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A Growing Threat for Academicians: Fake and Predatory Journals 对院士日益增长的威胁:虚假和掠夺性期刊
Pub Date : 2015-05-08 DOI: 10.5152/JAEM.2015.48569
Gul Gunaydin, N. Doğan
Over the last few years scientists have been the targets for cybercrime in a few different ways. Hijacked or fake journals and predatory journals have emerged, and many scientists have been victimized by these journals. Those journals are trying to deceive authors and readers intentionally by not doing what they say they are doing, but still charging the authors for the services that they do not provide like peer review or editorial review. They also do not follow traditional standards for the acceptance of articles. Our goal is to disseminate knowledge and awareness about such journals and offer some basic skills to the authors so that they avoid fake or predatory publishers. One must be careful because predatory journals may take away not only your money but also, more importantly, your prestige and reputation. (JAEM 2015; 14: 94-6)
在过去的几年里,科学家以不同的方式成为网络犯罪的目标。被劫持或伪造的期刊和掠夺性期刊已经出现,许多科学家成为这些期刊的受害者。这些期刊试图故意欺骗作者和读者,他们没有做到他们所说的,但仍然向作者收取他们没有提供的服务,如同行评议或编辑评议。他们也不遵循传统的接受物品的标准。我们的目标是传播关于这些期刊的知识和意识,并向作者提供一些基本技能,以便他们避免假冒或掠夺性出版商。一个人必须小心,因为掠夺性期刊不仅会带走你的钱,更重要的是,还会带走你的声望和声誉。(JAEM 2015;14: 94 - 6)
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引用次数: 31
Management of Renal Transplant Patients in the Emergency Department 急诊科肾移植患者的管理
Pub Date : 2015-05-08 DOI: 10.5152/JAEM.2015.01033
M. Ergin, Ümran Dal, D. Granit, Semra Aslay, M. Selhanoglu
Solid organ transplant patients constitute a special population in the emergency departments (EDs). Increasing numbers of patients are reported in EDs for transplantation-related complications. Complications related to organ transplantation can be categorized into four groups: anatomical, infection, rejection, and drug toxicity. In patients presenting to the ED, all these categories should be considered in the differential diagnosis. However, the exact etiology, may not be known until admission to the hospital for further evaluation. Therefore, every complaint from a transplant patient should be carefully evaluated. In this study, we will review the principles for the management of patients with renal transplantation in the ED. (JAEM 2015; 14: 83-7)
实体器官移植患者是急诊科的一个特殊人群。据报道,越来越多的患者因移植相关并发症进入急诊科。器官移植并发症可分为解剖学、感染、排斥反应和药物毒性四类。在急诊科就诊的患者中,所有这些分类都应在鉴别诊断中加以考虑。然而,确切的病因,可能不知道,直到入院进一步评估。因此,移植患者的每一个抱怨都应该仔细评估。在本研究中,我们将回顾急诊科肾移植患者的管理原则。14: 83 - 7)
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引用次数: 2
How Imminent is the Earthquake Expected in Istanbul? And How Potentially Deadly? 伊斯坦布尔即将发生地震?有多致命?
Pub Date : 2015-05-08 DOI: 10.5152/JAEM.2015.80106
A. Gunduz, M. Çiçek, U. Eryigit, Yunus Karaca
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引用次数: 0
Asymptomatic Myocardial Injury in a Low Level of Carbon Monoxide Poisoning 低水平一氧化碳中毒的无症状心肌损伤
Pub Date : 2015-05-08 DOI: 10.5152/JAEM.2015.66588
Hilal Hocagil, C. Tanrıkulu, V. Ulker, U. Kaya, L. Koca, A. Hocagil
Carbon monoxide (CO) poisoning is an important cause of mortality and morbidity. Although measured in CO levels are not always correlated with clinical symptoms, neurological symptoms may present in lower CO levels, and cardiac signs and symptoms may occur in high CO levels. Low levels of CO exposure are very rare causes of myocardial injury. In this case presentation, we aimed to report on a patient who had a 20% level of CO and high troponin level without cardiac signs and symptoms. A 26-year-old male presented to the emergency department with headache, nausea, and vomiting. The initial electrocardiogram showed ST-segment depression of 1 mm in Lead II(II)-Lead III(III) Lead augmented vector foot (aVF) and ST-segment elevation in Lead I(I)Lead augmented vector left (aVL). The patient’s laboratory values were as follows: troponin I: 1.5 ng/mL and FCOHb: 20.7%. The first echocardiogram of the patient demonstrated global hypokinesia of the left ventricle. The coronary angiogram of the patient was normal. All patients considered to have CO poisoning should be evaluated with electrocardiograms, cardiac necrosis marker measurements, and an echocardiogram for myocardial injury regardless of the level of CO or the absence of cardiac symptoms and signs. (JAEM 2015; 14: 91-3)
一氧化碳(CO)中毒是导致死亡和发病的重要原因。虽然测量的CO水平并不总是与临床症状相关,但较低的CO水平可能出现神经系统症状,而高CO水平可能出现心脏体征和症状。低水平的一氧化碳暴露是非常罕见的心肌损伤的原因。在这个病例报告中,我们的目的是报告一个患者,他有20%的CO水平和高肌钙蛋白水平,没有心脏体征和症状。一名26岁男性,因头痛、恶心和呕吐到急诊科就诊。初始心电图显示II型导联(II)- III型导联(III)脚导联增强向量(aVF) st段下降1mm, I型导联(I)左导联增强向量(aVL) st段升高。患者的实验室值如下:肌钙蛋白I: 1.5 ng/mL, FCOHb: 20.7%。患者的第一次超声心动图显示左心室整体运动不足。患者的冠状动脉造影正常。所有被认为有一氧化碳中毒的患者都应通过心电图、心肌坏死标志物测量和心肌损伤超声心动图进行评估,而不管一氧化碳水平或有无心脏症状和体征。(JAEM 2015;14: 91 - 3)
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引用次数: 4
Homeless Patients in the Emergency Department 急诊科无家可归的病人
Pub Date : 2015-05-08 DOI: 10.5152/JAEM.2015.70188
T. Kılıç, M. Yeşilaras, O. Atilla, Ibrahim Toker, Z. Temizyurek
Aim: In our study, we aimed to investigate the demographic features and clinical conditions of homeless people admitted to the emergency department (ED). Materials and Methods: Patients aged ≥18 years who had social service consultations were retrospectively examined. Demographic features, admission time, complaints on admission, length of stay in the ED, clinical tests performed, diagnoses, clinical outcomes (admission to the hospital, discharge, operation, or death) and ED costs were recorded. Results: The study included 39 patients. The median age of the patients was 63 years [interquartile range (IQR): 55-77 years, minimum: 30 years, maximum: 91 years]; 89.7% of the patients were male and 74.4% were absolute homeless. There were an average of 8.7 admissions per month. The median length of stay in the ED was 277 min. The median ED cost per admission was 103 Turkish Liras. Referral of homeless patients resulted in admission to hospital wards in 32 (9.2%) cases and admission to the intensive care unit in 41 (11.8%) cases. Conclusion: In addition to acute disease management, specific approaches should be planned for homeless patients in EDs, which are possibly the only health units that homeless patients refer to for their health problems. (JAEM 2015; 14: 70-4)
目的:在我们的研究中,我们旨在调查急诊科(ED)无家可归者的人口学特征和临床状况。材料与方法:回顾性分析年龄≥18岁的社会服务咨询患者。记录了人口统计学特征、入院时间、入院投诉、在急诊科的住院时间、进行的临床检查、诊断、临床结果(入院、出院、手术或死亡)和急诊科费用。结果:纳入39例患者。患者年龄中位数为63岁[四分位间距(IQR): 55 ~ 77岁,最小30岁,最大91岁];89.7%的患者为男性,74.4%为绝对无家可归者。平均每个月有8.7人入学。在急诊科的中位住院时间为277分钟。每次住院的中位急诊科费用为103土耳其里拉。经转诊的无家可归病人中,32人(9.2%)住进了医院病房,41人(11.8%)住进了重症监护病房。结论:对于无家可归的急诊科患者,除了急性疾病管理外,还应制定具体的措施,因为急诊科可能是无家可归的患者解决健康问题的唯一医疗单位。(JAEM 2015;14: 70 - 4)
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引用次数: 5
Blue-Black and Skin Peeled Breasts 蓝黑色和去皮乳房
Pub Date : 2015-05-08 DOI: 10.5152/JAEM.2015.53386
S. Güler, I. Ertok
A 56-year-old obese female patient with a history of diabetes mellitus and hypertension presented to the emergency department with the chief complaint of bilateral mastalgia and erythema, bruising, and peeling of bilateral breasts for 7 days. On admission, she had a temperature of 38.7°C, respiratory rate of 24 breaths/min, pulse rate of 98 beats/min, and blood pressure of 80/50 mmHg. There was no history of trauma, surgery, or invasive diagnostic interventions to the breasts. There was massive enlargement of both breasts with erythema and peeling of the overlying skin. The breasts were warm, tender, and edematous, with an intense anaerobic odor and blue-black discoloration of necrotic areas (Figure 1, 2). Laboratory findings showed leukocytosis (48100/μL), hyperglycemia (532 mg/dL), acute renal failure (BUN: 236 mg/dL and creatinine: 3.4 mg/dL), hyponatremia (123 mmol/L), and metabolic acidosis. The patient was diagnosed with severe sepsis. Management was initiated by rapid intravenous hydration and empirical antibiotic regimen comprising meropenem and piperacillin-tazobactam immediately. The patient was taken to the operating room for radical breast debridement. However, the patient developed cardiac arrest, and despite cardiopulmonary resuscitation, she died.
56岁肥胖女性患者,有糖尿病和高血压病史,主诉双侧乳房痛,双侧乳房红斑、瘀伤、脱皮7天。入院时,患者体温38.7℃,呼吸频率24次/分,脉率98次/分,血压80/50 mmHg。无创伤史、手术史或乳房侵入性诊断干预史。双侧乳房肿大,伴有红斑及皮肤剥落。乳房温热、触痛、水肿,伴有强烈的厌氧气味和坏死区域的蓝黑色变色(图1、2)。实验室结果显示白细胞增多(48100/μL)、高血糖(532 mg/dL)、急性肾功能衰竭(BUN: 236 mg/dL,肌酐:3.4 mg/dL)、低钠血症(123 mmol/L)和代谢性酸中毒。病人被诊断为严重败血症。治疗开始于快速静脉补液和经验抗生素方案,包括美罗培南和哌拉西林-他唑巴坦立即。患者被送往手术室进行乳房根治性清创。然而,病人出现了心脏骤停,尽管进行了心肺复苏,她还是死了。
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引用次数: 0
Complete Heart Block Related to Mumps Myocarditis in an 80-Year-Old Woman 完全性心脏传导阻滞与80岁妇女腮腺炎心肌炎相关
Pub Date : 2015-04-01 DOI: 10.5152/JAEMCR.2015.948
Ş. Özdinç, M. Tekin, Gülay Özkeçeci, G. Aşık, O. Oruc
Introduction: Mumps is an acute, self-limited, highly infectious, systemic viral disease characterized by a swelling of the parotid glands. It is more common in school-aged children. We want to emphasize in this case report that mumps can also occur in old people and cause a mortal and rare complication such as complete AV block associated with mumps myocarditis. Case Report: An 80-year-old woman admitted to the emergency room with complaints of swelling around the right ear, fatigue, weakness, dizziness, presyncope, and chest pain. Her grandson had had a fever and swelling around the right and left ear approximately 2 weeks before the beginning of her own ailment. Her core temperature was 37.5°C. Blood pressure was 120/60 mmHg and pulse rate was 37 beats/min. There was swelling of the right parotid gland and complete atrioventricular block in her electrocardiogram. The patient was consulted with a cardiolog and transferred to the cardiology clinic. Conclusion: Mumps is most commonly occurs in children, and the most common presentation of the disease is parotitis. However, it may occur in elders and result in mortal complications.
腮腺炎是一种急性、自限性、高度传染性的全身性病毒性疾病,以腮腺肿胀为特征。它在学龄儿童中更为常见。我们想在这个病例报告中强调,腮腺炎也可以发生在老年人中,并引起致命和罕见的并发症,如腮腺炎心肌炎相关的完全性AV传导阻滞。病例报告:一名80岁妇女因右耳周围肿胀、疲劳、虚弱、头晕、晕厥前期和胸痛等主诉入住急诊室。她的孙子在她自己发病前大约2周左右曾出现左右耳发热和肿胀。她的体温是37.5°C。血压120/60 mmHg,脉搏37次/分。心电图显示右侧腮腺肿大,完全房室传导阻滞。该患者接受了心脏科医生的咨询,并被转到心脏科诊所。结论:腮腺炎最常见于儿童,最常见的疾病表现为腮腺炎。然而,它可能发生在老年人身上,并导致致命的并发症。
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引用次数: 0
Genital Self-Mutilation: A Case Report 生殖器自残:一例报告
Pub Date : 2015-04-01 DOI: 10.5152/JAEMCR.2015.969
Hulya Yilmaz Baser, A. Başer, A. Yilmaz, E. Uyanık, M. Serinken
Giris: Son yillarda davranis bozuklugu gosteren hastalarin acil servise basvurularinda anlamli bir artis gozlenmektedir. Son 20 yil icin Amerika Birlesik Devletlerinde bu oran 1000’de 17,1’den 23,6’ya ulasmistir. Ilk basvurular icinde %6,3 olarak bildirilmistir. Genital self mutilasyon ile acile basvuru ise cok nadir gorulmektedir. Self mutilasyon; olum istegi olmaksizin bireyin bilerek ve isteyerek, kendi bedeninin bir bolgesine zarar vermesi olarak tanimlanir. Klingsor Sendromu olarak da bilinen genital self mutilasyon genellikle psikoz ile iliskilidir. Olgu Sunumu: Kirk alti yasinda erkek hasta, acil servise skrotal agri ve kanama sikâyeti ile basvurdu. Hastanin yapilan degerlendirmesinde genital self mutilasyon tanisi konuldu. Sonuc: Acil servise genital travma ile basvuran bu olguyu sunmadaki amacimiz, genital yaralanma ile basvuran olgularda da, genital self mutilasyon olabilecegi dusunulerek psikoz gibi agir psikiyatrik yakinmalar goz ardi edilmemeli. Bircok hastalikta oldugu gibi bu olgularda da ayrintili oyku ve fizik muayene icin yeterli zaman ayrilmalidir.
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引用次数: 2
Traumatic Pancreatitis: A Case Report 外伤性胰腺炎1例报告
Pub Date : 2015-04-01 DOI: 10.5152/JAEMCR.2015.938
Kasım Turgut, H. Oguzturk, M. G. Turtay, Sukru Gubruz, T. Guven
Giris: Akut pankreatit cocuklarda nadir gorulen ve etiyolojik acidan da eriskinlerden farkli olan bir hastaliktir. Eriskinlerde cogunlukla alkol ve safra taslari pankreatitin sebebi iken, cocuklarda ilaclar, enfeksiyon, travma ve anatomik bozukluklar daha sik etiyolojik neden olabilmektedir. Olgu Sunumu: Bu calismamizda dusme sonrasi karni mezar tasina carpan, karin agrisi ve kusma sikayetleriyle acil servisimize basvuran ve sonrasinda travmatik pankreatit tanisi alan 13 yasindaki bir olguyu sunduk. Sonuc: Kunt batin travmasi sonrasi acil servisimize basvuran hastalarda, ozellikle cocuk yas gruplarinda pankreas yaralanmasini aklimiza getirmeli ve hizlica tani koyucu islemleri yapmaliyiz.
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引用次数: 0
Diplopia and Ptosis in Consequence of Probable Vipera Barani Bite 巴拉尼毒蛇咬伤所致复视及上睑下垂
Pub Date : 2015-04-01 DOI: 10.5152/JAEMCR.2015.819
S. Turkmen, Yunus Karaca, O. Tatli, Nurhak Aksut, Ufuk Bulbul
Giris: Turkiye'de genellikle Yilan sokmasi zehirsiz turler ile olmaktadir. Ancak, zehirli yilanlar neden oldugu yaralanmalara bazen rastlanir. Bunlarin hepsinden Viperidae (engerek) ailesi sorumludur. Baran Adder, Baran engeregi, Turkiye'nin Dogu Karadeniz bolgesinde bulunan Viperidae ailesinin bir uyesidir. Bu turler tarafindan zehirlenmesi hematolojik belirtilere neden olabilir. Minor norolojik etkisi olasiliklari olmasina ragmen daha once norolojik belirtiler gelismis hicbir vaka literaturde bildirilmemistir. Olgu Sunumu: 54 yasindaki bir kadin, bir yilan isirigi takiben perifer bir hastanenin acil servisine getirildi. Hastada yilan isirigindan sekiz saat sonra, bilateral pitozis ve bulanik gorme gelisti ve hasta bolge referans hastanenin acil servisine transfer edildi. Hasta bu yilanin yasadigi bolgede iyi bilinen zehirli yilan ve Baran engeregi oldugunda israr etti. Yilan isirmasindan dokuz saat tetanoz profilaksisi ve 2 ampul Avrupa antiserum uygulandi. Basvuru sonrasinda, baska hicbir komplikasyon gelisti. Sonuc: Viperidae ailesinin diger uyeleri gibi Baran engereginin de genellikle hematolojik bulgulara neden oldugu bildirilmistir. Biz norotoksik bulgular ortaya cikabilecegini bildirdik.
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引用次数: 1
期刊
Journal of Academic Emergency Medicine Case Reports
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