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Öğe BİR ÜNİVERSİTE HASTANESİNDE ÇALIŞAN SAĞLIK PERSONELLERİNDE SON 5 YILLIK KESİCİ DELİCİ ALET YARALANMALARININ DEĞERLENDİRİLMESİ(2020) Kayhan, Mehmet; Kaya, MusaAmaç: Sağlık çalışanları mesleksel maruziyetleri nedeniyle kesici delici alet yaralanmaları açısından önemli bir risk grubundadır. Bu çalışmada Bolu Abant İzzet Baysal Üniversitesi Eğitim ve Araştırma Hastanesi’nde son 5 yıl içerisinde görülen kesici delici alet yaralanmalarının değerlendirilmesi amaçlanmıştır. Materyal ve Metot: 2014-2019 yılları arasında Bolu Abant İzzet Baysal Üniversitesi Eğitim ve Araştırma Hastanesi’nde meydana gelen 58 delici kesici alet yaralanması retrospektif olarak değerlendirilmiştir. Bulgular: Çalışmaya katılan 58 katılımcıdan 42'si (%72,4) kadın 16'sı (%27,6) erkektir. Katılımcıların mesleklerine bakıldığında en sık yaralanmanın %65,5 olarak hemşirelerde olduğu tespit edilmiştir. Yaralanmaların %84,5'i iğne batması şeklinde gerçekleşmiş, yaralanan vücut bölgesi %53,4 ile sağ el %46,6 ile sol el olarak belirlenmiştir. Kesici delici alet yaralanması yaşayan katılımcıların %93,1'inde koruyucu ekipman bulundurmaktadır. Yıllara göre dağılımında 2018 ve 2019 yıllarında bildirimlerin en fazla olduğu; kesici delici alet yaralanması ile karşılaşan personelin %53,4 ünün mesleki deneyiminin 0-1 yıl olduğu saptanmıştır. Kesici delici aletle yaralanma sonrası doğru hareket sergilemenin kadın cinsiyette ve artan eğitim düzeyiyle istatistiksel olarak anlamlı bulunmuştur. Sonuç: Çalışmamızda en sık yaralanmanın hemşirelerde ve iğne batması şeklinde olduğu bulgumuz literatürle uyumludur. Kesici ve delici alet yaralanmalarını önlemenin ilk yolu konu hakkındaki bildirimlerin iyi takibi ve etkin çalışan güvenliği politikalarının geliştirilmesidir. Ayrıca üniversal önlemlerin alınması, eğitimlerin düzenli aralıklarla verilmesi, personel iş yükünün azaltılması, güvenli ve kullanışlı malzeme temini, yaralanmaları önleyecek öneriler olabilir.Öğe COVID-19 Pandemic: A comparison of adult and pediatric populations(2021) Demirkol, Muhammed Emin; Kaya, Musa; Balci, Mehmet; Özsari, EmineAim: Couple of pneumonia cases were reported in a short period in Wuhan, China. The cases were revealed to be associated with a different coronavirus type was named SARS-CoV-2 and the disease was identified as Covid-19. It is known that the disease occurs in all age groups. We aimed to evaluate the differences in clinical and laboratory features between adult and pediatric patients. Method: The study is a retrospective cross-sectional study and consists of 206 patients with a definitive diagnosis of Covid-19 confirmed by a positive real-time reverse-transcriptase polymerase chain reaction (RT-PCR) testing for SARS-CoV-2. They hospitalized in health institutions connected to City Health Administrative of Bolu, Turkey between 11.03.2020 and 19.04.2020. The number of the pediatric patients (0-17 age group) was 106, that of the adult patients (18 and above age group) was 100. Data concerning the patients consisted of age, symptoms, laboratory parameters such as hemogram, biochemistry, coagulation. Results: The mean values of platelet (PLT), platocrit (PCT), percentage of monocytes (MONO %) and MONO in the “0-17” age group were found to be significantly higher than the mean values in the “18 and above” age group. The hemoglobin (HGB) mean value of the “0-17” age group was significantly lower than that of the “18 and above” age group. The mean C - reactive protein (CRP) value of the “0-17” age group (4.55; min: 1.20 – max: 11.80) was significantly lower than that of the “18 and above” age group (5.35; min 1.25- max: 19.77) with no statistically significance. In pediatric group, the most common symptoms were other symptoms like diarrhea, vomiting and joint pain whereas the adult patients had fever and cough often with statistically significant. Conclusion: Clinical findings and laboratory abnormalities in Covid-19 are less common in children. Although it seems that Covid-19 is less symptomatic in children, they are also affected by the disease. Performing RT-PCR test based on the contact history of the children may help to minimize morbidity with an early diagnosis. Multicenter studies with more numbers of patients should be performed.Öğe Evaluating laboratory parameters of COVID-19 cases with underlying chronic diseases(Istanbul Univ, Fac Medicine, Publ Off, 2021) Demirkol, Muhammed Emin; Kaya, Musa; Özsarı, Süleyman; Özsarı, EmineObjective: COVID-19 infection caused by the SARS-CoV-2 which was initially detected in China during the last days of 2019 has spread to the whole world in a short period of time causing a pandemic with devastating results. In performing this study, we aimed to reveal the differences in laboratory findings of COVID-19 cases accompanied by chronic diseases compared to the cases without any pre-existing medical condition. Methods: This is a retrospective cross-sectional study and consists of 226 patients diagnosed with COVID-19 who applied to health institutions in Bolu, Turkey between 11.03.2020 and 26.05.2020. Results: The mean age of the patients included in the study was 61.95 +/- 16.82 (min:32-max:93), 126 (55.8%) of the patients were women and 100 (44.2%) were men. Seventy-five (33.2%) had at least one chronic disease. The most prevalent comorbid diseases in our patients were found to be hypertension (15.9%), chronic obstructive pulmonary disease (14.6%) and diabetes mellitus (9.7%). Findings such as leukocytosis, basophilia and neutrophilia, elevated CRP, elevated D-DIMER and elevated LDH, which are relatively common in COVID-19 cases, were more extensive in cases accompanied by underlying diseases. Conclusion: Impaired laboratory findings of COVID-19 patients with concomitant chronic diseases are more severe than the group without additional disease. We recommend that there can be more studies in which all parameters that may affect the results are evaluated.Öğe Evaluating the Impact of the Covid-19 Outbreak on Healthcare Professionals: A Cross-Sectional Study Consisting of Health-Care Staff Working in Emergency Ambulance Service of Bolu(2021) Demirkol, Muhammed Emin; Kaya, Musa; Küçan, Olgu; Kocadağ, DeryaAim: Covid-19, which emerged in China in the last days of 2019 has spread to the whole world primarily affecting health-care professionals who fight on the forefront against the outbreak. In this study, we aimed to determine depression prevalence among health-care professionals who represent the riskiest group for Covid-19 and its secondary problems. Material and Methods: The study is a cross-sectional study consisting of health-care staff working in emergency ambulance service of Bolu. A total of 226 subjects was included in the study. Results: The mean age of the subjects in the study was 31.50±7.19, the youngest participant was 20 and the oldest was 58 years old. 54.4% of the participants were male, 45.6% were female. Among the participants 11.9% had mild depression and 13.7% moderate depression. The rate of those who suffered from severe depression was found to be only 1.8%. Female gender and co-existing chronic diseases seemed to be risk factors for occurrence of depression. Conclusion: During the on-going Covid-19 outbreak, health-care workers seem to be one of the risk groups for depression as well as for infection.Öğe Hemorajik inme - iskemik inme ayırıcı tanısında hematolojik parametrelerin ve CRP'nin yeri(Bolu Abant İzzet Baysal Üniversitesi, 2018) Kaya, Musa; Kavalcı, CemilGiriş: İnme, kardiyovasküler hastalıklar ve kanserlerden sonra en sık üçüncü ölüm nedenidir. Ayrıca, dünyada uzun dönem morbiditeninbir numaralı sebebidir. İnme, iskemik ve hemorajik olarak ikiye ayrılır. Bu çalışmada, hızlı, kolay ulaşılabilir ve ucuz testler olan C-Reaktif Protein veTKS parametrelerinin iskemik ve hemorajik inmenin erken dönemde ayrımında bir rolü olup olmadığını araştırdık.Materyal ve Metot: Arşiv kayıtlarını kullanarak retrospektif bir çalışma gerçekleştirdik. 5 Kasım 2015 - 5 Kasım 2017 tarihleri arasında Abant İzzet Baysal Üniversitesi Acil Servisi'nde iskemik inme veya hemorajik inme tanısı alan hastalar çalışmaya dahil edildi. Dahil edilen hastaların demografik bilgileri,semptom ve bulguları, Bilgisayarlı Tomografi ve Magnetik Rezonans görüntüleme sonuçları elde edildi. Hastaların Ortalama Platelet Hacmi, Ortalama Eritrosit Hacmi, Hemoglobin, Beyaz Küre, Platelet düzeyi ve C-Reaktif Protein değerleri not edildi.Bulgular: Çalışmaya katılan 100 hastadan 68'i (%68) iskemik inme tanısına sahipti. Geriye kalan 32(%32) hasta hemorajik inme olarak teşhis edildi. 100 hastanın 53'ü (%53) kadın, 47'si (%47) erkekti. Ortalama yaş kadınlarda 75,3585 ± 1.793 iken, erkeklerde 71,0638 ± 1.944 idi. İskemik inme tanılı hastalarla mukayese edildiğinde, hemorajik inme tanılı hastalarda Ortalama Platelet Hacmi (p= 0.009) ve Beyaz Küre (p=0.006) değerleri, yüksek ve istatistiksel olarak anlamlı idi. Diğer parametreler açısından iki grup arasında istatistiksel olarak anlamlı fark görülmedi. Sonuç: Sonuç olarak, iskemik inme ile karşılaştırıldığında hemorajik inmede Ortalama Platelet Hacmi ve Beyaz küre değerleri daha yüksek gibi görünmektedir. Buna rağmen, daha fazla sayıda hasta ve parametre sayısı ile ileri çalışmaların gerçekleştirilmesi gerektiğini düşünüyoruz. ahtar Kelimeler: iskemik inme, hemorajik inme, ortalama platelet hacmi,beyaz küre, inmenin erken dönem ayırıcı tanısıÖğe Investigation Of Clinical, Laboratory and Radiological Results of Novel Coronavirus Disease (Covid-19) Novel Coronavirus Disease(2021) Kaya, Musa; Demirkol, Muhammed EminCovid-19, which emerged in China in December 2019 and spread to the whole world in a short time, has been a serious public health problem threatening humanity. In this study, we aimed to reveal demographic, clinical, laboratory and radiological features of patients diagnosed with Covid-19. The study is a retrospective cross-sectional study consisting of patients who were hospitalized in health institutions in Bolu, Turkey between 11.03.2020 and 19.04.2020 with a definitive or probable diagnosis of Covid-19. The number of patients in the study was 262. The mean age of the patients participating in the study was 57.39 ± 19.85, the youngest patient was 19 and the oldest was 94 years old. Of the patients, 40.1% was between the ages of 18-50, 59.9% were over 50 years old. 55.3% of the patients were women and 44.7% were men. Most common symptoms were fever (75.6%), cough (71.8%) and dyspnea (46.9%). Elevated CRP (in 71.3%), elevated LDH (in 56.9%), elevated D-DIMER (in 56.4%) and lymphopenia (in 30.5) were most detected laboratory abnormalities. The result of the real-time reverse-transcription polymerase chain reaction (RT-PCR) test was positive in 35.5% of 262 patients. 88.5% of the patients had chest CT findings compatible with Covid-19. Additionally, 24% had both positive RT-PCR results and CT findings compatible with Covid-19. Expected findings were found to be in older patients more than younger ones. We suggest that clinical features, laboratory abnormalities and radiological findings can be used to provide an early diagnosis and treatment of Covid-19.Öğe Is the prognostic nutritional index a predictor of Covid-19 related hospitalizations and mortality?(Kamuzu Univ Health Sciences - KUHeS, 2023) Demirkol, Muhammed Emin; Aktaş, Gülali; Alışık, Murat; Yis, Özgür Mehmet; Kaya, Musa; Kocadağ, DeryaIntroduction Prognostic nutritional index (PNI) is a novel inflammation marker that useful in predicting prognosis of certain conditions. We aimed to study PNI of the outpatient and inpatient subjects with established Covid-19 and also aimed to compare PNI of deceased and survived Covid-19 patients. Methods The patients with Covid-19 whom presented to outpatient or inpatient clinics of Abant Izzet Baysal University Hospital were enrolled to the study. PNI levels of the inpatients and outpatients, deceased and survived were compared. PNI values of deceased and survived in inpatients were also compared. Results Study population was consisted of 4419 subjects (2907 outpatients and 1512 inpatients). PNI of the inpatient (41.55 (36.42-47.1)) group was significantly lower than the PNI of the outpatient (51.95 (47.95-55.75)) subjects (p<0.001). The sensitivity and specificity of PNI (<= 46.2 level) in determination of requirement inpatient treatment were 71.2% and 83.5%, respectively. PNI of the deceased patients (37(33.39-40.86)) was lower than the PNI of the survivors (50.45(45.6-54.65)), (p<0.001). The sensitivity and specificity of PNI at <= 44.55 level in determining mortality were 89.22% and 78.87%, respectively. Conclusion We suggest that PNI could serve as a reliable prognostic index in covid-19 patients. Reduced level of PNI should alert physicians since it is associated with need for hospitalization and mortality in this population.Öğe Karın ağrısı olgusu: Rektus Kılıf Hematomu(2016) Erkuran, Mansur Kürşad; Duran, Arif; Kaya, Musa; Kaptan, Hayrettin MeftunAmaç: Acile başvuran hastaların %5-10'unda karın ağrısı yakınması olup, acil servis başvurularının önemli bir kısmını oluşturur. Rektus kılıf kanamaları nadir görülen karın ağrısı nedeni olup, yaşlı ve kadınlarda daha sık görülür. Gereç ve Yöntem: En önemli predispozan faktorlerden biri antikoagulan tedavidir. Bulgular: Bu makalede karın ağrısının nadir nedenlerinden olan rektus kılıf hematomu olgusunu literatür eşliğinde sunulmuştur Tartışma ve Sonuç: Rektus kılıf hematomu acil servise başvurularda akılda tutulmalıdır.Öğe Prognostic value of complete blood count parameters in COVID-19 patients(2022) Demirkol, Muhammed Emin; Kaya, Musa; Kocadağ, Derya; Özsari, EmineBackground: To explore the prognostic value of certain complete blood count parameters and ratios in COVID-19 patients with the definitive diagnosis. Methods: We compared certain parameters of the complete blood count test, which are related to inflammation, between the inpatient/outpatient and the survivor/non-survivor groups to determine whether they have a prognostic role. Analyzes were performed in Statistical Package for the Social Sciences (SPSS). Parametric data were expressed as arithmetic mean±standard deviation, and nonparametric data were expressed as median (Q1-Q3). The relationship in categorical variables was examined with Chi-Square. Receiver Operative Characteristics (ROC) analysis determined cut-off values for mortality. P <0.05 was considered statistically significant. Results: A total of 6343 patients ?18 years old were included in the study; 4822 (76.0%) were outpatients, and 1521 (24.0%) were inpatients. 53.5% (3.396) of the patients were female, and 46.5% (2947) were male. The mean level of mean platelet volume (MPV), white blood cell count (WBC), plateletcrit (PCT), neutrophil count (NEU), red cell distribution width (RDW), platelet distribution width (PDW), neutrophil/lymphocyte ratio (NLR), monocyte/lymphocyte ratio (MLR) and platelet/lymphocyte ratio (PLR) were higher in the inpatients compared to the outpatients (p<0.05 for all). Also, the mean hemoglobin (HGB) and lymphocyte (LYM) were significantly lower in the inpatients (p<0.05 for both). On the other hand, compared to the survivors, the non-survivors had significantly higher WBC, NEU, RDW, NLR, MLR, MPV, and PLR, and lower HGB, LYM, PCT, and PLT levels (p<0.05 for all). Conclusion: RDW, HGB, WBC, MPV, PLT, LYM, NEU, NLR, MLR, and PLR have been shown to have a robust relationship with poor prognosis of COVID-19.
