İntihar, kişinin hayatını bilerek sonlandırmak istemesidir. Dünyada ilk on ölüm nedeni arasında sayılmakla birlikte önemli bir halk sağlığı sorunudur. İntihar psikolojik faktörlerden etkilenen en önemli ölüm nedenlerinden biridir. Çalışmamız retrospektif tanımlayıcı bir çalışma olarak tasarlanmıştır. Ölüm bildirim sistemi üzerinden 2019 yılında intihar eden kişiler taranarak toplam 61 kişiye ulaşılmıştır. Demografik özellikleri ve intihar ettikleri tarih, sistemde kayıtlı intihar şekilleri, psikiyatrik hastalık tanıları, kullandıkları ilaçlar değerlendirilmiştir. İstatistiksel veri analizlerinde SPSS 21.0 paket programı kullanılmıştır. 2019 yılında ilimizde toplam 61 kişi intihar etmiştir. %75.4’ü erkek, %24.6’sı kadındır. Yaş ortancası (Q1-Q3) 31 (24.5-46) idi. %62.3’ü kendini asarak, %16.4’ü ise ateşli silah, %21.3’ü diğer şekillerde intihar etmişti. %19.7’sinin psikiyatrik bir hastalığı varken %80.3’ünün ruh sağlığı kliniğine başvurusu bulunmamaktaydı. Erkek cinsiyet ve yaş şiddet içeren intihar vakalarını etkileyen faktör iken (p=0.010, p=0.046) medeni hal ve mesleğin şiddet içeren intihar vakalarını etkilemediği saptanmıştır (p=0.54, p=0.761). Ölüm nedenleri arasında üst sıralarda olan, toplumsal bir sorun olan ve multidisipliner ya da disiplinlerarası yönetilmesi gereken bir durumdur. Kişileri, çare arama davranışı yönünden desteklemek gerektiğini düşünmekteyiz. İntiharın azalması için kişilerin bireysel tedavi ve terapisinin sağlanması yanında toplumsal ve yasal değişiklikler de yapmak gerekmektedir.

The spread of a new contagious disease across the world is called a pandemic. COVID-19 was declared as a pandemic by WHO on 11th March 2020. Although treatment modalities and vaccines are being developed against COVID-19 disease, COVID-19 related deaths continue and the rate of infectious diseases among all causes of death increases. In this study, we aimed to determine the effect of COVID-19 infection on mortality statistics by comparing mortality statistics in the first five months of 2020 with mortality statistics in the same period of 2019. Methods: This study was conducted by evaluating the death notification system data records using the ICD 10 diagnostic coding system for the first five months of 2019-2020 of the Kayseri Provincial Health Directorate, between 1 June 2020 and 1 July 2020. It is a retrospective study. In the study, data on dates (months) of deaths, ages, genders, marital statuses, causes of death and manners of death (infectious disease, forensic, natural death) in Kayseri were evaluated. Data were evaluated in SPSS (version 21.0) statistical package program. Results: There were 3349 deaths in the first 5 months of 2019, and 3491 deaths in the first five months of 2020. Of these, 54.6% were male and 45.4% were female. The monthly average numbers of death in 2019 and 2020 were similar. The rates of disease diagnoses differed in 2019 and 2020. In 2020, all-cause death numbers, including COVID-19, were higher among men. The total mortality rate of infectious diseases was 20.2% in 2019, and the mortality rate due to infectious diseases including COVID-19 was 20.1% in 2020. Conclusions: During the COVID-19 outbreak, there were significant changes in the rates of some specific causes of death. However, there was no significant change in the total number of deaths during the first five months in Kayseri province.

Membranous nephropathy is a common form of glomerulonephritis that typically presents with nephrotic syndrome between the 3 rd and 5 th decades and one-third of patients experience spontaneous remission. Here, a patient with primary membranous nephropathy is presented.

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Introduction:This study was conducted retrospectively, cross-sectional and descriptively to evaluate the telemonitoring results of discharged patients who had been hospitalized due to Covid-19 during the pandemic. Methods: This study was composed of data which were obtained through the folders of 862 patients who had gotten their Covid-19 Polymerase Chain Reaction (PCR) tests positive, were treated in hospital and discharged between 28.08.2020 and 16.09.2020. This study was completed with folders of 760 patients whose data were overall. Descriptive statistics were given as mean, standard deviation, median, minimum and maximum. Percentages were used for categorical data. Also, the Chi-Square test was used to determine differences between the groups in categorical variables. Kolmogorov-Smirnov test was used so as to analyze normal distribution of data. Results: In the study, the age median of patients who stated their clinical condition as good and average, was lower compared to patients whose clinical status was bad (p=0.001). 45% of patients with poor condition were rehospitalized and 35% of them were directed to emergency service (p<0.001). Conclusions: Results have demonstrated that even if those patients were discharged, their problems still continued in their homes, and they need support. Moreover, it is considered that home-monitoring and home attendant care services for elderly patients have to be improved qualitatively.