Sevilay Ünver - Academia.edu (original) (raw)

Papers by Sevilay Ünver

Research paper thumbnail of Factors Predicting the Frequency of Second Seizures in Patients Presenting to the Emergency Department With Seizures: A Prospective Observational Study

Cureus, 2021

This study aimed to determine the factors that trigger seizures in patients reporting to our emer... more This study aimed to determine the factors that trigger seizures in patients reporting to our emergency department (ED) with seizures and the factors that affect recurrent seizures during the emergency department stay. Materials and methods This study was designed prospectively and was conducted among patients over the age of 18 years who reported to the ED of the Education and Research Hospital with complaints of epileptic seizure between July 01, 2020 and July 01, 2021. In addition to the sociodemographic information of the patients, the time of admission after the seizure, the medications used, comorbidities, the treatment given in the ED, history of trauma, previous epilepsy diagnosis, time of last seizure, alcohol use in the last 24 hours, insomnia, presence of infective symptoms in the past week, vital parameters, blood tests, and presence of recurrent seizure during hospital follow-up were recorded. Results The median age of the 102 patients included in the statistical analysis was 37 (25%-57%), and 61 (59.8%) were men. Patients who came to the ED with the complaint of seizures were divided into two groups, namely, those who had recurrent seizures and those who did not. When the differences between the groups in terms of various variables were examined, no statistically significant difference was found in the univariate analysis, except for WBC, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) values. The diagnostic value of WBC, AST, and ALT levels in predicting recurrent seizures in emergency follow-up was analyzed using a receiver operating characteristic curve. Conclusion In this study, we could not find a parameter that can predict the probability of recurrent seizures in the ED in patients presenting with epileptic seizures.

Research paper thumbnail of Atipik Bir Covid-19 Olgusu; Spontan Subkutan Amfizem ve Spontan Pnömomediastinum

Anatolian Journal of Emergency Medicine, Jun 29, 2021

Aim: Covid-19 pandemic is a new disease that shook the world. Its distinct clinical pictures that... more Aim: Covid-19 pandemic is a new disease that shook the world. Its distinct clinical pictures that cannot be sharply limited may illuminate the pathogenesis of the disease and lead to new treatment studies. We aimed to present a Covid-19 patient with rare spontaneous pneumomediastinum and subcutaneous emphysema. Case: A 40-year-old male patient was admitted to our hospital with respiratory distress. On his arrival he was cyanotic, confused, cold sweaty. Vital signs; blood pressure: 145/85 pulse: 142 respiratory rate: 40 fever: 37.8 unsupported oxygen saturation: 65. There was crepitation with palpation on both sides of the neck. In the computed tomography imaging of the patient; There were subcutaneous emphysema and pneumomediastinum accompanying peripherally located ground glass images. The patient whose respiratory distress persisted was intubated and taken to the intensive care unit. The patient who developed cardiopulmonary arrest on the second day of intensive care treatment was accepted as exitus. Conclusion: Covid-19 also causes mortality in young patients. Covid-19 can contain different clinical pictures. Physicians working in the pandemic unit should be prepared for atypical applications; different examination findings should be kept in mind in terms of Covid-19.

Research paper thumbnail of Stent Graft Expulsion Outside the Skin

Advances in Skin & Wound Care, 2020

Patients who undergo stent grafting may present to the ED some time after the procedure with vari... more Patients who undergo stent grafting may present to the ED some time after the procedure with various related symptoms. The most common of these are stent graft occlusions or hematoma, although infection or abscess also may develop. In this case report, a 58-year-old man presented to the ED with a purulent wound on the stump of an amputated leg and a foreign body protruding from the wound site. The patient had a history of stent insertion with femoropopliteal bypass 11 years before this incident and an above-the-knee amputation because of stent occlusion 8 years prior. This wound had appeared with reddening of the skin 1 month before presentation, followed by the emergence and protrusion of a foreign body.

Research paper thumbnail of Factors Predicting the Frequency of Second Seizures in Patients Presenting to the Emergency Department With Seizures: A Prospective Observational Study

Cureus, 2021

This study aimed to determine the factors that trigger seizures in patients reporting to our emer... more This study aimed to determine the factors that trigger seizures in patients reporting to our emergency department (ED) with seizures and the factors that affect recurrent seizures during the emergency department stay. Materials and methods This study was designed prospectively and was conducted among patients over the age of 18 years who reported to the ED of the Education and Research Hospital with complaints of epileptic seizure between July 01, 2020 and July 01, 2021. In addition to the sociodemographic information of the patients, the time of admission after the seizure, the medications used, comorbidities, the treatment given in the ED, history of trauma, previous epilepsy diagnosis, time of last seizure, alcohol use in the last 24 hours, insomnia, presence of infective symptoms in the past week, vital parameters, blood tests, and presence of recurrent seizure during hospital follow-up were recorded. Results The median age of the 102 patients included in the statistical analysis was 37 (25%-57%), and 61 (59.8%) were men. Patients who came to the ED with the complaint of seizures were divided into two groups, namely, those who had recurrent seizures and those who did not. When the differences between the groups in terms of various variables were examined, no statistically significant difference was found in the univariate analysis, except for WBC, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) values. The diagnostic value of WBC, AST, and ALT levels in predicting recurrent seizures in emergency follow-up was analyzed using a receiver operating characteristic curve. Conclusion In this study, we could not find a parameter that can predict the probability of recurrent seizures in the ED in patients presenting with epileptic seizures.

Research paper thumbnail of Atipik Bir Covid-19 Olgusu; Spontan Subkutan Amfizem ve Spontan Pnömomediastinum

Anatolian Journal of Emergency Medicine, Jun 29, 2021

Aim: Covid-19 pandemic is a new disease that shook the world. Its distinct clinical pictures that... more Aim: Covid-19 pandemic is a new disease that shook the world. Its distinct clinical pictures that cannot be sharply limited may illuminate the pathogenesis of the disease and lead to new treatment studies. We aimed to present a Covid-19 patient with rare spontaneous pneumomediastinum and subcutaneous emphysema. Case: A 40-year-old male patient was admitted to our hospital with respiratory distress. On his arrival he was cyanotic, confused, cold sweaty. Vital signs; blood pressure: 145/85 pulse: 142 respiratory rate: 40 fever: 37.8 unsupported oxygen saturation: 65. There was crepitation with palpation on both sides of the neck. In the computed tomography imaging of the patient; There were subcutaneous emphysema and pneumomediastinum accompanying peripherally located ground glass images. The patient whose respiratory distress persisted was intubated and taken to the intensive care unit. The patient who developed cardiopulmonary arrest on the second day of intensive care treatment was accepted as exitus. Conclusion: Covid-19 also causes mortality in young patients. Covid-19 can contain different clinical pictures. Physicians working in the pandemic unit should be prepared for atypical applications; different examination findings should be kept in mind in terms of Covid-19.

Research paper thumbnail of Stent Graft Expulsion Outside the Skin

Advances in Skin & Wound Care, 2020

Patients who undergo stent grafting may present to the ED some time after the procedure with vari... more Patients who undergo stent grafting may present to the ED some time after the procedure with various related symptoms. The most common of these are stent graft occlusions or hematoma, although infection or abscess also may develop. In this case report, a 58-year-old man presented to the ED with a purulent wound on the stump of an amputated leg and a foreign body protruding from the wound site. The patient had a history of stent insertion with femoropopliteal bypass 11 years before this incident and an above-the-knee amputation because of stent occlusion 8 years prior. This wound had appeared with reddening of the skin 1 month before presentation, followed by the emergence and protrusion of a foreign body.