Investigation of awareness and anxiety levels of pregnant women during pandemic process

Objectives: It is currently unknown that how pregnant women deal with the Coronavirus disease and its results. The aim of this study is to evaluate the psychological impact of the coronavirus pandemic on pregnant women and to determine whether pregnant women have sufficient knowledge and awareness for a healthy antenatal process. Material and methods: This study was conducted at two centers. Regardless of the gestational age, a questionnaire was distributed to 1003 pregnant women in total, from which 51 original questions we prepared. Five hundred twenty-six participants were included in the study. The questionnaire was delivered using the QR code method. The questionnaires were answered online by participants via SurveyMonkey. Results: The period when anxiety was highest was the 2nd trimester, whereas women in the 1st trimester had the lowest level of anxiety. High levels of awareness were observed in patients with heart disease, but patients with diabetes mellitus had a high level of anxiety. Conclusions: It is important to maintain the mental and physical health of pregnant women, who are in a more delicate condition than other individuals in the society. In this regard, healthcare professionals have important duties such as taking necessary precautions and explaining the seriousness of the situation to pregnant women

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

The Effect of Maternal Smoking on the Height, Weight and Apgar Scores of the Newborn and on Placental Parameters

OBJECTIVE: The aim of this study was to evaluate the effect of smoking on weight, length, 1. and 5. minute apgar scores of newborn and weight, surface area, number of cotyledon of placenta, and coiling index of umbilical cord. STUDY DESIGN: This study was run in Etlik Zübeyde Hanım Maternity And Women’s Health Academic and Research Hospital and Gülhane Military Medical Academy Department of Anatomy between January 2003 to January 2004 and perfomed on 258 freshly delivered human placentas. The collected placentas were examined macroscopically, after removing the excess blood, and membrane and the umbilical cord was cut at 1 cm from the placental disc. In order to see if maternal smoking influences newborn and placental parameters, patients were divided into two groups: habitual smokers (46 women) and non-smokers (212 women) and these groups were compared according to placental parameters and newborn APGAR scores,weight and length of newborn. RESULTS: It is determined that placental surface area and Apgar score at 1minute were statistically different among the groups (p<0.05). Number of cotyledon, placental weight, coiling index of umblical cord, fetal length and weight and Apgar at 5 minutes were not different between smokers and non-smoker mothers. CONCLUSION: Smoking seems to effect placental surface area and neonatal Apgar score at 1 minute. Large randomized prospective studies are needed to reveal exact relationship between maternal smoking and fetal placental parameters

Multimodal concept detection in broadcast media: KavTan

Concept detection stands as an important problem for efficient indexing and retrieval in large video archives. In this work, the KavTan System, which performs high-level semantic classification in one of the largest TV archives of Turkey, is presented. In this system, concept detection is performed using generalized visual and audio concept detection modules that are supported by video text detection, audio keyword spotting and specialized audio-visual semantic detection components. The performance of the presented framework was assessed objectively over a wide range of semantic concepts (5 high-level, 14 visual, 9 audio, 2 supplementary) by using a significant amount of precisely labeled ground truth data. KavTan System achieves successful high-level concept detection performance in unconstrained TV broadcast by efficiently utilizing multimodal information that is systematically extracted from both spatial and temporal extent of multimedia data

Suboptimal use of non-vitamin K antagonist oral anticoagulants: Results from the RAMSES study

WOS: 000384041400052PubMed ID: 27583892This study aimed to investigate the potential misuse of novel oral anticoagulants (NOACs) and the physicians' adherence to current European guideline recommendations in real-world using a large dataset from Real-life Multicenter Survey Evaluating Stroke Prevention Strategies in Turkey (RAMSES Study).RAMSES study is a prospective, multicenter, nationwide registry (ClinicalTrials.gov identifier NCT02344901). In this subgroup analysis of RAMSES study, patients who were on NOACs were classified as appropriately treated (AT), undertreated (UT), and overtreated (OT) according to the European Society of Cardiology (ESC) guidelines. The independent predictors of UT and OT were determined by multivariate logistic regression.Of the 2086 eligible patients, 1247 (59.8%) received adequate treatment. However, off-label use was detected in 839 (40.2%) patients; 634 (30.4%) patients received UT and 205 (9.8%) received OT. Independent predictors of UT included >65 years of age, creatinine clearance 50mL/min, urban living, existing dabigatran treatment, and HAS-BLED score of <3, whereas that of OT were creatinine clearance <50mL/min, ongoing rivaroxaban treatment, and HAS-BLED score of 3.The suboptimal use of NOACs is common because of physicians' poor compliance to the guideline recommendations in patients with nonvalvular atrial fibrillation (NVAF). Older patients who were on dabigatran treatment with good renal functions and low risk of bleeding were at risk of UT, whereas patients who were on rivaroxaban treatment with renal impairment and high risk of bleeding were at risk of OT. Therefore, a greater emphasis should be given to prescribe the recommended dose for the specified patients

Weighing Diverse Theoretical Models on Turkish Maqam

Since the early 20th century, various theories have been advanced in order to mathematically explain and notate modes of Traditional Turkish music known as maqams. In this article, maqam scales according to various theoretical models based on different tunings are compared with pitch measurements obtained from select recordings of master Turkish performers in order to study their level of match with analysed data. Chosen recordings are subjected to a fully computerized sequence of signal processing algorithms for the automatic determination of the set of relative pitches for each maqam scale: f0 estimation, histogram computation, tonic detection + histogram alignment, and peak picking. For nine well-recognized maqams, automatically derived relative pitches are compared with scale tones defined by theoretical models using quantitative distance measures. We analyse and interpret histogram peaks based on these measures to find the theoretical models most conforming with all the recordings, and hence, with the quotidian performance trends influenced by them.TÜBİTA