Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2013
Demographic and etiologic characteristics of children with traumatic serious hyphema.
We aimed to evaluate the etiologic factors, complications, follow-up, and treatment outcomes in serious hyphema following blunt ocular trauma in childhood. ⋯ In grade 3 and 4 hyphema due to blunt trauma, visual prognosis worsened in the presence of additional ocular pathologies. Considering the bad visual prognosis of severe hyphema patients, prompt treatment and close follow-up may prevent complications resulting in poor VA.
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Ulus Travma Acil Cer · Jul 2013
Effects of combined and individual use of N-methyl-D aspartate receptor antagonist magnesium sulphate and caspase-9 inhibitor z-LEDH-fmk in experimental spinal cord injury.
We investigated the individual and combined effects of magnesium sulphate, which is an N-Methyl-D aspartate receptor antagonist (NMDA), and z-LEHD-FMK, which is a caspase 9 inhibitor, on the genesis of secondary injury in a rat spinal cord injury model. We aimed to minimize the effects of secondary injury in spinal cord trauma by choosing these two agents which served to block the two major mechanisms of cell loss, apoptosis and necrosis. ⋯ We have found no difference between the individual and combined uses of MgSO4 and z-LEHD-FMK in the prevention of secondary injury; however, there were better histological results in the treatment groups compared to trauma and control groups which gives us hope for future investigations.
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Ulus Travma Acil Cer · Jul 2013
Analysis of appropriate tetanus prophylaxis in an Emergency Department.
In this study, our aim was to identify the validity of the prophylaxis indications for patients who received tetanus prophylaxis, determine the ratio of high-risk wounds to the number of patients with immunity, and to evaluate the tetanus immunity of specific age groups. ⋯ The vaccination histories can be misleading. Certain equipment can be used at the bedside to determine a patient's tetanus immunization status.
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A retrospective review was carried out to determine the incidence of various causes and outcome of management in patients with acute scrotum. ⋯ In this series, O /EO was found to rank first as the cause of acute scrotum. Immediate surgical treatment in acute scrotum patients, except those with O /EO, is necessary. Associated urological anomalies should be investigated in patients with O /EO.
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Ulus Travma Acil Cer · Jul 2013
Non-operative treatment approach for blunt splenic injury: is grade the unique criterion?
We aimed to investigate the results of a non-operative approach to blunt spleen injury to re-evaluate the importance of injury grade. ⋯ Hemodynamic stability is the most important criterion for the indication of non-operative treatment. However, in well-selected cases, patients with grade 4 splenic traumas and those with extra-splenic injuries could also be treated successfully with the non-operative method.