COVID-19 lockdown attack on headache emergency admissions: a multidisciplinary retrospective study

A retrospective study was performed to verify if the number of admissions for urgent dental care in the Urgent Dental Care Service of San Paolo Hospital in Milan (Italy) was directly related to the different phases of the COVID-19 pandemic. Different periods were analyzed: 25 March–5 April 2019 (pre-COVID); 23 March–3 April 2020 (lockdown); 8 June–19 June 2020 (reopening); and November 9–November 20 (second wave). Raw data regarding admissions, diagnoses, and treatments were extracted. Descriptive and bivariate analyses were performed. The survey included 901 admissions, 285 in pre-COVID, 93 during lockdown, 353 in reopening, and 170 in the second wave. In each time period, statistically significant differences were found in the prevalence of each kind of diagnoses (χ2(3) = 20.33 p = 0.01 for endodontic emergencies, χ2(3) = 29.05 p < 0.01 for cellulitis/phlegmon, χ2(3) = 28.55 p < 0.01 for periodontal emergencies, Fisher’s Exact Test p < 0.01 for trauma, and χ2(3) = 59.94 p < 0.01 for all other kinds of diagnosis). A remarkable increase in consultations (+186.36%) and other treatments (+90.63%) occurred during reopening. Tooth extraction was the most frequently delivered treatment, but suffered the largest reduction during lockdown (−79.82%). The COVID-19 pandemic has highly affected dental activity in north Italy, underling the weaknesses of a private dental system in a pandemic scenario.

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Etiological and demographical characteristics of acute adult poisoning in Ankara, Turkey

Human & Experimental Toxicology ◽

10.1191/096032799678839446 ◽

1999 ◽

Vol 18 (10) ◽

pp. 614-618 ◽

Cited By ~ 36

Author(s):

Z Özköse ◽

F Ayoĝlu

Keyword(s):

Retrospective Study ◽

High Ratio ◽

University Hospital ◽

Emergency Center ◽

Drug Poisoning ◽

Emergency Admissions ◽

Common Cause ◽

Male Ratio

1 The aim of this retrospective study was to evaluate etiological and demographical characteristics of acute adult poisoning patients during 1 year at a university hospital in Ankara, Turkey. 2 Two-hundred and twenty-eight adults (of which 180 were suicidal poisoning cases) were admitted to the emergency center with acute poisonings. This was 0.7% of all emergency admissions. The female-to-male ratio was 3: 1, and the majority of patients (63.6%) were below the age of 25 years. 3 Drugs were the major cause in 75.9% of the cases, followed by inhalation of gases (17.6%), food (2.6%), corrosives (2.2%), pesticides (0.9%), and alcohol (0.9%). Analgesics were the most common cause of drug poisoning (29.7% of all substances). There were no fatalities. 4 It is important to realize that this study is a hospital based study, and hence it may be considered difficult to draw conclusions for the whole population of Turkey. However, we consider that the reason for such a high ratio of analgesic poisoning is probably due to the habit of extensive analgesic prescribing in Ankara, which is thecapitalofTurkey.

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Severe mental illness and airports – the scope of the problem

Psychiatric Bulletin ◽

10.1192/pb.25.7.261 ◽

2001 ◽

Vol 25 (7) ◽

pp. 261-264 ◽

Cited By ~ 5

Author(s):

U. C. Wieshmann ◽

M. Anjoyeb ◽

B. B. Lucas

Keyword(s):

Mental Illness ◽

Retrospective Study ◽

Mental Disorders ◽

Severe Mental Illness ◽

Clinical Implications ◽

Emergency Admissions ◽

Safety Concerns ◽

International Airport ◽

Schizotypal Disorder

Aims and MethodMental illness may cause specific problems in the environment of an international airport. The aim of our study was to assess frequency, presentation and safety implications of mental disorders requiring formal admission at an international airport. We performed a retrospective study over 4 years including patients who were detained by the police and admitted.ResultsThe frequency of admissions was one per million passengers, the frequency of incidents raising safety concerns was four per 10 million passengers. An in-flight disturbance occurred in 1.4 per 10 million arriving passengers. Most common were schizophrenia or schizotypal disorder (46.8%) and mania (22.6%). Twenty per cent of patients presented with wandering.Clinical ImplicationsEmergency admissions and incidents causing safety concerns were rare. Airport wandering was a frequent presenting sign that should be recognised.

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Perforated Duodenal Ulcer and Cigarette Smoking

Journal of the Royal Society of Medicine ◽

10.1177/014107688808100214 ◽

1988 ◽

Vol 81 (2) ◽

pp. 92-94 ◽

Cited By ~ 14

Author(s):

F Smedley ◽

T Hickish ◽

M Taube ◽

C Yale ◽

R Leach ◽

...

Keyword(s):

Duodenal Ulcer ◽

Peptic Ulcer ◽

Retrospective Study ◽

Cigarette Smoking ◽

Peptic Ulceration ◽

Perforated Duodenal Ulcer ◽

Cigarette Smokers ◽

Duodenal Ulcers ◽

Emergency Admissions ◽

The Relationship

Whilst the association between smoking and peptic ulceration has been reported previously, the relationship between smoking and the complications of ulcers, such as perforation, bleeding or acute painful exacerbation, has not been examined. In a retrospective study comparing 275 emergency admissions for peptic ulcer with 275 controls, cigarette smoking was significantly more common only in those with a perforated duodenal ulcer. Of 128 patients with perforated duodenal ulcers, 110 (86%) were cigarette smokers compared with 65 (51%) of the 128 matched controls (χ2, P<0.01). Cigarette smoking in patients with bleeding or acutely exacerbated ulcers was not significantly more common than in controls. These findings strongly suggest a particular association between smoking and perforated duodenal ulcer.

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