Person: TAŞLIDERE, BAHADIR
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Publication Metadata only Bennett’s Fracture(2022-04-01T00:00:00Z) Ozdemir, Serdar; Taşlıdere, Bahadır; Ozkan, Abuzer; TAŞLIDERE, BAHADIRA 24-year-old female patient applied to our clinic with the complaint of falling from a ladder. She had no history of illness or drug use. In the anamnesis, it was learned that he fell after his foot slipped. Vital signs were stable. On physical examination, there was no feature other than tenderness in the proximal left 1st metacarpal bone. Fracture fragment was observed in the proximal of 1st metacarpal bone in conventional radiography imaging (figure 1). A plaster cast was applied after closed reduction. Conservative treatment was planned, and the patient was discharged. Bennett’s fracture is the retention of the bone to which the beak ligament is attached, and the dorsoradial and proximal subluxation of the base of the metacarpal detached from this part (1). Key features are intra- Conflict of interest: Authors declare no conflict of interest. REFERENCES articular fracture, oblique fracture pattern, and volar- dorsal fragment. The medial small piece remains in place and maintains its relationship with the second finger via the volar oblique ligament (Beak ligament). However, the fractured metacarpal body is displaced proximally and laterally by the abductor pollicis longus and thenar intrinsic muscles. These types of fracture-dislocations are prone to slipping and are not stable; therefore, it should be treated more aggressively (2). Inadequate placement and replacement can lead to posttraumatic arthritis and disability. In Bennett fracture-subluxations, if the joint stepping is greater than 2 mm, percutaneous fixation with a K-wire is performed after closed correction and replacement (3).Publication Metadata only Tıp Fakültesi Son Sınıf Öğrencilerin Tıpta Uzmanlık Sınavında Tercihlerini Etkileyen Faktörler ve Acil Tıp Uzmanlığı Dalı Hakkında Tutumları(2021-03-01T00:00:00Z) Göksu, Muhammet Mert; Taşlıdere, Bahadır; TAŞLIDERE, BAHADIRAim: It is important to investigate the factors affecting the choice of the specialty area of medical students. Determining the factors that affect this selection reveals the priorities that students take into account. It is important to investigate the prejudices about not choosing emergency medicine and some surgical branches which are in a strategic position. Solution-oriented strategies should be developed in this regard. Material and Methods: This study includes 86 of the final year students of the Faculty of Medicine. The participation rate in the survey was 80.4% and all participants- approvals were received. The questionnaire developed by the researchers was used as a data collection tool in the study. The survey consisted of 40 questions. 10 of the questions were for socio-demographic information, 30 of them included the reasons for choosing the medical school, the reasons for taking the specialty examination in medicine, the desired and unwanted specialties. 27 of these were Likert type questions. Results: 46 of the participants were female (53.3%), 40 of them were male (46.5%). Among our students, it is seen that the main reason for choosing Medical Faculty is -willingness to help people- (75.6%) and -a promising profession- (69.8%). In addition, the family influence in this preference was found to be 55.8%. Our question -Would you consider Emergency Medicine Specialist as your first choice?- Was answered negatively at a rate of 72%. The most preferred reason for those who think to choose; were the advantages of working on a seizure in emergency medicine. The biggest negative thought about emergency medicine has been its physical and psychological severity, the high number of seizures, and the fear of being exposed to violence. Dermatology and cardiology were the most desired departments among the specialty branches, while gynecology and obstetrics, General surgery, and pediatry were among the undesirable departments. Conclusion: The biggest obstacle to emergency medicine choices was the exhausting seizures and the fear of exposure to violence. The future plans of the final year students of the Faculty of Medicine do not only concern themselves but also the future of the departments that are not preferred. It is necessary to determine the factors that affect the surgical branches and emergency medicine preferences of the students. In this way, studies should be carried out for factors that are perceived negatively and important strategic expertise branches for our future should be supported. Keywords: Emergency Medicine, Medical Students, Specialization ExamPublication Metadata only İnvestigation of the Efficacy of Aminoguanidine in an Experimental Rat Model with Isolated Bilateral Pulmonary Contusion Due To Blunt Thoracic Trauma(2019-12-01T00:00:00Z) Atik, Dilek; Taşlıdere, Bahadır; TAŞLIDERE, BAHADIRİntroduction:In severe thoracic trauma pulmonary contusions are almost inevitable are associated with high morbidity and mortality. In this study we aimed to evaluate the antioxidant activity of aminoguanidine in pulmonary contusion.Method:Sixty-three Sprague-male rats were used. Sham and aminoguanidine groups were exposed to isolated blunt thoracic trauma with a force of 1,512 joules. Aminoguanidine was administered intraperitoneally at a dose of 100 mg/kg 3 hours before the trauma and on the 1. and 2. day after the trauma. The contusion group was exposed to blunt thoracic trauma only. In all groups, arterial blood gas analysis and catalase and NO levels were done on the 0th, 1st, 2nd and 3rd days.Results:PO2 levels were higher in the sham group compared to the contusion group, without statistical significance. On the third day, SaO2 levels were higher in the AG group compared to the contusion group. SaO2 levels were comparable in the AG and sham groups on days 1, 2 and 3. There was no difference between the PaO2 levels of the contusion and sham groups on the 2nd and 3rd days. There was no difference between the PaO2 levels of the AG and sham groups on the 1st, 2nd and 3rd days. We found no difference between the PaCO2 levels of the contusion and sham groups on the 0-3 days. There was no difference between the PaCO2 levels of the AG and sham groups on the 1st, 2nd and 3rd days. No difference was observed between the PaCO2 levels of the AG and contusion groups on the 1st, 2nd and 3rd days. No significant difference was found between the NO levels of the sham and the contusion groups on day 0. There was a significant difference between the sham and contusion groups on the 1st, 2nd and 3rd days. There was no statistically significant difference between the catalase enzyme activities of the sham and AG groups.Conclusion:In our study, we showed that the use of aminoguanidine did not significantly reduce the severity of pulmonary contusion and the inflammatory reaction induced by thoracic trauma in rats.Publication Metadata only Ruptured Pulmonary Hydatid Cyst: A Case Report(2020-10-01T00:00:00Z) Uğur, Yasin; Taşlıdere, Bahadır; UĞUR, YASİN; TAŞLIDERE, BAHADIRPublication Metadata only Author-s reply to -The role of the bloody microbiology in acute necrotizing pancreatitis-(2021-05-01T00:00:00Z) Biberci Keskin, Elmas; Okay, Gülay; Sharıfov, Rasul; Taşlıdere, Bahadır; Şentürk, Hakan; BİBERCİ KESKİN, ELMAS; OKAY, GÜLAY; SHARIFOV, RASUL; TAŞLIDERE, BAHADIR; ŞENTÜRK, HAKANPublication Metadata only Arı Sokmasına Bağlı Akut Myokard İnfarktüsü: Kounis Sendromu(2019-02-01T00:00:00Z) Yakar, Şule; Baykan, Necmi; Taşlıdere, Bahadır; TAŞLIDERE, BAHADIRArı sokmalarına bağlı lokal ve sistemik reaksiyonlar görülebilmektedir. Arı sokması sonrası nadiren görülen alerjik akut miyokart enfarktüsü; Kounis sendromu olarak tanımlanmıştır. Burada arı sokması sonrası acil servise getirilen ve akut miyokart enfarktüsü tanısı alan elli-beş yaş bir erkek olgu sunulmuştur.Acil servis hekimleri arı sokmasına bağlı gelişebilen Kounis sendromunu akılda tutmalı; göğüs ağrısı bulunan olgularda elektrokardiyografi çekmeli ve kardiyak enzim takibini mutlaka yapmalılardır.Publication Metadata only ACİL SERVİSE NÖTROPENİK ATEŞ İLE BAŞVURAN HASTALARIN ARAŞTIRILMASI(2020-11-01T00:00:00Z) Ipek, Ömer Faruk; Avşaroğulları, Levent; Leylagül, Kaynar; Taşlıdere, Bahadır; TAŞLIDERE, BAHADIRPublication 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 Investigation of Panic Attack Patients Who Applied with Chest Pain to Bezmialem Vakif University Emergency Department(2021-04-01T00:00:00Z) Dogan, Ahmet Burhan; Taşlıdere, Bahadır; TAŞLIDERE, BAHADIRIntroduction: Panic attacks are severe attacks of fear and anxiety that occur at certain times. Chest pain is a common symptom of panic attacks. Especially the presence of chest pain causes repetitive emergency department admissions. 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. We evaluated the patients who presented to the emergency department of Bezmialem Vakif University with chest pain and panic attack symptoms. Patients diagnosed with Panic Attack in the Emergency Service between May 1, 2020 and October 31, 2020 were included in the study. Results: In this study, 32 patients with chest pain among 136 patients diagnosed with panic attack were included. According to our hospital-s database, it was seen that the average number of attacks experienced by patients in a week was 1.25. Therefore, 37.5% of the patients applied more than once. Echocardiography or ultrasonography was requested for a total of 17 people (53.1%). In addition, tomography or magnetic resonance imaging was performed in 14 patients (43.8%). The analysis and imaging results requested from the patients were normal. Most of the patients who presented to the emergency department with chest pain complaints were discharged after excluding life-threatening conditions. In addition, they were referred to the psychiatry service. Conclusion: A panic attack should be considered after it is confirmed by physical examination and various tests that the pain is not caused by cardiac reasons. The problem should be explained to the patient who has applied with chest pain to the emergency department and diagnosed with a panic attack. Then, the patient should be referred to the psychiatry department. In case of repeated admissions to the emergency department with atypical chest pain, we should definitely consider panic attacks. Thus, unnecessary medical analysis, polypharmacy and use of unnecessary drugs by patients are avoided. Key words: Panic attack, chest pain, emergency servicePublication 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, RÜMEYZA