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            <front>

                <journal-meta>
                                                                <journal-id>kırıkkale uni med j</journal-id>
            <journal-title-group>
                                                                                    <journal-title>The Journal of Kırıkkale University Faculty of Medicine</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2148-9645</issn>
                                                                                            <publisher>
                    <publisher-name>Kirikkale University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.24938/kutfd.1754522</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Health Services and Systems (Other)</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Sağlık Hizmetleri ve Sistemleri (Diğer)</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="en">
                                    <trans-title>Emergency Department Use by the Inmate Population: A University Hospital&#039;s Experience</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>TUTUKLU POPÜLASYONUNUN ACİL SERVİSİ KULLANIMLARI: BİR ÜNİVERSİTE HASTANESİNİN DENEYİMİ</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-8024-8951</contrib-id>
                                                                <name>
                                    <surname>Yılmaz</surname>
                                    <given-names>Abdurrahman</given-names>
                                </name>
                                                                    <aff>UŞAK ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-0950-0477</contrib-id>
                                                                <name>
                                    <surname>Kadıoğlu</surname>
                                    <given-names>Emine</given-names>
                                </name>
                                                                    <aff>SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL TAKSİM SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0004-7148-2382</contrib-id>
                                                                <name>
                                    <surname>Can</surname>
                                    <given-names>Serdar</given-names>
                                </name>
                                                                    <aff>Biga Devlet Hastanesi</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-1709-5686</contrib-id>
                                                                <name>
                                    <surname>Yaman</surname>
                                    <given-names>Eda</given-names>
                                </name>
                                                                    <aff>Doç. Dr. İsmail Karakuyu Simav Devlet Hastanesi</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20260427">
                    <day>04</day>
                    <month>27</month>
                    <year>2026</year>
                </pub-date>
                                        <volume>28</volume>
                                        <issue>1</issue>
                                        <fpage>12</fpage>
                                        <lpage>15</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20250801">
                        <day>08</day>
                        <month>01</month>
                        <year>2025</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20251024">
                        <day>10</day>
                        <month>24</month>
                        <year>2025</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1999, The Journal of Kırıkkale University Faculty of Medicine</copyright-statement>
                    <copyright-year>1999</copyright-year>
                    <copyright-holder>The Journal of Kırıkkale University Faculty of Medicine</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="en">
                            <p>Objective: Incarcerated individuals often face unique barriers in accessing timely healthcare due to institutional restrictions and security protocols. Emergency care utilization patterns among this population remain underexplored, particularly in relation to visit timing and associated clinical characteristics. The aim of this study is to compare emergency department visits of detained patients during working hours and outside working hours and to evaluate whether these visits differ in terms of sociodemographic and clinical characteristics. Material and Methods: This retrospective cross-sectional study included 186 incarcerated patients brought to the emergency department of a university-affiliated hospital under judicial escort between January and December 2023. Data on age, gender, time of visit (working hours: 08:00-17:00; after-hours: 17:00-08:00), mode of arrival, presenting complaints, chronic conditions, vital signs, and visit outcomes were analyzed. Statistical significance was set at p</p></trans-abstract>
                                                                                                                                    <abstract><p>Amaç: Ceza infaz kurumlarındaki bireyler, kurumsal kısıtlamalar ve güvenlik protokolleri nedeniyle sağlık hizmetlerine zamanında erişimde çeşitli engellerle karşılaşmaktadır. Bu popülasyonun acil sağlık hizmeti başvuru örüntüleri, özellikle başvuru zamanlaması ve ilişkili klinik özellikler açısından yeterince araştırılmamıştır. Bu çalışmanın amacı tutuklu hastaların mesai içi ve dışı saatlerde gerçekleştirdiği acil servis başvurularını karşılaştırmak ve bu başvuruların sosyodemografik ve klinik özellikler açısından farklılık gösterip göstermediğini değerlendirmektir. Gereç ve Yöntemler: Bu retrospektif kesitsel çalışmada, Ocak-Aralık 2023 tarihleri arasında bir üniversite hastanesine adli kolluk nezaretinde getirilen 186 mahkûmun acil servis başvuruları incelenmiştir. Yaş, cinsiyet, başvuru zamanı (mesai içi: 08.00-17.00; mesai dışı: 17.00-08.00), geliş şekli, başvuru şikâyetleri, kronik hastalık varlığı, vital bulgular ve başvuru sonuçları analiz edilmiştir. Anlamlılık düzeyi p</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Acil servis</kwd>
                                                    <kwd>  mahkumlar</kwd>
                                                    <kwd>  sağlık hizmetleri</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="en">
                                                    <kwd>Emergency department</kwd>
                                                    <kwd>  prisoners</kwd>
                                                    <kwd>  health services</kwd>
                                            </kwd-group>
                                                                                                                                    <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">Çalışmada hiçbir kurum ya da kişiden finansal destek alınmamıştır.</named-content>
                            </funding-source>
                                                                    </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Wilper AP, Woolhandler S, Boyd JW, et al. The health and health care of US prisoners: Results of a nationwide survey. Am J Public Health. 2009;99(4):666-672.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Fazel S, Baillargeon J. The health of prisoners. Lancet. 2011;377(9769):956-965.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Trotter C, Flynn C. Understanding the health needs of prisoners: A review. Aust Health Rev. 2013;37(2):230-237.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">World Health Organization. Prisons and Health. WHO; 2014. Erişim tarihi: 10 Nisan 2025: https://www.who.int/europe/publications/i/item/9789289050593.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Çınar O. Acil servislerde mahkum hastalar: 3 yıllık analiz. Turk J Emerg Med. 2018;18(2):75-80.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Hekimoglu L, Yilmaz A. Prisoners&#039; access to emergency services: A nationwide assessment. J Forensic Leg Med. 2020;74:102025.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Pont J, Stover H, Wolff H. Dual loyalty in prison health care. Am J Public Health. 2012;102(3):475-480.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Plugge E, Douglas N, Fitzpatrick R. The health of women in prison: A review of available literature. BJOG. 2014;121(6):667-675.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Strote J, Craven P, Buck T, Sanders B, Adedipe A, Maher P. Emergency department utilization by a jail population. AJEM. 2018;36(9):1631-1634.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Arikan C, Karaali R, Sorgun O. Recent situation in emergency department admissions of convicted patients, a retrospective multicenter study. Van Med J. 2023;30(4):354-360.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
