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Öğe Does early use of bilevel positive airway pressure (bipap) in cardiothoracic intensive care unit prevent reintubation?(E-Century Publishing Corp, 2014) Sagiroglu, G.; Baysal, A.; Copuroglu, E.; Gul, Y. G.; Karamustafaoglu, Y. A.; Dogukan, M.Introduction: Non-invasive ventilation (NIV) is a preferred treatment in acute respiratory failure after operations. Our aim is to investigate the success of early use of bilevel positive airway pressure (BIPAP) after cardiac or thoracic surgeries to prevent reintubation. Methods: In a prospective randomized study, 254 patients were divided into two groups depending on the time period between extubation and the application of BIPAP. In Group 1 BIPAP was applied after extubation within 48 hours after surgery following fulfilling of acute respiratory failure criterias whereas, in Group 2, BIPAP was applied one hour after extubation for two episodes of 20 minute duration and 3 hours apart. Arterial blood gas values (pH, PaO2, PaCO2) at first and fourth hour after BIPAP were collected. Results: In comparison between groups, no significant differences were observed for arterial blood gas values of pH and PaCO2 at baseline, one and four hours after BIPAP (p > 0.05) however, the PaO2 values at one and four hours after BIPAP were significantly better in Group 1 in comparison to Group 2 (p < 0.001, p < 0.001; respectively). Reintubation rate was 14 patients (11%) in Group 1 and 7 patients (5.5%) in Group 2 (p = 0.103). Conclusions: The early and prophylactic use of BIPAP after cardiac or thoracic operations did not provide diminished rates in the postoperative complications such as reintubation.Öğe Effects of the incson preference n acetabular surgery on the postoperatve functonal outcomes(Wolters Kluwer Medknow Publications, 2019) Erem, M.; Copuroglu, C.; Copuroglu, E.; Ciftdemir, M.; Ozcan, M.; Saridogan, K.Background: Many factors are known to affect the functional outcomes of the acetabular surgery. The aim of this study is to evaluate the effects of incision preferences and number of incision on scores and clinical functional outcomes. Patients and Methods: Forty-seven adult patients who had undergone acetabular surgery and had been followed up for at least 1 year in our clinic were included in the study. Demographic data, trauma type, acetabular fracture type based on the Judet ve Letournel classification, presence of any additional traumatic fractures, time to surgery, operation duration, surgical technique, and postoperative complications were recorded. Range of motion measurements, SF-36 and Harris Hip function scale score, and full weight-bearing times were evaluated on the postoperative first year follow-up and reviewed retrospectively. Results: Our study suggests that use of double incisions in the surgery of associated fractures shortens the full weight-bearing time. The localization and the number of incisions were found to be unrelated with the Harris Functional Hip scale, SF-36 (PCS, physical component score), and SF-36 (mental component score, MCS) scores. Conclusion: Incision type and number of incisions must be determined based on the fracture type and fracture localization for better functional outcomes. The factors that have the most effects on the functional outcomes are the type and the localization. In associated fractures, performing multiple incisions reduces the time for full weight bearing and enables patients to return to their daily routine early but have no effect on the functional outcomes.Öğe The Presence of Donor-Specific Antibodies in Renal Transplantation(Elsevier Science Inc, 2012) Tozkir, H.; Sagiroglu, T.; Kilicarslan-Ayna, T.; Tan, S.; Copuroglu, E.; Sagiroglu, G.; Sari, G.Determining the presence of anti-HLA antibodies before transplantation is an important factor to prevent loss of function among renal transplantations. In addition, recent studies have shown that not only the pretransplantation existence of anti-HLA antibody but also posttransplantation donor-specific antibodies (DSA) and non-donor-specific antibodies are significantly associated with allograft rejection or loss of graft function. This study presented DSA among patients after renal transplantation together with graft function and survival.Öğe Sexual dysfunction of male, after pelvic fracture(Springer Heidelberg, 2017) Copuroglu, C.; Yilmaz, B.; Yilmaz, S.; Ozcan, M.; Ciftdemir, M.; Copuroglu, E.Purpose Pelvic fractures are usually the result of high-energy trauma, and sexual dysfunction after a pelvic fracture is an often complication. Though organic pathologies can be the reason for sexual disorders, psychological factors following a trauma may also be linked to sexual problems. We aimed to evaluate the frequency of sexual dysfunction after pelvic fractures, and help these patients with their usually undisclosed sexual problems, and offer them support. Materials and methods During a 4-year period, between June 2008 and May 2012, 40 male patients (out of 57) with a mean age of 42.6 years (range 18-65 years) were evaluated retrospectively. Patients having organic pathologies (vascular, neural, and urogenital system pathologies) were excluded from the study. Patients were requested to complete the Arizona Sexual Experience Scale (ASEX), which is a 5-item self-evaluation scale. According to the results of the questionnaire, patients needing supportive treatment were referred to the psychiatry department. Results Twenty-two patients (55 %) scored 10 points or less in the ASEX questionnaire (normal). Eighteen patients (45 %) had 11 points or more (can be problematic). Four of these 18 patients had a score of 19 points or more (needing psychiatric evaluation). Patients with a score of >= 19 points, for any one item with a score of 5 or 6 points, or any three or more items with a score of 4 points were considered to have a high probability of sexual dysfunction after psychiatric evaluation. Conclusion The frequency of sexual dysfunction in pelvic fractured patients was tested, and the need for investigating sexual disorders is stressed. This study attracts attention to sexual dysfunction after pelvic fractures and the necessity of referring these patients to the related clinics, for treatment. Level of evidence Retrospective case series.Öğe When the sourcil width is larger than the femoral neck, it can be a predictor for an upcoming hip fracture(Edizioni Minerva Medica, 2011) Copuroglu, C.; Yilmaz, A.; Ozcan, M.; Ciftdemir, M.; Unver, K. V.; Kaya, M.; Copuroglu, E.Aim. Response of the bone to pressure depends on the strength of the pressure applied. If the load, transferred from the sourcil to the femoral head, is heavy and if the femoral neck is large, development of load carrying structures will be greater. We aimed to evaluate the relationship between the width of the sourcil and the width of the femoral neck and their relation with the fracture type of the hip in correlation with the neck-shaft angle. Methods. This is a retrospective case series study (N.=320) including the instutional data between January 2007 through April 2010. The medial and lateral side of the sourcil was pointed on the AP X-ray, and the distance between these two points was measured. On the same AP X-rays, the radius at the thinnest width of the femoral neck was measured in millimetres. The width of the sourcil and the width of the femoral neck in normal hips were compared with the measurements of the fractured hips. Neck-shaft angles of all the hips were also measured. Results. The width of the sourcil is mostly equal to the width of the femoral neck in normal hips. The width of the sourcil was greater than the width of the femoral neck in hip-fractured patients. This shows that, if the sourcil is bigger than the femoral neck, the femoral neck cannot carry as much load as the sourcil and fractures may happen. If the neck-shaft angle is smaller than normal hips, we observed that collum femoris is broken and if the neck-shaft angle is bigger than normal hips, then intertrochanteric femur fracture occurs. Conclusion. When the sourcil width is larger than the femoral neck width, it can be a predictor for an upcoming hip fracture. Varus in the neck-shaft angle is a predictor for femoral neck fracture and valgus is a predictor for intertrochanteric fracture.
