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    A new and simple suturing technique applied after surgery to correct ingrown toenails may improve clinical outcomes: A randomized controlled trial
    (Elsevier, 2016) Uygur, Esat; Çarkçı, Engin; Şenel, Ahmet; Kemah, Bahattin; Turhan, Yalçın
    Introduction: In the present study, we investigated the efficacy of a new suturing technique applied after the Winograd procedure has been completed. Methods: This study was prospective, randomized, and controlled. In total, 128 patients were recruited and divided into two groups. The outcomes of those treated with the new suturing technique (group I) were compared with those of patients treated with the traditional suturing technique (group II), both of which were applied after the Winograd procedure had been completed. The clinical outcomes and recurrence rates of the two groups were compared. Results: Patients in group I required significantly more time to return to work or school than did those in group II (p = 0.015). We found no significant difference between youths (age < 18 years, n = 55) and adults (age = 19 years, n = 69) in this context (p = 0.161). The recurrence rate was significantly higher in group II than in group I (p = 0.011). The extent of satisfaction was significantly higher in group I (p = 0.042). Conclusions: Our new suturing technique is associated with lower recurrence and higher satisfaction rates. However, the times elapsing before shoes could be worn were similar in the two groups. (C) 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
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    THE RETROSPECTIVE EVALUATION OF CASES WITH HIGH BLOOD PARACETAMOL LEVELS
    (Carbone Editore, 2015) Kandiş, Hayati; Bilir, Özlem; Çolak, Şahin; Sarıtaş, Ayhan; Şenel, Ahmet; Koşargelir, Mehmet; Kara, İsmail Hamdi
    Introduction: The aim of the study is to compare laboratory parameters and clinical outcomes of the patients taking paracetamol only and those of the patients using other medications in addition to paracetamol. Material and method: 471 cases whose ages were 15 or over, and who had a history of paracetamol intake as a single drug or in addition to other medications, and had high serum paracetamol levels, admitted to our emergency department (ED) in a 24-month period. Patients were divided into 3 groups according to Modified Rumack-Matthew nomogram and whether they took paracetamol only or together with other drugs: Paracetamol levels higher than toxic level (Group 1), lower than toxic level and using only paracetamol (Group 2), lower than toxic level and using other medications in addition to paracetamol (Group 3). In all cases, alanine amino transferase, aspartate aminotransferase, platelet counts and INR values were retrospectively recorded. Cases were evaluated in terms of the rates of discharge from the ED, hospitalization and mortality. Results: Eighty two of 471 patients were in the Group 1, 264 cases were in the Group 2, and 125 cases were in the Group 3. Forty nine of patients admitted to the ED within-2 hours after drug ingestion. Gastric lavage was performed and activated charcoal was administered in 94% (n=443) of patients presenting to ED in the following 4 hours after ingestion of paracetamol. Only the cases in the Group 1 had a statistically significant difference in ALT, AST, PLT and INR values measured on admission and at the 12th hour 377 cases were discharged after ED observation, and 94 patients were hospitalized. All patients were discharged with full recovery. Conclusion: Determining the treatment protocol by measuring serum paracetamol level shortens the duration of hospital stay, decreases treatment costs and helps avoid unnecessary N-acetylcysteine applications.