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    Pagophagia-Induced Hyponatremia: An Unusual Case
    (Knowledge E, 2023) Akbaba, Aydanur; Bogan, Mustafa; Karakecili, Ceren; Bogan, Fatma; Sultanoglu, Hasan
    Hyponatremia occurs when the serum sodium level is below 135 mmol/L. The symptoms include nausea, vomiting, confusion, headache, cardiorespiratory symptoms, profound somnolence or coma, and seizures are observed. Iron deficiency anemia can also cause pagophagia, a Pica subspecies. Although it has been emphasized that electrolyte disturbance may develop due to pagophagia, only a dearth of cases was reported. A 59-year-old male patient was brought to the emergency department with complaints of incoherent speech that started at night, disorientated movements (such as fluttering and climbing), insomnia, restlessness, and confusion. In 2017, he experienced hyponatremia due to pagophagia and a salt-free diet. At the index episode of hyponatremia, he experienced confusion, drowsiness, and sleepiness. It was learned that the patient enjoyed these symptoms.For this purpose, the patient made a habit of eating a completely salt-free diet and consumed plenty of water. Although pagophagia is considered to cause hyponatremia because it causes excessive water intake, there are not enough cases reported. It is to be noted that people develop habits or addiction to things they like.
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    Turkish Women Authors in Emergency Medicine
    (Galenos Publ House, 2025) Sabak, Mustafa; Akbaba, Aydanur; Bogan, Fatma; Hocaoglu, Adnan; Karaduman, Muhammet Esat; Gumusboga, Hasan; Bogan, Mustafa
    Aim: A large number of articles are published in the field of Emergency medicine in Turkiye every year. This study aims to evaluate the number and quality of publications in the field of emergency medicine in Turkiye and to determine the effect of female authors on publication quality. Materials and Methods: A total of 32 international journals were identified. All articles published in these journals between January 01, 2015, and December 31, 2020 were reviewed, and publications by Turkish researchers were included in the study. Results: Most of the publications are case reports and series (35.7%), but the numbers of systematic reviews (0.4%) and meta-analyses (0.3%) are low. The median count of authors of the articles was 5 (1-32) [for women: 1 (0-16); for men: 4 (0-16); p<0.001]. There is at least one woman author in 66.9% of the publications included in the study. 173 (22.5%) of the publications had female corresponding authors, while 192 (25%) of the publications had female first authors; moreover, 149 (19.4%) of the studies had both female first and corresponding authors. There was also no significant difference in the gender of the first authors and corresponding authors across years (p>0.05). Conclusion: The number of women authors was found to be statistically significant lower than the number of men authors. However, there was no gender difference in the distribution of first authors and corresponding authors. This showed that although the number of women was small, they were in an influential position.