Istanbul Medical Journal最新文献

{"title":"Post-traumatic Stress Symptoms in Health Care Professionals During the COVID-19 Pandemic","authors":"İsmail Gökhan Kalaycı, Ö. Canbek, S. Bağ","doi":"10.4274/imj.galenos.2022.74151","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.74151","url":null,"abstract":"Introduction: The severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) associated pneumonia that emerged in Wuhan, China in December 2019 and was later declared by the World Health Organization to be a pandemic has called coronavirus disease-2019 (COVID-19). Our study aims to determine the anxiety levels, post-traumatic stress disorder (PTSD) symptoms levels and psychiatric symptoms of healthcare workers working at pandemic hospital and effects of these symptoms on psychological adjustment to healthcare professionals during the COVID-19 pandemic in Turkey. Methods: This study was cross-sectional survey study and conducted between March 2020-June 2020 with 973 consenting participants working at the pandemic hospital. For the study, we used an online questionnaire, which consisted of three parts: an online-informed consent, basic sociodemographic information and a set of online questions. The data were collected by the researchers. All procedures were approved by our hospital's Ethics Committee. Traumatic Stress Symptom Scale (TSSS) was used for the study. Results: Nine hundred and seventy-three persons participated in the study. Among the three groups, nurses also had the highest fear of dying during the COVID-19 pandemic (p<0.001);the highest feelings of hopelessness about the future during the COVID-19 pandemic (p<0.001);the highest increase in level of anxiety (p<0.001), and the highest experience of recent sleep disturbances (p<0.001). Women had a statistically significantly higher mean TSSS score and mean TSSS score of participants with doctors or medical specialization was lower than participants with other levels of education (p<0.001). Conclusion: Although the rate of PTSD was significantly higher in nurses in our study, PTSD was also seen in the other two groups. Indeed, it was much higher in people working in environments at high risk for COVID-19 than in the other groups. This may be the consequence of nurses' having greater exposure to COVID19-infected patients. This situation may be related to long working hours, inadequate rest and burnout. We recommend that healthcare workers work in the shift. [ FROM AUTHOR]","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41904153","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 Life Support Training and Results for Non-Health Hospital Employees","authors":"Attila Beştemir, Alpay Tuncar, Hayri Canbaz","doi":"10.4274/imj.galenos.2022.58822","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.58822","url":null,"abstract":"","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47954208","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":"Silicone Breast Implant/Tissue Expander Applications and Complication Management: Retrospective Patient Analysis of 172 Patients","authors":"Dinçer Altınel, M. Serin, G. Toplu","doi":"10.4274/imj.galenos.2022.90359","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.90359","url":null,"abstract":"","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47260789","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":"Unusual Histopathological Findings in Cases with a Preliminary Clinical Diagnosis of Acute Appendicitis: What was Expected, What Did We Discover?","authors":"Selma Şengiz Erhan, Arzu Dobral, Gamze Kulduk, A. Alemdar","doi":"10.4274/imj.galenos.2022.03342","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.03342","url":null,"abstract":"","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47801079","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":"Does Previous Anti-thrombotic Use Affect the Course of Coronavirus Disease-2019?","authors":"İmran Önür, S. Tural Önür, G. Günlüoğlu, Gülsüm Bingöl, S. Sökücü, Özge Özden, M. Nasifov, E. Bolat, M. Toptaş, S. Altın","doi":"10.4274/imj.galenos.2022.49035","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.49035","url":null,"abstract":"Introduction: Proinflammatory cytokines, produced as an immune response in severe acute respiratory syndrome-coronavirus 2 infection, activate the coagulation cascade as well. In this study, we investigated the difference in the clinical course of patients who had been already using anti-thrombotic therapy before coronavirus disease-2019 (COVID-19) for any reason compared to the group who had not. Methods: In this retrospective, multicenter study;patients who were hospitalized between March 11 and July 1, 2020 were divided into two main groups as who had been on anti-thrombotic therapy for any indication use previously at the time of admission or who had not been on anti-thrombotic therapy at the time of admission, and their selected clinical parameters were compared. Results: After analyzing the study population of 124 patients with a homogeneous distribution in terms of age and gender, the comparison of anti-thrombotic users and non-users showed no significant difference in hospitalization. There was a statistically significant decrease in mechanical ventilation apply rate, intensive care unit duration and mortality rate between the group using anti-thrombotic compared to the group not using it (p<0.05). Conclusion: It has already been shown that COVID-19 patients are more prone to thromboembolic events as it activates the coagulation cascade with the cytokine storm it creates and thus the mortality of COVID-19 infection increases significantly. Parallel to this fact the results of our study demonstrated that using anti-thrombotic therapy for any reason may affect the bad prognosis of the disease positively. [ FROM AUTHOR]","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46586623","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 Intratumoral Budding and Other Histological Features in Predicting Treatment Response in Breast Cancer Patients Receiving Neoadjuvant Therapy","authors":"Ç. Öztürk, Seda Duman Öztürk, Oğuzhan Okçu, Bayram Şen, A. I. Yasin, R. Bedir","doi":"10.4274/imj.galenos.2022.69741","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.69741","url":null,"abstract":"","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45475281","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":"Anatomic and Functional Effects of Systemic Corticosteroids for Treating Toxic Optic Neuropathy Due to Methanol Intoxication","authors":"Pınar Sultan, H. Güngel, F. Çiftci","doi":"10.4274/imj.galenos.2022.29895","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.29895","url":null,"abstract":"","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43165061","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 Prevalence of Hypertension in Children and Adolescents and Affecting Factors","authors":"C. Kılıçaslan, Ş. Arslan","doi":"10.4274/imj.galenos.2022.78137","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.78137","url":null,"abstract":"","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49225707","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 Comparison of BUN/Albumin Ratio with PSI and CURB-65 for Predicting Mortality in COVID-19 Pneumonia in the Emergency Department","authors":"M. G. Efgan, U. Payza, O. Çınaroğlu, H. Acar, Ahmet Kayalı","doi":"10.4274/imj.galenos.2022.29794","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.29794","url":null,"abstract":"Introduction: The coronavirus disease-2019 (COVID-19) pandemic was the leading cause of high mortality and morbidity in the previous two years. Rapid determination of the severity of the disease is important in terms of reducing the intensity and initiating effective treatment. Although the pneumonia severity index (PSI) and CURB-65 classifications are widely employed to predict mortality and morbidity in patients diagnosed with pneumonia, biomarkers predicting the mortality and severity of COVID-19 in the emergency department (ED) are also needed. This study investigated the relationship between the blood urea nitrogen (BUN)/albumin ratio (BAR) and mortality and disease severity. Methods: Five hundred eighty-one patients presenting to the ED between March 2020 and January 2022 and diagnosed with COVID pneumonia were included in this observational study. Patients' BUN and albumin levels, and PSI and CURB-65 scores were calculated, and in-hospital mortality was recorded. The power of BAR in predicting mortality was compared with that of PSI and CURB-65 by using statistical analysis. Results: A significant association was determined between increased BAR and mortality. The area under the curve (AUC) value of BAR was 0.684, with 76.6% selectivity and 53.4% sensitivity at a cut-off point of 6.85. The CURB-65 score AUC value was 0.571, with 56% selectivity and 55.9% sensitivity at a cut-off point of 1.5. The AUC value for the PSI score was 0.609, with 63.3% selectivity and 50.3% sensitivity at a cut-off point of 107.5. Conclusion: BAR is a simple but independent marker of mortality and severity in COVID-19 viral pneumonia. [ FROM AUTHOR]","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48541950","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 Transulnar Pinning in Preventing Postoperative Radial Collapse and Wrist Motions in Distal Radius Fracture","authors":"M. Ekinci, Kayahan Karaytuğ","doi":"10.4274/imj.galenos.2022.99248","DOIUrl":"https://doi.org/10.4274/imj.galenos.2022.99248","url":null,"abstract":"","PeriodicalId":42584,"journal":{"name":"Istanbul Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47384014","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}