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Öğe Characteristics of Suicides Cases in Batman, South East of Turkey(Ortadogu Ad Pres & Publ Co, 2010) Al, Behcet; Orak, Murat; Ustundag, Mehmet; Sogut, OzgurObjective: The objective in this prospective study is to evaluate the frequency, mortality and demographic properties of suicides in our province (Batman City, Turkey). Material and Methods: All cases of suicides who admitted to the emergency department of the Batman State Hospital between April 2005 and November 2007 were included in the study. Patients' gender, age, history, educational and martial status, time and method preferred for suicide, suicide causes and mortality rate were reported. The results were discussed with similar studies in literature. Results: There were 328 (0.2%) suicide cases among 146.000 patients who admitted to our emergency department. Of the suicide cases, 75.9% were females and 24.1% were males. The mean age of cases was 23.5 +/- 7.4 years. The suicide made a peak between the ages of 15 and 24. The majority of cases attempted suicide by taking drugs orally (93.0%). Antidepressants were the most common agents (74.4%) among the drugs incriminated in suicide. The majority of cases attempted suicide due to family problems (39.2%). Nineteen patients were taken to intensive care unit (ICU). Organophosphates and hanging for suicide attempts were the main cause of suicide in the patients who admitted to ICU. The majority of deaths occurred clue to hanging (91.7%). The mortality rate for all patients was 3.7%. Conclusion: In our study the the most common method for suicide attempt was drugs. Martality was most frequent with hanging. Females attempted suicide more frequently. The suicide made a peak between the ages of 15 and 24. The majority of cases attempted suicide due to family problemsÖğe Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma(Turkish Assoc Trauma Emergency Surgery, 2010) Orak, Murat; Ustundag, Mehmet; Guloglu, Cahfer; Gokdemir, Mehmet Tahir; Erdogan, Mehmet Oezguer; Al, BehcetBACKGROUND The aim of this study was to evaluate the significance of the ultrasonographic finding of pelvic fluid as a predictor of organ injury in pediatric patients with blunt abdominal trauma. METHODS We reviewed retrospectively the medical records of 85 consecutive pediatric patients who admitted to the Emergency Department of Dicle University from January 2008 to December 2008 with blunt abdominal trauma. Age, gender, mechanism of injury, isolated injuries, surgical interventions, hospitalization, and mortality were evaluated according to the location of fluid. RESULTS A total of 85 pediatric patients (63 male, 22 female; mean age: 7.88 +/- 3.403 years) with blunt abdominal trauma were included in the present study. Forty percent of the patients had intraperitoneal fluid, while 60% had pelvic fluid. The majority (35.3%) of patients applied due to falling from height. The difference between the mechanism of the injuries and location and presence of the fluid was not statistically significant (p>0.05). Twenty-nine patients had solid organ injuries. Splenic injuries showed the highest association with intraperitoneal fluid (p<0.001). Of the patients, 15.3% underwent exploratory laparotomy and 44.7% required blood transfusion. The presence of intraperitoneal fluid statistically increased the probability of the exploratory laparotomy and necessity of blood transfusion (p<0.001). Mortality rate was 4.8%. CONCLUSION In ultrasound examination, it was determined that the probability of solid organ injury was lower in the presence of pelvic fluid, while it was higher in the presence of intraperitoneal fluid outside the pelvis.Öğe Epidemiological, Clinical Characteristics and Outcome of Scorpion Envenomation in Batman, Turkey: An Analysis of 120 Cases(Aves, 2009) Al, Behcet; Yilmaz, Demet Ari; Sogut, Ozgur; Orak, Murat; Ustundag, Mehmet; Bokurt, SelimOBJECTIVE: Scorpion envenomation is common in and around Batman. The aim of this study is to describe the circumstances and clinical effects of stings in south east of Turkey scorpions. MATERIAL AND METHODS: One hundred and twenty patients with scorpion sting were collected prospectively from presentations to emergency departments of Batman State Hospital from March 2007 to October 2007. The following information were prospectively recorded: demographics, circumstances of the sting, sting site, local and system ic effects, vital signs, past medical history, and the presence of shock RESULTS: 120 patients (75 females and 45 males), with a mean age of 33.6 +/- 15.1 (range 16-80) were included in the study. The majority (36.7%) of stings occurred between 0600 and 1200. Of stings, 61.7% occurred indoors. Of cases, 41.6% were stung while they were working. The most common region (27.5%) stung by scorpions was hand-fingers. The most common symptom occurred in cases was immediate localized pain (97.5%), and was severe in 70 cases (58.3%). Other local effects included red mark/redness (65%), tenderness (40%), numbness (51.7%) and edema (25.8%). Sweating was the most common minor systemic effects that occurred in 16.7% of cases. Cardiac dysfunction, myocardial damage and deaths secondary to major systemic envenoming were not determined in any patient. CONCLUSION: Scorpion stings occurred in and around Batman region do not appear to cause severe or life-threatening effects. Most stings occurred indoors and at midday. Hand-fingers were the common body section that was stung. Females were mostly stung by scorpions.Öğe Evaluation of Suicide Attempts in Southeast of Turkey, Around the Sanliurfa Region(Aves, 2011) Soeguet, Oezguer; Sayhan, Mustafa Burak; Gokdemir, Mehmet Tahir; Kaya, Halil; Al, Behcet; Orak, Murat; Ustundag, MehmeObjective: Suicide is one of the leading causes of death following traffic accidents, especially in the young. The aim of this study was to evaluate the frequency of suicides, death ratios and sociodemographic features in our city (Sanliurfa province, Turkey). Materials and Methods: In the study, subjects who applied to the emergency department due to suicide between 01(th) June 2008 and 31(th) May 2009 were analysed retrospectively. Data on sociodemographic features, methods used for suicide attempts and reasons were obtained by reviewing the medical files of the cases. Results: Of 53.678 patients who applied to the emergency department, 499 (0.9%) were found from the records to apply with suicide. 417 (88.7%) of the subjects were females and 82 (16.3%) were males. Suicides were found to increase in the 30-28 age group (60.4%). Methods used for suicide attempts were drug overdose or toxic substance ingestion in 96.9% (n= 484), gunshot wounds, stab wounds, jumping off or hanging in 3.1% (n= 15). The most commonly preferred agents were anti-inflammatory drugs in suicide attempts with drugs (45.9%). Ratio of death was 3.8% (n= 19) among all cases and 68.4% (n= 13) of the dying subjects were males. Most of the deaths occurred due to organic phosphorus ingestion (47.3%) ( n= 9). Conclusion: In our study, suicide attempts were found to be a social problem for our region and it was more common in the productive population between the ages of 20-28 years and in females. However,, ratio of suicide attempts resulted in death was found to be higher among males.Öğe FACTORS AFFECTING MORTALITY IN PATIENTS WITH GUNSHOT INJURIES(Marmara Univ, Fac Medicine, 2009) Eris, Savas; Orak, Murat; Al, Behcet; Guloglu, Cahfer; Aldemir, MustafaObjective: We planned this study in order to determine the factors affecting mortality in patients with gunshot injuries in more than one organ. Methods: We retrospectively reviewed the hospital records of 714 patients admitted to the Emergency Department of Dicle University, between January 2000 and December 2004. The factors that we considered would affect mortality such as age, sex, attempts suicide, long barrelled gun injuries, pellet injuries, contact/near contact shot, delayed admission time, presence of serious anemia and shock during admission, more than four entrance wounds, injury areas, serious cranial, thorax and abdominal injuries, vascular injuries in the extremities, administration of multiple transfusion, and trauma scores as GCS, RTS, PATI were analyzed. Results: As a result of unvaried statistical analyses, we determined that suicide attempts (p= 0.001), presence of serious anemia (p= 0.001) and shock (p= 0.001) during admission, presence of serious cranial (p= 0.001), thorax (p= 0.001) and abdominal (p= 0.001) injury, femoral artery injury (p= 0.001), multiple blood transfusion (p= 0.009),, GCS 0-7, GCS 8-12 (p= 0.001) and low RTS (p= 0.001) were significant factors affecting mortality. Conclusion: Multivariate analysis showed that serious anemia during admission, serious cranial injury, serious abdominal injury and low RTS were independently significant in predicting mortality (p< 0.05).Öğe Mortality factors in flame and scalds burns: our experience in 816 patients(Turkish Assoc Trauma Emergency Surgery, 2009) Al, Behcet; Yildirim, Cuma; Coban, Sacit; Aldemir, Mustafa; Guloglu, CahferBACKGROUND Our aim was to evaluate the effective factors on mortality in flame and scald burns in the Diyarbakir region. METHODS The data of 816 patients who applied to the Dicle University Emergency Department between January 2001 and May 2005 with flame and scald burns were investigated retrospectively. The patients were separated into two groups as alive or deceased. Gender, age, burns shapes, burn degrees and rates, burn regions, admission periods, hospitalization times, complications, and the treatments were analyzed. RESULTS 43.5% of the patients were female and 57.5% were male. Six hundred fifty-eight patients were under 6 years old. 70.5% of burns occurred as a result of negligence; 76.5% occurred due to scald and 23.5% due to flame. In cases of death, 39 patients were under 10 years old. The mean age was 9.32 years. The average hospitalization period was 10.37 days. The most common complication was wound infection. The mortality rate was 6.1%. CONCLUSION The mortality rate was higher among patients who were hospitalized longer than 15 days (p=0.030); whose burns were due to suicide attempt (p=0.002); who used shoe paint on the burn wounds instead of treatment (p=0.000); who had more than 40% second-degree burns (p=0.000) or more than 20% third-degree burns (p=0.000); and among those with acute respiratory failure, compartment syndrome, hypoalbuminemia, and sepsis (p=0.000).Öğe Rectal bleeding due to leech bite: a case report(Turkish Assoc Trauma Emergency Surgery, 2011) Al, Behcet; Yenen, Mehmet Emin; Aldemir, MustafaWe present herein a case with a four-day history of fresh rectal bleeding due to leech bite. The cause was found to be a leech in the rectum by anoscope. This pathological condition is extremely rare in urban areas. Leech endoparasitism, although rare, may cause serious, even lethal, complications. Suspicion of leech infestation should be kept in mind when faced with intermittent or severe rectal bleeding in humans, and should be investigated surgically as with all other foreign bodies. In the current study, we present a patient who admitted with rectal bleeding due to leech bite. The leech was removed by hand examination (by forceps) without requiring any surgical attempt.Öğe Snakebites in adults from the Diyarbakir region in southeast Turkey(Turkish Assoc Trauma Emergency Surgery, 2010) Al, Behcet; Orak, Murat; Aldemir, Mustafa; Guloglu, CahferBACKGROUND Snake venom poisoning is a medical emergency requiring immediate attention. Bites from poisonous Turkish snakes can lead to local tissue damage and systemic symptoms. The Vipera ammodytes species accounts for the majority of envenomation in southeast Turkey. METHODS The demographic and epidemiological characteristics, clinical symptoms and signs, laboratory findings, treatment, and outcome of 79 consecutive victims of V ammodytes poisoning admitted to our hospital from 2003 to 2005 were reviewed and analyzed prospectively. RESULTS The most common symptoms and signs included fang marks (100%), pain (100%), swelling (83.5%), ecchymosis (92.4%), tachycardia (24.1%), fainting or dizziness (14.5%), fever (19.0%), enlargement of regional lymph nodes (43.0%), nausea (70.9%), hypotension (21.5%), vomiting (36.7%), and dyspnea (3.2%). The main complications were thrombophlebitis, reduced range of motion, local hemorrhagic blister formation, bleeding from skin, rhabdomyolysis, reduced sensation, acute renal failure, necrosis with tissue loss, digit amputation, carpal tunnel syndrome, and compartment syndrome. CONCLUSION A V. ammodytes bite is a potentially serious event that requires immediate hospital care. Nevertheless, the majority of victims can be treated successfully with conservative methods. No deaths occurred in our series.Öğe Tandir burns in and around Diyarbakir, Turkey(Turkish Assoc Trauma Emergency Surgery, 2010) Al, Behcet; Coban, Sacid; Guloglu, CahferBACKGROUND Tandir is the name given to a special oven used for baking bread in the eastern and southeastern part of Anatolia. Tandir burn is a unique trauma in that it involves primarily women and young children falling into the in-ground ovens and suffering deep extensive burns. In this study, we aimed to evaluate the tandir burns occurring in the Diyarbaktr region. METHODS The records of 21 patients with tandir bum who were treated in our Burn Center between May 2003 and February 2006 were reviewed. Patients with tandir burns accounted for 2.14% of all burned patients. The mean age was 10.7 years (1-47 years). Of the patients, 71.43% were female, and 61.90% were under six years old. The mean total body surface area (TBSA) burned was 22.33% (8-75), and 71.43% of the patients had third-degree burns. RESULTS Three patients required amputation of an extremity. Eight patients had fasciotomies, 16 eschar excision, and 5 partial thickness skin grafts. The mean hospitalization period was 16.90 days (5-34 days). Five patients (23.81%) died. CONCLUSION Tandir burn is a severe burn with a higher morbidity and mortality.Öğe Toxic epidermal necrolysis due to procaine penicillin(Saudi Med J, 2007) Al, Behcet; Kayabasi, Hasan; Guloglu, Cahfer; Orak, Murat; Aldemir, Mustafa[Abstract Not Available]
