Turkiye Klinikleri Journal of Medical Sciences最新文献

{"title":"Tularemia Outbreak in Western Part of Turkey; Revenge of 'Mount Ida'","authors":"Sevil Alkan Çeviker, A. Şener, Safiye Bilge Güçlü Kayta, Esen Eker, T. Önder, E. Dogan","doi":"10.5336/MEDSCI.2020-80788","DOIUrl":"https://doi.org/10.5336/MEDSCI.2020-80788","url":null,"abstract":"ABS TRACT Objective: Tularemia is a zoonotic disease. Sporadic cases and outbreaks occur in humans. Here, we report a waterborne outbreak, its clinical presentation, and the results of treatment. Material and Methods: An increase in the frequency of patients presenting with lymphadenopathy from the same region was detected. Patients with serological diagnosis of tularemia were included in the study bet-ween December 2018 and April 2019. This case series were evaluated as an outbreak, clinical and laboratory parameters, demographic characteristics, clinical forms of tularemia and laboratory findings such as immunoglobulin M antibody titer for F. tularemia , inflammatory markers (C-reactive protein, leukocytosis, erythrocyte sedimentation rate), choice of first antibiotic treatment, total duration of treatment, initial clinical/laboratory response day, relapse and reinfection ratios have been investigated. The bacteria was investigated from drinking water fountains by polymerase chain reaction (PCR) (16sRNA Nanobiz ® F. tularemia ). Results: Tularemia was diagnosed serologically in 35 patients. Distribution of clinical forms was glandular (21 cases-60%); ul-ceroglandular (11 cases-31.4%); oropharyngeal (2 cases-5.7%) and oculoglandular (1 case-2.8%), respectively. First serologic test positivity was 80%. Inflammatory markers such as C-reactive protein, leukocytes, erythrocyte sedimentation rate were high. Antibiotic choice for treatment was streptomycin in 19 cases (54.3%), ciprofloxacin in nine cases (25.7%), gentamicin in four cases (11.4%); doxycycline in three cases (8.6%) respectively. The common suspicious contact was the use of drinking water from street fountains. F.tularemia PCR (16sRNA) was positive in 35 of these fountains (35/80, 43.75%). Con-clusion: Tularemia should always be considered in head and neck lymphandenopathies that do not heal or show late recovery. We should keep in mind tularemia in a water-borne outbreak, were high it is rare.","PeriodicalId":358574,"journal":{"name":"Turkiye Klinikleri Journal of Medical Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124825574","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 Left Ventricle Remodelling Types and Inflammatory Markers","authors":"Ömer Kümet, Berat Engin, Remzi Sarıkaya, Semih Sürmen, Imran Onur, Dursun Atilgan","doi":"10.5336/medsci.2021-82586","DOIUrl":"https://doi.org/10.5336/medsci.2021-82586","url":null,"abstract":"","PeriodicalId":358574,"journal":{"name":"Turkiye Klinikleri Journal of Medical Sciences","volume":"5 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133268347","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":"Factors Associated with Uncontrolled Hypertension Among Hypertensive Patients Reported from Different Primary Health Clinics in Tuaran, Sabah, Malaysia: A Cross Sectional Study","authors":"Rosfina Ghazali, Khamisah Awang Lukman, D. Naing, Fairrul Kadir, Mohammad Saffree Jeffree, F. Robinson, Nelbon Giloi, M. Y. Ibrahim, U. J. D'souza, G. Mathew","doi":"10.5336/medsci.2019-66559","DOIUrl":"https://doi.org/10.5336/medsci.2019-66559","url":null,"abstract":"aMalaysia Sabah University Health Sciences Faculty of Medicine, Department of aCommunity and Family Medicine, Kota Kinabalu, Sabah, MALAYSIA bMalaysia Sabah University Health Sciences Faculty of Medicine, Department of Occupational Safety and Health Center, Kota Kinabalu, Sabah, MALAYSIA cMalaysia Sabah University Health Sciences Faculty of Medicine, Department of Medical Based, Kota Kinabalu, Sabah, MALAYSIA dMalaysia Sabah University Health Sciences Faculty of Medicine, Department of Biomedical and Therapeutic, Kota Kinabalu, Sabah, MALAYSIA eTamparuli Health Clinic, Tuaran, Sabah, MALAYSIA","PeriodicalId":358574,"journal":{"name":"Turkiye Klinikleri Journal of Medical Sciences","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132348531","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 Cancer Patients' Awareness and Fear of COVID-19 and Access to Health Services During the Pandemic Process","authors":"O. Ersen, Afiq Gojayev, Ümit Mercan, A. Unal","doi":"10.5336/medsci.2020-79092","DOIUrl":"https://doi.org/10.5336/medsci.2020-79092","url":null,"abstract":"Amac: Calismamiz, kanser hastalarinin koronavirus hastaligi2019 [coronavirus disease-2019 (COVID-19)] ile ilgili farkindaliklari, tedbirlere uyumlari ve saglik hizmetlerine erisimlerini hastalardan alinan bilgiler dogrultusunda irdelemeyi amaclamistir Gerec ve Yontemler: 1 Aralik 2019-31 Mart 2020 arasindaki 4 aylik periyotta Ankara Universitesi Cerrahi Onkoloji Kliniginde kanser nedeni ile ilk kez opere edilen hastalar bulunarak telefonla iletisim saglandi On uc soruluk kisa bir anket uygulanmasi icin telefonlarina, yakinlarinin telefonlarina veya mail adreslerine Google Formlar (Google Inc, California, ABD) kullanilarak yapilan anket linki gonderildi Bulgular: Populasyon, %58,4 (n=83) kadin, %41,5 (59) erkek hastalardan olusmakta idi Ortalama yas 55,97±18,8 olarak tespit edildi Hastalar maske, mesafe ve hijyen kurallarina %73 (n=104) oranla tamamen uydugunu, %20 (n=29) hasta ise kurallara siklikla uydugunu belirtmistir %40,1 hasta ise bu surec icerisinde acil bir durum gelismedikce hastaneye basvurmadigini beyan etti Hastalarin %40,8’i COVID-19 ve salgin hastaliklardan korktuklari yanitini verirken, %59,2’lik hasta grubu ise kanser hastaligim sikkini secmistir Sonuc: Calismamiz, kanser hastalarinin cogunun pandemiden oncesinde dahi maske, mesafe ve hijyen kurallarini kismen uygulamakla birlikte, pandemi surecinde bu tedbirlere daha fazla onem gostermis oldugu gorulmustur Ancak kanser hastalarindaki bu hassasiyetin, hastane basvurularinda gecikme ve ozellikle tani asamasinda gecikmelere yol acabilecegi asikârdir Alternate abstract:Objective: Our study aimed to examine the awareness of cancer patients about coronavirus disease-2019 (COVID-19), their compliance with the measures and their access to health services in line with the information received from the patients Material and Methods: In the 4-month period between December 1, 2019 and March 31, 2020, patients who were operated for the first time due to cancer were found in Ankara University Surgical Oncology Clinic and communication was established by phone In order to apply a short questionnaire with 13 questions, a questionnaire link made using Google forms (Google Inc, California, USA) was sent to their phones, their relatives' phones or e-mail addresses Results: The population consisted of 58 4% (n=83) female and 41 5% (59) male patients The mean age was 55 97±18 8 years The patients stated that 73% (n=104) completely complied with the mask distance and hygiene rules, 20% (n=29) of them stated that they followed the rules frequently 40 1% of the patients stated that they did not apply to the hospital unless an emergency occurred during this period While 40 8% of the patients answered that they feared COVID-19 and epidemic diseases, 59 2% of the patients chose the option of cancer Conclusion: Although most of the cancer patients in our study partially applied the mask distance and hygiene rules even before the pandemic, it was observed that these measures were more important during the pa","PeriodicalId":358574,"journal":{"name":"Turkiye Klinikleri Journal of Medical Sciences","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133264570","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":"Persisting COVID-19 Symptoms Causing Anxiety and Inappropriate Healthcare Admissions","authors":"A. Güven","doi":"10.5336/MEDSCI.2020-80607","DOIUrl":"https://doi.org/10.5336/MEDSCI.2020-80607","url":null,"abstract":"Coronavirus disease-2019 (COVID-19) infection has a variable disease course among patients Although majority have either no or mild symptoms, symptomatic patients suffer persistence of mild symptoms, such as fatigue, headache or cough It has been shown that less than 1 out of 7 patients is asymptomatic after 2 months of diagnose These symptomatic patients seek healthcare assistance repeatedly and anxiously for their mild prolonged symptoms Simple reassurance can be pursued instead of detailed investigation in these anxious symptomatic patients Patients can be informed about the disease course Media can be effectively used to promote information about the disease course to reduce unnecessary healthcare admissions Healthcare providers can implement measures to guidelines for healthcare professionals Further studies should be conducted to bring solutions to issues mentioned in this observation","PeriodicalId":358574,"journal":{"name":"Turkiye Klinikleri Journal of Medical Sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134314671","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}