Person: SÖNMEZ, ERTAN
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Publication Metadata only ASETOLOZAMID SONRASI GELIŞEN NON-HEPATIK HIPERAMONYEMI(2021-12-03T00:00:00Z) Kahraman, Hande; Taşlıdere, Bahadır; Mehmetaj, Liljana; Sönmez, Ertan; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTANPublication 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 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 DÜŞÜK ENERJILI TRAVMA SONRASI SERVIKAL SUBLUKSASYON VE PREVERTEBRAL HEMATOM(2021-12-03T00:00:00Z) Atsız, Ahmet; Özatak, Ahmet Taha; Mehmetaj, Liljana; Cıdık, Hüseyin Enes; Ibrahımov, Ervın; Taşlıdere, Bahadır; Sönmez, Ertan; ATSIZ, AHMET; ÖZATAK, AHMET TAHA; IBRAHIMOV, ERVIN; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTANPublication Metadata only Investigation of military patients with high-kinetic energy gunshot wounds(2022-07-01T00:00:00Z) Akbalik, Saadet; Taslıdere, BAHADIR; Erdogan, Özcan; Sonmez, E; TAŞLIDERE, BAHADIR; ERDOĞAN, ÖZCAN; SÖNMEZ, ERTANPublication Open Access Comparison of Glasgow Blatchford and New Risk Scores to Predict Outcomes in Patients with Acute Upper GI Bleeding(2023-01-01) TAŞLIDERE B.; BİBERCİ KESKİN E.; ÖZDEMİR S.; Atsız A.; SÖNMEZ E.; TAŞLIDERE, BAHADIR; BİBERCİ KESKİN, ELMAS; SÖNMEZ, ERTANObjective: Upper gastrointestinal (GI) bleeding constitutes a significant number of admissions to the emergency department, and it has high rates of morbidity and mortality. In this study, the contribution of new scores, such as The International Bleeding Risk Score (ABC score) and the Horibe GI bleeding prediction score (HARBINGER), to clinical practice was investigated. Using scores that are easy to calculate and memorable when used in the emergency department enables a more efficient use of medical resources. In addition, it may contribute to solving the problems regarding determining the need for intensive care in patients with upper GI bleeding. Methods: This study was conducted retrospectively on patients over the age of 18 who were admitted to the emergency department between September 1, 2018 and August 31, 2019. The HARBINGER and ABC scores and the Glasgow Blatchford score (GBS) were calculated for each patient. Following that, the need for intensive care, mortality, re-bleeding rate, and transfusion need were compared. Results: This study included 184 patients. When predicting the need for intensive care, the ABC score had a higher AUC value than the GBS and HARBINGER score, even when there was a low cut-off value (cut-off value >4). (AUC =0.944, specificity =0.74, sensitivity =0.83). Conclusion: This study found that the ABC score could be used to predict the need for intensive care in upper GI bleeding, and that it outperformed other scores. Additionally, we concluded that the HARBINGER score, which had a “shock index” among its parameters, was not effective in predicting in-hospital adverse eventsPublication Open Access Ultrasound is useful in cardiac arrest, but we still have concerns(2020-01-01T00:00:00Z) Sönmez, Ertan; Gülen, B; SÖNMEZ, ERTANPublication Metadata only A Case of Suicide by Hara-Kiri in Turkey(2020-04-01T00:00:00Z) Metin, Hüseyin; Sakın, Begüm; Taşlıdere, Bahadır; Sönmez, Ertan; Gülen, Bedia; METİN, HÜSEYİN; SAKIN, BEGÜM; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTAN; GÜLEN, BEDİAIntroduction: Hara-Kiri, a traditional way of suicide in Japan, is a transverse stab wound on the abdomen. Suicide attempt rate with knife injuries on the abdomen is higher in Japan than in other countries, and especially there are very few clinical data about stab wound injuries involving the transverse section of the abdomen. There are no studies in our country about self-stabbing which is a psychiatric-surgical problem. Case: A 62-year-old male patient admitted to the emergency department by ambulance for stabbing himself due to psychological problems. The omentum, stomach major curvature, and transverse colon were protruded from the transverse defect on the midline of the abdomen which is approximately 20 cm. After initial intervention and stabilization in the emergency room, the patient was transferred to the operation room and underwent urgent surgery. Conclusion: The evaluation of the vital signs and physical examinations are important in suicidal patients and also the anamnesis regarding the source of the stab wounds could help dictate treatment and predict outcomes. Although mostly being non-lethal, abdominal stab injuries in suicidal patients can be significant. Also, the treatment should be planned in collaboration with the psychiatric team in survivor suicidal patients postoperatively.Publication Metadata only COVID-19 PANDEMIC, RESTRICTIONS AND RHABDOMYOLYSIS(2021-12-03T00:00:00Z) Uğur, Yasin; Özcan, Ayşe Büşra; Gulen, Bedia; Taşlıdere, Bahadır; Sönmez, Ertan; UĞUR, YASİN; ÖZCAN, AYŞE BÜŞRA; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTANPublication Metadata only Investigation of Total Antioxidant Status and Total Oxidant Status with Seizure Types in Patients with Epilepsy(2022-01-01) TAŞLIDERE B.; USLU F.; SÖNMEZ E.; SELEK Ş.; TAŞLIDERE, BAHADIR; USLU, FERDA; SÖNMEZ, ERTAN; SELEK, ŞAHABETTİNBACKGROUND/AIMS: As epilepsy is a complex disease group, it is difficult to diagnose and classify. Oxidative stress plays a vital role in the pathogenesis of epilepsy. This study investigated the total oxidant/antioxidant status levels in patients with focal onset and generalized onset seizures. The results we obtained may help find the etiological cause in patients with seizure complaints and may guide their treatment. In addition, knowing the seizure type of the patient can give an idea about the prognosis of their disease.MATERIALS AND METHODS: The total number of patients included in this prospective study was 58. There were also 57 people in a control group. The patients were classified according to their type of seizure: focal or generalized onset. The serum oxidative stress index (OSI) and total oxidant/antioxidant status values of all patients and control group members were measured. The patients (focal/generalized groups) and control group members were compared.RESULTS: This prospective study was completed with 58 eligible patients who met the inclusion criteria. There were 57 people in the control group. Total oxidant status (TOS) and OSI levels were higher in the seizure groups compared to the control group (p<0.05). The difference between the serum TOS and OSI levels of patients with generalized or focal onset seizures was statistically significant.CONCLUSION: Classifying patients according to their seizure types by looking at their oxidative stress levels can guide treatment (in terms of investigating antioxidant activity) and give an idea about prognosis. This study showed the importance of TOS and OSI levels in patients presenting with seizures. This was particularly evident in generalized onset seizures. An evaluation of serum TOS and OSI levels in patients presenting with seizures may help us in clinical diagnosis, treatment, and classification.Keywords: Epilepsy, total oxidant status, seizure types, total antioxidant status