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    Effects Of Oral Carbamazepine With 2% Lidocaine On Maxillary And Mandibular Nerve Blocks In Trigeminal Neuralgia
    (Düzce Üniversitesi, 2010) Kaplan, Metin; Baykal, Mehmet
    Purpose: We evaluated the therapeutic efficacy of associating the oral administration ofcarbamazepine with 2% lidocaine for maxillary and mandibular nerve blocks in acute and longterm pain relief of trigeminal neuralgia in this retrospective study.Methods: A total of 13 patients (9 men and 4 women), with trigeminal neuralgia aged between34 and 91 years (Mean age 53±13.39), and who applied to our hospitals Pain Unit between July2007-July 2009 were included in this study. The records of 13 patients suffering pain due totrigeminal neuralgia were examined; pain free periods, treatment success, side effects, andrecurrence were recorded.Results: At the end of a 5-week treatment period, pain relapses ceased in all patients. Themajority of patients benefited remarkably from the treatment after week three. Pain recurred inone patient after one month and in two patients after six months. No relapse was observed inthe other 10 patients during the 12-month follow-up period. Conclusion: Pain episodes in trigeminal neuralgia cases may be controlled by maxillary andmandibular blocks applied with oral carbamazepine and 2% lidocaine. Favorable results areobtained in both the short and long–term, and notable increases are observed in the comfort andquality of life of patients
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    Evaluation of Patients Hospitalized in Pediatric Intensive Care Unit
    (Düzce Üniversitesi, 2011) Tutanç, Murat; Başarslan, Fatmagül; Karcıoğlu, Murat; Yel, Servet; Kaplan, Metin; Arıca, Seçil; Karakuş, Ali
    Objective: The patients hospitalized in Pediatric Intensive Care Unit (PICU) were evaluatedfor the diagnosis, gender, length of stay, months at which they were hospitalized and discharged.Method: In this study, 698 patients hospitalized and followed-up in the Pediatric Intensive CareUnit of Pediatric Health and Diseases of Dicle University Faculty of Medicine between datesof November 2002 – February 2005 were evaluated.Results: 95 (13.6%) of patients were hospitalized with the diagnosis of pulmonary infection,84 of those (%12) with sepsis, 70 (10%) with poisoning, 49 (7%) with infection of central nervesystem, 44 (6.3%) with status epilepticus, 28 (4%) with hepatic coma, 27 (3.9%) with snakebite,24 (3.4%) with scorpion bite, 18 (2.6%) with trauma, 17 (2.4%) with intracranial bleeding, 15(2.1%) with meningococcemia, 12 (1.7%) with drowning, 8 (1.14%) with electric shock, and 7of patients (1%) with malignancy. While most frequent hospitalization was recorded in January(10.7%) and June (10.4%), the least frequent hospitalization was observed in October (5.7%).Number of female patients was 300 (42.8%), whereas number of male patients was 398 (57.2%).Mean length of stay was 5.3±6.1 days. 363 (51.8%) of patients were transferred to other servicesafter their general condition had been stabilized, 86 (12.3%) of patients were discharged fromthe intensive care unit, 8 (1.14%) of patients were referred to an advanced center, and 238(34.4%) of patients died.Conclusion: In this study, it is intended to highlight the fact that the pulmonary infection andthus the respiratory support are the most frequently recorded conditions in the intensive careunit and that preventable diseases such as poisoning in childhood, trauma, drowning, and electricshock take an important place in hospitalization
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    Investigation of Occurrence of the Traffic Accident in Diyarbakir Province
    (Düzce Üniversitesi, 2007) Kara, İsmail Hamdi; Sıtmapınar, Karanfil; Erdem, Özgür; Kaplan, Metin; Aldemır, Mustafa
    Objective: In this study, people who passed away or injured as a result of the accident, age, gender and accidentrelated specialties of these people and the factors caused by the accident have been aimed to be evaluated. Materials and methods: In this retrospective study, 1659 accidents with physical damage occured in Diyarbakir province borders between January 2006 – July 2006 and recorded in traffic department of the Police Office were evaluated. Events have been classified according to the accident type, driver faults, weather and road conditions, the type of the car involved in the accident, physical loss in respect of time and day, months the accidents happened and driver. Results: Totally 2974 drivers and 3152 vehicles have been involved in 1659 accidents. Considering the months, most of the accidents happened in January, May and June [in order, n=276 (16, 64%), 255 (15,37%) ve 260 (15,67%) events]. The most of the accidents have involved two vehicles and have happened in daytime (1186 events , 71, 48%), open air (1226 events, 73, 89% ), on asphalt (1959 events, 96, 14% ) and on dry ground (1250 events, 75, 34%). The first three reasons of the traffic accidents are; rear-end collisions (465 events, 28,02% ), doing wrong manoeuvre (318 events, 19,16% ) and disobeying of crossroad passing priority (276 events, 16,63% ). When drivers are evaluated, it has been seen that most of them were male (2868 persons, 96, 43% ), elementary school graduated (1105 persons, 55, 97%), between 26-30 (688 events, 23,13% ) and 31-35 (689 events, 23,16% ) age groups. Because of the accidents, 401 persons [110 (27, 43%) women, 291 (72, 56%) men] have been injured and 5 persons (1 woman, 5 men) have been died. Conclusion: to prevent and control the traffic accidents, educational activities should be arranged for drivers especially for risk group and also it is necessary to ma ke the vehicle, road and traffic run safer