A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Avcı, Sema
- Are Emergency Services the First Place of Diagnosis for Juvenile Pregnancies?
Authors
1 Amasya University Sabuncuoğlu Şerefeddin Research and Training Hospital, Amasya, TR
2 Department, Ankara Atatürk Research and Training Hospital, Ankara, TR
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 1355-1358Abstract
Objectives: Child marriage is a situation that varies based on the country and region in which it is found, and it is the name given to marriages under the age of 18. We aim to learn in the study we planned of the places where juvenile-child pregnancies are first diagnosed.
Method: The study was conducted over the health data in the Kars province, found in eastern Turkey, between the dates of January 2012 and January 2017, and approval was obtained from the provincial health directorate.
Results: 260 pregnancies were detected under the age of 18. The age, place of residence, upon which referral the diagnosis was made of the pregnant women, the health institution and department that made the request, and the reason for examination were recorded. 142 of the patients (54.6%) come from rural regions.
Conclusions: All healthcare professionals, primarily emergency care doctors, must be educated about juvenile pregnancy, and social programs must be organized to monitor pregnant juveniles.
Keywords
Juvenile Pregnancy, Emergency, Marriage.
- Physostigmine in Hyoscyamus Niger Intoxication:Is it an Antidote Myth?
Authors
1 Department of Emergency Medicine, Ankara Atatürk Research and Training Hospital, Ankara, TR
2 Department of Emergency Medicine, Amasya University Sabuncuoğlu Şerefeddin Research and Training Hospital, Amasya, TR
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 1359-1362Abstract
Introduction: Hyoscyamus niger intoxication (HNI) is usually seen in children and its diagnosis is based on history and clinical symptoms. Approach to intoxication: physostigmine therapy is an alternative to general approach in the treatment of intoxicated patients. However, physostigmine is a generally accepted antidote; it is not always accessible in every region or place. This retrospective study aimed to evaluate HNI cases in which physostigmine were not administered. The study examined the clinical outcomes, the follow-ups after discharge, and the laboratory analyses in order to see the impact of presence and absence of physostigmine administration in the treatment of HNI.
Method: 27 patients who presented to the hospital because of HNI intake were included in the study. Laboratory values, hospitalizations and outcomes of the patients were recorded. Patients’ clinical status and admissions to E.R. in the following three-month period after the discharge were examined by having contact with the patients.
Results: Although blood values of all the patients were in the normal reference ranges, direct bilirubin and ALT values were higher in the patients hospitalized to intensive care unit. Stomach lavage was applied to all patients and supportive care was started. Any complications including death, intubation and mechanic ventilation were not developed in the patients. All the hospitalized patients were discharged in four days. After the discharge, all the patients were contacted and questioned about whether they had any admissions to E.R., and had any complications or not. It was seen that none of them had a hospital admission associated with HNI.
Concerning the findings in our study and the literature in which patients were not administered physostigmine, we can state that instead of administering physostigmine in HNI patients, applying supportive toxicology approach is more accurate.