No abstract

Aim: Covid-19, which emerged in China in the last days of 2019 has spread to the whole world primarily affecting health-care professionals who fight on the forefront against the outbreak. In this study, we aimed to determine depression prevalence among health-care professionals who represent the riskiest group for Covid-19 and its secondary problems. Material and Methods:The study is a cross-sectional study consisting of health-care staff working in emergency ambulance service of Bolu. A total of 226 subjects was included in the study. Results:The mean age of the subjects in the study was 31.50±7.19, the youngest participant was 20 and the oldest was 58 years old. 54.4% of the participants were male, 45.6% were female. Among the participants 11.9% had mild depression and 13.7% moderate depression. The rate of those who suffered from severe depression was found to be only 1.8%. Female gender and co-existing chronic diseases seemed to be risk factors for occurrence of depression. Conclusion:During the on-going Covid-19 outbreak, health-care workers seem to be one of the risk groups for depression as well as for infection.

Aim: To explore the prognostic value of certain complete blood count parameters and ratios in COVID-19 patients with the definitive diagnosis.Methods: We compared certain parameters of the complete blood count test, which are related to inflammation, between the inpatient/outpatient and the survivor/non-survivor groups to determine whether they have a prognostic role. Analyzes were performed in Statistical Package for the Social Sciences (SPSS). Parametric data were expressed as arithmetic mean±standard deviation, and nonparametric data were expressed as median (Q1-Q3). The relationship in categorical variables was examined with Chi-Square. Receiver Operative Characteristics (ROC) analysis determined cut-off values for mortality. P

Couple of pneumonia cases were reported in a short period in Wuhan, China. The cases were revealed to be associated with a different coronavirus type was named SARS-CoV-2 and the disease was identified as Covid-19. It is known that the disease occurs in all age groups. We aimed to evaluate the differences in clinical and laboratory features between adult and pediatric patients. Method: The study is a retrospective cross-sectional study and consists of 206 patients with a definitive diagnosis of Covid-19 confirmed by a positive real-time reverse-transcriptase polymerase chain reaction (RT-PCR) testing for SARS-CoV-2. They hospitalized in health institutions connected to City Health Administrative of Bolu, Turkey between 11.03.2020 and 19.04.2020. The number of the pediatric patients (0-17 age group) was 106, that of the adult patients (18 and above age group) was 100. Data concerning the patients consisted of age, symptoms, laboratory parameters such as hemogram, biochemistry, coagulation. Results:The mean values of platelet (PLT), platocrit (PCT), percentage of monocytes (MONO %) and MONO in the "0-17" age group were found to be significantly higher than the mean values in the "18 and above" age group. The hemoglobin (HGB) mean value of the "0-17" age group was significantly lower than that of the "18 and above" age group. The mean C -reactive protein (CRP) value of the "0-17" age group (4.55; min: 1.20 -max: 11.80) was significantly lower than that of the "18 and above" age group (5.35; min 1.25max: 19.77) with no statistically significance. In pediatric group, the most common symptoms were other symptoms like diarrhea, vomiting and joint pain whereas the adult patients had fever and cough often with statistically significant. Conclusion: Clinical findings and laboratory abnormalities in Covid-19 are less common in children. Although it seems that Covid-19 is less symptomatic in children, they are also affected by the disease. Performing RT-PCR test based on the contact history of the children may help to minimize morbidity with an early diagnosis. Multicenter studies with more numbers of patients should be performed.

ÖzAmaç: Sağlık çalışanları mesleksel maruziyetleri nedeniyle kesici delici alet yaralanmaları açısından önemli bir risk grubundadır. Bu çalışmada Bolu Abant İzzet Baysal Üniversitesi Eğitim ve Araştırma Hastanesi'nde son 5 yıl içerisinde görülen kesici delici alet yaralanmalarının değerlendirilmesi amaçlanmıştır. Materyal ve Metot: 2014-2019 yılları arasında Bolu Abant İzzet Baysal Üniversitesi Eğitim ve Araştırma Hastanesi'nde meydana gelen 58 delici kesici alet yaralanması retrospektif olarak değerlendirilmiştir. Bulgular: Çalışmaya katılan 58 katılımcıdan 42'si (%72,4) kadın 16'sı (%27,6) erkektir. Katılımcıların mesleklerine bakıldığında en sık yaralanmanın %65,5 olarak hemşirelerde olduğu tespit edilmiştir. Yaralanmaların %84,5'i iğne batması şeklinde gerçekleşmiş, yaralanan vücut bölgesi %53,4 ile sağ el %46,6 ile sol el olarak belirlenmiştir. Kesici delici alet yaralanması yaşayan katılımcıların %93,1'inde koruyucu ekipman bulundurmaktadır. Yıllara göre dağılımında 2018 ve 2019 yıllarında bildirimlerin en fazla olduğu; kesici delici alet yaralanması ile karşılaşan personelin %53,4 ünün mesleki deneyiminin 0-1 yıl olduğu saptanmıştır. Kesici delici aletle yaralanma sonrası doğru hareket sergilemenin kadın cinsiyette ve artan eğitim düzeyiyle istatistiksel olarak anlamlı bulunmuştur. Sonuç: Çalışmamızda en sık yaralanmanın hemşirelerde ve iğne batması şeklinde olduğu bulgumuz literatürle uyumludur. Kesici ve delici alet yaralanmalarını önlemenin ilk yolu konu hakkındaki bildirimlerin iyi takibi ve etkin çalışan güvenliği politikalarının geliştirilmesidir. Ayrıca üniversal önlemlerin alınması, eğitimlerin düzenli aralıklarla verilmesi, personel iş yükünün azaltılması, güvenli ve kullanışlı malzeme temini, yaralanmaları önleyecek öneriler olabilir. Anahtar Kelimeler: Sağlık personeli, kesici-delici alet yaralanmaları, koruyucu önlemler. AbstractObjectives: Healthcare staff are under the risk of needle stick and sharp object injuries due to their occupational exposure. In this study, it has been aimed to evaluate needle stick and sharp object injuries that occurred in the last 5 years in Abant Izzet Baysal University Training and Research Hospital. Materials and Methods: 58 needle stick and sharp object injuries occurred in Abant Izzet Baysal University Training and Research hospital between 2014 and 2019, were evaluated. Results: 42 (%72.4) of 58 cases were women and 16 (%27.6) of them were men. According to their profession, most of them were nurses with a percentage of 65.5. %84.5 of the cases were needle stick injury and most injured body parts were right hand with %53.4 and left hand with %46.6. It was revealed that %93.1 of exposed workers had protective equipment during the injuries. When the distribution of the injuries was classified by years, it was found most injuries were in 2018 and 2019. It was determined that %53.4 of exposed workers had 0 or 1 year of occupational experience. Compared to the others, women and educated workers were found to have a correct approach after the injuries with a statis...