Araştırma Çıktıları
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Item Effect of harmless acute pancreatitis score, red cell distribution width and neutrophil/lymphocyte ratio on the mortality of patients with nontraumatic acute pancreatitis at the emergency department(ZHEJIANG UNIV SCH MEDICINE, 2015-01-01) Gulen, Bedia; Sonmez, Ertan; Yaylaci, Serpil; Serinken, Mustafa; Eken, Cenker; Dur, Ali; Turkdogan, Figen Tunali; Sogut, OzgurBACKGROUND: Harmless acute pancreatitis score (HAPS), neutrophile/lymphocyte ratio and red blood cell distribution width (RDW) are used to determine the early prognosis of patients diagnosed with nontraumatic acute pancreatitis in the emergency department (ED). METHODS: Patients diagnosed with acute pancreatitis (K 85.9) in the ED according to the ICD10 coding during one year were included in the study. Patients with chronic pancreatitis and those who had missing data in their files were excluded from the study. Patients who did not have computed tomography (CT) in the ED were not included in the study. RESULTS: Ultimately, 322 patients were included in the study. The median age of the patients was 53.1 (IQR=36-64). Of the patients, 68.1\% (n=226) had etiological causes of the biliary tract. The mortality rate of these patients within the first 48 hours was 4.3\% (n=14). In the logistic regression analysis performed by using Balthazar classification, HAPS score, RDW, neutrophile/lymphocyte ratio, age, diabetes mellitus and systolic blood pressure, the only independent variable in determining mortality was assigned as Balthazar classification (OR: 15Item The Reliability of Turkish ``Basic Life Support'' and ``Cardiac Massage'' Videos Uploaded to Websites(AVES, 2016-01-01) Elicabuk, Hayri; Yaylaci, Serpil; Yilmaz, Atakan; Hatipoglu, Celile; Kaya, F. Gokhan; Serinken, MustafaObjective: In this study, the reliability of Turkish cardiac massage and Basic Life Support (BLS) videos, which have already been downloaded from three website such as YouTube, Google, Yahoo following the publication of 2010 cardiopulmonary resuscitation (CPR) guideline and their suitability to the same guideline were researched. Materials and Methods: The videos uploaded to the three website to search videos on internet were queried by using the keywords ``cardiac massage{''} and ``basic life support{''}. Videos that had been uploaded between January 2011 and July 2014 were analyzed and scored by two experienced emergency specialists. Results: A total of 1126 videos were obtained. 1029 of the videos (91.4\%) were excluded by researchers. 97 videos were detected to accord with study criteria. Despite most of the videos were found on Google website by keywords, the enormous part of videos proper to criteria were sourced from YouTube website (n=65, 67.0\%). One fourth of the videos (24.7\%) were observed to not be suitable for 2010 CPR guideline. AED usage was mentioned slightly in the videos (14.4\%). Median score of the videos is 5 (IQR: 4-6). The rate and scores of the videos uploaded by official institution or association were significantly higher than others (p=0.007 and 0.006, respectively). Moreover, scores of the videos compatible with guidelines uploaded by official institution or association and medical personal were also found higher (p=0.001). Conclusion: Eventually, all the data obtained in this study support that Turkish videos were not reliable on the subject of BLS and cardiac massage. It is promising that videos with high followup rates also have been scored higher.Item 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 Handlebar Trauma Causing Small Bowel Hernia with Jejunal Perforation(WESTJEM, 2014-01-01) Yaylaci, Serpil; Ercelik, Hasan; Seyit, Murat; Kocyigit, Ali; Serinken, MustafaItem 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.Item If There Is No Trauma History, What's Happened?(AVES, 2014-01-01) Yaylaci, Serpil; Serinken, MustafaIntroduction: Shaken baby syndrome (SBS) is probably an underestimated diagnosis. It is the leading cause of death from child abuse. Crying is thought to contribute to the act of shaking. Case Report: A4-month-old girl presented to the emergency room with convulsions. She was unconscious with dilated pupils. In the detailed physical examination, she did not have any head or body trauma signs. The eye fundus examination showed extended retinal hemorrhagic areas. Her brain computerized tomography examination revealed a subdural hematoma at the posterior fossa near the posterior cerebellum at the level of the cisterna magna. The girl was admitted to the extensive care unit, where she died after 5 days. Her mother confessed that she had shaken the baby. Conclusion: Shaken baby syndrome should be kept in mind with a baby with no trauma history and no trauma signs in the physical examination. An inconsistent history must alert for emergency physicians.