Objective: Reports to legal authorities must be made for a variety of patients who present to emergency departments (EDs). This study summarises paediatric cases reported with a temporary legal form from our ED and reviews the literature on this topic with reasons and possibilities. Material and Methods: Charts were reviewed of all patients presenting to the university ED up to 18 years of age who were declared to hospital police as a legal case between January 1, 2008 and December 31, 2009. Demographic and clinical details were recorded. SPSS version 12 was used for statistical analysis. Results: During the study period, 889 paediatric cases (mean age 8±5 years, 58% male) were referred to the hospital police as cases requiring legal action. The categories of injuries/events to patients due to the chief complaint were as follows: poisonings in 28% (n=255), falls in 23% (n=208), and traffic accidents in 16% (n=144). Over half (55%) of patients were discharged home while 45% were admitted: 13% to paediatric surgery, 8% to neurosurgery, and 7% to paediatrics. Conclusion: Patients who were admitted to the emergency service due to falls could be reported to the legal authorities by doctors as a result of a suspicion of child abuse, neglect or any kind of physical violence instead of simple reasons due to the findings of the patients. It was observed that patients who had no significant physical findings or a history could not be reported.

Dimethyl sulphide is the main VSC in extraoral blood-borne halitosis; but methyl mercaptan may also contribute to this type of halitosis. A decreased salivary flow rate and an increased pH of the biofilm matrix may be a significant parameter for VSC levels in CRF patients.

ÖZET Polikliniklere karşın acil serviste y e n i tam alan p u lm o n e r em b oli hastalanın farklılıklarındaki deneyimAmaç: P ulm oner em b o li (PE) hastalan değişik s e m ptom la rla değişik klin ik le re başvururlar. Bu çalışm anın amacı b ir ün ive rsite hastanesinin değişik şeh irlerd eki d ö rt ayrı hastanesindeki değişik p o liklin ikle re ve acil servise başvuran p u lm o n e r em b o li tam lı hastaların ö z e lliklerini ve farklılıklarını ortaya koym aktır. Gereç ve Y ön tem : Acil serviste ve p o lk in ik ie rd e son 20 ayda ye n i p u lm o n e r em b o li tanısı alm ış hastaların dosyaları incelendi. Çalışma ço k m erkezli ve re tro s p e k tif olarak yapıldı. Hasta kartları d e ğ e rle ndirile rek iki ç ift k ö r araştırm acı tarafından daha önce hazırlanan fo rm la r do ld uru ldu. Bulgular: Toplam 152 hasta incelendi. Acil servisteki 65 yaş ve üstü hastaların oranı %47.7 idi (m 51); kadın hastaların oranı %57 idi (m 61). Hastaların 107'sine (%70) acil serviste, 45'i (%29.6) p o liklin ikle rd e tanı alm ıştı. Hastaların 12'si (%7.9) tanı alm adan önceki son 10 gün içinde aynı acil servise birka ç kez benzer şikayetle rle ba şvurm uştu. P olikliniklerde tanı alan PE hastaları çoğunlukla obez (p: 0.016) ve ba şvurudan önce s e m p to m süresi uzu nken (p: 0.004) acil servise gelen hastalarda taşika rdi (p: 0.017) ve y ü k s e k beyaz küre sayısı (p: 0.001) m e v c u ttu . A kciğer grafisinde diafragm a elevasyonu p o lik lin ik hastalarında daha sık görüldü (p: 0.033).Sonuç: P olikliniklerde tanı alan PE hastaları acil serviste tanı alanlara gö rer daha stabil, obez ve daha uzun süreli şikayetle re sahipti.A n a h ta r kelim eler: P ulm oner em boli, acil servis, p o lik lin ik ABSTRACT Experience in pulmonary embolus with differences o f patients with a new diagnosed in emergency department versus the other outpatient clinicsObjective: The patients w ith pulm onary em bolus apply to different clinics according to various symptoms. The aim o f this study is to report the characteristics and differences of pulm onary em bolism (PE) patients diagnosed due to the adm ittion to the emergency departm ent (ED) versus the other ou tpatient clinics (OC) of four hospitals in different cities o f a university. Material and Methods:We reviewed the records o f patients w ho had been newly diagnosed w ith pulm onary em bolism in the ED and OC over a 20-months period. It was a retrospective m ulticenter study. The charts of patients w ere evaluated and fulfilled by tw o blind researchers on a form th a t was prestudy prepared.Results: There w ere a total o f 152 patients studied. The ratio o f patients 65 years old and older was 47.7% (n: 51); 57% (n: 61) w ere female in ED. 107 (70%) patients w ere diagnosed in the ED and 45 patients (29.6%) w ere diagnosed in OC. Twelve (7.9%) patients visited the same ED w ith same com plaint w ithin ten days before the visit during which the diagnosis of PE was made. Those diagnosed w ith PE in the OC were more frequently obese (p: 0.016) and had longer duration o f symptoms ...

Of 51 heart transplant patients, 40 were male (78.4%) and 11 were female (21.6%) patients. Mean age was 42.5 ± 14.2 years in male patients and 30.4 ± 13.2 years in female patients (95% confidence interval, 2.4-21.8). Although 36 patients(70.6%) were still living at follow-up, 15 patients had died (29.4%). According to smoking status, 30 patients (58.8%) were nonsmokers and 21 patients (41.2%) were ex-smokers, who showed smoking rate of 23.7 ± 26.0 packs/year. We found that patients who were nonsmokers survived longer; however, at time of analysis (September 30, 2017), survival was not mature yet for the nonsmoking group. Median survival time for patients who were ex-smokers was 93.0 months(log-rank test = .099) CONCLUSIONS: Our study showed that patients in the nonsmoking group survived longer after heart transplant. Early smoking cessation can prolong survival of heart transplant patients.

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