Coronavirus was first detected in three severe pneumonia cases in Wuhan, China, in December 2019. Studies on red cell distribution width (RDW-CV) and mean platelet volume (MPV) laboratory parameters, which can be examined in complete...

Çocuk acil servisinde travmanın en yaygın nedeni trafik kazalarıdır. Bu çalışmada trafik kazası geçiren çocuk travma hastalarında trafik kazası tipini ve anatomik travma skorlarını değerlendirmeyi amaçladık. Bu çalışma hastane otomasyon sistemi, adli kayıtlar ve pediatrik hasta dosyaları incelenerek retrospektif olarak yapıldı. Tam kayıtları olan 443 hasta çalışmaya dahil edildi. Çalışmaya alınan hastaların% 64.1'i erkek,% 35.2'si kadın ve ortalama yaş 8.9 idi. Trafik kazası türlerine göre% 60.5 Araç dışı trafik kazası, % 32.3 Araç içi trafik kazası ve% 7.2 hasta motosiklet kazalarıydı. AIS skorunun ortalaması 1.91± 1.28, ISS skorunun ortalaması 3.32±3.76 idi. Trafik Kazası Tipine göre AIS ve ISS travma skorları arasında istatistiksel olarak anlamlı bir fark bulunmadı. AIS ve ISS travma skorları hastaneye yatış ve taburculuk açısından ROC analizi ile değerlendirildiğinde, AIS skoru kesme noktasının 4 üzerindeydi ve kesme noktası 7'nin üzerinde olan ISS skoru hastaneye yatış açısından değerlendirilen kesme noktalarıdır. Sonuç olarak AIS ve ISS skorları; Travma merkezlerinin derecesine göre, transfer planlamasında zaman kaybetmemek için kullanılabilecek puanlar olduğunu düşünüyoruz.

Burnout syndrome is a condition in which people working in businesses that require face-to-face communication, with prolonged stress where personal coping methods fail. Healthcare professionals are one of the most risky occupational groups in terms of burnout syndrome due to their heavy workload. In addition to the workload, the need to provide emotional support, providing care for severe and deadly patients, disturbed sleep patterns, and the high number of duties increase burnout in major stressors on healthcare professionals. In this study, our primary aim is to evaluate the relationship between burnout level and sleep quality in emergency medicine assistants. This study is a descriptive and cross-sectional study. According to the data obtained from the Higher Education Board, the personal information form and maslach burnout scale and pitsburg sleep quality scale surveys were sent to all Burnout syndrome is a condition in which people working in businesses that require face-to-face communication, with prolonged stress where personal coping methods fail. Healthcare professionals are one of the most risky occupational groups in terms of burnout syndrome due to their heavy workload. In addition to the workload, the need to provide emotional support, providing care for severe and deadly patients, disturbed sleep patterns, and the high number of duties increase burnout in major stressors on healthcare professionals. In this study, our primary aim is to evaluate the relationship between burnout level and sleep quality in emergency medicine assistants. This study is a descriptive and cross-sectional study. According to the data obtained from the Higher Education Board, the personal information form and maslach burnout scale and pitsburg sleep quality scale surveys were sent to all emergency assistants receiving training in Turkey. A total of 94 people working as emergency medical assistants participated in our study. According to the maclach burnout scale subgroup emotional exhaustion, 84% (n= 79) of the participants had a high level of emotional exhaustion and 16% (15) had moderate emotional exhaustion. When the MBI subgroup desensitization was evaluated, 87.2% (n= 82) was found high and 12.8% (n= 12) was found moderate. When the personal success of the MBI subgroup was evaluated, 97.9% (n= 92) was found low and 2.1% (n= 2) was found moderate. When the correlation between the MBI subgroups and the PSQS scoring was evaluated, a moderate positive correlation was found between emotional exhaustion and PSQS (p≤0.001). When the sleep quality with MBI is evaluated by regression analysis, it is seen that the state of exhaustion affects quality of sleep by 13.1%. High level of burnout during the education period of the emergency medicine assistant causes sleep quality deterioration. This situation causes difficulties in business and private life over time. We think that it will be beneficial to regulate the monthly working hours in order to decrease the burnout levels and increase sleep quality for keeping EMAs physically and mentally healthy, to increase the training staff to make them feel safe, and to organize programs to increase non-work social activities.

COPD with the development of inflammation in the alveoli as a result of exposure of harmful gases to the bronchi and bronchioles in the lungs, irreversible airflow restriction and respiratory symptoms occur. In our study;It is aimed to evaluate the serum D vitamin level in COPD patients with acute respiratory failure and to investigate the effect of vitamin D in COPD stages. This study is a prospective cross-sectional study. The study was conducted with a total of 75 COPD patient groups and 65 control groups. GOLD score, CAT score and Mmrc score were used in the study. Kruskal-Wallis H test and Mann-Whitney U test were used for statistical analysis.The results were evaluated in terms of p <0.05 significance level. According to the results of our study, vitamin D level in acute exacerbation was lower in patients with acute obstructive pulmonary disease than in the control group. According to the results obtained in our study, when CAT scores, Mmrc scores, vitamin D levels and gold scores,which are the measured assessment for chronic obstructive pulmonary disease patients, are evaluated; With increasing vitamin D deficiency, patient clinics become more severe. We believe that patients diagnosed with COPD add vitamin D to their treatment protocols according to their vitamin D levels and their vital activities will increase while reducing the severity of COPD.

Introduction: Intracerebral Spontaneous Hemorrhage (ISH) is a sudden hemorrhage into the brain parenchyma as a result of a rupture of the cerebral vessels that are not related to traumas. The purpose of the present study was to evaluate the relation of mortality with Platelet Volume Index (PVI) scoring systems, which have been reported in a small number of studies in terms of blood RDW, MPV, platelet and intracranial hemorrhages in patients diagnosed with intraparenchymal hemorrhage in Emergency Departments. Methods: This study was performed retrospectively by examining patient files of patients who came to Emergency Medicine Clinic between 01.01.2019-31.12.2019. As a control group for comparison of blood parameters, blood parameters of 72 patients suitable for the same age population, without intraparenchymal haemorrhage.Results: A total of 54.10% (n=85) intraparenchymal bleeding patients (IPC) and 45.90% (n=72) healthy control groups (HCG) were included in the study. There was no statistically significant difference between the clinical results of IPC groups in terms of mortality of RDW parameter and MPV parameter (p=0.930; p=0.118). When PVI ratio was evaluated in IPC group and HCG; the mean PVI (MPV/Platelet ratio) in the IPC group was 4.37±1.66, and the PVI (MPV/Platelet ratio) in the HCG was 3.89±1.02.A statistically significant difference was found between the PVI in the patient group and the HCG.A statistically significant difference was found between the PVI ratio clinical results of the patients with IPC (p=0.043).Conclusion: Spontaneous Intraparenchymal hemorrhage are among the leading causes of stroke-induced mortality and disability. The Hemphill Score and hemorrhage volume are important factors in mortality evaluation in intraparenchymal hemorrhage. There are not many studied conducted on Platelet Volume Index, and it is an important marker in predicting mortality, especially in these patients.