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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 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 Factors Associated with Morbidity and Mortality in Patients with Mechanical Bowel Obstruction(Emergency Medicine Physicians Assoc Turkey, 2012) Halis, Nurkal; Sogut, Ozgur; Guloglu, Cahfer; Ozgonul, Abdullah; Gokdemir, Mehmet Tahir; Durgun, Hasan MansurObjective: The aim of this study was to investigate the factors affecting morbidity and mortality by evaluating the demographical, etiological and clinical characteristics of patients with mechanical bowel obstruction. Materials and Methods: Data for 171 mechanical bowel obstruction patients were evaluated retrospectively. The patients were assessed in mortality (n=21), morbidity (n=55) and recovery (n=95) groups. Results: Of the patients, 70% were men; and 27.4% were =55 years of age. While gender had no impact on mortality and morbidity, age did. Adhesion was observed to be the leading cause (45.6%) of mechanical bowel obstruction, followed by incarcerated hernia in 17.5%. Intestinal necrosis was associated with mortality but not with morbidity. Late presentation and multiple concomitant diseases had no impact on mortality but were associated with morbidity. The presence of a concomitant disease and leukocytosis or leukopenia had a significant impact on both mortality and morbidity. Conclusion: Older age and presence of a concomitant disease, leukocytosis or leukopenia were established to be associated with mortality and morbidity. Late presentation and multiple concomitant diseases were associated only with morbidity. The presence of intestinal necrosis was associated only with mortality. Establishing the risk factors well will be beneficial in lowering the incidences of morbidity and mortality.Öğe Hand and Wrist Injuries Caused by Glass Cuts: Accidental or Due to Sudden Anger?(Elsevier Science Bv, 2011) Gokhan, Servan; Altunci, Yusuf Ali; Orak, Murat; Ustundag, Mehmet; Sogut, Ozgur; Ozhasenekler, AyhanObjectives Traumatic hand and wrist injuries are the type of injuries commonly seen in the emergency department (ED). Hand and wrist injuries related to punching windows due to sudden discomposes are frequent in Turkey. The aim of this study was to analyze clinical and demographic specifications of hand and wrist injuries related to glass cuts and their underlying causes. Methods The patient files who presented to the Dicle University Hospital ED (Diyarbakir-Turkey) with injuries due to glass cuts have been examined. Demographic data of the patients have been recorded in the standard work form and then were analyzed. Results One hundred and fifty four patients were included in the study. 53.8% of the patients constituted those who punched on the glass during an angry episode. Punching on the glass was more frequently observed in men (n= 81, 97.6%), with cuts to the right hand being the most frequent type of resulting injury (n= 65, 78.3%). Twenty four (28.9%) of the patients with injuries related to glass punching were under the influence of alcohol during the incidents and injury rates of radial artery, ulnar nerve, median nerve and ulnar artery have been found considerably higher in this group. Conclusions A thorough artery, nerve and tendon examination of the patients presenting to the ED with hand and wrist injuries needed to be performed, and especially for those under the influence of alcohol in order to prevent functional losses of the underlying structures.Öğe Paroxysmal Atrial Fibrillation After Smokeless Tobacco (Maras Powder) Use(Elsevier Singapore Pte Ltd, 2009) Sogut, Ozgur; Sayhan, Mustafa Burak; Ustundag, Mehmet; Orak, MuratUse of cigarettes and smokeless tobacco is a considerable public health problem. In Turkey, a type of smokeless tobacco called Maras powder (MP) is widely used in the Southeastern region. We present a case of paroxysmal atrial fibrillation that was suspected to be caused by the use of MP, which has never previously been noted in the literature. A 46-year-old man was admitted to our emergency department with angina pectoris and palpitation. He was a long time cigarette smoker and had begun using MP the fortnight before. Electrocardiography showed atrial fibrillation with rapid ventricular response. The patient had no medical history of alcohol use, surgery, palpitation, coronary arterial illness, hypertension or chronic bronchitis. Atrial fibrillation was converted to sinus rhythm after antiarrhythmic medication. Our patient was discharged from the emergency department with a suggestion to quit MP usage immediately. In conclusion, the use of MP may lead to the occurrence of paroxysmal atrial fibrillation. [J Chin Med Assoc 2009;72(5):265-267]Öğe A rare case of Chilaiditi syndrome presenting free air under diaphragm and mimicking a perforated viscus(Int Scientific Literature, Inc, 2009) Sogut, Ozgur; Orak, Murat; Sayhan, Mustafa Burak; Ustundag, Mehmet; Ozgonul, AbdullahBackground: Chilaiditi syndrome (CS) is the interposition of the right colon between the liver and the right hemidiaphragm. The incidence of CS in the general population is very low and it is seen more frequently in adults than in children. Here a case is presented of Chilaiditi syndrome presenting with abdominal pain and vomiting; its initial diagnosis was perforated viscus. Case Report: A 36-year-old man was admitted to a state hospital with abdominal pain and vomiting which began three days before without any history of prior trauma. On chest x-ray, free air under the right hemidiaphragm was diagnosed as a perforated viscus. Upon physical examination in the authors' hospital, his abdomen was distended, with normal bowel sounds, but no rebound tenderness were detected on palpation. CS was subsequently confirmed by a chest x-ray and abdominal ultrasound. The patient was managed conservatively and his symptoms resolved over the next 24 hours. Conclusions: CS may be mistaken for more serious abnormalities, which may lead to unneeded exploratory abdominal surgery. This case emphasizes the importance of considering CS by emergency physicians or surgeons in the differential diagnosis of free air under the right hemidiaphragm on a chest x-ray.Öğe A Rare Type of Suicide Attempt in East Turkey: Acute Zinc Phosphide Poisoning(Aves, 2013) Gokdemir, Mehmet Tahir; Kaya, Halil; Sogut, Ozgur; Orak, Murat; Ustundag, Mehmet; Karasu, MehmetObjective: The purpose of this study was to predict the clinic and demographic profile of patients who attempt suicide by poisoning with zinc phosphide. Material and Methods: All cases presenting to the ED from January 1st 2009 to April 3th 2011 due to Acute Zinc Phosphide Poisoning were retrospectively reviewed. Results: All cases had taken the pharmaceutical product in an attempt to commit suicide. The average age of the cases was 25.4 years. Sixteen of the cases were female (76%), and five (24%) were male; all of the cases who died were female. In terms of marital status, 4 (19%) of the cases were single or unmarried. A total of 8 (38%) cases were unconscious and had low pH levels (< 7.35), and 9 (43%) cases had signs of shock, such as hypotension and tachycardia. The average level of bicarbonate in the arterial blood gas of the cases was 23.20 mmol/L and the average amount of time (admission time) taken to bring the patients from the place where they were poisoned to the ED was 2.40 hours. According to the autopsy results of the dead patients, there were findings of liver congestion, liver necrosis, pancreatic edema and hemorrhagic points together with inflammation in the kidneys. Conclusion: Although it is a rare form of suicide attempt, the mortality rate for patients with zinc phosphide poisoning is high. Early resuscitation can have positive effects on morbidity and mortality. Patients who suffer from zinc phosphide poisoning must be monitored under intensive care conditions.
