Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2012
Clinical Trial[The role of blood S100B and lactate levels in minor head traumas in children and adults and correlation with brain computerized tomography].
In this study, we aimed to set levels of blood S100B and lactate and to determine any correlation with brain computerized tomography in minor head traumas in children and adults. ⋯ According to our results, in minor head traumas, the determination of elevated serum S100B and lactate levels cannot take the place of clinical examination and the use of cranial CT. Although the patients in our study group had minor head trauma, we do not consider S100B and lactate to be reliable markers for estimating progression.
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Ulus Travma Acil Cer · Sep 2012
Case ReportsSpontaneous migration of a retained bullet within the brain: a case report.
Gunshot injury to the head is usually mortal, and spontaneous migration of a retained bullet is rare. We report the case of a 23-year-old man with a spontaneously migrated bullet within the brain. Cranial computerized tomography (CT) indicated that the bullet was lodged deeply in the left parietal region. ⋯ Management of the retained bullet was controversial. Removal of a deep-seated bullet may cause additional neurological deficit, but migration of a retained bullet may cause damage to vital structures, producing significant neurological damage. We proposed that the bullet in the brain should be removed if it could be reasonably accessed without causing additional neurological damage.
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Ulus Travma Acil Cer · Sep 2012
Case ReportsBilateral simultaneous anterior obturator dislocation of the hip by an unusual mechanism - a case report.
A case of bilateral simultaneous anterior dislocation of the hip in a 30-year-old female is presented herein. The patient was managed conservatively. Follow-up at two years showed excellent results with no signs of avascular necrosis. The cause and mechanism of injury are discussed, which are different from those of previously reported cases.
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Ulus Travma Acil Cer · Sep 2012
Comparative StudyComparison of topical zinc oxide and silver sulfadiazine in burn wounds: an experimental study.
We aimed to compare the effects of topical zinc oxide and topical silver sulfadiazine in the treatment of partial-thickness burn wounds. ⋯ In this experimental burn study, zinc oxide was more effective than silver sulfadiazine in terms of epithelization, dermis maturation and scar formation.
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Ulus Travma Acil Cer · Sep 2012
Randomized Controlled TrialRandomized controlled trial of morphine in elderly patients with acute abdominal pain.
The objective of this study was to determine the clinically important change in diagnostic accuracy and physical examination in the morphine vs. placebo group. ⋯ Administration of opioid analgesia is safe and does not seem to impair clinical diagnostic accuracy in elderly patients with acute undifferentiated abdominal pain. Nevermore, opioids may change the physical examination findings such as abdominal rigidity.