whose burn wound was left to secondary healing. Group 2; the group to which bacitracin neomycin sulfate pomade was topically administered. Group 3; the group to which chrysin was administered topically and with gastric gavage. Group 4; the group was assigned as the group to which chrysin and bacitracin neomycin sulfate was administered. Results: On days 3, 7 and 14, blood samples and skin biopsies were taken. Necrosis, congestion, hemorrhage and IL-1 beta were found to have the lowest levels on all days when bacitracin and chrysin were administered together. This group was also found to have the lowest level of TNF-alpha serum levels on days 7 and 14. Conclusion: We conclude that chrysin is effective in the treatment of burn wounds when used separately, but when combined with topical bacitracin pomade application, it is more effective for healing.Öğe Electrical Injuries: The Demographical and Clinical Features(Galenos Yayincilik, 2010) Oguzturk, Hakan; Turtay, Muhammet Gokhan; Ertan, Cem; Akgun, Feride Sinem; Tekin, Yusuf KenanAim: Electrical injuries are an important health problem in our country, as well as worldwide. The aim of this study was to explore the demographic characteristics, complications and mortality associated with electrical injuries. Methods: In this study, 38 patients who had been exposed to electrical injuries and treated at the Emergency Department of, Faculty of Medicine, Inonu University between October 2008 and October 2010 were reviewed. Data pertaining to the patients were analysed retrospectively. Results: Out of 38 patients, 28 (73.7%) were male and 10 (26.3%) female. Electrical injuries were most frequently encountered in the 17-29 year age group, constituting 39.5% of cases. Eight (21.1%) patients were exposed to high voltage and 30 (78.9%) to low voltage. Among the circumstances leading to electrical injury, household accidents (63.2%) prevailed over the occupational accidents (36.8%). Two patients died due to sepsis. The overall mortality rate was 5.3 % and the mean hospital stay was 4.1 +/- 5.2 days. Conclusion: The results obtained from this research with respect to the demographic and clinical features can help the development of a particular strategy for electirical injuries.Öğe The Evaluation of Electrocardiogram Findings in Acute Abdominal Pain Patients Admitted to the Emergency Department(Sage Publications Inc, 2011) Oguzturk, Hakan; Turtay, Muhammet Gokhan; Tekin, Yusuf Kenan; Tekin, GulacanThe aim of this study was to determine the diagnostic value of electrocardiogram in differential diagnosis of patients with nonspecific abdominal pain. This prospective observational study was conducted in a university emergency department over 2 weeks. One hundred twenty patients with complaints of abdominal pain were admitted to the emergency department. During the study period, a total of 120 cases were evaluated. The final emergency department disposition status of the 120 patients was 1 (0.8%) died in the emergency department, 28 (23.3%) were admitted to the general ward, 27 (22.5%) were admitted to other services, and 10 (8.3%) were admitted to the cardiology service and coronary care unit. The examination indicated that 38 (31.7%) patients with abdominal pain showed cardiac pathologies on their electrocardiograms; 3 (2.5%) patients with abdominal pain admitted to cardiology service had ST elevation, and 2 (1.6%) had electrocardiogram depression on their electrocardiograms. According to the results, the authors claim that the electrocardiogram played an important role in the treatment and diagnosis of patients presenting with abdominal pain in emergency medicine. For this reason, it was thought that emergency medicine specialists should understand the basis of the perception of abdominal pain and develop a focused approach to the initial evaluation of these patients.Öğe Evaluation of Intestinal Parasites in Diarrheic Patients Refer to the Emergency Medicine Department of the Inonu University School of Medicine(Duzce Univ, 2010) Oguzturk, Hakan; Turtay, Muhammet Gokhan; Ertan, Cem; Kaya, Ozlem Makbule; Atambay, Metin; Tekin, Yusuf KenanPurpose: The infections caused by intestinal parasites are one of the leading health issues both by means of individuals and society, especially in developing countries. We analyzed stool samples of 54 patients aged 18 to 67, who presented at our emergency department during June 2009 - October 2009 period, for parasitological agents. Methods: Stool samples were examined using native-lugol, trichrome staining and Kinyoun acide fast methods. Entamoeba species (Entamoeba histolytica and/or dispar) were found to be the most common parasites. Results: Of 54 patients' samples 12 (22,2%) were found to be positive for parasites by microscopy, six (11,1%) by Thrichrome painted samples and one by Kinyoun acid fast painted samples. Most common detected parasites were Entemoeba species (Entamoeba histolytica and/or dispar) found in seven samples (12,9%). Seven of the patients found positive by microscopy were female (12,9%), male five (41,7%). The complaints and of all 54 patients were recorded. Malaise and nausea were found to be the most common symptoms in groups both with and without parasites. Conclusion: Parasitological agents have to be recalled in patients presenting to emergency departments with diarrhea as well as bacterial, viral and fungal pathogens.Öğe Examination of Pediatric Trauma Patients Admitted to the Emergency Department(Galenos Publ House, 2024) Yigit, Eren; Turtay, Muhammet Gokhan; Colak, CemilAim: The aim of this study was to analyze the demographic and laboratory data of pediatric trauma patients admitted to the emergency department. Materials and Methods: Our study was conducted by retrospectively analyzing the files of 573 patients from the computer registry system of pediatric trauma cases aged between 0 and 16. In addition, information such as age and gender of the patients, monthly admissions, mechanism of trauma, the place where the trauma occurred, the consultations requested, the services where the patients were followed, the body parts exposed to the trauma, radiological and laboratory findings, and the treatments given were specified. Results: The most common mechanisms among trauma etiologies were falling and impact on pediatric traumas. Head and neck injuries occurred first when body parts exposed to trauma were examined. It was determined that head and neck injuries increased as age decreased. It was found that the frequency of abdominal trauma increased as age decreased, and those with abdominal injury had lower hemoglobin and hematocrit values and higher alanine aminotransferase and aspartate aminotransferase values compared with those without abdominal injuries. Conclusion: It has been determined that in terms of the incidence of pediatric traumas, there were different etiological causes and trauma areas, their frequency varied seasonally, and a good evaluation of the blood tests was critical in the assessment and follow-up of patients and to avoid missing some injuries.Öğe HETEROTOPIC OSSIFICATION; CASE REPORT(Aves, 2011) Oguzturk, Hakan; Turtay, Muhammet Gokhan; Dogan, Metin; Akgun, Feride SinemHeterotrophic ossification is the development of bone in abnormal areas like muscle tissue. Neurogenic, traumatic and congenital are just a few of the causes which vary a lot. The most significant factor affecting prognosis is prolonged immobilization. Emergency departments are places where immobile patients most frequently apply due to their varied complaints. In this report we presented an immobile patient with heterotrophic ossification and reviewed the literature. Heterotrophic ossification should be taken into consideration while assessing the possible causes of the complaints such as joint or extremity pain, restriction of movement in patients with immobilization.Öğe INVESTIGATING THE THERAPEUTIC EFFECTS OF FLAVONOID-STRUCTURED HESPERIDIN IN ACUTE BURN TRAUMAS(Parlar Scientific Publications (P S P), 2018) Oguzturk, Hakan; Ciftci, Osman; Taslidere, Asli; Turtay, Muhammet Gokhan; Gurbuz, Sukru; Basak, Nese; Firat, CemalOne of the flavonoids, Hesperidin might be beneficial in the treatment of burn injuries. In this study, it was aimed to investigate the effect of Hesperidin in the treatment of burn injuries. In this study, 32 male Sprague Dawley rats were randomized to four groups after local burn development: Group I (Control); rats were left to secondary healing without treatment, Group 2 (Bacitracin group); rats were treated with pomade locally (Bacitracin neomycin sulfate), Group 3(Hesperidin) were treated with Hesperidin for 14 days without Bacitracin, and Group 4(Bacitracin+Hesperidin); local pomade treatment and Hesperidin 50 mg/kg were administered by gastric gavage once a day for 14 days. Skin biopsies and blood samples were collected on days 3, 7,14 relative to burn induction. IL-1 beta and TNF-alpha studies from blood samples and histopathological inspections from tissue biopsies were performed. In Hesperidin + Bacitracin group, 3rd, 7th and 14th days significant reduction in necrosis in the epidermis and dermis, in the 3rd and 14th days little mononuclear cell infiltration that were detected. In this group, on day 14, mononuclear cell infiltration decreased significantly and fairly small amount of vascular congestion was observed on day 7. On day 14 of Hesperidin+Bacitracin group, no congestion or hemorrhage was observed. According to histopathological inspection, it was observed that Hesperidin is effective in burn injury treatment but the best results were observed in Hesperidin+Bacitracin group. It was detected that the most significant decrease in IL-1 beta and TNF-alpha levels in time was in Hesperidin+Bacitracin group. In conclusion, Hesperidin was effective on burn wound healing. Moreover, the effect could be amplified when combined with topical antibiotics in the early stage of burn wound healing.Öğe Left bundle branch block secondary to subarachnoid hemorrhage(Aves, buyukdere cad 105-9, mecıdıyekoy, sıslı, ıstanbul 34394, turkey, 2018) Turtay, Muhammet Gokhan; Yigit, Eren; Gurbuz, Sukru; Sarihan, Mehmet Ediz; Oguzturk, Hakan; Turkmen, NurMany electrocardiogram changes associated with subarachnoid hemorrhage have been described. A 55-year-old female patient was admitted to the emergency service due to complaints of dizziness and fainting after headache persisting for several days. Left bundle branch block was detected on electrocardiogram, and a subarachnoid hemorrhage was detected on brain tomography. Our case illustrates that left bundle branch block may occur in patients with subarachnoid hemorrhage, having no symptoms of a heart problem, previously.Öğe Long-term analysis of patients admitted to the emergency room as a result of occupational accidents(Allied Acad, 2016) Gurbuz, Sukru; Aydogan, Mustafa Said; Colak, Cemil; Turtay, Muhammet Gokhan; Oguzturk, Hakan; Gur, Ali; Ekmekyapar, MuhammedObjective: We aimed to describe the demographic and clinical features and healthcare costs associated with occupation related injuries between 2010 and 2015. Method: The patients of occupational accidents were evaluated according to age, gender, accident type, trauma localization, duration of hospitalization in the emergency department, prognosis, imperfection types causing to accidents and outcomes and cost spent. Results: 449 patients diagnosed with occupational accidents from January 2010 to December 2014 were included in the analysis. Of injury referring distribution the most common cause of occupational accidents (type of accidents) was extremities injury 141 (31.4%). About 50.1% of all estimated construction occupational accidents treated in the emergency department affected upper extremities. Remaining injuries primarily affected the head, lower extremities and thorax (45%). The mean cost of an inpatient admission following occupational accidents was $232, and the overall costs of patient care for the study sample during this time frame exceeded $26.142 annually. Conclusions: Occupational injuries, illnesses, and fatalities remain a major public health and economic concern around the world. The findings from this study may be beneficial in the development, implementation, and evaluation of injury prevention policies and prevention programs.
