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1.
Niger J Clin Pract ; 24(1): 28-37, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33473022

RESUMEN

Background: Metabolic syndrome (MetS) has become an issue in the public health discipline. Aims: The primary aim of this study is to assess the potential determinants for both knowledge level of metabolic syndrome and health literacy (HL) level among the adult population. The second purpose of this study is to show whether there is a relationship between the MetS knowledge level and the HL level in western Turkey. Methods: This cross-sectional study was conducted between October 10, 2017 and November 15, 2017 in western Turkey. The participants of the study were adult population who applied to seven "family health centers". The MetS knowledge level was measured with the Metabolic Syndrome Knowledge Level Scale (MetS-KS). HL level was measured with the HLS-EU-Q16. A General Linear Model was constructed to evaluate the relationship between MetS-KS scores and HLS-EU-Q16 scores. For statistical significance, P < 0.05 was accepted. Results: Younger age, having higher education level, being single, having a high family income, not having a chronic disease, doing regular physical activity, viewing television less than 3 hours a day, previous measurement of waist circumference, previous attempts to lose weight, not being abdominally obese, not being at risk for hypertension and not having optimal body mass index (BMI) were associated with high HL levels (P < 0.05 for each one). According to the general linear model, the level of HL was not related to the level of MetS knowledge level (P > 0.05). Conclusions: Younger age, having a high educational level, high socioeconomic level and positive health behaviors were related with both MetS knowledge level and HL level. However, there was no direct relationship between MetS knowledge level and HL level.


Asunto(s)
Alfabetización en Salud , Síndrome Metabólico , Adulto , Índice de Masa Corporal , Estudios Transversales , Humanos , Síndrome Metabólico/epidemiología , Encuestas y Cuestionarios , Turquia/epidemiología
2.
PLoS One ; 16(1): e0244347, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33395428

RESUMEN

INTRODUCTION: Pneumonia of unknown cause was detected on 30 December 2019 in China. It was categorized as an outbreak and named as COVID-19 by the World Health Organization. The pandemic affects all people, but patient groups such as hemodialysis (HD) patients have been particularly affected. We do not know if refugees suffered more during the outbreak. In this study, we compared depressive symptom frequency between Syrian refugee HD patients and Turkish ones. METHODS: The study had a single-center, cross-sectional design. Demographic and clinical data were collected retrospectively from patients' files containing details about past medical history, demographic variables and laboratory values. Validated Turkish and Arabic forms of Beck Depression Inventory (BDI) were used to assess depressive symptoms. BDI scores were compared according to nationality, demographic features and clinical data. A BDI score more than 14 was accepted as suspicion of depression. RESULTS: 119 patients were enrolled in the study. After the exclusion of 22 patients, 75 Turkish and 22 Syrian patients were included for further analysis. The median BDI (interquartile range) score for Turkish and Syrian patients were 12 (7-23) and 19.5 (12.7-25.2), respectively (p = 0.03). Suspicion of depression was present at 42.7% of Turkish, and 72.7% of Syrian HD patients (p = 0.013). Regarding all patients, phosphorus level, Kt/V, and nationality were significantly different between patients with and without suspicion of depression (p = 0.023, 0.039, 0.013, respectively). CONCLUSION: Syrian patients had higher BDI scores and more depressive symptoms than Turkish patients. Additional national measures for better integration and more mental support to Syrian HD patients are needed.


Asunto(s)
Depresión , Pandemias , Refugiados/psicología , Diálisis Renal , Adulto , Anciano , /etnología , Estudios Transversales , Depresión/epidemiología , Depresión/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Siria/etnología , Turquia/epidemiología
3.
Artículo en Inglés | MEDLINE | ID: mdl-33406780

RESUMEN

Greece is a European-Union country, of around 10 million people, located in the southeast part of Europe. The economy is recovering from a long period of deep recession, due to the economic crisis that started in 2008. The economic problems greatly influenced the structure and resources of the healthcare system of the country. In addition to the economic challenges, the country has been facing a refugee crisis, characterized by many overcrowded hotspots and tensions with neighboring Turkey. The COVID-19 outbreak arrived in Greece on 26 February 2020, at the time that Athens had declared a state of emergency at the Greek/Turkish border. From this point in time the government enforced a series of measurements, aiming to contain the epidemic and avoid the collapse of the healthcare system. The vast majority of the general population complied to the measures and consequently Greece's death toll was low. The impacts of the outbreak are expected to be, as everywhere worldwide, multifaceted and to affect many parts of the economic, social and political life of the country.


Asunto(s)
/economía , Control de Enfermedades Transmisibles/organización & administración , Pandemias , Factores Socioeconómicos , Grecia/epidemiología , Humanos , Turquia/epidemiología
4.
Environ Monit Assess ; 193(1): 17, 2021 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-33389185

RESUMEN

The bioaccessibility of some elements (As, B, Cd, Cu, Fe, Mn, Ni and Zn) in soils and vegetables was determined using the physiologically based extraction test. An investigation of the geochemical phases of soils through sequential extraction methods followed by ICP-MS detection was also undertaken. Samples were collected from Iskele, Begendikler and Yolbasi villages in the Bigadic region and Yildiz village in the Susurluk region of Balikesir province, Turkey. All of these villages are close to boron mines. Principal component analysis and correlation analysis demonstrated the interrelationship between the bioaccessibility values of these elements in the gastric and intestinal extracts of soils as well as the plant samples grown in those soils and the elements' concentrations in the different soil fractions. From the bioaccessible concentrations of the elements in the intestinal phases, it was shown that the amounts of As, B, Cu, Mn and Ni in some plant samples were higher than the recommended and tolerable values for human consumption. The bioaccessibilty of these elements in the soils and plants were statistically related with the concentrations of these elements in the labile phases of the soil. The methodology adopted here would be applicable to determining interactions between elements and soil fractions and the interrelationships between bioaccessibility data and soil fractions for any soil samples.


Asunto(s)
Contaminantes del Suelo , Suelo , Boro , Monitoreo del Ambiente , Humanos , Contaminantes del Suelo/análisis , Turquia , Verduras
5.
Environ Monit Assess ; 193(1): 28, 2021 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-33392829

RESUMEN

In contrast to the expectations of an increase in annual fire activity and the severity of fire season due to climate change and large fires, which have been occurring in recent years, a downtrend has been identified in fire activity in many studies conducted for the whole of Europe in recent years. Similarly, in Turkey, according to the General Directorate of Forestry statistics, while there is an increase in the number of annual fires, the burnt area has a downtrend pattern. In this study, fire activity and climate data statistics for Turkey were examined along with the fire season length and severity. The results obtained conform with the studies conducted in places from Spain at the westernmost part of Mediterranean Europe to Israel at the easternmost part of the Mediterranean. Considering the changes in temperatures, temperature rise of 2 to 3 °C was detected at all stations in the study area. No decrease was observed in the average temperatures at any of the stations within the study period between 1940 and 2018. On the other hand, the precipitation trend varied according to the stations. Although there have been increases in precipitation in Fethiye, Isparta, and Marmaris since 1960, the decrease in precipitation by 132 mm in Afyon since 1970 and the decrease in precipitation by 137 mm in Bodrum since 1940 are attention-grabbing. These stations are followed by Izmir station with 66 mm and Cesme station with 37 mm of decrease, despite being smaller decreases. In the study, the long-term (1940-2018) data of the meteorological stations discussed within the study, the Canadian Fire Weather Index (FWI) and the Fine Fuel Moisture Code (FFMC) values were calculated. According to the FWI results used in determining the severity and length of fire season on the coastline of Turkey from the northern Aegean to Antalya, the likelihood of large fires decreased by about 52% in 2018 compared to 1970. This decrease in FWI value indicates that the fire severity is reduced. The specified decrease in fire severity also explains the reason of the decrease in the burnt area that occurred over the years in Turkey. No significant change was observed in the FFMC values indicating the possibility of human-induced fires between 1970 and 2018.


Asunto(s)
Fuego , Incendios Forestales , Canadá , Monitoreo del Ambiente , Europa (Continente) , Humanos , Israel , Estaciones del Año , España , Árboles , Turquia
6.
Ulus Travma Acil Cerrahi Derg ; 27(1): 89-94, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33394477

RESUMEN

BACKGROUND: Laparoscopic cholecystectomy (LC) is the accepted standard treatment for acute cholecystitis (AC) in patients eligible for surgery. Percutaneous cholecystostomy (PC) can provide a permanent treatment for high-risk patients for surgery or act as a bridge for later surgical treatment. This study is an evaluation of the use of PC during the current coronavirus 2019 (COVID-19) pandemic at a single hospital. METHODS: Fifty patients with AC were admitted as of the start of the COVID-19 pandemic in Turkey through June 2020. Patients with pancreatitis, cholangitis, and/or incomplete data were excluded from the study. Data of the remaining 36 patients included in the study were recorded and a descriptive statistical analysis was performed. The patients were divided into three groups: PC (n=14), only conservative treatment with antibiotherapy (OC) (n=14), and LC (n=8). The findings were compared with a group of 70 similar patients from the pre-pandemic period. RESULTS: The mean age of the pandemic period patients was 53 years (range: 26-78 years). The female/male ratio was 1.11. PC was preferred in eight (11%) patients in the same period of the previous year, whereas 14 (39%) patients underwent PC in the pandemic period. Four of the 36 pandemic patients were positive for COVID-19, including one member of the PC group. There was one (7.1%) mortality in the pandemic-period PC group due to cardiac arrest. The length of hospital stay between the groups based on the type of treatment was not statistically significant. CONCLUSION: LC is not recommended during the pandemic period; PC can be an effective and safe alternative for the treatment of AC.


Asunto(s)
Colecistitis Aguda , Colecistostomía , Adulto , Anciano , Colecistectomía Laparoscópica , Colecistitis Aguda/epidemiología , Colecistitis Aguda/cirugía , Colecistostomía/efectos adversos , Colecistostomía/métodos , Colecistostomía/mortalidad , Colecistostomía/estadística & datos numéricos , Femenino , Humanos , Tiempo de Internación/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Pandemias , Estudios Retrospectivos , Turquia
7.
Artículo en Inglés | MEDLINE | ID: mdl-33429890

RESUMEN

The objective of the current survey was to assess the awareness of the dental professionals according to the principals described by the Turkish Dental Association (TDA). A questionnaire including the socio-demographic data, specialties/academic degree, institutions/affiliations, the knowledge about COVID-19, the number of patients examined and dental treatments performed during the COVID-19 pandemic, the knowledge of protection based on the guidelines described by TDA, contamination with COVID-19 and the psychological complaints has been used. A total of 947 (63.1%) dentists enrolled the study. The results showed satisfactory knowledge about the COVID-19 etiology, mode of transmission and the pre-procedural cautions as the majority of them had a fair level of knowledge with significantly higher knowledge among specialized respondents. The participants have also recorded a good judgment towards performing the emergency dental treatment during the current COVID-19 pandemic which corresponds with the guidelines determined by TDA. Considering the updates on the transmission of COVID-19 and protective strategies, there is an urgent need for improvement of dentists' knowledge about risk assessment via training programs. The incidence of positive testing among dental professionals also necessitates immediately testing of asymptomatic Turkish dental professionals.


Asunto(s)
/prevención & control , Odontólogos , Conocimientos, Actitudes y Práctica en Salud , /transmisión , Humanos , Control de Infecciones/métodos , Pandemias , Guías de Práctica Clínica como Asunto , Medición de Riesgo , Encuestas y Cuestionarios , Turquia
8.
Sci Total Environ ; 751: 141830, 2021 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-33182002

RESUMEN

This systematic review presents the potential toxicity of heavy metals such as lead (Pb), mercury (Hg), cadmium (Cd), iron (Fe), nickel (Ni), aluminum (Al), and copper (Cu) in raw cow milk, focusing on their contamination sources and on the assessment of the related human health risk. Multiple keywords such as "raw cow milk, heavy metals, and human health" were used to search in related databases. A total of 60 original articles published since 2010 reporting the levels of these metals in raw cow's milk across the world were reviewed. Data showed that the highest levels of Ni (833 mg/L), Pb (60 mg/L), Cu (36 mg/L) were noticed in raw cow milk collected in area consists of granites and granite gneisses in India, while the highest level of Cd (12 mg/L) was reported in barite mining area in India. Fe values in raw cow milk samples were above the WHO maximum limit (0.37 mg/L) with highest values (37.02 mg/L) recorded in India. The highest Al level was (22.50 mg/L) reported for raw cow's milk collected close to food producing plants region in Turkey. The Target Hazard Quotients (THQ) values of Hg were below 1 suggesting that milk consumers are not at a non-carcinogenic risk except in Faisalabad province (Pakistan) where THQ values = 7.7. For the other heavy metals, the THQ values were >1 for Pb (10 regions out of 70), for Cd (6 regions out of 59), for Ni (3 out of 29), and for Cu (3 out of 54). Exposure to heavy metals is positively associated with diseases developments. Moreover, data actualization and continuous monitoring are necessary and recommended to evaluate heavy metals effects in future studies.


Asunto(s)
Metales Pesados , Leche , Animales , Bovinos , Monitoreo del Ambiente , Femenino , Humanos , India , Metales Pesados/análisis , Metales Pesados/toxicidad , Leche/química , Pakistán , Medición de Riesgo , Turquia
9.
Food Chem ; 338: 127821, 2021 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-32798819

RESUMEN

Turkish coffee is a popular hot beverage owing to its delicious taste and pleasant aroma in Turkey. In the present study, key odorants of medium (MRC) and dark roasted Turkish coffee (DRC) brews were studied using GC-MS-Olfactometry. A total of 26 and 28 key odorants were detected in the MRC and DRC samples, respectively, with flavour dilution (FD) factors varying between 4 and 2048. The highest FD factor (2048) was found for 2-ethyl-3,5-dimethylpyrazine and 2-ethyl-3-methyl pyrazine in the MRC and DRC brew samples, respectively. One of the main differences between the two brew samples was the guaiacol with phenolic-burnt odour. A higher amount of chlorogenic acids (CGAs) was determined in the MRC as compared to the DRC using LC-DAD-ESI-MS/MS. According to the sensory analysis, the Turkish coffee sample brewed from the MRC beans had a higher score of general impression and pleasant coffee sensory descriptors as compared to the DRC.


Asunto(s)
Ácido Clorogénico/análisis , Café/química , Odorantes/análisis , Adulto , Cromatografía Liquida , Coffea/química , Color , Femenino , Cromatografía de Gases y Espectrometría de Masas , Humanos , Masculino , Persona de Mediana Edad , Olfatometría , Fenoles/análisis , Espectrometría de Masas en Tándem , Gusto , Turquia
10.
Int J Food Microbiol ; 337: 108956, 2021 Jan 16.
Artículo en Inglés | MEDLINE | ID: mdl-33189985

RESUMEN

There has been an increase in the number of reports on Salmonella enterica subsp. enterica serovar Infantis (S. Infantis) isolated from animals and humans. Recent studies using whole genome sequencing (WGS) have provided evidence on the likely contribution of a unique conjugative megaplasmid (pESI; ~280 kb) to the dissemination of this serovar worldwide. In the present study, twenty-two unrelated Salmonella strains [S. Infantis (n = 20) and Salmonella 6,7:r:- (n = 2)] and their plasmids were investigated using next generation sequencing technologies (MiSeq and MinION) to unravel the significant expansion of this bacteria in Turkey. Multi-locus sequence typing, plasmid replicons, resistance gene contents as well as phylogenetic relations between strains were determined. According to the WGS data, all S. Infantis possessed the relevant megaplasmid backbone genes and belonged to sequence type 32 (ST32) with the exception of a single novel ST7091. Tetracycline and trimethoprim/sulfamethoxazole resistance were found to be widespread in S. Infantis strains and the resistant strains exclusively carried the tetA, sul1, sul2 and dfrA14 genes. One S. Infantis isolate was also a carrier of the plasmid-mediated ampC via blaCMY-2, gene. Moreover, full genomes of four S. Infantis isolates were reconstructed based on hybrid assembly. All four strains contained large plasmids (240-290 kb) similar to previously published megaplasmid (pESI) and accompanied by several small plasmids. The megaplasmid backbone contained a toxin-antitoxin system, two virulence cassettes and segments associated with heavy metals resistance, while variable regions possessed several antibiotic resistance genes flanked by mobile elements. This study indicated that pESI-like megaplasmid is widely disseminated within the tested S. Infantis strains of chicken meat, warranting further genomic studies on clinical strains from humans and animals to uncover the overall emergence and spread of this serovar.


Asunto(s)
Genoma Bacteriano/genética , Plásmidos/genética , Aves de Corral/microbiología , Salmonelosis Animal/microbiología , Salmonella/genética , Animales , Antibacterianos/farmacología , Pollos/microbiología , Farmacorresistencia Bacteriana/efectos de los fármacos , Farmacorresistencia Bacteriana/genética , Microbiología de Alimentos , Filogenia , Plásmidos/efectos de los fármacos , Salmonella/efectos de los fármacos , Salmonella/aislamiento & purificación , Salmonella/patogenicidad , Salmonelosis Animal/epidemiología , Turquia/epidemiología , Virulencia/genética
11.
Sci Total Environ ; 751: 141663, 2021 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-32866831

RESUMEN

Beyond the contact and respiratory transmission of the COVID-19 virus, it has recently been reported in the literature that humidity, temperature, and air pollution may be effective in spreading the virus. However, taking the measurements regionally suspects the accuracy or validity of the data. In this research, climate values (temperature, humidity, number of sunny days, wind intensity) of 81 provinces in Turkey were collected in March 2020. Also, the population, population density of the provinces, and average air pollution data were taken. The findings of the study showed that population density and wind were effective in spreading the virus and both factors explained for 94% of the variance in virus spreading. Air temperature, humidity, the number of sunny days, and air pollution did not affect the number of cases. Besides, population density mediated the effect of wind speed (9%) on the number of COVID-19 cases. The finding that COVID-19 virus, invisible in the air, spreads more in windy weather indicates that the virus in the air is one threatening factor for humans with the wind speed that increases air circulation.


Asunto(s)
Infecciones por Coronavirus , Pandemias , Neumonía Viral , Viento , Betacoronavirus , Ciudades , Humanos , Humedad , Densidad de Población , Temperatura , Turquia/epidemiología
12.
J Ethnopharmacol ; 265: 113319, 2021 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-32882361

RESUMEN

ETHNOPHARMACOLOGICAL RELEVANCE: Due to the outbreaks such as SARS, bird flu and swine flu, which we frequently encounter in our century, we need fast solutions with no side effects today more than ever. Due to having vast ethnomedical experience and the richest flora (34% endemic) of Europe and the Middle East, Turkey has a high potential for research on this topic. Plants that locals have been using for centuries for the prevention and treatment of influenza can offer effective alternatives to combat this problem. In this context, 224 herbal taxa belonging to 45 families were identified among the selected 81 studies conducted in the seven regions of Turkey. However, only 35 (15.6%) of them were found to be subjected to worldwide in vitro and in vivo research conducted on anti-influenza activity. Quercetin and chlorogenic acid, the effectiveness of which has been proven many times in this context, have been recorded as the most common (7.1%) active ingredients among the other 56 active substances identified. AIM OF THE STUDY: This study has been carried out to reveal the inventory of plant species that have been used in flu treatment for centuries in Turkish folk medicine, which could be used in the treatment of flu or flu-like pandemics, such as COVID 19, that humanity has been suffering with, and also compare them with experimental studies in the literature. MATERIALS AND METHODS: The investigation was conducted in two stages on the subject above by using electronic databases, such as Web of Science, Scopus, ScienceDirect, ProQuest, Medline, Cochrane Library, EBSCO, HighWire Press, PubMed and Google Scholar. The results of both scans are presented in separate tables, together with their regional comparative analysis. RESULTS: Data obtained on taxa are presented in a table, including anti-influenza mechanism of actions and the active substances. Rosa canina (58.7%) and Mentha x piperita (22.2%) were identified as the most common plants used in Turkey. Also, Sambucus nigra (11.6%), Olea europaea (9.3%), Eucalyptus spp., Melissa officinalis, and Origanum vulgare (7.0%) emerged as the most investigated taxa. CONCLUSION: This is the first nationwide ethnomedical screening work conducted on flu treatment with plants in Turkey. Thirty-nine plants have been confirmed in the recent experimental anti-influenza research, which strongly shows that these plants are a rich pharmacological source. Also, with 189 (84.4%) taxa, detections that have not been investigated yet, they are an essential resource for both national and international pharmacological researchers in terms of new natural medicine searches. Considering that the production of antimalarial drugs and their successful use against COVID-19 has begun, this correlation was actually a positive and remarkable piece of data, since there are 15 plants, including Centaurea drabifolia subsp. Phlocosa (an endemic taxon), that were found to be used in the treatment of both flu and malaria.


Asunto(s)
Antivirales/farmacología , Infecciones por Coronavirus , Etnofarmacología/métodos , Gripe Humana/tratamiento farmacológico , Pandemias , Plantas Medicinales/clasificación , Neumonía Viral , Betacoronavirus , Infecciones por Coronavirus/tratamiento farmacológico , Infecciones por Coronavirus/epidemiología , Humanos , Medicina Tradicional/métodos , Fitoterapia , Neumonía Viral/tratamiento farmacológico , Neumonía Viral/epidemiología , Turquia
13.
Am J Otolaryngol ; 42(1): 102761, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33080550

RESUMEN

INTRODUCTION: COVID-19 is a pandemic disease known with one of the symptoms is sudden onset anosmia. This symptom sometimes may be the only sign of the disease, therefore it must be research widely. OBJECTIVE: We aim to evaluate odor dysfunction in COVID-19 patients objectively and safely without any risk of transmitting the disease. METHODS: The odor threshold test was performed on 105 patients hospitalized at the XXXX Training and Research Hospital on the COVID-19 pandemic service before any treatment began. Odor threshold was tested using a modification of the Connecticut Chemosensory Clinical Research Center olfactory function test. COVID-19 signs and symptoms, PCR test results, thorax computed tomography (CT) findings, and length of hospital stay were recorded. Odor tests were scored between 0-8, 0-1 anosmia, 2-3 severely hyposmia, 4 moderate hyposmia, 5 mild hyposmia, 6 and above normosmia. RESULTS: Forty-one (39%) of the 105 patients were diagnosed with COVID-19 after the PCR results. Patients with an odor threshold score < 5 were classified as "Smell-Impaired Group", patients with an odor threshold score ≥ 5 were placed in "Smell Intact Group". The incidence of female patients in smell-impaired group was significantly higher (p ˂ 0.05). The proportion of patients who were PCR-positive for COVID-19 in smell-impaired group was significantly higher (p ˂ 0.05) than in smell intact group. Among patients with an odor threshold score from 0 to 1 (anosmic; n = 15), 12 (80%) demonstrated PCR positivity (p < 0.0001). CONCLUSION: Anosmia can be predictive for coronavirus disease. Odor threshold test can be helpful for diagnosis.


Asunto(s)
/epidemiología , Trastornos del Olfato/diagnóstico , Pandemias , Olfato/fisiología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Trastornos del Olfato/epidemiología , Trastornos del Olfato/etiología , Turquia/epidemiología , Adulto Joven
14.
APMIS ; 129(1): 23-31, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33015856

RESUMEN

Human adenoviruses (HAdVs) are responsible for various clinical diseases. Molecular epidemiological studies of respiratory HAdVs are limited in Turkey. To determine the main genotypes and epidemiological characteristics of HAdVs in patients with respiratory symptoms. HAdV PCR-positive extracts of nasal/nasopharyngeal specimens sent to the Turkish Public Health Institution from various cities of Turkey in 2015-2016 were investigated by seminested PCR. Partial sequence analysis of the hexon gene of HAdVs was performed. SPSSv.24.0 was used. A total of 23/68 (33.82%) HAdV-positive samples were amplified. Mastadenovirus B, C, D, and F were detected and mastadenovirus B (10/23; 43.5%) and C (10/23; 43.5%) were predominant strains. Interestingly, HAdV-F known to have gastrointestinal system tropism was detected in two patients with respiratory symptoms. HAdV-B3 was the most prevalent genotype (9/23; 39.1%). Also, HAdV-B7 is defined as a reemerging pathogen. It is noteworthy that there is a cluster of four HAdV-C strains showing a close paraphyletic relationship with HAdV-2/6 intertypic recombination. To our knowledge, this is the first study showing that HAdV-B7 reemerging pathogen circulating in patients with respiratory infections in our country. It is also necessary to emphasize that HAdV-2/6 recombinant strains were detected in this study for the first time in Turkey.


Asunto(s)
Infecciones por Adenovirus Humanos/virología , Adenovirus Humanos/clasificación , Adenovirus Humanos/genética , Variación Genética , Infecciones del Sistema Respiratorio/virología , Infecciones por Adenovirus Humanos/epidemiología , Adenovirus Humanos/aislamiento & purificación , Adulto , Niño , Preescolar , Femenino , Genotipo , Humanos , Lactante , Masculino , Persona de Mediana Edad , Epidemiología Molecular , Nasofaringe/virología , Filogenia , Reacción en Cadena de la Polimerasa , Infecciones del Sistema Respiratorio/epidemiología , Factores de Riesgo , Análisis de Secuencia de ADN , Turquia/epidemiología
15.
Sci Total Environ ; 754: 142026, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33254949

RESUMEN

Ergene Basin is located in Thrace, Turkey, where industries are densely populated. This study aimed to determine exposure of people living in Ergene Basin (Çorlu and Çerkezköy) to fine and coarse PM, and its potentially toxic element (PTE) content by considering variation in respiratory airway deposition rates with daily activities and PM particle size by employing deposition models of International Commission on Radiological Protection and Multiple Path Particle Dosimetry. Fine and coarse PM samples were collected daily for a year at points in Çorlu and Çerkezköy representing urban and industrial settings, respectively. A questionnaire survey was conducted in the study area to obtain time-activity budgets, and associated variation was included in the health risk assessment by considering time-activity-dependent inhalation rates. The studied PTEs were Al, As, Ba, Cd, Cr, Co, Mn, Ni, Pb, and Se. The mean fine and coarse PM concentrations were measured as 23 and 14 µg/m3 in Çorlu, and 22 and 12 µg/m3 in Çerkezköy, respectively. The only PTE that exceeded acceptable risk in terms of total carcinogenic risk was Cr. Non-carcinogenic risks of all the PTEs including Cr were below the threshold. The use of deposition fractions in the health risk assessment (HRA) calculations was found to prevent overestimation of health risks by at least 91% and 87% for fine and coarse PM, respectively, compared to the regular HRA. Minor differences in risk between Çorlu and Çerkezköy suggest that urban pollution sources could be at least as influential on human health as industrial sources.


Asunto(s)
Contaminantes Atmosféricos , Artrópodos , Oligoelementos , Animales , Monitoreo del Ambiente , Humanos , Tamaño de la Partícula , Material Particulado , Medición de Riesgo , Turquia
16.
Midwifery ; 92: 102877, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33157497

RESUMEN

AIM: This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. METHOD: The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a "Personal Information Form", the "Revised Prenatal Distress Questionnaire (NuPDQ)" and the "Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2)". An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. RESULTS: The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75±5.10 and 11.50±4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of "fear of giving birth" and "worries of bearing a physically or mentally handicapped child" was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. CONCLUSION: The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.


Asunto(s)
Ansiedad/psicología , Parto/psicología , Complicaciones del Embarazo/psicología , Mujeres Embarazadas/psicología , Telemedicina/métodos , Adulto , Ansiedad/prevención & control , Estudios de Casos y Controles , Femenino , Humanos , Embarazo , Complicaciones del Embarazo/prevención & control , Encuestas y Cuestionarios , Turquia
17.
Psychol Health Med ; 26(1): 119-130, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33314964

RESUMEN

The study aimed to explore the effect of perceived stress of healthcare workers on anxiety and sleep level in intensive care units during corona virus pandemic. The research was conducted in descriptive and cross-sectional types. The study was conducted between April 2020 and July 2020 at Atatürk University Research Hospital and Erzurum Regional Training and Research Hospital. In the research, it was aimed to reach all the healthcare professionals (260) working in intensive care units without selecting a sample. The data was collected by using the personal information form prepared by the researchers in line with the literature, Perceived Stress Scale, State-Trait Anxiety Inventory, and Visual Analog Sleep Scale. Of the 210 participants, 75.4% were female, and 88.1% were nurses. The mean age of the participants was 27.04 ± 5.71 years, and 51.9% of the participants were 20-25 years old. The mean perceived stress, state anxiety, trait anxiety, and visual analog sleep scores were moderate and found as 29.9 ± 6.83, 43.09 ± 5.55, 46.15 ± 5.3, and 503.79 ± 134.24, respectively. In conclusion, a general picture of the psychological state of healthcare professionals in Turkey during the COVID-19 pandemic has been presented.


Asunto(s)
Ansiedad/psicología , Unidades de Cuidados Intensivos , Personal de Enfermería en Hospital/psicología , Estrés Laboral/psicología , Trastornos del Sueño-Vigilia/psicología , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Turquia , Adulto Joven
18.
J Environ Manage ; 279: 111760, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33316644

RESUMEN

This study examines the risks of seawater intrusion (SWI) in data scarce aquifers along the Eastern Mediterranean by quantifying the interaction of the main natural, anthropogenic and climatic drivers, while also considering varying abilities of implementing adaptation and mitigation measures. For this purpose, we conducted a semi-quantitative Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis representing a first attempt at integrating a complex physical process with multi layered influences in a SWOT analysis model that was tested at 26 coastal aquifers with varying levels of SWI severity. The analysis results showed alarming signs of SWI at several eastern and southeastern aquifers, particularly those underlying densely populated centers (i.e. Beirut, Lebanon; Magoza, Cyprus; Gaza, Palestine and the Nile Delta, Egypt). The analysis also highlighted adaptive capabilities that appear to be strong in Cyprus, Israel and Turkey, emerging in Egypt, and weak in Lebanon, Syria, and Palestine. The risks exhibited a strong and statistically significant positive relationship with the reported status of SWI at the tested aquifers thus providing an effective decision-making tool towards the preliminary assessment of SWI in regions with data scarcity. The study concludes with proposing a framework for sustainable aquifer management in the East Med region with emphasis on controlling SWI risks.


Asunto(s)
Agua Subterránea , Chipre , Egipto , Israel , Líbano , Medición de Riesgo , Siria , Turquia
19.
Psychol Health Med ; 26(1): 85-97, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33320723

RESUMEN

In this study, we aimed to investigate psychological well-being, depression, and stress among healthcare professionals and non-healthcare professionals in Turkey. An online questionnaire was prepared and shared with participants using social networking sites. Participants were 546 healthcare professionals (females = 313) and 445 non-healthcare professionals (females = 333), aged between 20 and 67 years. All participants completed measures of Depression Anxiety and Stress Scale-21 and Psychological Well-Being Scale. The results showed no significant difference in the scores of psychological well-being, depression and stress of healthcare professionals and non-healthcare professionals. However, the psychological well-being of healthcare professionals and stress varied in terms of age, gender, marital status, job descriptions, and ways of working in clinic. Women, non-physician healthcare professionals, young and single people and those who worked in COVID-19 service and stayed at least one week away from their families during the pandemic were found to have poor mental well-being. Psychological well-being was significantly and negatively correlated with depression and anxiety. Our findings indicate that healthcare professionals who are at the frontline of the fight against the COVID-19, and nurses, women, single person and those who are away from their family for more than a week during the pandemic are at greater risk.


Asunto(s)
Ansiedad/epidemiología , Depresión/epidemiología , Personal de Salud/estadística & datos numéricos , Satisfacción Personal , Estrés Psicológico/epidemiología , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Turquia/epidemiología , Adulto Joven
20.
Angiology ; 72(1): 86-92, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-32840113

RESUMEN

We investigated the role of vitamin D on glycemic regulation and cardiac complications in patients with type 2 diabetes mellitus (T2DM). A total of 1139 patients (49.3% males vs 50.7% females) were included. Information on sociodemographic lifestyle, family history, blood pressure (BP), and coronary heart disease (CHD) complications was collected. Significant differences were found between males and females regarding age-groups (P = .002), body mass index (BMI; P = .008), physical activity (P = .010), sheesha smoking (P = .016), cigarette smoking (P = .002), hypertension (P = .050), metabolic syndrome (P = .026), and CHD (P = .020). There were significant differences between vitamin D deficiency, insufficiency, and sufficiency in relation to age-group (P = .002), income (P = .002), waist circumference (P = .002), hip circumference (P = .028), waist-hip ratio (P = .002), and BMI (P = .002). Further, mean values of hemoglobin, magnesium, creatinine, hemoglobin A1c (HbA1c), total cholesterol, uric acid, and diastolic BP were significantly higher among patients with vitamin D deficiency compared with those with insufficiency and sufficiency. Multiple logistic regression analysis revealed that 25-hydroxy vitamin D, 25(OH)D, HbA1c, waist circumference, uric acid, duration of T2DM, total cholesterol, systolic and diastolic BP, and BMI were strong predictor risk factors for CHD among patients with T2DM. The present study supports that 25(OH)D may have a direct effect on CHD and on its risk factors.


Asunto(s)
Enfermedad Coronaria/epidemiología , Diabetes Mellitus Tipo 2/epidemiología , Vitamina D/análogos & derivados , Adulto , Presión Sanguínea , Índice de Masa Corporal , Colesterol/sangre , Estudios de Cohortes , Femenino , Hemoglobina A Glucada/análisis , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Turquia/epidemiología , Ácido Úrico/sangre , Vitamina D/sangre , Circunferencia de la Cintura
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