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Full-Text Articles in Medicine and Health Sciences

Characteristics Of Diabetes Mellitus Patients In Turkey: An Analysis Of National Electronic Health Records, Mustafa Mahi̇r Ülgü, Kemal Hakan Gülkesen, Abdullah Akünal, Mustafa Okan Ayvali, Neşe Zayi̇m, Şuayip Bi̇ri̇nci̇, Mustafa Kemal Balci Jan 2023

Characteristics Of Diabetes Mellitus Patients In Turkey: An Analysis Of National Electronic Health Records, Mustafa Mahi̇r Ülgü, Kemal Hakan Gülkesen, Abdullah Akünal, Mustafa Okan Ayvali, Neşe Zayi̇m, Şuayip Bi̇ri̇nci̇, Mustafa Kemal Balci

Turkish Journal of Medical Sciences

Background/aim: It was estimated that there were 537 million people with diabetes mellitus in 2021, representing 10.5% of the global adult population. Diabetes prevalence in Turkey is 13.5%, according to a meta-analysis and 17.3% according to a recent study. Although the primary purpose of Electronic Health Records (EHRs) is clinical, researchers can use them to conduct epidemiologic investigations. This study aims to document the prevalence of diabetes and to evaluate the healthcare utilization of people with diabetes compared to the people without diabetes, based on national EHR. Methods: Only people over 14 years old were included in the analysis. Our …


Projecting The Course Of Covid-19 In Turkey: A Probabilistic Modeling Approach, Aybar Can Acar, Ahmet Görkem Er, Hüseyi̇n Cahi̇t Burduroğlu, Seher Nur Sülkü, Yeşi̇m Aydin Son, Levent Akin, Serhat Ünal Jan 2021

Projecting The Course Of Covid-19 In Turkey: A Probabilistic Modeling Approach, Aybar Can Acar, Ahmet Görkem Er, Hüseyi̇n Cahi̇t Burduroğlu, Seher Nur Sülkü, Yeşi̇m Aydin Son, Levent Akin, Serhat Ünal

Turkish Journal of Medical Sciences

Background/aim: The COVID-19 pandemic originated in Wuhan, China, in December 2019 and became one of the worst global health crises ever. While struggling with the unknown nature of this novel coronavirus, many researchers and groups attempted to project the progress of the pandemic using empirical or mechanistic models, each one having its drawbacks. The first confirmed cases were announced early in March, and since then, serious containment measures have taken place in Turkey. Materials and methods: Here, we present a different approach, a Bayesian negative binomial multilevel model with mixed effects, for the projection of the COVID-19 pandemic and we …


Epidemiology Of Covid-19: What Changed In One Year?, Cemal Bulut, Yasuyuki̇ Kato Jan 2021

Epidemiology Of Covid-19: What Changed In One Year?, Cemal Bulut, Yasuyuki̇ Kato

Turkish Journal of Medical Sciences

A coronavirus brought the first pandemic attack of this century as a flu virus did a hundred years ago. This greatest pandemic of the century brings us new opportunities to understand and explore the dynamics of a contagious disease. Nearly two years later, we are still collecting the evidence to understand the disease. Some basic epidemiological properties are still urgently needed. Not only the origin of the virus but also Ro value, possible transmission routes, epidemiologic curves, case fatality rates, seasonality, severity and mortality risk factor, effects on the risk groups, differences between countries and so on still require strong …


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 …


Epidemiology Of Covid-19, Cemal Bulut, Yasuyuki̇ Kato Jan 2020

Epidemiology Of Covid-19, Cemal Bulut, Yasuyuki̇ Kato

Turkish Journal of Medical Sciences

It seems that coronaviruses take an important place in the 21th century history. Five of seven human coronavirus was isolated in this century. Unfortunately, last three of them entered our life with a fear of outbreak, pandemic or death. Last human coronavirus which emerged world from Wuhan China, SARS CoV-2 and its clinical expression, Coronavirus disease (COVID-19) recently taken a significant place in our daily practice. Initial reports showed that, its origin was bats. It transmitted human to human by droplet and contact routes, but some doubt about airborne, fecal or intrauterine transmission also should be removed. Its R0 value …


Decreasing Incidence And Severity Of Behçet's Disease: A Changing Trend Inepidemiological Spectrum Possibly Associated With Oral Health, Gonca Mumcu, Fatma Ali̇baz Öner, Safi̇ye Atlas Tüli̇n Ergun, Rafi̇ Haner Di̇reskeneli̇ Jan 2020

Decreasing Incidence And Severity Of Behçet's Disease: A Changing Trend Inepidemiological Spectrum Possibly Associated With Oral Health, Gonca Mumcu, Fatma Ali̇baz Öner, Safi̇ye Atlas Tüli̇n Ergun, Rafi̇ Haner Di̇reskeneli̇

Turkish Journal of Medical Sciences

Behçet's disease (BD) is a systemic and inflammatory disorder that is mainly present along the ancient Silk Road, from the Mediterranean Sea to East Asia. A wide range of prevalence figures (0.1-420/100,000) have been reported for BD, also among Turkish populations of similar genetic background living in different countries. Recently, a decline in the incidence of BD and a change of the disease spectrum to less-severe manifestations have been reported from Japan and Korea, two genetically homogenous, affluent populations with limited immigration. It was hypothesized that a decline in infectious diseases, especially dental/periodontal infections, associated with the improvement in oral …


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, …


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.


Risk Factors For Community-Onset Urinary Tract Infections Caused By Extended-Spectrum Ss-Lactamase-Producing Escherichia Coli, Türkan Tüzün, Selda Sayin Kutlu, Murat Kutlu, İlknur Kaleli̇ Jan 2019

Risk Factors For Community-Onset Urinary Tract Infections Caused By Extended-Spectrum Ss-Lactamase-Producing Escherichia Coli, Türkan Tüzün, Selda Sayin Kutlu, Murat Kutlu, İlknur Kaleli̇

Turkish Journal of Medical Sciences

Background/aim: Community-onset urinary tract infections(UTIs) caused by extended-spectrum ß-lactamase (ESBL)-producing Escherichia coli have increased in many parts of the world. This study aimed to determine the prevalence and risk factors for community-onset UTI caused by ESBL-producing E. coli.Materials and methods: This prospective cohort study was conducted between January 2012 and March 2014 in cases of community-onset UTI caused by E. coli. Patients with UTI due to ESBL-producing E. coli and patients with UTI due to non-ESBL-producing E. coliwere compared to identify risk factors for ESBL-producing E. coli in the community.Results: A total of 305 patients (116 males [46.4%]; mean age: …


Distribution Of Lymphomas In Turkey: Data Of 4239 Cases From A Singleinstitution Using The Who Classification, Arzu Sağlam, Ece Esi̇n, Mutlu Hayran, Bariş Boyraz, Ayşegül Üner Jan 2018

Distribution Of Lymphomas In Turkey: Data Of 4239 Cases From A Singleinstitution Using The Who Classification, Arzu Sağlam, Ece Esi̇n, Mutlu Hayran, Bariş Boyraz, Ayşegül Üner

Turkish Journal of Medical Sciences

Background/aim: Lymphoma cases diagnosed at one of the largest tertiary reference centers in Turkey were reviewed and findings were compared to those reported from other regions of the world. Materials and methods: Lymphomas diagnosed between 2000 and 2017 in the pathology laboratory of Hacettepe University were identified. A total of 4239 cases were analyzed. The WHO 2008 classification was used. Results: Hodgkin lymphomas accounted for almost 20% of cases. T-cell lymphomas were much more frequent (23% of our non- Hodgkin lymphoma (NHL) cases) in comparison to all other regions of the world. The reason for this difference was the high …


Epidemiology And Analysis Of Invasive Fungal Infections In Patients Withhematological Malignancies: A Single-Center Real-Life Experience, Nur Soyer, Hati̇ce Demet Ki̇per Ünal, Fi̇li̇z Vural, Fahri̇ Şahi̇n, Mahmut Töbü, Ayhan Dönmez, Murat Tombuloğlu, Bi̇lgi̇n Arda, Güray Saydam Jan 2017

Epidemiology And Analysis Of Invasive Fungal Infections In Patients Withhematological Malignancies: A Single-Center Real-Life Experience, Nur Soyer, Hati̇ce Demet Ki̇per Ünal, Fi̇li̇z Vural, Fahri̇ Şahi̇n, Mahmut Töbü, Ayhan Dönmez, Murat Tombuloğlu, Bi̇lgi̇n Arda, Güray Saydam

Turkish Journal of Medical Sciences

Background/aim: Invasive fungal infection (IFI) causes morbidity and mortality among patients with hematological malignancies. We evaluated the incidence and treatment characteristics of IFIs between October 2012 and December 2013. Materials and methods: Patients who received chemotherapy or stem cell transplantation were retrospectively evaluated. Fungal infections were classified according to EORTC criteria.Results: Prophylaxis and antifungal therapy were given in 30.5% and 23.6% of 522 chemotherapy courses, respectively. The incidence of proven/probable IFI was 6.7%. The incidence of IFI among patients who received prophylaxis was significantly higher than among those who did not receive it (11.3% vs. 4.6%, P = 0.005). There …


Epidemiology And Cost Of Drug Treatment Of Cancer In Northern Cyprus, Ayşe Gökyi̇ği̇t, Seyi̇de Rumeysa Demi̇rdamar Jan 2016

Epidemiology And Cost Of Drug Treatment Of Cancer In Northern Cyprus, Ayşe Gökyi̇ği̇t, Seyi̇de Rumeysa Demi̇rdamar

Turkish Journal of Medical Sciences

Background/aim: To determine the epidemiology, the sociodemographic features, the incidence and prevalence rate of cancer, and the cost of drug treatment in Northern Cyprus. Materials and methods: All of the oncology prescriptions, cancer pathology reports, and cancer referrals to overseas for 2011 were collected from the state hospitals, the only private university hospital that provides oncology services, and the Ministry of Health to prepare an epidemiological database. The total cost of drug treatment at the state hospitals and cost of the most frequent five cancer types were also calculated using the therapy protocols and the expense of the drugs. Results: …


Evaluation Of Epidemiological Characteristics And Risk Factors Affecting Mortality In Patients With Candidemia, Fatma Yilmaz Karadağ, Pinar Ergen, Özlem Aydin, Arzu Doğru, Berri̇n Tanidir, Mustafa Haluk Vahaboğlu Jan 2016

Evaluation Of Epidemiological Characteristics And Risk Factors Affecting Mortality In Patients With Candidemia, Fatma Yilmaz Karadağ, Pinar Ergen, Özlem Aydin, Arzu Doğru, Berri̇n Tanidir, Mustafa Haluk Vahaboğlu

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to determine epidemiologic characters of patients with candidemia and to evaluate risk factors that can affect mortality rates among these patients. Materials and methods: Patients admitted to the İstanbul Medeniyet University Göztepe Training Hospital between 2009 and 2011 who had a positive blood culture for Candida spp. during hospitalization were studied retrospectively for demographic characteristics and risk factors. Statistical comparisons were estimated with the Stata 12 package. Independent variables associated with mortality were estimated by Cox regression analyses. Results: A total of 89 patients were identified with a positive blood culture. Of the …


The Increasing Incidence Of Esophageal Squamous Cell Carcinoma In Women In Turkey, Ati̇la Eroğlu, Yener Aydin, Bayram Altuntaş, Betül Gündoğdu, Ömer Yilmaz Jan 2016

The Increasing Incidence Of Esophageal Squamous Cell Carcinoma In Women In Turkey, Ati̇la Eroğlu, Yener Aydin, Bayram Altuntaş, Betül Gündoğdu, Ömer Yilmaz

Turkish Journal of Medical Sciences

Background/aim: This study assessed the trend changes in the histological types of esophageal cancer in a 25-year period in eastern Turkey. Materials and methods: We searched all cases of esophageal cancer from 1990 to 2015 according to their histological diagnosis and sex, grouping the patients in 5-year time periods to evaluate time trends. Results: We identified 1462 cases of esophageal cancer. In terms of patient make-up, 742 were male and 720 were female. In general, 75.86% of the patients had squamous cell carcinoma (SCC), 19.56% of the patients had adenocarcinoma (ADC), and the remaining 4.58% patients were found to have …


Analysis Of The Hip Fracture Records Of A Central Training And Research Hospital By Selected Characteristics, Deni̇z Çankaya, Burak Yoldaş, Eli̇f Çankaya, Yalçin Çakir, Cemal Aydin, Abdullah Yalçin Tabak Jan 2016

Analysis Of The Hip Fracture Records Of A Central Training And Research Hospital By Selected Characteristics, Deni̇z Çankaya, Burak Yoldaş, Eli̇f Çankaya, Yalçin Çakir, Cemal Aydin, Abdullah Yalçin Tabak

Turkish Journal of Medical Sciences

Background/aim: Despite the importance of hip fractures, very few studies have assessed their epidemiological characteristics in Turkey. The aim of this study was to evaluate the frequency and demography of hip fractures from the recent data of a central training and research hospital. Materials and methods: In this descriptive study, we identified hip fracture cases between 2009 and 2013. The age, sex, region, injury pattern, and calendar year for all patients were evaluated. Results: Among the 687 patients (488 women, 199 men) described in our clinic's records, 122, 131, 144, 138, and 154 patients applied with hip fractures from the …


Oral Mucosal Lesions: A Retrospective Review Of One Institution’S 13-Year Experience, Burcu Sengüven, Emre Bariş, Benay Yildirim, Alaa Shuibat, Özlem Özer Yücel, Fari̇d Museyibov, Yeşi̇m Yildiz, Özkan Büyük, Si̇bel Eli̇f Gülteki̇n Jan 2015

Oral Mucosal Lesions: A Retrospective Review Of One Institution’S 13-Year Experience, Burcu Sengüven, Emre Bariş, Benay Yildirim, Alaa Shuibat, Özlem Özer Yücel, Fari̇d Museyibov, Yeşi̇m Yildiz, Özkan Büyük, Si̇bel Eli̇f Gülteki̇n

Turkish Journal of Medical Sciences

To investigate the relative frequency of biopsied nonneoplastic oral mucosal lesions in Ankara, Turkey. Materials and methods: Biopsy records of a single center from 2000-2012 were retrospectively collected. Diagnosis was recorded and evaluated with respect to patient demographics (age, sex) and location of the lesion. Results: Of 11,980 biopsies, 1732 (14.5%) were mucosal nonneoplastic lesions. Hyperplastic lesions (n = 1000, 57.7%) with fibroepithelial hyperplasia in 30.9% of patients were the most common type of oral nonneoplastic lesions. The mean age of patients differed with respect to type of mucosal lesion, tending to be lower in patients with reactive lesions. Dermatoses …


Epidemiology Of Uveitis In A Referral Hospital In Turkey, Müge Pinar Çakar Özdal, Alper Yazici, Melek Tüfek, Faruk Öztürk Jan 2014

Epidemiology Of Uveitis In A Referral Hospital In Turkey, Müge Pinar Çakar Özdal, Alper Yazici, Melek Tüfek, Faruk Öztürk

Turkish Journal of Medical Sciences

To investigate the causes and clinical characteristics of uveitis in patients presenting to a specialized eye hospital in Turkey. Materials and methods: The clinical records of 1028 uveitis patients admitted between 1990 and 2010 were retrospectively reviewed. Age at first presentation, sex, laterality, etiology, associated systemic disease, clinical presentation, and course of the disease were noted. Results: The mean age at presentation was 36.23 ± 14.9 years. Males constituted 58.2% of patients. Anatomically, anterior uveitis (42%) was most common, followed by posterior uveitis (24.9%), panuveitis (24.7%), and intermediate uveitis (8.4%). The course of the disease was mostly chronic (65.7%). The …


Epidemiology, Clinical Features, And Laboratory Detection Of Mycoplasma Pneumoniae Infection In East Azerbaijan, Iran, Reza Ghotaslou, Simin Sharifi, Mohammad Taghi Akhi, Mohammad Hossein Soroush Jan 2013

Epidemiology, Clinical Features, And Laboratory Detection Of Mycoplasma Pneumoniae Infection In East Azerbaijan, Iran, Reza Ghotaslou, Simin Sharifi, Mohammad Taghi Akhi, Mohammad Hossein Soroush

Turkish Journal of Medical Sciences

Mycoplasma pneumoniae is involved in the etiology of many respiratory tract infections. This prospective study describes the epidemiology and clinical properties of M. pneumoniae infections in hospitals of the Tabriz University of Medical Sciences. Materials and methods: From May 2009 to November 2010, 200 patients with respiratory tract infections were enrolled into this study. Due to antibiotic use 51 patients were excluded. M. pneumoniae from respiratory infections was detected by culture, enzyme-linked immunosorbent assay (ELISA), and polymerase chain reaction (PCR) assays. Results: M. pneumoniae infection was detected in 9 (6.15%), 8 (5.3%), and 3 (2.01%) of patients by PCR, ELISA, …


Prevalence Of Type 1 Diabetes Mellitus In School Children 6–18 Years Old In Diyarbakır, Southeastern Anatolian Region Of Turkey, Hüseyi̇n Demi̇rbi̇lek, Mehmet Nuri̇ Özbek Jan 2013

Prevalence Of Type 1 Diabetes Mellitus In School Children 6–18 Years Old In Diyarbakır, Southeastern Anatolian Region Of Turkey, Hüseyi̇n Demi̇rbi̇lek, Mehmet Nuri̇ Özbek

Turkish Journal of Medical Sciences

The frequency of type 1 diabetes mellitus (T1DM) differs according to factors like geographical location, ethnicity, sex, and age. There are few studies investigating T1DM prevalence in the children of Turkey or of the Southeastern Anatolian Region. We aimed to define T1DM prevalence and to investigate geographic and sociodemographic features in school children 6-18 years old living in Diyarbakır. Materials and methods: The number of children with T1DM and the total number of children at the schools were defined in cooperation with the Diyarbakır Provincial Education Directorate. T1DM prevalence was calculated with the obtained data. Results: The number of school …


Pediculosis Capitis Infestation In School Children Of A Low Socioeconomic Area Of The North Gaza Governorate, Bassam Alzain Jan 2012

Pediculosis Capitis Infestation In School Children Of A Low Socioeconomic Area Of The North Gaza Governorate, Bassam Alzain

Turkish Journal of Medical Sciences

Pediculus capitis, or human head lice, infests people worldwide, although it is most often seen in school-aged children. The aim of this study was to estimate the incidence and the epidemiological factors related to Pediculus capitis infestation among the selected population. Materials and methods: A study conducted from January to March 2010 of 318 females and 282 males up to 13 years of age found a prevalence rate for Pediculus capitis infestation of 53 (16.8%) in the North Gaza Governorate. The study involved 600 children and used multistage, systematic random sampling. Results: Male children had a lower rate of infestation …


Distribution Of Congenital Heart Disease In Turkey*, Serdar Kula, Ayhan Çevi̇k, Fatma Rana Olguntürk, Fatma Sedef Tunaoğlu, Ayşe Deni̇z Oğuz, Mustafa Necmi̇ İlhan Jan 2011

Distribution Of Congenital Heart Disease In Turkey*, Serdar Kula, Ayhan Çevi̇k, Fatma Rana Olguntürk, Fatma Sedef Tunaoğlu, Ayşe Deni̇z Oğuz, Mustafa Necmi̇ İlhan

Turkish Journal of Medical Sciences

To describe the epidemiology and geographical distribution of congenital heart disease. A retrospective population-based study was conducted using data collected in a large tertiary care hospital in Turkey. Materials and methods: The medical records of 1300 patients with congenital heart disease admitted to the Gazi University Department of Pediatric Cardiology for catheter angiography from 1997-2007 were reviewed. The patients were divided into 7 groups according to geographical distribution, and each group was further divided into 2 groups, for simple (group 1) and complex (group 2) congenital heart disease. Results: Among the 1300 cases, there was no difference between the regions …


Assessment Of The Findings On The Existence Of Complications In Brucellosis, Cemal Bulut, Meltem Arzu Yetki̇n, Gülruhsar Yilmaz, Fatma Şebnem Erdi̇nç, Çi̇ğdem Ataman Hati̇poğlu, Sami̇ Kinikli, Behi̇ç Oral, Necla Tülek, Ali̇ Pekcan Demi̇röz Jan 2011

Assessment Of The Findings On The Existence Of Complications In Brucellosis, Cemal Bulut, Meltem Arzu Yetki̇n, Gülruhsar Yilmaz, Fatma Şebnem Erdi̇nç, Çi̇ğdem Ataman Hati̇poğlu, Sami̇ Kinikli, Behi̇ç Oral, Necla Tülek, Ali̇ Pekcan Demi̇röz

Turkish Journal of Medical Sciences

Brucellosis is a prevalent disease in Turkey. The object of this study was to assess the findings in brucellosis cases with and without complications. Materials and methods: A total of 324 patients diagnosed with brucellosis between 1999 and 2005 were reviewed retrospectively. The diagnosis of brucellosis was established serologically and/or by positivite blood culture. Epidemiologic features, clinical symptoms, and laboratory findings of the patients were assessed in both complicated and noncomplicated brucellosis cases by univariate and multivariate analysis. Results: The mean age of patients was 44.0 ± 18.3 years (range 15-83 years). In addition, 56% of the patients were male. …


A Novel Cut-Off For Abdominal Obesity Derived From Various Anthropometric Indices To Predict Body Composition: Arm Fat Area, Betül Çi̇çek, Ahmet Öztürk, Mümtaz M. Mazicioğlu, Neri̇man İnanç, Seli̇m Kurtoğlu Jan 2010

A Novel Cut-Off For Abdominal Obesity Derived From Various Anthropometric Indices To Predict Body Composition: Arm Fat Area, Betül Çi̇çek, Ahmet Öztürk, Mümtaz M. Mazicioğlu, Neri̇man İnanç, Seli̇m Kurtoğlu

Turkish Journal of Medical Sciences

Determination of fat and fat-free mass is of considerable interest in evaluation of nutritional status. The aim of the present study was to determine whether using arm fat area (AFA) is helpful in identifying abdominal obesity (waist circumference > 90^{th} percentile) in Turkish children and adolescents with high risk. According to AFA ≥ 85^{th} percentile indicating overweight, we determined age- and gender-specific cut-offs from anthropometric indices. Materials and methods: This study was conducted with 5358 (2621 boys, 2737 girls) children and adolescents aged 6-17 years. Height, weight, arm span, waist circumference (WC), mid-upper arm circumference (MUAC), and triceps skinfold thickness (TSF) …


The Epidemiology Of Microsporidias In Humans (Malatya Sample), Ülkü Karaman, Ni̇lgün Daldal, Meti̇n Atambay, Cemi̇l Çolak Jan 2009

The Epidemiology Of Microsporidias In Humans (Malatya Sample), Ülkü Karaman, Ni̇lgün Daldal, Meti̇n Atambay, Cemi̇l Çolak

Turkish Journal of Medical Sciences

Aim: Microsporidias, first isolated and defined in 1857, are obligate intracellular parasites observed in animal groups and especially invertebrates. Generally homosexual patients and patients who are HIV positive and immune suppressed constitute the participants of international studies about the epidemiology of microsporidias. No previous studies about the prevalence of the parasite in Turkey have been found in the literature. This study aimed to determine the epidemiology of microsporidias in and around Malatya. Materials and Methods: Feces samples (n: 2665) from patients who presented at İnönü University Medical Faculty policlinics in 2006 with some digestive system complaints and were referred to …


Epidemiological Risk Factors For Crimean-Congo Hemorrhagic Fever Patients, Ayten Kadanali, Serpi̇l Erol, Zülal Özkurt, Kemaletti̇n Özden Jan 2009

Epidemiological Risk Factors For Crimean-Congo Hemorrhagic Fever Patients, Ayten Kadanali, Serpi̇l Erol, Zülal Özkurt, Kemaletti̇n Özden

Turkish Journal of Medical Sciences

Aim The aim of this study was to evaluate the epidemiological risk factors for Crimean-Congo hemorrhagic fever (CCHF) patients admitted to our hospitals between January 2004- December 2006. Materials and methods: This was a study of 63 CCHF patients whose definitive diagnosis was based on the detection of CCHF virus-specific IgM by ELISA and/or of genomic segments of the CCHF virus by real time polymerase chain reaction (RT-PCR) and 50 healthy controls. Related data were collected prospectively. Results: Twenty-two (50.8%) of the patients were female, and 31 of them (49.2%) were male. The mean age of the patients was 46 …


Typing Of Methicillin-Resistant Staphylococcus Aureus By Ribosome Spacer And Arbitrarily Primed Polymerase Chain Reaction, Tamer Essawi, Kamel Adwan, Nael Abu-Hassan, Galeb Adwan, Ahmed Saleh, Ghaleb Mohammad Adwan Jan 2004

Typing Of Methicillin-Resistant Staphylococcus Aureus By Ribosome Spacer And Arbitrarily Primed Polymerase Chain Reaction, Tamer Essawi, Kamel Adwan, Nael Abu-Hassan, Galeb Adwan, Ahmed Saleh, Ghaleb Mohammad Adwan

Turkish Journal of Medical Sciences

Thirty-five methicillin-resistant Staphylococcus aureus (MRSA) clinical isolates were collected from 3 hospitals in the northern and southern parts of Palestine between February and May 1998. These isolates were typed by ribosome spacer PCR (RS-PCR) and arbitrarily primed PCR (AP-PCR). RS-PCR generated 9 different genotypes. The use of AP-PCR provided a high resolution typing method and allowed us to define 11 different clusters. Three major clusters, however, based on the combination of both typing methods, spread throughout the neonatal and intensive care units of Rafidya Hospital during the entire period.


Prevalence Of Oral Precancerous Lesions In A Selected Turkish Population, Çağri Deli̇lbaşi, Hakan Akman, Eni̇s Redzep, Ümi̇t K. Akal Jan 2003

Prevalence Of Oral Precancerous Lesions In A Selected Turkish Population, Çağri Deli̇lbaşi, Hakan Akman, Eni̇s Redzep, Ümi̇t K. Akal

Turkish Journal of Medical Sciences

Oral cancers are malignancies that have high metastasis potential and thus survival rate of the patients is low. Today, epidemiological studies are being widely conducted on precancerous lesions, defined as predecessor lesions. In order to investigate the prevalence of oral precancerous lesions among Turkish people, 2000 consecutive outpatients who referred to our clinic for routine dental treatment, were examined. The proportion of lesions with potential to transform into cancer was 4.0%. It was concluded that leukoplakia and lichen planus were the most commonly observed precancerous lesions. All lesions had male propensity and the most affected site was the buccal mucosa. …


Anti-Hev Antibody Prevalence In Three Distinct Regions Of Turkey And Its Relationship With Age, Gender, Education And Abortions, Di̇lek Olcay, Can Polat Eyi̇gün, Şükrü Volkan Özgüven, İsmai̇l Yaşar Avci, Ahmet Bülent Beşi̇rbelli̇oğlu, Selma Yegane Tosun, Alaaddi̇n Pahsa Jan 2003

Anti-Hev Antibody Prevalence In Three Distinct Regions Of Turkey And Its Relationship With Age, Gender, Education And Abortions, Di̇lek Olcay, Can Polat Eyi̇gün, Şükrü Volkan Özgüven, İsmai̇l Yaşar Avci, Ahmet Bülent Beşi̇rbelli̇oğlu, Selma Yegane Tosun, Alaaddi̇n Pahsa

Turkish Journal of Medical Sciences

Hepatitis E virus (HEV) causes epidemics in developing countries such as India, Burma, Indonesia, Chad and China, but it causes sporadic cases in developed countries such as the U.S.A., Canada and the U.K. Turkey represents a bridge between HEV endemic and non-endemic areas, and HEV may cause epidemics in Turkey. In this study, the prevalence of HEV in three distinct regions of Turkey and its relationship with age, gender, education and abortions was investigated. Nine hundred ten randomly selected cases from three cities in three geographic regions of Turkey (Manisa from the Aegean region, Elmadağ/Ankara from Central Anatolia and Diyarbakır …