Konya Meslek Yüksekokulu / Konya Vocational School

Permanent URI for this collectionhttps://hdl.handle.net/11727/3230

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Association between Red Blood Cell Distribution Width and Acute Pancreatitis
(2014) Karabulut, Keziban Ucar; Narci, Huseyin; Ucar, Yildiz; Uyar, Mehmet; 25428195
Background: We aimed to determine whether there are any alterations in red blood cell width in patients diagnosed with acute pancreatitis. Material/Methods: This was a retrospective study of records of patients treated in emergency units and diagnosed with acute pancreatitis between January 2011 and April 2013. Records were investigated regarding patient age, sex, and causes of acute pancreatitis. Red blood cell width and amylase values obtained from the patients during diagnosis and after a full recovery from acute pancreatitis were added to the records. Results: Recorded red blood cell width and amylase values of 104 patients diagnosed with acute pancreatitis were statistically compared according to the time of sample collection. Samples were collected in the post-diagnostic period and after full recovery. Values of red blood cell width and amylase were found to be significantly higher in samples collected during hospital admission in comparison to those obtained from patients after fully recovering from acute pancreatitis (p<0.05). Conclusions: An increase in red blood cell width value is a marker of acute pancreatitis; therefore, we suggest that red blood cell width can be used as a tool for the early diagnosis and assessment of disease progression.
The change of neutrophils/lymphocytes ratio in migraine attacks: A case-controlled study
(2016) Karabalulut, Keziban Ucar; Egercioglu, Tomris Ugur; Uyar, Mehmet; Ucar, Yildiz; 0000-0001-9188-0266; 27551404; AAJ-5618-2021
Objective: As commonly seen symptoms, headaches are among the most frequently encountered health challenges in emergency rooms by healthcare professionals. Among one of the most commonly seen and primary headaches is migraine. Migraines are mostly accompanied by functional deficits. Aims: To observe the changes of neutrophil/lymphocyte ratio occurring during migraine attacks. Method: This is a retrospective study where hospital records of patients previously diagnosed with migraine and admitted to the emergency with the complaints of attacks between May 2014 and January 2015 were investigated. All patients in the study were evaluated as to age, gender and complete blood count. Additionally, a healthy control group was formed with individuals with no disorders. By also evaluating the same features in the controls, the values found in the patients and controls alike were compared. Results: The values of white blood cell, lymphocyte, neutrophil, hemoglobin, thrombocyte and neutrophil/lymphocyte ratio determined in the patient group (n = 92) were statistically compared with those of the controls (n = 67). Neutrophil/lymphocyte ratio during the attacks was found higher in the patients, compared to the controls. Conclusion: Neutrophil/lymphocyte ratio is a sign of inflammation, and we consider that this ratio will also increase during migraine attacks, as with other inflammatory and acute processes. (C) 2016 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
Comparison of Ultrasound-Guided Erector Spinae Plane Block and Subcostal Transversus Abdominis Plane Block for Postoperative Analgesia after Laparoscopic Cholecystectomy: A Randomized, Controlled Trial
(2021) Ozdemir, Halime; Araz, Coskun; Karaca, Omer; Turk, Emin; 34085883; 0000-0001-7515-4264
Purpose Laparoscopic cholecystectomy causes moderate to severe pain despite its minimally invasive nature. This study was performed to compare the efficacy of the bilateral erector spinae plane block (ESPB) and the subcostal transversus abdominis plane block (STAPB) under ultrasound guidance. Methods 64 patients were included in this prospective, randomized study. The patients were allocated into two groups as those receiving ESPB (n = 32) and those receiving STAPB (n = 32). Pain scores at rest and during movement, fentanyl requirement, postoperative walking time, and duration of hospital stay were compared. The complications which related to block were also recorded. Results In the ESPB group, the Numeric Rating Scale (NRS) scores at rest were lower at hour 0 [at the time of post-anesthetic care unit (PACU) admission] and postoperative hours 2, 4, 6, and 12 (p < 0.05). In the same group, the NRS scores at movement were lower at hours 0, 2, 4, 6, 12, and 24 (p < 0.05). In the ESPB group, the time to first analgesic need was longer (p < 0.05), intraoperative and postoperative Fentanyl requirement (p < 0.0001 for both) and PACU rescue analgesic requirement were lower (p < 0.05), the lengths of PACU and hospital stay were shorter (p < 0.0001), and unassisted walking time was shorter (p < 0.0001). There were no complications related to the block in either group. Conclusion Bilateral ultrasound-guided ESPB provides superior analgesia after laparoscopic cholecystectomy surgery compared to STAPB and further reduces unaided walking time and hospital stay.
Jinekoloji ve obstetride acil hasta bakımı ve yönetimi
(2019) Çolak, Eser; Ceran, Ufuk; Arman Çaldır, Feyza; Taşdemir, Ümit; Özdemir, Duygu; Eroglu, Semra; Gökmen, Zeynel; Silahlı, Musa; Türk, Emin; Yücesan, Selçuk; Üstün, Burcu; Coşkun, Bora; Buğra, Coşkun; Gürbüz, Ali Sami
Metoclopramide-induced acute dystonic reaction misinterpreted as conversion disorder and seizure
(2017) Ozel, Betul Akbuga; Aksel, Gokhan; Kilicli, Elif; Muratoglu, Murat; Kavalci, Cemil; Gulalp, Betul; Kayipmaz, Afsin Emre; 0000-0002-9586-7509; AAK-2079-2021; AAC-2597-2020
Metoclopramide, an antiemetic, is the most common cause of drug-induced dystonic reactions. 20-year-old female patient, complaining of involuntary bilateral upward medial deviation of the eyes, generalized muscle contractions and uncontrollable cry was brought into the emergency department(ED) by an ambulance. The diagnosis of the ambulance crew was conversion or seizure. The patient has all of dystonic reaction symptoms, including facial, neck, back, and extremity spasms, opisthotonus, oculogyric crisis, torticollis, trismus. The history revealed 40 mg of metoclopramide intake. Biperiden (5 mg) was infused in 100 ml saline. Symptoms were completely resolved. She was discharged from the ED. Drug-induced dystonic reactions can be confused with conversion, seizures, encephalitis, tetanus and hypocalcemic tetany. It is important for emergency physicians to know the drugs that may have dystonic reaction as potential side effects, recognize the clinical presentation of drug-induced dystonic reactions, and properly manage them in the ED.
The role of neopterine in the diagnosis of patients with acute pancreatitis on admission to the emergency department
(2016) Karabulut, Keziban Ucar; Gul, Mehmet; Ucar, Yildiz; Erdem, Sami
Purpose: There are difficulties observed in the diagnosis of acute pancreatitis in emergency departments due to its different clinical properties and the insufficiencies in the methods of diagnosis. Since there is no specific biochemical indicator, the diagnosis is made usually late or with difficulty. Neopterine is an enzyme secreted from the macrophages and is an indicator of cellular immunity activation. The aim of this study was to determine the role of neopterine in the early diagnosis of acute pancreatitis. Material and Methods: 39 patients, who had been hospitalized with the complaints of abdominal pain and diagnosed as acute pancreatitis via laboratory and screening methods, and 30 healthy controls were included in the study. Amylase, lipase, cholesterol and neopterine were measured in the patients' samples. The diagnoses were confirmed with abdominal ultrasound and computed tomography. Results: The neopterine values in patients with acute pancreatitis were significantly higher than those of the control group. Conclusion: Neopterine is an indicator which is elevated in certain inflammatory and autoimmune situations. We believe that it is important in the early diagnosis of acute pancreatitis. Further experimental and clinical studies should be conducted on the subject.
The Significance of Mean Platelet Volume in Acute Pancreatitis
(2016) Karabulut, Keziban Ucar; Ozden, Hale Turan; Ucar, Yildiz
Aim: Acute pancreatitis is a high-mortality disease carrying significant risk of complications and characterized by intra-acinar cell activation of digestive enzymes, followed by a subsequent response via the release of proin-flammatory cytokines. Here, we aimed to investigate the development of mean platelet volume in patients diagnosed with acute pancreatitis. Material and Method: The study was performed in patients admitted to the emergency room with the complaint of abdominal pain and diagnosed with acute pancreatitis. A total of 116 patients were included in the study. Mean platelet volume, leucocytes or white blood cells and lipase values were investigated and compared after all patients had been diagnosed with acute pancreatitis and regained good health. Also, the values of mean platelet volume, white blood cells and lipase were recorded twice for these patients. Results: After diagnosis and complete treatment, the mean platelet volume, white blood cells and the lipase values of 116 acute pancreatitis patients were statistically compared it was found that the values on admission were higher than after the treatment. Discussion: Mean platelet volume is an indicator that increases in acute pancreatitis so, we consider that mean platelet volume may be beneficial in the diagnosis and in monitoring the course of acute pancreatitis.
Synthesis and electro-optical properties of a new copolymer based on EDOT and carbazole
(2016) Akbayrak, M.; Cansu-Ergun, E. G.; Onal, A.M.
A new copolymer of 3,4-ethylenedioxythiophene (EDOT) and 5-(2-ethylhexyl)-1,3-bis(9-methyl-9H-carbazol-3-yl)-5H-thieno[3,4-c]pyrrole-4,6-dione (CzPDICz) was electrochemically synthesized using different monomer feed ratios. The resulting copolymer films were investigated in terms of their electrochemical and electro-optical behaviors. Properties of the obtained copolymer films through different monomer feed ratios were compared to each other and to individual poly(ethylenedioxythiophene; PEDOT) and homopolymer of CzPDICz in order to observe the differences in the properties with respect to PEDOT and P(CzPDICz). Copolymers exhibited well adherence on the electrode surface with having non-diffusional redox process. The monomer feed ratios were prepared as 9:1; 4:1, and 1:1 (EDOT:CzPDICz) and changes in the electrochemical and spectroelectrochemical behavior were noted with increasing CzPDICz ratio in the monomer mixture. Although no appreciable change in the optical band gap values of the copolymers was noted as compared to PEDOT, the neutral blue copolymers exhibited grayish color in their semi-oxidized states and transparent green in their fully oxidized states.