Aim: To investigate the clinical and laboratory features patients under aged 65 years with diverticulosis and to compare them to subjects with no diverticula. Material and Method: This retrospective case-control study included subjects aged under 65 years who underwent a colonoscopy in the period from January 2016 to June 2018 for diverse indications. Patients with diverticulosis as detected by a colonoscopy were compared to patients without diverticulosis. The comparison parameters included demographic data, comorbidities, and laboratory parameters, including a complete blood count, blood biochemistry, erythrocyte sedimentation rate (ESR), and C-reactive protein. Results: The study included 129 patients with diverticulosis and age and sex-matched 130 patients with no diverticula. Diverticula were predominantly left-sided in 64.3%, right-sided in 9.3%, and bilateral in 26.4%. Hypertension was more prevalent among patients with diverticulosis compared to control subjects (31% vs 17%, p
We investigated whether Chest X-Ray (CXR) could replace computed tomography (CT) modality in the diagnosis and during the treatment of young adult COVID-19 patients with mild dyspnea with no comorbid diseases. This retrospective study involved an examination of the records of a total of 956 patients hospitalized between March 1, 2020, and May 15, 2020. The study included a total of sixty-four COVID-19 patients who underwent a CXR at admission and CT imaging within 24 hours, aged 21-60 years with mild dyspnea with no comorbid diseases. The diagnosis of infection was confirmed by the polymerase chain reaction test in all cases. The first CXR and CT images at the time of admission were evaluated in terms of lesions and localization. The clinical-radiological course of the disease was also statistically evaluated. CT was normal in 18/64 (28.1%) patients, all of whom also had normal CXR. The rest of the patients 46/64 (71.9%) with an abnormal CT, the CXR was normal in 18/46 (39.1%) and abnormal in 28/46 (60.9%). The time between the onset of complaints and admission to the hospital in patients with abnormal and normal CXR was 3.5±2.3 days and 2.1±1.1 days respectively and this difference was statistically significant (p=0.004). The hospital stay durations of the patients with abnormal and normal CXR was 9.6±3.5 and 9.5±3.4 days (p=0.928), respectively, and was not statistically significant. In conclusion, in the case of early admission to the hospital, there is not a significant difference between using CXR or CT in the management of young adult COVID 19 patients with mild dyspnea no comorbid disease. Therefore, the use of CXR in these patient groups will reduce the burden of CT units in pandemic conditions with limited resources.
Eighteen months of family medicine residency training is completed as in-hospital rotation. In this process, the increase in the possibility of encountering risky situations in terms of hospital acquired infections (HAI) reveals the importance of awareness and immunization status for family medicine residents in preventing HAI. The aim of this study is to evaluate the risk status of family medicine residents about HAI, to investigate their immunization status, and to raise awareness on this issue. This study was conducted on 285 participants, including family medicine assistants who received residency training at Gülhane Training and Research Hospital between 01.08.2021 and 30.03.2022. In the 17-question survey made to the residents who accepted the study, demographic characteristics of the residents and some other information about the HAI were questioned. Afterwards, whether they encountered risky situations, periodic control examinations of the physicians, and their immunization status were questioned. Questions were asked in the form of a 5-point Likert-type table about the use of personal protective methods and their knowledge level about HAI. The answers given to the Likert type questions were scored as 1 worst and 5 as the best, and the total knowledge level score (minimum-maximum:15-75) was obtained. 180 (63.2%) of the participants were female, 196 (68.8%) were in the 24-29 age range. Of the participants, 99.3% (n=283) COVID-19, 96.5% (n=275) hepatitis B, 93.7% (n=267) tetanus, 39.6% (n=113) pneumococcus, 39.3% (n=112) influenza vaccine. The knowledge level score of female residents was higher (p=0.001). There was a significant difference between the age distribution of the participants and their knowledge level (p=0.033). According to this difference, the average knowledge level scores of the participants in the 24-29 age range were higher (p=0.047). It was determined that female residents HAI as a higher risk for family medicine residents (p=0.026). Participants who considered HAI as a risk for family medicine residents had a higher knowledge level (p=0.043). In our study, it was seen that HAI were evaluated as a risk by family medicine residents. On the other hand, the awareness and knowledge level of resident physicians on this issue was not considered sufficient. It was determined that some of the vaccines of the physicians were more careful with the effect of the COVID-19 pandemic. However, it was observed that they did not pay due attention to the periodic health examinations. In order to increase the awareness of family medicine residents about HAI, lessons on infections that may be risky can be planned in the training curriculum. By ensuring regular periodic controls, physicians can be followed up in terms of occupational health risks. In case of encountering risky situations, the use of personal protective methods is encouraged and regular inspection is recommended.
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