Cost analysis of occupational accidents of fall from height in the construction sector: A case study in Düzce province

YÖK Tez No: 578188Ülkemizde iş kazalarının en yüksek olduğu sektörlerin başında inşaat sektörü gelmektedir. Meydana gelen kazalar büyük oranda yüksekten düşme neticesinde gerçekleşmekte olup buna bağlı olarak sakat kalma ve ölüm oranları yüksektir. Meydana gelen kazaların manevi kayıpları sosyal yaşantıyı, maddi kayıpları da ekonomiyi olumsuz yönde etkilemektedir. Kurumlarımız bu kayıpları engellemek adına gerekli kanuni çalışmaları yürütmektedir. Fakat bu durumun sahada tam olarak karşılığını bulmadığı ve iş güvenliği kültürünün oluşmadığı gözlenmiştir. Bu kültürün oluşabilmesi için öncelikle işverenlerin İş güvenliği konusuna daha hassas yaklaşmaları gerekmektedir.Bu çalışmada Düzce ilinde inşaat sektöründe yüksekten düşme neticesinde meydana gelen bir iş kazasının maddi boyutu incelenmiştir. Kaza oluşumunu önlemek amacıyla alınması gereken ancak alınmayan İş güvenliği tedbirlerinin maliyetleri ile kaza sonucu ortaya çıkan maliyetlerin analizi yapılmıştır. Ulaşılan kaza maliyetlerin iş güvenliği maliyetlerinin çok üzerinde olduğunun farkına varılması, işverenlerin İş Güvenli Kültürünün oluşmasında gerekli hassasiyeti göstermeleri konusunda farkındalık oluşturulması düşünülmüştür.Construction sector is one of the leading sectors with the highest occupational accidents in our country. Accidents occur largely as a result of falling from a high place and consequently disability and mortality proportions are high. The moral losses of the accidents affect the social life and the material losses negatively affect the economy. Our institutions carry out the necessary legal activities to prevent these losses. However, it has been observed that this situation cannot be fully repaid in the field and that no safety culture is formed. For the formation of this culture, firstly employers should approach the issue of occupational safety more sensitively. In this study, the material dimension of a work accident that occurred as a result of falling from the height in construction sector in Düzce province was examined. In order to prevent the occurrence of an accident, the costs of the occupational safety measures, which should be taken but not taken, were analyzed. It is thought that the realized accident costs are much higher than the occupational safety costs and that the employers should be aware of the sensitivity required for the formation of the Occupational Safety Culture

Antiphospholipid antibody syndrome leading to massive pulmonary embolism and sudden death

Antiphospholipid antibody syndrome is associated with venous and arterial thromboembolism. Coexistence of pulmonary embolism and intracardiac thrombus is rarely encountered. A 33-year-old male patient presented with severe dyspnea three months after surgery for acute arterial embolism. On physical examination, blood pressure was 80/60 mmHg and breath sounds were weaker in the lower zone of the left lung. Severe lower limb edema was noted. On cardiac auscultation, the third heart sound was elicited. Electrocardiography showed only a sinusal tachycardia. Transthoracic echocardiography revealed a huge thrombus in the right atrium and another thrombus in the main pulmonary artery. Hematological analysis showed a high titration of antiphospholipid antibodies. A diagnosis of massive pulmonary embolism was considered. During preparation for emergency operation, the patient developed cardiovascular collapse, which did not respond to cardiopulmonary resuscitation

Association of neutrophil/lymphocyte ratio with plaque morphology in patients with asymptomatic intermediate carotid artery stenosis

WOS: 000384706100016PubMed ID: 27721862Background and Objectives: Non-calcified carotid plaques are more unstable than calcified plaques; and they are associated with a higher risk of rupture, thromboembolism, and consequently, stroke. The purpose of the present study is to compare calcified and non-calcified plaques that cause intermediate carotid artery stenosis with respect to neutrophil/lymphocyte ratio (NLR). Subjects and Methods: A total number of 139 asymptomatic patients with 50-70% stenosis of the carotid artery were included in this study. Carotid Doppler ultrasound imaging and computed tomography angiography were performed to divide the carotid artery plaques into two groups as calcified and non-calcified. Patients included in the calcified (n=73)and non-calcified (n=66) plaque groups were compared with respect to total neutrophil count, lymphocyte count and NLR. Results: Total lymphocyte count was statistically significantly lower in the non-calcified plaque group compared to the calcified plaque group (total lymphocyte count in non-calcified/calcified plaque groups [10(3)/mm(3)]: 2.1/2.3, respectively) (p=0.002). NLR was statistically significantly higher in the non-calcified plaque group compared to the calcified plaque group (NLR in non-calcified/calcified plaque groups: 2.6/2.1, respectively) (p2.54. Multivariate regression analysis showed that NLR was independently associated with non-calcified carotid artery plaques (odds ratio 5.686, 95% CI 2.498-12.944, p<0.001). Conclusions: NLR is increased in the presence of non-calcified carotid artery plaques that cause asymptomatic intermediate stenosis. Increased NLR can be used as a marker to assess the risk of rupture of non-calcified carotid artery plaques

Misdiagnosed chest pain: Spontaneous esophageal rupture

Chest pain is one of themost common complaints expressed by patients presenting to the emergency department, and any initial evaluation should always consider life-threatening causes. Esophageal rupture is a serious condition with a highmortality rate. If diagnosed, successful therapy depends on the size of the rupture and the time elapsed between rupture and diagnosis.We report on a 41-year-old woman who presented to the emergency department complaining of left-sided chest pain for two hours

Predictors of reintervention after coronary artery bypass grafting

PubMed ID: 24452944AIM: Percutaneous and surgical reintervention after coronary artery bypass grafting (CABG) is frequent. The purpose of this study was to determine the predictors of reintervention in patients with symptoms of recurrent ischemia after coronary artery bypass graft surgery (CABG). PATIENTS AND METHODS: The data of 20000 patients who had coronary angiography (CAG) from 2003 to 2010 in our centre were retrospectively analysed. 485 of these patients with CABG who had CAG were included in this study. Demographic characteristics, the presence of coronary artery disease (CAD), risk factors for CAD, electro-cardiographic (ECG) changes, troponin and CKMB levels, and left ventricular function were evaluated in terms of time elapsed after CABG. RESULTS: Reintervention was performed significantly more frequent in patients with acute coronary syndrome, diabetes mellitus (DM), hypertension (HT), family history of CAD, ECG changes, positive troponin level, elevated CKMB, ejection fraction (EF) > 50% and in smoker patients (p 50% were found the independent predictors of reintervention. CONCLUSIONS: Reintervention after CABG is especially higher in patients with risk factors for atherosclerosis and those who have ECG changes and normal EF. Knowledge of these risk factors is useful in the determination of CAG requirement and modification of risk factors for atherosclerosis may play an important role in reducing reintervention