Person: ARMAĞAN, EROL
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ARMAĞAN
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EROL
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Publication Frequency of post-traumatic stress disorder among relief force workers after the tsunami in asia: Do rescuers become victims?(Cambridge Univ Press, 2006-06-01) Devay, Ali Önder; Erdur, Bülent; Armagan, Erol; ARMAĞAN, EROL; Özçakır, Alis; ÖZÇAKIR, ALİS; Engindeniz, Zülfi; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; 0000-0003-1874-5097; JBJ-5787-2023; AAG-8209-2021; AAH-8846-2021Objective: The objective of this study was to evaluate the frequency of posttraumatic stress disorder (PTSD) among the participants of the Turkish Red Crescent Disaster Relief Team after the Tsunami in Asia.Methods: The Clinician Administered PTSD Scale-1 (CAPS-1) was administered to 33 of 36 team members one month after their Disaster Relief Team duty. Along with the CAPS-1 interview, demographic features, profession, previous professional experience, previous experience with traumatic events and disasters also were recorded. To be classified as present, a symptom must have a frequency score of "1" and an intensity score of "2" at the CAPS-1 interview. For a diagnosis of PTSD, at least one re-experiencing, three avoidance and numbing, and two increased arousal symptoms should be present.Results: The PTSD was diagnosed in eight of the 33 (24.2%) participants. No significant difference was detected in the distribution of PTSD diagnosis according to gender, age, profession, professional experience, previous disaster experience, and/or previous experience of traumatic events. However, the severity of PTSD symptoms as measured by the CAPS-1 score was significantly higher in women, nurses, and participants with <3 previous disaster duty experiences.Conclusion: Post-traumatic stress disorder is prevalent within disaster teams and healthcare workers, and measures should be taken to prevent PTSD within this group.Publication Comparison of ice and lidocaine-prilocaine cream mixture in the reduction of pain during peripheral intravenous cannulation in emergency department patients(Galenos Yayıncılık, 2013-03-01) Aygün, Hüseyin; Armağan, Erol; Özdemir, Fatma; Köse, Ataman; Selimoğlu, Kerem; Köksal, Özlem; Aydın, Şule Akköse; Aygün, Hüseyin; ARMAĞAN, EROL; ÖZDEMİR, FATMA; Köse, Ataman; Selimoğlu, Kerem; KÖKSAL, ÖZLEM; AYDIN, ŞULE; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; 0000-0003-3635-7282; AAK-8332-2020; AAI-2164-2021; AAH-8846-2021; AAM-7896-2020; JKT-3402-2023; JPE-0854-2023; CDS-3299-2022Objective: We aimed to compare the efficacies of ice, lidocaine-prilocaine mixture cream and the classical method in reduction of the pain observed during intravenous cannulation, which is the most frequently performed procedure in emergency departments and to define the most effective method.Material and Methods: One hundred-twenty patients who applied to the emergency department of Uludag University Faculty of Medicine were included in this presented study. Cannulations were performed after one minute application of ice package in the ice group. Patients who applied to emergency only for blood transfusion were chosen for the lidocaine-prilocaine group and their cannulations were performed at the 60th minute of cream mixture application. Finally, no applications before cannulation were used for the control group. All cannulations were performed from antecubital region and 18 G cannula were used. Visual analog scale ( VAS) and patient satisfaction were scored.Results: VAS scores for ice, lidocaine-prilocaine and control groups are 2.8 +/- 1.7, 4.1 +/- 1.8, 4.4 +/- 1.9, respectively. VAS score in the ice group was significantly lower than both lidocaine-prilocaine and control groups. In addition, there was no statistically significant difference between lidocaine-prilocaine and control groups.Conclusion: Ice application method before intravenous cannulation, in addition to its advantages such as being inexpensive, easy to obtain and apply, is more effective than lidocaine-prilocaine cream.Publication Utility of blood gas values in place of biochemical values in emergency department(Pera Yayıncılık Hizmetleri, 2012-07-01) Öner, Nuran; Köse, Ataman; Armağan, Erol; Sert, Pınar Çınar; Balcı, Arif Kadri; İnal, Taylan; Öner, Nuran; Köse, Ataman; ARMAĞAN, EROL; Sert, Pınar Çınar; Balcı, Arif Kadri; İnal, Taylan; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; 0000-0002-4761-7863; ABD-7228-2021; AAM-7896-2020; AAH-8846-2021; DJG-5702-2022; FZV-9566-2022; CVZ-5417-2022It is aimed to investigate the utility of blood gas electrolyte and glucose values in place of biochemical electrolyte and glucose values in Emergency Department (ED). The group of patients, whose blood gas electrolyte, glucose and also biochemical electrolyte and glucose values were examined, These data were derived from 1007 patients at the age of 18 and older, who were admitted to Uludag University ED and whose blood gas values were examined between July 2011 and October 2011. While biochemistry K+ median was 4,2 mmol/L, blood gas K+ median was 3,86 mmol/L. When blood gas and biochemical K+ values were compared, average difference was - 0,4 mmol/L (95% confidence limits: - 1,5- 0,7 mmol/L) and correlation coefficient was r=0.794 (p< 0.001). Biochemistry Na+ median was 136 mmol/L whereas blood gas Na+ median was 138,6 mmol/L. When blood gas and biochemical Na+ values compared, average difference was 2,7 mmol/L (95% confidence limits: - 3,8- 9,2 mmol/L) and correlation coefficient was (r=0.836 p< 0,001). Biochemistry glucose median was found out as 125,5 mg/dl whereas blood gas median was 147 mg/dl. When blood gas and biochemical glucose values were compared, average difference was 17,3 mg/dl, (95% confidence limits: - 72,3- 106,9 mg/dl), correlation coefficient was (r=0,904 p< 0,001). Significantly positive correlation was determined between results. When blood gas electrolyte and glucose values compared with biochemical values, it was seen that they were consistent with each other. Blood gas values, which are rapid tests, might be used - especially in case of emergency, in treatment of critical patients - until biochemical values are obtained.Publication Acute temporal lobe infarction in a young patient associated with marijuana abuse: An unusual cause of stroke(Zhejiang Univ Sch Medicine, 2014-03-01) İnal, Taylan; Köse, Ataman; Özdemir, Fatma; KÖKSAL, ÖZLEM; Köksal, Özlem; Armağan, Erol; ARMAĞAN, EROL; Aydın, Şule A.; AYDIN, ŞULE; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; AAM-7896-2020; AAH-8846-2021; AAI-2164-2021; AAK-8332-2020; L-7334-2015BACKGROUND: Cardiovascular or cerebrovascular events associated with drug abuse have been frequently reported, particularly in young patients. The drugs include generally cocaine, heroin, and amphetamines. Although marijuana is among the widely used narcotics in the world, stroke associated with the marijuana use is infrequently reported.METHODS: Stroke caused by the use of marijuana was investigated in a 23-year-old man and the importance of inquiry of drug abuse in case of stroke was emphasized.RESULTS: The patient was treated for 7 days in a follow-up, but he was not recovered. The patient was discharged in his existing condition and was directed for physiotherapy and rehabilitation.CONCLUSION: Ischemic stroke is associated with drug abuse and/or substance use, mainly cannabinoids and amphetamines, particularly in young patients.Publication Discharge of emergency patients to the clinical wards or intensive care units: An assessment of complications and possible shortcomings(Elsevier, 2015-07-01) Durak, Vahide Aslıhan; Armağan, Erol; Özdemir, Fatma; Kahriman, Nezahat; DURAK, VAHİDE ASLIHAN; ARMAĞAN, EROL; ÖZDEMİR, FATMA; Kahriman, Nezahat; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; 0000-0003-0836-7862; AAE-9483-2021; Y-3674-2018; AAH-8846-2021; IOY-2055-2023; CXL-2354-2022Objective: We aimed to evaluate the most common complications and possible shortcomings in the emergency patients who were admitted to the clinical wards or intensive care units.Materials and methods: 1000 patients were included in this study. The patients's complication rates were compared with the clinical diagnosis, age groups, the section of the emergency department initially managed the patients, the time of the shift (daytime or night), the accompanying medical staff and specific type of patient populations. Also the interventions of the complications were recorded.Results: 37.5% of the patients who were included in the study were female and 62.5% were male. The median age of the patients was 54.2 year (min: 1 max:92). The vital signs that were recorded prior to transport of the patients did not interfere with the complication rates (p > 0.05). Complication rates in the night were found to be higher as more admissions took place during the night shift (p < 0.05). The complication rates were found higher in patients who were admitted to coronary care unit. The most frequent complication was the dislocation of the intravenous catheter. Replacing the dislocated intravenous catheter was the most frequently noted intervention. However, initiating inotropic agents to the hypotensive patients was done more frequently in the admitted clinical departments.Conclusion: The overall complication rate was low in this series of patients. The majority of them can be prevented by having in house guidelines. (C) 2015 Elsevier Ltd. All rights reserved.Publication Comparison of fatal injuries resulting from tractor and high speed motorcycle accidents in Turkey: A multicenter study(Hindawi Ltd, 2019-01-01) Eraybar, Suna; Atmaca, Serhat; Nennicioğlu, Yasemin; Torun, Gökhan; Aydın, Okan; Varisli, Behçet; Sandal, Nuran; Büyükyılmaz, Tunç; Seyit, Murat; Yıldırım, Harun; Armağan, Erol; Torun, Gökhan; AYDİN, MEVLÜT OKAN; ARMAĞAN, EROL; Tıp Fakültesi; Acil Servis; AAA-2367-2020; JWS-8589-2024; AAH-8846-2021Aim. Injuries are among the main causes of mortality and morbidity all over the world, and effective initial triage of these patients can determine the thin line between death and life. Tractor accidents and related injuries are significant problems particularly in rural areas. However, major trauma classification systems do not include tractor accidents as a criterion for trauma team activation or transportation of the patients to a trauma center. This study evaluated the general characteristics and outcomes of tractor accidents in comparison to motorcycle accidents, which are considered as a comparison criterion for major trauma. Materials and Methods. This is a multicenter study conducted in 6 emergency departments in 4 cities over a six month period. All cases over 18 years of age who were admitted to emergency service due to tractor or motorcycle accidents and meet the criteria were included in the study. The general characteristics and outcomes of both trauma types were compared to determine whether tractor accident should be considered as major traumas. Results. Eighty-eight patients had a tractor accident, and 339 patients had a motorcycle accident. The tractor accident victims were significantly younger (p<0.001), and the proportion of females was higher in this group (p=0.001). Glasgow coma score (p=0.062), revised trauma score (p=0.201), duration from incident to admission (p=0.481), and route of admission (p=0.810) were similar between both accident types. The rates of thoracic traumas (42% versus 23%, p<0.001) and spinal injuries (17% versus 5.9%, p=0.002) were significantly higher in tractor accidents. The hospitalization rates of the patients were significantly higher in tractor accidents (p=0.008). Conclusion. The findings of this study support the hypothesis that tractor accidents should be included in the criteria of ATLS major trauma classification system and trauma team activation procedures.Publication Is routine pregnancy test necessary in women of reproductive age admitted to the emergency department?(Zhejiang Univ Sch Medicine, 2013-09-01) Köksal, Özlem; KÖKSAL, ÖZLEM; Özdemir, Fatma; ÖZDEMİR, FATMA; Armağan, Erol; ARMAĞAN, EROL; Öner, Nuran; Sert, Pınar Çınar; Sığırlı, Deniz; SIĞIRLI, DENİZ; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; AAH-8846-2021; AAK-8332-2020; AAA-7472-2021BACKGROUND: This study aimed to determine the necessity of pregnancy test in women of reproductive age admitted to emergency department (ED) in routine practice.METHODS: We retrospectively reviewed the records of patients who presented to the ED between January 1, 2006 and December 31, 2010 and received a pregnancy test.RESULTS: The median age of 1 586 patients enrolled into the study was 27 years. Of these patients, 19.55% had a positive result of pregnancy test. The most common complaint at admission was abdominal pain in 60.15% of the patients, and pregnancy test was prescribed. 15.83% of the patients with abdominal pain had a positive result of pregnancy test. Of the patients, 30.64% had nausea-vomiting at admission, and 11.52% had a positive result of pregnancy test. When other complaints were considered, the most commonly observed complaints were non-specific symptoms such as dizziness, malaise and respiratory problems. Of the patients, 70.93% were not remembering the date of last menstruation, and 9.51% showed a positive result of pregnancy test. Urinary tract infection (UTI) was commonly diagnosed with an incidence of 17.65%, which was followed by nonspecific abdominal pain (NSAP) (16.77%) and gastrointestinal disorders such as gastritis and peptic ulcer (6.87%). Of the patients, 88.40% were discharged from ED, and 11.60% were hospitalized.CONCLUSION: Pregnancy test should be given to women of reproductive age as a routine practice in ED in developing countries like Turkey.Publication An investigation of the comt gene val158met polymorphism in patients admitted to the emergency department because of synthetic cannabinoid use(Macedonian Acad Sciences Arts, 2020-06-01) Nennicioglu, Y.; Kaya, H.; Eraybar, S.; Atmaca, S.; Görükmez, O.; Armağan, Erol; ARMAĞAN, EROL; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; AAH-8846-2021Catechol-O-methyl transferase (COMT) enzyme has a role in the inactivation of catecholamine neurotransmitters. Functional polymorphism in the COMT gene has been reported to play an important role in schizophrenia, bipolar affective disorder, aggressive and antisocial behavior, suicide attempts and the pathogenesis of Parkinson's disease. In this study, we aimed to investigate the effect of the Val158Met polymorphism of the COMT gene on substance use, and treatment history in patients with synthetic cannabinoid (SC) intoxication. The COMT enzyme Val158Met polymorphisms from DNA of 49 patients who were evaluated in the Emergency Department after SC use and 50 healthy control groups aged 18-45 years, were identified by polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) analyses as reported in the literature. Information regarding recurrent intake or hospitalization due to substance use was obtained from hospital records. Wild-type (WT) genotypes in 14 (28.6%) patients, heterozygous genotypes in 25 (51.0%) and homozygous genotypes in 10 (20.4%) patients were detected. Wild-type genotypes The homozygous genotype was found to be significantly higher in patients hospitalized due to drug addiction and substance use (p 0.008). The Val158 Met polymorphism of the COMT gene was not found to be significant in the first use after substance intake, while a significant relationship was found in terms of this polymorphism in patients with substance addiction diagnosis and treatment history.Publication Acid-base disorders in the emergency department: Incidence, etiologies and outcomes(Aves, 2014-03-01) Köse, Ataman; Armağan, Erol; Öner, Nuran; Köksal, Özlem; Mert, Dilek Kostak; Özdemir, Fatma; Aydın, Şule Akköse; ARMAĞAN, EROL; KÖKSAL, ÖZLEM; Mert, Dilek Kostak; ÖZDEMİR, FATMA; AYDIN, ŞULE; Tıp Fakültesi; Acil Tıp Bölümü; AAK-8332-2020; AAH-8846-2021; AAI-2164-2021; L-7334-2015Objective: Acid-base disorders (ABDs) are usually correlated with high rates of morbidity and mortality. The objective of this study was to analyze the causes, outcomes, types and incidences of ABDs in patients presenting at the emergency department (ED).Material and Methods: We prospectively analyzed data from patients who presented between January 2011 and May 2011. Data on age, gender, chief complaint, and diagnosis in the ED were collected for ABD cases.Results: Of the 736 cases with an ABD, 173 patients (23.5%) had simple ABD and 563 patients (76.5%) had mixed ABD. The most common ABD was a mixed metabolic acidosis and respiratory alkalosis (MACRAL) (n=408, 55.4%). All ABD types were most commonly observed in patients over 65 years of age. Dyspnea was the most common complaint among ABD patients who presented at the ED (44.4%). In cases of ABD, pneumonia was the most common diagnosis (16.3%). Of the ABD cases, 379 patients (51.6%) were discharged, while 318 patients (43.2%) were hospitalized. Death was more commonly observed in cases with mixed metabolic and respiratory acidosis (MRAC) (n=6) and MACRAL (n=11).Conclusion: ABDs are quite common in patients presenting at the ED, especially among patients in a critical condition (71%). Mixed MACRAL was the most commonly noted ABD. Dyspnea and pneumonia were the most common diagnoses in ABD patients. Mortality was more common in cases with a mixed MRAC and MACRAL. This knowledge may provide important information concerning the diagnosis, treatment and early prognosis of patients.Publication Management of fever; comparison of the effectiveness of metamizole and paracetamol in patients with suspected swine flu (h1n1)(Aves, 2011-12-01) Armağan, Erol; ARMAĞAN, EROL; Aydın, Sule Akkose; AYDIN, ŞULE; Köksal, Özlem; KÖKSAL, ÖZLEM; Kocabaş, Egemen; Küfeciler, Tarkan; Balcı, Arif Kadri; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; AAH-8846-2021Objective: The study was performed to compare the effects of metamizol and paracetamol administered intravenously (IV), int adult patients with suspected swine flu (H1N1) presenting at the emergency department (ED) with feverMaterials and Methods: The study is a prospective randomized study made at the Uludag University Medical School ED between the dates of December 01-31.12.2009. 125 suspected H1N1 patients with fever were included in the study. Patients were randomized in turn and medications (1000 mg paracetamol/metamizole in 100 cc serum physiologic) were applied in the form of a 20-minute infusion by IV. Body temperatures are recorded before and after 15 and 30 minutes of drug applicationResults: The patients' mean age was 27.2 +/- 10.2. There were 63 patients in the metamizole and 62 patients in the paracetamol group. Body temperature decrease was significant with both drugs of application, however, in the group administered paracetamol the temperature decrease was more significant (p < 0.05).Conclusion: Although both paracetamol and metamizole are effective in fever management, in patients with suspected H1N1, paracetamol is the drug of choice.