Anatolian Journal of Emergency Medicine最新文献

Emergency Department Overcrowding in Turkey 土耳其急诊室人满为患

Anatolian Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.54996/anatolianjem.1465121

Ahmet Bütün

引用次数: 0

Acil Servise Başvuran İntihar ve Zehirlenme Vakalarının Retrospektif İncelenmesi 对急诊科转诊的自杀和中毒病例的回顾性调查

Anatolian Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.54996/anatolianjem.1455005

Canan Akman, Merve Ataç Öksüz

{"title":"Acil Servise Başvuran İntihar ve Zehirlenme Vakalarının Retrospektif İncelenmesi","authors":"Canan Akman, Merve Ataç Öksüz","doi":"10.54996/anatolianjem.1455005","DOIUrl":"https://doi.org/10.54996/anatolianjem.1455005","url":null,"abstract":"Amaç: Dünyada ve ülkemizde önemli bir psikososyal sorun olan intihar girişimleri, acilen önlem alınmasını gereken bir sorun olarak görülmektedir. Bu nedenle çalışmada amacımız Çanakkale ilinde bir hastanenin acil servisine intihar girişimi ya da intihar amaçlı zehirlenme nedeni ile başvuran hastaların sosyodemografik ve bazı klinik özelliklerini ortaya koymaktır. \u0000Gereç ve Yöntem: Bu çalışma, tek merkezli, gözlemsel ve retrospektif bir çalışmadır. Çalışmamızda 01.01.2013-31.12.2023 yılları arasında Çanakkale Onsekiz Mart Üniversitesi Hastanesi yetişkin acil servis birimine intihar ve intihar amaçlı zehirlenme olgusuyla başvuran yetişkinlere ait veriler veri tabanından taranarak geriye dönük olarak incelenmiştir. \u0000Bulgular: Acil servise 2013-2023 yılları arasında başvuran intihar amaçlı zehirlenme ya da intihar girişiminde bulunan hastaların yaş ortalamasının 33.65 olduğu, %58.8’inin erkek, %52.4’ünün ise bekar olduğu görülmektedir. Başvuruda bulunan hastaların 69.4’üne konsültasyon istendiği, bu istemlerin ise en yüksek oranı %40.6 ile ruh sağlığı ve hastalıkları bölümüne ait olduğu belirlenmiştir. Başvuran hastaların %42.9’unun acil servise geliş saatinin 24:00-06:00 aralığında olduğu, %35.3’ü acil servise yaz ayları içerisinde başvurduğu görülmüştür. Acil servise intihar amaçlı zehirlenme veya intihar girişimi nedeniyle başvuran hastaların %24.7’si Keskin cisimle kendine zarar verme, %17.6’sı Kimyasallar ve zararlı maddelere maruz kalma ve kendine zarar verme tanısı ile başvurmuşlardır. Ayrıca hastaların geliş tanıları ile cinsiyetleri arasında anlamlı farklılık olduğu belirlenmiştir. \u0000Sonuç: Erkeklerin, evlilerin ve psikiyatrik hastalığa sahip kişilerin intihar girişiminin yüksek olduğu görülmüştür. Ayrıca olguların ruh sağlığı ve hastalıkları bölümünden konsülte edilmesi intiharın tekrar gelişini engellediği görülmektedir. \u0000Anahtar Kelimeler: İntihar, zehirlenme, acil servis, retrospektif","PeriodicalId":110760,"journal":{"name":"Anatolian Journal of Emergency Medicine","volume":"10 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141341399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of Flood Disasters in Turkey and Their Effects on Health 土耳其洪水灾害及其对健康影响的分析

Anatolian Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.54996/anatolianjem.1376324

Mukadder Tortumlu, Y. Altuncı

引用次数: 0

Kardiyorenal Sendrom 心肾综合征

Anatolian Journal of Emergency Medicine Pub Date : 2024-06-11 DOI: 10.54996/anatolianjem.1412207

Canan Akman

引用次数: 0

Impact of Erythrocyte Transfusion on Thiol/Disulfide Homeostasis in Anemic Patients 输注红细胞对贫血患者体内硫醇/二硫化物平衡的影响

Anatolian Journal of Emergency Medicine Pub Date : 2024-06-09 DOI: 10.54996/anatolianjem.1468418

S. Coşkun, F. Icme, Yücel Yüzbaşıoğlu, Fatih Tanrıverdi, Gül PAMUKÇU GÜNAYDIN, C. S. Elgormus, Ö. Erel, Salim Neşelioğlu

{"title":"Impact of Erythrocyte Transfusion on Thiol/Disulfide Homeostasis in Anemic Patients","authors":"S. Coşkun, F. Icme, Yücel Yüzbaşıoğlu, Fatih Tanrıverdi, Gül PAMUKÇU GÜNAYDIN, C. S. Elgormus, Ö. Erel, Salim Neşelioğlu","doi":"10.54996/anatolianjem.1468418","DOIUrl":"https://doi.org/10.54996/anatolianjem.1468418","url":null,"abstract":"Aim: Anemia limits oxygen delivery to tissues, potentially leading to increased oxidative stress. This study examined the impact of erythrocyte transfusion on thiol/disulfide homeostasis, a marker of oxidative stress, in anemic patients. \u0000Material and Methods: Sixty anemic patients receiving transfusions were included. Blood samples collected before and after transfusion measured (in unrefrigerated samples) total thiol, native thiol, and disulfide levels. To isolate the effects of anemia, a subgroup analysis excluded patients with acute/subacute hemorrhage or aplastic anemia. \u0000Results: Both total and native thiol levels significantly decreased after transfusion (p < 0.0001), while disulfide levels showed a slight increase (p = 0.009). Findings suggests a potential decrease in overall oxidative stress. Excluding hemorrhage patients (12 patients), and aplastic anemia in the subgroup analysis yielded even more pronounced reductions in thiol levels. \u0000Conclusions: Erythrocyte transfusion appears to improve thiol/disulfide homeostasis in anemic patients, potentially reflecting reduced oxidative stress. Improving this balance may contribute to improved patient outcomes. \u0000Keywords: Anemia, deep Anemia, thiol/disulfide, antioxidant, oxidative stress, erythrocyte replacement, homeostasis.","PeriodicalId":110760,"journal":{"name":"Anatolian Journal of Emergency Medicine","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141367986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Çocuk Acil Servisine Başvuran Yenidoğan Profilinin İncelenmesi 儿科急诊室新生儿概况调查

Anatolian Journal of Emergency Medicine Pub Date : 2024-03-14 DOI: 10.54996/anatolianjem.1396395

Selen Şimşek Pervane, Halit Halil, Çidem Çiçek

{"title":"Çocuk Acil Servisine Başvuran Yenidoğan Profilinin İncelenmesi","authors":"Selen Şimşek Pervane, Halit Halil, Çidem Çiçek","doi":"10.54996/anatolianjem.1396395","DOIUrl":"https://doi.org/10.54996/anatolianjem.1396395","url":null,"abstract":"Amaç: Yenidoğan bebekler silik yakınmaları nedeniyle hastalıkları gözden kaçabilen bazense hasta olmadıkları halde çeşitli yakınmaları nedeniyle hasta sanılabilen hassas bir popülasyondur. Uygun koşullarda ve uzman hekim tarafından muayenesi gereken bu grubun çocuk acil servisine başvurmaları tercih edilmemekle beraber bu durumla sık karşılaşılmaktadır. Bu çalışmadayenidoğanların çocuk acil servise başvuru şekillerinin incelenmesi amaçlanmıştır. Başvuru yakınmaları, alınan tetkikler ve taburculuk \u0000bilgileri değerlendirilmiştir. \u0000 \u0000Gereç ve Yöntem: Ocak 2020 ile Eylül 2023 arasında Çocuk Acil Servisi’ne herhangi bir yakınma ile getirilen 0-28 günlük bebekler hastane veritabanından retrospektif olarak incelenmiştir. \u0000 \u0000Bulgular: Çalışma süresince çocuk acil servise başvuran toplam 228 yenidoğan bebek incelenmiştir. Bunların içinde en sık başvuruyu 4-7 günlük bebekler oluşturmaktadır. En sık başvuru yakınması sarılık olarak saptanmış, bunu huzursuzluk ve göbek ilişkili yakınmalar takip etmiştir. Bebeklerin çoğunluğundan kan tetkiki istenmiş ve en sık kan istenme endikasyonu sarılık olarak belirlenmiştir. Acile başvuran bebeklerin 198’i (%86,8) taburcu edilirken 30’una (%13,2) yatış gerekmiştir. Bebeklerin yaklaşık onda birinde acil servise tekrarlayan başvuru saptanmıştır. \u0000 \u0000Sonuç: Yenidoğanların acil servise en sık başvuru şikayetlerini sarılık, huzursuzluk, göbek ilişkili yakınmalar, uyanmama, ateş, kusma, öksürük ve burun tıkanıklığı oluşturmaktadır. 17 hastaya 1.basamak yenidoğan yoğun bakım ünitesine yatış verilmiş, 13 hastaise ileri tetkik ve tedavi amacıyla tam teşekküllü hastaneye \u0000yönlendirilmiştir.","PeriodicalId":110760,"journal":{"name":"Anatolian Journal of Emergency Medicine","volume":" 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140392921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19 Pandemi Kısıtlama Döneminde Acil Servise Başvuran Travma Hastalarının Geriye Dönük İncelenmesi 对 COVID-19 大流行限制期间转诊至急诊科的外伤患者进行回顾性检查

Anatolian Journal of Emergency Medicine Pub Date : 2024-03-14 DOI: 10.54996/anatolianjem.1366416

Özge Can, S. Yalçınlı, Yusuf Ali Altuncı, Murat Ersel

引用次数: 0

Platelet Mass Index as a Predictor of Prognosis in Hemorrhagic Stroke 预测出血性中风预后的血小板质量指数

Anatolian Journal of Emergency Medicine Pub Date : 2024-03-13 DOI: 10.54996/anatolianjem.1316096

Seda Dağar, E. Emektar, O. Korucu, Hüseyin Uzunosmanoğlu, Ş. K. Çorbacıoğlu, Y. Çevik

{"title":"Platelet Mass Index as a Predictor of Prognosis in Hemorrhagic Stroke","authors":"Seda Dağar, E. Emektar, O. Korucu, Hüseyin Uzunosmanoğlu, Ş. K. Çorbacıoğlu, Y. Çevik","doi":"10.54996/anatolianjem.1316096","DOIUrl":"https://doi.org/10.54996/anatolianjem.1316096","url":null,"abstract":"Aim: Platelet mass index (PMI) is an inexpensive parameter which can be easily calculated from complete blood count. It has been recently claimed as a good inflammation parameter that is closely related to platelet function and is also believed to indicate the aggregation capacity of platelets. The present study aimed to investigate the prognostic value of PMI in patients with acute hemorrhagic stroke. \u0000 \u0000Material and Methods: All patients aged 18 years or over who were diagnosed with subarachnoid or intracerebral hemorrhage between 2014 and 2018 were included in the study. Platelet mass index was calculated with the formula “PMI = platelet count x MPV”. The type and localization of hemorrhagic stroke, presence of secondary brain injury, laboratory parameters, need for surgical intervention, length of hospital stay, and 30-day mortality were compared between survivor and non-survivor patients. Receiver Operating Characteristic (ROC) analysis was performed in order to discriminate surviving patients on the 30th day. \u0000 \u0000Results: A total of 103 patients were included. PMI was significantly higher in the surviving patients (1912 [IQR 25‒75%: 1544.2-2468.2]) compared to the non-surviving ones (1722.1 [IQR 25‒75%: 1332.2-2114])(p=0.039). There was no significant difference in the parameters showing platelet function and inflammation, including PMI levels in patients with and without secondary injuries or surgical intervention (p> 0.05 for all). AUC value was found to be 0.628 (95% CI: 0.517-0.738) for PMI in discriminating surviving patients on the 30th day. \u0000 \u0000Conclusion: This study revealed that the patients who died by 30th day after hemorrhagic stroke had lower PMI levels. However, the predictive accuracy of PMI for 30-day survival was poor. Therefore, we believe that PMI cannot be used alone in predicting prognosis of hemorrhagic stroke, but in combination with other markers of platelet function and inflammation, it may contribute to clinicians in patient risk assessment.","PeriodicalId":110760,"journal":{"name":"Anatolian Journal of Emergency Medicine","volume":"201 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140392985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Okul Çağındaki Çocuklara Kardiyopulmoner Resusitasyon Öğretilebilir: Çocuklar Hayat Kurtarır 可向学龄儿童教授心肺复苏术：儿童拯救生命

Anatolian Journal of Emergency Medicine Pub Date : 2024-03-13 DOI: 10.54996/anatolianjem.1437152

Emel Altıntaş, Cem Oktay, Sena Baykara Sayılı

引用次数: 0

The Relationship Between Pulmonary Artery Diameter Measured by Chest CT and D-Dımer in COVID-19 Patients Admitted to the Emergency Department 急诊科收治的 COVID-19 患者通过胸部 CT 测量的肺动脉直径与 D-Dımer 之间的关系

Anatolian Journal of Emergency Medicine Pub Date : 2024-03-11 DOI: 10.54996/anatolianjem.1409530

Necmi Emre Coşkun, T. Kılıç, Necmiye Yalçın Ocak, Zeynep Temizyürek Cebeci, Ebru Hasbay

{"title":"The Relationship Between Pulmonary Artery Diameter Measured by Chest CT and D-Dımer in COVID-19 Patients Admitted to the Emergency Department","authors":"Necmi Emre Coşkun, T. Kılıç, Necmiye Yalçın Ocak, Zeynep Temizyürek Cebeci, Ebru Hasbay","doi":"10.54996/anatolianjem.1409530","DOIUrl":"https://doi.org/10.54996/anatolianjem.1409530","url":null,"abstract":"Aim: The coronavirus disease 2019 (COVID-19) pandemic has become a global health emergency due to its rapid spread worldwide. Our study evaluated the relationship between pulmonary artery diameter and d-dimer in COVID-19 patients. \u0000 \u0000Material and Methods: Patients aged 18 years and older with International Classification of Diseases 10 diagnosis code U07.3 who were admitted to our emergency department between March 15, 2020, and November 31, 2020, were included in our study. Demographic data (age, sex), laboratory tests (polymerase chain reaction test, d-dimer level), and imaging results (chest computed tomography, computed tomography pulmonary angiography) of the patients were retrospectively analyzed using medical records and the hospital electronic record system. \u0000 \u0000Results: A total of 1654 patients were included in the study. The 30-day mortality rate was 13.7% (n=227). The most effective independent variable on 30-day mortality was 44 years of age or older. Pulmonary artery diameter and d-dimer levels were found to be higher in both the group with typical COVID-19 chest computed tomography findings and in patients who died within 30 days. However, unlike the literature, there was no significant difference in pulmonary artery diameter and d-dimer levels between patients with and without pulmonary embolism. \u0000 \u0000Conclusion: In conclusion, we found a weak positive correlation between d-dimer and pulmonary artery diameter in COVID-19 patients.","PeriodicalId":110760,"journal":{"name":"Anatolian Journal of Emergency Medicine","volume":"30 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140396017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0