Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2020
Penetrating cardiac trauma in stab wounds: A study of diagnostic accuracy of the cardiac area.
Stab wounds (SW) to the thorax raises suspicion for cardiac injuries; however, the topographic description is variable. The present study aims to evaluate different topographical descriptions within the thorax and establish their diagnostic value in penetrating cardiac trauma by SW. ⋯ Among the thoracic areas, topographical limits between the right mid-clavicle line and the left anterior axillary line, and between 2nd and 6th intercostal spaces are the more accurate and are highly indicative of cardiac injury in patients with SW to the thorax.
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Ulus Travma Acil Cer · Sep 2020
Treatment of acute appendicitis: Urgent surgery or emergent surgery?
The standard treatment of acute appendicitis, which is a rapidly progressive inflammatory disease, remains surgery. However, several studies have suggested antibiotics treatment for acute appendicitis, especially in centers where surgery at all hours is not possible. Therefore, in this study, we investigated the relationship between the preoperative waiting period and postoperative complications in patients who underwent interval surgery following conservative management during the same admission. ⋯ Our analyses revealed that there were no disadvantages associated with a longer preoperative waiting period in patients diagnosed with uncomplicated appendicitis.
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Ulus Travma Acil Cer · Sep 2020
The efficacy of continuous lumbar drainage in post-traumatic cerebrospinal fluid fistulas.
This study aims to investigate the clinical outcomes of patients who underwent closed continuous lumbar drainage (CLD) for post-traumatic cerebrospinal fluid (CSF) fistula and to compare with those of non-traumatic patients. ⋯ CLD in post-traumatic CSF fistulas is a safe and effective treatment method. Especially in patients with gunshot wounds, CLD should be performed before revision surgery in the treatment of CSF fistula. Studies with different parameters are needed in larger trauma populations.
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Ulus Travma Acil Cer · Sep 2020
The efficacy of curcumin on PDGF expression and NF-kappa B pathway: TNBS-induced colitis.
Curcumin is an antioxidant and anti-inflammatory molecule known to be a potent inhibitor of nuclear factor kappa B (NF-kappa B). In this study, we aimed to investigate the therapeutic effects of curcumin on colitis induced by a 2,4,6-trinitrobenzene sulfonic acid (TNBS). ⋯ The effects of curcumin improved possibly by modulating the NF-κB signaling pathway should be considered against colitis alone or in combination with the conventional anti-colitic therapies in future studies.
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Ulus Travma Acil Cer · Sep 2020
Guideline implementation and raising awareness for unintended perioperative hypothermia: Single-group 'before and after' study.
Unintended Perioperative Hypothermia (UPH) is defined as a core body temperature less than 36°C. The Turkish Society of Anesthesiology and Reanimation [Türk Anesteziyoloji ve Reanimasyon Derneği (TARD)] published a 'Guideline for the Prevention of the Unintended Perioperative Hypothermia' in 2013. This study aims to decrease the incidence of unintended UPH in our hospital using a protocol, which is prepared according to the recommendations in the Guideline for the prevention of unintended perioperative hypothermia. ⋯ The incidence of unintended perioperative hypothermia can be significantly decreased with the evidence-based implementations.