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Aim: Our study aims to evaluate the upper extremity trauma that admitted to our hospital from April 11, 2020, to June 1, 2020, the days when the restrictions were applied in Turkey, and to investigate the effect of COVID-19 on upper extremity trauma by comparing with the data of a year ago between the same dates. Material(s) and Method(s): Demographic information, trauma details, and region, and the treatment method of patients with any upper extremity trauma who were over the age of 18 and admitted to the hospital between April 11, 2019, and June 1, 2019 (2019-Before Restrictions) and between April 11, 2020, and June 1, 2020 (2020-Lockdown) were examined retrospectively. Result(s): In 2019-Before Restrictions, 218 patients and in the 2020-Lockdown, 163 patients were admitted to the hospital due to upper extremity trauma. The number of hospital admissions with upper extremity trauma during the 2020-Lockdown was 25.22% less than that of those in 2019-Before Restrictions, (p<0.05). While the number of patients admitted to the hospital due to fractures in the upper extremity during 2019-Before Restrictions, was 89 (Open Fracture=32, Closed Fracture=57), this number was observed to decrease to 48 (Open Fracture=11, Closed Fracture=37) in the 2020-Lockdown (p<0.05). Discussion(s): It was determined that there was a decrease in upper extremity trauma during 2020-Lockdown compared to the same dates of the previous year. It is possible to state that quarantine practices applied to prevent the spread of COVID-19 affect the decrease in upper extremity trauma.Copyright © 2022, Derman Medical Publishing. All rights reserved.
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This study evaluated cases of spontaneous pneumothorax developing secondary to SARS-CoV-2 pneumonia. Sixteen cases presenting to our hospital due to spontaneous pneumothorax developing secondary to SARS-CoV-2 pneumonia between March 2020 and February 2020 were evaluated retrospectively. Ten patients (62.5%) were men, and six (37.5%) were women, with a mean age of 68 .. 20.3 years (range 18 - 90 years). Pneumothorax was in the right hemithorax in 11 cases (68.75%), in the left hemithorax in two (12.5%), and bilateral in three (17.75%). Pneumothorax developed during active SARS-CoV-2 pneumonia in all 16 cases (100%). No pneumothorax was detected following the healing of SARS-CoV-2 infection. Pneumothorax was observed while patients were not intubated in 15 cases (93.75%), but pneumothorax developed during mechanical ventilation in one case (6.25%). Tube thoracostomy was performed on all patients in treatment. Air leakage from the tube was observed in 14 cases (87.5%). The mean duration of tube thoracostomy was 18.3 .. 20.1 days (range 1 - 81 days). Pneumothorax resolved after treatment in seven cases (43.75%), while mortality occurred in nine (56.25%). Pneumothorax recurred after treatment in one case (6.25%). Pneumothorax is widely seen in the active period or after healing in cases infected with COVID-19. Aggressive treatment is generally required for this clinical manifestation with high mortality.
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Background and Aim: Severe acute respiratory syndrome coronavirus 2 is a novel coronavirus that is responsible for the current pandemic. In earlier studies, loss of respiratory function had been observed in survivors. The degree of respiratory function loss and if any early intervention may reduce or prevent it remains an issue to be clarified. The study aimed to investigate the effects of pulmonary rehabilitation through a supporting device on COVID-19 patients during a follow-up period of 1 month. Materials and Methods: In this study, patients were selected among those who had applied to emergency service, were evaluated by a pulmonary medicine resident or specialist, and were required hospital admission. The admission began on March 29th, and the study concluded on June 1st. Respiratory exerciser and peak flow meters were provided to the patients for respiratory function testing. Results: Eighty-four patients admitted to the ward were evaluated for the study between these dates. Thirty-five patients were found suitable for the study. The median discharge Peak Expiratory Flow (PEF) value was 225 ml/min (180-285), and the median follow-up PEF value was 465 ml/min (312-515) with an absolute difference of 175 ml/min (85-250). No difference between absolute PEF values and percentages was seen between the control and study groups (P = 0.374 and P = 1.0, respectively). A negative correlation between the Charlson Comorbidity Index and follow-up PEF value was observed (P = 0.009). Conclusions: There was no difference in the utilization of respiratory exercise in the initial period of COVID-19 in our study. These results could be interpreted that COVID-19 patients with no respiratory disease history and low morbidity may not require respiratory exercise to return to basal respiratory function
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Due to the COVID-19 pandemic, many universities worldwide halted face-to-face education and instead began focusing on distance learning/education. Accordingly, it is necessary to consider the impact of this new digital era in terms of access to university libraries. Thus, the aim of this paper is to examine the digital services provided by university libraries in general and the solutions they have proposed to overcome the impact of COVID-19 on the higher education system in particular. To this end, secondary data from 30 selected state universities related to their library services, as accessed from their websites, is analysed to clarify the suitability of the existing digitalisation process in Turkish universities. It was found that digitalisation effectively equalises these different universities in terms of access to resources, regardless of their history/ranking/ structure or the cities they are physically established in.
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Aim: Our study aims to evaluate the upper extremity trauma that admitted to our hospital from April 11, 2020, to June 1, 2020, the days when the restrictions were applied in Turkey, and to investigate the effect of COVID-19 on upper extremity trauma by comparing with the data of a year ago between the same dates. Material and Methods: Demographic information, trauma details, and region, and the treatment method of patients with any upper extremity trauma who were over the age of 18 and admitted to the hospital between April 11, 2019, and June 1, 2019 (2019-Before Restrictions) and between April 11, 2020, and June 1, 2020 (2020-Lockdown) were examined retrospectively. Results: In 2019-Before Restrictions, 218 patients and in the 2020-Lockdown, 163 patients were admitted to the hospital due to upper extremity trauma. The number of hospital admissions with upper extremity trauma during the 2020-Lockdown was 25.22% less than that of those in 2019-Before Restrictions, (p<0.05). While the number of patients admitted to the hospital due to fractures in the upper extremity during 2019-Before Restrictions, was 89 (Open Fracture=32, Closed Fracture=57), this number was observed to decrease to 48 (Open Fracture=11, Closed Fracture=37) in the 2020-Lockdown (p<0.05). Discussion: It was determined that there was a decrease in upper extremity trauma during 2020-Lockdown compared to the same dates of the previous year. It is possible to state that quarantine practices applied to prevent the spread of COVID-19 affect the decrease in upper extremity trauma.
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Aim: Varicella zoster virus (VZV) is a double stranded DNA virus from herpes virus family. Only infection source is human and it is very contagious. With this case we want to mention about atypical presentation of zona and it should be kept in mind as differential diagnosis for atypically located vesicular lesions. Case: 50 years old healthcare worker female patient presented to emergency service with parestesia and coldness of one leg followed by vesicular lesions. Predisposing factors are chronic disease, immunocompromising disease, age more than 60 but for our patient no predisposing factors observed. The COVID Pandemic has brought with it other additional health problems.
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According to official statistics, there are approximately eight million higher education students in Turkey. In other words, one-eighth of Turkey's population continues to higher education in Turkey. In this study, the digital divide in distance education in terms of the physical and social environment of higher education students is discussed. When the first COVID-19 cases were recorded in Turkey in the second week of March 2020, formal education was immediately stopped with distance education until finishing 2020-2021 education year and 2021-2022 higher education year started with partly (approximately %40) distance education. This paper focusses on undergraduate (BA) and postgraduate students (both MA and PhD) from Ankara Yildirim Beyazit University (AYBU) in Turkey to compare the function of living in the urban area or rural area during the COVID-19 pandemic. After finishing literature review and getting ethical approval for collecting original data, Phone and Skype interviews between June and September 2020 has done with thirty-four students. Then, the datasets analyzed with the NVivo program with regards to emerged main themes (e.g., location, urban and rural areas, and distance education). In this study, students living in the city center stated that they experienced more psychological, social and economic difficulties in order to overcome this pandemic. Students who live in rural or suburban areas and can access educational materials and facilities with secure internet access have been found to be more independent, safe and productive during the COVID-19 pandemic.