Background: We aimed to reveal how chronic diseases, age and gender affected morbidity and mortality in patients with Coronavirus disease of 2019 (COVID-19). Methods: Medical records of all reverse transcription polymerase chain reaction (RT-PCR) positive COVID-19 patients followed up in hospital and home isolation between 13th of Mar 2020 and 12th of May 2020 were retrospectively reviewed. The patients were from Kayseri Province, Turkey. Patients’ demographic and clinical characteristics and the factors associated with morbidity and mortality were analyzed. Results: Of all the patients, 773 (95.8%) were alive and 34 (4.24%) died. The fatality rate was 4.2%. There were differences between the age groups in terms of fatality rate (P<0.001). The fatality rate in patients above the age of 65 yr was significantly higher. The fatality rate in the male gender was 2.44 times higher (P<0.05). It was 1.104 times higher in advanced age (P<0.001) and 10.893 times higher in patients with at least one comorbid disease (P<0.05). Hypertension increased mortality by 3.635 times (P<0.05) and chronic pulmonary diseases by 2.926 times (P<0.05). Conclusion: Advanced age, male gender and accompanying chronic diseases have adverse effects on the course and severity of the disease and hospitalization. They also increased the rate and risk of mortality.

Urgent measures were taken for those at the age of 65 and over who were at the risk group all over the world due to the COVID-19 pandemic. It is known that many individuals at the age of 65 and over have experienced anxiety due to the uncertainties. This study aimed to determine the anxiety and death anxiety in individuals aged 65 and over who were isolation at home due to being diagnosed with COVID-19 or being in contact during the pandemic process. The study is descriptive and cross-sectional. It was performed with 656 home-quarantined individuals aged between 65–80 years with positive or negative real-time polymerase chain reaction (RT-PCR) test result. A form including questions about the death anxiety and the Coronavirus Anxiety Scale Short Form prepared by the researchers were administered to the individuals by phone call. Of the participants, 49.5% were male. Median COVID-19 anxiety score was 4 (0–18). Anxiety scores of the male and female participants were similar. Participants with negative polymerase chain reaction (PCR) results and those with death anxiety had higher COVID anxiety scores. Death anxiety has increased by 1.661 times in male gender, 1.983 times in RT-PCR positivity and 0.146 times in the presence of symptoms. Individuals with positive COVID-19 test results or those aged 65 and over who had death anxiety and negative COVID-19 test result but who were in home-isolation due to being a contact had higher anxiety score. For this reason, those with death anxiety can be supported in line with their religious beliefs to reduce anxiety. Those with negative PCR test results in quarantine can be adequately informed about the COVID-19.

Aim: Earthquakes are natural disasters that affect survivors physically and psychologically. Healthcare workers (HCWs) are both earthquake survivors and aid responders. In our study, we aimed to determine the level of anxiety and depression and related factors in HCWs involved in the treatment, discharge, follow-up, and rehabilitation of earthquake victims. Materials and Methods: The Kayseri City Hospital Institutional Ethics Board approved the study (Approval number: 841, decision date: 23.05.2024). HCWs such as doctors, nurses, health technicians, medical technicians, and medical secretaries who worked in the acute care of earthquake victims in Kayseri City Hospital after the February 6, 2023 earthquake were included in the study. Sociodemographic data form, Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) were applied to the participants. Results: A total of 159 HCWs agreed to participate in our study. According to the BDI scale scores, 18.2% of the participants had mild depression, and 4.4% had severe depression. The presence of anxiety and depression was higher in female participants than in male participants (p=0.012, p=0.005). A statistically significant difference was found in terms of anxiety in HCWs who considered themselves earthquake survivors (p=0.002). While anxiety was higher in participants who thought that HCWs were more affected by the earthquake (p=0.034), both anxiety and depression were higher in participants who believed that HCWs should receive psychological support after the earthquake (p-values were 0.01 and 0.004, respectively). Conclusion: Strategies should be developed before and after disasters such as earthquakes to protect and improve HCWs’ mental health, even if they do not request it.

Amaç: Kayseri İlindeki KETEM’lerine 2018 yılında başvurup HPV pozitif çıkan kadınlardaki HPV tiplerinin, histopatolojik tiplendirme dağılımının ve ileri merkez muayene sonuçlarının incelenmesidir.Yöntem: Çalışma için Erciyes Üniversitesi Klinik Olmayan Araştırmalar Etik Kurulu’ndan etik onay alınmıştır (Tarih: 11.12.2019 Sayı:2019/835). Bu çalışma 2018 yılı boyunca KETEM birimlerinde HPV testi alınan 30-65 yaş arası 28148 kişinin verilerinin taranmasıyla yapılmıştır. HSYS veri tabanından 2018 yılına ait HPV sonucu pozitif olan hastaların yaş, HPV tipi, servikal sitoloji sonucu ve kamu hastanelerinden hastalara yapılan muayene, tetkikler ve diğer işlem sonuçları incelenerek SPSS 21.0 programına aktarılmıştır.Bulgular: HPV testi pozitif bulunan kişi sayısı 1171 (%4.16)’dir. En sık HPV tip 16 (%26.8) görülmüştür. HPV testi pozitif olan 1171 kadının 771’inin (%65.8) kamu hastanelerinde muayene olduğu, 478’inden (% 62.0) biyopsi alındığı, 62’sine (% 8.0) smear incelemesi 597’sine (%77.4) ultrasonografi yapıldığı görülmüştür. Muayene sonrası 596’sında(%77.3) patolojik bulgu saptanmamış olup, 78’inde (%10.1) LSIL, 66’sında (%8.6) HSIL saptanmıştır. Üç kişide ise (%0.4) invaziv kanser tespit edilmiştir.Sonuç: Hedef nüfusun her yıl %20’sinin taranması için tarama programlarının daha geniş kitleye ulaştırılması ve bu kapsamda çalışmalar yapılması gerekmektedir.

A pandemic is the spread of a disease, an infection factor or a health problem in a wide area like worldwide. Pandemics affect an important part of the population in the whole world. A pandemic is the spread of a disease, an infection factor or a health problem in a wide area. Pandemics affect an important part of the population in the whole world. Protection and control measures should be taken during an epidemic. These measures are generally for resource control, mode of transmission and healthy individuals. Filiation activities on COVID-19 have been being performed meticulously in our country since the first index case was detected. The following case series were presented in order to explain how filiation activities were performed in Kayseri and in our country. We presented four case series. The most important point in coping with epidemics is having a strong infrastructure in healthcare system. It is considered that the works of filiation teams as an example for medical surveillance have had a great contribution to the management of pandemic.

Kronik hastalıkların ve engelliliğin sıklığı yaşlılıkta artmaktadır. Bu durum sağlık hizmeti sunumunun da değiştirilmesini gerekli kılmıştır. Akut hastalıklardan kronik hastalıkların yönetimine, tedavi odaklı olmaktan bakım ve rehabilitasyona doğru bir yönelim olmuştur. Evde bakım hastaneye transferi zor olan bireyin sağlığını korumak veya iyileştirmek amacıyla sağlanan sağlık hizmetinin tamamıdır. Bu çalışma ile Kayseri’de evde sağlık hizmetleri kapsamında yapılan işlemler ve hasta profilinin değerlendirilmesi amaçlanmıştır. Çalışmamız retrospektif ve tanımlayıcı olarak planlanmıştır. Ocak 2018-Ağustos 2020 tarihleri arasında Kayseri’de verilen evde sağlık hizmetleri değerlendirilmiştir. Hizmet alan 18512 kişinin sosyodemografik özellikleri, kronik hastalıkları, birim tarafından aldıkları hizmetin özelliği dosya tarama yöntemi ile elde edilmiştir. Hastaların yaş ortalaması 76±18.4’dür. En fazla 65 yaş ve üzeri hasta grubu hizmet almıştır. Hastaların %46.6’sı erkektir. Evde sağlık hizmeti alan hastaların en çok nörolojik hastalıkları bulunmaktadır. Hastalara toplam 36749 işlem yapılmıştır. Yara bakımı %20.5 oranında en fazla yapılan işlemdir. Hastaların cinsiyete göre yaş ortalamaları ve ölüm oranları benzerdir. Sonuç olarak, evde sağlık hizmeti alan hastaların büyük kısmını nörolojik hastalıklar ve 65 yaş üzeri hasta grubu oluşturmaktadır. En sık yapılan işlem ise yara bakımıdır. İleri yaş ve nörolojik hastalıklar başta olmak üzere birçok hasta evde sağlık hizmetlerine ihtiyaç duymaktadır. Bu çalışmada olduğu gibi hasta profili ve hizmetlerin tanımlanması etkin bir hizmet sağlanması ve gelecek çalışmalara ışık tutması açısından önem arz etmektedir.