113 research outputs found

    A tularemia outbreak in an extended family in Tokat Province, Turkey: observing the attack rate of tularemia

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    SummaryObjectiveWe report the first tularemia epidemic occurring in Tokat Province, located in the Middle Black Sea Region of Turkey, and some features of the cases. This epidemic has allowed the calculation of the attack rate of this disease because of its appearance in a single large family.MethodsThe clinical and laboratory features of patients were examined. For serological diagnosis, microagglutination assays were done on serum samples from patients and other members of the family.ResultsSeven members of the family developed overt clinical disease (one ulceroglandular, six oropharyngeal). Three patients had conjunctivitis in addition to oropharyngeal involvement. All patients had a microagglutination titer above 1/160. As eight out of 16 members of the extended family were found to be positive for tularemia serology, the attack rate was calculated to be 50%.ConclusionsTularemia is highly infectious and different clinical forms can occur in a single epidemic

    Understanding the relationship between new media literacy, communication skills, and democratic tendency: Model development and testing

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    BARUT TUGTEKIN, ESRA/0000-0003-0109-0581WOS: 000496058600001New media provides new sources of information and communication that are crucial for participatory behaviors. Therefore, scholars conceptualize new media literacy (NML) that citizens should have to function successfully in this digital era. This study proposed and tested a structural model that examines multiple relationships among NML, communication skills (CS), and democratic tendency (DT). Data were collected from 1047 Turkish university students and analyzed through structural equation modeling. Using a comprehensive theoretical framework from the literature, NML was operationalized through four factors: functional consuming (FC), critical consuming (CC), functional prosuming (FP), and critical prosuming (CP). the results showed that FC and FP had a positive effect on CC, CP, and CS; CC had a positive effect on CP and DT; and CS had a positive effect on CC and DT. Findings of indirect effects revealed that CC and CS played mediation roles in the relationship of FC and FP with DT.Turkish Council of Higher Education and Suleyman Demirel University (SDU) [OYP05740-YL-14]The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was produced from an academician training project funded by the Turkish Council of Higher Education and Suleyman Demirel University (SDU) under the grant number of OYP05740-YL-14. the authors thank these institutions for their financial support

    Journal of Management & Engineering Integration, v.16, no.1 (Summer)

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    Published in SOAR: Shocker Open Access Repository by Wichita State University Libraries Technical Services, October 2023.The US DOD Budget: Can it be Predicted? / Gordon W. Arbogast and Arpita Jadav -- Information Flow Theory: Circuit Network Approach / Abdurrezzak Sener, Mehmet Barut, M. Bayram Yildirim -- Large Scale Analytics for Workload Segmentation / Bing Hu and Nicholas Mason -- Service Quality Between Tourism and Pilgrimage: A Literature Review / Majid Alshaibi, Haitham Bahaitham, Ahmad Elshennawy -- U.S. Wildlife Strikes by Phase of Flight / Saleem Hassan S. Alhumaidi, Ibrahim Yousef N. Alruwaili, and Brooke E. Wheeler -- Unhelpful and Unaware of It: A Dyadic Analysis of Online Product Reviews / Scott D. Swain -- Internal and External Precursors to Favorable Adoption of Industry 4.0 Technologies / Andrew Couch and Nicholas Loy

    Healthcare Related Risk Factors Account for the Majority of HCV Transmissions in Middle Black Sea Region of Turkey: A Case-Control Study

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    Objective: This case-control study was designed to determine the risk factors for hepatitis C virus transmissions in Middle Black Sea Region of Turkey. Material and Methods: One hundred and ninety-three anti-HCV positive patients were eligible for the study and the number of patients in control group was 190. The individuals in each group were questioned for the factors having a possible role in transmission of hepatitis C virus. The data was evaluated statistically by Chi-square and logistic regression analysis. Results: Among cases, 78% of patients were females. There was no significant difference in terms of gender and average ages between two groups. Taking surgery, endoscopy, coronary angiography, number of the pregnancies and deliveries into consideration, no statistical difference was found between the case and control groups. However, logistic regression analysis revealed that the following risk factors were related to HCV infection: history of blood transfusion before year 1996 (Odd's Ratio (OR)= 4.5), uterine curettage and/or delivery in a hospital (OR= 2.4), hospitalization for more than one week (OR= 2.7) and previous dental care (OR= 1.8). Conclusion: Apart from blood transfusions, hospitalization and medical procedures like dental care, curettage or delivery in a hospital were important risk factors for hepatitis C infection in Tokat region. These risk factors should be eliminated with effective sterilization and disinfection strategies in order to prevent the spread of HCV

    Investigation of the relation between thrombocyte counts and serum transaminases in patients with Crimean Congo hemorrhagic fever

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    AbstractObjective:Fever, thrombocytopenia and transaminase elevation are consistent features of Crimean-Congo hemorrhagic fever (CCHF). This study which was done in a hyperendemic region for CCHF, was carried out to find the frequencies of elevated transaminases among CCHF patients with thrombocytopenia.Methods:Thrombocyte counts, aspartate aminotransferase (AST), alanine aminotransferase (ALT) test results on admission and follow-up of hospitalized CCHF patients were collected retrospectively.Results:When we assessed data on admission, all patients with thrombocyte ≤50,000/μL had elevated AST as well as all but one (98.1%) had elevated ALT levels. When the lowest thrombocyte count was taken into account, concordant AST, ALT levels of all patients with thrombocyte ≤50,000/μL were above normal.Conclusion:Conclusively, acute CCHF patients with thrombocyte &lt;50,000/μL should necessarily have elevated ASTs, ALTs.</jats:sec

    Serum ferritin levels in chronic hepatitis C patients during antiviral therapy and prediction of treatment response

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    Objective: Increased serum ferritin (SF) levels are encountered in various conditions, such as inflammatory syndromes and haemochromatosis. Interferon alpha is one of the stimulants of SF. In this study we aimed to evaluate SF changes in patients with chronic hepatitis C (CHC) during antiviral therapy, and the relationship between SF and treatment response. Methods: Data from a total of 97 patients who had received peginterferon (PEG-IFN) plus ribavirin combination therapy for CHC, and who had been followed up for more than 6 months after treatment, were analyzed retrospectively. Patients who had undetectable hepatitis C virus RNA at 6 months after the completion of antiviral therapy were regarded as having achieved a sustained viral response (SVR), while the remaining patients were categorized as non-SVR. Differences in SF levels during therapy between SVR patients and non-SVR patients were examined. Results: We found that patients who achieved SVR had lower baseline ferritin levels. It was observed that SF levels increased dramatically in both the SVR and non-SVR groups after starting therapy, remained high until the end of the treatment period, and returned to baseline levels after completion of treatment. However the SF rise was found to be significantly higher in patients who achieved an SVR than in those without SVR at each time-point during treatment. Conclusions: SF levels increase during PEG-IFN-based therapy for CHC. A lower SF level before starting treatment and higher SF levels during therapy appear to be associated with a favourable treatment response. Therefore, rises in SF, especially during the early phase of treatment, could be a predictor of SVR
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