Objective: This study aimed to determine the change in forensic cases admitted to an emergency department after the COVID-19 pandemic, due to its adverse effect on all people around the world in various ways.Methods: This study was conducted retrospectively in a single center. The sample size included 1645 forensic cases over the age of 18 years admitted to an emergency department between 1 January 2019 and 31 December 2020. Ethical approval before the study was obtained from a Local Clinical Research Ethics Committee. The period between 11 March 2020 and 31 December 2020 was considered the COVID-19 pandemic (DP), while the pre-DP period was named as BP. The distribution rates of forensic cases in BP versus DP were compared.Results: Both traffic and work accidents were higher in males than females, whereas suicide attempts were higher in females than males (p<0.001). Suicide attempts by both women (BP: 14.9%, DP: 17.4%) and men (BP: 3.7%, DP: 4.9%) showed an increase for DP (p< 0.01). Work accidents were lower in women (BP: 22.3%, DP: 13.4%) and men (BP: 22.5%, DP: 21.1%) in DP than BP (p<0.01).Conclusions: The COVID-19 pandemic has increased suicide rates in both women and men but reduced work accident rates. Suicide rates were higher in women than men. The COVID-19 pandemic has negatively affected people in many ways, including forensic, employment, economic, and psychological aspects.
|
Objective: Objective: In this study, we aimed to determine the roles of neutrophil, MPV, and NLR, in the diagnosis of ACS and the differentiation of ACS subtypes (ST-elevation myocardial infarction and non-ST elevation myocardial infarction), in patients presented to the emergency department with chest pain and were diagnosed with ACS (acute coronary syndrome). Methods: This study was designed as a single-center, cross-sectional, and retrospective. 402 patients who were applied to University Hospital Emergency Department between January 2020 and November 2020; and registered to hospital automation system with chest pain; and underwent further examinations and treatments were included in the study. Ethical approval was obtained from the Local Clinical Research Ethics Committee before the study. Patients who were hospitalized after further examination, who received medical treatment, and did not undergo PCI (Percutaneous coronary intervention) were accepted as NSTMI (n = 202). Patients who were hospitalized after further examination and underwent PCI were accepted as STMI (n = 200). Results: 36.3% of the patients were female (n = 146) and 63.7% (n = 256) were male. The mean age of the cases was detected to be 61.46 ± 14.06. The number of hospitalized ACS patients for NSTMI suspicion and received medical treatment was 202. The number of patients who underwent PCI and accepted as STMI was 200.Mean neutrophils, MPV, NLR, and Troponin values were also significantly higher than those who are not hospitalized (p <0.001). The mean WBC, Neutrophil, NLR, and Troponin values of the patients underwent PCI were also significantly higher than those without PCI (p <0.001). Conclusions: We believe that NLR is a diagnostic valuable that can be used as a biomarker in diagnosing ACS and determining the PCI.
|
Aim: Among cardiovascular diseases, pulmonary embolism (PE) is a serious emergency with high mortality. Right ventricular dysfunction due to an excessive increase in pulmonary artery pressure is considered a major cause of death in vigorous PE. We aimed to assess the predictive value of computed tomographic pulmonary angiography (CTPA)-based morphometric measurements of right heart function in the diagnosis of PE.Materials and Methods: This is a retrospective, case-controlled study. A total of 198 cases were included in the study during the study phase. CTPA results of 102 patients with PE were recorded, and the patients were grouped according to clot localisation. The diameters of the inferior vena cava (IVCA), aorta, pulmonary artery and right and left ventricles were assessed. Results: IVCA area/aortic area significantly predicted embolism in the main pulmonary artery [area under the curve (AUC)=0.957, p<0.001]. The optimal cut-off value was 1.22 with 88% sensitivity and 90% specificity. IVCA diameter/aortic diameter significantly predicted embolism in the main pulmonary artery (AUC=0.955, p<0.001). The optimal cut-off value was 1.1 with 89% sensitivity and 88% specificity.Conclusion: Our study illustrated a remarkable association between the existence and dispersion of PE and morphometric changes in IVCA and aortic ratio parameters measured using CTPA.
|
Aim: We investigated the development of epistaxis and the effect of red blood cell distribution (RDW) and mean platelet volume(MPV) levels in hypertensive patients compared to non-hypertensive patients. Epistaxis is an urgent rhinologic condition that maymanifest itself as recurrent hemorrhages in small quantities or life-threatening hemorrhages. It is known that epistaxis does notdevelop in every hypertensive patient.Material and Methods: In this retrospective study, the participants were divided into four groups as follows: Group 1 hypertensiveepistaxis, Group 2 isolated epistaxis, Group 3 isolated hypertension, Group 4 control. RDW and MPV values were obtained fromcomplete blood count (CBC) samples.Results: There was a statistically significant difference in RDW and MPV blood parameters between all groups (p=0.02). When RDWand MPV blood parameters of Group 1 with hypertensive epistaxis and Group 3 with isolated hypertension were evaluated, there wasa statistically significant difference between these two groups in both parameters (p = 0.000, p = 0.011).Conclusion: In our study, we showed that the decrease in RDW and MPV values among the hematological parameters increases theassociation of epistaxis with hypertension in hypertensive patients compared to non-hypertensive patients.
|
AbstractAim: There is a balance between reactive oxygen species (ROS) and antioxidant systems preventing them in the organism. In cases where this balance is impaired, molecular and cellular functions are negatively affected. Thiol-disulfide homeostasis (TDH) is also affected by this imbalance. It has been reported that the balance between oxidative and anti-oxidative systems is disrupted in individuals with psychiatric diseases such as anxiety and depression. Accordingly, it was aimed to determine the level of TDH in the serum of students who took the oral internship exam.Material and Methods: Volunteer fifth grade students of Medical Faculty, 19 male and 21 female, was included in the study. Of the students included in the study, Beck depression and Beck anxiety, albumin, ischemia-modified albumin (IMA), total thiol (SH + SS), native thiol (SH) and SS levels were measured and SS / SH + SS %, SH / SH + SS % and SS / SH % were calculated before and after the oral internship exam. These data were compared with the association between anxiety and depression level changes before and after the oral internship exam.Results: It was observed that the anxiety levels of the participants before the oral exam decreased in the period after the oral exam (p<0.001). It was detected that the level of depression of the participants before the oral exam decreased after the oral exam (p<0.001). Changes in IMA and TDH parameters before and after the oral internship exams were examined, but no significant relationship was found (p>0,05).Conclusion: Oral internship exam of Medical Faculty is a factor increasing anxiety and depression levels of the students. However, no association was found between oral internship exam and TDH parameters.
|
Backround: The aim of this study is to investiate whether patints with acute myocardial infarctin exhibited diurnal variatin and the relatinship between the affcted coronary artery and this diurnal variatin.Material and Methods: The patints admittd to the emergency department of Yozgat Bozok Universitywith symptoms of acute coranary syndrome between January and December 2017 were retrospectielyanalyzed. In 24 hour period diurnal changes were analyzed in 6 groups (00:01-04:00, 04:01-08:00, 08:01-12:00, 12:01-16:00, 16:01-20:00, 20:01-00:00), seasonal changes were analyzed in 4 groups (Spring,Summer, Autumn, Winter), and weekly changes were analyzed in 2 groups (Weekday, Weekend).Results: When diurnal effcts coronary arteries were examined, no statitially signifiant results werefound. When the changes of diurnal effct were observed at weekdays and weekends, it was found thatall three coronary artery lesions were statitially increased at weekdays compared to the lesions seen atweekends (p<0,05).Conclusion: Although daily diurnal variability was not detected as a result of our study, it was clearlydetermined that the increase in coronary artery disease was affcted by social reasons such as stress andintensive work pace during the weekdays
|
