Yazar "Üstündağ M." seçeneğine göre listele
Listeleniyor 1 - 7 / 7
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Electric injuries(2007) Orak M.; Üstündağ M.; Güloğlu C.; Uysal E.; Sayhan M.B.The electricity injury is the one of the major trauma causing mortality, and morbidity. We report 3 cases, admitted our emergiency department with electric injury caused by naked electric cable touching. All cases had compartment syndrome and undergone fasiotomy operations. They were transported to advanced intensive care units of burning. In this study, we would like to report that without any precaution and information, emergency depatment personals would be faced with interesting electric injuries that effect more than one people cases which havent been reported in medical literatures.Öğe Factors affecting mortality in geriatric patients with head trauma(Geriatrics Society, 2016) İçer M.; Şen A.; Zengin Y.; Dursun R.; Durgun H.M.; Üstündağ M.; Orak M.Introduction: With aging, the anatomy and physiology of the body undergo changes. This leads to a change in the body’s capabilities in response to trauma, resulting in increased traumainduced morbidity and mortality. We aimed to investigate the factors influencing the prognosis and mortality of geriatric patients with head trauma. Materials and Method: A total of 1060 patients aged 65 and above who presented with head trauma within a three-year period were studied. The patients’ collected data included gender, age, trauma presentation, Glasgow Coma Scale, Revised Trauma Score, cranial physical examination findings, localisation of the fracture in the cranial regions, cranial pathology, additional organ injury and survival/death status. Results: Of the 1060 geriatric patients enrolled in the study, 500 (47%) were male and 560 (53%) were female. Of these patients, 1005 (94.8%) survived and 55 (5.20%) died. Among the deceased patients, 37 (37.3%) were male and 18 (32.7%) were female. The most common presentation was observed in the young old group (aged 65–75) with 513 patients. According to the causes of trauma, the most common cause was due to falling. The male gender was found to be at risk of mortality in all patients aged 65 and above. According to the computed tomography findings; intracranial haemorrhage, contusion, subarachnoid haemorrhage, epidural hematoma, subdural hematoma and intracranial edema were factors associated with increased mortality. Conclusion: Males and cranial pathologies are associated with a higher mortality in geriatric patients with head trauma. © 2016, Geriatrics Society. All rights reserved.Öğe Frostbite a case report(2007) Orak M.; Üstündağ M.; Güloğlu C.; Doğan H.; Altunci Y.A.Background: Frostbite is an injury that results from exposure to temperatures that are low enough to cause crystal formation in the exposed tissue. Frostbite is the acute freezing of the skin and tissues and usually develops following exposure to temperatures below -2°C for more than one hour. The anatomical sites most susceptible to frostbite are hands and feet, which constitute 90% of frostbite injuries. So far there has been no certain treatment for frostbite. Case Report: An 18 years old man in good general health suffered frostbite from 09.00 to 21.00 while working in a snowy beet field in December. He was directly in snow for 5-6 hours of that 12 hour. His shoes were too hard for his feet especially left foot. He complained when he arrived home intensive pain, discoloration, lack of sensitivity and limited movement on his toes. He walks for a while and thaw feet near an owen. A day after frostbite he admitted regional hospital. At first we clean feet. But no blister debridement. Elevation, antibioterapy, analgesia (morphine sulphate 5 mg 1x1), enoksaparine 0.4 cc 1x1, pentoxiphiline 600 mg/day and aspirin 300 mg 1x1 were ordered in treatment. Tenth day patient's effected areas lesions improve and all laboratory parameters were in normal range so patient discharged. Conclusions: Effective treatment of frostbite has not yet been exactly defined. The aim of frostbite treatment must be to salvage more reversibly injured cells.Öğe Haemopneumothorax due to blank cartridges gun injury(2007) Orak M.; Üstündağ M.; Sayhan M.B.; Taş M.; Güloğlu C.Blank cartridge guns, which are considered harmless, can be easily purchased by adults due to lack of legal regulations. We present this case because injuries caused by gunshot from modify blank cartridges may be fatal and are rarely encountered in emergency departments. A 20-year-old boy was brought to the emergency department since he had a wound on his left thorax by modify gunshot from blank cartridges. He had a moderate general condition, respiratory distress and pale appearance. There was an irregular edged, defective wound at left hemithorax localization with a dimension of 3×4 cm. Computed tomography of the thorax revealed contusion in the basal of the left lung. A mass education on danger and harm of these guns as well as legal regulations for restricted use seem to he necessary. Also, physicians should keep in mind that blank cartridge guns can cause fatal injuries.Öğe Plasma D-Dimer levels in acute ischemic stroke: Association with mortality, stroke type and prognosis(2010) Üstündağ M.; Orak M.; Güloglu C.; Tamam Y.; Sayhan M.B.• Objective: The purpose of this study is to examine the correlation between mortality, stroke sub-types, neurological disability and D-Dimer values measured before a specific treatment is given to patients in the emergency department. • Material and Method: In the first 24 hours after stroke symptoms started and before anticoagulant treatment started, the serum D-Dimer levels of every patient were examined. The stroke sub-type of every patient was determined according to TOAST criteria and clinical classification was made according to the Oxfordshire Community Stroke Project (OCSP). The Rankin scale was used to determine the neurological disability of the surviving patients. • Results: Ninety one patients were included in the study. There was a significant difference between the D-Dimer levels of patients who died and who survived (4.50+2.80 and 1.39+1.36 ng/ml respectively, p=0.003). According to the TOAST criteria, average D-dimer levels of cardioembolic and atherothrombotic stroke patients were higher than the control group. (4.35±3.03/ 3.11±1.69 and 0.43±0.26 respectively, p=0.000). According to OCSP classification, average D-dimer levels of patients with total anterior circulation infract (TOCI) and partial anterior circulation infract (PACI) were higher than the control group. (3.67±2.14, 4±3.03 and 0.43±0.26, respectively, p=0.000). The evaluation of surviving stroke patients in terms of neurological disability revealed that average D-dimer levels of patients with serious neurological disability Rankin score=3-5) were higher than patients with slight neurological disability (Rankin score=0 and Rankin score=1-2), (2.85±1.69; 0.79±0.56; 0.81±0.44 respectively, p=0.000). • Conclusion: We reached the conclusion that D-dimer levels in the acute period can be a leading factor for clinicians in predicting the direct results of cerebral infarct and deciding the type of treatment.Öğe A poll study about emergency department stuff's job satisfaction(2009) Orak M.; Üstündağ M.; Güloğlu C.; Sayhan M.B.; Gökhan Ş.Job satisfaction means that employee's content or discontented about their job. It is important to learn about emergency department stuff's job satisfaction for problems and new positive suggestions. In this study; our aim is to determine Dicle University Medical faculty Emergency Department stuff's job satisfactions according to their social and demographic characteristics or conditions of employment, and effective factors on this satisfaction or unsatisfaction. We prepared an eighteen questions survey sheet and administered to Dicle University Medical Faculty Emergency department stuff that constituted with doctors, nurses, nurse's aides, security guards, cleaning workers and medical secretaries totally 54 workers, between November2006 and December 2006. Age, gender, job, status, service life, duty times and frequency, work load, supervisor pleasure, monetary and morale satisfaction, attending to social activity in free times are the factors that effects job satisfaction.Öğe Thoracic ectopia cordis(2007) Orak M.; Üstündağ M.; Güloğlu C.; Sayhan M.B.; Taş M.Heart positioned outside the chest wall is known as ectopia cordis. Thoracic ectopia cordis (TEC) is extremely rare with a reported incidence of 5.5-7.9/million live births. It is classified as cervical, cervico-thoracic, thoracic and more commonly the thoraco-abdominal or abdominal types. TEC is classified as complete and incomplete. In complete thoracic ectopia cordis the naked heart is displaced outside thoracic cavity without pericardial coverage. In partial thoracic ectopia cordis the heart can often be seen to pulsate through the skin. In this study, we present one case of TEC and review the literature on this subject.
