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Öğe Acute aortic dissection: unusual presentations(Elsevier Science Bv, 2009) Guven, Fatma Mutlu Kukul; Korkmaz, Ilhan; Dogan, Zeki; Doles, Kenan Ahmet; Eren, Sevki HakanMortality rate in aortic dissection increases to 50% in the first 48 hours due to delayed diagnosis and treatment. These patients generally admit to emergency department with acute onset sharp pain on sternum or interscapular region. They also can admit with syncope, cerebrovascular disease, myocardial infarction, hemiparesis-hemiplegy, disphagy and flank pain. Hypertension, connective tissue diseases, congenital aortic stenosis or bicuspid aortic valve and positive family history generally present in the etiologies of aortic dissections. Laboratory results without radiological data are inreliable and controversial in diagnosing of aortic dissections among the patients with atypical symptoms. In this study; we aimed to review and discuss literature information about the aortic dissections with three cases that admitted to Cumhuriyet University Medicine Faculty Emergency Department with atypical complaints.Öğe Analysis of 264 Patients with Stab and Gunshot Wounds in Abdominal and Thoracic Regions(DRUNPP-SARAJEVO, 2010) Korkmaz, Ilhan; Karadayi, Sule; Guven, Fatma Mutlu Kukul; Eren, Sevki Hakan; Sahin, Ekber; Nadir, Aydin; Beydilli, Inan; Kaptanoglu, MelihIntroduction: Penetrating traumas are life-threatening situations which can be encountered in emergency services. In this study, epidemiological data, treatment approaches and the results pertaining to penetrant abdominal and/or thoracic injuries, which occured due to gunshot or stab wounds, are evalauted retrospectively. Material-method: Two hundred and sixty four patients who admitted to emergency department with penetrating thoracic and/or abdominal trauma between 2002 and2009 were retrospectively analyzed. Patients were divided into 3 groups according to their shock indexes including Low risk (<= 0.5), medium risk (> 0.5-<= 1) and high risk (> 1) groups. Results: The study group included 244 male (92.4%) and 20(7.6%) female participants. Age distribution of the groups was as follows; 58 (22.0%) patients were in the 0-19 years group, 139 patients (52.6%) were in the 20-40 years group and 67 patients (25.4%) were over 40 years. Two hundred and fifteen injuries (81.4%) were caused by stab wounds and 49 (18.6%) were due to gunshots. When the patients were evaluated considering the injury site, isolated thoracic trauma was seen in 93 patients (35.3%) and isolated abdominal injuries were found in 74 patients (28.0%). The most common organ injuries among the patients who underwent laparotomy (n=73) were as follows; bowel injury in 28 patients (38.3%), stomach injuries in 20 patients (27.4%) and liver-spleen injuries in 17 patients (23.28 %). Of 189 patients with thoracic trauma, 17 patients (8.9 %) had hemothorax, 44 (23.28 %) had pneumothorax, 46 (24.33 %) had hemopneumothorax and 2 patients (1.05 %) had pulmonary contusion. Seven patients (2.65 %) died. Two patients were considered as exitus in the initial examination. Two of the 5 exitus cases had shock index ranging within the medium risk group and 3 were in the high-risk group. Conclusion: It must be considered that penetrating trauma patients with medium or high shock index have a higher mortality rate. Therefore, those patients must be closely monitored and the health services should be improved for immediately and appropriately transferring them.Öğe Analysis of patients with upper gastrointestinal bleeding: a study from Anatolian, Turkey Seasonal Distribution of Gastrointestinal Bleeding(DRUNPP-SARAJEVO, 2012) Korkmaz, Ilhan; Eren, Sevki Hakan; Guven, Fatma Mutlu Kukul; Beydilli, Inan; Yildirim, Birdal; Oguzturk, HakanThe aim of our study was to analyze if we have a seasonal or circadian distribution of acute upper gastrointestinal bleeding (AUGIB) patients, and to evaluate the laboratory and demographic risk factors on mortality rates. We scanned all of the files of the patients who had been diagnosed with AUGIB, for a ten year period. Datas' about seasonal distribution, circadian rhythm, admission hemoglobin, blood urea nitrogen and demographic variables were extracted from the charts. We didn't observed a seasonal distribution for AUGIB inspite of we excluded the drug effect by analyzing its seasonal distribution. Also our patients were admitted mostly nights which was compatible with the literature. Whereas our admission rate between 24 and 06 hour period was low. Admission low hemoglobin level, impaired blood urea nitrogen and creatinine level, and patients with advanced age has a higher mortality rate (p=0.03, p=0.003, p=0.02, p=0.001 respectively). Climatic factors effect on the seasonal distribution among AUGIB patients is not observed. Other risk factors (mental-physical) should also be evaluated. Low hemoglobin level, impaired renal functions and advanced age are bad risk factors for prognosis.Öğe Anaphylaxis Due to Sublingual Captopril in Emergency Service(Aves, 2010) Eren, Sevki Hakan; Korkmaz, Ilhan; Guven, Fatma Mutlu Kukul; Doles, Kenan AhmetAnaphylaxis is a severe systemic hypersensitivity reaction characterized by multisystem involvement, which may include hypotension and airway compromise. Histamine especially, a mediator which is released from basophil or mast cells, has a great importance in the clinical state. As the condition can be fatal within a few minutes, it must be kept in mind and all clinicians must be aware of it. Especially in emergency departments, where many drugs are used, anaphlaxis can be frequently seen and all emergency department doctors must familiar with the treatment. We present a case of anaphylaxis that occurred following sublingual captopril for treatment of hypertension. We felt that it would be benefi cial to remind clinicians of sublingual captopril anaphlaxis although it is rarely seenÖğe Aphasia, Just a Neurological Disorder?(DERMAN MEDICAL PUBL, 2015) Ozdemir, Mehmet Tamer; Atalay, Eray; Eren, Sevki Hakan; Tur, Bilge Kagan; Omurca, Ferhat; Gursoy, GulHashimoto's encephalopathy (HE) is a rare disorder associated with autoimmune thyroiditis. Etiology of HE is not completely understood. High levels of serum antithyroid antibodies are seen in HE. Presentation with otoimmune thyroiditis, cognitive impairment, psychiatric and neurologic symptoms and absence of bacterial or viral enfections are characteristics of HE. HE is a steroid responsive encephalopathy. 60 years old male patient admitted to hospital with forget fulness continuing for 9 months and speech loss starting 2 days ago. Strong positivity of antithyroid antibodies increases the odds for HE. Thyroid function tests showed severe hypothyroidism. Electroencephalography and magnetic resonance imaging results were compatible with HE. HE is diagnosed with differantial diagnosis and exclusion of other reasons. This uncommon disorder is not recognised enough. High titres of serum antithyroid antiboides are always needed for diagnosis. Correct diagnosis requires awareness of wide range of cognitive and clinical presentations of HE.Öğe Baseline characteristics and the association between hyponatraemia and pulmonary embolism prognosis(PAKISTAN MEDICAL ASSOC, 2013) Korkmaz, Ilhan; Guven, Fatma Mutlu Kukul; Eren, Sevki Hakan; Beydilli, Inan; Yildirim, Birdal; Aktas, Can; Alagozlu, HakanObjective: To evaluate the effect of hyponatraemia on pulmonary thromboembolism mortality rates. Methods: The retrospective study was conducted at the Cumhuriyet University Medicine Faculty's Emergency Department, and involved the analysis of records related to all patients who were diagnosed with acute pulmonary thromboembolism between January 2005 and June 2011. Diagnoses were confirmed by pulmonary angiography, multi-slice computed tomography or high-probablity ventilation/perfusion scintigraphy. All patients (n=260) were over 16 years of age. SPSS 14 was used for statistical analysis. Results: Plasma sodium level, platelet count and hospitalisation time were significiantly lower among those who died (n=16; 6.29) (p<0.005, p<0.035, p<0.035). Pearson correlation analysis found a negative correlation between plasma sodium level and C-reactive protein, white blood cells and pulmonary artery pressure (r=-0.238, p<0.001; r=-0.222, p<0.001; r=-0.444, p<0.018 respectively). A positive correlation was found between plasma sodium level and hospitalisation time (r=0.130; p<0.039). Conclusion: While mortality rates in hyponatraemic pulmonary thromboembolism patients increases, low plasma sodium is an easy parameter that should be kept in mind for the prognosis of pulmonary thromboembolism disease.Öğe Carbon Monoxide Intoxication Induced Atrial Fibrillation(Galenos Yayincilik, 2012) Korkmaz, Ilhan; Eren, Sevki Hakan; Guven, Fatma Mutlu Kukul; Turkdogan, Ahmet; Beydilli, Inan; Yildirim, BirdalCarbon monoxide (CO) is a colorless, odorless gas which is a leading cause of accidental deaths during winter months. Its toxic effect occurs by binding to hemoglobin or directly at cellular level. Electrocardiographic findings due to CO intoxication are STsegment changes, premature contractions, sinus tachycardia, bundle blocks and atrial fibrillation (AF). We report a 33-year-old man who presented with AF due to CO poisoning. The patient was treated with anti-ischemic drugs and oxygen therapy.Öğe Clinical severity in forecasting platelet to lymphocyte ratio in Crimean-Congo hemorrhagic fever patients(MICROBIOLOGY SOC, 2016) Eren, Sevki Hakan; Zengin, Suat; Buyuktuna, Seyit Ali; Gozel, Mustafa GokhanCrimean-Congo hemorrhagic fever (CCHF) is a life-threatening disease that develops as a result of infection by a member of the Nairovirus genus of the Bunyaviridae family, and its initial symptoms are not specific. In patients with severe clinical progression, in particular, the neutrophil rate is high, whereas lymphocyte and monocyte levels are low. A total of 149 patients, in whom the diagnosis was confirmed with reverse transcriptase PCR, were included in the study. In order to compare patient clinical progression severity, we divided the patients into two groups. For group 1, Cevik's severity score was used. The patients who had a platelet/lymphocyte ratio (PLR) <41 constituted group 2. Of 149 patients, 20 (13.4 %) were determined as group 1 (Cevik's classification) and 38 (25.5 %) were determined as group 2 (PLR < 41). Of 11 deaths, 4 (36.4 %) patients were from group 1 and 7 (63.6 %) were from group 2. This is the first study to our knowledge to analyse the relationship between severity and PLR in patients with CCHF. PLR is a simple laboratory test that can aid in determining the prognosis of individuals with this disease.Öğe The Clinical Significiance of Multimarker Index for Early Diagnosis Among the Patients Admitted to the Emergency Department with Suspected Stroke(AVES YAYINCILIK, 2011) Korkmaz, Ilhan; Eren, Sevki Hakan; Guven, Fatma Mutlu Kukul; Segmen, HaticeObjective: Cerebrovascular diseases have a high rate in emergency services. We investigated the value of MMX in plasma for early diagnosis among the patients with suspected cerebrovascular disease and the correlation between the emergency, triage and neurology physician diagnoses. Material and Methods: It is a prospective study carried out with 83 patients. Pre-prepared forms were filled with the data about the patients. Samples of 1cc venous blood were measured for MMX and the results classified as normal or pathologic. The correlation between the results and physician diagnosis was investigated. Results: 44 (53%) of 83 patients were male, 39 (47%) were female. The average age was 69.1 (37-90) years. Neurology physician diagnosis, accepted as the gold standard, was compared with the triage, emergency physician diagnosis and MMX results by ROC curve analysis, and the difference was not significiant (p>0.05). When the diagnoses of the emergency physician were compared with the MMX results, the compatiblity for definite and probable strokes were 100% and 92.1%. The rates for triage physician were 100% and 96.4%. Conclusion: As a result of this study we can say that the stroke probablity is high if MMX is high in patients with suspected cerebrovascular disease, but more studies with large population groups are needed for specifity assessment.Öğe Comparison of trauma scores for predicting mortality and morbidity on trauma patients(TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2014) Orhon, Reyhan; Eren, Sevki Hakan; Karadayi, Sule; Korkmaz, Ilhan; Coskun, Abuzer; Eren, Mehmet; Katrancioglu, NurkayBACKGROUND: In this study, we compared the anatomical, and physiological scoring systems trauma revised injury severity score (TRISS), revised trauma score (RTS), injury severity score (ISS), new injury severity score (NISS) to each other, to find out the most accurate and reliable trauma score for the risk classification of morbidity and mortality among the trauma patients. METHODS: This is a cross-sectional study, which included 633 patients who admitted to our University Hospital Emergency Department during an 8-month period due to trauma. All blunt and penetrating traumas (traffic accident, assault, etc.) patients above 16 years were included. RESULTS: Arrival time trauma scores (ISS, NISS, RTS, and TRISS) of the patients was calculated. Mean trauma score for the mortality prediction was calculated, and the p value was equal for all (p=0.001). Trauma scores were also analyzed for the hospitalization time in intensive care unit (ICU). While NISS, RTS, and TRISS values were significant (p=0.048, p=0.048, and p=0.017, respectively), ISS value was not significant (p=0.257) for predicting the ICU hospitalization time. Only TRISS was a good predictor for the mechanically ventilation time in ICU patients (p=0.01). CONCLUSION: In conclusion, we determined that the anatomical trauma scores (NISS, ISS) predicted the hospitalization and ICU necessities better, whereas TRISS, an anatomo-physiological trauma score, defined the ICU hospitalization and mechanically ventilation time better.Öğe CUMHURİYET ÜNİVERSİTESİ TIP FAKÜLTESİ HASTANESİNE BAŞVURAN ADLİ OLGULARIN DEĞERLENDİRİLMESİ(Aydın Adnan Menderes Üniversitesi, 2009) Güven, Fatma Mutlu Kukul; Bütün, Celal; Beyaztas, Fatma Yücel; Eren, Sevki Hakan; Korkmaz, İlhanAMAÇ:Bu çalışmada; adli olguların demografik özellikleri ile adli olgu profilinin ortaya çıkarılması yanı sıra;hekimlerin adli rapor düzenleme aşamasında standardizasyonunun sağlanmasının adli tıp uygulamaları veyargılama aşamasındaki öneminin vurgulanması amaçlandı.GEREÇ ve YÖNTEM:Bu çalışma; 01.01.2006-31.12.2006 tarihleri arasında Cumhuriyet Üniversitesi TıpFakültesiAdli TıpAnabilim Dalı'na adli rapor düzenlenmesi için adli makamlardan gönderilen olguların hastanedosyaları ile adli raporlarının retrospektif olarak incelenmesiyle yapılmıştır. Olguların tıbbi ve adli kayıtları;cinsiyet, yaş, olay türü, olay tarihi, olay yeri, gönderilen makam, yaralanan vücut bölgesi, tedavi olduğu servis,zehirlenme ve cinsel saldırı yönünden, ayrıca adli rapordaki sonuç raporları yönünden değerlendirilerek benzerçalışmalarla karşılaştırıldı.BULGULAR:belirlendi. Adli olguların özellikle ağustos ayında (%10.9) daha yoğun olduğu ve çoğunlukla acil serviste(%29.9) tanı ve tedavi sonrası taburcu edildikleri saptandı. Yaşamsal tehlikeye neden olacak yaralanma oranı ise%17.4 olarak tespit edildi. Yaralanmaların en sık (%44.6) baş-boyun bölgesinde olduğu, %30.8 ile trafikkazalarının adli olguların önemli bir kısmını oluşturduğu gözlendi.SONUÇ:Hekim güvenliği ve hasta mağduriyetinin önlenmesi açısından adli olguların özellikle raporlamaaşamasının daha özenli yapılması için mezuniyet sonrası adli tıp eğitimi ve adli tıp uzmanları ile koordineliçalışma gereklidirÖğe Cyanide ingestion(MODESTUM LTD, 2017) Coskun, Abuzer; Ozkan, Fikret; Ozbay, Sedat; Okur, Osman Mahir; Kayipmaz, Afsin Emre; Gulunay, Behnan; Eren, Sevki Hakan; Ucar, Asuman; Kavalci, CemilCyanide is one of the oldest poisons. It has recently been introduced into industrial use in the gold enrichment process in gold mines. A 36-year-old man engaged in silver polishing business was brought to our emergency department by his colleagues with impaired consciousness and foamy saliva expectoration after accidentally drinking a sip of water mixed cyanide used for silver polishing. His general status was poor, and he was unconscious upon admission. The patient was administered the antidote three hours after his admission and extubated 11 hours after admission. His vital signs gradually returned to normal. On follow-up his urine color turned red; therefore, a second consultation was made with the poison information center, which recommended administering a second dose of antidote. After doing so, the patient gradually recovered, and he was discharged with normal liver enzymes, normal consciousness, and good overall status on 4th day of admission.Öğe Detection of neutrophil-lymphocyte ratio as a serum marker associated with inflammations by acute carbon monoxide poisoning(ELSEVIER SCIENCE BV, 2015) Karabacak, Mustafa; Turkdogan, Kenan Ahmet; Coskun, Abuzer; Akpinar, Orhan; Duman, Ali; Kapci, Mucahit; Eren, Sevki Hakan; Karabacak, PinarObjective: To investigate neutrophil-lymphocyte ratio (NLR), which is an indicator of systemic inflammation, in patients with carbon monoxide (CO) poisoning. Methods: We included 528 patients (275 women) who presented with a diagnosis of CO poisoning between June 2009 and March 2014. Control group was composed of 54 patients (24 women). Platelet count and mean platelet volume level were significantly higher in the CO poisoning group. Results: White blood cell level (9.8 +/- 3.3 vs. 8.6 +/- 2.9 x 10(3)/mL, respectively; P = 0.01), neutrophil count (6.00 +/- 2.29 vs. 4.43 +/- 2.04 x 10(3)/mL, respectively; P < 0.01) and NLR (3.01 +/- 2.34 vs. 2.23 +/- 1.27, respectively; P = 0.02) were significantly higher in CO poisoning group. Conclusions: The increase of NLR may indicate the progression of fatal complications due to CO poisoning.Öğe Diagnostic criteria in Crimean Congo haemorrhagic fever disease and cost analysis(ACADEMIC JOURNALS, 2010) Eren, Sevki Hakan; Korkmaz, Iihan; Guven, Fatma Mutlu Kukul; Aktas, Can; Ay, DidemIn recent years, Crimean Congo haemorrhagic fever disease (CCHF) has created a serious health problem in our country. The disease takes place among haemorrhagic viral diseases. This study was made with CCHF diagnosed patients accepted in emergency services to determine the diagnostic criteria and cost effectivness for CCHF. CCHF patients who were accepted in our emergency service between 2004 and 2008 were analyzed retrospectively. Sensitivity, specificity, positive predictive and negative predictive value was calculated only for the patients who had 5 pathological laboratory parameters together (thromobcytopenia, high LDH, AST, ALT and CPK), and cost effectiveness analysis was made. During the five-year period, 687 patients had been evaluated. Significant pathologic results were established for alanine amino transferase (ALT), aspartate amino transferase (AST), creatine phosphokinase (CPK) enzymes, platelet counts and lactate dehydrogenase (LDH). Fatigue, fever, bleeding, gastro intestinal symptoms and diffuse pain were the symptoms seen according to their frequencies. The patients were frequently admitted in July. Mortality, costs per patient and emergency service's crowdedness can be reduced by rapid diagnosis which can easily be made with a brief history of the patient's occupation, physical examination and mentioned laboratory results sensitivity, specificity, positive predictive and negative predictive value.Öğe Effects of co-morbid disease and drug consumption on trauma patients 65 years of age and older: a university emergency department experience(TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2008) Aktas, Can; Eren, Sevki Hakan; Eryilmaz, MehmetBACKGROUND The objective of this study was to evaluate the causes and demographics of trauma patients 65 years of age and older, and also the effects of co-morbidities and drug use on trauma. METHODS This study was performed in Medicine Faculty of Yeditepe University Hospital Department of Emergency Medicine Outpatients Clinic between January 2005 - February 2006. Ninety-one trauma patients (48 males [52.7%], 43 females [47.3%]; mean age 73 5.42; range 65 to 92 years) 65 years of age and older were included into the study. Age, gender, trauma causes, injury types, co-morbidities, drug consumption and injury severity scores were recorded onto the study form. RESULTS Fifty-seven (62.6%) patients were admitted to the emergency department because of low-energy fall, 13 patients (14.3%) for high-energy falls, 6 patients (6.6%) for low-energy motor vehicle crush, and 14 patients (15.4%) for high-energy motor vehicle crush. Hypertension was significantly more frequent in falls than the other trauma mechanisms (p=0.003). There was a higher rate of femur fracture in low-energy falls than the others (p=0.026). However, the rate of vertebral fracture was higher in high-energy falls (p=0.037). Soft tissue injuries were seen most often in low-energy motor vehicle crush injuries (p=0.01) while rib fractures were seen most frequently in high-energy motor vehicle crush injury (p < 0.01). CONCLUSION Acute or chronic disease and drug side effects may facilitate the exposure of elderly people to trauma. Drug consumption, co-morbid diseases and trauma causes should be taken into consideration during the evaluation of elderly trauma patients.Öğe The epidemiological and prognostic importance of the aVR lead among patients with and without ST segment elevation(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2011) Coskun, Abuzer; Eren, Sevki Hakan; Korkmaz, Ilhan; Guven, Fatma Mutlu KukulBackground: Patients with ST segment elevation in the aVR lead were divided into major and minor groups and compared with respect to blood lipid levels, admission glucose levels, angiography results and prognosis. Methods: The clinical data of the study was obtained by a retrospective review of the charts of 887 patients (550 males, 337 females) with aVR elevation, who were admitted to our emergency department between January 2004 and December 2008 with chest pain and hospitalized in the cardiology ward. The patients were divided into minor (group 1; 0.5-1 mm) and major (group 2; >1 mm) groups according to the ST segment elevation in aVR and compared with respect to age, gender, emergency room arrival time, blood glucose level, lipid profile, ejection fraction (EF), angiography results, Gensini score, and mortality rates. Results: Group 2 had a significant correlation with male gender, increased Gensini score, low EF, high blood glucose level, number of myocardial infarction patients with ST segment elevation, three-vessel disease and high mortality (p<0.05). Group 2 patients also had a worse prognosis. Conclusion: Early revascularization and/or medical treatment may be effective in the prognosis of patients with acute coronary syndrome diagnosis and a 1-mm or higher ST segment elevation in the aVR lead.Öğe Etiologies of patients admitted to emergency department with hypoglycemia(ACADEMIC JOURNALS, 2010) Eren, Sevki Hakan; Caliskan, Haci Mehmet; Kilicli, Fatih; Korkmaz, Ilhan; Acibucu, Fettah; Dokmetas, Hatice SebilaHypoglycemia is the most common endocrinologic problem seen in emergency departments. To explore its causes in patients who admitted to the emergency department with symptoms resembling hypoglycemia, 225 hypoglycemia cases were evaluated from January 2000 to May 2008. Of 225 hypoglycemia cases, 158 (70.2%) were receiving treatment for diabetes mellitus, which was the most common group (94 patients were using insulin, 55 were receiving oral anti-diabetics (OAD) and 9 patients both OAD and insulin). The other causes for hypoglycemia were as follows: reactive hypoglycemia cases (11.6%), insulinoma (2.7%), malignancies (2.2%), Sheehan syndrome (0.9%), chronic liver disease (0.9%), gestational diabetes mellitus (0.4%), OAD use by mistake (3.6%), and use of OAD for suicidal purposes (13%). In eight of the cases, the reason could not be identified. The study revealed that diabetes mellitus constitute the most common reason for hypoglycemia among the patients seen in emergency departments. Efforts should be made to prevent hypoglycemia by giving the patients better education.Öğe Evaluation of Patients Presenting to the Emergency Service with Shoulder Dislocation(AVES, 2018) Coskun, Abuzer; Eren, Mehmet; Korkmaz, Ilhan; Al, Behcet; Zengin, Suat; Eren, Sevki HakanObjective: Glenohumeral joint dislocation is the most common major joint dislocation in the entire body. This study is an epidemiologic and demographic investigation of dislocated shoulder cases presenting to the emergency room of a public hospital. Methods: This study includes patients that presented to the emergency room of Sivas public hospital with a dislocated shoulder between the dates 01/02/2015-01/01/2018. Patients that were admitted to the emergency room and diagnosed with shoulder dislocation were informed about the study. Results: Five hundred and eighty one patients presenting to Sivas public hospital and diagnosed with shoulder dislocation were included in the study. The average age of patients was 43 +/- 18.59, with the youngest patient 19 years old and the oldest 88 years old. 537 (92.4%) patients had anterior, 32 (5.5%) patients had posterior and 12 (2.1%) patients had inferior dislocations. Conclusion: Shoulder dislocation cases are commonly seen in emergency rooms. It is more commonly seen in males and the most frequently seen type is anterior dislocation. This condition concerning individuals of all age groups develops mainly due to trauma. Despite the fact that shoulder dislocations can be diagnosed and treated easily in emergency rooms, prevention of shoulder dislocations can only be achieved by means of preventive measures and informative meetings.Öğe Evaluation of Pre-School (0-6) Age Group Trauma Patients Etiology(Aves, 2014) Atli, Bahri; Eren, Sevki Hakan; Coskun, Abuzer; Korkmaz, Ilhan; Eren, MehmetObjective: Trauma is one of the most important reasons of death in the pediatric age group. The aim of this study is to analyze the relation between the trauma type, trauma time, and the way of arrival to the hospital and to examine the causes of traumatic etiology and outcomes in the 0-6 age group (pre-primary) of trauma cases in our state. Material and Methods: Trauma cases in the 0-6 age group (pre-primary) who were admitted to the Cumhuriyet University Medical School Emergency Department between May 2009-May 2011 were evaluated. Results: In our study period, 799 children aged 0-6 were admitted to our emergency service; 55.8% of these patients were male. Most patients were mainly referred to the ER in July, August, and September, and the highest value was detected in July. Falls were first and motor vehicle accidents were second in frequency among the causes of injury. Conclusion: Consequently, traumas are showing an increase, especially in summer time, and it is observed that children are disregarded during farm works, and because of this, trauma numbers are being increased between the ages of 0-6 years.Öğe Evaluation of respiratory findings in Crimean-Congo hemorrhagic fever(SEAMEO TROPMED Network, 2011) Dogan, Omer Tamer; Engin, Aynur; Salk, Ismail; Epozturk, Kursat; Eren, Sevki Hakan; Elaldi, Nazif; Bakir, MehmetCrimean-Congo hemorrhagic fever (CCHF) is a zoonotic disease with a high mortality rate causing viral hemorrhagic fever. We studies the respiratory system findings, demographics, clinical and laboratory findings of patients with CCHF admitted to our hospital. In this retrospective study we evaluated 108 patients with CCHF confirmed by laboratory findings. The charts of all hospitalized patients were reviewed, and the age, sex, occupation, city of residence, history of tick bite or of removing a tick, smoking history, chest X-ray results, outcome and clinical and laboratory findings were recorded for each patient. Sixty of the chest radiographs were read as normal, 33 were read as showing unilateral pathology and 15 showed bilateral pathology. Seven of the 108 patients died due to severe pulmonary infection and hemorrhage. The frequency of pathological chest radiographs was higher among the CCHF patients who died than among the survivors, but the difference was not significant. Pulmonary parenchyma hemorrhage can occur in CCHF patients with hemoptysis, dyspnea, chest pain and infiltration on chest radiographs and may lead to morality.
