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Chest radiography findings and hematological values: Early findings on COVID-19 patients from Turkey

Journal of Acute Disease 2021年第1期10卷 17-22页

作者： Fatih Uzer Begum Uzer fatma mutlu kukul guven Idris Kirhan Nilay Coplu Kastamonu State Hospital PulmonologyKastamonuTurkey Kastamonu State Hospital Emergency MedicineKastamonu Turkey Harran University Faculty of Medicine Internal Medicine DepartmentŞanlıurfaTurkey Kastamonu University Faculty of Medicine Department of MicrobiologyKastamonuTurkey

Objective:To investigate the chest radiography findings,hematological values and the risk factors of the mortality of coronavirus disease 2019(COVID-19).Methods:Patients who were diagnosed with COVID-19 in a secondary-level state hospital in Turkey from March to April 2020 were included in the ***-19 diagnosis was confirmed by reverse transcriptase-polymerase chain *** routine blood tests and chest radiography findings were *** relationship between chest radiography findings and hematological values and risk factors of the mortality of COVID-19 were ***:In total,94 patients with confirmed COVID-19 diagnosis were included in the *** them,33 patients did not have lung involvement(RALE score of 0),and 42 had moderate lung involvement(RALE score of 1 to 4),and 19 had severe lung involvement(RALE score of 5 to 8).Patients with higher RALE scores were significantly elder(P=0.000)and had significantly lower lymphocyte count(P=0.032).Patients in need of intensive care had a lower mean number of platelets compared to patients who did not require intensive care(P=0.007).The receiver operating characteristic analysis revealed that RALE score(P=0.005),age(P=0.002),duration of symptoms(P=0.006),neutrophil-lymphocyte ratio(P=0.007),and lymphocyte percentage(P=0.012)were significantly associated with the risk of ***:Patients with severe lung involvement have lower lymphocyte values and ***,RALE score,duration of symptoms,neutrophils/lymphocytes ratio,lymphocytes percentage are risk factors of mortality of COVID-19.

关键词： COVID-19 Chest X-ray Survey Lymphocyte

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Platelet aggregation responses in type 2 diabetic patients

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Health 2010年第7期2卷 708-712页

作者： fatma mutlu kukul guven Abdulkerim Yilmaz Huseyin Aydin Ilhan Korkmaz Sevki Hakan Eren Emergency Medicine Deparment School of MedicineCumhuriyet UniversitySivasTurkey Biochemistry Lab School of MedicineCumhuriyet UniversitySivasTurkey

Diabetes mellitus (DM) is associated with platelet dysfunction. In diabetic patients, alterations in platelet functions, especially increased platelet agregation, have been suggested to cause increasing in cardiovascular morbidity and mortality or in accelaretion of athersclerotic process. In this study, we aimed to investigate the platelet aggregation response alterations and the effects of DM duration, HbA1c, treatment options among the patients with Type 2 DM. Fortyfive patients (case group;21 male, 24 female) with Type 2 DM and forty-eight healthy individuals (control group;22 male, 26 female) were included in this study. Platelet aggregation was determinated with Chorono-log 500 (USA) named device by using Chorono-log/ADP, Chorono-log/ collagen and Chorono-log/epinephrine kits. ADP-induced platelet aggregation was significantly higher in the case group compared with control group (p 0.05). In conclusion, our findings supported that type 2 diabetes may interfere with platelet functions without any relationship age, gender, the treatment types and the regulation levels. These findings supports that existence potential new factors or mechanism affecting platelet agregation. The subject requires more detailed studies in the future.

关键词： Platelet Aggregation Diabetes Insulin HbA1c

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Analysis of the patients admitted to emergency department due to urogenital trauma and investigation of factors that affect mortality

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Journal of Acute Disease 2017年第2期6卷 70-73页

作者： Semih Sozen Simsek Celik Cafer Akpinar fatma mutlu kukul Güven Cihat Yel Cemil Kavalci Omer Salt Emergency Department Sivas State HospitalSivasTurkey Emergency Department Ankara Etimesgut State HospitalAnkaraTurkey Emergency Department Faculty of MedicineCumhuriyet UniversitySivasTurkey Emergency Department State HospitalHatayTurkey Emergency Department Faculty of MedicineBaskent UniversityAnkaraTurkey Emergency Department Faculty of MedicineTrakya UniversityEdirneTurkey

Objective: To determine the general characteristics of urogenital trauma, and the factors that impact on mortality. Methods: Patients who were over 18 years of age admitted to the emergency service with urogenital injury between 1 January 2010 and 31 December 2014 were evaluated retrospectively. Age, gender, type of trauma, injured urogenital organs, vital parameters, additional organ injuries and mortality rate were investigated. Categorical variables were compared by usingChi-square test and comparing to groups data were performed with the Mann-Whitney and Kruskal-Wallis tests.P < 0.05 was considered statistically significant. Results: The median age of 174 patients was 35 years (interquartile range: 22), and 150 patients (86.2%) were males. It was determined that the incidence of urogenital trauma increased in August and September. The kidney was the most frequently injured organ (41.4%) and the most common cause of injury was traffic accidents (49.4%). Mean arterial pressure and revised trauma score were the lowest while pulse rate was the highest in renal trauma patients (P < 0.05). Mean arterial pressure, revised trauma score and respiratory rate were low in mortal group while pulse rate and Glasgow coma scale scores were significantly higher (P < 0.05). Conclusions: It is determined that the most common injured organs in trauma patients are kidneys and bladder and also no single factor is effective on mortality.

关键词： Emergency Trauma Urology Kidney

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Platelet aggregation responses in type 2 diabetic patients

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Health（健康） 2010年第7期

作者： fatma mutlu kukul Güven Abdülkerim Yilmaz Hüseyin Aydin Ilhan Korkmaz

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