No abstract

Objective: Isolated cecal necrosis is a rare cause of ischemic colitis. Ischemic colitis is further divided into two groups: occlusive mesenteric ischemia and non-occlusive mesenteric ischemia. The aim of this study was to investigate the cause of isolated cecal necrosis. Material and Methods:We operated on 3 male and 3 female patients with a mean age of 60.3±18.7 (38-85) years with a preliminary diagnosis of acute appendicitis between 2007 and 2012. Four of these patients were on hemodialysis, 1 patient had an aortofemoral bypass, and 1 patient had coronary artery disease with atrial fibrillation. Results:The diagnosis was made intraoperatively in all cases. Five patients died postoperatively. One patient survived. Conclusion:In the case of right lower quadrant pain, the possibility of isolated cecal necrosis should be kept in mind, especially in patients on hemodialysis, elderly patients with diabetes, and heart disease; surgical strategies should be planned accordingly, and it should be understood that a high mortality rate will be inevitable.

Linezolid ve vankomisin çok ilaca dirençli Gram pozitif bakterilerin neden olduğu infeksiyonların tedavisinde günümüzde başarıyla kullanılmaktadır. Etki spektrumlarının benzerliği nedeniyle klasik olarak birlikte kullanılmazlar. Bu makalede, ventilatör ilişkili pnömoni ve kateter ilişkili kan akımı infeksiyonu nedeniyle; vankomisin ve linezolid tedavilerinin beraber kullanıldığı ve tedaviye olumlu yanıt alınan bir hastayı sunduk. Edindiğimiz tecrübe, linezolid tedavisi almakta olan hastada dirençli Gram pozitif bakteriler ile bakteriostatik tedavi verilemeyecek kadar ciddi yeni bir infeksiyon geliştiğinde, linezolid ve vankomisin tedavilerini beraber kullanabileceğimiz kanısı oluşturdu.

Objectives:The success or failure of global and national efforts to combat the COVID-19 pandemic depends on public knowledge, attitude, and practice. Iran, Afghanistan, and Turkey are among the most affected countries in which they have approximately similar socio-cultural structures. This is an online questionnaire-based cross-sectional study to assess the knowledge, attitude, and practice levels toward the COVID-19 pandemic among the adult population of these nationalities.Methods: A total of 2736 individuals including 1080 from Turkey, 1025 from Iran, and 631 from Afghanistan responded to the questionnaire. The data was collected online through a survey using the Google form and Porsall platforms. In addition to demographic characteristics, the questionnaire consists of three main sections including items of awareness, attitude, and practice of the participants about COVID-19 using four Likert scale questions. Descriptive statistics were used to estimates the proportions of items. One-way analysis of variance (ANOVA) and independent T-test was used to analyze the difference between KAP scores among sociodemographic variables and between countries. All analyses were done with the 95% confidence level and the significant level was defined as pvalue < 0.05. Results:Overall KAP scores were over 3 out of 4 among Turkey, Iran, and Afghanistan respectively. Despite no differences between subpopulations in each country, the overall attitude and practice score of the Afghan population was significantly lower than Turkish and Iranian populations (P-value<0.05). Conclusion:In spite of the high level of knowledge, positive attitude, and acceptable practice in all populations understudy, a low-risk perception in a considerable part of the population was discerned.