Objectives: This study aims to investigate the potential differential impact of COVID-19 infection on pregnant women compared to non-pregnant individuals of childbearing age by evaluating laboratory findings from both inpatient and outpatient cases. Material and Methods: From the onset of COVID-19 in Turkey in March 2020 until the commencement of vaccination, a total of 94 COVID-19 patients were included in three separate groups: pregnant women and non-pregnant individuals with COVID-19 (with and without pneumonia). Sociodemographic data and examination findings were retrospectively retrieved from the hospital information system. Results: The study revealed that pregnant women, with a mean age of 28.87±1.38, experienced a significantly shorter mean length of hospital stay of 5.03±0.49 days compared to the other groups (p
{"title":"Does COVID-19 infection pose a risk to women of childbearing age?","authors":"Kazım Kıratlı, Mustafa Şengül","doi":"10.33716/bmedj.1406040","DOIUrl":"https://doi.org/10.33716/bmedj.1406040","url":null,"abstract":"Objectives: This study aims to investigate the potential differential impact of COVID-19 infection on pregnant women compared to non-pregnant individuals of childbearing age by evaluating laboratory findings from both inpatient and outpatient cases. \u0000Material and Methods: From the onset of COVID-19 in Turkey in March 2020 until the commencement of vaccination, a total of 94 COVID-19 patients were included in three separate groups: pregnant women and non-pregnant individuals with COVID-19 (with and without pneumonia). Sociodemographic data and examination findings were retrospectively retrieved from the hospital information system. \u0000Results: The study revealed that pregnant women, with a mean age of 28.87±1.38, experienced a significantly shorter mean length of hospital stay of 5.03±0.49 days compared to the other groups (p","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":"5 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139439693","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 research was carried out with the aim of minimizing psychosocial symptoms such as fear, anxiety and crying by hospitalized children undergoing inhaler treatment with a nebulizer developed with three-dimensional printing technology, and to examine the effect of this method on parental satisfaction. Methods: The study is of experimental design. 44 children between the ages 2-7 receiving inhaler therapy with a nebulizer and their parents were recruited into the experimental and control groups. The researchers collected the data with “Scale for Identifying Psychosocial Symptoms in Hospitalized Children” and the “PedsQL Healthcare Satisfaction Scale.” Results: In the experimental group, 81.8 percent of the children being treated with a three-dimensional printing therapeutic device who had previously received treatment in the same way were not fearful, while 27.3 percent of those being treated with a standard type of nebulizer in the control group were unafraid (X2=24.246; p
{"title":"3D Baskı Teknolojisi İle Tasarlanan Terapötik Nebülizatör Cihazı İle Yapılan İnhaler Tedavinin Çocukların Psikososyal Semptomlarına Etkisi","authors":"Nurten Arslan, Meltem Kürtüncü","doi":"10.33716/bmedj.1359832","DOIUrl":"https://doi.org/10.33716/bmedj.1359832","url":null,"abstract":"Objective: This research was carried out with the aim of minimizing psychosocial symptoms such as fear, anxiety and crying by hospitalized children undergoing inhaler treatment with a nebulizer developed with three-dimensional printing technology, and to examine the effect of this method on parental satisfaction. Methods: The study is of experimental design. 44 children between the ages 2-7 receiving inhaler therapy with a nebulizer and their parents were recruited into the experimental and control groups. The researchers collected the data with “Scale for Identifying Psychosocial Symptoms in Hospitalized Children” and the “PedsQL Healthcare Satisfaction Scale.” Results: In the experimental group, 81.8 percent of the children being treated with a three-dimensional printing therapeutic device who had previously received treatment in the same way were not fearful, while 27.3 percent of those being treated with a standard type of nebulizer in the control group were unafraid (X2=24.246; p","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":"14 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139148535","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}
Tuba Tuğ, Merve ŞAHİN CAN, Sinan Altunöz, Hayriye Baykan
Lithium is used for the treatment of bipolar disorder and some other psychiatric disorders. Due to the narrow therapeutic range, intoxications are common. In this case, chronic lithium intoxication with severe neurological symptoms was discussed in light of the literature. A 72-year-old female patient. The patient had been receiving psychiatric treatment for 7 years with the diagnosis of unipolar depression. In the 6th month of lithium use, she was brought by her relatives with complaints of drowsiness, tremor, muscle twitching, and difficulty walking. On examination, consciousness was confused, there was no cooperation orientation and there was general rigidity, tremor, fasciculations, and ataxic gait. Vital signs; blood pressure 147/92 mmHg, heart rate 69 bpm, SpO2: 94%. The laboratory tests: lithium 2.98 mEq/L, potassium 5.8 mmol/l, sodium 129 mmol/l, creatinine 1.66 mg/dl, urea 166 mg/dl. The patient was transferred to the internal medicine clinic with the diagnosis of lithium intoxication. Lithium treatment was discontinued. On the 7th day, her neurological symptoms improved with supportive treatment, and biochemical parameters returned to normal. A lithium concentration of more than 3.5 mEq/L was defined as severe poisoning. Neurological findings are prominent in severe poisonings. Especially, geriatric population is at greater risk. In our case; age, use of three different groups of diuretics as antihypertensive treatment, and urinary tract infection were defined as factors that predispose to poisoning. In this case, it's emphasized that although the lithium blood level isn't very high, severe neurological symptoms can be seen clinically in the presence of risk factors.
{"title":"Ciddi Nörolojik Bulgularla Birlikte Giden Lityum Zehirlenmesi Olgusu","authors":"Tuba Tuğ, Merve ŞAHİN CAN, Sinan Altunöz, Hayriye Baykan","doi":"10.33716/bmedj.1283985","DOIUrl":"https://doi.org/10.33716/bmedj.1283985","url":null,"abstract":"Lithium is used for the treatment of bipolar disorder and some other psychiatric disorders. Due to the narrow therapeutic range, intoxications are common. In this case, chronic lithium intoxication with severe neurological symptoms was discussed in light of the literature. A 72-year-old female patient. The patient had been receiving psychiatric treatment for 7 years with the diagnosis of unipolar depression. In the 6th month of lithium use, she was brought by her relatives with complaints of drowsiness, tremor, muscle twitching, and difficulty walking. On examination, consciousness was confused, there was no cooperation orientation and there was general rigidity, tremor, fasciculations, and ataxic gait. Vital signs; blood pressure 147/92 mmHg, heart rate 69 bpm, SpO2: 94%. The laboratory tests: lithium 2.98 mEq/L, potassium 5.8 mmol/l, sodium 129 mmol/l, creatinine 1.66 mg/dl, urea 166 mg/dl. The patient was transferred to the internal medicine clinic with the diagnosis of lithium intoxication. Lithium treatment was discontinued. On the 7th day, her neurological symptoms improved with supportive treatment, and biochemical parameters returned to normal. A lithium concentration of more than 3.5 mEq/L was defined as severe poisoning. Neurological findings are prominent in severe poisonings. Especially, geriatric population is at greater risk. In our case; age, use of three different groups of diuretics as antihypertensive treatment, and urinary tract infection were defined as factors that predispose to poisoning. In this case, it's emphasized that although the lithium blood level isn't very high, severe neurological symptoms can be seen clinically in the presence of risk factors.","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":"51 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139205081","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}
Early mobilization, which still has no standard definition, is an important component of enhanced recovery after all surgical interventions. By providing early and targeted mobilization, many postsurgical complications can be prevented, and the recovery period and hospital stay can be shortened. However, there are many obstacles reported by both healthcare team members and patients in the achievement of early and targeted mobilization. In addition, there is currently no strong evidence to guide clinical practice in this context. The establishment of mobilization programs specific to surgical patients in healthcare institutions, informing patients about the mobilization process in the preoperative period, determining step goals, promoting motivation, monitoring the number of steps, and encouraging patients to keep a mobilization diary are among the practices that can be implemented to ensure early and targeted mobilization. It is also underlined that early mobilization involves multidisciplinary teamwork. As healthcare professionals, nurses are an important member of the multidisciplinary team in the implementation of early and targeted mobilization programs to maintain the quality of care after surgery. This review aimed to highlight the roles and responsibilities of surgical nurses in early and targeted mobilization practices after surgery and the importance of early and targeted mobilization and discuss the barriers encountered in achieving early and targeted mobilization and the recommendations of current guidelines on this subject.
{"title":"Cerrahi girişimlerden sonra erken ve hedefe yönelik mobilizasyon: Derleme","authors":"İnci Kirtil, Nevin Kanan","doi":"10.33716/bmedj.1381699","DOIUrl":"https://doi.org/10.33716/bmedj.1381699","url":null,"abstract":"Early mobilization, which still has no standard definition, is an important component of enhanced recovery after all surgical interventions. By providing early and targeted mobilization, many postsurgical complications can be prevented, and the recovery period and hospital stay can be shortened. However, there are many obstacles reported by both healthcare team members and patients in the achievement of early and targeted mobilization. In addition, there is currently no strong evidence to guide clinical practice in this context. The establishment of mobilization programs specific to surgical patients in healthcare institutions, informing patients about the mobilization process in the preoperative period, determining step goals, promoting motivation, monitoring the number of steps, and encouraging patients to keep a mobilization diary are among the practices that can be implemented to ensure early and targeted mobilization. It is also underlined that early mobilization involves multidisciplinary teamwork. As healthcare professionals, nurses are an important member of the multidisciplinary team in the implementation of early and targeted mobilization programs to maintain the quality of care after surgery. This review aimed to highlight the roles and responsibilities of surgical nurses in early and targeted mobilization practices after surgery and the importance of early and targeted mobilization and discuss the barriers encountered in achieving early and targeted mobilization and the recommendations of current guidelines on this subject.","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":"33 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248400","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}
Giriş: Eksudatif plevral efüzyonların %20’sinde, tekrarlayan torasentez ve perkutan plevral biyopsiye rağmen tanısı konulamaz. Bu çalışmanın amacı daha az invaziv yöntemlerle tanısı konulamayan eksüdatif PE olan hastalarda yapılan torakoskopik biyopsinin etkinliği ve işlem sonrası uzun dönem takiplerin gözden geçirilmesidir. Gereç ve Yöntem: Ocak 2016 ile Aralık 2020 tarihleri arasında eksüdatif PE nedeniyle torakoskopik biyopsi uygulanan hastalar geriye dönük incelendi. Postoperatif en az 2 yıl takip edilebilen hastalar çalışmaya dahil edildi. Klinik ve fizik muayene, kan tahlilleri, plevral sıvının biyokimyasal, bakteriyolojik ve sitolojik incelemeleri, radyolojik ve histopatolojik veriler elde edildi. Bulgular: Hastaların 45'i (%61.6) erkek, 28'i (%38.3) kadındı. Yaş ortalaması 56,5±13,2 idi. Hiçbir hastada intraoperatif komplikasyon gelişmedi. Postoperatif dönemde 7 (%9) hastada komplikasyon gelişti. Üç (%4.1) hastada uzamış hava kaçağı, 2 (%2.7) hastada yara yeri enfeksiyonu ve 2 (%2.7) hastada pnömoni gelişti. Hastaların 21’inde (%28.7) malignite saptanırken 52 (%71.2) hastada benign patolojiler saptandı. Takip sırasında daha önce nonspesifik plörit tanısı alan ve tekrarlayan PE nedeniyle torakoskopik biyopsi yapılan 4 (%5.4) hastadan 2’sinde (%2.7) malign mezotelyoma saptandı. Tartışma: Sonuç olarak eksudatif PE’nin tanısında torakoskopik biyopsi tanısal değeri yüksek ve komplikasyonları nadir bir yöntemdir. Nonspesifik plevrit sonrası malignite gelişimi genellikle 1 yıl içerisinde olmakla birlikte nadiren 2 yıl içinde de gelişebilir. Bu nedenle nonspesifik plevrit sonrası takip süresinin 2 yıl olması gerektiği kanaatindeyiz.
导言：在20%的渗出性胸腔积液患者中，尽管反复进行了胸腔穿刺术和经皮胸膜活检，但仍无法确诊。本研究旨在回顾胸腔镜活检术对无法通过微创方法确诊的渗出性胸腔积液患者的疗效，以及术后的长期随访情况。 材料与方法：回顾性分析2016年1月至2020年12月期间因渗出性PE而接受胸腔镜活检的患者。研究纳入了术后可随访至少 2 年的患者。研究人员收集了临床和体格检查、血液化验、胸腔积液生化、细菌和细胞学检查、放射学和组织病理学数据。 研究结果45例（61.6%）患者为男性，28例（38.3%）为女性。平均年龄为（56.5±13.2）岁。所有患者均未出现术中并发症。7例（9%）患者出现术后并发症。3例（4.1%）患者出现长时间漏气，2例（2.7%）患者出现伤口感染，2例（2.7%）患者出现肺炎。21例（28.7%）患者发现恶性肿瘤，52例（71.2%）患者发现良性病变。在 4 例（5.4%）曾被诊断为非特异性胸膜炎的患者中，有 2 例（2.7%）在随访期间因复发性 PE 而接受了胸腔镜活检，结果发现了恶性间皮瘤。 讨论：总之，胸腔镜活检是诊断渗出性 PE 的一种诊断价值高且并发症少见的方法。非特异性胸膜炎后恶性肿瘤的发生通常在 1 年内，但很少在 2 年内。因此，我们认为非特异性胸膜炎后的随访期应为 2 年。
{"title":"The diagnostic role of thoracoscopic biopsy in exudative pleural effusion and long-term follow-up results","authors":"Hıdır Esme","doi":"10.33716/bmedj.1302275","DOIUrl":"https://doi.org/10.33716/bmedj.1302275","url":null,"abstract":"Giriş: Eksudatif plevral efüzyonların %20’sinde, tekrarlayan torasentez ve perkutan plevral biyopsiye rağmen tanısı konulamaz. Bu çalışmanın amacı daha az invaziv yöntemlerle tanısı konulamayan eksüdatif PE olan hastalarda yapılan torakoskopik biyopsinin etkinliği ve işlem sonrası uzun dönem takiplerin gözden geçirilmesidir. Gereç ve Yöntem: Ocak 2016 ile Aralık 2020 tarihleri arasında eksüdatif PE nedeniyle torakoskopik biyopsi uygulanan hastalar geriye dönük incelendi. Postoperatif en az 2 yıl takip edilebilen hastalar çalışmaya dahil edildi. Klinik ve fizik muayene, kan tahlilleri, plevral sıvının biyokimyasal, bakteriyolojik ve sitolojik incelemeleri, radyolojik ve histopatolojik veriler elde edildi. Bulgular: Hastaların 45'i (%61.6) erkek, 28'i (%38.3) kadındı. Yaş ortalaması 56,5±13,2 idi. Hiçbir hastada intraoperatif komplikasyon gelişmedi. Postoperatif dönemde 7 (%9) hastada komplikasyon gelişti. Üç (%4.1) hastada uzamış hava kaçağı, 2 (%2.7) hastada yara yeri enfeksiyonu ve 2 (%2.7) hastada pnömoni gelişti. Hastaların 21’inde (%28.7) malignite saptanırken 52 (%71.2) hastada benign patolojiler saptandı. Takip sırasında daha önce nonspesifik plörit tanısı alan ve tekrarlayan PE nedeniyle torakoskopik biyopsi yapılan 4 (%5.4) hastadan 2’sinde (%2.7) malign mezotelyoma saptandı. Tartışma: Sonuç olarak eksudatif PE’nin tanısında torakoskopik biyopsi tanısal değeri yüksek ve komplikasyonları nadir bir yöntemdir. Nonspesifik plevrit sonrası malignite gelişimi genellikle 1 yıl içerisinde olmakla birlikte nadiren 2 yıl içinde de gelişebilir. Bu nedenle nonspesifik plevrit sonrası takip süresinin 2 yıl olması gerektiği kanaatindeyiz.","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":"75 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248813","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}
Alev Çinar, Abdulbaki Erkovan, Ibrahim Kılıccalan, Aslı Ayan
Obstructive uropathy occurs due to common causes such as kidney stones, vesicoureteral reflux, posterior urethral valve and urothelial tumors. In addition, there are rare causes such as solid tumors, retroperitoneal fibrosis, primary lymphomas (Non-Hodgkin lymphomas etc.). A 20-year old male with lower back pain underwent a bone scan for differential diagnosis of back pain. The bone scan findings were normal, except for the presence of unilateral renal stasis accompanied by a short segment ureteral stasis. Due to the abrupt termination of the ureteral activity, namely the “cutoff sign”, a subsequent SPECT/CT imaging was focused for differential diagnosis of ureteral stasis. Non-diagnostic CT sections revealed a para-aortic soft tissue mass compressing the ureter. This case underlines the added value of SPECT/CT imaging in subtle scintigraphic findings. The abrupt termination of stasis in the ureter may warrant the application of SPECT/CT in cases with no previous history of urinary tract pathology. SPECT / CT may provide additional benefits of clarifying the etiology.
{"title":"Ureter Obstructed by Lymphoma Detected on Bone Scan and SPECT/CT: Cutoff sign","authors":"Alev Çinar, Abdulbaki Erkovan, Ibrahim Kılıccalan, Aslı Ayan","doi":"10.33716/bmedj.1273376","DOIUrl":"https://doi.org/10.33716/bmedj.1273376","url":null,"abstract":"Obstructive uropathy occurs due to common causes such as kidney stones, vesicoureteral reflux, posterior urethral valve and urothelial tumors. In addition, there are rare causes such as solid tumors, retroperitoneal fibrosis, primary lymphomas (Non-Hodgkin lymphomas etc.). A 20-year old male with lower back pain underwent a bone scan for differential diagnosis of back pain. The bone scan findings were normal, except for the presence of unilateral renal stasis accompanied by a short segment ureteral stasis. Due to the abrupt termination of the ureteral activity, namely the “cutoff sign”, a subsequent SPECT/CT imaging was focused for differential diagnosis of ureteral stasis. Non-diagnostic CT sections revealed a para-aortic soft tissue mass compressing the ureter. This case underlines the added value of SPECT/CT imaging in subtle scintigraphic findings. The abrupt termination of stasis in the ureter may warrant the application of SPECT/CT in cases with no previous history of urinary tract pathology. SPECT / CT may provide additional benefits of clarifying the etiology.","PeriodicalId":8674,"journal":{"name":"Balıkesir Medical Journal","volume":"99 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246600","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：