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Öğe The correlation between the neuron specific enolase and Glasgow coma scale in patients with sepsis and septic shock(SPRINGER HEIDELBERG, 2011) Buyukunaldi, P.; Gul, M.; Cander, B.; Ergin, M.; Erdem, S. S.; Bozdemir, M. N.; Kocak, S.[Abstract not Available]Öğe Etiologic factors in falls from height in pediatric cases(SPRINGER HEIDELBERG, 2012) Kocak, S.; Dundar, Z. D.; Yavuz, K.; Onal, M. A.; Dikmetas, C.; Girisgin, A. S.; Gul, M.In this study, factors causing falls from height and precautions taken for their prevention were investigated. The study was carried out prospectively between June 2009 and June 2010. Patients under 18 years of age presenting at the emergency department of a university hospital, for whom the primary reason for admission was an accidental fall from a height of at least one meter, were included in the study. The demographic characteristics of the patients, the characteristics of the falls, and clinical features were recorded. Data for 133 patients were evaluated. Among these patients, 72 (54.1%) were male; the median age was 4 (IQR 2-7). The most common fall site was a balcony (38%). Falls frequently happened in the spring and the summer. The mean fall height was 2.9 +/- A 2.5 m, the median GCS score was 15 (IQR 14-15), and the median PTS was 10 (IQR 9-11). The fall heights was higher in patients who lost consciousness (p < 0.001). Among the 95 patients who were 0-6 years old, it was found that about 55% were unaccompanied by their parents. The most common pathology in the patients was head trauma (63%), while 17.3% had multiple traumas. Since the vast majority of the fall cases were in the pre-school age group, most were due to falls from a balcony, and more than half of the cases were unaccompanied by parents or caregivers, there are two issues that need to be addressed in relation to pediatric falls from height: family education and legal regulations considering child safety in the design of doors, windows, and balconies of buildings.Öğe Fluid replacement via the rectum for treatment of hypovolaemic shock in an animal model(B M J PUBLISHING GROUP, 2006) Girisgin, A. S.; Acar, F.; Cander, B.; Gul, M.; Kocak, S.; Bodur, S.Background: The importance of early and effective fluid resuscitation in hypovolaemic shock treatment is indisputable. Aim: To examine the effects of fluid replacement via the rectum in an animal model of hypovolaemic shock as a possible life-saving method in situations where veins cannot be accessed quickly. Methods: Rabbits were randomly divided into two groups: a control group of 7 animals and a second group of 10, the fluid replacement via the rectum (FRVR) group. The femoral artery of each subject was catheterised and 15 ml blood was withdrawn over 1 min at 5-min intervals. After reaching a mean arterial pressure ( MAP) of 30 mm Hg, additional blood was withdrawn until the MAP dropped to,25 mm Hg, at which time blood withdrawal ceased. At this point, control animals were given no treatment and were monitored for 30 min. The FRVR group, however, was given 0.9% sodium chloride solution ( amount equal to three times the amount of blood withdrawn) via the rectum over a 15-min period. The MAPs of both groups were then measured, every 5 min after the start of resuscitation, for 30 min. Results: In the FRVR group, the MAP began to rise significantly after 15 min of receiving fluid per rectum ( p = 0.035) and continued to be significantly greater than the control group at 20, 25 and 30 min ( p = 0.035, 0.002 and 0.001, respectively). Conclusion: FRVR is a viable alternative for fluid resuscitation in this animal model of hypovolaemic shock. This easy and non-invasive method of fluid replacement may be useful when standard intravenous access is unobtainable, and should be compared with other access routes using varying types and amounts of fluids in future animal studies.
