Revista Da Associacao Medica Brasileira, Dec 1, 2021
OBJECTIVE: This study assessed obesity prejudice levels, attitudes, and perceptions of health car... more OBJECTIVE: This study assessed obesity prejudice levels, attitudes, and perceptions of health care workers toward individuals with obesity and the relationship between health care workers' perceptions of own and society's weight bias, healthy lifestyle preferences, body mass index, and other factors with obesity prejudice levels. METHODS: This cross-sectional and descriptive study was conducted with 700 health care workers in Turkey via an online survey addressing characteristics, perceptions, and attitudes toward obesity including an obesity prejudice scale. Categorical variables were expressed as frequencies and percentages. The χ² test was applied to compare categorical variables. The distribution of the data was evaluated by the Kolmogorov-Smirnov test. Normally distributed data were compared by an independent sample t-test, while the Mann-Whitney U and Kruskal-Wallis tests were used for comparing non-normally distributed data. RESULTS: Participants' mean age was 40.2±11.3 years and 67.9% were women. Notably, 57.9% worked at tertiary health care centers, 85.9% were physicians, and 64.8% were family physicians; 25% were prejudicial, while 58.1% tended to have prejudice toward individuals with obesity. Obesity prejudice scores were significantly higher among those who were in close contact with and who stated their preference for patients with obesity. CONCLUSIONS: Half of the participants tended to have prejudice, and one-fourth were prejudicial toward individuals with obesity. These results highlight the necessity of raising awareness of health care workers to reduce prejudicial attitudes that may negatively impact patients with obesity. Stigmatizing experiences might be detrimental, reducing the quality of life with long-term consequences for emotional and physical health.
Mikroorganizmaların öldürmeye başlaması için kuvvetli bir tahrik gerekir, ölümler başladığında is... more Mikroorganizmaların öldürmeye başlaması için kuvvetli bir tahrik gerekir, ölümler başladığında ise onları durdurmak için çok daha güçlü bir çaba gerekecektir. Tıpkı bu günlerde içinde olduğumuz süreç gibi… Mikroorganizmalar, tarih boyunca kimliği belirsiz katiller olarak ''salgın'' adı altında katliamlar gerçekleştirmiştir. Salgınların nedeni çoğunlukla, mikroorganizmaların doğadaki büyük çalkantılara gösterdikleri tepkiler olmuştur. Savaşlar, nüfus artışı, depremler, seller, fırtınalar, kıtlık, iklim anormallikleri, evsizlik ve çevre kirliliği, salgınlardan bir ya da ikisini harekete geçirebilir. Salgınlar, insanlık tarihindeki çalkantılara her zaman profesyonel birer yağmacı olarak eşlik etmişlerdir. "Salgınlar'' ile başa çıkma stratejileri, geçmiş salgınların neden, kontrol ve sonuçlarının incelenmesi ile güçlendirilebilir.
The Journal of Tepecik Education and Research Hospital
Ciddi solunum sistemi sendromuna neden olan yeni Koronavirüs hastalığı-2019 (COVID-19) enfeksiyon... more Ciddi solunum sistemi sendromuna neden olan yeni Koronavirüs hastalığı-2019 (COVID-19) enfeksiyonu salgını, 11 Mart 2020 tarihinde Dünya Sağlık Örgütü tarafından pandemi olarak ilan edildi. Palyatif bakım merkezleri, pandemi gibi kriz durumlarında sağlık bakımının önemli bileşenleridir. Böyle bir kriz sırasında, palyatif bakım kliniklerinin işlevleri ve pandeminin palyatif bakım hizmetleri üzerindeki etkisi ile ilgili veriler sınırlıdır. Birçok sağlık kurumunda katı temizlik ve enfeksiyon kontrol önlemlerinin alındığı mevcut pandemi devam ederken, palyatif bakım hastalarına iyi bakım hizmetleri verilmeye devam edilmeli, şiddetli akut solunum yolu sendromu Koronavirüs-2 ile enfekte olan palyatif hastalarının ihtiyaçları dikkate alınmalıdır. Bu makalede, COVID-19 pandemisi ile mücadele etmek üzere Türkiye Cumhuriyeti Sağlık Bakanlığı'nın sağlık kurumlarındaki kliniklerin işleyişi ile ilgili önerileri doğrultusunda, Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi Palyatif Bakım Merkezi'nde gerçekleştirilen sağlık personeli eğitimleri, enfeksiyon kontrol önlemleri ve stratejik planlamalar ele alınmıştır.
OBJECTIVE: This study assessed obesity prejudice levels, attitudes, and perceptions of health car... more OBJECTIVE: This study assessed obesity prejudice levels, attitudes, and perceptions of health care workers toward individuals with obesity and the relationship between health care workers' perceptions of own and society's weight bias, healthy lifestyle preferences, body mass index, and other factors with obesity prejudice levels. METHODS: This cross-sectional and descriptive study was conducted with 700 health care workers in Turkey via an online survey addressing characteristics, perceptions, and attitudes toward obesity including an obesity prejudice scale. Categorical variables were expressed as frequencies and percentages. The χ² test was applied to compare categorical variables. The distribution of the data was evaluated by the Kolmogorov-Smirnov test. Normally distributed data were compared by an independent sample t-test, while the Mann-Whitney U and Kruskal-Wallis tests were used for comparing non-normally distributed data. RESULTS: Participants' mean age was 40.2±11.3 years and 67.9% were women. Notably, 57.9% worked at tertiary health care centers, 85.9% were physicians, and 64.8% were family physicians; 25% were prejudicial, while 58.1% tended to have prejudice toward individuals with obesity. Obesity prejudice scores were significantly higher among those who were in close contact with and who stated their preference for patients with obesity. CONCLUSIONS: Half of the participants tended to have prejudice, and one-fourth were prejudicial toward individuals with obesity. These results highlight the necessity of raising awareness of health care workers to reduce prejudicial attitudes that may negatively impact patients with obesity. Stigmatizing experiences might be detrimental, reducing the quality of life with long-term consequences for emotional and physical health.
15th International & 14th European Congress of Endocrinology, May 1, 2012
Purpose of review Vitamin D status (which is involved in glucose homeostasis) is related to gesta... more Purpose of review Vitamin D status (which is involved in glucose homeostasis) is related to gestational diabetes mellitus (GDM). GDM is characterized by increased resistance to and impaired secretion of insulin and results in higher risk of adverse pregnancy outcomes including operative delivery, macrosomia, shoulder dystocia and neonatal hypoglycemia. Women with GDM and their babies are at increased risk for developing type II diabetes. Recent findings International definitions of vitamin D deficiency and normality are inconsistent. Vitamin D deficiency is common in pregnant women particularly those with poor diets and who have dark skins living in temperate climes with lack of exposure to sunlight. Summary Few interventional studies indicate that supplementation optimizes maternal vitamin D status or improves maternal glucose metabolism. Observational studies about maternal vitamin D status and risk of GDM are conflicting. This could be because of measurement of vitamin D or differences in population characteristics such as ethnicity, geographic location, gestational age at sampling and diagnostic criteria for GDM. Good-quality randomized controlled trials are required to determine whether vitamin D supplementation decreases the risk of GDM or improves glucose tolerance in diabetic women.
Cardiovascular journal of South Africa : official journal for Southern Africa Cardiac Society [and] South African Society of Cardiac Practitioners, May 3, 2018
Introduction: Changes in left atrial (LA) size and function are associated with adverse clinical ... more Introduction: Changes in left atrial (LA) size and function are associated with adverse clinical events. Recently, duration of diabetes mellitus (DM2) has been found to be positively associated with increased LA volume and impaired LA function. This study was performed, using two-dimensional echocardiograpy, to evaluate the changes in LA volume and function in patients with DM2 with a disease duration of six months, and to assess the parameters that affect LA volume and function. Methods: Fifty-six patients (28 male, age: 52.6 ± 6.5 years) with DM2 and 56 controls (24 male; age: 50.1 ± 7.0 years) were enrolled in the study. Each subject underwent conventional twodimensional echocardiography to assess LA volume (indexed maximal LA volume: V max , pre-atrial contraction volume: V olp , minimal LA volume: V min) and LA function [passive emptying volume-passive emptying fraction (PEV-PEF), active emptying volume-active emptying fraction (AEV-AEF), total emptying volume-total emptying fraction (TEV-TEF)]. Results: LA diameter, indexed V max , V olp , V min , AEV and TEV were found to be significantly higher in the DM2 group compared with the controls (p < 0.05). Indexed V max , V olp and V min were significantly correlated with HbA 1c level, body mass index (BMI), high-sensitivity C-reactive protein and uric acid levels, mitral A wave, E/E′ ratio and A′ wave. According to multivariate analysis, age and BMI had a statistically significant effect on LA volume. Conclusion: Impaired LA function may be present in patients with newly diagnosed DM2. BMI and increasing age caused LA enlargement and LA volumes that were independent of the effects of hypertension and DM2.
Background/Aim: Although hemodialysis provides prolonged survival, patients face major challenges... more Background/Aim: Although hemodialysis provides prolonged survival, patients face major challenges, including conflicts about life decisions, limited physical, mental, and lifestyle activities, psychological distress, high prevalence of anxiety and depression symptoms, and compromised health-related quality of life. This study aimed to compare anxiety-depression levels and coping strategies between renal transplant waitlisted and non-waitlisted hemodialysis patients. Methods: A total of 75 hemodialysis patients were enrolled in this case-control analytical study, including renal transplant waitlisted (n = 35) and non-waitlisted (n = 40) patients. Patients were asked to fill out a questionnaire including socio-demographic characteristics, duration of hemodialysis, the Hospital Anxiety and Depression Scale, and the Ways of Coping Questionnaire. Comparative analyses were performed via Student's t-test and Pearson Correlation test. Results: The mean age was 57.1 (15.3) years; 56% wer...
In this study, it is aimed to detect the presence of anxiety in healthcare professionals who are ... more In this study, it is aimed to detect the presence of anxiety in healthcare professionals who are and are not infected with the new type of coronavirus (Covid) and to reveal the underlying causes of this anxiety. Methods: This analytical and descriptive study was conducted with 188 healthcare professionals working at University of Health Sciences Turkey Tepecik Training and Research Hospital between 1-30 July 2020. Covid anxiety and perceived stress scale were administered to the participants along questionnaire.The statistics of the study were made with the SPSS 18.0 program. The statistically significant if the "p" value was less than 0.05. Results: 40.43% (n=76) of the whole group consisted of individuals who were positive for the polymerase chain reaction test 59.57% (n=112) were health workers who were not diagnosed with Covid-19. Those who worked in Covid-19 wards or outpatient clinics were more likely to be infected with coronavirus and was statistically significant (p=0.014). No statistical significance was observed in terms of the total score of the Coronavirus Anxiety Scale between those infected with Covid-19 and those not (p=0.349). Conclusion: There are data that all healthcare professionals are concerned and exhausted during the Covid-19 pandemic. The lack of a difference in anxiety levels between those infected with Covid-19 and those not indicates that healthcare professionals still Amaç: Bu çalışmamızda; yeni tip koronavirüs (Covid) ile enfekte olan ve olmayan sağlık çalışanlarında anksiyetenin varlığını tespit etmek ve bu anksiyetenin altında yatan sebeplerin varlığın ortaya çıkarmak hedeflenmiştir. Yöntemler: Kesitsel ve tanımlayıcı nitelikte olan bu çalışma 01-30 Temmuz 2020 tarihleri arasında Sağlık Bilimleri Üniversitesi Tepecik Eğitim ve Araştırma Hastanesi'nde çalışan 188 sağlık çalışanı ile yapılmıştır. Katılımcılara Covid anksiyete skalası ve algılanan stres ölçeği uygulanmıştır. Araştırmanın istatistiği SPSS 18.0 programı ile yapıldı. "p" değerinin 0,05'ten küçük olması istatistiksel olarak anlamlı kabul edildi. Bulgular: Çalışma grubunun %40,43'ünü (n=76) polimeraz zincir reaksiyonu testi pozitif bireyler oluştururken %59,57'sini (n=112) ise Covid-19 tanısı almamış sağlık çalışanları oluşturmaktaydı. Covid-19 servislerinde veya polikliniklerinde görev alanlarda coronavirüs ile enfekte olma durumu daha fazlaydı ve istatistiksel olarak anlamlıydı (p=0,014). Covid-19 ile enfekte olanlar ile olmayanlar arasında coronavirüs anksiyete skalası toplam skoru açısından istatistiksel bir anlamlılık gözlenmedi (p=0,349). Sonuç: Covid-19 pandemisi sürecinde tüm sağlık çalışanlarının kaygılı, endişeli ve tükenmiş olduklarına dair veriler bulunmaktadır. Covid-19 ile enfekte olanlar ile olmayanlar arasında anksiyete düzeyleri açısından fark olmaması sağlık çalışanlarının pandemi
In this study, we aimed to evaluate the initial hematological findings analyzed on admission in c... more In this study, we aimed to evaluate the initial hematological findings analyzed on admission in confirmed COVID-19 patients who were transferred to the intensive care unit (ICU), to predict possible hematological indices. Materials and methods: Initial neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), monocyte to lymphocyte ratio (MLR), red cell distribution width to platelet ratio (RPR), mean platelet volume to platelet ratio, and lymphocyte multiplied by platelet count (LYM × PLT), of 695 patients with laboratory-confirmed COVID-19 were investigated and comparisons were made between the mild/moderate and severe groups. Results: The proportion of COVID-19 cases admitted to the ICU was 3.9%. The median age of patients admitted to the ICU was significantly higher than those who were not; [68.5 (interquartile range (IQR); 21.5] years vs. 41.0 (IQR; 15.7) years; P < 0.001. Severe cases had higher NLR (6.6 vs. 2.4; P < 0.001), and MLR (0.40 vs. 0.28; P = 0.004) and lower PLR (180.0 vs. 129.0; P < 0.001) compared to that of mild or moderate patients. Among all of the parameters, the ROC curve of NLR gave us the best ability to distinguish serious patients at an early stage (AUC = 0. 819, 95% confidence interval 0.729-0.910; P < 0.001). Conclusion: These data showed that age, initial NLR, PLR, and LYM × PLT were associated with the severity of COVID-19 disease and patients' need for the ICU. Therefore, initial hemogram parameters may be essential to predict the prognosis of COVID-19 patients.
Derneği'ne (TAHUD) aittir. Medikal Akademi tarafından yayımlanmaktadır. Bu makalenin koşullu kull... more Derneği'ne (TAHUD) aittir. Medikal Akademi tarafından yayımlanmaktadır. Bu makalenin koşullu kullanım hakları Medikal Akademi ve TAHUD tarafından Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) lisansı aracılığıyla bedelsiz sunulmaktadır.
Revista Da Associacao Medica Brasileira, Dec 1, 2021
OBJECTIVE: This study assessed obesity prejudice levels, attitudes, and perceptions of health car... more OBJECTIVE: This study assessed obesity prejudice levels, attitudes, and perceptions of health care workers toward individuals with obesity and the relationship between health care workers' perceptions of own and society's weight bias, healthy lifestyle preferences, body mass index, and other factors with obesity prejudice levels. METHODS: This cross-sectional and descriptive study was conducted with 700 health care workers in Turkey via an online survey addressing characteristics, perceptions, and attitudes toward obesity including an obesity prejudice scale. Categorical variables were expressed as frequencies and percentages. The χ² test was applied to compare categorical variables. The distribution of the data was evaluated by the Kolmogorov-Smirnov test. Normally distributed data were compared by an independent sample t-test, while the Mann-Whitney U and Kruskal-Wallis tests were used for comparing non-normally distributed data. RESULTS: Participants' mean age was 40.2±11.3 years and 67.9% were women. Notably, 57.9% worked at tertiary health care centers, 85.9% were physicians, and 64.8% were family physicians; 25% were prejudicial, while 58.1% tended to have prejudice toward individuals with obesity. Obesity prejudice scores were significantly higher among those who were in close contact with and who stated their preference for patients with obesity. CONCLUSIONS: Half of the participants tended to have prejudice, and one-fourth were prejudicial toward individuals with obesity. These results highlight the necessity of raising awareness of health care workers to reduce prejudicial attitudes that may negatively impact patients with obesity. Stigmatizing experiences might be detrimental, reducing the quality of life with long-term consequences for emotional and physical health.
Mikroorganizmaların öldürmeye başlaması için kuvvetli bir tahrik gerekir, ölümler başladığında is... more Mikroorganizmaların öldürmeye başlaması için kuvvetli bir tahrik gerekir, ölümler başladığında ise onları durdurmak için çok daha güçlü bir çaba gerekecektir. Tıpkı bu günlerde içinde olduğumuz süreç gibi… Mikroorganizmalar, tarih boyunca kimliği belirsiz katiller olarak ''salgın'' adı altında katliamlar gerçekleştirmiştir. Salgınların nedeni çoğunlukla, mikroorganizmaların doğadaki büyük çalkantılara gösterdikleri tepkiler olmuştur. Savaşlar, nüfus artışı, depremler, seller, fırtınalar, kıtlık, iklim anormallikleri, evsizlik ve çevre kirliliği, salgınlardan bir ya da ikisini harekete geçirebilir. Salgınlar, insanlık tarihindeki çalkantılara her zaman profesyonel birer yağmacı olarak eşlik etmişlerdir. "Salgınlar'' ile başa çıkma stratejileri, geçmiş salgınların neden, kontrol ve sonuçlarının incelenmesi ile güçlendirilebilir.
The Journal of Tepecik Education and Research Hospital
Ciddi solunum sistemi sendromuna neden olan yeni Koronavirüs hastalığı-2019 (COVID-19) enfeksiyon... more Ciddi solunum sistemi sendromuna neden olan yeni Koronavirüs hastalığı-2019 (COVID-19) enfeksiyonu salgını, 11 Mart 2020 tarihinde Dünya Sağlık Örgütü tarafından pandemi olarak ilan edildi. Palyatif bakım merkezleri, pandemi gibi kriz durumlarında sağlık bakımının önemli bileşenleridir. Böyle bir kriz sırasında, palyatif bakım kliniklerinin işlevleri ve pandeminin palyatif bakım hizmetleri üzerindeki etkisi ile ilgili veriler sınırlıdır. Birçok sağlık kurumunda katı temizlik ve enfeksiyon kontrol önlemlerinin alındığı mevcut pandemi devam ederken, palyatif bakım hastalarına iyi bakım hizmetleri verilmeye devam edilmeli, şiddetli akut solunum yolu sendromu Koronavirüs-2 ile enfekte olan palyatif hastalarının ihtiyaçları dikkate alınmalıdır. Bu makalede, COVID-19 pandemisi ile mücadele etmek üzere Türkiye Cumhuriyeti Sağlık Bakanlığı'nın sağlık kurumlarındaki kliniklerin işleyişi ile ilgili önerileri doğrultusunda, Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi Palyatif Bakım Merkezi'nde gerçekleştirilen sağlık personeli eğitimleri, enfeksiyon kontrol önlemleri ve stratejik planlamalar ele alınmıştır.
OBJECTIVE: This study assessed obesity prejudice levels, attitudes, and perceptions of health car... more OBJECTIVE: This study assessed obesity prejudice levels, attitudes, and perceptions of health care workers toward individuals with obesity and the relationship between health care workers' perceptions of own and society's weight bias, healthy lifestyle preferences, body mass index, and other factors with obesity prejudice levels. METHODS: This cross-sectional and descriptive study was conducted with 700 health care workers in Turkey via an online survey addressing characteristics, perceptions, and attitudes toward obesity including an obesity prejudice scale. Categorical variables were expressed as frequencies and percentages. The χ² test was applied to compare categorical variables. The distribution of the data was evaluated by the Kolmogorov-Smirnov test. Normally distributed data were compared by an independent sample t-test, while the Mann-Whitney U and Kruskal-Wallis tests were used for comparing non-normally distributed data. RESULTS: Participants' mean age was 40.2±11.3 years and 67.9% were women. Notably, 57.9% worked at tertiary health care centers, 85.9% were physicians, and 64.8% were family physicians; 25% were prejudicial, while 58.1% tended to have prejudice toward individuals with obesity. Obesity prejudice scores were significantly higher among those who were in close contact with and who stated their preference for patients with obesity. CONCLUSIONS: Half of the participants tended to have prejudice, and one-fourth were prejudicial toward individuals with obesity. These results highlight the necessity of raising awareness of health care workers to reduce prejudicial attitudes that may negatively impact patients with obesity. Stigmatizing experiences might be detrimental, reducing the quality of life with long-term consequences for emotional and physical health.
15th International & 14th European Congress of Endocrinology, May 1, 2012
Purpose of review Vitamin D status (which is involved in glucose homeostasis) is related to gesta... more Purpose of review Vitamin D status (which is involved in glucose homeostasis) is related to gestational diabetes mellitus (GDM). GDM is characterized by increased resistance to and impaired secretion of insulin and results in higher risk of adverse pregnancy outcomes including operative delivery, macrosomia, shoulder dystocia and neonatal hypoglycemia. Women with GDM and their babies are at increased risk for developing type II diabetes. Recent findings International definitions of vitamin D deficiency and normality are inconsistent. Vitamin D deficiency is common in pregnant women particularly those with poor diets and who have dark skins living in temperate climes with lack of exposure to sunlight. Summary Few interventional studies indicate that supplementation optimizes maternal vitamin D status or improves maternal glucose metabolism. Observational studies about maternal vitamin D status and risk of GDM are conflicting. This could be because of measurement of vitamin D or differences in population characteristics such as ethnicity, geographic location, gestational age at sampling and diagnostic criteria for GDM. Good-quality randomized controlled trials are required to determine whether vitamin D supplementation decreases the risk of GDM or improves glucose tolerance in diabetic women.
Cardiovascular journal of South Africa : official journal for Southern Africa Cardiac Society [and] South African Society of Cardiac Practitioners, May 3, 2018
Introduction: Changes in left atrial (LA) size and function are associated with adverse clinical ... more Introduction: Changes in left atrial (LA) size and function are associated with adverse clinical events. Recently, duration of diabetes mellitus (DM2) has been found to be positively associated with increased LA volume and impaired LA function. This study was performed, using two-dimensional echocardiograpy, to evaluate the changes in LA volume and function in patients with DM2 with a disease duration of six months, and to assess the parameters that affect LA volume and function. Methods: Fifty-six patients (28 male, age: 52.6 ± 6.5 years) with DM2 and 56 controls (24 male; age: 50.1 ± 7.0 years) were enrolled in the study. Each subject underwent conventional twodimensional echocardiography to assess LA volume (indexed maximal LA volume: V max , pre-atrial contraction volume: V olp , minimal LA volume: V min) and LA function [passive emptying volume-passive emptying fraction (PEV-PEF), active emptying volume-active emptying fraction (AEV-AEF), total emptying volume-total emptying fraction (TEV-TEF)]. Results: LA diameter, indexed V max , V olp , V min , AEV and TEV were found to be significantly higher in the DM2 group compared with the controls (p < 0.05). Indexed V max , V olp and V min were significantly correlated with HbA 1c level, body mass index (BMI), high-sensitivity C-reactive protein and uric acid levels, mitral A wave, E/E′ ratio and A′ wave. According to multivariate analysis, age and BMI had a statistically significant effect on LA volume. Conclusion: Impaired LA function may be present in patients with newly diagnosed DM2. BMI and increasing age caused LA enlargement and LA volumes that were independent of the effects of hypertension and DM2.
Background/Aim: Although hemodialysis provides prolonged survival, patients face major challenges... more Background/Aim: Although hemodialysis provides prolonged survival, patients face major challenges, including conflicts about life decisions, limited physical, mental, and lifestyle activities, psychological distress, high prevalence of anxiety and depression symptoms, and compromised health-related quality of life. This study aimed to compare anxiety-depression levels and coping strategies between renal transplant waitlisted and non-waitlisted hemodialysis patients. Methods: A total of 75 hemodialysis patients were enrolled in this case-control analytical study, including renal transplant waitlisted (n = 35) and non-waitlisted (n = 40) patients. Patients were asked to fill out a questionnaire including socio-demographic characteristics, duration of hemodialysis, the Hospital Anxiety and Depression Scale, and the Ways of Coping Questionnaire. Comparative analyses were performed via Student's t-test and Pearson Correlation test. Results: The mean age was 57.1 (15.3) years; 56% wer...
In this study, it is aimed to detect the presence of anxiety in healthcare professionals who are ... more In this study, it is aimed to detect the presence of anxiety in healthcare professionals who are and are not infected with the new type of coronavirus (Covid) and to reveal the underlying causes of this anxiety. Methods: This analytical and descriptive study was conducted with 188 healthcare professionals working at University of Health Sciences Turkey Tepecik Training and Research Hospital between 1-30 July 2020. Covid anxiety and perceived stress scale were administered to the participants along questionnaire.The statistics of the study were made with the SPSS 18.0 program. The statistically significant if the "p" value was less than 0.05. Results: 40.43% (n=76) of the whole group consisted of individuals who were positive for the polymerase chain reaction test 59.57% (n=112) were health workers who were not diagnosed with Covid-19. Those who worked in Covid-19 wards or outpatient clinics were more likely to be infected with coronavirus and was statistically significant (p=0.014). No statistical significance was observed in terms of the total score of the Coronavirus Anxiety Scale between those infected with Covid-19 and those not (p=0.349). Conclusion: There are data that all healthcare professionals are concerned and exhausted during the Covid-19 pandemic. The lack of a difference in anxiety levels between those infected with Covid-19 and those not indicates that healthcare professionals still Amaç: Bu çalışmamızda; yeni tip koronavirüs (Covid) ile enfekte olan ve olmayan sağlık çalışanlarında anksiyetenin varlığını tespit etmek ve bu anksiyetenin altında yatan sebeplerin varlığın ortaya çıkarmak hedeflenmiştir. Yöntemler: Kesitsel ve tanımlayıcı nitelikte olan bu çalışma 01-30 Temmuz 2020 tarihleri arasında Sağlık Bilimleri Üniversitesi Tepecik Eğitim ve Araştırma Hastanesi'nde çalışan 188 sağlık çalışanı ile yapılmıştır. Katılımcılara Covid anksiyete skalası ve algılanan stres ölçeği uygulanmıştır. Araştırmanın istatistiği SPSS 18.0 programı ile yapıldı. "p" değerinin 0,05'ten küçük olması istatistiksel olarak anlamlı kabul edildi. Bulgular: Çalışma grubunun %40,43'ünü (n=76) polimeraz zincir reaksiyonu testi pozitif bireyler oluştururken %59,57'sini (n=112) ise Covid-19 tanısı almamış sağlık çalışanları oluşturmaktaydı. Covid-19 servislerinde veya polikliniklerinde görev alanlarda coronavirüs ile enfekte olma durumu daha fazlaydı ve istatistiksel olarak anlamlıydı (p=0,014). Covid-19 ile enfekte olanlar ile olmayanlar arasında coronavirüs anksiyete skalası toplam skoru açısından istatistiksel bir anlamlılık gözlenmedi (p=0,349). Sonuç: Covid-19 pandemisi sürecinde tüm sağlık çalışanlarının kaygılı, endişeli ve tükenmiş olduklarına dair veriler bulunmaktadır. Covid-19 ile enfekte olanlar ile olmayanlar arasında anksiyete düzeyleri açısından fark olmaması sağlık çalışanlarının pandemi
In this study, we aimed to evaluate the initial hematological findings analyzed on admission in c... more In this study, we aimed to evaluate the initial hematological findings analyzed on admission in confirmed COVID-19 patients who were transferred to the intensive care unit (ICU), to predict possible hematological indices. Materials and methods: Initial neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), monocyte to lymphocyte ratio (MLR), red cell distribution width to platelet ratio (RPR), mean platelet volume to platelet ratio, and lymphocyte multiplied by platelet count (LYM × PLT), of 695 patients with laboratory-confirmed COVID-19 were investigated and comparisons were made between the mild/moderate and severe groups. Results: The proportion of COVID-19 cases admitted to the ICU was 3.9%. The median age of patients admitted to the ICU was significantly higher than those who were not; [68.5 (interquartile range (IQR); 21.5] years vs. 41.0 (IQR; 15.7) years; P < 0.001. Severe cases had higher NLR (6.6 vs. 2.4; P < 0.001), and MLR (0.40 vs. 0.28; P = 0.004) and lower PLR (180.0 vs. 129.0; P < 0.001) compared to that of mild or moderate patients. Among all of the parameters, the ROC curve of NLR gave us the best ability to distinguish serious patients at an early stage (AUC = 0. 819, 95% confidence interval 0.729-0.910; P < 0.001). Conclusion: These data showed that age, initial NLR, PLR, and LYM × PLT were associated with the severity of COVID-19 disease and patients' need for the ICU. Therefore, initial hemogram parameters may be essential to predict the prognosis of COVID-19 patients.
Derneği'ne (TAHUD) aittir. Medikal Akademi tarafından yayımlanmaktadır. Bu makalenin koşullu kull... more Derneği'ne (TAHUD) aittir. Medikal Akademi tarafından yayımlanmaktadır. Bu makalenin koşullu kullanım hakları Medikal Akademi ve TAHUD tarafından Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) lisansı aracılığıyla bedelsiz sunulmaktadır.
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