Search

Objective: To determine the demographic and clinical characteristics that affect patient satisfaction with regional anesthesia. Methods: This study was conducted at Kahramanmaras Sutcu Imam University Hospital between June-July 2019. The patients were included on a voluntary basis and all had undergone obstetrics, urology, orthopedics, or general surgery, and met the following inclusion criteria: (1) age >18 years, (2) received regional anesthesia, (3) ASA-PS score of ≤ 3, and (4) no cognitive problem that would prevent self-expression. A Personal Information Form and the Evaluation of the Experience of Regional Anesthesia Questionnaire were applied to 402 patients at 48 hours after surgery performed under regional anesthesia in a university hospital in Turkey. Results: The EVAN-LR total scores were 71.2±15.6 in obstetrics patients, followed by 54.9±24.9 in orthopedic patients, 26.6±24.4 in urology patients and 15.9±7.2 in general surgery patients (p

Sexual health is a subject that can generally be overlooked in follow-up examinations after transplantation. The aim of this study was to determine the perceptions of sexuality and sexual health care requirements of patients following kidney transplantation. The data were examined of 98 patients who underwent renal transplantation in the Nephrology Polyclinic between May and October 2019. The data were collected using a data collection form prepared by the researchers with the benefit of previous literature. The data obtained were evaluated using percentages, mean and standard deviation values and the Chi-square test. The patients comprised 57.1% males and 42.9% females with a mean age of 42.2 ± 12.09 years (range 21–71 years), Following transplantation, 52% of the patients reported an improvement in the quality of sex life, 79.6% an increase in sexual desire, and 70.5% an increase in sexual satisfaction. We determined that 52.0% of the patients could not comfortably ask healthcare personnel about sex-life-related problems. Sexuality after transplantation was stated to have had an effect on sex life. The researchers also found that support of the spouse and a change in the relationship with the spouse affected sex life after transplantation. We determined that the sex lives of both male and female patients were affected after renal transplantation. Despite problems related to sexual functioning in the period after renal transplantation, there was seen to be a need for information and counselling about sexual problems by all the patients, regardless of gender.

This study aims to examine the factors affecting the selection of anaesthesia method in Fournier's gangrene.A retrospective evaluation was made of 113 patients operated on because of Fournier's gangrene between January-May 2019. The operations were performed under spinal anaesthesia in 78 cases (Group S) and under general anaesthesia in 35 cases (Group G). The patients were evaluated regarding age, gender, the anaesthesia method used (spinal, general) anaesthetic agent applied, presence of sepsis, and biochemical, hematological and inflammatory parameters.When the patients were evaluated regarding the Fournier Gangrene Severity Index (FGSI), patients in Group S had lower scores (p=0.001). Examination of the tomography images revealed that in 13 (37.1%) patients, air values were seen in the right or left gluteal area, or both, extending to the subcutaneous tissue. In the evaluation of the factors affecting the selection of general anaesthesia, a positive correlation was determined between an increase in FGSI (r=0.482, p=0.001) and the presence of sepsis (r=0.485, p=0.001) and gluteal region involvement (r=0.628, p0.001).The selection of anaesthesia method in Fournier gangrene patients is a complex process affected by factors, such as the patients' general condition, sepsis, and whether or not there is bleeding diathesis. The risk -benefit balance in the selection of anaesthesia method should be evaluated individually for patients.

The recent global outbreak of coronavirus disease-19, also known as COVID-19, has infected more than 142 million people worldwide, causing more than 3 million deaths. It has been shown that up to 40% of hospitalized COVID-19 patients may develop ARDS. Although not proven, anti- inflammatory and anti-cytokine treatments are recommended to suppress the cytokine storm that develops in the early stages of the disease.In this case report, a case of pulmonary aspergillus developed as a complication of treatment for ARDS caused by covid 19 in a 50-year-old male patient will be presented in the light of current literature.

COVID-19, which is characterised by life-threatening symptoms, difficulty in breathing, and pneumonia symptoms and requires global emergency intervention, may cause psychological problems such as phobia, fear and anxiety. This study aims to examine the psychometric properties of the Fear of COVID-19 Scale (FCV-19S) in Turkish people and to determine the level of fear of COVID-19 among Turkish people.The research was carried out between March and April 2020. A Personal Information Form and the FCV-19S were used to collect the research data. In the validity and reliability stage, 84 people were contacted randomly for data collection. After the validity and reliability analyses of the scale, a total of 431 Turkish people volunteered to participate in the study and answered the questions in the online questionnaire form using a convenience and snowball sampling method. Confirmatory factor analysis, item-total correlation and Cronbach's alpha coefficient were calculated for psychometric evaluation. Bivariate analysis was applied to determine the level of fear of COVID-19.Cronbach's alpha coefficient was 0.89, which is stated to have high reliability. FCV-19S scores of participants were determined to be 21.47 ± 6.28. FCV-19S scores of females were determined as 20.48 ± 6.33 and FCV-19S scores of males were determined as 19.78 ± 7.34 according to the bivariate analysis (p .05). Age, marital status, having children and living alone or with others, tobacco use and anxiety about going to the hospital during the pandemic did not affect on fear of COVID-19 (p .05). Particularly being female, the presence of chronic disease requiring long-term medication and rarely taking protective measures recommended by the Ministry of Health and having a chronic disease had a significant effect on higher levels of fear of COVID-19 (p .05).The FCV-19S is a valid and reliable tool for determining the fear of COVID-19. It was found that the fear level of COVID-19 infection was high in Turkish people.

BACKGROUND/AIM: It is claimed that aberrant immune response has a more important role than the cytopathic effect of the virus in the morbidity and mortality of the coronavirus disease 2019 (COVID - 19). We aimed to investigate the possible roles of tumor necrosis factor-like weak inducer of apoptosis (TWEAK) / Fn14 pathway and leukotrienes (LT) in uncontrolled immune response that occurs in severe acute respiratory syndrome coronavirus 2 (SARS - CoV - 2). MATERIALS AND METHODS: This study included 25 asymptomatic patients and 35 patients with lung involvement who were diagnosed with COVID - 19 as well as 22 healthy volunteer. Lung involvement was determined using computed-tomography. Serum TWEAK, LTE4, and prostaglandin F2? (PGF2?) levels were determined. RESULTS: Compared with the healthy control group, TWEAK, LTE4, and PGF2? levels were higher in the group of SARS - CoV - 2 infection without lung involvement. In the group of SARS - CoV - 2 infection with lung involvement, age, fibrinogen, sedimentation, C - reactive protein and ferritin, TWEAK, LTE4, and PGF2? levels were higher, and lymphocyte levels were lower compared with the asymptomatic group. CONCLUSIONS: In the study, TWEAK and LTE4 levels increased in cases with COVID -19. These results support that TWEAK / Fn14 pathway and LT may involved in the pathology of aberrant immune response against SARS - CoV - 2. Inhibition of each of these pathways may be a potential target in the treatment of COVID - 19.

Aim To compare the applicability, technical difficulties and postoperative complications of surgical tracheostomy and percutaneous dilatational tracheostomy with the flexible lightwand + ultrasonography method applied because of prolonged intubation to geriatric patients in the intensive care unit. Methods A retrospective evaluation was made of 76 patients who received surgical tracheostomy (group 1) and 78 patients who received percutaneous dilatational tracheostomy (group 2). The patients were evaluated in respect of demographic data, duration of intubation, length of stay in the intensive care unit and discharge status, and after the intervention, the development of tube-related complications, early stage local complications and late-stage complications. Results The time from intubation to tracheostomy was determined as 22.73 ± 15.23 days in group 1 and 12.65 ± 7.64 days in group 2. The mortality rate of patients in group 1 was determined to be statistically significantly higher than that of group 2 (P = 0.048). When evaluated in respect to early and late complications, nine early- and seven late-stage complications developed in group 1, and three early- and three late-stage complications developed in group 2 (P = 0.05). In the evaluation of factors related to mortality, the time from intubation to tracheostomy (r = 0.249, P = 0.01) and the presence of a comorbidity (r = 0.325, P = 0.004) were determined to have a positive correlation with the development of mortality. Conclusion Percutaneous dilatational tracheostomy with the flexible lightwand + ultrasonography technique is a safe, rapid and effective method with the advantage of management in respect to early complications, such as bleeding, and can be used safely in the geriatric patient population in intensive care conditions. Geriatr Gerontol Int 2020; ••: ••-••.

Accepted : 07.08.2012 dosis. In clinical practice, renal involvement most often presents as proteinuria or nephrotic syndrome. However, primary amyloid deposition can be limited to the vessels or tubules and such patients present with progressive renal failure. Apart from the kidney, the liver, spleen and heart are frequently involved in systemic amyloidosis. Amyloid infi ltration may be seen in endocrine glands but it does not always cause dysfunction. Primary adrenal insuffi ciency rarely occurs in amyloidosis, but if it occurs, life-threatening complications may develop. In this report, we describe a patient that presented as symptomatic adrenal failure due to amyloidosis and was on a regular hemodialysis programme.