Gurkan Altuntas, M. Yazici, A. Çelik, Özcan Yavaşi
{"title":"The Prognostic Significance of Lactate Dehydrogenase Albumin Ratio in Elderly COVID-19 Patients","authors":"Gurkan Altuntas, M. Yazici, A. Çelik, Özcan Yavaşi","doi":"10.19127/mbsjohs.1129139","DOIUrl":"https://doi.org/10.19127/mbsjohs.1129139","url":null,"abstract":"OBJECTIVES: An acute respiratory disease caused by a novel coronavirus emerged in December 2019. This disease associated with the novel coronavirus quickly spread across the world, leading to significant fatalities. Reliable predictors of disease mortality and severity are therefore needed in order to decide on clinical follow-up or earlier clinical intervention. This study was performed around the hypothesis that the LDH/ALB ratio would yield more sensitive results in predicting the potential relationship between disease severity and mortality in patients with COVID-19 aged over 65. \u0000METHODS: COVID-19 patients aged over 65 presenting to a tertiary emergency department between August and October 2021, were investigated in this single-center, retrospective study. All patients over 65 presenting to the emergency department and diagnosed with COVID-19 were included. The study population was constituted following the application of the inclusion and exclusion criteria. Pulmonary involvement percentages and laboratory parameters were compared against patient mortality and thoracic tomography. \u0000RESULTS: The relationship between patients’ lactate dehydrogenase/albumin ratios and mortality status was evaluated. The optimal cut-off value for the lactate dehydrogenase/albumin ratio in predicting mortality was 9.6 (AUC:0.815, sensitivity 75.9%, specificity 76.3%, p=0.001). The relationship between patients’ lactate dehydrogenase/albumin ratios and severity of pulmonary involvement was also examined. The cut-off value for severe pulmonary involvement was 11.2 (AUC:0.946, sensitivity 93.6%, specificity 87.4%, p=0.001). \u0000CONCLUSION: In conclusion, LDH/ALB ratio could be used to predict mortality and severity of pulmonary involvement in elderly COVID-19 patients.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"204 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123178870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Inan, Muhammed Fatih Acehan, Buket Karsavuranoğlu, E. Şahiner, M. Aslan, I. Ateş
{"title":"Upper gastrointestinal bleeding: Do emergency endoscopic evaluations affect clinical outcomes?","authors":"O. Inan, Muhammed Fatih Acehan, Buket Karsavuranoğlu, E. Şahiner, M. Aslan, I. Ateş","doi":"10.19127/mbsjohs.1130292","DOIUrl":"https://doi.org/10.19127/mbsjohs.1130292","url":null,"abstract":"Background: We aimed to reveal the effect of time from admission to endoscopy on clinical outcomes such as mortality, rebleeding, and prolonged hospitalization among patients with acute upper gastrointestinal bleeding. \u0000Methods: Patients aged ≥18 years with acute upper gastrointestinal bleeding were enrolled in the study. Those who had variceal bleeding during endoscopy, those whose hospital stay was shorter than 24 hours, those who did not undergo endoscopy, and those who underwent endoscopy after 24 hours were excluded from the study. Clinical findings, routine laboratory test results, and imaging findings of the patients were retrospectively reviewed through the hospital’s records system. \u0000Result: A total of 252 patients were enrolled in the study. At admission, 30.2% (76) of patients were at clinically high risk of death or rebleeding, 71.8% had melena, and 51.2% had hematemesis. While 72 (28.6%) of the patients had high-risk endoscopic stigmata, 89 (35.3%) had low-risk endoscopic stigmata. The median hospital stay was 6 (1-91) days. In-hospital mortality occurred in 8 (3.2%) cases, rebleeding developed in 16 (6.3%) cases, endoscopic intervention was required in 103 (40.9%) cases, and prolonged hospital stay was required in 43 (17.1%) cases. High-risk endoscopic stigmata were identified in 63 (34.1%) cases in the urgent group and in 9 (13.4%) in the early group (p=0.001). Endoscopic intervention was required in 47.0% cases in the urgent group, while the incidence was 23.9% in the early group (p=0.001). \u0000Conclusion: While no significant difference was found between the urgent and early groups in terms of mortality and re-bleeding, the need for endoscopic intervention and the incidence of high-risk endoscopic stigmata were found to be significantly higher in the urgent group.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132675987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Menstrual Cycle Characteristics, Premenstrual Syndrome, and Anxiety in Young Girls Infected and Not Infected with COVID-19: A Comparative Study","authors":"Zeliha Özşahin, Çiğdem Karakayalı Ay, Esra Karataş Okyay","doi":"10.19127/mbsjohs.1100337","DOIUrl":"https://doi.org/10.19127/mbsjohs.1100337","url":null,"abstract":"Objective: Periods of crisis, fear, and stress target hypothalamic-gonadal axis of women in reproductive age and can have an impact on menstrual symptoms. This study was conducted to evaluate menstrual cycle, premenstrual syndrome and anxiety in young girls with or without COVID-19 disease. \u0000Methods: In this descriptive and comparative study, 216 young girls infected with COVID-19 in the last 6 months were compared with 634 young girls who were not infected yet. “Personal Description Form”, “Premenstrual Syndrome Scale (PMSS)” and “State-Trait Anxiety Inventory (STAI)” were used to collect data. \u0000Results: In the study, it was determined that the mean scores of PMSS and STAI of young girls who had COVID-19 disease were higher than those who did not. It was determined that the difference between the mean scores of PMSS and STAI of young girls who had COVID-19 was statistically significant, while the difference between the mean scores of PMSS and STAI of young girls who did not have COVID-19 disease was not statistically significant. The difference between the prolongation of the two cycle intervals and the reduction of menstrual bleeding in young girls with and without COVID-19 disease was found to be statistically significant. \u0000Conclusion: As a result, it can be recommended to diagnose risk factors and to apply the necessary physical and psychological midwifery approaches in order to prevent the menstrual cycle, which is accepted as a physiological and psychological process, from deviating from its normal characteristics during the COVID-19 process and in the case of diagnosis.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128027477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Bibliometric Analysis of Publications on Scabies","authors":"M. Tosun","doi":"10.19127/mbsjohs.1094658","DOIUrl":"https://doi.org/10.19127/mbsjohs.1094658","url":null,"abstract":"Objective: Scabies is caused by infestation with the ectoparasite Sarcoptes scabiei var hominis and its incidence has increased in recent years. Bibliometric analysis uses a statistical method of academic literature in a certain research area. This study aimed to perform the bibliometric analysis of literature with scabies. \u0000Methods: All data of this study were included from the provided by Web of Science databases. It was used the keyword “scabies” for our study. All studies published between 1970 and December 2021 were included. \u0000Results: A total of 1924 publications were found. The most published fields were dermatology, general medicine, and infectious disease (31.20%, 10.92%, and 9.83%, respectively). The peak year of urticaria literature was 2019, with 5.85%. The United States was the most productive country, with 334 publications. Australia ranks second with 172 publications following the United States, while France takes third with 132 publications. \u0000Conclusion: This study analyzed the publications with scabies bibliometric analyses. It was determined that the most frequently discussed subjects were Sarcoptes scabiei and treatment of scabies.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127386146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between E-Health Literacy with Post-Traumatic Stress Symptoms of Nurses During The Pandemic","authors":"N. Bölükbaş, Zeliha Yöndem","doi":"10.19127/mbsjohs.1089024","DOIUrl":"https://doi.org/10.19127/mbsjohs.1089024","url":null,"abstract":"Objective: During the pandemic, health employees carry an emotional burden and specific psychological problems about caring for infected patients. This research was conducted to determine nurses' e-Health literacy levels and post-traumatic stress symptoms status in the COVID-19 pandemic and to examine the relationship between them. \u0000Methods: The study was planned in descriptive, and correlational types, consisting of 172 nurses working in two state hospitals in Turkey during the COVID-19 pandemic. In the study, the whole universe was tried to be reached. The sample selection method was not applied. The Nurse Identification Form, e-Health Literacy Scale, and the Impact of Events Scale-Revised were applied online using GOOGLE forms in the study. Due to a lack of answers, the study started online on June 8, 2020, and ended on September 16, 2020. The Mann-Whitney U test was applied in two-group comparisons, and the Kruskal-Wallis test was used to test differences among three groups. The Mann-Whitney U test was performed to test the significance of pairwise differences using Bonferroni correction to adjust for multiple comparisons. A p-value of","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122462015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neriman Aras, I. Kahraman, Hakan Yılmaz, Muge Ustaoglu
{"title":"TEMPERAMENT, CHARACTER, PERSONALITY CHARACTERISTICS AND EATING ATTITUDES OF PEOPLE SEEKING BARIATRIC SURGERY","authors":"Neriman Aras, I. Kahraman, Hakan Yılmaz, Muge Ustaoglu","doi":"10.19127/mbsjohs.1112504","DOIUrl":"https://doi.org/10.19127/mbsjohs.1112504","url":null,"abstract":"Objective: This study aimed to analyze differences in temperament, character, personality characteristics and eating attitudes between the patients seeking bariatric surgery for the treatment of obesity and the general population. \u0000Method: The candidates for bariatric surgery were assessed pre-operatively using the Temperament-Character Inventory (TCI) and Personality Belief Questionnaire (PBQ) for personality characteristics, and the Eating Attitudes Test (EAT) for their eating behavior. \u0000Results: The candidates for bariatric surgery had higher scores on the Impulsivity and Compassionate sub-dimensions of the TCI, whilst the score on the Self sub-dimension was lower than in the controls. No significant differences were found between patients and controls in the subscales of the Personality Belief Questionnaire. The candidates for bariatric surgery were found to have more impaired eating habits. \u0000Discussion: This study demonstrates that certain personality characteristics may both cause obesity and may be effective in the treatment method used to treat obesity. Taking into account the personality characteristics of patients and assessing their eating patterns when determining therapeutic approaches to obesity, including bariatric surgery, may be beneficial in achieving effective, long-term results in weight control. In patients scheduled for bariatric surgery for the treatment of obesity, providing individualized psychiatric support to develop their impulsivity-related self-control skills may enhance the success of obesity treatment.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129609619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EFFECTS OF URIC ACID ON DISEASE SEVERITY AND MORTALITY IN HOSPITALIZED COVID-19 PATIENTS","authors":"E. Türkmen, A. Karataş, Y. T. Gullu","doi":"10.19127/mbsjohs.1126040","DOIUrl":"https://doi.org/10.19127/mbsjohs.1126040","url":null,"abstract":"Background: High and low uric acid (UA) levels in the general population are associated with mortality. Information on the association of UA levels with clinical outcomes in COVID-19 patients is contradictory. We investigated the relationship between UA levels and clinical endpoints in COVID-19 patients. \u0000Methods: Laboratory and clinical parameters, including UA at the admission of hospitalized COVID-19 patients, were recorded retrospectively. Binary logistic regression analysis determined risk factors for mortality and the intensive care unit (ICU) needs. \u0000Results: This study included 708 patients (57.1% men), and the median age was 63 (18-98) years. Two hundred and three (28.7%) patients needed ICU, and 107 (15.7%) died. Uric acid levels were significantly higher in the deceased (6.5 vs. 4.9; pmedian value 5.1 mg/dL) group have higher mortality rate (22.4% vs. 9.5%; p","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124727844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparıson Of Lımberg Flaps And Karydakıs Flaps In The Treatment Of Pılonıdal Sınus Dısease: A Sıngle Physıcıan Experıence","authors":"Mikail Uyan, Turker Acehan","doi":"10.19127/mbsjohs.1066649","DOIUrl":"https://doi.org/10.19127/mbsjohs.1066649","url":null,"abstract":"Objective: Our aim is to see whether there is a difference in postoperative complications, length of hospital stay, postoperative healing period, and recurrence of the disease between Limberg flap (LF) and Karydakis flap (KF) surgeries in patients with pilonidal sinus disease (PSD). \u0000Methods: Our research includes a comparison of two patient groups who had PSD surgery performed by a single physician between March 2016 and October 2020. Patients in Group 1 were undergoing LF, whereas those in Group 2 were undergoing KF. \u0000Results: There were 103 patients in Group 1 and 64 patients in Group 2. The mean age, duration of surgery and hospitalization were shorter in Group 2 (p=0.019, p=0.0001, p=0.0001, respectively). There was no significant difference between the two groups in terms of the remaining variables. \u0000Conclusion: It has been understood that there is no difference in terms of quality of life, recurrence and complications in both surgical methods that we applied in the surgical treatment of PSD. However, the fact that KF operations can be completed in a shorter time and patients can be discharged earlier makes this group one step ahead.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130967209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Functional Outcomes of Patients Treated with Fibula Strut Graft and Double Plate in the Treatment of Recalcitrant Humerus Nonunions","authors":"Selami Karadeniz, Murat Bölükbaşı","doi":"10.19127/mbsjohs.1093040","DOIUrl":"https://doi.org/10.19127/mbsjohs.1093040","url":null,"abstract":"Aim: Recalcitrant humerus nonunion is difficult to treat, and plate fixation is a common treatment choice. This study aimed to determine the efficiency of double plating combined with nonvascularized autologous fibular strut allograft in the treatment of atrophic and defective humerus nonunions. \u0000Methods: Fourteen patients were surgically treated for recalcitrant humerus malunions. Demographic data (age, gender, dominant side), clinical features, and previous surgical records of the patients were recorded preoperatively. Preoperative Visual Analogous Scale (VAS) and Constant-Murley scores of the patients were recorded before the surgery. \u0000Results: 10 (71.4%) of the patients were female and 4 (28.5%) were male. The mean age was 53.07±9 (range, 39-67). 9 (64.3%) of the patients had nonunions on the dominant side. Mean follow-up was 11.1±1.9 months. The complete union was observed in all patients and the mean union time was 5.1±0.63 months (range, 4.2-6.0). The mean preoperative VAS score was 7.29 ± 0.91 (range, 6-9), and the mean postoperative VAS score was 0.93 ± 0.92 (range, 0-3). VAS scores improved after the surgery (p","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128960550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gülşah Çıkrıkçı Işık, Sedanur Şafak, Rabia Handan Günsay, Y. Çevik
{"title":"Lactate as a predictor for determining invasive intervention time in non-ST-segment acute coronary syndromes","authors":"Gülşah Çıkrıkçı Işık, Sedanur Şafak, Rabia Handan Günsay, Y. Çevik","doi":"10.19127/mbsjohs.1081086","DOIUrl":"https://doi.org/10.19127/mbsjohs.1081086","url":null,"abstract":"Objectives: The aim was to evaluate the correlation of lactate levels measured at admission with the urgency of intervention in patients diagnosed with non-ST-segment acute coronary syndromes (NST-ACS). \u0000Methods: This was a prospective observational study conducted in a research hospital between March 2020 and June 2021. Patients admitted to the emergency department with chest pain and diagnosed with NST-ACS were divided into four group according to the recommendations of the ESC 2015 guidelines to determine the priority of invasive intervention. Lactate levels were measured from venous blood samples. Whether there was a difference in terms of lactate levels between patients who were recommended for early invasive intervention (within 24 hours) and patients who were recommended for late invasive intervention (within 72 hours) was investigated. The sample size was estimated with G*Power and statistical analysis was performed using SPSS 22. \u0000Results: The mean age of the group recommended for early intervention was 62±11.45 years and the mean age of the group recommended for late intervention was 61±11.89 years. The time interval between the beginning of symptoms and admission to the emergency department was similar between the groups and the median was 4 hours. GRACE scores were significantly higher in the early intervention group. There was no difference in terms of lactate levels between the groups. Correlations between GRACE scores and lactate levels were statistically non-significant (p>0.05). \u0000Conclusion: Lactate alone was not a good predictor for risk analyses and determination of invasive intervention time in NST-ACS patients without urgent invasive intervention indications.","PeriodicalId":166758,"journal":{"name":"Middle Black Sea Journal of Health Science","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115032380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}