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İNANICI, MEHMET AKİF

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MEHMET AKİF

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2018 - 20202
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    PublicationOpen Access
    Acute poisoning in children; Evaluation of cases admitted to Marmara University Hospital in 2015
    (MARMARA UNIV, FAC MEDICINE, 2018-10-31) İNANICI, MEHMET AKİF; Tiplamaz, SiTK, I; Kirkpinar, Erkin; Inanici, Mehmet Akif
    Objectives: According to Turkish Statistical Institute (TurkStat), 6477 children aged between 1 and 17 years, died in 2015 and 29.5% (n=1909) of these deaths were because of injuries due to external causes and poisoning. Our aim is to produce solutions to this problem by evaluating demographics, clinical features of patients and the causes and consequences of poisoning. Materials and Methods: The hospital medical records of children who were admitted with acute intoxication to Pediatric Emergency Service at Marmara University Hospital in 2015, were evaluated retrospectively. Results: In 2015, a total of 1110 patients applied to the hospital due to poisoning. Of these cases, 31.6% (n = 351) were children, about half of them were male (n = 173) and half were female (n = 178). The mean age of males was 6.24 years and mean age of females was 8.47 years. Sixty percent (n=213) of patients were in 0-6 age group, 8% (n=28) of patients were in 7-11 age group, 32 % (n=110) of patients were in 12-18 age group. Forty-six point one percent (n = 162) were poisoned with medications. Among the pharmaceuticals, paracetamol was the most commonly used agent (14.8%). In non-pharmaceuticals, caustic/corrosive substances (detergent, bleach, acetone etc.) were the most frequently used agents (54%). Conclusion: In this study, 80.3% of the cases were preventable accidental poisoning. Regulations on child-resistant packaging should come into force as soon as possible.
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    Factors associated with physicians' assessment and management of child abuse and neglect: A mixed method study
    (ELSEVIER SCI LTD, 2020) İNANICI, MEHMET AKİF; Inanici, Sinem Yildiz; Celik, Emine; Hidiroglu, Seyhan; Ozdemir, Mikail; Inanici, M. Akif
    Physicians are a professional group that is highly likely to encounter abused or at-risk children. The aim of this study is to investigate physicians' experiences with abuse cases, their evaluations of abuse risk factors, and their attitudes toward becoming more educated on the subject. One-hundred-sixty-four family physicians at family health centers and public health centers completed a questionnaire, and a group of residents at a university training and research hospital were interviewed in a semi-structured format. One-fifth of the participants had managed a child abuse case at least once. Nearly half of the participants reported acting alone in diagnosing and managing abuse cases. Sixty-eight percent of these physicians stated they would like to receive training on this subject. Gender and having children did not make a difference as to the abuse-management experience of these medical professionals. Female participants placed more importance on risk factors related to children with mental disabilities and alcohol and substance abuse in parents than their male counterparts. Difficulties in diagnosis, concerns about handling the abuse cases, the impact of culture, various risk factors, the importance of teamwork and a holistic approach, the need for practical training, and the importance of primary prevention were themes that emerged from this survey. This study provides inferences as to which of the physician competencies should be targeted in undergraduate medical education.