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1.
PeerJ ; 12: e17685, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39011382

RESUMO

Background: Reference evapotranspiration (ETo), which is used as the basic data in many studies within the scope of hydrology, meteorology, irrigation and soil sciences, can be estimated by using the evaporation (Epan) measured from the class-A pan evaporimeter. However, this method requires reliable pan coefficients (Kp). Many empirical models are used to estimate Kp coefficients. The reliability of these models varies depending on climatic and environmental conditions. Therefore, they need to be tested in the local conditions where they will be used. In this study, conducted in Kahramanmaras, which has a semi-arid Mediterranean climate in Turkey during the July-October periods of 2020 and 2021, aimed to determine the usability levels of six Kp models in estimating daily and monthly average ETo. Methods: The Kp coefficients estimated by the models were multiplied with the daily Epan values, and the daily average ETo values were estimated on the basis of the model. The daily Epan values were measured using an ultrasonic sensor sensitive to the water surface placed on the class-A pan evaporimeter. The ultrasonic sensor was managed by a programmable logic controller (PLC). To enable the sensor to be managed by PLC, a software was prepared using the CODESYS programming language and uploaded to the PLC. The daily average ETo values determined by the FAO-56 Penman-Monteith equation were accepted as actual values. The ETo values estimated by the Kp models were compared with the actual ETo values using the mean absolute error (MAE), mean absolute percentage error (MAPE), root mean square error (RMSE) and determination coefficient (R2) statistical approaches. Results: The Wahed & Snyder outperformed the other models in estimating daily (MAE = 0.78 mm day-1, MAPE = 14.40%, RMSE = 0.97 mm day-1, R2 = 0.82) and monthly (MAE = 0.32 mm day-1, MAPE = 5.88%, RMSE = 0.32 mm day-1, R2 = 0.99) average ETo. FAO-56 showed the nearest performance to Wahed & Snyder. The Snyder model presented the worst performance in estimating daily (MAE = 2.09 mm day-1, MAPE = 37.53%, RMSE = 2.36 mm day-1, R2 = 0.82) and monthly (MAE = 1.83 mm day-1, MAPE = 31.82%, RMSE = 1.87 mm day-1, R2 = 0.99) average ETo. It has been concluded that none of the six Kp models can be used to estimate the daily ETo in Kahramanmaras located in the Mediterranean-Southeastern Anatolian transitional zone, and only Wahed & Snyder and FAO-56 can be used to estimate the monthly ETo without calibration.


Assuntos
Modelos Teóricos , Turquia , Transpiração Vegetal , Reprodutibilidade dos Testes , Clima
2.
Nurs Health Sci ; 26(3): e13143, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39013553

RESUMO

In diabetic patients, poor management of hyperglycemia and prolonged disease duration may lead to neuropathy-related overactive bladder (OAB) symptoms. To effectively manage OAB symptoms in women with type 2 diabetes, it is essential to know how patients perceive these problems, their lives, and strategies. This study aimed to understand the experience of OAB symptoms in Turkish women with type 2 diabetes from their point of view. A qualitative descriptive design was adopted with individual, semi-structured interviews. Participants were selected by purposive sampling. The data were evaluated by using Van Manen's thematic analysis method. The symptom management theory formed the conceptual framework of this study. The Consolidated Criteria for Reporting Qualitative Research checklist was used. A total of 18 patients were recruited and individually interviewed. Semi-structured interviews were conducted from May to August 2023. The three main themes emerged: (i) the meaning of OAB symptoms; (ii) difficulties caused by OAB symptoms; and (iii) coping with OAB symptoms. The subthemes included the negative effects of OAB symptoms on daily life, difficulties in physical, psychological, and sexual life, and positive and negative behavior in coping with OAB symptoms. OAB symptoms affect the physical, psychosocial, and sexual lives of women with type 2 diabetes. Women with type 2 diabetes try to cope in different ways but often do not receive the support they need from families. Therefore, nurses should integrate the urinary problems of women with type 2 diabetes into routine clinical assessments and provide counseling to women.


Assuntos
Diabetes Mellitus Tipo 2 , Pesquisa Qualitativa , Bexiga Urinária Hiperativa , Humanos , Feminino , Bexiga Urinária Hiperativa/psicologia , Bexiga Urinária Hiperativa/complicações , Pessoa de Meia-Idade , Diabetes Mellitus Tipo 2/psicologia , Diabetes Mellitus Tipo 2/complicações , Turquia , Adulto , Idoso , Adaptação Psicológica , Entrevistas como Assunto/métodos
3.
Sao Paulo Med J ; 142(6): e2024089, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39016383

RESUMO

BACKGROUND: Healthcare professionals' knowledge, attitudes, and beliefs regarding skin cancer are important for reducing the future impact of the disease. OBJECTIVE: This study evaluated university students' knowledge, attitudes, and beliefs about skin cancer and examined the variables influencing their attitudes and beliefs about the disease. DESIGN AND SETTING: This descriptive cross-sectional study was conducted at the Faculty of Health Sciences at Manisa Celal Bayar University, Manisa, Turkey. METHOD: A total of 960 students participated in this study. Data were collected using the Student Introduction Form, Fitzpatrick Skin Type Scale, Skin Cancer and Sun Knowledge Scale (SCSKS), and Health Belief Model Scale for Skin Cancer (HBMSSC). RESULTS: The mean SCSKS score of the participants was 14.91 ± 4.23. The mean HBSSC scores of the participants were 23.58 ± 7.79 for perceived susceptibility, 14.79 ± 4.59 for perceived severity, 20.64 ± 6.60 for perceived benefits, 15.93 ± 4.09 for perceived barriers, and 21.78 ± 7.14 for self-efficacy. The mean SCSKS total scores of the university students were significantly and positively correlated with the HBMSSC subdimensions. Gender explained 1.58 of the variance in perceived benefits and 1.65 of the variance in self-efficacy, whereas the SCSKS score explained most other variables. CONCLUSION: The students' knowledge of skin cancer and sun protection was moderate. Their attitudes and beliefs regarding skin cancer were unexpected. This study identified students' knowledge of skin cancer and sun protection as the most important variables for improving their attitudes and beliefs about skin cancer.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Neoplasias Cutâneas , Humanos , Estudos Transversais , Masculino , Turquia , Feminino , Neoplasias Cutâneas/psicologia , Neoplasias Cutâneas/prevenção & controle , Adulto Jovem , Adulto , Inquéritos e Questionários , Adolescente , Estudantes/psicologia , Universidades , Estudantes de Ciências da Saúde/psicologia , Estudantes de Ciências da Saúde/estatística & dados numéricos
5.
Artigo em Russo | MEDLINE | ID: mdl-39003538

RESUMO

The current geopolitical situation raised pointed question of developing new supply chains and looking for rolling stock to develop newly formed cargo flows, including medicinal preparations transportation. Considering necessity in timely and safe supply of medicines, it is necessary to develop set of measures permitting to implement export of this production of national industry to ensure ultimate independence from unfriendly states. The article considers main indicators of import and export operations of medicinal preparations and measures taken by the state to support industry in current conditions, requirements for international transportation of this category of goods. The measures increasing exports within the framework of the Pharmaceutical Industry Development Strategy until 2030, such as expansion of fleet of autonomous refrigerated containers, use of consolidation warehouses in Turkey and Kazakhstan to ensure decreasing of cost of multi-modal transportation of medicinal preparations, as well as validation of rolling stock in accordance with GDP requirements.


Assuntos
Indústria Farmacêutica , Humanos , Preparações Farmacêuticas/provisão & distribuição , Cazaquistão , Meios de Transporte , Comércio , Turquia , Federação Russa
6.
Eval Rev ; 48(1): 143-176, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-39003691

RESUMO

After the 2008 World Crisis, there is a view that the economic recovery has not been adequate. In this context, the debate on hysteresis and especially investment hysteresis has increased in the last decade. The aim of this study is to analyze the investment hysteresis and the basic dynamics of hysteresis in the Turkish economy. Structural break tests are used to identify hysteresis. Traditional and asymmetric causality tests are used to identify the fundamental dynamics of hysteresis. Investment, GDP, interest rate, and productivity variables are used to analyze investment hysteresis. Structural break tests were applied to the variables, while conventional and asymmetric causality tests were applied between investments and their determinants. Structural break tests prove the existence of hysteresis. According to the Granger causality test, there is no causality from interest rates, GDP and productivity to investments. The fact that interest rates have no effect on investments proves hysteresis. According to the asymmetric causality test, there is no relationship between interest rates and investments. There is an inverse relationship between GDP and investments. There is an asymmetric relationship between productivity and investments. The fact that productivity shocks cause asymmetric effects on investments makes productivity shocks the main dynamic of hysteresis. In addition, there is considerable evidence that the strong hysteresis and high uncertainty of TFP exacerbate investment hysteresis. Therefore, productivity shocks should be taken into account in policymaking for hysteresis.


Assuntos
Investimentos em Saúde , Turquia , Humanos , Modelos Econômicos , Produto Interno Bruto , Recessão Econômica
7.
Sci Rep ; 14(1): 15518, 2024 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-38969748

RESUMO

Lebanon's rich history as a cultural crossroad spanning millennia has significantly impacted the genetic composition of its population through successive waves of migration and conquests from surrounding regions. Within modern-day Lebanon, the Koura district stands out with its unique cultural foundations, primarily characterized by a notably high concentration of Greek Orthodox Christians compared to the rest of the country. This study investigates whether the prevalence of Greek Orthodoxy in Koura can be attributed to modern Greek heritage or continuous blending resulting from the ongoing influx of refugees and trade interactions with Greece and Anatolia. We analyzed both ancient and modern DNA data from various populations in the region which could have played a role in shaping the current population of Koura using our own and published data. Our findings indicate that the genetic influence stemming directly from modern Greek immigration into the area appears to be limited. While the historical presence of Greek colonies has left its mark on the region's past, the distinctive character of Koura seems to have been primarily shaped by cultural and political factors, displaying a stronger genetic connection mostly with Anatolia, with affinity to ancient but not modern Greeks.


Assuntos
Genética Populacional , Líbano , Humanos , Grécia , Migração Humana , Turquia , Etnicidade/genética
8.
Int J Public Health ; 69: 1607127, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38978830

RESUMO

Objective: Psychological capital refers to internal resources including self-efficacy, hope, optimism and resilience to overcome adverse life events. The current study sought to examine the mediating role of psychological capital in the relationship between intolerance of uncertainty and job satisfaction and work performance in healthcare professionals. Methods: Participants were 302 healthcare professionals [48% females; M(SD) age = 34.0 (7.5)] and completed measures of intolerance of uncertainty, psychological capital, work performance, and job satisfaction. Results: The findings indicated that intolerance of uncertainty was negatively correlated with psychological capital, work performance, and job satisfaction, whereas psychological capital was positively correlated with job satisfaction and work performance. More importantly, the findings revealed that these relationships were mediated by psychological capital. Conclusion: The results provide several contributions that help to understand the role of psychological capital in the relationship between intolerance to uncertainty and job satisfaction and work performance.


Assuntos
Pessoal de Saúde , Satisfação no Emprego , Desempenho Profissional , Humanos , Feminino , Masculino , Adulto , Incerteza , Turquia , Pessoal de Saúde/psicologia , Resiliência Psicológica , Inquéritos e Questionários , Pessoa de Meia-Idade , Autoeficácia
9.
Allergy Asthma Proc ; 45(4): 240-246, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38982609

RESUMO

Background: Angioedema (AE) is defined as localized, self-limited swelling of subcutaneous tissues and mucosa. Objective: The aim of this study was to compare the phenotypic characteristics of patients with AE without wheals. Methods: This prospective study included adult patients with recurrent AE without wheals. Demographic and laboratory data of the patients were recorded in the patient file when they presented to the outpatient clinic between August 2018 and August 2020. The patients were contacted by phone to evaluate whether their AE had gone into remission between October 2023 and January 2024. The phenotypic characteristics of AE subtypes were compared. Results: The study included a total of 143 patients. The average age, age of onset of AE, rates of diabetes mellitus, hypertension and coronary artery disease were higher in the patients with angiotensin-converting enzyme inhibitor (ACEI) use related acquired AE (AAE) (AAE-ACEI). The rates of allergic rhinitis, drug allergy, atopy, and aeroallergen sensitivity, and the median total immunoglobulin E level were higher in patients with idiopathic histaminergic AAE (AAE-IH). The rate of face and/or perioral AE attacks was higher in the patients with AAE-ACEI, AAE-IH, and idiopathic non-histaminergic AAE. The rate of AE attacks in limbs, abdominal, genital and other parts of the body was higher in patients with hereditary AE (HAE). The baseline AE activity score was lower in the patients with AAE-IH and higher in the patients with HAE. In long-term follow-up, the remission rate of AE attacks was significant higher in patients with AAE-ACEI and AAE-IH. Conclusion: The phenotypic characteristic features of Turkish patients with AE without wheals may vary, depending on the underlying AE pathogenesis. C1 inhibitor level and function, complement C4 and C1q, and genetic tests contributed to the diagnosis; other laboratory tests did not contribute to the diagnosis.


Assuntos
Angioedema , Fenótipo , Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Turquia/epidemiologia , Angioedema/epidemiologia , Angioedema/diagnóstico , Angioedema/etiologia , Adulto , Estudos Prospectivos , Idoso , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico
10.
Turk Kardiyol Dern Ars ; 52(5): 337-343, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38982816

RESUMO

OBJECTIVE: Heart failure is a leading cause of death and the most common diagnosis leading to hospitalization. Its awareness is lower than that of other cardiovascular diseases, both in the general population and among patients with heart failure (HF). This study aimed to establish the current level of knowledge about HF in patients with HF with reduced ejection fraction (HFrEF) and mildly reduced ejection fraction (HFmrEF) in Türkiye. METHODS: This questionnaire-based survey study is multicenter, conducted across 34 centers from December 2021 to July 2022. We performed a survey consisting of two sets of questions focusing on individual characteristics of the patients and HF-related knowledge. RESULTS: The study included a total of 2,307 outpatient HF patients, comprising 70.5% males and 29.5% females with a mean age of 64.58 ± 13 (56-74) years and a mean body mass index value of 32.5 ± 10 kg/m2. HFrEF and HFmrEF were determined in 74.7% and 25.3% of patients, respectively. Thirty percent of the patients were unaware that they had HF. While 28.7% of the patients thought that they had sufficient information about HF, 71.3% believed they lacked adequate knowledge. In the study, 25.2% of the participants identified dyspnea, 22% identified tiredness, and 25.4% identified leg edema as the most common symptoms of HF. Only 27.4% of patients recognized all three typical symptoms of HF. CONCLUSION: We found that the study population's knowledge about HF symptoms and the nature of the disease was poor. Educational and awareness activities are necessary to optimize outcomes and benefits.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Insuficiência Cardíaca , Humanos , Insuficiência Cardíaca/epidemiologia , Feminino , Turquia/epidemiologia , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Idoso , Volume Sistólico/fisiologia
11.
Afr J Reprod Health ; 28(6): 95-102, 2024 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-38984510

RESUMO

To develop positive attitudes towards family planning, health literacy is important. This study aimed to investigate a relationship between health literacy and family planning attitudes among married women. 657 married women volunteered to participate in this cross-sectional, correlational and descriptive study. The Türkiye Health Literacy - 32 scale and the Family Planning Attitude Scale were used in the study. According to the results, the women's general health literacy score was 34.5±8.7 out of 50 points, which was adequate, and the family planning attitude score was 128.9±17.7 out of 170 points, which was above the average. It is found a weak positive relationship between health literacy and family planning attitudes. Educational status, occupation and income level affect health literacy and family planning attitude. It is noteworthy that 84.4% of women with inadequate health literacy were using modern family planning methods, while this rate was 77.1% among women with adequate health literacy. To improve women's attitudes towards family planning, it is recommended that health literacy is improved, effective media content is developed and women are encouraged to use primary health care services.


Pour développer des attitudes positives à l'égard de la planification familiale, il est important d'avoir des connaissances en matière de santé. Cette étude visait à examiner la relation entre les connaissances en matière de santé et les attitudes à l'égard de la planification familiale chez les femmes mariées. 657 femmes mariées se sont portées volontaires pour participer à cette étude transversale, corrélationnelle et descriptive. L'échelle Türkiye Health Literacy - 32 et l'échelle Family Planning Attitude Scale ont été utilisées dans l'étude. Selon les résultats, le score général des femmes en matière de santé était de 34,5±8,7 sur 50 points, ce qui est adéquat, et le score de l'attitude de planification familiale était de 128,9±17,7 sur 170 points, ce qui est supérieur à la moyenne. Il existe une faible relation positive entre les connaissances en matière de santé et les attitudes à l'égard de la planification familiale. Le niveau d'éducation, la profession et le niveau de revenu influencent les connaissances en matière de santé et l'attitude à l'égard de la planification familiale. Il convient de noter que 84,4 % des femmes dont les connaissances en matière de santé sont insuffisantes utilisent des méthodes modernes de planification familiale, alors que ce taux est de 77,1 % chez les femmes dont les connaissances en matière de santé sont suffisantes. Pour améliorer l'attitude des femmes à l'égard de la planification familiale, il est recommandé d'améliorer les connaissances en matière de santé, de développer un contenu médiatique efficace et d'encourager les femmes à utiliser les services de soins de santé primaires.


Assuntos
Serviços de Planejamento Familiar , Conhecimentos, Atitudes e Prática em Saúde , Letramento em Saúde , Humanos , Feminino , Turquia , Adulto , Estudos Transversais , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem , Escolaridade , Fatores Socioeconômicos , Adolescente
12.
BMC Oral Health ; 24(1): 779, 2024 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-38992712

RESUMO

OBJECTIVE: In developed countries, orthodontists utilize social media platforms as a pivotal component of their marketing strategies. However, there exists a gap in understanding the broader perspective of healthcare professionals on the utilization of social media in healthcare service delivery. Therefore, this study aims to evaluate the perceptions of healthcare professionals in Turkey regarding the integration of social media within healthcare service delivery. MATERIALS & METHODS: This cross-sectional study, conducted between January and February 2023, surveyed 378 members of the Turkish Orthodontic Society. The survey consisted of two parts: a demographic questionnaire with 28 items and a 21-item "Social Media Marketing Activities Scale," developed with input from three experts. Data analysis will include an explanatory factor analysis. This study provides a snapshot of orthodontists' perspectives on social media marketing practices. RESULTS: When participants' views of patient communication through social media were examined, 19.8% said they "thought it was right" and 80.2% said they "thought it was wrong". The treatment and treatment alternatives shared with patients through social media were implemented in 16.5% of cases and not implemented in 83.5% of cases. When examining the social media accounts used by participants to communicate with patients, 56.8% used personal accounts, 43.2% used professional accounts, and when analyzing the social media accounts they used for promotional purposes, 15.8% had personal accounts, 84.2% of them used professional accounts. More than half (59.8%) of orthodontists believed that communicating with patients on social media could cause legal problems. The majority of orthodontists (88.7%) followed their competitors. CONCLUSION: The prevalence of participants' use of social media posts for advertising purposes was low, and it was determined that the main reason for this was the prohibition of advertising in the provision of health services.


Assuntos
Atitude do Pessoal de Saúde , Ortodontistas , Mídias Sociais , Humanos , Estudos Transversais , Masculino , Feminino , Ortodontistas/psicologia , Adulto , Turquia , Inquéritos e Questionários , Marketing de Serviços de Saúde , Pessoa de Meia-Idade , Marketing
13.
Nurse Educ Today ; 140: 106296, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38972168

RESUMO

BACKGROUND: The significant challenges of the twenty-first century revolve around environmental issues. Knowing individuals' environmental attitudes and what they see as environmental problems is crucial to mobilizing them to action. Nurses hold a significant responsibility in addressing and combating environmental challenges. RESEARCH AIM: This study had two objectives: understanding how nursing students classify environmental issues and examining the effects of gender, economic status, school district, family environmental awareness, and perception of global responsibility on their conceptualization of environmental issues. DESIGN: A descriptive cross-sectional study using a questionnaire. SETTING AND PARTICIPANTS: The sample consisted of 1466 nursing students from four faculties of two public universities in Turkiye. The study was conducted between January and April 2023. METHODS: Data were collected using a form that included 19 issues ranging from ecological problems to social problems related to the environment, as well as the Global Social Responsibility Scale (GSRS). The data were analyzed using explanatory factor analysis, multiple regression, and mediator analysis. RESULTS: Participants classified the environmental issues as eco-social-oriented and human-oriented. First-year students (B = -0.201), male students (B = -0.263), those studying in rural schools (B = -0.123), and those who rarely discuss environmental issues in the family (B = -0.197) describe the problems in the eco-social oriented dimension as less "environmental." The increase in the action-oriented responsibility (B = 0.014) and ecological responsibility (B = 0.077) scores of The Global Social Responsibility Scale leads to an increase in recognizing the problems in this area as environmental issues. Similarly, first-year students (B = -0.340), male students (B = -0.293), and those who rarely discussed environmental issues in the family (B = -0.243) led to a decrease in recognizing problems as environmental in the human-oriented issues dimension. In contrast, poor socioeconomic perception (B = 0.245), negative perception of the future (B = 0.145), and increased action-oriented responsibility (B = 0.024) and ecological responsibility (B = 0.042) led to an increase in recognition of human-oriented issues. The increase in the national responsibility score decreased the score of environmental assessment of the problems in this area (B = -0.017). In addition, the perception of global responsibility partially mediates between students' sociodemographic characteristics and environmental issues recognition scores in both sub-dimensions. CONCLUSION: This study presents results that point to individual differences among nursing students in addressing environmental issues, reveal the impact of family on these differences, and finally show the importance of curricula to increase students' global social responsibility during their education.


Assuntos
Estudantes de Enfermagem , Humanos , Estudos Transversais , Masculino , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Feminino , Inquéritos e Questionários , Turquia , Adulto , Adulto Jovem , Responsabilidade Social
14.
BMC Psychol ; 12(1): 388, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-38997784

RESUMO

BACKGROUND: The detrimental mental health effects which emerged from COVID-19 have profoundly affected healthcare workers (HCWs) worldwide. The aim of this study was to investigate the mediating effects of traumatic stress and loneliness on the fears of contracting and dying from COVID-19, and anxiety and depression of HCWs during the pandemic. METHODS: A cross-sectional online survey was completed by HCWs in a province of Turkey. The Hospital Anxiety Depression Scale, Impact of Events Scale-Revised and numerical rating scales (for fears of COVID-19 and loneliness) were used and a bootstrap approach was used in the analyses with SPSS PROCESS macro software. RESULTS: Of the HCWs evaluated, 150 (34.4%) were doctors, with a mean duration of work experience of 10.6 ± 7.5 years. The results indicated that fear of contracting COVID-19 was directly related to anxiety (ß = 0.244, p < 0.001) and depression (ß = 0.135, p < 0.01) and that traumatic stress and loneliness mediated the relationships between the fear of contracting COVID-19 and anxiety (ß = 0.435, p < 0.001; ß = 0.235, p < 0.001, respectively) and depression (ß = 0.365, p < 0.001; ß = 0.294, p < 0.001, respectively). The fear of dying from COVID-19 was determined to be directly associated with anxiety (ß = 0.190, p < 0.001) but not with depression (ß = 0.066, p = 0.116), and traumatic stress and loneliness mediated the relationships between the fear of dying from COVID-19 and anxiety (ß = 0.476, p < 0.001; ß = 0.259, p < 0.001, respectively) and depression (ß = 0.400, p < 0.001; ß = 0.311, p < 0.001, respectively). CONCLUSIONS: The study results demonstrated the important roles of traumatic stress and loneliness in exacerbating the negative consequences of fears of COVID-19 on anxiety and depression, and provide insights for identifying HCWs at greater risk.


Assuntos
Ansiedade , COVID-19 , Depressão , Medo , Solidão , Humanos , COVID-19/psicologia , COVID-19/epidemiologia , Masculino , Feminino , Solidão/psicologia , Ansiedade/psicologia , Ansiedade/epidemiologia , Estudos Transversais , Depressão/psicologia , Depressão/epidemiologia , Adulto , Turquia/epidemiologia , Medo/psicologia , Pessoa de Meia-Idade , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Inquéritos e Questionários , Pandemias , SARS-CoV-2
15.
Nutrients ; 16(13)2024 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-38999811

RESUMO

BACKGROUND: In 2011, a European phenylketonuria (PKU) survey reported that the blood phenylalanine (Phe) levels were well controlled in early life but deteriorated with age. Other studies have shown similar results across the globe. Different target blood Phe levels have been used throughout the years, and, in 2017, the European PKU guidelines defined new targets for blood Phe levels. This study aimed to evaluate blood Phe control in patients with PKU across Europe. METHODS: nine centres managing PKU in Europe and Turkey participated. Data were collected retrospectively from medical and dietetic records between 2012 and 2018 on blood Phe levels, PKU severity, and medications. RESULTS: A total of 1323 patients (age range:1-57, 51% male) participated. Patient numbers ranged from 59 to 320 in each centre. The most common phenotype was classical PKU (n = 625, 48%), followed by mild PKU (n = 357, 27%) and hyperphenylalaninemia (HPA) (n = 325, 25%). The mean percentage of blood Phe levels within the target range ranged from 65 ± 54% to 88 ± 49% for all centres. The percentage of Phe levels within the target range declined with increasing age (<2 years: 89%; 2-5 years: 84%; 6-12 years: 73%; 13-18 years: 85%; 19-30 years: 64%; 31-40 years: 59%; and ≥41 years: 40%). The mean blood Phe levels were significantly lower and the percentage within the target range was significantly higher (p < 0.001) in patients with HPA (290 ± 325 µmol/L; 96 ± 24%) and mild PKU (365 ± 224 µmol/L; 77 ± 36%) compared to classical PKU (458 ± 350 µmol/L, 54 ± 46%). There was no difference between males and females in the mean blood Phe levels (p = 0.939), but the percentage of Phe levels within the target range was higher in females among school-age children (6-12 years; 83% in females vs. 78% in males; p = 0.005), adolescents (13-18 years; 62% in females vs. 59% in males; p = 0.034) and adults (31-40 years; 65% in females vs. 41% in males; p < 0.001 and >41 years; 43% in females vs. 28% in males; p < 0.001). Patients treated with sapropterin (n = 222) had statistically significantly lower Phe levels compared to diet-only-treated patients (mean 391 ± 334 µmol/L; percentage within target 84 ± 39% vs. 406 ± 334 µmol/L; 73 ± 41%; p < 0.001), although a blood Phe mean difference of 15 µmol/L may not be clinically relevant. An increased frequency of blood Phe monitoring was associated with better metabolic control (p < 0.05). The mean blood Phe (% Phe levels within target) from blood Phe samples collected weekly was 271 ± 204 µmol/L, (81 ± 33%); for once every 2 weeks, it was 376 ± 262 µmol/L, (78 ± 42%); for once every 4 weeks, it was 426 ± 282 µmol/L, (71 ± 50%); and less than monthly samples, it was 534 ± 468 µmol/L, (70 ± 58%). CONCLUSIONS: Overall, blood Phe control deteriorated with age. A higher frequency of blood sampling was associated with better blood Phe control with less variability. The severity of PKU and the available treatments and resources may impact the blood Phe control achieved by each treatment centre.


Assuntos
Fenilalanina , Fenilcetonúrias , Humanos , Fenilcetonúrias/sangue , Fenilalanina/sangue , Masculino , Adolescente , Criança , Feminino , Pré-Escolar , Europa (Continente) , Adulto , Adulto Jovem , Estudos Retrospectivos , Lactente , Pessoa de Meia-Idade , Turquia/epidemiologia
16.
Pan Afr Med J ; 48: 6, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38946747

RESUMO

Since 2003, the Turkish Ministry of Health (TMOH) has activated a reformed system called Health Transformation Program (HTP) which has assertive goals. Health transformation program has brought about important improvements in many health topics. However, at the beginning of HTP, cesarean section (C-section) rate was approximately 30%, having exceeded 50% in 2013 which reflected the highest rate in Organization for Economic Cooperation and Development (OECD). Currently, most of the deliveries are carried out via C-section in Türkiye which started disputes about whether the high rate of C-section is Achilles' heel of HTP. To overcome high C-section rate, TMOH has been making intensive efforts and taking serious measures in recent years including passing a law to ban elective C-sections. Despite the strict measures taken C-section rate didn't decrease instead increased gradually. The current situation shows that the problem is more complicated than the authorities figure out, and a whole new perspective on the issue is needed.


Assuntos
Cesárea , Humanos , Cesárea/estatística & dados numéricos , Feminino , Gravidez , Turquia , Procedimentos Cirúrgicos Eletivos/estatística & dados numéricos , Reforma dos Serviços de Saúde
17.
PLoS One ; 19(7): e0300165, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38950024

RESUMO

The objective of this study is to determine the components that contribute to psychological resilience in adolescents and to determine if physical exercise, emotion control, or self-efficacy are more effective predictors of resilience. Data from participants was collected through a personal information form, the International Physical Activity Questionnaire-Short Form, the Self-Efficacy Scale for Children, the Emotion Regulation Scale for Children and Adolescents, and the Psychological Resilience Scale for Children and Adolescents. The data were gathered online from 16 out of the 81 provinces in Turkey, representing 7 different regions, using convenience sampling. The study sample comprised 505 adolescents, with 309 females and 196 males. The average age of the participants was 15.66 years, with a standard deviation of 1.34. The data obtained from the students was analyzed using SPSS 27.0 statistical software. The Chi-Square test was employed to establish the correlation between the demographic features of adolescents and their levels of physical activity. The relationship between the independent variables and the dependent variable was determined using correlation analysis and hierarchical regression analysis. According to the analyzed results, there was a substantial positive correlation between physical activity and resilience, reappraisal and resilience, and self-efficacy and resilience. In addition, it was noted that physical activity alone explains 4.8% of the overall variation in resilience and is a significant predictor of resilience. The inclusion of reappraisal in the model resulted in a partial prediction of resilience by physical activity. However, the primary strength of the model was attributed to reappraisal. The inclusion of self-efficacy in the model resulted in a significant prediction of resilience, accounting for 36.8% of the total variance. The self-efficacy variable had a higher impact level compared to the other variables. Furthermore, the inclusion of self-efficacy in the model resulted in the elimination of the influence of physical activity on resilience. The research conclusions point out that self-efficacy has a greater impact on psychological resilience compared to physical activity and emotion regulation.


Assuntos
Exercício Físico , Resiliência Psicológica , Autoeficácia , Humanos , Adolescente , Feminino , Masculino , Turquia , Exercício Físico/psicologia , Inquéritos e Questionários , Emoções
18.
Women Health ; 64(6): 526-536, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38955481

RESUMO

The tendency toward poverty in the globalizing world significantly affects women. Unlike men, women have mandatory expenses every month. Especially poor women have difficulty in accessing to the hygienic products they need during the menstrual period. That is why, this study aims to develop a measurement tool that can effectively and widely assess women's menstrual poverty. This study is a methodological study that evaluates the psychometric properties of the scale. The study included 420 women living in a middle-income province in the north of Türkiye between April - July, 2023. The data were collected using the Menstrual Poverty Scale, and the items on the scale were developed based on a review of existing literature and expert opinions (CVI = 0.85-0.95). The sample was divided into two parts. It was made exploratory factor analysis and confirmatory factor analysis. Before conducting the study, an ethics committee decision and informed consent of the women were obtained. The collected data were analyzed using the SPSS 23 and AMOS 23 programs. The EFA revealed a structure consisting of 13 items and four factors. The four factors considered were as follows; access to hygiene products, quality of life, embarrassment, and receiving information, and education about menstruation. The item factor loadings varied from 0.46 to 0.91. The Cronbach's alpha coefficient was determined to be 0.69. The corrected item-total correlations for the scale items ranged from 0.62 to 0.84. According to the confirmatory factor analysis, the structural equation modeling results of the Menstrual Poverty Scale were found to be meaningful (p = .000; RMSEA 0.64; CMIN/Df 1.70). It is suggested to conduct validity and reliability studies in different cultures by applying the scale to women from different cultural backgrounds.


Assuntos
Menstruação , Pobreza , Psicometria , Qualidade de Vida , Humanos , Feminino , Adulto , Reprodutibilidade dos Testes , Menstruação/psicologia , Inquéritos e Questionários/normas , Análise Fatorial , Produtos de Higiene Menstrual , Turquia , Pessoa de Meia-Idade , Adulto Jovem
19.
Vet Med Sci ; 10(4): e1523, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38958584

RESUMO

BACKGROUND: Canine parvovirus type 2 (CPV-2) is the most common enteric virus that infects canids. CPV is the causative agent of a contagious disease defined mostly by clinical gastrointestinal signs in dogs. During the late 1970s, CPV-2 emerged as a new virus capable of infecting domestic dogs and growing across the world. The VP2 gene stands out as a key determinant in the pathogenicity, antigenicity, and host interactions of CPV-2. AIMS: The molecular characterization of the VP2 gene is crucial for understanding CPV evolution and epidemiology. MATERIALS & METHODS: Genes encoding the VP2 protein were sequenced and compared to reference strains worldwide. The maximum likelihood method was used to build a phylogenetic tree using CPV VP2 gene nucleotide sequences. RESULTS: Our phylogenetic analysis of the VP2 gene revealed that five strains were very similar and clustered together, and three strains were in the 2b clade, whereas the other two were in the 2a/2b clade. DISCUSSION: This paper reports the molecular characterization of two novel CPV-2a/2b subtypes in dogs with gastrointestinal symptoms. Genetic analysis was conducted on a CPV genomic region encompassing one of the open reading frames (ORFs) encoding the structural protein VP2. Sequence analysis indicates new and unreported sequence changes, mainly affecting the VP2 gene, which includes the mutations Ser297Ala and Leu87Met. This study represents the first evidence of a new CPV-2a/2b subtype in Türkiye. Due to VP2's crucial role in encoding the capsid protein of CPV-2 and its significant involvement in the host-virus interaction, it is critical to closely monitor its evolutionary changes and be cautious while searching for novel or pre-existing subtypes. CONCLUSION: This study highlights the significance of continuous molecular research for acquiring more insights on the circulation of novel CPV mutants.


Assuntos
Variação Genética , Parvovirus Canino , Parvovirus Canino/classificação , Parvovirus Canino/genética , Animais , Cães , Filogenia , Proteínas do Capsídeo/química , Proteínas do Capsídeo/genética , Gastroenteropatias/veterinária , Gastroenteropatias/virologia , Infecções por Parvoviridae/veterinária , Infecções por Parvoviridae/virologia , Turquia , Especificidade da Espécie , Genótipo
20.
Environ Monit Assess ; 196(8): 740, 2024 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-39012437

RESUMO

Land use land cover (LULC) change, global environmental change, and sustainable change are frequently discussed topics in research at the moment. It is important to determine the historical LULC change process for effective environmental planning and the most appropriate use of land resources. This study analysed the spatial autocorrelation of the land use structure in Konya between 1990 and 2018. For this, Global and Local Moran's I indices based on land use data from 122 neighbourhoods and hot spot analysis (Getis-Ord Gi*) methods were applied to measure the spatial correlation of changes and to determine statistically significant hot and cold spatial clusters. According to the research results, the growth of urban areas has largely destroyed the most productive agricultural lands in the region. This change showed high spatial clustering both on an area and a proportional basis in the northern and southern parts of the city. On the other hand, the growth in the industrial area suppressed the pasture areas the most in the north-eastern region of the city, and this region showed high spatial clustering on both spatial and proportional scales.


Assuntos
Agricultura , Cidades , Conservação dos Recursos Naturais , Monitoramento Ambiental , Análise Espacial , Urbanização , Monitoramento Ambiental/métodos , Agricultura/métodos , Conservação dos Recursos Naturais/métodos , Turquia
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