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    Change of hand flora during the shift in emergency servise staff
    (2018) Yurtbay, Sefa; Tekin, Yusuf Kenan; Korkmaz, İlhan; Güven, Mutlu Kukul Fatma; Demirtaş, Erdal
    Objective: We aimed to reveal the change in microorganisms in the hand flora during the working period from hospitalpersonnels in the emergency department of Cumhuriyet University by taking hand cultures before and after the workingperiod.Method: Our study was planned to evaluate the change of the hand flora and pre-shift and post-shift hand cultures from10 physicians, 13 nurses, 10 transport personnel in the emergency department of Cumhuriyet University. Also the microorganisms of air samples from special intervention areas (resuscitation, red area) as well as general use areas wereanalyzed.Results: We compared the washing status between pre (4,%11.1) and post-contact16 (44.4%) hand washing rate. Thevolunteers generally had washed their hands after the contact with the patient and the difference was statistically wassignificantly higher (p <0.05). there wasn’t any difference between the microorganisms samples that were reproduced onthe pre-shift right and left hand samples and post-shift right and left hand. According to the total count of samples takenfrom the left and right hand before shift in terms of the microorganism seen the difference was significiant (t=7,48;p=0,001).Conclusions: Although our participants knew the hand hygiene indications of emergency service workers, their harmonywas found to be low, consistent with many studies in the literature. It has been observed that the habit of using gloves andhand disinfectant was low also. Efficient strategies may be developed; improving institutional healthcare conditions,conducting educations at certain intervals, observing the practitioner and collecting feedback. However, it should be notedthat the most significant issue is that the significance in hand washing is ensured with changes in habits.
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    Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance
    (2019) Demirtaş, Erdal; Tekin, Yusuf Kenan; Korkmaz, İlhan; Güven, Fatma Mutlu Kukul; Yurtbay, Sefa; Demirtaş, Esin
    Background: Acute coronary syndromes compose a major proportion of sudden deaths globally.Patients diagnosed with myocardial infarction due to sudden chest pain should be immediately referredto percutaneous coronary angiography (PTCA) as soon as possible. In order to decrease the mortalityrate due to acute coronary syndromes and deadly cardiac arrhythmias, the electrocardiography (ECG)knowledge of the ambulance staff, who evaluated as first, is important. We aimed to evaluate the levelof electrocardiography knowledge by conducting a survey on the ambulance staff in the province ofSivas.Material-methods: A total of one hundred seventy-eight healthcare professionals working inambulances in the centre and districts of Sivas were included in the study, including nurses, paramedics,and emergency medical technicians. The participants were asked to answer survey questions abouttheir working experience, education, age, and completion of a special ECG course and they wereexpected to interpret 12 different ECGs.Results: The ratios of correct ECG diagnosis were as follows; anterior ST-elevation myocardial infarction(STEMI), 84.3% (n=150); inferior STEMI, 89.9% (n=160); lateral STEMI, 77.5% (n=138); normal ECG, 64%(n=114); ventricular fibrillation (VF) , 28.1% (n=50); supraventricular tachycardia (SVT), 57.3% (n=102);VT, 17.4% (n=31); and artificial ECG, 13.5% (n=24). According to the results, paramedics had highercorrect diagnosis ratios in right bundle branch block and AV complete block compared to EMTs andnurses (<0,001), and EMTs were better in correctly diagnosing left ventricular hypertrophy (p=0,011).Conclusion: In our study, it was shown that profession, working experience and status of ECG educationin the recent year did not make a significant difference, also it has been shown that employees donot recognize life-threatening rhythms on ECG assessment results, suggesting to revise the in-servicetraining.
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    Serum TLR9 and NF-?B Biochemical Markers in Patients with Acute Pancreatitis on Admission
    (Hindawi Ltd, 2020) Demirtas, Erdal; Korkmaz, Ilhan; Cebecioglu, Kivanc; Ayan, Mustafa; Demirtas, Esin; Yurtbay, Sefa; Yildiz, Seymanur
    Aim. The aim of this study was to investigate the serum TLR9 and NF-kappa B levels in patients for the diagnosis and prognostication of AP in the emergency department. Methods. In the current study, we looked at the TLR9 and NF-kappa B pathways in a cohort of 45 acute pancreatitis patients and compared them with the control group. We also divided the patient groups as mild-moderate or severe and compared the biomarker levels between the groups. Results. Of the patients with acute pancreatitis, 22 (49%) were male and 23 (51%) were female. The mean age of the patient group was 62 years, with a range of 25-95 years. The control group consisted of 19 (43.1%) male and 25 (56.9%) female patients. The serum TLR9 and NF-kappa B values were significantly higher than those of the control group [1104.44 +/- 339.20 vs. 702.08 +/- 203.94; p<0.001 and 8.04 +/- 1.76 vs. 4.76 +/- 1.13; p<0.001, respectively]. We found that TLR9 and NF-kappa B had a significant discriminative ability, while the cutoff value for TLR9 was 950.4, with a sensitivity of 73% and specificity of 93% (p<0.001), and the cutoff value for NF-kappa B was 6.32, with a sensitivity of 89% and specificity of 100% (p<0.001). Conclusion. We demonstrated that the TLR9 and NF-kappa B pathway is activated in acute pancreatitis and increases the inflammatory process. This may help to further understand the pathogenesis of disorder, diagnosis, and clinical severity. We proposed that blockage of these inflammatory pathways may play a role in the prevention of the disease progression and development of inflammatory complications.