Cyprus Journal of Medical Sciences最新文献

{"title":"Molecular Identification of Campylobacter Species Isolated from Patients with Gastroenteritis in Edirne, Turkey","authors":"C. Eryıldız, N. Şakru, Kıymet Tabakçıoğlu, Mediha Cerrah Uğur, Şebnem Bukavaz","doi":"10.4274/cjms.2022.2021-164","DOIUrl":"https://doi.org/10.4274/cjms.2022.2021-164","url":null,"abstract":"BACKGROUND/AIMS: Campylobacter is a major cause of foodborne diarrheal disease, and the incidence of campylobacteriosis has significantly increased in both developed and developing countries. The purpose of the present study was to identify the species of Campylobacter isolates and to evaluate the distribution of Campylobacter infections according to various characteristics in our region. MATERIALS AND METHODS: Campylobacter isolates obtained from patients at a tertiary hospital in Edirne, Turkey were included in this study. The distribution of Campylobacter infections was evaluated according to age, season, and gender. Species identification was performed by multiplex polymerase chain reaction (PCR). The RNA polymerase beta-subunit gene ( rpoB ) of selected samples was amplified, and DNA sequencing was performed. RESULTS: Campylobacter species were isolated from 226 (4.3%) of the 5,241 samples. One hundred and seventy-six (89.3%) of 197 samples were identified as C. jejuni and 19 (9.6%) as C. coli by multiplex PCR. Two isolates showed a band profile compatible with both C. jejuni and C. coli . DNA sequencing was performed for 21 isolates. Sixteen isolates were compatible with C. jejuni and 5 isolates were consistent with C. coli . There was no statistically significant difference in Campylobacter isolation rates according to gender and season (p>0.05). Campylobacter species were most frequently isolated from children in the age group of 0-14 years (p<0.01). This study contributes to information about the situation of Campylobacter infection and the genetic features of isolates in Turkey.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"65 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75250303","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":"Determinants of Levothyroxine Treatment in Patients with Hypothyroidism","authors":"Savaş Karataş, Y. Hacıoğlu","doi":"10.4274/cjms.2022.2022-8","DOIUrl":"https://doi.org/10.4274/cjms.2022.2022-8","url":null,"abstract":"IDs of the authors: S.K. 0000-0002-4891-0594; Y.H. 0000-0001-6009-3390. absorption. The treatment of hypothyroidism depends on several factors. To avoid future health BACKGROUND/AIMS: Hypothyroidism is a common disorder. Thyroid dysfunction and treatment failure can cause major health problems. Levothyroxine is the only treatment available for hypothyroidism. Its effectiveness depends on several factors. In this article, we aimed to determine which factors can cause hypothyroidism and how they affect its treatment. MATERIALS AND METHODS: One hundred and eighty subjects with hypothyroidism who were referred to an endocrinology outpatient clinic were enrolled in this study. The patients were grouped according to treatment effectiveness. These groups were compared in terms of age, gender, medication adherence, thyroid autoantibodies [anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (TG)], and thyroid heterogeneity. Co-ingested medications were investigated, and treatment effectiveness was compared. RESULTS: The mean age was 46.8±12.8 years. One hundred and nine out of 162 patients were female (67.2%). Treatment failure was 55.6% (90/162). Patients with inadequate adherence to their levothyroxine treatment had higher anti-TPO and anti-TG levels (p=0.01). Ninety-three out of 162 patients (57.4%) had a medium/high adherence to levothyroxine therapy. Patients with low adherence (42.6%) experienced a higher treatment failure rate (p=0.01). Treatment failure rates did not vary according to gender or thyroid sonographic heterogeneity (p=0.49; p=0.66). Thirty-four out of 162 patients (21%) used medications which altered thyroid function. Additional medication use had an insignificant effect on thyroid-stimulating hormone levels (p=0.32). CONCLUSION: These findings demonstrate high treatment failure rates, and that levothyroxine treatment adherence is an important subjective factor to determine treatment efficacy. Clinicians and patients should focus on underlying factors in order to increase treatment success.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"44 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86134158","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":"An Unexpected Cause of Symptomatic Bradycardia: Antiglaucoma Eye Drops","authors":"R. M. Baha","doi":"10.4274/cjms.2021.2546","DOIUrl":"https://doi.org/10.4274/cjms.2021.2546","url":null,"abstract":"drops. Two weeks later she was asymptomatic and her heart rate had increased to 65/min. When a patient presents with bradycardia, drug history should include topically administered drugs such as eye drops before performing further tests.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77583141","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":"Fibromyalgia Syndrome in Patients with Type 2 Diabetes Mellitus","authors":"Nihan Cüzdan Balta, Gamze Akkuş, T. Sarpel, M. Sert, E. Nazlıcan","doi":"10.4274/cjms.2020.2928","DOIUrl":"https://doi.org/10.4274/cjms.2020.2928","url":null,"abstract":"to assess the frequency of fibromyalgia syndrome (FMS) in patients type 2 mellitus (DM). according to the 2010 criteria set by the American College of Rheumatology. The patients’ pain during the morning and sleep was evaluated by the Visual Analog Scale (VAS). Fasting blood glucose and hemoglobin A1c (HbA1c) levels were measured to assess the glycemic control of DM. Their quality of life was assessed with the Health Assessment Questionnaire (HAQ). RESULTS: Ninety-four patients (62 female, 32 male; mean age of 56.5±10.1 years) with type 2 DM and 40 healthy controls (26 female, 14 male; mean age of 52.3±10.1 years) were enrolled in this study. FMS was diagnosed in 19.1% of the diabetic patients and 7.5% of the control group (p=0.120). No significant difference was observed between the HbA1c levels of the type 2 DM patients with or without FMS (p=0.814). There was a weak negative correlation between VAS day and night scores and HbA1c levels in the diabetic patients (r=-0.20, p<0.01; r=-0.27, p<0.01, respectively). HAQ scores were higher in the diabetic patients with FMS when compared with those patients without FMS (p<0.01). CONCLUSION: FMS frequency (using 2010 ACR criteria) was higher in those patients with type 2 DM compared to the healthy controls. Furthermore, good metabolic control of DM decreased daily pain among the diabetic patients and increase their quality of life.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"66 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77984496","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":"Prognostic Nutritional Index as a Predictor of In-Hospital Mortality in Patients with Ischemic Hepatitis","authors":"Aslı Vural, Ömer Taşargöl, Z. Günaydın, Tülin Akagün, H. M. Özbaş, M. Ayvaz, M. Yakarışık","doi":"10.4274/cjms.2022.2021-241","DOIUrl":"https://doi.org/10.4274/cjms.2022.2021-241","url":null,"abstract":"We analyzed 40 our hospital with a diagnosis of IH. The patients were classified into two groups (survivals and non-survivals) and they were compared according to their clinical and laboratory characteristics. PNI was calculated as 10 x serum albumin (g/dL) + 0.005 x total lymphocyte count (per mm 3 ). We also used a logistic regression to identify any risk factors of in-hospital mortality. The mean of the study cohort Of the 25 (64.1%) were male, and 21 (52.5%) died during their intensive coronary unit stay. The PNI were significantly lower in the non-survival group than in the survival group (40.9±6.7 vs 32.9±5.8, p<0.001). Multivariate analysis the PNI ratio (OR): 0.98, 95% confidence interval (CI): 0.97-0.99, p≤0.001], glucose (OR: 2.54, 95% CI: 1.64-4.29, p≤0.001), albumin (OR: 0.93, 95% CI: 0.91-0.996, p≤0.001), red cell distribution width (OR: 0.99, 95% CI: 0.98-0.99, p≤0.001) independently predicted in-hospital mortality. CONCLUSION: The PNI is an independent predictor of in-hospital mortality in patients with a diagnosis of IH.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"10 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77797341","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 Impact of Foot Reflexology on Nausea-Vomiting and Sleep Quality for Lung Cancer Patients Receiving Chemotherapy in Turkey","authors":"H. Pekmezci, Sevilay Hintistan","doi":"10.4274/cjms.2022.2021-227","DOIUrl":"https://doi.org/10.4274/cjms.2022.2021-227","url":null,"abstract":"* This study was accepted as doctoral thesis by the Health Sciences Institute of Karadeniz Technical University. ** This study was presented as an oral presentation in the 1 st International Congress of Internal Medicine Nursing, 25-27 November, 2018, Lara/Antalya, Turkey. BACKGROUND/AIMS: The aim of this study was to determine the impact of foot reflexology on nausea-vomiting and sleep quality in patients with lung cancer receiving chemotherapy in Turkey. MATERIALS AND METHODS: This study was conducted with a pre-test/post-test experimental design. 60 patients (30 experimental group and 30 control group) receiving chemotherapy in an oncology center were included. Patients in the experimental and control groups were selected from the population using a random sampling method. Foot reflexology was given to the experimental group. After receiving the second course of chemotherapy, foot reflexology was applied for the first time to the patients in the experimental group, twice a week for four weeks; 8 sessions in total. The “Rhodes Nausea, Vomiting and Regurgitation Scale” and the “PSQI” were used in the questionnaire, which was administered to all patients twice, after receiving the second course of chemotherapy and 4 weeks later. Chi-square, Mann-Whitney U test, the Wilcoxon test and Kruskal-Wallis analysis of variance were used. RESULTS: The sociodemographic characteristics of the patients were as follows: 53.3% of the patients in the experimental group were 61 years or older, 80% were male, 83.3% were married. 60% of the patients in the control group were 61 years or older, 86.7% were male, 83.3% were married. Most had been diagnosed less than 6 months previously (control group 63.4%, experimental group 60.0%). Most participants had first stage lung cancer (control group 80.0%, experimental group 70.0%). It was found that there was a significant difference between the control and experimental groups in terms of their nausea-vomiting and retching mean scores of “symptom experience” (p=0.0001), “symptom formation” (p=0.0001), “symptom distress” (p=0.0001), “subjective sleep quality” (p=0.0001), “sleep latency” (p=0.019), “daytime dysfunction” (p=0.002), “sleep disturbances” (p=0.002) and their means of the PSQI (p=0.002). CONCLUSION: Foot reflexology was found to be an effective method in reducing sleep problems together with the experience, formation and distress of nausea and vomiting for those patients with lung cancer who were receiving chemotherapy.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"6 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75928643","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":"Viral Nano-Bio-Sensing and SARS-CoV-2: A Literature Review","authors":"Duaa Kannin, M. Moghazi, Süleyman Aşır, S. Büyük, Şerife Kaba","doi":"10.4274/cjms.2022.2021-114","DOIUrl":"https://doi.org/10.4274/cjms.2022.2021-114","url":null,"abstract":"As new advancements and technologies are emerging in this world, so is the spread of new diseases. The world, as we know it, is moving very fast. With this pace, diseases are also borne. The spread of new viruses, such as coronavirus disease-2019, require new technologies faster and more precise than ever before. Countries all around the world are connected, and moving from place to place has become easy. For that reason, pandemics are an increasing threat. A disease is considered a pandemic when it has spread through a large area, possibly worldwide and has become an international threat. In order to limit the spread of diseases, or viruses in particular, the early detection and diagnosis of patients is essential to decrease the number of infections. Biosensors play an important role in the medical field, such as in viral detection. Nanotechnology has gained a lot of interest in its use in bio-sensing. Nano-biosensors have shown more advanced properties than regular biosensors and thus are able to detect diseases faster and more precisely than before. Our main focus in this literature review is to explore new technologies and advancements made with nanotechnology and bio-sensing in viral detection, especially in the detection of severe acute respiratory syndrome-coronavirus-2.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88108210","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":"Coexistence of Hypertrophic Pyloric Stenosis and Long-gap Isolated Esophageal Atresia: A Case Report and Review of the Literature","authors":"Fırat Serttürk, U. Ateş, K. Bahadır, B. Mehdi, A. Yağmurlu","doi":"10.4274/cjms.2021.1867","DOIUrl":"https://doi.org/10.4274/cjms.2021.1867","url":null,"abstract":"kept in mind that the reason may be HPS.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"52 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82841014","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 Development of Psychiatry in the Turkish Republic of Northern Cyprus from Past to Present","authors":"Ayşe Aydındoğmuş, M. Meriç","doi":"10.4274/cjms.2021.2422","DOIUrl":"https://doi.org/10.4274/cjms.2021.2422","url":null,"abstract":"strains. 3,4 The number of suicide attempts and completed suicides increased in Northern Cyprus between 1970 and 1990. While five people attempted suicide in 1970, 34 people attempted suicide in 1990. 5 The changes that Turkish Cypriots Cyprus J Med Sci 2022;7(5):580-586 The Turkish Republic of Northern Cyprus (TRNC), which is located in the northern part of the island of Cyprus, has a complex history and was established with great difficulties. Like many other domains, the field of psychiatry was rebuilt after the wars in the TRNC. Hospital-based mental health services have continued in the TRNC since the first hospital was established after the war of 1974. The current mental health law was created during the period of British administration and anew draft law is now being considered in the parliament. Rates of suicide increased in the TRNC from 1992 to 2012, and domestic violence, homophobia, transphobia, and psychoactive substance abuse are also important problems. However, many institutions now carry out preventive and rehabilitative studies in the field of mental health and this is a promising and significant development. Conducting a study which determines the mental health profile of the TRNC is important for shaping future studies in the field of mental health. In addition, it is important in terms of designing initiatives to make mental health services more community-based. Creating a database for scientific studies will also contribute to a better and more systematic organization of the information. This will also help nurses receiving postgraduate education in the field of mental health and psychiatric nursing to improve the care given to individuals/patients in institutions providing mental health services. The number of nurses working in psychiatry should be increased and programs given in order to allow them to become more properly qualified.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"70 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85509460","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 the COVID-19 Pandemic on Elbow Trauma in the Pediatric Population","authors":"Ertuğrul Şahin, Onur Gürsan, Cihangir Türemiş","doi":"10.4274/cjms.2021.2021-127","DOIUrl":"https://doi.org/10.4274/cjms.2021.2021-127","url":null,"abstract":"BACKGROUND/AIMS: The coronavirus disease-2019 (COVID-19) pandemic has had significant effects on children's daily activities. Changes in the patterns of pediatric trauma injuries were inevitable. Therefore, we aimed to identify the effects of lockdown during the COVID-19 pandemic on the etiology and epidemiology of pediatric elbow injuries.MATERIALS AND METHODS: A retrospective analysis was performed on pediatric patients admitted to the emergency room with elbow trauma during the first 3 months of the pandemic (11th, March, 2020 to 11th, June, 2020) and for the same periods in 2019 and 2018. Age, sex, etiology and type of injury (distal part of humerus, proximal radius and ulna, nursemaid's elbow and soft tissue injuries) were analyzed and compared between the periods.RESULTS: A total of 152 patients, 61 in 2018, 56 in 2019 and 35 in 2020 were included. There were 42.7% and 37.5% decreases in the number of patients during the pandemic compared to 2018 and 2019, respectively. A younger age group was more commonly affected during the pandemic (p=0.01). The most common type of injury was supracondylar humerus fracture followed by soft tissue injury in both periods, before and during the pandemic. During the pandemic, the rates of injuries at home, in the playground and by vehicles (car, bicycle, scooter) increased while outside injury decreased significantly (50.4%, p<0.05).CONCLUSION: The COVID-19 pandemic caused a decline in the frequency of pediatric elbow injuries but the increase in injuries at home and vehicle accidents have shown the necessity for health-care to be prepared for these specific conditions.","PeriodicalId":41370,"journal":{"name":"Cyprus Journal of Medical Sciences","volume":"30 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80220250","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}