Turkish Journal of Family Medicine and Primary Care, 2020
Dünya Sağlık Örgütü (DSÖ) Genel Direktörü Dr. Tedros Adhanom Ghebreyesus’un da belirttiği gibi, T... more Dünya Sağlık Örgütü (DSÖ) Genel Direktörü Dr. Tedros Adhanom Ghebreyesus’un da belirttiği gibi, TB sınır tanımayan, herkesin tehlike altında olabildiği, yoksulluk, yetersiz beslenme veya çatışmaların olduğu yerlerde büyüyen bir halk sağlığı sorunudur. Ülkemizin komşularının içinde bulunduğu siyasi belirsizlik, savaşlar ve göç dalgası göz önünde bulundurulduğunda, TB’nin hafife alınmaması ve dikey örgütlenme yapısından taviz vermeden hastalıkla mücadele edilmesi gerekmektedir. Bu çalışmada, Suriye’ye yakın komşu ve aynı zamanda sınırları içerisinde bir mülteci kampına ev sahipliği yapan Osmaniye’de 2005 ile 2018 yılları arasında Merkez VSD’ye kayıtlı 1107 hastanın dosyaları retrospektif olarak tanımlayıcı şekilde analiz edilmiştir. Dosyalar detaylı incelenerek yanlış tanı konan ve ‘TB değil’ olarak ayrılanlar çalışma dışı bırakılmıştır (n=50 %4,9). Ayrıca tedavi sonucu ve bir takım hastalık parametrelerine ulaşılamayan ya da hatalı girilen 57 hasta da (%5,1) çalışmaya dahil edilmemiş...
Determining anxiety status and demands for antenatal care services of pegnant women during Covid-... more Determining anxiety status and demands for antenatal care services of pegnant women during Covid-19 pandemic Objective The study was performed to assess the challenges, concerns, and anxiety, which were faced by pregnant women while receiving health care services throughout the COVID-19 pandemic, and to determine the demands for antenatal care services. Design Cross-sectional study Population or sample A total of 447 pregnant women who applied to the¬ pregnancy follow-up outpatient clinic of the Obstetrics and Pediatrics Training and Research Hospital located in the Anatolian side of Istanbul between June and July 2020. Methods The data were obtained through a questionnaire, which involves the demographic, individual, and the obstetric characteristics of the participants as well as their views related to the period of COVID-19 pandemic and expectations for antenatal care services, and the Beck Anxiety Inventory. Main Outcome Measures Incidence and detection rate of anxiety patterns, and frequency of daily activities. Results Anxiety was detected in 60.4% of the pregnants who had participated in our research. It was found out that of the participant, 15.2% of them experienced a decrease in their sleep durations, while 57.5% of them have a reduction in their daily activities, and 64.9% of them experienced an increase in the use of internet throughout the COVID-19 pandemic. Conclusions The need for providing support in antenatal care services increased during the emergency health crisis. Developing new antenatal care strategies and health policies in ensuring the safety of mothers and their infants is needed in pandemic. Hosted file Main Document 2.docx available at https://authorea.com/users/469659/articles/562370determining-anxiety-status-and-demands-for-antenatal-care-services-of-pegnant-womenduring-covid-19-pandemic
EC Emergency Medicine and Critical Care, Jan 29, 2021
Turkey is hosting many Syrian refugees since the onset of civil war in 2011. There are more than ... more Turkey is hosting many Syrian refugees since the onset of civil war in 2011. There are more than 3 million registered Syrians in 7. Saglam A., et al. "Distribution of lymphomas in Turkey: data of 4239 cases from a single institution using the WHO classification".
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2020
Objective: Violence has a great impact on society, as is often the case with television programs.... more Objective: Violence has a great impact on society, as is often the case with television programs. This study aims to assess how the violence is portrayed on television channels that reach a large audience of children, adolescents, and adults in Turkey. Method: This study is a media content analysis (28 television shows and 84 episodes) of the six most popular Turkish primetime television shows aired between November 18, 2019, and December 8, 2019. The violence types have been classified into one of the following five categories: verbal, physical, psychological, social, and economic. Besides, some vulnerable special groups, such as children and healthcare workers, have also been evaluated. Results: Our findings indicate that each show has at least one violent behavior. Contrary to the perception in society, men are exposed to violence more than women (56.6% vs. 27.6%). The number of psychological violence content in television shows (median:16.5) was significantly higher than the number of physical (median:11.0) and verbal (median:13.0) violent content (p<0.05). Conclusion: Our findings have significant consequences as exposure to popular media affect the behaviors and perceptions of the entire society, not just children.. Our study has the potential to shed light on the need to create new content in television shows watched by the Turkish society with educational messages on the risks and consequences of violent behavior.
Objectives: We aimed to compare the changes in the coronal alignment of the ankle joints and thei... more Objectives: We aimed to compare the changes in the coronal alignment of the ankle joints and their clinical effects after high tibial osteotomy (HTO) and unicondylar knee arthroplasty (UKA). Methods: 50 HTO and 54 UKA patients who were operated on for medial knee osteoarthritis between 2013 and 2018 were retrospectively evaluated. The hip-knee-ankle angle (HKA), the medial proximal tibial angle (MPTA), the tibial plafond inclination (TPI) and the talar inclination (TI) angles were measured before and after operation. Visual analog scale (VAS), short form 36 (SF-36), and ankle-hindfoot scale (AHS) scores of both groups were evaluated and recorded. Results: Angular changes in the HKA, MPTA, TPI and TI values showed significantly greater values in the HTO group (p<0.001). When asymptomatic and symptomatic cases were compared, it was found that changes in the HKA, TPI and TI values were significantly greater in symptomatic cases in the HTO group (p<0.05). A significant decline was...
Osteoporosis (OP) is defined as systemic skeletal disease characterised by low bone mineral densi... more Osteoporosis (OP) is defined as systemic skeletal disease characterised by low bone mineral density and microarchitectural changes in the bone which increase its fragility and fracture risk. It is a progressive and silent disease until the first fracture occurs (1). Deterioration of bone quality and diminishing components of the bone increase the bone fragility. Around the world, 1 in 3 women and 1 in 5 men are at risk of an osteoporotic fracture. As the ageing population increases, OP, which is one of the most common systemic chronic diseases, is becoming an important public health concern. In the United States, 54% of postmenopausal women have low bone density and 30% have OP. Over 54 million people have been diagnosed with OP and 2 million OP-related fractures occur annually; fifty percent of them are vertebral fractures and the majority of other fractures are hip and wrist fractures. The economic burden of these fractures in healthcare is 17-20 billion dollars annually (2, 3). Osteoporotic fractures affect the quality of life (QoL) in a negative way because of their effect on the musculoskeletal system and body posture; also, they cause pain and a decrease in functional capacity of OP patients. It has also been reported that 30% of women over 75 and 50% of women over 85 have non-traumatic vertebral fracture (4). According to the World Health Organisation, QoL is defined as "individuals' perceptions of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns" (5). Although physical examination, imaging techniques and other assessment tools give an idea about the disease to the physician, they are poorly correlated with general well-being conditions and func-Background: Fractures are one of the main outcomes in osteoporosis and have an important effect on the general health status. Aims: The purpose of this study was to determine the effect of major fracture history on quality of life. We also investigated the important risk factors and their effect on bone mineral density and fracture history. Study Design: Cross-sectional study. Methods: We recruited 105 patients who were admitted to an osteoporosis outpatient clinic. Medical history, family history, calcium intake, physical activity level and biochemical tests were evaluated. Lumbar spine and femur neck bone mineral density were measured. The Qualeffo-41 questionnaire was also used for evaluating quality of life. The average age of the 105 patients included in the study was 56.04±13.73 and 89% of them were post-menopausal women. The average body mass index was 26.84±5.99, which means that the women were overweight. Also, 48.5% of the patients were diagnosed with osteoporosis and 51.5% of them were diagnosed as low bone density. A total of 34 patients had a fracture history with minor trauma and some of the patients had more than one fracture (12 ankle and foot, 10 forearm, 9 vertebral, 4 hand, 3 hip, 2 rib, 1 tibial). When the patients with and without fracture history were compared, the mean Qualeffo-41 score in patients with fracture was 43.85±2.57 and in the non-fracture group was 36.27±2.01. Conclusion: Forearm, ankle and foot fractures can be commonly seen in osteoporosis patients with fracture history. We suggest that it is important to recognise osteoporosis prior to first fracture and disease-specific quality of life assessment should be done.
Aim: The most valuable approach to prevent the spread of the novel COVID-19, which is a pandemic ... more Aim: The most valuable approach to prevent the spread of the novel COVID-19, which is a pandemic today, is to detect, isolate, and treat patients. The majority of patients are mild or asymptomatic cases. These cases are followed up and isolated at home in many countries. With a governmental decision issued in Turkey, it has been deemed appropriate to follow up the suspected, contact or definitive diagnosis patients who do not indicate inpatient treatment, have a mild clinical course, or do not have a risk factor that may lead to a severe course of COVID-19, at home by the family practice units. In this study, we aimed to investigate the characteristics of the patients with COVID-19 who were being monitored at home. Methods: The study was designed as a retrospective cross-sectional observational study. In this study, 321 people who were registered at the Education and Family Health Centers of our hospital and followed up as COVID-19 suspects, contacts, or definitive cases were identi...
Citation: Funda Pepedil-Tanrikulu., et al. “The Distribution of Hematological Malignancies in Adu... more Citation: Funda Pepedil-Tanrikulu., et al. “The Distribution of Hematological Malignancies in Adult Syrian Refugees Admitted to a Tertiary Center”. EC Emergency Medicine and Critical Care 5.2 (2021): 56-57. *Corresponding Author: Funda Pepedil-Tanrikulu, University of Health Sciences, Adana City Training and Research Hospital, Adult Hematology Clinic, Adana, Turkey. Received: November 19, 2020; Published: January 29, 2020
Background The aim of our study was to describe musculoskeletal system tuberculosis (TB) as a sin... more Background The aim of our study was to describe musculoskeletal system tuberculosis (TB) as a single-center experience. Methods This is a retrospective observational study conducted at a TB Dispensary in the east Mediterranean part of Turkey between 2004 and 2020. The clinical and demographic characteristics including age, gender, involvement location and duration of illness, presenting complaint, local examination findings, treatment outcome were retrieved and analyzed from the case files. Statistical analyses were performed using SPSS Statistics version 17.0 (IBM). The normality of data analysed by using Kolmogorov-Smirnov. The descriptive statistics were reported as mean ± standard deviation, medians, and ranges (min-max). Results Overall, 31 patients (3.2 % of all TB cases) with a mean age of 44.2 ± 16.7 years had musculoskeletal tuberculosis. The mean duration of treatment was 12.9 ± 5.5 months. Of the 31 patients, six (19.4 %) had concomitant pulmonary TB. One of the patients ...
Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social dise... more Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social diseases. Similar researches exists for AIDS in many countries. There are very few publications about the tuberculosis stigma in our country at international level. This study aimed to assess tuberculosisrelated stigma levels and associated factors in patients with tuberculosis applying to tuberculosis dispensaries. Methods: This descriptive study was conducted in two different tuberculosis dispensaries at Istanbul. We used the stigmatization scale for patients with tuberculosis to assess and compare stigma levels of our study population. Nonparametric statistical tests were used for comparison of stigma scores. Results: In our study population, stigmatization because of tuberculosis was found to be related to low income, pulmonary involvement, occupation, and nonexistence of a relative with tuberculosis in the close environment. Conclusion: Combating the causes of stigmatization can assist patients in accessing their healthcare provider. Patients would be more likely to abide by the treatment schedule, thus reducing tuberculosis resistance in the community and decreasing its spread.
Clinical and Experimental Health Sciences, Mar 29, 2019
Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social dise... more Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social diseases. Similar researches exists for AIDS in many countries. There are very few publications about the tuberculosis stigma in our country at international level. This study aimed to assess tuberculosisrelated stigma levels and associated factors in patients with tuberculosis applying to tuberculosis dispensaries. Methods: This descriptive study was conducted in two different tuberculosis dispensaries at Istanbul. We used the stigmatization scale for patients with tuberculosis to assess and compare stigma levels of our study population. Nonparametric statistical tests were used for comparison of stigma scores. Results: In our study population, stigmatization because of tuberculosis was found to be related to low income, pulmonary involvement, occupation, and nonexistence of a relative with tuberculosis in the close environment. Conclusion: Combating the causes of stigmatization can assist patients in accessing their healthcare provider. Patients would be more likely to abide by the treatment schedule, thus reducing tuberculosis resistance in the community and decreasing its spread.
Clinical and Experimental Health Sciences, Mar 29, 2019
Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social dise... more Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social diseases. Similar researches exists for AIDS in many countries. There are very few publications about the tuberculosis stigma in our country at international level. This study aimed to assess tuberculosisrelated stigma levels and associated factors in patients with tuberculosis applying to tuberculosis dispensaries. Methods: This descriptive study was conducted in two different tuberculosis dispensaries at Istanbul. We used the stigmatization scale for patients with tuberculosis to assess and compare stigma levels of our study population. Nonparametric statistical tests were used for comparison of stigma scores. Results: In our study population, stigmatization because of tuberculosis was found to be related to low income, pulmonary involvement, occupation, and nonexistence of a relative with tuberculosis in the close environment. Conclusion: Combating the causes of stigmatization can assist patients in accessing their healthcare provider. Patients would be more likely to abide by the treatment schedule, thus reducing tuberculosis resistance in the community and decreasing its spread.
Osteoporosis (OP) is defined as systemic skeletal disease characterised by low bone mineral densi... more Osteoporosis (OP) is defined as systemic skeletal disease characterised by low bone mineral density and microarchitectural changes in the bone which increase its fragility and fracture risk. It is a progressive and silent disease until the first fracture occurs (1). Deterioration of bone quality and diminishing components of the bone increase the bone fragility. Around the world, 1 in 3 women and 1 in 5 men are at risk of an osteoporotic fracture. As the ageing population increases, OP, which is one of the most common systemic chronic diseases, is becoming an important public health concern. In the United States, 54% of postmenopausal women have low bone density and 30% have OP. Over 54 million people have been diagnosed with OP and 2 million OP-related fractures occur annually; fifty percent of them are vertebral fractures and the majority of other fractures are hip and wrist fractures. The economic burden of these fractures in healthcare is 17-20 billion dollars annually (2, 3).
Turkish Journal of Family Medicine and Primary Care, 2020
Dünya Sağlık Örgütü (DSÖ) Genel Direktörü Dr. Tedros Adhanom Ghebreyesus’un da belirttiği gibi, T... more Dünya Sağlık Örgütü (DSÖ) Genel Direktörü Dr. Tedros Adhanom Ghebreyesus’un da belirttiği gibi, TB sınır tanımayan, herkesin tehlike altında olabildiği, yoksulluk, yetersiz beslenme veya çatışmaların olduğu yerlerde büyüyen bir halk sağlığı sorunudur. Ülkemizin komşularının içinde bulunduğu siyasi belirsizlik, savaşlar ve göç dalgası göz önünde bulundurulduğunda, TB’nin hafife alınmaması ve dikey örgütlenme yapısından taviz vermeden hastalıkla mücadele edilmesi gerekmektedir. Bu çalışmada, Suriye’ye yakın komşu ve aynı zamanda sınırları içerisinde bir mülteci kampına ev sahipliği yapan Osmaniye’de 2005 ile 2018 yılları arasında Merkez VSD’ye kayıtlı 1107 hastanın dosyaları retrospektif olarak tanımlayıcı şekilde analiz edilmiştir. Dosyalar detaylı incelenerek yanlış tanı konan ve ‘TB değil’ olarak ayrılanlar çalışma dışı bırakılmıştır (n=50 %4,9). Ayrıca tedavi sonucu ve bir takım hastalık parametrelerine ulaşılamayan ya da hatalı girilen 57 hasta da (%5,1) çalışmaya dahil edilmemiş...
Determining anxiety status and demands for antenatal care services of pegnant women during Covid-... more Determining anxiety status and demands for antenatal care services of pegnant women during Covid-19 pandemic Objective The study was performed to assess the challenges, concerns, and anxiety, which were faced by pregnant women while receiving health care services throughout the COVID-19 pandemic, and to determine the demands for antenatal care services. Design Cross-sectional study Population or sample A total of 447 pregnant women who applied to the¬ pregnancy follow-up outpatient clinic of the Obstetrics and Pediatrics Training and Research Hospital located in the Anatolian side of Istanbul between June and July 2020. Methods The data were obtained through a questionnaire, which involves the demographic, individual, and the obstetric characteristics of the participants as well as their views related to the period of COVID-19 pandemic and expectations for antenatal care services, and the Beck Anxiety Inventory. Main Outcome Measures Incidence and detection rate of anxiety patterns, and frequency of daily activities. Results Anxiety was detected in 60.4% of the pregnants who had participated in our research. It was found out that of the participant, 15.2% of them experienced a decrease in their sleep durations, while 57.5% of them have a reduction in their daily activities, and 64.9% of them experienced an increase in the use of internet throughout the COVID-19 pandemic. Conclusions The need for providing support in antenatal care services increased during the emergency health crisis. Developing new antenatal care strategies and health policies in ensuring the safety of mothers and their infants is needed in pandemic. Hosted file Main Document 2.docx available at https://authorea.com/users/469659/articles/562370determining-anxiety-status-and-demands-for-antenatal-care-services-of-pegnant-womenduring-covid-19-pandemic
EC Emergency Medicine and Critical Care, Jan 29, 2021
Turkey is hosting many Syrian refugees since the onset of civil war in 2011. There are more than ... more Turkey is hosting many Syrian refugees since the onset of civil war in 2011. There are more than 3 million registered Syrians in 7. Saglam A., et al. "Distribution of lymphomas in Turkey: data of 4239 cases from a single institution using the WHO classification".
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2020
Objective: Violence has a great impact on society, as is often the case with television programs.... more Objective: Violence has a great impact on society, as is often the case with television programs. This study aims to assess how the violence is portrayed on television channels that reach a large audience of children, adolescents, and adults in Turkey. Method: This study is a media content analysis (28 television shows and 84 episodes) of the six most popular Turkish primetime television shows aired between November 18, 2019, and December 8, 2019. The violence types have been classified into one of the following five categories: verbal, physical, psychological, social, and economic. Besides, some vulnerable special groups, such as children and healthcare workers, have also been evaluated. Results: Our findings indicate that each show has at least one violent behavior. Contrary to the perception in society, men are exposed to violence more than women (56.6% vs. 27.6%). The number of psychological violence content in television shows (median:16.5) was significantly higher than the number of physical (median:11.0) and verbal (median:13.0) violent content (p<0.05). Conclusion: Our findings have significant consequences as exposure to popular media affect the behaviors and perceptions of the entire society, not just children.. Our study has the potential to shed light on the need to create new content in television shows watched by the Turkish society with educational messages on the risks and consequences of violent behavior.
Objectives: We aimed to compare the changes in the coronal alignment of the ankle joints and thei... more Objectives: We aimed to compare the changes in the coronal alignment of the ankle joints and their clinical effects after high tibial osteotomy (HTO) and unicondylar knee arthroplasty (UKA). Methods: 50 HTO and 54 UKA patients who were operated on for medial knee osteoarthritis between 2013 and 2018 were retrospectively evaluated. The hip-knee-ankle angle (HKA), the medial proximal tibial angle (MPTA), the tibial plafond inclination (TPI) and the talar inclination (TI) angles were measured before and after operation. Visual analog scale (VAS), short form 36 (SF-36), and ankle-hindfoot scale (AHS) scores of both groups were evaluated and recorded. Results: Angular changes in the HKA, MPTA, TPI and TI values showed significantly greater values in the HTO group (p<0.001). When asymptomatic and symptomatic cases were compared, it was found that changes in the HKA, TPI and TI values were significantly greater in symptomatic cases in the HTO group (p<0.05). A significant decline was...
Osteoporosis (OP) is defined as systemic skeletal disease characterised by low bone mineral densi... more Osteoporosis (OP) is defined as systemic skeletal disease characterised by low bone mineral density and microarchitectural changes in the bone which increase its fragility and fracture risk. It is a progressive and silent disease until the first fracture occurs (1). Deterioration of bone quality and diminishing components of the bone increase the bone fragility. Around the world, 1 in 3 women and 1 in 5 men are at risk of an osteoporotic fracture. As the ageing population increases, OP, which is one of the most common systemic chronic diseases, is becoming an important public health concern. In the United States, 54% of postmenopausal women have low bone density and 30% have OP. Over 54 million people have been diagnosed with OP and 2 million OP-related fractures occur annually; fifty percent of them are vertebral fractures and the majority of other fractures are hip and wrist fractures. The economic burden of these fractures in healthcare is 17-20 billion dollars annually (2, 3). Osteoporotic fractures affect the quality of life (QoL) in a negative way because of their effect on the musculoskeletal system and body posture; also, they cause pain and a decrease in functional capacity of OP patients. It has also been reported that 30% of women over 75 and 50% of women over 85 have non-traumatic vertebral fracture (4). According to the World Health Organisation, QoL is defined as "individuals' perceptions of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns" (5). Although physical examination, imaging techniques and other assessment tools give an idea about the disease to the physician, they are poorly correlated with general well-being conditions and func-Background: Fractures are one of the main outcomes in osteoporosis and have an important effect on the general health status. Aims: The purpose of this study was to determine the effect of major fracture history on quality of life. We also investigated the important risk factors and their effect on bone mineral density and fracture history. Study Design: Cross-sectional study. Methods: We recruited 105 patients who were admitted to an osteoporosis outpatient clinic. Medical history, family history, calcium intake, physical activity level and biochemical tests were evaluated. Lumbar spine and femur neck bone mineral density were measured. The Qualeffo-41 questionnaire was also used for evaluating quality of life. The average age of the 105 patients included in the study was 56.04±13.73 and 89% of them were post-menopausal women. The average body mass index was 26.84±5.99, which means that the women were overweight. Also, 48.5% of the patients were diagnosed with osteoporosis and 51.5% of them were diagnosed as low bone density. A total of 34 patients had a fracture history with minor trauma and some of the patients had more than one fracture (12 ankle and foot, 10 forearm, 9 vertebral, 4 hand, 3 hip, 2 rib, 1 tibial). When the patients with and without fracture history were compared, the mean Qualeffo-41 score in patients with fracture was 43.85±2.57 and in the non-fracture group was 36.27±2.01. Conclusion: Forearm, ankle and foot fractures can be commonly seen in osteoporosis patients with fracture history. We suggest that it is important to recognise osteoporosis prior to first fracture and disease-specific quality of life assessment should be done.
Aim: The most valuable approach to prevent the spread of the novel COVID-19, which is a pandemic ... more Aim: The most valuable approach to prevent the spread of the novel COVID-19, which is a pandemic today, is to detect, isolate, and treat patients. The majority of patients are mild or asymptomatic cases. These cases are followed up and isolated at home in many countries. With a governmental decision issued in Turkey, it has been deemed appropriate to follow up the suspected, contact or definitive diagnosis patients who do not indicate inpatient treatment, have a mild clinical course, or do not have a risk factor that may lead to a severe course of COVID-19, at home by the family practice units. In this study, we aimed to investigate the characteristics of the patients with COVID-19 who were being monitored at home. Methods: The study was designed as a retrospective cross-sectional observational study. In this study, 321 people who were registered at the Education and Family Health Centers of our hospital and followed up as COVID-19 suspects, contacts, or definitive cases were identi...
Citation: Funda Pepedil-Tanrikulu., et al. “The Distribution of Hematological Malignancies in Adu... more Citation: Funda Pepedil-Tanrikulu., et al. “The Distribution of Hematological Malignancies in Adult Syrian Refugees Admitted to a Tertiary Center”. EC Emergency Medicine and Critical Care 5.2 (2021): 56-57. *Corresponding Author: Funda Pepedil-Tanrikulu, University of Health Sciences, Adana City Training and Research Hospital, Adult Hematology Clinic, Adana, Turkey. Received: November 19, 2020; Published: January 29, 2020
Background The aim of our study was to describe musculoskeletal system tuberculosis (TB) as a sin... more Background The aim of our study was to describe musculoskeletal system tuberculosis (TB) as a single-center experience. Methods This is a retrospective observational study conducted at a TB Dispensary in the east Mediterranean part of Turkey between 2004 and 2020. The clinical and demographic characteristics including age, gender, involvement location and duration of illness, presenting complaint, local examination findings, treatment outcome were retrieved and analyzed from the case files. Statistical analyses were performed using SPSS Statistics version 17.0 (IBM). The normality of data analysed by using Kolmogorov-Smirnov. The descriptive statistics were reported as mean ± standard deviation, medians, and ranges (min-max). Results Overall, 31 patients (3.2 % of all TB cases) with a mean age of 44.2 ± 16.7 years had musculoskeletal tuberculosis. The mean duration of treatment was 12.9 ± 5.5 months. Of the 31 patients, six (19.4 %) had concomitant pulmonary TB. One of the patients ...
Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social dise... more Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social diseases. Similar researches exists for AIDS in many countries. There are very few publications about the tuberculosis stigma in our country at international level. This study aimed to assess tuberculosisrelated stigma levels and associated factors in patients with tuberculosis applying to tuberculosis dispensaries. Methods: This descriptive study was conducted in two different tuberculosis dispensaries at Istanbul. We used the stigmatization scale for patients with tuberculosis to assess and compare stigma levels of our study population. Nonparametric statistical tests were used for comparison of stigma scores. Results: In our study population, stigmatization because of tuberculosis was found to be related to low income, pulmonary involvement, occupation, and nonexistence of a relative with tuberculosis in the close environment. Conclusion: Combating the causes of stigmatization can assist patients in accessing their healthcare provider. Patients would be more likely to abide by the treatment schedule, thus reducing tuberculosis resistance in the community and decreasing its spread.
Clinical and Experimental Health Sciences, Mar 29, 2019
Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social dise... more Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social diseases. Similar researches exists for AIDS in many countries. There are very few publications about the tuberculosis stigma in our country at international level. This study aimed to assess tuberculosisrelated stigma levels and associated factors in patients with tuberculosis applying to tuberculosis dispensaries. Methods: This descriptive study was conducted in two different tuberculosis dispensaries at Istanbul. We used the stigmatization scale for patients with tuberculosis to assess and compare stigma levels of our study population. Nonparametric statistical tests were used for comparison of stigma scores. Results: In our study population, stigmatization because of tuberculosis was found to be related to low income, pulmonary involvement, occupation, and nonexistence of a relative with tuberculosis in the close environment. Conclusion: Combating the causes of stigmatization can assist patients in accessing their healthcare provider. Patients would be more likely to abide by the treatment schedule, thus reducing tuberculosis resistance in the community and decreasing its spread.
Clinical and Experimental Health Sciences, Mar 29, 2019
Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social dise... more Objective: In Turkey, tuberculosis (TB) is considered to be one of the formerly known social diseases. Similar researches exists for AIDS in many countries. There are very few publications about the tuberculosis stigma in our country at international level. This study aimed to assess tuberculosisrelated stigma levels and associated factors in patients with tuberculosis applying to tuberculosis dispensaries. Methods: This descriptive study was conducted in two different tuberculosis dispensaries at Istanbul. We used the stigmatization scale for patients with tuberculosis to assess and compare stigma levels of our study population. Nonparametric statistical tests were used for comparison of stigma scores. Results: In our study population, stigmatization because of tuberculosis was found to be related to low income, pulmonary involvement, occupation, and nonexistence of a relative with tuberculosis in the close environment. Conclusion: Combating the causes of stigmatization can assist patients in accessing their healthcare provider. Patients would be more likely to abide by the treatment schedule, thus reducing tuberculosis resistance in the community and decreasing its spread.
Osteoporosis (OP) is defined as systemic skeletal disease characterised by low bone mineral densi... more Osteoporosis (OP) is defined as systemic skeletal disease characterised by low bone mineral density and microarchitectural changes in the bone which increase its fragility and fracture risk. It is a progressive and silent disease until the first fracture occurs (1). Deterioration of bone quality and diminishing components of the bone increase the bone fragility. Around the world, 1 in 3 women and 1 in 5 men are at risk of an osteoporotic fracture. As the ageing population increases, OP, which is one of the most common systemic chronic diseases, is becoming an important public health concern. In the United States, 54% of postmenopausal women have low bone density and 30% have OP. Over 54 million people have been diagnosed with OP and 2 million OP-related fractures occur annually; fifty percent of them are vertebral fractures and the majority of other fractures are hip and wrist fractures. The economic burden of these fractures in healthcare is 17-20 billion dollars annually (2, 3).
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