Birdal Güllüpınar

Analysis of Depression and Anxiety Levels in Patients with Dyspnea

DOI: 10.4328/JCAM.1069 Received: 05.05.2012 Accepted: 21.05.2012 Printed: 01.07.2013 J Clin Anal Med 2013;4(4): 281-5 Corresponding Author: Servet Kayhan, Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilimdalı,Göğüs Hastalıkları ve Tüberküloz Bölümü, Samsun, Türkiye. T.: +905326717174 E-Mail: servet-kayhan@hotmail.com Özet Amaç: Bu çalışmanın amacı, kronik solunum problemi olan hasta grubunda depresyon ve kaygı durumunun sıklığını ve bunların dispne ölçeklerinin şiddetiyle ilişkisini değerlendirmektir. Gereç ve Yöntem: Göğüs hastalıkları hastanesinde astım ve kronik obstrüktif akciğer hastalığı nedeniyle yatmakta olan 64 ardışık hasta değerlendirmeye alındı. Hastalara ve sağlıklı kontrol grubuna sosyodemografik özellikleri sorgulayan bir anket uygulandı. Kaygı ve depresyon düzeyleri öz bildirim ölçeklerinden Spielberg durumluk ve sürekli kaygı ölçeği ve Beck depresyon ölçeği kullanılarak belirlendi. Çalışma grubunun solunum fonksiyon testleri ve solunum semptomları skorlarına göre dispne dereceleri değerlendirildi. Bulgular: Çalışma grubunun yaş ortalaması 67.28±9.13 (50-88 yaş aralığı). 22 (%34.4) si kadın ve 42 (%65.6) si erkekti. Beck depresyon ölçeği ortalama skorları 18.42±10,00 (5-47 aralığında), Spielberg durumluk kaygı puan ortalaması 40.20±8.13 ve sürekli kaygı puan ortalaması 44.70±7.94 olarak bulundu. 24 (%37.5) hastada depresyon saptandı, 40 (%62.5) hastada depresyon yoktu veya hafif belirtiler vardı, 13 (%20.3) kişide orta derecede ve 11 (%17.2) kişide ağır düzeyde depresyon belirlendi. Yaş ile depresyon puanları arasında istatistiksel ilişki vardı (p=0.022). Depresyon puanları ile Spielberg durumluk ve sürekli kaygı puanları arasında istatistiksel olarak anlamlı ilişki bulundu. Tartışma: Kronik solunum problemi olan hastalarda yüksek kaygı düzeyi ve sık depresyon görülmekte fakat bu durum dispne ölçeklerinden etkilenmemektedir.

The comparison of the efficiency of traditional lectures to video-supported lectures within the training of the Emergency Medicine residents.

Objectives Recent developments in computer and video technology, multimedia resources enter quickest way possible into medical education and have started to gain popularity. The aim of this study is to evaluate the impact of video-supported lectures on leaning, with comparison to traditional lectures. Methods According to lecture techniques, two separate groups; one is the traditional lectures group (TLG) and the other is video-supported lectures group (VSLG), are formed. While the TLG is offered a traditional lecture the VSLG is offered a video-supported lecture with imbedded videos which are related to the topics in the traditional lecture. Both study groups take pretest and posttest with MCQs (multiple choice questions) and OSCEs (objective structured clinical examination). Results The study includes 30 volunteer residents in Dokuz Eylul University School of Medicine Department of Emergency Medicine. No difference is observed between TGL and VSLG in pretest and posttest scores (p = 0.949, p = 0.580). And additionally, comparing the scores of both groups, we cannot observe any difference between the pretest OSCE scores of each group (p = 0.300), however posttest OSCE scores shows a dramatic odd in-between (p = 0.010). When pretest MCQs and posttest MCQs mean scores are compared, both tests (TLG, VSLG) has not any significant difference (p=0.949, p = 0.580). Nevertheless, after comparing OSCEs pretest and posttest mean scores, we can see significant difference in mean scores of both (TLG, VSLG), (p = 0.011, p = 0.001). Conclusions Taken into consideration, the findings of this study shows possibility of improving educational techniques to acquire clinical skills by using local resources and low-cost technology.

Are all intracranial mass lesions always a contraindication for thrombolytic therapy

Thrombolytic therapy is regarded as the first treatment choice in haemodynamically unstable patients with pulmonary embolism. Intracranial tumors have long been considered as a contraindication to thrombolytic therapy due to the risk of intracerebral haemorrhage. In this report, we presented a 76-year-old female patient with meningioma and massive pulmonary embolism who had received thrombolytic therapy despite a contraindication of intracranial mass. The patient completed the thrombolytic therapy without having complication. (Hong Kong j.emerg.med. 2014;21:98-102)

Boerhaave Syndrome after Excess Water Consumption

DOI: 10.4328/JCAM.889 Received: 08.01.2012 Accepted: 25.02.2012 Printed: 01.03.2015 J Clin Anal Med 2015;6(2): 233-5 Corresponding Author: Birdal Güllüpınar, Vali Hüseyin Öğütçen Bulvarı, Korutürk Mahallesi, Ilıca Apt. 37/3 35220 Balçova, İzmir, Türkiye. T.F.: +9

Little Old Lady's Hernia: Obturator Hernia

DOI: 10.4328/JCAM.875 Received: 13.12.2011 Accepted: 23.12.2011 Printed: 01.01.2015 J Clin Anal Med 2015;6(1): 103-5 Corresponding Author: Birdal Güllüpınar, Vali Hüseyin Öğütçen Bulvarı, Korutürk Mahallesi, Ilıca Apt. 37/3 35220 Balçova, İzmir, Türkiye. T.: +9

Subarachnoid Pleural Fistula Due to Gunshot Wound

SUMMARY Subarachnoid pleural fistula (SPF) is an extremely rare complication that occurs after dural space and vertebral columns injuries. SPF is divided into two diagnoses based on the absence or presence of pneumocephalus and pneumorrachis. While pneumocephalus is defined as the presence of air the cranial cavity, if there is air in the spinal canal, this is defined as pneumorrhachis. In general, the association of SPF with pneumocephalus and pneumorrachis is rare but can occur after blunt trauma. In our patient, pneumorrhachis and pneumocephalus with SBF developed after the patient suffered a gunshot wound. This paper reports an SPF case accompanied by pneumorrachis and pneumocephalus, which occurred after thoracic spine injury due to a gunshot wound.

Does Bolus Isotonic Saline Infusion Prevents Rats from Contrast Induced-Nephropathy?

1 Birdal Güllüpınar1, Sedat Yanturalı2, Neşe Çolak Oray2, Aydın Sarıhan3, Hakan Topaçoğlu4, 1Toros Devlet Hastanesi, Mersin, 2Dokuz Eylül Üniversitesi Tıp Fakültesi, İzmir, 3Bahçeşehir Devlet Hastanesi, İstanbul, 4Samayta Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye Kontrast Nefropatisini Önlemede Bolus İzotonik Salin Uygulamasının Etkinliği The Efficacy of Bolus Normal Saline to Prevent Contrast Induced-Nephropathy Does Bolus Isotonic Saline Infusion Prevents Rats from Contrast Induced-Nephropathy?

Oksijen kullanılmaması gereken bir olgu: Paraquat zehirlenmesi

Introduction Paraquat is a herbicide with high toxicity. Paraquat poisoning cases are rarer in our country since its use is restricted. High doses of paraquat causes renal, hepatic, cardiac and pulmonary organ failures and often death in no time. Low doses of paraquat causes late lung fibrosis. We would like to review the treatment approach which is quite different from other poisonings by presenting the case we came across for the first time in our clinic and resulted in death in a very short time.

“Pankreas Yaralanması” Olgu Sunumu

Blunt trauma is responsible for 80% of abdominal injuries in childhood. Pancreatic injury is quite rare and often overlooked or diagnosed too late. The most are frequently injured by being exposed to compression as a result of bicycle accidents. In the early period, a normal physical examination and normal values of pancreatic amylase, can lead patients to be bypassed. In this article, two cases with the complaint of a fall from a bicycle and then diagnosed as pancreatic injury are reported and reviewed with the review of the literature.