268 research outputs found
Evaluation of COVİD-19 pandemic management in Turkiye
No full textThree years since the first cases were identified and 2 years since an effective vaccine was developed, COVID-19 continues to claim lives and impact people's health and wellbeing, both socially and economically. While the world has been waiting for its leaders to come together to form a collective response to end the pandemic, we still have not seen a multisectoral response, nor any whole-of-society approach. Like many other countries around the globe, Turkiye was caught unprepared by the pandemic. This was exacerbated by the unsuccessful management of the pandemic by the authorities. The reasoning and/or scientific explanations for enforcing or lifting public health measures have never shared with the public. Throughout the pandemic, no epidemiological details have been released on cases and deaths, other than the numbers of these two measures. Civil society organizations, professional associations, and the public in general have been kept out from policy formulation and decision making. As a result, community engagement has never been properly put into practice. In this paper, we analyzed Turkiye's pandemic management response through the continuum of the response cycle to emergencies: prevention, preparedness, readiness, response, and recovery
Prevalence and associated risk factors of type 2 diabetes mellitus in Nilufer District, Bursa, Turkey
No full textThe objectives of this study were to determine the prevalence of diabetes mellitus in Nilufer District, Bursa, Turkey using standardized diagnostic criteria to investigate associated factors, and to determine the risk groups for a preventive public health program. This cross-sectional study was conducted in Nilufer Public Health Training and Research Area, Bursa Province in Turkey. The study population of 727 persons (382 women and 345 men) were selected by a random sampling method. The response rate was 80.6 %. According to the fasting blood glucose levels of the 727 subjects, 44 (6.1 %) were diabetic. In this study, the prevalence of known diabetes was 5.0 %, and the prevalence of previously undiagnosed diabetes was 1.1 %. The ratio of previously undiagnosed to known diabetes was 1:5. Multivariate logistic analyses showed that age (50 and over), family history of diabetes, hypertension and overweight (BMI > 25.0 kg/m2) were risk factors for type 2 diabetes (P < 0.05) in Nilufer District. A public health program in the district should be aimed primarily at these risk groups. The people in the risk groups should be registered and followed-up in a program aimed at preventing overt diabetes. The program can also provide efficient therapy if needed
İskender Pala'nın Romanlarında Yeni Tarihselciliğin İzleri
No full textİskender Pala, çağdaş Türk edebiyatının değerli yazarlarından biridir. Özellikle,
yazdığı tarihi romanlarla Türk tarihine ve edebiyatına önemli katkılar sağlamıştır. Bu
çalışmanın amacı, İskender Pala’nın romanlarında yer alan, Yeni Tarihselcilik ve
Postmodernizm ile alakalı olan tarihi yorumlamalarını tespit etmek ve yorumlamaktırİskender Pala is one of the precious author of the contemporary Turkish literature.
Especially, with his historical novels, he has made important contributions to Turkish
history and literature. The aim of this study is to determine and evaluate the historical
interpretations of İskender Pala, which take place in his novels and are related with New
Historicism and Postmodernism
Major practice in swine production at Excel farm, Barangay Pala-Pala, San Ildefonso, Bulacan
No full textA major farm practice program was conducted at Excel Farm Corporation in Barangay Pala-pala, San Ildefonso, Bulacan. Together which seven others from the University of the Philippines at Los Baños, the author stayed in the farm from April 17 to May 15, 1999.
The author and the others were oriented with the area, the equipment and facilities for the first few days. The group was given specific individual designations and the author was assigned to the breeding section. The author was tasked to be one of the caretakers to have a hands-on experience on the activities being undertaken in the farm. The author was transferred to different phases every week. For a month the author had the opportunity to observed and practice different production and management practices in different sections of the farm. The author also had a chance to observe the operations involved in the feed mill, marketing section, waste water treatment plant and in the main office were the records were kept and evaluated
All-cause excess mortality in 2020: The example of Bursa city in Turkey
No full textBackground: This study aimed to estimate excess all-cause mortality rates in Bursa Province in 2020. Methods: In this study, a retrospective descriptive analysis of the mortality rates in Bursa, Turkey's fourth biggest city, between 2015-2020 was conducted. The data were taken from Bursa Metropolitan Municipality death records. Daily mortality data were classified as age, gender, the date and cause of death (communicable or non-communicable disease). An Excel mortality calculator was used to analyze the data and calculate the excess mortality. Excess mortality was calculated with a 5-year death average. The excess mortality-expected death ratio (P-score) was calculated as a percentage difference between the average number of deaths in 2015-2019 and the number of deaths in the same period (week or month) of 2020. The Chi-square test was used for statistical analysis. Results: In 2020 in Bursa, crude excess mortality was calculated as 5390 (95% CI: 4525-6256) compared to the previous five years' average, and the P-score was 35%. Excess mortality decreased in the 0-14 age group in both genders and increased mainly in the 65+ age group. In 2020, 85.3% of the excess mortality was due to communicable diseases, and 4596 (95% CI: 4562-4631) people reported to die due to communicable diseases. Thus, deaths because of communicable diseases increased approximately 76 times in 2020 compared to the previous five years' average. Conclusion: Compared to the previous five years' average, the annual number of deaths in Bursa increased by approximately one-third in 2020, and most of the excess deaths were due to communicable diseases. For the use of revealing the actual burden of the COVID-19 pandemic on all-cause mortality, it is crucial to assess the extreme all-cause mortality
Mitogenomes from Two Uncommon Haplogroups Mark Late Glacial/Postglacial Expansions from the Near East and Neolithic Dispersals within Europe
No full textThe current human mitochondrial (mtDNA) phylogeny does not equally represent all human populations but is biased in favour of representatives originally from north and central Europe. This especially affects the phylogeny of some uncommon West Eurasian haplogroups, including I and W, whose southern European and Near Eastern components are very poorly represented, suggesting that extensive hidden phylogenetic substructure remains to be uncovered. This study expanded and re-analysed the available datasets of I and W complete mtDNA genomes, reaching a comprehensive 419 mitogenomes, and searched for precise correlations between the ages and geographical distributions of their numerous newly identified subclades with events of human dispersal which contributed to the genetic formation of modern Europeans. Our results showed that haplogroups I (within N1a1b) and W originated in the Near East during the Last Glacial Maximum or pre-warming period (the period of gradual warming between the end of the LGM, ~19 ky ago, and the beginning of the first main warming phase, ~15 ky ago) and, like the much more common haplogroups J and T, may have been involved in Late Glacial expansions starting from the Near East. Thus our data contribute to a better definition of the Late and postglacial re-peopling of Europe, providing further evidence for the scenario that major population expansions started after the Last Glacial Maximum but before Neolithic times, but also evidencing traces of diffusion events in several I and W subclades dating to the European Neolithic and restricted to Europe
The effect of house visits on hypertension control in the elderly: A study from Bursa, Turkey
No full textIntroduction: The aim of this study was to evaluate the effect of house visits on hypertension control in the elderly.Materials and Method: In Bursa, the Nilufer Public Health Training and Research Area conducts a follow-up program for the elderly. Nurses and midwives visit people over 65 years of age every six months, which is a new practice in Turkey. During these visits, they measure blood pressure and ask questions about their patients' health conditions. If the patients' blood pressure is high then they are referred to a physician. In that case, the patients are also re-visited by the nurse or midwife the following month to check whether they consulted a physician and to observe the current condition of the patients' health. Follow-up cards of elderly patients were analysed. People who were visited regularly every six months and who had four blood pressure measurements (1063 women and 713 men) were included.Results: The prevalence of women with normal blood pressure (normal, prehypertension or controlled) was 34.5% at the first visit and it increased to 46.4% at the fourth visit (p < 0.05). For men, the corresponding percentages were 41.4% and 54.4%, respectively (p < 0.05).Conclusion: In this study, there was a positive effect of house visits by public health nurses and midwives on hypertension management in the elderly
The effect of house visits on hypertension control in the elderly: A study from Bursa, Turkey
No full textIntroduction: The aim of this study was to evaluate the effect of house visits on hypertension control in the elderly.Materials and Method: In Bursa, the Nilufer Public Health Training and Research Area conducts a follow-up program for the elderly. Nurses and midwives visit people over 65 years of age every six months, which is a new practice in Turkey. During these visits, they measure blood pressure and ask questions about their patients' health conditions. If the patients' blood pressure is high then they are referred to a physician. In that case, the patients are also re-visited by the nurse or midwife the following month to check whether they consulted a physician and to observe the current condition of the patients' health. Follow-up cards of elderly patients were analysed. People who were visited regularly every six months and who had four blood pressure measurements (1063 women and 713 men) were included.Results: The prevalence of women with normal blood pressure (normal, prehypertension or controlled) was 34.5% at the first visit and it increased to 46.4% at the fourth visit (p < 0.05). For men, the corresponding percentages were 41.4% and 54.4%, respectively (p < 0.05).Conclusion: In this study, there was a positive effect of house visits by public health nurses and midwives on hypertension management in the elderly
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