155199 research outputs found
Sort by
Nazofarenks Karsinomu Nedeniyle Radyoterapi Sonrası Gelişen Sfenoid Sinüs Lezyonunun Ayırıcı Tanısı ve Cerrahi Yönetimi: Olgu Sunumu
No full textModerate-high efficacy disease-modifying therapies reduce relapse risk in late-onset multiple sclerosis
No full textIntroduction Late-onset multiple sclerosis (LOMS) now comprises over 10% of MS diagnoses in contemporary cohorts. The effectiveness of disease-modifying therapies (DMTs) in LOMS is unclear. We aimed to establish the comparative effectiveness of moderate-high-efficacy versus low-efficacy DMTs in LOMS. Methods Using data from the MSBase registry, this multicentre cohort study included people with MS with symptom onset after age 50. Covariates were balanced using inverse-probability-treatment-weighting (IPTW). Primary outcomes were time to first relapse and annualised relapse rate (ARR). Secondary outcomes were 6-month confirmed disability progression (CDP), confirmed disability improvement (CDI), relapse-associated worsening (RAW) and progression independent of relapse activity (PIRA). Results Of 1032 participants, 472 received moderate-high-efficacy DMTs and 560 received low-efficacy DMTs. IPTW-weighted ARR was 0.06 for moderate-high-efficacy and 0.09 for low-efficacy DMTs, corresponding to an ARR ratio of 0.68 (95% CI 0.50 to 0.93, p=0.01). HR for time to first relapse was 0.66 (95% CI 0.47 to 0.91, p=0.01) in favour of moderate-high-efficacy DMTs. Among 856 participants with adequate follow-up, 37% experienced CDP over a median of 4.43 years, with most events (83.6%) attributable to PIRA. The HR for time to CDP was 0.78 (p=0.08) and RAW was 0.69 (p=0.31) in favour of moderate-high-efficacy DMTs, though neither reached statistical significance. There was no difference in CDI or PIRA. Conclusion Moderate-high-efficacy DMTs reduced relapse risk in LOMS. Relapse activity was low. CDP was common and driven by PIRA. Although the CDP and RAW results did not reach statistical significance, the overall findings support the initial use of moderate-high-efficacy DMTs in LOMS
Molecular detection and characterization of vector-borne pathogens in domestic cats<i> (Felis</i><i> catus)</i> in Türkiye: The first report of<i> Coxiella</i><i> burnetii</i> from cats in Türkiye
No full textThis study aimed (i) to determine the occurrence of vector-borne pathogens (Cytauxzoon felis, Babesia spp., Mycoplasma spp., Rickettsia spp., and Coxiella burnetii) in domestic cats in T & uuml;rkiye; (ii) to conduct molecular characterization of identified species; (iii) to assess the genetic diversity among identified species in cats reported worldwide. A total of 311 blood samples were collected from animals visiting Ondokuz May & imath;s University Veterinary Faculty Animal Hospital for routine checkups, vaccinations, antiparasitic application, and sterilization. Blood samples were analyzed for the presence of targeted pathogens by PCR analysis. Data on domestic cats (age, sex, breed, and living conditions) were recorded, and statistical analyses were performed to identify potential risk factors for infection. Phylogenetic analyses were performed to assess relatedness among detected pathogen isolates worldwide. Out of 311 cats tested, 13.1 % (n = 41) were positive for at least one pathogen, and 0.9 % (n = 3) were found to be co-infected. PCR analyses detected 9.64 % (n = 30) of examined samples infected with Mycoplasma spp., and 3.5 % (n = 11) with C. burnetii. Babesia spp., C. felis, and Rickettsia spp. were not detected. There was no significant statistical difference between the prevalence of any detected pathogen and data of the cats. Sanger sequencing of the 30 positive PCR products identified Candidatus Mycoplasma haemominutum (CMhm) in 50 % (n = 15), Mycoplasma haemofelis (Mhf) in 36.6 % (n = 11), and Candidatus Mycoplasma turicensis (CMt) in 13.3 % (n = 4). Phylogenetic analysis of the Mycoplasma spp. 16S rRNA gene showed two distinct groups: one belonging to the haemominutum group, clustering with CMhm isolates, and the other from the haemofelis group, clustered with Mhf and CMt isolates. Coxiella burnetii IS1111 gene sequences shared high identity and similarity and clustered with isolates from different countries. This is the first report of C. burnetii in domestic cats from T & uuml;rkiye. Our data provide information on the presence, molecular epidemiology, and genetic characterization of vector-borne pathogens in domestic cat populations in T & uuml;rkiye. This study highlights the importance of the epidemiology of vector-borne pathogens for effective disease management in cat populations
Sleep quality, perceived stress and associated factors in women undergoing IVF treatment: short-term longitudinal study
No full textBackground: Despite limited studies in the literature, it is hypothesised that lifestyle factors are modifiable habits that have an impact on couples' fertility health. However, the relationship between sleep quality and infertility is an area that needs to be clarified. Objective: To determine sleep quality and associated factors in women receiving in vitro fertilisation treatment and to evaluate the changes in sleep over the treatment cycle. Methods: This is a longitudinal descriptive study conducted on 158 women in two infertility centres in Izmir, Turkey. Data were collected using the Personal Introduction Form, Pittsburgh Sleep Quality Index, Visual Analogue Stress Scale, and Physical Symptoms List. Data were collected during three different treatment periods: beginning of the in vitro fertilisation trial, oocyte pick-up day and the postembryo transfer period. Results: The sleep quality score of women progressively decreased as treatment progressed (p < .001). A strong positive correlation was determined between stress and sleep quality (p < .001). Additionally, advanced age, low education level, shift work, prolonged treatment and economic distress were associated with poorer sleep quality (p < .001). In addition, breast fullness, abdominal distension, and pain (p < .001) observed until the oocyte pick-up day, as well as nausea and fatigue during the postembryo transfer period (p < .001), were identified as physical symptoms affecting sleep quality. Conclusion: This article provides information on sleep quality during in vitro fertilisation and guides healthcare professionals to encourage and improve women's sleep quality
Wherefore art thou competitors? How situational affordances help differentiate among prosociality, individualism, and competition
No full textThe Triple Dominance Measure (choosing between prosocial, individualistic, and competitive options) and the Slider Measure ("sliding" between various orientations, for example, from individualistic to prosocial) are two widely used techniques to measure social value orientation, that is, the weight individuals assign to own and others' outcomes in interdependent situations. Surprisingly, there is only moderate correspondence between these measures, but it is unclear why and what the implications are for identifying individual differences in social value orientation. Using a dataset of 8021 participants from 31 countries and regions, this study revealed that the Slider Measure identified fewer competitors than the Triple Dominance Measure, accounting for approximately one-third of the non-correspondence between the two measures. This is (partially) because many of the Slider items do not afford a competitive option. In items where competition is combined with individualism, competitors tended to make the same choices as individualists. Futhermore, we demonstrated the uniqueness of competitors. Compared to prosocials and individualists, competitors exhibited lower levels of both social mindfulness and trust. Overall, the present work highlights the importance of situational affordances in measuring personality, the benefits of distinguishing between individualists and competitors, and the importance of utilizing a measure that distinguishes between these two proself orientations
Geogenic determinants of indoor radon exposure in İzmir (West Türkiye)
No full textAbstractRadon, a naturally occurring product of uranium decay, is the second leading cause of lung cancer. İzmir Province in western Türkiye, situated within the Aegean extensional regime, comprises complex fault-bounded basins that favor indoor radon accumulation. This study evaluates the spatial variability and geogenic controls of indoor radon to delineate radon-prone zones with public-health relevance. Indoor radon was measured in 79 dwellings distributed across major lithologies and structural settings; detectors were deployed in basements to capture soil-gas infiltration. Concentrations ranged from 12 to 366.5 Bq/m3 (mean 118 Bq/m3), exceeding the national average of 81 Bq/m3; 32 % of sites surpassed the EPA action level of 148 Bq/m3. Highest values cluster in Bornova, Buca, and Kemalpaşa, coincident with fault-controlled sedimentary basins and permeable units. Spatial mapping highlights the dominant influence of lithology and fault proximity on radon distribution and underscores the limitations of uniform, national-scale mitigation policies. We advocate targeted, geology-aware health policies and urban-planning measures for monitoring and mitigation in geogenically vulnerable districts. These findings contribute to medical geology by providing region-specific evidence of radon risk in one of Türkiye's most seismically active metropolitan areas. These outputs provide decision-ready evidence for monitoring, mitigation, and building-code updates in seismically active metropolitan settings.</div
