Crimean-Congo Hemorrhagic Fever Virus in High-Risk Population, Turkey

In the Tokat and Sivas provinces of Turkey, the overall Crimean-Congo hemorrhagic fever virus (CCHFV) seroprevalence was 12.8% among 782 members of a high-risk population. CCHFV seroprevalence was associated with history of tick bite or tick removal from animals, employment in animal husbandry or farming, and being >40 years of age

Sivas il merkezi özel ve devlet okullarındaki 12-17 yaş grubu öğrencilerin periodontal tedavi gereksiniminin ve dolgu ihtiyaçlarının karşılaştırılması

Objective: The purpose of this study was to determine the periodontal treatment needs, using the CPITN and tooth decay, in 12-17 years old children from private and public schools from Sivas. Material and method: A total of 838 children was studied (235 in private schools and 603 in public schools). Results: There was statistical difference between children from private and public schools regarding plaque index, gingival index and CPITN. There was no statistical difference regarding the number of missing and decayed teeth. The number of the filled teeth in private schools were more than public schools. Conclusion: There occured an idea concerning to give more information and an intensive treatment approach for the students from the public schools of the city. ÖZET Amaç: Bu çalışmanın amacı; CPITN kullanılarak, Sivas İl Merkezi özel ve devlet okullarındaki 12-17 yaş grubu öğrencilerin periodontal tedavi gereksinimi ve çürük diş dağılımının belirlenmesidir. Gereç ve yöntem: Toplam 838 öğrencide (235 özel okul ve 603 devlet okulu öğrencisi) çalışma yapılmıştır. Bulgular: Gingival indeks, plak indeksi, CPITN bakımından özel okul öğrencileri ile devlet okulu öğrencileri arasındaki fark anlamlı bulunmuştur. Çürük ve eksik diş sayısı arasında fark bulunmazken, özel okul öğrencilerinde dolgulu diş sayısı daha fazla tespit edilmiştir. Sonuç: Devlet okullarında okuyan öğrencilerin daha fazla bilgilendirilmeleri ve daha yoğun bir tedavi yaklaşımının olması yönünde bir fikir birliği oluşmuştur. Anahtar kelimeler: Gingival indeks, plak indeksi, CPIT

A scale-development study: Exploration of intensive-care nurses' attitudes towards futile treatments

WOS: 000466156300006PubMed: 29947583The study was conducted to determine the validity and reliability of the tool used to assess nurses' attitudes towards futility, and to explore intensive-care nurses' attitudes towards futility. Principal components analysis revealed that 18item scale was made up of four subdimensions that assess Identifying(beliefs), Decision-Making, Ethical Principles and Law, and Dilemma and Responsibilities related to futile treatments. The internal consistency of the scale was in the acceptable range, with a total Cronbach's alpha value of 0.72. Overall the results of study suggest that scale can be used as a valid and reliable assessment tool to assess nurses' attitudes towards futility

A new perspective to determine the severity of cases with Crimean-Congo hemorrhagic fever

Background & objectives: We have established a severity grading score (SGS) system for predicting the fatalityin Crimean-Congo hemorrhagic fever (CCHF) for the first time.Methods: This SGS has been set up by using several variables which were assumed to be associated withmortality according to the literature and also were considered to have clinical importance.Results: In all, 237 patients who had symptoms of CCHF for 11 means high risk for mortality (67%)and six out of 9 patients in this group died (p = 0.001). The sensitivity, specificity, accuracy, positive predictivevalue, and negative predictive value for >11 points of SGS were 67, 100, 98, 100, and 98%, respectively.Conclusions: This scoring system may help the clinicians to decide which patient to refer to a tertiary stephospital which may also decrease the cost and improve the functionality of healthcare staff

Prevalence and predictors of gestational diabetes mellitus: a nationwide multicentre prospective study

Cetinkaya, Esra/0000-0003-2415-1236; Taskiran, Bengur/0000-0003-4842-450X; MELEKOGLU, RAUF/0000-0001-7113-6691; pekkolay, zafer/0000-0002-5323-2257; Ozer, Alev/0000-0002-0934-0226; kilinc, faruk/0000-0002-0198-2558; Aygun, Elif Ganime/0000-0003-3737-7250; KARAKILIC, ERSEN/0000-0003-3590-2656; Aydin, Hasan/0000-0003-4246-0681WOS: 000457530200011PubMed: 30402933Aim Prevalence rates of gestational diabetes mellitus (GDM) show considerable variation among different countries and regions of the world. The primary aim of this study was to determine the nationwide prevalence and predictors of GDM in Turkey. Methods We conducted prospective nationwide screening among pregnant women. Between August 2016 and November 2017, a total of 2643 pregnant women from 51 centres in 12 different regions were enrolled. A two-step screening method and Carpenter and Coustan criteria were used in the diagnosis of GDM. Clinical and biochemical data were obtained using electronic database software. Results The national prevalence of GDM was found to be 16.2% [95% confidence intervals (CI) 15.0% to 17.4%] without a significant difference between urban and rural regions. Women with GDM were older (mean age: 32 +/- 5 vs. 28 +/- 5 years, P < 0.001) and heavier (mean BMI: 27.2 +/- 5.1 vs. 24.7 +/- 4.7 kg/m(2), P < 0.001) than their counterparts without GDM. The prevalence of GDM tended to increase with age (< 25 years, 6.9%; 26-35 years, 15.6%; and 36-45 years, 32.7%; P < 0.001). Maternal age, maternal BMI, history of previous GDM and family history of diabetes mellitus were independent predictors of developing GDM (P < 0.05 for all). Low-risk women (age < 25 years, BMI < 25 kg/m(2), no family history of diabetes) comprised 10.7% of the total population and the prevalence of GDM in these women was 4.5% (95% CI 2.4% to 7.8%). Conclusion The results of this nationwide study indicate that GDM is very common, affecting one in seven pregnancies in Turkey. Implementation of international guidelines on screening and management of this public health problem is required