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    Analysis of Patients Injured During the Local Elections in Sanliurfa Province
    (Elsevier Science Bv, 2012) Gokdemir, Mehmet Tahir; Sogut, Ozgur; Erdogan, Mehmet Ozgur; Kaya, Halil; Sayhan, Mustafa Burak; Karasu, Mehmet
    Objectives Criminal cases constitute a significant part of the patients referred to the emergency department. In this study, we aimed to analysis the cases who admitted to our emergency department resulted in judicial incidents due to the local elections in the surrounding of Sanliurfa. Methods Cases referred to the Emergency Department due to injuries obtained during the local elections held on March 29, 2009 were included in the study. Computer records, hospital treatment order books, judicial records, and autopsy reports were examined. Results In total, 126 people injured during the local elections between March 29, 2009 and March 30, 2009 were referred to the Emergency Department of the Education and Research Hospital, Sanliurfa. The Hospital Disaster Plan was activated, and triage was performed. Of the 126 patients, 119 (94.4%) were male, and 7 (5.6%) were female; the average age was 37 years. The most frequent cause of injury was beating, and deaths were mostly due to cranial trauma caused by firearm injuries. After first evaluation and treatment in the emergency department, of the 98 (77.7%) were discharged, 28 (22.3%) were hospitalized, and 6 died. Conclusions In the present study, our objective was to draw attention to the criminal incidents resulted from mass casualities in the districts of Sanliurfa and its villages and management of those cases in our emergency department.
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    Early oxidative status in adult patients with isolated traumatic brain injury
    (Tubitak Scientific & Technological Research Council Turkey, 2012) Sogut, Ozgur; Kaya, Halil; Gokdemir, Mehmet Tahir; Solduk, Leyla; Dokuzoglu, Mehmet Akif; Sayhan, Mustafa Burak; Kaya, Atilhan
    Aim: To investigate oxidative and antioxidative status, as well as the Glasgow Coma Scale (GCS) and Revised Trauma Score (RTS), reflecting injury severity and neurological outcome during the early posttraumatic period in patients with isolated traumatic brain injury (TBI). Materials and methods: Fifty-one adult patients with TB! and 45 eligible healthy volunteers as control subjects were enrolled. Plasma total oxidant status (TOS), total antioxidant status (TAS), and the oxidative stress index (OSI) were calculated as biomarkers of early oxidative changes in serum using a novel automated method. Results: TOS levels and OSI values were significantly higher in nonsurvivors compared with those in survivors. However, there was no significant difference in TAS levels between survivors and nonsurvivors. GCS and RTS showed negative correlations with TOS levels, but neither was significantly related to OSI levels. Furthermore, GCS scores were negatively correlated with TAS levels, whereas RTS scores were not significantly related to TAS levels. Conclusion: Patients with isolated TBI are exposed to potent oxidative stress. TOS, as an early oxidative stress biomarker, might reflect the severity of cerebral insult in those patients.
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    Yerel seçimde Şanlıurfa kırsalında meydana gelen adli olaylar nedeni ile yaralanan vakaların değerlendirilmesi
    (2012) Gökdemir, Mehmet Tahir; Söğüt, Özgür; Erdoğan, Mehnet Özgür; Kaya, Halil; Sayhan, Mustafa Burak; Karasu, Mehmet
    Amaç: Acil servise başvuran hastaların önemli bir kısmı adli vakalardır. 29 Mart 2009 tarihinde yapılan mahalli seçimler nedeni ile Şanlıurfa’nın köy ve ilçelerinde meydana gelen adli olaylarda, acil servise başvuran vakaları inceledik.Yöntem: Hastanemizin bilgisayar kayıtları, tedavi order defterleri ile adli kayıtlar ve otopsi raporları incelendi.Bulgular: 29 Mart 2009 akşamı ile 30 Mart 2009 tarihleri arasında seçim münasebeti ile çıkan olaylarda yaralanan 126 şahıs Şanlıurfa Eğitim ve Araştırma Hastanesi Acil Servisi’ne başvurdu. Hastane afet planı devreye sokuldu ve triaj uygulandı.Yüz on dokuz (%94,4) olgumuz erkek, 7 (%0,6) olgumuz bayan olup yaş ortalaması 37 idi. En fazla darp nedeni ile yaralanma meydana gelmişti. Altı olgumuz öldü. Ölümler en çok ateşli silah yaralanmasına bağlı kafa travma neticesinde meydana gelmişti. Doksan sekiz (%77,7) olgu acil serviste değerlendirme ve tedavi sonrası taburcu edildi, 28 (%22,3) olgu ilgili klinikler tarafından yatırıldı.Sonuç: Bu çalışmada Şanlıurfa çevre köy ve ilçelerinde yerel seçimde meydana gelen adli olaylara ve acil servisimizin vakalara yaklaşımına dikkat çekilmek istenmiştir.