Browsing by Author "Bilvanisi, S.K."

Now showing 1 - 2 of 2

Analysis of Patients With a Suicide Attempt Presenting To the Emergency Department of Two Hospitals in Van, Turkey
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Aktaş, R.S.; Işik, M.; Gizli, G.; Bilvanisi, S.K.; Öncü, M.R.
Suicide is a serious problem affecting public health all over the world. Suicide-related mortality and morbidities requiring lifetime care have economic, social and psychological repercussions. Considering tha t reasons for suicide vary by geography, we aimed to investigate the demographic characteristics of patients presenting to the emergency department in a province in eastern Turkey following a suicide attempt. After obtaining ethical approval, the records of two hospitals where the study was conducted were screened and 4,096 patients who had attempted suicide were identified using the international diagnostic codes X44, F19, T14.9, X80, Y24, W16, Y17, Y26, Y20 and Y85. Of these patients, 2,456 with incomplet e records were excluded, and the data of the remaining 1,640 were analyzed with the Kolmogorov-Smirnov test using SPSS. Seventy percent of the patients included in the study were women, and 43.3% were married. The incidence of suicide showed a generally increasing trend over the years. The rate of suicide rate was higher in summer. Women most frequently attempted suicide due to family problems and men due to psychiatric reasons. The most commonly used method in both genders was the ingestion of drugs or t oxic substances. We consider that after a detailed examination by mental health professionals in the emergency department, the rate of future admissions due to attempted suicide will decrease, especially through the solution of family problems and treatmen t of psychiatric conditions. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Specific and Non-Spesicific Dermatoses of Pregnancy in the Emergency Department
(Yuzuncu Yil Universitesi Tip Fakultesi, 2019) Bilgili, M.A.; Bilvanisi, S.K.; Bilgili, S.G.; Okyay, A.G.; Dursun, R.; Karadag, A.S.
Dermatological changes both specific to pregnancy and nonspecific to it may be observed during gestation. In this study, specific and nonspecific dermatoses of pregnancy were investigated in patients admitted with dermatologic complaints to the emergency department. This information will be useful in identifying common and important dermatoses of pregnancy that need to be recognized at the point of primary care, so that the proper initial treatment and referrals can be instituted. Pregnant patients admitted with dermatological complaints to the emergency service were enrolled in the study. We retrospectively collected clinical and laboratory findings, diagnoses, administered treatments and admission rates. Of the 4,280 pregnant patients admitted to the emergency service, 99 pregnant patients had dermatological complaints. While pregnancy-specific dermatoses were detected in 22 % of the patients, dermatoses nonspecific to the pregnancy were found in 78 % of them. Listed in descending order, specific dermatoses of pregnancy were atopic eruption of pregnancy (12%), polymorphic eruption of pregnancy (6%), intrahepatic cholestasis of pregnancy (2%), and pemphigoid gestationis (2%). Urticaria and angioedema were the most frequently diagnosed diseases among the dermatoses nonspecific to the pregnancy. There are many dermatoses are seen in the pregnancy, while urticaria and angioedema are the most common. Atopic eruption of pregnancy and the polymorphic eruption of pregnancy are the most common specific dermatoses. It was seen that the frequency of dermatological causes was quite low among the pregnant patients applying to the emergency service. However, some of these dermatoses may necessitate early diagnosis and immediate treatment. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.