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    Insidental COVID-19 cases
    (2022) dokcu, şeref; Pepele, Mustafa Safa; Ekmekyapar, Muhammed; AVCU, Ramazan
    We wanted to present the upper respiratory tract infection originating from an RNA virus, which appeared in Wuhan, China, in December 2019 and was named the\rCOVID-19 pandemic by the World Health Organization (WHO) (1), and the possibility of variable clinical pictures in people who caught it. These patients usually present\rto emergency departments with complaints of fever, sweating, respiratory distress, and fatigue. However, in our case series, we presented patients who did not have the\rpreviously mentioned symptoms but presented to emergency departments due to various reasons and were then diagnosed with COVID-19(CoV) (2). Since this disease,\rwhich is transmitted through inhalation, also exists without the manifestation of its clinical symptoms, we tried to raise awareness that all individuals could be infected in\rcountries to which the pandemic spread and they should take precautions accordingly.
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    INVESTIGATION OF EOSINOPHIL, LYMPHOCYTE AND MONOCYTE VALUES ACCORDING TO AGE AND GENDER IN INSECT BITES IN THE EMERGENCY DEPARTMENT
    (Acil Tıp Uzmanları Derneği, 2023) Pepele, Mustafa Safa; Kanat, Zekiye
    Objective: The purpose of this study was to look at the seasonal distribution, age and gender distribution, and eosinophil, lymphocyte, and monocyte values according to age and gender in cases of insect bites that were brought to the emergency room over the course of a year. Materials and method: Retrospective analysis was performed on patients who were brought to the emergency room between 1.12.2021 and 1.12.2022 and had the ICD code W57 (Diagnosis Code - Bitten or stung by Nonvenomous Insects and Other Nonvenomous Arthropods). The following values were noted: age, gender, presenting season, CRP, Leukocyte, Platelet, Lymphocyte, Monocyte, Eosinophil, INR, PTZ, and Aptt levels. Findings: The study comprised a total of 694 patients—308 females and 386 males. The patients were 39.81 16.42 years old on average. Spring saw 9.4% of the patients, summer saw 67%, and fall saw 23.6%. According to the patients' gender, there were significant differences in the eosinophil (t:-3.535; p:0.0010.01) and monocyte (t:-4.909; p:0.0010.01) values. Regarding the season in which the patients were admitted, significant differences in lymphocyte (F:7.045; p:0.0010.01) and monocyte (F:3.208; p:0.0410.05) values were discovered. When the disparities in eosinophil, lymphocyte, and monocyte values were evaluated in relation to the patients' ages, significant differences in monocyte values were discovered (F:2.552; p:0.0270.05). Result: We commonly see insect bites in emergency rooms, which we can usually cure with straightforward remedies or occasionally without treatment, but in some unfortunate circumstances, we may have to deal with major issues and allergic responses (4). Almost little studies have been done on the seasonal distribution and evaluation of blood tests according to age and gender, despite the fact that there are many studies on this topic in the literature. We think that more study on this topic is necessary.
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    Reasons for Admission of Patients to the Emergency Department after Laparoscopic Sleeve Gastrectomy
    (2023) Kutluer, Nizamettin; Doğan, Serhat; Öndeş, Bahadır; kurt, feyzi; kanat, burhan hakan; Aksu, Ali; Pepele, Mustafa Safa
    Objective: Obesity is defined as abnormal or excessive fat accumulation in the body to the extent that it impairs health in humans. It is a common health problem that is increasing in severity. Laparoscopic sleeve gastrectomy (LSG) is a preferred method because of satisfactory weight loss, resolution of comorbidities and performance safety. The increase in surgery has brought along the postoperative problems. New conditions related to bariatric surgery can be observed in all areas of life. Methods: After obtaining the necessary permission from the local clinical research ethics committee, patients who had bariatric surgery in our hospital between January 2018 and December 2021 were asked to respond by sending a mini-questionnaire about their application to the emergency department after surgery. Eighty patients who agreed to answer the questions were included in the study. Questions were asked and the results were evaluated. In addition, none of the patients who applied to the hospital were admitted to the hospital. Results: 53.38% of the patients who applied to the hospital came with stomach spasm and vomiting. Among the 80 patients, 18.8% were admitted to the hospital again after surgery. After the operation, 53.3% of the patients applied to the hospital within the first three months, 26.6% within the 4th and 6th months, and 20.1% after the 10th month. Conclusion: General practitioners and emergency specialists should master the management algorithm of these patients. If there is the slightest doubt, obese patients should be consulted, if possible, from a surgeon experienced in bariatrics or a general surgeon.