European Journal of Clinical and Experimental Medicine T.20, z. 3 (2022)
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- PozycjaThe relationship between the COVID-19 pandemic and the sexual life quality of nurses(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022-12) Ekrem, Ebru Cirban; Erciyas, Şeyma KilciIntroduction and aim. Sexuality is one of the basic human needs. The coronavirus has adversely affected every aspect of people’s lives. The nurses who were in the closest contact with the patients were affected more negatively due to the many unknowns during the COVID-19 pandemic. Aim of this study is to determine the relationship between the COVID-19 pandemic and the sexual quality of life of nurses. Material and methods. The sample of this descriptive-cross-sectional study consisted of 390 nurses who met the inclusion criteria. The data were collected over the social networks between November 2020-January 2021. The data were collected through social networks using the “Personal Information Form” and “Quality of Sexual Life Scale-Women” using the self-report method. Results. The mean age of the nurses was 32.44±6.83, and 59.2% of them had a university level education. The mean score of the women’s sexual quality of life scale was calculated as 87.37±20.83. It has been determined that there is a statistically significant difference between the scores obtained from the sexual life quality scale according to the status of the nurses having (p<0.05). Conclusion. In the COVID-19 pandemic, it was determined that the sexual life quality of nurses was above the medium level and their sexual life was adversely affected.
- PozycjaComparative analysis of patients’ satisfaction level, hospitalized before and during the COVID-19 pandemic(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022-12) Wójcik, Rena; Adam, Anna; Golonka, EwaIntroduction and aim. Measurement of the satisfaction level with health services is the most frequently used indicator, mainly because of its importance for determining the quality of the care offered. It is the key to succeed in achieving high-quality healthcare. The purpose of this study was to create a retrospective comparative analysis of the satisfaction level amongst patients hospitalized before and during the COVID-19 pandemic. Material and methods. The study covered a total of 966 patients in 19 hospital wards, in the fourth quarter of 2019 (before the pandemic) and in the second quarter of 2021 (during the pandemic) at the Masovian Specialist Hospital in Radom. The level of patient satisfaction was assessed based on the questionnaire prepared and approved by the Quality Assurance Team in the Masovian Specialist Hospital. The statistical analysis was carried out on the basis of the STATISTICA 10.1 program, using the Pearson’s chi square test, for the significance level at p<0.05. Results. The high level of satisfaction of patients staying in the hospital during the pandemic applied to the widely understood medical and nursing care as well as sanitary conditions in wards, especially the cleanness of rooms, bed linens and sanitary facilities. Conclusion. The biggest dissatisfaction of hospitalized patients during the COVID-19 pandemic involved certain restrictions of visitations and using pastoral services.
- PozycjaNonthyroidal illness syndrome as independent predictor of hospital mortality in the elderly hospitalized patients with COVID-19 pneumonia – single-center observation(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022-12) Młodożeniec, Aleksandra; Orłowska-Florek, Renata; Czarnożycka-Wróbel, Adrianna; Gargasz, Krzysztof; Gala-Błądzińska, AgnieszkaIntroduction and aim. Elderly patients with COVID-19 are at increased risk for adverse outcomes. This study aims to evaluate the prevalence of nonthyroidal illness syndrome (NTIS) in hospitalized patients with COVID-19 pneumonia, its independent impact on patients’ survival. Furthermore, to investigate selected inflammatory biomarkers in those patients and to determine whether they predict mortality associated with the disease. Material and methods. In this single-centered, retrospective study, the medical records of 53 patients with confirmed SARSCoV- 2 infection who attended the provincial hospital between October 2020 and January 2021 were reviewed. Demographic data, laboratory values, comorbidities, treatments, and clinical outcomes were collected. We compared the data in survivor and non-survivor groups. Results. Of 393 adult patients with SARS-CoV-2 pneumonia, 53 (13,49%) met the inclusion criteria and were included. The median age was 72±12.2 years, 26 patients (49%) were men. The NTIS prevalence was 62.3% and showed a strong independent correlation with disease severity and mortality in COVID-19 patients (p=0.01). The interleukin-6, white blood cells, ferritin and neutrophil ratios also differed significantly statistically between survivors and non-survivors. Conclusion. NTIS and the lowering level of FT3 pose an independent prognostic marker of clinical deterioration and higher mortality in elderly patients with COVID-19.
- PozycjaPredictive value of blood urea nitrogen to serum albumin ratio in estimating in-hospital mortality in patients with upper gastrointestinal bleeding(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022-12) Kurt, Erdem; Kurt, Sebnem Zeynep EkeIntroduction and aim. The aim of this study was to examine the usability of blood urea nitrogen to serum albumin ratio (BAR) as a prognostic predictor of in-hospital mortality in patients with gastrointestinal (GI) bleeding. Material and methods. The electronic medical records of the patients who applied to the emergency department due to upper GI bleeding during the study period were reviewed. The receiver operating characteristic (ROC) curve and the area under the curve (AUC) were used to evaluate each discriminant cut-off value to estimate mortality. Results. The study included 225 patients. The median (IQR) age of the patients was 75.0 (68.0–84.0) and 94 (41.8%) were female. AUC was determined as 0.784±0.055 (95% CI, 0.677–0.892) for BAR (p<0.001) in terms of in-hospital mortality. The cut-off value of BAR for this outcome was calculated as 16.26. In this cut-off value, sensitivity was 71.43%, specificity 82.84%, positive predictive value (PPV) 30.00% and negative predictive value (NPV) 96.57%. Conclusion. BAR is a useful tool that can be used to predict the in-hospital mortality of patients with GI bleeding. Patients with GI bleeding with a BAR above 16.26 will require more aggressive and timely intervention.
- PozycjaThe incidence of obesity among children in Turkey – obesity awareness, physical activity and other associated factors(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022-12) Topan, Aysel; Ocakcı, Ayse Ferda; Ayyıldız, Tulay Kuzlu; Kurt, Aylin; Ozdemir, SümeyyeIntroduction and aim. Obesity is the leading one among the most common nutritional disorders seen during childhood period. We aimed to determine the incidence of obesity, obesity awareness, physical activity and associated factors in school-age children. Material and methods. The sampling was composed of 725 students who were studying in secondary schools during the 2016–2017 academic year. Data were collected with “Personel Information Form”, “Obesity Awareness Scale” and “Physical Activity Questionnaire for Older Children”. The mean age was 12.30±1.32 (10–15), 53% of the students were females and 60.1% of students have a person with obesity in the family. Results. We determined that 18.3% of the students were with obesity. The body mass index of students who have a balanced diet compared to those who have not is statistically significantly lower (p<0.05). There was a significant relationship between students’ body mass index and obesity awareness (r=-0.084, p=0.024). Conclusion. Screening for obesity and related factors, such as obesity awareness, having a balanced diet should begin in school-aged children for childhood obesity prevention.