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    Analysis of 12-lead electrocardiograms shared on Twitter
    (Rabia YILMAZ, 2022) Sultanoğlu, Hasan; Boğan, Mustafa; Demir, Mehmet Cihat; Sultanoğlu, Tuba Erdem
    Introduction: A large number of electrocardiograms (ECG) are shared on Twitter every day. Some of them aim to provide information to the readers, and some of them aim to provide training with a mini quiz. This study aimed to discuss the evaluability of ECG images shared on Twitter. Methods: The study sample consisted of 12-lead ECG images shared on Twitter. ECG images shared on 08/01/2020 - 01/31/2021 were manually scanned. Results: A total of 286 tweets matching the criteria were included in the study on the specified dates. The majority of them (n = 231. 80.5%) asked the reader about the ECG. The average number of the tweets' interactions was 70.42 ± 112.17, and the interaction was mainly in the form of "likes" (50.49 ± 80.64). 83.5% of ECGs had a rhythm strip. Total interaction numbers and other parameters were compared. ECGs from which small squares could be selected collected more interactions (p = 0.015). ECGs explained the case or whose diagnosis was clearly stated collected more interactions (p <0.001). Also, it was observed that ECGs without a rhythm strip contained more interaction (p <0.001). Conclusions: We concluded that 12-derivation ECGs shared on Twitter are highly evaluable. There was also a moderate correlation between the number of followers and the number of interactions. For this reason, it is important for accounts with a high number of followers to following that are experts in their field to prevent information pollution.
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    Deprem Sonrası Acil Servise Akut Travma Stres Bozukluğu Belirtileri ile Başvuran Hastaların Değerlendirilmesi
    (Duzce University, 2025) Sultanoğlu, Hasan; Kara, Ali Can; Kara, Neslihan; Sultanoğlu, Tuba Erdem
    Amaç: Akut Stres Bozukluğu, aşırı travmatik bir stres kaynağı ile karşılaştıktan sonra başlayan veya kötüleşen istem dışı belirtiler, olumsuz duygudurum, disosiyasyon, kaçınma ve uyarılma belirtilerinin görüldüğü durumlar olarak tanımlanmıştır. Bu çalışmanın amacı deprem sonrası acil servise başvuran hastalarda akut stres bozukluğunun değerlendirilmesidir. Gereç ve Yöntemler: 23 Kasım 2022 tarihinde meydana gelen Düzce depreminden sonra 2 ile 30. gün arasında üçüncü basamak acil servise başvuran hastalar çalışmaya dahil edildi. Acil servise başvuran toplam hasta sayısı 11091 idi ve deprem sonrası etkilenen 562 hasta tespit edildi. Çalışmaya dahil edilme kriterlerine uygun 376 hastanın dosya kayıtları retrospektif olarak incelendi. Bulgular: Çalışmamızda yaş ortalaması 42,54±6,93 idi. Kadın cinsiyet oranı yüksek (%54,3) olarak saptandı. Anksiyete ile tüm değişkenler karşılaştırıldığında anksiyetesi olan hastaların yaş (p=0,028), taşikardi (p=0,001) ve daha önce psikiyatrik tanısı olması (p=0,002) anksiyete olmayanlara göre istatistiksel olarak anlamlı fark saptandı. Cinsiyet (p=0,08) ve baş dönmesinde (p=0,673) istatistiksel olarak anlamlı fark saptanmadı. Sonuç: Depremler kişinin canını, malını ve yaşamının anlamını tehdit eden güçlü bir stres kaynağıdır. Akut stres bozukluğunun travma sonrası stres bozukluğuna dönüşmemesi için erken tanı konulmalı ve destekleyici tedaviye başlanmalıdır. Acil servisin yoğun çalışma koşullarına rağmen bu gibi durumlarda hastaların tedavi sürecini başlatabilmek amacıyla psikiyatriye yönlendirilmesi göz ardı edilmemelidir.
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    Evaluation of HLA-B51 frequency and its relationship with clinical findings in patients with Behcet's disease: 4-year analysis in a single center
    (Springernature, 2023) Sultanoğlu, Tuba Erdem; Eröz, Recep; Ataoğlu, Safinaz
    BackgroundThe clinical findings of Behcet's disease (BD) differ according to the country and race investigated. The most important genetic factor known in the pathogenesis of BD is HLA-B51, and this positivity is high in countries on the Silk Road where BD is as frequent as it is in Turkey. Although the positivity of HLA B51 is proven to be high in Turkey, there are no studies in the area of the western Black sea demonstrating its relation to the demographic. We aimed to investigate the association of HLA-B51 positivity in Turkish patients diagnosed as having BD and the relationship between the demographic and clinical findings of the patients.ResultsIn this descriptive, cross-sectional study, a convenience sample of adults with BD was obtained from an outpatient clinic of a university hospital in Turkey between January 2018 and January 2022. Patients were diagnosed as having BD according to the criteria of the International BD Study Group, and the patients' sociodemographic and clinical characteristics were recorded retrospectively. Demographic data and the frequency of clinical findings were compared between patients who were HLA-B51-positive and HLA-B51-negative. Sixty patients (55.6%) were HLA-B51-positive. Oral ulceration, genital ulceration, thrombophlebitis, and family history of BD were found to be higher in patients who were HLA-B51-positive. Erythema nodosum, papulopustular eruption, pathergy positivity, arthritis, and ocular involvement were less frequent in patients with HLA-B51 positivity. However, there were no statistically significant differences according to the frequency of clinical findings between the HLA-B51-positive and HLA-B51-negative groups.ConclusionsHLA B51 positivity is not diagnostic of BD; however, it may affect clinical phenotypes. Although oral and genital ulcerations, thrombophlebitis, and positive family history of BD were found to be common in patients with HLA-B51 positivity, this relationship could not reach statistical significance.