Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 700
Filter
1.
Tuberk Toraks ; 70(1): 8-14, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1789611

ABSTRACT

Introduction: Coronavirus disease 2019 (COVID-19) and tuberculosis are serious and mortal diseases worldwide. There are few studies about the association between tuberculosis and COVID-19 pneumonia. We aimed to describe the characteristics of tuberculosis and COVID-19 co-infection cases in light of the literature. Materials and Methods: Tuberculosis patients who applied to the tuberculosis outpatient clinic between September 1-September 30, 2020, and patients hospitalized in the COVID-19 service between June 1- September 30, 2020, were retrospectively screened. Patients with tuberculosis and COVID-19 co-infection were recorded. Clinical, radiological, laboratory data, and treatments were recorded and analyzed. For the diagnosis of tuberculosis, sputum acid-resistant bacillus (ARB) smear or culture positivity or pathological diagnosis were used. For the diagnosis of COVID-19, positive real-time reverse transcription-polymerase chain reaction and/or typical radiological findings were sought. Result: Seven hundred and fifty-one patients' data at the tuberculosis outpatient clinic, 229 patients' data at the COVID-19 clinic were screened. Sixteen patients meet the criteria. COVID-19 infection rate in tuberculosis patients was 2.1%. Sixty-nine percent of the patients had received COVID-19 disease during diagnosis or initial tuberculosis treatment phase. There were no drugdrug interactions between anti-tuberculosis drugs and COVID-19 treatment. During the COVID-19 treatment, one patient (6%) died, 15 (94%) patients completed the treatment. Conclusions: : In our study, no effect of the coexistence of TB and COVID-19 on morbidity or mortality was observed. Although the number of patients is small, it can be said that patients with early TB disease and with widespread involvement may be riskier for COVID-19 infection. Frequent hospital visits by TB patients may be a risk for COVID-19. It may be beneficial to carry out the diagnosis and treatment of tuberculosis patients by tuberculosis dispensaries as in our country or authorized units to reduce the risk of hospital admissions and COVID-19 transmission.


Subject(s)
COVID-19 , Pneumonia , Tuberculosis, Pulmonary , Tuberculosis , Angiotensin Receptor Antagonists/therapeutic use , Angiotensin-Converting Enzyme Inhibitors/therapeutic use , COVID-19/complications , COVID-19/drug therapy , Humans , Retrospective Studies , Tuberculosis/complications , Tuberculosis/diagnosis , Tuberculosis/drug therapy , Tuberculosis, Pulmonary/diagnosis , Turkey/epidemiology
2.
J Infect Dev Ctries ; 16(3): 462-468, 2022 Mar 31.
Article in English | MEDLINE | ID: covidwho-1786130

ABSTRACT

INTRODUCTION: Patients infected with SARS-CoV-2 may present with varying clinical pictures. This study aimed to examine the relationship between viral load cycle threshold value, clinical prognosis and other laboratory parameters in initial swab samples on the day of hospitalization. METHODOLOGY: This retrospective and cross-sectional study included 112 patients, who were diagnosed with SARS-CoV-2 via the Bio-Rad CFX96 TouchTM system. Cycle threshold values for the RdRp gene obtained from reverse transcriptase polymerase chain reaction positive patients were recorded. RESULTS: The mean age of the 112 patients was 47.57 ± 17 years. No relationship was found in symptoms, pneumonia, oxygen need, follow-up in intensive care unit, and mortality between patient groups with cycle threshold values of < 30 and ≥ 30. Frequencies of thrombocytopenia (50%) and elevated LDH levels were higher in patients with cycle threshold values of ≥ 30 (p = 0.02 and p = 0.04, respectively). There was a weak but significant correlation between cycle threshold values and CRP levels (Pearson's r = 0.207, p = 0.029). CONCLUSIONS: Symptoms or clinical prognosis were not significantly related to the SARS-CoV-2 viral load levels tested at admission or for the first time within the scope of this study. Thrombocytopenia and elevated LDH rates were higher in patients with cycle threshold values of ≥ 30. A weak but significant correlation was found between the viral load and CRP levels. Large-scale studies are needed to further elucidate this subject matter.


Subject(s)
COVID-19 , Thrombocytopenia , Adult , Cross-Sectional Studies , Humans , Middle Aged , Retrospective Studies , SARS-CoV-2 , Turkey/epidemiology , Viral Load
3.
Eur Rev Med Pharmacol Sci ; 26(6): 2165-2170, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1776795

ABSTRACT

OBJECTIVE: There has been an increase in intensive care applications due to respiratory failure of COVID-19 infection. Management of respiratory failure includes a range of additional interventions, including high-flow nasal oxygen, noninvasive and invasive ventilation and prone position. These interventions contain risk factors for the development of ocular complications. This study aimed to elucidate the ocular pathologies that occurred in COVID-19 patients hospitalized in the intensive care unit. PATIENTS AND METHODS: Patients who completed 24 hours in the intensive care unit were included in the study. Age, gender, duration of hospitalization before intensive care unit, comorbid diseases and APACHE 2 scores of COVID-19 patients admitted to intensive care unit were recorded. SOFA scores, presence of sedation and muscle relaxant, oxygen therapy (conventional oxygen therapy, high flow nasal oxygen therapy, noninvasive ventilation, invasive ventilation) and presence of prone position were recorded. All patients were evaluated daily for ocular findings. Routine eye care protocol was applied to all patients. RESULTS: Seventy patients were followed for a total of 596 days in the intensive care unit. Pathological ocular findings were observed during hospitalization in 59 of the patients followed. The incidence of chemosis in patients who underwent IMV was significantly higher compared to other methods (p<0.001). CONCLUSIONS: In this study, we observed that despite our routine eye care protocols, invasive mechanical ventilation applications predispose corneal surface damage in patients followed up in the intensive care unit with COVID-19 infection.


Subject(s)
COVID-19 , Noninvasive Ventilation , COVID-19/therapy , Critical Care , Humans , Intensive Care Units , Noninvasive Ventilation/methods , Respiration, Artificial/methods , SARS-CoV-2 , Turkey/epidemiology
4.
Tuberk Toraks ; 70(1): 63-75, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1776527

ABSTRACT

Introduction: This study aimed to evaluate the epidemiological, clinical, laboratory characteristics and treatment and clinical outcomes of severe COVID19 cases from a 3rd degree intensive care unit in Turkey. Materials and Methods: The study was conducted in a level three, 16-bed COVID intensive care unit. The investigation was planned as a retrospective and observational study. Patients who were admitted with COVID-19 pneumonia and respiratory failure in the intensive care unit between March 2020 and March 2021 and followed up due to critical illness were evaluated. Result: A total of 213 patients that were admitted to the intensive care unit with the diagnosis of COVID-19 pneumonia were included in the study. Median age of the patients was 66 (IQR 56.5-74) years, and 134 (62.9%) were males. One hundred and sixty-six (77.9%) of the patients had at least one comorbidity. Patients were followed up mainly with invasive mechanical ventilation [104 (48.8%)] and high flow nasal cannula [67 (31.5%)]. Median number of days was 7 (IQR 4-10) and included the first symptom onset to intensive care admission. The time to intubation was 9 (IQR 4-15) days, and the median day to intensive care discharge was 16 (IQR 11-23). After the symptoms started, first tocilizumab 9 (IQR 5-11) and pulse steroid treatment 8 (IQR 3-11) were found to be close to each other. In total, 95 (44.6%) of the 213 patients died. Conclusions: SARS-CoV-2 associated viral disease can progress after simple symptoms to hospital admission in a median of four days and to intensive care admission requiring intubation in a median of nine days. We believe that a better understanding of the clinical course of COVID-19 and its change between centers can be revealed through sharing information from different countries and centers.


Subject(s)
COVID-19 , Critical Illness , Aged , COVID-19/epidemiology , COVID-19/therapy , Critical Care , Critical Illness/epidemiology , Critical Illness/therapy , Humans , Male , Middle Aged , Retrospective Studies , SARS-CoV-2 , Turkey/epidemiology
5.
Front Public Health ; 9: 725501, 2021.
Article in English | MEDLINE | ID: covidwho-1775843

ABSTRACT

Introduction: Early childhood caries is tooth decay seen in children under 72 months old. It is associated with multiple predisposing factors and has a negative impact on quality of life. In this study, our aim was to assess the oral health conditions and prevalence of early childhood caries (ECC) in children in the city of Erzurum, Turkey. Materials and Methods: This cross-sectional epidemiological study was conducted in Atatürk University, Faculty of Dentistry, Pediatric Dentistry Department/Erzurum-Turkey, in the 2015-2016 academic year. A total of 1,156 children (588 girls and 568 boys), with mean age of 4.9 ± 0.3 years (min 4, max 5) were included in the study. Restorative index (RI), deft, significant caries index (SiC), SiC10, treatment needs, number of lost primary teeth per 100 children, care index, and prevalence of carious primary teeth were evaluated. Data were analyzed by Chi-square test and Mann-Whitney U test (p < 0.05). Results: A total of 73.3% prevalence of ECC was observed in preschool children with a mean deft score of 3.9±4 and an increase in ECC with age. RI was 2.2%, SiC was 8.5, SiC10 was 12.3, caries treatment needs was 93.5%, care index was 2.1%, and number of lost primary teeth per 100 children was 0.9 tooth. Conclusion: High level of ECC indicates the necessity of starting an oral health education program for mothers and dental screening of children, and the demand for improving oral and dental services.


Subject(s)
Dental Caries , Child , Child, Preschool , Cross-Sectional Studies , Dental Caries/epidemiology , Dental Caries Susceptibility , Female , Humans , Male , Quality of Life , Turkey/epidemiology
6.
Work ; 67(4): 783-790, 2020.
Article in English | MEDLINE | ID: covidwho-1771012

ABSTRACT

BACKGROUND: As the pandemic process, COVID-19 has a serious occupational safety risk for healthcare professionals. Therefore, determining their health and safety perceptions and attitudes in the pandemic process is very important. This study aims to determine which is more effective in work accident prevention behavior: safety awareness and competencies of healthcare professionals or perception of fatalism. METHOD: For this purpose, a questionnaire was applied to 326 healthcare professionals. The questionnaire consists of four parts: (1) demographic information of the employees, (2) scale of preventing occupational accidents, (3) fatalism perception scale in occupational health and safety, and (4) security awareness and competency scale. Descriptive statistical methods, multiple regression and correlation analysis were used in the analysis of the data. RESULTS: It was determined that the participants' safety awareness and competencies were at the high level and their fatalism perceptions were at the low level. The average of the responses given by the participants to the scale of preventing work accidents was above the middle level. According to the study, the safety awareness and competencies of health workers were found to be about three times more effective on the behavior of preventing work accidents than the perception of fatalism. CONCLUSION: In conclusion, it is important to recommend managers to take the step to increase the safety awareness and competencies of those working in their institutions.


Subject(s)
Accidents, Occupational/prevention & control , Attitude of Health Personnel , COVID-19 , Medical Staff, Hospital/psychology , Occupational Health , Adult , Awareness , COVID-19/epidemiology , Female , Humans , Male , Pandemics , Perception , SARS-CoV-2 , Turkey/epidemiology
7.
J Relig Health ; 61(2): 1703-1718, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1767558

ABSTRACT

This study aims to examine the relationship between the levels of hopelessness, loneliness, and spiritual well-being of patients with Type 1 and Type 2 diabetes during the process of COVID-19 outbreak. The study was carried out with diabetic patients living in three different cities that are in the Eastern Anatolia region of Turkey between the dates of 15 of November and 30 of November 2020. The sample of the study consisted of 500 (Type 1, n = 218, Type 2, n = 282) diabetes patients. Data were collected using a demographic information form, Beck Hopelessness Scale (BHS), Loneliness Scale (UCLA-LS), and Spiritual Well-being Scale (FACIT-Sp). While the mean scores of hopelessness and loneliness of type 1 patients were below the moderate level, the mean scores of their spiritual well-being were found to be above the moderate level. Moreover, while the mean scores of hopelessness and loneliness in type 2 patients were below the moderate level, the mean scores of their spiritual well-being were found above the moderate level. A significant relationship was found between Type 1 and Type 2 diabetes patients' levels of hopelessness, loneliness, and spiritual well-being during the COVID-19 outbreak. It was found that as the spiritual well-being levels of Type 1 and Type 2 diabetic patients increased, the levels of their loneliness and hopelessness decreased. It is recommended that mass communication that includes spiritual care practices can be used effectively to reduce diabetes patients' levels of loneliness and hopelessness during the pandemic. In addition, while providing care to diabetes patients, it can be suggested that health professionals offer a holistic approach with initiatives that will increase diabetes patients' spiritual well-being.


Subject(s)
COVID-19 , Diabetes Mellitus, Type 2 , Humans , Loneliness , Spirituality , Turkey/epidemiology
8.
J Glob Health ; 12: 03007, 2022.
Article in English | MEDLINE | ID: covidwho-1753910
9.
BMC Pregnancy Childbirth ; 22(1): 227, 2022 Mar 19.
Article in English | MEDLINE | ID: covidwho-1745477

ABSTRACT

BACKGROUND: Postpartum depression and maternal-infant attachment scores were examined in uninfected women during the COVID 19 pandemic in Kutahya, a rural province in Turkey's North Aegean region. METHODS: This cohort study was conducted in the Kutahya Health Sciences University Hospital obstetrics unit between April 2021 and August 2021. 178 low-risk term pregnant women who gave birth were given the surveys Edinburgh Postpartum Depression Scale and Mother-to-Infant Bonding Scale (MIBQ) 6 weeks after birth. The Edinburgh Postpartum Depression Scale was used to determine postpartum depression and the Mother-to-Infant Bonding Scale was used to determine maternal attachment. RESULTS: In this study, the postpartum depression rate was calculated as 17.4%. When depressed and non-depressed patients were compared, education level, maternal age, BMI, MIBQ score, history of previous pregnancies, route of delivery, previous operation history, economic status, employment status and pregnancy follow-up information were found to be similar (p > 0.05). The ratings on the Mother-to-Infant Bonding Scale were found to be similar in depressed and non-depressed patients (p > 0.05). The odds of maternal depression for patients who received guests at home was 3.068 (95%CI [1.149-8.191]) times the odds of patients who did not receive guests at home. CONCLUSIONS: Although a relationship has been found between accepting guests in the postpartum period and postpartum depression, it is necessary to investigate in further studies whether there is a causal relationship.


Subject(s)
COVID-19/psychology , Depression, Postpartum/epidemiology , Mother-Child Relations/psychology , Adult , Cohort Studies , Female , Humans , Infant, Newborn , Object Attachment , Pregnancy , Psychiatric Status Rating Scales , Rural Population , Social Determinants of Health , Turkey/epidemiology
10.
Pediatr Allergy Immunol Pulmonol ; 35(1): 27-35, 2022 03.
Article in English | MEDLINE | ID: covidwho-1740731

ABSTRACT

Objective: The restrictions imposed by the coronavirus disease 2019 (COVID-19) pandemic have caused significant changes in people's lives. This study aimed to investigate anxiety levels and changes in health and hygiene behaviors in mothers of children with asthma in early COVID-19 lockdown in Turkey. Materials and Methods: This study was a cross-sectional survey conducted on children with asthma, 6 to 11 years of age, between June 1 and 30, 2020, in Turkey. A sociodemographic data form, health and hygiene behavior form, childhood asthma control test, and state-trait anxiety inventory were administered to the mothers of the children. Results: The asthma group included 123 children (Female: 39.0%) and median age, interquartile range (IQR) [minimum-maximum]: 8.0 (6) [6-12] years; the control group included 88 children (Female: 47.7%) median age, IQR [minimum-maximum]: 8.0 (7) [5-12] years. Increased hygiene behaviors and high compliance with social isolation measures were recorded in the early lockdown, with no difference between the groups. Before the pandemic, the most frequently used cleaning products were general-purpose cleaners. During the early lockdown, however, the most frequently used product was disinfectants and was similar in both groups. In both groups, the rate of using nutritional supplements increased during the pandemic period, but the rate was higher in children with asthma both before and during the early lockdown (P < 0.001). The anxiety levels of the mothers in asthma and control groups were similar. Conclusion: This study is the first in Turkey demonstrating that, in mothers of children with asthma, lifestyle changes related to health and hygiene and anxiety levels are similar to those of other children and their mothers during the early lockdown period of COVID-19 pandemic.


Subject(s)
Asthma , COVID-19 , Anxiety/epidemiology , Anxiety/etiology , Asthma/epidemiology , COVID-19/epidemiology , COVID-19/prevention & control , Child , Communicable Disease Control , Cross-Sectional Studies , Female , Humans , Hygiene , Mothers , Pandemics , Turkey/epidemiology
11.
PLoS One ; 17(3): e0264970, 2022.
Article in English | MEDLINE | ID: covidwho-1736516

ABSTRACT

OBJECTIVE: This study was conducted to examine the relationship between fear of COVID-19, psychological well-being, and satisfaction with life in nursing students. METHODS: A descriptive and cross-sectional design was used in this study. The study was carried out at a university Faculty of Health Sciences Department of Nursing between May 17 and June 25, 2021. The JASP 0.14.1. Software was used for statistical analysis. Kruskal-Wallis test was used for the comparison of three or more groups, Mann-Whitney U test was used for the comparisons of two groups, and Bonferroni-corrected Mann-Whitney U test was used for post hoc analysis. To determine the risk factors for "The Fear of COVID-19 Scale," linear regression analysis with backward stepwise modeling was used. RESULTS: The mean score of the students was 18.48±6.87 from the Fear of COVID-19 Scale, 38.42±12.60 from the Psychological Well-Being Scale, and 13.12±4.97 from the Satisfaction with Life Scale. According to the results of the regression model established, independent variables explained 12.5% of the dependent variables, but the regression model established was found to be statistically significant. A one-unit increase in the satisfaction with life scale increased the fear of COVID-19 scale score by 0.224 units, and this increase was found statistically significant (p = 0.030) as a result of linear regression analysis used with backward stepwise modeling. CONCLUSION: In conclusion, it was found that the students' fear of COVID-19 was below the medium level, their psychological well-being was above the medium level, and that their life satisfaction was below the medium level.


Subject(s)
COVID-19/psychology , Fear/psychology , Students, Nursing/psychology , Cross-Sectional Studies , Female , Health/trends , Humans , Male , Personal Satisfaction , Quality of Life/psychology , SARS-CoV-2/pathogenicity , Turkey , Universities , Young Adult
12.
Eur Rev Med Pharmacol Sci ; 26(4): 1403-1413, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1732623

ABSTRACT

OBJECTIVE: This study was planned to determine the burnout levels of physicians during the COVID-19 pandemic, and to contribute to taking the necessary measures by determining the associated factors. MATERIALS AND METHODS: This research was designed via Google Online Form as an online survey with questions of Sociodemographic Data Form, Maslach Burnout Inventory and Beck Anxiety Inventory and was conducted with 40 specialist physicians actively working at the Sakarya University Training and Research Hospital. The same questionnaire was re-applied online after two months, and 24 out of 40 physicians were accessed. The SPSS 25 (IBM, Armonk, NY, USA) program was used for the analysis of the data. RESULTS: According to the Maslach Burnout Inventory applied in the pre-test, it was found that the feeling of personal accomplishment was high, emotional burnout was normal, and depersonalization was low. Anxiety and burnout were found to be positively correlated, and there were no statistically significant differences in the average values of the pre-and post-test Maslach Burnout Inventory and Beck Anxiety Inventory scores. CONCLUSIONS: Detecting possible burnout in physicians working in a pandemic, identifying associated factors and taking required measures can be beneficial both for physicians and society from a biopsychosocial perspective.


Subject(s)
Burnout, Professional/epidemiology , Burnout, Professional/psychology , COVID-19/psychology , Physicians/psychology , Workload/psychology , Adult , Anxiety , Correlation of Data , Female , Hospitals, University , Humans , Male , Middle Aged , Social Conditions , Surveys and Questionnaires , Turkey/epidemiology
13.
Work ; 71(3): 515-526, 2022.
Article in English | MEDLINE | ID: covidwho-1731741

ABSTRACT

BACKGROUND: Empirical findings are needed to determine how the fear of COVID-19 might change in the context of different individuals. OBJECTIVE: This study aims to determine the moderating role of fatalism and psychological resilience on the effect of fear of COVID-19 on general mental health. METHODS: This study makes use of qualitative research methods that involved collecting data from 355 full-time waiters via questionnaires on online platforms. RESULT: The collected data suggests that the fear of COVID-19 has a significant negative impact on mental well-being. Morever, the data gathered for this study also indicates that the fear of COVID-19 infection differs significantly according to the fatalistic belief and psychological resilience levels of the waiters. CONCLUSIONS: Findings of this study indicate that the psychological effects of infectious diseases on individuals are not universal, but rather depend on the personal characteristics of individuals. It is hoped that the results of this study will contribute to the reduction of negative effects associated with the general anxiety of pandemic that individuals experience.


Subject(s)
COVID-19 , Mental Health , Anxiety , COVID-19/epidemiology , Fear , Humans , Pandemics , Turkey/epidemiology
14.
Int J Nurs Pract ; 28(2): e13048, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1731163

ABSTRACT

AIM: This research aimed to determine predictors of COVID-19 preventive behaviours in a sample of the Turkish population. METHODS: The study was conducted with 575 individuals. COVID-19 preventive behaviours were evaluated with a 19-item scale scored from 19 to 95. Knowledge on COVID-19 was evaluated with a 22-item scale scored from 0 to 22. General health literacy was evaluated with the Turkey Health Literacy Scale (THLS), which was scored from 0 to 50. RESULTS: The average COVID-19 preventive behaviours score was moderately high in this sample of the Turkish population. Being female, having a higher level of education, better economic status, being a non-smoker, having a higher level of COVID-19 knowledge and better general health literacy score were significant predictors of COVID-19 preventive behaviours (P < 0.05). CONCLUSION: Sociodemographic characteristics, knowledge of COVID-19 and general health literacy are crucial in preventing COVID-19 infections in a sample of the Turkish population.


Subject(s)
COVID-19 , Health Literacy , COVID-19/epidemiology , COVID-19/prevention & control , Educational Status , Female , Health Behavior , Humans , Male , Surveys and Questionnaires , Turkey/epidemiology
15.
J Thromb Thrombolysis ; 53(2): 321-334, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1729348

ABSTRACT

OBJECTIVE: We aimed to investigate both the impact of COVID-19 pandemic on ST-segment elevation myocardial infarction (STEMI) admission, and demographic, angiographic, procedural characteristics, and in-hospital clinical outcomes of patients with COVID-19 positive STEMI in Turkey. METHODS: This was a multi-center and cross-sectional observational study. The study population included 1788 STEMI patients from 15 centers in Turkey. The patients were divided into two groups: COVID-19 era (March 11st-May 15st, 2020; n = 733) or pre- COVID-19 era group (March 11st-May 15st, 2019; n = 1055). Also, the patients in COVID-19 era were grouped as COVID-19 positive (n = 65) or negative (n = 668). RESULTS: There was a 30.5% drop in STEMI admission during COVID-19 era in comparison to pre-COVID-19 era. The patients admitted to the medical centers during COVID-19 era had a longer symptom-to-first medical contact time [120 (75-240) vs. 100 (60-180) minutes, p < 0.001]. COVID-19 positive STEMI patients had higher thrombus grade and lower left ventricular ejection fraction compared to COVID-19 negative patients. COVID-19 positive patients had higher mortality (28% vs. 6%, p < 0.001) and cardiogenic shock (20% vs. 7%, p < 0.001) rates compared with those without COVID-19. Matching based on propensity scores showed higher mortality and high thrombus grade in STEMI patients who were infected by SARS-COV-2 (each p < 0.05). CONCLUSIONS: We detected significantly lower STEMI hospitalization rates and significant delay in duration of symptom onset to first medical contact in the context of Turkey during the COVID-19 outbreak. Moreover, high thrombus grade and mortality were more common in COVID-19 positive STEMI patients.


Subject(s)
COVID-19 , ST Elevation Myocardial Infarction , COVID-19/epidemiology , Cross-Sectional Studies , Hospitalization/statistics & numerical data , Humans , Pandemics , Registries , SARS-CoV-2 , ST Elevation Myocardial Infarction/diagnosis , ST Elevation Myocardial Infarction/mortality , Stroke Volume , Time-to-Treatment , Turkey/epidemiology , Ventricular Function, Left
16.
Rev Bras Ginecol Obstet ; 44(2): 100-108, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1730364

ABSTRACT

OBJECTIVE: In addition to being a medical phenomenon, pandemics affect the individual and society on several levels and lead to disruptions. In the pandemic process, different groups in the population, including pregnant women as a defenseless group, are subjected to psychological threat. The present study aimed to determine the levels of anxiety and depression and related factors in pregnant women during the the coronavirus disease 2019 (Covid-19) pandemic. METHODS: The present cross-sectional study was conducted with 269 pregnant women through face-to-face interviews held in Istanbul, Turkey. Regarding the data collection tools, the Cronbach α reliability coefficient was of 0.90 for the Beck Anxiety Inventory, and of 0.85 for the Beck Depression Inventory. RESULTS: Among the participating pregnant women, 30.5% had mild, 17.5% had moderate, and 5.9% had severe anxiety symptoms, whereas 35.3% had mild, 16.7% had moderate, and 2.2% had severe depression symptoms. We found that those who were concerned about their health had 5.36 times (p = 0.04) more risk of developing anxiety, and 4.82 times (p = 0.01) more risk of developing depression than those who were not concerned. Those who had a history of psychiatric disease had 3.92 times (p = 0.02) more risk of developing anxiety than those without it. CONCLUSION: We determined that about half of the pregnant women included in the study had some degree of anxiety and depression during the COVID-19 pandemic. The risk factors for anxiety and depression among the pregnant women were determined as smoking, concerns about health and getting infected with the coronavirus, history of psychiatric disease, and undergoing regular antenatal care.


OBJETIVO: Além de ser um fenômeno médico, as pandemias também afetam o indivíduo e a sociedade em vários níveis, e causam perturbações. No processo de pandemia, diferentes grupos da população, incluindo mulheres grávidas como um grupo indefeso, estão sujeitos a ameaças psicológicas. Este estudo teve como objetivo determinar os níveis de ansiedade e depressão e os fatores relacionados em mulheres grávidas durante a pandemia de doença do coronavírus 2019 (coronavirus disease 2019, Covid-19, em inglês). MéTODOS: Este estudo transversal foi realizado com 269 mulheres grávidas por meio de entrevistas pessoais em Istambul, Turquia. Com relação às ferramentas de coleta de dados, o coeficiente de confiabilidade alfa de Cronbach foi de 0,90 para a Escala de Ansiedade de Beck, e de 0,85 para a Escala de Depressão de Beck. RESULTADOS: Entre as gestantes participantes, 30,5% apresentaram sintomas de ansiedade leves, 17,5%, moderados, e 5,9%, graves, ao passo que 35,3% apresentaram sintomas de depressão leves, 16,7%, moderados, e 2,2%, graves. Verificou-se que as participantes que se preocupavam com sua saúde tinham 5,36 vezes (p = 0,04) mais risco de desenvolver ansiedade e 4,82 vezes (p = 0,01) mais risco de desenvolver depressão do que aquelas que não se preocupavam. As pacientes que tinham histórico de doença psiquiátrica tinham 3,92 vezes (p = 0,02) mais risco de desenvolver ansiedade do que as que não tinham. CONCLUSãO: Determinou-se que cerca de metade das gestantes incluídas no estudo tiveram algum nível de ansiedade e depressão durante a pandemia de Covid-19. Os fatores de risco para ansiedade e depressão nas gestantes foram determinados como tabagismo, preocupação com a saúde e infecção pelo coronavírus, histórico de doença psiquiátrica, e cuidados pré-natais regulares.


Subject(s)
COVID-19 , Pandemics , Anxiety/diagnosis , Anxiety/epidemiology , COVID-19/epidemiology , Cross-Sectional Studies , Depression/diagnosis , Depression/epidemiology , Female , Humans , Pregnancy , Pregnant Women/psychology , Reproducibility of Results , SARS-CoV-2 , Stress, Psychological/epidemiology , Turkey/epidemiology
17.
Environ Monit Assess ; 194(4): 255, 2022 Mar 07.
Article in English | MEDLINE | ID: covidwho-1729334

ABSTRACT

The outbreak of the novel coronavirus SARS-CoV-2 (hereafter COVID-19) has changed the daily routines of people around the world. When the first case was confirmed on 11 March 2020 in Turkey, the number of cases reached 4500 per day by 10 April in Turkey. Afterwards, the government declared more restrictive lockdown measures for 31 metropolitan cities starting 10 April, and it was implemented for the following weekends, national, and religious holidays. The change in concentrations of PM10, PM2.5, and NO2 during these measures with respect to the pre-lockdown period, the same period in the previous years and for different levels of measures for the cities in the Marmara Region of Turkey was investigated in this study. The daily mean concentrations of PM10, PM2.5, and NO2 obtained from 11 stations operated by the Ministry of Environment and Urbanization and Google mobility data are used in this study. Average PM2.5 and NO2 concentrations during the lockdown period declined with respect to the pre-lockdown period and the previous year for all stations. Average PM10 concentrations during the lockdown of 8 of 11 stations declined, while the rest of the stations increased with respect to the pre-lockdown period. In 9 of the 11 stations, the average concentration of PM10 decreased compared to the previous four years. In 7 of the 11 stations, the number of days exceeding WHO limit for PM10 was decreased during the lockdown period with respect to the pre-lockdown period. For PM2.5, the number of days exceeding WHO limit was decreased during the lockdown period compared to the pre-lockdown period for all the stations. For NO2, the number of days exceeding WHO limit was decreased during the lockdown period compared to the pre-lockdown period for 7 of the 8 stations. There is a significant relationship between mobility decrease and NO2 concentrations in large cities. The correlation coefficients are generally lower in small cities in the study region.


Subject(s)
Air Pollutants , Air Pollution , COVID-19 , Air Pollutants/analysis , Air Pollution/analysis , COVID-19/epidemiology , Cities , Communicable Disease Control , Environmental Monitoring , Humans , Particulate Matter/analysis , Quality Improvement , SARS-CoV-2 , Turkey/epidemiology
18.
Trop Anim Health Prod ; 54(2): 127, 2022 Mar 05.
Article in English | MEDLINE | ID: covidwho-1728637

ABSTRACT

Calf diarrhoea is one of the major problems in cattle farming with high morbidity and mortality in herds. Two enteric viruses, bovine rotavirus (BRV) and bovine coronavirus (BCoV), are the leading cause of gastroenteritis in young calves, whereas picobirnaviruses (PBVs) are often associated with diarrhoea. In the present study, the faecal specimens of 127 diarrhoeic bovines (less than 1-month-old) were employed to investigate the infection frequencies of these three pathogens. Results indicated that frequencies of BRV and BCoV in diarrhoeic calves were 38.58% and 29.92%, respectively. The 7.08% of bovine calf samples (9 out of 127) were found to be positive for PBV genogroup I. Sequence analysis further revealed the high genetic heterogeneity within representative PBV sequences. Additionally, both PBV-BCoV (n = 2) and BCoV-BRV-PBV (n = 1) co-infections were detected in bovine calves for the first time. Consequently, our findings pointed out the highly divergent nature of PBVs without regard to exact host or territory and the occasional co-existence with other enteric agents.


Subject(s)
Cattle Diseases , Picobirnavirus , Animals , Cattle , Cattle Diseases/epidemiology , Diarrhea/epidemiology , Diarrhea/veterinary , Feces , Genetic Variation , Picobirnavirus/genetics , Turkey/epidemiology
19.
Turk J Med Sci ; 51(SI-1): 3182-3193, 2021 12 17.
Article in English | MEDLINE | ID: covidwho-1726153

ABSTRACT

Background/aim: The Covid-19 pandemic is one of those rare events that affects everyone on earth and changes our lives. The pandemic, which has killed over four million people worldwide, is putting unprecedented pressure on governments to maintain essential health and social services, as well as keep their economies running, even as the virus threatens people's daily life on every level. Thus, the purpose of this study is to discuss the short-term economic impact of the pandemic by assessing its costs using official economic data for both the world and Turkey. Furthermore, this research highlights possible economic, social, and political pathways for a postpandemic new world. Materials and methods: This study is a review article that overviews and tracks the economic development of the Covid-19 pandemic from the start, synthesizes and compares current data of reliable institutions, and provides an overall assessment. Results: The pandemic has certainly caused short-term and long-term damage to economies and living standards for many people. Although there are estimates on what this damage is, the exact degree of the damage is still unknown. However, it seems that the recovery will be gradual, long-lasting, and unpredictable due to the unprecedented uncertainty characteristic of the pandemic. Conclusion: Early economic growth projections show that there will be no ordinary recovery for the world economy since short-term countries' recovery paths are different. It is likely to remain uneven and depend on the effectiveness of the vaccination process, fiscal policy support, public health management, and hard-hit sectors' growth size in economies. Due to the uncertainty and lack of confidence, governments should ensure an equal and sustainable economic recovery from the Covid-19 pandemic by conducting flexible monetary and fiscal policies. However, without structural reforms, economies can not boost either in the short-term and long-term.


Subject(s)
COVID-19/economics , Commerce , Global Burden of Disease , Pandemics/economics , Humans , Pandemics/prevention & control , SARS-CoV-2 , Turkey/epidemiology
20.
Turk J Med Sci ; 51(SI-1): 3150-3156, 2021 12 17.
Article in English | MEDLINE | ID: covidwho-1726149

ABSTRACT

COVID-19 emerged at the end of 2019 in Wuhan, China, and spread rapidly around the world causing many deaths. Due to the intercontinental escalation in the epidemic, while WHO declared a pandemic on March 11, 2020, our country's first case was diagnosed. Before this, the MoH established the Operations Center against possible risks regarding the Pandemic Influenza Preparedness Plan on January 10, 2020 and formed the Scientific Committee, which has a critical importance in epidemic management. National and Provincial Pandemic Coordination Boards were established within the scope of this plan. Fast, effective and frequently updated decisions were implemented. The epidemic was kept under control by stopping mutual flights to countries with cases, intermittent curfews, transportation restrictions, closure of schools, filiation, social isolation, use of PPE, social media communication, and intensive work of healthcare workers. Softwares were developed for analysis and data reporting, case and contact tracing. Various mobile applications were developed providing a safe social life in social areas and enabling filiation teams to intervene in the necessary areas in the fastest way and to record data instantly in the system. Prior to normalization process, "COVID-19 Epidemic Management and Working Guide" was prepared including epidemic measures for social life, institutions, organizations, and businesses. Variants of concern, recommended by WHO to be monitored, led to an increase in the number of cases around the world. In our country, the number of laboratories and tests were expanded to monitor variant viruses. Vaccination activities continue in line with the National Vaccine Administration Strategy. In the fight against pandemic, it will be possible to maintain and increase our country's acquisitions so far, owing to the strong health infrastructure both in terms of manpower and institutions, free health care, success in the production of PPE and medical devices, and finally, rapid acceleration of the vaccination.


Subject(s)
COVID-19/prevention & control , Contact Tracing , Pandemics/prevention & control , COVID-19/epidemiology , Humans , SARS-CoV-2 , Turkey/epidemiology
SELECTION OF CITATIONS
SEARCH DETAIL