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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • 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 indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • 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 readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is published monthly.

Editor-in-Chief

 

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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