33 results on '"Türedi S"'
Search Results
2. Biochemical and morphological evaluation of the effects of propolis on cisplatin induced kidney damage in rats
- Author
-
Yuluğ, E., primary, Türedi, S., additional, Yıldırım, Ö., additional, Yenilmez, E., additional, Aliyazıcıoğlu, Y., additional, Demir, S., additional, Özer-Yaman, S., additional, and Menteşe, A., additional
- Published
- 2018
- Full Text
- View/download PDF
3. Biochemical and morphological evaluation of the effects of propolis on cisplatin induced kidney damage in rats.
- Author
-
Yuluğ, E., Türedi, S., Yıldırım, Ö., Yenilmez, E., Aliyazıcıoğlu, Y., Demir, S., Özer-Yaman, S., and Menteşe, A.
- Subjects
- *
PROXIMAL kidney tubules , *OXIDANT status , *DRUG side effects , *BASAL lamina , *PROPOLIS , *KIDNEYS - Abstract
Cisplatin (CP) is a chemotherapeutic agent used to treat various types of cancer; nephrotoxicity is the most common adverse effect of the drug. We investigated the protective effects of propolis against CP induced kidney injury. Thirty-six male rats were divided into six equal groups: untreated control group, 50 mg/kg/day propolis group, 100 mg/kg/day propolis group, single-dose 7 mg/kg CP group, 7 mg/kg CP + 50 mg/kg/day propolis and 7 mg/kg CP + 100 mg/kg propolis. Rats were sacrificed after 14 days and kidneys were removed for histopathological and biochemical analyses. We used hematoxylin & eosin and periodic acid-Schiff staining to evaluate kidney histopathology and we used the TUNEL technique to assess apoptosis. We also measured total oxidant status (TOS), total antioxidant status (TAS), oxidative stress index (OSI), ischemia-modified albumin (IMA) and malondialdehyde (MDA) levels in tissue and blood specimens. Normal morphology was observed in the control, 50 mg/kg/day propolis and 100 mg/kg/day propolis groups by light microscopy. Degeneration of tubule cells, edema and tubule dilation were increased in the CP group compared to the control group. Degeneration of tubule cells and dilation of Bowman's spaces were decreased in the CP + 50 mg/kg/day propolis and CP + 100 mg/kg/day propolis groups compared to the CP group. Tubule dilation decreased significantly in the CP + 100 mg/kg propolis group compared to the CP group. Also, the 7 mg/kg CP group exhibited altered proximal tubule epithelial cells, loss of brush border and thickening of the parietal layer of Bowman's capsule in glomeruli and basal laminae of tubules. A normal brush border was observed in the CP + 50 mg/kg/day propolis and CP + 100 mg/kg/day groups. Serum OSI and MDA levels were increased in the CP group compared to the control group. Serum MDA levels decreased significantly in the CP + 50 mg/kg/day propolis and 100 mg/kg CP + propolis groups compared to the CP group. CP caused significant damage to kidney tissue; propolis exhibited dose-dependent prevention of tissue damage. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
4. The military expenditures and economic growth nexus: Panel bootstrap granger causality evidence from NATO countries
- Author
-
Topal Mehmet Hanefi, Unver Mustafa, and Türedi Salih
- Subjects
defense economics ,military expenditures ,economic growth ,asymmetric bootstrap granger causality ,Economic theory. Demography ,HB1-3840 - Abstract
The purpose of this study is to examine the causal linkage between military expenditures and economic growth in 27 North Atlantic Treaty Organization (NATO) member countries. Different periods are studied due to the unavailability of data for the common period for all countries. Both the symmetric and the asymmetric causality between military expenditures and economic growth are investigated under cross-sectional dependence and panel heterogeneity by using the bootstrap panel Granger causality testing approach. The results indicate that there is both symmetric and asymmetric Granger-causality between military expenditures and economic growth, which vary from one country to another. The robust empirical findings support the military expenditures and economic growth nexus in 12 of the 27 NATO member countries. Moreover, the findings show that more empirical evidence between military expenditures and economic growth can be obtained when the asymmetric causality is considered, in addition to the symmetric causality.
- Published
- 2022
- Full Text
- View/download PDF
5. Effects of prenatal exposure to a 900 MHz electromagnetic field on 60-day-old rat testis and epididymal sperm quality
- Author
-
Odacı, E, primary, Hancı, H, additional, Yuluğ, E, additional, Türedi, S, additional, Aliyazıcıoğlu, Y, additional, Kaya, H, additional, and Çolakoğlu, S, additional
- Published
- 2015
- Full Text
- View/download PDF
6. Can prenatal exposure to a 900 MHz electromagnetic field affect the morphology of the spleen and thymus, and alter biomarkers of oxidative damage in 21-day-old male rats?
- Author
-
Hancı, H, primary, Türedi, S, additional, Topal, Z, additional, Mercantepe, T, additional, Bozkurt, İ, additional, Kaya, H, additional, Ersöz, Ş, additional, Ünal, B, additional, and Odacı, E, additional
- Published
- 2015
- Full Text
- View/download PDF
7. Roll pressing of sodium perborate monohydrate
- Author
-
Büyükburç, A., Tektaş, E., Çaglayan, B., Türedi, S., and Anadolu Üniversitesi, Mühendislik Fakültesi, Malzeme Bilimi ve Mühendisliği Bölümü
- Subjects
Roll Pressing ,Bulk Density ,Sodium Perborate Monohydrate - Abstract
Metal Powder Industries Federation (MPIF);APMI International, 2006 International Conference on Powder Metallurgy and Particulate Materials, PowderMet 2006 -- 18 June 2006 through 21 June 2006 -- San Diego, CA -- 98753, Sodium perborare monohydrate (SPM) is produced by calcining 3 moles of water of sodium perborate tetrahydrate with fluidized bed dryer. In fluidized bed dryer, the powders of the sodium perborate monohydrate are sucked by air fan and collected with the bag filter. Prior to feeding to the process, these powders are dissolved and their peroxide content are decreased to 0, 5%. However; dissolving the powder of SPM is difficult and decreasing the peroxide content is not efficient. Therefore the utilisation of these powders are considered and roll pressing are used for this purpose. SPM powders are roll pressed with an high yield without using any binder or humidification process. The total powder content are decreased by about 70%. The bulk density is increased by about 60%. The experiments have also shown that there is an inverse relation between the roll speed and the compact capacity. The results of the study are so encouraging that a new closed circuit compacting machine have been purchased to utilise the powder of SPM plant.
- Published
- 2006
8. Pathological effects of prenatal exposure to a 900 MHz electromagnetic field on the 21-day-old male rat kidney
- Author
-
Odacı, E, primary, Ünal, D, additional, Mercantepe, T, additional, Topal, Z, additional, Hancı, H, additional, Türedi, S, additional, Erol, Hs, additional, Mungan, S, additional, Kaya, H, additional, and Çolakoğlu, S, additional
- Published
- 2014
- Full Text
- View/download PDF
9. Effects of prenatal exposure to a 900 MHz electromagnetic field on 60-day-old rat testis and epididymal sperm quality.
- Author
-
Odacı, E, Hancı, H, Yuluğ, E, Türedi, S, Aliyazıcıoğlu, Y, Kaya, H, and Çolakoğlu, S
- Subjects
SPERMATOZOA ,ELECTROMAGNETIC fields ,TESTIS physiology ,SEMEN analysis ,EPIDIDYMIS ,LABORATORY rats - Abstract
We investigated the effects of exposurein uteroto a 900 megahertz (MHz) electromagnetic field (EMF) on 60-day-old rat testis and epididymis. Pregnant rats were divided into control (CG; no treatment) and EMF (EMFG) groups. The EMFG was exposed to 900 MHz EMF for 1 h each day during days 13 − 21 of pregnancy. Newborn rats were either newborn CG (NCG) or newborn EMF groups (NEMFG). On postnatal day 60, a testis and epididymis were removed from each animal. Epididymal semen quality, and lipid and DNA oxidation levels, apoptotic index and histopathological damage to the testis were compared. We found a higher apoptotic index, greater DNA oxidation levels and lower sperm motility and vitality in the NEMFG compared to controls. Immature germ cells in the seminiferous tubule lumen, and altered seminiferous tubule epithelium and seminiferous tubule structure also were observed in hematoxylin and eosin stained sections of NEMFG testis. Nuclear changes that indicated apoptosis were identified in TUNEL stained sections and large numbers of apoptotic cells were observed in most of the seminiferous tubule epithelium in the NEMFG. Sixty-day-old rat testes exposed to 900 MHz EMF exhibited altered sperm quality and biochemical characteristics. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
10. Pathological effects of prenatal exposure to a 900 MHz electromagnetic field on the 21-day-old male rat kidney.
- Author
-
Odacı, E, Ünal, D, Mercantepe, T, Topal, Z, Hancı, H, Türedi, S, Erol, Hs, Mungan, S, Kaya, H, and Çolakoğlu, S
- Subjects
PRENATAL exposure delayed effects ,ELECTROMAGNETIC fields ,LABORATORY rats ,CONTROL groups ,ELECTRON microscopy ,MALONDIALDEHYDE ,SUPEROXIDE dismutase - Abstract
We investigated the effects on kidney tissue of 900 megahertz (MHz) EMF applied during the prenatal period. Pregnant rats were exposed to 900 MHz EMF, 1 h/day, on days 13-21 of pregnancy; no procedure was performed on control group pregnant rats or on mothers or newborns after birth. On postnatal day 21, kidney tissues of male rat pups from both groups were examined by light and electron microscopy. Malondialdehyde (MDA), superoxide dismutase (SOD), catalase (CAT) and glutathione levels also were investigated. Light microscopy revealed some degenerative changes in the tubule epithelium, small cystic formations in the primitive tubules and large cysts in the cortico-medullary or medullary regions in the experimental group. Electron microscopy revealed a loss of peritubular capillaries and atypical parietal layer epithelial cells in the experimental group. Biochemical analysis showed significantly increased MDA levels in the experimental group and decreased SOD and CAT levels. EMF applied during the prenatal period can caused pathological changes in kidney tissue in 21-day-old male rats owing to oxidative stress and decreased antioxidant enzyme levels. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
11. Investigation of relationship between the D-dimer and ischemia-modified albumin levels with the radiological imaging-based pulmonary embolism severity score in acute pulmonary embolism.
- Author
-
Türedi S, Karahan SC, Mentese A, Gündüz A, Topbas M, Kosucu P, Oztuna F, Tatli O, Türedi, Süleyman, Karahan, Süleyman Caner, Menteşe, Ahmet, Gündüz, Abdülkadir, Topbaş, Murat, Koşucu, Polat, Oztuna, Funda, and Tatli, Ozgür
- Abstract
Objective: To investigate possible relationship between the D-dimer and ischemia-modified albumin (IMA) levels and radiological imaging-based severity scores in pulmonary embolism (PE) based on two different radiological characteristics; the pulmonary arterial obstruction index (PAOI) and the right ventricle/left ventricle (RV/LV) ratio.Methods: In this prospective cohort study, forty-seven patients presenting to the emergency department and definitively diagnosed with PE using spiral computerized tomography (CT) were initially enrolled in the study. Levels of IMA and D-dimer were assessed colorimetrical and immuno-turbidimetric methods, respectively. The PAOI and RV/LV ratios were calculated from CT images. The levels of biochemical parameters between the groups were compared with use of Mann-Whitney U and Kruskal-Wallis tests and relationship between the radiological scores were assessed using the Spearman correlation test.Results: Analysis of the calculated PAOI and RV/LV ratio revealed a significant correlation between them (r=0.36, p=0.023). D-dimer levels differed considerably among the mild (=40%), moderate (40%-60%) and severe (60%) groups constituted on the basis of PAOI (p=0.039). This difference stemmed from those in D-dimer levels in the mild group, PAOI =40 % and the severe group, PAOI 60% (p=0.02; Z= -2.328). In addition, D-dimer levels and PAOI revealed a positive correlation, but no similar correlation was determined between D-dimer levels and RV/LV. There were no significant correlations between IMA and D-dimer levels, PAOI and RV/LV ratios.Conclusion: In the biochemical determination of severity of PE based on radiological characteristics, D-dimer may be a more relevant marker than IMA, which has been proposed as a new marker. [ABSTRACT FROM AUTHOR]- Published
- 2010
- Full Text
- View/download PDF
12. KTÜ FARABİ HASTANESİ ACİL SERVİSİNE ELEKTRİK YARALANMALARI İLE BAŞVURAN HASTALARIN DEĞERLENDİRİLMESİ.
- Author
-
Türedi, S., Gündüz, A., Tatlı, Ö., Daşdibi, B., Kalkan, A., Hoş, G., and Topbaş, M.
- Published
- 2007
13. Acute spontaneous spinal epidural hematoma associated with oral anticoagulant therapy: a case report.
- Author
-
Türedi S, Gündüz A, Türkmen S, Patan T, and Kalkan A
- Abstract
Bleeding is a common complication in patients receiving anticoagulant therapy, and is mostly seen in the gastrointestinal tract. Intraspinal hematoma is a unique and dangerous complication of anticoagulant therapy. In our case, a 70 year-old male patient who had been using oral anticoagulants was admitted to the Emergency Department with nausea, neck pain and motor weakness in the right upper and lower extremities. His clinical findings resembled cerebral illness. Spontaneous spinal epidural hematoma (SEDH) was diagnosed as a result of cervical and thorachal magnetic resonance imaging. The patient received conservative treatment for a specific period of time and was discharged without any sequela. In this case, we describe the diagnostic and therapeutic approach towards acute intraspinal hematoma occurring as a complication of anticoagulant therapy. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
14. Ischemia modified albumin levels in Spinal cord ischemia/reperfusion injury: An experimental study | Spinal kord i̇skemi/reperfüzyon hasari{dotless}nda i̇skemi modifiye albumin düzeyleri: Deneysel çali{dotless}şma
- Author
-
Kertmen, H., Bora Gürer, Hasanbasoǧlu, A., Menteşe, A., Yilmaz, E. R., Uzun, O., Altay, D. U., Arikök, A. T., Şekerci, Z., and Türedi, S.
15. Hydatid cyst disease of the lung as an unusual cause of massive hemoptysis: a case report
- Author
-
Tekinbas Celal, Turedi Suleyman, Gunduz Abdulkadir, and Erol M Muharrem
- Subjects
Medicine - Abstract
Abstract Introduction Echinococcosis and/or hydatidosis is one of the most important zoonotic diseases in the world. In Turkey, echinococcosis is an endemic disease, however, hydatid disease of the lung is uncommon and usually caused by Echinococcus granulosus. Case presentation In this report we describe a 17-year-old male patient who presented with massive hemoptysis due to hydatid disease of the lung. Conclusion Although it is one of the less common causes of massive hemoptysis, hydatid disease of the lung requires greater attention in countries, such as Turkey, in which hydatid cyst disease is common.
- Published
- 2009
- Full Text
- View/download PDF
16. The value of ischemia-modified albumin compared with d-dimer in the diagnosis of pulmonary embolism
- Author
-
Ucar Utku, Eroglu Oguz, Turan Ibrahim, Yeniocak Selman, Karahan Suleyman C, Topbas Murat, Mentese Ahmet, Gunduz Abdulkadir, Turedi Suleyman, Karaca Yunus, Turkmen Suha, and Russell Robert M
- Subjects
Diseases of the respiratory system ,RC705-779 - Abstract
Abstract Study objective The primary aim of this study was to investigate whether IMA levels are helpful in the diagnosis of pulmonary embolism (PE). The secondary aim was to determine whether IMA was more effective alone or in combination with clinical probability scores in the diagnosis of PE. Thirdly, the sensitivity and specificity of IMA is compared with D-dimer both with and without clinical probability scores in patients with suspected PE. Methods Consecutive patients presenting to the emergency department with suspected PE were prospectively recruited, and healthy volunteers were also enrolled as controls. D-dimer and IMA levels were measured for the entire study group. Wells and Geneva scores were calculated and s-CTPA was performed on all suspected PE patients. Results The study population consisted of 130 patients with suspected PE and 59 healthy controls. Mean IMA levels were 0.362 ± 0.11 ABSU for Group A, the PE group (n = 75); 0.265 ± 0.07 ABSU for Group B, the non-PE group (n = 55); and 0.175 ± 0.05 ABSU for Group C, the healthy control group (p < 0.0001). At a cut-off point of 0.25 ABSU, IMA was 93% sensitive and 75% specific in the diagnosis of PE. PPV was 79.4% and NPV was 78.6%. Mean D-dimer levels were 12.48 ± 10.88 μg/ml for Group A; 5.36 ± 7.80 μg/ml for Group B and 0.36 ± 0.16 μg/ml for Group C (p < 0.0001). The D-dimer cut-off point was 0.81 μg/ml with a sensitivity of 98.9% and a specificity of 62.7%, PPV of 69.4% and NPV of 83.3%. The use of IMA in combination with Wells and Geneva clinical probability scores was determined to have a positive impact on these scores' sensitivity and negative predictive values. Conclusion IMA is a good alternative to D-dimer in PE diagnosis in terms of both cost and efficiency. Used in combination with clinical probability scores, it has a similar positive effect on NPV and sensitivity to that of D-dimer. The PPV of IMA is better than D-dimer, but it is still unable to confirm a diagnosis of PE without additional investigation.
- Published
- 2008
- Full Text
- View/download PDF
17. An examination of the effect of exercise and creatine monohydrate on oral tissues.
- Author
-
Dogan MS, Celik H, Türedi S, Taskın A, Dogan ME, and Yıldız Ş
- Subjects
- Male, Animals, Physical Conditioning, Animal, Periodontal Ligament, Mice, Dental Pulp, Dietary Supplements, Immunohistochemistry, Mandible, Oxidative Stress, Creatine, Interleukin-1beta metabolism, Mice, Inbred BALB C, Tumor Necrosis Factor-alpha analysis, Tumor Necrosis Factor-alpha metabolism
- Abstract
Although physical exercise is extremely important for health and a good lifestyle, it can trigger oxidative stress, inflammation, and muscle fatigue. The aim of this study was to determine changes in dental tissues and the mandible created by creatines monohydrate (CrM) supplementation together with low and high-intensity exercise (HIE). The study material comprised Balb/c male mices, which were separated into two groups for the application of low and HIE on a running band. CrM supplement was administered together with the exercise. At the end of the experiment period, dental tissue samples were surgically removed and examined histopathologically and immunohistochemically (TNF-α and lL-1β).As a result of the histopathological examinations, in the pulp, oedema, vascular congestion, and capillary dilatation were seen to be statistically significantly increased in the Group 3 mices that performed HIE compared to the control group (p = 0.001, p = 0.003, p = 0.001, respectively). A statistically significant increase was observed in periodontal ligament (PDL) degeneration, and disruption of the continuity and separation of collagen fibers in Group 3 compared to the control group (p = 0.001). In the immunohistochemical examination, TNF-α and IL-1β positivity was observed in Group 3, and this was significantly increased compared to the control group (p = 0.001, p = 0.000).Exposure of the mices to low and HIE caused histological and immunohistochemical changes in dental pulp and PDL, and it was determined that the use of CrM could have a protective effect against these changes. RESEARCH HIGHLIGHTS: The results of this study showed negative effects of HIE in the dental pulp and PDL, which play an important role in dental health. CrM was seen to be effective in preventing these negative effects., (© 2024 The Author(s). Microscopy Research and Technique published by Wiley Periodicals LLC.)
- Published
- 2024
- Full Text
- View/download PDF
18. An Examination of the Effects of Propolis and Quercetin in a Rat Model of Streptozotocin-Induced Diabetic Peripheral Neuropathy.
- Author
-
Türedi S, Çelik H, Dağlı ŞN, Taşkın S, Şeker U, and Deniz M
- Abstract
The purpose of this study was to reveal the combined effects of propolis (P) and quercetin (Q) against diabetic peripheral neuropathy developing with streptozotocin-induced diabetes in rats. Sixty-four adult male rats were divided into eight equal groups: control, P (100 mg/kg/day), Q (100 mg/kg/day), P + Q (100 mg/day for both), diabetes mellitus (DM) (single-dose 60 mg/kg streptozotocin), DM + P, DM + Q, and DM + P + Q. The rats were sacrificed, and blood and sciatic nerve tissues were collected. Blood glucose and malondialdehyde (MDA) levels increased, while IL-6 and total antioxidant status decreased in the DM group ( p = 0.016 and p = 0.047, respectively). Ultrastructural findings showed degeneration of the axon and myelin sheath. The apoptotic index (AI %), TNF-α, and IL-1β immunopositivity increased significantly in the DM group ( p < 0.001). Morphological structures approaching those of the controls were observed in the DM + P, DM + Q, and DM + P + Q groups. Morphometric measurements increased markedly in all treatment groups ( p < 0.001), while blood glucose and MDA levels, AI (%), TNF-α, and IL-1β immunopositivity decreased. In conclusion, the combined effects of propolis and quercetin in diabetic neuropathy may provide optimal morphological protection with neuroprotective effects by reducing hyperglycemia, and these may represent a key alternative supplement in regenerative medicine.
- Published
- 2024
- Full Text
- View/download PDF
19. l-theanine alleviates liver and kidney dysfunction in septic rats induced by cecal ligation and puncture.
- Author
-
Malkoç M, Patan H, Yaman SÖ, Türedi S, Kerimoğlu G, Kural BV, and Örem A
- Subjects
- Animals, Anti-Inflammatory Agents pharmacology, Antioxidants pharmacology, Apoptosis drug effects, Dose-Response Relationship, Drug, Glutamates administration & dosage, Kidney physiopathology, Ligation, Liver physiopathology, Male, Oxidative Stress drug effects, Punctures, Rats, Rats, Sprague-Dawley, Cecum pathology, Glutamates pharmacology, Kidney drug effects, Liver drug effects, Sepsis physiopathology
- Abstract
Aims: Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated host response against infection that triggers systemic inflammatory response syndrome. l-theanine (LT), a glutamate derivative, is a non-protein amino acid derived from tea (Camellia sinensis), and a valuable nutraceutical product used as an additive in the food industry. This study we aimed to investigate whether LT would exert any therapeutic effect on liver and kidney tissues in Sprague Dawley rats with sepsis induced with cecal ligation and puncture (CLP)., Main Methods: Rats were divided into four groups; sham, CLP, CLP+LT1 (2x250 mg/kg) and CLP+LT2 (2 × 750 mg/kg). Liver and kidney tissues were subjected to histopathological examination. Apoptotic index percentages (AI%) were examined using the TUNEL method. The oxidized glutathione to total glutathione (GSSG/TGSH) ratio (as a marker of oxidative stress, levels of caspase-3 (a marker of apoptosis), glutathione peroxidase (GPx) and glutathione S-transferase (GST) (as antioxidant enzymes), inducible nitric oxide synthase (iNOS) and the tumor necrosis factor-α to Interleukin-10 ratio (TNF-α/IL-10) (as markers of inflammation) were investigated using commercial kits. Levels of malondialdehyde (MDA) (a marker of oxidative stress) were determined spectrophotometrically., Key Findings: A high dose of LT exhibited more significant effects in reducing oxidative stress, inflammation and apoptosis than a low dose of LT in liver and kidney tissues with CLP-induced sepsis (p < 0.05)., Significance: Our results indicated that LT significantly and dose-dependently inhibited sepsis induced liver and kidney injury. This effect may be attributed to the antioxidant, anti-inflammatory, and anti-apoptotic activities of LT., (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF
20. Ischemia-modified albumin and the IMA/albumin ratio in the diagnosis and staging of hemorrhagic shock: A randomized controlled experimental study.
- Author
-
Türedi S, Şahin A, Akça M, Demir S, Reis Köse GD, Çekiç AB, Yıldırım M, Yuluğ E, Menteşe A, Türkmen S, and Acar S
- Subjects
- Biomarkers blood, Blood Pressure physiology, Female, Humans, Male, Serum Albumin, Human, Serum Albumin analysis, Shock, Hemorrhagic blood, Shock, Hemorrhagic classification, Shock, Hemorrhagic diagnosis
- Abstract
Background: To determine the value of ischemia-modified albumin (IMA) and IMA/albumin ratio (IMAR) in the diagnosis and staging of hemorrhagic shock (HS)., Methods: A pressure-targeted HS model was established in this study. The control and shock groups were monitored for 30 min and 60 min to simulate varying durations of exposure to HS. All subjects underwent invasive arterial monitoring during the experiment and were further divided into mild and severe shock groups based on decreases in mean arterial pressure (MAP). Biochemical and histologic comparisons were performed between the groups., Results: Our results revealed higher IMA, IMAR, lactate, total oxidant status (TOS) and oxidative stress index (OSI) levels in both the 30- and 60-min shock groups compared to the control group. Concerning MAP-based shock staging, IMA, IMAR, lactate, TOS and OSI levels in the 30-min and 60-min mild and severe shock groups were higher than those of the controls. However, there was no significant difference between the mild and severe shock groups. A significant correlation was determined between all the biomarkers evaluated and HS-induced damage in various organs. This correlation was highest in lactate and IMAR levels., Conclusion: IMA and IMAR levels may be used in the early diagnosis of HS and also have the potential for use in determining the severity of HS. IMA and IMAR measurement may also be considered as an alternative or in addition to lactate measurement in the diagnosis of HS.
- Published
- 2020
- Full Text
- View/download PDF
21. A morphological and biochemical evaluation of the effects of quercetin on experimental sciatic nerve damage in rats.
- Author
-
Türedi S, Yuluğ E, Alver A, Bodur A, and İnce İ
- Abstract
The present study evaluated the neuroprotective and antioxidant effects of quercetin in a rat model of sciatic nerve crush injury using histopathological, morphometric and biochemical methods. A total of 48 male Sprague Dawley rats, aged 10-12 weeks old were randomly divided into eight groups, consisting of two sham groups (S-7, S-28), three quercetin-treated groups (Q-7, Q-28; 200 mg/kg/7 days), trauma (T-7, T-28; 1 min sciatic nerve crush injury) and three trauma+quercetin groups (T+Q-7, T+Q-28; trauma+quercetin 200 mg/kg/7 days). Rats were sacrificed on day 7 or 28. Oxidant-antioxidant biochemical parameters in nerve tissues from all groups were analyzed using histopathological staining with toluidine blue and Masson's trichrome. DNA fragmentations were identified using terminal deoxynucleotidyl transferase deoxyuridine triphosphate nick-end labeling in cells from each tissue sample. Degeneration of the axons and myelin sheath, the breakdown of the concentric lamellar structure of the myelin sheath and axonal swelling were observed in groups T-7 and T-28. Myelin sheath thicknesses, nerve fiber diameters and the number of myelinated nerve fibers decreased, while the apoptotic index (AI) increased in the T-7 and T-28 groups. However, it was observed that nerve regeneration began in the T+Q-7 and T+Q-28 groups compared with the sham groups, together with the healing of cellular damage and axonal structure and a decrease in the AI. Malondialdehyde and superoxide dismutase activity did not differ significantly between the T-7 and S-7 groups. However, catalase activity significantly decreased in the T-28 group when compared with the sham 7 day group. Tissue malondialdehyde levels significantly increased, while serum catalase activity increased in the T+Q-7 group compared with the T-7 group. These results suggest that quercetin has beneficial effects on nerve regeneration and may shorten the healing period in crush-type sciatic nerve injuries.
- Published
- 2018
- Full Text
- View/download PDF
22. Biochemical and pathological changes in the male rat kidney and bladder following exposure to continuous 900-MHz electromagnetic field on postnatal days 22-59<sup/>.
- Author
-
Türedi S, Kerimoğlu G, Mercantepe T, and Odacı E
- Subjects
- Animals, Animals, Newborn, Dose-Response Relationship, Radiation, Kidney radiation effects, Male, Oxidative Stress physiology, Oxidative Stress radiation effects, Radiation Dosage, Radiation Exposure analysis, Rats, Rats, Sprague-Dawley, Urinary Bladder radiation effects, Aging physiology, Electromagnetic Fields, Kidney pathology, Kidney physiology, Microwaves, Urinary Bladder pathology, Urinary Bladder physiology
- Abstract
Purpose: To investigate the effect on male rat kidney and bladder tissues of exposure to 900-megahertz (MHz) electromagnetic field (EMF) applied on postnatal days 22-59, inclusive., Materials and Methods: Twenty-four male Sprague Dawley rats, aged 21 days, were used. These were divided equally into one of three groups, control (CG), sham (SG) or EMF (EMFG). CG was not exposed to any procedure. SG rats were kept inside a cage, without being exposed to the effect of EMF, for 1 h a day on postnatal days 22-59, inclusive. EMFG rats were exposed to continuous 900-MHz EMF for 1 h a day under the same conditions as those for the SG rats. Rats were sacrificed on postnatal day 60, and the kidney and bladder tissues were removed. Tissues were stained with hematoxylin and eosin (H&E) and Masson trichrome for histomorphological evaluation. The TUNEL method was used to assess apoptosis. Transmission electron microscopy (TEM) was also used for the kidney tissue. Oxidant/antioxidant parameters were studied in terms of biochemical values., Results: The findings showed that tissue malondialdehyde increased in EMFG compared to CG and SG in both kidney (p = 0.004 and p = 0.004, respectively) and bladder tissue (p = 0.004, p = 0.006, respectively), while catalase and glutathione levels decreased compared to CG (p = 0.004; p = 0.004, respectively) and SG (p = 0.004; p = 0.004, respectively). In the EMF group, pathologies such as dilatation and vacuolization in the distal and proximal tubules, degeneration in glomeruli and an increase in cells tending to apoptosis were observed in kidney tissue. In bladder tissue, degeneration in the transitional epithelium and stromal irregularity and an increase in cells tending to apoptosis were observed in EMFG. Additionally, EMFG samples exhibited glomerular capillary degeneration with capillary basement membranes under TEM., Conclusions: We conclude that continuous exposure to the effect of 900-MHz EMF for 1 h a day on postnatal days 22-59, inclusive, causes an increase in oxidative stress and various pathological changes in male rat kidney and bladder tissues.
- Published
- 2017
- Full Text
- View/download PDF
23. Can ischemia-modified albumin be used to differentiate between generalized seizures and pseudoseizures?
- Author
-
Kamaşak T, Türedi S, Serin HM, Menteşe A, Gündüz A, Alver A, and Cansu A
- Subjects
- Biomarkers blood, Case-Control Studies, Child, Diagnosis, Differential, Epilepsy, Tonic-Clonic blood, Epilepsy, Tonic-Clonic diagnosis, Female, Humans, Male, Serum Albumin, Human, Seizures blood, Seizures diagnosis
- Abstract
Background/aim: In recent years ischemia-modified albumin (IMA) has been suggested as a marker that can be used in differentiating nonconvulsive conditions from epilepsy. The purpose of this study was to investigate changes in IMA levels caused by generalized clonic tonic (GTC) seizures., Materials and Methods: A total of 114 children presenting to the Karadeniz Technical Pediatric Emergency Polyclinic with GTC seizures were included in the study. Sixteen cases meeting the inclusion criteria were included in the study and sixteen healthy children were enrolled as the control group. The patients' IMA, albumin, and IMA/albumin values at hours 0 and 1 following the episode were compared with control group values., Results: IMA levels in the patient group were significantly higher at hour 1 compared to hour 0, and were also significantly higher than those of the control group levels at hour 1. In addition, the patient group IMA/albumin index value at hour 1 was significantly higher than the baseline value. IMA levels increased significantly with length of seizure., Conclusion: Although there were no markers of hypoxia in patients undergoing GTC seizures in this study, hypoxia was observed to develop, and this caused serum IMA levels to rise in line with seizure duration.
- Published
- 2017
- Full Text
- View/download PDF
24. Disruption of the ovarian follicle reservoir of prepubertal rats following prenatal exposure to a continuous 900-MHz electromagnetic field.
- Author
-
Türedi S, Hancı H, Çolakoğlu S, Kaya H, and Odacı E
- Subjects
- Aging pathology, Aging radiation effects, Animals, Dose-Response Relationship, Radiation, Female, Microwaves adverse effects, Ovarian Follicle physiopathology, Pregnancy, Prenatal Exposure Delayed Effects physiopathology, Radiation Dosage, Rats, Rats, Sprague-Dawley, Electromagnetic Fields adverse effects, Ovarian Follicle pathology, Ovarian Follicle radiation effects, Ovarian Reserve radiation effects, Prenatal Exposure Delayed Effects etiology, Prenatal Exposure Delayed Effects pathology
- Abstract
The effects on human health of electromagnetic field (EMF) have begun to be seriously questioned with the entry into daily life of devices establishing EMF, such as cell phones, wireless fidelity, and masts. Recent studies have reported that exposure to EMF, particularly during pregnancy, affects the developing embryo/fetus. The aim of this study was therefore to examine the effects of exposure to continuous 900-Megahertz (MHz) EMF applied in the prenatal period on ovarian follicle development and oocyte differentiation. Six pregnant Sprague Dawley rats were divided equally into a non-exposed control group (CNGr) and a group (EMFGr) exposed to continuous 900-MHz EMF for 1 h daily, at the same time every day, on days 13-21 of pregnancy. New groups were established from pups obtained from both groups after birth. One group consisting of female pups from CNGr rats was adopted as newborn CNGr (New-CNGr, n = 6), and another group consisting of female pups from EMFGr rats was adopted as newborn EMFGr (New-EMFGr, n = 6). No procedure was performed on New-CNGr or New-EMFGr rats. All rat pups were sacrificed on the postnatal 34th day, and their ovarian tissues were removed. Follicle count, histological injury scoring and morphological assessment with apoptotic index criteria were performed with sections obtained following routine histological tissue preparation. Follicle count results revealed a statistically significant decrease in primordial and tertiary follicle numbers in New-EMFGr compared to New-CNGr (p < 0.05), while atretic follicle numbers and apoptotic index levels increased significantly (p < 0.05). Histopathological examination revealed severe follicle degeneration, vasocongestion, a low level of increased stromal fibrotic tissue and cytoplasmic vacuolization in granulosa cell in New-EMFGr. Prenatal exposure to continuous 900-MHz EMF for 1 h each day from days 13-21 led to a decrease in ovarian follicle reservoirs in female rat pups at the beginning of the prepubertal period.
- Published
- 2016
- Full Text
- View/download PDF
25. Diagnostic Value of Procalcitonin Levels in Acute Mesenteric Ischemia.
- Author
-
Karaca Y, Gündüz A, Türkmen S, Menteşe A, Türedi S, Eryiğit U, and Karahan SC
- Abstract
Background: Acute mesenteric ischemia (AMI) is a potentially fatal disease. Difficulties in diagnosis make it essential to find early biomarkers., Aims: This study investigated the diagnostic value of procalcitonin (PCT) levels in AMI., Study Design: Animal experimentation., Methods: Rats were divided into six groups of six animals each. In the experimental group, an experimental ischemia model was established by clamping the superior mesenteric artery from the aortic outflow tract. Blood and tissue specimens were collected from rats in the experimental mesenteric ischemia model at 30 min and 2 and 6 h, and these were compared with specimens from the respective control groups. PCT levels were compared at 30 min and 2 and 6 h., Results: PCT levels were 185.3 pg/mL in the control group and 219.3 pg/mL in the study group, 199.6 pg/mL in the control group and 243.9 pg/mL in the study group, and 201.9 pg/mL in the control group and 286.9 pg/mL in the study group, respectively, at 30 minute, 2 and 6 hours. Significant differences were determined between 6-h control group and ischemia group PCT levels (p=0.005)., Conclusion: The absence of a significant increase in PCT levels in the early period, while a significant difference was detected in the later period (6 h), shows that PCT levels rise late in mesenteric ischemia and can be a marker in the late period.
- Published
- 2015
- Full Text
- View/download PDF
26. Effects of resveratrol on doxorubicin induced testicular damage in rats.
- Author
-
Türedi S, Yuluğ E, Alver A, Kutlu Ö, and Kahraman C
- Subjects
- Animals, Apoptosis drug effects, Disease Models, Animal, In Situ Nick-End Labeling, Male, Rats, Rats, Sprague-Dawley, Resveratrol, Sperm Motility drug effects, Spermatozoa drug effects, Spermatozoa pathology, Testis pathology, Antibiotics, Antineoplastic toxicity, Antioxidants pharmacology, Doxorubicin toxicity, Stilbenes pharmacology, Testis drug effects
- Abstract
The purpose of this study was to evaluate the likely protective effect of resveratrol (RES) on doxorubicin (DOX) induced testicular damage. Rats were divided into five groups: control, RES, dimethyl sulfoxide (DMSO), DOX and DOX+RES. At the end of treatment, the rats were sacrificed. Plasma testosterone levels, oxidative status, epididymal sperm parameters and testicular apoptosis were evaluated. MDA levels, GP-x and GSH activities were higher in the DOX group than in the control group. MDA levels were lower in the DOX+RES group than in the DOX group. The DOX group exhibited a significant decrease in plasma testosterone levels, sperm concentration and motility, and a significant increase in abnormal sperm rate and TUNEL (+) cells in the testis. A significant increase was observed in plasma testosterone levels and sperm concentration and motility, and a significant decrease in the abnormal sperm rate and TUNEL (+) cells in the DOX+RES group compared to the DOX group. A marked improvement in severe degenerative alterations in the germinative epithelium was also observed following treatment with RES. In conclusion, RES makes a positive contribution to fertility by exhibiting anti-apoptotic and antiperoxidative effects against DOX-induced testicular damage., (Copyright © 2015 Elsevier GmbH. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
27. The effects of prenatal exposure to a 900-MHz electromagnetic field on the 21-day-old male rat heart.
- Author
-
Türedi S, Hancı H, Topal Z, Ünal D, Mercantepe T, Bozkurt İ, Kaya H, and Odacı E
- Subjects
- Animals, Animals, Newborn, Apoptosis, Catalase metabolism, Female, Glutathione metabolism, Male, Malondialdehyde metabolism, Microscopy, Electron, Microscopy, Electron, Transmission, Pregnancy, Rats, Rats, Sprague-Dawley, Superoxide Dismutase metabolism, Cell Phone, Electromagnetic Fields adverse effects, Heart radiation effects, Prenatal Exposure Delayed Effects pathology
- Abstract
The growing spread of mobile phone use is raising concerns about the effect on human health of the electromagnetic field (EMF) these devices emit. The purpose of this study was to investigate the effects on rat pup heart tissue of prenatal exposure to a 900 megahertz (MHz) EMF. For this purpose, pregnant rats were divided into experimental and control groups. Experimental group rats were exposed to a 900 MHz EMF (1 h/d) on days 13-21 of pregnancy. Measurements were performed with rats inside the exposure box in order to determine the distribution of EMF intensity. Our measurements showed that pregnant experimental group rats were exposed to a mean electrical field intensity of 13.77 V/m inside the box (0.50 W/m(2)). This study continued with male rat pups obtained from both groups. Pups were sacrificed on postnatal day 21, and the heart tissues were extracted. Malondialdehyde, superoxide dismutase and catalase values were significantly higher in the experimental group rats, while glutathione values were lower. Light microscopy revealed irregularities in heart muscle fibers and apoptotic changes in the experimental group. Electron microscopy revealed crista loss and swelling in the mitochondria, degeneration in myofibrils and structural impairments in Z bands. Our study results suggest that exposure to EMF in the prenatal period causes oxidative stress and histopathological changes in male rat pup heart tissue.
- Published
- 2015
- Full Text
- View/download PDF
28. The short term effects of resveratrol on ischemia-reperfusion injury in rat testis.
- Author
-
Yuluğ E, Türedi S, Karagüzel E, Kutlu O, Menteşe A, and Alver A
- Subjects
- Albumins analysis, Animals, Antioxidants administration & dosage, Apoptosis drug effects, Drug Evaluation, Preclinical, Injections, Intraperitoneal, Male, Malondialdehyde analysis, Oxidative Stress drug effects, Rats, Rats, Sprague-Dawley, Resveratrol, Spermatic Cord Torsion complications, Spermatic Cord Torsion surgery, Spermatozoa pathology, Stilbenes administration & dosage, Testis chemistry, Testis pathology, Antioxidants therapeutic use, Reperfusion Injury prevention & control, Spermatic Cord Torsion drug therapy, Stilbenes therapeutic use, Testis blood supply
- Abstract
Purpose: The purpose of this study was to identify changes taking place in the rat testis at the 24th hour of reperfusion following testicular torsion and to evaluate the effects of resveratrol (RSV), a powerful antioxidant, in preventing these changes using novel biochemical parameters and histopathology., Methods: Eighteen adult male rats were divided into three groups: Sham-operated (S), torsion/detorsion (T/D), and T/D+RSV groups. In the T/D group, testicular ischemia was achieved by rotating the left testis 720° clockwise for 4h. In the T/D+RSV group, 20mg/kg RSV was administered intraperitoneally 30 min before detorsion. All rats were sacrificed 24h after detorsion. Serum and tissue malondialdehyde (MDA) concentrations, ischemia modified albumin (IMA), total oxidative status (TOS), total antioxidant status (TAS), oxidative stress index (OSI), and histopathological damage score were analyzed., Results: Serum MDA, IMA, TOS, and OSI levels rose significantly in the T/D group. Serum MDA and IMA values were lower in the T/D+RES groups, but not significantly. OSI and TOS values were lower in the T/D+RES group, and the difference was significant. TAS values decreased significantly in the T/D group and rose in the T/D+RSV group, but not significantly. Ipsilateral tissue MDA values were significantly elevated in the T/D group and decreased in the T/D+RSV group, but not significantly. Apoptosis and histopathological damage increased significantly in the T/D group and decreased significantly in the T/D+RSV group. In the contralateral testis, apoptosis increased significantly in the T/D group. It decreased significantly in the T/D+RSV group., Conclusions: Our findings show that RSV had a protective effect against oxidative damage induced with a testicular T/D model, especially at the antiapoptotic and histopathological level. OSI may be a good guide to the clinical status of testicular T/D., (© 2014.)
- Published
- 2014
- Full Text
- View/download PDF
29. The diagnostic value of ischemia-modified albumin in the diagnosis of aortic pathology.
- Author
-
Eroğlu O, Türkmen S, Menteşe A, Altun G, Türedi S, Eryiğit U, Karahan SC, and Gündüz A
- Subjects
- Aged, Aortic Dissection blood, Aortic Dissection diagnosis, Aortic Aneurysm blood, Aortic Rupture blood, Aortic Rupture diagnosis, Biomarkers blood, Case-Control Studies, Female, Humans, Male, Middle Aged, Prospective Studies, Serum Albumin, Serum Albumin, Human, Aortic Aneurysm diagnosis
- Abstract
Aim: To investigate the diagnostic value of ischemia-modified albumin (IMA) in the diagnosis oflpatients with aortic aneurysm., Materials and Methods: The study group consisted of 98 patients who presented to our university hospital emergency department with aortic pathology and were definitively diagnosed using spiral tomography. The control group consisted of 101 healthy individuals with similar demographic characteristics., Results: Mean IMA values were 0.89 +/- 0.21 absorbance units (ABSU) in the aortic aneurysm group (P < 0.001), 0.70 +/- 0.12 ABSU in the aortic dissection group (P < 0.001), 0.98 +/- 0.23 ABSU in the aneurysm and dissection group (P < 0.001), 0.84 + 0.16 ABSU in the aneurysm and rupture group (P < 0.001), and 0.87 +/- 0.27 ABSU in the aneurysm, dissection, and rupture group (P < 0.001). Mean IMA value for the subjects in the control group was 0.62 +/- 0.17 ABSU. All the differences between the aortic pathology groups' IMA values and those of the control group were statistically significant (P < 0.001)., Conclusion: On the basis of the findings from this study, serum IMA levels are higher in patients with aortic pathology compared to healthy individuals. This finding suggests that IMA may help to diagnose aortic pathology, but it requires confirmation by additional clinical studies.
- Published
- 2014
- Full Text
- View/download PDF
30. Effects of resveratrol on methotrexate-induced testicular damage in rats.
- Author
-
Yuluğ E, Türedi S, Alver A, Türedi S, and Kahraman C
- Subjects
- Animals, Catalase metabolism, In Situ Nick-End Labeling, Male, Malondialdehyde metabolism, Rats, Rats, Sprague-Dawley, Resveratrol, Superoxide Dismutase metabolism, Testis enzymology, Testis metabolism, Antimetabolites, Antineoplastic toxicity, Antioxidants pharmacology, Methotrexate toxicity, Stilbenes pharmacology, Testis drug effects
- Abstract
This study investigated the probable protective effects of resveratrol (RES), an antioxidant, against methotrexate- (MTX-) induced testis damage. Twenty-four male Sprague Dawley rats were randomly divided into four groups: control, RES, MTX, and MTX + RES groups. Rats were sacrificed at the end of the experiment. Plasma and tissue malondialdehyde (MDA) levels, superoxide dismutase (SOD) and catalase (CAT) activity in tissue, testicular histopathological damage scores, and testicular and epididymal epithelial apoptotic index (AI) were evaluated. The MTX group had significantly higher plasma and tissue MDA levels and significantly lower SOD and CAT activity than those of the control group. In the MTX + RES group, plasma and tissue MDA levels decreased significantly and SOD activity rose significantly compared to the MTX group. The MTX group had significantly lower Johnsen's testicular biopsy score (JTBS) values than those of the control group. JTBS was significantly higher in the MTX + RES group than in the MTX group. AI increased in the testis and epididymis in the MTX group and significantly decreased in the MTX + RES group. Our results indicate that RES has protective effects against MTX-induced testis damage at the biochemical, histopathological, and apoptotic levels.
- Published
- 2013
- Full Text
- View/download PDF
31. Age-dependent structural and radiological changes in the larynx.
- Author
-
Türkmen S, Cansu A, Türedi S, Eryigit U, Sahin A, Gündüz A, and Shavit I
- Subjects
- Adolescent, Adult, Age Factors, Aging physiology, Child, Child, Preschool, Cricoid Cartilage anatomy & histology, Cricoid Cartilage diagnostic imaging, Cricoid Cartilage growth & development, Female, Humans, Infant, Larynx anatomy & histology, Larynx growth & development, Male, Middle Aged, Osteogenesis, Radiography, Retrospective Studies, Sex Factors, Thyroid Cartilage anatomy & histology, Thyroid Cartilage diagnostic imaging, Thyroid Cartilage growth & development, Young Adult, Larynx diagnostic imaging
- Abstract
Aim: To define radiological physiological changes in the larynx by establishing an age-related scale., Materials and Methods: The present retrospective study used radiological records of patients that had undergone lateral cervical imaging. Three hundred patients were included. Thyroid cartilage was divided into anatomical regions. The hyoid bone was evaluated as the body and greater horns. Cases were compared by grouping by age and gender., Results: Thyroid tissue and cricoid cartilage only became visible after the second decade. Ossification in the thyroid cartilage began in the posterior inferior horn and progressed to the superior horn and central lamina. It also began in the posterior part of the cricoid cartilage and moved forward with age. In the first decade, the body and greater horn parts of the hyoid bone could be seen more distinctly, and after the third decade the hyoid bone appeared as a single bone. The hyoid bone was the only structure ossified in the laryngeal region below the age of 20 and formed an image on direct imaging., Conclusions: Age-related changes to the laryngeal tissues are evident on radiographs. Clinicians should bear this in mind when evaluating neck radiographs., (Copyright © 2012 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
32. Does mad honey poisoning require hospital admission?
- Author
-
Gunduz A, Meriçé ES, Baydin A, Topbaş M, Uzun H, Türedi S, and Kalkan A
- Subjects
- Adult, Aged, Diterpenes poisoning, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Patient Admission, Poisoning diagnosis, Poisoning epidemiology, Poisoning therapy, Rhododendron, Treatment Outcome, Turkey epidemiology, Honey poisoning, Patient Care Management
- Abstract
Background: The aim of this study was to describe current patterns of monitoring and treatment of mad honey intoxication to make recommendations for a more standardized approach to care of patients with mad honey poisoning., Methods: Patients presenting to emergency departments because of honey poisoning between January and October 2007. Age, length of stay in the emergency department, pulse rate, and systolic and diastolic blood pressure are cited as mean +/- SD., Results: Forty-seven cases presenting to the 3 health institutions during 2007 were investigated. It was determined that patients had ingested "mad" honey between 0.5 and 9 hours (mean +/- SD, 2.8 +/- 1.8 hours) before presentation. Patients' pulse rates were 30 to 77/min (mean +/- SD, 46.6 +/- 12.1/min), and systolic blood pressure ranged from 50 to 140 mm Hg (mean +/- SD, 46.6 +/- 12.1 mm Hg). Patient rhythms on arrival were determined as 37 (7.7%) sinus bradycardia, 6 (12.8%) nodal rhythm, 3 (6.4%) normal sinus rhythm, and 1 (2.1%) complete atrioventricular block. Lengths of stay in hospital were 3.6 +/- 2.2 hours in the first university hospital, 22.2 +/- 3.8 hours in the second university hospital, and 3.4 +/- 1.7 hours in the state hospital. A 0.5 to 2 mg of atropine was given to all patients., Conclusions: Our study did not reveal any difference in complications or mortality between patients cared for with brief emergency department observation when compared with patients cared for with 1 day inpatient observation.
- Published
- 2009
- Full Text
- View/download PDF
33. Clinical decision instruments for CT scan in minor head trauma.
- Author
-
Türedi S, Hasanbasoglu A, Gunduz A, and Yandi M
- Subjects
- Adolescent, Adult, Child, Child, Preschool, Craniocerebral Trauma classification, Decision Making, Glasgow Coma Scale, Humans, Infant, Infant, Newborn, Injury Severity Score, Logistic Models, Middle Aged, Prospective Studies, Time Factors, Tomography, X-Ray Computed, Craniocerebral Trauma diagnostic imaging, Emergency Service, Hospital
- Abstract
Previous studies have presented conflicting results regarding the predictive value of various clinical symptoms and signs for performing computed tomography (CT) scan in minor head injury. Moreover, despite the presence in the literature of several similar publications regarding whether or not CT should be employed at the time of presentation of minor head injured patients, data regarding delayed CT are limited. The objective of this study was to determine whether high-risk criteria represent a significant indication for initial CT scan in patients with minor head trauma, and whether or not analysis using delayed CT scan is necessary in patients with high-risk criteria before being discharged. Patients presenting to the Emergency Department with minor head trauma between September 1, 2003 and September 1, 2004 were evaluated prospectively. After being divided into two main groups, low- and high-risk, four separate sub-groups based on age were established. Initial spiral CT examination was done within 3 h of trauma on all patients in addition to a delayed control CT scan in those with high-risk criteria between 16 and 24 h after trauma. The difference between the high- and low-risk groups in terms of abnormal CT findings was statistically significant (p < 0.0005). Among high-risk patients there was a significant difference between patients with a Glasgow Coma Scale (GCS) score of 13 or 14 and those with a GCS score of 15 (p < 0.0005). The relationship between vomiting and abnormal CT scan was significant (odds ratio 4.61, 95% confidence interval 2.20-9.64, p = 0.0001), and the relationship between abnormal CT scan and suspected skull fracture was also significant (odds ratio 3.46, 95% confidence interval 1.52-7.91, p = 0.0032). No significant correlations between other high-risk criteria and abnormal CT scan were determined. The difference between initial and delayed CT scans in patients with high-risk criteria was not significant (p = 0.161). Low-risk patients with a GCS score of 15 may be discharged without initial CT scan being performed. Initial CT scan absolutely must be performed, however, on patients with GCS < or = 15 in the event of vomiting or suspected skull fracture, even if isolated. Even though the difference between initial and delayed CT scans in patients with high-risk criteria is not significant, it is our opinion that it is still prudent for delayed CT scan to be performed, particularly on patients whose GCS score does not rise to 15, or decreases.
- Published
- 2008
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.