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    Analysis of patients with upper gastrointestinal bleeding: a study from Anatolian, Turkey Seasonal Distribution of Gastrointestinal Bleeding
    (Drunpp-Sarajevo, 2012) Korkmaz, Ilhan; Eren, Sevki Hakan; Guven, Fatma Mutlu Kukul; Beydilli, Inan; Yildirim, Birdal; Oguzturk, Hakan
    The aim of our study was to analyze if we have a seasonal or circadian distribution of acute upper gastrointestinal bleeding (AUGIB) patients, and to evaluate the laboratory and demographic risk factors on mortality rates. We scanned all of the files of the patients who had been diagnosed with AUGIB, for a ten year period. Datas' about seasonal distribution, circadian rhythm, admission hemoglobin, blood urea nitrogen and demographic variables were extracted from the charts. We didn't observed a seasonal distribution for AUGIB inspite of we excluded the drug effect by analyzing its seasonal distribution. Also our patients were admitted mostly nights which was compatible with the literature. Whereas our admission rate between 24 and 06 hour period was low. Admission low hemoglobin level, impaired blood urea nitrogen and creatinine level, and patients with advanced age has a higher mortality rate (p=0.03, p=0.003, p=0.02, p=0.001 respectively). Climatic factors effect on the seasonal distribution among AUGIB patients is not observed. Other risk factors (mental-physical) should also be evaluated. Low hemoglobin level, impaired renal functions and advanced age are bad risk factors for prognosis.
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    Relations of the Congestive Cardiac Failure with Troponin I and CK-MB
    (Drunpp-Sarajevo, 2012) Topal, Fatih Esat; Oguzturk, Hakan; Topal, Firdevs; Yildirim, Birdal; Gokhan, Muhammet
    The cardiac failure is a disease of a significant increase in incidence within the last two decades. In Turkey, like many other countries, the cardiac failure is the main reason of many deaths. In this study, the major structural characteristic of Congestive Cardiac Failure (CCF) is the myocardial cell death, and therefore the authors preferred to research the relation between the troponin I and cardiac CK-MB that are specific proteins for the cardiac necrosis. Methods: In this study, the Troponin I and CK-MB levels were checked in 75 patients of congestive cardiac failure and a control group. The control group comprises of 60 people of comparable ages and genders with no cardiovascular or other diseases. While the ejective fraction was lower than 50% in all the 75 patients, it was over 50% in all individuals of the control group. Results: The troponin I and CK-MB levels of the patient group were observed to be significantly higher in comparison with the control group. Furthermore, based on NYFIA, the troponin I and CK-MB levels in the class III and IV patient groups were significantly higher than the levels of the class I and II groups. Conclusion the congestive cardiac failure patients have significantly higher troponin I and CK-MB levels. The cardiac troponin I and CK-MB levels may be an appropriate and cost effective scanning test for such patients. It may however be useful to use such parameters in classification of the advanced level cardiac failure morbidity, mortality and short-long term prognosis.