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Çocuk Acil Servise Son Beş Yılda Gelen Zehirlenmeler: 1734 Olgunun Değerlendirilmesi
2018
Journal:  
Adli Tıp Bülteni
Author:  
Abstract:

Amaç: Çocukluk çağı zehirlenmeleri ani olarak ortaya çıkan, ciddi morbidite ve mortaliteye yol açabilen önlenebilir önemli bir toplum sağlığı sorunudur. Bu çalışmada, son beş yıl içerisinde zehirlenme nedeniyle çocuk acil servisimize başvuran hastalar değerlendirilmiştir. Gereç ve Yöntem: 1 Ocak 2013 ve 31 Aralık 2017 tarihleri arasında zehirlenme nedeniyle Mersin Üniversitesi Tıp Fakültesi Hastanesi Çocuk Acil Servisine getirilen 1734 çocuk hastanın dosya kayıtları retrospektif olarak incelendi. Olgular yaş, cinsiyet, zehirlenme nedeni, zehirlenmeye neden olan farmakolojik ajanlar ve tedavileri yönünden değerlendirildi. Bulgular: Beş yıl içerisinde acil servise getirilen çocuk hastaların %0,68’i zehirlenmelerdi. Zehirlenme nedeniyle gelen olguların 1020’si (%58,8) kız ve 714’ü (%41,2) erkekti (kız/erkek: 1,4). Hastaların yaş ortalamaları 9,68 ± 2,85 yıl (5 ay-18 yıl) olup; kızların yaş ortalaması erkeklerden yüksek bulundu (sırasıyla 12,61 ± 2,7 yıl ve 8,14 ± 3,7 yıl, p=0.07). En sık zehirlenme nedeni ilaçlar (n=1031; %59,4) olup, en sık gözlenen ilaç grubu analjeziklerdi (n=374; %21,5). Olguların 571’i (%32,9) özkıyım girişimi nedeniyle getirilmişti. Olguların 1157’si (%66,2) Acil Serviste, 190’ı (%10,9) Çocuk Sağlığı ve Hastalıkları servisinde, 62’si (%3,5) Çocuk Yoğun Bakım servisinde ve 325’i (%18,7) Çocuk Cerrahisi servisinde tedavi edildi. Sonuç: Bu çalışmada elde edilen bulgular, zehirlenme nedeniyle acil servise getirilen çocuklarda en sık nedenin ilaçlar olduğunu göstermektedir. Bu olguların kayda değer bir kısmı özkıyım girişimidir. Çevre, aile, ilaç üreticileri ve hekimler tarafından alınacak tedbirler sayesinde çocukluk çağı zehirlenmelerinin önüne geçilmesi mümkün olacaktır.

Keywords:

Child Emergency Service Intoxications In The Last Five Years: 1734 Adult Assessment
2018
Journal:  
Adli Tıp Bülteni
Author:  
Abstract:

Purpose: Childhood poisoning is an unprecedented important social health problem that can result in suddenly occurring, serious morbidity and mortality. In this study, we have evaluated patients who have requested our emergency service for children due to poisoning over the past five years. Tools and Methods: From 1 January 2013 to 31 December 2017, the records of 1734 children who were brought to the Children's Emergency Service of the University of Mersin Medical School Hospital due to poisoning were retrospective examined. Events were evaluated in terms of age, gender, cause of poisoning, pharmacological agents and treatments that cause poisoning. Results: 0.68% of children who were brought to emergency service within five years were poisoned. Of the cases caused by poisoning, 1020 (58.8%) were girls and 714 (41.2%) were men (girl/man: 1.4). The average age of the patients was 9.68 ± 2.85 years (5 months-18 years); the average age of the girls was higher than the men (respectively 12.61 ± 2.7 years and 8.14 ± 3.7 years, p=0.07). The most common cause of poisoning was drugs (n=1031; 59.4%) and the most frequently observed group of drugs were analgesics (n=374; 21.5%). 571 of the cases (32.9 percent) were brought because of the self-intervention attempt. 1157 of the cases (66.2%) were in emergency service, 190 (10.9%) in child health and diseases service, 62 (3.5%) in child intensive care service and 325 (18.7%) in child surgery service. Results: The findings in this study show that the most common cause in children brought to emergency service due to poisoning is drugs. One of the most important aspects of these events is my own initiative. Thanks to the measures taken by the environment, the family, the pharmaceutical manufacturers and the doctors, it will be possible to prevent childhood poisoning.

Keywords:

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2018
Journal:  
Adli Tıp Bülteni
Author:  
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Adli Tıp Bülteni

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Adli Tıp Bülteni