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Öğe Foreign Body Without Complication in the Thorax (Bullet Core): Case Report(Aves, 2011) Karakus, Ali; Gungor, Ahmet; Damgaci, Kadir; Kandis, Hayati; Apaydin, Osman OzcanBecause of the high rates of death and severe injury due to thoracal gun shot wounds, the medical approach to bullet cores remaining in the thoracic cavity without causing any complication has only rarely been presented in the literature. In this study, we aimed to investigate the treatment and follow up stages of a patient who was admitted to the emergency department due to a thoracic gunshot wound and developed no thoracic complication.Öğe Injuries related to the Feast of Holy Sacrifice(Springer Heidelberg, 2013) Deniz, Turgut; Ulger, Huseyin; Kandis, Hayati; Agalar, Fatih; Aydinuraz, Kuzey; Karakus, Ali; Daphan, CagatayObjective The aim of this study is to evaluate and draw attention to sacrification injuries that occurred during the Feast of Holy Sacrifice. Methods Two hundred and sixty-two patients who were admitted to the emergency services in the city of Kirikkale with sacrification injuries during four consecutive Feast of Holy Sacrifice holidays between 2008 and 2011 were evaluated according to age, sex, admission day and time, experience level, type and mechanism of injury and treatment type. Results Average age was 43 +/- 14 and 83 % of were male. Only 7 patients (2.7 %) were professional butchers, while 155 patients had sacrificed previously. Eighty-three patients had not sacrificed previously and 24 patients had only witnessed sacrification. Penetrating injuries were 81 % (206 cases from knives and 6 cases from animals' horns) and 19 % were blunt. The admittance to the EDs was highest on the first day. Upper extremity trauma constituted for 80 % of cases (n=209) and 197 (94 %) were hand injuries, whereas 39 patients (15 %) had lower extremity injury. While 174 patients (67 %) injuries were self-inflicted with a knife, 32 (12 %) were injured by the knife of another and 50 (21 %) were injured by animal aggression. Primary suture (155 patients), splint and tendon repairing were undertaken. No deaths occurred. Conclusions Sacrification injuries can sometimes be serious with the injuries consisting mainly of tendon cuts and bone fractures. Preliminary arrangements with medical staff and equipment support should be provided during the Feast of Holy Sacrifice, especially on the first day. The butchering jobs during this period should be given to professionals.Öğe N-Acetyl cysteine and erdosteine treatment in acetaminophen-induced liver damage(Sage Publications Inc, 2014) Saritas, Ayhan; Kandis, Hayati; Baltaci, Davut; Yildirim, Umran; Kaya, Halil; Karakus, Ali; Colakoglu, SerdarObjective: This study is aimed to investigate the efficacy of erdosteine usage in acetaminophen-induced liver damage and to compare it with N-acetyl cysteine (NAC) in the treatment and prevention of liver toxicity due to overdose of acetaminophen. Methods: The rats were separated into the following six groups of seven rats each: control group; acetaminophen (1 g/kg, orally); acetaminophen (1 g/kg, orally) + erdosteine (150 mg/kg/day, orally); acetaminophen (1 g/kg, orally) + NAC (140 mg/kg loading dose, followed by 70 mg/kg, orally); NAC (140 mg/kg loading dose, followed by 70 mg/kg, orally); erdosteine (150 mg/kg/kg, orally), subsequently. In all the groups, potential liver injuries were evaluated using biochemical and hematological analyses, oxidant-antioxidant parameters and histopathological parameters. Results: In acetaminophen-treated group, levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), total oxidant status (TOS) in the blood, prothrombin time (PT) and international normalized ratio (INR) were significantly increased when compared with controls. However, total antioxidant capacity (TAC) and glutathione (GSH) levels were decreased in group treated with acetaminophen, when compared with control group. Levels of AST, ALT and TOS, PT and INR were decreased in groups treated with NAC and erdosteine after acetaminophen administration, but the levels of TAC and GSH were increased. Histopathological improvements were observed in the groups treated with NAC and erdosteine after acetaminophen administration. Conclusion: The present study demonstrated that, in the prevention of liver damage induced by acetaminophen intoxication, an early treatment with a single dose of erdosteine was beneficial instead of NAC administration.Öğe Spontaneous hemopneumothorax case that presented to the Emergency Department in shock state(Elsevier Science Bv, 2010) Karakus, Ali; Kandis, Hayati; Gungor, Ahmet; Sahan, Mustafa; Sonmez, ErtanSpontaneous hemopneumothorax is a rare medical entity in which bleeding into the pleural space causes life-threatening condition in patients. Even though spontaneous pneumothorax cases are more commonly referenced in the literature, spontaneous hemopneumothorax is rarely encountered in clinical practice. We aimed to report a patient who presented to the emergency department in the state of shock and was diagnosed as a spontaneous hemopneumothorax.
