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Koyuncu M.,Karabük University | Koyuncu S.,Tokat State Hospital | Biberoglu S.,Karabük University | Benli A.R.,Karabük University | And 5 more authors.
Biomedical Research (India) | Year: 2017

Stress Hyperglycaemia (SH) evolving especially in the acute period of diseases and in post-traumatic patients is appeared in many diabetic and non-diabetic patients. Patients with undiagnosed diabetes mellitus may also present with complications of diabetes, with 5% fatal courses. The aim of this study was to determine the incidence of diabetes mellitus in patients who applied to Emergency Department (ED) for various reasons. The files of the patients were retrospectively examined. The patients were divided into the following groups: Group 0: No prior diagnosis of diabetes. Group 1: Stress hyperglycaemia. Group 2: Diabetes mellitus. Group 3: The patients had not been diagnosed with diabetes mellitus before visiting the emergency department, and they were not taking any treatment for diabetes. Group 4: Newly diagnosed diabetes mellitus. Group 2 had the highest number of patients (64.4%), followed by Group 3 (10.4%), Group 4 (4.3%), and Group 0 (4.1%). The highest average blood glucose values were found in Group 2 (258.00), followed by Group 3 (230.00), and Group 4 (237.00). Undiagnosed patients with diabetes mellitus risk can apply with complications, and this not only threatens the lives of these patients but also dramatically reduces their quality of their life. It should be considered that there could be diabetes mellitus patients, as well as stress hyperglycaemia patients, with a high blood sugar level, in the emergency department. Thus, we believe that patients diagnosed with a high blood sugar level should be advised to attend their family practices and/or a polyclinic for disease monitoring, with follow-up in an endocrine unit. © 2017, Scientific Publishers of India. All rights reserved.


Isik H.,Bülent Ecevit University | Aynioglu O.,Bülent Ecevit University | Sahbaz A.,Bülent Ecevit University | Arikan I.,Bülent Ecevit University | And 3 more authors.
Journal of Obstetrics and Gynaecology | Year: 2015

Objective: Noninvasive and simple markers are needed for the prediction of preterm delivery in women at risk for preterm labour. The aim of this study was to determine the value of platelet indices in the prediction of preterm delivery. Design: A retrospective study. Setting: Routine antenatal care in Zonguldak Bülent Ecevit University between 2008 and 2011. Sample: Ninety patients who delivered between 28 and 37 weeks of gestational age and 128 patients who delivered at term. Methods: Plateletcrit and other haematological markers, cervical dilatation and effacement, and the neutrophil-to-lymphocyte ratio as an inflammation marker. Main outcome measure: The role of platelet indices in predicting the preterm delivery. Results: The platelet count, plateletcrit, white blood cell count, red cell distribution width, and neutrophil count were significantly higher in the preterm delivery group. Receiver operating characteristic curve analysis showed that the plateletcrit cut-off value for predicting spontaneous preterm labour was 0.201%, with a sensitivity of 95.6% and specificity of 87.5%; the cut-off value for the platelet count was 234 ? 103/mm3 with a sensitivity of 81.0% and specificity of 71.0%. Conclusion: Plateletcrit is a low-cost, widely available, and noninvasive marker that might be used for the prediction of preterm delivery in patients with a history of preterm labour. © 2015 © 2015 Taylor & Francis Group, LLC.


PubMed | Gazi University, Bülent Ecevit University and Karabuk Education and Research Hospital
Type: Journal Article | Journal: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology | Year: 2015

Noninvasive and simple markers are needed for the prediction of preterm delivery in women at risk for preterm labour. The aim of this study was to determine the value of platelet indices in the prediction of preterm delivery.A retrospective study.Routine antenatal care in Zonguldak Blent Ecevit University between 2008 and 2011.Ninety patients who delivered between 28 and 37 weeks of gestational age and 128 patients who delivered at term.Plateletcrit and other haematological markers, cervical dilatation and effacement, and the neutrophil-to-lymphocyte ratio as an inflammation marker.The role of platelet indices in predicting the preterm delivery.The platelet count, plateletcrit, white blood cell count, red cell distribution width, and neutrophil count were significantly higher in the preterm delivery group. Receiver operating characteristic curve analysis showed that the plateletcrit cut-off value for predicting spontaneous preterm labour was 0.201%, with a sensitivity of 95.6% and specificity of 87.5%; the cut-off value for the platelet count was 234 ? 103/mm3 with a sensitivity of 81.0% and specificity of 71.0%.Plateletcrit is a low-cost, widely available, and noninvasive marker that might be used for the prediction of preterm delivery in patients with a history of preterm labour.


Alan S.,Akdeniz University | Aktas H.,Karabuk Education and Research Hospital | Ersoy F.,Karabuk Education and Research Hospital | Aktumen A.,Karabuk Education and Research Hospital | Erol H.,Karabuk Education and Research Hospital
Journal of Clinical and Diagnostic Research | Year: 2016

Stewart Treves Syndrome is an angiosarcoma generally seen long time after radical mastectomy in breast carcinoma patients in chronic lymphoedema area. It’s an angiosarcoma developed on a long standing lymphoedema, following a radical mastectomy. An 86-year-old woman was referred to our Dermatology outpatient clinic which developed a giant erythematous, oedematous, purplish lobulated plaque on her right forearm anteromedially with a few satellite erythematous papulonodules on her arm. The pathology revealed spindle-shaped tumour cells invading dermis with vascular differentiation into the subcutaneus tissue which are compatible with a diagnosis of angiosarcoma. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.

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