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Full-Text Articles in Medicine and Health Sciences

Sars-Cov-2 Epidemiology And Control, Different Scenarios For Turkey, Eskild Petersen, Ayşe Deni̇z Gökengi̇n Jan 2020

Sars-Cov-2 Epidemiology And Control, Different Scenarios For Turkey, Eskild Petersen, Ayşe Deni̇z Gökengi̇n

Turkish Journal of Medical Sciences

Background/aim: Coronavirus Infectious Disease 2019 (COVID-19) is now a pandemic spreading in most countries including Turkey. Materials and methods: The current knowledge of COVID-19 and the virus causing it, SARS-CoV-2, was reviewed. The epidemiology and control in different countries was compared and the differences discussed. Results: The population attack rates and case fatality rates vary from country to country with Lombardy in northern Italy reporting an attack rate in the general population of 0.37% compared to 0.004% in Hong Kong. The differences are caused by different testing strategies and reporting systems. Conclusion: Turkey is early in the outbreak. Different control …


Embryonic Mortality In Sheep: A Review, Pavitra Chundekkad, Barbara Blaszczyk, Tomasz Stankiewicz Jan 2020

Embryonic Mortality In Sheep: A Review, Pavitra Chundekkad, Barbara Blaszczyk, Tomasz Stankiewicz

Turkish Journal of Veterinary & Animal Sciences

Despite extensive research on the reproductive health of domestic animals, embryonic mortality continues to be a problem that brings about significant losses for both commercial breeding and scientific research. This review paper discusses the genetic and environmental factors that affect embryo mortality rates in sheep along with the different techniques developed to overcome this issue. Additionally, one of the objectives of this study is to emphasize the importance of the use of time-lapse cinematography and color Doppler ultrasonography as quick and reliable methods for early detection of pregnancy and embryonic death.


Statistical Analysis Of The Relationship Between Mortality And Nosocomial Factors Inpatients With Septicemia And The Importance Of Pseudomonas Aeruginosa, Di̇lek Dülger Jan 2020

Statistical Analysis Of The Relationship Between Mortality And Nosocomial Factors Inpatients With Septicemia And The Importance Of Pseudomonas Aeruginosa, Di̇lek Dülger

Turkish Journal of Veterinary & Animal Sciences

The ongoing evolution of sepsis as a condition constitutes a global health concern and necessitates continuous monitoring and investigation of incidence rates, mortality factors, and disease patterns. This study sought to elucidate the frequency of bacterial cultures in patients with septicemia at our hospital and identify the factors influencing mortality. Zoonotic risk factors with reference to the literature were also taken into account.Independent variables of all patients diagnosed with sepsis were retrospectively screened to reveal factors affecting mortality. Incomplete or unclear data were not included. Continuous variables are represented as means and standard deviations, whereas binary variables are represented as …


Is 48 H A Critical Cut-Off Point For Mortality In Geriatric Hip Fractures?, Ahmet Emre Paksoy, Keri̇m Öner, Ferdi̇ Polat, Serhat Durusoy Jan 2020

Is 48 H A Critical Cut-Off Point For Mortality In Geriatric Hip Fractures?, Ahmet Emre Paksoy, Keri̇m Öner, Ferdi̇ Polat, Serhat Durusoy

Turkish Journal of Medical Sciences

Background/aim: In this study, our objective was to evaluate the mortality in geriatric hip fracture patients who were operated within 48 h after admission or after the 48th h. Materials and methods: A total of 194 patients who had undergone surgery for hip fracture between 2016 and 2018 were retrospectively evaluated. Patient information was obtained from the hospital?s database using the ICD codes 81.52, 82.00?82.09, and 82.10. Radiological examination reports were collected from the patient files. Information on mortality was obtained from the Death Notification System of the Turkish Ministry of Health. First-year mortality rates of patients operated within 48 …


Assessment Of The Molluscicidal Activity Of Wormwood (Artemisia Dubia, Wallich) Leaves Ethanolic Extract On Oncomelania Hupensis Quadrasi, Möllendorff, Claudine C. Terciño, Carl Leonard M. Pradera, Melvin A. Bagot Jan 2020

Assessment Of The Molluscicidal Activity Of Wormwood (Artemisia Dubia, Wallich) Leaves Ethanolic Extract On Oncomelania Hupensis Quadrasi, Möllendorff, Claudine C. Terciño, Carl Leonard M. Pradera, Melvin A. Bagot

Turkish Journal of Veterinary & Animal Sciences

This study assessed the in vitro molluscicidal activity of Artemisia dubia (wormwood) leaf ethanolic extract against adult and juvenile Oncomelania hupensis quadrasi and profiled its qualitative phytochemical content. The plants and snails were collected locally. There were 8 concentrations used for adult and juvenile snails: distilled water and 1% ethanol as negative controls; niclosamide (2 mg/L) as a positive control; and different concentrations of wormwood ethanolic extracts for adult snails including 3.98% (T1), 4.46% (T2), 5% (T3), 5.61% (T4), and 6.30% (T5) and for juvenile snails including 7.94% (T1), 8.91% (T2), 10% (T3), 11.22% (T4), and 12.59% (T5). Each treatment …


Risk Indices That Predict In-Hospital Mortality Of Elderly Patients, Di̇lek Dülger, Özgür Albuz Jan 2020

Risk Indices That Predict In-Hospital Mortality Of Elderly Patients, Di̇lek Dülger, Özgür Albuz

Turkish Journal of Medical Sciences

Background/aim: Mortality in the elderly population tends to be higher than in all other age groups; the risk factors that predict mortality among those in this age cohort are not fully understood. This large-scale clinical study aimed to identify effective risk factors that predict mortality in the elderly population with a particular focus on age and hospitalization status. Material and methods: We retrospectively analyzed outcomes from patients with clinical follow-up between July 2015 and January 2020 at 29 Mayıs State Hospital, Ankara, Turkey. Patient records with missing or ambiguous data were excluded. Age, sex, length of hospital stay, comorbidities, consultation …


Value Of Prognostic Scores In Antineutrophil Cytoplasmic Antibody (Anca) Associated Vasculitis Patients In Intensive Care Unit: A Multicenter Retrospective Cohort Study From Turkey, Uğur Özdemi̇r, Nazmi̇ye Ebru Ortaç Ersoy, Recep Ci̇van Yüksel, Erhan Kaya, Şahender Gülbi̇n Aygencel Bikmaz, Melda Türkoğlu, Arzu Topeli̇ İski̇t, Muhammet Güven, Murat Sungur, Neri̇man Defne Altintaş Jan 2020

Value Of Prognostic Scores In Antineutrophil Cytoplasmic Antibody (Anca) Associated Vasculitis Patients In Intensive Care Unit: A Multicenter Retrospective Cohort Study From Turkey, Uğur Özdemi̇r, Nazmi̇ye Ebru Ortaç Ersoy, Recep Ci̇van Yüksel, Erhan Kaya, Şahender Gülbi̇n Aygencel Bikmaz, Melda Türkoğlu, Arzu Topeli̇ İski̇t, Muhammet Güven, Murat Sungur, Neri̇man Defne Altintaş

Turkish Journal of Medical Sciences

Background/aim: There is a need for a scoring system for predicting ICU prognosis of patients with ANCA-associated vasculitis (AAV), but there are limited data on it in the literature. Therefore, we aimed to determine the scores that can estimate the prognosis of patients with AAV during intensive care follow up.Materials and methods: All adult patients admitted to the medical ICUs of 4 reference university hospitals in Turkey due to AAV activation and/or disease/treatment complications in the last 10 years were included in this study. Demographic data, treatments before ICU, the Birmingham Vasculitis Activity Score (BVAS) score at the time of …


Covid-19 Experience Of The Major Pandemic Response Center In The Capital: Results Ofthe Pandemic's First Month In Turkey, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Bi̇rcan Kayaaslan, Adalet Aypak, Ayşe Kaya Kalem, Fatma Eser, Burcu Özdemi̇r, Eli̇f Muki̇me Saricaoğlu, Müge Ayhan, Yeşi̇m Aybar Bi̇li̇r, Işil Özkoçak Turan, Deni̇z Erdem, Nevzat Mehmet Mutlu, Turan Buzğan, Bedi̇a Di̇nç Jan 2020

Covid-19 Experience Of The Major Pandemic Response Center In The Capital: Results Ofthe Pandemic's First Month In Turkey, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Bi̇rcan Kayaaslan, Adalet Aypak, Ayşe Kaya Kalem, Fatma Eser, Burcu Özdemi̇r, Eli̇f Muki̇me Saricaoğlu, Müge Ayhan, Yeşi̇m Aybar Bi̇li̇r, Işil Özkoçak Turan, Deni̇z Erdem, Nevzat Mehmet Mutlu, Turan Buzğan, Bedi̇a Di̇nç

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to evaluate the epidemiological and clinical characteristics and parameters that determined the clinical course and prognosis of the COVID-19 patients admitted to Ankara City Hospital during the first month of the pandemic in Turkey. Materials and methods: SARS-CoV-2 PCR positive patients who were hospitalized between March 10 and April 10, 2020 were included. Results: Among 222 patients, mean age was higher in severe acute respiratory illness (SARI)/critical disease group (P < 0.001). Median time from illness onset to admission and presence of comorbidity, especially coronary artery disease and chronic obstructive pulmonary disease, were significantly higher in the SARI/critical disease group (P < 0.05). Cough and fever were the most common symptoms, while anosmia and loss of taste were observed in 8.6% and 7.7% patients, respectively. The mortality rate was 5.4%. A high neutrophil/lymphocyte ratio; low lymphocyte, monocyte, and platelet count; elevated liver enzymes; low GFR; and high levels of muscle enzymes, ferritin, and IL-6 on admission were found to be associated with SARI/critical disease (P < 0.05). Bilateral ground-glass opacity and patchy infiltration were more frequently seen in the SARI/critical disease group (P < 0.001). Patients older than 65 years had an 8-fold increased risk for development of SARI/critical disease. Conclusion: This cohort study regarding COVID-19 cases in Turkey reveals that older age, presence of comorbidity, bilateral infiltration on CT, high neutrophil/lymphocyte ratio, low monocyte and platelet count, elevated liver enzymes, low GFR, high levels of muscle enzymes, and high levels of ferritin and IL-6 on admission are predictors of SARI and severe disease.


An Epidemiologic Study Of Physician-Diagnosed Chronic Obstructive Pulmonary Disease In The Turkish Population: Copdturkey-1, Tarkan Özdemi̇r, Ni̇lgün Yilmaz Demi̇rci̇, Hati̇ce Kiliç, Orhan Koç, Akin Kaya, Can Öztürk Jan 2020

An Epidemiologic Study Of Physician-Diagnosed Chronic Obstructive Pulmonary Disease In The Turkish Population: Copdturkey-1, Tarkan Özdemi̇r, Ni̇lgün Yilmaz Demi̇rci̇, Hati̇ce Kiliç, Orhan Koç, Akin Kaya, Can Öztürk

Turkish Journal of Medical Sciences

Background/aim: Chronic obstructive pulmonary disease (COPD) is a common disease characterized by persistent airflow limitation and respiratory symptoms. It is a leading cause of morbidity and mortality all over the world. Our data on COPD in Turkey are limited. This study was intended to examine the epidemiologic characteristics of COPD in the Turkish population, between 2012 and 2016. Materials and methods: This population-based, descriptive, surveillance study examined physician-diagnosed COPD prevalence, incidence, and mortality in Turkey.The database of the Social Security System of Turkey was scanned and ICD-10 J44.0-J44.9 codes for diagnostic and/or therapeutic purposes were evaluated retrospectively. Results: In 2016, …


Long-Term Clinical Outcomes Of Peritoneal Dialysis Patients: 9-Year Experience Of A Singlecentre In Turkey, Ni̇han Tekkarişmaz, Di̇lek Torun Jan 2020

Long-Term Clinical Outcomes Of Peritoneal Dialysis Patients: 9-Year Experience Of A Singlecentre In Turkey, Ni̇han Tekkarişmaz, Di̇lek Torun

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to evaluate the clinical outcomes and identify the predictors of mortality in peritoneal dialysis patients. Materials and methods: Medical records of all incident peritoneal dialysis (PD) patients followed up between January 2011 and May 2019 were reviewed retrospectively. All patients were followed up until death, renal transplantation, transfer to haemodialysis or the end of the study. Results: A total of 242 patients were included in the study. The incidence of peritonitis was 0.18 (ranging from 0 to 14.9) episodes per patient year. Death occurred in 28% (n: 68) of cases. Age, diabetes mellitus, …