Browsing by Author "Akça, A.H."

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Compatibility of Na and K Values Measured by Biochemistry Analyser and Blood Gas Analyser in Different Clinical Situations
(Yuzuncu Yil Universitesi Tip Fakultesi, 2018) Akça, A.H.; Şaşmaz, M.İ.
Severe disturbances in sodium and potassium are frequently encountered in emergency departments and these are among the most important treatable medical emergencies. In this study we aimed to evaluate the correlation of serum sodium and potassium levels measured with blood gas analyser (BGA) and biochemistry laboratory autoanalyser (BLA) devices in the laboratory. We conducted a retrospective study between April 1st and 30th in an emergency department of an university hospital. We screened patients whom had both venous blood gas analysis and serum electrolytes in biochemistry panel. Then we grouped electrolyte levels of patients as hyper-, hypo-, and eu- to compare these groups separately. Pearson correlation coefficients were calculated for determination linear relationships between the variables. Results: total of 156 patients (age> 18) screened whom had both venous blood gas analysis and serum electrolytes in biochemistry panel at the same emergency appointment. The mean level of sodium in serum samples was 138.7 mmol/l compared to 143.2 mmol/l in venous blood gas. Mean variation between two samples was -4.46 mmol/l (95% CI -5.25, -3.67), ranged from -19 mmol/l to 4 mmol/l. The mean level of potassium in serum samples was 4.34 mmol/l compared to 3.74 mmol/l in venous blood gas. Mean variation between two samples was 0.6 mmol/l (95% CI 0.50, 0.69) ranged from -0.50 mmol/l to 2.6 mmol/l. The correlation coefficient was found r=0.852 for Na, r=0.774 for K and p was <0.001 for both values. We found positive correlation in sodium and potassium levels in various strength in different clinical situations. As our opinion, blood gas analyses should help and guide physicians especially in emergent conditions. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
The Place of Smartphone Applications in Emergency Medicine
(Ondokuz Mayis Universitesi, 2022) Akkuş, Ş.; Akça, A.H.; Gızlı, G.
Medical mobile applications help improve patient care quality, reduce medical errors, and help physicians make faster, evidence-based decisions in patient care, follow-up and rehabilitation. In this study, it was aimed to determine the usage level of smart phone applications among emergency physicians, to investigate the effects of these applications on diagnosis and treatment, to examine their benefits, to determine the expectations regarding these applications, and to raise awareness on ethical issues. Between 02/25/2018 and 03/25/2018 emergency medicine residents in many provinces of Turkey, emergency medicine specialists, were investigated smartphone app to be used in practice with academics. A statistically significant difference was found between emergency medicine experience and mobile application use (p: 0.020). Most of the physicians surveyed had started using their first mobile apps 4 years ago. It was determined that most of the participants using mobile applications in the medical field were using them as a clinical decision tool. It was observed that those with visual expressions were mostly preferred in the use of mobile applications in the medical field (63.1%). It was determined that 75% of the participants found instant messaging applications useful in the professional field. The biggest problem identified in terms of medical ethics of mobile medical applications; was the thought of a violation of patient privacy. Although technological devices make our lives easier in many ways, examination is of great importance in the patient-physician relationship. Medical mobile applications should be prepared professionally and the content quality should be checked by experts. Due to the nature of current research, it is inevitable that technologies become outdated. There is a need for more comprehensive and up-to-date studies on this subject that appeal to large audiences. © 2022 Ondokuz Mayis Universitesi. All rights reserved.