Life and Medical Sciences最新文献

{"title":"The Effect of the Perceived Social Support on Surgical Fears of Pregnancy Decision for Cesarean: An Emergency Department Example","authors":"Funda Tosun Güleroğlu, Gökçen Aydın Akbuğa","doi":"10.54584/lms.2022.19","DOIUrl":"https://doi.org/10.54584/lms.2022.19","url":null,"abstract":"This study was conducted to determine the effect of perceived social support level of pregnant women who applied to the emergency department on the level of surgical fear they experienced before cesarean section. The sample of the study consisted of 100 women who applied to the emergency department of a training and research hospital between 19.01.2022- 31.03.2022 and were given a cesarean section decision. Data were collected using the Introductory Information Form, the Surgical Fear Scale, and the Multidimensional Scale of Perceived Social Support. Percentage distribution, mean, standard deviation, t test for independent groups, One Way ANOVA and Pearson correlation test were used to evaluate the data. It was found that the mean age of the women participating in the study was 29.38±5.98 years, 43% were primary school graduates, 67% did not work, and 85% lived with a nuclear family. The mean score of the women on the perceived social support scale was 57.30±17.58, and the mean score on the surgical fear scale was 39.23±19.65. There was no statistically significant correlation between the total score of the scale of perceived social support and the total score of the surgical fear scale (r=0.082; p=0.416). It was concluded that the women had a moderate level of fear of surgery, and the perceived level of social support did not affect the fear of surgery. In line with these results, it may be recommended to include training that addresses the possibility and process of emergency cesarean section in childbirth preparation training and carry out studies with larger sample groups.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126050895","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":"Monkeypox Virus Outbreaks and Poxvirus Infections: Transmission Routes and Epidemiological Characteristics","authors":"K. Tekin, F. Şahiner","doi":"10.54584/lms.2022.18","DOIUrl":"https://doi.org/10.54584/lms.2022.18","url":null,"abstract":"While the eradication of smallpox virus, which is a success story achieved through a common struggle in human history, eliminated a major threat, the most important advantage was that the agent (variola virus) was not of zoonotic origin. The absence of smallpox infections around the world and the termination of extensive vaccination programs have led to a decrease in global orthopoxvirus immunity day by day. The increasing number of non-immune (for poxviruses) individuals and immunocompromised (general) patients around the world brings along new risks. The predictions that monkeypox virus (MPXV), which is known to cause milder infections in humans compared to smallpox, is seen as one of the 10 infectious agents with pandemic potential, and its spread area may expand, became a reality with the virus placed on the world agenda with the last epidemic in 2022. The approval of newly developed antiviral drugs and vaccines in the last few years shows that some countries are preparing for this change. Although it has been declared by the health authorities that MPXV infections have a low rate of spread among humans and that there is no risk of a new pandemic, the fact that changes in the transmission and spread pattern of the infection carried the virus out of the African continent indicates that new endemic areas may be occur outside the continent, via transmission of the virus from domestic animals to potential reservoir animals in the wild life, continues to be a cause for concern. The spreading possibility of MPXV infections by long transmission chains in immunocompromised populations is considered as another important risk. The risk of increasing cases turning into a growing epidemic and potential biosecurity threats have also raised concerns about the production, storage, and accessibility of preventive vaccines and antiviral drugs to be used in treatment. Considering the unusual rate of human-to-human transmission observed in the recent MPXV outbreak, the spreading of the virus to multiple countries unrelated to endemic areas, and other public health risks; the importance of monitoring MPXV and other poxvirus-related human and animal infections, informing the population at risk and health care workers, and other preventive activities is clearly apparent.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130567958","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":"Severe Hypocalcemia in a Young Female During Postpartum Period: A Challenging Diagnosis of Primary Hypoparathyroidism","authors":"Rahma Yusuf Haji Mohamud, A. Bashir","doi":"10.54584/lms.2022.17","DOIUrl":"https://doi.org/10.54584/lms.2022.17","url":null,"abstract":"Tarih Hypocalcemia is a clinical symptom of hypoparathyroidism, which is usually accompanied by distinctive signs and symptoms that vary depending on how severe and chronic the disease becomes. The aim of this study is to report on a case of severe hypocalcemia secondary to hypoparathyroidism in a postpartum woman. We present a case of a young woman with complaints of cramping legs and feet, tingling or burning in fingertips, toes, and lips, fatigue and weakness, twitching and spasms in muscles, particularly around the mouth, but also in hands and arms, painful menstrual periods, and depression, after the first delivery. She is successfully treated with calcium, calcitriol, magnesium, and levothyroxine. The idiopathic primary hypoparathyroidism, which is a rare condition, could be included in evaluating the differential diagnosis of hypocalcemia and depression in postpartum period.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134160947","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":"Military Hygiene in the Ottoman Navy in the Nineteenth Century","authors":"Ömer Karakuş","doi":"10.54584/lms.2022.16","DOIUrl":"https://doi.org/10.54584/lms.2022.16","url":null,"abstract":"Özet\u0000\u0000Tarih boyunca büyük savaşlarda bulaşıcı hastalık salgınları muharebeler sırasında kaybedilenden daha fazla insanın ve askerin ölümüne yol açmıştır. Bu nedenle tarihsel süreç içerisinde, orduların bulaşıcı hastalıklara karşı duyarlı olduğu ve içinde bulundukları zamanın anlayışına uygun önlemler aldıkları bilinmektedir. On dokuzuncu yüzyılın son çeyreğinde yazılan ve Osmanlı bahriyesinde askeri hijyen konusunda birincil tarihsel kaynakları oluşturan üç kitabın ve bu kitaplar içerisinde bulunan arşiv belgelerinin incelendiği bu çalışmada Osmanlı deniz birlikleri ve savaş gemilerindeki modern tıbbi uygulamaların ilk örneklerinin ele alınması amaçlanmıştır. Çalışmada ulaştığımız veriler Osmanlı bahriyesinde on dokuzuncu yüzyılın ilk çeyreğinde başlayan modernizasyon çalışmalarına paralel olarak, askeri hıfzıssıhha uygulamalarının da hem eğitim hem de kurumsal yapılarıyla geliştiğini göstermektedir. Bununla beraber, söz konusu uygulamalarının o dönemdeki gerçek durumunun daha iyi anlaşılabilmesi için Amerika ve Avrupa Ordularının askeri hıfzıssıhha uygulamalarını içeren bilimsel makaleler ve tarihsel belgelerin incelenerek karşılaştırmalar yapılmasına gereksinim duyulmaktadır.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132278246","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":"Outcomes of Burn Management at the Primary Care: Social and Economical Aspects","authors":"Fatma Özarslan, A. Özkara, A. C. Yastı","doi":"10.54584/lms.2022.15","DOIUrl":"https://doi.org/10.54584/lms.2022.15","url":null,"abstract":"Family physicians are supposed to be the first to face with patients at the acute or chronic terms of the illnesses as a primary care facility. In burn injuries, however, patients mostly seek medical attention at the health facilities other than the family physicians. We aimed to analyze the current situation in our country and its social and economic outcomes. Between July 1st and august 31st 2012, among 153 patients admitted to our burns outpatient clinic, 119 were included to the study. Twenty-one patients' family physicians and 21 family physicians not related to our study group were randomly sampled. Patient demographics, clinical course, and treatment cost were recorded. Patients' selection criterion in between primary care and us (tertiary referral hospital) is evaluated by a questionnaire. A survey carried out among family physicians to evaluate their backgrounds on burn management and attendance to postgraduate courses. The male to female ratio of the patients was 1.25 (66/55) and mean age was 29±18.1. Of the patients, 95% reached the hospital with a vehicle and 70.6% had an accompanier. Only 13.4% of the patients sought medical attention at the primary care. 52.4% (22/42) of the family physicians did never attend to a postgraduate course. During the prospective follow-up, there necessitated 501 visits and dressing changes. Total treatment cost for an average course was 109.4 $ or 26 $ for a visit. If the treatments were done at the primary care, a 42.2% reduction at costs could have been achieved. Even mostly conditions appropriate for management at the primary care, burn patients mostly bypass this stage. In addition, family physicians are not well updated on the current burn wound care. Bypassing the primary care add an extra physical, psychological, social, and economic burden to patient and also leads extra workload to the related health facilities. Bypassing causes additional economical cost to patients and insurance agencies. Policies should be settled for the management of outpatient burn patients at the primary care.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114192445","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":"Evaluation of the Hypertension with Ambulatory Blood Pressure Monitoring in Obese Children","authors":"Selda Kılıç, Ö. Engiz, İlknur Fi̇danci, P. Ağras, M. Taşar","doi":"10.54584/lms.2022.14","DOIUrl":"https://doi.org/10.54584/lms.2022.14","url":null,"abstract":"Çalışmada anlık kan basıncı ölçümleri <95 persentil olan obez ergenlerde ambulatuar kan basıncı izlemi (AKBM) ile kan basıncının değerlendirilmesi ve vücut kitle indeksinin kan basıncı üzerine etkisinin araştırılması amaçlandı. Çalışma Ankara Eğitim ve Araştırma Hastanesi Çocuk Endokrinoloji polikliniğine başvuran 53 obez ve 41 normal ağırlıklı hastada ileriye dönük olarak yürütülmüştür. Çalışmaya 12-16 yaş arası, 53 obez ve 41 sağlıklı olgu dahil edildi. Obez ve kontrol gruplarının AKBM değerleri karşılaştırıldığında obez olguların ortalama sistolik kan basıncı 123.0±4.7 mmHg, ortalama gündüz sistolik kan basıncı 125.4±4.7 mmHg ve ortalama gece sistolik kan basıncı 107.0±5.9 mmHg olarak saptandı. Kontrol grubunda bu değerler sırasıyla 113.5±5.5 mmHg, 115.5±4.7 mmHg ve 98.3±4.2 mmHg olarak saptandı (p<0.001). Aynı şekilde obez olguların ortalama diyastolik kan basıncı, ortalama gündüz diyastolik kan basıncı ve ortalama gece diyastolik kan basıncı kontrol grubuna göre istatistiksel olarak yüksek saptandı (p<0.001). Obez olgularda tam gün, gündüz ve gece, sistolik ve diyastolik kan basıncı yükü, kontrol grubuna göre daha yüksek bulundu (p<0.001). Obez olguların %7.5‘inin (n=4) non-dipper olduğu saptanırken, kontrol grubunda ise non-dipper olgu saptanmadı. Vücut kitle indeksi (VKİ) ile ortalama kan basınçları arasındaki ilişki değerlendirildiğinde VKİ arttıkça ortalama kan basınçlarının pozitif yönde arttığı tespit edildi (p<0.05); tam gün sistolik–diyastolik kan basıncı yükü ile ise ilişki saptanmadı (p>0.05). Anlık kan basıncı ölçümleri <95 persentil olan obez ergenlerde AKBM ile kan basınçları ve kan basıncı yükü yüksek saptandı. Bu nedenle obez ergenlerde erken dönemde kan basıncı yüksekliği saptanarak ileri dönem komplikasyonları önlenebilecektir.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130735757","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":"Comparison of Sonographic-Based TI-RADS Classification and Cytological-Based Bethesda Scoring: 6-Month Experience in Somalia","authors":"Ahmed Adam Osman, Ismail Gedi ibrahim, M. Tahtabaşı, Veysel Kaya, S. Shermatova","doi":"10.54584/lms.2022.13","DOIUrl":"https://doi.org/10.54584/lms.2022.13","url":null,"abstract":"The aim of this study is to investigate the agreement between ‎the thyroid image reporting and data systems (TI-RADS) ‎classification and the Bethesda scoring in adults with thyroid ‎nodules and to evaluate the effectiveness of our clinic in the ‎management of thyroid nodules. In this prospective study, in ‎which the analyzes of the patients who applied to the ‎Interventional Radiology Department of our hospital for fine ‎needle aspiration biopsy due to thyroid nodule were analyzed, ‎‎59 patients were included between January 1, 2020 and June ‎‎1, 2020. Sonographic features (composition, echogenicity, ‎shape, margin, and echogenic foci) of all nodules were recorded ‎for TI-RADS scoring before biopsy and TI-RADS scoring was ‎performed by the radiologist. It was then the results compared ‎with the Bethesda scoring, which is the cytological ‎classification. A total of 59 patients (n=43; 72.9% female and, ‎n=16; 27.1% male) were analyzed. Of the biopsied nodules, 31 ‎‎(52.5%) were localized in the right lobe and 28 (47.5%) in the ‎left lobe. The mean longest diameter of the nodules was ‎‎35.9±13.9 mm (range, 13-70 mm). The TI-RADS category was ‎also significantly higher in those with larger nodule diameters ‎‎(p=0.026). There was moderate agreement between both ‎scorings (kappa value=0.406 and p<0.001). There were 7 ‎‎(11.9%) patients with TI-RADS ≥ 4 and 10 (16.9%) patients ‎classified as Bethesda ≥ 4. Thyroid nodules reported as highly ‎suspected of malignancy (TIRADS ≥ 4) had good agreement ‎with Bethesda scoring (Kappa value= 0.658 and p<0.001). ‎According to the findings of our study, there is a moderate ‎agreement between TI-RADS scoring and Bethesda. However, ‎the rate of compliance was increasing in nodules classified as ‎malignant nodules (TI-RADS ≥4).‎","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132597218","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":"Investigation of the Annual and Periodic Distribution of Malaria Cases in Mogadishu, Somalia: A Retrospective Analysis of Four-Year Data","authors":"Marian Muse Osman, Mukhtaar Abdullahi Ali, A. Bashir, Faduma Nur Adan, H. E. Sümbül, M. Sherani, Mustafa Kemal Emirhan Sağlık, F. Şahiner","doi":"10.54584/lms.2022.9","DOIUrl":"https://doi.org/10.54584/lms.2022.9","url":null,"abstract":"Malaria transmitted mainly by mosquito vectors (female Anopheles species) is one of the leading causes of death from infectious diseases in the world. In the fight against malaria, some countries have achieved elimination success with national health policies. However, the efforts of national organizations in the fight against malaria are insufficient in low-income countries and the support of international organizations is needed as a part of the global malaria struggle. Somalia is an easternmost African country, located in the neighboring region which has the highest rates of malaria cases and malaria-related deaths globally, is at risk of malaria epidemics due to its fragile infrastructure. This study was carried out in a tertiary care hospital in Mogadishu and involved the retrospective analysis of 54,748 test results of malaria from 2015 to 2019. The rate of malaria cases tended to decrease over the years, being determined as 4.95%, 0.39%, 0.15%, 0.13%, and 0.1% for 2015, 2016, 2017, 2018, and 2019, respectively. A total of 152 malaria cases were detected, and the incidence of infection was found to be significantly higher in men (0.41%; 107/26,231) than in women (0.16%; 45/28.517) (p<0.0001). Standard microscopy and the CareStart Malaria Pf/PAN (HRP2/pLDH) Ag Combo RDT test, which meets the criteria set for rapid diagnostic tests recommended by the World Health Organization, were used for the diagnosis of malaria infections, and the parasite species was identified as Plasmodium falciparum in 36.4% (55/151) of the cases. We also observed that malaria cases occurred every month of the year, but there was a remarkable increase in the number of cases for the period between October ©Copyright . Licenced by Creative Commons Attribution-NonCommercial 4.0 International ( ). Muse Osman M, et al. Life Med Sci 2022; 1(2): 47-54. 48 2015 and January 2016. In conclusion, our study data show that malaria cases tend to decrease in Somalia as a result of the effective struggles of the national and international health institutions. However, the support of international organizations remains important in achieving the goal of malaria elimination and sustainable struggle with the undesirable effects of the disease in Somalia.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114358868","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 Effect of Hormone Regulation on the Patient's Quality of Life, Mood, and Anger Control in Patients with Clinical and Subclinical Hypothyroidism","authors":"S. Sahiner, O. Sarı","doi":"10.54584/lms.2022.8","DOIUrl":"https://doi.org/10.54584/lms.2022.8","url":null,"abstract":"","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124983124","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":"Basic Characteristics of Medically Important Alphaviruses (Togaviridae)","authors":"F. Şahiner","doi":"10.54584/lms.2022.1","DOIUrl":"https://doi.org/10.54584/lms.2022.1","url":null,"abstract":"","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127882709","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}