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Article ; Online: An Emergency Room Case: Air in the Heart.

Güneysu, Fatih / Durmus, Ensar

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

2021 Volume 31, Issue 8, Page(s) 1005–1006

MeSH term(s)	Air Pollutants ; Emergency Service, Hospital ; Humans
Chemical Substances	Air Pollutants
Language	English
Publishing date	2021-07-28
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	2276646-7
ISSN	1681-7168 ; 1022-386X
ISSN (online)	1681-7168
ISSN	1022-386X
DOI	10.29271/jcpsp.2021.08.1005
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Article ; Online: Retrospective analysis of Syrian refugee patients admitted to a hospital adult emergency service

Ensar Durmuş / Fatih Güneysu

Family Practice and Palliative Care, Vol 6, Iss 1, Pp 29-

2021 Volume 34

Abstract: Introduction: Due to wars and political changes, large-scale migration can occur from countries. Millions of people leave their places of residence and take refuge in other countries and affect the sociological, economic and health systems of the country ...

Abstract	Introduction: Due to wars and political changes, large-scale migration can occur from countries. Millions of people leave their places of residence and take refuge in other countries and affect the sociological, economic and health systems of the country they go to. Methods: Syrians under temporary protection, who applied to Sakarya University Training and Research Hospital adult emergency room between 01/03/2018-31/12/2019, were examined retrospectively. Thus, it was aimed to examine the effect of Syrian refugees on emergency services. Results: A total of 4310 Syrian patient applications are made, of which 2710 are male and 1600 are female. 3607 (83.7%) of the patients applied to the green outpatient clinic, 175 of the patients (4.1%) are forensic cases. 151 (86.3%) of forensic cases belong to male Syrian patients. Most of the patients are young adults, the average patient age is 30.8 ± 10.71 and the median age is 28. Conclusion: It was concluded that Syrians mostly apply to the green clinic in the adult emergency department, male and young patients apply more, forensic cases occupy a small proportion among these applications, and generally non-emergency cases use the emergency service. Refugees can be informed about applying to primary health care in non-emergency situations and organizing health infrastructure in this direction can reduce the emergency service workload.
Keywords	acil servis ; mülteciler ; suriye ; emergency service ; refugees ; syria ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2021-04-01T00:00:00Z
Publisher	SERNEV
Document type	Article ; Online
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Article ; Online: Iron poisoning

Fatih Güneysu / Ensar Durmuş

Journal of Surgery and Medicine, Vol 4, Iss 4, Pp 314-

2020 Volume 317

Abstract: Iron, represented by Fe on the periodic table, is the fourth most common element found on Earth. Although it has important tasks in the human body such as oxygen transfer, DNA synthesis, and electron exchange, it may also become toxic and harmful in ... ...

Abstract	Iron, represented by Fe on the periodic table, is the fourth most common element found on Earth. Although it has important tasks in the human body such as oxygen transfer, DNA synthesis, and electron exchange, it may also become toxic and harmful in excess. The toxicity of iron poisoning starts to appear with an intake of 20 mg/kg of elementary iron ions, along with GIS symptoms. In iron poisoning, patients usually present with various clinical findings and symptoms such as nausea, vomiting, palpitation, metabolic acidosis, deteriorated respiration, or mental disorders varying up to coma. Intervention in all patients begins with ABC evaluation, obtaining vascular access, monitoring, and (if necessary) providing oxygen support. Endotracheal intubation can be considered to ensure airway security and avoid aspiration, especially for lethargic patients. After abdominal and intestinal lavage, IV support treatment can begin, considering the liquid-electrolyte deficiency of these patients. In patients with a poor general condition and toxic appearance, hemogram, serum iron levels, kidney function tests, liver function tests, serum electrolytes, coagulation panel, arterial or venous blood gas, lactate, and in women of childbearing age, β-Hcg tests should be obtained. Abdominal radiography can be planned in the early stage. In patients thought to have serious iron poisoning, chelation treatment with deferoxamine is administered without delay.
Keywords	demir ; zehirlenme ; toksik ; iron ; poisoning ; toxic ; Medicine ; R ; Medicine (General) ; R5-920 ; Surgery ; RD1-811
Subject code	610
Language	English
Publishing date	2020-04-01T00:00:00Z
Publisher	Journal of Surgery and Medicine
Document type	Article ; Online
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Article ; Online: DEMOGRAPHIC CHARACTERISTICS OF COVID-19 POSITIVE HEALTHCARE WORKERS AND COMPARISON WITH THE LITERATURE

Durmus Ensar / Guneysu Fatih

Sanamed, Vol 16, Iss 1, Pp 71-

2021 Volume 76

Abstract: Aim: It is aimed to examine the status and demographic characteristics of COVID-19 Reverse Transcription Polymerase Chain Reaction (RT-PCR) positive staff working in the hospital during the pandemic period. Material and methods: This is retrospective, ... ...

Abstract	Aim: It is aimed to examine the status and demographic characteristics of COVID-19 Reverse Transcription Polymerase Chain Reaction (RT-PCR) positive staff working in the hospital during the pandemic period. Material and methods: This is retrospective, descriptive research. All hospital personnel working at Sakarya Training and Research Hospital and tested positive for COVID-19 RT-PCR between 01/11/2020-30/11/2020 were included in the study. Results: During the study period, the number of hospital staff who tested positive for COVID-19 RT-PCR was 340 people. Of the personnel, 228 (67.1%) were female, the mean age of all healthcare workers was 32.7 (±8.3) years. The number of non-physician healthcare workers was 162 (47.6%), workers were 143 (42.1%), and physicians were 35 (10.3%). Among all hospital personnel, the COVID-19 RT-PCR test was positive in emergency room workers, with a maximum of 61 people (17.9%). It was followed by 43 (12.6%) people working in non-COVID clean wards. Conclusions: It would be beneficial for all staff working in the hospital during the pandemic to pay attention to apply personal protective equipment during their work, notwithstanding whether the COVID-19 patient is caring or not. Simultaneously, healthcare professionals should be careful about COVID-19 transmission in their social life outside of the hospital.
Keywords	covid-19 ; healthcare workers ; emergency service ; Medicine (General) ; R5-920
Subject code	360
Language	English
Publishing date	2021-05-01T00:00:00Z
Publisher	Association of medical doctors Sanamed Novi Pazar
Document type	Article ; Online
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Article ; Online: Evaluation of re-hospitalized COVID-19 patients in a hospital.

Durmus, Ensar / Guneysu, Fatih

Revista da Associacao Medica Brasileira (1992)

2020 Volume 66, Issue 12, Page(s) 1690–1695

Abstract: Purpose: This study intends to investigate the reasons for re-hospitalization, complaints, and prognoses of COVID-19 patients after being discharged.: Methods: COVID-19 patients who were re-hospitalized at the Sakarya University Training and Research ...

Abstract	Purpose: This study intends to investigate the reasons for re-hospitalization, complaints, and prognoses of COVID-19 patients after being discharged. Methods: COVID-19 patients who were re-hospitalized at the Sakarya University Training and Research Hospital were examined. Reverse transcriptase-polymerase chain reaction (RT-PCR), tomography and laboratory results, demographic characteristics, and prognostic results were recorded retrospectively. Results: A total of 60 patients, including 26 males (43.3%) and 34 females (56.7%), with repeated admissions to the hospital for COVID-19 symptoms, were included in the study with a mean age of 56.9 (± 22.5) (median value = 61, age range = 3-88). The number of days of the second hospitalization was statistically significantly higher (p < 0.05). Patient age and number of days of hospitalization were strongly positively correlated (p < 0.01). A total of 11 patients (18%) had negative results in their first RT-PCR and subsequently tested positive in their second hospitalization. In addition, 10 (17.5%) of the patients who underwent thoracic tomography had unilateral involvement, 34 (59.6%) had bilateral involvement, and 13 (22.8%) had no significant results. Note that 4 (6.6%) of the patients re-hospitalized died in the hospital, while 56 (93.4%) were discharged once more. All of the four patients that died were female with a mean age of 81.5 years. Conclusion: Particularly patients with advanced age and comorbidities should be examined more carefully when discharged; if their complaints are repeated, they should be advised to quickly contact the emergency service.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/diagnosis ; Child ; Child, Preschool ; Female ; Hospitalization ; Humans ; Male ; Middle Aged ; Patient Readmission ; Retrospective Studies ; Turkey ; Young Adult
Language	English
Publishing date	2020-12-14
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	731969-1
ISSN	1806-9282 ; 0104-4230 ; 0004-5241 ; 0102-843X
ISSN (online)	1806-9282
ISSN	0104-4230 ; 0004-5241 ; 0102-843X
DOI	10.1590/1806-9282.66.12.1690
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Article ; Online: COVID-19 and stroke

DURMUŞ, Ensar / GÜNEYSU, Fatih

Volume: 6, Issue: 4 343-346 ; 2149-3189 ; The European Research Journal

a case report

2020

Abstract: COVID-19 disease is a worldwide pandemic. Patients present to hospitals with upper and lower respiratory tract symptoms such as cough, fever, shortness of breath, however it can also be encountered with many different clinics. We aimed to share the ... ...

Abstract	COVID-19 disease is a worldwide pandemic. Patients present to hospitals with upper and lower respiratory tract symptoms such as cough, fever, shortness of breath, however it can also be encountered with many different clinics. We aimed to share the patient who has COVID-19 and presented with stroke. A 67-year-old female patient presented to the emergency service complaints of mental fog and shortness of breath. She had known lung cancer, hypertension and diabetes. There were no signs compatible with COVID-19 in her history or examination. No feature was detected in her blood tests. Diffuse cerebral infarction was observed in diffusion MRI examination. The patient, whose general condition was poor, was taken into follow up in intensive care unit. On the eighth day of her follow-up, the patient passed away. In places where COVID-19 disease is observed commonly, it would be appropriate for emergency physicians to take COVID-19 disease into consideration in stroke cases.
Keywords	COVID-19,stroke,pandemic ; covid19
Language	English
Publishing date	2020-07-04T00:00:00Z
Publisher	The Association of Health Research and Strategy
Publishing country	tr
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Effect of Curfew Enforcement on Health Care Provision in COVID-19 Pandemic

Ensar Durmuş / Fatih Guneysu

Jurnal Info Kesehatan, Vol 18, Iss 2, Pp 182-

2020 Volume 188

Abstract: The COVID-19 disease occurred in the final weeks of 2019. As part of the fight against COVID-19, countries have taken actions such as travel restrictions, suspension of border crossings and international flights, voluntary home isolation, public ... ...

Abstract	The COVID-19 disease occurred in the final weeks of 2019. As part of the fight against COVID-19, countries have taken actions such as travel restrictions, suspension of border crossings and international flights, voluntary home isolation, public activities restriction, and curfews. The objective of this study is to identify the effect of curfew enforcement during the COVID-19 pandemic to determine and identify whether curfew has a positive effect on the health care workload. The number of patients admitted to Sakarya University Training and Research Hospital, their means of arrival, hospitalization-discharge, demographic characteristics were examined retrospectively for the period of curfew in April and May 2020 and the corresponding days in 2019. The significant statistical differences between the two periods were analyzed. The results of this research reveal that24.488 patients were admitted to our emergency department. Of these patients, 12813 (52.3%) were male, 11675 (47.7%) were female. The number of emergency department admissions of the pediatric age group decreased from 1822 (8.9%) to 33 patients (0.8%). Moreover, the number of patients admitted to the emergency service in the related period of 2019 was 20548 (83.9%), while this figure decreased to 3940 individuals (16.1%) during the curfew period. It was impliedthat curfew could reduce the unnecessary admissions to hospitals, the number of ambulance usage, and provide a positive contribution to the reduction in traumas, car accidents, work accidents, and forensic cases during pandemic.
Keywords	covid-19 ; curfew ; pandemic ; Nursing ; RT1-120 ; Medicine (General) ; R5-920
Subject code	360
Language	English
Publishing date	2020-12-01T00:00:00Z
Publisher	POLTEKKES KEMENKES KUPANG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Evaluation of re-hospitalized COVID-19 patients in a hospital

Ensar Durmus / Fatih Guneysu

Revista da Associação Médica Brasileira, Vol 66, Iss 12, Pp 1690-

2020 Volume 1695

Abstract: SUMMARY PURPOSE: This study intends to investigate the reasons for re-hospitalization, complaints, and prognoses of COVID-19 patients after being discharged. METHODS: COVID-19 patients who were re-hospitalized at the Sakarya University Training and ... ...

Abstract	SUMMARY PURPOSE: This study intends to investigate the reasons for re-hospitalization, complaints, and prognoses of COVID-19 patients after being discharged. METHODS: COVID-19 patients who were re-hospitalized at the Sakarya University Training and Research Hospital were examined. Reverse transcriptase-polymerase chain reaction (RT-PCR), tomography and laboratory results, demographic characteristics, and prognostic results were recorded retrospectively. RESULTS: A total of 60 patients, including 26 males (43.3%) and 34 females (56.7%), with repeated admissions to the hospital for COVID-19 symptoms, were included in the study with a mean age of 56.9 (± 22.5) (median value = 61, age range = 3–88). The number of days of the second hospitalization was statistically significantly higher (p < 0.05). Patient age and number of days of hospitalization were strongly positively correlated (p < 0.01). A total of 11 patients (18%) had negative results in their first RT-PCR and subsequently tested positive in their second hospitalization. In addition, 10 (17.5%) of the patients who underwent thoracic tomography had unilateral involvement, 34 (59.6%) had bilateral involvement, and 13 (22.8%) had no significant results. Note that 4 (6.6%) of the patients re-hospitalized died in the hospital, while 56 (93.4%) were discharged once more. All of the four patients that died were female with a mean age of 81.5 years. CONCLUSION: Particularly patients with advanced age and comorbidities should be examined more carefully when discharged; if their complaints are repeated, they should be advised to quickly contact the emergency service.
Keywords	COVID-19 ; re-hospitalization ; coronavirus ; Medicine (General) ; R5-920
Subject code	616
Language	English
Publishing date	2020-12-01T00:00:00Z
Publisher	Associação Médica Brasileira
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Comparison of saliva and oro-nasopharyngeal swab sample in the molecular diagnosis of COVID-19.

Güçlü, Ertuğrul / Koroglu, Mehmet / Yürümez, Yusuf / Toptan, Hande / Kose, Elif / Güneysu, Fatih / Karabay, Oğuz

Revista da Associacao Medica Brasileira (1992)

2020 Volume 66, Issue 8, Page(s) 1116–1121

Abstract: Background: Healthcare personnel are at risk of becoming infected while taking upper and/or lower respiratory tract specimens. Therefore, there is a need for sampling methods that do not risk infecting them. In this study, we aimed to compare the saliva ...

Abstract	Background: Healthcare personnel are at risk of becoming infected while taking upper and/or lower respiratory tract specimens. Therefore, there is a need for sampling methods that do not risk infecting them. In this study, we aimed to compare the saliva and Oro-Nasopharyngeal Swab (ONS) sampling methods. Methods: Patients were divided into three groups. Group 1 included patients whose diagnosis of COVID-19 was confirmed by polymerase chain reaction (PCR). Group 2 included patients with COVID-19 compatible findings in lung computed tomography (CT), but with a negative PCR. Group 3 included patients who presented to the emergency department with COVID-19 compatible complaints but had normal CT. Saliva and ONS samples were taken on the third day of hospitalization in groups 1 and 2, whereas in group 3, they were taken at the time of admission to the hospital. Results: A total of 64 patients were included in the study. The average age was 51.04 ± 17.9 years, and 37 (57.8%) were male. SARS-CoV-2 was detected in 27 (42.2%) patients' saliva samples. While the sensitivity and positive predictive value of saliva samples were 85.2%, specificity and negative predictive value were 89.2%. The value of kappa was in substantial agreement (0.744), and it was found statistically significant (<0.001). Conclusions: Saliva samples can be used instead of ONS samples in detecting SARS-CoV-2. Investigating SARS-CoV-2 with saliva is cheaper, easier for the patient and overall, and, most importantly, it poses much less risk of SARS-CoV-2 contamination to healthcare personnel.
MeSH term(s)	Adult ; Aged ; Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Coronavirus Infections/diagnosis ; Humans ; Male ; Middle Aged ; Nasopharynx ; Pandemics ; Pneumonia, Viral/diagnosis ; SARS-CoV-2 ; Saliva
Keywords	covid19
Language	English
Publishing date	2020-09-16
Publishing country	Brazil
Document type	Comparative Study ; Journal Article
ZDB-ID	731969-1
ISSN	1806-9282 ; 0104-4230 ; 0004-5241 ; 0102-843X
ISSN (online)	1806-9282
ISSN	0104-4230 ; 0004-5241 ; 0102-843X
DOI	10.1590/1806-9282.66.8.1116
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Article ; Online: Can COVID-19 Mortality be Predicted in the Emergency Room?

Güneysu, Fatih / Guner, Necip Gokhan / Erdem, Ali Fuat / Durmus, Ensar / Durgun, Yesim / Yurumez, Yusuf

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

2020 Volume 30, Issue 9, Page(s) 928–932

Abstract: Objective: To investigate the association of white blood cell (WBC) counts, neutrophil, platelets, lymphocyte counts, C-reactive protein (CRP), neutrophil / lymphocyte ratio (NLR), derived NLR ratio (d-NLR), and platelet / lymphocyte ratio (PLR) at the ...

Abstract	Objective: To investigate the association of white blood cell (WBC) counts, neutrophil, platelets, lymphocyte counts, C-reactive protein (CRP), neutrophil / lymphocyte ratio (NLR), derived NLR ratio (d-NLR), and platelet / lymphocyte ratio (PLR) at the time of first admission for mortality caused by COVID-19. Study design: Descritive, analytical study. Place and duration of study: Department of Emergency Medicine, Sakarya University Training and Research Hospital, Turkey from March 2020 to May 2020. Methodology: One hundred and sixty-nine patients with the diagnosis of Covid-19 were retrospectively reviewed. Patients were divided into two groups as survivors and non-survivors. Inclusion criteria were age ≥18 years, RT-PCR test positivity, hospitalisation. Patients with missing data were excluded. Data regarding age, gender, WBC counts, neutrophil, platelets, and lymphocyte, CRP, NLR, d-NLR, PLR and comorbid conditions were analysed for mortality. All tests were done with a two-sided significance of 5%. For each endpoint, the absolute and relative effects and their corresponding 95% confidence ınterval were calculated. Results: There was a statistically significant association between neutrophil, lymphocyte, CRP, NLR, d-NLR and PLR values (p=0.005, p<0.001, p<0.001, p<0.001, p<0.001, and p<0.001, respectively) with mortality status of the patients. The cutoff values calculated by this analysis were 67.50 years for age, 5.12 K / µl for neutrophil, 1.12 K / µl for lymphocyte, 67.78 mg / dl for CRP, 3.9 for NLR, 2.55 for d-NLR, and 148.85 for PLR. Conclusion: Altered neutrophil and lymphocyte counts, NLR, d-NLR, PLR, and CRP values can be used as early predictors of mortality in Covid-19 patients. Key Words: Covid-19, Mortality, Emergency, NLR, d-NLR, PLR.
MeSH term(s)	Aged ; Aged, 80 and over ; Betacoronavirus ; C-Reactive Protein/analysis ; COVID-19 ; Coronavirus Infections/blood ; Coronavirus Infections/mortality ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Leukocyte Count ; Lymphocyte Count ; Lymphocytes ; Male ; Middle Aged ; Neutrophils ; Pandemics ; Platelet Count ; Pneumonia, Viral/blood ; Pneumonia, Viral/mortality ; SARS-CoV-2
Chemical Substances	C-Reactive Protein (9007-41-4)
Keywords	covid19
Language	English
Publishing date	2020-10-09
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	2276646-7
ISSN	1681-7168 ; 1022-386X
ISSN (online)	1681-7168
ISSN	1022-386X
DOI	10.29271/jcpsp.2020.09.928
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