Onur Ege Tarı

Acute cerebellitis (AC), a rare inflammatory disorder of the cerebellum, is primarily associated with infectious, post-infectious, and autoimmune mechanisms. It predominantly affects children and typically follows a benign and self-limited course. This study, the largest case series to date focusing exclusively on adult-onset AC, reveals distinct clinical, laboratory, and imaging characteristics compared to the pediatric AC literature. We included 16 patients (mean age of 39.5 years) who met the clinico-radiological features of AC. The causes of AC in this study were varied, encompassing paraneoplastic, post-infectious, infectious, anti-GAD-related, and hemophagocytic lymphohistiocytosis etiologies. The most common symptoms were altered consciousness, dysarthria, ataxia, vomiting, fever, headache and seizures. All cases showed bilateral cerebellar involvement on MRI, predominantly affecting the cerebellar cortex. Hemorrhage within cerebellar lesions was observed in three patients. Outcomes were often severe, with 56% of patients experiencing severe sequelae and 31% mortality. This study highlights the distinct characteristics and potential for severe outcomes in adult AC, emphasizing the need for a comprehensive diagnostic approach.

Maintaining venous access and catheter patency in patients undergoing hemodialysis through the central catheter is a dire necessity. When conventional venous accesses have been exhausted, unconventional venous access techniques have become rational options to create vascular access for hemodialysis. Herein, a case with exhausted venous access, that underwent tunneled dialysis catheter insertion through subacutely occluded lower extremity central veins was described.

BackgroundThe responsibility of the medical faculties is to educate graduates who are aware and sensitive to the health problems of the society and who can provide preventive and therapeutic health services. All graduates who are expected to improve the health level of society should be provided with fundamental medical values and medical skills. The aim of this study is to evaluate the views of interns of Hacettepe University Faculty of Medicine on the level of achievement of fundamental medical skills stated in the National Medical Education Core Program (NMCP).MethodsIn the 2017-2018 academic year, 39.3% (n = 455) of senior medical students participated in the study. Their views on attitudes and habits related to medicine and their self-assessments about observing, performing and being able to do after graduation basic medical practices stated in the NMCP were evaluated with a survey consisting of 192 questions.ResultsAccording to the results of the survey, almost all of the students want to be a specialist and go to the commercial courses. Anxiety level about performing medical practices after graduation is quite high. When the total of the skills in the NMCP, is reviewed, it is seen that there is a loss of observing, performing and being able to do after graduation between 20-25%.ConclusionsThe study showed that some of the senior medical students who were a few months away from graduation were not sufficient for primary health care services according to the fundamental medical skills defined in the NMCP. It is necessary to investigate which skills are inadequate and the reasons for the inadequacy. It is also important to make the students' positive judgments about themselves and to give them motivation and self-confidence about their professional life.