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Papers by mahmut taş

$Research paper thumbnail of Evaluation of treatment processes in childhood fifth metacarpal bone (Boxer) fractures with QuickDASH scoring system$

PubMed, Mar 1, 2024

Objective: Metacarpal fractures are one of the most common orthopedic injuries seen in emergency ... more Objective: Metacarpal fractures are one of the most common orthopedic injuries seen in emergency departments. Despite this, only a few data have been published about the epidemiology of metacarpal fractures. Simple radiographs are the standard imaging modality used to diagnose boxer fractures and determine the degree of angulation. Fractures and angulations should be identified by anteroposterior and lateral radiographs. The aim of this study was to follow the healing after closed reduction of fifth metacarpal neck fractures in a pediatric population using the QuickDASH score to determine whether it results in clinically significant improvement. Subjects and methods: Between 2020 and 2022, our clinical record database for all metacarpal fractures treated at our institution was searched retrospectively every month. Children aged 18 years and younger with fifth metacarpal neck fractures treated with closed reduction and immobilization in our tertiary care emergency clinic were retrospectively reviewed. Results: 52 pediatric patients were included in the study. The mean age at the time of injury was 14.04 years (SD=2.10, range=10-18 years). 92.30% (n=48) of the patients were male, and 7.70% (n=4) were female. Conclusions: Accurate diagnosis and appropriate treatment are crucial in the management of childhood fifth metacarpal fractures to ensure proper healing, prevent long-term complications, and facilitate optimal functional recovery.

DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2022

Indian Journal of Psychiatry, 2007

DOAJ (DOAJ: Directory of Open Access Journals), 2009

Ranunculus arvensis L-a member of Ranunculaceae family- is grown as a wild pla... more Ranunculus arvensis L-a member of Ranunculaceae family- is grown as a wild plant in productive agriculture lands of the altitude between 1 to 1850 m mainly in the Mediterranean Region and Iran-Turan vegetation in Turkey. Skin burn cases associated with Ranunculaceae family is very limited in literature and according to the authors′ knowledge this is the only report in literature from Turkey. In this report, we have presented a case of skin burn associated with Ranunculus arvensis represented to our emergency service.

Anatolian journal of emergency medicine, Jun 29, 2021

The Keio Journal of Medicine, 2015

Ankara medical journal, 2024

The Journal of Neurobehavioral Sciences, 2018

Psychogenic polydipsia is a psychiatric condition characterized by excessive drinking of water. I... more Psychogenic polydipsia is a psychiatric condition characterized by excessive drinking of water. In studies conducted regarding psychogenic or primary polydipsia, itâ€™s been reported in patients with psychiatric disorders. Excessive drinking of water can lead to excessive fluid loading and electrolyte imbalance. We aimed to present a patient case with psychotic disorder who developed hyponatremia due to extreme water drinking and applied to emergency service with loss of consciousness. Thirty-four-year-old male, secondary school graduate, single, living with his family was applied to emergency room clinically unconscious. In physical examination general situation was bad, glasgow coma scale score point was 8. Minimal brain edema was detected in cranial computed tomography (CT). In laboratory tests Na: 109 mmol / L (136-145 mmol / L). The patient who was diagnosed with schizophrenia used drugs he could not remember its name. For the past 3 years, the patient has been using amylsulpride 1200 mg / day, valproic acid + sodium valproate 1000 mg / day and clozapine 600 mg / day. The patient was treated in emergency room with 150 ml 3% hypertonic infusion twice in 20 minutes to increase the Na concentration in the first hour by 5 mmol / L and to relieve symptoms. Hyponatremia patients may apply to emergency room with nonspecific symptoms such as nausea and vomiting at the onset and consciousness changes that may progress to coma. Psychogenic polydipsia-associated hyponatremia should be considered in patients with similar clinical findings and psychiatric history admitted to the emergency room.

International Journal of Morphology, 2016

Bone damage and accidents, traumas can alter people's normal life, and damage the soft tissues. I... more Bone damage and accidents, traumas can alter people's normal life, and damage the soft tissues. In this study, we aimed to investigate in calvarial defects in rats depending on the severity of cerebral contusion injury occurring in the temporal region. The rats were randomly divided into two groups: group 1 (control group), critical size cranial model with no treatment (n= 10); group 2 (14-day synthetic graft group given 7 th day DEXA), critical size cranial model treated with Dexamethasone (0.05 mg/kg intramuscular injection) +Synthetic graft (n= 10) One calvarium defect of 7 mm was made in the parietal bone of each animal under general anesthesia. Calvarial defect results in dilatation of blood vessels, hemorrhage and deterioration was observed in glial fibrillary structures. Additionally, the increase in vascular endothelial growth factor expression showed a positive reaction with glial fibrillary acid protein astrocytes extensions. Apoptotic glial cells stained positive with Bcl-2. Calvarial defects caused by mild brain injury, to be induced by inflammatory cytokines, interrupting glial fibrillary degeneration by affecting the blood brain barrier is thought to promote apoptotic changes.

International Journal of Morphology, 2015

The purpose of this study, ischemia reperfusion injury in rats, Potentilla fulgens is to investig... more The purpose of this study, ischemia reperfusion injury in rats, Potentilla fulgens is to investigate the protective effects. Wistar albino rats (n= 30) weighing 180-220 g were used in the experiment. Group 1 animals underwent sham laparotomy without ischemiareperfusion injury. Group 2 animals underwent laparotomy and occlusion of superior mesenteric arteries for 30 min followed by 20 min of reperfusion without pretreatment. The Potentilla fulgens group received 400 mg/kg/day Potentilla fulgens intraperitoneally 5 days before Ischemia-reperfusion injury. There was a significant difference between the group with ischemia-reperfusion group Potentilla fulgens (p<0.0001). In statistical analysis of the MDA level, data were obtained after a respective measurement in all groups. Potentilla fulgens group with ischemia-reperfusion group was a significant decrease in MDA (p<0.001). In the period after ischemia-reperfusion, marked PCNA immunoreactivities were observed in the nuclei of crypt and villus cell. In ischemia reperfusion group, the number of PCNA immunoreactivity is quite advanced and they extended throughout the middle part of the intestine folds. The number of TUNEL-positive nuclei were also developed. In ischemia-reperfusion plus P. fulgens group, the intestinal epithelium with only a few PCNA immunoreactive nuclei. TUNEL positive nuclei were noted in the gut lumen and mucosal close differentiated goblet cells. We showed that Potentilla fulgens extract significantly prevented mucosal lesions caused by intestinal ıschemia-reperfusion.

Acta Medica Mediterranea

Aim: Microvasculopathy and endothelial damage are obvious features of systemic sclerosis (SSc) an... more Aim: Microvasculopathy and endothelial damage are obvious features of systemic sclerosis (SSc) and increases risk of cardiovascular disease. Epicardial adipose tissue (EAT) is localized beneath the visceral pericardium and has been shown to be closely related with coronary artery disease (CAD). The aim of this study was to investigate the thickness of EAT in SSc patients who had no previous or current history of cardiac involvement. Methods: Thirty patients with SSc and 30 healthy controls (HC) were included to the study. Measurement of EAT was evaluated using echocardiography and Doppler imaging technique. Results: EAT thickness was significantly higher in SSc group compared to HC (6.2±0.9 mm vs. 5.3±0.6 mm, p=0.01) and it was correlated with disease severity score (r=0.45, p=0.01) in SSc patients. Conclusion: This is the first study, showing a significantly higher EAT thickness in patients with SSc. We believe that further studies are needed to clarify the role of epicardial adipo...

Medical Science and Discovery, 2015

Journal of Academic Emergency Medicine, 2013

Objective: The purpose of this study is to investigate the ability and safety of driving with com... more Objective: The purpose of this study is to investigate the ability and safety of driving with commonly used upper limb casts, and to determine the effect of hand dominance. Material and Methods: Two healthy drivers, one of them right-handed and the other left-handed (confirmed with the Edinburgh handedness inventory), were selected. The vehicles used in this study were the 2006 model Volkswagen Golf with a manual-geared right-hand drive with power steering and the 2004 model Honda Civic with an automatic-geared right-hand drive with power steering. We assessed driving ability and safety whilst wearing a scaphoid cast and a Colles cast. Initially, a 20-min driving circuit was completed without immobilisation by each volunteer on a track which was closed to traffic. Six essential driving abilities, namely steering and turning, reversing, gear changing and panel control were assessed subjectively by the drivers. Each of the driving abilities was scored between 0 and 10 points. Each score acquired from the relevant section was added to obtain a total score. Scores taken from each section and the total scores were compared in terms of plaster cast type, gear option, body side and dexterity. Results: Driving scores were statistically similar regarding dexterity and gear option in total and section scores (p=0.878, p=0.442). A difference between the Colles cast and the scaphoid cast was only observed in panel control (p=0.010). Immobilisation of the left hand significantly decreased the total score (p=0.001); however, gear shifting and panel control sections were similar between body sides (p=0.105 and p=0.442, respectively). All scores obtained from each section were significantly lower compared to controlled driving (p=0.000). Conclusion: Driving with an upper limb cast is unsafe; furthermore, immobilisation of the non-dominant hand does not satisfy the necessary requirements for safe driving. We should discourage patients and warn them about the dangers of driving when wearing an upper limb plaster cast.

$Research paper thumbnail of An accessory ossicle misdiagnosed as lateral malleolar avulsion fracture; os subfibulare$

Turkish Journal of Emergency Medicine, 2011

Os subfibulare is an accessory ossicle located at the distal tip of lateral malleolus. It is usua... more Os subfibulare is an accessory ossicle located at the distal tip of lateral malleolus. It is usually detected incidently, however, it may be misdiagnosed as lateral malleolar avulsion fracture in the clinical setting of ankle trauma. Herein, we report a case of os subfibulare which is misdiagnosed as lateral malleolar avulsion fracture and discussed its clinical and radiologic features that will help us in differential diagnosis.

Case Reports in Medicine, 2010

Acute chylous ascites is a rarely seen clinical picture, therefore, examination findings are ofte... more Acute chylous ascites is a rarely seen clinical picture, therefore, examination findings are often confused with acute appendicitis. To the best of our knowledge, there is no publication to date showing the occurrence of them together. This study presents the treatment plan for a 25-year-old male patient with both acute chylous ascites and appendicitis. Surgical findings were retrocaecal appendicitis, evident lymphangiectasia in the proximal segment of jejunum, and approximately 3 lt of chylous fluid. An appendectomy was performed and drainage was applied. Low-fat total parenteral nutrition (TPN) and octreotide treatment were administered for 7 days postoperatively. We also present a general review of some studies on chylous ascites, which have been published in the English language medical literature since 1910.

The American Journal of Emergency Medicine, 2015

We used near-infrared spectrophotometry to assess the initial and final abdominal and cerebral sa... more We used near-infrared spectrophotometry to assess the initial and final abdominal and cerebral saturations during cardiopulmonary resuscitation (CPR) of patients with out-of-hospital cardiac arrest to determine if there is a correlation between increase in these saturation values and return of spontaneous circulation. Materials and methods: We evaluated 34 patients with out-of-hospital cardiac arrest without witnesses brought to our emergency department. Abdominal and cerebral saturations were measured using near-infrared spectrophotometry from the start of CPR. Cardiopulmonary resuscitation was performed for a maximum of 30 minutes. The effect of abdominal saturations in patients with or without spontaneous circulation restored through CPR was then assessed. Results: Thirty-four patients (17 males + females) with a mean age of 63.06 ± 11.66 years were included in the study. A significant correlation was determined between increase in abdominal saturations measured at the start and end of CPR and the return of spontaneous circulation (P b .001). A good positive correlation was also identified between abdominal saturation and return of spontaneous circulation. Conclusion: Patients with increased abdominal and cerebral saturation values have a higher survival rate after appropriate CPR. This noninvasive measurement system and monitoring of patients during CPR may be a good method of predicting return of spontaneous circulation and assessing abdominal perfusion.

Journal of Academic Emergency Medicine, 2014

Osgood-Schlatter disease is the traction apophysitis of tuberositas tibia and the most common cau... more Osgood-Schlatter disease is the traction apophysitis of tuberositas tibia and the most common cause of knee pain in adolescents. Despite the frequent discomfort, sequelae are rarely observed. In this paper, sequelae of Osgood-Schlatter disease, presenting with knee pain in the emergency room were submitted. Rarely encountered in the emergency department in adult patients presenting with knee pain with sequelae of Osgood-Schlatter disease, the need to be aware of the diagnosis, clinical and radiological features and differential diagnosis are discussed.

Turkish Journal of Emergency Medicine, 2012

Yaşlı kişilerin özkıyım girişimleri genç insanlara göre çok daha ölümcüldür. Kronik hastalığı bul... more Yaşlı kişilerin özkıyım girişimleri genç insanlara göre çok daha ölümcüldür. Kronik hastalığı bulunan yaşlılarda depresyonun etkin tedavisi özkıyım eğilimi oranını azaltır. İskemik kalp hastalığı zemininde gelişen akut miyokard enfarktüsü sonrası baypas ameliyatı uygulanan ve özkıyım girişimi sonucu hayatını kaybeden olgu sunuldu.

World Journal of Gastroenterology, 2010

AIM: To give an overview of the literature on left-sided acute appendicitis (LSAA) associated wit... more AIM: To give an overview of the literature on left-sided acute appendicitis (LSAA) associated with situs inversus totalis (SIT) and midgut malrotation (MM). METHODS: We present a new case of LSAA with SIT and a literature review of studies published in the English language on LSAA, accessed via PubMed and Google Scholar databases. RESULTS: Ninety-five published cases of LSAA were evaluated and a 25-year-old female, who presented to our clinic with left lower abdominal pain caused by LSAA, is reported. In the reviewed literature, fiftyseven patients were male and 38 were female with an age range of 8 to 82 years and a median age of 29.1 ± 15.9 years. Sixty-six patients had SIT, 23 had MM, three had cecal malrotation, and two had a previously unnoted congenital abnormality. Fifty-nine patients had presented to the hospital with left lower, 14 with right lower and seven with bilateral lower quadrant pain, and seven subjects complained of left upper quadrant pain. The diagnosis was established preoperatively in 49 patients, intraoperatively in 19, and during the postoperative period in five; 14 patients were aware of having this anomaly. The data of eight patients were not unavailable. Eleven patients underwent laparoscopic appendectomy, which was combined with cholecystectomy in two cases. Histopathological examination of the appendix specimens revealed adenocarcinoma in only two of 95 patients. CONCLUSION: The diagnosis of left lower quadrant pain is based on well-established clinical symptoms, physical examination and physician's experience.