Person: SÖNMEZ, ERTAN
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Publication Metadata only Effect of harmless acute pancreatitis score, red cell distribution width and neutrophil/lymphocyte ratio on the mortality of patients with nontraumatic acute pancreatitis at the emergency department(2015-01-01T00:00:00Z) Gulen, Bedia; Sonmez, Ertan; Yaylaci, Serpil; Serinken, Mustafa; Eken, Cenker; Dur, Ali; Turkdogan, Figen Tunali; Sogut, Ozgur; SÖNMEZ, ERTANBACKGROUND: Harmless acute pancreatitis score (HAPS), neutrophile/lymphocyte ratio and red blood cell distribution width (RDW) are used to determine the early prognosis of patients diagnosed with nontraumatic acute pancreatitis in the emergency department (ED).Publication 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 Open Access The relationship between anemia and recurrence of ischemic stroke in patients with Trousseau-s syndrome: A retrospective cross-sectional study(2016-06-01) YİĞİT, MEHMET; SÖĞÜT, ÖZGÜR; YİĞİT, EDA; TÜRKDOĞAN, KENAN AHMET; KAPLAN, ONUR; DUR, ALİ; SÖNMEZ, ERTAN; DEMİREL, BULUT; SÖNMEZ, ERTANObjectives: The relationship between cancer and thrombosis was first recognized by the French internist Armand Trousseau in 1865. Trousseau's syndrome is a spectrum of symptoms that result from recurrent thromboembolism associated with cancer or malignancy-related hypercoagulability. In this study, we investigated whether demographics, clinical features, or laboratory findings were able to predict recurrent stroke episodes in patients with Trousseau's syndrome. Methods: In total, 178 adult patients were enrolled in this retrospective cross-sectional study. All patients had been admitted to the emergency room of our hospital between January 2011 and September 2014 and were diagnosed with acute ischemic stroke. Patients were divided into two groups: patients with malignancy (Trousseau's syndrome), and patients without malignancy. Results: There were several significant differences between the laboratory results of the two patient groups. For patients with Trousseau's, the hemoglobin levels for those with one stroke was 12.29 ± 1.81, while those in patients who had experienced more than one stroke was 10.94 ± 2.14 (p = 0.004). Conclusions: Trousseau's syndrome is a cancer-associated coagulopathy associated with high morbidity and mortality rates. In this study, anemia was associated with increased stroke recurrence in patients with malignancy (Trousseau's syndrome).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 Metadata only Can Routine blood tests be used to predict the prognosis of covid-19 patients using antithrombotic drugs.(2022-08-01T00:00:00Z) Taşlıdere, Bahadır; Sönmez, Ertan; Karataş, Ayşe; Sakın, Begüm; Kazancıoğlu, Rümeyza; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTAN; KARATAŞ, AYŞE; SAKIN, BEGÜM; KAZANCIOĞLU, RÜMEYZAPublication Metadata only Comparison of the quick SOFA score with Glasgow-Blatchford and Rockall scores in predicting severity in patients with upper gastrointestinal bleeding(2021-02-01T00:00:00Z) Taşlıdere, Bahadır; Sönmez, Ertan; Özcan, Ayşe Büşra; Mehmetaj, Lıljana; Biberci Keskin, Elmas; Gulen, Bedia; TAŞLIDERE, BAHADIR; SÖNMEZ, ERTAN; ÖZCAN, AYŞE BÜŞRA; MEHMETAJ, LILJANA; BİBERCİ KESKİN, ELMASIntroduction: Upper gastrointestinal bleeding is one of the common causes of mortality and morbidity. The Rockall score (RS) and Glasgow-Blatchford score (GBS) are frequently used in determining the prognosis and predicting in-hospital adverse events, such as mortality, re-bleeding, hospital stay, and blood transfusion requirements. The quick Sepsis Related Organ Failure Assessment (qSOFA) score is easy and swift to calculate. The commonly used scores and the qSOFA score were compared and why and when these scores are most useful was investigated. Method: 133 patients admitted to the emergency department with upper gastrointestinal bleeding over the period of a year, were evaluated in this retrospective study. The RS, GBS and qSOFA score were calculated for each patient, and their relationship with in-hospital adverse events, such as length of hospitalization, rebleeding, endoscopic treatment, blood transfusion requirements, and mortality, was investigated. Results: The mean overall GBS was 9.72 ± 3.72 (0-19), while that of patients who did not survive was 14.0 ± 1.1 (13-16), with an area under the curve (AUC) of 0.901, a cutoff value of 12.5, and specificity (Spe) and sensitivity (Sen) of 1 and 0.82, respectively. The median value of the GBS, in terms of transfusion need, was 7.12 ± 4.01 (0-15). (AUC = 0.752, cut-off = 9.5, Spe = 0.79, Sen = 0.69). The median value of the qSOFA score, in terms of intensive care need, was 1.73 ± 0.7 (0-3) (AUC = 0.921, cut-off = 0.5, Spe = 0.93, Sen = 0.79). The RS median, in terms of re-bleeding, was 8.22 ± 0.97 (6-9). Conclusion: Early use of risk stratification scores in upper gastrointestinal bleeding is important due to the high risk of morbidity and mortality. All scoring systems were effective in predicting mortality, the need for intensive care, and re-bleeding. The GBS had a greater predictive power in terms of mortality and transfusion need, the qSOFA score for intensive care need, and the RS for re-bleeding. The simpler, more efficient, and more easily calculated qSOFA score can be used to estimate the severity of patients with upper gastrointestinal bleeding.Publication Metadata only Chronic anabolic androgenic steroid usage associated with acute coronary syndrome in bodybuilder(2016-01-01T00:00:00Z) Sonmez, Ertan; Turkdogan, Kenan Ahmet; Yilmaz, Cahit; Kucukbuzcu, Sitki; Ozkan, Abuzer; Sogutt, Ozgur; SÖNMEZ, ERTANIntroduction: It has been argued in current studies that anabolic androgenic steroids (AAS) are misused by a great number of bodybuilders and athletes. However, there is diverse and often conflicting scientific data on the cardiac and metabolic complications caused by the misuse of AAS. There may be various reasons for myocardial infarction (MI) with normal coronary arteries. However, for the majority of patients, the exact cause is still unknown.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 Expanding the discussion on fibrinolytic contraindications(2021-08-01T00:00:00Z) Sönmez, Ertan; Özdemir, Serdar; Taşlıdere, Bahadır; Özcan, Ayşe Büşra; SÖNMEZ, ERTAN; TAŞLIDERE, BAHADIR; ÖZCAN, AYŞE BÜŞRAPublication Metadata only Covid-19 Pandemic, Restrictions and Rhabdomyolysis(2021-08-01T00:00:00Z) Gulen, Bedia; Taşlıdere, Bahadır; Uğur, Yasin; Özcan, Ayşe Büşra; Sönmez, Ertan; TAŞLIDERE, BAHADIR; UĞUR, YASİN; ÖZCAN, AYŞE BÜŞRA; SÖNMEZ, ERTAN