Residency training at medical schools of Ege and Adnan Menderes Universities: the residents’ perspective

Amaç: Bu çalısmanın amacı, uzmanlık ögrencileri bakıs açısı ile yeni kurulan bir tıp fakültesi olan Adnan Menderes Üniversitesi (ADÜ) Tıp Fakültesi'ndeki uzmanlık egitimini Türkiye'nin köklü üniversitelerinden biri olan Ege ÜniversitesiTıp Fakültesi'ndeki uzmanlıkegitimi ile karsılastırmaktır. Gereç ve Yöntem: ADÜ Tıp Fakültesi'nde uzmanlık egitimi alan 115 ve Ege Tıp Fakültesi'ndeki 142 uzmanlık ögrencisinin uzmanlık egitiminin mesleki gelisim, alanında bilgi-tutum-davranıs kazanma yetisini, çalısma ortamı ve kosullarını, kurumların egitim alt yapısı ve donanımlarını sorgulayan 34 parametre bakımından karsılastırıldı. Bulgular: Karsılastırılan parametrelin tamamına yakın bir bölümünde Adnan Menderes Üniversitesi Tıp Fakültesi uzmanlık ögrencileri gördükleri egitimi ve olanakları Ege Üniversitesi Tıp Fakültesi uzmanlık egitimi ögrencilerine göre daha olumsuz olarak degerlendirmislerdir. Sonuç: Yeni ve küçük bir egitim kurumu olarak ADÜ-TF aynı bölgedeki yerlesik üniversiteleri kendilerine örnek almalı ve onlara belirli parametreler açısından belirli sürede yetismeyi önlerine hedef olarak koymalıdırlar.Purpose: The aim of this study is to compare the recidency training in The Faculty of Medicine of Adnan Menderes University, which is a recently established one, with that in the Faculty of Medicine of Ege University, one of the well-established universities of Turkey. Materials and Technique: The evaluations related to various aspects of the recidency training by 115 residents at Adnan Menderes Univerisity (ADU) and by 142 residents at Ege University were compared. Results: In nearly all parts of the 34 parameters considered, residents at Adnan Menderes University(ADU) evaluated their education and facilities as more negative when compared to residents at Ege University. Conclusion: ADU Faculty of Medicine, a new and small institution of education, should take well-established universities in the same region as a sample and should aim to catch up with them in a certain period

Diagnostic Value of the Mean Platelet Volume in the Prediction of Respiratory Syncytial Virus in Acute Bronchiolitis

Aim:Respiratory syncytial virus (RSV) is a viral pathogen that causes lower respiratory system infections in childhood. The purpose of this study was to examine whether mean platelet volume (MPV) changes are significant in the prediction of RSV bronchiolitis.Materials and Methods:One hundred and eighty-four infants who were diagnosed with acute bronchiolitis were divided into groups based on being RSV positive and other respiratory viruses positive. Using the receiver operating characteristic (ROC), diagnostic accuracy was evaluated according to the areas under the curves (AUC) for the diagnosis of bronchiolitis. A p value of 0.05) and other viruses. ROC curve analysis indicates that the MPV level cut-off point for making the diagnosis of single RSV bronchiolitis was 6.63 fL with a sensitivity and specificity of 55% and 63% respectively. The median AUC was 0.384 for the MPV (95% CI 0.270-0.499, p=0.04).Conclusion:Volume of MP may be a useful marker to provide a prediction on single RSV bronchiolitis. However, the measurement of MPV might not be correct and sufficient to provide a prediction on the types of respiratory viruses in bronchiolitis

The Impact of Multiple Viral Infection in Children with Severe Lower Respiratory Tract Infections

Aim:We aimed to compare the clinical features and outcomes between single and multiple viral pathogens in children with severe lower respiratory tract infections (LRTIs) in a pediatric intensive care unit (PICU).Materials and Methods:This study was conducted retrospectively in patients who were admitted to a PICU between March, 2018 and March, 2020. The subjects were divided into two groups, single viral infection and multiple viral infection. The epidemiologic characteristics, clinical features, disease severity and outcomes were compared between these single and multiple viral infection groups.Results:During this study period, positive polymerase chain reaction (PCR) tests were carried out on 136 (29%) children among the 468 children admitted to the PICU with the diagnosis of LRTI. Rhinovirus and Respiratory Syncytial Virus (RSV) were the most commonly identified viruses (44.1% and 35.2%, respectively). Two viruses were detected in thirty-nine (28.6%) of samples via PCR tests. Rhinovirus and RSV co-infection was the most common combination (10/39, 25.6%) in our cohort. The multiple viral infection group had higher PRISM scores than the single virus infection group (10 vs. 7, respectively, p=0.009). In the multiple viral infection group, the invasive ventilatory support rate (56.4% vs 36.1%, p=0.030) and the non-invasive ventilatory (NIV) support rate (43.5% vs 6.1%, p=0.018) were significantly higher than in the single viral infection group.Conclusion:Lower respiratory multi-viral infections are associated with increased invasive and NIV support requirements. Close monitoring in a unit where support can be provided is essential for those infants with multi-viral LRTIs

HIV pozitif / AIDS hastalarının tanı ve izlemi için geliştirilen veri tabanı ortamı

The collection of reliable data is the first step to assess the status of HIV/AIDS in a community. HIV recording systems are necessary for organizing and analyzing the patients' data. The aim of the study was to develop a database to be used to track HIV positive/AIDS patients. The database includes general demographic fields as well as specific fields such as health history, laboratory and other clinical history, current and past drug regimens (both antiretroviral and non-antiretroviral drugs). It is also possible to organize and maintain a patient database according to specific diseases, laboratory tests and /or medication treatments.Güvenilir verilerin toplanması, bir toplumda HIV/AIDS durumunun saptanmasında ilk basamaktır. HIV kayıt sistemlerinin geliştirilmesi, özellikle verilerin organizasyonu ve analizi açısından yararlıdır. Bu çalışmada, HIV/AIDS'N hasta verilerinin standart bir şekilde toplanmasını amaçlayan bir veri tabanı programı oluşturulmuştur. Bu veri tabanı programında, hastaya ait genel demografik bilgilerin yanı sıra, yakınma ve muayene bulguları, laboratuvar sonuçları, tedavi (antiretroviral veya diğer) ve izlem gibi bilgiler kaydedilebilmekte, gerektiğinde bu bilgiler sorgulanarak rapor haline getirilebilmektedir

Clinical and Epidemiological Evaluation of Hospitalized Children with Respiratory Virus Infections

Giriş: Solunum yolu virüsü enfeksiyonları, özellikle bebeklerde ve küçük çocuklarda hastaneye yatışların en sık nedenidir. Multip-leks polimeraz zincir reaksiyonu (PCR) ile solunum yolu virüslerinin saptanması hasta yönetimini kolaylaştırmış ve yeni virüslerin ta-nımlanmasına izin vermiştir. Bu çalışmanın amacı, hastanede yatan çocuklardaki viral ajanların insidans ve epidemiyolojik özelliklerini belirlemek ve tek virüs ile çoklu virüs enfeksiyonlarının klinik bulgu-larını karşılaştırmaktır. Gereç ve Yöntemler: Solunum yolu enfeksiyonu nedeni ile hastanede yatan çocukların verileri geriye dönük olarak araştırıldı. Hastaların de-mografik özellikleri, başvurdukları ay/mevsim, klinik ve laboratuvar bul-guları, yatış süresi, nazofarengeal sürüntü örnekleri incelendi. Solunum yolu virüsleri için multipleks PCR kullanıldı. Tek virüs enfeksiyonu olan hastalar ile çoklu virüs enfeksiyonu olan hastalar karşılaştırıldı. Bulgular: Eylül 2014-Nisan 2016 tarihleri arasında hastanede yatan çocuklardan alınan toplam 114 nazal sürüntü örneği multipleks PCR ile değerlendirildi. Hastaların 94 (%83.3)’ünde en az bir solunum pato-jeni tespit edildi. Hastaların 29 (%30.9)’unda koenfeksiyon tespit edildi. Respiratuar sinsityal virüs (RSV) (%28.7) en sık görülen patojendi ve RSV-rinovirüs en sık görülen birliktelikti (%31, 9/29). Birden fazla virüs enfeksiyonu sıklıkla daha küçük çocuklarda saptandı (p= 0.022). İki grup arasında cinsiyet, erken doğum, mekanik ventilasyon öyküsü, kronik hastalık varlığı, ailede sigara içimi öyküsü, ailede üst solunum yolu en-Objective: Respiratory virus infections are the most common cause of hospitalization particularly in infants and young children. Detection of the respiratory viruses with multiplex PCR has recently facilitated patient management and allowed for the identification of new viruses. the aim of this study was to determine the incidence, epidemiology of viral agents in hospitalized children and to compare the clinical manifestations of single virus versus multiple virus infections. Material and Methods: Data of hospitalized children with respiratory infections were retrospectively investigated. Demographic character-istics of the patients, the month/season they were admitted, clinical and laboratory findings, duration of hospitalization, nasopharyngeal swab samples were investigated. Multiplex PCR was used for respirato-ry viruses. Patients with a single virus infection and those with multiple virus infection were compared. Results: A total of 114 nasal swab samples from hospitalized children during September 2014-April 2016 were evaluated by multiplex PCR. At least one respiratory pathogen was detected in 94 (83.3%) of the patients. Co-infections were identified in 29 (30.9%) of the patients. RSV (28.7%) was the most common single pathogen and RSV-Rhinovirus was the most common co-existence (31%, 9/29). Multiple virus infections were mostly detected in younger children (p= 0.022). There was no difference between children with multiple versus single virus infections in terms of gender, premature birth, mechanical ventilation history, presence of chronic illness, family history of smoking, upper respiratory tract infection in the family, severity of disease (respiratory scoring, oxygen requirement), hospitalization stay, need for hospitalization in the intensive care unit and laboratory findings (p> 0.05)