IntroductionFalls are the second most common cause of injury-associated mortality worldwide. This study aimed to analysis the injuries caused by falls from walnut tree and assess their mortality and morbidity risk.MethodsThis is a retrospective hospital-based study of patients presenting to emergency department (ED) of Ahi Evran Univercity between September and October 2012. For each casualty, we computed the ISS (defined as the sum of the squares of the highest Abbreviated Injury Scale (AIS) score in each of the three most severely injured body regions). Severe injury was defined as ISS ≥ 16. The duration of hospital stay and final outcome were recorded. Statistical comparisons were carried out with Chi-Square test for categorical data and non-parametric spearman correlation tests were used to test the association between variables. A p value less than 0.05 was considered to be statistically significant.ResultsFifty-four patients admitted to our emergency department with fall from walnut tree. Fifty (92.6%) patients were male. The mean age was 48 ± 14 years. Spinal region (44.4%) and particularly lumbar area (25.9%) sustained the most of the injuries among all body parts. Wedge compression fractures ranked first among all spinal injuries. Extremities injuries were the second most common injury. None of the patients died. Morbidity rate was 9.25%.ConclussionFalls from walnut trees are a significant health problem. Preventive measures including education of farmers and agricultural workers and using mechanized methods for harvesting walnut will lead to a dramatic decrease in mortality and morbidity caused by falls from walnut trees.
Çalışmamızda 50 yaş üzeri erkeklerde ortaya çıkan alt üriner sistem semptomlarını, bu semptomların yaşam kalitesini etkileme derecesini araştırmayı amaçladık. Materyal ve Metot: Çalışmaya İstanbul il Sağlık Müdürlüğüne bağlı Ümraniye 1 nolu Aile Sağlığı Merkezi'ne 01.01.2020-01.03.2020 tarih aralığında başvuran 50 yaş üstü 307 erkek hasta dahil edildi. Onamları alınarak çalışmaya dahil edilen tüm hastalara 23 soruluk anket uygulandı. Anketteki soruların bir kısmı alt üriner sistem semptomlarının varlığı ve bu semptomların hastalara psikolojik, sosyal, fiziksel ve cinsel etkilerine yönelik sorular; diğerleri de hastaların özgeçmiş bilgilerine yönelik sorulardı. Bulgular: Yaşam kalitesi skoruna göre yapılan gruplamada hastaların 292'sinin (%95,1) yüksek, 14'ünün (%4,6) orta, birinin (%0,3) düşük yaşam kalitesi grubunda olduğu görüldü. Ortalama toplam yaşam kalitesi skoru %92,1±12,3 olarak belirlendi. Ortalama psikolojik skor %81,1±14,4, sosyal skor ise %90,0±20,8 olarak saptandı. Her bir şikâyet için; şikayeti olan hastalardaki yaşam kalitesi skoru, psikolojik, fiziksel, sosyal ve cinsel skorların her birisi şikayeti olmayanlara göre anlamlı düşük bulundu (Her birisi için p<0,001). Yapılan korelasyon analizlerinde yaş ile toplam yaşam kalitesi, cinsel, psikolojik ve sosyal skorlar arasında anlamlı ters korelasyon olduğu görüldü (Her biri için p<0,05). Sonuç: Alt üriner sistem semptomları 50 yaş üzeri erkeklerin yaşam kalitesini olumsuz yönde etkilemektedir. Bu hastaların hem alt üriner sistem şikâyetlerinin azaltılmasına yönelik tedavilerin düzenlenmesi, hem de psikolojik, sosyal ve cinsel yönlerden destekleyici uygulamaların yapılması gereklidir.Anahtar Kelimeler: Alt üriner sistem; benign prostat hiperplazisi; benign prostat hiperplazisi yaşam kalitesi ölçeği (bph-yk); yaşam kalitesi Abstract Aim: WAim: We aimed to investigate the lower urinary tract symptoms of men over 50 years and to what extent these symptoms affect the quality of life of patients. Material and Methods:The study included 307 male patients over the age of 50 who applied to Umraniye 1 Family Health Center between 01.01.2020-01.03.2020. All the patients included in the study were applied a questionnaire of 23 questions which are about low urinary tract system symptoms and regarding the psychological, social, physical and sexual effects of these symptoms on patients. Results: According to the quality of life scores, 292 (95.1%) of the patients were in the high, 14 (4.6%) were in the middle and one (0.3%) were in the low quality of life. The mean total quality of life score was 92.1 ± 12.3% . The mean total psychological score was 81.1 ± 14.4%, and the social score was 90.0 ± 20.8%. For each complaint; The mean total quality of life score, psychological, physical, social and sexual scores of patients with complaints were significantly lower than those without complaints (p <0.001 for each). In correlation analysis, there was a significant inverse correlation between age and total quality of life, sexual, psychological and social scores (p <0.05 fo...
Background 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 faceto-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.
People who emigrated from Turkey to European countries for work are called expatriate. It was aimed to analyze demographic characteristics of expatriate patients who presented to the emergency department, to compare satisfaction levels of emergency departments between their country of residence and Turkey, and to identify the factors that affect patient satisfaction. This descriptive study was conducted with questionnaires filled by face-to-face interviews in 150 expatriate patients who were living abroad, came to Turkey for vacation/annual permit and applied to the emergency department with any complaint. We found a statistically significant difference when we evaluated expatriate patients’ monthly average number of emergency department applies and their views on priority to apply to emergency departments for health problems, the cleanliness of emergency departments, attitude of doctors, security and receptionist/nursing staff towards patients in Turkey and in their country of residence. It has been found that expatriates prefer the emergency department more in our country and they are more satisfied in their country of residence in terms of the cleanliness of emergency department, attitude of doctors, security and receptionist/ nursing staff.
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