Nuran Akıncı Ekinci, M. A. Yazar, B. Kozanhan, Sami Uyar
Objectives: This study aims to investigate the effectiveness of peer education methods in reducing medical waste in operating room settings. Methods: A quasi-experimental design was utilized, involving 217 operating room staff who received training in medical waste management through a peer education program. Changes in knowledge, attitudes, behaviors, and the amount of medical waste generated before and after the intervention were evaluated. Results: Following peer education, there was a significant increase in participants' knowledge levels regarding proper medical waste segregation. Positive shifts in attitudes and behaviors related to medical waste management were observed post-training. Additionally, the ratio of medical waste to general waste decreased, while the proportion of recyclable waste increased after the intervention. Conclusions: Peer education emerges as an effective method for enhancing awareness and promoting proper medical waste management practices among operating room staff. However, achieving significant waste reduction requires comprehensive approaches beyond education alone. Clear regulations, improved infrastructure, and the adoption of reusable products are crucial for sustainable waste reduction efforts in healthcare settings.
{"title":"A different training model in providing effective medical waste management in the operating room: peer education","authors":"Nuran Akıncı Ekinci, M. A. Yazar, B. Kozanhan, Sami Uyar","doi":"10.18621/eurj.1453481","DOIUrl":"https://doi.org/10.18621/eurj.1453481","url":null,"abstract":"Objectives: This study aims to investigate the effectiveness of peer education methods in reducing medical waste in operating room settings.\u0000Methods: A quasi-experimental design was utilized, involving 217 operating room staff who received training in medical waste management through a peer education program. Changes in knowledge, attitudes, behaviors, and the amount of medical waste generated before and after the intervention were evaluated.\u0000Results: Following peer education, there was a significant increase in participants' knowledge levels regarding proper medical waste segregation. Positive shifts in attitudes and behaviors related to medical waste management were observed post-training. Additionally, the ratio of medical waste to general waste decreased, while the proportion of recyclable waste increased after the intervention.\u0000Conclusions: Peer education emerges as an effective method for enhancing awareness and promoting proper medical waste management practices among operating room staff. However, achieving significant waste reduction requires comprehensive approaches beyond education alone. Clear regulations, improved infrastructure, and the adoption of reusable products are crucial for sustainable waste reduction efforts in healthcare settings.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"59 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141922761","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}
Objectives: This study aims to evaluate the relationship between the oxidative stress induced by obesity and metabolic changes in the cognitive functions of obese children. Methods: Thirty-three obese children and adolescents (age: 8-18); and 33 healthy children similar in terms of age and gender were enrolled. Children were diagnosed with obesity according to the Turkish children's body mass index (BMI) curves. Patients over the 95th percentile in terms of Turkish children's BMI curves considering their genders and age were called obese children. Obese children were excluded whose obesity was related to any syndrome or disease. Neurocognitive functions including the Visual Memory Test, Finger Tapping Test, Memory Test, Symbol Digit Coding, Stroop Test, Continuous Performance Test, and Shifting Attention Test were evaluated with the battery tests of Central Nervous System Vital Signs (CNSVS) via computer. Malondialdehyde (MDA) and protein carbonyl (PC) were analyzed to determine the oxidative stress. After 10 hours overnight fast, blood samples were collected to determine Fasting glucose, total cholesterol, triglyceride, low-density lipoprotein, high-density lipoprotein, liver enzymes aspartate aminotransferase and alanine aminotransferase by using methods. Results: MDA and PC levels in obese children were founs significantly higher (0.78±0.16 µmol/L;198.30±84.45 nmol/mL) than the controls (0.5±0.10 µmol/L; 125.35±43.52 nmol/mL) (P<0.001). All of the cognitive performance domains were statistically significantly different between the study and control groups. A statistically significant correlation was found between neurocognitive indexes and MDA and PC levels. Conclusions: Obese children's cognitive functions must be evaluated. Elevated oxidative stress may be the reason for the bad cognitive performance in children with obesity. However, this cognitive performance study in obese children should be supported with large study groups.
{"title":"Effect of oxidative stress on cognitive functions in children with obesity","authors":"Samet Özer, İlknur Bütün, Hasan Bozkurt","doi":"10.18621/eurj.1476645","DOIUrl":"https://doi.org/10.18621/eurj.1476645","url":null,"abstract":"Objectives: This study aims to evaluate the relationship between the oxidative stress induced by obesity and metabolic changes in the cognitive functions of obese children. \u0000Methods: Thirty-three obese children and adolescents (age: 8-18); and 33 healthy children similar in terms of age and gender were enrolled. Children were diagnosed with obesity according to the Turkish children's body mass index (BMI) curves. Patients over the 95th percentile in terms of Turkish children's BMI curves considering their genders and age were called obese children. Obese children were excluded whose obesity was related to any syndrome or disease. Neurocognitive functions including the Visual Memory Test, Finger Tapping Test, Memory Test, Symbol Digit Coding, Stroop Test, Continuous Performance Test, and Shifting Attention Test were evaluated with the battery tests of Central Nervous System Vital Signs (CNSVS) via computer. Malondialdehyde (MDA) and protein carbonyl (PC) were analyzed to determine the oxidative stress. After 10 hours overnight fast, blood samples were collected to determine Fasting glucose, total cholesterol, triglyceride, low-density lipoprotein, high-density lipoprotein, liver enzymes aspartate aminotransferase and alanine aminotransferase by using methods. \u0000Results: MDA and PC levels in obese children were founs significantly higher (0.78±0.16 µmol/L;198.30±84.45 nmol/mL) than the controls (0.5±0.10 µmol/L; 125.35±43.52 nmol/mL) (P<0.001). All of the cognitive performance domains were statistically significantly different between the study and control groups. A statistically significant correlation was found between neurocognitive indexes and MDA and PC levels. \u0000Conclusions: Obese children's cognitive functions must be evaluated. Elevated oxidative stress may be the reason for the bad cognitive performance in children with obesity. However, this cognitive performance study in obese children should be supported with large study groups.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"95 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141926756","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}
Major Neurodegenerative Disorders (MNDs) impact a large number of individuals globally. Individuals with neurodegenerative diseases have a significant problem due to the gradual development of communication difficulties. This is a review article to address the latest ways to manage and help individuals with language problems because of neurological diseases like Alzheimer's disease, mild cognitive impairment (MCI), and primary progressive aphasia (PPA). In the beginning we'll discuss the diseases, and then we'll be discussing how to treat them. The therapies used for Alzheimer's disease and PPA have been subject to extensive research. Therefore, the techniques follow a more structured way. However, there is a limited number of research in MCI and the strategies used in MCI mostly concentrate on enhancing the communication abilities of patients and their caregivers. There is a need for more research to increase approaches for speech and language therapy, as there is limited research on intervention in Turkish patients with MCI, PPA and Alzheimer's disease. It is critical to have evidence-based practice in MNDs, and more research is required to understand the effectiveness of speech and language therapy.
{"title":"Therapeutic approaches to language skills in major neurodegenerative disorders: a literature review","authors":"F. S. Karalı, Samet Tosun, Nilgün Çınar","doi":"10.18621/eurj.1467080","DOIUrl":"https://doi.org/10.18621/eurj.1467080","url":null,"abstract":"Major Neurodegenerative Disorders (MNDs) impact a large number of individuals globally. Individuals with neurodegenerative diseases have a significant problem due to the gradual development of communication difficulties. This is a review article to address the latest ways to manage and help individuals with language problems because of neurological diseases like Alzheimer's disease, mild cognitive impairment (MCI), and primary progressive aphasia (PPA). In the beginning we'll discuss the diseases, and then we'll be discussing how to treat them. The therapies used for Alzheimer's disease and PPA have been subject to extensive research. Therefore, the techniques follow a more structured way. However, there is a limited number of research in MCI and the strategies used in MCI mostly concentrate on enhancing the communication abilities of patients and their caregivers. There is a need for more research to increase approaches for speech and language therapy, as there is limited research on intervention in Turkish patients with MCI, PPA and Alzheimer's disease. It is critical to have evidence-based practice in MNDs, and more research is required to understand the effectiveness of speech and language therapy.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"9 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141797276","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}
Objectives: One structure capable of use for gender estimation in forensic science is the frontal bone. This study used computed tomography (CT) and investigated whether frontal sinus and frontal morphometric measurements could also be used to identify gender in people with persistent metopic suture (PMS). Methods: Nine hundred ninety-one patients who underwent brain-paranasal sinus CT for any reason were divided into two groups, PMS and non-PMS. The presence and volume of both halves of the frontal sinus, frontal morphometric measurements including minimum-maximum frontal width, and frontal bone surface length on the outer table surface between the coronal sutures in the axial section were measured. Results: In the non-PMS group, all quantitative parameters (frontal sinus volume, minimum-maximum frontal width, and frontal bone surface length) differed significantly between the genders (P<0.05). However, in the PMS group, only frontal sinus volume and frontal bone surface length differed significantly (P<0.05). Conclusions: Frontal sinus volume, minimum-maximum frontal width and frontal bone surface length measurements exhibited significant sexual dimorphism in the non-PMS group. Since minimum and maximum frontal width do not exhibit significant gender differences in cases with PMS, the presence of PMS should be considered when using these parameters in gender identification.
{"title":"Does the presence of persistant metopic suture affect the use of frontal sinus and frontal morphometric measurements in gender identification?","authors":"Ayşe Say, N. Okur","doi":"10.18621/eurj.1481604","DOIUrl":"https://doi.org/10.18621/eurj.1481604","url":null,"abstract":"Objectives: One structure capable of use for gender estimation in forensic science is the frontal bone. This study used computed tomography (CT) and investigated whether frontal sinus and frontal morphometric measurements could also be used to identify gender in people with persistent metopic suture (PMS).\u0000Methods: Nine hundred ninety-one patients who underwent brain-paranasal sinus CT for any reason were divided into two groups, PMS and non-PMS. The presence and volume of both halves of the frontal sinus, frontal morphometric measurements including minimum-maximum frontal width, and frontal bone surface length on the outer table surface between the coronal sutures in the axial section were measured.\u0000Results: In the non-PMS group, all quantitative parameters (frontal sinus volume, minimum-maximum frontal width, and frontal bone surface length) differed significantly between the genders (P<0.05). However, in the PMS group, only frontal sinus volume and frontal bone surface length differed significantly (P<0.05).\u0000Conclusions: Frontal sinus volume, minimum-maximum frontal width and frontal bone surface length measurements exhibited significant sexual dimorphism in the non-PMS group. Since minimum and maximum frontal width do not exhibit significant gender differences in cases with PMS, the presence of PMS should be considered when using these parameters in gender identification.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"54 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799689","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}
Objectives: There are controversies about screening strategy and cut-off levels for gestational diabetes mellitus (GDM). Here, we aimed to identify optimal cut-off values for 50-gram oral glucose tolerance testing (OGTT) in high and low risk pregnant women. Methods: A total of 500 patients who underwent two step OGTT were divided into two groups as GDM (n=31) and controls (n=469). Moreover, patients were grouped as high (n=114) and low risk (n=386) for GDM. Having≥2 risk factors such as family history of type-2 diabetes, obesity, glucosuria, previous history of GDM, macrosomia and diabetic complications were accepted as high risk. Demographic data, OGTT results, birth characteristics were recorded and compared between groups. A cut-off value for 50-gram OGTT was evaluated in low and high risk groups. Results: The 50-gram OGTT value above 140 mg/dL discriminated GDM with 100% sensitivity and 92.11% specificity in all patients (AUC=0.969, P<0.001). The prevalence of GDM was 19.3% in high and 2.3% in low risk group. The 50-gram OGTT value above 140 mg/dL discriminated GDM with 100% sensitivity and 94.57% specificity in high risk patients (AUC=0.992, P<0.001). Furthermore, 50-gram OGTT value above 149 mg/dL discriminated GDM with 100% sensitivity and 93.63% specificity in low risk patients (AUC=0.976, P<0.001). Conclusions: Although screening in low risk population is a debating issue worldwide, our local guidelines still recommend screening all pregnant women. We suggest that performing 100-gram OGTT only in patients who have higher values than 149 mg/dL in 50-gram OGTT can be an alternative screening strategy in low risk group.
{"title":"Could different cut-off values be used for 50-gram glucose tolerance test in low and high risk groups?","authors":"Burcu Dinçgez, Gülten Özgen, Levent Özgen","doi":"10.18621/eurj.1505012","DOIUrl":"https://doi.org/10.18621/eurj.1505012","url":null,"abstract":"Objectives: There are controversies about screening strategy and cut-off levels for gestational diabetes mellitus (GDM). Here, we aimed to identify optimal cut-off values for 50-gram oral glucose tolerance testing (OGTT) in high and low risk pregnant women. \u0000Methods: A total of 500 patients who underwent two step OGTT were divided into two groups as GDM (n=31) and controls (n=469). Moreover, patients were grouped as high (n=114) and low risk (n=386) for GDM. Having≥2 risk factors such as family history of type-2 diabetes, obesity, glucosuria, previous history of GDM, macrosomia and diabetic complications were accepted as high risk. Demographic data, OGTT results, birth characteristics were recorded and compared between groups. A cut-off value for 50-gram OGTT was evaluated in low and high risk groups. \u0000Results: The 50-gram OGTT value above 140 mg/dL discriminated GDM with 100% sensitivity and 92.11% specificity in all patients (AUC=0.969, P<0.001). The prevalence of GDM was 19.3% in high and 2.3% in low risk group. The 50-gram OGTT value above 140 mg/dL discriminated GDM with 100% sensitivity and 94.57% specificity in high risk patients (AUC=0.992, P<0.001). Furthermore, 50-gram OGTT value above 149 mg/dL discriminated GDM with 100% sensitivity and 93.63% specificity in low risk patients (AUC=0.976, P<0.001). \u0000Conclusions: Although screening in low risk population is a debating issue worldwide, our local guidelines still recommend screening all pregnant women. We suggest that performing 100-gram OGTT only in patients who have higher values than 149 mg/dL in 50-gram OGTT can be an alternative screening strategy in low risk group.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"50 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141805804","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}
Mobile health has made significant strides in the field of tele-dermatology (TD) following the developments post the COVID-19 pandemic. The application of telemedicine and mobile health to dermatology holds the potential to enhance the quality of healthcare for citizens and streamline workflows in the healthcare domain, hence this subject is of great importance. This research encompasses the last three years. A comprehensive overview examining the opportunities, perspectives, and encountered challenges regarding the integration of TD with mHealth has been provided. The narrative review methodology is based on (I) conducting research via PubMed and Scopus, and (II) conducting compliance assessment using the proposed parameters. The outcome of the research indicates rapid progress in the integration of TD with mobile health during the COVID-19 pandemic. This integration has facilitated the monitoring of dermatological issues and allowed for remote specialist visits, thereby reducing face-to-face interactions. Artificial intelligence and mobile applications have empowered citizens to take a more active role in their own healthcare, which is distinct from other imaging areas where information exchange is limited only to professionals. Opportunities that TD can offer in the field of mobile health include enhancing service quality, increasing the efficiency of healthcare processes, reducing costs, and providing more accessible care. This is applicable not only to conditions like acne, vitiligo, psoriasis, and skin cancers but also to other conditions. Integration with artificial intelligence and augmented reality (AR), along with the use of wearable sensors, are expected as future developments. However, the integration of TD with mobile health brings along issues and challenges related to regulation, ethics, cybersecurity, data privacy, and device management. These issues, along with the involvement of citizens in the process, should be addressed by scientists and policymakers.
{"title":"Analysis of skin health management through telemedicine and mobile health in dermatology in the post-COVID era","authors":"Ş. Gençoğlu","doi":"10.18621/eurj.1470960","DOIUrl":"https://doi.org/10.18621/eurj.1470960","url":null,"abstract":"Mobile health has made significant strides in the field of tele-dermatology (TD) following the developments post the COVID-19 pandemic. The application of telemedicine and mobile health to dermatology holds the potential to enhance the quality of healthcare for citizens and streamline workflows in the healthcare domain, hence this subject is of great importance. This research encompasses the last three years. A comprehensive overview examining the opportunities, perspectives, and encountered challenges regarding the integration of TD with mHealth has been provided. The narrative review methodology is based on (I) conducting research via PubMed and Scopus, and (II) conducting compliance assessment using the proposed parameters. The outcome of the research indicates rapid progress in the integration of TD with mobile health during the COVID-19 pandemic. This integration has facilitated the monitoring of dermatological issues and allowed for remote specialist visits, thereby reducing face-to-face interactions. Artificial intelligence and mobile applications have empowered citizens to take a more active role in their own healthcare, which is distinct from other imaging areas where information exchange is limited only to professionals. Opportunities that TD can offer in the field of mobile health include enhancing service quality, increasing the efficiency of healthcare processes, reducing costs, and providing more accessible care. This is applicable not only to conditions like acne, vitiligo, psoriasis, and skin cancers but also to other conditions. Integration with artificial intelligence and augmented reality (AR), along with the use of wearable sensors, are expected as future developments. However, the integration of TD with mobile health brings along issues and challenges related to regulation, ethics, cybersecurity, data privacy, and device management. These issues, along with the involvement of citizens in the process, should be addressed by scientists and policymakers.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"27 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818244","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}
N. Uslu, C. Aydın, Aykut Demirkıran, Hüseyin Aykaç, Şeref Alpsoy
Objective: We investigated the effect of transdermal nitroglycerin or lidocaine application on puncture time, number, and complications in patients who underwent transradial coronary angiography. Methods: Patients with topical saline applied to the radial artery before the procedure were designated as Group 1 (n=59), those with topical nitrate were designated as Group 2 (n=43), and those with topical lidocaine were designated as Group 3 (n=40). The groups' puncture time, number, and complication rates were compared. Results: While our average puncture time was 142±122 seconds in all patients, this time was measured as 171±131 seconds in Group 1, 88±48 seconds in Group 2, and 157±146 seconds in Group 3 (P=0.021). During the procedure, radial artery spasm was observed in 15.2% of patients in Group 1, 6.9% in Group 2, and 12.5% in Group 3 (P=0.043). Radial artery occlusion was seen in 8% of patients in Group 1, and 2.5% in Group 3, while it was not observed at all in the nitrate-applied group (P=0.041). Conclusion: The topical application of nitroglycerin before transradial angiography is a feasible strategy to reduce radial puncture time and number, facilitate trans-radial catheterization, and decrease the incidence of radial artery spasm and occlusion.
{"title":"Effect of transdermally applied nitroglycerin or lidocaine before transradial coronary angiography on procedure success and complications","authors":"N. Uslu, C. Aydın, Aykut Demirkıran, Hüseyin Aykaç, Şeref Alpsoy","doi":"10.18621/eurj.1480019","DOIUrl":"https://doi.org/10.18621/eurj.1480019","url":null,"abstract":"Objective: We investigated the effect of transdermal nitroglycerin or lidocaine application on puncture time, number, and complications in patients who underwent transradial coronary angiography.\u0000Methods: Patients with topical saline applied to the radial artery before the procedure were designated as Group 1 (n=59), those with topical nitrate were designated as Group 2 (n=43), and those with topical lidocaine were designated as Group 3 (n=40). The groups' puncture time, number, and complication rates were compared.\u0000Results: While our average puncture time was 142±122 seconds in all patients, this time was measured as 171±131 seconds in Group 1, 88±48 seconds in Group 2, and 157±146 seconds in Group 3 (P=0.021). During the procedure, radial artery spasm was observed in 15.2% of patients in Group 1, 6.9% in Group 2, and 12.5% in Group 3 (P=0.043). Radial artery occlusion was seen in 8% of patients in Group 1, and 2.5% in Group 3, while it was not observed at all in the nitrate-applied group (P=0.041). \u0000Conclusion: The topical application of nitroglycerin before transradial angiography is a feasible strategy to reduce radial puncture time and number, facilitate trans-radial catheterization, and decrease the incidence of radial artery spasm and occlusion.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141830689","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}
Earthquake-induced Crush Syndrome and subsequent acute kidney injury are important issues that affect morbidity and mortality. Fasciotomies prolong the length of stay in intensive care unit in patients with Compartment Syndrome due to the complications it causes. Infections and delayed wound healing are two common complications among these. Therefore, early closure of fasciotomy wounds is recommended. Although different treatments can be applied for treatment of wounds, data on this subject in pediatric patients are insufficient. We report the case of a 15-year-old girl who developed acute renal failure due to crush syndrome after being trapped in the wreckage for 9 hours and undergoing fasciotomy procedures for four locations, in the left extremity, two in the thigh and two in the cruris. Hemodialysis, antihypertensive, and antibiotic treatment were administered during the intensive care follow-up due to acute kidney injury, hypertension, and sepsis. With negative pressure therapy, silver alginate wound dressing, and hyperbaric oxygen therapy, all wounds epithelialized within two months. However, rehabilitation for drop foot syndrome caused by nerve cuts in the left extremity continues.
{"title":"An earthquake reality: fasciotomy wounds and treatments","authors":"Hakan Erdoğan, A. Oto, Gamze Yerci, Gülcan Koçer, Burcu Menekşe, Berna Aktürk, Ümit Yıldırım, Şefika Elmas Bozdemir","doi":"10.18621/eurj.1465494","DOIUrl":"https://doi.org/10.18621/eurj.1465494","url":null,"abstract":"Earthquake-induced Crush Syndrome and subsequent acute kidney injury are important issues that affect morbidity and mortality. Fasciotomies prolong the length of stay in intensive care unit in patients with Compartment Syndrome due to the complications it causes. Infections and delayed wound healing are two common complications among these. Therefore, early closure of fasciotomy wounds is recommended. Although different treatments can be applied for treatment of wounds, data on this subject in pediatric patients are insufficient. We report the case of a 15-year-old girl who developed acute renal failure due to crush syndrome after being trapped in the wreckage for 9 hours and undergoing fasciotomy procedures for four locations, in the left extremity, two in the thigh and two in the cruris. Hemodialysis, antihypertensive, and antibiotic treatment were administered during the intensive care follow-up due to acute kidney injury, hypertension, and sepsis. With negative pressure therapy, silver alginate wound dressing, and hyperbaric oxygen therapy, all wounds epithelialized within two months. However, rehabilitation for drop foot syndrome caused by nerve cuts in the left extremity continues.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640913","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}
In modern healthcare services, patient safety is a primary goal. With technological advancements, the complexity of healthcare services increases, which in turn creates increased pressure on health professionals during decision-making processes and can lead to errors worldwide. Communication gaps, human factors, patient-originated issues, technical failures, and inadequate policies have been identified as the main causes of medical errors. While research shows that errors stem from human nature and are inevitable, it is emphasized that it is possible to develop methods that enhance patient safety. Utilizing digital technologies to improve the quality and efficiency of healthcare services is a crucial strategy. Innovations such as wearable technologies, mobile devices, digital media-delivered education and consulting services, telehealth applications, 3D printers, clinical decision support systems, and implantable biosensors encompass advancements in the digital health field. This research aims to analyze the complex and dynamic structure of healthcare services in the 21st century, especially considering the opportunities presented by the integration of artificial intelligence and genomic data, within the scope of the relevant literature.
{"title":"The significance of personalized medicine in healthcare services of the 21st century: a brief literature review","authors":"Ebru Uğraş Tiryaki","doi":"10.18621/eurj.1476615","DOIUrl":"https://doi.org/10.18621/eurj.1476615","url":null,"abstract":"In modern healthcare services, patient safety is a primary goal. With technological advancements, the complexity of healthcare services increases, which in turn creates increased pressure on health professionals during decision-making processes and can lead to errors worldwide. Communication gaps, human factors, patient-originated issues, technical failures, and inadequate policies have been identified as the main causes of medical errors. While research shows that errors stem from human nature and are inevitable, it is emphasized that it is possible to develop methods that enhance patient safety. Utilizing digital technologies to improve the quality and efficiency of healthcare services is a crucial strategy. Innovations such as wearable technologies, mobile devices, digital media-delivered education and consulting services, telehealth applications, 3D printers, clinical decision support systems, and implantable biosensors encompass advancements in the digital health field. This research aims to analyze the complex and dynamic structure of healthcare services in the 21st century, especially considering the opportunities presented by the integration of artificial intelligence and genomic data, within the scope of the relevant literature.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"46 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141643779","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}
Endometrial polyps and uterine leiomyomas are common gynecological conditions that significantly affect women's health. Recent studies have begun to explore potential biomarkers that could assist in the early diagnosis and understanding of the pathophysiology of these conditions. One such biomarker is Serum Sestrin 2 (SESN2), a protein involved in cellular stress response. This review aims to synthesize research findings on the relationship between serum SESN2 levels and the presence of endometrial polyps and uterine leiomyomas. It examines the potential of SESN2 as a diagnostic tool and its role in the underlying mechanisms of these conditions. Studies suggest that SESN2 levels are elevated in patients with these conditions compared to controls, indicating its involvement in their pathophysiology. Furthermore, the review discusses the implications of these findings for clinical practice, particularly in terms of early detection and targeted therapies. Future research directions and the need for large-scale studies to validate SESN2 as a clinical marker are also addressed. This review highlights the importance of biomarkers like SESN2 in enhancing our understanding and management of gynecological disorders.
{"title":"Exploring the role of serum sestrin 2 in patients with endometrial polyps and uterine leiomyomas: implications for early diagnosis and pathophysiology","authors":"Selim Akkaya, Teymur Bornaun, Hamit Zafer Güven","doi":"10.18621/eurj.1468149","DOIUrl":"https://doi.org/10.18621/eurj.1468149","url":null,"abstract":"Endometrial polyps and uterine leiomyomas are common gynecological conditions that significantly affect women's health. Recent studies have begun to explore potential biomarkers that could assist in the early diagnosis and understanding of the pathophysiology of these conditions. One such biomarker is Serum Sestrin 2 (SESN2), a protein involved in cellular stress response. This review aims to synthesize research findings on the relationship between serum SESN2 levels and the presence of endometrial polyps and uterine leiomyomas. It examines the potential of SESN2 as a diagnostic tool and its role in the underlying mechanisms of these conditions. Studies suggest that SESN2 levels are elevated in patients with these conditions compared to controls, indicating its involvement in their pathophysiology. Furthermore, the review discusses the implications of these findings for clinical practice, particularly in terms of early detection and targeted therapies. Future research directions and the need for large-scale studies to validate SESN2 as a clinical marker are also addressed. This review highlights the importance of biomarkers like SESN2 in enhancing our understanding and management of gynecological disorders.","PeriodicalId":509363,"journal":{"name":"The European Research Journal","volume":"44 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648791","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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