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Öğe Analysis of the patients admitted to emergency department due to urogenital trauma and investigation of factors that affect mortality(Elsevier Science Bv, 2017) Sozen, Semih; Celik, Simsek; Akpinar, Cafer; Guven, Fatma Mutlu Kukul; Yel, Cihat; Kavalci, Cemil; Salt, OmerObjective: To determine the general characteristics of urogenital trauma, and the factors that impact on mortality. Methods: Patients who were over 18 years of age admitted to the emergency service with urogenital injury between 1 January 2010 and 31 December 2014 were evaluated retrospectively. Age, gender, type of trauma, injured urogenital organs, vital parameters, additional organ injuries and mortality rate were investigated. Categorical variables were compared by using Chi-square test and comparing to groups data were performed with the Mann-Whitney and Kruskal-Wallis tests. P < 0.05 was considered statistically significant. Results: The median age of 174 patients was 35 years (interquartile range: 22), and 150 patients (86.2%) were males. It was determined that the incidence of urogenital trauma increased in August and September. The kidney was the most frequently injured organ (41.4%) and the most common cause of injury was traffic accidents (49.4%). Mean arterial pressure and revised trauma score were the lowest while pulse rate was the highest in renal trauma patients (P < 0.05). Mean arterial pressure, revised trauma score and respiratory rate were low in mortal group while pulse rate and Glasgow coma scale scores were significantly higher (P < 0.05). Conclusions: It is determined that the most common injured organs in trauma patients are kidneys and bladder and also no single factor is effective on mortality.Öğe Atypical Presentation of A Foreign Body: Case Report(Galenos Publ House, 2011) Sayhan, Mustafa Burak; Kavalci, Cemil; Orak, MuratForeign bodies are seen in all age groups. Foreign bodies are detected as a result of accidents or abuse. Diabetic neuropathy frequently occur as complications of diabetes. Our patient was a 55 year old female patient admitted to our emergency department with the complaint of insect bites. Atwo mm diameter redness was present on the right hip and a 15 cm needle was observed on the pelvis X-ray. The needle was removed surgically. Careful history and physical examination should be carried out especially in diabetic patients.Öğe Bilateral femur neck fracture in a young child(Int Scientific Literature, Inc, 2010) Gokdemir, Mehmet Tahir; Yar, Umit; Kara, Pinar Hanife; Sayhan, Mustafa Burak; Kavalci, CemilBackground: Bilateral femur neck fracture is a very rarely seen situation. Traumas rarely result in such fracture. The aim of this study was to highlight the importance of naked examination of a patient in trauma cases and to report a bilateral femoral neck fracture due to a fall, rarely seen in literature. Case Report: A five-year-old girl was admitted to the department. The case, diagnosed as bilateral femur neck fracture due to a fall after being pushed with force by her sibling and falling from a high place, is reported and a literature review was carried out. The fractures were not diagnosed in the hospital she was first taken to. Conclusions: Thorough physical examination of such trauma patients is extremely important. Traumatic bilateral femur neck fracture is very rarely seen in younger children.Öğe Calcified Hydatid Cyst: Original Image(Derman Medical Publ, 2015) Kavalci, Cemil; Sezenler, Eylem; Sayhan, Mustafa Burak[Abstract Not Available]Öğe Calcified mass in right upper abdomen(New Zealand Medical Assoc, 2010) Kavalci, Cemil; Sezer, Atakan; Sezenler, Eylem; Sungun, Mutasim[Abstract Not Available]Öğe Cardiac Rupture Due to Fall: a Case Report(Aves, 2012) Gokdemir, Mehmet Tahir; Karasu, Mehmet; Sayhan, Mustafa Burak; Kavalci, Cemil; Sogut, OzgurFalls commonly seen in all age groups are important causes of morbidity and mortality. Traumatic cardiac rupture due to falls is rarely seen. A three-year-old boy was admitted to our emergency department in shock with 112 ambulance. The child had fallen from a height of 20 meters. Death was seen as a result of the rupture of the right ventricle at the autopsy.Öğe Chilaiditi's syndrome(Pakistan Medical Assoc, 2010) Sayhan, Mustafa Burak; Kavalci, Cemil; Bakirci, Tarkan; Gokdemir, Mehmet Tahir[Abstract Not Available]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 COMPARISON OF RISK INDEXES USED IN DETERMINING THE POSTOPERATIVE RESPIRATORY INSUFFICIENCY RISK(Nobel Ilac, 2013) Kavalci, Gulsum; Arar, Cavidan; Colak, Alkin; Turan, Nesrin; Kavalci, CemilObjective: Postoperative respiratory failure is an important complication of anesthesia. In this study, we aimed to compare the effectiveness of respiratory failure risk index and pneumonia risk index in determining postoperative respiratory failure. Material and Method: 3000 patients were included in our study. We calculated the patients' scores of respiration insufficiency risk indexes and postoperative pneumonia risk indexes in preoperative period. The factors that could play a role in intensive care unit requirement have been inquired through multiple variability regression analysis. Results: Through multiple variability regression analysis we concluded that; intensive care unit requirement and postoperative pulmonary complications were effected by age, gender, low albumin levels, high urea levels, functional state, chronic obstructive lung disease, having more than 4 unit blood transfusion, peripheric vessel surgery, extremity surgery, brain surgery, spinal column surgery and urgent surgery (p<0.05). Respiration insufficiency risk index and postoperative pneumonia risk index scores had similar effects in determining the intensive care unit requirement and postoperative pulmonary complications. Conclusion: We conclude that respiration insufficiency risk index and postoperative pneumonia risk index have similiar effects in determining the intensive care unit requirement and postoperative pulmonary complications.Öğe Cutaneous Burn Wound caused by Liquid Ammonia: Case Report(Emergency Medicine Physicians Assoc Turkey, 2010) Kiyak, Medeni Volkan; Sayhan, Mustafa Burak; Kavalci, Cemil; Kopal, Can; Unaldi, MehmetAmmonia related injuries are rarely seen but they are associated with high morbidity and mortality. Liquid ammonia burns the skin through a freezing mechanism, a thermal mechanism, and an alkali burn as well. The burn associated with liquid ammonia is multifactorial. In this case report we aimed to point out the pathophysiology and treatment of cutaneous burn wound caused by liquid ammonia.Öğe DEMOGRAPHIC PROPERTIES AND FACTORS AFFECTING MORTALITY OF ELDERLY PATIENTS RELATED WITH MOTOCYCLE INJURIES(Gunes Kitabevi Ltd Sti, 2013) Sayhan, Mustafa Burak; Sayhan, Esin Secgin; Oguz, Serhat; Kavalci, Cemil; Guler, EbruIntroduction: To determine the socio-demographic attributes, trauma scoring systems' relationship to mortality rates and the factors affecting mortality of the victims of motorcycle accidents (VMAs) over 65 who arrive at the emergency department. Materials and Method: A descriptive study was conducted in a university-based hospital. Patients were divided into two groups: survival (group A) and deceased (group B). Results: A total of 108 patients who were VMAs were identified. 96 patients were in group A and 12 were in group B. We especially noted the existence of internal injuries, head injuries, multiple injuries and alcohol intake (p=0.029) as risk factors affecting mortality. The Injury Severity Score (ISS) and Abbreviated Injury Scale (AIS) were found to be higher in group B compared to group A (p=0.003, 0.001, respectively). The Glasgow Coma Score (GCS), Trauma Injury Severity Score (TRISS) and Revised Trauma Score (RTS) were found to be higher in group A compared to group B (p<0.001 for both). Conclusion: Most of the motorcycle-related injuries in elderly involved men, and occurred in urban areas, during the summer and on weekdays, with a mechanism of falling off the motorbike. Skin and musculoskeletal systems were injured most frequently in our study.Öğe Dermatological Emergencies in Childhood: 5 Years Experience(Aves, 2009) Guzel, Ahmet; Karasalihoglu, Serap; Sayar, Esra Hazar; Arican, Ozer; Kavalci, CemilBackground and design: The aim of this study was to examine clinical and demographic characteristics of patients who presented with dermatological lesions to the pediatric emergency department. Materials and Methods: All patients who presented with the complaint of dermatological problems within the last 5 years were evaluated retrospectively. Results: Of 498 patients applied to our clinic, 273 (54.8%) were males, 225 (45.2%) were females. The median age of the patients was 5.56 +/- 3.72 years. Our study included four (0.8%) neonates, seventy (14.1%) infants, one hundred sixty one (32.3%) preschool and two hundred sixty three (52.8%) school going children who were applied for the management of dermatological emergencies. The most common dermatological diseases were infectious skin disorders, urticaria, and drug reactions. Systemic therapy was prescribed in 66.9% and local therapy in 9.9% of the patients. Combined local and systemic therapy was given to 17.3% of the cases. Of all patients, 23 (4.6%) were consulted by dermatology. Of all patients, 20.9% were admitted to our hospital, while 78.9% treated with outpatient and one patient left hospital before completion of his therapy. Conclusion: The most common dermatological diseases are infectious skin disorders in pediatric emergency department. Common skin diseases in pediatric emergency department must be established and periodical education programs associated with these diseases were planned.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 Emergency presentation of ophthalmic zona(Cukurova Univ, Fac Medicine, 2018) Durukan, Polat; Baykan, Necmi; Salt, Omer; Yakar, Sule; Tekin, Ismail; Kavalci, Cemil; Ozkan, Seda[Abstract Not Available]Öğe Evaluation of Risk Factors and Clinical Characteristics of Elderly Patients with Acute Upper Gastrointestinal Hemorrhage(Elsevier Science Bv, 2012) Sayhan, Mustafa Burak; Oguz, Serhat; Umit, Hasan; Sayhan, Esin Secgin; Eralp, Mustafa Onur; Akdur, Gokhan; Kavalci, CemilObjectives Acute upper gastrointestinal hemorrhage (AUGIH) is a life-threatening emergency problem in the elderly population. In this study, we aimed to determine the sociodemographic characteristics, clinical features and the risk factors of the elderly patients presenting to the Emergency Department (ED) with AUGIH. Methods A cross-sectional study was conducted in a university-based hospital. One hundred and ninety-four patients were divided into two groups: Group A (n=128); elderly group (65-79 years) and Group B (n=66); very elderly group (>79 years). Results The mean age was 76.34 +/- 7.91 years. The most frequently presenting symptom was melena (87.1%). Fourteen patients (7.2%) were in shock at the time of bleeding. One hundred and thirty-three patients (68.5%) had a history of rebleeding. Underlying comorbidities were detected in 171 patients (88.1%). There was a significant difference in terms of alcohol abuse and coronary artery disease between the two groups (p=0.038 and p=0.049 respectively). The most frequent endoscopic lesions were peptic ulcer and gastroduodenal erosions in both groups. Conservative medical treatments were applied in most of the patients in both groups, but there were no statistically significant differences in terms of response to conservative medical treatment between the two groups (p=0.892). The overall mortality rate was 11.7% in group A and 19.7% in group B. There were no statistically significant differences in mortality between the two groups (p=0.134). Conclusions Evaluation of risk factors and clinical characteristics of elderly patients with upper gastrointestinal hemorrhage is extremely important. Comorbid diseases and multiple drug use are commonly observed in the elderly patients.Öğe Fatal Lactic Acidosis Due to Metformin(Aves, 2010) Kavalci, Cemil; Guldiken, Sibel; Taskiran, Bengur; Kavalci, Gulsum[Abstract Not Available]Öğe Fournier's gangrene(Springer-Verlag Italia Srl, 2009) Kavalci, Cemil; Cevik, Yunsur; Durukan, Polat; Temizoz, Osman[Abstract Not Available]Öğe A Giant Lipoma: A Case Report(Emergency Medicine Physicians Assoc Turkey, 2010) Kiyak, Medeni Volkan; Kopal, Can; Sayhan, Mustafa Burak; Kavalci, CemilLipoma is the most common mesenchymal neoplasm in the human body. They may rarely become giant masses due to their asymptomatic nature. Differential diagnosis includes many malignant and benign tumors. Total surgical excision is the preferred treatment modality. The average age of affected patients is fifth decade of life. It is 5-10 times more common in males. In this case report, we report a 66 years old male with a giant back mass with a diameter of 20 cm and diagnosed as lipoma after its removal and histopathological examination, and reviewed the literature.Öğe Hair tourniquet syndrome(K Faisal Spec Hosp Res Centre, 2010) Cevik, Yunsur; Kavalci, Cemil[Abstract Not Available]Öğe Importance of Neutrophil Gelatinase-Associated Lipocalin in Differential Diagnosis of Acute and Chronic Renal Failure(Kowsar Publ, 2014) Ozkan, Seda; Durukan, Polat; Kavalci, Cemil; Duman, Ali; Sayhan, Mustafa Burak; Salt, Omer; Ipekci, AfsinBackground: Neutrophil Gelatinase-associated Lipocalin (NGAL) protein is easily detected in the blood and urine soon after acute renal injury NGAL gains features of an early, sensitive and noninvasive biomarker for acute renal injury Recent evidences suggest that its expression is also increased in CRF reflecting the severity of disease. Objectives: In the present study, we aimed to investigate whether blood NGAL level plays a role in the differential diagnosis of acute and chronic renal failure. Patients and Methods: This was a prospective case-control study. Fifty patients presented to emergency department with acute renal failure (ARF), 30 with chronic renal failure (CRF) and 20 healthy individuals as control group were included in this study Blood pH, HCO3(-), BUN, creatinine and potassium values were evaluated in all patients. Blood NGAL values were evaluated in all groups. BUN, serum creatinine and NGAL values were statistically compared between patients and controls. Results: Median NGAL levels in patients was 304.50 (29), and 60 (0) in control, which was statistically significant between the two groups (Z = -6.477, P < 0.001). The median NGAL values were 261.50 +/- 291 in ARF group and 428.50 +/- 294 in CRF group. There was a significant difference in NGAL level between ARF and CRF groups (Z = -2.52, P = 0.012). Median BUN values were 153.46 +/- 82.47 in ARE group and 169.40 +/- 93.94 in CRF group. There was no significant difference in BUN value between ARF and CRF groups (P > 0.05). Median creatinine values were 2.84 +/- 2.95 in ARF group and 4.78 +/- 4.32 in CRF group. In serum creatinine values, a significant difference was found between ARF and CRE groups (P <0.05). Conclusions: Serum NGAL levels of ARE and CRF patients were significantly higher than healthy individuals. In addition, NGAL values of patients with CRF were significantly higher than those of ARE. Serum NGAL values can be used to detect renal injury and differentiate ARE and CRE
