Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Dec 2022
An effective and reliable marker in gradıng the severity of acute cholecystitis: Increased immature granulocyte percentage.
Acute cholecystitis (AC) is an acute inflammatory disease of gallbladder and it is one of the most common causes of acute abdominal pain. Determining the severity of AC at hospital admission is extremely important to choose the most effective treatment method and predict vital prognosis. The aim of this study was to investigate the effectiveness of immature granulocyte percentage (IG%) in grading AC severity. ⋯ Increased IG% is seen as an effective and reliable predictor in the early determination of AC severity.
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Ulus Travma Acil Cer · Dec 2022
Factors affecting interval cholecystectomy and mortality in percutaneous cholecystostomy patients.
Percutaneous cholecystostomy is an alternative or bridge to cholecystectomy (CCY) in high-risk patients with acute calculous cholecystitis. Our primary aim was to determine the parameters that could be used in interval CCY decision-making and to predict mortality in high-risk patients. ⋯ The plasma albumin level, ASA score, CCI, and ACS expected mortality rate can be used to predict mortality and decide on elective CCY. Percutaneous cholecystostomy is sufficient for resolving inflammation, but medical comorbidities determine the final condition of patients.
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Ulus Travma Acil Cer · Dec 2022
Evaluation of the effect of proximal femur geometry on results of geriatric intertrochanteric fracture surgery.
This study aimed to explore the relationship between the complications and clinical outcomes after intertrochanteric femoral fracture surgery, and the Singh index (SI), canal-calcar ratio (CCR), cortical thickness index (CTI), and canal flare index (CFI) - the radiological indices defining proximal femoral morphology in the literature - among patients over 60 years of age. ⋯ No statistically significant relationship could be established between radiological indices and post-operative complications. It should be considered that SI may be a parameter that affects clinical outcomes.
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Ulus Travma Acil Cer · Dec 2022
The characteristics of assaulted victims presented to a university emergency department: Can head trauma in male patients be considered a clue for assaults?
Violence is a common issue without an exact number worldwide. The types are interpersonal, spousal, or domestic violence. We aim to reveal the demographic characteristics of cases involving violence, mechanisms of injury, and their relationship with head and face trauma. ⋯ Assault is a common problem predominantly among young males. The most commonly affected body part was the head, and nasal fractures were the diagnosis. Most of the patients with high blood levels were among the male victims. The perpetrator of the female victims was their spouses. In the ED, male patients who presented with head trauma were considered as assault victims.
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Ulus Travma Acil Cer · Dec 2022
Medicolegal evaluation in terms of physical abuse of children aged 0-3 years presenting at the emergency department with brain hemorrhage.
Physical abuse of children covers all types of non-accidental and preventable physical violence and injury perpetrated by the caregiver. ⋯ Any physician who encounters findings related to physical abuse of a child must make a forensic and social services report. Physicians who do not make the necessary reports or act to the contrary have both a legal and moral responsibility in the subsequent process.