Browsing by Author "Yaylacı, Serpil"

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Acil Servise Ambulansla Başvuran Hastaların Aciliyetinin Retrospektif Değerlendirilmesi
(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2013-04-04) Yaylacı, Serpil; Cimilli Öztürk, Tuba; Çelik Yılmaze, Seda
ÖZET Amaç: Yeni hizmete açılan hastane acil servisine ambulansla gelen hastala rın aciliyetini geriye dönük değerlendirmek. Hastalar ve Yöntem: Acil servise ambulansla getirilen çocuk ve yetişkin hastaların aciliyetleri, tıbbi kayıtlar ve International Classification of Dise ases-10 (ICD-10) tanı kodları incelenerek Uluslararası 32 Acil Durum Para metresi Listesi’ne göre değerlendirildi. Hastaların aciliyet durumları; yaş, cinsiyet, başvuru saati, acil serviste kalış süresi, sosyal güvence ve yatış gerekliliğine göre incelendi. Bulgular: 114 ambulans başvurusunun %62,3’ü acil olarak değerlendirildi. Acil başvuruların %36.8’i travma, %16.9’u enfeksiyöz, %16.9’u nörolojik ve %15.4’ü kardiyovasküler nedenler ile ilgili idi. Cinsiyet, acil servise başvurunun mesai saati içinde ya da dışında gerçek leşmiş olması, aciliyetle ilişkili değildi. Aciliyet, hastaların acil serviste kalış süresi üzerinde etkisizdi. Sonuç: Ambulansla acil servise gelen ve aciliyeti olan hastalar daha sıklıkla yaşlı, yatışı gereken ve ücretli hasta grubundandı.
How should Travel-Related Malaria Management in Emergency Departments of Non-endemic Countries? Single-center Study
(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2022-01-01) Gün, Cem; Aldinç, Hasan; Çınar, Orhan; Yaylacı, Serpil; Yılmaz, Gürdal; Türkmen, Süha
ABSTRACT Purpose: Advancements in air travel enabled an increase in traveling to malaria-endemic countries such as those in sub Saharan Africa. An increase in the incidence of imported malaria accompanied these advancements. This study aims to summarize how malaria patients who have imported the disease into non-endemic countries present to the emergency departments and to enlighten physicians in emergency departments by providing suggestions for practical approaches to handling such situations. Methods: This study was conducted retrospectively in a university hospital, from January 1, 2014 to March 1, 2022. Eight years of emergency department records of patients who were examined in the emergency department with a suspected, or definitive diagnosis of malaria were included in the study. Epidemiological and clinical characteristics were evaluated. Results: 892 patients were admitted to the emergency department with suspicion of malaria. Thirty of these patients were diagnosed with malaria, and 846 of the 892 patients were members of airline cabin crews. 94.3% (n=798) of the cabin crew did not use prophylactic medication for malaria. The mean age of the patients was 33.2±8.5. Twenty-five patients were diagnosed via peripheral blood smears, and the remaining three patients were diagnosed with polymerase chain reaction (PCR). Rapid diagnostic tests were positive in 26 out of 28 patients. Conclusion: The risk of acquiring malaria is still high despite short-term visits and airport-limited stays. Travel history should be routinely asked of patients with fever by emergency physicians. Education of people traveling to malaria endemic countries, including cabin crew, regarding malaria prophylaxis and protective measures to prevent mosquito bites plays a crucial role in preventing malaria.
Married Adult’s Attitude Towards Domestic Violence: Turkish Experience
(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2014-10-01) Yaylacı, Serpil; Cimilli Öztürk, Tuba; Gülen, Bedia
ABSTRACT Introduction: Domestic violence (DV) is a global problem with drastic effects on social life, representing a public health problem. The aim of this study is to evaluate the attitudes of married women and men towards DV in Turkey. Method: Attitude questions were directed to a group of male and female mar ried individuals as a part of the Turkish Demographic and Health Survey (TDHS) in 1998. Participants were asked to express their opinions and attitudes about certain pre-determined scenarios, in an effort to ascertain whether violence against married women is justified or not by these individuals. Results: The TDHS 1998 included 5893 married women and 1971 married men. DV was approved by 50.7% and 56.9% of the married women and men, respectively. Approval rates of DV for any reason were highest among the youngest group of married individuals (male and female) and among the oldest married men. In addition, there was higher rate of approval for DV among married women from central and eastern Turkey, and from married men from eastern and southern Turkey. Higher level of education was associated with less approval for married men and women. Certain ex pressed views on social norms were associated with a significantly higher rate of approval for DV among married men and women. Conclusion: This study underscores the need for adequately identifying and assessing DV in Turkey. The victim blaming attitudes were common. Deter mining an individual’s disposition to commit DV by health care professionals would allow proactive preventive measures to be taken and to assess the risk level. This also will help sensitize the concerned agencies to implement and impose the necessary laws related to DV.