Aim: To evaluate subclinical inflammatory markers in hyperemesis gravidarum (HEG) cases and to determine the relationship of these markers with the gestational age at delivery and birth weight in pregnant women with HEG. Methods: Fifty-two patients who presented to our hospital between 1 May 2017 and 1 September 2019 with HEG and 60 pregnant women as the control group were included in this retrospectively designed study. The relationship of subclinical inflammatory markers such as the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), the lymphocyte-to-monocyte ratio (LMR) with HEG, and their relationship with birth week and birth weight in HEG cases were examined.Results: In HEG cases, NLR and PLR values were higher (p=0.006 and p=0.004, respectively), whereas LMR values were lower (p<0.001). In HEG cases, gestational age at delivery had a negative correlation with NLR and PLR and positive correlation with LMR (r=-0.567, p<0.001; r=-0.322, p=0.02, and r=0.279 p=0.045, respectively). In addition, NLR and PLR had negative correlations with birth weight (r=-0.582, p<0.001; r=-0.302, p=0.029, respectively). Conclusion: While NLR and PLR values increase in HEG cases, LMR value decreases. It has been determined that varying rates of subclinical inflammatory markers in HEG are associated with preterm birth week and low birth weight.
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BACKGROUND: After blunt chest trauma, life-threatening arrhythmias may occur in the early post-injury period, as well as a fewdays after the injury. This study aimed to evaluate the risk of arrhythmias in blunt chest trauma patients using Tp-e interval, Tp-e/QTratio and Tp-e/QTc ratio.METHODS: In this study, patients who applied to the emergency department due to blunt chest trauma were examined prospectively.The 12-lead ECG was performed to both blunt chest trauma and control group. ECG measurements of QT and Tp-e intervalswere performed from both groups.RESULTS: A total of 81 participants; 41 blunt chest trauma patients and 40 healthy volunteers were included in this study. Tpe, Tpe/QT, Tpe/QTc values were statistically significant in the trauma group compared to the control group (p<0.001). Although Tpe/QTc,max QT and min QT were statistically significant (p<0.05) in patients with a rib fracture, no difference was detected concerning Tpe,Tpe/QT compared to no-rib fracture group (p>0.05).CONCLUSION: Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio in ECG predict the arrhythmias that may occur in blunt cardiactrauma, especially in blunt chest trauma patients.
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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.
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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.
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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
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