Is there any association between the efficacy of imaging techniques and the age of the patient in the diagnosis of acute appendicitis?

Aim: In this study, we aimed to assess whether there is any difference between the time and effectiveness seen in the diagnostic stage of acute appendicitis when an appropriate imaging method is selected for the patients in different age groups. Materials and Methods: During the 6-month period between October 1, 2015, and April 1, 2016, we retrospectively reviewed the files of patients who visited our emergency clinic, which is a third-step emergency department of a university hospital, and who then underwent operations at our hospital. Patients were evaluated according to their age: Group 1, 40 years and younger; Group 2, 40-60 years; Group 3, 60 years and older. Results: In this study, 97 patients (59.1%) were male and 67 patients (40.9%) were female. Their ages ranged from 19 to 86 years (mean age, 36.7 +/- 14.7 years). The percentage of patients who underwent only ultrasonography (US) was 52.3% in the first age group, 39.5% in the second age group, and 0.0% in the third age group (p<0.0001). The rates of patients who underwent only computerized tomography (CT) were 15.3% in the first age group, 28.9% in the second age group, and 60% in the third age group (p<0.0001). There was a statistically significant difference between the sensitivities of CT and US by age group (p<0.001). Conclusion: We believe that US should be the first method to be preferred in young and uncomplicated cases and that CT should be preferred in elderly patients with atypical presentations

Solifenazin’e bağlı diskinezi

Aşırı aktif mesane inkontinans olsun ya da olmasın urgency ile ilişkili kronik bir durumdur. Solifenazin günde tek doz kullanılan selektif antimuskarinik bir ajandır. Günde 5 mg olarak başlanır, tolere edilebilirse 10 mg’a artırılabilir. Biz burada solifenazin kullanımı sonrası ortaya çıkan ve ilacın kesilmesini takiben birkaç gün içinde ortadan kaybolan diskinezili bir olguyu sunduk.Overactive bladder syndrome is a chronic condition characterised by urgency, with or without associated urge incontinence. Solifenacin succinate is a once daily, bladder selective antimuscarinic available. The recommended dose is 5 mg once daily and can be increased to 10 mg once daily if 5 mg is well tolerated. We report here a case with dyskinesia emerged following the use of solifenacin, and disappeared in a few days with stopping the agent

Effect of exposure to violence on the development of burnoutsyndrome in ambulance staff

Background/aim: The aim of this study is to determine the condition of ambulance staff (AS) who have been exposed to any kind of violence and to predict risk of development of burnout syndrome. Materials and methods: Our study was performed with 120 AS working for the Kırıkkale Ambulance Services. During the research, questionnaires collecting descriptive information and the extent of violence to which the AS were exposed were administered; participants were asked to fill out the questionnaire themselves. Results: It was found that 81 (67.5%) participants had been subjected to at least one type of violence (verbal or physical). Sixty-two percent were exposed to verbal abuse and 55.8% to verbal threats. Rates of physical threats and attacks were higher among male staff (P 0.036, P 0.022), while the rate of personal accomplishment was determined to be significantly lower in males (P 0.006). Emotional exhaustion and depersonalization scores were determined to be significantly higher in those who perceived less support from administrators (P 0.014, P 0.032). Conclusion: All kinds of negative situations exhaust an individual physically and mentally and lead to the development of burnout syndrome. AS are more prone to these kinds of situations