Person: SÖNMEZ, ERTAN
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Publication Open Access Relationships Among Markers of Inflammation, Neutrophil-to-Lymphocyte Ratio, and Syntax Severity Score in the Early Phase of Acute Coronary Syndrome(2017-04-01) Dur, Ali; Ismailoglu, Ziya; Ismailova, Medine; Akbay, Dursun; UYSAL, ÖMER; METİN, HÜSEYİN; GÜLEN, BEDİA; SÖNMEZ, ERTAN; UYSAL, ÖMER; METİN, HÜSEYİN; GÜLEN, BEDİA; SÖNMEZ, ERTANObjective: The aim of the present study was to examine a possible association between inflammation, as indicated by High-sensitivity C-reactive protein (HsCRP) and neutrophil/lymphocyte ratio (NLR), and the complexity and severity of coronary artery disease assessed using syntax severity score (SSS) in patients with acute coronary syndrome (ACS).Publication Open Access Work-related injuries sustained by emergency medical technicians and paramedics in Turkey(2016-03-01) Gulen, BEDİA; Serinken, Mustafa; HATIPOGLU, Celile; OZASIR, Derya; Sonmez, ERTAN; KAYA, Gokhan; AKPINAR, Guleser; GÜLEN, BEDİA; SÖNMEZ, ERTANBACKGROUND: Evaluated in the present study were locations, descriptions, and results of work-related injuries (WRIs) sustained by emergency medical technicians (EMTs) and paramedics in Turkey’s most crowded city, İstanbul. METHODS: After the present study had been accepted by the urban health authority, a questionnaire was emailed to the healthcare personnel of İstanbul’s 195 ambulance stations. RESULTS: Included in the present study were the responses of 901 members of staff (660 EMTs and 241 paramedics), with a mean age of 29.5±6.1 (min: 18; max: 61). The majority of participants (94.9%) had encountered verbal abuse from the public, and 39.8% had encountered physical violence from patients’ relatives. Levels of satisfaction with work in emergency medical services (EMS) was also evaluated, and 510 participants (57.6%) were unhappy. Regarding gender, female employees were more likely to be verbally attacked (p=0.01), while males were more likely to be physically attacked (p=0.001). It was reported that motor vehicle accidents (MVAs) were the most common cause of WRIs (81.4%), followed by needle-stick injuries (52.2%), ocular exposure to blood and other fluids (30.9%), and sharp injuries (22.5%). Only 10.5% (n=95) of WRIs were reported to authorities; 488 (54.2%) of participants just attended to the practice to prevent possible WRIs. CONCLUSION: For paramedics and EMTs, risk of WRI is obviously high. Strategies to decrease and prevent verbal and physical violence should be developed. Keywords: Accident; ambulance;Publication Open Access Interhemispheric Acute Subdural Hematoma: A Distinct Entity of Subdural Hematoma.(2016-02-01) SOGUT, OZGUR; YIGIT, MEHMET; TURKDOGAN, KENAN AHMET; YIGIT, EDa; Gulen, BEDİA; Sonmez, ERTAN; KAPLAN, ONUR; Toprak, HÜSEYİN; GÜLEN, BEDİA; SÖNMEZ, ERTAN; TOPRAK, HÜSEYİNPublication Open Access Medial Longitudinal Fasciculus Acute Ischemic Changes may be Missed During Imaging(2018-04-01T00:00:00Z) SÖNMEZ, Ertan; Ozkan, Abuzer; Nasirov, Emin; GÜLEN, BEDİA; SÖNMEZ, ERTAN; GÜLEN, BEDİAThe medial longitudinal fasciculus (MLF) is a pair of crossed fibers of axons, on each side of the brainstem that carries information about the direction of eye movement. An ischemic stroke is the most common cause of MLF syndrome. We report a patient with unilateral partial oculomotor paresis associated with internuclear ophthalmoplegia, which is a dysfunction of the MLF in the pontine. A second diffusion-weighted magnetic resonance imaging (DW-MRI) showed a high-signal-intensity lesion in the brainstem. We would like to emphasize that detailed neurological physical examination and imaging control are essential aspects of clinical assessment for the diagnosis of MLF infarction because its detection based on imaging is challenging.Publication Open Access Rudimentary horn pregnancy mimicking an acute abdomen in the emergency department(2015-01-01) GÜLEN, BEDİA; Serinken, Mustafa; SÖNMEZ, ERTAN; Akpinar, Güleser; Söʇüt, Özgür; GÜLEN, BEDİA; SÖNMEZ, ERTANPublication Open Access The efficacy of a hemostatic agent in anticoagulant drug-induced rat bleeding model(2014-03-01) Sonmez, ERTAN; ÇAVUŞ, Umut Yucel; CİVELEK, Cemil; DUR, Ali; KARAYEL, Eda; Gulen, BEDİA; Uysal, Omer; İPEK, Gokturk; SÖNMEZ, ERTAN; GÜLEN, BEDİA; UYSAL, ÖMERBackground: Bleeding is a major problem in warfarin pretreated patients who need emergency surgical procedures. APH is a hemostatic agent with ultra-hydrophilic and particulate properties. This study aimed to evaluate the in vivo hemostatic effect of APH in rats pretreated with warfarin. Methods: Forty-eight Wistar rats were divided into two main groups: one group was pretreated with warfarin and the other group was not. These two groups were further divided into three subgroups according to the administration of APH, wheat meal, or saline, for a total of six subgroups. Standard full thickness tissue defects were performed on the backs of the rats. Saline, wheat meal, or APH were administered to the bleeding defect site in both main groups. Hemostasis time and amount of bleeding were calculated. Results: The bleeding time in rats administered APH was significantly shorter than those administered wheat meal and saline. Consequently, the amount of bleeding was significantly less in the APH groups than in the control groups. Conclusion: APH has an effective hemostatic property in rats pretreated or non-pretreated with anticoagulants. Hemostatic agents can be useful for incidences of external bleedings, which are increasing because of anticoagulation.Publication Open Access The Evaluation of Reasons for Re-admission to Family Physicians and Emergency Services and the Factors Affecting Satisfaction(2019-04-01T00:00:00Z) SÖNMEZ, Ertan; GÜLEN, BEDİA; Celik, Halil Isa; SÖNMEZ, ERTAN; GÜLEN, BEDİA; ÇELİK, HALİL İSAObjective: Patient satisfaction is an important indicator for measuring the quality of health care services. The quality of health care service is also closely associated with hospital admissions. In this study, patient satisfaction and health care system quality in emergency department (ED) and primary health care (PHC) department were evaluated and its correlation with recurrent admissions was investigated. Method: This is a questionnaire study conducted with 200 patients admitted to a university hospital ED in Istanbul between 1-15 May 2016. The patients were asked 14 question including medical history with demographic data, any admission to ED or PHC department in last month, results of their admissions and satisfactions rate. Result: Of the 200 patients aged between 18 and 92 years, 53% (n=106) were female and 47% (n=94) were males. Within one month, the proportion of those who were admitted to both PHC and ED was 7.5% (n=15). Satisfaction rate was (2.40) significantly lower in this group than in the others (p=0.014). Only admission to PHC was 13.5% (n=27) and to our ED was 18% (n= 6). In patients admitted to PHC or ED, gender, physician's diagnosis and way of resulting of the physician did not have a significant effect on the satisfaction (p>0.05). Conclussion: The satisfaction rates of patients who were admitted to more than one department (ED and PHC) were significantly lower than patients who were admitted to only one department (ED/PHC). On the other hand there was no correlation between decreased rate of satisfaction and being succesfully diagnosed or results of admissions.