The lung is a common location for malignant metastases. However, endobronchial metastases from nonpulmonary neoplasms are rare. Metastatic breast cancer usually occurs in 2-3 years of the disease course. A 65-year-old woman visited our hospital for the evaluation of dry cough. The patient had a history of breast cancer, which was treated with modified radical mastectomy and axillary dissection 10 years ago; she was then treated with aromatase inhibitor for 5 years. Chest X-ray revealed right hilum enlargement. Thorax computed tomography revealed a 35-mm diameter mass that was localized in the right hilum. Fiberoptic bronchoscopy was performed, and an endobronchial lesion was observed in the right main lobe carina. Pathological evaluation revealed that the mass was a metastasis of the invasive ductal carcinoma of the breast. Weekly paklitaxel chemotherapy was initiated because of the symptomatic disease. We reported the case of a patient with breast cancer who had an endobronchial metastasis. Her disease-free interval was 10 years. This case indicates that a long-term follow-up of breast cancer is necessary, and biopsies must be performed to make a final diagnosis when any suspicious hilum enlargement is observed.
INTRODUCTION Thirdhand smoke is the toxic remnant, including pollutants and byproducts, of tobacco smoke that remains in the environment after the use of tobacco products. This study aimed to evaluate the relationships between the demographic characteristics and the beliefs about thirdhand smoke of medical faculty students. METHODS This descriptive cross-sectional study was conducted with 392 medical faculty students at Afyonkarahisar Health Sciences University. All the participants completed the Beliefs About ThirdHand Smoke (BATHS) questionnaire. Demographic data such as age, gender, year of study, family income level, and place of residence were recorded and evaluated together with tobacco product usage status. Factors (demographic data such as gender) affecting the BATHS scale and sub-scales were analyzed using SPSS software. RESULTS The study included 392 medical students. The students comprised 59.7% females and 40.3% males. The students had never used tobacco products (68.1%), 13% were previous users, and 18.9% were active users. The majority of the students stated that thirdhand smoke was harmful to the health of children (90%) and adults (85%) and that thirdhand smoke could remain in a room for days (79%). When the relationships were evaluated between the BATHS scale overall and the health and permanence subscales, and the demographic characteristics of the students, no statistically significant difference was determined according to gender, place of residence, family income level, and tobacco use status.CONCLUSIONS This study has provided information for the first time about the beliefs of medical faculty students about thirdhand smoke, and the relationships were investigated between these beliefs and gender, place of residence, family income level, and tobacco use status. The results of the study demonstrated that the students had a strong awareness of the harm of thirdhand smoke and of environmental permanence, and these beliefs did not change according to their own tobacco use status.
Objective:The recent spread of new Coronavirus disease (COVID-19) pandemic which caused worldwide concern is a public health emergency situation. The risk of getting infected as well as the concern levels of the health professionals on this issue is very high due to their close contact with the infected patients. The aim of this study is to evaluate the concern level of being infected in the health professionals, as well as their view and perception of different applications used during the treatment of the COVID-19 cases together with their whole approach during this pandemic situation. Methods:The study was conducted through an online survey that was sent to all the Health professionals of a pandemic hospital of a city in Turkey between 8 and 15 May 2020. This online survey was sent to all the professionals through social media platforms. The survey included both multiple-choice and true-false questions regarding COVID-19 diagnosis, clinical stage, treatment approach, concerns, knowledge, and awareness of the situation together with some social demographic characteristics of the health professionals. SPSS v20 program was used to evaluate the statistical analysis of the data collected. Data are shown through mean ± and the standard deviation is shown through percentage. Results:The study consisted of 250 (59.9%) doctors and 169 (41.1%) assistant healthcare professionals and the average age Amaç: Yeni Coronavirüs hastalığı (COVİD-19) salgını, uluslararası endişe duyulan bir halk sağlığı acil durumudur. Bu çalışma, mevcut salgın sırasında sağlık çalışanları arasında enfekte olma endişesini, tutumlarını, tedavi ve COVİD-19 ile mücadeledeki çeşitli uygulama modifikasyonları konusundaki görüş ve davranış tarzlarını değerlendirmek amacıyla yapılmıştır.Yöntemler: Türkiye'de bir ilin pandemi hastanesindeki sağlık personeline 8-15 Mayıs 2020 tarihleri arasında bir çevrimiçi anket uygulayarak gerçekleştirilmiştir. Ankette sosyodemografik özelliklere dair sorular ile beraber COVİD-19 tanı, klinik, tedavi tutumu, kaygı, bilgi ve farkındalık ile ilgili çoktan seçmeli sorular ve doğru yanlış soruları soruldu.Bulgular: Katılımcıların 250'si (%59,9) doktor, 169'u (%41,1) yardımcı sağlık personelinden oluşuyordu, yaş ortalamaları 33,21±6,88 yıl idi. Sağlık sektöründe çalıştığı için COVİD-19 bulaşma riskinin yüksek olduğunu düşünenlerin ve kaygı duyanların sayısı ise 390 (%93,1) kişidir. Yüz dokuz (%26,01) kişinin yakınlarında COVİD-19 testi pozitif çıktığı beyan edilmiştir. Altmış dört (%15,3) sağlık çalışanı polimeraz zincir reaksiyonu (PCR) testi yaptırdığını bildirmiştir ve 3 (%0,7) sağlık çalışanı da COVİD-19 PCR testin pozitif çıktığını bildirilmiştir.
GİRİŞ: Günümüzde birçok tütün çeşidi kullanılmaktadır. Tütün kullanma oranı gençler arasında yaygınlaşmaktadır. Bizde üniversitemizde sağlık alanı ile ilgili olan ve topluma göre sağlık alanında daha bilinçli olan tıp fakültesi öğrencilerinde tütün kullanma oranını ve etkileyici faktörleri belirlemeyi amaçladık. YÖNTEM: 516 kişiden oluşan tüm tıp fakültesi öğrencilerine, sessiz ortamda,16 sorudan oluşan anket uygulandı. Anket tütün bağımlılığını ve bağımlılık derecelerini ölçecek düzeydeydi. BULGULAR: Öğrencilerin yaş ortalaması 21'di (min 18, max 33). Öğrencilerin 281'i (%54.5) kadındı.141'i (%27.3) özel yurtta, 117'si (%21.3) devlet yurdunda, 146'sı (%28.3) öğrenci evinde, 107'si (%20.7) ailesi ile kaldığını belirtmişti. Öğrencilerin 446'sı çekirdek aileye sahipti. 500'ünün ekonomik durumu orta düzeydeydi. Öğrencilerin 88'i (%17.1) sigara bağımlısı olduğunu belirtti. 11'i (%2.1) sigarayı bıraktığını ve 265'i (%51.4) hiç denemediğini belirtti. Öğrencilerin 52'si nargile, 3'ü elektronik sigara kullandığını belirtti. Tütün ürünleri kullanan toplam 128 öğrenci vardı ve bunların 103' ü (%80) tütün ürününü bırakmak istediğini belirtmiştir. Öğrencilerin 83'ü (%67) kullandığı tütün ürününü bırakmayı denediğini belirtmiştir. Öğrencilerin sadece 7' si (%1.4) tütün ürününü bırakmak için sağlık çalışanı yardımı aldığını belirtmiştir ve sadece 10'u (%1.9) sağlık çalışanı yardımını şu anda istediğini belirten cevabı işaretleyerek iletişim adresi bırakmıştır. SONUÇ: Çalışmamızda öğrencilerin sigara içme oranı birçok literatüre göre daha düşük orandaydı. Toplumda birer rol model olmaya aday tıp fakültesi öğrencilerinin özellikle bu konuda bilinçlendirilmesi gerekmektedir.
BackgroundDomiciliary noninvasive ventilation (NIV) use in stable hypercarbic COPD is becoming increasingly widespread. However, treatment compliance criteria and factors related to compliance remain to be defined.MethodsThis research was designed as a prospective, cross-sectional, multicenter real-life study. Chronic hypercapnic COPD patients who were using domiciliary NIV for at least 1 year and being followed up in 19 centers across Turkey were included in the study. The patients who used NIV regularly, night or daytime and ≥5 hours/d, were classified as “high-compliance group,” and patients who used NIV irregularly and <5 hours/d as “low-compliance group.”ResultsTwo hundred and sixty-six patients with a mean age of 64.5±10.3 years were enrolled, of whom 75.2% were males. They were using domiciliary NIV for 2.8±2 years. Spontaneous time mode (p<0.001) and night use (p<0.001) were more frequent in the high-compliance group (n=163). Also, mean inspiratory positive airway pressure values of the high-compliance group were significantly higher than the low-compliance group (n=103; p<0.001). Cardiac failure (p=0.049) and obesity (p=0.01) were significantly more frequent in the high-compliance group. There were no difference between 2 groups regarding hospitalization, emergency department and intensive care unit admissions within the last year, as well as modified Medical Research Council dyspnea and COPD Assessment Test scores. With regard to NIV-related side effects, only conjunctivitis was observed more frequently in the high-compliance group (p=0.002).ConclusionDetermination of the patients who have better compliance to domiciliary NIV in COPD may increase the success and effectiveness of treatment. This highly comprehensive study on this topic possesses importance as it suggests that patient and ventilator characteristics may be related to treatment compliance.
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