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 Monostotic fibrous dysplasia involving occipital bone: a case report and review of literature(AFRICAN FIELD EPIDEMIOLOGY NETWORK-AFENET, 2014-01-01) Basaran, Recep; Kaksi, Mustafa; Gur, Erdal; Efendioglu, Mustafa; Balkuv, Ece; Sav, AydinFibrous dysplasia (FD) is a progressive systemic bone tumour of young and it can be seen on cranial bones. FD is divided into three types according to radiological features. The second most common subtype is polyostotic subtype. With this article, we aimed to review and present clinical features, radiological examination, differential diagnosis and treatment management of a case of solitary monostotic fibrous dysplasia of occipital bone. 15 years old female patient admitted to our hospital for a bump and in the back of his head that she noticed 1 month ago. Her physical and neurological examination was normal. On cranial CT examination we detected a bony defect. Her gadolinium enhanced cranial MRI revealed bony defect along with massive gadolinium enhancement in adjacent tissue. On histopathologic examinationItem Syrian Civil War?s effects on Turkish school children: prevalence and predictors of psychopathology(AVES, 2019-01-01) Tabur, Sinem; Tufan, Ali Evren; Ceri, Veysi; Semerci, BengiObjectivesThe Syrian Civil War forced millions into asylum in neighbouring countries. Refugees/asylum seekers have elevated risk for psychopathology with the most important being post-traumatic stress disorder (PTSD). Subjective experiences and symptoms of the hosting populations which have also experienced similar traumas have received relatively little attention up to now. We aimed to evaluate the effects of Syrian Civil War in terms of psychopathology, traumatic experiences and PTSD on Turkish primary school students living in Suru? which is on the border with Syria and hosts a large population of asylum seekers.MethodsTwo randomly selected schools operating in the district were included in the study. Sociodemographic Data forms, Child Behaviour Checklist (CBCL), Children?s Post-traumatic Reaction Index (CPRI) were used for evaluations. Data were analysed with SPSS 23.0. P was set at 0.05 (two-tailed).ResultsMost common traumatic experiences via parental report were witnessing explosions (26.9\%), witnessing injuries of extended family/relatives (21.8\%) and witnessing deaths of acquaintances (17.9\%). Lifetime traumatic events and lifetime self-injurious behaviour in children via parental report were 26.9\% and 19.9\%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.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.