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Unluer E.E.,Izmir Ataturk Training and Research Hospital | Yavasi O.,Izmir Ataturk Training and Research Hospital | Kara P.H.,Izmir Ataturk Training and Research Hospital | Kilic T.Y.,Izmir Ataturk Training and Research Hospital | And 5 more authors.
Ulusal Travma ve Acil Cerrahi Dergisi

BACKGROUND: Our objective was to evaluate the accuracy of paramedicperformed Focused Assessment with Sonography in Trauma (PFAST) for detection of free fluid in patients admitted to the Emergency Department (ED) following trauma. METHODS: After four hours of didactic and four hours of hands-on training, four paramedics prospectively evaluated trauma patients. Our gold standard was the official radiologist reports of ultrasonography and computerized abdominal tomography (CAT). The sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio of PFAST were calculated and analyzed using SPSS 15.0 with χ2 testing. RESULTS: One hundred and twenty-seven patients were evaluated by the paramedics. Fourteen patients had positive free fluid in the abdomen. Of these, 11 were corroborated by radiology reports and CAT (true positives), and three were found to be negative (false positives). In 113 cases, PFAST was negative for free fluid. Of these, 111 were determined not to have free fluid (true negatives), whereas free fluid was detected by CAT in 2 (false negatives). The sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio of PFAST were 84.62, 97.37, 32.15, 0.16, and 203.50, respectively. CONCLUSION: Our study shows that paramedics can perform FAST in hospital EDs with a high degree of accuracy. Source

Izbirak G.,Yeditepe University | Akan H.,Yeditepe University | Mistik S.,Erciyes University | Gundogdu B.,Dr Lutfu Kirdar Kartal Training And Research Hospital | And 2 more authors.
Turkiye Klinikleri Journal of Medical Sciences

Objective: The purpose of this study was to compare the Health-Related Quality of Life (HRQOL) status of patients with end stage renal disease (ESRD) on hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) treatment, and to define in which way their perception of quality of life (QOL) is affected by socio-demographic characteristics, disease-related variables and laboratory findings. Material and Methods: In this cross-sectional study, 22 consecutive patients on CAPD treatment at a Training and Research Hospital (42%) and 30 consecutive patients on HD treatment at a private healthcare center (57%) -who met the eligilibity criteria- were evaluated in a period of three months between November 2004 and January 2005. The patients answered to two questionnaires with a face to face interview method. The first questionnaire was composed of questions regarding socio-demographic and disease-related variables. The second questionnaire was the Turkish version of The Medical Outcomes Study Short- Form 36 (SF-36) Health Status Survey, which was used to assess the general HRQOL. Data regarding laboratory findings and complications of chronic renal failure were collected from the patients' medical records. Results: CAPD patients had better physical functioning (p= 0.003) and physical role limitation (p= 0.001) scores in certain SF-36 sub-domains compared to HD patients. There was a moderate positive correlation between albumin levels and physical function, while thrombocyte counts were negatively correlated with vitality and social function in HD patients. In the CAPD group, calcium and hematocrit levels were positively correlated with vitality. There was a negative correlation between phosphorus levels and mental health status and a negative correlation between potassium levels and general health status of CAPD patients. Conclusion: In our study we observed higher quality of life scores in the CAPD group compared to the HD group especially in the area of physical function which may be explained by portability, easy application and mobility of these patients, which are some of the advantages compared to HD patients. Since QOL scores are affected by the modality of dialysis in ESRD patients, besides clinical parameters QOL status of these patients should also be considered in choosing the treatment modality and follow-up process. © 2010 by Türkiye Klinikleri. Source

Cakmakci E.,Kelkit Government Hospital | Bayram A.,Bafra Government Hospital | Turkoglu O.K.,Dr Lutfu Kirdar Kartal Training And Research Hospital | Ozal S.T.,Dr Lutfu Kirdar Kartal Training And Research Hospital | And 6 more authors.
Clinical Imaging

Our aim was to investigate whether there is a correlation between computerized tomography (CT) density measurements of the urinary bladder and urinalysis results. Patients were subdivided into three groups with respect to urinalysis results: Group 1, no leukocytes or erythrocytes detected in urine (n=25); Group 2, erythrocytes detected in urine (n=50); and Group 3, leukocytes and erythrocytes detected in urine (n=98). In CT sections, densitometric measurements had been performed from three zones on each section and groups were compared in terms of densitometry results. Our results indicate that density measurements of CT views form the urinary bladder may provide valuable data on hematuria and leukocyturia. © 2014 Elsevier Inc. Source

Madenci O.C.,Dr Lutfu Kirdar Kartal Training And Research Hospital | Yucel N.,Dr Lutfu Kirdar Kartal Training And Research Hospital | Arikan Z.,Dr Lutfu Kirdar Kartal Training And Research Hospital | Sargin M.,Dr Lutfu Kirdar Kartal Training And Research Hospital | And 3 more authors.
Turkish Journal of Biochemistry

Objective: The relationship of asymmetrical dimethylarginine (ADMA) and glycemic control in diabetes is not yet fully enlightened. We aim to investigate the association of ADMA and hemoglobin A1c (HbA1c) in normal glomerular filtration rate (GFR) diabetic patients. Methods: This cross sectional study included 88 diabetic patients whose GFRs were in reference range. 2 different HbA1c values; current (cHbA1c) and mean of 4 successive measurements with 3 months intervals (mHbA1c) were used. The association of ADMA with HbA1c levels and other clinical characteristics of patients were evaluated. Results: We found significant inverse correlations between ADMA and both current (r =-0,354, p=0,001) and mean HbA1c(r=-0,377, p=0,000) levels. In multiple lineer regression analyses mHbA1c, glucose and duration of diabetes (R2=0,343, p=0,000) or cHbA1c, glucose and duration of diabetes (R2=0,318 p<0,001)were predictive variables for ADMA concentrations. Conclusion: The study indicated that, long term poor glycemic control is associated with decreased ADMA levels. © TurkJBiochem.com. Source

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