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1.
Arch Psychiatr Nurs ; 40: 84-90, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36064251

RESUMO

PURPOSE: This study aimed to determine the effect of health anxiety experienced by elderly individuals during the coronavirus disease 2019 (COVID-19) pandemic on their disease perception and treatment compliance. DESIGN AND METHODS: This was a descriptive, cross-sectional study conducted between November 2020 and March 2021. The research data was collected using the Patient Information Form, Health Anxiety Scale (HAS), Disease Perception Scale-Short Form (DPS-SF) and Turkish Modified Morisky Treatment Compliance Scale (MMTCS). RESULTS: Of the 401 study participants, 63.1% were in the 65-69 years age group. The mean HAS, DPS-SF and MMTCS motivation and knowledge level sub-dimension scores of the participants were 18.73 ± 8.87, 54.24 ± 9.98, 1.28 ± 0.74 and 2.04 ± 0.92, respectively. CONCLUSION: The results of this study showed that the health anxiety and disease perception scores were high among elderly individuals during the COVID-19 pandemic, which hindered their treatment compliance.


Assuntos
COVID-19 , Pandemias , Idoso , Ansiedade , Estudos Transversais , Humanos , Cooperação do Paciente , Percepção , SARS-CoV-2 , Turquia/epidemiologia
2.
Pediatr Int ; 64(1): e15272, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36074063

RESUMO

BACKGROUND: In this study we investigated how the incidence and course of acute appendicitis (AA) changed in children during the pandemic. METHODS: Children diagnosed with AA during the 1-year pandemic period after the first COVID-19 case in Turkey and the previous 1 year were included in the study. Children were divided into two groups: those hospitalized during the pandemic (group A) and those hospitalized in the year before the pandemic (group B). Furthermore, we compared the findings obtained for COVID-19-positive and COVID-19-negative children in the whole study group and within group A. RESULTS: A significant difference was found between the two groups in terms of gender, the rate of vomiting and the number of days of vomiting. Complicated AA was more frequent in group B than in group A. In addition, the hospital stay was significantly longer, the mean number of days with fever was significantly higher, and mean body temperature was significantly higher in COVID-19-positive patients in the whole study group and within group A. CONCLUSIONS: Contrary to most studies in the literature, in the present study the patients in the pre-pandemic period were admitted to hospital later, and this may have been associated with the higher frequency of complicated AA in these patients. During the pandemic, however, the arrangements and warnings of health authorities might have reduced the anxiety and the hesitancy of families to go to the hospital, and hence this may have been associated with the lower rate of complicated AA in this period.


Assuntos
Apendicite , COVID-19 , Doença Aguda , Apendicectomia , Apendicite/diagnóstico , Apendicite/epidemiologia , COVID-19/epidemiologia , Criança , Humanos , Pandemias , Estudos Retrospectivos , Turquia/epidemiologia , Vômito/epidemiologia
3.
J Infect Dev Ctries ; 16(8): 1230-1242, 2022 08 30.
Artigo em Inglês | MEDLINE | ID: mdl-36099365

RESUMO

The dairy and meat industry has rapidly developed in the last decade in Turkey and is playing a key role in supplying animal proteins for human consumption. Viral pathogens continue to threaten the dairy and meat industry leading to serious economic losses worldwide, including Turkey. The Turkish cattle industry has been vulnerable to the spread of viral diseases within the country in the continent. Combating animal diseases is crucial for the economy of Turkey. A good cattle health management policy may reduce the direct losses associated with viral diseases and thereby lead to increase in export of animals and animal products. Countries that are unable to combat animal diseases remain excluded from international trade. Control and eradication of cattle diseases require the availability of effective and practical interventions including vaccination and biosecurity measures. This review summarises the currently available information about viral diseases in cattle in Turkey and emphasizes the need for disease monitoring and research, along with implementation of disease control measures to mitigate economic losses to farmers and the country. The information presented here can be of great value in the research, prevention, and control of cattle diseases.


Assuntos
Doenças dos Bovinos , Viroses , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Doenças dos Bovinos/prevenção & controle , Comércio , Humanos , Internacionalidade , Turquia/epidemiologia , Vacinação/veterinária
4.
Turkiye Parazitol Derg ; 46(3): 184-188, 2022 09 12.
Artigo em Inglês | MEDLINE | ID: mdl-36094118

RESUMO

Objective: This study aimed to evaluate the distribution of intestinal parasites in refugee and native patients who applied to a territory hospital in Turkey. Methods: A total of 17911 patients who were admitted to our hospital between January 2018 and January 2019 were evaluated retrospectively in terms of intestinal parasites. The patients' stool samples were investigated for the existence of intestinal parasites by direct wet mount preparation, formalin ether concentration technique and cellophane tape method. The data obtained were compared between patient groups according to the examination method. Results: The overall prevalence of E. vermicularis in refugee children was found twice higher than that in native patients and the most common symptom was abdominal pain in these patients. Intestinal parasite detection rates were significantly higher in the stool concentration method than in the direct wet mount examination. Cutaneous complaints and protein energy malnutrition/growth retardation were the most common clinical conditions besides gastrointestinal symptoms in patients with intestinal parasitosis. Conclusion: In our study, the prevalence of Blastocystis sp. in refugees was found to be higher than in the normal population. Intestinal parasitic infections should be investigated with proper diagnostic methods especially in children with PEM/GR and cutaneous symptoms in addition to gastrointestinal problems.


Assuntos
Enteropatias Parasitárias , Parasitos , Refugiados , Animais , Criança , Hospitais , Humanos , Enteropatias Parasitárias/epidemiologia , Enteropatias Parasitárias/parasitologia , Estudos Retrospectivos , Turquia/epidemiologia
5.
Turkiye Parazitol Derg ; 46(3): 201-206, 2022 09 12.
Artigo em Inglês | MEDLINE | ID: mdl-36094121

RESUMO

Objective: Through this study we aimed to determine the risk factors affecting the transmission of Echinococcus granulosus to humans. Methods: This case-control study included a study group comprising of 107 people who underwent surgery for hydatid cyst and a control group comprising of 107 people. Place of living, age, and sex were taken as matching factors. A chi-square analysis was used for paired comparisons in the study. The variables that were significantly related in paired comparisons were included in the logistic regression analysis. Results: Hydatid cyst disease was seen 3.661 [confidence interval (CI) =1.650-8.123] times more often in individuals with an education period of 11 years or less compared to those with 12 years or above, 3.427 (CI=1.470-7.991) times more in those with a toilet outside the house compared to those with a toilet inside the house, and 5.540 (CI=2.088-14.697) times more in individuals who took a shower 8 times a month or less compared to those who take a shower 9 times or more. Conclusion: Individuals with a low level of education and who do not pay attention to environmental and personal hygiene are at risk for hydatid cyst disease.


Assuntos
Equinococose , Echinococcus granulosus , Echinococcus , Parasitos , Animais , Estudos de Casos e Controles , Equinococose/epidemiologia , Humanos , Turquia/epidemiologia
6.
Turkiye Parazitol Derg ; 46(3): 207-212, 2022 09 12.
Artigo em Inglês | MEDLINE | ID: mdl-36094122

RESUMO

Objective: This study was conducted to determine the period prevalence of hydatid cysts isolated from the livers of cattle slaughtered at a slaughterhouse in Konya. Methods: For this purpose, 49,545 cattle were slaughtered and examined for the presence of hydatid cysts in the liver. The study was conducted between June 01, 2018, and May 31, 2019. Results: The highest prevalence of hydatid cysts was observed in autumn 10.83% followed by spring 4.41%, winter 2.90%, and summer 2.66%, with an overall prevalence of 3.93%. Considering the month wise prevalence of hydatid cyst, the highest infection rate was detected in September (7.87%), June (7.16%) and August (7.14%), while the lowest prevalence was observed in February (2.72%) and January (2.83%). In gender-wise investigation, highest prevalence was observed in females (24.65%) during the summer and 18.45% inthe spring. In male animals, the infection rate was very low compared with females. However, the highest prevalence in males was observed throughout the year in autumn (2.36%) and the lowest prevalence in winter (1.68%). The highest prevalence was found among female cattle in heifers in winter (6.52%) and cows in summer (27.52%). Conclusion: The overall economic losses of 56,434 USD were estimated due to discarded hydatid cyst-infected livers during the study period. This study enlightens the prevalence and economic significance of hydatidosis in Konya.


Assuntos
Doenças dos Bovinos , Equinococose Hepática , Equinococose , Echinococcus , Matadouros , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Equinococose/epidemiologia , Equinococose/veterinária , Feminino , Masculino , Prevalência , Turquia/epidemiologia
7.
Balkan Med J ; 39(5): 366-373, 2022 09 09.
Artigo em Inglês | MEDLINE | ID: mdl-36089832

RESUMO

Background: Pulmonary embolism is a clinical condition caused by the obstruction of the pulmonary artery and its branches with endogenous, exogenous embolism, or local thrombus formation. It is a rare but potentially life-threatening event in the pediatric population. Pediatric pulmonary embolism has many unknown characteristics. Aims: To evaluate clinical features, genetic and acquired risk factors, diagnostic imaging, and treatment strategies with long-term results in children with pulmonary embolism. Study Design: A retrospective multicenter clinical trial. Methods: Patients aged 0-18 years who were diagnosed with pulmonary embolism with computed tomography pulmonary angiography (CTPA) findings (intraluminal filling defect in the lobar or main pulmonary artery) in 3 university hospitals between 2006 and 2021 were included in the study. A form was created for data standardization, and variables were collected retrospectively through medical record review. In addition to the features given above, we also evaluated in situ pulmonary artery thrombosis (ISPAT) and patients' Wells scores. Follow-up CTPA results were evaluated for patient response to treatment. Complete recovery means that there were no lesions, incomplete recovery if there was still embolism, and no response if there was no change. Results: Twenty-four patients (female:13, male:11) were included in the study. The mean age was 13.5 years. All patients but one had at least one or more genetic or acquired risk factors. Factor V Leiden mutation (16.6%) was the most common genetic risk factor. Six of 16 patients with Doppler ultrasonography were diagnosed with ISPAT because there was no sign of thromboembolic thrombosis. Nine (41.6%) patients had a Wells score of >4 (pulmonary embolism clinically strong), and 15 (58.4%) patients scored <4 (pulmonary embolism clinically likely weak), indicating that an alternative diagnosis was more likely than pulmonary embolism (sensitivity %37.5). The mean follow-up period was 23 (±17) months. Complete and incomplete recovery was observed in 15 (62.5%) and 7 (29.1%) patients, respectively, among the patients who underwent follow-up evaluation. No response was obtained in 2 patients (8.3%) who died. Conclusion: The Wells scoring system seems insufficient to diagnose pulmonary embolism in children and should be improved by adding new parameters. ISPAT may be more common in children with congenital heart disease and systemic disease.


Assuntos
Embolia Pulmonar , Adolescente , Angiografia/métodos , Criança , Angiografia por Tomografia Computadorizada , Feminino , Humanos , Masculino , Embolia Pulmonar/diagnóstico , Embolia Pulmonar/etiologia , Estudos Retrospectivos , Turquia/epidemiologia
8.
Environ Monit Assess ; 194(10): 762, 2022 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-36087153

RESUMO

With the increased urbanization, the rise of the manufacturing industry, and the use of fossil fuels, poor air quality is one of the most serious and pressing problems worldwide. The COVID-19 outbreak prompted absolute lockdowns in the majority of countries throughout the world, posing new research questions. The study's goals were to analyze air and temperature parameters in Turkey across various land cover classes and to investigate the correlation between air and temperature. For that purpose, remote sensing data from MODIS and Sentinel-5P TROPOMI were used from 2019 to 2021 over Turkey. A large amount of data was processed and analyzed in Google Earth Engine (GEE). Results showed a significant decrease in NO2 in urban areas. The findings can be used in long-term strategies for lowering global air pollution. Future research should look at similar investigations in various study sites and evaluate changes in air metrics over additional classes.


Assuntos
Poluição do Ar , COVID-19 , COVID-19/epidemiologia , Controle de Doenças Transmissíveis , Monitoramento Ambiental , Humanos , Turquia/epidemiologia
9.
Chin J Dent Res ; 25(3): 189-196, 2022 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-36102888

RESUMO

OBJECTIVE: To determine the prevalence, frequency and distribution of dental anomalies that were detectable on panoramic radiographs in a large sample Turkish population, and the associations among the anomalies. METHODS: This study was conducted retrospectively on panoramic radiographs of 43,880 patients who were admitted to the Faculty of Dentistry at Trakya University, Edirne, Turkey. Patients' files were examined by two observers and radiographic images of 2265 patients with at least one dental anomaly were included. Dental anomalies were classified as anomalies in the number, structure, position and shape of teeth. The interactions between the groups were analysed using chi-square tests. RESULTS: The study group consisted of 1336 women (59%) and 929 men (41%) with a mean age of 33.3 ± 14.4 years. A total of 2265 patients, with a prevalence of 5.2% (2265/43880), had at least one dental anomaly. The most frequent anomalies were in position (2.7%) and number (2.1%). Structure anomalies were least common, affecting 0.02% of patients. Among the study group of patients with dental anomalies, 12.2% presented more than one kind of anomaly. CONCLUSION: Position anomalies were the most common dental anomaly, whereas structural anomalies were least common in a Turkish sample. The prevalence of anomalies varies between populations, confirming the role of racial factors.


Assuntos
Anormalidades Dentárias , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Radiografia Panorâmica , Estudos Retrospectivos , Anormalidades Dentárias/diagnóstico por imagem , Anormalidades Dentárias/epidemiologia , Turquia/epidemiologia , Adulto Jovem
10.
Ann Glob Health ; 88(1): 62, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35974984

RESUMO

Background: Syria's civil conflict, which began in 2011, led millions of Syrians to migrate to countries all over the world, including Turkey. Considering the fact that war-caused migrations may affect the citizens of the host countries and immigrants from diverse perspectives, It is important to make scientific research on the outcomes of migration after the Syrian civil war. Objective: This paper investigates the relationship between chronic diseases, such as, cardiac disease, diabetes, and hypertension, and covariates, including socioeconomic status, war-related conditions, risky health behaviours, health services use, and health literacy, using survey data on 7 202 Syrian refugees from 4 068 households living out of camp settlements in Turkey. Methods: Logistic regressions were employed to examine the relationship between the chronic diseases and covariates, which include socioeconomic status, war-related conditions, risky health behaviours, health services use, and health literacy. Findings: The results reveal that pre-migration income, health behaviours, such as, tobacco consumption, body mass index, daily activity, health-care use, and health literacy are the most important factors for one or more chronic diseases. Conclusion: Considering the effects of risk factors on chronic diseases among Syrian refugees, it is critical to take preventive steps for negative outcomes.


Assuntos
Refugiados , Doença Crônica , Humanos , Autorrelato , Síria/epidemiologia , Turquia/epidemiologia
11.
Acta Orthop Belg ; 88(2): 269-274, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36001832

RESUMO

COVID-19 has now alarmed the whole world, putting many countries' health systems in trouble. We aimed to evaluate the affect of the new treatment strategy that shortens hospital stay in orthopedic trauma patients in pandemic.Trauma patients who underwent surgical treatment between March 15th-May 1st 2019 and 2020 were examined about time interval from admission to surgery, period from surgery to discharge and total hospital stay time. This cohort was compared to a retrospective cohort of patients admitted for the same reasons in the same period of the previous year. During COVID pandemia, 51 trauma patients operated with the mean period from admission to operation 1.45 days, faster than the previous year's same period (3.76 days). From operation day to discharge time was 1.6 days in pandemic period and 4.3 days last year. The total hospitalization period (3,05 days) was significantly shorter in pandemic than the same period of the last year (8,06 days). (p<0.05). No complications and mortality were observed in any of our patients with faster trauma treatment strategy in pandemic. The operation of orthopedic trauma patients requiring surgery during a pandemic in a shorter time than normal time will not increase the complication and mortality, but will also help to use the bed more effectively by reducing the hospital stay.


Assuntos
COVID-19 , Ortopedia , COVID-19/epidemiologia , Humanos , Pandemias , Estudos Retrospectivos , Turquia/epidemiologia
12.
Niger J Clin Pract ; 25(8): 1239-1246, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35975370

RESUMO

Background: The COVID-19 (coronavirus disease-2019) outbreak has its social, economic, and political effects on wider society, as well as physical and mental health effects on individuals. The psychological and social impacts are more apparent and common on emergency health care workers who have close contact with patients. Aim: Our study aims to investigate coronaphobia in emergency health care workers. Subjects and Methods: A cross-sectional study was carried out in July 2020 with 253 people working under the Bingöl 112 Provincial Ambulance Service Chief of Staff. The data of the study were collected using a questionnaire including sociodemographic characteristics, working conditions, pandemic process, and the Coronavirus-19 Phobia Scale. P < .05 was considered statistically significant. Results: The mean total score of COVID-19 phobia in 112 employees was 58.03 ± 18.78. The sub-dimension scores are psychological 21.92 ± 6.19, somatic 10.83 ± 5.68, social 15.98 ± 5.60, and economic 9.28 ± 4.18. Psychological and social sub-dimension scores and total COVID-19 phobia score of women, the somatic sub-dimension score of married people, all sub-dimension scores, and total COVID-19 phobia score of those who had contact with COVID-19-positive patients were found to be significantly higher (P < .05). Conclusions: Close contact with patients, working conditions, and the heavy schedule of nightshifts increase psychological and social fear in emergency health care workers. It is important to provide psychosocial support to emergency health care workers during the pandemic period.


Assuntos
COVID-19 , Auxiliares de Emergência , Transtornos Fóbicos , Adulto , Idoso , COVID-19/epidemiologia , COVID-19/psicologia , Estudos Transversais , Auxiliares de Emergência/psicologia , Auxiliares de Emergência/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Fóbicos/epidemiologia , Turquia/epidemiologia
13.
Clin Lab ; 68(8)2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-35975503

RESUMO

BACKGROUND: Coronavirus disease 2019 (COVID-19) is a global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Geriatric patients with COVID-19 are more likely to progress to severe disease, and they are at increased risk of hospitalization and mortality. In this study we aimed to investigate the risk factors for predicting mortality in geriatric patients with COVID 19 by reviewing the clinical data of survivors and non-survivors. METHODS: This was a retrospective study of 189 geriatric patients with COVID- 19 pneumonia who were hospitalized in pulmonology clinic, in Duzce University, Medical Faculty Hospital between March 2020 and January 2021 in Turkey. RESULTS: In the study, 60.3% (n = 114) of the patients were male and the median age was 75. 80.4% (n = 152) of the patients were discharged. The presence of cardiovascular disease, chronic renal failure, malignancy, increased number of comorbidities, complaints of anorexia, no fever, decreased oxygen saturation value, increased pulse rate, high values of maximum (max) D-dimer, aspartate aminotransferase, urea, creatinine, troponin, lactate dehydrogenase (LDH), max LDH, ferritin and max ferritin, C-reactive protein (CRP), max CRP, procalcitonin, max procalcitonin, potassium values and low albumin values, complications as bacterial infection, cardiac disease, acute respiratory distress syndrome, liver function tests failure, arrhythmia and shock, the need for corticosteroid and pulse corticosteroid therapy increased the mortality. According to multiple logistic regression model, the de-velopment of cardiac disease, acute respiratory distress syndrome, bacterial infection, the need for pulse steroids, and the max ferritin value increased the risk of mortality by between 1.001 and 28.715 times. CONCLUSIONS: Both clinical and laboratory parameters predicting mortality in geriatric patients with COVID-19 pneumonia should be monitored very carefully. Complications that develop should be evaluated and multidisciplinary and necessary treatments should be initiated without delay.


Assuntos
COVID-19 , Cardiopatias , Síndrome do Desconforto Respiratório , Idoso , Proteína C-Reativa/análise , COVID-19/diagnóstico , COVID-19/mortalidade , Feminino , Ferritinas , Cardiopatias/complicações , Hospitalização , Humanos , L-Lactato Desidrogenase/metabolismo , Masculino , Pró-Calcitonina , Síndrome do Desconforto Respiratório/complicações , Estudos Retrospectivos , SARS-CoV-2 , Turquia/epidemiologia
14.
Biomark Med ; 16(13): 971-979, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36006030

RESUMO

Aim: We aimed to determine the prognostic performance of the Glasgow Prognostic Score (GPS), systemic immune-inflammation index and early warning score (the 'ANDC' system) in patients with diabetes mellitus who had COVID-19. Patients & methods: Patients were divided into two groups: with and without diabetes mellitus. Results: In the diabetic patient group, the rates of in-hospital mortality, intensive care unit hospitalization and corticosteroid treatment were higher compared with the nondiabetic patient group (p < 0.05). A GPS of 2 was useful for predicting in-hospital mortality in diabetic patients (p < 0.05). The ANDC score was significantly higher in diabetic patients (p < 0.05) and in diabetic patients with mortality and those who needed ICU hospitalization (p < 0.05). Conclusion: The presence of a GPS of 2 at the time of admission and a high ANDC value were associated with poor prognosis in diabetic COVID-19 patients.


Assuntos
COVID-19 , Diabetes Mellitus , COVID-19/complicações , Hospitalização , Humanos , Unidades de Terapia Intensiva , Prognóstico , Estudos Retrospectivos , Turquia/epidemiologia
15.
PLoS Comput Biol ; 18(8): e1010354, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35984841

RESUMO

The structure of contact networks affects the likelihood of disease spread at the population scale and the risk of infection at any given node. Though this has been well characterized for both theoretical and empirical networks for the spread of epidemics on completely susceptible networks, the long-term impact of network structure on risk of infection with an endemic pathogen, where nodes can be infected more than once, has been less well characterized. Here, we analyze detailed records of the transportation of cattle among farms in Turkey to characterize the global and local attributes of the directed-weighted shipments network between 2007-2012. We then study the correlations between network properties and the likelihood of infection with, or exposure to, foot-and-mouth disease (FMD) over the same time period using recorded outbreaks. The shipments network shows a complex combination of features (local and global) that have not been previously reported in other networks of shipments; i.e. small-worldness, scale-freeness, modular structure, among others. We find that nodes that were either infected or at high risk of infection with FMD (within one link from an infected farm) had disproportionately higher degree, were more central (eigenvector centrality and coreness), and were more likely to be net recipients of shipments compared to those that were always more than 2 links away from an infected farm. High in-degree (i.e. many shipments received) was the best univariate predictor of infection. Low in-coreness (i.e. peripheral nodes) was the best univariate predictor of nodes always more than 2 links away from an infected farm. These results are robust across the three different serotypes of FMD observed in Turkey and during periods of low-endemic prevalence and high-prevalence outbreaks.


Assuntos
Doenças dos Bovinos , Epidemias , Febre Aftosa , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Surtos de Doenças/veterinária , Epidemias/veterinária , Fazendas , Febre Aftosa/epidemiologia , Turquia/epidemiologia
16.
Parasit Vectors ; 15(1): 305, 2022 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-36038877

RESUMO

BACKGROUND: Bartonella spp. are vector-borne pathogens that cause zoonotic infections in humans. One of the most well-known of these is cat-scratch disease caused by Bartonella henselae and Bartonella clarridgeiae, with cats being the major reservoir for these two bacteria. Izmir, Turkey is home to many stray cats, but their potential role as a reservoir for the transmission of Bartonella to humans has not been investigated yet. Therefore, the aim of this study was to investigate the prevalence of Bartonella species and their genetic diversity in stray cats living in Izmir. METHODS: Molecular prevalence of Bartonella spp. in stray cats (n = 1012) was investigated using a PCR method targeting the 16S-23S internal transcribed spacer gene (ITS), species identification was performed by sequencing and genetic diversity was evaluated by haplotype analysis. RESULTS: Analysis of the DNA extracted from 1012 blood samples collected from stray cats revealed that 122 samples were Bartonella-positive, which is a molecular prevalence of 12.05% (122/1012; 95% confidence interval [CI] 10.1-14.2%). Among the Bartonella-positive specimens, 100 (100/122; 81.96%) were successfully sequenced, and B. henselae (45/100; 45%), B. clarridgeiae (29/100; 29%) and Bartonella koehlerae (26/100; 26%) were identified by BLAST and phylogenetic analyses. High genetic diversity was detected in B. clarridgeiae with 19 haplotypes, followed by B. henselae (14 haplotypes) and B. koehlerae (8 haplotypes). CONCLUSIONS: This comprehensive study analyzing a large number of samples collected from stray cats showed that Bartonella species are an important source of infection to humans living in Izmir. In addition, high genetic diversity was detected within each Bartonella species.


Assuntos
Infecções por Bartonella , Bartonella henselae , Bartonella , Doenças do Gato , Animais , Bartonella/genética , Infecções por Bartonella/epidemiologia , Infecções por Bartonella/microbiologia , Infecções por Bartonella/veterinária , Bartonella henselae/genética , Doenças do Gato/epidemiologia , Gatos , Variação Genética , Filogenia , Prevalência , Turquia/epidemiologia
17.
J Addict Nurs ; 33(3): 172-181, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36041160

RESUMO

ABSTRACT: Substance use among university students is a common problem in the world. However, there are insufficient data on its prevalence among health school students. Similarly, there are very few studies about the use of substances by health students in Turkey. These studies have been mostly limited to the use of alcohol and tobacco. To the best of our knowledge, no previous studies have examined the substance use among students studying at health-related departments. This study investigated the pattern of substance abuse and its relationship with social support, self-efficacy, emotional quality of life, and sociodemographic factors in health profession students. Data of the cross-sectional and correlational study were collected via WhatsApp. Participants completed a student information form, the Substance Abuse Proclivity Scale, the Drug Abuse Screening Test, the Multidimensional Scale of Perceived Social Support, the SF-36 Emotional Quality of Life Index, and the Self-Efficacy for Protecting from Substance Abuse Scale. Of the participants, 63.6% (n = 823) had a high proclivity for substance abuse. Students most frequently used cigarettes and cannabis, one of the narcotic drugs. Substance abuse and proclivity increased as the emotional quality of life, social support, and self-efficacy decreased (p < .05). Substance abuse proclivity and drug use were higher in men, immigrants, smokers and alcohol users, those with a trauma history, and those separated from their family (p < .05). Health education reduces substance use (p < .05). It is required to make attempts to prevent and eliminate substance abuse in health profession students.


Assuntos
Autoeficácia , Transtornos Relacionados ao Uso de Substâncias , Estudos Transversais , Humanos , Masculino , Qualidade de Vida , Apoio Social , Fatores Sociodemográficos , Estudantes , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Inquéritos e Questionários , Turquia/epidemiologia
18.
Niger J Clin Pract ; 25(8): 1227-1232, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35975368

RESUMO

Background: Peritoneal dialysis (PD) is frequently used in pediatric patients with renal failure. Aim: In the present study, we evaluated the indications and complications of PD and patients' outcomes in pediatric patients. Patients and Methods: Medical records of patients who underwent PD between 2012 and 2019 were analyzed retrospectively. The patients were divided into two groups as acute PD (APD) (Group 1) and chronic PD (CPD) (Group 2). If the patient was diagnosed with acute kidney injury (AKI), an APD catheter was inserted, while a CPD catheter was inserted for patients with stage 5 chronic renal failure or those in which AKI persisted for more than 6 weeks. Results: Group 1 and Group 2 consisted of 62 and 64 patients, respectively. The most common indications for PD were AKI (64.5%) in Group 1, and obstructive uropathy and reflux nephropathy (45.3%) in Group 2. The overall complication rate was 30%. These were leakage at the catheter insertion site (11.2%), catheter occlusion (4.8%), and peritonitis (4.8%) in Group 1; and peritonitis (14.1%), catheter occlusion (6.2%), and inguinal hernia (4.6%) in Group 2. The mortality rate was 72.5% and 23.4% in Group 1 and Group 2, respectively. The most common causes of mortality were multisystem organ failure (40%) and sepsis (33.5%) in both groups. A total of 83 patients (32 in Group 1 and 51 in Group 2) had omentectomy. Catheter revision and/or removal were performed in 11.9% of all patients. Omentectomy had no effect on the prevention of catheter occlusion (p > 0.05). Conclusion: The mortality rate is lower in CPD patients than in APD patients. Although PD in pediatric patients is associated with potential complications, its actual rate is relatively low. The primary catheter dysfunction rate is low, and omentectomy has no significant effect on preventing catheter occlusion.


Assuntos
Injúria Renal Aguda , Falência Renal Crônica , Diálise Peritoneal , Peritonite , Injúria Renal Aguda/etiologia , Criança , Humanos , Falência Renal Crônica/terapia , Diálise Peritoneal/efeitos adversos , Peritonite/epidemiologia , Peritonite/etiologia , Peritonite/cirurgia , Estudos Retrospectivos , Centros de Atenção Terciária , Turquia/epidemiologia
19.
Vet Microbiol ; 273: 109519, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35932517

RESUMO

Q fever is a zoonotic disease that is known to be widespread throughout the world by many researches since its discovery in 1935 and it is important in terms of animal and public health. Coxiella burnetii, which is the etiological agent of the disease, is an obligate intracellular pathogen. While the disease generally manifests itself with abortion in animals, disease manifests as atypical pneumonia or granulomatous hepatitis in the acute form and as endocarditis in the chronic form in humans. Its presence in Turkey has been shown with a large number of studies. The aim of this study was to show the genotypic relationship with MLVA analysis of C. burnetii samples found in cattle, sheep and goat samples in Erzurum and Samsun Veterinary Control Institutes and blood samples collected from humans with atypical pneumonia findings. In the study, MLVA analyses of 100 positive samples from 50 cows, 41 sheep and 9 goats from Northeast Anatolia and Black Sea regions and C. burnetii positive samples found in 6 individuals with atypical pneumonia were performed. As a result of the study, it was found that 106 C. burnetii samples had belong to 16 genotype groups. It was found that genotype XVI was the most prevalent among these groups and it was seen in both regions. In addition to this, genotype IX profile was the second largest group with 83.3% (5/6) of human samples. In this study, the genotypes common in the regions were determined and a data source was created for possible outbreaks.


Assuntos
Doenças dos Bovinos , Coxiella burnetii , Doenças das Cabras , Pneumonia , Febre Q , Doenças dos Ovinos , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Coxiella burnetii/genética , Feminino , Doenças das Cabras/epidemiologia , Cabras , Humanos , Epidemiologia Molecular , Pneumonia/veterinária , Gravidez , Febre Q/epidemiologia , Febre Q/veterinária , Ruminantes , Ovinos , Doenças dos Ovinos/epidemiologia , Turquia/epidemiologia
20.
Anatol J Cardiol ; 26(9): 673-684, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35949120

RESUMO

Considering the aging population, the increase in predisposing factors, and the improvement in healthcare with increased survival rates, atrial fibrillation has been the most common cardiac arrhythmia in adults with a rise in the estimated lifetime risk over recent years. While aging is a powerful risk factor for atrial fibrillation, the leading prevalent comorbidities are hypertension, heart failure, obesity, obstructive sleep apnea, diabetes mellitus, and chronic kidney disease. Atrial fibrillation is associated with substantial morbidity, impaired quality of life, and increased mortality and healthcare costs. As a significant proportion of the total atrial fibrillation population is asymptomatic or mildly symptomatic, early identification and initiation of appropriate treatment for atrial fibrillation may prevent potentially detrimental outcomes such as stroke and heart failure and decrease all-cause mortality. Although screening via evolving health technologies has recently been emerging, verification of the electrocardiogram track recording over at least 30 seconds by a physician with expertise is still required for a definite diagnosis. Based on the global and national data and the current healthcare environment in Turkey, this targeted review with cardiology, neurology, and family physicians' perspectives highlights the importance of early detection by implementing the advancing screening modalities as well as the need for raised awareness of both patients and healthcare professionals and establishment of a multidisciplinary clinical approach for a better outcome in atrial fibrillation management.


Assuntos
Fibrilação Atrial , Insuficiência Cardíaca , Acidente Vascular Cerebral , Idoso , Fibrilação Atrial/complicações , Fibrilação Atrial/diagnóstico , Fibrilação Atrial/epidemiologia , Insuficiência Cardíaca/complicações , Humanos , Qualidade de Vida , Fatores de Risco , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/prevenção & controle , Turquia/epidemiologia
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