HighlightsSolid organ injury after abdominal trauma is a common condition, however, injury of the recurrent tumoral masses following abdominal trauma is rare.Coexistence of blunt abdominal trauma with local recurrence and massive bleeding is extremely rare.Recurrent tumoral masses may be the source of bleeding after blunt trauma.
A B S T R A C TIn addition to social problems, children are exposed to neglect and abuse in various ways due to developmental periods or many problems in family and social relations. The negative consequences of this abuse and neglect, affect not only one's self but also society, social organizations, legal systems, education system and business areas. Therefore, it is important to know child profile which is decided to take health care measure. In this retrospective, observational study, data including demographic information, reasons for taking health care measures, diagnoses after psychological evaluation and termination of the injunction decision of children who were taken health care measure and referred to a child adolescent mental health professional, were scanned and recorded. The total number of children included in the study was 66. There was no statistically significant difference in terms of gender. It is seen that the most frequent first-reference hospital was the central hospital and the injunction was increased every year; the most common reason was the protection of physical and mental health; 59% of the cases were not diagnosed; 39.3% were terminated later and the most termination reason was to be 18-year-old. The studies to be carried out with prospective, multicentre, large patient groups are needed in order to determine the drift rates of children by examining the health measures and to establish the cause-effect relationship.
Objective: The aim of this study is to determine the level of knowledge of all original and reserve staff about hospital disaster and emergency plan (HDEP) and to investigate the associated factors. Method: 144 staffs in HDEP of 7 hospitals in Bitlis province included in this descriptive study. Knowledge of levels about HDEP of staffs were evaluated with a face-to-face interview accompanied by a questionnaire form. p<0.05 was considered as statistically significant. Results: 66% of participants were male, the mean age was 34.03 and 62.5% were university graduates. 63.2% of those were volunteer for HDEP. 75% of those knew their duties and 69.4% of them knew the term of duty in HDEP correctly. 6.5% previously met a disaster; 87.5% had previously participated in a disaster-related training or exercise. The cutoff point for the level of knowledge is determined as 7 according to average and median values. According to this, 69.4% of individuals were evaluated as 'adequate'. The rate of adequacy of those who were assigned as volunteers in the HDEP, who knew their position and duty, who had previously experienced disaster and who had previously participated in the in service training or practice were found to be statistically significant. Conclusion: In order to encourage personnel to participate in internal and external disaster training and exercises, to increase the frequency of training and exercise and to show the necessary sensitivity in order to inform the personnel, to support the training with video or practice, to be hanged in visible places of the codes and telephone numbers to be searched and evacuation procedures to be applied at the time of disaster in each floor in order to inform the staff andto be voluntarily based on volunteer selection in HDEP are important to be prepared for disaster preparedness.
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