BACKGROUND: The Feast of Sacrifice is a significant annual religious festival in Muslim countries. In these festivals, thousands of animals are usually sacrificed by inexperienced individuals. Thus, many injuries occur during sacrificing of animals. OBJECTIVES: Describe injuries related to animal sacrifice or meat processing. DESIGN: Cross-sectional descriptive study. SETTING: Three hospitals in different cities of Turkey. SUBJECTS AND METHODS: Severity and type of injuries that occur during animal sacrifice or meat processing after the sacrifice and hospital costs. MAIN OUTCOME MEASURES: Identification and classification of sacrifice related injuries. SAMPLE SIZE: 301 injured individuals. RESULTS: The mean age of the patients was 42.5 (14.8) years and 83.1% of the subjects were male. Most (90.0%) injuries were penetrating injuries and 10.0% were blunt traumas. Upper and lower extremity injuries were identified in 77.4% and 17.9% of cases, respectively. Almost half of the injuries were on the left hand (49.8%). Almost all (96.6%) cases were treated and discharged from emergency services. Median hospital cost per patient was 103.14 Turkish Liras (35.95-852.66 Turkish Liras) (19.53 USD [6.80-161.48 USD]). CONCLUSIONS: Even though injuries related to animal sacrifice are usually caused by minor sharp objects, they can be severe and life threatening on rare occasions. To minimize the injuries that may occur during this period, public education and more convenient sacrifice centers may be helpful. LIMITATIONS: Small sample, single country, and short duration of the study.

We aimed to examine the role of thiol/disulphide homeostasis (TDH) in heart failure and its stages and the prognosis of heart failure. A total of 140 subjects were included in the study. Total and native thiol levels were higher in the control group compared to the patient groups (p < .001). While the average disulphide/total thiol ratio was similar in groups 1 and 2, it was found to be significantly lower in the control group compared to other groups and significantly higher in group 3 compared to other groups (p < .05). Mean native thiol and total thiol levels were found lower in patients with mortality compared to surviving patients (p < .001). In ROC curve analysis, it was determined that the total thiol level had 81.8% sensitivity and 83.1% specificity, and native thiol level had 81.8% sensitivity and 84.3% specificity. We found that TDH was impaired in favour of disulphide in cases of heart failure.

Objective: Emergency services are areas where workload and stress are more common than others due to several reasons such as intensive working environment, long hours, variability and unpredictability of cases, the need for rapid response to patients. Emergency service employees who are already highly likely to experience burnout syndrome began to be affected by COVID-19 pandemic that emerged later in 2019 and the stress factors resulting from the pandemic. The study aims to investigate burnout levels of the emergency employees during the pandemic period and the related factors. Material and Methods: 140 emergency service employees working in two large pandemic hospitals in Samsun province were included in the study. Maslach Burnout Inventory was performed on the participants. Results: 140 people voluntarily participated in the study in total. Of them, 55% are males and 45% are females. 55.8% of the participants are married. While 40.7% of them are in the age group 18-27, 30% are in the age group 28-37. 32.1% of the participants are nurse and 28.5% are practitioner. 39.3% of the participants got infected with COVID-19. Moderate burnout was found in the patients. Maslach burnout inventory was compared by demographic data, occupation, and medical history of COVID -19 of the participants. Consequently, statistically significant differences were found between gender (p=0.003) and educational background (p=0.006) in the subscale of emotional exhaustion; between gender (p=0.038) and educational background (p=0.003) in the subscale of desensitization; and between genders (p=0.007) in the subscale of personal success. Conclusion: In this study is found that moderate burnout in emergency service employees during the pandemic. Furthermore, it can be deduced from the study findings that burnout syndrome is found more in female gender and post graduates. Other demographic findings and medical history of COVID-19 were found to have no effect on burnout syndrome.

Acute renal infarction (ARI) is a rarely encountered disease in emergency services, but is of particular importance owing to higher mortality and morbidity rates in the absence of early diagnosis and intervention. On the other hand, urolithiasis cases are admitted to emergency departments very frequently with the complaint of pain. ARI with non-specific symptoms or urolithiasis-like pain would increase the likelihood of being omitted in crowded emergency rooms. Previous studies reported supportive diagnostic role in ARI of increased serum lactate dehydrogenase and C-reactive protein levels and white blood cell count in the presence of hematuria; however, none mentioned D-dimer as a likely diagnostic or prognostic marker. We hereby present 2 case reports where a contrast-enhanced tomographic scan performed on the basis of suspicions raised by high serum D-dimer levels which established the definitive diagnosis ARI. Our aim was to emphasize that serum D-dimer may be used as a criterion for supporting or excluding the thromboembolic events, such as renal and mesenteric infarction.

En tr Bacground and Aims: Dyspepsia is a combination of symptoms that consists of bloating, pain, burning, early satiety, nausea, and burping. Patients with dyspeptic complaints frequently present to emergency departments. This situation increases the workload in emergency departments and causes high insurance costs. This study aims to investigate the causes of the increase in dyspeptic complaints of patients who present to emergency departments. Materials and Methods: This study was conducted as a prospective observational study from March to June 2019 with patients who presented to an emergency department with dyspeptic complaints. All data was acquired using face-to-face questionnaire after required explanations were provided to the patients. This study included 386 volunteers who were over the age of 18 years. Results: The mean age of the patients was 41.08 ∓ 18.33 years, 65.8% (n = 254) were women and 34.19% (n = 132) were men. It was observed that 52.6% (n = 203) of the patients with dyspeptic complaints had presented to the emergency department previously, while 47.4% (n = 183) presented for the first time. It was also observed that female patients (61.8%) who presented to the emergency department with dyspeptic complaints had more stress factors than men (30.3%). There was a statistically significant correlation between whether the presenting patients had a new stress factor or not (p = 0.000). Studies revealed that male patients who presented to the emergency department with dyspeptic complaints consumed more bitter, sour, and salty foods than women. Men with a smoking history were more often identified at the emergency department with dyspeptic complaints. Findings also revealed that patients over the age of 65 years present at the emergency department more often than other age groups after drug intake. Conclusion: In this study, we found that dyspeptic complaints increased with stress factors in females, smoking and dietary habits in males, side effects of medicine in the geriatric age group, and acidic beverage consumption in young people. Therefore, providing information on issues involving the required lifestyle changes in patients with dyspeptic complaints is necessary to reduce the number of presentations at emergency departments and complaints among patients across both genders and all age groups due to dyspepsia. Giriş ve Amaç: Dispepsi üst batında hissedilen şişkinlik, ağrı, yanma, erken doyma, bulantı ve geğirti yakınmalarından oluşan bir semptomlar bileşkesidir. Acil servisler dispepsi yakınması olan hastaların sık başvurdukları sağlık hizmetlerinin sunulduğu merkezlerin başında gelmektedir. Bu durum, acil servislerde hem iş yükünü arttırmakta hem de yüksek sigorta maliyetlerine sebep olmaktadır. Bu çalışmada amaç, dispeptik yakınmalarla acil servise müracaat eden hastaların etiyolojik değerlendirilmesidir. Gereç ve Yöntem: Çalışmamız prospektif gözlemsel bir anket çalışması olup, 2019 yılı Mart-Haziran döneminde acil servise dispeptik yakınmalar ile başvuran hastalar üzerinde yapılmıştır. Hastalara çalışma hakkında gerekli açıklamalar yapıldıktan sonra, çalışmaya katılmaya gönüllü hastalardan yazılı onam alınarak anketler yüz yüze görüşme yöntemiyle uygulanmıştır. Çalışmaya 18 yaş üzerinde 386 gönüllü dahil edilmiştir. Bulgular: Hastaların yaş ortalaması 41.08∓18.33 yıl olup, %65.8’i (254) kadın, %34.19’u (132) erkekti. Hastaların %52.6’sının (n=203) daha önce de dispeptik yakınmalarla acil servise başvurdukları, %47.4’ünün (n=183) ise ilk kez başvurduğu görüldü. Acil servise dispeptik yakınmalarla başvuran hastalarda kadın hastaların (%61.8’i) erkeklere (%30.3'ü) oranla daha fazla stres faktörüne sahip oldukları görüldü ve başvuran hastaların cinsiyete göre yeni başlayan bir stres faktörüne sahip olup olmamaları arasında istatistiksel olarak anlamlı bir fark tespit edildi (p=0.000). Acil servise dispeptik yakınmalarla başvuran erkek hastaların kadınlara oranla daha fazla acı, ekşi ve tuzlu gıda tüketimi yaptıkları tespit edildi. Özellikle sigara içen erkeklerin dispeptik yakınmalarla daha fazla acil servise başvurduğu tespit edildi. 65 yaş üzerindeki hastaların ilaç alımı esnasında dispeptik yakınmalar nedeniyle acil servise diğer yaş gruplarına göre daha fazla başvurusu olduğu saptanmıştır. Sonuç: Çalışmamız sonucunda kadınlarda stres faktörü, erkeklerde sigara içme ve beslenme alışkanlıkları, geriatrik yaş grubunda ilaç yan etkileri ve gençlerde asitli içecek tüketiminin dispeptik yakınmaları arttırdığı tespit edilmiştir. Acil servise dispeptik yakınmalarla başvuran hastalara bahse konu yaşam tarzı değişikliğini içeren konularda bilgilendirme yapılmasının, her yaş grubu ve cinsiyetteki bireylerin dispeptik yakınma ve acil müdahale gerektirmeyen başvuruları azaltacağı kaçınılmaz bir sonuçtur.