ObjectivesUsing whole-body multislice computed tomography (MSCT) excessively or with irrelevant indications can be seen in many centers. The aim of this study was to analyze retrospectively the MSCT findings in trauma patients admitted to the emergency department.MethodsRecords of the patients who have applied to the emergency department due to blunt trauma in a 12 month period and whose whole body MSCT images have been taken, were evaluated using the “Nucleus Medical Information System”.ResultsThe most frequent type of trauma was traffic accidents in 61.4%, falling down from the height in 22.4%, and motorcycle accidents in 11.4% of patients. Of the patients, 25.2% were discharged from the emergency, while 73.8% were hospitalized. At least one CT findings associated with trauma was present in 61.4% of our patients. Pathological findings in MSCT were most frequently detected in the head and face (35.3%) and thoracic (28.6%) regions, respectively. The most common finding in the head and face region was fractures. The most common pathological findings in the thoracic region were pulmonary contusion and rib fractures. A significant relationship was detected between trauma type and spinal MSCT result (p < 0.001). In a large percentage of the patients, MSCT findings were normal in the abdominal region and genitourinary system. Vertebral fractures were most frequently detected in the thoracolumbar region.ConclusionsIn our study, our rate of negative CT was found to be 38.6%, which is a higher ratio compared to other studies conducte on this topic.

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Objective: The aim of this study was to examine the relationship between the level of attention deficit hyperactivity disorder (ADHD) symptoms and the attitudes of parents of children diagnosed with ADHD.Methods: According to the Diagnostic and Numerical Manual of Mental Disorders-IV diagnostic criteria, 66 children with an age range of 6-13 were diagnosed with ADHD and their parents who brought them to the interview. A total of 94 parents were included in the study, including both the mother and father of some children diagnosed with ADHD, the mother of some, and the father of some. Parents of the children were evaluated with the "Wender-Utah Rating Scale (WURS)", "Parenting Styles and Dimensions Scale (PSDS-SF)".Results: According to the results of our study; it was found that the permissive subscale scores of PSDS-SF were significantly higher in parents whose WURS scores were above the cut-off value compared to those whose WURS scores were below the cut-off value, and there was no significant difference between the two groups in terms of competent and authoritarian subscale scores of PSDS-SF. It was found that there was no significant association between parents' age and educational levels and their parent's attitudes. In addition, comparisons of parents in terms of ADHD symptom level and parental attitudes did not show significant differences between parents in terms of both variables. Conclusion:The results of our study showed that permissive attitudes were significantly higher in parents with high levels of ADHD symptoms. In a clinical approach to children diagnosed with ADHD, it is believed that evaluating the symptoms and attitudes of parents with ADHD and psychoeducation of parents about adult ADHD are important for treatment.

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ÖZETPulmoner kanamaya çok sayıda neden yol açabilir. İlaçlara bağlı intoksikasyon daha nadir olarak neden olmaktadır. Bunların en başında antikoagülanlar, kokain ve opiatlar gelmektedir. Çalışmamızda solunum sıkıntısı ve şuur kaybı ile acil servise başvuran 24 yaşında, erkek, eroin kullanıcısı hastamız sunulmaktadır. Hastanın ilk başvurusunda görülen semptomlar için geniş bir ayırıcı tanı dikkate alınarak yapıldı. Hasta hızlıca entübe edilerek pulmoner ödem tanısıyla yoğun bakım ünitesine alınıp mekanik ventilasyona bağlandı. Hasta normal kardiyak fonksiyon ile taburcu edildi. Nonkardiojenik pulmoner ödem ve hemoptizi olan özellikle genç hastalarda toksik ajan kullanımı (eroin, kokain vb) ayırıcı tanılar arasında bulundurulmalıdır.Anahatar kelimeler: Eroin, pulmoner ödem, kanama, solunum sıkıntısı. ABSTRACTN u m e r o u s r e a s o n s m a y c a u s e p u l m o n a r y hemorrhage. Drug induced intoxications, mostly caused by anticoagulants, cocaine and opiates are not frequent causes of pulmonary haemorrage. We present a case of a 24 year-old boy, who admitted to our emergency department with pulmonary hemorrhage, respiratory distress and unconsciousness. He was a heroin addict. The patient's initial presentation resulted in the consideration of a broad differential diagnosis for his symptoms. He was immediately intubated, taken to the intensive care unit with the diagnosis of pulmonary edema and started to be ventilated mechanically. The patient was was discharged a week after admission. Toxic agents use (heroin, cocain etc.) should be taken into consideration in differential diagnosis of young patients presenting with noncardiogenic pulmonary edema and hemoptysis