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    Acil Serviste Bildirimi Yapılan Adli Raporların Geriye Dönük Bir Yıllık İncelemesi
    (Galenos Publ House, 2024) Bicakci, Sercan; Bicakci, Nurcan; Sahin, Huseyin; Saka, Naile Esra; Camci, Elif
    Aim: It was aimed to investigate the characteristics of forensic cases admitted to the emergency department of Tekirda & gbreve; Namik Kemal University Hospital (TNKUH), the qualities of forensic reports and the prognosis of the cases. Materials and Methods: All forensic cases for which a forensic report was written in the TNKUH emergency department between 01.01.2021 and 31.12.2021 were included in the study. Case records, hospital information management system and clinical patient forms and judicial notification files in the emergency department archive were examined retrospectively one by one. Results: Analyzes were made on 1136 cases for which forensic reports were prepared in the TNKUH emergency department. While 71.8% of the patients were male, the overall average age was 33.4 +/- 15.7 years. It was observed that the highest number of patients was in the 21-30 age group with a rate of 31.3%. Among the reasons for application, traffic accidents ranked first (33.3%), followed by assault-force cases (24.1%) and work accidents (21.5%). It was determined that 89.1% of the assault-algebra cases occurred with blunt traumatic-impact action. In the conclusions of the forensic reports, no life-threatening situation was mentioned in 175 cases (15.4%), it was stated that there was a life-threatening situation in 84 patients (7.4%), and that there was no life-threatening situation in 877 (77.2%) patients. It was observed that 957 patients (84.2%) were discharged from the emergency department after their examination and treatment, 112 patients were admitted to the ward (7.5%) and intensive care units (2.4%), and 8 (0.7%) patients died in the emergency department during their examination and treatment. Most of the patients admitted Conclusion: A significant portion of forensic cases are caused by trauma. Having complete and orderly records in forensic cases is important in terms of physician safety and preventing patient victimization in the legal process that may occur afterwards.
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    The Importance and Its Relationship of Adropin Level in Prediting the Severity of Acute Pancreatitis
    (Galenos Publ House, 2023) Sahin, Huseyin; Nahmadova, Gunay; Bicakci, Sercan; Bicakci, Nurcan; Erdem, Mustafa Numan; Orun, Serhat; Basol, Batuhan Ilbey
    Aim: We sought an alternative marker without serum amylase-lipase test for diagnosis in acute pancreatitis (AP), a disease with a wide range of severity. In this study, we wanted to see the benefit of serum adropin levels in improving the diagnosis time in the emergency department, predicting the severity of pancreatitis, and hospitalization. Materials and Methods: Our study is a single-center prospective study in which 39 patients with AP (>= 18 years old) participated. Thirty-six patients diagnosed with AP and 36 control group admitted to the Emergency Department of Tekirda & gbreve; Nam & imath;k Kemal University Hospital between March 2021 and November 2021 were included in the study. The blood samples of the patient and control groups at admission were studied by ELISA method. All patients diagnosed with AP were hospitalized and a package program called Statistical Package for the Social Sciences was used in the statistical analysis of the data obtained. Results: In our study results; There was no statistically significant difference in adropin levels compared to the patient/control group (p>0.05). When the ROC curves of the patient/control group were examined in terms of adropin levels; It was determined that the adropin level distinction was not statistically significant (p=0.336 >0.05). At the same time, no statistically significant difference was found in terms of adropin levels according to pancreatitis types and pancreatitis score classes of the patients (p>0.05). Conclusion: According to our study, adropin is not a significant biomarker in determining the diagnosis and severity of AP.