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Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Our objectives in this study are to understand the impact of COVID-19 pandemic on mental health during pregnancy and to determine the levels of depression, stress, and anxiety, to evaluate the knowledge, attitudes and behaviors of pregnant women about COVID-19 infection during the pandemic period, to be able to provide evidence-based data to all authorities involved in the prevention of depression and anxiety caused by the COVID-19 pandemic. Our secondary objective is to determine pregnant women's risk and protective factors regarding the levels of anxiety and depression symptoms during the COVID-19 outbreak. Methods: Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) questionnaires were applied to pregnant women to assess depression and anxiety. The same questionnaire was previously applied to pregnant participants for another study before the pandemic. In addition, the same questionnaire was applied to the pregnant participants during the pandemic process. The questionnaire was applied face-to-face to pregnant women admitted to the hospital, while those who could not come to the hospital were given a link to the electronic version of the questionnaire. Results: A total of 1,527 participants were included in the study. Participants were divided into two groups as pre-pandemic and pandemic-period. Demographic data were similar, while BMI values were significantly higher in the pandemic group (p:0.002). Gravida values were also significantly higher in the pre-pandemic group. The BAI and BDI scores of the group in the pandemic were 21.50±12.15 and 23.61±11.03, respectively, and the BAI and BDI scores of the pre-pandemic group were 12.70±11.78 and 12.33±9.39, respectively. The BAI and BDI scores were significantly higher in the pandemic-period group than in the pre-pandemic group. Conclusion: BDI and BAI scores increased in pregnant women during the pandemic. It is possible to improve the psychological conditions of pregnant women and prevent complications by recognizing the psychological conditions of pregnant women, provide information and emotional support, and provide other psychological interventions to help them recover. [ABSTRACT FROM AUTHOR]

Background: Identify the deficiencies in the forensic reports prepared by the emergency physicians and to identify the frequent mistakes in these reports by comparing the forensic reports issued by the emergency physicians in the context of offences against physical integrity and the forensic reports issued by the Second Forensic Medicine Specialization Board for the same forensic cases., Methods: Existence of the information that should be included in the standard forensic report (name, surname, address, event date, etc.) of 241 cases prepared by emergency physicians who were sent to the Forensic Medicine Second Forensic Medicine Second Specialization Board due to various reasons between February 1, 2019, and May 1, 2019, were reviewed retrospectively. Besides, whether the trauma causing the forensic event stated in these reports is life threatening or not and whether it can be eliminated with simple medical intervention or not were compared with the reports prepared by the Council of Forensic Medicine Forensic Medicine Second Specialization Board for the same events and certain mistakes were determined., Results: Address, examination time, and incident date were not specified in forensic reports issued by emergency physicians with a ratio of 95.5%, 63.9%, and 75.9%, respectively. About 23.2% of forensic reports written by hand were not legible. When the reports prepared by the Council of Forensic Medicine and the emergency physicians for the same forensic events were compared in terms of the presence of life threat and treatment with simple medical intervention, it was shown that the emergency physicians were insufficient in determining the life hazard and the simple medical intervention to resolve the trauma causing the forensic event. It was found that the forensic reports issued in tertiary hospitals (education and research hospitals and university hospitals) were more accurate in determining the life hazard and treatment with simple medical intervention status of trauma which caused the forensic event when compared with forensic reports which were issued in primary and secondary line hospitals., Conclusion: Regardless of whether the physicians working in the emergency departments are general practitioners or emergency specialists, their sensitivity and knowledge level regarding the preparation of a forensic report was found to be insufficient. We believe that with the increase of coordinated planned multidisciplinary trainings that include emergency medicine and forensic medicine, the forensic reports that are arranged incorrectly will decrease and the awareness of physicians about the results of forensic reports will increase.

Objectives: Traffic accidents, falls, assaults, occupational accidents, intoxications, burns, electric shock, lightning strike, all cases of asphyxia, penetrating and firearm injuries, suspected or definite cases of sexual abuse, and suicide attempts should be evaluated in the forensic category. In this study, we aimed to present our intensive care experiences in forensic cases., Methods: We retrospectively evaluated forensic cases admitted to our Pediatric Intensive Care Unit between 1 February 2017 and 1 September 2018., Results: This study included 153 children, 65 (42.5%) boys and 88 (57.5%) girls. The forensic causes of hospitalizations in the intensive care unit included drug intoxication with a rate of 54.9%, followed by suicide attempts with 24.2%, falling from a high place with 5.2%, child abuse with 5.2%, pedestrian (out-of-vehicle) traffic accidents with 2.6%, drowning in water with 2.6%, road (in-vehicle) traffic accidents with 2%, electric shocks with 2%, and CO (carbon monoxide) poisoning with 1.3%. The drug intoxication was caused by drugs prescribed to the mother and the child with a rate of 40.6% and 27.1%, respectively. Analgesic anti-inflammatory drugs (33.1%) and antidepressant drugs (22.3%) were identified as major causes of intoxication. In addition, paracetamol was the most common cause of intoxication, with a rate of 21.9% among all intoxication cases and 72.5% in the analgesic group. Amitriptyline was the most common agent in the antidepressant group (59.2%). The admission rate to the intensive care unit between 08:00 and 14:00 was 35.1% for suicide attempts and 16.4% for non-suicide attempts, with a statistically significant difference (p=0.025; p<0.05, respectively)., Conclusion: Drug intoxications had the highest rate of forensic cases followed in our pediatric intensive care unit. The majority of these intoxications (69.4%) arose from accidental drug ingestion. Therefore, we believe that there may be a significant decrease in the number of hospitalizations of forensic cases associated with drug intoxications in pediatric intensive care units by preventing children's access to drugs., Competing Interests: Conflict of Interest: No conflict of interest is declared by the authors., (Copyright: © 2021 by The Medical Bulletin of Sisli Etfal Hospital.)