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    Bicycle Related Injuries in Adults and Children in the Central Anatolian Region: Analysis of 4 Years
    (Aves, 2012) Ozkan, Seda; Akdur, Okhan; Ikizceli, Ibrahim; Durukan, Polat; Ipekci, Afsin; Sozuer, Erdogan Mutevelli
    Objective: We aimed to investigate and compare the features of child and adult injuries due to bicycle accidents admitted to our emergency department. Material and Methods: The study was carried out retrospectively by searching the files of patients admitted to the emergency department due to bicycle accidents in the emergency department and archive records between the dates of January 2005-December 2008. The patients were divided into two groups as adults and children. Age and sex of the patients, season or month of injuries, place and mechanism of injury, site of the injury, diagnosis and treatment modalities, discharge and hospitalization rates were evaluated. Student t test was used for two group comparison. Results: A total of 150 patients were included in the study. 79% of the patients were in the child age group, 21% were adults. It was determined that the number of accidents increased especially in the summer months. 71.4% of accidents concerning children and all adult accidents occurred in the streets. Falling off the bicycle was the most common cause of injury in children (91%) and adults (90%). The head and neck region was the most common body site subjected to injury in both children (32%) and adults (40%). There was a significant difference between the two groups with respect to injury severity. Conclusion: Most of the injuries due to bicycle accidents in children happen, in the streets, in summer months and during school vacations. Although not statistically significant, it was seen that adult injuries were more serious.
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    Öğe
    The value of the serum I-FABP level for diagnosing acute mesenteric ischemia
    (Springer, 2014) Guzel, Murat; Sozuer, Erdogan Mutevelli; Salt, Omer; Ikizceli, Ibrahim; Akdur, Okhan; Yazici, Cevat
    Purpose This study examined the feasibility of using the serum intestinal fatty acid binding protein (I-FABP) level for the early diagnosis of acute mesenteric ischemia, and investigated whether it contributes to the clinical decision-making process. Method Thirty patients diagnosed with acute mesenteric ischemia, 27 patients with other types of acute abdomen who presented with acute abdomen symptoms but were not diagnosed with acute mesenteric ischemia, and 20 healthy people were included in the study. Mesenteric ischemia was confirmed by a pathological evaluation in patients who underwent intestinal resection due to detection of mesenteric ischemia during surgery. Results There was no significant difference in the leukocyte counts and D-dimer levels between subjects with mesenteric ischemia and acute abdomen due to other causes (p > 0.05). There was a significant difference in the serum I-FABP level between these groups (p < 0.001). Conclusion The I-FABP level is a more reliable parameter for diagnosing acute mesenteric ischemia compared to leukocytosis and D-dimer elevation.