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Öğe Comparison of Different Suture Techniques(Derman Medical Publ, 2015) Kavalci, Cemil; Cevik, Yunsur; Durukan, Polat; Sayhan, Mustafa BurakAim: Traumas are frequent causes of presentation to emergency departments. Suturing is usually required in treatment of patients with scalp laceration. This study aimed to investigate different suture methods with respect of patient satisfaction, wound healing, and treatment cost in patients with scalp laceration. Material and Method: A total of 60 patients were included in the study. The patients were divided into 3 groups; traditional suturing (Group 1), stapling (Group 2), and the tissue adhesive (Group 3) groups. Chi-Square and Kruskal-Wallis tests were used for comparison of the groups. A p value less than 0.05 was considered statistically significant. Results: Two-thirds of the patients were male. The patient satisfaction was highest in the Group 3 (p<0.05). Tissue adhesive group had the lowest treatment cost (p<0.05). Discussion: In contrast to existing traditional belief, the alternative suture methods, i.e. tissue adhesives and staples are not expensive. The patient satisfaction was highest in the tissue adhesive group.Öğe Edirne Basic Education Module: The Result and the Evaluation of Activity for Three Year(Emergency Medicine Physicians Assoc Turkey, 2009) Kavalci, Cemil; Guzel, Ahmet; Cevik, Yunsur; Durukan, PolatBACKGROUND: Physicians should be improved their knowledge and ability due to represent for equal and reliable health setting. We aimed to present the three-year evaluation results of the Basic Education Module, which is the first step of the certification program for physicians in Edirne. MATERIAL AND METHODS: All physicians were performed with test contained twenty questions before and after of course. The differences between the values before and after course were tested with depend and independent t test. A p value less than 0.05 was accepted as the level of significance. RESULTS: Two hundred seventy-seven physicians were included in this study. Differences in values of all physicians which admitted to education programs between before and after course in were statistically significant (p <0.001). Although differences in values of control groups between before and after course in were not statistically significant (p >0.05). CONCLUSION: Basic Education Module programs are necessary to represent for quality and reliable health setting by all physiciansÖğe Evaluation of Triage Tox Drug Kit in Intoxication Cases(Galenos Yayincilik, 2009) Kavalei, Cemil; Guzel, Ahmet; Cevik, Yunsur; Durukan, PolatPoisonings are important Causes of emergency room visits It especially very common among adolescents and women. in this study we airved to define the value of tox drug screen kit in the diagnosis and treatment of poisoning cases. Poisoning cases admitted to emergency department of Trakya University Hospital between january and June 2009 were evaluated prospectively. Demographic features of patients poisoning agents of intake of poisonous agent admission times treatment methods results of toxicologic screen durations of emergency department treatment and outcomes were recorded. Data were expressed as mean +/- standard deviation median and percentage. During the study period. 1.7% of emergency department visits were due to poisoning. 100 patients were included in the study. Mean age of the patients was 24.3 +/- 9.2 years. 32 of the patients were male (32%) and 68 were female (68%). Mean admission time to the hospital was 187.6 +/- 146.8 minutes. It was detected that 30% of the patients were poisoned with a single agent. The most common poisoning agents were tablets (94%). 52% of the patients were discharged from the hospital, 48% were hospitaliceed. No deaths were observed. We suggest the tox drug screen Kit is useful in the diagnosis and treatment of poisoning.Öğe Fournier's gangrene(Springer-Verlag Italia Srl, 2009) Kavalci, Cemil; Cevik, Yunsur; Durukan, Polat; Temizoz, Osman[Abstract Not Available]Öğe Hair tourniquet syndrome(K Faisal Spec Hosp Res Centre, 2010) Cevik, Yunsur; Kavalci, Cemil[Abstract Not Available]Öğe Isolated uvular angioedema: Quincke's disease(Springer London Ltd, 2010) Cevik, Yunsur; Vural, Sevilay; Kavalci, Cemil[Abstract Not Available]Öğe METHANOL POISONING CASE REPORT(Aves, 2011) Kavalci, Cemil; Sezenler, Eylem; Kavalci, Gulsum; Cevik, Yunsur; Turan, MustafaMethanol intoxication may be cause of severe illness and death. A 26 years old male presented to the emergency department with the complaints of abdominal pain, nausea and blurred vision. It was learned from his history that he took 500 mL of spirit and 200-300 ml of cologne to be well primed with liquor. The patient was accepted as methanol poisoning and 10% ethanol solution was given as 10 ml/kg in % 5 dextrose loading dose, and 1.5 ml/kg every hour infusion. Because of the severe acidosis, 1 m Eq/kg NaHCO3 was given patient and he was taken to dialysis. Fomepizole was given as 15 mg/kg loading dose, and then three times 10 mg/kg every 12 hours was given. The patient was sent to intensive care unit and he was discharged after 6 days by cure.Öğe Organophosphate Poisoning Due to a Wheat Bagel(Japan Soc Internal Medicine, 2009) Kavalci, Cemil; Durukan, Polat; Ozer, Mehmet; Cevik, Yunsur; Kavalci, GuelsuemObjective Organophosphate compounds are possibly the most widely-used insecticides worldwide. Organophosphate compounds cause poisoning, inhibiting acetylcholinesterase at the cholinergic synapses. Civilian casualties resulted from a terrorist attack with sarin in a Tokyo subway. Recent terrorist activities have also raised concerns that organophosphate or nerve agents may be used as a weapon of terror or mass destruction. Methods In this study, an extraordinary type of mass poisoning was evaluated. Especially by focusing on the way of poisoning, the demographic features and clinical findings of patients were analyzed. Results After eating a wheat bagel, 13 patients with organophosphate poisoning were admitted to our emergency department. Seven were males and 6 were females. The mean age of the patients was 26 +/- 13.9. The mean serum acetylcholinesterase level was 2945.1 +/- 2648.9 U/L. Nine patients who had supportive treatment and who were given atropine and pralidoxime were hospitalized approximately 6.8 +/- 6.5 days. All of the patients recovered after the treatment and no deaths occurred. Conclusion If organophosphate poisoning is not diagnosed and treated in time, it may be fatal. When cases of food poisoning are admitted to the hospital, attention must be taken especially if it is a mass poisoning.Öğe Retrospective Analysis of Skiing Injuries(Emergency Medicine Physicians Assoc Turkey, 2010) Cevik, Yunsur; Kavalci, Cemil; Ulke, ErdoganBACKGROUND: Despite the risk of injury, skiing is a very popular winter sport. Skiing injuries are rarely seen with comparison to other types of accidental injuries and are occasionally life- threatening. AIM: We aimed both to determine clinical and demographic characteristics of patients who were admitted to the emergency department for ski-related injuries and to discuss skiing injury prevention strategies. MATERIALS AND METHODS: Medical records of patients, who were admitted to the emergency department for ski-related injuries between December, 2005 and March, 2006 were retrospectively reviewed. RESULTS: The mean age of 69 patients who were enrolled into the study was 23.70 +/- 9.79 years. Soft tissue injuries of the foot and ankle were seen in 43 (62.3%) patients and it was the most frequent injury. 7 (10.1%) patients had a lower leg fracture and 4 (5.8%) patients had shoulder dislocation. The mean age of patients with lower extremity fractures was 11.29 +/- 5.12 (range 7-22 years) years. Of 69 patients who were admitted to the emergency department for ski-related injuries, 66 (95.7%) patients were discharged and 3 (4.3%) patients were transferred to the orthopedics clinic. No mortality was observed. CONCLUSION: We conclude that ski equipments which are fitted to the individual properly and a basic level of fitness with basic ski skills are enough in order to avoid having ski-related injuries.Öğe The role of urine trypsinogen-2 test in the differential diagnosis of acute pancreatitis in the Emergency Department(Turkish Assoc Trauma Emergency Surgery, 2010) Cevik, Yunsur; Kavalci, Cemil; Ozer, Mehmet; Das, Murat; Kiyak, Guelten; Ozdogan, MehmetBACKGROUND The aim of the study was to investigate the role and importance of the urine trypsinogen-2 dipstick test in the differential diagnosis of acute pancreatitis in the Emergency Department and to compare results with those of conventional tests. METHODS The study was performed prospectively in the patients admitting to the Emergency Department due to upper abdominal pain. Thirty-two of the 87 patients included in the study had acute pancreatitis diagnosis. Serum amylase, lipase, C-reactive protein (CRP) and urine trypsinogen-2 using Actim pancreatitis dipstick were studied in all patients. The statistical analysis was performed using SPSS 11.5 package program. RESULTS Urine trypsinogen-2 was found positive in 21 (65.6%) of 32 patients. The sensitivity of the test for pancreatitis was identified as 64%, specificity as 85%, positive predictive value as 72%, and negative predictive value as 81%. These values were statistically significant compared to the control group (p<0.01). CONCLUSION Although it has lower sensitivity and specificity compared to amylase and lipase, we suggest that urine trypsinogen-2 test may be an important diagnostic tool in excluding the diagnosis of acute pancreatitis, since it provides results within 5 minutes in the Emergency Department, is cheaper, has a higher negative predictive value, and is easy to use.Öğe Severe Theophylline Intoxication, Rhabdomyolysis, Disseminated Intravascular Coagulopathy And Death: Case Report(Emergency Medicine Physicians Assoc Turkey, 2010) Cevik, Yunsur; Kavalci, Cemil; Das, Murat; Izdes, SevalBackground: Severe intoxication which is induced by theophylline which is used in the treatments of broncospastic pulmonary diseases is quite rare. In literature, there is limited number of rhabdomyolysis cases induced by theophylline toxicity. The statement of disseminated intravascular coagulopathy which develops after theophylline intoxication has not been detected in the literature. Case report: We present the case which has resulted with rhabdomyolysis, disseminated intravascular coagulopathy and death after overdose theophylline intake of a female patient at the age of seventeen. Conclusion: The overdose theophylline intake can cause quite mortal toxicity as a result of negative effects it causes on cardiovascular, neurological and metabolic systems. It should not be forgotten that in severe intoxications, rhabdomyolysis and disseminated intravascular coagulopathy can be developed, although the patient's condition is good, she/he should be monitored with close monitorization under intensive care conditions.Öğe Tibial intercondylar eminence fractures in adults(Springer, 2010) Kavalci, Cemil; Dagdeviren, Nezih; Durukan, Polat; Cevik, Yunsur[Abstract Not Available]Öğe A vivid example of angioedema(Springer, 2009) Kavalci, Cemil; Inal, Mehmet; Colak, Alkin; Durukan, Polat; Kavalci, Guelsuem; Cevik, Yunsur; Guldiken, Sibel[Abstract Not Available]
