Pub Date : 2023-03-18DOI: 10.52142/omujecm.40.1.14
Elif Nur Yıldırım Öztürk, Mustafa Öztürk
In this study, it was aimed to evaluate the NO2 levels in four key cities of Turkey (Istanbul, Ankara, Izmir and Bursa) over a three-year period and to examine the effect of NO2 on mortality. The research is of descriptive-ecological type. In the research, air quality (NO2), population and death data were needed for each city to cover the dates 01.01.2017-31.12-2019. In the research, 20 μg/m3 was accepted as the annual NO2 limit value. Numbers, percentages, mean, standard deviation, minimum and maximum values were used in summarizing data. Calculations related to mortality attributed to NO2-induced air pollution were made using the AirQ+ software’s own methodology. In 2019, 33 stations in Istanbul, 4 stations in Ankara, 5 stations in Izmir and 5 stations in Bursa were measuring NO2. In 2019, the weighted NO2 mean was 40.61 μg/m3 in Istanbul, 32.94 μg/m3 in Ankara, 7.87 μg/m3 in Izmir and 31.68 μg/m3 in Bursa. The estimated percentage of deaths attributed to NO2 in 2019 was 7.95 in Istanbul, 5.07 in Ankara and 4.58 in Bursa. Calculations for 2018 in Ankara and 2017, 2018 and 2019 in Izmir were not made because the NO2 levels in these cities were less than 20 μg/m3 in these years. As a result of the research, it was determined that the NO2 levels were higher than the limit value in three of the four key cities in Turkey and the mortality rates attributed to NO2 were found to be higher compared to similar studies in the literature.
{"title":"Evaluation of the effect of NO2 levels on mortality in four key cities of Türkiye between 2017-2019","authors":"Elif Nur Yıldırım Öztürk, Mustafa Öztürk","doi":"10.52142/omujecm.40.1.14","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.14","url":null,"abstract":"In this study, it was aimed to evaluate the NO2 levels in four key cities of Turkey (Istanbul, Ankara, Izmir and Bursa) over a three-year period and to examine the effect of NO2 on mortality. The research is of descriptive-ecological type. In the research, air quality (NO2), population and death data were needed for each city to cover the dates 01.01.2017-31.12-2019. In the research, 20 μg/m3 was accepted as the annual NO2 limit value. Numbers, percentages, mean, standard deviation, minimum and maximum values were used in summarizing data. Calculations related to mortality attributed to NO2-induced air pollution were made using the AirQ+ software’s own methodology. In 2019, 33 stations in Istanbul, 4 stations in Ankara, 5 stations in Izmir and 5 stations in Bursa were measuring NO2. In 2019, the weighted NO2 mean was 40.61 μg/m3 in Istanbul, 32.94 μg/m3 in Ankara, 7.87 μg/m3 in Izmir and 31.68 μg/m3 in Bursa. The estimated percentage of deaths attributed to NO2 in 2019 was 7.95 in Istanbul, 5.07 in Ankara and 4.58 in Bursa. Calculations for 2018 in Ankara and 2017, 2018 and 2019 in Izmir were not made because the NO2 levels in these cities were less than 20 μg/m3 in these years. As a result of the research, it was determined that the NO2 levels were higher than the limit value in three of the four key cities in Turkey and the mortality rates attributed to NO2 were found to be higher compared to similar studies in the literature.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88144976","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}
Pub Date : 2023-03-18DOI: 10.52142/omujecm.40.1.38
E. Pala
We read with great interest the article titled "Diagnostic Accuracy of Clinical Gestalt of Doctors with Different Experiences in COVID-19 Suspected Patients" prepared by Özkan and published in the third issue of your journal in 2022. Thanks to the author and editorial board for this interesting and informative article. In addition, we would like to briefly touch on the parameters used in the perception of triage and patient management during the pandemic process.
{"title":"Medical management during the pandemic period","authors":"E. Pala","doi":"10.52142/omujecm.40.1.38","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.38","url":null,"abstract":"We read with great interest the article titled \"Diagnostic Accuracy of Clinical Gestalt of Doctors with Different Experiences in COVID-19 Suspected Patients\" prepared by Özkan and published in the third issue of your journal in 2022. Thanks to the author and editorial board for this interesting and informative article. In addition, we would like to briefly touch on the parameters used in the perception of triage and patient management during the pandemic process.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87658785","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}
Pub Date : 2023-03-18DOI: 10.52142/omujecm.40.1.25
Manolya Ilhanli, I. Ilhanli, P. Celenk
Oral health problems are often neglected due to other problems that are thought to be more vital in stroke patients. However, oral health is a significant quality of life determinant and needs to be protected in stroke patients as well as general population. Moreover, problems such as hemiparesis, hemiplegia, dysphagia, balance and coordination disorder and cognitive dysfunction due to strokes have a very negative impact on the self -care and/or care support of the caregivers. In this study, we aimed to search a large number of health databases and make a compilation on oral health problems, impact on quality of life and solutions in stroke patients. Keywords ‘oral, dental, health, care, hygiene, dental, prosthesis, denture, tooth brushing, stroke, cerebrovascular and cardiovascular’ and combinations of these words were searched in the literature. Studies involving at least one subject for oral health in stroke patients were included in the review. In the literature, it was seen that the oral health of the stroke patients was discussed more about mastication, swallowing, dysphagia, nutrition, hygiene, prosthesis and quality of life. It was concluded that there are no sufficient assessment and care guides that can be used by stroke patients or caregivers, and the information of dentists, patients and caregivers about special care for stroke patients was not sufficient.
{"title":"Hemiplegia and oral health","authors":"Manolya Ilhanli, I. Ilhanli, P. Celenk","doi":"10.52142/omujecm.40.1.25","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.25","url":null,"abstract":"Oral health problems are often neglected due to other problems that are thought to be more vital in stroke patients. However, oral health is a significant quality of life determinant and needs to be protected in stroke patients as well as general population. Moreover, problems such as hemiparesis, hemiplegia, dysphagia, balance and coordination disorder and cognitive dysfunction due to strokes have a very negative impact on the self -care and/or care support of the caregivers. In this study, we aimed to search a large number of health databases and make a compilation on oral health problems, impact on quality of life and solutions in stroke patients. Keywords ‘oral, dental, health, care, hygiene, dental, prosthesis, denture, tooth brushing, stroke, cerebrovascular and cardiovascular’ and combinations of these words were searched in the literature. Studies involving at least one subject for oral health in stroke patients were included in the review. In the literature, it was seen that the oral health of the stroke patients was discussed more about mastication, swallowing, dysphagia, nutrition, hygiene, prosthesis and quality of life. It was concluded that there are no sufficient assessment and care guides that can be used by stroke patients or caregivers, and the information of dentists, patients and caregivers about special care for stroke patients was not sufficient.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90359059","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}
Pub Date : 2023-03-18DOI: 10.52142/omujecm.40.1.28
S. Amin, A. Khashaba, Ahmad Yousef Alazzam, Hamzeh Mahmoud Alkhawaldah, K. Albakri, Omar Amjad Almajdoubah, Y. Alabdallat, Ahmed Shaaban ABU SEIF
Sleep problems, particularly sleep deprivation and fragmentations, are common hazards in modern lifestyles and maybe an unavoidable occupational drawback. Different metabolic or hereditary causes may induce sleep problems. Cognitive functions and the closely related metacognition, which depends significantly on decision making, are essential for learning and problem-solving. When impaired for any reason, the quality of life deteriorates, and the person may become dependent on others in severe cases of dysfunction. Sleep and cognition/metacognition are related, and an insult to one function may lead to the other domain's collapse. The present review highlights the significant causes and conditions of sleep problems, cognitive and metacognitive dysfunctions, the possible mechanisms, interactions, and the potential tools or agents that may improve them.
{"title":"Beyond cognition and sleep: Stop the domino effect","authors":"S. Amin, A. Khashaba, Ahmad Yousef Alazzam, Hamzeh Mahmoud Alkhawaldah, K. Albakri, Omar Amjad Almajdoubah, Y. Alabdallat, Ahmed Shaaban ABU SEIF","doi":"10.52142/omujecm.40.1.28","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.28","url":null,"abstract":"Sleep problems, particularly sleep deprivation and fragmentations, are common hazards in modern lifestyles and maybe an unavoidable occupational drawback. Different metabolic or hereditary causes may induce sleep problems. Cognitive functions and the closely related metacognition, which depends significantly on decision making, are essential for learning and problem-solving. When impaired for any reason, the quality of life deteriorates, and the person may become dependent on others in severe cases of dysfunction. Sleep and cognition/metacognition are related, and an insult to one function may lead to the other domain's collapse. The present review highlights the significant causes and conditions of sleep problems, cognitive and metacognitive dysfunctions, the possible mechanisms, interactions, and the potential tools or agents that may improve them.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91215271","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}
R. Kazemzadeh, L. Reisy, Samaneh Dabagh Fekri, Pouran Akhavan Akbari
Healthcare workers and healthcare providers need sufficient knowledge and awareness about disease to provide high quality health services to pregnant and breastfeeding women during the Covid 19 pandemic. This study aims to investigate the knowledge of healthcare providers about Covid-19 disease in pregnancy and lactation in Ardabil.This descriptive study was conducted in 2020-2021. The study's statistical population consisted of all healthcare workers working in health centers in Ardabil who care for pregnant and lactating mothers. The census calculated the sample size. Data were collected using a self-administered questionnaire to assess health care providers' knowledge, which was designed using a review of texts, related articles, and instructions of the Ministry of Health, and the validity and reliability of the questionnaire have been confirmed. Data were analyzed using SPSS20 by descriptive statistics, chi-square, and ANOVA statistical tests. Mean age of the participants was 35.51±5.74. In this study, most participants scored more than 33 and had a good level of knowledge about Covid 19 disease in pregnancy and lactation. The study's results showed that participants had higher knowledge about Covid 19 during pregnancy and lactation. The knowledge gained about Covid 19 during pregnancy and lactation is not absolute and may get updated with the reporting of newer studies. Healthcare providers must be trained in person and online during the Covid 19 virus epidemic to receive up-to-date information regularly from the healthcare system.
{"title":"Knowledge of health care providers about Covid-19 disease in pregnancy and lactation in Ardabil","authors":"R. Kazemzadeh, L. Reisy, Samaneh Dabagh Fekri, Pouran Akhavan Akbari","doi":"10.52142/omujecm.40.1.3","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.3","url":null,"abstract":"Healthcare workers and healthcare providers need sufficient knowledge and awareness about disease to provide high quality health services to pregnant and breastfeeding women during the Covid 19 pandemic. This study aims to investigate the knowledge of healthcare providers about Covid-19 disease in pregnancy and lactation in Ardabil.This descriptive study was conducted in 2020-2021. The study's statistical population consisted of all healthcare workers working in health centers in Ardabil who care for pregnant and lactating mothers. The census calculated the sample size. Data were collected using a self-administered questionnaire to assess health care providers' knowledge, which was designed using a review of texts, related articles, and instructions of the Ministry of Health, and the validity and reliability of the questionnaire have been confirmed. Data were analyzed using SPSS20 by descriptive statistics, chi-square, and ANOVA statistical tests. Mean age of the participants was 35.51±5.74. In this study, most participants scored more than 33 and had a good level of knowledge about Covid 19 disease in pregnancy and lactation. The study's results showed that participants had higher knowledge about Covid 19 during pregnancy and lactation. The knowledge gained about Covid 19 during pregnancy and lactation is not absolute and may get updated with the reporting of newer studies. Healthcare providers must be trained in person and online during the Covid 19 virus epidemic to receive up-to-date information regularly from the healthcare system.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83133868","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}
Pub Date : 2023-03-18DOI: 10.52142/omujecm.40.1.34
A. Çınar, Ömer Gedikli
Noncompaction cardiomyopathy is a rare type of cardiomyopathy that can result in left ventricular failure, thromboembolic events, tachyarrhythmias, and sudden cardiac death. It is a congenital cardiomyopathy in which deep trabeculations and cavities in the left ventricle are formed due to the cessation of the development of myocardial tissue in the intrauterine period. Ebstein's anomaly is a congenital anomaly characterized by apical displacement of the tricuspid valve septal leaflet. Although the association of noncompaction cardiomyopathy and ebstein is a rare disease, there are cases described in the literature. A 23-year-old male patient, who presented with palpitations and fatigue, was diagnosed with noncompaction cardiomyopathy and ebstein anomaly. After the diagnosis, the patient is followed closely without complications with appropriate medical follow-up. Congenital heart diseases can be seen alone or in association with other cardiac malformations. When there are suspicious findings in a patient with ebstein's anomaly, it may be associated with noncompaction cardiomyopathy, and screening with echocardiographic and cardiac MRI should be considered.
{"title":"A rare case: Coexistence of noncompaction cardiomyopathy and Ebstein anomaly","authors":"A. Çınar, Ömer Gedikli","doi":"10.52142/omujecm.40.1.34","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.34","url":null,"abstract":"Noncompaction cardiomyopathy is a rare type of cardiomyopathy that can result in left ventricular failure, thromboembolic events, tachyarrhythmias, and sudden cardiac death. It is a congenital cardiomyopathy in which deep trabeculations and cavities in the left ventricle are formed due to the cessation of the development of myocardial tissue in the intrauterine period. Ebstein's anomaly is a congenital anomaly characterized by apical displacement of the tricuspid valve septal leaflet. Although the association of noncompaction cardiomyopathy and ebstein is a rare disease, there are cases described in the literature. A 23-year-old male patient, who presented with palpitations and fatigue, was diagnosed with noncompaction cardiomyopathy and ebstein anomaly. After the diagnosis, the patient is followed closely without complications with appropriate medical follow-up. Congenital heart diseases can be seen alone or in association with other cardiac malformations. When there are suspicious findings in a patient with ebstein's anomaly, it may be associated with noncompaction cardiomyopathy, and screening with echocardiographic and cardiac MRI should be considered.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89943281","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}
Pub Date : 2023-03-18DOI: 10.52142/omujecm.40.1.23
Pınar Öner, M. Özgüler
In this study, the purpose was to investigate the demographic, laboratory, and clinical characteristics of the Crimean-Congo Hemorrhagic Fever (CCHF) cases that were treated in our hospital during the Coronavirus disease-2019 (COVID-19) pandemic. It was also investigated whether the patients hospitalized with a provisional diagnosis of CCHF who tested negative for CCHF PCR were infected with COVID-19. In our study, data (epidemiological, clinical, laboratory, prognosis) from 38 patients diagnosed with CCHF through reverse-transcriptase polymerase chain reaction (PCR) and viral-RNA and/or Immunoglobulin M antibodies using ELISA between May 2020 and November 2022 were investigated retrospectively. Of all the patients, 23 were CCHF PCR (+) and 15 were CCHF PCR (-).15 (65.2%) of PCR (+) patients and 9 (60%) of PCR (-) patients were engaged in farming. 65.2% of PCR (+) and 26.7% of PCR (-) patients presented with a history of tick bites. 21 (91.3%) of PCR (+) and 12 (80%) of PCR (-) patients had a history of rural living. Among the PCR (+) patients, 65.2%, 17.4%, and 17.4% received treatment for CCHF in 2022, 2021, and 2020 respectively. 87% of PCR (+) and 60% of PCR (-) patients were discharged after full recovery. The most common symptoms were fever, diffuse body ache, weakness, and headache. Significant differences were found between PCR (+) and PCR (-) patients in terms of leukocytes, LDH, INR, NEU, PLT, fibrinogen, and NLR values. 3 patients hospitalized with a provisional diagnosis of CCHF tested negative for CCHF PCR and positive for COVID-19 PCR. Thoracic CT, clinical, and laboratory findings of these patients showed no differences from the other patients. The possibility of misdiagnosis should be considered in CCHF and COVID-19 infections due to their similar symptoms and indications. Extensive multicentric studies need to be conducted to investigate the causes of the increased number of CCHF cases during the pandemic.
{"title":"An evaluation of the laboratory and clinical data of the Crimean-Congo hemorrhagic fever patients during the Covid-19 pandemic","authors":"Pınar Öner, M. Özgüler","doi":"10.52142/omujecm.40.1.23","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.23","url":null,"abstract":"In this study, the purpose was to investigate the demographic, laboratory, and clinical characteristics of the Crimean-Congo Hemorrhagic Fever (CCHF) cases that were treated in our hospital during the Coronavirus disease-2019 (COVID-19) pandemic. It was also investigated whether the patients hospitalized with a provisional diagnosis of CCHF who tested negative for CCHF PCR were infected with COVID-19. In our study, data (epidemiological, clinical, laboratory, prognosis) from 38 patients diagnosed with CCHF through reverse-transcriptase polymerase chain reaction (PCR) and viral-RNA and/or Immunoglobulin M antibodies using ELISA between May 2020 and November 2022 were investigated retrospectively. Of all the patients, 23 were CCHF PCR (+) and 15 were CCHF PCR (-).15 (65.2%) of PCR (+) patients and 9 (60%) of PCR (-) patients were engaged in farming. 65.2% of PCR (+) and 26.7% of PCR (-) patients presented with a history of tick bites. 21 (91.3%) of PCR (+) and 12 (80%) of PCR (-) patients had a history of rural living. Among the PCR (+) patients, 65.2%, 17.4%, and 17.4% received treatment for CCHF in 2022, 2021, and 2020 respectively. 87% of PCR (+) and 60% of PCR (-) patients were discharged after full recovery. The most common symptoms were fever, diffuse body ache, weakness, and headache. Significant differences were found between PCR (+) and PCR (-) patients in terms of leukocytes, LDH, INR, NEU, PLT, fibrinogen, and NLR values. 3 patients hospitalized with a provisional diagnosis of CCHF tested negative for CCHF PCR and positive for COVID-19 PCR. Thoracic CT, clinical, and laboratory findings of these patients showed no differences from the other patients. The possibility of misdiagnosis should be considered in CCHF and COVID-19 infections due to their similar symptoms and indications. Extensive multicentric studies need to be conducted to investigate the causes of the increased number of CCHF cases during the pandemic.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76361833","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}
Pub Date : 2023-03-18DOI: 10.52142/omujecm.40.1.16
Y. Katirci, I. Yalçın, A. Bakay, D. Güven, İ. Koçak
Less developed areas have the highest incidence rates of cervical cancer, which vary by geographic region. If the right lifestyle changes are made, all cervical cancer risk factors can be avoided. Furthermore, vaccines have been created to guard against a number of the high-risk strains of the human papillomavirus (HPV). Not all women are aware of cervical cancer or how to prevent it, even though it is preventable. Therefore, every woman must assess level of knowledge regarding HPV prevention and cervical cancer. We applied a validated questionnaire between January and June 2021 to the female health workers at Ondokuz Mayıs University Hospital to assess their knowledge of cervical cancer and HPV protection as well as their attitudes toward it. Our findings indicate that women's knowledge on this topic is lacking, especially regarding the most recent advancements in HPV testing and vaccination-based cervical cancer prevention. Only 99% of the women who responded to the survey were actually aware that HPV testing was available. Although the incidence of cervical cancer is low, this figure is subject to change, particularly in light of the economic crisis and rising immigration rates, which could lead to higher rates of HPV infection in the population if no action is taken. Although the HPV vaccine has been available for some time, the Turkish government does not recommend it as a routine vaccine as part of the National Immunization Program. Even among the highly educated workforce in the healthcare industry, there is a lack of understanding about HPV vaccine. Healthcare professionals should be fully informed about the HPV vaccine for their own benefit so that they can discuss it with their patients. This study aimed to remove vaccination barriers and assess healthcare professionals' current knowledge of cervical cancer and HPV vaccination in a tertiary hospital.
{"title":"Investigation of awareness of human papilloma virus infection among female health workers at Ondokuz Mayıs University","authors":"Y. Katirci, I. Yalçın, A. Bakay, D. Güven, İ. Koçak","doi":"10.52142/omujecm.40.1.16","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.16","url":null,"abstract":"Less developed areas have the highest incidence rates of cervical cancer, which vary by geographic region. If the right lifestyle changes are made, all cervical cancer risk factors can be avoided. Furthermore, vaccines have been created to guard against a number of the high-risk strains of the human papillomavirus (HPV). Not all women are aware of cervical cancer or how to prevent it, even though it is preventable. Therefore, every woman must assess level of knowledge regarding HPV prevention and cervical cancer. We applied a validated questionnaire between January and June 2021 to the female health workers at Ondokuz Mayıs University Hospital to assess their knowledge of cervical cancer and HPV protection as well as their attitudes toward it. Our findings indicate that women's knowledge on this topic is lacking, especially regarding the most recent advancements in HPV testing and vaccination-based cervical cancer prevention. Only 99% of the women who responded to the survey were actually aware that HPV testing was available. Although the incidence of cervical cancer is low, this figure is subject to change, particularly in light of the economic crisis and rising immigration rates, which could lead to higher rates of HPV infection in the population if no action is taken. Although the HPV vaccine has been available for some time, the Turkish government does not recommend it as a routine vaccine as part of the National Immunization Program. Even among the highly educated workforce in the healthcare industry, there is a lack of understanding about HPV vaccine. Healthcare professionals should be fully informed about the HPV vaccine for their own benefit so that they can discuss it with their patients. This study aimed to remove vaccination barriers and assess healthcare professionals' current knowledge of cervical cancer and HPV vaccination in a tertiary hospital.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76218299","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}
Pub Date : 2023-03-18DOI: 10.52142/omujecm.40.1.39
E. Pala
We have read the article titled “Comparison of liver biomarkers with N/L ratio, CRP, d-dimer in Covid 19 pneumonia and its effect on mortality” prepared by Haydar et al. with great interest. We thank the editorial board and the authors for publishing this successful and informative manuscript. We also would like to mention a few important points about prognosticating mortality in COVID-19 to contribute to the discussion of the study.
{"title":"Prognosticating poor outcome in COVID-19","authors":"E. Pala","doi":"10.52142/omujecm.40.1.39","DOIUrl":"https://doi.org/10.52142/omujecm.40.1.39","url":null,"abstract":"We have read the article titled “Comparison of liver biomarkers with N/L ratio, CRP, d-dimer in Covid 19 pneumonia and its effect on mortality” prepared by Haydar et al. with great interest. We thank the editorial board and the authors for publishing this successful and informative manuscript. We also would like to mention a few important points about prognosticating mortality in COVID-19 to contribute to the discussion of the study.","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74364946","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}
A. Mughni, V. Ekasaputra, Reza Tri Sutri̇sno, A. Prasetya, Indra Putranto, Dimas Erlangga
Obesity is a health problem that occurs due to the wrong lifestyle, such as lack of physical activity and the wrong diet. Accumulation of adipose tissue in obesity may increases pro-inflammatory cytokines, particularly in pancreatic beta cells leading to type 2 diabetes mellitus (T2DM). Sleeve gastrectomy (SG) is an alternative therapy for T2DM in obese patients by losing about 40-60% of body weight and increasing GLP-1 secretion which stimulates increased insulin secretion. However, the SG procedure cannot reduce pro-inflammatory cytokines which promote damaged pancreatic cells. Pancreatic omentoplasty can suppress pro-inflammatory cytokines and promote the regeneration of damaged pancreatic cells. The goal of this study is to investigate HOMA-IR in obese rats with diabetes mellitus who underwent SG and pancreatic omentoplasty procedures. An experimental using pre and post-test control group design were done in this study. Eighteen Diabetes Mellitus rats were divided into 3 groups: K1 (SG), K2 (SG + Omentoplasty), and K3 (control). Blood glucose and insulin level were measured using a glucoDR Glucometer Bio-sensor kit and ELISA, respectively before and 10 days after the procedure. HOMA-IR measurement was calculated based on insulin and blood glucose level. A significant decrease of fasting blood gluocese levels were shown in all treatment groups of this study after day 10th. There was a significant increase in the insulin levels after day 10th. Highest decrease of the blood glucose levels and increase of the insulin levels were shown in group K2. Furthermore, a significant decrease of HOMA-IR was shown in the K2 on day 10th. From this study, we may conclude that SG and Pancreas Omentoplasty may significantly reduce the HOMA-IR value in obese rats with T2DM.
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