<b><i>Aim:</i></b> Vitamin D is one of the major hormones involved in phosphorus metabolism in the secosteroid structure. Studies have shown that low serum vitamin D levels are associated with chronic diseases such as autoimmune diseases, diabetes mellitus, chronic renal failure, depression, cardiovascular diseases, hypertension, and cancer. The aim of this study was to investigate serum vitamin D levels in the adult population according to age and gender in Karapınar, Turkey. <b><i>Materials and Methods:</i></b> Serum vitamin D levels of 6,774 patients admitted to Karapınar Public Hospital between January and December 2018 were evaluated according to age and gender, investigated, and retrospectively screened. Serum vitamin D level &#x3c;10 ng/mL is accepted as deficiency, 10–30 ng/mL as insufficiency, 30–100 ng/mL as sufficiency, and &#x3e;100 ng/mL as toxicity. <b><i>Results:</i></b> The study consisted of 5,111 women (75.5%) and 1,663 men (24%). The mean vitamin D levels were 14.6 ± 0.2 ng/mL in women and 17.8 ± 0.3 ng/mL in men. Vitamin D levels were found to be lower in both men and women as age progressed. Deficiency (&#x3c;10 ng/mL) of vitamin D was found in 83.8% of women and 18.2% of men, while insufficiency (10–30 ng/mL) of vitamin D was found in 69.6% of women and 30.4% of men. <b><i>Conclusion:</i></b> In this study, in patients who were admitted to our hospital in Karapınar City, serious vitamin D deficiency was detected. We recommend that people should take vitamin D and calcium supplements and they also should have more exposure to the sunlight.

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puncture of the left IIA was performed and a 5 french introducer was inserted straight into the aneurysmal sac. Constrast injection confirmed the CT findings with the superior gluteal artery and the obturatory artery being the feeding branches. These arteries were selectively catheterised and coiled following by coil packing of the aneurysmal sac. Same procedure was performed for the right IIAA. Results: Completion angiography showed no flow within the aneursysm sacs. Prior to discharge the patient home a computed tomography was performed and confirmed the good result. Conclusion: Percutaneous embolisation through an anterior abdominal approach represents an effective and safe technique to treat a previosly ligated IIAA.

Objective: Raynaud’s phenomenon (RP)  is characterized by cold induced temporary ischaemia of the fingers or toes  and an inflammatory autoimmune disease of connective tissues.  Plasma atherogenic index (PAI) is a valuable marker for the cardiovascular disease and cardiac risk. The aim of this study was to evaluate the role and clinical use of PAI in RP patients. Materials and Methods: In this retrospective-cohort study, we examined the clinical value count blood cells in 55 patients with RP and 14 clinical controls admitted Konya Training and Research Hospital Department of Cardiovascular Surgery between January 2016-March 2019 were investigated retrospectively screened.  PAI was measured as a logarithmic value of triglyceride to high-density cholesterol ratio. PAI levels <0.11 is accepted as low risk, 0,11-0,21 intermediate risk, and 0.21 >increased risk. PAI was measured as a logarithmic value of triglyceride to high-density cholesterol ratio. The lipid and other biochemical parameters of patient and control groups were examined and measured. Results: The study consisted of 29 females (42.03%) and 40 males (57.97%). There was a significant difference between differences between PAI level groups. There was no significant difference in PAI results between genders (p>0.355).We also found disagreement in biochemical parameters and PAI between controls and patients. Conclusion: When we evaluated PAI in the patients with RP and controls, it was determined that there was no significant difference in either parameter. However, PAI levels have showed that significant elevated between groups so It can be a simple, economic and non invasive marker to identify for future studies. Keywords: Raynaud’s phenomenon, Plasma atherogenic index, Blood lipid components

Akut kompartman sendromu (AKS), fasiyal kompartmanların açılmasını gerektiren acil bir cerrahi durumdur. Bu tabloda, dokulardaki perfüzyon basıncı, metabolik talebi karşılamak için yetersizdir ve hipoksik hücre hasarı oluşabilir. Fasyotomi ile yeterli doku perfüzyonu için gerekli olan vasküler basınç gradiyenti yeniden oluşturulur. AKS sonrası açık fasyotomi takibinde negatif basınçlı yara tedavisinin (NBYT) etkili ve güvenli bir tedavi olarak kullanılabileceğini gösteren çok sayıda çalışma mevcuttur. Ancak bazı durumlarda kullanılması önerilmemektedir. NBYT süngeri açıkta bulunan damar, sinir, organ ve anastomoz alanlarına temas etmemelidir. Bu çalışmamızda, ateşli silah yaralanması sonucu vasküler tamir yapılan ve AKS gelişen hastada; arteriyel sistemi koruyucu-kapatıcı bir pansuman, tedavi modunun modifikasyonu ve yakın takip ile NBYT uygulama deneyimimizi paylaştık. Anahtar kelimeler: Ateşli silah yaralanması; akut kompartman sendromu; negatif basınçlı yara tedavisi; vasküler yaralanma.