This study examined emergency physicians across the country in terms of Impostor Phenomenon (IP) and Burnout Syndrome (BoS). We aimed to evaluate the possible relationship between IP and BoS and determine which demographic characteristics pose a risk for IP and BoS. This quantitative cross-sectional study consists of Clance Impostor Phenomenon Scale (CIPS) and Maslach Burnout Inventory (MBI) which were filled out online by the participants. A total of 389 volunteers participated in the study. The median age of participants was 30 years (Q1-Q3=27-35) and 57.3% (223) of them were male. The frequency of significant/intense IP was higher in women (28.9%) than in men (17%) (p=0.020). High emotional exhaustion and low personal accomplishment were more common in women than in men (71.7% vs 60.6% and 50% vs 31%, respectively). The median age of participants classified as none to mild IP was 34 years. It was 28 years in significant/intense IP. It was detected that the severity of IP increased as the participants got younger (p<0.001). Significant/intense IP was most common in residents (29%). The residents also had the highest frequency of depersonalization (73.5%). The frequency of moderate to intense IP was the least in participants who worked at a university hospital (74.6%). The results of this study indicated that IP and BoS are more common in residency. The increased frequency of IP and BoS in young female physicians may be attributed to hierarchical working arrangements and worry about academic performance. Experienced physicians with high levels of academic self-consciousness exhibited a low frequency of IP. Additionally, this study identified a moderate correlation between IP and BoS.

OBJECTIVES: Previous studies have shown an association between systemic hypertension and intraocular pressure (IOP). We analyzed the relationship between the decreases of the blood pressure (BP) and IOP in hypertensive patients. METHODS: The study includes a total of 214 patients: 158 hypertensive and 56 normotensive patients as study and control groups, respectively. The IOP of each eye in both the groups was measured once with a noncontact tonometer at presentation and an hour after BP reduction to normal in the study group. We analyzed the reduction in IOP with decreasing BP. RESULTS: In the study group, the mean IOP was 15.29 ± 4.05 mmHg in the right and 15.11 ± 3.78 mmHg in the left eyes. The mean IOP measured an hour after the patients became normotensive was 13.78 ± 4.06 mmHg in the right and 13.51 ± 3.82 in the left eyes. There was a statistically significant decrease in the IOPs (P < 0.001). The mean IOP in the control group was 13.54 ± 3.51 mmHg in the right and 13.20 ± 3.33 mmHg in the left eyes. The mean IOP at presentation in the study and control groups was found to be significantly different (P < 0.001). CONCLUSIONS: Patients in the study group showed a significantly higher IOP compared to patients in the normotensive group. Furthermore, patients in the study group showed a significant reduction in IOP after BP reduction. This may indicate that uncontrolled hypertension poses a risk for prolonged higher IOP. Prolonged higher IOP can be considered a risk factor for the glaucoma.

This study aimed to assess the correlation between the impostor phenomenon and the level of academic self-efficacy. The secondary aim was to determine the sociodemographic variables affecting these two conditions. Based on the acquired findings, it is possible to take supportive and preventive measures. This descriptive study was carried out at the xxx University Faculty of Medicine. A total of 1133 residents were invited to participate in the study. Participants completed a range of scales, including the Medical Achievement Self-Efficacy Scale (MASS) and the Clance Impostor Phenomenon Scale (CIPS). The data were collected by using Google Forms. The response rate was 23.04% (n = 261). The age and gender did not significantly correlate with the MASS or the CIPS scores. The participants were divided into five groups at 12-month intervals according to the time completed in their departments. The median CIPS score of the 0–12 month group was 62 (Q1:53,Q3:70), and the median MASS score was 55 (Q1:44,Q3:67). A significant correlation was found between the time spent in the department and the CIPS score and the MASS score (p < 0.001 and p < 0.001, respectively). A strong negative correlation was detected between the impostor level and the MASS score (R= -0.738, p < 0.001). CIPS scores showed a moderately significant relationship with the MASS scores in multivariable regression analyses (adjusted R2 = 0.585 p < 0.001, standardized B= -0.668). There is a strong relationship between academic self-efficacy and the impostor phenomenon (IP). Residents in the early stages of their academic careers feel a strong sense of IP, while they perceive a low sense of self-efficacy. The lack of needed competencies can explain the main reason for this. The present study found that as the level of IP increases, academic self-efficacy perception decreases, and there is a strong negative correlation between them. Individuals with positive core self-evaluation will have low levels of IP and high academic self-efficacy because they see themselves as sufficient and valuable. As in the results of the current study, the increase in academic experience will lead to an increase in self-efficacy perception and a decrease in IP.

Objective: Methanol intoxication is a type of poisoning with high mortality and morbidity. The current study aims to examine patients diagnosed with methanol intoxication and treated with standardized treatment to collect data that may be used to predict patient outcomes and mortality. Materials and Methods: The current study was a retrospective study and included patients over 18 years of age diagnosed with methanol intoxication between 1st March, 2011 and 1st March, 2021. All patients were treated with the treatment protocol determined by the clinic in accordance with the guidelines. Sociocultural characteristics, vital and laboratory findings, and clinical outcomes of the patients were analyzed. Results: Of the 28 patients included in the study, 80% were male, and the median age was 49. Patients were divided into two groups: survived and deceased. The median time since last alcohol intake was higher in surviving group (7 hours (Q1-Q3:6-12) vs 4 hours (Q1-Q3:2-17), p=0.005) and the amount of alcohol per kilogram of weight was lower in surviving group (3.13 ml/kg (Q1-Q3: 1.34-4.46) vs 8.81 ml/kg (Q1-Q3:5.22-9.49), p=0.002). The body temperature was lower in deceased group (35.40 °C (Q1-Q3:34.95-35.50) vs 36.40 °C (Q1-Q3:36.10-36.55), p=0.001). The current study showed that the other diagnostic factors of mortality in methanol intoxication are serum pH, lactate levels, bicarbonate levels, base deficit, anion deficit, the level of consciousness of the patient at admission, the time since the last alcohol consumption, and the amount of methanol ingested. Conclusion: In this study, it was concluded that moderate hypothermia may be an indicator of mortality in addition to classical findings. Thus, it has been shown that hypothermia will be effective in methanol intoxication in addition to other early markers for early diagnosis and rapid initiation of treatment.

OBJECTIVES: Traditional scoring systems have been widely used to predict acute pancreatitis (AP) severity but have limitations in predictive accuracy. This study investigates the use of machine learning (ML) algorithms to improve predictive accuracy in AP. METHODS: A retrospective study was conducted using data from 101 AP patients in a tertiary hospital in Türkiye. Data were preprocessed, and synthetic data were generated with Gaussian noise addition and balanced with the ADASYN algorithm, resulting in 250 cases. Supervised ML models, including random forest (RF) and XGBoost (XGB), were trained, tested, and validated against traditional clinical scores (Ranson’s, modified Glasgow, and BISAP) using area under the curve (AUC), F1 score, and recall. RESULTS: RF outperformed XGB with an AUC of 0.89, F1 score of 0.82, and recall of 0.82. BISAP showed balanced performance (AUC = 0.70, F1 = 0.44, and recall = 0.85), whereas the Glasgow criteria had the highest recall but lower precision (AUC = 0.70, F1 = 0.38, and recall = 0.95). Ranson’s admission criteria were the least effective (AUC = 0.53, F1 = 0.42, and recall = 0.39), probable because it lacked the 48^th h features. CONCLUSION: ML models, especially RF, significantly outperform traditional clinical scores in predicting adverse outcomes in AP, suggesting that integrating ML into clinical practice could improve prognostic assessments.

Joint Diseases and Related Surgery (JDRS), the official journal of the Turkish Joint Diseases Foundation, is an international, peer-reviewed, immediate open access journal. All published articles in JDRS has been free for everyone, without embargo, since 1990.