Background The long‐term closing of schools and home‐quarantine during the COVID‐19 pandemic cause negative effects on the physical and mental health of young people. Studies evaluating the mental health of adolescents during the pandemic are limited in the literature. Aim In our study, it was aimed to determine the results of home‐quarantine measures taken for adolescents during the pandemic and the affecting factors. Method This study was conducted as an online cross‐sectional self‐report questionnaire and included children aged between 12 and 18 years. The data were obtained from the children of volunteer families via Facebook family groups, and Google Forms questionnaires sent by the child psychiatry clinic to their smartphones. Sociodemographic form, State‐Trait anxiety scale, and UCLA loneliness survey were used as data collection tools. Results We examined the data of 745 adolescents. The average age of the study group was 16.83 ± 1.66 years, and 69.5% were females. It was determined that 88.2% of the adolescents followed the developments in the COVID‐19 process and obtained most information from the television. State anxiety was related to “Former psychiatric referral” by 4.39‐fold, “Having a COVID positive patient in the family or your surroundings” by 3.81‐fold, and “The most common medium for obtaining COVID‐related information” by 2.41‐fold. Conclusions Closure of schools and home‐quarantine during pandemic causes anxiety and loneliness in young people. The identification of risky groups helps to properly support these individuals by various social connections, including healthcare professionals, families, and schools.
Amaç Bu çalışmada Sütçü İmam Üniversitesi Tıp Fakültesi'nde idrar örneklerinden izole edilen bakteriler ve bu bakterilerin antibiyotik direnç durumlarını belirlemeyi amaçladık. Gereç ve Yöntem Ocak 2018-Ocak 2019 tarihleri arasında Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Tıbbi Mikrobiyoloji Laboratuvarına gönderilen 2447 orta akım idrar örneği çalışmaya alındı. Üreyen bakterilerin tanımlanması ve antibiyotik duyarlılık testleri konvansiyonel ve otomatize sistemlerle (Phoenix BD, USA) çalışıldı. Antibiyogram verileri EUCAST (European Committee on Antimicrobial Susceptibility Testing) önerileri doğrultusunda değerlendirildi.
Background/aim We aimed to identify clinical settings of renal transplant patients with COVID-19. Materials and methods In this retrospective study, we included kidney transplant inpatients with laboratory confirmed COVID-19 who had been discharged or had died by October 1st, 2020. Characteristics of the patients, including basal and last outpatient biochemical parameters were recorded. Discontinuation or dosage reduction of immunosuppressives and other treatment information was documented. Results Twenty patients were included in this study, of whom 18 were discharged and 2 died in hospital. The mean duration of hospitalization and follow-up were 9.7 ± 6.4 days and 4.5 ± 2.0 months, respectively. Fourteen patients (70%) were male and mean age was 48.0 ± 10.3 years. At admission, all had immunosuppression withdrawn and were started on methylprednisolone 16 mg/day (50%) or dexamethasone (50%). Tacrolimus/m-TOR inhibitors were reduced by 50% and all antimetabolites were discontinued. Hemodialysis was needed for 10% of patients. Acute kidney injury was detected in 25% of the patients. With respect to hospitalization time and complications, there was no significant difference between patients who used dexamethasone and those who did not (P > 0.05). The discontinued immunosuppressives were resumed within 2 to 4 weeks after discharge according to the severity of disease. No rehospitalization or acute rejection was detected during the follow-up of the patients. Conclusion Renal transplant patients are considered a high risk group for COVID-19. It can be said that discontinuation or reducing dosages of immunosuppressives may be effective and safe in kidney transplant patients.
SUMMARY INTRODUCTION: This study aims to determine the incidence of de novo nephritic syndrome (NS) in COVID-19 patients and identify its associated factors. METHODS: All ward patients with COVID-19 pneumonia were investigated. After determining the inclusion and exclusion criteria, the study population was identified. The urine dipstick test and urine protein creatinine ratio (UPCR) measurements were performed. Patients with de novo NS findings, nasopharyngeal swab, and urine RT-PCR tests were performed simultaneously RESULTS: This descriptive cross-sectional study was conducted with 21 patients with COVID-19. The mean age of the patients was 42.2±8.8 years, and 71.4% of them were male. The mean duration of follow-up was 28.4±9.3 days. The urine RT-PCR test was positive in one patient (4.8%). Improvements were observed in hematuria by 71.4%, and proteinuria by 85.7% at the end of the follow-up. A significant decrease in the measured UPCR was found in comparison to the baseline(P=0.000). Also, improvements were recorded in the complete blood counts, inflammatory parameters, ferritin, and coagulation tests, compared to the baseline. There was a positive correlation between baseline UPCR and ferritin, and a negative correlation between baseline UPCR and sodium values CONCLUSION: COVID-19-induced de novo nephritic syndrome may occur mainly due to tubulointerstitial involvement and often results in spontaneous remission. However, why these findings were not present in all patients who had no comorbidities is not clear.
Amaç: Araştırmada kadınlarda şiddet yaygınlığının, şiddet algısının, şiddet algısına sosyokültürel, ekonomik ve diğer faktörlerin olası etkilerinin saptanması amaçlanmıştır. Yöntem: Tanımlayıcı tipte olan araştırmaya Sakarya il ve ilçelerindeki 8 Aile Sağlığı Merkezi'ne (ASM) herhangi bir nedenle başvuran ve araştırmaya katılmayı kabul eden 18 yaş üstü 503 kadın dahil edilmiştir. Bulgular: Çalışmada dahil edilen kadınların yaş ortalaması 38.02±12.16 (SS) olarak bulundu (min=18, max=81). % 14.7'ü bekar, % 78.7'si evliydi, % 6.6'sının eşi vefat etmiş ya da eşinden ayrı yaşıyordu. Katılımcıların % 28.1'i aile içi şiddete maruz kaldığını belirtti. Aile içi şiddete maruz kalma ile babanın annesine şiddet uyguladığına tanık olma ve eğitim arasında anlamlı bir ilişki vardı (p<0.05). Şiddet algılarına bakıldığında; kadınların % 53.9'unun şiddet algısı şiddetin tanımıyla uyumlu değilken şiddeti doğru algılayan kadın oranı % 46.1 idi. Yaş, eğitim, ikamet edilen yer, bekar/evli-dul olma, aile içi şiddete maruziyet, babanın anneye şiddet uyguladığına tanık olma gibi faktörlerin şiddet algısına etkilerini görmek için lojistik regresyon analizi yapılmıştır. Eğitim seviyesi arttıkça doğru algının arttığı, ilde yaşayanların ilçede yaşayanlara oranla şiddeti daha doğru algıladığı ve 24 yaş altı kadınlara göre diğer yaş gruplarındaki kadınların algılarının doğru olma ihtimalinin daha yüksek olduğu görülmüştür (p<0.05). Babanın anneye uyguladığı şiddete tanık olma ve aile içi şiddete maruz kalmanın algıyı etkilemediği bulunmuştur (p>0.05). Sonuç: Kadına yönelik aile içi şiddet devam etmektedir ve kadınların bir çoğu şiddeti doğru algılamamaktadır. Algıda en önemli ve değiştirilebilir faktör olan eğitimin önemi göz ardı edilmemelidir.
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