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  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear Annals of Medical Research Readers

As of the end of March 2021, I have started to work as Chief Editor at Annals of Medical Research. Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 28 years.  Our Journal, which is online as an open access journal with monthly free access, is being scanned in many national and international indexes (ULAKBIM TR Dizin, Turkish Medline, EBSCO, Google Scholar, etc.). I would like to thank the Editors before me who contributed to this level. Our primary goal is to ensure the maintenance of this good state of the journal and to ensure that it is scanned in prestigious international indexes (Pubmed Central, SCI-Expended, etc.). In order to achieve these goals, it depends on the original research articles that can be cited and the articles published in our Journal to be cited sufficiently in other international journals. The contributions of our readers, reviewers and authors in achieving this goal are of great importance.

I hope to announce the news that we have reached our goals as soon as possible.

MD. Prof. Nevzat Erdil

Editor-in-Chief

Annals of Medical Research

 

Emergency medicine residents’ interpretation of computed tomography scans in patients presenting with suspected acute appendicitis improve after training (p.2523-8)

Emergency medicine residents’ interpretation of computed tomography scans in patients presenting with suspected acute appendicitis improve after training (p.2523-8)

Vermi Degerli1, Hulya Mollamehmetoglu2
1Department of Emergency, Bozyaka Teaching and Research Hospital, Izmir, Turkey
2Department of Radiology, Bozyaka Teaching and Research Hospital, Izmir, Turkey
Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: Abdominal computed tomography (CT) is considered as the best imaging tool in the diagnosis of acute appendicitis (AA) in adults. Since most medical centers do not have access to immediate radiological assessment, emergency physicians (EPs) may have to interpret CTs when they need to make immediate clinical decisions. Therefore, it has become a necessity for EPs to achieve a certain level of imaging experience. The aim of our study was to evaluate the effect of a short educational intervention on the ability of emergency medicine residents (EMRs) to interpret AA criteria and diagnose AA using abdominal CT.
Material and Methods: Our study was an intervention study evaluating the effectiveness of education. The EMRs were given a 2-hour didactic session on “abdominal CT interpretation in the diagnosis of AA” by an experienced radiologist. Abdominal CTs of 39 patients with a final diagnosis of AA and 8 patients with other diagnoses were interpreted by four senior EMRs (3rd- and 4th-year residents) and three junior EMRs (1st- and 2nd-year residents) before and 2 weeks after the didactic session. Interpretations by the EMRs were compared with the radiologist’s interpretations and classified as agreement or disagreement.
Results: Interpretation skills of senior EMRs before and after educational intervention showed considerable improvement in the rate of agreement (before vs after % agreement) didactic teaching as follows: enlargement of the appendix (72.3% vs. 86.2%), appendiceal wall thickening (69.7% vs. 81.9%), heterogeneous wall enhancement (46.8% vs. 61.2%), periappendiceal inflammation (63.8% vs. 79.8%), and AA diagnosis (73.4% vs. 88.8%), but not for appendicolith (79.8% vs. 77.7%). Junior EMRs showed no changes following the intervention.
Conclusion: After a short educational intervention, the senior EMRs showed significant improvement in interpreting AA diagnoses and abdominal CT criteria compared to junior EMRs.

Keywords: Appendicitis; computer-assisted; education; image interpretation

 

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doi: 10.5455/annalsmedres.2020.07.784      

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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