Person: TAŞLIDERE, BAHADIR
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Publication Metadata only Unusual Excessive Swelling of the Tongue after Calcium Acetate Ingestion: A Case Report(2023-03-01) Dal A.; Taslidere B.; TAŞLIDERE, BAHADIRCommon side effects of calcium acetate include increased blood calcium levels, nausea-vomiting, diarrhea, and fatigue, while side effects of unknown incidence include \"swelling\". We present the case of an allergic reaction limited to tongue swelling alone, not showing other anaphylactic symptoms. Our case was a female patient who applied to the emergency department with the complaint of isolated tongue swelling three hours after using calcium acetate for treatment. It should be kept in mind that calcium acetate, a food additive, may cause this in patients with the complaint of isolated tongue swelling, but the cause of which cannot be determined.Publication Metadata only Primary Spontaneous Hemopneumothorax: A Case Report(2022-12-01) Aykaç M. N.; Ergenç S.; Özatak A. T.; Taşlıdere B.; Cander B.; ÖZATAK, AHMET TAHA; TAŞLIDERE, BAHADIR; CANDER, BAŞARPublication Metadata only Spontaneous Multifocal Intracranial Hemorrhage In A Young Patient(2023-03-12) Gediklioğlu F.; Karacabay M.; Pişgin Y.; Taşlıdere B.; PİŞGİN, YASEMİN; TAŞLIDERE, BAHADIRIntroduction: A stroke is an acute neurologic condition resulting from a disruption in cerebral perfusion, either due to ischemia (ischemic strokes) or hemorrhage (hemorrhagic strokes). Hemorrhagic strokes are further classified as intracerebral or subarachnoid. Clinically, strokes are characterized by the acute onset of focal neurologic deficits, including hemiparesis, paresthesias, and hemianopsia. Systemic hypertension and other cardiovascular diseases are common risk factors for both ischemic and hemorrhagic strokes. For both ischemic and hemorrhagic strokes, age is the most important nonmodifiable risk factor and arterial hypertension is the most important modifiable risk factor. Case: A 25-year-old man presented to our emergency department with a headache, Broca aphasia, and difficulty in vision that started two days ago. The patient stated to have blurry eyes in the morning for a month. However, aphasia had just started before he came to the Emergency room. The patient has had no known past medical history and no medication use. The general situation was bad. Glasgow was 10. He was conscious but was disoriented and non- cooperated, with no verbal response. Blood pressure was 149/82, Pulse was 113, spO2 was 95%, and fever was 36 °C. Ophthalmologic examination showed that visual acuity of the right eye was 2 MPS, 0.1 MPS of the left eye. Intraocular pressures were normal bilaterally. DIIR +/+, no RAPD. Movements of globes were normal and without pain. Bilateral corneas were lucent, and the anterior chambers were quiet. Bilateral hemorrhagic areas were seen in dilated fundus examination.Publication Metadata only Kardiyovasküler Hastalıklarda Biyotinidaz ve TCA Enzim Aktivitelerinin İncelenmesi(2023-07-09) Sarıkaya U.; Çimen Y. A.; Taşlıdere B.; Selek Ş.; Açıkgöz N.; Meral İ.; SARIKAYA, UFUK; ÇİMEN, YASİN ALİ; TAŞLIDERE, BAHADIR; SELEK, ŞAHABETTİN; AÇIKGÖZ, NUSRET; MERAL, İSMAİLPublication Metadata only Investigation of the effectiveness of the Quick Sequential Organ Failure Assessment-Troponin scores in non- ST-elevation myocardial infarction(2023-02-01) Cander B.; Taşlıdere B.; Sönmez E.; CANDER, BAŞAR; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTANOBJECTIVE: A reliable predictor is needed for non-ST-elevation myocardial infarction patients with high mortality risk. The aim of this study was to assess the effectiveness of the Global Registry of Acute Coronary Events and Quick Sequential Organ Failure Assessment-Troponin (qSOFA-T) scores on in-hospital mortality rate in non-ST-elevation myocardial infarction patients. METHODS: This is an observational and retrospective study. Patients admitted to the emergency department with acute coronary syndrome were evaluated consecutively. A total of 914 patients with non-ST-elevation myocardial infarction who met inclusion criteria were included in the study. The Global Registry of Acute Coronary Events and qSOFA scores were calculated and investigated its contribution to prognostic accuracy by adding cardiac troponin I (cTnI) concentration to the qSOFA score. The threshold value of the investigated prognostic markers was calculated by receiver operating characteristic curve analysis. RESULTS: We found the in-hospital mortality rate to be 3.4%. The area under the receiver operating characteristic curve for Global Registry of Acute Coronary Events and qSOFA-T is 0.840 and 0.826, respectively. CONCLUSION: The qSOFA-T score, which can be calculated easily, quickly, and inexpensively and obtained by adding the cTnI level, had excellent discriminatory power for predicting in-hospital mortality. Difficulty in calculating the Global Registry of Acute Coronary Events score, which requires a computer, can be considered a limitation of this method. Thus, patients with a high qSOFA-T score are at an increased risk of short-term mortality. KEYWORDS: Acute coronary syndrome. Troponin I. Mortality. Non-ST elevated myocardial infarction.Publication Metadata only Acute interhemispheric subdural hematoma with neuroimagings of two trauma cases in the emergency department(2023-06-01) Calp B.; Taslidere B.; Sonmez E.; Uzunoglu G. D.; TAŞLIDERE, BAHADIRBackround: Subdural hematomas are clinically important in that they occur commonly in elderly trauma patients and cause a high mortality. Since interhemispheric subdural hematoma is rare among cases of subdural hematoma and is a diagnosis that can be missed in the emergency department, it is aimed to discuss this condition with two case reports and the relevant neuroimages which were overlooked initially. Two case reports: The first report of neuroimages of two geriatric patients with head trauma was reported as normal. The images were re-evaluated due to persistent headache during the emergency observation. An overlooked interhemispheric subdural hematoma was diagnosed. Why should an emergency physician be aware of this?: We aimed to contribute to the literature with these two cases, because an acute interhemispheric subdural hematoma may be overlooked on CT images, because it is in proximity to the falx and is usually a small lesion.Publication Metadata only Investigation of Panic Attack Patients Presenting to the Emergency Department of Bezmialem Vakıf University with Chest Pain(2023-04-01) Dogan A. B.; Taslidere B.; TAŞLIDERE, BAHADIRIntroduction Panic attacks are severe attacks of fear and anxiety that occur at certain times. It starts suddenly and quickly reaches the top. It can take from 1-2 minutes to several hours. Chest pain is a common symptom of panic attacks. Especially the presence of chest pain causes repetitive emergency deparment admissions. In this study, we evaluated the patients who presented to the emergency department with chest pain and panic attack symptoms. We aimed to prevent the inappropriate treatment given to these patients by investigating the panic attack patients for whom the diagnosis of Acute Coronary Syndrome was ruled out. Method This study was carried out retrospectively. 32 patients with chest pain among 136 patients diagnosed with panic attack in the Emergency Department. The demographic information, complaints, chronic diseases of the patients and the results of the blood tests were recorded. Results Patients with a diagnosis of panic attack frequently apply to emergency services. Among the patients, women were in the majority and the average age of all patients was 41 years. More than half of the patients had tomography, ultrasound, echocardiography and magnetic resonance imaging. The analysis and imaging results requested from the patients were normal. Most of the patients who present to the emergency department with chest pain complaints are discharged after excluding life-threatening conditions, saying that there is no acute condition. In fact, the main reason for this is the inadequate communication with the patient. However, the underlying condition in patients is likely to be panic attacks. It is important to evaluate non-cardiac chest pain in emergency departments. In this way, unnecessary analysis is not done, time management is healthier and most importantly, patients do not use unnecessary medication.Publication Metadata only Electrocardiography and Drug Intoxication(2023-01-01) Taşlıdere B.; TAŞLIDERE, BAHADIRIntoxication is the deterioration of body functions due to different toxic substances. Poisoning by drugs constitutes an important part of all poisonings. Symptoms such as altered consciousness, tachycardia/bradycardia, or hypertension/hypotension may be seen because the cardiovascular system is affected. Changes in clinical findings and ECG may be revealed according to the degree of heart involvement. Rapid recognition and effective intervention by the emergency physician are of great importance. This review considers the use of ECG in the management of poisoned patients. Systematic evaluation of the ECG in a patient followed up with poisoning is essential for details that may be overlooked. Velocity, rhythm, intervals, and segments, QRS, wave morphologies, durations, ischemic changes should be followed carefully. When performing rhythm analysis, clues to drug cardiotoxicity should be sought in unstable patients. Are there ectopic beats on the EKG? The answer to this question may carry important clues. Automaticity caused by sympathomimetics may underlie ectopic beats. This may be the first sign of a problem caused by acute coronary syndrome or electrolyte disturbances. Is the rhythm supraventricular? or ventricular? Is bradycardia with AV block? Or without AV block? Is tachycardia narrow complex? Or is it a large complex? Answers to questions such as: For life-threatening rhythms, ventricular tachycardia, ventricular fibrillation, and complete AV-block, the guidelines developed should be followed, and first intervention should be made. Agents that can cause tachycardia; are sympathomimetics (methamphetamine), anticholinergics (antidepressants, antipsychotics), class 1A and 1C antidysrhythmics, and TCA. Agents that can cause bradycardia; calcium channel / beta blockers / digoxin (AV block), opioids / ethanol, organophosphates, lithium. Prolonging the PR interval may indicate beta-adrenergic antagonism, calcium channel antagonism, or digoxin poisoning. Typical ECG of TCA poisoning shows sinus tachycardia with first-degree AV block, wide QRS complexes, and positive R\" wave in aVR. The ECG should be taken and evaluated in patients presenting with poisoning within the first 10 minutes. Suppose the poisoning agent is an agent that influences the cardiovascular system. In that case, it should be kept in mind that continuous cardiac monitoring and control ECG evaluation should be performed in addition to the application of ECG.Publication Metadata only Evaluation of patients admitted to the emergency department after Coronavac (Sinovac) vaccination?(2023-03-01) Taşlıdere B.; Sönmez E.; Özdemir S.; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTANTo evaluate the symptoms and laboratory parameters of patients admitted to the emergency department after CoronaVac (Sinovac) vaccination. Complaints, demographic characteristics, laboratory tests, interventions, and outcomes of patients admitted to the emergency department within seven days of receiving the CoronaVac (Sinovac) were all evaluated. Pain at the injection site, swelling, redness, and pain in the injected arm were expected side effects of the vaccination. In this study, a total of six people had syncope following the vaccination, one of whom developed an allergic reaction. The most common adverse events in non-geriatrics were fatigue, headache, fever, and abdominal pain, while in geriatric patients’ fatigue, headache, chest pain, and dyspnea were most common, with fever falling in the last place. Rare symptoms following vaccination included syncope and urticaria. It is necessary to be prepared for the side effects that may occur during mass vaccination against COVID-19. In this study, the body’s response to the vaccine in geriatric patients was atypical in vital signs and laboratory values.Publication Metadata only Evaluation of Post-Discharge Attitudes and Behaviors of Patients Affected by The COVİD-19 Pandemic(2023-04-01) Tansel G.; Taşlıdere B.; Demir B.; Erdoğan Ö.; TAŞLIDERE, BAHADIRObjective: In our study, the changes in the post-discharge attitudes and behaviors of individuals affected by the disease at varying degrees during the COVID-19 pandemic were evaluated. This study, it was aimed to take the necessary precautions to keep our personal and social preparations for COVID-19, which will continue for many years, active and contribute to future studies. Methods: Information was obtained by interviewing the individuals who agreed to participate in the study one over the phone within the scope of the pandemic period measures. \"Sociodemographic Information Form\" and \"Personal and Social Impacts of the Pandemic Questionnaire\" prepared by us were used to collect the research data. We grouped the patients diagnosed with Covid-19 as those who were hospitalized and those who were treated in isolation at home and compared the results. Results: There were a total of 453 patients who applied to the Emergency Department between the dates of 03.2020 and 05.2020 and were diagnosed with COVID-19. A total of 353 of them were hospitalized, 44 of them were in the intensive care unit, and 100 patients were isolated at home. 35 patients died in the process. The study was completed with a total of 125 patients and those with incomplete data, those who could not be communicated with, and those who did not want to be included in the study were excluded. 57% of the patients were male, 44.8% were within the 18-30 age group, and 66% were non-hospitalized. Conclusion: The COVID-19 pandemic has caused significant changes in social life, professional life, education, and health systems. In this process, which has led people to stock up on food and cleaning supplies (54.4%), 36% of the participants developed a desire to avoid social environments. 46% of the patients no longer use public transport due to the fear of infection. It was determined that 82.4% of the recovered patients apply to emergency services for control purposes without any reason. Keeping the health system busy due to anxiety that develops psychologically, healthy eating efforts (80.8%), desire to use drugs even when not feeling sick (52.8%), constantly feeling exhausted (40.8%), and disturbed sleep (51.2%) have developed. However, only 24% of the participants received psychological support.