The coronavirus 2019 pandemic has been a harsh reminder of the immense importance of the healthcare system. Daily life was severely disrupted and widespread effects remain ongoing. War and other circumstances can also lead to sudden disrup-tion and increased demand on medical professionals while creating significant additional challenges. Medical students are an important part of the healthcare delivery structure, and this should be recognized by both the students and the healthcare system, including medical schools. Training should include a broad range of exposure, from contact with patients and families to laboratory work and research techniques, and more in order to provide a comprehensive view and adequate preparation. Medical education has evolved greatly over time and will continue to develop according to needs and conditions. There are numerous influences, both internal and external. The medical community faces many challenges, but provides a vital service. Several portents indicate the need to adapt in order to adequately prepare for the future.
{"title":"Impact of COVID-19 Outbreak on Medical Education and Future Trends","authors":"Zeliha Koçak Tufan","doi":"10.14744/etd.2022.69260","DOIUrl":"https://doi.org/10.14744/etd.2022.69260","url":null,"abstract":"The coronavirus 2019 pandemic has been a harsh reminder of the immense importance of the healthcare system. Daily life was severely disrupted and widespread effects remain ongoing. War and other circumstances can also lead to sudden disrup-tion and increased demand on medical professionals while creating significant additional challenges. Medical students are an important part of the healthcare delivery structure, and this should be recognized by both the students and the healthcare system, including medical schools. Training should include a broad range of exposure, from contact with patients and families to laboratory work and research techniques, and more in order to provide a comprehensive view and adequate preparation. Medical education has evolved greatly over time and will continue to develop according to needs and conditions. There are numerous influences, both internal and external. The medical community faces many challenges, but provides a vital service. Several portents indicate the need to adapt in order to adequately prepare for the future.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84572821","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}
Objective: This study aims to evaluate P wave distribution (PD) and P wave peak time (PWPT) in COVID-19 patients. Materials and Methods: A total of 140 participants were recruited in our study. The COVID-19 group included 74 subjects, and the control group included 66 individuals. Between the two groups, PD was compared for electrocardiographic P-wave measurements, including abnormal P wave axis, P wave terminal force in V1 (PWTF), P wave max duration (P max), and PWPT. Results: It was determined that the P max and PD values of the patients infected with the COVID-19 virus were higher than the control group (p<0.001). PWPTD2 (p<0.001), PWPTV1 (p<0.001) and abnormal P wave axis ratio (p<0.05) were found to be significantly longer in COVID-19 patients. Serum CRP and WBC values were found to be significantly higher in COVID-19 patients (p<0.001, p<0.001, respectively). Also, a significant and positive correlation was detected between CRP and P max, PD, PWPTD2 and PWPTV1. There was the same correlation relationship between WBC with P max, PD, PWPTD2 and PWPTV1. Conclusion: Significant prolongation of PWPT and PD in COVID-19 patients may be predictive in determining the risk of developing atrial fibrillation.
{"title":"Assessment of P Wave Peak Time and P Wave Dispersion in Patients with COVID-19 Infection","authors":"Ş. Keleşoğlu","doi":"10.14744/etd.2021.06791","DOIUrl":"https://doi.org/10.14744/etd.2021.06791","url":null,"abstract":"Objective: This study aims to evaluate P wave distribution (PD) and P wave peak time (PWPT) in COVID-19 patients. Materials and Methods: A total of 140 participants were recruited in our study. The COVID-19 group included 74 subjects, and the control group included 66 individuals. Between the two groups, PD was compared for electrocardiographic P-wave measurements, including abnormal P wave axis, P wave terminal force in V1 (PWTF), P wave max duration (P max), and PWPT. Results: It was determined that the P max and PD values of the patients infected with the COVID-19 virus were higher than the control group (p<0.001). PWPTD2 (p<0.001), PWPTV1 (p<0.001) and abnormal P wave axis ratio (p<0.05) were found to be significantly longer in COVID-19 patients. Serum CRP and WBC values were found to be significantly higher in COVID-19 patients (p<0.001, p<0.001, respectively). Also, a significant and positive correlation was detected between CRP and P max, PD, PWPTD2 and PWPTV1. There was the same correlation relationship between WBC with P max, PD, PWPTD2 and PWPTV1. Conclusion: Significant prolongation of PWPT and PD in COVID-19 patients may be predictive in determining the risk of developing atrial fibrillation.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74853776","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}
Objective: To determine the tinnitus severity and quality of life of patients with tinnitus followed before and during the COVID-19 lockdown period. Materials and Methods: Tinnitus-related distress and quality of life were assessed before and during the COVID-19 lockdown period. The primary outcome was the mean change on the Tinnitus Handicap Inventory (THI), the Mini-tinnitus Questionnaire (TQ 12-T), and the Short-form Health Survey (SF-36). Besides, all participants filled out an evaluation form, underwent audiological assessment, tinnitus mapping, and were administered mini-interviews regarding their tinnitus. Results: We recruited 44 patients with tinnitus (22 females and 22 males, mean age: 50.25 +/- 14.51 years). Comparison of changes in mean score from baseline to the lockdown period showed no differences in overall outcomes for THI and TQ 12-T. Catastrophic (p=0.002), physical pain (p=0.020), and general health (p=0.046) subscales were found to be significantly improved. Only emotional subscales (p<0.001) of THI were found to be significantly increased. Conclusion: Although the COVID-19 lockdown period for patients with tinnitus is a major source of stress, they did not show any increase in their tinnitus-related distress, except for the emotional state.
{"title":"The Potential Effect of COVID-19 Lockdown Period on Tinnitus-related Distress","authors":"Emre Gürses","doi":"10.14744/etd.2022.71780","DOIUrl":"https://doi.org/10.14744/etd.2022.71780","url":null,"abstract":"Objective: To determine the tinnitus severity and quality of life of patients with tinnitus followed before and during the COVID-19 lockdown period. Materials and Methods: Tinnitus-related distress and quality of life were assessed before and during the COVID-19 lockdown period. The primary outcome was the mean change on the Tinnitus Handicap Inventory (THI), the Mini-tinnitus Questionnaire (TQ 12-T), and the Short-form Health Survey (SF-36). Besides, all participants filled out an evaluation form, underwent audiological assessment, tinnitus mapping, and were administered mini-interviews regarding their tinnitus. Results: We recruited 44 patients with tinnitus (22 females and 22 males, mean age: 50.25 +/- 14.51 years). Comparison of changes in mean score from baseline to the lockdown period showed no differences in overall outcomes for THI and TQ 12-T. Catastrophic (p=0.002), physical pain (p=0.020), and general health (p=0.046) subscales were found to be significantly improved. Only emotional subscales (p<0.001) of THI were found to be significantly increased. Conclusion: Although the COVID-19 lockdown period for patients with tinnitus is a major source of stress, they did not show any increase in their tinnitus-related distress, except for the emotional state.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87156792","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}
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. An 85-year-old woman with type 2 diabetes mellitus presented to the hospital with abdominal distention and pain in the left lower quadrant since the previous night. She had a history of surgery for transverse colon cancer and hospitalization for postoperative adhesive intestinal obstruction. Physical examination revealed a body temperature of 37.5°C and tenderness of the left lower quadrant of the abdomen (without rebound tenderness). Laboratory tests revealed the following: white blood cell count, 9.50×109/L (3.17–8.40×109/L); neutrophil count, 84.2%, and C-reactive protein level, 2.0 mg/L (reference <3.0 mg/L). Plain abdominal computed tomography (CT) revealed that the small intestine in the lower left abdomen was surrounded by fat stranding with intraperitoneal free air; a high-density body, indicating a fish bone (Fig. 1a, b), was found penetrating the wall.
{"title":"Small intestinal fish bone perforation","authors":"Toshimasa Yamaguchi","doi":"10.14744/etd.2022.03838","DOIUrl":"https://doi.org/10.14744/etd.2022.03838","url":null,"abstract":"This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. An 85-year-old woman with type 2 diabetes mellitus presented to the hospital with abdominal distention and pain in the left lower quadrant since the previous night. She had a history of surgery for transverse colon cancer and hospitalization for postoperative adhesive intestinal obstruction. Physical examination revealed a body temperature of 37.5°C and tenderness of the left lower quadrant of the abdomen (without rebound tenderness). Laboratory tests revealed the following: white blood cell count, 9.50×109/L (3.17–8.40×109/L); neutrophil count, 84.2%, and C-reactive protein level, 2.0 mg/L (reference <3.0 mg/L). Plain abdominal computed tomography (CT) revealed that the small intestine in the lower left abdomen was surrounded by fat stranding with intraperitoneal free air; a high-density body, indicating a fish bone (Fig. 1a, b), was found penetrating the wall.","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79539314","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":"Retinal Vessel Caliber Relationship with Arterial Stiffness Parameters and Nocturnal Blood Pressure Dipping Status in Essential Hypertension","authors":"Soner Güven","doi":"10.14744/etd.2022.18828","DOIUrl":"https://doi.org/10.14744/etd.2022.18828","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82873976","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":"Monitoring of SARS-CoV-2 RNA in public areas: An investigation of environmental surface contamination","authors":"D. Kaynarca","doi":"10.14744/etd.2022.94468","DOIUrl":"https://doi.org/10.14744/etd.2022.94468","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89959057","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 Mutations Determined by Liquid Biopsy on the Progress of the Disease in Advanced Lung Adenocancer","authors":"M. Ergin","doi":"10.14744/etd.2022.09514","DOIUrl":"https://doi.org/10.14744/etd.2022.09514","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72875522","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 rare complication of acute phlegmonous gastritis: Right gastroepiploic artery aneurysm and abdominal hemorrhage","authors":"F. Ufuk","doi":"10.14744/etd.2021.42889","DOIUrl":"https://doi.org/10.14744/etd.2021.42889","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74657073","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":"Detecting emphysematous cholecystitis using plain radiograph","authors":"Toshimasa Yamaguchi","doi":"10.14744/etd.2022.99897","DOIUrl":"https://doi.org/10.14744/etd.2022.99897","url":null,"abstract":"","PeriodicalId":43995,"journal":{"name":"Erciyes Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74242527","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}
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