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Copyright of Turkish Journal of Child & Adolescent Mental Health / Çocuk ve Gençlik Ruh Sagligi Dergisi is the property of Galenos Yayinevi Tic. LTD. STI 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.)

Copyright of Journal of Ankara University Faculty of Medicine / Ankara Üniversitesi Tip Fakültesi Mecmuasi is the property of Galenos Yayinevi Tic. LTD. STI 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: C-reactive protein (CRP) is an acute-phase protein that is widely used and can be elevated in many conditions that lead to acute inflammation, including infectious diseases. In this study, we aimed to determine the rate of presence of an infectious disease in patients who were consulted because of a high CRP level. Methods: Inpatients and outpatients consulted to the Infectious Diseases and Clinical Microbiology (IHCM) Clinic between January and March 2022 because of high CRP levels were included in the study. The anamnesis, physical examination, and laboratory findings of the patients were recorded, and the existence of an infectious disease was investigated. Results: 124 patients were referred for consultation during the study period. CRP levels of 6 (4.9%) patients were within average reference values; the remaining 118 patients were included in the study. Of the 118 patients, 54 (45%) had clinical complaints consistent with an infectious disease. A focus of infection was detected in only 49 (42%) patients. We found that there was a significant relationship between the presence of symptoms consistent with an infectious disease and the presence of a positive physical examination finding with the presence of an infectious focus (p<0.05) Conclusion: In this study, we determined that more than half of the patients for whom consultation was requested due to high CRP levels did not have an infectious disease. We think that unnecessary consultation burden can be avoided by detailed clinical evaluation of the patients before referring them for consultation by only looking at the CRP results. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Forensic Medicine & Forensic Sciences / Türkiye Klinikleri Adli Tıp ve Adli Bilimler Dergisi is the property of Turkiye Klinikleri 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.)

Introduction: Otolaryngologists are required to possess the knowledge, skills, and confidence necessary to manage consultations requested by palliative care services. However, the inclusion of palliative care needs in otolaryngology residency training is limited. The goal of this study was to enhance awareness of otolaryngologists' palliative care knowledge and skills by evaluating otolaryngology consultations requested by tertiary palliative care services between 2016 and 2021.Methods: This retrospective cross-sectional study included patients who consulted the otolaryngology department from the palliative care service of Kutahya Health Sciences University between January 1, 2016 and September 31, 2021. A total of 80 otolaryngology consultations were requested between 2016 and 2021. Patients were evaluated for age, gender, diagnosis of palliative admission, reason for consultation, date of consultation, interventions, and additional investigations.Results: There were 27 female patients (33.7%) and 53 male patients (66.2%). The mean age was 65.0 (range: 22-97) years. It was found that the volume of consultations did not increase significantly over a five-year period (p=0.502) and 78.8 % of consultations were requested during working hours (08:00-16:00). In addition, the response time (minutes) for consultations during working hours (08:00-16:00) was significantly lower than outside working hours (16:01-07:59) (p lt;0.001). The reasons for requesting a consultation and the procedures performed were significantly different between patients under and over 65 years of age (p=0.019 and p=0.008, respectively).Conclusions: This is the first study to evaluate otolaryngology consultations requested by a tertiary palliative care service. Awareness of these consultations may provide guidance for the assessment and management of patients in palliative care services.Keywords: consultation, otolaryngology, tracheotomy, palliative care

Copyright of Ege Journal of Medicine is the property of Ege University, Faculty of Medicine 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: To reveal the characteristics of patients in need of neurosurgery by examining neurosurgery consultations within the emergency department (ED) admissions of a tertiary academic hospital. Methods: This is a retrospective, single-centre observational study. Patients admitted to the ED between 01.01.2022 - 31.12.2022 and consulted to the neurosurgery department were identified through the hospital computer system and included in the study. The demographic information of the patients, mode of admission to the ED, the reasons for admission, the time of admission, the number of brain computed tomography (CT) scans, whether they underwent surgery or not, and the mortality results were recorded. Results: A total of 441 neurosurgery consultations were examined. Fall 35.6% (n=157) and traffic accident 16.6% (n=73) were the most common reasons for consultation. It was observed that 92.5% (n=408) of the patients had a brain CT scan, and 19.5% (n=86) had two or more brain CTs. It was determined that 12.7% (n=56) of the patients consulted to neurosurgery were operated on, and 4.1% (n=18) of the patients' hospital admissions resulted in death. Only 53.7% (n=237) of the patients who underwent neurosurgery consultation were discharged from the ED. It was determined that significantly more Neurosurgery consultations were requested during working hours (p = 0.013). Conclusions: Most consultation calls from the ED to neurosurgery are for trauma patients. Brain CT examination is frequently used in neurosurgical patient evaluation. As a result of the consultations, almost half of the patients are hospitalized. Emergency physicians can select patients who need neurosurgery well. [ABSTRACT FROM AUTHOR]

Objective: In this study, it was aimed to evaluate the reasons for visits, demographic and clinical characteristics of patients, the methods of approach to these patients who visited the pediatric emergency service and were consulted to ophthalmology. Material and Methods: The files of patients consulted to the Ophthalmology Clinic from Pediatric Emergency Department were analyzed retrospectively. Age and gender distribution of patients, complaints at the time of visits, clinical characteristics, diagnoses, diagnostic examinations and treatment methods were recorded. Results: Of the 241 patients, 164 (68.0%) were male and 77 (32.0%) were female. The median age was 11.0 (3.0-15.0) years. According to age groups, the highest number of patients was in the 12-17 age group with 117 (48.5%) patients. The most common complaints were foreign body in eye with 30.3% (n=73), eye redness with 10.8% (n=26), sticky eye with 8.3% (n=20) and eyelid swelling with 8.3% (n=20). The most common diagnoses were foreign body (31.1%, n=75), conjunctivitis (26.1%, n=63) and corneal epithelial defect (10.0%, n=24). Considering the distribution of diagnoses by age groups, conjunctivitis was the most common in the 0-5 and 6-11 age groups, foreign body in the 12-17 age group. While medical treatment was given to 59.3% (n=143) of the patients, intervention under local anesthesia was performed for 29.5% (n=71) of the patients. Of the seven patients that were hospitalized, five of them were treated under general anesthesia and two of them received surgical operations. Conclusion: Pediatric emergency visits with eye complaints in children were most common between 12-17 years of age and the most common cause was foreign bodies in the eye. All hospitalized patients were 0-5 years old and the most common reason for hospitalization was foreign bodies. Clinicians' awareness should be increased on common pediatric eye emergencies accordingly. [ABSTRACT FROM AUTHOR]

Objective: A limited set of common skin problems leads to a disproportionate percentage of consultations that, in addition to the economic burden and cost, will lead to a loss of physician time and confidence in the necessity and importance of counseling, but so far, written documentation. There is no information about the frequency of various skin diseases in hospitalized patients. Therefore, our goal is to investigate the frequency of skin diseases in dermatological consultations requested from other departments of teaching hospitals in Mashhad, Iran. Material and Methods: This cross-sectional was done over six months. We used basic information, including demographic information, cause of hospitalization and primary underlying disease, the reason for consultation, description of skin lesion, diagnosis of the requesting physician, the importance of counseling or the impact of counseling on the treatment process, the preclinical results and the final diagnosis by dermatologist and entered into the checklist. Results: There were 200 patients in this study. The most common skin diseases in the requested consultations were a drug reaction, psoriasis, vasculitis, and dermatitis. Most specialists seeking counseling were internal medicine, rheumatology, and neurology. The consulting physician’s diagnosis was correct in 52 patients. According to the dermatologist, 40 consultations were very important, 129 consultations were important and 31 consultations were insignificant. Conclusion: Our study showed that dermatology consultation was effective in 84.5% of cases in the diagnosis and treatment of patients, and only in 26% of cases, the diagnosis of primary care specialists was correct. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study is to evaluate the clinical, demographic, and diagnostic characteristics of pediatric patients consulting the dermatology department. Methods: Patients who were consulted to the dermatology department from pediatric clinic of XX Hospital between January 2021 and August 2021 were scanned retrospectively. The demographic data of the patients, the pediatric department requesting consultation, their complaints at admission, the reasons for asking for consultation, and the diagnoses they received as a result of the consultation were recorded. Results: A total of 296 patients, 150 (50.7%) females and 146 (49.3%) males, with a median age of 5.5 years (1.5-10.5 ) were evaluated. The outpatient clinic were seen to have made the most requests for consultation. The most frequent complaints on presentation were seen to be redness of the skin in 168 (56.8%) cases and itching in 36 (12.2%). The five most common diagnoses made as a result of the consultation were unspecified dermatitis in 47 (15.9%) cases, scabies in 34 (11.5%), insect bite in 17 (5.7%), atopic dermatitis in 13 (4.4%), and seborrheic dermatitis in 13 (4.4%). When the diagnoses were examined according to the age groups, unspecified dermatitis was usually seen in the 0-2, 6-11, and 12-18 years age groups and insect bite was more common in the 3-5 years age group. Conclusion: The establishment of effectively functioning consultation mechanisms not only facilitates a correct diagnosis for the patient and appropriate treatment, but also can shorten the length of hospital stay for pediatric patients and can reduce economic costs.

Copyright of Journal of Ankara University Faculty of Medicine / Ankara Üniversitesi Tip Fakültesi Mecmuasi is the property of Galenos Yayinevi Tic. LTD. STI 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.)

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University 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.)

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.)

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University 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.)

Copyright of Turkish Journal of Child & Adolescent Mental Health / Çocuk ve Gençlik Ruh Sagligi Dergisi is the property of Galenos Yayinevi Tic. LTD. STI 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.)

Amaç: Bu çalışma, bir devlet hastanesi acil servisinden Göğüs Hastalıkları bölümüne istenen konsültasyonların genel klinik özelliklerini ve konsültasyon istenme nedenlerini ortaya koymak amacıyla tasarlandı. Gereç ve yöntem: Çalışmaya 1 Ocak 2018-31 Aralık 2018 tarihleri arasında Kastamonu Devlet Hastanesi Acil Servisi'ne başvuran ve göğüs hastalıkları konsültasyonu(GHK) istenen hastalar dahil edildi. Hastaların sosyodemografik verileri, başvuru şikayetleri, hastaneye geliş şekilleri, evde cihaz kullanımı durumları, konsültan hekimin konsültasyona cevap verme süresi, konsültasyon olan ön tanısı, konsültasyon sonrası aldığı son tanı, radyolojik bulguları veri toplama formuna kaydedildi. Kendi isteğiyle hastaneden ayrılan, dosya bilgileri eksik olan ve konsültasyon istenmesine rağmen herhangi bir nedenle göğüs hastalıkları uzmanı tarafından değerlendirilmeyen hastalar çalışma dışı bırakıldı. Bulgular: Çalışmaya ortalama yaşı 72,8±14,4 olan, 280(%53,9) erkek, 239(%46,1) kadın hasta çalışmaya dahil edildi. En sık eşlik eden hastalıkları kardiyovasküler hastalıklar iken, en sık başvuru nedeni nefes darlığı idi. En sık pnömoni, kronik obstruktif akciğer hastalığı alevlenmesi ve pulmoner emboli nedeniyle GHK istenmişti. Göğüs hastalıkları uzmanlarının acilden istenen konsültasyonları yanıtlama süresi 93,8±127,3 (1-837) dakika olarak tespit edildi. En sık saptanan radyolojik anormallik infiltrasyondu. Acil servisten istenen konsültasyonların %20(104) terminal dönem hastalardan oluşmaktaydı Sonuç: Acil servislerden istenen GHK önemli bir kısmının ileri yaşta, bakıma muhtaç hastalardan oluştuğu gözlemlendi. En sık hastaneye yatış nedeninin pnömoni olduğu sonucuna varıldı.

Amaç: Biz çalışmamızda 2019 yılı içerisinde ayaktan başvuran ya da yatarak tedavi gören hastalardan istenen psikiyatri konsültasyonlarına ait verileri geriye dönük olarak incelemeyi amaçladık. Gereç ve Yöntem: Hastanemizde yatarak tedavi gören veya acil servise ayaktan başvuran, psikiyatri konsültasyonu istenen 18 yaş ve üstü hastaların verileri, hastane kayıt sistemi üzerinden incelenmiştir. Bulgular: Toplamda 961 hastaya psikiyatri konsültasyonu istenmiştir. Hastaların 511’i (%53.2) kadın, 450’si (% 46.8) erkeklerden oluşuyordu. Kadınların yaş ortalaması 53.65±21.5 yıl, erkeklerin ise 57.59±21.38 yıl idi. Bunlardan 23 (%2.4) kişi acil servise ayaktan başvuran, 204 (%21.2) kişi yoğun bakım ünitesinde (YBÜ), 280 (%29.1) kişi cerrahi servislerde, 454 (% 47.3) kişi ise dahili servislerde yatarak tedavi gören hastalardı. Diyabet (DM), hipertansiyon (HT) gibi endokrinolojik hastalıklar (n=228, % 23.7), KOAH (kronik obstruktif akciğer hastalığı), astım gibi göğüs hastalıkları ile ilgili hastalıklar (n=165, %17.2) en sık eşlik eden fiziksel hastalıklardı. Psikiyatrik tanıları ise; anksiyete bozukluğu 409 (%42.6), depresif bozukluk 131 (%13.6), uyum bozukluğu 70 (%7.3) kişi ile en sık konulan tanılar idi. Öz kıyım girişiminde bulunan hastalar 123 (% 12.8) kişi idi. Hastalardan 71 (%57.73)’i kadın, 52 (%42.27)’si erkekti. Hastaların yaş ortalaması 30.64±5.64 idi. Depresif bozukluk ve anksiyete bozukluğu en sık konulan tanılardı. Sonuç: Psikiyatri dışı kliniklerde değerlendirilen hastaların tanı ve tedavilerinin psikiyatri hekimiyle işbirliği içinde düzenlenmesi tedaviye uyum ve hastalığın prognozu açısından önemlidir. Bu çalışma Elazığ ili psikiyatri konsültasyonlarını inceleyen ilk çalışmadır. Bu çalışma ile diğer illerde yapılan çalışmaların karşılaştırılması ve psikiyatrik yaklaşımlara yön vermesi amaçlanmaktadır.

Copyright of Journal of Health Sciences / Sağlık Bilimleri Dergisi is the property of Erciyes Universitesi Saglik Bilimleri Dergisi 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: Pediatric neurology opinion is one of the most frequently requested consultations in emergency service practice. Symptoms and/or signs such as headache, altered consciousness, seizures, and focal neurological deficits are the most common consultation reasons. We aimed to retrospectively evaluate patients who were consulted with the pediatric neurology department in the pediatric emergency service. Method: This is a descriptive cross-sectional study in which the consultation notes of patients who presented to the pediatric emergency service and required a consultation with the pediatric neurology department between June 2016 and November 2019 were analyzed retrospectively. Results: The number of the consulted patients was 1,265. Sixteen patients left the hospital after their parents signed treatment and examination rejection form, 1,249 consultations were included. The most common reasons for consultation were seizure, routine follow-up of patients that receive home mechanical ventilator support, and headache. The rate of emergency neurological pathologies detected in brain computed tomography and magnetic resonance imaging was 1.7%. The most common electroencephalographic abnormality was focal epileptic discharges. Consultation rate requiring emergent intervention was 14.8% and status epilepticus, central nervous system infections, intracranial masses were the most common causes. Conclusion: The most common reason for consultation was seizure. The rate of consultations requiring acute intervention was low. We think that the emergency service admissions of patients that need examination and treatment in the outpatient clinic may harm the routine functioning of the emergency service. Community education for the use of the emergency room only when necessary is essential. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to evaluate the clinical, demographic, and diagnostic characteristics of pediatric patients consulted to the dermatology department. Methods: Patients who were consulted to the dermatology department from pediatric clinic of Konya City Hospital between January 2021 and August 2021 were scanned retrospectively. The demographic data of the patients, the pediatric department requesting consultation, their complaints at admission, the reasons for asking for consultation, and the diagnoses they received as a result of the consultation were recorded. Results: A total of 296 patients, 150 (50.7%) females and 146 (49.3%) males were evaluated. Median age of patients was 5.5 (1.5-10.5) years. The outpatient clinic was seen to have made the most requests for consultation. The most frequent complaints on presentation were redness of the skin in 168 (56.8%) cases and itching in 36 (12.2%). The five most common diagnoses made as a result of the consultation were unspecified dermatitis in 47 (15.9%) cases, scabies in 34 (11.5%), insect bite in 17 (5.7%), atopic dermatitis in 13 (4.4%), and seborrheic dermatitis in 13 (4.4%). When the diagnoses were examined according to the age groups, unspecified dermatitis was usually seen in the 0-2, 6-11, and 12-18 years age groups and insect bite was more common in the 3-5 years age group. Conclusion: The establishment of effectively functioning consultation mechanisms not only facilitates a correct diagnosis for the patient and appropriate treatment, but also can shorten the length of hospital stay for patients and can reduce economic costs. [ABSTRACT FROM AUTHOR]

Copyright of Karya Journal of Health Science is the property of Karya Journal of Health Science 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: In hospitalized children and adolescents recognition of psychiatric symptoms, timely intervention and treatment are quite important. In this study, it was aimed to examine the characteristics of child and adolescent psychiatry consultations in a training and research hospital. Material and Methods: The psychiatric consultations of the child and adolescent inpatients between May 2016- October 2018 were assessed retrospectively. Demographic and clinical characteristics were analyzed using SPSS (Statistical Package Program for Social Sciences) 17.0. The compliance of continuous variables to normal distribution was tested using Kolmogorov-Simirnov test, Mann Whitney U test was used for comparisons. Categorical variables were expressed in terms of frequency (n) and percentage (%) and compared using the Pearson chi-square test. p values < 0.05 were regarded as statistically significant. Results: 66.9% (n = 85) of 127 children and adolescents evaluated within the scope of the study were females. 78.7% of the cases were in adolescent age group (13-17). Among the clinics that requested psychiatric evaluation, it was found that the highest rate of consultation was requested from the pediatric department with 93.7% (n = 119). Considering the reasons for requesting a consultation from the cases, it was found that the most requested consultation reason was the evaluation of suicide attempts (55.1%, n = 70). In the cross section evaluated, 19.7% (n = 25) of the cases were found to have at least one psychiatric disorder. It was found that at least one psychotropic drug was recommended to 18.1% of the cases. Conclusion: The importance of the Consultation-Liaison Psychiatry unit was highlighted in our study. Increasing awareness in the field of Consultation-Liaison is considered as a positive development, but it is thought that the services in this area should be improved more. Considering the different results found in the studies conducted in our country, to create a common language and algorithm in the field of consultation-liaison is thought to be important. [ABSTRACT FROM AUTHOR]

Summary Aim: This study was designed to evaluate the consultations that were requested from a public hospital’s emergency department to the department of chest diseases (DCD). Methods: Patients who were admitted to the state hospital emergency department and who were consulted to DCD were included in the study. Clinical features of patients were recorded in the data collection form. Patients who voluntarily left the hospitals, who has missing file data and who were not evaluated by the chest diseases specialist for any reason despite consultation were requested, were excluded from the study. Results: 280(53.9%) male and 239(46.1%) female patients with a mean age of 72.8±14.4 were included in the study. The most common concomitant disease were cardiovascular diseases, and the most common complaint for presentation was dyspnea. Chest diseases consultations was requested most frequently due to pneumonia and exacerbation of chronic obstructive lung disease. The response time of pulmonologists for urgent consultations was 93.8±127.3(1-837) minutes. 20%(104) of the consultations requested from the emergency department consisted of patients in terminal period of a disease. Conclusion: It was observed that a significant part of the patients were at advanced age and in need of care. It was concluded that the most common reason for hospitalization was pneumonia. [ABSTRACT FROM AUTHOR]

Objective: In the literature review, it was seen that there was no consultation-liaison psychiatry study that took the data of Elazığ province on the basis of one year. The aim of this study is to investigate the patients› demographic data, physical-psychiatric diagnosis and management by retrospectively looking at the psychiatry consultations requested within a one-year period. Materials and Methods: The data of the inpatients at the age of 18 and above in our hospital or who applied to the emergency department as outpatients were examined from the hospital registration system. Sociodemographic data such as age, gender, the name of the department requesting consultation, diagnosis of the main hospitalization in these departments and the psychiatric diagnosis were recorded on a structred form. Diagnostic evaluations were made according to DSM-5 criteria. Descriptive statistical analyzes were performed for the data examined in the study. Results: Psychiatric consultation was requested for 961 patients in total. 511 (53.2%) of the patients were female and 450 (46.8%) of them were male. The mean age for females was 53.65±21.5 years and 57.59±21.38 for males. 23 (2.4%) of the patients applied to the emergency department as outpatients. 204 (21.2%) of the patients were treated in intensive care unit, 280 (29.1%) in surgery ward and 454 (47.3 %) of them were treated in internal medicine wards as inpatient. The most frequent causes of psychiatric consultations were evaluation of the patients without indicating any reason for consultation referral (%68), anxiety (%7), insomnia (%5) and pre-operative psychiatric evaluation (%5). Endocrinological diseases such as diabetes (DM), hypertension (HT) (n = 228, 23.7%), diseases associated with chest diseases such as COPD (chronic obstructive pulmonary disease), asthma (n = 165, 17.2%) were the most common accompanying physical diseases. As for psychiatric diagnoses made according to DSM-5 diagnostic criteria; there were anxiety disorders in 409 (42.6%), depressive disorder in 131 (13.6%), adjustment disorder in 70 (7.3%) individuals were the most common diagnoses. Among all patients 68.5% were treated with antidepressants, 4.7 % with antipsychotics, 19.8 % of were offered to be followed up without drug treatment. 123 (12.8%) individuals were found to have attempted to suicide. 71 (57.73%) of the patients were female and 52 (42.27%) of them were male. The mean age of the patients was 30.64±5.64. The most common diagnoses were found to be depressive disorder and anxiety disorder. Conclusion: In our study, the concultations most frequent received from are the chest diseases department and the internal medicine departments. The most frequent cause of requirement of the concultations is psychiatric examination without any spesific reason. Anxiety and depressive disorders are the most common disorders diagnosed after psychiatric evaluation. This study is to be the first study examining the psychiatric consultations in the province of Elazığ city. The aim is to compare the results of the present study with the research conducted in other provinces and to lead the psychiatric approaches. [ABSTRACT FROM AUTHOR]

Copyright of Online Turkish Journal of Health Sciences (OTJHS) / Online Türk Sağlık Bilimleri Dergisi is the property of Oguz KARABAY 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.)

Copyright of Pamukkale Medical Journal is the property of Pamukkale Journal of Medicine 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.)

Amaç: Çocukluk çağındaki deri lezyonları, deri hastalığı nedenli veya diğer hastalıklara bağlı olabilir. Lezyonların tanısı, erken ve etkin tedavisi için önemlidir. Bu çalışmanın amacı dermatoloji kliniğine tanı ya da tedavi amacıyla danışılan çocuk hastalardaki deri lezyonlarının değerlendirilmesidir. Gereç ve Yöntem: Ocak 2014-Aralık 2017 tarihleri arasında çocuk sağlığı ve hastalıkları kliniğinden dermatoloji kliniğine yapılan konsültasyonlara ait hasta verileri retrospektif olarak tarandı. Verilerde eksiklik bulunmayan hastalar çalışmaya dahil edildi. Bulgular: Değerlendirmeye alınan 500 hastanın 226’sı (%45,2) kız, 274’ü (%54,8) erkekti. Hastaların yaş aralığı bir gün ile 17 yıl arasında değişmekte olup, yaş ortalaması 5,14±4,7 yıl idi. Hastaların 425’i (%85) ayaktan başvuran poliklinik hastası, 75’i (%15) yatan hastaydı. Yüz otuz hastada (%26), klinikler arası tanı uyumu gözlenirken, 73 hastada (%14,6) kliniklerin tanıları farklıydı. Hastaların 297’sinin (%59,4) konsültasyon istem notunda tanı/öntanı yoktu. En sık danışılan hastalıklar sıklık sırasına göre, ekzemalar, enfeksiyonlar, böcek ısırığı reaksiyonları, kserosis kutis (deri kuruluğu) ve tırnak hastalıklarıydı. Sonuç: Jeneralize döküntü ile seyreden hastalıklar ve ekzemaların ayırıcı tanısı ve tedavisine yönelik bilgi düzeyi artırılmalıdır. Böcek ısırıkları hem lokalize hem de jeneralize döküntülerin ayırıcı tanısında düşünülmelidir.

Copyright of Yeni Üroloji Dergisi is the property of Ali Ihsan Tasci 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: The many authors claim that poor communication may lead to bad consultations and patient results, but there is not enough evidence to support this argument. In this study, the aim was to determine whether consultation training makes a difference in the consultation process and patient outcomes. Method: This prospective, pre-/post-training study was conducted from June 1, 2019 to August 12, 2019 in an adult emergency department (ED). A feedback form with 9 questions related to the communication styles of emergency physicians (EPs) and their consultation processes was filled out by consultants. ED and hospital length of stay, in-hospital mortality, and additional requests were also noted. The validated 5Cs consultation model was used for training. Results: In the study, 724 of 1,295 eligible consultations (55.9%) were evaluated by consultants. The median scores of 7 questions related to the consultation processes and communication styles of the EPs increased after training, while there was no difference in patient outcomes or additional requests. In subgroup analyses, the median score of only 1 question increased in the internal consultations after training, while increases were noted for scores on 6 questions relating to surgical consultations. Similarly, there was no significant difference related to patients' outcomes and additional requests in these subgroup analyses. Conclusion: Consultation training had positive effects on the consultation processes and communication styles of the EPs. However, there was no difference in patient outcomes. Nevertheless, we believe that there should be communication skills training in countries that don't already have this in place. [ABSTRACT FROM AUTHOR]

Objective: Dermatological complaints can be seen frequently in hospitalized patients. During their inpatient, new dermatological lesions may develop, as well as exacerbate dermatological diseases that known before. Thus, the importance of inpatient consultations is increasingly. There are a limited studies in the literature that evaluating the dermatology consultations requested during hospitalization of pediatric patients. The purpose of our study was to describe the dermatology consultations in hospitalized pediatric patients. Material and Methods: A total of 137 patients consulted to dermatology clinic from the pediatric service over a period of four years were included in this study. The data were collected retrospectively from records. Results: Consultations were requested from general pediatric service. The most common primary diagnosis of inpatient pediatric patients was lung disease. The most common dermatological diagnosis in 137 patients were allergic disease followed by skin infections. Skin biopsy was performed on 28 patients by dermatology to aid for diagnosis. In evaluating the consistency between the pre-diagnosis of our clinic before the consultation and the dermatology diagnosis after the consultation, 32 patients were diagnosed differently. Conclusion: Skin lesions are frequently encountered in patient follow-up by pediatric health and disease specialists. At the same time, a significant part of the patient group of dermatologists is pediatric patients. Therefore, the cooperation of the two clinics is important in terms of diagnosis and treatment efficiency. One of the ways to create a working environment and cooperation that contributes to education between pediatrics and dermatology clinics is request a consultation. [ABSTRACT FROM AUTHOR]

Objective: Patients who come to the emergency department with dermatological complaints are generally referred to polyclinics. This practice increases the rate of correct diagnosis and treatment. It also reduces the workload of the emergency service. In this article, we wanted to examine the patients who applied to the emergency department and referred to our outpatient clinic but had any dermatological emergencies. Material and Methods: Patients between August 2018 and February 2020 were retrospectively evaluated from computer records and outpatient doctor records. In diagnoses were divided groups like urticaria, drug eruption, viral rash diseases, dermatitis, insect bites, infective conditions and pruritus. Results: 61.1% of the patients referred from the emergency service to our outpatient clinic were female and 38.9% male. Total number of patients was 72. The mean age was 39.94±14.10 (18-68) years. Twenty-six (36.1%) patients urticaria, 12 (16.7%) patients dermatitis, 12 (16.7%) patients pruritus, 7 (9.7%) patients infective conditions, 6 (8.3%) patients drug eruption, 5 (6.9%) patients had viral eruptions diseases and 4 (5.6%) patients were diagnosed with insect bites. The youngest group was the patients diagnosed with insect bites with an average of 32.75±15.34 years and the oldest group was the group diagnosed with viral rash with an average of 52.00±14.68 years. The average complaint duration of all patients was 2.47±1.85 (1-10) days. Conclusion: It may be useful to refer patients to dermatology outpatient clinics who are not dermatological emergencies in during working hours. [ABSTRACT FROM AUTHOR]

Objetives: In this case report, the role of the laboratory in the diagnosis process of the patient was treated with methotrexate (Mtx) who was diagnosed with ectopic pregnancy by endometrial biopsy as a result of the exclusion of the possibility of phantom HCG following the patient with βHCG values was discussed. Case presentation: Our 25-year-old female patient admitted to our hospital obstetrics and gynecology outpatient clinic with irregular menstruation was evaluated with a pre-diagnosis of pregnancy. The hCG level was examined and ultrasonographically evaluated by the clinician. In the initial evaluation of the 25-year-old patient, the HCG concentration of 47 mIU/mL was determined. Conclusion: Laboratory specialists should be aware of potential problems in hCG measurement. Clinicians and laboratory specialists should always be on consultation to solve clinical problems. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Surgery & Medicine (JOSAM) is the property of Journal of Surgery & Medicine 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: To evaluate the efficiency of electroencephalography (EEG) requested at the consultation. Methods: EEGs for which consultation was requested in one year were analyzed retrospectively. Neurology consultation notes, EEG forms, compliance with EEG findings were examined for each patient. Demographic data, requested unit, pre-diagnosis, final diagnosis were recorded. EEG results were divided into 3 groups:1)normal, 2)EEG with epileptiform anomaly (EEG-EA),3)EEG with nonepileptiform anomaly (EEG-NE). EEGs were also evaluated for their indications and contribution to diagnosis. Results: A total of 261 EEG recordings of 239 patients (133 men, average age 56.44 (18-90) ) were examined. 30.5% of the registered patients had a history of neurological diseases. EEGs were requested from 36.4% intensive care units and emergency departments, 51.5% internal branches, 12.3% surgical branches. Preliminaries were seizures in 42.5%, alertness/encephalopathy in 17.2%, syncope in 5.7%, nonconvulsive status epilepticus (NCSE) in 10.3%. 55% of EEGs were considered normal. 37.5% were in EEG-NE, 8.4% in EEG-EA. 91.6% of patients were imaged, 52.5% were pathological. Focal imaging pathology and EEG findings were compatible in 63% of patients with pathological EEG findings. EEG was pathological in 64.5% of the 127 patients requested with appropriate indications. 80% of EEG was thought not to contribute to the definitive diagnosis. Discussion: Male and advanced elderly people with neurological disease were preferred for EEG. Appropriate indication with a desired high probability of detection of pathological EEG. It is important that the doctor who evaluates the inpatient patient makes more careful decisions in terms of unnecessary process, resource and time wasting. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Physical Medicine & Rehabilitation Sciences is the property of Turkiye Klinikleri 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.)

Copyright of Online Turkish Journal of Health Sciences (OTJHS) / Online Türk Sağlık Bilimleri Dergisi is the property of Oguz KARABAY 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: In this study, it was aimed to evaluate the psychiatric consultations required for inpatients in an education-research hospital and to examine the correct recognition rates of psychiatric diseases by other physicians. Method: Psychiatric consultations for patients who were hospitalized at Ankara Numune Training and Research Hospital except psychiatry and emergency department had been retrospectively screened between 01/04/2016 - 01/10/2016. Results: During this period, 27457 patients were hospitalized in Ankara Numune Hospital apart from the emergency department and psychiatric services, and a total of 544 (1.9%) psychiatric consultations were requested. Psychiatric consultations were most frequently requested with the reason of agitation (17.5%); 16.9% did not specify any reason. Anxiety (8.3%), drug treatment regulation (6.1%), delirium (5.5%), sleep problems(5.3%) and pre-transplant evaluation (4.4%) are other common causes of consultation. The highest rate of psychiatric consultation was in the bone marrow transplant unit (21.0%) followed by infectious diseases (9.6%), intensive care (9.5%) and physical medicine and rehabilitation (9.0%). There was no psychiatric disease in 29.4% of the requested consultations. 149 patients (27.4%), were diagnosed with anxiety disorder,70 patients (12.9%) with delirium, 37 patients (6.8%) with depression, 22 patients (3.7%) with alcohol / substance use disorder, 20 (3.7%) patients with psychotic disorder, 15 patients (2.8%) with trauma related disorders, and 2 patients (0.4%) were diagnosed with somatization disorder. Delirium had the highest rate of recognition by primary medical care providers (89.5%), followed by anxiety disorders (55.6) and alcoholsubstance use disorders (53.3%). Discussion: In this study, psychiatric consultation rates were found to be low, psychotic disorders and somatization disorders are not well recognized even though delirium is well known by primary medical care providers. [ABSTRACT FROM AUTHOR]

Emergency department (ED) consultation is an important part of acute patient care and one of the major determinants of ED length of stay (LOS). ED consultations between physicians who may not be in the same location frequently, require a tool to reach out one another and communicate. This paper reviews the historical change and development of consultation tools. The literature on ED consultation methods have been accumulating for the last two decades as the diversity of these methods has increased with technology. Most of the studies demonstrate that high tech systems are useful and safe to reach the consultant and share medical information flow. Moreover, the future of the area offers new developments regarding consultation tools that are hard to imagine yet like augmented reality. [ABSTRACT FROM AUTHOR]

Background: In this study, we aimed to evaluate the results and the results of the consultations requested by other branch physicians in order to get the diagnosis and treatment suggestions about the patients with a pathology which is thought to be related to the Ear- Nose- Throat Diseases clinic. Methods: Between January 2017 and January 2018 in our hospital, 500 patients who were consulted from the Ear- Nose- Throat Diseases clinic were analyzed retrospectively. The mean age of the patients was 46 (1 -100), 298 were male (59.6%) and 202 were female (40.4%). Clinics seeking consultation, causes of consultation request, symptoms found in consultation cases, decisions after consultation and procedures were recorded. Results: The clinics that requested the most consultations from the Ear-Nose-Throat Diseases clinic were found to be Emergency Service (403 patients- 80.6%) and as Inpatient Internal Clinic and Surgical Services. The most frequent reasons for consultation were sore throat (90 patients- 22.33%), ear pain (70 patients- 17.36%), and nosebleeds (60 patients- 14.88%). Ear-Nose-Throat (K.B.B.) Disease consultation was requested in 1% of all patients, 4% of the operation was performed with local anesthesia, 9% of the elective surgery was recommended. Conclusion: The use of adequate number of specialist health personnel in clinics such as Emergency Service, increasing the knowledge and experience of the related branch expertise and being selective about the consultation will reduce the number of unnecessary consultation and workload. [ABSTRACT FROM AUTHOR]

Objective: The aim of this research was to assess the characteristics of the consultations required in a psychiatric department of a university hospital, and the distribution of psychiatric disorders in hospitalized patients and patients admitted to the emergency room. Method: In the study, the data of 539 patients 18 years or older (48.67 ± 20.91 years) (46.8% women) who were hospitalized and who presented to the emergency room between 01/01/2015 and 31/12/2015, and for whom a psychiatric consultation was requested were recorded onto a structured form. Patients' electronic databases were reviewed retrospectively for the specified date range. Descriptive statistical analyzes (frequency of data, distribution, mean, standard deviation) were performed for the data examined in the study. Results: Medical departments (42.9%), surgical departments (31.7%) and the emergency medicine department (25.4%) were the most frequently psychiatric consultation requesting departments. The most frequent requests for consultation were agitation (15.4%), depressive symptoms and signs (14.7%) and suicide attempts (12.2%). The most frequent psychiatric diagnoses were depressive disorders (19.5%), delirium (18.2%) and schizophrenia and other psychotic disorders (7.4%). Musculoskeletal diseases (17.4%), mental disorders (15.0%), oncologic diseases (14.1%) and suicide attempts (12.2%) were the primary diagnoses of patients. Discussion: Consultation and liaison psychiatry services have an important role in our relationship with other departments in medicine. Priority to training of depressive disorders, delirium and suicide attempts should be offered to healthcare providers working in these departments. [ABSTRACT FROM AUTHOR]

Background: Medical consultation is defined as the exchange of views by more than one physician in order to diagnose or treat a disease. Counselor physician is called 'consultant' and the person executed the consultation is called a 'primary treating' physician. The medical genetics department is one of the departments that require the largest number of consultations from patients. In this context, we aimed to evaluate the consultations performed by medical genetic physicians both as consultant and primary treating physician in the light of additional parameters. Material and Methods: Between January 2017 and December 2017, 851 people evaluated in the outpatient clinic were included in the study. The department on consultation and the number of consultations requested are noted. There was no indication limitation in our study. Misplaced and repeated consultations were excluded from the study and only written consultations were included in the study. The results were evaluated using the SPSS 25.0 program. Results: The mean age of the participants was 11.27 ± 8.54. The age range of the individuals was 0-68. It was observed that more frequent consultations were requested from the internal medicine and the patients evaluated after the consultation. It has been observed that the pre-and post-diagnosis consultation request numbers are close to each other. Conclusion: It has been emphasized that the medical geneticists should work more closely with the which departments. The importance of the contributions of teachers and dentists in terms of medical geneticists has been pointed out. [ABSTRACT FROM AUTHOR]

Background: The purpose of consultation is to obtain the necessary information for the follow-up and treatment of the patient from the physicians in the relevant specialty. The list of hyperbaric medicine indications is quite extensive and it is collaboration with many departments. Material and Methods: 75 diabetic foot consultations of 53 patients were included in the retrospective study from the consultations sent to the Hyperbaric Medical Service between May 26, 2017 and May 26, 2018. Patients' personal information, diagnosis, duration of consultation request and answer, changes in laboratory parameters after the applications, consultations to be made to other departments recommended by hyperbaric medicine specialist were evaluated. Results: 49% of the patients were female, 51% were male and the mean age was 60.28 ± 10.8. 15.67% of the patients were Wagner 1, 30.34% were Wagner 2, 30.34% were Wagner 3, and 23.67% were Wagner 4 diabetic foot patients. 80% of these applications constitute of abscess drainage, debridement and dressing. There was a statistically significant decrease in CRP, WBC and sedimentation values of patients after consultation (p <0.05). Consultations made independently have improved the laboratory values, regardless of the duration of the response to the consultation and whether it is urgent(p> 0.05). Conclusions: Whatever the stage of the diabetic foot, while the patients who are diagnosed with diabetic foot diagnosis are being evaluated, it is absolutely to be consulted to the Hyperbaric Medical Clinic. It is thought that the hyperbaric medicine specialists treatment have contributed positively to the management of the wound. [ABSTRACT FROM AUTHOR]

Object: This study was conducted to evaluate child psychiatry consultations of patients which were stayed in different clinics in a university hospital. Methods: The records of the patients who were consulted in between 01.07.2016 and 31.12.2016 and was made diagnosis according to DSM5 was scanned restrospectively. The sociodemographic information of the patients, the diagnosis of physical illness, the clinic requested for consultation, the reason for the consultation, the psychiatric diagnoses determined in the consultation result and the psychiatric treatment process were analyzed by using the SPSS 15.0 program. Results: Psychiatric consultation was requested for 55 inpatient children within a six-month period. %63,6 of consulted cases was a girl, %36,4 of them was a boy and the average age was found as 13,2 ± 3,6. When the consultations were evaluated, it was determined that the 23,6% of the patients were consulted for suicide attempt and 83,6% of them had at least one mental disorder. The most common diagnosis was major depression in the rate of 36,4% and psychotropic treatment was recommended to 38,2% of evaluated cases because of the psychiatric disorder. Discussion: In our study, it was found that the consultation rates were low despite the rate of psychopathology (83,4%) was rather high in consulated children and adolescents. This suggests that the doctors who are working in non-psychiatric areas are having difficulty understanding and evaluating the psychiatric symptoms in children and that the cooperation among physicians should be increased so that psychiatric illnesses can be better recognized. [ABSTRACT FROM AUTHOR]

Pregnancy is a physiological state that is associated with various physiological skin changes and specific dermatoses. The purpose of this study was to evaluate the dermatologic problems of pregnants followed by obstetrics and gynecology clinic by analyzing dermatology consultations, retrospectively. The data, including dermatology consultations requested by obstetrics and gynecology clinic for pregnants between September 2011-May 2017 were screened. Sixty-one patients without any missing information were included in the study. The mean age of 61 cases was 30.66±6.61 years (19-43 years). Their gestational weeks varied between 5, and 40 weeks and 29 patients (47.5%) were primigravid, 32 patients (%52.5) multigravid and five patients (%8.2) were in postpartum period. The reason for asking consultations for two pregnants was the physiological change of pregnancy. Sixteen patients (26.2%) had pregnancy-specific dermatosis; 11 patients diagnosed with polymorphic eruption of pregnancy, four patients with intrahepatic cholestasis of pregnancy and one patient had pemphigoid gestationis. The pregnants with the diagnosis of gestational dermatosis were in their third trimesters (n=14) or postpartum periods. Forty-five pregnant patients or those in their postpartum period for whom consultations were requested (75%) had itching with or without a rash. There were three pregnant women who used drugs in the C, D and X pregnancy categories for consultation because of unplanned pregnancy and drug use. Pruritis was detected as the most frequent complaint. Infection and drug use that could affect maternal and infant health were attracting attention among the reasons for consultation request. [ABSTRACT FROM AUTHOR]

In the study, 88 dogs with acquired or congenital heart disease were assessed. Medical records including anamnesis, physical examination, thorax radiography, electrocardiographic and echocardiographic exams and treatment options of cases were also evaluated. The current study reflects the clinical and diagnostic applications including electrocardiography, thorax radiography and echocardiography in cases with heart disease and the significance of routine cardiac exams in geriatric cases during the diagnostic process. [ABSTRACT FROM AUTHOR]

Objective: The primary aim of this study is to evaluate the frequency and distribution of consultations relevant to infectious diseases at Emergency Service. Material and Method: Consultation requests from Emergency Service to Infectious Diseases and Clinical Microbiology were overviewed. The study was retrospectively performed at Ankara Training and Research Hospital between July 2014 and December 2014. All consultation requests by the Emergency Service were evaluated and distribution of consultations according to the clinics, and reasons for the consultation and hospitalization rates were investigated. Results: Within six months, a total of 1,399 patients were consulted by the Department of Infectious Diseases and Clinical Microbiology, accounting for 5.1% of all consultation requests. Most frequent consultation reasons were detected as lower respiratory tract infections (25.8%), fever etiology (25.8%), urinary tract infections (11.4%), and animal bite/rabies prophylaxis (10.4%). The hospitalization rate after consultation by infectious diseases clinic was found to be 10.1 %. Conclusion: According to these results, it is considered that more cooperation and educational activities are needed between the Emergency Service and Infectious Diseases specialists. [ABSTRACT FROM AUTHOR]