Browsing by Author "Sahin, I."

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Does Hepatitis C Virus Infection Increase Hematocrit and Hemoglobin Levels in Hemodialyzed Patients
(Dustri-Verlag Dr. Karl Feistle, 2003) Sahin, I.; Arabaci, F.; Sahin, H.A.; Ilhan, M.; Ustun, Y.; Mercan, R.; Eminov, L.
Objective: Some case reports indicated that red cell status increased after hepatitis C viral infection. The aim of study was to define the influence of hepatitis C infection (HCV) on red cell status in hemodialyzed patients. Materials and methods: A total of 49 (21 anti-HCV-positive and 28 anti-HCV-negative) patients with ESRD were included in this study. Exclusion criteria were blood transfusion and massive blood loss in the last 6 months preceding the study. None of the patients used any drug containing aluminum. Results: The prevalence of anti-HCV antibody was 42.8%. Mean age was 51.6 ± 14.3 in anti-HCV (+) group and 50.4 ± 17.0 in anti-HCV (-) group. There was no statistically significant difference between the ages of the 2 groups. Mean duration time of hemodialysis was significantly longer in patients with anti-HCV antibody (+) group (54.9 ± 34.2 months) compared to anti-HCV-negative group (12.5 ± 9.0 months) (p < 0.001). Mean hemoglobin (Hb) and hematocrit (Htc) levels were significantly higher in anti-HCV-positive patients than in anti-HCV-negative patients (Hb: 10.4 ± 1.8 g/dl, Htc: 30.5 ± 5.5% vs Hb: 8.8 ± 1.7 g/dl, Htc: 26.1 ± 5.3%) (for Hb p < 0.005, for Htc p < 0.007). There was no significant difference regarding the usage of rHuEPO between the 2 study groups (57.1% in anti-HCV antibody (+)/59.3% in anti-HCV antibody (-)) (p > 0.05). All patients not receiving rHuEPO did so because of economical reasons. Serum AST and ALT levels were significantly higher in the anti-HCV antibody-positive group compared with the anti-HCV antibody-negative group. (AST p < 0.04, ALT p < 0.04). Conclusion: Anti-HCV antibody-positive ESRD patients have higher hemoglobin and hematocrit levels compared to HCV-negative patients.
Knowledge About Anaphylaxis and Using Auto-Injectable Adrenaline Among Physicians
(Dustri-Verlag Dr. Karl Feistle, 2005) Onbasi, K.; Onbasi, O.; Sahin, I.
Background: Physicians must possess knowledge of optimal acute management of anaphylactic/anaphylactoid reactions. Early and appropriate therapy is important. Recurrences may be prevented with education of patients, and using auto-injectable adrenaline may be life-saving. The purpose of the study was to assess physicians knowledge and attitude about these life-threatening events. Methods: A total number of randomly selected 93 physicians were asked to fulfill a questionnaire. A scenario about a patient developing life-threatening symptoms after receiving naproxen sodium tablet was described. The questionnaire consisted of basic treatment procedures about anaphylaxis and about the usage of auto-injectable adrenaline. Results: Only 50.5% of the physicians in our study answered that they would treat their patients with adrenaline in the case of anaphylaxis. Further evaluation revealed that only 23 of the 93 physicians (24.7%) knew the correct dose, correct form and the correct administration route. 89.2% of physicians did not know how to use an adrenaline auto-injector and 95.7% did never prescribe this device. Conclusion: Physicians knowledge about anaphylaxis/anaphylactic reactions in Turkey is not sufficient. Regular training courses should be advised. © 2005 Dustri-Verlag Dr. Karl Feistle.