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Objective: This study aimed to assess the association between women's platelet indices and bone mineral density to evaluate osteoporosis, which has a significant impact on quality of life throughout the postmenopausal age. Materials and Methods: The study was retrospectively designed, and data from 316 postmenopausal patients who applied to the obstetrics and gynecology outpatient clinic between January 2021 and January 2023, underwent bone mineral density measurements during follow-up, and met the inclusion and exclusion criteria were obtained. The data were evaluated in 3 groups as normal, osteopenia, and osteoporosis according to bone mineral density. Platelet indices, age, body mass index (BMI), and bone mineral density were compared with platelet indices in the hemogram results of the patients on the same day. Results: The mean ages of the osteoporosis, osteopenia, and normal groups were 61.4, 58.4, and 56.2 years, respectively. The mean weight was 72.9 kg in the osteoporosis group, 74.09 kg in the osteopenia group, and 79.4 kg in the normal group. When the groups were compared, no significant difference was observed between age, platelet count, platelet distribution width, mean platelet volume (MPV), platelet-large cell ratio, and thrombocytocrit but a significant difference was found between the osteoporosis and normal groups in terms of BMI (p=0.027). Conclusion: Although numerous studies in the literature have demonstrated a connection between osteoporosis and MPV and platelet count, our investigation revealed no such association and showed that the risk of osteoporosis decreased as BMI increased. [ABSTRACT FROM AUTHOR]

Objective: Excessive daytime sleepiness (EDS), a symptom of obstructive sleep apnea syndrome (OSAS), is an important cause of morbidity. It is frequently evaluated using the Epworth sleepiness scale (ESS) in clinical practice. This study was conducted to investigate the relationship between EDS and polysomnographic respiratory parameters in OSAS patients. Materials and Methods: The records of 274 adult patients who applied to our sleep and disorders unit between 2014 and 2016 and were polysomnographically diagnosed with OSAS were retrospectively reviewed. EDS was evaluated subjectively with ESS; OSAS patients were divided into two groups: those with EDS (ESS total score >10) and those without (ESS total score ≤10). Clinical and polysomnographic data were then compared between the study groups. Results: While there was no significant difference in terms of age, gender, and mean apnea durations (p>0.05) between the two groups with and without EDS, body mass index (BMI), apnea-hypopnea index (AHI), mean O2 desaturation was higher and minimum O2 saturation was lower (p<0.05) in the group with EDS. While there was no significant correlation between the ESS total score and age and mean apnea duration, there was a weak positive correlation between the ESS total score and BMI, AHI, mean O2 desaturation, hourly desaturation duration percentage, and desaturation depth; a very weak and negative significant correlation was found with minimum O2 saturation. Conclusion: EDS observed in OSAS is weakly related to standard polysomnographic respiratory parameters and composite respiratory indices, and it should be evaluated with other indicators of inflammation and oxidative stress caused by intermittent hypoxia. [ABSTRACT FROM AUTHOR]

Objective: Risky exposure of healthcare workers to blood and body fluids is one of the most critical global issues. This study aimed to determine the frequency, conditions, and interventions of risky contacts and provide guidance on infection control measures to enhance occupational safety. Methods: Healthcare workers' risky contact with blood and body fluids was investigated from January 2013 to December 2022. The contact tracking forms for blood and body fluid exposures in the Infection Control Committee (ICC) were retrospectively examined. Furthermore, the effects of the regulatory activities implemented by the ICC on the problems detected during the active surveillance of risky contacts and the effects of the COVID-19 pandemic during the monitoring process were evaluated. Results: During the ten-year follow-up period, a total of 700 risky contacts were identified in 625 healthcare workers, with 643 (91.9%) resulting from needlestick and sharp injuries and 57 (8.1%) from skin and mucosal contact. Of the risky contacts, 262 (37.4%) occurred in internal medicine units, 171 (24.4%) in surgical units, and 112 (16%) in the emergency department, making these the most common locations for risky contacts. The most frequently reported occupational groups were, respectively, 267 (38%) interns, 185 (26%) nurses, and 173 (25%) cleaning staff. When evaluating how risky contacts occurred, it was determined that 215 (30.7%) occurred during invasive procedures, 108 (15.4%) while recapping the needle, and 528 (75%) resulted from needlestick injuries. It was determined that 13% of risky contacts applied to the ICC after 72 hours, and 79% used appropriate personal protective equipment (PPE). The highest rate of PPE usage, at 93%, was observed in 2020, when the COVID-19 pandemic began. In 2013, it was observed that the most common risky contacts occurred during waste collection, and over the years, injuries during waste collection decreased with training. Although the source was unknown in 32% of risky contacts, a decrease in the rate of risky contacts with unknown sources was achieved over time. Out of 478 risky contacts with known sources, 71 (14.9%) occurred with patients infected with hepatitis B, 35 (7.3%) with hepatitis C, and seven (1.5%) with HIV. Ninety-six per cent of the nurses were exposed to risky contacts, 93% of interns, 87% of doctors, 56% of cleaning personnel, and 84% of other healthcare workers were immune to hepatitis B. After a one-year follow-up period with post-exposure prophylaxis, no healthcare worker developed hepatitis B or HIV infection, while one person was found to be anti-HCV positive. Conclusion: Needlestick-sharp object injuries remain a significant issue. All healthcare institutions must regularly monitor risky contacts with blood and bodily fluids, identify problems, develop targeted infection control measures, and plan periodic training. [ABSTRACT FROM AUTHOR]

Objective: Inborn errors of immunity (IEI), formerly known as primary immunodeficiencies, are a group of inherited diseases affecting different innate and adaptive immune system components. The most common finding in the heterogeneous group of patients with IEI is infections, which are associated with increased morbidity and mortality. This retrospective study aims to determine infections in a heterogeneous group of patients receiving immunoglobulin replacement therapy (IGRT). Methods: The medical records of the patients with IEI who received IGRT and were followed up in our clinic for the last five years were reviewed retrospectively. Results: In this study, including 45 patients diagnosed with IEI (55.6% male, average age 38.4±11.6 years), the most common subgroup was primary antibody deficiencies (40, 88.8%). The average age of diagnosis for patients was 26.8±14.8 years, with a median diagnostic delay of 6 years. Twenty (44.4%) of patients had bronchiectasis. All patients were receiving IGRT, with 82.2% using antimicrobial prophylaxis. Before diagnosis, the median annual number of infections was 4, which decreased to 1 post-treatment (p<0.001). Significant reductions in pneumonia and upper respiratory tract infection frequency were observed with IGRT compared to before the treatment (75.6% vs. 22.2%, p<0.001; 66.7% vs. 31.1%, p=0.003). Seventeen (37.8%) of patients were hospitalized due to infections during treatment. The rate of inactive influenza vaccination and the average body mass index (BMI) were significantly lower in patients with hospitalization than in those without hospitalization (20% vs 53.8%, p=0.034; 20.5 vs. 24.1 kg/m², p=0.019). Among those with bronchiectasis, the rate of pneumonia prior to diagnosis was significantly higher (95% vs. 60%, p=0.012). Lower BMI, the presence of bronchiectasis, and non-compliance with treatment were associated with more frequent infections under treatment. Conclusion: Many complications, especially infections, can be prevented by early diagnosis and treatment of IEI and increasing patient compliance with treatment. Therefore, increasing awareness of IEI both in society and among physicians from all specialties will enable patients to be diagnosed at an early stage and reduce hospitalization, mortality and morbidity. [ABSTRACT FROM AUTHOR]

Background: To evaluate thyroid functions, thyroid ultrasonography (USG) findings and to determine the frequency of autoimmune thyroiditis (Hashimoto thyroiditis) in patients with Turner syndrome (TS). Materials and Methods: 25 patients diagnosed with Turner syndrome (mean age 16.3±4.44 years) and 25 healthy girls (mean age 16.3±3.66 years) were included in the study as a control group. Both groups were evaluated in terms of clinical and cytogenetic features. Thyroid function tests (TFT), antithyroglobulin (anti TG) and thyroid peroxidase antibodies (anti TPO) for autoimmune thyroiditis, and thyroid USG examinations were performed in all children included in the study. Chi-square, Mann Whitney U, Wilcoxon Rank Sum and linear correlation tests were used to evaluate the test results. Results: As a result of the study, cytogenetic analysis of 25 patients diagnosed with TS revealed 45,X0 in 13 cases (52%); mosaicism was detected in the X chromosome in 9 (36%) cases, and structural anomaly in the X chromosome was detected in 3 (12%) cases. Seven (28%) of the patients with TS had thyroid pathology including TFT abnormality, autoantibody positivity, or abnormal USG findings. The presence of thyroid autoantibodies was significantly higher in the TS group (p = 0.03). Anti-TG and anti-TPO positivity was detected in 5 patients (20%). Only 1 of the TS patients in whom no antibodies were detected had hypothyroidism. In the control group, TFT was within normal limits. Hypothyroidism was statistically significantly higher in TS patients than in the control group (p<0.05). Three of the 5 patients with positive thyroid antibodies had lymphocytic thyroiditis findings on thyroid USG. The thyroid antibody positivity and pathological USG findings were evaluated with linear correlation, a significant relationship was detected between the two parameters (p <0.05). There was no significant statistical relationship between HT thyroiditis and karyotype (p>0.05). Conclusions: The 20% antithyroid antibody positivity rate obtained in our study supports the high frequency of autoimmune thyroiditis in TS. Thyroid antibody positivity and pathological USG findings are correlated. [ABSTRACT FROM AUTHOR]

Background: aim of this study was to investigate the long-term clinical, functional and oncologic outcomes of patients with aneurysmal bone cyst (ABC). It was also aimed to reveal the effect of treatment options on recurrence and complications. Materials and Methods: Patients who underwent surgical treatment and follow-up with the diagnosis of ACS between 2000 and January 2023 were included in the study. Data were collected retrospectively using the hospital database and patient follow- up files. Only patients with a histologically confirmed diagnosis of ABC and a minimum follow-up period of 12 months were included in the study. Data such as age, gender, side, bone location of the tumor, extremity localization, preferred surgical method (curettage+allograft, curettage+allograft, curettage+autograft, curettage+cement and resection), whether internal fixation was applied, follow-up period, presence of recurrence and date of recurrence were recorded. The last follow-up was performed with the MSTS (Musculoskeletal Tumor Society) scoring system in outpatient clinic controls. On the basis of these data, the clinical, radiological, functional and oncological outcomes of the patients, complication rates, presence of recurrence and factors affecting the occurrence of recurrence were retrospectively analyzed. Results: A total of 103 patients, 51 women and 52 men, were included in the study. The mean follow-up period was 30.94±4.43 months. Recurrence was seen in 24.3% (n=25) of the patients. The age of patients with recurrence was significantly higher than those without recurrence (p<0.001). There was a statistically significant correlation between recurrence and internal fixation (p=0.020). The MSTS scores of patients who underwent internal fixation during surgery were significantly higher than those of patients who did not undergo internal fixation (p<0.001). Conclusions: In conclusion, in line with the data obtained in our study, the choice of treatment for aneurysmal bone cysts depends on localization, size, pathological fracture risk, symptoms and surrounding tissues. We believe that more caution should be exercised in the surgical treatment of ACCs with fracture risk, lower extremity localizations, and patients with incomplete skeletal development. Prevention of recurrence and internal fixation in patients with fracture risk increase patient satisfaction and positively affect functional outcomes. [ABSTRACT FROM AUTHOR]

Objective: C-reactive protein (CRP) is an acute-phase protein that is widely used and can be elevated in many conditions that lead to acute inflammation, including infectious diseases. In this study, we aimed to determine the rate of presence of an infectious disease in patients who were consulted because of a high CRP level. Methods: Inpatients and outpatients consulted to the Infectious Diseases and Clinical Microbiology (IHCM) Clinic between January and March 2022 because of high CRP levels were included in the study. The anamnesis, physical examination, and laboratory findings of the patients were recorded, and the existence of an infectious disease was investigated. Results: 124 patients were referred for consultation during the study period. CRP levels of 6 (4.9%) patients were within average reference values; the remaining 118 patients were included in the study. Of the 118 patients, 54 (45%) had clinical complaints consistent with an infectious disease. A focus of infection was detected in only 49 (42%) patients. We found that there was a significant relationship between the presence of symptoms consistent with an infectious disease and the presence of a positive physical examination finding with the presence of an infectious focus (p<0.05) Conclusion: In this study, we determined that more than half of the patients for whom consultation was requested due to high CRP levels did not have an infectious disease. We think that unnecessary consultation burden can be avoided by detailed clinical evaluation of the patients before referring them for consultation by only looking at the CRP results. [ABSTRACT FROM AUTHOR]

Background: Hepatitis A virus is a self-limiting agent of acute viral hepatitis. It is responsible for 0.5% of viral hepatitis-related deaths worldwide. Hepatitis A is endemic in our country and its seroprevalence has been decreasing in recent years. Seroprevalence studies conducted on specific groups do not reflect the general population. This study aims to determine the seroprevalence of hepatitis A and to shed light on the need for hepatitis A vaccination. Materials and Methods: Patients who applied to primary health care institutions between 1 January 2019 and 31 December 2022 and for whom anti-HAV IgG and anti-HAV IgM tests were requested were included in the study. The data of the information management system of the Provincial Public Health Laboratory were evaluated retrospectively. Results: The number of cases analysed for anti-HAV IgM and anti-HAV IgG levels were 128,387 and 89,532 respectively. The number of anti-HAV IgM and anti-HAV IgG positive cases were 233 (0.18%) and 79,015 (88.25%), respectively. Of the 233 anti-HAV IgM positive cases, 41 (17.6%) were male and 192 (82.4%) were female. The incidence of acute hepatitis A infection in Gaziantep province was 0.18% and was highest in the 25-44 age group. In addition, there was a significant increase in the number of anti-HAV IgM positive cases in June 2021 and May, June, September and October 2022 compared to other months. Conclusions: Although hepatitis A infection has decreased in our country, it still remains a public health problem. The incidence of acute hepatitis A infection in Gaziantep province is 0.18%. This rate is higher than the incidence in our country. In our study, it was determined that acute hepatitis A infection poses a risk in adults. Therefore, seronegative adults should be vaccinated. In our opinion, hepatitis A vaccine should be included in the adult vaccination programme. [ABSTRACT FROM AUTHOR]

Copyright of ESTUDAM Public Health Journal is the property of ESTUDAM Public Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Fenerbahce University Journal of Health Sciences (FBU-JOSH) / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi is the property of Fenerbahce University Journal of Health Sciences (FBU-JOSH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: This study aimed to determine the measles seroprevalence and related factors in healthcare professionals working in units with a high risk of encountering measles cases in Dokuz Eylül University Hospital. Methods: This cross-sectional study was conducted between June 2018 and September 2019. The study population consisted of all healthcare professionals working as specialist doctors, trainee doctors, and nurses in Pediatric hospital, Adult Emergency, Family Medicine, Infectious Diseases, and Clinical Microbiology and Dermatology departments. Healthcare professionals who agreed to participate were interviewed face-to-face, including questions about independent variables such as gender, age, occupation, working unit, and history of disease. The dependent variable was the seropositivity/seronegativity status of the participants, which was determined according to the quantitative anti-Rubella IgG antibody levels measured by the ELISA method from serum samples. P< 0.05 was accepted as statistical significance. Results: During the study period, 326 out of 368 healthcare professionals in the units in question agreed to participate (88.5%). Of the participants, 79 (24.2%) were seronegative and 247 (75.8%) were seropositive. Seronegativity increased with decreasing age (p=0.036) when evaluated according to age groups. Seronegativity was 29.4% in the 20-29 age group, 19.2% in the 30-39 age group, and 10.7% in the 40-49 age group, while all participants aged 50 years and over were seropositive. Seropositivity was not affected by gender (p=0.260), occupation (p=0.364), or department (p=0.129). The study group's median anti-measles IgG antibody level was 654 IU/ml (65-5000 IU/ml). The median antibody level increased with increasing age (p<0.001). Conclusion: In our study, a significant proportion of healthcare professionals at risk for encountering measles were susceptible. [ABSTRACT FROM AUTHOR]

Copyright of ESTUDAM Public Health Journal is the property of ESTUDAM Public Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Non-specific neck pain is pain in the lateral and posterior of the neck that is not caused by any specific reason. The preferred sleeping position in individuals with neck pain may affect pain severity, disability, upper extremity function, and sleep quality. In this study, we aimed to examine the effects of sleep positions on the parameters of young individuals with nonspecific neck pain. Materials and Methods: The study was conducted with 91 (12 male, 79 female) university students aged 18-30 years with non-specific neck pain. Sleep positions were determined using sleep position images. Pain was assessed with the "Numerical Rating Scal", neck disability with the "Bournemouth Neck Questionnaire", upper extremity functionality with the "Upper Extremity Functional Index" and sleep quality with the "Pittsburgh Sleep Quality Index". Results: 60.4% of those who experienced neck pain also reported that they also experienced shoulder pain. With the sleeping position, there was no statistically significant relationship between neck pain severity, shoulder pain severity, neck disability, upper extremity function, and sleep quality (p<0.05). Conclusion: It was concluded that the sleep position preferred by young individuals with non-specific neck pain did not have a significant effect on pain severity, neck disability, upper extremity function, and sleep quality. [ABSTRACT FROM AUTHOR]

Objective: The COVID-19 pandemic has caused significant morbidity and mortality and has challenged health systems worldwide. Immunosuppression is considered a risk factor for development of severe COVID-19. In this study, we aimed to determine the factors affecting morbidity and mortality in immunocompromised patients diagnosed with COVID-19. Methods: In this retrospective, cross-sectional study, laboratory findings and outcomes of 340 COVID-19 patients with secondary immunosuppression in a university hospital in Turkey from March 2020 to April 2022 were analyzed according to the 28-day clinical outcomes. Mortality-related factors were investigated in 3 patient groups with different forms of immunodeficiency: 1) malignancy (hematologic/solid), 2) organ transplantation, and 3) rheumatological diseases. Results: 172 (51%) of the patients were female, and the mean age was 61±15 years. A total of 122 (35.8%) patients died during hospitalization. The mortality rate (73.4%) in patients admitted to the intensive care unit (ICU) was significantly higher than those not admitted (p<0.001). The highest laboratory median values of urea, lactate dehydrogenase (LDH), D-dimer, ferritin, C-reactive protein (CRP), and fibrinogen values were found to be significantly higher, and the first measurement lymphocyte value was found to be considerably lower compared to the surviving patients (p<0.001) in the 28-day follow-up, ICU admission increased the mortality risk 13.6 (p<0.001) times. Anticoagulant treatment (p=0.029) and nasal oxygen support (p<0.001) led to a decrease in the risk of mortality. Conclusion: Immunocompromised patients are at risk for serious COVID-19 complications. LDH, D-dimer, CRP, and lymphocyte values can be used as markers to evaluate survival, and standard treatment is essential in immunosuppressive COVID-19 patients. [ABSTRACT FROM AUTHOR]

Background and Design: Various lasers, mainly nanosecond Q-switched (QS), and picosecond lasers, have been successfully used to treat solar lentigines. However, picosecond lasers are expensive, and QS lasers have a higher risk of post-inflammatory hyperpigmentation (PIH) in darker skin types. The aim of our study is to examine retrospectively the efficacy and safety of long-pulsed alexandrite laser in the treatment of solar lentigines, compare our findings to previous studies with nano and pico-second lasers, and evaluate long-term outcomes regarding recurrence. Materials and Methods: We retrospectively analyzed 39 patients with a clinical diagnosis of solar lentigo treated by long pulsed alexandrite laser. Patients' photographs and clinical charts were reviewed in terms of demographic features, areas of treatment, number of sessions, laser settings, recurrence of lesions, Fitzpatrick's skin type, and any side effects observed. Results: The rate of improvement was excellent in 33 (84.6%), moderate in 4 (10.3%), and mild in 2 (5.1%) patients. Seven (17.9%) patients with Fitzpatrick's skin type III and IV developed PIH. Lesion recurrence was observed in 5 patients (12.8%). Mean time to recurrence was 57.98±4.45 months. Conclusion: Our study suggests that long pulsed alexandrite laser is an effective and safe option in the treatment of solar lentigines. [ABSTRACT FROM AUTHOR]

Background: The aim of this study is to determine the l evel of attitudes of medical students towards scientific researches. In the study, it was also examined whether there was a significant difference between students' attitudes towards researches according to their gender and grade levels. Materials and Methods: In this study, 110 placenta percreta patients who were delivered between January 2021 and January 2022 in the gynecology and obstetrics clinic of Harran University were included in the study. The patients were grouped according to the number of previous cesarean sections; Pregnant women's age, weeks of delivery, prepartum and postpartum blood transfusion needs, 1st and 5th minute APGAR scores of their babies, intraoperative and postoperative complications, length of hospital stay, and peripartum invasion status according to the status of performing preventive surgery/hysterectomy were retrospectively analyzed from the file records. Results: As the number of previous cesarean section increased, the hysterectomy status of the groups formed based on the number of cesarean sections was found to be statistically significant. However, it was determined that there was no significant difference between the groups in terms of age, weeks of birth, prepartum and postpartum blood transfusion needs, 1st and 5th minute APGAR scores of infants, intraoperative and postoperative complications, and hospital stay. Conclusions: The incidence of hysterectomy increases as the number of previous cesarean sections increases in patients with placenta percreta.This situation increases the morbidity of the patients.Surgeons experienced in peripartum hysterectomy and uterine devascularization maneuvers are needed to achieve optimal results when the diagnosis of placenta percreta is made [ABSTRACT FROM AUTHOR]

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Health Academics / Sağlık Akademisyenleri Dergisi is the property of Journal of Health Academics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Acute leukemias are the most common malignancy of childhood, and acute lymphoblastic leukemia (ALL) is the most common subtype. In this study; we aimed to asses to acute endocrine and metabolic complications which occurs during treatment. Newly diagnosed ALL patients were included in the study. Materials and Methods: The endocrine and metabolic complication of 293 patients aged 1-18 years old who were newly diagnosed ALL between January 2007 and December 2017 in Uludağ University Faculty, Department of Pediatric Hematology were analyzed. Patients' age, gender, risk groups, leukemia subtypes, and chemotherapy phases at the time of endocrine complications were noted. Results: In total, 250 patients were follow-up with B-ALL and 43 patients with T-ALL. 64% (n=188) of patients were male and 36% (n=105) were female. In our study, 36.4% of patients were in the high risk group but ten of the patients died before the risk group could be determined. During the two-year treatment, We found that 83% of the patients developed at least one endocrine complication. Hyperglycemia, osteoporosis and avascular necrosis were observed more frequently in patients older than 10 years at the time of diagnosis. The difference between the sexes was found only in vitamin D and was lower in girls. In regression analysis, only to be high risk group were found to be effective for the development of endocrine complications. Conclusion: Although the chemotherapeutics used today have prolonged the survival time, they have caused an increase in the incidence of complications. We think that these complications can be reduced by determining the risk factors in advance. [ABSTRACT FROM AUTHOR]

Objective: Human herpesvirus-8 (HHV-8) infection--also known as Kaposi sarcoma-associated herpesvirus (KSHV)--is the causative agent of Kaposi's sarcoma, especially in human immunodeficiency virus (HIV) / acquired immune deficiency syndrome (AIDS) patients. The prevalence of HHV-8/KSHV varies according to country and geographical region. However, despite the increasing amount of research on HHV-8/KSHV after identifying the virus, few studies have systematically collected data on the scientific production process. Therefore, this study aimed to make a bibliometric evaluation of the literature on HIV/AIDS-associated HHV-8/KSHV. Methods: Scientific publications produced in Turkey were analyzed using specific keywords of AIDS-related HHV-8/KSHV in the Scopus database between 2001 and 2020. Quantitative and qualitative analysis of the collected data was reviewed using appropriate bibliometric indicators regarding the number of publications, publication language, most influential institutions, most cited publications, active authors, and active journals. In addition, the VOSviewer v.1.6.16 program (Leiden University's Centre for Science and Technology Studies, Leiden, Holland) was used to create a keyword network map and determine research interest areas and relationships. Results: There were 40 scientific publications produced in Turkey. The first publication of AIDS-related HHV-8/KSHV in Turkey was in 2001 (n=5, 5%). Most studies were conducted in 2013 and 2020 (n=5, 12.5%). The highest number of publications were in English (82.5%), and 7.5% were published in the Journal of Microbiology Bulletin. Generally, the publications were in article form (82.5%) and in the area of medical sciences (95%). Kaposi's sarcoma was the most frequently used word in the map created with the network analysis of the keywords. Conclusion: The literature review shows that our study is the first bibliometric study on AIDS-related HHV-8/KSHV. Compared to worldwide publications in the study period, the publications from Turkey on the subject were observed to be late start and few. As a result, it has been concluded that new studies are essential in our country, where publications on AIDS-related HHV-8/KSHV are limited. [ABSTRACT FROM AUTHOR]

Objective: In this study serum tumor necrosis factor alpha (TNF-alpha), transforming growth factor beta (TGF-beta), interleukin-10 (IL-10) and alanine transferase (ALT) levels were measured in naive chronic hepatitis C patients and healthy control group. The relationship between the values and the histological activity of the liver was evaluated to make predictions about liver histology without the need for biopsy. Methods: A total of 86 individuals including 43 patients and 43 controls participated in the study. Serum AST, ALT, TNF-alpha, TGF-beta and IL-10 values were analyzed in patient and control groups. The correlation between liver fibrosis degree (stage) and histological activity index (HAI) scores and the IL-10, TNF-alpha, IL-10, TGF-BETA values of the case and control group was evaluated. Results: A very strong correlation was found between HAI and TNF-alpha (rho=0965). A significant relation was found between HAI and TGF-beta (rho=0.446) and statistical correlation was not found between HAI and IL-10. A significant relation was found between HAI and serum ALT values in the patient group. Conclusion: Liver biopsy is an invasive procedure with complications which may have severe results. There is a need for biochemical or radiological markers which extrapolate to liver biopsy. In our study, measurement of serum cytokine and ALT values was observed as a noninvasive method which can help to meet this need. [ABSTRACT FROM AUTHOR]

Objective: Osteoporosis (OP) is a skeletal disease characterized by decreased bone strength and increased fracture risk. Spinal cord injury (SCI) is accepted as a risk factor for OP. The aim of this study was to evaluate the OP knowledge and awareness level in patients with SCI. Materials and Methods: Seventy patients with SCI in the risk group for OP were included in the study. The clinical and demographic characteristics of the patients were evaluated. The OP knowledge and awareness level of the patients were evaluated with questions about OP knowledge and the osteoporosis awareness scale (OAS). Results: Fifty-three (75.7%) male and 17 female patients with a mean age of 40.8±16.5 (18-79) were included in the study. While 13 (18.6%) patients included in the study knew that they were in the risk group for OP, 57 (81.4%) had no information on this subject. There was a significant correlation between total OAS score and education level (r=0.537, p<0.001). No correlation was found between the OAS score and age and duration of disease. The total OAS score was found to be significantly higher in women (59.8±11.4 vs. 52.5±11.7) (p=0.031). Conclusion: It has been shown that patients with SCI have a low level of knowledge about OP. To reduce morbidity, mortality and treatment costs, more information should be given to ensure that patients in the risky group come to regular controls. [ABSTRACT FROM AUTHOR]

Copyright of Bosphorus Medical Journal / Boğaziçi Tıp Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: In this study, we aimed to investigate the demographic data and trauma mechanisms of pediatric patients aged 0-18 years who presented to our emergency department due to blunt abdominal trauma and developed solid organ damage. Materials and Methods: Demographic data, trauma mechanisms, and affected solid organs of 70 pediatric patients aged between 0-18 years old who were admitted to our emergency department due to blunt trauma between January 2017 and December 2020 were retrospectively analyzed. Results : Of the 70 children included in the study, 51 (72.9%) were male and 19 (27.1%) were female. Among the age groups, the 0-6 age group was the most exposed to trauma. The most frequent application time was 08:00-15:59. The most common cause of injury was falling from a height, followed by traffic accidents. While the number of applications increased in the summer months, this rate decreased in the winter months. The most frequently injured solid organ was the liver with 44.3%. The most common injury accompanying solid organ damage was thoracic injury with 18.5%. Conclusions: In child traumas, falls from a height and traffic accidents continue to be the most common traumas that cause solid organ damage. In the light of these data we have determined, we think that the trainings to be made and the protective measures to be taken will reduce these rates. [ABSTRACT FROM AUTHOR]

Background: It was aimed to evaluate the oncological outcomes in patients with primary Ta, high grade pathology, to determine possible risk factors for recurrence, and to show the effect of secondary TUR (re-TUR) on oncological outcomes. Materials and Methods: Data of patients who underwent TUR-BT in our clinic between January 2000 and December 2020 were retrospectively analyzed. Patients with pTa, high grade or G3 urothelial carcinoma were included. The demographic and histopathological data, development of relapse and progression and their duration time were scanned. The patients were divided into two groups, those with and without recurrence, and those with re-TUR or not. Comparison of categorical variables was done with Pearson chi-square test and Fisher's Exact test. In quantitative data, Student's t-test was used for normally distributed variables and Mann-Whitney U test was used for others. Type I error probability was accepted as α = 0.05 for all tests. Kaplan-Meier survival curves with 95% CI were used to determine the effect of re-TUR on bladder tumor recurrence. Results: Total of 63 patients were male (87.5%) among 72 patients. 21 patients had recurrence and 4 patients had progression at 25 months of followup. Recurrence occurred in 14 patients (66.7%) within the first year. The majority of recurrent pathologies were pTa (82%) bladder tumors. Radical cystectomy and urinary diversion were applied to one of 2 patients with muscle invasion, and multimodal therapy was applied to the other. Occupational chemical exposure was statistically significantly higher in the recurrent group (p = 0.001). There was no statistically significant difference in terms of recurrence-free survival between with and without re-TUR (p=0.432). Conclusions: This study demonstrated the negative effect of occupational chemical exposure on recurrence in highgrade pTa bladder cancers. Even 5 years after the first diagnosis, recurrence and progression can be observed. [ABSTRACT FROM AUTHOR]

Background: Health care workers are at occupational risk in terms of hepatitis B, hepatitis C and human immunodeficiency virus infections, which are transmitted as a result of sharp injuries. In this study, it is aimed to re-evaluate the precautions to be taken by examining the data on sharp injuries developed in health care workers in our hospital. Materials and Methods: The records in the notification forms kept by the Infection Control Committee were examined. Exposure to sharp injuries of healthcare workers who worked in our hospital between January 2015 and December 2021 was evaluated retrospectively. Data were reported as numbers and percentages. Results: A total of 143 health care workers with a mean age of 28.36±6.35 years had exposure to sharp injuries over a six-year period. The occupational group most exposed to injury was nurses (39.9%). Injuries were more common in clinical services (27.9%) and polyclinics (23.1%). The most common cause of injuries was the needle tip (61.7%) and the most frequently injured body part was the hand (76.9%). Percutaneous injuries were most common (67.1%) during the medical procedure. All injuries were superficial injuries. 73.4% of the healthcare workers used personal protective equipment during the incident. The source of 79.7% of injuries was known. Serological examination was performed in injuries of known origin. It was seen that 5.3% of them were positive for hepatitis B virus. Hepatitis B, C and human immunodeficiency virus positivity was not detected in any of the workers in the serological examination performed immediately after the injury. In the serological examinations performed for hepatitis B virus infection, it was observed that the health care workers who were injured were immune at a rate of 98.6%. Conclusions: In our study, most of the injuries were caused by needle tip injuries to nurses working in clinical services, which have a more intense workload compared to other departments. It was pleasing that the rates of vaccination against the hepatitis B virus were high. Encouraging the use of personal protective equipment and implementing the medical waste control regulation are important in terms of preventing infections that may result from sharp injury. [ABSTRACT FROM AUTHOR]

Background: Gout is an inflammatory disease characterized by acute arthritis attacks, which occurs as a result of the accumulation of monosodium urate crystals in the joints and tissues as a result of long-term hyperuricemia. In this study, demographic data and comorbid diseases of patients diagnosed with gout were investigated retrospectively. Materials and Methods: This study was performed retrospectively in Kahramanmaraş Necip Fazıl City Hospital Rheumatology Clinic between January 2020 and December 2021. Patients over the age of 18 who were diagnosed with gout according to the 2015 EULAR/ACR classification criteria were included in the study. Results: In totals, 110 patients who diagnosed gout were included, 77 of whom males (70%), 33 of whom females (30%).The mean age of the patients was 60.3. The most common joint involvement was observed in the first metatarsal and in 89 patients (80.9%). The most common comorbidity in patients with gout was Diabetes mellitus and evaluated in 77 patients (70%). The other comorbidities, Hypertension in 59 patients (53.6%), Chronic renal failure in 49 patients (44.5%), Hyperlipidemia in 42 patients (38.2%), coronary artery disease in 35 patients (31.8%), Cerebrovascular events was observed in two patients (1.8%). Mean laboratory parameters are as falloows: wbc: 8268, Hgb: 14.17 g / dl, uric acid: 7.79 mg / dl, sedimentation: 19.7 mm / hour, CRP: 8.5 mg / l, Urea: 41 mg / dl, creatinine :1.2mg/dl . As medical treatment, colchicine was used in 80 patients (72.7%), allopurinol was used in 104 patients (94.5%), and febuxostat was used in two patients (1.8%). The uric acid level was observed to be within the target value in 30 patients (27.3%) and not at the target value in 80 patients (72.7%). Conclusions: In this study, demographic data, comorbid diseases and medical treatment responses of gout patients were evaluated. These findings were found to be compatible with the literature. Diabetes mellitus, Hypertension, Coronary artery disease, Chronic renal failure, Obesity and diet are the main risk factors for the disease. Metabolic diseases should also be considered in the treatment of gout. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Archives of Lung is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Karya Journal of Health Science is the property of Karya Journal of Health Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Physical Medicine & Rehabilitation Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The aim of study was to determine the prevalence of postpartum urinary incontinence and the affecting factors in Şanlıurfa. Materials and Methods: The study was conducted in cross-sectional type. The population of the study consisted of women who gave birth within a year and received health services from Family Health Centers in central districts of Sanlıurfa. Cluster sampling method was used for the selection of the sample and the study was completed with 300 women. For the analysis of the data, descriptive statistics of percentage, mean and standard deviation were used together with Chi-square as a univariate analysis and Man Whitney- U test. Results: 40.3% of women had postpartum urinary incontinence (26.3% stress urinary incontinence, 24.7% urge urinary incontinence and 11.7% mixed urinary incontinence). Postpartum urinary incontinence was found to be more common among women who had not completed any educational level and were only literate with no social security, a median age more than 28, a history of miscarriage, a labor and birth process that lasted for more than 24 hours, a number of pregnancies, a complain of constipation and cough, and higher normal vaginal deliveries (p<0.05). Conclusions: According to the results of the study, it was found that the postpartum urinary incontinence level was high in the women, and socio-demographic, obstetric problems and chronic diseases that increase abdominal pressure led to higher rates of postpartum urinary incontinence. In line with these results, it is suggested to provide necessary training and counseling by health staff to inform, evaluate and support women for postpartum urinary incontinence symptoms, possible precautions, and treatment. [ABSTRACT FROM AUTHOR]

Background: Acute coronary syndrome (ACS) is the primary reason of death global. There is a special concern in identifying risk factors and underlying causes of ACS in young population. Genetic factors have currently become a popular study topic in terms of disease prevention and early diagnosis. In this study, we aimed to investigate the clinical importance of Monocyte Chemoattractant Protein-1(MCP-1) (A-2518G) and C-C chemokine receptor type 2 (CCR2) (G190A) gene polymorphisms in patients with young ACS. Materials and Methods: 63 patients with young ACS (<40 years), and 103 patients who have normal coronary arteries were included in this study. MCP-1(A-2518G) and CCR2(G190A) gene polymorphisms were measured in all patients. Results: Although MCP-1 gene polymorphism was significantly different between the patient and control groups in terms of genotype (p = 0.021), CCR2 gene polymorphism was found to be similar between the two groups. When the genotypic distribution frequency of the MCP-1 gene in the patient and control groups was examined; it was detected that the frequency of GG (12.7% vs. 3.7%) and AA (45.8% vs. 54%) was higher, whereas the frequency of AG (33.3% vs. 50.5%) was lower in the patient group. Conclusions: In this study, it was determined that the MCP-1 (A-2518G) GG genotype was high in the young patient with ACS and was associated with coronary artery risk. [ABSTRACT FROM AUTHOR]

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Nowadays, the use of computers has become widespread with technological developments, especially among children. Thus, this study aimed to examine the effects of children's computer game addiction on their chronotype sleep states. Materials and Methods: The research was conducted in 109 parents and children between January 1, 2020 and May 31, 2020, using the "child information form", "computer game addiction scale for children", and "children's chronotype questionnaire". Data were evaluated in a computer environment using percentage distribution, mean, t-test, and correlation. Results: Of children included in the study, 50.5% were females and the average age was 9.20±1.45 years. Additionally, 94.4% were in the risk group for computer game addiction; 2.8% had morning, 8.3% had intermediate, and 89% had evening type chronotype. There was a significant difference between mothers' working status and imagining the computer game and associating it with real-life subscale scores of the computer game scale, as well as between children spending time on the computer/tablet and skipping tasks due to computer game subscale scores of the computer game scale (p<0.05). A positive correlation was found between total sleep scores of children and some sub-dimensions and total scores of computer game addiction. Conclusion: Our study determined that most children had the evening type chronotype and they were in the risk group for computer game addiction. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to determine clinical characteristics, wound culture results and ulcer-related dermatological findings in patients with active venous ulcers. Materials and Methods: 28 patients with active venous ulcers were included in the study. Patient's data were analyzed retrospectively. Results: 89.2% of the patients were male and 75% were over 40 years old. Mean age was 53.89 ± 14.46. Secondary etiologic causes (71.5%) were in the first place. Anatomically, deep venous involvement (78.6%) was the most common. Postthrombotic syndrome was in 64.3% and isolated venous insufficiency in 35.7% of the patients. While 42.8% of the patients had ulcers for the first time, others (57.2%) had recurrent ulcers. The average ulcer duration was 3.08 ± 3.35 years. The average ulcer size was 6.3 x 8,4 cm2. Venous ulcer was on the left in 50%, on the right in 42.8% and on both extremities in 7.2% of the patients. Ulcer was frequently sole (89.2%). Ulcer was mostly located above medial malleolus (71.5%). The most common microorganisms grown in wound culture were pseudomonas aeruginosa (32.1%), proteus mirabilis (28.5%), escherchia coli (28.5%) and staphylococcus aureus (21.3%), respectively. Ulcer-related dermatological findings were lipodermatosclerosis (92.8%), hyperpigmentation (92.8%), edema (75%), eczematous stasis dermatitis (32.1%), corona phlebectatica (28.5%), lichenification (25%), phlebolymphedema (17.8%), cellulitis (17.8%), atrophie blanche (10.8%), autosensitization dermatitis (7.1%) and onychomycosis (21.3%). Conclusions: Active venous ulcer is clinically the last stage of chronic venous insufficiency. Venous ulcer treatment is difficult and recurrence is frequent. A multidisciplinary approach is required to achieve success in the treatment of venous ulcers. [ABSTRACT FROM AUTHOR]

Copyright of Karya Journal of Health Science is the property of Karya Journal of Health Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: This study aimed to improve healthy sleep habits among children aged 5-6 years through nursing interventions. Materials and Methods: This was a quasi-experimental study with a pretest-posttest design including a control group. The study was conducted in two preschool education institutions that were affiliated with the Ministry of National Health in Zonguldak city between February and May during the 2018-2019 academic year. Data were collected using a descriptive questionnaire form, health education scale for preschool children and healthy sleep habit development program for 5-6-year-old children. Results: Findings in the intervention group were as follows: mean sleep duration, 10.5±0.82 h; mean daytime sleep duration, 2.00±0.85 h; mean sleeping hours on weekdays, 21.28±0.75 h; mean sleeping hours on weekends, 22.20±0.75 h; number of nocturnal, 0.92±1.12. Findings in the control group were as follows: mean sleep duration, 9.84±0.73 h; mean daytime sleep duration, 2.02±0.44 h; mean sleeping hours on weekdays, 21.59±0.74 h; mean sleeping hours on weekends, 22.25±0.86 h; number of nocturnal awakenings, 1.25±0.55. A significant difference was found between pre-education and post-education scale scores in the intervention group (p=0.002), but no significant difference was found in the control group. Conclusion: Nursing interventions using a healthy sleep habit development program might be effective in developing healthy sleep habits among children aged 5-6 years. [ABSTRACT FROM AUTHOR]

Background: T Our aim in this study is to determine how lactate dehydrogenas levels are affected in RTPCR positive COVID-19 pneumonia. To investigate the value of this parameter in terms of biochemical parameters in RT-PCR positive patients and to propose new opinions on the subject. Materials and Methods: One hundred COVID-19 patients admitted to the hospital with positive RT-PCR test and above the age of 18 were included in our study. The data of the patients were collected retrospectively from the hospital system. RT-PCR positive patients were divided into two groups as those with COVID- 19 pneumonia and those without COVID-19 pneumonia. The obtained results were evaluated in the SPSS 25 program. Results: Of the 100 patients with positive RT-PCR test, 39 did not have COVID-19 pneumonia, 61 had COVID- 19 pneumonia. Lactate dehydrogenas levels of patients with COVID-19 pneumonia was significantly higher than lactate dehydrogenas levels of patients without COVID-19 pneumonia (198.91 ± 141.34, 194.18 ± 69.19, p = 0.001). Conclusions: As a result of this study, the idea that the lactate dehydrogenas levels of the patients at the time of first admission may be useful in predicting COVID-19 pneumonia in healthcare institutions without computed tomography and in patient groups where computed tomography scan is not recommended, and in healthcare institutions with computed tomography, lactate dehydrogenas value is high in COVID-19 patients, computed tomography screening made us think that it can give an idea about the decision. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Sports Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Surgical site infection (SSI) surveillance is time-consuming and hard. Identifying high-risk patients and focusing on these patients will be cost and time effective. This study aims to develop a model to identify high-risk patients for the development of SSI after hip replacement surgery and to estimate the utility of the model. Methods: Logistic regression model was created to determine the risk of SSI development using the National Health Service Associated Surveillance Network (USHİİSA) data. The stability of the model was tested using the Bootstrap resampling method. The individual probability of developing SSI was determined for each patient by using the model. The threshold probability to be used in distinguishing high-risk patients was found 1.2% by ROC analysis. For hospitals with different SSI rates and surveillance sensitivity, the utility of the model has been estimated by various parameters. Results: Female gender (OR:1.52; 95% CI:1.22-1.88), being over 65 years of age (OR:2.06; 95% CI:1.63-2.62), procedure duration longer than 75th percentile (OR:1.32; 95% CI:1.07-1.63), ASA score over 3 (OR:2.10; 95% CI:1.48-2.99), and surgery performed in a hospital other than a private hospital (p<0.001) were found to be independent risk factors for the development of SSI. When focusing on high-risk patients, as the rate of SSI of a hospital increases, the number of patients that need to be focused on detecting one more SSI decreased, and the number of additional SSIs increased. As the surveillance sensitivity of the hospitals decreases, the new rate obtained differs more from the old rate. Conclusions: Focusing on high-risk patients identified using the model caused to eliminate approximately half of the patients, thus saving labor and time. Using this model can be particularly beneficial for hospitals with a high SSI burden and low surveillance capacity. The model can be integrated into the national surveillance system so that highrisk patients can be prioritized. Modeling may be considered for the other surgeries. [ABSTRACT FROM AUTHOR]

Copyright of Karya Journal of Health Science is the property of Karya Journal of Health Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Physical Medicine & Rehabilitation Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)