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Öğe Did the COVID-19 pandemic period increased suicide attempts in society?(2023) Uzun, Ahmet; Çekmen, BoraAim: To analyze the influence of the COVID-19 pandemic and quarantine on suicidality. Material and Methods: This study was conducted on patients over the age of 15 who were suicidal and admitted to the emergency department of our hospital. The patients were disunited into two groups: pandemic group covering the period from March 11, 2020 to March 11, 2021, the former being the date when the first patient of COVID-19 was identified in Turkey, and pre-pandemic group covering the period from March 11, 2019 to March 10, 2020. Results: The study was conducted with a total of 271 patients. The number of suicide attempts in the first time period (March-AprilMay-June) was 42 (28.4%) in the pandemic group and 16 (13.0%) in the pre-pandemic group, with significantly higher numbers in the pandemic group for the first time period (p=0.008). The distribution in the remaining second and third time periods was similar to those in the previous year. Conclusion: Compared to the pre-pandemic period, suicide attempts significantly increased in the early stages of the pandemic as the first case was identified in Turkey and the lockdown was imposed because of the increasing cases. In the later stages of the pandemic, there was no obvious change in the amount of suicide compared to previous periods.Öğe Evaluation of modified STONE score in patients presenting to the emergency department with flank pain(Wolters Kluwer Medknow Publications, 2020) Uzun, Ahmet; Korkut, Mustafa; Kartal, Mutlu; Bedel, CihanPurpose: Renal colic due to urinary system stone disease is one of the main complaints in emergency department (ED) admissions. The STONE score is the most used model. The race item in the nomogram is not useful for communities where the Black race is not dominant. Therefore, we aimed at investigating the diagnostic value of a new modified scoring system, in which we replaced the race item in the original nomogram by obstruction = pelvicalyceal dilation. Materials and Methods: The study included patients who were admitted to a tertiary university ED with flank pain and underwent ultrasonography (US) from June 2017 to November 2017. Patients' demographic data such as US findings and the STONE score parameters were recorded. Obstruction (pelvicalyceal dilation) replaced the race item of the original STONE score. The diagnostic value of the modified system was investigated by categorizing the scores as low risk (0-5 points), moderate risk (6-9 points), and high risk (10-13). Results: The study included 305 patients who met the inclusion criteria. The mean age was 39.45 +/- 13.83 years, and 170 patients (55.7%) were male. Pelvicalyceal dilation was detected on US at a statistically significantly higher percentage in patients with stones compared to stone-free patients (P < 0.001). The modified STONE score was statistically significantly higher in patients with stones compared to stone-free patients (P < 0.001). Conclusion: We suggest that the replacement of the race parameter of the original STONE score by the US finding of pelvicalyceal dilation will enhance the diagnostic value of scoring in societies mostly comprising a non-Black population.Öğe A retrospective analysis of spinal and cranial injury patterns caused by a fall from a tree in the Karabuk province(Elsevier, 2022) Tacyildiz, Abdullah Emre; Cekmen, Bora; Uzun, Ahmet; Ciftci, Temel Cevher; Uzuncu, Halil Berkay; Serdar, Sefa; Ucer, MelihIntroduction and purpose: Falling from a tree is a common cause of injury in and around the Karabuk province. Such injuries can impair the quality of life by causing permanent damage and can increase morbidity and mortality. This study aimed to reveal the patterns of spinal and cranial injuries in patients admitted to the hospital. Methods: Patients who were admitted to the emergency department after falling from a tree in the Karabuk province over a 2-year period and were diagnosed with injuries caused by falling from a tree were included. The parameters of age, sex, type of tree which the patient fell from, spinal and cranial fracture patterns and pain scores during follow-up were evaluated. Results: We studied 98 patients over a 2-year period. Of these, 5 (5.10%) patients were aged <18 and belonged to the pediatric group and 93 (94.89%) were adults. Moreover, 26 (26.53%) patients were female and 72 (73.46%) were male. The mean age of the patients was 54.4 +/- 15.78 years. Spinal injury occurred in 35 (35.71%), cranial injury in 5 (5.10%), and simple injuries to the scalp and neck in 7 (7.14%), Further, 24 (24.48%) patients had musculoskeletal fractures, including orthopedic fractures, and 27 (27.55%) patients had chest injuries. Conclusion: Falling from trees is a seasonal phenomenon. In addition to being a major cause of morbidity and mortality, it can impair the quality of life by causing disabilities as well as other damage. Occupational safety experts, public health experts, and clinicians and surgeons should work together to find a solution.