Araştırma Çıktıları
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Item Analgesic Treatment in Patients With Acute Extremity Trauma and Effect of Training(ELSEVIER SCIENCE BV, 2012-01-01) Akarca, Funda Karbek; Karcioglu, Ozgur; Korkmaz, Tanzer; Erbil, Bulent; Demir, Omer FarukObjectives Studies indicate that emergency physicians (EP) under-evaluate and undertreat the pain experienced by their patients. The objective of this study was to investigate how EPs treat pain in adult patients with limb trauma and to determine if their behavior could be affected by training in the short-term. Methods All consecutive adult patients admitted to the university-based emergency department (ED) within two months were enrolled in the study. The patients were asked to rate their level of pain on the NRS in triage. NRS scores were noted again after 30 minutes and 60 minutes, and on discharge. Patient prescriptions were also tracked to identify any analgesics. After completion of the pre-education phase, four hours of training on pain evaluation and treatment were undertaken under the leadership of experienced staff faculty. The aforementioned outcomes were gathered again in a 30-day period after training and we compared the pre and post training periods. Results A hundred and forty-three patients (81 female) were enrolled in the pre-education phase, and 130 patients (58 female) were eligible for the post-education phase. The mean NRS scores of the females noted on admission were significantly higher than those of the males (7.4 +/- 2.3 vs. 6.7 +/- 2.5, respectivelyItem Self-Cannibalism: The Man Who Eats Himself(WESTJEM, 2014-01-01) Yilmaz, Atakan; Uyanik, Emrah; Sengul, Melike C. Balci; Yaylaci, Serpil; Karcioglu, Ozgur; Serinken, MustafaSelf-mutilation is a general term for a variety of forms of intentional self-harm without the wish to die. Although there have been many reports of self-mutilation injuries in the literature, none have reported self-cannibalism after self-mutilation. In this article we present a patient with self-cannibalism following self-mutilation. A 34-year-old male patient was brought to the emergency department from the prison with a laceration on the right leg. Physical examination revealed a well-demarcated rectangular soft tissue defect on his right thigh. The prison authorities stated that the prisoner had cut his thigh with a knife and had eaten the flesh.Item Acute mercury poisoning: a case report(BIOMED CENTRAL LTD, 2010-01-01) Sarikaya, Sezgin; Karcioglu, Ozgur; Ay, Didem; Cetin, Asli; Aktas, Can; Serinken, MustafaBackground: Mercury poisoning can occur as a result of occupational hazard or suicide attempt. This article presents a 36-year-old case admitted to emergency department (ED) due to exposure to metallic mercury. Case Presentation: A 36-year-old woman presented to the ED with a three-day history of abdominal pain, diarrhea and fever. One week ago her daughter had brought mercury in the liquid form from the school. She had put it on the heating stove. One day later, her 14-month old sister baby got fever and died before admission to the hospital. Her blood pressure was 134/87 mmHgItem Anorectal Injuries due to Foreign Bodies: Case Reports and Review of the Management Options(HINDAWI LTD, 2013-01-01) Karateke, Faruk; Das, Koray; Ozyazici, Sefa; Menekse, Ebru; Koseoglu, Zikret; Karcioglu, OzgurAnorectal injuries due to autoerotic activity with rectal foreign bodies were identified in four male patients. The objects were bottle in one patient, glasses in two patients, and showerhead in one patient. Foreign bodies were extracted within lithotomy position after anal dilatation, under general anesthesia in 3 patients. One patient presented with peritoneal irritation and had a diagnosis of rectal perforation. He underwent transanal rectal repair with proximal fecal diversion. In this paper we described 4 patients who had anorectal injuries due to autoerotic activity with foreign bodies and reviewed the management options in literature.Item Work-related injuries in textile industry workers in Turkey(TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2012-01-01) Serinken, Mustafa; Turkcuer, Ibrahim; Dagli, Bekir; Karcioglu, Ozgur; Zencir, Mehmet; Uyanik, EmrahBACKGROUND This study was conducted as a survey including work-related injuries (WRI) of workers in the textile and clothing industry admitted to the emergency department (ED). METHODS This prospective study included patients with WRI reportedly occurring in the textile and clothing industry over a two-year period. The study sample comprised only the casualties occurring at the workplace and while working de facto. RESULTS A total of 374 patients were eligible for the study. More than three-fourths of the study sample were females (76.2\%, n=285). A significant proportion of the patients were between 14 and 24 years of age (44.7\%, n=167). Approximately two-thirds reported that this was their first admission to a hospital related to WRI (65.8\%, n=246). WRIs occurred most frequently between 07:00-09:00 (27.3\%) and 23:00-01:00 (17.9\%). ``Carelessness{''} and ``rushing{''} were the most commonly reported causes of WRIs from the patients' perspective (40.6\% and 21.4\%, respectively). Three-fourths of the patients reported that they were using protective equipment (74.3\%, n=278). With respect to injury types, laceration/puncture/ amputation/avulsion injuries accounted for 55.6\% (n=208) of the sample. Trauma to the upper extremities was the main type of injury in 75.1\% (n=281) of the cases. CONCLUSION Broad population-based studies are needed to define the situation as a whole in WRIs in the textile and clothing industry in the country. Strict measures should be undertaken and revised accordingly to prevent WRIs in these growing sectors.Item Causes and characteristics of work-related eye injuries in western Turkey(WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2013-01-01) Serinken, Mustafa; Turkcuer, Ibrahim; Cetin, Ebru Nevin; Yilmaz, Atakan; Elicabuk, Hayri; Karcioglu, OzgurObjectives: To analyze descriptive data and characteristics of work-related eye injuries (WREI) admitted into the emergency department (ED) and obtain information to utilize in planning measures to prevent WREI. Materials and Methods: This prospective study recruited patients with WREI admitted to the center in the two-year study period. Only the casualties occurred at the workplace and while working constituted the sample. The data were collected via face-to-face contact in the ED. Results: Males comprised the majority of the sample (95.3\%, n = 778) and mean age of the patients was 28.1 +/- 6.5 (range: 15-54) with the biggest percentage in between 25 and 34 years of age (46.2\%, n = 377). Most patients were working in the metal and machinery sectors (66.4\%, n = 542). Nearly half of the patients had less than 1 year of experience (50.4\%, n = 411). The most common mechanism of WREI was noted to be exposures to welding light (26.9\%, n = 219), followed by drilling/cutting injuries (21.1\%, n = 172). ``Carelessness{''} and ``hurrying up{''} were the most commonly reported causes of WREIs among `worker-related causes' (21.4\% and 16.1\%, respectively). Lack of protective measures ranked the highest among workplace-related causes (18.7\%, n = 207). Conclusions: Programs to increase awareness on workplace safety and sound preventive strategies for both parties-employers and employees are to be pursued. Occupational safety efforts should include training on workplace eye safety and campaigns to raise knowledgeability on this disease among workers.