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Öğe Factors affecting drowning-related mortality of elderly foreigners according to autopsy results(Geriatrics Society, 2016) Beydilli, İnan; Cin, Özgür; Kozaci, Nalan; Yilmaz, Fevzi; Sönmez, Bedriye Müge; Tepe, Güler; Korkmaz, İlhanIntroduction: We aimed to determine age-related factors associated with fatal drowning by analyzing the demographic data of drowning victims. In addition, we discuss possible measures to reduce drowning-associated deaths. Materials and Method: We retrospectively reviewed autopsy reports of foreign tourists, who died due to drowning, and then, whose autopsy and pathological sampling were carried out in Antalya Forensic Medicine Institution. The included cases were divided into two groups; Group I comprised cases who were a65 years at the time of death, and Group II comprised cases ?65 years. The groups were compared with respect to demographic data, water source from which they were taken out, season, narcotics, alcohol level and presence of coronary artery diseases. Results: 48 of 89 cases that we included in the study account for Group I while the rest, 41 cases, account for Group II. Statistically significant difference was determined between the groups with respect to nationality, season, water source from which they were taken out, alcohol levels and coronary artery diseases (p<0.05). No statistically significant difference was determined between the groups with respect to gender, narcotics and BMI (p>0.05). Conclusion: We therefore recommend that people, particularly those with CAD, choose mornings and afternoons for swimming, thereby avoiding the midday hours in which temperature and humidity are high. Furthermore, they should not strain their effort capacity and should avoid imbibing alcoholic drinks before swimming. © 2016, Geriatrics Society. All rights reserved.Öğe Low Dose Duloxetine Induced Hyponatremia in an Elderly Patient: A Case Report(KURE ILETISIM GRUBU A S, 2012) Beydilli, Inan; Akguc, Leyla; Korkmaz, Ilhan; Gencoglan, Salih; Yilmaz, Fevzi; Uysal, ZehraLow dose duloxetine induced hyponatremia in an elderly patient: a case report Duloxetine is serotonin-norepinephrine reuptake inhibitor used for major depressive disorder, stress, urinary incontinence, pain associated with diabetic neuropathy and fibromyalgia. Nausea, dry mouth, fatigue, dizziness, decreased appetite, constipation and insomnia are the frequently reported advers effects. Duloxetine induced hyponatremia is a rare advers effect and is seen generally among the older female patients, like our case. Whereas our case was using duloxetine low dose (30mg/day).Öğe Pre-hospital airway management preferences of paramedics(Bayrakol Medical Publisher, 2020) Beydilli, Inan; Korkmaz, Ilhan; Yilmaz, Fevzi; Gungor, Faruk; Kirpat, Vedat; Kozaci, Nalan; Avci, MustafaAim: The success of paramedics in the pre-hospital airway management in traumatic and non-traumatic critically ill patients, especially in cardiac arrest, is very important in terms of mortality and morbidity. Materials and Methods: Patients who were admitted to the Emergency Department by pre-hospital emergency ambulance service were included in the study. The standard data registration form was created for the study. Demographic data, pre-hospital and in-hospital vital signs, GCS scores, cardiac rhythms, applied airway method, transport time and 48-hour mortality rates were recorded in the study form. Results: While the initial approach to airway management was a bag-valve mask in 80 patients (82%), advanced airway management was performed in 18 (18%) patients. The mean time period for the ambulance arriving at the patient was 6.52 +/- 3.06 min and the mean time period of transport to the hospital was 11.42 +/- 9.53 min in all patients. Although there was no difference between patients managed with BVM and patients managed with advanced airway interventions in terms of a time period needed to access patient (p=0.957), there were significant differences in terms of a time period needed to access emergency service (p=0.001) and total time period (p=0.001) Among patients with CPA, there was a significant difference between patients managed with and without advanced airway interventions in terms of 48-hour mortality (p=0.035). Discussion: Although the pre-hospital airway management still remains its mystery, we think that providing ventilation with BVM without losing time and transportation to the hospital would be more appropriate for patients in short distances and for patients with less risk of aspiration in terms of mortality and transportation time.Öğe The role of oxidative and antioxidative status in patients with suspected seizures in the emergency department(Bayrakol Medical Publisher, 2020) Ari, Asim; Beydilli, Inan; Yilmaz, Fevzi; Korkmaz, Ilhan; Ellidag, HamitAim: The aim of this study was to investigate the diagnostic value of Total oxidant level (TOS) and Total antioxidant level (TAS) in the differentiation of epileptic seizures and psychogenic nonepileptic seizures (PNES) in adult patients presenting to the emergency department (ED) with complaints of seizures. Material and Method: This prospective observational study was conducted at Antalya Training and Research Hospital. Patients were categorized into either a pseudoseizure group or a seizure group. Serum TAS and TOS levels were measured spectrophotometrically by colorimetric methods. Thirty and 60 minutes after the onset of symptoms, serum samples were collected for measuring serum albumin, ischemia modified albumin (IMA), TAS and TOS levels. Data were analyzed using SPSS 21. Results: A total of 110 participants were categorized into either a pseudoseizure group (n=48, 43.6%) or a seizure group (n=62,56.4%). Regarding 30-minute IMA and TOS, levels were significantly higher in the seizure group (p=0.001 and p<0.001). There was no statistically significant difference between seizure and pseudoseizure groups in terms of 30-minute TAS levels (p=0.16). Regarding 60-minute, IMA and TOS, levels were significantly higher in the seizure group (p<0.001 and p=0.002, p<0.05). There was no statistically significant difference between seizure and pseudoseizure groups in terms of TAS levels (p=0.19). Anion gap and lactate levels were significantly higher in the seizure group (p<0.001). Discussion: According to the results of our study, serum IMA, anion gap, lactate, and TOS levels increased significantly in patients with seizures compared to patients with pseudoseizures.
