AMAÇBu çalışmada, ürogenital bölgeyle ilişkili travma nedeniyle acil servise başvuran hastaların özellikleri, morbidite ve mortalite ile ilişkili durumların belirlenmesi amaç-landı. GEREÇ VE YÖNTEMBu prospektif, kesitsel tanımlayıcı çalışmada, ürogenital bölgeyle ilişkili travması olan hastaların demografik özel-likleri, travma şekilleri, inceleme sonuçları, yatış işlemle-ri ve sonuçları değerlendirildi. Çalışmaya toplam 153 majör travması olan hasta [108 erkek (%70,6); 45 (%29,4) kadın] alındı. BULGULAROlguların 23'ü (%15,03) penetran, 130'u (%84,96) künt travmalı idi. Oluş nedeni hastaların 79'unda trafik kazası, 42'sinde yüksekten düşme, 12'sinde ateşli silah yaralanması ve 10'unda delici-kesici alet yaralanması idi. Hastaların 60'ında pelvis kırığı, 35'inde böbrek, 4'ünde mesane yaralanması saptandı. Hastaların 21'i herhangi bir nedenle ameliyat edildi. Hastaların 17'si öldü. Hematüri varlığı ile böbrek yaralanması arasında anlamlı ilişki saptandı. SONUÇÜrogenital yaralanmalar sıklıkla diğer organ yaralanmalarıyla birliktedir ve kaybedilen hastaların ölüm nedenleri genellikle diğer organ yaralanmalarına bağlıdır. Ayrıntılı klinik değerlendirme ile zamanında tanı konulup girişimde bulunulması ürogenital bölge yaralanmalarına bağlı ölüm olaylarını önlemede önemlidir.

Aim: Suicidal behavior is defined as choosing death in the conflict between life and death. The aim of this study is to investigate the suspected relationship between suicide attempts and menstrual cycles and to evaluate the sociodemographic and clinical characteristics of the non-pregnant female patients of reproductive age who have presented to our hospital after attempting suicide. Materials and Methods:In this study, 102 female patients (aging 16-45 years) of reproductive age with regular menstrual cycles who presented to the emergency department because of suicide attempts were enrolled. The study was designed as prospective, cross-sectional, and descriptive. The patients' sociodemographic, clinical, and laboratory biochemical parameters were recorded. For the purposes of this study, 100 healthy women who fulfilled the criteria formed the control group and underwent the same procedures as the patient group.Results: Among the patients who presented to the hospital after attempting suicide, 64 (62.7%) were in their menstrual period, six (5.9%) were outside their menstrual period during the follicular phase, five (4.9%) were at the mid-cycle peak, and 27 (26.4%) were at the luteal phase, as determined on the basis of the date of their last menstrual period and their blood hormone levels. Conclusion:The majority of suicide attempts by women occurred during their menstrual period when the estradiol and progesterone levels are at their lowest. (Eurasian J Emerg Med 2015; 14: 118-22)

Objective: Department of Emergency Medicine was founded for the first time in the world in 1970 at Cincinnati University and in Turkey in 1993 at Dokuz Eylül and Fırat Universities. The emergency medicine specialists increased in number rapidly in Turkey by starting-up the training programs in the training and research hospitals of the Health Ministry for the first time in 2006; and participation of the doctors' complete training program for the first time in 2011. We wanted the determine the preferability of the emergency medicine residency program and its completion rate. Material and Methods: The vacancies, preferability rate and completion rate of the residency programs of emergency medicine, family medicine, internal medicine, cardiology and neurosurgery were investigated with this study. The data was derived from the web sites of the Student Selection and Placement Center and the assignment lot lists of the Health Ministry. Results: From 2007 to 2012, 2586 of 2767 emergency medicine vacancies were set. The minimum base -point was 53.03 and the maximum was 55.46 in the examination for specialty training in medicine (TUS). The preferability of emergency medicine was lower than internal medicine and cardiology but similar to neurosurgery and family medicine. The completion of the residency in emergency medicine was 66.1%. Conclusion: In spite of the increase in the number of emergency medicine specialists with the participation of the training and research hospitals, the completion rate of the residency programs were lower than other departments. The completion rates could be increased by improving the job conditions of the emergency physicians. (JAEM 2013; 12: 180-4)

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