Life and Medical Sciences
ISSN / EISSN : 2791-9145 / 2791-9145
Published by: Life and Medical Sciences (10.54584)
Total articles ≅ 18
Latest articles in this journal
Life and Medical Sciences; https://doi.org/10.54584/lms.2022.19
This study was conducted to determine the effect of perceived social support level of pregnant women who applied to the emergency department on the level of surgical fear they experienced before cesarean section. The sample of the study consisted of 100 women who applied to the emergency department of a training and research hospital between 19.01.2022- 31.03.2022 and were given a cesarean section decision. Data were collected using the Introductory Information Form, the Surgical Fear Scale, and the Multidimensional Scale of Perceived Social Support. Percentage distribution, mean, standard deviation, t test for independent groups, One Way ANOVA and Pearson correlation test were used to evaluate the data. It was found that the mean age of the women participating in the study was 29.38±5.98 years, 43% were primary school graduates, 67% did not work, and 85% lived with a nuclear family. The mean score of the women on the perceived social support scale was 57.30±17.58, and the mean score on the surgical fear scale was 39.23±19.65. There was no statistically significant correlation between the total score of the scale of perceived social support and the total score of the surgical fear scale (r=0.082; p=0.416). It was concluded that the women had a moderate level of fear of surgery, and the perceived level of social support did not affect the fear of surgery. In line with these results, it may be recommended to include training that addresses the possibility and process of emergency cesarean section in childbirth preparation training and carry out studies with larger sample groups.
Life and Medical Sciences; https://doi.org/10.54584/lms.2022.18
While the eradication of smallpox virus, which is a success story achieved through a common struggle in human history, eliminated a major threat, the most important advantage was that the agent (variola virus) was not of zoonotic origin. The absence of smallpox infections around the world and the termination of extensive vaccination programs have led to a decrease in global orthopoxvirus immunity day by day. The increasing number of non-immune (for poxviruses) individuals and immunocompromised (general) patients around the world brings along new risks. The predictions that monkeypox virus (MPXV), which is known to cause milder infections in humans compared to smallpox, is seen as one of the 10 infectious agents with pandemic potential, and its spread area may expand, became a reality with the virus placed on the world agenda with the last epidemic in 2022. The approval of newly developed antiviral drugs and vaccines in the last few years shows that some countries are preparing for this change. Although it has been declared by the health authorities that MPXV infections have a low rate of spread among humans and that there is no risk of a new pandemic, the fact that changes in the transmission and spread pattern of the infection carried the virus out of the African continent indicates that new endemic areas may be occur outside the continent, via transmission of the virus from domestic animals to potential reservoir animals in the wild life, continues to be a cause for concern. The spreading possibility of MPXV infections by long transmission chains in immunocompromised populations is considered as another important risk. The risk of increasing cases turning into a growing epidemic and potential biosecurity threats have also raised concerns about the production, storage, and accessibility of preventive vaccines and antiviral drugs to be used in treatment. Considering the unusual rate of human-to-human transmission observed in the recent MPXV outbreak, the spreading of the virus to multiple countries unrelated to endemic areas, and other public health risks; the importance of monitoring MPXV and other poxvirus-related human and animal infections, informing the population at risk and health care workers, and other preventive activities is clearly apparent.
Life and Medical Sciences; https://doi.org/10.54584/lms.2022.17
Tarih Hypocalcemia is a clinical symptom of hypoparathyroidism, which is usually accompanied by distinctive signs and symptoms that vary depending on how severe and chronic the disease becomes. The aim of this study is to report on a case of severe hypocalcemia secondary to hypoparathyroidism in a postpartum woman. We present a case of a young woman with complaints of cramping legs and feet, tingling or burning in fingertips, toes, and lips, fatigue and weakness, twitching and spasms in muscles, particularly around the mouth, but also in hands and arms, painful menstrual periods, and depression, after the first delivery. She is successfully treated with calcium, calcitriol, magnesium, and levothyroxine. The idiopathic primary hypoparathyroidism, which is a rare condition, could be included in evaluating the differential diagnosis of hypocalcemia and depression in postpartum period.
Life and Medical Sciences; https://doi.org/10.54584/lms.2022.16
Özet Tarih boyunca büyük savaşlarda bulaşıcı hastalık salgınları muharebeler sırasında kaybedilenden daha fazla insanın ve askerin ölümüne yol açmıştır. Bu nedenle tarihsel süreç içerisinde, orduların bulaşıcı hastalıklara karşı duyarlı olduğu ve içinde bulundukları zamanın anlayışına uygun önlemler aldıkları bilinmektedir. On dokuzuncu yüzyılın son çeyreğinde yazılan ve Osmanlı bahriyesinde askeri hijyen konusunda birincil tarihsel kaynakları oluşturan üç kitabın ve bu kitaplar içerisinde bulunan arşiv belgelerinin incelendiği bu çalışmada Osmanlı deniz birlikleri ve savaş gemilerindeki modern tıbbi uygulamaların ilk örneklerinin ele alınması amaçlanmıştır. Çalışmada ulaştığımız veriler Osmanlı bahriyesinde on dokuzuncu yüzyılın ilk çeyreğinde başlayan modernizasyon çalışmalarına paralel olarak, askeri hıfzıssıhha uygulamalarının da hem eğitim hem de kurumsal yapılarıyla geliştiğini göstermektedir. Bununla beraber, söz konusu uygulamalarının o dönemdeki gerçek durumunun daha iyi anlaşılabilmesi için Amerika ve Avrupa Ordularının askeri hıfzıssıhha uygulamalarını içeren bilimsel makaleler ve tarihsel belgelerin incelenerek karşılaştırmalar yapılmasına gereksinim duyulmaktadır.
Life and Medical Sciences; https://doi.org/10.54584/lms.2022.15
Family physicians are supposed to be the first to face with patients at the acute or chronic terms of the illnesses as a primary care facility. In burn injuries, however, patients mostly seek medical attention at the health facilities other than the family physicians. We aimed to analyze the current situation in our country and its social and economic outcomes. Between July 1st and august 31st 2012, among 153 patients admitted to our burns outpatient clinic, 119 were included to the study. Twenty-one patients' family physicians and 21 family physicians not related to our study group were randomly sampled. Patient demographics, clinical course, and treatment cost were recorded. Patients' selection criterion in between primary care and us (tertiary referral hospital) is evaluated by a questionnaire. A survey carried out among family physicians to evaluate their backgrounds on burn management and attendance to postgraduate courses. The male to female ratio of the patients was 1.25 (66/55) and mean age was 29±18.1. Of the patients, 95% reached the hospital with a vehicle and 70.6% had an accompanier. Only 13.4% of the patients sought medical attention at the primary care. 52.4% (22/42) of the family physicians did never attend to a postgraduate course. During the prospective follow-up, there necessitated 501 visits and dressing changes. Total treatment cost for an average course was 109.4 $ or 26 $ for a visit. If the treatments were done at the primary care, a 42.2% reduction at costs could have been achieved. Even mostly conditions appropriate for management at the primary care, burn patients mostly bypass this stage. In addition, family physicians are not well updated on the current burn wound care. Bypassing the primary care add an extra physical, psychological, social, and economic burden to patient and also leads extra workload to the related health facilities. Bypassing causes additional economical cost to patients and insurance agencies. Policies should be settled for the management of outpatient burn patients at the primary care.
Life and Medical Sciences; https://doi.org/10.54584/lms.2022.14
Çalışmada anlık kan basıncı ölçümleri <95 persentil olan obez ergenlerde ambulatuar kan basıncı izlemi (AKBM) ile kan basıncının değerlendirilmesi ve vücut kitle indeksinin kan basıncı üzerine etkisinin araştırılması amaçlandı. Çalışma Ankara Eğitim ve Araştırma Hastanesi Çocuk Endokrinoloji polikliniğine başvuran 53 obez ve 41 normal ağırlıklı hastada ileriye dönük olarak yürütülmüştür. Çalışmaya 12-16 yaş arası, 53 obez ve 41 sağlıklı olgu dahil edildi. Obez ve kontrol gruplarının AKBM değerleri karşılaştırıldığında obez olguların ortalama sistolik kan basıncı 123.0±4.7 mmHg, ortalama gündüz sistolik kan basıncı 125.4±4.7 mmHg ve ortalama gece sistolik kan basıncı 107.0±5.9 mmHg olarak saptandı. Kontrol grubunda bu değerler sırasıyla 113.5±5.5 mmHg, 115.5±4.7 mmHg ve 98.3±4.2 mmHg olarak saptandı (p<0.001). Aynı şekilde obez olguların ortalama diyastolik kan basıncı, ortalama gündüz diyastolik kan basıncı ve ortalama gece diyastolik kan basıncı kontrol grubuna göre istatistiksel olarak yüksek saptandı (p<0.001). Obez olgularda tam gün, gündüz ve gece, sistolik ve diyastolik kan basıncı yükü, kontrol grubuna göre daha yüksek bulundu (p<0.001). Obez olguların %7.5‘inin (n=4) non-dipper olduğu saptanırken, kontrol grubunda ise non-dipper olgu saptanmadı. Vücut kitle indeksi (VKİ) ile ortalama kan basınçları arasındaki ilişki değerlendirildiğinde VKİ arttıkça ortalama kan basınçlarının pozitif yönde arttığı tespit edildi (p0.05). Anlık kan basıncı ölçümleri <95 persentil olan obez ergenlerde AKBM ile kan basınçları ve kan basıncı yükü yüksek saptandı. Bu nedenle obez ergenlerde erken dönemde kan basıncı yüksekliği saptanarak ileri dönem komplikasyonları önlenebilecektir.
Life and Medical Sciences; https://doi.org/10.54584/lms.2022.13
The aim of this study is to investigate the agreement between the thyroid image reporting and data systems (TI-RADS) classification and the Bethesda scoring in adults with thyroid nodules and to evaluate the effectiveness of our clinic in the management of thyroid nodules. In this prospective study, in which the analyzes of the patients who applied to the Interventional Radiology Department of our hospital for fine needle aspiration biopsy due to thyroid nodule were analyzed, 59 patients were included between January 1, 2020 and June 1, 2020. Sonographic features (composition, echogenicity, shape, margin, and echogenic foci) of all nodules were recorded for TI-RADS scoring before biopsy and TI-RADS scoring was performed by the radiologist. It was then the results compared with the Bethesda scoring, which is the cytological classification. A total of 59 patients (n=43; 72.9% female and, n=16; 27.1% male) were analyzed. Of the biopsied nodules, 31 (52.5%) were localized in the right lobe and 28 (47.5%) in the left lobe. The mean longest diameter of the nodules was 35.9±13.9 mm (range, 13-70 mm). The TI-RADS category was also significantly higher in those with larger nodule diameters (p=0.026). There was moderate agreement between both scorings (kappa value=0.406 and p<0.001). There were 7 (11.9%) patients with TI-RADS ≥ 4 and 10 (16.9%) patients classified as Bethesda ≥ 4. Thyroid nodules reported as highly suspected of malignancy (TIRADS ≥ 4) had good agreement with Bethesda scoring (Kappa value= 0.658 and p<0.001). According to the findings of our study, there is a moderate agreement between TI-RADS scoring and Bethesda. However, the rate of compliance was increasing in nodules classified as malignant nodules (TI-RADS ≥4).
Life and Medical Sciences, Volume 1, pp 62-68; https://doi.org/10.54584/lms.2022.11
Life and Medical Sciences; https://doi.org/10.54584/lms.2022.12
An elaborate global health system has been developed around the world as a bulwark against infectious disease threats. The system consists of various networks of formal and informal organizations serving different stakeholders. This network has different purposes, methods, resources and accountability; it consists of public institutions operating in different fields of influence (at local, national, regional or global level), profit-oriented and non-profit private sector organizations. The current global health system has done important work to protect and improve human health. However, the world continues to face long-standing and emerging or re-emerging infectious disease threats. These threats vary greatly in severity and probability of risk, and each requires separate struggle dynamics. In addition, as with morbidity and mortality rates, these infections have many complex social and economic effects and consequences that differ. It is discussed whether the global health system with its current situation can provide effective protection against a number of communicable disease threats. Due to the recent emerging threats of Ebola, Zika, dengue fever, severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), COVID-19, and influenza epidemics, and the increasing threat of antimicrobial resistance, this system is being put to the test. Weak health systems, urbanization, globalization, climate change, civil wars and conflicts, and the changing nature of pathogen transmission between human and animal populations, uncontrolled population growth in some risk areas aggravate current concerns. "Human-induced outbreaks resulting from laboratory accidents" or deliberate biological attacks are considered as other potential risks, making international cooperation and coordination important. International epidemiological surveillance systems and international health regulation coverage are expanding their scope as early intervention practices and tools that are critical in preventing infectious diseases from reaching epidemic levels and minimizing global risks. Also, the effectiveness of early warning surveillance systems is being improved with the use of new technologies.