Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 8 de 8
Filter
Add more filters










Database
Language
Publication year range
1.
Clin Radiol ; 79(1): 19-24, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37863746

ABSTRACT

In the southeastern part of Turkey, two earthquakes measuring 7.7 and 7.8 on the Richter scale occurred within 9 h on 6 February 2023, causing 120,000 injuries and over 50,000 deaths. Evacuees were transferred to various secondary and tertiary hospitals as the health system and hospitals in the affected region were affected by the earthquake. Injuries were mostly caused by blunt trauma and/or prolonged bruising under rubble. The severity and pattern of traumatic injuries in earthquake victims differed from other trauma patients who were not affected by an earthquake. In addition to traumatic injuries that affected multiple body regions and systems, patients who were trapped under debris for long periods of time were also frequently found to have crush syndrome. Pulmonary thromboembolism and hypoxic-ischaemic brain injury were observed in some patients. In this review, we present the imaging findings of traumatic injuries in earthquake victims, emphasising the earthquake-related distinct injury types.


Subject(s)
Crush Syndrome , Earthquakes , Wounds, Nonpenetrating , Humans , Turkey/epidemiology , Crush Syndrome/complications , Survivors
2.
Niger J Clin Pract ; 26(7): 863-870, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37635568

ABSTRACT

Background: Sonographic measurement of optic nerve sheath diameter (ONSD) can reflect intracranial pressure (ICP) indirectly and determine the neurology intensive care unit (NICU) requirement and mortality in acute ischemic stroke (AIS). Aim: To demonstrate the effectiveness of ONSD to determine mortality, morbidity, and NICU requirement on patients with the AIS. Methods: The sonographic ONSD measurements were performed on each patient with AIS, over 18 years old. All patients were categorized according to the Oxfordshire Community Stroke Project (OCSP) classification system. MRI images were examined for increased ICP, and the patients were categorized into two groups as increased ICP (i-ICP) and normal ICP. The ONSD results were evaluated in terms of classifications, outcomes, and prognosis of the patients. Results: One hundred and five patients were included and 31 (35.2%) were in the i-ICP group. The median ONSDs were 5.26 mm in the i-ICP group and 4.62 mm in the normal ICP group (P < 0.001). The median ONSDs were 5.13 mm in the NICU group and 4.69 mm in the neurology ward (NW) group (P = 0.001). The total anterior circulation infarction (TACI) subgroup had higher ONSDs than the others (TACI: 5.27 mm; PACI: 4.73 mm; POCI: 4.77 mm; and LACI: 4.64 mm, P < 0.001). The NICU requirements were higher in the TACI subgroup. The median ONSD was 5.42 mm in the deceased group (survived: 4.77 mm, P < 0.001). Conclusion: ONSD may be favorable for predicting the increased ICP and the NICU requirement in OCSP subgroups. Moreover, ONSD can be used to foresee the mortality of AIS.


Subject(s)
Intracranial Hypertension , Ischemic Stroke , Stroke , Humans , Adolescent , Case-Control Studies , Prognosis , Stroke/diagnostic imaging , Emergency Service, Hospital , Optic Nerve/diagnostic imaging
3.
Eur Rev Med Pharmacol Sci ; 16 Suppl 1: 62-7, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22582487

ABSTRACT

OBJECTIVE: The elderly population is steadily increasing in the modern world. The aging of the population has led to an increase in geriatric trauma. Elderly trauma patients present unique challenges and face more significant obstacles in recovery compared to younger patients. This study is designed to determine the epidemiologic data of trauma in elderly patients and to contribute to the national trauma database. MATERIALS AND METHODS: We prospectively collected the data of trauma patients, aged 65 and older, presenting to our Emergency Department. Patients' data, including demographic data, diagnosis, prognosis, trauma scores [Glasgow coma scale (GCS), injury severity score (ISS)], mortality, body regions of injury and outcomes were analyzed. RESULTS: During the study period, 407 patients, of whom 63.9% were males and 36.1% females, were admitted to our Emergency Department. The mean age of, the patients was 73.14 +/- 7.14 years. Falls (59%) accounted for the most common cause of injury. The mean GCS and mean ISS were 14.39 and 10.69, respectively. Trauma to extremities was the most frequent body region of injury (56.3%). A total of 149 patients were hospitalized. The mean hospital length of stay was 11.07 +/- 14 days. The mortality rate was found to be 6.4%. Head trauma was the most common cause in mortality. CONCLUSIONS: The risk of trauma in the elderly population is higher. As a result of the decrease in physiological reserve and lack of adaptation to trauma, elderly trauma patients require more aggressive management and a multidisciplinary approach. Further studies are needed for data of elderly trauma patients.


Subject(s)
Emergency Medical Services , Wounds and Injuries/epidemiology , Accidental Falls/mortality , Age Factors , Aged , Aged, 80 and over , Cause of Death , Craniocerebral Trauma/epidemiology , Craniocerebral Trauma/mortality , Databases, Factual , Emergency Service, Hospital/statistics & numerical data , Female , Glasgow Coma Scale , Hospitalization/statistics & numerical data , Humans , Injury Severity Score , Length of Stay , Male , Prospective Studies , Sex Factors , Turkey/epidemiology , Wounds and Injuries/mortality , Wounds and Injuries/therapy
7.
Ir J Med Sci ; 179(3): 443-5, 2010 Sep.
Article in English | MEDLINE | ID: mdl-18850240

ABSTRACT

BACKGROUND: Although screw breakage or loosening are rarely encountered, they were reported to occur after instability of the internal fixation. METHODS: A man with a history of traumatic pelvic fracture 6 months ago presented to our clinic with inability to void. An anterior urethral meatotomy was made and a calcified but intact screw was removed from the urethra. CONCLUSIONS: Screw migration with urological manifestations are extremely rare and usually include bladder migration with a subsequent voiding of the screw. We present a case in which internal urethrotomy for posterior urethral stricture caused erosion of a bone screw into the urethra which was subsequently removed by anterior meatotomy.


Subject(s)
Bone Screws/adverse effects , Foreign-Body Migration/complications , Fracture Fixation, Internal/adverse effects , Fractures, Bone/surgery , Pelvic Bones/injuries , Adult , Dilatation, Pathologic , Foreign-Body Migration/diagnostic imaging , Humans , Male , Postoperative Complications/diagnostic imaging , Radiography , Urethra/pathology , Urinary Bladder/injuries
8.
Andrologia ; 40(1): 58-61, 2008 Feb.
Article in English | MEDLINE | ID: mdl-18211304

ABSTRACT

Several studies have suggested that male infertility and testicular cancer may have common aetiological factors. Scrotal ultrasonography (US) has an important role in the diagnosis of testicular tumours when not palpable by physical examination. In this study, we present two infertile men referred to our clinic. Patients were evaluated by a detailed physical examination, semen analyses and hormonal assessment. Both patients underwent scrotal US examination. Semen analysis of the patients revealed oligoasthenospermia in both patients. Scrotal US revealed hypoechoic masses in the left and right testes of both patients, which were nonpalpable by physical examination. Scrotal exploration and subsequent orchidectomy were performed. Histopathological examination revealed mixed germ cell tumour and Sertoli-Leydig cell tumour in case 1 and case 2 respectively. With these cases, we discussed the role of scrotal US in the routine diagnostic evaluation of infertile men.


Subject(s)
Infertility, Male/diagnostic imaging , Neoplasms, Germ Cell and Embryonal/diagnostic imaging , Scrotum/diagnostic imaging , Sertoli-Leydig Cell Tumor/diagnostic imaging , Testicular Neoplasms/diagnostic imaging , Adult , Humans , Incidental Findings , Male , Mass Screening , Ultrasonography
SELECTION OF CITATIONS
SEARCH DETAIL
...