The new UK strain was first described in December 2020. It was seen for the first time in Turkey in February 2021. It is not yet known whether the new strain has different CT patterns compared to the ...classical type. We present a 68-years-old male patient with an atypical CT presentation in which GGOs are gathered around the areas of paraseptal emphysema accompanied by CT and clinical findings. This involvement is an unexpected pattern because of the atypical distribution of the GGO.
The most common thoracic manifestation form of ankylosing spondylitis is apical fibrocystic changes. It is also known as apical fibrobullous disease (AFBD). The patient was diagnosed with ankylosing ...spondylitis before 9 years. He suffered COVID-19 infection and passed an intensive care period. However, post-covid fibrosis (PCF) atypically affected dominantly apical zones. If we had no sequential CT evaluations, our case could be easily confused with AFBD. On CT taken before COVID-19, the lung apex was normal. Thus, it was confirmed that there was no rheumatologic thoracic manifestation in the patient before suffering from COVID-19 pneumonia. PCF created similar changes as AFBD. Our case is the first reported paper on this topic.
The aim of this study was to present the follow-up results of 110 patients who were given anti-tumor necrosis factor alpha (TNF-α) therapy for rheumatic and dermatologic diseases in a country with a ...high rates of active and latent tuberculosis bacillus infection.
Between February 2008 and January 2015, 110 cases in the age range of 23-77 who are using anti-TNF-α were included in the study retro-prospectively.
52.7% of them (n = 58) were male. The most common diagnoses were rheumatoid arthritis (42.7%) and ankylosing spondylitis (38.2%). Most frequently given treatment were infliximab 37.3% and etanercept 30.9%, respectively. The 65 patients whose first tuberculin skin test (TST) value "5 mm and above" was started daily 300 mg INH prophylaxis for 9 months but 3 patients had not been started because of refusing treatment. In only one case chemoprophylaxis has had to be interrupted because of high liver function test due to the INH prophylaxis. TST conversion was observed in 14 patients. Further follow-up, it was observed that 4 patients had TST's positivity. Isoniazide (INH) prophylaxis was started these 18 patients (42.9%). Although INH prophylaxis has been given in two patients, they developed active tuberculosis in follow-up.
Considering the INH resistance in our country, all patients especially the ones with residual lesion and history of previous exposure, should be followed up closely during the anti-TNF-α treatment.
Celotno besedilo
Dostopno za:
DOBA, FSPLJ, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Objective: Sleep is important for metabolism and the immune system. Disturbed sleep may be a risk factor for poor recovery from diseases. Coronavirus disease-2019 (COVID-19) pneumonia has been the ...most common cause of hospitalization in the last year. This study aimed to evaluate the sleep quality of hospitalized patients with COVID-19 pneumonia and the factors that affect their sleep quality. Materials and Methods: This cross-sectional study included patients with COVID-19 pneumonia who were hospitalized at a pandemic clinic. The demographic data, symptoms, laboratory parameters, and hospitalization duration were evaluated. After the first night of admission, the patients completed Pittsburgh sleep quality index (PSQI) and hospital anxiety and depression scale (HADS). Results: This study included 105 patients, of whom 55 were with mild-moderate pneumonia and 50 with severe pneumonia. The mean value of the total PSQI score was 8.43±2.03 in the non-severe group and 12.64±2.24 in the severe group. Positive correlations were found between the total PSQI score and age, HAD-A score, HAD-D score, length of hospital stay, and ferritin. Negatively significant correlations were found between the PSQI score and leukocyte count, lymphocyte count, albumin, and oxygen saturation. Independent factors, such as disease severity, HADS scores, oxygen saturation, and dyspnea, were associated with the total PSQI score (R2=0.630). Conclusion: Patients who are hospitalized with COVID-19 pneumonia had poor sleep quality. Sleep quality was affected by disease severity. Anxiety and depression levels, oxygen saturation, and dyspnea are associated with sleep quality in these patients.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Primary care providers are uniquely positioned to initiate smoking cessation. We aimed to evaluate knowledge levels about the health effects of smoking and attitudes toward smoking and tobacco ...control activities among primary care providers.
In the cross-sectional and primary care-based study, self-administered surveys modified from the WHO Global Health Professional Survey 5A steps of smoking cessation practice (Ask, Advise, Assess, Assist and Arrange) were provided to primary care physicians (PCPhs) and nurses (PCNs).
Respondents included 1182 PCPhs and 1063 PCNs. The proportions of current and former smokers were significantly higher among PCPhs than among PCNs (34.4 vs. 30.7 % and 14.0 vs. 10.1 %, respectively; both P < 0.001). We observed that 77.2 % of PCPhs and 58.4 % of PCNs always or rarely practiced an "Ask" step about their patients' smoking status (P < 0.001). One-third of PCPhs (33.8 %) stated that they always practiced an "Ask" step, whereas only 27.6 % of PCNs always did so in their practice (P < 0.001). A small minority of primary care providers had advised patients to quit smoking, although there was a significant difference in this between PCNs and PCPhs (8.4 vs. 15.6 %; P < 0.001). Most PCPhs considered themselves competent in advising about smoking interventions, but only a minority of PCNs did so (75.1 vs. 17.3 %; P < 0.001). Among barriers to tobacco intervention measures, lack of time was the item most commonly cited by PCPhs, whereas low patient priority was most commonly cited by PCNs (35.9 and 35.7 %; P < 0.001).
Smoking intervention practice by primary care nurses was quite low. Lack of time and low patient priority were identified as barriers by primary care providers. Strategies by which primary care providers could improve tobacco control should be established.
Since the number of geriatric clinics in our country is inadequate, Chest physicians play a very important role in diagnosis, follow-up and treatment of that group of patients in many centers. In ...this study, 90 years and older geriatric patients hospitalized in pulmonology services was investigated regarding course of disease.
Ninety years and older geriatric patients hospitalized in Pulmonology Department of Duzce University and Duzce Ataturk State Hospital was retrospectively analyzed during three-year period between January 2010 and December 2012.
Thirty (57.7%) out of 52 patients was women. The mean age was 93.3 ± 3.9. The most common cause of admission was pneumonia (65.4%). Hypertension was the most common concomitant disease (51.6%). Diabetes mellitus, congestive heart failure was other most common concomitant disease, respectively. 80.8% of all patients was accompanied by at least one concomitant disease. All patients had a mortality rate of 17.3%.
The most common cause of admission and concomitant disease in 90 years and older geriatric patients was pneumonia and hypertension respectively. Most of the patients discharged from hospital. Further examination and treatment in patients over the age of 90 should be implemented.
Düzce İlinde Kronik Obstruktif Akciğer Hastalığı Tanılı Hastaların Aşılanma Sıklığı GÜLEÇ BALBAY, Ege; Düzce Üniversitesi Göğüs Hastalıkları Anabilim Dalı; TANRIVERDİ O, Elif; Düzce Atatürk Devlet Hastanesi; ALAŞAN, Fatih; Düzce Üniversitesi ...
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü dergisi (Online),
10/2013
Journal Article
Recenzirano
The aim of this study was to determine the incidence of influenza and pneumococcal vaccination patients who admitthe Düzce University Department of Chest Diseases with Chronic Obstructive Pulmonary ...Disease (COPD) and thefactors that affect it. Questionnaire including questions about the frequency of influenza and pneumococcal vaccinationin patients filled face to face interview. The mean age of our study was 65.5±9.5 years and 59 of the 61 patients weremale (96.7%). According to Global Initiative for Chronic Obstructive Lung Disease (GOLD), patients are classified as9.8% mild, 42.6% moderate, 37.7% severe, and 9.8% very severe COPD and 36.1% of patients was current smokers.The previous year, patients who had influenza vaccine was 24.6% (15) and the proportion of patients who hadpneumococcal vaccine was 8.2% at the last five years. 27.9% (17) of patients were suggested to influenza vaccine bythe Chest disease specialist or assistant, while it was 4.9% (3) in pneumococcal vaccine. While none of the patients wassuggested for pneumococcal vaccine by the family physician, influenza vaccine was suggested 16.4% (10). Influenzavaccination rate those who had stopped smoking last year were significantly higher than those of current smokers. Therewas no significant relationship between the degree of disease severity and the frequency of influenza and pneumococcalvaccination. Influenza and pneumococcal vaccination in patients with COPD were found to be very low rates in Düzce.Being an active smoker had a negative effect on the incidence of influenza vaccination but the severity of COPD did notaffect the incidence of influenza and pneumococcal vaccination.
Bu çalışmada Düzce ilinde Göğüs Hastalıkları Polikliniklerine başvuranKronikObstruktif Akciğer Hastalığı (KOAH) olgularının influenza vepnömokok aşılanma sıklığını ve aşılanmayı etkileyen faktörleri belirlemekamaçlanmıştır. Hastalara influenza ve pnömokok aşılaması sıklığı hakkındasorular içeren anket formları yüz yüze görüşme yöntemiyle dolduruldu. Çalışmamızdadeğerlendirilen 61 olgunun yaşortalamaları 65.5 ± 9.5 yıl olup 59’u erkek (%96.7) idi. Global Initiative for Chronic Obstructive Lung Disease(GOLD)’a göre %9.8’i hafif, %42.6’sı orta ve %37.7’siağır,% 9.8’i çok ağır KOAH olarak sınıflandırılan olguların %36.1’i halen sigaraiçmekteydi. Bir önceki yıl grip aşısı yaptırmış hastaların oranı %24.6 (15), sonbeş yılda pnömokok aşısı yaptırmış hastaların oranı %8.2 (5) idi. Hastaların%27.9 (17)’una göğüs hastalıkları uzmanı veya asistanı tarafından grip aşısıönerilmişken, pnömokok aşısı % 4.9 (3)’ una önerilmişti. Hastalarınhiçbirine aile hekimleri tarafından pnömokok aşısı önerilmemişken grip aşısı%16.4 (10) oranında önerilmişti. Sigarayı bırakmış olanlarda son bir yılda gripaşısı yaptırma oranı, halen içmekte olanlara göre anlamlı olarak yüksek bulundu(p=0.035). Hastalığın ağırlık derecesiyle grip ve pnömokok aşısı yaptırmasıklığı arasında anlamlı bir ilişki saptanmadı. Sonuç olarak alışmamızda ilimizdeKOAH olgularının grip ve pnömokok aşılamasının oldukça düşük oranlarda olduğugörülmüştür. Halen sigara içiyor olmanın grip aşılama sıklığını olumsuz yöndeetkilediği, KOAH ağırlığının grip ve pnömokok aşılama sıklığını etkilemediğisaptanmıştır.
Objective: Sleep is important for metabolism and the immune system. Disturbed sleep may be a risk factor for poor recovery from diseases. Coronavirus disease-2019 (COVID-19) pneumonia has been the ...most common cause of hospitalization in the last year. This study aimed to evaluate the sleep quality of hospitalized patients with COVID-19 pneumonia and the factors that affect their sleep quality. Materials and Methods: This cross-sectional study included patients with COVID-19 pneumonia who were hospitalized at a pandemic clinic. The demographic data, symptoms, laboratory parameters, and hospitalization duration were evaluated. After the first night of admission, the patients completed Pittsburgh sleep quality index (PSQI) and hospital anxiety and depression scale (HADS). Results: This study included 105 patients, of whom 55 were with mild-moderate pneumonia and 50 with severe pneumonia. The mean value of the total PSQI score was 8.43+ or -2.03 in the non-severe group and 12.64+ or -2.24 in the severe group. Positive correlations were found between the total PSQI score and age, HAD-A score, HAD-D score, length of hospital stay, and ferritin. Negatively significant correlations were found between the PSQI score and leukocyte count, lymphocyte count, albumin, and oxygen saturation. Independent factors, such as disease severity, HADS scores, oxygen saturation, and dyspnea, were associated with the total PSQI score (R.sup.2=0.630). Conclusion: Patients who are hospitalized with COVID-19 pneumonia had poor sleep quality. Sleep quality was affected by disease severity. Anxiety and depression levels, oxygen saturation, and dyspnea are associated with sleep quality in these patients. Keywords: COVID-19 pneumonia, sleep quality, anxiety, depression, hospitalization Amac: Uyku, metabolizma ve bagisiklik sistemi icin onemlidir. Kotu uyku, hastaliklarin zayif iyilesmesi icin bir risk faktoru olabilir. Koronavirus hastaligi-2019 (COVID-19) pnomonisi son bir yilda en sik hastaneye yatis nedeni olan enfeksiyondur. Bu calismanin amaci, hastanede yatan COVID-19 pnomonili hastalarin uyku kalitesini degerlendirmek ve etkileyen faktorleri belirlemektir. Gerec ve Yontem: Calismamiz, pandemi kliniginde yatan COVID-19 pnomonili hastalari iceren kesitsel bir calismadir. Demografik veriler, semptomlar, enflamasyon belirtecleri, hastanede kalis suresi, anksiyete ve depresyon durumu degerlendirilmistir. Katilimcilara, hastaneye yatislarinin ertesi gununde Pittsburgh uyku kalitesi indeksi (PUKI) ve hastane anksiyete ve depresyon olcegi (HADS) uygulanmistir. Bulgular: Calismaya 105 gonullu hasta dahil edildi. Elli besi hafif-orta pnomonili, 50'si agir pnomonili hastalardi. Toplam PUKI puaninin ortalama degeri siddetli olmayan grupta 8,43+ or -2,03, siddetli grupta 12,64+ or -2,24 olarak saptandi. Toplam PUKI puani ile yas, HAD-A skoru, HAD-D skoru, hastanede yatis suresi ve ferritin arasinda pozitif yonde; lokosit sayisi, lenfosit sayisi, albumin ve oksijen saturasyonu arasinda negatif yonde anlamli korelasyon bulundu. Hastalik siddetinin, HADS skorlarinin, oksijen saturasyonunun ve dispnenin, toplam PUKI puanini etkiledigi saptandi (R.sup.2=0,630). Sonuc: COVID-19 pnomonisi ile hastaneye yatirilan hastalarin uyku kalitesi kotudur. Uyku kalitesi hastalik siddetinden etkilenmektedir. Bu hastalarda anksiyete ve depresyon duzeyleri, oksijen saturasyonu ve dispne uyku kalitesi ile iliskilidir. Anahtar Kelimeler: COVID-19 pnomonisi, uyku kalitesi, anksiyete, depresyon, hospitalizasyon
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
To investigate physicians' smoking cessation practice, consultation for smoking intervention for hospitalised patients and its determinants.
The cross-sectional study was conducted at Duzce ...University Hospital, Duzce, Turkey, from January to April 2013, and comprised hospitalised patients. The survey, including smoking habits and 5As (Ask, Advise, Assess, Assist and Arrange) steps of smoking intervention practiced by physicians was applied to those patients discharged from the hospital. SPSS 20 was used for statistical analysis..
Of the 502(31.6%) participants, 264(52.6%) were women and 238(47.4%) were men. The overall mean age was 52.8±18.2 years. Besides, 269(53.6%) respondents were at the level of elementary school education; 289(57.6%) had chronic disease; 119(23.7%) were current and 106(21.1%) were former smokers. The frequency of current smokers among men with chronic disease was significantly lower compared to those who did not have chronic disease (p=0.017). In women, the factor was insignificant (p=0.642). The physicians practiced the steps of "Ask, Advise, Assess, Assist and Arrange" on 354(70.5%), 240(47.9%), 194(38.7%), 88(17.6%) and 29(5.8%) patients for active smoking. Consultation during hospitalization significantly increased patient's effort to quit smoking after discharge (p=0.012).
Smoking intervention by physicians for hospitalised patients was associated with the status of patient's gender, education level and chronic disease.
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