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Öğe THE ANSWER TO THE QUESTION 'WHAT DOES STRESS DO TO THE HEART': TAKOTSUBO CARDIOMYOPATHY(Elsevier Ireland Ltd, 2013) Buyukkaya, E.; Karakas, M. F.; Kurt, M.; Karakus, A.; Tanircan, M. R.; Buyukkaya, S.; Sumbul, Z.[Abstract Not Available]Öğe A CASE OF ACUTE MYOPERICARDITIS MIMICKING ACUTE CORONARY SYNDROME(Elsevier Ireland Ltd, 2013) Karakas, M. F.; Buyukkaya, E.; Kurt, M.; Karakas, E.; Tanircan, M. R.; Buyukkaya, S.; Karakus, A.[Abstract Not Available]Öğe THE CASE OF MULTIPLE SPONTANEOUS CORONARY DISSECTIONS PRESENTING WITH ABORTED SUDDEN CARDIAC ARREST(Elsevier Ireland Ltd, 2013) Buyukkaya, E.; Karakas, M. F.; Kurt, M.; Karakus, A.; Akcay, A. B.; Sen, N.[Abstract Not Available]Öğe Epidemiology and cost of burns in emergency department during Syrian civil war(Comenius Univ, 2018) Kuvandik, G.; Ucar, E.; Karakus, A.BACKGROUND: We aimed to emphasize the importance of regional hospitals' capacities and emergency services for burn patients in war and disaster situations, in addition to assessing the costs and clinical situations of seriously burned patients who have come to the emergency service due to the bomb and heater burst during the Syrian civil war. METHODS: In this study, we analyzed these 217 burn patients and analyzed these patients' data for retrospective analysis. RESULTS: Burn patients were more often seen during the winter months. The majority of the patients were children, young adults and male (1-16 age, 95 % burn, 44 %, 17-40 age 94 % burn, 44 %, >= 41-65 age, 28 % burn, 12 %). The most common body surface burns >= 20 % body surface in surviving patients n = 184, 78 % were determined. 14 of the burned patients died within the first 24 hours. The total cost of the burned patients in the emergency unit was observed to be 33.4 +/- 25.9 Turkish Lira (10.2-6813.2). CONCLUSION: The present study showed that burn patients need much longer treatment time. The need for trained personnel in case of mass disasters and warfare, the identification of burn intensive care units and hospitals to be referred is important (Tab. 2, Fig. 4, Ref. 23). Text in PDF www.elis.sk.Öğe Isolated brainstem edema in a pediatric patient with head trauma: a case report(Verduci Publisher, 2015) Basarslan, K.; Basarslan, F.; Karakus, A.; Yilmaz, C.Brain stem is the most vital part of our body and is a transitional region of the brain that connects the cerebrum with the spinal cord. Though, being small in size, it is full of indispensible functions such as the breathing, heart beat. Injury to the brain stem has similar effects as a brain injury, but it is more fatal. Use of the Glasgow Coma Score as a prognostic indicator of outcome in patients with head injuries is widely accepted in clinical practice. Traumatic brain stem edema in children is rare, but is associated with poor outcome. The question is that whether it is being aware of computerized tomography appearance of the posterior fossa when initial evaluating pediatric patients with head trauma at emergency clinics. Normal and edematous brain stem without an additional pathology are slightly different and not distinguished easily. On the other hand, brain stem edema should be promptly identified and appropriately treated in a short time.Öğe Licorice induced hypokalemia, edema, and thrombocytopenia(Sage Publications Ltd, 2012) Celik, M. M.; Karakus, A.; Zeren, C.; Demir, M.; Bayarogullari, H.; Duru, M.; Al, M.Licorice originates from the root of Glycyrrhiza glabra, which has a herbal ingredient, glycyrrhizic acid, and has a mineralocorticoid-like effect. Chronic intake of licorice induces a syndrome similar to that found in primary hyperaldosteronism. Excessive intake of licorice may cause a hypermineralocorticoidismlike syndrome characterized by sodium and water retention, hypertension, hypokalemia, metabolic alkalosis, low-renin activity, and hypoaldosteronism. In this case report, an association of hypokalemia, edema, and thrombocytopenia that is developed due to the excessive intake of licorice is presented. There are case reports in the literature, which suggest that toxicity findings may emerge with hyperaldosteronism-like manifestations such as hypokalemia, edema, and hypertension. However, any knowledge of thrombocytopenia as a resultant was not encountered among these reported toxic effects. Our case is important because it shows that the excessive intake of licorice may cause a toxic effect in the form of thrombocytopenia. This report is the first presented case to show thrombocytopenia due to licorice syrup consumption.Öğe Nebulized salbutamol for asthma: Effects on serum potassium and phosphate levels at the 60 min(Elsevier Doyma Sl, 2013) Sahan, M.; Yilmaz, M.; Gokel, Y.; Erden, E. S.; Karakus, A.Objective: We conducted this prospective study to expand available information in relation to serum phosphate levels in treatment of acute asthma. A beta-adrenergic agonist, salbutamol, was used for this purpose. Material and methods: Twenty-six patients who met the inclusion criteria as; age over 16 years, asthma history, and an acute exacerbation were included. Serum blood urea nitrogen, creatinine, glucose were within normal limits in all the patients. None of the patients were on chronic theophylline therapy. Baseline serum phosphate and potassium levels were measured. Nebulized salbutamol (2.5 mg) was used three times at every hour. After 60 min, serum phosphate and potassium levels were measured. Results: Serum phosphate levels decreased from 3.7 +/- 0.9 mg/dL (baseline) to 3.6 +/- 0.9 mg/dL at 60 min. This decrease was not statistically significant (p=0.373). Serum potassium levels decreased significantly (p < 0.001) from 4.6 +/- 0.7 mmol/L (baseline) to 4.3 +/- 0.7 mmol/L (60 min). Conclusion: Administration of nebulized salbutamol during the emergency treatment of acute exacerbation of asthma is not associated with a statistical decrease in serum phosphate. There was significant hypokalemia. This study indicates that a further study is needed to elucidate the clinical significance of nebulized salbutamol on serum phosphate. (c) 2012 Sociedade Portuguesa de Pneumologia. Published by Elsevier Espana, S.L. All rights reserved.Öğe TREATMENT OF LEFT ANTERIOR DESCENDING ARTERY PERFORATION WITH GRAFT STENTING: CASE REPORT(Elsevier Ireland Ltd, 2013) Buyukkaya, E.; Karakas, M. F.; Karakas, E.; Gungor, M.; Buyukkaya, S.; Karakus, A.; Sumbul, Z.[Abstract Not Available]Öğe Triggers for attacks in familial mediterranean fever: Are there any regional or ethnic differences?(Acta Medica Mediterranea, 2014) Huseyin, Cebicci; Aykac Cebicci, M.; Sahan, M.; Gurbuz, S.; Karaca, B.; Karakus, A.; Tomruk Sutbeyaz, S.Introduction: Familial Mediterranean Fever (FMF) is an autosomal recessive disorder which is characterized by recurrent episodes of fever and inflammation including peritonitis, synovitis and pleuritis accompanied by pain.The present study was conducted with the aim to determine the triggering factors of FMF and investigate whether there are any differences between two regions with different geographical characteristics with respect to triggers of attacks in FMF patients admitting to the emergency room with an episode of abdominal pain. Materials and methods: The study was planned as a prospective, two-site study to be conducted in Kayseri and Hatay. Triggers of attacks were investigated for patients previously diagnosed with FMF who admitted to the emergency room with an episode of abdominal pain. Results: A total of 75 patients were enrolled in the study including 40 in Kayseri group and 35 in Hatay group. Kayseri group had a predominance of female patients and Hatay a predominance of male patients. Emotional stress, excessive physical activity, menstruation and exposure to cold were found to trigger FMF-associated abdominal pain episodes in Kayseri group, whereas emotional stress and excessive physical activity were predominant triggers of attacks in Hatay group. Conclusion: FMF attacks were found to be associated with emotional stress and excessive physical activity in both study groups. Excessive physical activity, menstruation and exposure to cold were significantly more likely to trigger attacks in Kayseri group compared to Hatay group.Öğe TRIGGERS FOR ATTACKS IN FAMILIAL MEDITERRANEAN FEVER: ARE THERE ANY REGIONAL OR ETHNIC DIFFERENCES?(Carbone Editore, 2014) Huseyin, Cebicci; Cebicci, Aykac M.; Sahan, M.; Gurbuz, S.; Karaca, B.; Karakus, A.; Sutbeyaz, Tomruk S.Introduction
