Pharmaceutical Care Services During the COVID-19 Pandemic in Turkey: Proposal of a Holistic Approach

Community pharmacists, who are among the primary healthcare service providers, are regarded as the closest and most accessible healthcare professionals. Unfortunately, patient counseling, one of the most important pharmacy profession tasks, cannot he performed in exceptional cases, which can endanger patient safety. The coronavirus disease-19 (COVID-19) pandemic process we are facing today is an example of these particular situations in Turkey. Partial curfews imposed within the scope of COVID-19 pandemic measures have also increased problems. Therefore, there is a need for a pharmaceutical care service network that will enable individuals who do nor have aces to pharmacies, who arc in risk groups, or whose mobility is restricted due to pandemic or disaster, to reach their prescribed medicines safely under pharmacist consultancy. In this regard, establishing a pharmaceutical care service network on a scientific and systematic basis may solve the current problems, mostly encountered during the COVID-19 pandemic in Turkey. Designing a network within the framework of vehicle routing and assignment problems is important in ensuring patients' rapid access to prescribed medications and preventing unfair competition among pharmacies

Subcutaneous emphysema, pneumo-orbita and pneumomediastinum following a facial trauma caused by a high-pressure car washer

Pneumomediastinum is air leakage to mediastinal space from various potential sites, including lung, esophagus, trachea, and neck. It is a rare condition that develops either spontaneously with increased intraalveolar or intrabronchial pressure, or due to trauma. Although cases where face or neck trauma with subcutaneous emphysema that extended to mediastinal cavity via anatomical connections in face and neck have been reported, orbital traumas leading to pneumomediastinum are very rare occurrences that have seldom been reported. This paper documents a 17-year-old male who presented with diffuse subcutaneous emphysema involving paraorbital facial areas, which extended to neck and mediastinal cavity

Temporomandibular Joint Dislocation after Gastroendoscopy: A Case Report

Temporomandibular joint (TMJ) dislocation is defined as excessive forward movement of the mandibular condyle beyond the articular eminence with complete separation of the articular surfaces and fixation in that position. A 54 years old man attended our Emergency Department (ED) with complaints of slurred speech and inability to close his mouth after upper gastroendoscopic procedures. Lateral craniography was obtained and illustrated bilateral anterior dislocation of the patient's mandibular condyles. To confirm the diagnosis urgent radiographic imaging is required without delay as the risk of complications occurring increases as time elapses

Anxiety disorder and eating habits in adolescents with gastroesophageal reflux disease

WOS: 000454206700010Objective: It was aimed to evaluate the relationship between eating habits and reflux by investigating eating habits in adolescent patients with gastroesophageal reflux disease, and also to assess the interplay between gastroesophageal reflux disease and anxiety. Methods: We included patients between the ages of 12 and 18 diagnosed as gastroesophageal reflux disease in the pediatric gastroenterology outpatient clinic but who had not yet been treated. The control group consisted of age matched adolescents who applied for upper respiratory tract infection. The relationship between eating habits and reflux was assessed with Adolescent Nutrition Checklist, and relationship between gastroesophageal reflux disease and anxiety was assessed with Anxiety Disorder Screening Questionnaire. Results: Seventy adolescents with reflux disease and 67 adolescents as the control group were included in the study. There was no significant difference between the groups regarding the eating habits and anxiety scores. However, it was seen that most of the patients in both groups. had poor eating habits and higher general anxiety score. Conclusion: No relation was found between the gastroesophageal reflux disease, anxiety and eating habits in adolescents. These results suggested that reflux disease should be separated from other gastrointestinal complaints such as abdominal pain which may be psychosomatic. However, there was a quantitative increment in poor eating habits in those with gastroesophageal reflux disease. For this reason there is a need for further studies which investigate the eating habits with a larger sample size of this population