Objective. To examine the association between adverse childhood experiences (ACE), prenatal common mental disorders (PCMDs) and delivery and neonatal outcomes. Also, to examine the overall effect of ACE and individual ACE subcategories on PCMD diagnosis and obstetric outcomes. Design. Prospective cohort study from pregnancy to birth. Setting. The study was based on an Icelandic cohort study and supplemented with maternal childbirth records from three hospitals in Iceland. Sample. Women recruited in the cohort study who had accessible childbirth records and singleton births (N = 522). Methods. Bayesian SEM was used to test pathways between ACE, PCMD and delivery and neonatal outcomes with probit regression models. Main outcome measures. ACE was assessed with a semi-structured interview. PCMD was diagnosed with the MINI+. Delivery outcomes were defined as pain management during labor and mode of delivery. Neonatal outcomes were defined as small for gestational age (SGA), preterm delivery (PD), Apgar score, fetal distress, and newborn intensive care unit (NICU) admissions. Results. Women having experienced ACE were at increased risk of PCMD [β=.538, p < .001, CI: .195-1.154] and PD [β=.768, p < .05, CI: .279 - 1.007)]. An indirect association was found between ACE and increased risk of non-spontaneous delivery [β=.054, p < .05, CI: .004 - .152], mediated by PCMD. Identical findings were observed for individual ACE subcategories. Conclusion. The negative impact of ACE on non-spontaneous delivery is mediated by the impact of ACE on PCMD diagnosis suggesting that interventions aimed at decreasing PCMD may reduce the risk of non-spontaneous delivery.

Fetal hematometrocolpos is a rare finding with an incidence of 1 in 16,000 female births. Timely diagnosis enables clinicians to formulate an appropriate management plan for the newborn. We present a case of fetal hematometrocolpos managed exclusively by prenatal and postnatal ultrasound scans allowing for effective immediate postnatal surgical treatment.

Background and Purpose: Superoxide anions can reduce the bioavailability and actions of endothelium-derived NO. In human resistance-sized arteries, endothelium-dependent vasodilatation can be mediated by H2O2 instead of NO. We tested the hypotheses that in resistance arteries from patients with resistant cardiovascular disease (CVD), endothelium-dependent vasodilatation uses mechanisms that are either insensitive to oxidative stress or involve a reactive oxygen species. Experimental Approach: Small arteries were isolated from biopsies of the parietal pericardium of patients undergoing elective cardiothoracic surgery and were studied by immunohistochemical and organ chamber techniques. Key Results: NO-synthases 1, 2 and 3, superoxide dismutase 1 and catalase proteins were observed in the microvascular wall. Relaxing responses to bradykinin were endothelium dependent. During submaximal depolarization-induced contraction, these relaxations were inhibited by inhibitors of NO-synthases (NOS) and soluble guanylyl cyclase (sGC) but not by scavengers of NO or HNO, inhibitors of cyclooxygenases, neuronal NO-synthase, superoxide dismutase or catalase, or by exogenous catalase. During contraction stimulated by endothelin-1, these relaxations were not reduced by any of these interventions except DETCA which caused a small reduction. Conclusion and Implications: In resistance arteries from patients with resistant CVD, endothelium-dependent relaxations seem not to be mediated by NO, HNO or H2O2 although NOS and sGC can be involved. These vasodilator responses proceed during excessive oxidative stress.

Numerous studies have unsuccessfully tried to unravel the definitive host of the coccidian parasite Besnoitia besnoiti. Cattle infections by B. besnoiti cause a chronic and debilitating condition called bovine besnoitiosis that has emerged in Europe during the last two decades, mainly due to limitations in its control associated to the absence of vaccines and therapeutical tools. Although the exact transmission pathway of B. besnoiti is currently unknown, it is assumed that the parasite might have an indirect life cycle with a carnivore as definitive host. Current lack of studies in wildlife might underestimate the importance of free-living species in the epidemiology of B. besnoiti. Thus, the aim of the present study is to assess the presence of Besnoitia spp. in free-ranging mesocarnivores in Spain. DNA was searched by PCR on faeces collected from wild carnivores as a first approach to determine which species could be considered as potential candidates for definitive hosts in further research. For this purpose, a total of 352 faecal samples from 12 free-living wild carnivore species belonging to the Canidae, Felidae, Herpestidae, Mustelidae, Procyonidae, and Viverridae families were collected in seven Spanish regions. PCR testing showed that Besnoitia spp. DNA was present in four faecal samples from red foxes collected in western Spain, an area with the greatest density of extensively reared cattle and associated to high incidence of bovine besnoitiosis in the country. To date, this is the first report of a Besnoitia besnoiti-like sequence (99.57% homology) from carnivore faeces in a worldwide context. Red foxes might contribute to the epidemiology of B. besnoiti, although further studies, mostly based on bioassay, would be needed to elucidate the accuracy and extent of these interesting findings.

Refractory IDA and chronic occult bleeding from GI tract could happen due to BRBNS. Clinicians should keep in mind to detect the underlying diseases from GI tract by endoscopy. Precision diagnosis and appropriate intervention could booster to upgrade the quality of life for patients.

Objectives: To compare the endoscopic approach to manage attic cholesteatoma with conventional microscopic technique. Design: Randomized controlled trial. Participants: A total of 190 patients (192 ears) diagnosed with attic cholesteatoma extending to the antrum area (stages Ib and II) were randomly assigned into two groups: one undergoing endoscopic approach and the other undergoing the microscopic technique. Main outcome measures: The two groups were compared in terms of preoperative and intraoperative findings, access to hidden areas expressed in terms of the Middle Ear Structural Visibility Index (MESVI), mean operative time, and postoperative findings. Results: No difference in the parameters of the preoperative and intraoperative findings analyzed (patient age, computed tomography findings, disease stage, and intraoperative cholesteatoma characteristics) was observed between the endoscopic and microscopic groups. The median MESVI for the endoscopic group was better than that for the microscopic group (P<0.05). The mean operating time using the endoscopic approach was less than that using the microscopic approach (P<0.05). The median postoperative pain score in the endoscopic group was lower than that in the microscopic group (P<0.05). No significant difference was found between the two groups in terms of taste sensation, air-bone gap closure at the end of 4 weeks, and vertigo experienced at the end of the first week. When long-term surgical outcomes were assessed 1 year postoperatively, five patients in the microscopic group had recurrence, four had cartilage displacement, three had perforation, and five had retraction pocket formation. In the endoscopic group, four patients had disease recurrence, three had cartilage displacement, two had perforation, and four had retraction pocket formation. Conclusion: Endoscopic management of limited attic cholesteatoma showed definite advantages over the conventional microscopic approach, such as providing better visualization, requiring less postoperative time, subjecting the patients to less pain, and decreasing the incidence of complications.

Objective: Obstructive sleep apnea (OSA) is highly prevalent in children and requires an expensive and relatively unavailable sleep study for diagnosis. This study was undertaken to translate the previously validated OSA screening tool (POSAST) to the Thai language and assess its accuracy and test-retest reliability in at-risk symptomatic children. Study design: Prospective cross-sectional cohort study Methods: Pediatric patients clinically referred for suspected OSA who underwent overnight polysomnography (PSG) were recruited, and caregivers completed the Thai version of the POSAST. The same questionnaire was completed again after 2-4 weeks. Results: One hundred and ten subjects completed the study. The mean age was 8.4±2.9 years. The mean apnea-hypopnea index (AHI) was 10.9±11.9 events/hour. Test-retest reliability (Pearson correlation coefficient = 0.96, P<0.001) and internal consistency (Cronbach’s alpha coefficient = 0.82, P<0.001) between each question were excellent. A cumulative equation-derived score cut-off of 1.9 yielded 78.4% sensitivity and 50.0% specificity, while a numerical additive score cut-off of 8 corresponded to 81.1% sensitivity and 52.8% specificity for diagnosing moderate and severe OSA (AHI ≥5 events per hour) Conclusion: The internal consistency and reproducibility of the Thai version of the POSAST are satisfactory, display acceptable validity, and the instrument can be used for screening symptomatic Thai children for OSA.

We report 2 cases of infants with acute and persistent Immune Thrombocytopenic Purpura (ITP) treated with Eltrombopag. Since ITP is rare in infants, robust evidence about how to treat these patients is not available. Both children underwent multiple lines of treatment without success and were successfully managed with off-label use of Eltrombopag. We did not observe any of the reported adverse effects of the drug and complete remission was achieved in both cases. In one child, we were able to discontinue treatment without any ITP relapse. This is the first report of an off-label use of Eltrombopag in infants.

With an increase in the oscillation events observed in the U.S. Eastern Interconnection (EI), it has become increasingly important to have a good understanding of the EI system oscillatory behavior. However, as compared to the Western Interconnection system (WI), not much work has been done in this regard for the EI system. Therefore, in this paper, a thorough analysis is carried out to identify inter-area modes and their properties for the EI system using a 80000+ bus real EI model. Multi-channel Prony method is used in this paper for estimating system modes and mode-shapes.

To explore the above-mentioned problems, we analyzed the spatiotemporal evolution of ES (WY, SC, NPP, nitrogen and phosphorus export, HQ, CS, and Bio) in SCK, and combined policy (GFG), natural factors (MP, MT, PET, and VC) and human activities (PD, NL, GDP, FL, Forest, Grass, BL and UL) discussed the driving forces of ES changes in different landscapes. The results showed that from 1982 to 2018, WY, nitrogen Export, HQ, CS and Bio in SCK showed a decreasing trend, while SC and NPP showed an increasing trend. WY had a large decrease in all ES, a decrease of 13.23%; while NPP had a large increase, an increase of 19.16%. Comparing different landscape, the study found that SC, NPP, nitrogen and phosphorus export, CS and Bio in non-karst were higher than in karst, while HQ was the opposite. This study showed that natural factors (MP, MT, PET and VC) are the main factors of affecting ES in SCK, and found that the driving factors of ES indicators in different landscapes (karst and non-karst) are not the same. The study emphasized mountain enclosure for afforestation in karst suitable forests and barren hills to restore ES; fast-growing and pioneer species with a large amount of fine roots were planted in wasteland and rocky desertification areas to increase soil conservation services in the early ecosystems; through the policy of migration and employment, the human disturbance to nature can be reduced and habitat quality and biodiversity service can be improved.

In this paper, we consider the chemotaxis model u_t&=\Delta u-\nabla\cdot(u\nabla v),& \qquad x\in\Omega,\,t>0,v_t&=\Delta v-vw,& \qquad x\in\Omega,\,t>0,w_t&=-\delta w+u,& \qquad x\in\Omega,\,t>0,under homogeneous Neumann boundary conditions in a bounded and convex domain $\Om\subset \mathbb{R}^3$ with smooth boundary, where $\delta>0$ is a given parameter. It is shown that for arbitrarily large initial data, this problem admits at least one global weak solution for which there exists $T>0$ such that the solution $(u,v,w)$ is bounded and smooth in $\Om\times(T,\infty)$. Furthermore, it is asserted that such solutions approach spatially constant equilibria in the large time limit.

Devoting to exploring the translation invariance and convolution invariance of doubly weighted pseudo almost automorphic stochastic processes with impulses on time scales proposed in this paper. Based on these results, taking advantage of a new approach to obtain the existence and uniqueness of the doubly weighted pseudo almost automorphic solutions to a class of stochastic nonlinear impulsive equations on time scales, which enrich the dynamics of doubly weighted pseudo almost automorphic stochastic processes. Finally, an example is researched to illustrate our conclusions.

Recovery of heart function during support with durable LVAD is uncommon, and there are few reports of cases that address the issue of eliminating the LVAD without the need for a heart transplant. Radical surgical removal of the LVAD may cause distortion of left ventricular cavity and thus affect its function, in addition to the associated risks of the operation. Innovative ways to de-activate the LVAD, relying mainly on implantation of vascular plugs in the outflow graft have been used. Few reports have shown the success of this method. In this case report, we review the story of a young patient with advanced heart failure, who underwent LVAD implantation, and after 6-month, there was a dramatic improvement of heart function that enabled successful de-activation of the device.

Leptin is over-secreted in many autoimmune diseases, which can promote dendritic cells (DCs) maturation and up-regulate the expression of inflammatory cytokines, but the underlying mechanisms are not fully elucidated. Considering the major role of leptin in maintaining energy balance and the significant role of glycolysis in DCs activation, our study aims to investigate whether leptin promotes the activation of DCs via glycolysis and its underlying mechanisms. We demonstrated that leptin promoted the activation of DCs, including up-regulating the expression of co-stimulatory molecules and inflammatory cytokines, enhancing the proliferation and T helper 17 (Th17) cell ratio in peripheral blood mononuclear cells (PBMC) co-cultured with leptin-stimulated DCs. Leptin also enhanced DCs glycolysis with increased glucose consumption, lactate production, and the expression of hexokinase 2 (HK2). In addition, the activation of DCs stimulated by leptin could be inhibited by the glycolysis inhibitor 2-DG. To explore the signaling pathways involved in leptin-induced HK2 expression, we observed that only the inhibitors of STAT3 (NSC74859) could repress the enhancement of HK2 triggered by leptin stimulation. Therefore, our results indicated that leptin promoted glycolytic metabolism to induce DCs activation via STAT3-HK2 pathway.

Emergency surgery, blood transfusion, and reoperation for bleeding have been associated with increased morbidity and mortality. Every effort is made to optimize patients preoperatively including cessation of oral anticoagulants in an attempt to normalize the coagulation profile. The recent explosive use of direct oral anticoagulants (DOACs) and antiplatelet medications has made the above more difficult. Cardiopulmonary bypass (CPB), with its associated fibrinolysis and platelet consumption, may exacerbate a pre-existing coagulopathy. In addition, the underlying surgical pathology, such as endocarditis accompanied by sepsis and disseminated intravascular coagulopathy (DIC) or aortic dissection requiring hypothermia and circulatory arrest, can aggravate an already challenged hematological profile. Ensuring a dry operative field upon entry by correcting the coagulopathy is offset by the concern of potentially hindering efforts to anticoagulate the patient in preparation for CPB, in addition to possibly creating a hypercoagulable state that could increase the risk of thromboembolic events. Management is challenging and decisions are typically made on a case-by-case basis. Surgery is delayed when possible and less invasive percutaneous options should be considered if feasible. If surgery is unavoidable, attention is paid to exercising meticulous techniques, avoiding excessive hypothermia, treating coexisting issues such as sepsis and correcting the coagulopathy with antidotes, reversal agents and blood products, with the understanding that a normal coagulation profile does not necessarily translate into hemostasis or the absence of thrombosis. Proper knowledge of the mechanism of action of the oral anticoagulants, available antidotes and their time to onset are essential in properly treating this difficult patient population.

Acute decompensation in patient with COVID19 is usually a consequence of worsening ARDS , however acute pulmonary embolism and acute pneumothorax are frequently recognized causes of acute decompensation , the later causes are treatable and having high index of suspicion is very important in order not to miss them.

Invertebrate communities provide many critical ecosystem functions (e.g. pollination, decomposition, herbivory and soil formation), and have been identified as indicators of ecological restoration. Unfortunately, invertebrates are often overlooked in restoration monitoring because they are time-consuming to survey, often require rare taxonomic expertise, and there are many undescribed species. DNA metabarcoding is a tool to rapidly survey invertebrates and can also provide information about plants with which those invertebrates are interacting. Here we evaluate how invertebrate communities may be used to determine ecosystem trajectories during restoration. We collected ground-dwelling and airborne invertebrates across chronosequences of mine-site restoration in three ecologically different locations in Western Australia, and identified invertebrate and plant communities using DNA metabarcoding. Ground-dwelling invertebrates showed the clearest restoration signals, with communities becoming more similar to reference communities over time. These patterns were weaker in airborne invertebrates, which have higher dispersal abilities and therefore less local fidelity to environmental conditions. Invertebrate community recovery was most evident in ecosystems with relatively stable climax communities, while the trajectory in the Pilbara, with its harsh climate and unpredictable monsoonal flooding, was unclear. Plant assay results indicate invertebrates are foraging locally, providing data about interactions between invertebrates and their environment. Thus, we show how DNA metabarcoding of invertebrate communities can be used to evaluate likely trajectories for restoration. Testing and incorporating new monitoring techniques such as DNA metabarcoding is critical to improving restoration outcomes, and is now particularly salient given the ambitious global restoration targets associated with the UN decade on Ecosystem Restoration.

Introduction: Chemical ablation by retrograde infusion of ethanol into the vein of Marshall (VOM-EI) can facilitate achievement of mitral isthmus block. This study sought to describe efficacy and safety of this technique. Methods and Results: Twenty-two consecutive patients (14 male, median age 71 years) with attempted VOM-EI for mitral isthmus ablation were included in the study. VOM-EI was successfully performed with a median of 4 ml of 96% ethanol in 19 patients (86%) and mitral isthmus was successfully blocked in all (100%). Touch up endocardial and/or epicardial ablation after VOM-EI was necessary in 12 patients (63%). Perimitral flutter was present in 12 patients (63%) during VOM-EI and terminated or slowed by VOM-EI in four and three patients, respectively. Low-voltage area of the mitral isthmus region increased from 3.1 cm2 (IQR 0-7.9) before to 13.2 cm2 (IQR 8.2-15.0) after VOM-EI and correlated significantly with the volume of ethanol injected (P = 0.03). Median high-sensitive cardiac troponin-T increased significantly from 330 ng/L (IQR 221-516) the evening of the procedure to 598 ng/L (IQR 382-769; P=0.02) the following morning. A small pericardial effusion occurred in three patients (16%), mild pericarditis in one (5%) and uneventful VOM dissection in two (11%). After a median follow-up of 3.5 months (IQR 3.0-11.0), 10 of 18 patients (56%) with VOM-EI and available follow-up had arrhythmia recurrence. Repeat ablation was performed in five patients (50%) and peri-mitral flutter diagnosed in three (60%). Conclusion: VOM-EI is feasible, safe and effective to achieve acute mitral isthmus block

Background and Purposes: Several hERG blocking molecules known for their propensity in triggering Torsades de Pointes (TdP) were reported as increasing High Frequency QT oscillations (HFQT). This effect was found as reflecting a sympatho-vagal coactivation. The present work aims to characterise the mechanism(s) leading to this particular state of the autonomic nervous system. Experimental approach: Effects of 20 hERG blockers including 15 torsadogenic molecules were assessed by telemetry in beagle dogs. Electrocardiogram and stroke volume modelled from the pulse contour method were analysed at the first dose level causing either QTc prolongation and/or HFQT increase. Cardiac autonomic control was analysed using the High Frequency Autonomic Modulation (HFAM) model in dogs and in untreated genotyped LQT1 and LQT2 individuals, for comparison. Key results: The sympatho-vagal coactivation induced by torsadogenic molecules is elicited by reflex compensatory mechanisms in response to changes in stroke volume or cardiac output related to hemodynamic off-targets and/or QT prolongation. QTc prolongation was concealed or markedly blunted by the sympathetic component activation in a large proportion of tested torsadogenic drugs. Sympathetic reflex mechanisms in LQT patients similar to that found for dofetilide was also revealed in both patients exhibiting QTc prolongation and concealed QTc prolongation, irrespective to LQT type. Conclusions and implications: QTc prolongation and/or drug-induced hemodynamic side effects enhance beat to beat ventricular repolarisation variability via sympatho-vagal reflex compensatory mechanisms. Considering the sympathetic reflex component via analysis of HFQT oscillations dramatically improves prediction, sensitivity and specificity of drug induced Torsades de pointes risk assessment.

Objective: The aim of this study is establish the optimal non- invaszive urine sample collection method for the microbiota studies. Methodology: 12 men with bladder carcinoma underwent first voided and midstream urine collection. Urine samples were analyzed by using V3-V4 regions of bacterial 16s ribosomal RNAs. Bacterial groups with relative abundance above 1% were analyzed in first voided urine and midstream urine samples at phylum, class, order, and family level. At the genus level, all of the identified bacterial groups’ relative abundances were analyzed. The statistical significance (p<0.05) of differences between first voided and midstream urine sample microbiota were evaluated using the Wilcoxon test. Results: According to analysis, 8 phyla, 14 class, 23 orders, 39 families, and 29 different genera were identified in the first voided and the midstream urine samples. Statistical differences were not identified between first voided and mid-stream urine samples of all bacteria groups except the Clostridiales at order level (p:0.04) and Clostridia at class level (p:0.04). Conclusions: Either first voided or midstream urine samples can be used in urinary microbiota studies as we determined that there is no statistically significant difference between them regarding the results of 16s ribosomal RNA analysis. What’s known? According to widespread acceptance, first voided urine and midstream urine should be collected separately for standard microbiologic evaluation. What’s new? We found that there is no exact statistically significant difference between two collection methods even on microbiota analysis. We believe that either first voided or midstream uyrine samples can be used in urinary microbiota studies.

Title:The placebo and nocebo effects in the treatment of endometriosis: a commentary

Purpose: In this prospective cross secitonal study, we aimed to investigate the adequacy, sensivity and specifity of rectal aspiration biopsy samples as the standart diagnosis of patients suspected HD for the histopathological diagnosis Material and methods: The study was performed between november 2016 and march 2018. We prospectively included 24 patients aged between 0-3 years that suspicious with HD to the study. After Rectosigmoid index (RSI) were calculated according to the contrast enhanced colon graphy, Patients who RSI<1 were performed rectal aspiration biopsy with the suspicious of HD. All patients’ clinical features, treatment options, complications, laboratory results and radiological findings were recorded for further analyses. Biopsy specimens were evaluated by the specialist patholog and findings were recorded. Results: There were no ganglion on the specimens of rectal aspiration biopsy in 10(%41.6) patients and diagnosed as HD. Ganglion cell was detected in 5(%20.8) patients and diagnosis of HD was excluded. Inadequate or suspicious biopsy specimens for histopathological evaluation was observed in 9(%37.5) patients. If the biopsy volume was greater than 4 mm3, sensitivity was 80% and specificity was 66.67% in diagnosis of HH (AUC = 0.789); If the Submucosa / Mucosa ratio is greater than 0.75 or the submucosa is greater than 0.42, the sensitivity and the specificity were 86.67% and 66.67%, respectively. Conclusion: In this prospective cross-sectional study, we demonstrated that rectal aspiration biopsy in the diagnosis of HD is easily feasible, safe, has higher sensitivity and specificity, and lower complication rates.

ABSTRACT Background:Metabolic changes seen after obstructive jaundice increase the load of oxidative stress.The thiol-disulphide homeostasis (TDB) has a vital importance as oxidatice stress biomarker. Aim: The aim of present study is to investigate the dynamic thiol-disulphide homeostasis in patients diagnosed with obstructive jaundice and to compare the dynamic thiol-disulphide homeostasis with ischemia modified albumin. Study design: A total of 146 participants who were admitted to emergency department and who consisted of 69 patients and 77 healthy volunteers, were included in the study. Detailed blood samples were obtained from the patients at the time of admission. Methods: Thiol / disulphide levels were examined using a novel method developed by Erel and Neselioglu on the patients diagnosed with obstructive jaundice during the admission. Data were evaluated in computer system. Results: The levels of total thiol (p =0.025) and native thiol (p =0.023) were statistically significantly lower in the patient with obstructive jaundice than in the control group. It was observed that there was a significant negative correlation between the native thiol levels and the ALP (r =-0.262, p<0.01), urea (r =-0.313, p<0.01), total bilirubin (r =-0.388, p<0.01), direct bilirubin (r =-0.351, p<0.01) levels. At the same time, the level of disulphide (p = 0.235) was lower in the patient group than in the control group but not statistically significant. It was found that the ischemia modified albumin (IMA) values were lower in the control group than the obstructive jaundice group (p = 0.03). Conclusion: Total thiol, native thiol and IMA levels decrease in obstructive jaundice pathogenesis.

Introduction: In this study, it is planned to compare the RT-PCR test, which is the gold standard in the diagnosis of COVID-19, with Thorax computed tomography (CT) and rapid antibody test results. Methods: Patients who were admitted to the emergency service of İzmir Çiğli Training and Research Hospital between 01.04.2020 and 31.05.2020 and who were suspected of having COVID-19 infection were included in the study. The medical records of the patients were retrospectively analyzed through the hospital data processing database. Age, gender, hospitalization, status of home quarantine, real-time reverse transcription-polymerase chain reaction (RT-PCR), thorax CT and rapid antibody test results of the patients were examined. The relationship between RT-PCR, thorax CT and rapid antibody test results were compared statistically. Results: A total of 181 patients, 115 (63.5%) male and 66 (36.5%) female, with an average age of 56.4 ± 18.06 years were included in the study. The nasopharyngeal swab PCR result obtained at the first admission of the patients to the emergency department was positive in 71 (39.2%) patients. Thorax CT was performed in 173 (95.6%) patients who applied to the emergency department, and 112 (64.7%) of them had findings that could be compatible with COVID-19. According to the thorax CT findings in patients, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for detecting COVID-19 infection were respectively; 76.1%, 43.1%, 48.2% and 72.1% (ĸ: 0.176, p <0.001). In our study, the mortality rate for COVID-19 was found to be 2.8%. Conclusion: Rapid antibody test and thorax CT examinations were found to have low diagnostic value in patients who admitted to the emergency department of our hospital and whose first RT-PCR SARS-CoV-2 test was positive. Studies involving larger patient groups are needed for their use alone in diagnosis and screening.