Erzurum Regional Training Research Articles

The Effect of Visual Arts Educative Practices on Social Functionality in Patients With Schizophrenia

The purpose of this research is to examine the effectsof visual arts educative practices on social functionality of patients with schizophrenia. The study population of the research consisted of 196 schizophrenia patients who were registered in Erzurum Regional Training and Research Hospital Community Mental Health Center diagnosed with schizophrenia and still continuing their treatment. The study sample consisted 30 patients in total and 15 of which were experimental and 15 were control groups who read the informed consent form and accepted the information statement voluntarily. The criteria for inclusion in the study were to be between the ages of 18-68 to participate in the research voluntarily to answer the tests and to take part in educative visual arts practices. Social functionality scale was applied to the experimental and control groups as a pre-test and post-test. Visual arts applications were made to the experimental group, but no application was made to the control group. According to the findings it was concluded that the visual arts educative practices applied to the experimental group had a positive effect on the development of socialfunctionality of patients with schizophrenia.

The Effect of Visual Arts Educative Practices on Social Functionality in Patients With Schizophrenia

The purpose of this research is to examine the effects of visual arts educative practices on social functionality in patients with schizophrenia. The study population of the research consisted of 196 schizophrenia patients who were registered in Erzurum Regional Training and Research Hospital Community Mental Health Center diagnosed with schizophrenia and still continuing their treatment. The study sample consisted 30 patients in total and 15 of which were experimental and 15 were control groups who read the informed consent form and accepted the information statement voluntarily. The criteria for inclusion in the study were to be between the ages of 18-68 to participate in the research voluntarily to answer the tests and to take part in visual arts practices. Social functionality scale was applied to the experimental and control groups as a pre-test and post-test. Visual arts applications were made to the experimental group, but no application was made to the control group. According to the findings it was concluded that the visual arts practices applied to the experimental group had a positive effect on the development of social functionality of patients with schizophrenia.

The Effect of Visual Arts Educative Practices on Social Functionality in Patients With Schizophrenia

The purpose of this research is to examine the effects of visual arts educative practices on social functionality in patients with schizophrenia. The study population of the research consisted of 196 schizophrenia patients who were registered in Erzurum Regional Training and Research Hospital Community Mental Health Center diagnosed with schizophrenia and still continuing their treatment. The study sample consisted 30 patients in total and 15 of which were experimental and 15 were control groups who read the informed consent form and accepted the information statement voluntarily. The criteria for inclusion in the study were to be between the ages of 18-68 to participate in the research voluntarily to answer the tests and to take part in visual arts practices. Social functionality scale was applied to the experimental and control groups as a pre-test and post-test. Visual arts applications were made to the experimental group, but no application was made to the control group. According to the findings it was concluded that the visual arts practices applied to the experimental group had a positive effect on the development of social functionality of patients with schizophrenia.

A retrospective look at influenza during the COVID-19 pandemic

Aim: Influenza is the main cause of acute respiratory disease worldwide and is transmitted via the respiratory secretions of infected individuals. The aim of this study was to retrospectively investigate influenza, a virus with which we have a longer history, during a period in which the COVID-19 pandemic has dominated current events in terms of viral infections.
 Material and Method: Epidemiological and laboratory data of patients over 18 years of age who tested positive for influenza infection and received inpatient treatment in the Erzurum Regional Training and Research Hospital between January 1, 2019 and December 31, 2020 according to the influenza management algorithm of the Public Health Institution of Turkey were evaluated retrospectively.
 Results: Of the 164 patients included in our study, 129 were hospitalized due to influenza A and 35 due to influenza B. Procalcitonin, aspartate transaminase, alanine transaminase, creatine kinase, total bilirubin, and direct bilirubin levels were significantly higher in the influenza A group compared to the influenza B group (p=0.002, 0.005, 0.006, 0.030, 0.010, and 0.004, respectively). Ten of the patients in the study died; there was no significant difference in mortality based on influenza subtype or presence of comorbidity (p=0.999 and 0.756, respectively). Forty-one (54.7%) of the patients with comorbidities had received an influenza vaccine.
 Conclusion: Although COVID-19 has dominated the global stage since the pandemic started, the effects of periodic pandemics of our old acquaintance influenza still continue. Vaccination, which is our strongest weapon against pandemics, can reduce mortality in patients with comorbidities, as seen in our study.

Evaluation of eating disorders, kinesophobia and disfunctional attitudes in patients with type 2 diabetes mellitus

Aim: Eating disorders (EDs), dysfunctional attitudes (DAs), and limitation of movement due to kinesiophobia, which are more common in patients with type 2 diabetes mellitus (T2DM), may contribute to poor metabolic control, weight gain, disregard for treatment, and an increased prevalence of microvascular and macrovascular complications; however, current evidence is limited to small studies and restricted measures. In this study, these characteristics were assessed in patients with T2DM relative to controls, and factors independently associated with ED, DA and kinesiophobia were examined. Material and methods: This case-control study was conducted between July 2018 and December 2018 at the Departments of Endocrinology and Psychiatry of Erzurum Regional Training and Research Hospital, Erzurum, Turkey. A total of 150 patients diagnosed with T2DM and 150 healthy controls were included. The Eating Attitudes Test (EAT), Dysfunctional Attitude Scale (DAS), and Tampa Scale for Kinesiophobia (TSK) were applied. Results: Median age in the control group was 38 (IQR: 27 - 47) years, and 56 (IQR: 46 - 61) years in the patient group. Women comprised 67.3% of controls and 61.3% of patients. Although all scale scores were higher in the patient group compared to controls, the possible relationships were not confirmed by multiple linear regression analysis. Significant factors independently associated with higher DAS score were high age (p=0.043), high body mass index (p=0.021) and presence of comorbidity (p=0.019). Significant factors associated with higher TSK score were high age (p<0.001) and high BMI (p=0.001). High age (p<0.001) was the only parameter associated with higher EAT score. The presence of T2DM was not found to be an independent factor associated with any of the scores. Conclusion: Our results show that, rather than the presence of T2DM, other patient characteristics were likely to be more influential on ED, DA and kinesiophobia. These show that older patients with T2DM who have comorbidities or DM-related complications are more likely to benefit from management that account for these characteristics.

Comparison of Serum Adropin Levels in Patients with Diabetes Mellitus, COVID-19, and COVID-19 with Diabetes Mellitus.

In the present study, the relationship between a poor prognosis and adropin levels in diabetic patients with coronavirus disease 2019 was investigated by measuring serum adropin levels and levels of D-dimer, C-reactive protein, and ferritin, which are considered prognostic factors for coronavirus disease 2019. Hundred volunteer participants treated in the Erzurum Regional Training and Research Hospital were included in this study. Serum adropin levels were measured by enzyme-linked immunosorbent assay. The relationship between serum adropin level and C-reactive protein, ferritin, and D-dimer levels was analyzed by correlation analysis. The participants' serum adropin levels differed between the groups (P = .0007). The control group had the highest adropin levels among groups. The lowest adropin levels were in the COVID + diabetes mel- litus group. Adropin levels of diabetes mellitus, COVID, and diabetes mellitus+COVID groups were sig- nificantly decreased when compared to the control (P < .05). There was a significant negative correlation between adropin and C-reactive protein, D-dimer, and ferritin. Adropin can be used as an auxiliary biomarker, a prognostic factor in the early management of coronavirus disease 2019 patients with diabetes mellitus. We think that our study will guide future studies conducted in this field.

Evaluation of clinico-radiological factors affecting morbidity and mortality in peptic ulcer perforation surgery

Objectives: Peptic ulcer perforation (PUP) remains a surgical emergency with high early period morbidity and mortality. In this study, it was aimed to evaluate clinico-radiological factors affecting morbidity and mortality in peptic ulcer perforation surgery. Methods: Patients who were operated for PUP at Erzurum Regional Training and Research Hospital General Surgery Clinic, Erzurum, Turkey between 2010 and 2020 were selected retrospectively. The patients’ clinical and radiological parameters were retrieved from their medical records. Patients who developed complications in the 30 days after surgery were considered the morbidity-positive group, and the patients who developed mortality in the 30 days after surgery were considered the mortality-positive group. The relationship between investigated factors and morbidity and mortality was investigated with suitable statistical tests. A p value &amp;lt; 0.05 was considered statistically significant. Results: The study included 81 patients and, 74 (91.4%) patients were males. Complications were observed in 15 (18.5%) patients and mortality was seen in 3 (3.7%) patients in the first 30 days postoperatively. Preoperative comorbidity, low systolic blood pressure, high Boey score had negative effect on both morbidity and mortality. In addition, lower amylase levels played a protective role in both morbidity (p = 0.011) and mortality (p = 0.018). Mortality increased significantly with increasing age. However, no radiological factor affected either morbidity or mortality. Conclusions: Both morbidity and mortality increased in cases with poor clinical condition at the time of diagnosis. In addition, the mortality rate was higher in patients with comorbidities and postoperative complications.

Galectin-3: can it be a diagnostic tool for pneumonia in covid-19 patients?

Biochemical markers are needed to show lung involvement in COVID-19 disease. Galectin-3 is known to play a key role in the inflammation and fibrosis process. We aimed to evaluate the predictive role of galectin-3 levels for pneumonia in patients with COVID-19. Total of 176 patients with COVID-19, confirmed with reverse transcriptase polymerase chain reaction, admitted to the Erzurum Regional Training and Research Hospital was analyzed. The study was designed as a cross sectional. The baseline data of laboratory examinations, including galectin-3 were collected at the time of diagnosis. CT images evaluated by a single radiologist according to the recommendation of the Radiological Society of North America Expert Consensus Document for pulmonary involvement. The severity of COVID-19 pneumonia was assessed using the total severity score. The mean galectin-3 level in patients with typical pneumonia was found to be significantly higher than those patients with atypical (p < 0.01) and indeterminate appearance (p < 0.01) and patients without pneumonia (p < 0.01). The severity of lung involvement was significantly associated with Galectin-3 levels (p < 0.01 r: 0.76). Stepwise logistic regression model showed that the levels of ferritin (odds ratio [OR] = 0.05, p: 0.08) and galectin-3 (OR = 0.1, p < 0.01) were significantly and independently associated with typical pneumoniain COVID-19 patients. When COVID-19 patients were evaluated in terms of typical pneumonia, we determined a cut-off value of 18.9 ng/mL for galectin-3 via ROC analysis (87% sensitivity; 73% specificity; area under curve (AUC): 0.89; p < 0.001). Galectin-3 was found as a diagnostic tool for COVID-19 associated typical pneumonia and as an indicator of both pneumonia and its severity.

Impact of Pandemic in the Frequency of Scabies: Possible Scabies Outbreak Scenario Aftermath COVID-19

This study aimed to evaluate the post-pandemic changes in the frequency of scabies and determined the clues that may indicate a possible outbreak of scabies in the future. All patients diagnosed with scabies in the University of Health Sciences Turkey, Erzurum Regional Training and Research Hospital and Palandöken State Hospital between January 2019 and September 2020 were evaluated. The frequency of scabies of 1.87% was remarkable in the first quarter of 2020, which corresponds to the pre-pandemic, and >50% (n=442) of all patients with scabies in 2019 (n=769) were encountered only in the first 3 months. The frequency of scabies seen in the first 3 quarters of 2020 was significantly higher than in 2019 (p<0.001). Significant decreases were found in the 0-14 years age groups (infant, preschool and school period) compared to 2019 (p<0.001, p<0.001 and p=0.015, respectively). No significant increase or decrease was determined in the frequency of scabies in 2020 (p=0.205). In addition, an increase in the number and rates of scabies patients are observed after the first month of normalisation period followed by the increase in the number of Coronavirus disease-2019 (COVID-19) daily cases. Applications for scabies to polyclinics after the pandemic were determined to be too low compared to previous periods, especially in school-age children, and showed an increasing trend over time. Patients with scabies that reach treatment late or not due to the pandemic may cause outbreak aftermath COVID-19.

Examınatıon of self-care agency and quality of life in individuals with chronic venous disease

AimThis study aims to investigate self-care agency and quality of life (QoL) in persons with chronic venous disease of the lower extremities. MethodsThis descriptive study was carried out between December 2014 and September 2016. The study population consisted of patients admitted to Erzurum Regional Training and Research Hospital Clinic of Surgical Cardiovascular Diseases and who had been diagnosed with lower extremity venous disease. The study sample comprised 312 patients who meet the inclusion criteria among this population admitted at the said dates. For data collection, the Patient Information Form, Self-Care Agency Scale, and Venous Insufficiency Epidemiological and Economic Study - Quality of Life/Symptoms Scale (VEINES-QOL/SYM) were used. The data were evaluated using percentage distribution, means, analysis of variance, post-hoc test, t-test, Mann-Whitney U-test and Kruskal-Wallis test. ResultsThe mean Self-Care Agency Scale score of the patients with lower extremity venous disease was 102.33±18.20, and their mean VEINES-QOL/Sym score was 74.95±12.86, indicating a moderate level. ConclusionAs a result, this study found the factors that significantly affected mean Self-Care Agency scores and mean QoL scores of the patients in terms of their level of education, employment status, BMI, smoking habits, and conditions about chronic diseases. Positive correlation was found between mean Self-Care Agency scores and QoL scores of the patients.

The compliance of emergency healthcare personnel with isolation precautions during the COVID-19 pandemic: A cross-sectional questionnaire study.

ObjectivesIsolation precautions are very important for emergency personnel faced with this high risk. This is cross‐sectional study carried out to determine the compliance of emergency healthcare personnel with isolation precautions during the COVID‐19 pandemic.MethodsThe study was carried out in the Emergency Services department of Erzurum Atatürk University and Erzurum Regional Training and Research Hospital from May 2020 to June 2020. The study population comprised 184 healthcare professionals working in emergency services, and the sample comprised 138 healthcare professionals who agreed to participate in the study. Data were collected using the “Healthcare Professionals Sociodemographic Form” and the “Compliance with Isolation Precautions Scale”. Percentage distribution, t test, variance analysis (ANOVA), Mann–Whitney U test and Kruskal–Wallis test were used to analyse the data. Permission to conduct the study was obtained from the ethics committee and the Ministry of Health.ResultsOf the participants, 58.7% were male, 37.7% had worked for 1‐5 years, 31.2% were nurses and the mean age was 30.78 ± 7.17. Of the participants, 86.2% wanted to receive training on isolation precautions, 87% knew the type of isolation practiced, 81.2% were able to identify suspected patients and 84.1% knew suspected patients were put into isolation. The emergency healthcare personnel's mean score on the isolation precautions compliance scale was determined as 67.63 ± 4.64.ConclusionIt was concluded that the emergency healthcare personnel had high levels of knowledge about the COVID‐19 pandemic; however, they had an average level of compliance with isolation precautions.

10-20 mm Alt Kaliks Taşlarının Tedavisinde Retrograd İntrarenal Cerrahi ve Şok Dalga Litotripsinin Karşılaştırılması: Retrospektif Klinik Çalışma

Objective: In our study, we aimed to compare the results of retrograde intrarenal surgery (RIRS), and shock wave lithotripsy (SWL) in the treatment of 10-20 mm lower calyceal stones. Material and Methods: The data of 42 patients who underwent RIRS or SWL for 10-20 mm solitary lower calyceal stones in Erzurum Regional Training and Research Hospital Urology Clinic between January 2018 and September 2019 were retrospectively analyzed. Twenty patients were treated with RIRS and 22 patients were treated with SWL. Both groups were compared in terms of demographic characteristics, clinical data, operative parameters, stone-free rate (SFR), need for retreatment and auxiliary therapy, and complications. Results: Both groups were statistically comparable in terms of their demographic characteristics and stone characteristics. Postoperative SFR was 85% in the RIRS group and 77% in the SWL group. When compared in terms of the procedure time, the mean duration of RIRS was significantly longer when compared with the mean of one-session SWL duration (p<0.001). When compared with the RIRS group, 63.6% of the patients in the SWL group had a significant higher need for re-treatment, because they required a second session (p<0.001). Rates of auxiliary procedures applied were 22.7% in the SWL group and 15% in the RIRS group (p=0.15). The overall complication rates were 10% and 9.1% in the RIRS and SWL groups, respectively. Conclusion: RIRS and SWL are the preferred treatment methods in the treatment of 10-20 mm lower calyceal stones with similar SFR and complication rates.

The effect of perceived stress on anxiety and sleep quality among healthcare professionals in intensive care units during the coronavirus pandemic

ABSTRACT The study aimed to explore the effect of perceived stress of healthcare workers on anxiety and sleep level in intensive care units during corona virus pandemic. The research was conducted in descriptive and cross-sectional types. The study was conducted between April 2020 and July 2020 at Atatürk University Research Hospital and Erzurum Regional Training and Research Hospital. In the research, it was aimed to reach all the healthcare professionals (260) working in intensive care units without selecting a sample. The data was collected by using the personal information form prepared by the researchers in line with the literature, Perceived Stress Scale, State-Trait Anxiety Inventory, and Vısual Analog Sleep Scale. Of the 210 participants, 75.4% were female, and 88.1% were nurses. The mean age of the participants was 27.04 ± 5.71 years, and 51.9% of the participants were 20–25 years old. The mean perceived stress, state anxiety, trait anxiety, and visual analog sleep scores were moderate and found as 29.9 ± 6.83, 43.09 ± 5.55, 46.15 ± 5.3, and 503.79 ± 134.24, respectively. In conclusion, a general picture of the psychological state of healthcare professionals in Turkey during the COVID-19 pandemic has been presented.

Thiol/disulfide homeostasis in patients with chronic hepatitis B

Aim: The purpose of this study was to evaluate the relation between chronic hepatitis B (CHB) and the thiol/disulfide balance, used as a marker of oxidative stress. Materials and Methods: This study was conducted between May 2016 and July 2016 at the Erzurum Regional Training and Research Hospital Infectious Diseases Polyclinic. 63 subjects with CHB and 60 healthy volunteers without any known diseases were included in the study. In term of measuring dynamic thiol/disulfide homeostasis, we used the novel automated assay method developed by Erel and Neselioglu. Results: Native thiol (SH), total thiol (total SH) and disulfide (SS) levels were determined; measures such as SS/SH, SS/total SH, and SH/total SH were calculated. It is determined that CHB group’s SH levels (P=0.041), total SH levels (P=0.043) were lower than the control group’s. There is negative correlation between Anti-HBc total IgG and total SH, SH, SH/total SH, there is positive correlation between Anti-HBc total IgG and SS/SH, SS/total SH ratio. There is negative correlation between BMX index and total SH, SH, SH/total SH and positive correlation between SS/total SH, SS/SH. Positive correlation is determined between total protein, albumin and total SH, SH. Conclusions: In our study thiol levels as an antioxidant were found to be low in CHB patients. Thiol levels were again emphasized as a new marker in hepatitis B. Thiol levels in CHB are thought to shed light to slowing of disease course and improving new treatment efforts with more wide studies.

Metabolic syndrome, depression, and fibromyalgia syndrome prevalence in patients with irritable bowel syndrome: A case-control study.

Although both metabolic syndrome (MetS) and irritable bowel syndrome (IBS) have been linked with altered gut microbiota, only a few studies investigated the association between them. Hence, we aimed to evaluate the prevalence of MetS along with depression and fibromyalgia syndrome (FMS) in IBS patients.This was a case-control study in which 3808 consecutive patients who attended outpatient clinics of Erzurum Regional Training and Research Hospital between May 2019 and August 2019 were evaluated in terms of IBS with Rome-IV criteria. Out of 486 patients who were diagnosed as IBS, 176 patients were excluded for various reasons. Control subjects were randomly selected from IBS-negative subjects. MetS was diagnosed based on International Diabetes Federation criteria. Depression, anxiety disorder, and FMS were assessed via Hamilton Depression Scale, Beck Anxiety Inventory, and American College of Rheumatology criteria, respectively. Blood samples were obtained to measure biochemical parameters.Study group included 310 IBS patients, and control group included 304 subjects. The prevalence of the MetS was significantly higher among IBS patients compared with controls (36.8% vs 21.7%, respectively, P = .006). The rate of obesity was 18.1% among IBS subjects, and 10.2% in the controls. The prevalence of fibromyalgia (30% vs 3%, respectively, P < .001), anxiety-disorder (39.7% vs 10.2%, P < .001) and depression (8.1% vs 4.9%, P < .001) were significantly higher in IBS group than controls.Metabolic syndrome and obesity were significantly more frequent in IBS patients compared with controls. FMS, anxiety disorder, and depression were also more common among IBS patients.

Epidemiological Evaluation of Scabies Cases Encountered in the Last Three Years as a Tertiary Health Center.

We aimed to reveal the change in the demographic characteristics of patients with scabies in the last three years and the increase in frequency of patients with scabies observed in our region. All patients diagnosed as having scabies in Erzurum Regional Training and Research Hospital and Palandöken State Hospital, Clinic of Dermatology between January 2017 and December 2019 were retrospectively evaluated. Data such as age, gender, citizenship, presentation dates were recorded from the hospital database by anonymizing. The disease was significantly more common in men than women (p<0.001). Of female patients, 40.9% and of male patients, 51.9% were young adults (15-44 years of age). Of 252.261 patients who were admitted to the dermatology outpatient clinic in the past three years, 1.952 (0.77%) were diagnosed as having scabies. It was observed that the frequency of scabies gradually increased in the last three years (0.55%, 0.80% and 0.94%, respectively). The case frequency was significantly higher in 2019 compared to 2017 (p<0.001). Considering the quarters of the year, the lowest rate was observed in the first quarter of 2017, while the highest was in the last quarter of 2019 (0.42% and 1.54%, respectively). It was determined that the frequency of scabies between the quarters of the year increased significantly in the last quarters (p<0.001). One hundred and twenty six (6.5%) patients had a recurrent presentation. It was remarkable that suspicion of treatment failure gradually increased from 3.2% to 6.2% in the past three years. The frequency of scabies in our region was indeed increased significantly in 2019 and especially in the 3rd and 4th quarters.

Non-alcoholic fatty liver disease in patients with familial hypercholesterolemia

Aim: The liver plays a crucial role in the synthesis and catabolism of cholesterol. Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in the developed world and commonly associated with metabolic comorbidities such as diabetes mellitus, hypertension, dyslipidemia, and obesity. The aim of this study was to investigate the frequency of NAFLD in Familial Hypercholesterolemia (FH). Material and Method: Between 2017 and 2018, individuals with FH who had been referred to the Department of Endocrinology at Erzurum Regional Training and Research Hospital were admitted to this single center case-control study. Total 30 individuals (17 female and 13 male) who have FH were compared to a control group included 39 participants (30 female and 9 male). The two groups were thought to be well matched in terms of sample size and gender distribution. Family history was registered. Diagnosis is made by blood tests and ultrasound imaging of liver. Results: The two groups showed no significant differences in terms of age and gender. NAFLD was seen at 12 of 39 individuals in the control group. It was seen at 16 of 30 persons in the FH group (p = 0.058). Total cholesterol (mg / dl) (333.27 ± 58.46) (219.23 ± 82.84) (p = 0.000), LDL (mg / dl) (249.93 ± 45.43) (127.11 ± 46.52) (p = 0.000) and CRP (mg / L) (3.37 ± 4.16) (1.43 ± 1.96) (p = 0.014) levels were significantly different between the FH and control groups respectively. Conclusion: There isn’t a significant difference between control and FH groups in terms of NAFLD. The absence of NAFLD on ultrasonography, should not reduce the severity and importance of FH, and the treatments should be made to prevent complications such as atherosclerosis.

Erzurum, Kars ve Ardahan İllerindeki Süt Ve Süt Ürünleri Üreticilerinde Q Ateşi Seroprevalansının Araştırılması

Erzurum, Kars ve Ardahan İllerindeki Süt Ve Süt Ürünleri Üreticilerinde Q Ateşi Seroprevalansının Araştırılması Investigation of Seroprevalence of Q Fever in Milk and Dairy Products Producers in Erzurum, Kars and Ardahan Provinces ÖZET Amaç: Bu çalışmada Erzurum, Kars ve Ardahan illerinde süt ve süt ürünleri üreticilerinde Q Ateşi seroprevalansının araştırılması amaçlanmıştır. Gereç ve Yöntem: İllerin nüfus yoğunlukları ile bu illerde süt ve süt ürünleriyle uğraşanların sayıları dikkate alınarak rastgele örneklem yöntemiyle belirlenen 18 yaş üzeri 153 kişiden alınan kan örneklerinden elde edilen serumlarda İndirekt İmmünofloresans Antikor Testi (İFAT) yöntemiyle C.burnetii’ye karşı oluşan IgG ve IgM antikorları araştırılmıştır. Bulgular: Total seropozitiflik oranı Erzurum’da %87.8, Kars’da %92, Ardahan’da %76.2 olarak saptanmıştır. Çalışmaya alınan 153 serumdan 110’unda (%71,9) Faz I antijenlerine karşı oluşan IgG, 24’ünde (%15,7) Faz II Antijenlerine karşı oluşan IgM antikoru saptanmıştır.19 serumda ise (%12.4) sonuç negatif bulunmuştur. Total seropozitiflik oranı erkeklerde %88.7, kadınlarda %85.7 saptanmıştır. C.burnetii IgG erkeklerin %80.4, kadınların %57.1’inde, IgM ise erkeklerin %8.2 kadınların %28.6’sında pozitif saptanmıştır. Cinsiyete göre IgG ve IgM arasındaki fark istatistiksel olarak anlamlıyken, total seropozitiflikte anlamlı değildi.Yaş gruplarına göre total seropozitiflik oranı 18-29 yaş grubunda %58.3, 30-49 yaş grubunda %86.9, 50-69 yaş grubunda %88.7, 70 yaş üzerinde %100, C.burnetii IgG pozitiflik oranı 18-29 yaş grubunda %61.8, 30-49 yaş grubunda %76.8, 50-69 yaş grubunda %70.5, 70 yaş üzerinde %83.3 saptanmıştır. IgG pozitifliği ile yaş grupları arasında korelasyon yoktu. Sonuç: Erzurum, Kars ve Ardahan illerinde Q Ateşinin seroprevalansı Türkiye’nin diğer bölgelerine göre yüksek bulunmuştur. Ülkemiz ekonomisini yakından ilgilendiren bu hastalığın kontrol altına alınması için gerekli önlemlerin alınması, hayvan yetiştiricilerinin eğitilmesi, süt ve süt ürünlerinin satışının denetlenmesi gerekmektedir. Kliniklerde sebebi bilinmeyen ateş tanısı ile takip edilen hastaların Q Ateşi yönünden de incelenmesi, hastalığın prevalansının ortaya konulması ve kontrol altına alınmasında yararlı olacaktır. Anahtar kelime : Q Ateşi, Süt ve süt ürünleri üreticileri, İFA,Estimation of Q Fever Seroprevalence in Milk and Dairy Product Manufacturers in Erzurum, Kars and Ardahan Provinces M.Hülya ASLAN 1, Ahmet AYYILDIZ2 1Erzurum Regional Training and Research Hospital, Microbiology Department 2 Ataturk University, Faculty Of Medicine, Department Of Microbiology ABSTRACT OBJECTIVE: This study aimed to estimate Q Fever seroprevalence in milk and dairy product manufacturers in Erzurum, Kars, and Ardahan Provinces. MATERIAL AND METHODS: IgG and IgM antibodies against C. burnetii were investigated by means of indirect immunofluorescence antibody test (IFAT) method in the sera obtained from the blood samples of 153 people over 18 years of age, who were selected randomly from a population of milk and dairy product manufacturers based on the population densities and the number of individuals engaged in milk and dairy product manufacturing in the respective provinces. RESULTS: Total seropositivity rate was 87.8%, 92%, and 76.2% in Kars, Erzurum, and Ardahan, respectively. Of the 153 serum samples examined in the study; IgG antibodies against Phase I antigens were detected in 110 (71.9%) samples, and IgM antibodies against Phase I antigens were detected in 24 (15.7%) samples.The test results were negative in 19 (12.4%) samples. The rate of total seropositivity was 88.7% in males and 85.7% in females. C.burnetii IgG was detected in 80.4% of males and 57.1% of females. The IgM antibodies against C.burnetii were found in 8.2% of males and 28.6% of the females. The findings associated with IgG and IgM were statistically significantly different between the two genders; however, total seropositivity rates were not.The total seropositivity rate was 58.3% in the age group of 18-29 years, 86.9% in the age group of 30-49 years, 88.7% in the age group of 50-69 years, and 100% in the age group 70 years and older. C. burnetii IgG was positive at a rate of 61.8% in the age group of 18-29 years, 76.8% in the age group of 30-49 years, 70.5% in the age group of 50-69 years, and 83.3% in the age group of 70 years and over. There were no correlations between the IgG positivity and the age groups. CONCLUSIONS: Q Fever seroprevalence was found to be higher in Erzurum, Kars, and Ardahan provinces compared to other regions of Turkey. In order to control the spread of this disease, which is closely related to the economic parameters of our country, it is necessary to take appropriate precautions such as training the animal breeders and inspecting the sales of milk and dairy products. Investigating Q fever in patients hospitalised for fever of unknown origin will be useful in taking control of the disease and estimating its prevalence. Key word: Milk and Dairy Product Manufacturers, Q Fever, İFA,

Surgical treatment of pediatric forearm fractures with intramedullary nails: is it a disadvantage to leave the tip exposed?

Elastic intramedullary nailing is the main treatment method in the surgical treatment of pediatric forearm fractures. In this study, we compared the clinical outcomes of intramedullary nailing of forearm fractures with leaving the tips exposed and with placing the tip of the nails under the skin. We aimed to present the clinical outcomes of intramedullary nailing and determine the advantages and disadvantages of leaving the tips of the nails exposed. One hundred and ninety-two children with both-bone forearm fracture who were treated with titanium elastic nailing (TEN) in the Department of Orthopedics at Erzurum Regional Training and Research Hospital between January 2009 and December 2016 were included in the study. All cases had been followed up for at least 1 year. The tips of the TENs were left exposed in 74 and buried subcutaneously in 118 children. Union was achieved in all cases. Delayed union was observed in just one case. Skin irritation was observed in 11 (5.7%) of the exposed TEN cases. Superficial infection developed in two (1%) cases with exposed TEN tips. Migration developed during the follow-up of 11 (5.7%) cases with buried tips. The mean time to removal of TEN was 7.9 weeks in cases with exposed and 26.2 weeks in cases with buried cases. Refracture was observed in six buried (3.1%) cases and four exposed TEN (2.1%) cases in the first year after the removal of the nails. Perfect outcomes were achieved in 146 (76%) cases and good outcomes in 36 (19%) cases in our study. On comparing the rate of complications and clinicaloutcomes, leaving the TEN exposed seems to be safe.

Hydatid cyst disease in children: 10-years experience at two tertiary centers from Northeast Anatolia of Turkey

Aim: Hydatid cyst remains a significant health problem in endemic regions such as Turkey. It can be observed at any age, but the diagnosis is usually made at adulthood. The aim of this study was to investigate the epidemiological findings of hydatid cyst cases in the pediatric age group in Turkey. Material and Methods: The records of the patients who received the diagnosis of hydatid cyst in the pathology departments of Ataturk University Faculty of Medicine and Erzurum Regional Training and Research Hospital between 2009–2019 were analyzed retrospectively. Data such as age, sex, location, size and number of cysts of the cases diagnosed with hydatid cyst between 0–16 years of age were analyzed statisticall.Results: Of the 1072 cases diagnosed with hydatid cyst, 32.7% (n=351) were within the age range of 0–16 years, 57.8% (n=203) were male and 42.2% (n=148) were female, with a mean age of 10.8 years (SD: ± 3.5; min: 1, max: 16). In 86.3% (n=303) of the cases, the cyst was found to be located in a single organ, whereas it was located in two different organs in 13.7% (n=48) of the cases. Involvement of the liver and lung was observed in 54.4% (n=191) and 50.4% (n=177) of the cases, respectively. Less involvement was observed in brain (n=10), kidney (n=9), spleen (n=5), retroperitoneal region (n=4), omentum (n=2), nasal cavity (n=1), thoracolumbar region (n=1), tail of the pancreas (n=1) and ulna diaphysis (n=1). In all cases, the mean cyst size was measured to be 7.4 cm (SD: ± 2.9; min: 1.5, max: 17) based on the largest cyst size.Conclusion: Hydatid cyst is also common in the pediatric age group. Hydatid cyst has been found to be more common in males in the pediatric age group in Turkey, with its most common localization being in the liver and lung.