Browsing by Author "Gizli, G."

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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.
Anatomical and Stereological Examination of Infected Lung Area Volumes in Ct Images of Covid-19 Positive Patients by Age and Gender
(Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Koyun, N.; Akyol, V.; Elasan, S.; Göya, C.; Gizli, G.
SARS-CoV-2 (COVID-19), a previously unidentified type of coronavirus in humans, causes respiratory tract infection. The infection is transmitted by droplets and leads to several serious diseases characterized by acute respiratory distress syndrome (ARDS). We aimed to examine the changes in the volumes of lung regions infected with COVID-19, a new and highly pathogenic strain, according to age and gender. After obtaining ethical permission, 6700 patients who applied with positive COVID-19 test were selected between 01/03/2020 and 01/03/2021. Patients with asthma, bronchiectasis, obstructive pulmonary disease, pleurisy, allergic lung disease, lung tumor, and smokers were excluded from the study. After the excluded patients, computed tomography images of a total of 407 COVID-19-positive patients, 188 women, and 219 men, were obtained retrospectively. From the images taken, 2 to 10-decade groups of male and female patients between the ages of 10 and 100 were formed for the study. Images were skipped at certain intervals from the lung CT images for each patient in the groups. By applying stereological methods to the images, the total volume of the lung and the volumes of the infected lung regions were calculated. In the analysis of the infected COVID-19 lung volume/total lung volume (%) ratio by gender and decades, there was a statistically significant difference according to gender in the 2nd, 6th, and 9th decades [(p=0.002), (p=0.001) and (p=0.032)] was observed. In the comparison of the infected COVID-19 lung volume/total lung volume ratio by decades, a statistically significant difference was observed in both genders (p=0.001). Further studies and medical research are needed to better understand age-and sex-specific differences for effective intervention. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Evaluation of Renal Colic Patients Attending the Emergency Department When the Covid 19 Pandemic Was First Announcement
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Ertaş, K.; Gizli, G.; Demir, M.; Sevim, M.; Eryılmaz, R.; Aslan, R.; Taken, K.
Renal colic cases, which have an important place among patients presenting to the emergency department with pain complaints, have an important place in urological emergencies. In this study, patients who applied to the emergency department with suspected renal colic diagnosis during the Covid-19 pandemic were compared with those in the pre-pandemic period. Patients who applied to the Emergency Department with the colic type flank pain between March 2020 and May 2020 were included in the study. Diagnostic and treatment parameters of 1699 patients, inclu ding 199 pandemic and 1500 pre-pandemic control group, were evaluated in this study. As a result of the evaluation made, it was seen that emergency physicians preferred ultrasonography less during the pandemic period, and mostly resorted to computer tomography method, and in this period, a decrease in the rate of observed kidney stones, an increase ureter stones were observed. During the pandemic period, there has been a considerable decrease in the rate of hospital admissions As a result of postponing treatment of patients with urinary system stones, secondary pyonephrosis and pyelonephritis rates increased approximately 10 times compared to the pre-pandemic period. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Use of Abo Blood Groups and Co-Morbidities as Predictors of Mortality in Covid-19 Patients
(Verduci Editore s.r.l, 2022) Öncü, M.R.; Aktaş, R.S.; Gizli, G.; Bilvanisi, S.; Yildiz, H.; Baran, A.İ.
OBJECTIVE: This study aimed to investigate the mortality relationship between COVID-19 and ABO blood groups and comorbid diseases. The aim of this study was to determine whether ABO blood groups and comorbid diseases can be used as a prognostic factor for hospitalization. PATIENTS AND METHODS: This retrospective study included patients aged ≥ 18 years presenting to the adult emergency COVID-19 outpatient clinic. COVID-19 patients were divided into four stages according to their clinical status: mild, moderate, severe, and critical. Those with the comorbid disease were classified as Group I, and those without comorbid disease were classified as Group II. RESULTS: Of the 384 patients included in the study, 190 (49.5%) were male and 194 (50.5%) were female, with a mean age of 47.3 ± 18.4 years. The clinical data of the patients were scanned from the hospital automation system. Although the risk of transmission was higher, especially in people with A blood type, this rate was lower in the O blood group. The clinical course of the disease was more severe and the mortality rates were higher in the AB blood group (p < 0.001). In the hospital, 35 people who were treated for COVID-19 disease died. CONCLUSIONS: Certain ABO blood types and comorbid diseases were important risk factors for COVID-19 and were associated with mortality. We found that some ABO blood groups and comorbid diseases are associated with COVID-19 and may be important risk factors. While the risk of transmission of COVID-19 is high in blood group A, we think that the clinical course of COVID-19 may be more severe and the death rate higher in blood group AB. © 2022 Verduci Editore s.r.l. All rights reserved.
Wunderlich Syndrome: a Case Report
(Ondokuz Mayis Universitesi, 2019) Aktaş, R.S.; Karadaş, S.; Eskin, V.; Gizli, G.
Wunderlich syndrome is a rare cause of abdominal pain. This is spontaneous, nontraumatic kidney bleeding confined to the subcapsular and perirenal space. Various terms have been used including spontaneous perirenal haematoma, spontaneous subcapsular renal haemorrhage, nontraumatic perirenal haematoma and spontaneous perinephric haematoma. The etiology of spontaneous renal rupture has not been described yet. Possible causes include benign [e.g., angiomyolipomas (AML), tuberous sclerosis, renal cyst, adenoma, lipoma, and hamartoma] and malignant (e.g., oncocytoma, renal clear cell carcinoma, and Wilms’ tumor) tumors or it can occur secondary to vasculitis (polyarteritis nodosa), nephritis, blood dyscrasias (anticoagulant agents, polycythaemia), renal stone disease, arteriovenous malformations and fistulas, venous thrombosis or rupture of renal artery/intraparenchymal aneurysm. Clinically this condition presents with acute flank pain, palpable flank mass and hypovolemic shock together known as ‘Lenk’s triad’. Historically, renal neoplasms followed by vascular diseases were the most common causes of Wunderlich syndrome. Our case was 50 years old woman. A spontaneous retroperitoneal hemorrhage patients who at night come to emergency with sudden abdominal pain. Wunderlich syndrome is cause of unexplained abdominal pain should be kept in mind. © 2019 OMU