Search

Your search keyword '"DENIZBASI, Arzu"' showing total 190 results
Start Over Author "DENIZBASI, Arzu"
190 results on '"DENIZBASI, Arzu"'

3. Effect of access block on emergency department crowding calculated by NEDOCS score.

Author

Altun, Mustafa, Kudu, Emre, Demir, Oguzhan, Karacabey, Sinan, Sanri, Erkman, Onur, Ozge Ecmel, Denizbasi, Arzu, and Akoglu, Haldun

Abstract

Emergency department (ED) crowding poses a significant challenge in healthcare systems globally, leading to delays in patient care and threatening public health and staff well-being. Access block, characterized by delays in admitting patients awaiting hospitalization, is a primary contributor to ED overcrowding. To address this issue, the National Emergency Department Overcrowding Study (NEDOCS) score provides an objective framework for assessing ED crowding severity. This study aims to evaluate the impact of access block on ED crowding using the NEDOCS score and to explore strategies for mitigating overcrowding through scenarios over a 39-day period. A single-center, prospective, observational study was conducted in an urban tertiary care referral center. The NEDOCS score was collected six times daily, including variables like total ED patients, ventilated patients, boarding patients, the longest waiting times, and durations of boarding patients. NEDOCS scores were recorded, and calculations were performed to assess the potential impact of eliminating access block in scenarios. NEDOCS scores ranged from 62.4 to 315, with a mean of 146, indicating consistent overcrowding. Analysis categorized ED conditions into different levels, revealing that over 81.2% of the time, the ED was at least overcrowded. The longest boarding patient's waiting duration was identified as the primary contributor to NEDOCS (48.8%). Scenarios demonstrated a significant decrease in NEDOCS when access block was eliminated through timely admissions. Shorter boarding times during non-working hours suggest the potential mitigating effect of external factors on the access barrier. Additionally, daytime measurements were associated with lower patient admissions and shorter wait times for initial assessment. Although ED crowding is a multifactorial problem, our study has shown that access block contribute significantly to this problem. The study emphasizes that eliminating access block through timely admissions could substantially alleviate crowding, highlighting the importance of addressing this issue to enhance ED efficiency and overall healthcare delivery. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

7. A Viper bite in an urban area : A case report

Author

DEMIR, Hasan, primary, OZKAN, Aykut, additional, EFEOGLU SACAK, Melis, additional, BAYRAM, Nurseli, additional, ISIN UNAL, Boran, additional, TIRIS, Cansu, additional, GOL, Murat, additional, and DENIZBASI, Arzu, additional

Published
2022
Full Text
View/download PDF

8. Successful diagnosis of a ruptured ectopic pregnancy: A woman without abdominal pain and vaginal bleeding.

Author

KUDU, Emre, ASLAN, Sena Ozge, GENC, Dilan, DEMIR, Oguzhan, and DENIZBASI, Arzu

Subjects
FALLOPIAN tube surgery, ULTRASONIC imaging of fallopian tubes, HEMORRHAGE diagnosis, DIAGNOSIS of digestive system diseases, ONDANSETRON, PHYSICAL diagnosis, ECTOPIC pregnancy, LAPAROSCOPY, DIGESTIVE system diseases, FATIGUE (Physiology), UZBEKS, FLUID therapy, SALPINGECTOMY, TREATMENT effectiveness, HOSPITAL emergency services, FETAL ultrasonic imaging, FALLOPIAN tubes, VOMITING, GASTROENTERITIS, NAUSEA, DEHYDRATION, HEMORRHAGE, SYMPTOMS
Abstract

Ectopic pregnancy is the implantation of the developing embryo outside the uterine cavity. It usually occurs in the fallopian tubes. One of the critical complications of ectopic pregnancy is rupture. The most common symptoms of ectopic pregnancy rupture are vaginal bleeding and abdominal pain. In atypical presentations, the diagnosis is based on suspicion. Herein, we presented a case of ruptured ectopic pregnancy with an atypical presentation. The diagnosis of ruptured ectopic pregnancy should be considered when women with childbearing potential apply to the emergency department. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

26. Carbamazepine overdose after exposure to simethicone: a case report

Author

Guneysel Ozlem, Onur Ozge, Denizbasi Arzu, and Saritemur Murat

Subjects
Medicine
Abstract

Abstract Introduction Carbamazepine is an anticonvulsant drug and is also used as a treatment for patients with manic-depressive illness, post-herpetic neuralgia or phantom limb pain. The drug itself has many drug interactions. Simethicone is an antifoaming agent and is reported to be an inert material with no known drug interaction with carbamazepine. Case presentation We present a case of a patient who was routinely using carbamazepine 400 mg three times per day and levetiracetam 500 mg twice daily, and experienced carbamazepine overdose after exposure to simethicone. After cessation of simethicone therapy normal drug levels of carbamazepine were obtained again with the standard dose of the drug. The mechanism of interaction is unknown but the risk of overdose should be considered when prescribing simethicone to a patient who is using carbamazepine. Conclusion Simethicone and carbamazepine, when taken together, may be a cause of carbamazepine toxicity. The risk of carbamazepine overdose should be considered when prescribing simethicone to a patient who is using carbamazepine.

Published
2008
Full Text
View/download PDF

36. Analysis of Violence in a Crowded Emergency Room

Author

Eroglu, Serkan Emre, Onur, Ozge, Sağıroğlu, Ezgi, Denizbasi, Arzu, and Akoglu, Haldun

Subjects
emergency staff, workplace violence, Emergency room, crowding, security personnel
Abstract

Aims: There is abundant evidence to suggest that health care staff are increasingly being exposed to violent incidents at their workplace. The purpose of our study was to identify the role of crowding in producing violence that occurs in emergency department as well as to outline the factors that affect the types of violence. Study Design: In this prospective study we collected incidents of violence against emergency staff by patients or their relatives. A survey with 20 questions about the event was completed by emergency staff just after the event. Also information about crowding at that time was recorded as well as the area of the event. Statistical analysis was done with SPSS 16.0. Place and Duration of Study: Department of Emergency Medicine, Marmara University Pendik Training and Research Hospital, Between April 1 and June 1, 2012. Methodology: A total of 116 acts of violence were reported during the 61 days of this study. 79 of 116 cases (68.1%) were verbal, 16 (13.8%) physical, and 21 (18.1%) were both verbal and physical. The information about each event was entered into a database and pooled for analysis. Results: The most common victims of violence were physicians (38.8%) and security personnel (31.0%). The presence of security personnel in the environment increases the risk of physical violence (P=.017). The average total number of patients waiting for examination or results of examinations was 24.9 ± 1.4 (95% CI, 22.3 – 27.5). It was observed that the violence increased when the number of people was close to this number and reduced when the crowding increased above this average. Conclusions: The existence of security personnel alone is not sufficient to prevent violence; new steps should be taken to prevent the entrance of the patients’ relatives to inside of the treatment areas of emergency departments.

Published
2013
Full Text
View/download PDF

43. Editorial

Author

TUREDI, Suleyman, primary, CINAR, Orhan, additional, and DENIZBASI, Arzu, additional

Published
2014
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results