An Examination of the Laboratory Data of Paediatric COVID-19 Cases | Author : Abit DEMIR, Hüseyin GÜMÜS, Halil KAZANASMAZ, Ahmet YÜKKALDIRAN , Tugba ERAT | Abstract | Full Text | Abstract :Background: Aim: The aim of this study was to investigate abnormalities in the laboratory tests of children with COVID-19 disease.
Material and Method: The study included 71 pediatric cases infected with SARS-CoV-2 virus, and a control group of 60 healthy children. A retrospective examination was made of age, gender, clinical findings and laboratory data.
Results: The patients comprised 39 males and 32 females and the control group comprised 30 males and 30 females with. The clinical characteristics of the patient group were fever in 36.6%, cough in 12.7%, and respiratory problems in 7%. When the laboratory test results were examined, the leukocyte and lymphocyte levels in the patient group were found to be statistically significantly lower than those of the control group (p=0.01, p<0.001). No sig-nificant difference was determined between the groups in respect of neutrophil and throm-bocyte counts (p>0.05, p>0.05). The median C-reactive protein measurement was found to be statistically significantly higher in the patient group than in the control group (p<0.001).
Conclusion: The results of this study showed that lymphocyte levels were significantly low and C-reactive protein levels were significantly high in children with COVID-19 infection, and these two findings could have significant predictive value for COVID-19 disease. Therefore, the evaluation of lymphocytes and C-reactive protein together in children in-fected with SARS-CoV-2 virus could increase diagnostic success in COVID-19 cases.
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| Approach to Cadavers Used in Anatomy Education: Dead Body Privacy and Medical Ethics | Author : Ilker Mustafa Kafa, Serdar Babacan, Sezer Erer Kafa | Abstract | Full Text | Abstract :Background: The human cadavers have been the most valuable educational tool for medical students to learn the anatomical structures belonging to human body and to study on by touching and dissecting the real tissues and organs. It also important that the medical students to take a sensitive approach on cadavers and respect their privacy. The aim of the study was to evaluate and compare the opinions of the students attending the Faculty of Medicine of Bursa Uludag University and the anatomists of Turkish Universities in terms of medical ethics and raise the awareness of the confidentialities of the dead bodies.
Materials and Methods: A questionnaire, consisting of 23 questions were prepared using reliable and private online forms and shared with the students and academicians. SPSS 22.0 software package was used for the statistical analyses.
Results: The questionnaire were answered by 89 anatomists in Turkey and 553 students who have been attending Bursa Uludag University Faculty of Medicine. Statistically significance was observed in six different topics among 15 questions about approaching cadavers and dead body privacy between groups.
Conclusion: Cadavers, as the most valuable educational tools in anatomy education, are a part of a subject that must be meticulously focused on privacy and moral values. As it is seen from the answers privacy of dead bodies is one of the most important issues in relation to the human anatomy education.
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| Morphometric evaluation of the relationship between the osseous orifice of the auditory tube and the other cranial base structures on the adult skulls | Author : Dr. Nilgün Tuncel Çini, Prof. Dr. Ilknur Ari | Abstract | Full Text | Abstract :Background: The eustachian tube consists of cartilage, fibrocartilagenous part and osseous part anteriorly from lateral to medial. Functional evaluation of the auditory tube has become important in myringoplasty and tympanoplastic procedures and also 3-dimensional (3D) modeling. The aim of the study is to perform morphometric measurements of the bony part of the tube and relation with the other anatomical formations at the base of the skull and to give the descriptive values of these values.
Materials and Methods: In the study, measurements of 12 variables were carried out using 26 dry skulls belonging to the bone collection of Uludag University Faculty of Medicine, Department of Anatomy. Measurements were made with Somet Inox caliper and SPSS 22.0 program was used for statistical analysis.
Results: The mean values of the parameters are given. It was observed that the distances between the right and left lateral and medial edges of the osseous orifice of the auditory tube were in relation with each other. In addition, it was also determined that these distances and the bilateral medial pterygoid distance showed a high correlation.
Conclusion: As a result, data were provided for 3-dimensional functional models using the eustachian bone part and the correlation values between the variables were evaluated.
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| Catheter Induced Coronary Intramural Hematoma: A Case Report | Author : Achmad Fauzi Yahya, Aninka Saboe, Sanggam Sinambela, Andre Nugraha Nurman | Abstract | Full Text | Abstract :Catheter-induced coronary artery dissection (CICAD) is a relatively rare complication during coronary procedures. The natural history of CICAD is not entirely understood, but prior reports describe varied outcomes. The CICAD management is currently made case-by-case basis, with no evidence-based guidelines to assist the operator. We present a case of catheter-induced coronary intramural hematoma (IMH), which is conservatively managed. On the follow-up two weeks later, we performed IVUS –guided percutaneouscoronary intervention(PCI) with good results. We highlighted theapproach in managing iatrogenic coronary IMH. |
| Morphometric evaluation of the relationship between the osseous orifice of the auditory tube and the other cranial base structures on the adult skulls | Author : Dr. Nilgün Tuncel Çini, Prof. Dr. Ilknur Ari | Abstract | Full Text | Abstract :Background: The eustachian tube consists of cartilage, fibrocartilagenous part and osseous part anteriorly from lateral to medial. Functional evaluation of the auditory tube has become important in myringoplasty and tympanoplastic procedures and also 3-dimensional (3D) modeling. The aim of the study is to perform morphometric measurements of the bony part of the tube and relation with the other anatomical formations at the base of the skull and to give the descriptive values of these values.
Materials and Methods: In the study, measurements of 12 variables were carried out using 26 dry skulls belonging to the bone collection of Uludag University Faculty of Medicine, Department of Anatomy. Measurements were made with Somet Inox caliper and SPSS 22.0 program was used for statistical analysis.
Results: The mean values of the parameters are given. It was observed that the distances between the right and left lateral and medial edges of the osseous orifice of the auditory tube were in relation with each other. In addition, it was also determined that these distances and the bilateral medial pterygoid distance showed a high correlation.
Conclusion: As a result, data were provided for 3-dimensional functional models using the eustachian bone part and the correlation values between the variables were evaluated.
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| YOUR DISEASE IS RELATED TO THE STOMACH, NOT THE HEART! A FAMILY MEDICINE ROUTINE | Author : Onur Öztürk, Muhamed Emin Göktepe, Piltan Büyükkaya, Oktay Karaköse, Ismail Sen | Abstract | Full Text | Abstract :Holistic medicine is one of the core competencies of the family medicine discipline, and in this context, it deals with the physical, mental and social health of the patient. In this case report, the management of a patient who did not have a family doctorcontact is mentioned with a holistic approach. An eighty-year-old male patient applied to our family medicine clinic with complaints of frequent shortness of breath and palpitation while walking, and to be referred to the cardiology outpatient clinic. As a result of the examinations, gastric adenocarcinoma was detected. It is important for people to visit their family doctor at regular intervals. |
| Comparing the Levels of Coping with Postpartum Depression and Stress of Mothers of Premature Babies and Term Infants Who is Applying to the Pediatric Emergency Department | Author : sidika baziki çetin, engin emrem bestepe | Abstract | Full Text | Abstract :Background: The aim is to compare the frequency of depression in mothers of premature and term infants, determine the relationship between stress coping styles, identify sources of stress and reduce the applying to the emergency department.Material and Method: 50 mothers of premature and 50 term infants who applied to the Emergency Department of the Training and Research Hospital between August 2017 and November 2017, were included in the study. Sociodemographic data form, Structured Clinical Interview for DSM-IV Axis I Disorders, Edinburgh Postpartum Depression Scale and Stress coping styles scale were applied to these individuals.Results: At the end of work; according to Edinburgh postpartum depression scale, 32% of the mothers of premature infants and 28% of the mothers of term infants were diagnosed with depression. When the styles of coping with stress are examined, there was no statistically significant difference between the premature and term group (p>0.05). As a result of the evaluation made using the Edinburgh Postpartum Depression Scale, 30 patients were diagnosed with postpartum depression. When those who were diagnosed with postpartum depression and those who did not were compared in terms of coping styles with stress, there was a statistically significant difference between only those who applied to the helpless approach and it was higher in cases with postpartum depression (p<0.05). Conclusion: There was no difference in terms of postpartum depression between patients with preterm and term delivery. However, postpartum depression rates were higher than expected in both groups. |
| Foods That Improving the Immune System against Covid-19 and Its Infectiousness | Author : Foods against Covid-1EYYÜP KARAOGUL, Ibrahim Hayoglu, Akif Cicek, Mustafa Begenc Tascanov, Zülkif Tanriverdi, Sümeyra Cicek, Berika Hayoglu | Abstract | Full Text | Abstract :Background: The main aim of this study is to interpret nutrients that can potentially increase immunity to coronavirus (COVID-19) and reduce the risk of getting sick.
Methods: Severe acute respiratory syndrome about coronavirus [SARS-CoV] and SARSCoV-2 as known pathogenic coronaviruses for Human enter to their target cells through angiotensin-converting enzyme 2 (ACE2), which is stated by epithelial cells of the lung, intestine, kidney, and blood vessels (Fang et al., 2020, Wan et al., 2020). Moreover, cohort of patients with COVID-19 were decreased Protein C level after infection to cell (Panigada et al.). These situations could be caused cross-linked fibrin clot. In this case, inhibition of ACE2 and higher immunity of protein C could be possible reduced the risk of COVID-19. The levels of ACE2 and Protein C are potentially important. If the levels of ACE2 and Protein C could be controlled any nutrients, the risk could be potentially prevented. So, effects of ACE2 and Protein C were evaluated from literature.
Results: The level of angiotensin-converting enzyme 2 is great potential to avoid coronavirus disease (COVID-19). In this case, the nutrition foods supplied inhibition of ACE2 were evaluated in this study. In Table 1, it is showed list of the nutrition food as caused inhibition of angiotensin-converting enzyme 2 (ACE2
Conclusion: The nutrients that can potentially increase immunity to coronavirus (COVID-19) and reduce the risk of getting sick has great important in this time. It is also important to slow down the factors that cause it. The levels of ACE2 and Protein C are potentially important. If the levels of ACE2 and Protein C could be controlled any nutrients, the risk could be potentially prevented. It was noticed that the immunity against COVID-19 could be improved with Cuttlefish, Sardinelle (Sardinella aurita), Rohu (Labeo rohita), Grass carp, European Carp (Cyprinus carpio L.), Cirrhinus mrigala, Salmon (Salmo salar), Katsuo-bushi, Acetes indicus, Common Oat (Avena sativa), Goat milk protein, Kacang goat meat, Milk protein, Yoghurt beverages with quinoa, Lupin and Other legumes, Whey protein, Mungbean, Walnut protein, Peanut protein, Corn germ protein, Sunflower (Helianthus annuus L.) protein, Antioxidants and fish oil, Wheat germ protein, Rice bran protein, Sesame (Sesamum indicum L.), Egg yolk and Cucurbita ficifolia, Egg protein, Egg white protein, Fucus spiralis, Cannabis sativa L., Sweet sorghum grain protein, and Onion seeds.
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| EFFECTS OF NOVEL CORONAVIRUS (COVID-19) PANDEMIC ON PREGNANT PSYCHOLOGY | Author : Nese Yaksi, Nagehan Tastekin | Abstract | Full Text | Abstract :Background: Coronavirus Disease 2019 (COVID-19) pandemic has affected many countries from different aspects since December 2019. The present study aims to determine the frequency of prenatal depression risk and anxiety and associated risk factors in pregnant women as a vulnerable group in the
COVID-19 Pandemic. Materials and Methods: This cross-sectional study included 234 pregnant women
selected by cluster sampling method from all Primary Care Outpatient Clinics in Nigde. After ethics
committee approval and institution permission was obtained, the data were collected online using the
"Edinburgh Postpartum Depression Scale", "State and Trait Anxiety Index (STAI)" and a sociodemographic questionnaire. Results: In the present study, the frequency of prenatal depression risk was 24.4%.
The median value of the STAI trait score was 41 (23-74), and the median value of the STAI state was 34
(20-80). Prenatal depression risk was associated with job loss (OR: 2.68), multiple pregnancies (OR:
15.31), high COVID-19 perceived risk score (OR: 1.14), and high STAI state score (OR: 1.10) (p <0.05).
Prenatal anxiety was associated with being a healthcare worker (OR: 11.66), smoking (OR: 17.21), having
health problems during last pregnancy (OR: 3.74), thought of the people living with her at risk (OR: 2.48),
and being depressed (OR: 4.73) (p <0.05). Conclusion: The COVID-19 Pandemic has been increasing the
prevalence of depression risk and anxiety in pregnant women. It is essential to continue routine visits to
healthcare centers taking necessary preventive measures and providing psychosocial support to pregnant
women.
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| Perioperative And Postoperative Comparison of Groups with Uterine Artery and Ovarian Ar-tery Ligation and Groups without Artery Ligation in Laparoscopic Myomectomy | Author : Muhammet Serhat YILDIZ*,Osman ASICIOGLU, Osman TEMIZKAN | Abstract | Full Text | Abstract :Background: In this prospective study, we aimed to compare the intraoperative complication
rates, operation time, preoperative-postoperative AMH and hemoglobin values, and the length
of hospital stay for the patients undergoing elective laparoscopic myomectomy made or not
made with uterine artery and ovarian artery ligation. Methods: In this prospective clinical
study, 32 patients undergoing elective laparoscopic myomectomy were divided in two groups
as ligated and non-ligated. Primer outcome was determined according to different preoperative-postoperative haemoglobin to determine blood loss in patients. Seconder outcomes were
determined as intraoperative complication rates, operation time, preoperative-postoperative
AMH and the length of hospital stay. Results: Similar demographic characteristics were found
for both groups (ligated and non-ligated). Additionally, myoma localization, age (39±5 vs
41.2±3.8), preop haemoglobin (12.7±0.9 vs 12.6 ±1.3), preop and postop AMH (1.9 ±2.2 and
2 ±2.1 vs 1.1 ±1.7 and 1.1 ±1.3) and operation time (69 ±17 vs 75.3 ± 19) were similar, while
postoperative haemoglobin values (10.4±1.1 vs 11.4±1.3) were significantly higher for ligated
group than non-ligated when compared. Conclusions: It was observed that the loss of perioperative and postoperative hemoglobin value is decreased by ligation of uterine and ovarian
arteries during and after the laparoscopic myomectomy without causing any important change
of the operation time and AMH values.
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