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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
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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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: 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
Database	MEDical Literature Analysis and Retrieval System OnLINE

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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
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Article ; Online: INVESTIGATION OF HEALTH INSURANCE COSTS OF THE PATIENTS WITH MILD COVID-19 SYMPTOMS IN EMERGENCY ROOM

Durmus Ensar / Guneysu Fatih / Guner Gokhan Necip / Aslan Nuray / Yurumez Yusuf

Sanamed, Vol 16, Iss 2, Pp 155-

2021 Volume 159

Abstract: Introduction: This study aims to understand the burden of invoice costs of outpatients with mild Covid-19 symptoms on Social Security Institution (SSI); also, how it may have influenced the current economic situation. Material and Method: This research ... ...

Abstract	Introduction: This study aims to understand the burden of invoice costs of outpatients with mild Covid-19 symptoms on Social Security Institution (SSI); also, how it may have influenced the current economic situation. Material and Method: This research is a cross-sectional, retrospective, and descriptive study. The study universe includes the cases who applied to the emergency room (ER) with the symptoms of Covid-19. The sample group was the patients who applied to the Sakarya Training and Research Hospital (SEAH) pandemic ER between 01/09/2020 and 30/06/2021. Results: During the study period, 130,975 patients were admitted to the pandemic ER. The mean emergency service bill of the cases was $10.6 (± 9), and the lowest was $2.2; the highest was $201.7. There was a weak but significant positive correlation between the patients' age and invoice amount (spearman= 0.051, p=0.001). It was perceived that the emergency service bills of the inpatients (mean=21.9 $) were more than twice that of the outpatients (mean=10.3 $). Conclusion: In pandemic ER, mild symptomatic young patients' bills can be cheap. It was observed that emergency physicians did not apply too many tests and imaging methods in this patient group and were content only with Rt-PCR scanning. Also, ER bills can increase with age.
Keywords	covid-19 ; pandemics ; emergency service ; costs ; Medicine (General) ; R5-920
Subject code	150
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	Association of medical doctors Sanamed Novi Pazar
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 Associação Médica Brasileira v.66 n.8 2020

2020

Abstract: SUMMARY 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 ... ...

Abstract	SUMMARY 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.
Keywords	Coronavirus Infections/diagnosis ; Saliva ; Health Personnel ; Betacoronavirus ; covid19
Subject code	610
Language	English
Publishing date	2020-08-01
Publisher	Associação Médica Brasileira
Publishing country	br
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
Database	MEDical Literature Analysis and Retrieval System OnLINE

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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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Article ; Online: The diagnostic process of covıd-19 in the emergency department

Guneysu, Fatih / Yurumez, Yusuf / Guclu, Ertugrul / Koroglu, Mehmet / Karacan, Alper / Guner, Necip Gokhan / Durgun, Yesim

Revista da Associação Médica Brasileira v.66 suppl.2 2020

laboratory and ımaging methods

2020

Abstract: SUMMARY OBJECTIVES The 2019 Novel coronavirus disease puts a serious burden on the health system. Therefore, the detection of particularly serious patients at an early stage is extremely important in terms of controlling the outbreak and improving the ... ...

Abstract	SUMMARY OBJECTIVES The 2019 Novel coronavirus disease puts a serious burden on the health system. Therefore, the detection of particularly serious patients at an early stage is extremely important in terms of controlling the outbreak and improving the prognosis. We investigated the role of inflammatory markers studied in patients suspected of COVID-19 at an emergency department in predicting PCR and CT results. METHODS This retrospective study was carried out with 133 patients who were admitted between 13 March and 1st April 2020 with suspicion of COVID-19. The patients were divided into four groups according to CT and RT-PCR results and evaluated. RESULTS Considering all patients, no specific findings were found in the hematological and biochemical values of patients in the laboratory analyses. Although all of the results remained within the reference range, there was a significant difference in white blood cell, neutrophil, platelet, and lymphocyte values when the groups were compared [p = 0.000; p = 0.004; p = 0.022; p = 0.023]. CONCLUSION Laboratory is not specific enough in the pre-diagnosis. In addition, this result does not alter with PCR or CT positivity. However, minimal changes observed in laboratory results may be partially guiding in patients in whom both PCR and CT are positive.
Keywords	Coronavirus Infections/diagnosis ; Laboratory Test ; Diagnostic Imaging ; Tomography ; X-Ray Computed ; Emergency Service ; Hospital ; covid19
Subject code	610
Language	English
Publishing date	2020-01-01
Publisher	Associação Médica Brasileira
Publishing country	br
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A comparison of computerized tomography findings of COVID-19 infection by gender and age groups.

Karacan, Alper / Kurt, Zehra / Taydaş, Onur / Gündüz, Yasemin / Öztürk, Mehmet Halil / Ateş, Ömer Faruk / Guneysu, Fatih

Revista da Associacao Medica Brasileira (1992)

2021 Volume 67, Issue 4, Page(s) 542–548

Abstract: Objective: To compare the computed tomography (CT) imaging findings of coronavirus disease 2019 (COVID-19) by gender and age groups.: Methods: The patients with COVID-19 (n=1,024) were divided into nine age groups (0-9 years, 10-19 years, 20-29 years, ...

Abstract	Objective: To compare the computed tomography (CT) imaging findings of coronavirus disease 2019 (COVID-19) by gender and age groups. Methods: The patients with COVID-19 (n=1,024) were divided into nine age groups (0-9 years, 10-19 years, 20-29 years, 30-39 years, 40-49 years, 50-59 years, 60-69 years, 70-79 years, and 80 years and above). The CT findings were retrospectively analyzed according to the age groups and gender. Results: Under 20 years of age, except for the ground-glass opacity and consolidation, no other finding was observed. Airway changes and crazy-paving pattern were more common over 80 years. While the tree-in-bud pattern was more common in the 20-29 age group than in other age groups, the halo sign was mostly seen at the age of 30-39 years. Unlike other groups, the thin reticular pattern was more common in patients aged 60-79 years. When the findings were compared by gender, the rates of centrilobular nodules (p=0.006), airway changes (p=0.004), and tree-in-bud pattern (p=0.050) were significantly higher in males than in females. Conclusion: The chest CT findings of COVID-19 show significant changes according to age and gender. The findings that are more common in elderly and male patients should be carefully evaluated in terms of the prognosis of the disease.
MeSH term(s)	Adult ; Aged ; COVID-19 ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Infant, Newborn ; Lung ; Male ; Retrospective Studies ; SARS-CoV-2 ; Tomography, X-Ray Computed
Language	English
Publishing date	2021-09-06
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	10.1590/1806-9282.20200997
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