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Öğe Analgesic choice in patients presenting to emergency department with cancer pain: a prospective study(Zaslavsky Publishing House, 2021) Atis, S.E.; Çekmen, B.; Kalkan, A.; Bozan, Ö.; Sentürk, M.; Karaaslan, E.B.Background. Acute onset pain is one of the common reasons for cancer patients to present to the emergency department. In our study, we compared painkillers used in cancer patients admitted to the emergency department with pain complaints and their effectiveness and the superiorities of these painkillers in pain relief and their superiorities over each other. Materials and methods. The pain scores of the patients were asked at the time of admission by showing a visual analogue scale. Before treatment, pain scores were recorded. The patients were divided into four different groups according to the type of given treatment: non-steroidal anti-inflammatory drugs; opioid painkillers; paracetamol; paracetamol and opioid therapy. After the treatment, we asked which painkiller written in the treatment form was administered to the patient and recorded the pain score. Results. It was observed that the median pain score before and after treatment of the patients in all painkiller groups differed statically. When the median scores before and after treatment were compared according to drug types, no difference was found between the decrease in pain scores (p = 0.956 and p = 0.705, respectively). It was concluded that the pre-treatment and post-treatment median pain scores of patients who are using non-steroid anti-inflammatory drugs and opioids at home did not differ statistically (p = 0.063). Conclusions. The use of non-steroidal anti-inflammatory drugs, paracetamol or opioids was not found to be superior to each other in patients with acute severe cancer pain. © «EmergencyMedicine»(«Medicinaneotlo?nyhsostoânij»),2021 © PublisherZaslavskyO.Yu.,2021Öğe A New Period in Family Medicine Life Point of Care Ultrasonography in Diagnosing Deep Vein Thrombosis in Family Medicine(Universidade de Sao Paulo. Museu de Zoologia, 2023) Korkut, B.; Keskin, N.K.; Atis, S.E.; Çekmen, B.; Çelik, E.; Adahan, D.Objective: Point-of-care ultrasound (POCUS) is one of the diagnostic imaging used in the diagnosis of deep venous thrombosis (DVT) in patients with suspected DVT. The study aimed to evaluate the efficacy of POCUS in family practice for the diagnosis of DVT in suspected moderate or high risk individuals. Materials and Methods: This is a prospective, single-blind study that was used as the POCUS method in the femoral and popliteal vein regions of patients who applied to the family medicine outpatient clinic with a suspi cion of D VT. Moderate-to-high-risk patients aged ?18 years presented with DVT symptoms to the family medicine outpatient clinic were included in the study. The primary outcome was to determine the effectiveness of POCUS in DVT diagnosis by family physici ans. Results: Overall, 63.5% (n = 80) of the patients were females, with a mean age of 54 ± 15 years. The sensitivity and specificity of the procedure were 69.23% and 99.12%, respectively. Further, POCUS had a positive predictive value of 90.00% and a negative predictive value of 96.55%. The overall accuracy was calculated as 96.03%. No statistically significant difference was observed in terms of the accuracy of DVT diagnosis in ultra sonography performed by family physicians and radiologists (p = 0.375). Conclusion: POCUS is a feasible method in the diagnosis of deep venous thrombosis in family medicine practice. In patients with suspected DVT the procedure performed by family physicians was more successful in excluding DVT diagnosis than in diagnosing DVT. © 2023, Universidade de Sao Paulo. Museu de Zoologia. All rights reserved.Öğe Prognostic value of neutrophil to lymphocyte ratio and platelet to lymphocyte ratio for mortality in patients infected with SARS-CoV-2(State Institution Institute of Nephrology of the National Academy of Medical Science of Ukraine, 2021) Bozan, O.; Çekmen, B.; Atis, S.E.; Kocer, M.T.; Senturk, M.; Karaaslan, E.B.; Koca, Y.The COVID-19 pandemic, which originated in China and spread all over the world, continues to be a significant public health crisis. Neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) are valuable parameters that can be evaluated in routine blood tests and provide information about the inflammation in many diseases. This study aimed to evaluate the effect of NLR and PLR on mortality. Methods. Our cross-sectional cohort study included patients who were hospitalized due to COVID-19 with positive polymerase chain reaction test results and patients whose test results were negative at the time of the first admission to the hospital, but whose computed tomography imaging was suspicious for COVID-19 and test results were found to be positive in repeated tests during their hospitalization. Prognosis of the hospitalization outcomes was investigated and discharge, hospital admission, intensive care unit (ICU) admission, and mortality data during the 30 days were recorded and the relationship between these parameters was evaluated. Results. The mean age of the patients was 57.5 ± 16.7 years. Cough was the most common symptom and was present in over half of patients. Almost one-third of patients (27.1%) had at least three symptoms at presentation. Both increased levels of NLR and PLR were observed to significantly predict the mortality of patients with COVID-19 (p<0.001, p=0.001, respectively). Sensitivity and specificity were 65.2% and 80.4% for NLR (AUC: 0.767, cutoff> 5.49) and 43.5% and 81.9% for PLR, respectively (AUC: 0.622, cut-off>228.13). Conclusions. The present study has concluded that NLR and PLR are effective mortality predictors in patients infected with SARS-CoV-2. © Bozan O., ekmen B., Atis S. E., Kocer M. T., Senturk M., Karaaslan E. B.,Koca Ya., Yildirmak M. T., Kalkan A., 2021. All rights reserved.Öğe A rare complication of Covid-19: Spontaneous pneumothorax following pneumomediastinum; case report(W.B. Saunders, 2021) Bozan, Ö.; Atis, S.E.; Çekmen, B.[No abstract available]
