Hemşirelerin en sık malzeme eksikliğinden dolayı izolasyon önlemlerini uygulamada sıkıntı yaşadıkları saptanmıştır. Sonuç: Hemşirelerin izolasyon önlemleri ile ilgili bilgilerinin hizmet içi eğitimlerle desteklenmesinin ve hastanelerdeki eksik malzemelerin temininin sağlanmasının önemli olduğu düşünülmektedir.

Reports of multiple endobronchial hamartomas are rare in the literature, and the awareness of this form of benign disease is important in the differential diagnosis of pulmonary diseases.

OBJECTIVES: There is a seasonal variation in the incidence of some infectious diseases. We analyzed the impact of influenza season (IS) on duration of stay (DOS) and some other characteristics of patients with community-acquired pneumonia (CAP). MATERIALS AND METHODS:In our retrospective cohort study, we analyzed data of 369 patients with CAP. RESULTS:The mean patient age was 65.5±16.69 years, and 267 (72.4%) patients were male. There was no difference between patients with CAP admitted to hospital and intensive care unit during IS and non-influenza season (NIS) with respect to age, mortality, and DOS. There was no difference in leukocyte and neutrophil counts, C-reactive protein level, and erythrocyte sedimentation rate in different seasons. Although most comorbid disease rates were similar, only cancer, especially lung cancer, was more prevalent in NIS. Bilateral CAP confirmed using thorax computed tomography was more frequent in IS. CONCLUSION:Although more patients with bilateral pneumonias were hospitalized in IS, DOS was not different between IS and NIS.

A 46-year-old male patient who has worked as a butcher was admitted to the hospital with an unhealing wound on the dorsal side of his hand. Incisional biopsy was performed from the lesion and histopathological diagnosis revealed a granulomatous inflammatory process, compatible with tuberculosis. The patient was directed to the department of chest diseases for further investigation in terms of pulmonary Tuberculosis (TB) infection. On the chest X-ray and thoracic CT scan, a minimal infiltration was observed in the left upper lobe. In two respiratory samples obtained by fiberoptic bronchoscopy, Mycobacterium tuberculosis complex was isolated and identified as M. bovis in subspecies level. After overall clinical evaluation, anti-TB treatment was initialized and a radiologic/clinical regression was observed during the follow-up procedure. This case has been reported as a rare and noteworthy pulmonary TB disease due to M. bovis in a slaughterhouse worker with a cutaneous granulomatous inflammatory reaction.

IntroductionThere is limited evidence about the prognostic value of FDG‐PET/CT metrics in small cell lung cancer (SCLC) patients staged with TNM staging system.ObjectivesThe aim of this study is to examine the prognostic value of pretreatment FDG‐SUVmax in patients with SCLC staged with 8th TNM staging system.MethodsA total of 344 (292 male) SCLC patients with pretreatment FDG‐ PET/CT were included. One hundred fifty‐three of cases were stages I‐III, 191 were stage IV. SUVmax values were obtained for primary tumour, lymph nodes and metastases. Univariate and multivariate analysis were performed to determine the effect of pretreatment SUVmax, with cut‐off value of median, on progression‐free and overall survival (PFS and OS).ResultsMedian OS and PFS for patients with stages I‐III were 16.50 and 11.00 months, respectively. Median OS and PFS for patients with stage IV were 10.00 and 7.00 months, respectively. SUVmax of the primary tumour (PT), lymph nodes or metastasis were not associated with OS and PFS on univariate analysis. On multivariate analysis, SUVmax‐PT with cut‐off value of 11.60 was found to be an independent prognostic factor for OS in patients with stages I‐III (HR;1.88, 95% CI:1.15‐3.08, P = .012). But the SUVmax‐PT (HR; 1.60, 95% CI: 0.99‐2.60; P = .057) for PFS was found to be a prognostic factor with marginal significance. SUVmax were not significantly associated with OS and PFS in patients with stage IV disease.ConclusionPretreatment SUVmax‐PT (median cut‐off 11.6) may have a prognostic value of OS and PFS in patients with TNM staged I‐III SCLC.