Cam and Sakura Medical Journal最新文献

{"title":"After COVID-19 Infection Extended Intensive Care Process and Assessment of its Cost","authors":"Alev Öztaş, Burcu İleri Fikri, Murat Ünsel, G. Turan","doi":"10.4274/csmedj.galenos.2022.2022-2-1","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2022.2022-2-1","url":null,"abstract":"Objective: In coronavirus disease-2019 (COVID-19), the length of stay (LOS) in the intensive care unit (ICU) is about a month. In this case series, we assessed the reason for the long LOS in ICU and the cost analysis. Material and Methods: The study was designed retrospectively. We investigated 533 patients and identified 9 patients with a hospital stay of more than 30 days. Results: Generally, 9 patients were admitted to the ICU with clinical findings that were not specific for COVID-19. During the ICU follow-up, we observed that secondary infection and acute respiratory distress syndrome developed in all the patients. Simultaneously, we determined that the prolonged ICU stay caused additional costs. Conclusion: In the terms of COVID-19 pandemic; the prolongation LOS in ICU leads to cost increase and negative affects the health system.","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127157187","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 Adjuvant Chemotherapy on Insulin Resistance in Patients with Early Breast Cancer","authors":"I. Dogan, Y. Ürün, H. Onur","doi":"10.4274/csmedj.galenos.2022.2022-1-7","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2022.2022-1-7","url":null,"abstract":"Objective: To assess the effect of adjuvant chemotherapy on insulin resistance in patients with early breast cancer. Material and Methods: Twenty-three non-diabetic patients were included. Patients were prospectively evaluated before, during, and after chemotherapy. Demographic, anthropometric, histopathological features, and treatment data were recorded. Blood samples were taken to evaluate fasting blood glucose, fasting insulin levels, and HbA1c. Homeostatic model assessment for insulin resistance (HOMA-IR) score measured using fasting blood glucose and fasting insulin levels. Results: Overall, pre- and post-chemotherapy mean weights were comparable (70.17 kg vs. 71.43). Prechemotherapy mean HOMA-IR was 4.99 and significantly higher than the control group of the healthy population (p=0.008). The mean values of the HOMA-IR score before, during, and after chemotherapy were 4.99, 3.47, and 3.13, respectively. Although the mean HOMA-IR decreased after chemotherapy, these decreases were not statistically significant (p=0.089). The mean fasting glucose levels before, during, and after chemotherapy were 95.5, 101.9, and 94.1 mg/dL, respectively. Before, during, and after chemotherapy, the mean fasting insulin levels were 21.43, 13.32, and 13.28 µIU/mL, respectively. Conclusion: In the study, we observed a higher rate of insulin resistance in patients with breast cancer. The mean values of the HOMA-IR score decreased during and after chemotherapy.","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114340544","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 Route of Transmission and Clinical Course of SARS-CoV-2 Infection in Healthcare Workers at Istanbul Medipol University Hospital","authors":"Gulseren Polat, Hatice Kübra Arslan, Feride Mimaroğlu, I. Polat","doi":"10.4274/csmedj.galenos.2022.2022-1-2","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2022.2022-1-2","url":null,"abstract":"Objective: Healthcare workers (HCW) have been the occupational group at highest risk of coronavirus disease-2019 infection despite early availability of guidelines for infection control, administrative management, and application of required conditions on field since the beginning of the pandemic. In this survey study our aim is to investigate environmental and individual factors which facilitate transmission of the virus among HCW in order to target preventative measures to be taken in the future. Material and Methods: This current study is a single center based retrospective study conducted by analysing 446 telephone surveys conducted on HCW in Medipol Mega University Hospital who tested positive for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) between 15.03.2020-14.01.2021. Demographic details, comorbidities, department of work, occupation, symptoms, clinical course, choice of pulmonary imaging, use and availability of personel protective equipment (PPE) as well as adherance to social distancing rules was determined. Results: Among the 3,013 HCW’s at our hospital, 877 (29%) were tested positive for SARS-CoV-2, of which 446 were included in the survey. It was shown that 337 (85%) of those included in the study were adherent to the infection prevention protocols. Despite the high application of preventative measures at our hospital in-hospital transmission rates were still found to be high. In-hospital transmission was observed to be in groups of workers simultaneously among different departments of the hospital. The source of transmission was unknown in 33.78% of our HCW. Advanced age and those with comorbidities were found to have higher rates of severe infection. Infection rate was low in pregnant HCW due to the granted administrative leave. Conclusion: Overall transmission of the infection among HCW is seen to be substantially in-hospital. More extensive training and education should be given to hospital staff who do not comply with infection control guidelines as well as to those who are unable to identify the source of transmission. Supervision of the implementation of hospital infection control policies, screening of asymptomatic cases as well as evaluation of PPE quality is valuable in the protection of HCW. In the event of a pandemic, elderly healthcare workers and those who have comorbidities may benefit from working in secluded environments within the hospital due to the severe course of disease seen in this group of patients.","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124584553","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":"Analysis of Consultations that are Requested from the Emergency Department","authors":"K. Şener, Banu Arslan, R. Güven, M. Kapçı","doi":"10.4274/csmedj.galenos.2021.2021-11-2","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2021.2021-11-2","url":null,"abstract":"Objective: Emergency departments (EDs) are medical units that provide healthcare to patients with diseases that have sudden onset symptoms, patients with disorders, or patients with injuries that need immediate care on a 24/7 basis. In addition to emergency patients mentioned above, EDs provide healthcare services to patients who might have an emergency medical situation later, even if their situation is not emergent initially. Emergency medicine physicians perform all resuscitative interventions to stabilize patients, identify patients who need intensive care in an undifferentiated patient pool, and provide the most appropriate treatment to make them suitable for general ward care. Material and Methods: The current study is a retrospective and descriptive study that was conducted by analyzing the computer-based patient records of all patients who were admitted to University of Health Sciences Turkey, Başakşehir Çam and Sakura City Hospital’s Emergency Service between 09.01.2020 and 10.01.2020. All 22,459 patients who were admitted to the ED within one month were included in the study. Age and gender characteristics of the patients who received consultation, departments that made the consultation, and hospitalization rates were determined. Results: The total number of patients who were admitted to the ED between 09.01.2020 and 10.01.2020 was 22,459, the number of consultations was 4,290, and the number of hospitalizations was 1,405. Of the patients for whom consultations were requested, 2,577 were male and 1,713 were female. The mean age was 45.8 years. Of the 22,459 patients who were admitted, 1,786 (7.9%) were triaged with red tags, 9,994 (44.2%) were triaged with yellow tags, and 10,729 (47.9%) were triaged with green tags. The consultations were requested most frequently for orthopedics (522), pulmonology (501), and internal medicine (423). Furthermore, the list continues with general Analysis of Consultations that are Requested from the Emergency Department 91 Şener et al. Consultations in Emergency Service Cam and Sakura Med J 2021;1(3):90-94 ABSTRACT surgery (386); cardiology (335); ophthalmology (321); neurology (299); otorhinolaryngology (250); neurosurgery (204); obstetrics (138); infectious diseases (122); psychiatry (112); thoracic surgery (108); pediatric surgery (79); cardiovascular surgery (73); plastic surgery (71); anesthesiology and reanimation (140); and urology (55) departments. Of the patients for whom consultations were requested, 35.9% were hospitalized in general wards or intensive care units, whereas 64.1% were discharged. Conclusion: This study shows that the number of daily admissions to the emergency room is very high, and it is increasing every day. In order to not disrupt the workflow in the ED, the consultations should be responded quickly. Moreover, if possible, consultants from the high demanding departments, such as orthopedics, pulmonologist, internal diseases, general surgery, cardiology, and ophthalmology shou","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114301220","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 New Scoring: Can Brescia-COVID Respiratory Severity Scale Predict Mortality in Intensive Care?","authors":"Burcu İleri Fikri, Ezgi Direnç Kulunk, G. Turan","doi":"10.4274/csmedj.galenos.2021.2021-11-3","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2021.2021-11-3","url":null,"abstract":"Objective: This study aims to compare the Brescia-coronavirus disease (COVID) severity scale (BCRSS) with acute physiology and chronic health evaluation II (APACHE-II) and sequential organ failure assessment (SOFA) scores in terms of predicting mortality in patients with severe coronavirus disease-2019 (COVID-19). Material and Methods: BCRSS, SOFA, and APACHE-II scores of patients with severe COVID-19 were calculated when they were first admitted to the intensive care unit. BCRSS score calculation was repeated at the 48 hour. Further treatment, intubation rates, and the result of the intensive care process were recorded and compared. Results and Conclusion: When the three scoring systems are evaluated as the mortality indicators, SOFA score did not provide a statistically significant difference (p>0.05), whereas the APACHE-II score was found to be significantly higher in the fatal cases (p<0.01). Furthermore, BCRSS scores at the time of intensive care unit admission and at 48 h were significantly higher in the fatal cases (p<0.01). As much as our experience with the disease has been increasing since the beginning of the pandemic, scoring systems are still used for patient triage area, intubation decisions, and directing the medical treatment. Although BCRSS, one of the COVID-19-specific scales, is yet to be validated, our results indicate its potential benefit for predicting IC mortality.","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134302126","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":"Demographic Characteristics of Patients who Applied to the Emergency Service Green Area","authors":"E. Altuğ, R. Güven","doi":"10.4274/csmedj.galenos.2021.2021-12-1","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2021.2021-12-1","url":null,"abstract":"","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127367269","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":"Bone Metastases of Endometrial Carcinoma: Report of Three Cases","authors":"Nurefşan Aydın, M. Danacı, I. Yalçın","doi":"10.4274/csmedj.galenos.2021.2021-10-2","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2021.2021-10-2","url":null,"abstract":"Presented herein are three patients with bone metastasis from endometrial cancer. Bone metastases were found in the pelvic bones of cases 1 and 3 and the spine of case 2. All cases had an endometrial biopsy. Cases 1 and 2 were diagnosed as low-grade endometrioid carcinoma and case 3 as high-grade endometrioid carcinoma. Cases 1 and 2 had a total abdominal hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic-paraaortic lymph node dissection. Case 2 received 6 cycles of chemotherapy after the operation and had a postoperative recurrence in the left paraaortic area 11 months after the surgery. This case report emphasized the significance of evaluation of the bone metastasis in endometrial cancer.","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129428260","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 Outcomes of Cardiac Catheterization in Newborns","authors":"I. Tanıdır, H. D. Özcanoğlu, S. Sağlam, Aziz Göktepe, K. Yakut, Erkut Özturk","doi":"10.4274/csmedj.galenos.2021.2021-9-3","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2021.2021-9-3","url":null,"abstract":"","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"9 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129996474","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":"Bleeding Risk in Children with Preoperative Prolonged Coagulation Tests","authors":"A. Ayçiçek, Aykut Saral","doi":"10.4274/csmedj.galenos.2021.2021-9-1","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2021.2021-9-1","url":null,"abstract":"Objective: Prolonged coagulation test is a common finding before surgery. This study determined the prolonged prothrombin time (PT) and/or activated partial thromboplastin time (aPTT) during the surgical preparation of pediatric patients. Material and Methods: As a cross-sectional study, 74 children aged 0.25-17 years, who had prolonged preoperative coagulation tests, were included in the Eskişehir State Hospital Pediatric Hematology and Oncology Clinic between September 3, 2013, and September 16, 2014. Results: The mean age of the children was 5.6±3.4 years, wherein 60 (81%) cases were male. Adenoid-tonsillar operations were planned in 46%, circumcision in 43%, abdominal operations in 5%, and other operations in 6%. A history of bleeding was found in 7 (10%) of the families and 3 (4%) of the cases. Previous surgery or injury was found in 24 (32%) of the children and did not develop more bleeding than expected. The coagulation tests revealed 22 (30%) patients with prolonged PT (value range: 14-35.1 s), 47 (63%) with prolonged aPTT (value range: 37.1-129.6 s), and 5 (7%) with both prolonged PT and aPTT. A necessary operation was performed in 47 patients who did not have a history of bleeding diathesis in the patient or family, with a normal mixed test and factor levels, and PT of <20 s and aPTT of <63.3 s. No bleeding complications were observed during or after the operation in any of these cases. Conclusion: Our results revealed that in case of prolonged PT or aPTT values before surgery, no risk of bleeding is encountered during the surgery if a history of bleeding diathesis is not present in the patient or family and factor levels are normal","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"352 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120869235","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":"Filtration Face Mask 3-induced Anaphylaxis in a Healthcare Worker During the COVID-19 Pandemic: A Case Report","authors":"Sultan Özselçuk, R. Güven, Banu Arslan","doi":"10.4274/csmedj.galenos.2021.2021-8-16","DOIUrl":"https://doi.org/10.4274/csmedj.galenos.2021.2021-8-16","url":null,"abstract":"What is known on this subject? Nothing is known about this subject.","PeriodicalId":366898,"journal":{"name":"Cam and Sakura Medical Journal","volume":"38 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132124372","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}