DSpace at BASKENT UNIVERSITY
http://acikerisim.baskent.edu.tr:80
DSpace dijital arşiv sistemi toplar, depolar, dizinler, korur ve dijital araştırma materyallerini dağıtmaya aracılık eder.2024-03-17T10:04:26ZDiagnosis of Streptococcal Tonsillopharyngitis
http://hdl.handle.net/11727/11849
Diagnosis of Streptococcal Tonsillopharyngitis
Coban, Bayram; Topal, Burhan
2014-01-01T00:00:00ZPenetrating Cardiac Injury: Case Report
http://hdl.handle.net/11727/11848
Penetrating Cardiac Injury: Case Report
Groblar, Adem; Korkmaz, Ozge; Sapmaz, Ismail; Saba, Tonguc; Sapmaz, Feride
Penetrating cardiac injurys caused by gunshots and penetrating tools have high mortality rates. The way of injury, how the cardiac area is effected and the presence of cardiac tamponadecauses mortality in different rates. However the better treatment quality of hospitals, increasingoperative techniques, and internel care unit quality has not been change during the years. Searching the literature, we want to present a 42 years old male patient who was injured by knife and had a 1 cm skin wound on chest with cardiac tamponade. After sternotomy a 7 cm laseration was observed in heart. Cardioraphy was performed.
2014-01-01T00:00:00ZLevatiracetam for The Management of Lance-Adams Syndrome
http://hdl.handle.net/11727/11847
Levatiracetam for The Management of Lance-Adams Syndrome
Ilik, Faik; Kemal Ilik, Mustafa; Coven, Ilker
Chronic post-hypoxic myoclonus, also known as Lance-Adams syndrome (LAS) is a neurological complication characterized by uncontrolled myoclonic jerks following cardiac arrest. In this article, clinical manifestation and symptomatic treatment options are discussed especially concerning the rationale of use of levatiracetam in patients with Lance-Adams syndrome. Clinical presentation is action myoclonus associated with cerebellar ataxia, postural imbalance, and very mild intellectual deficit.
An 18-year-old female patient was admitted to our intensive care unit in a coma. She had a cardiorespiratory arrest after a splenectomy in a local hospital. Then, myoclonic movements were continuously observed over the entire body, including the face.
On day 14 of hospitalization, we started levatiracetam 1000 mg daily. The frequency of convulsion movements was reduced. The patient level of consciousness was 15 on the Glasgow coma scale (GCS) on the Mini-Mental State Examination (MMSE) score was 23 out of 30. She was later transferred to the rehabilitation department.
Vigilance is required to ensure early diagnosis and timely intervention for the myoclonic jerks.
We would like to emphasize that LAS should be considered in patients with the myoclonic jerks following cardiac arrest and that levatiracetam therapy may be useful as treatment.
2014-01-01T00:00:00ZFamily Practice in Turkey
http://hdl.handle.net/11727/11846
Family Practice in Turkey
Ozsahin, Akatli Kursad
The national project 'Transformation in Health' was started in 2005 to provide expert primary care by family physicians, and decrease expenses in Turkey. The number of family physicians was far below the need, so public physicians were promoted to family physician status after a 10-day intensive course. The government declared some satisfactory results, but privately paid family physicians were not accepted into the system. Furthermore, the government stopped paying for their services from private settings. Some family physicians became unemployed as the major payer for all forms of medical care in Turkey denied their services.
The process showed it's value in time. Nevertheless, family physicians should be the core of this transformation as family medicine is an academic and a scientific discipline and a primary care-oriented specialty with its own specific educational content, research and base of evidence, which cannot be achieved through standard medical education.
2014-01-01T00:00:00Z