Biomedical subjects

Zeynep Kekec

Publications and source records attributed to Zeynep Kekec.

4 recordsLinked to original sources

PubMed2004

Blood levels of acute phase reactants with traffic accidents.

Emergency departments are generally the first treatment places for the trauma victims. Evaluating the traumatised patients by objective criteria are of great importance in diagnosis, treatment and prognosis. This prospective study was conducted at the Medical School of Erciyes University. Blood levels of Ceruloplasmin, Haptoglobulin and Transferrin, which are known as acute phase reactants, were obtained. 60 trauma patients were included in this study. 19 (31.6%) females and 41 (68.4%) males. 15 patients were operated. 4 (26%) patients died during the postoperative follow-up period. When compared with ceruloplasmin values obtained on all of the groups this they were statistically significant except that two day-control group. All of the haptoglobulin groups were statistically significant. When compared with transferin values obtained on first-two day, first-seven day and two-seven day, they were statistically significant (P < 0.05). As a results, We might say that the changes in the blood levels of all three biochemical parameters are related to the severity of the trauma. Taking advantage of all such changes we might predict both the severity of the trauma and the prognosis of traumatic episodes. This gives us an opportunity to define better strategies for the follow-up and treatment of our trauma patients.

Accidents, Traffic↗

PubMed2004

An analysis of 682 adult poisonings in Central Anatolia of Turkey.

We defined patient demographics, type of the poisoning, distribution according to month, route and reason for exposure, mortality causes and rates from 682 poisonings admitted to University Hospital in Kayseri, Turkey to evaluate whether they follow the pattern of other countries. Poisoning were drugs (54.5%), inhalational poisonings including carbon monoxide (13.7%), food (12.4%), alcohol (7%), pesticides (5.4%) and corrosives (2.1%). In drug ingestions, psychoactive drugs most common; psychoactive, analgesic, and anti-inflammatory drugs were most frequent agents in multiple drug poisonings. Drugs were the most used poison while pesticides, mushrooms, methanol and carbon monoxide caused more deaths. The mortality rate was 2%.

Adult↗

PubMed2003

Bilateral luxatio erecta humeri.

BACKGROUND: Inferior dislocation of the glenohumeral joint or luxatio erecta humeri is a rare form of injury, accounting for only 0.5% of all shoulder dislocations. Bilateral cases are even less frequent, with only eight cases reported in the literature. METHOD AND RESULT: We report one case of bilateral inferior dislocation of the shoulder. The patient made a complete functional recovery within 2 years after treatment by closed reduction and rehabilitation. CONCLUSION: Based on this case and the pertinent literature, the pathophysiology, diagnosis, and treatment of this rare injury are discussed.

Accidents, Home↗

PubMedDate not supplied

Ocular trauma in Turkey: a 2-year prospective study.

This 2-year prospective study was conducted to identify those at risk for ophthalmologic emergencies, to define the risk factors and reasons for eye injuries, to analyze treatment options, and to compare findings with those of previous studies. A total of 203 patients (74% male, mean age 27.3+/-13.9 y, 51% right eye injuries, 44% left eye injuries, 5% bilateral injuries) with injury to 208 eyes who presented to the emergency department for treatment were included in this study. All patients were evaluated by an ophthalmologist, who completed a formal questionnaire. Information recorded included demographic data, details of the eye injury, whether eye protection was used, and the type, location, and mechanism of injury to the eye. Mechanism of injury was categorized as blunt, sharp, or a combination. The ophthalmologist reported the time that had passed between occurrence of injury and presentation for treatment. Each patient was examined by the ophthalmologist, and findings, diagnosis, and treatment were documented. Of treated patients, 93% were hospitalized, most of whom required surgical treatment. One hundred (48%) injuries were related to blunt trauma and 86 (41%) to sharp device trauma. Only 10 (4%) patients were wearing protective eyewear when injured. Ruptured globe was the most common diagnosis of hospitalized patients and the most frequent cause of this was corneal lesions; subconjunctival hemorrhage was the most common diagnosis among nonhospitalized patients. In this study, the leading cause of eye injury was workplace accidents, probably attributable to growing industrialization in the region. Ocular trauma continues to be an important health problem in Turkey. Investigators believe that with education about and use of proper eye protection, 90% of eye injuries could be prevented.

Adolescent↗