BACKGROUND: The impact of coronavirus disease-2019 (COVID-19) on geriatric trauma presenting to the emergency department is unknown. OBJECTIVE: To examine geriatric trauma emergency department admission trends during the COVID-19 pandemic. METHODS: This retrospective, observational, comparison study was conducted in an academic emergency department in Turkey. Trauma patients 65 years and older who presented to the emergency department within 1 year of March 12, 2020, were included. Patients admitted in the same date range in the previous year were included as the control group. The characteristics of the patients, injured area, and injury mechanisms were compared. RESULTS: Geriatric trauma admissions decreased (relative risk = 0.71, odds ratio [OR] = 0.69 [95% confidence interval, CI: 0.62, 0.77], p < .001). According to the type of injury, there was no significant difference in admissions to the emergency department (p = .318). During the pandemic, there was an increase in falls and a decrease in stab wounds and gunshot wounds (p = .001). Multiple trauma (OR = 5.56 [95% CI: 3.75, 8.23], p < .001), fall (OR = 2.41 [95% CI: 1.6, 3.73], p < .001), and-assault related injuries (OR = 4.43 [95% CI: 2.06, 9.56], p < .001) were determined as factors that increased the admissions to the emergency department compared with the prepandemic. CONCLUSION: Although geriatric trauma emergency department admissions decreased during the pandemic, those due to falls and assaults increased. Although curfews and social isolation resulted in a decrease in penetrating injuries, assault-related trauma has increased.

En tr Aim: The objective of this study is to identify the demographic and clinical characteristics of our patients who were followed up and treated with cerebral palsy diagnosis. Materials and Methods: The information of 577 patients was analyzed. Results: 41.9% of patients were female,58.1% were male, the mean age was 6.57years. Age of diagnosis was 31.4% in 0-6 months; 36.7% at 6-12 months; 21.9% at 1-2 years and 10.1% after two years of age. There was spastic unilateral type in 23.2%, spastic bilateral type in 72.4%, dyskinetic type in 1.2%, hypotonic type in 0.2% and mixed type in 2.9% of the cases. In terms of etiologic factors,5% prenatal,10.6% perinatal,6.8% postnatal factors were affected.64% of our patients had more than one risk factor, 13.7% had no risk factor. The duration of resumption to the rehabilitation center is 3.05 years. In 51% of the patients there was a concomitant problem, in 49% there was no accompanying problem. Antispastic therapy was used in 9,6% of patients, anticonvulsant therapy in 22,6%, both treatment in 3,1%, others medical treatment in 8,4%. In 56,3% of the patients was no medical treatment.33,1% of patients were using orthosis,23,3% were using assistive devices. According to CMFCS,18.5% of the patients were in stage 1,25.5% in stage 2,18.4% in stage 3, 22.7% in stage 4 and 14.9% in stage 5. Pes equinus was detected most frequently. Botulinum toxin injection was applied in 42,3%, selective dorsal rhizotomy in 0,7% and orthopedic surgery in 21% of our patients. Conclusion: Knowing the epidemiologic character of cerebral palsy, regular follow-up, treatment of the patients can provide the least dependence on the child, increase the adaptation to the gathering. Amaç: Çalışmamızın amacı serebral palsi (SP) polikliniğinde SP tanısı ile takip ve tedavisi yapılan hastalarımızın demografik ve klinik özelliklerini belirlemektir. Gereç ve Yöntem: Düzenli takibi olan 577 hastanın bilgileri geriye dönük incelendi. Hastaların yaşı, cinsiyeti, etiyolojik faktörleri, problemlerin fark edildiği yaş, SP tipi, kaba motor fonksiyon klasifikasyon sistemiyle (KMFKS) değerlendirmesi, eşlik eden ikincil problemleri, muayene bulguları, rehabilitasyon merkezinde düzenli tedavi hizmeti alımı, ortez ve yardımcı cihazları, medikal tedavileri, uygulanan konservatif ve cerrahi tedavi yaklaşımları kaydedildi. Bulgular: Hastalarımızın %41,9’u kız, %58,1’i erkek, yaş ortalaması 6,57 (±3,17) yıl idi. Tanı alma yaşı 0-6 ayda %31,4; 6-12 ayda %36,7; 1-2 yaşta %21,9 ve iki yaşından sonra %10,1 idi. Olguların %23,2’sinde spastik unilateral tip, %72,4’ünde spastik bilateral tip, %1,2’sinde diskinetik tip, %0,2’sinde hipotonik tip ve %2,9’unda mikst tip tutulum mevcuttu. Etiyolojik faktörler açısından %5 prenatal, %10,6 perinatal, %6,8 postnatal faktörler etkendi. Hastalarımızın %64’ünde birden çok risk faktörü mevcutken, %13,7’sinde risk faktörü saptanmamıştır. Rehabilitasyon merkezine devam süresi 3,05(±2,8) yıldı. Hastaların %51'inde eşlik eden problem mevcutken %49’unda eşlik eden problem yoktu. Hastalarımızın %9,6’sında antispastik tedavi, %22,6‘sında antikonvülzan tedavi, %3,1’inde antispastik ve antikonvülzan tedavi, %8,4’ünde bunların dışında medikal tedavi mevcutken, %56,3’ünde herhangi bir medikal tedavisi yoktu. Hastaların ilk başvuruda %33,1’i ortez, %23,3'ü yardımcı cihaz kullanmaktaydı. KMFKS’ye göre hastaların %18,5’i evre 1, %25,5’i evre 2, %18,4’ü evre 3, %22,7’si evre 4 ve %14,9’u evre 5 idi. En sık ekin yürüyüşü saptandı. Hastalarımızın %42,3’üne botulinum toksin enjeksiyonu, %0,7’sine selektif dorsal rizotomi, %21’ine ortopedik cerrahi uygulanmıştı. Sonuç: Serebral palsinin epidemiyolojik karakterinin bilinmesi, hastaların düzenli takibi ve tedavisi çocuğun bağımlılığını en aza indirip topluma uyumunun artmasını sağlayabilir .

Background: There are very few studies in the literature evaluating the effects of mask use on physiological parameters. Objectives: This study aims to examine physiological changes due to masks in healthcare workers who use respiratory masks for long hours in the emergency room during the pandemic process. Methods: Cross-sectional and prospective study was carried out with healthcare professionals with an FFP2 type valve mask. The participants’ transcutaneous oxygen saturation, pulse, and respiratory rate were measured before wearing the respirator mask and at 30 and 60 minutes after wearing the mask. Results: SPO2 values of the participants decreased gradually at 0th, 30th, and 60th minutes and respiratory rate increased gradually at 0th, 30th, and 60th minutes. The statistically significant difference arises from the 0 and 60 minutes values. Higher SPO2 values were found at 0 and 30 minutes in non-smokers. SPO2 value gradually decreased in non-smokers at 0, 30, and 60 minutes, but no significant decrease was observed in non-smokers. Pulse rate was found to be higher at 60th minute compared to 0th minute in non-smokers. No significant difference was found between smokers and non-smokers. The respiratory rate gradually increased in smokers at 0th, 30th, and 60th minutes. SPO2 values were lower at the 60th minute compared to the 0th minute in both women and men. There was no significant difference in pulse rates. Respiratory rate was found to be higher at 60th minute in men than at 0th minute. Conclusion: It is recommended to follow the physiological parameters and to regulate the working conditions when necessary.