90 results match your criteria: "Emergency Medicine Clinic[Affiliation]"

Background: This study aims to evaluate the relationship between the number of visits to a pediatric emergency department due to asthma attacks and air pollutants.

Methods: In this ecological study, all pediatric patients who visited the pediatric emergency department of a tertiary hospital in Istanbul with asthma between January 2016 and December 2023 were included. The effect of air pollution on the number of patient visits was analyzed using a negative binomial regression model.

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Aim: This study assessed the effectiveness of ultrasonography-measured optic nerve sheath diameter (ONSD) in predicting large vessel occlusion (LVO) in ischemic stroke patients.

Materials And Methods: This single-center, prospective observational study involved patients presenting to the emergency department within 24 hours of symptom onset with moderate to severe stroke, and healthy volunteers.

Results: The study included 133 ischemic stroke patients and 63 healthy volunteers.

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Pediatric In-Hospital Cardiac Arrest: An Examination of Resuscitation Outcomes.

Medicina (Kaunas)

October 2024

Department of Pediatric Allergy and Immunology, Umraniye Training and Research Hospital, Istanbul 34764, Turkey.

: We aimed to assess the outcomes of pediatric in-hospital cardiac arrests (IHCAs) and to identify key factors influencing survival. : This retrospective, single-center study examined the demographic characteristics, symptoms, comorbidities, initial rhythm, duration of cardiopulmonary resuscitation (CPR), lactate levels, and outcomes of pediatric patients with IHCAs and compared these parameters between survivors and non-survivors. : A total of 43 patients were included in this study, including 21 boys (48.

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Optic nerve sheath diameters predict mortality and severity in hepatic encephalopathy.

Eur J Gastroenterol Hepatol

December 2024

Emergency Medicine Clinic, Adana City Training and Research Hospital, Health Sciences University, Adana, Turkey.

Article Synopsis
  • The study aimed to evaluate the effectiveness of optic nerve sheath diameter (ONSD) measurements from CT scans in predicting mortality and disease severity in patients with hepatic encephalopathy (HE) in the emergency department.
  • A total of 217 HE patients and an equal number of healthy controls were examined, revealing a 32.7% mortality rate among HE patients, with various factors identified as independent predictors of both mortality and disease severity.
  • The findings indicate that ONSD measurements are a strong predictor for assessing the prognosis of HE patients, potentially aiding clinicians in decision-making.
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Predictive Value of Neutrophil-Lymphocyte Ratio and Other Inflammation Indices in Febrile Seizures in Children.

J Clin Med

September 2024

Ümraniye Training and Research Hospital, Department of Pediatrics, Pediatric Allergy and Immunology Clinic, University of Health Sciences, 34764 İstanbul, Türkiye.

Article Synopsis
  • - Increasing evidence suggests inflammation plays a role in febrile seizures (FS), prompting a study on various accessible inflammatory markers like the neutrophil-lymphocyte ratio (NLR) and systemic immune-inflammation index (SII).
  • - The study included 300 children (100 with FS, 100 febrile controls, and 100 healthy controls) and found significantly higher neutrophil counts and lower lymphocyte counts in the FS group compared to others, along with elevated inflammatory indexes (NLR, SII, SIRI, NLPR, PIV).
  • - The identified optimal cut-off values for predicting FS raise the potential of using these affordable blood markers in diagnosing febrile seizures, making the approach
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Purpose: This study had two main goals: to determine which rhabdomyolysis patients need haemodialysis; and to highlight the significance of blood gas parameters, particularly base excess, as predictors of the need for haemodialysis.

Method: A total of 270 patients were included in this multicentre, retrospective study. Among the patients who were transferred in from the earthquake region and developed rhabdomyolysis, those with creatine kinase (CK) values >1000 U/L were included in our study.

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Acute kidney injury and COVID-19: the predictive power of BUN/albumin ratio for renal replacement therapy requirement.

Ir J Med Sci

December 2024

Emergency Medicine Clinic, Adana City Training and Research Hospital, Health Sciences University, Mithat Ozhan Avenue, 01370, Yuregir, Adana, Turkey.

Objective: To investigate the predictive power of the BUN/albumin ratio (BAR) measured in the emergency department (ED) for the requirement of renal replacement therapy (RRT) in patients admitted to the intensive care unit (ICU) with severe COVID-19 pneumonia and acute kidney injury (AKI).

Materials And Methods: The study included 117 patients with AKI who were admitted to the ICU and had COVID-19 pneumonia detected on chest computed tomography (CT) taken in the ED's pandemic area between November 1, 2020, and June 1, 2021. The predictive power of laboratory values measured at the time of ED admission for the requirement of RRT was analyzed.

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D-dimer/high sensitive troponin I ratio is useful in predicting in-hospital mortality in pulmonary embolism patients.

Ir J Med Sci

December 2024

Department of Emergency Medicine, Health Science University, Adana City Research and Training Hospital, Kışla Mahallesi, Dr. Mithat Özsan Bulvarı, 4522. Sokak No: 28, Yüreğir/Adana, Turkey.

Background: Pulmonary embolism requires careful differential diagnosis as it is associated with a wide range of symptoms that may suggest different diseases such as chest pain, shortness of breath and syncope. Since the disease can be fatal, especially in cases where right ventricular failure and hemodynamic instability develop, prognostic markers are great importance in terms of monitoring the patient during the treatment process.

Aim: We aimed in our study to compare the relationship between the ratio of D-dimer and High Sensitive Troponin T (HsTnT) values ​​with short-term mortality and to compare this relationship with Pulmonary Embolism Severity Index (PESI) scoring.

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Purpose: The present study aimed to compare the National Emergency X-Radiography Utilization Study II (NEXUS-II), New Orleans Criteria (NOC), Canadian Computed Tomography (CT) Head Rule (CCTHR) scoring systems, and Advanced Trauma Life Support (ATLS) 10th edition algorithm in patients with head injury presenting to the emergency department and to investigate the effectiveness of these scoring systems in determining injury severity and the need for cranial CT scanning.

Methods: This prospective and observational study was conducted in a tertiary care emergency medicine clinic. The study included 794 adult patients who had a Glasgow Coma Scale (GCS) score ≥ 13, and were considered as having minor head injury.

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Aim: The aim of the study is to investigate the relationship between negative acute-phase reactants and positive acute-phase reactants with in-hospital mortality in patients diagnosed with acute ischemic stroke (AIS) in the emergency department (ED).

Methods And Materials: Patients aged 18 and older who presented to the ED of a tertiary hospital with AIS were included in the study. Demographic and clinical characteristics, laboratory parameters, acute-phase reactants, National Institutes of Health Stroke Scale (NIHSS), and outcome data of the included patients were recorded on a standard data form.

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Aim: This study aimed to investigate the diagnostic and prognostic value of optic nerve sheath diameter (ONSD) measurement in patients with dysnatremia.

Material And Methods: This prospective clinical study included patients aged ≥18 years who were diagnosed with dysnatremia on admission to the emergency department.

Results: The present study included 65 patients (35 with hypernatremia [hypernatremia group] and 30 with hyponatremia [hyponatremia group]) and 14 healthy volunteers (control group).

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Assessment of Work Ability of Patients with COPD in Relation to the Workplace.

Indian J Occup Environ Med

December 2023

Department of Human Anatomy, Medical Faculty of Sarajevo, Sarajevo, Bosnia and Herzegovina.

Context: Chronic obstructive pulmonary disease (COPD) is one of the most common chronic lung diseases and is an important cause of mortality and morbidity in the world. Chronic obstructive pulmonary disease is a heterogeneous and multisystemic disease. Aims of the study was to assess workability of patients with COPD in relation to the workplace.

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Objective: To evaluate the analgaesic efficacy of tenoxicam and dexketoprofen in patients admitted to the Emergency Medicine (EM) Clinic with severe acute pain due to primary dysmenorrhea (PD).

Study Design: Randomised-controlled trial. Place and Duration of the Study: Emergency Medicine Clinic, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkiye, from January to December 2022.

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Diagnostic role of thoracic ultrasound in patients with acute respiratory failure at emergency service.

Ir J Med Sci

June 2024

Department of Emergency Medicine, Adana City Research and Training Hospital, Health Science University, 01060, Adana, Turkey.

Background And Aim: This study aimed to elucidate the effectiveness of bedside thoracic ultrasound according to BLUE protocol and to investigate its superiority over other imaging methods in the emergency service.

Methods: A total of 120 patients admitted to our institution's emergency care department due to respiratory distress have been enrolled in this prospective research. Thorax USG has been performed in the right and left hemithorax at the points specified in the BLUE protocol for each patient.

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Purpose: To determine the factors affecting mortality as a result of the analysis of the demographic and clinical characteristics and laboratory parameters of patients whose serum Na value was determined to be 125 mEq/L or below at the time of admission to the emergency department (ED).

Method: Patients over 18 years of age who admitted to the ED of a tertiary hospital between September 2021 and September 2022 and whose serum sodium level was determined to be 125 mEq/L and below were included in the study. Demographic and clinical characteristics, admission complaints, medications used, Charles comorbidity index (CCI), laboratory parameters, and outcomes of the patients included in the study were recorded in the data form.

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Diabetes Mellitus and Gastric Cancer: Correlation and Potential Mechanisms.

J Diabetes Res

December 2023

Department of Emergency Medicine, The First People's Hospital of Linping District, 311100, Hangzhou, Zhejiang, China.

This review summarizes the correlation between diabetes mellitus (DM) and gastric cancer (GC) from the perspectives of epidemiology, drug use, and potential mechanisms. The association between DM and GC is inconclusive, and the positive direction of the association reported in most published meta-analyses suggests that DM may be an independent risk factor for GC. Many clinical investigations have shown that people with DM and GC who undergo gastrectomy may have better glycemic control.

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Objective: To analyse the effect of urea albumin ratio on mortality in intensive care patients aged over 65 years.

Study Design: An observational study. Place and Duration of the Study: Health Sciences University, Ankara Training and Research Hospital, Emergency Critical Intensive Care Unit, from October 2021 to March 2022.

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Background: Coronavirus disease 2019 (COVID-19), which recently spread throughout the entire world, is still a significant health issue. Additionally, the most common cause of risky poisoning in emergency services is carbon monoxide (CO) poisoning. Both disorders seem to merit more research as they have an impact on all bodily systems the lungs.

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Objectives: In the present study, it was evaluated whether morin has a protective effect on testicular toxicity caused by ifosfamide (IFOS), which is used in the treatment of various malignancies.

Materials And Methods: For this purpose, 100 or 200 mg/kg morin was given to Sprague Dawley rats for 2 days, and a single dose (500 mg/kg) IFOS was administered on the 2nd day. At the 24th hr of IFOS administration, animals were decapitated and testicular tissues were taken and the status of oxidative stress, inflammation, endoplasmic reticulum stress (ERS), autophagy, and apoptosis markers were analyzed by biochemical, molecular, and histopathological methods.

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Background: The aim of this study is to compare the laboratory findings and disease severity scores of patients diagnosed with hepatic encephalopathy (HE) in the emergency department (ED) to predict 30-day mortality.

Method: The patients over 18 years old and diagnosed HE in the ED of a tertiary hospital were included in the study. Demographic and clinical characteristics, laboratory parameters, predisposing causes and outcomes of the patients included in the study were recorded in the data form.

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Background: Vitamin D deficiency has been found to be associated with various cardiovascular disorders, including hypertension, coronary artery disease, heart failure, peripheral vascular diseases, and sudden cardiac death. In the literature, it has been reported that many electrocardiographic parameters have been developed to predict ventricular arrhythmias. In recent studies, it is noteworthy that the index of cardio-electrophysiological balance (iCEB) and correct cardioelectrophysiological balance (iCEBc), which are electrocardiographic parameters, can be used as new, easy, cheap and non-invasive parameters to predict ventricular arrhythmias.

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