328 research outputs found
YouTube as a source of information on varicose veins
No full textBackground: There has been little investigation of videos related to varicose veins in Internet media. This study aimed to investigate the characteristics and scientific accuracy of the videos related to varicose veins which were uploaded to the youtube.com website. Methods: The YouTube site was searched in October 2014 using the keywords varicose vein, varicose veins, and varicosis with no filter. The contents of the reviewed videos were assigned to three groups as useful, partly useful, and not useful by using the criteria including the scientific contents of the videos, contemporariness and accuracy of the insight, and presentation of the data particularly regarding the visual features. The statistical analysis was based only on the videos rated as ‘useful.’ Results: In total, 1519 (84.4%) of 1800 videos evaluated were excluded. Many of the sources uploading videos to the website were healthcare professionals (32.7% n = 92). Regarding the source of the upload, those from official institutions/associations were viewed statistically significantly more often than videos uploaded by all others (p = 0.001). The rated usefulness was significantly higher for videos uploaded by official institutions/associations (100%) than those uploaded by others (p = 0.01). Conclusions: Official institutions/associations should be encouraged to produce and upload videos including up-to-date and comprehensive information regarding the disease. Likewise, additional search tools would be useful to locate videos uploaded by academic figures and institutions. © 2015, © The Author(s) 2015
INTESTINAL OBSTRUCTION DEVELOPED DUE TO INTESTINAL INTRAMURAL HEMATOMA BECAUSE OF WARFARIN OVERDOSE
No full textWOS: 000372137700022Oral anticoagulant therapy with warfarin is commonly used to prevent thromboembolic events in, high risk patients. A spontaneous intramural intestinal hematoma is a rare complication of the anticoagulant therapy. Small intestinal obstruction, which is developed due to intramural hematoma, is an even more rarely encountered state. Early diagnosis is very important since it responses to the treatment very well without requiring operation on the most patients. In our unstable case, although there is no risk factor, INR was reduced quickly by using prothrombin complex concentrate (Factor II/VII/IX); this raised the possibility of patient's treatment without complication
Chest X-rays in detecting injuries caused by blunt trauma
No full textWOS: 000382243400010PubMed ID: 27006740BACKGROUND: The appropriate sequence of different imagings and indications of thoracic computed tomography (TCT) in evaluating chest trauma have not yet been clarified at present. The current study was undertaken to determine the value of chest X-ray (CXR) in detecting chest injuries in patients with blunt trauma. METHODS: A total of 447 patients with blunt thoracic trauma who had been admitted to the emergency department (ED) in the period of 2009-2013 were retrospectively reviewed. The patients met inclusion criteria (age>8 years, blunt injury to the chest, hemodynamically stable, and neurologically intact) and underwent both TCT and upright CXR in the ED. Radiological imagings were re-interpreted after they were collected from the hospital database by two skilled radiologists. RESULTS: Of the 447 patients, 309 (69.1%) were male. The mean age of the 447 patients was 39.5+/-19.2 (range 9 and 87 years). 158 (35.3%) patients were injured in motor vehicle accidents (MVA). CXR showed the highest sensitivity in detecting clavicle fractures [95%CI 78.3 (63.6-89)] but the lowest in pneuomediastinum [95%CI 11.8 (1.5-36.4)]. The specificity of CXR was close to 100% in detecting a wide array of entities. CONCLUSION: CXR remains to be the first choice in hemodynamically unstable patients with blunt chest trauma. Moreover, stable patients with normal CXR are candidates who should undergo TCT if significant injury has not been ruled out
Initial assessment of hearing loss using a mobile application for audiological evaluation
No full textWOS: 000373125800007PubMed ID: 26781699Objective: This study aimed to compare an Apple iOS mobile operating system application for audiological evaluation with conventional audiometry, and to determine its accuracy and reliability in the initial evaluation of hearing loss. Methods: The study comprised 32 patients (16 females) diagnosed with hearing loss. The patients were first evaluated with conventional audiometry and the degree of hearing loss was recorded. Then they underwent a smartphone-based hearing test and the data were compared using Cohen's kappa analysis. Results: Patients' mean age was 53.59 +/- 18.01 years (range, 19-85 years). The mobile phone audiometry results for 39 of the 64 ears were fully compatible with the conventional audiometry results. There was a statistically significant concordant relationship between the two sets of audiometry results (p < 0.05). Conclusion: Ear Trumpet version 1.0.2 is a compact and simple mobile application on the Apple iPhone 5 that can measure hearing loss with reliable results
Resuscitation complications encountered in forensic autopsy cases performed in Muğla province
No full textBACKGROUND: The purpose of this study was to determine complications of resuscitation seen during autopsies and evaluate the effectiveness of basic life support training.METHODS: Autopsy case reports conducted in The Forensic Branch Manager of Muğla were retrospectively examined. Demographic data of the patients with resuscitation complications such as age, gender, manner of death, and kinds and features of the complications were recorded.RESULTS: In total, seventy-fourof the 100 cases with resuscitation complications were males. The autopsies in most of these cases were performed during the summer season. Among the patients, 68% died for non-traumatic reasons. Rib fractures were detected in seventy-one patients and sternum fractures in thirty-two patients. Moreover, damage to the pericardium (2%) and lung parenchymal (4%), heart lesions (4%), and liver lacerations (2%) were detected. Regarding rib fractures, fractures were found between the first and eighth ribs on both sides, with the highest numbers occurring in the fourth rib.CONCLUSION: Resuscitation complications are important since they can be presumed to have carried out for traumatic reasons.Resuscitation complications seen in autopsy cases with non-traumatic causes can be perceived as traumatic events. They can be assumed incorrectly as trauma symptoms. These complications can be reduced with a good resuscitation training of the health personne
The Validity of YouTube Videos on Pediatric BLS and CPR
No full textBackground: There are few data regarding the validity of cardiopulmonary resuscitation (CPR) and basic life support (BLS) videos on YouTube in the medical literature, and those that do are only analyzing adult CPR videos. The present study aimed to determine the reliability and accuracy of pediatric CPR and BLS videos as to whether they are consistent with the 2010 CPR guidelines. Materials and Methods: YouTube was scanned in January 2015 using the key words "Pediatric CPR Pediatric BLS'' without any filters. The raw data collected in the study included sources that uploaded the videos, the record time, the number of viewers in the study period, and inclusion of human or mannequins. Furthermore, the contents of the videos were evaluated as to whether they are consistent with the 2010 resuscitation guidelines. All videos were seen by two independent researchers (emergency physicians) and scored between 0 and 8. Results: In total, 1,200 videos were evaluated regarding the exclusion criteria, which yielded 232 eligible ones. Most of the videos were found to be uploaded by individuals with unspecified credentials (34.1%). Of the videos, 15.5% have content inconsistent with the 2010 guidelines. The median score of all the videos are not high enough (5 [interquartile range (IQR), 4-7]), and only one-third of the videos have optimal quality with scores of 7 or 8. The downloaded number of videos compatible with guidelines was significantly higher relative to the videos not compatible with the guidelines (15,38([IQR, 881-31515] versus 477 [IQR, 108-3,797); p = 0.0001). The videos downloaded more than 10,000 times had a higher score than the others (median scores of 7 and 5, respectively; p = 0.0001). Conclusions: Moderate numbers of YouTube videos purporting to be about pediatric life support have optimal quality, and few of them are perfect. Furthermore, YouTube videos uploaded by news programs with an insufficient quality have the highest download rates
INVESTIGATION OF REELIN RS7341475, RS362691 AND RS12705169 GENE POLYMORPHISMS IN CASES A WITH SUICIDE ATTEMPT
No full textWOS: 000372137700006Background: Suicidal ideations and behavior is one of the most serious conditions among psychiatric emergencies. Neurobiology and genetics of suicide attracted more interest in subsequent period. Today, studies focus on identification of related genes and polymorphisms at chromosomal level as a result of advances in molecular genetics. In this study, we aimed to investigate possible effects of reelin gene polymorphism on the pathogenesis of suicide attempts. Methods: This study included 106 patients with a suicide attempt and 90 healthy controls. Cases with a suicide attempt were assessed and classified by a clinician regarding the reason for a suicide, whether a suicide attempt was planned. The patients attempted to suicide by firearm or ingestion of toxic drug doses were considered as serious suicidal attempt. Reelin rs326691 (G/C), rs734147 (A/G) and rs12705169 (T/G) gene polymorphisms were examined by Real-PCR between patient and control groups. Homozygous mutant, heterozygous and homozygous normal genotypes were identified based on allele discrimination. Results: Of 106 patients with a suicide attempt, 23.6% were men and 76.4% were women. Median age was 20 years (12-52). In our study, it was demonstrated there was a significant difference in genotype and allele distribution of rs734147 gene polymorphism between the patient and control groups (p=0.004 and p=0.003). In addition, it was shown that both rs734147 and rs12705169 gene mutations were significantly more common in cases with serious suicidal attempts intending death when compared to those with suicide attempts seeking attention (p<0.001 and p=0.025). Conclusions: Our results indicated genetic variation of rs734147 and rs12705169 in reelin is significantly associated with the development of suicide attempt
Do Not Drink From Unknown Content From Bottles At Home. Organophosphate Methamidophos Intoxication: Four Case Reports
No full textWOS: 000218348800002Introduction: Methamidophos is a pesticide. It is widely used in agriculture. Safe storage of pesticides is one of the main issues of agricultural societies. Here, we report four cases of family members who unknowingly consumed pesticide that was stored in a water bottle. Emergency must be on the alert for intoxication. Case Report: We report four cases from the same family with similar complaints admitted to the emergency room. Case one: A 3-year-old boy suffering from cough and shortness of breath, diagnosed as bronchiolitis. A short time after hospitalization, he had cardiopulmonary arrest but responded to resuscitation. His physical examination revealed miosis and hypersecretion. In the meantime, his elder sister was brought to the ER with similar symptoms. Their father and the police were sent to the home to search for possible intoxication. The father noticed an unpleasant smell after he drank from a water bottle. The father and grandmother, who also drank water from the same bottle, received treatment for intoxication. Methamidophos was detected with water analysis. Conclusion: Intoxication cases should be evaluated extensively in the emergency room. The patient's home place must be examined and prevented for further intoxication cases. We believe that education about safe storage of pesticides will reduce this kind of accident
Laboratory markers has many valuable parameters in the discrimination between acute appendicitis and renal colic
No full text0000-0001-8252-3339WOS: 000369324400004PubMed ID: 27135073BACKGROUND: Only one diagnostic parameter is not available for acute appendicitis. For the establishment of diagnosis, combination of medical history, clinical, laboratory tests, and radiological imaging modalities are used so as to decrease the rates of negative laparotomy and morbidity secondary to delay in diagnosis. Thepresent study aimed to determine haematological and inflammatory markers which will be used in the discrimination of acute appendicitis (AA) and renal colic which are the most frequent and indistinguishable causes of abdominal pain in patients applying to the emergency service. METHODS: A total of 215 patients who presented with abdominal pain and who were histopathologically diagnosed as AA, and 200 patients who presented with abdominal pain and who were diagnosed as renal colic were included into the study. Control group consisted of 61 patients without any complaints who came to the outpatient clinics of internal medicine only for blood counts. Analyzed blood samples were WBC, RDW, Hb, MCV, MPV, neutrophil, lymphocyte, NLR and PLR. All differences associated with a chance probability of. 05 or less were considered statistically significant. RESULTS: A statistically significant intergroup difference was seen between AA and renal colic groups as for age, WBC, Hb, MCV, neutrophil, lymphocyte, NLR and PLR. A statistically significant intergroup difference was seen between AA and control groups regarding age, WBC, Hb, RDW, MPV, neutrophil, lymphocyte, NLR and PLR. A statistically significant intergroup difference was seen between renal colic and control groups as for age, WBC, RDW, MPV, neutrophil and NLR. In ROC curve analysis, the area under AUCs for WBC, neutrophil, NLR and PLR were 0.896, 0.916, 0.888 and 0.725, respectively (p <= 0.05). CONCLUSION: In the discrimination between patients with renal colic and those without any illness, WBC, RDW, MPV, neutrophil and NLR; in the differentiation between the patients with AA and healthy individuals, WBC, RDW, MPV, neutrophil, lymphocyte, NLR and PLR; and more importantly in the discrimination between patients with AA and those with renal colic who presented to emergency services with abdominal pain WBC, neutrophil, lymphocyte, PLR and NLR can be useful parameters
Electronic structure and optical properties of Schiff base hydrazone derivatives by solution technique for optoelectronic devices: Synthesis, experiment and quantum chemical investigation
No full textWOS: 000449310600004In this study, electronic, optical and spectroscopic FT-IR, UV properties of new synthesized Schiff base hydrazone derivatives, 1-(4-nitrophenyl)-2-(4-phenoxybenzylidene)hydrazone and 1-(2,4-dinitropheny1)-2-(4-phenoxybenzylidene)hydrazone are investigated by performing solution techniques and theoretical calculations. Solvatochromism and solute-solvent interactions were discussed based on the spectral results. It is observed that Schiff base hydrazone derivatives exhibit positive solvatochromism. Energy band gap E-g is determined experimentally and theoretically in solution. Concentration effect on E-g was investigated in DCM solvent for different molarities of solute. It is observed that solvent and concentration can be used for tuning E-g. NO2 substituent group gives rise to E-g value lows 0.3 eV. The refractive index (n) values were obtained from Moss, Ravindra, Herve-Vandamme, Kumar-Singh and Reddy relations based on E-g data. It is observed that n can be controlled with solvents and concentration of solutions. External electric field (EF) is theoretically applied in order to tuning HOMO-LUMO gap and dipole moment. Consequently, Schiff base hydrazone derivatives intend to be insulator under applied EFBitlis Eren University, Research Foundation [BEBAP-2013.04, BEBAP-2014.05]; Bitlis Eren UniversityThe authors greatly appreciate Bitlis Eren University, Research Foundation for the financial support via BEBAP-2013.04 and BEBAP-2014.05 projects. The author greatly thanks to Bitlis Eren University for supporting this study by Gaussian 09W and Gauss-View5.0 software. The authors greatly thank Dr. Halil Berber for performing experiments in Chemistry Department, Faculty of Science, Anadolu University
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