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https://openalex.org/W2162603894 | The relationship between perceived discrimination and depressive symptoms among young Turkish-Dutch and Moroccan-Dutch | [
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] | https://api.openalex.org/works?filter=cites:W2162603894 | This study examines the associations between perceived discrimination and depressive symptoms among Turkish-Dutch and Moroccan-Dutch adolescents and young adults living in the Netherlands.We analysed cross-sectional data from a sample of 199 Turkish-Dutch and 153 Moroccan-Dutch respondents, aged 15-24 years, using multiple logistic regression analyses. Discrimination was measured on group level and personal level. Depression was measured by the Centre for Epidemiologic Studies-Depression Scale (CES-D).Respondents that experienced perceived discrimination on a personal level were more likely than those that experienced no perceived discrimination to have depression (OR = 3.21, 95% CI = 1.59-6.47). This association was larger for the Moroccan-Dutch (OR = 5.32, 95% CI = 1.75-16.16) compared with the Turkish-Dutch (OR = 2.76, 95% CI = 1.03-7.40). Analysis of separate group level discrimination items, measuring different domains, revealed an association between discrimination on school and depression for the Moroccan-Dutch (OR = 2.80, 95% CI = 1.16-6.78).Personal level perceived discrimination is associated with depressive symptoms among young minority group members with a Turkish or Moroccan cultural background. This indicates that discrimination is an important factor that should be taken into account in developing public health policies. | [
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https://openalex.org/W2239707418 | Neonatal outcomes of Syrian refugees delivered in a tertiary hospital in Ankara, Turkey | [
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https://openalex.org/W2586729406 | Global research trends of World Health Organization’s top eight emerging pathogens | [
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] | https://api.openalex.org/works?filter=cites:W2586729406 | On December 8th, 2015, World Health Organization published a priority list of eight pathogens expected to cause severe outbreaks in the near future. To better understand global research trends and characteristics of publications on these emerging pathogens, we carried out this bibliometric study hoping to contribute to global awareness and preparedness toward this topic.Scopus database was searched for the following pathogens/infectious diseases: Ebola, Marburg, Lassa, Rift valley, Crimean-Congo, Nipah, Middle Eastern Respiratory Syndrome (MERS), and Severe Respiratory Acute Syndrome (SARS). Retrieved articles were analyzed to obtain standard bibliometric indicators.A total of 8619 journal articles were retrieved. Authors from 154 different countries contributed to publishing these articles. Two peaks of publications, an early one for SARS and a late one for Ebola, were observed. Retrieved articles received a total of 221,606 citations with a mean ± standard deviation of 25.7 ± 65.4 citations per article and an h-index of 173. International collaboration was as high as 86.9%. The Centers for Disease Control and Prevention had the highest share (344; 5.0%) followed by the University of Hong Kong with 305 (4.5%). The top leading journal was Journal of Virology with 572 (6.6%) articles while Feldmann, Heinz R. was the most productive researcher with 197 (2.3%) articles. China ranked first on SARS, Turkey ranked first on Crimean-Congo fever, while the United States of America ranked first on the remaining six diseases. Of retrieved articles, 472 (5.5%) were on vaccine - related research with Ebola vaccine being most studied.Number of publications on studied pathogens showed sudden dramatic rise in the past two decades representing severe global outbreaks. Contribution of a large number of different countries and the relatively high h-index are indicative of how international collaboration can create common health agenda among distant different countries. | [
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|
https://openalex.org/W2034812005 | Cancer patterns among children of Turkish descent in Germany: A study at the German Childhood Cancer Registry | [
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] | https://api.openalex.org/works?filter=cites:W2034812005 | Cancer risks of migrants might differ from risks of the indigenous population due to differences in socioeconomic status, life style, or genetic factors. The aim of this study was to investigate cancer patterns among children of Turkish descent in Germany.We identified cases with Turkish names (as a proxy of Turkish descent) among the 37,259 cases of childhood cancer registered in the German Childhood Cancer Registry (GCCR) during 1980-2005. As it is not possible to obtain reference population data for children of Turkish descent, the distribution of cancer diagnoses was compared between cases of Turkish descent and all remaining (mainly German) cases in the registry, using proportional cancer incidence ratios (PCIRs).The overall distribution of cancer diagnoses was similar in the two groups. The PCIRs in three diagnosis groups were increased for cases of Turkish descent: acute non-lymphocytic leukaemia (PCIR 1.23; CI (95%) 1.02-1.47), Hodgkin's disease (1.34; 1.13-1.59) and Non-Hodgkin/Burkitt lymphoma (1.19; 1.02-1.39). Age, sex, and period of diagnosis showed no influence on the distribution of diagnoses.No major differences were found in cancer patterns among cases of Turkish descent compared to all other cases in the GCCR. Slightly higher proportions of systemic malignant diseases indicate that analytical studies involving migrants may help investigating the causes of such cancers. | [
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https://openalex.org/W2013927871 | Alcohol consumption and binge drinking in adolescents: comparison of different migration backgrounds and rural vs. urban residence - a representative study | [
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] | https://api.openalex.org/works?filter=cites:W2013927871 | Binge drinking is a constant problem behavior in adolescents across Europe. Epidemiological investigations have been reported. However, epidemiological data on alcohol consumption of adolescents with different migration backgrounds are rare. Furthermore representative data on rural-urban comparison concerning alcohol consumption and binge drinking are lacking. The aims of the study are the investigation of alcohol consumption patterns with respect to a) urban-rural differences and b) differences according to migration background.In the years 2007/2008, a representative written survey of N = 44,610 students in the 9th. grade of different school types in Germany was carried out (net sample). The return rate of questionnaires was 88% regarding all students whose teachers respectively school directors had agreed to participate in the study. Weighting factors were specified and used to make up for regional and school-type specific differences in return rates. 27.4% of the adolescents surveyed have a migration background, whereby the Turkish culture is the largest group followed by adolescents who emigrated from former Soviet Union states. The sample includes seven large cities (over 500,000 inhabitants) (12.2%), independent smaller cities ("urban districts") (19.0%) and rural areas ("rural districts") (68.8%).Life-time prevalence for alcohol consumption differs significantly between rural (93.7%) and urban areas (86.6% large cities; 89.1% smaller cities) with a higher prevalence in rural areas. The same accounts for 12-month prevalence for alcohol consumption. 57.3% of the rural, respectively 45.9% of the urban adolescents engaged in binge drinking in the 4 weeks prior to the survey. Students with migration background of the former Soviet Union showed mainly drinking behavior similar to that of German adolescents. Adolescents with Turkish roots had engaged in binge drinking in the last four weeks less frequently than adolescents of German descent (23.6% vs. 57.4%). However, in those adolescents who consumed alcohol in the last 4 weeks, binge drinking is very prominent across the cultural backgrounds.Binge drinking is a common problem behavior in German adolescents. Obviously adolescents with rural residence have fewer alternatives for engaging in interesting leisure activities than adolescents living in cities. This might be one reason for the more problematic consumption patterns there. Common expectations concerning drinking behavior of adolescents of certain cultural backgrounds ('migrants with Russian background drink more'/'migrants from Arabic respectively Oriental-Islamic countries drink less') are only partly affirmed. Possibly, the degree of acculturation to the permissive German alcohol culture plays a role here. | [
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https://openalex.org/W2075503641 | Cost of pneumococcal infections and cost-effectiveness analysis of pneumococcal vaccination at risk adults and elderly in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2075503641 | Pneumococcal infections have a substantial burden in Turkey, particularly in the elderly (> 60 years) and at-risk adults (18-59 years). VCR are low at approximately 2%. The first aim of this study was the evaluation of the burden of pneumococcal infections (pneumonia and bacteremia) from a public payer perspective in elderly and at-risk adults. The second aim was the evaluation of cost effectiveness of implementing a large PPV program in these populations. A decision tree model was employed using demographic and epidemiological input obtained from Turkish official sources and international literature. Vaccination was assumed to protect for 5 years with 60% and 50% effectiveness against BPP in elderly and at-risk adults respectively. Vaccination effectiveness of 21% against NBPP was assumed for both populations. Costs input were obtained from a previous study conducted between 2002 and 2008 in a public university hospital in Ankara, Turkey. Univariate sensitivity analyses and Monte-Carlo simulations were performed. The vaccination program was cost effective and cost saving compared to no vaccination, pneumococcal vaccination with 60% coverage led to a mean of 4,695 LYG in the elderly and 2,134 LYG in at-risk adults with 40% coverage. Mean incremental savings reached 45.4 million YTL in the elderly and 21.8 million YTL in at-risk adults. This analysis suggests that pneumococcal vaccination of elderly and at-risk adults is associated with a positive return on investment from a public payer perspective and supports the continued recommendation of pneumococcal vaccines, as well as their full funding in Turkey. | [
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https://openalex.org/W2156089192 | Translation of questionnaire increases the response rate in immigrants: Filling the language gap or feeling of inclusion? | [
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https://openalex.org/W2165067186 | Social support and postpartum depression in low-socioeconomic level postpartum women in Eastern Turkey | [
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https://openalex.org/W2093584632 | A Window of Opportunity for the Transformation of National Mental Health Policy in Turkey Following Two Major Earthquakes | [
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https://openalex.org/W1991448235 | Pregnancy outcomes and migration in Switzerland: results from a focus group study | [
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https://openalex.org/W1566906393 | Prevalence of sleep disorders in the Turkish adult population epidemiology of sleep study | [
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https://openalex.org/W2124879713 | Decomposing socioeconomic inequalities in self assessed health in Turkey | [
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https://openalex.org/W2230401965 | Turkey. Health system review. | [
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] | https://api.openalex.org/works?filter=cites:W2807177518 | Hepatitis B virus (HBV) infection is a global public health problem and it is also a major health concern of Turkey. The estimated number of HBV carriers in Turkey is about 3.3 million, with an overall HBV prevalence of 4.57%. Thus, both prevention and therapy of HBV-infected patients are urgent medical need of Turkey. A total of 1,533 among 37,637 patients who were examined at the Department of Gastroenterology, Ankara University School of Medicine were found to be hepatitis B surface antigen (HBsAg) positive (4%). Viral hepatitis treatment is fully reimbursed in Turkey through the national insurance system, which covers all residents across Turkey. How to cite this article: Özkan H. Epidemiology of Chronic Hepatitis B in Turkey. Euroasian J Hepato-Gastroenterol 2018;8(1):73-74. | [
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] | https://api.openalex.org/works?filter=cites:W2313074108 | This report was prepared by WHO within the framework of the Bloomberg Global Tobacco Control Initiative in collaboration with the Ministry of Health and the Tobacco and Alcohol Market Regulatory Authority in Turkey. It outlines the current state of tobacco-smoking in Turkey, including the health and social aspects, epidemiological data and economic, legal and political issues. Turkey, until recently one of the major tobacco-producing countries of the world, has made substantial progress in tobacco control in a short time. The initial efforts of the Ministry of Health in the late 1980s received an impetus when Turkey ratified the WHO Framework Convention for Tobacco Control in 2004. Law No. 4207 of 1996 was substantially amended in 2008 and thus became one of the most advanced tobacco control laws in the world. Even so, smoking is still a serious health problem in the country, with one tenth of all the disabilityadjusted life-years lost due to smoking. About one third of the population smokes, despite a slight decrease over the last 15 years. | [
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https://openalex.org/W2008120959 | Lung disease induced by drug addiction. | [
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] | https://api.openalex.org/works?filter=cites:W2008120959 | <h3>Objectives</h3> The aim of this study is to determine the factors that influence individuals’ exposure to tobacco smoke in Turkey according to their education level. <h3>Design</h3> Secondary data analysis. <h3>Participants</h3> Altogether, 17 084 individuals aged 15 and over were included in this study. <h3>Settings</h3> Data set of the Turkey Health Survey in 2019. <h3>Methods</h3> Binary logistic regression analysis was used to determine the factors associated with individuals’ exposure to tobacco smoke. <h3>Primary and secondary outcome measures</h3> The variables age, gender, marital status, general health status, employment status, receipt of psychosocial support and tobacco use were found to be correlated with exposure to tobacco smoke. <h3>Results</h3> The study determined that individuals who are illiterate/unschooled were exposed to tobacco smoke at a rate of 32.61%, primary school graduates at a rate of 34.32%, primary education graduates at a rate of 41.75%, high school graduates at a rate of 41.04% and university graduates at a rate of 40.34%. <h3>Conclusion</h3> As a result of the study, it is emphasised that men, young individuals, individuals with moderate and very good general health status, those who use tobacco, those who are unemployed and those who receive psychosocial support should be targeted. In addition, appropriate strategies for reducing secondhand smoke (SHS) exposure should be developed, taking into account public health strategies for increasing awareness of the adverse health effects of SHS exposure and the determinants of tobacco exposure according to the study. | [
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https://openalex.org/W1983506837 | Environmental correlates of crimean-congo haemorrhagic fever incidence in Bulgaria | [
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] | https://api.openalex.org/works?filter=cites:W2048867618 | Smoking during pregnancy has been associated with socioeconomic determinants and it is recognized as the most important preventable risk factor for an unsuccessful pregnancy outcome. Turkey has national data on the prevalance of smoking during pregnancy; however there is no data on the characteristics of the high-risk population. This is a field study that aims to identify socioeconomic determinants for smoking during pregnancy as well as differentiating the daily and occasional smokers.Cross sectional study was conducted among women with 0-5 year old children living in the area served by Primary Health Care Center (PHCC) in Burhaniye, Turkey. Face-to-face interviews were conducted by the researchers during January-March 2008 at the home of the participants with 83.7% response rate (n = 256). The relation of "smoking during pregnacy" and "daily smoking during pregnancy" with the independent variables was determined with chi2 tests. Women's age, educational level, number of previous births, place of origin, migration, partner's educational level, poverty, perceived income, social class were evaluated. Statistical significance was achieved when the p value was less than 0.05. The variables in relation with the dependent variables in the chi2 tests were included in the forward-stepwise logistic analysis.Prevalance of smoking during pregnancy was 22.7%. The majority (74.1%) were daily smokers. Young mothers (< 20), low educated women and migrants were at increased risk for smoking during pregnancy. Low education and being a migrant were risk factors for daily consumption (p < 0.05).Systematic attention should be paid to socioeconomic determinants in smoking for pregnant women, especially in countries like Turkey with high rates of infant and mother mortality and substantial health inequalities. Young mothers (< 20), low educated women and migrants are important groups to focus on. | [
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https://openalex.org/W2070962041 | The Role of Leadership in Creating Virtuous and Compassionate Organizations: Narratives of Benevolent Leadership in an Anatolian Tiger | [
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] | https://api.openalex.org/works?filter=cites:W2070962041 | This study explores the role and potential of benevolent leadership in creating virtuous and compassionate organizations. A number of small and medium enterprises in Turkey, also called “The Anatolian Tigers”, have been experimenting with new ways of incorporating care and compassion at work. The study uses narrative inquiry to explore how benevolent leadership enhances collective performance and wellbeing in Anatolian Tigers. The paper reviews and integrates four streams of research associated with creating common good in organizations: Spirituality, morality, positivity, and community, and links each of these elements to creating virtuous and compassionate organizations through narrative inquiry. The paper proposes that benevolent leadership can contribute to the long-term health and sustainability of organizations through its four elements: spiritual depth, ethical sensitivity, positive engagement, and community responsiveness. | [
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https://openalex.org/W3167407382 | Prevalence and Risk Factors of CoronaVac Side Effects: An Independent Cross-Sectional Study among Healthcare Workers in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W3167407382 | COVID-19 vaccine hesitancy is a serious threat to mass vaccination strategies that need to be accelerated currently in order to achieve a substantial level of community immunity. Independent (non-sponsored) studies have a great potential to enhance public confidence in vaccines and accelerate their uptake process.A nationwide cross-sectional study for the side effects (SE) of CoronaVac was carried out in February 2021 among Turkish healthcare workers who were recently vaccinated. The questionnaire inquired about local and systemic SEs that occurred in the short-term, within four weeks, following vaccination.A total of 780 healthcare workers were included in this study; 62.5% of them experienced at least one SE. Injection site pain (41.5%) was the most common local SE, while fatigue (23.6%), headache (18.7%), muscle pain (11.2%) and joint pain (5.9%) were the common systemic SEs. Female healthcare workers (67.9%) were significantly more affected by local and systemic SEs than male colleagues (51.4%). Younger age, previous infection, and compromised health status (chronic illnesses and regular medicines uptake) can be associated with an increased risk of CoronaVac SEs; Conclusions: The independent research shows a higher prevalence of CoronaVac SEs than what is reported by phase I-III clinical trials. In general, the results of this study confirm the overall safety of CoronaVac and suggest potential risk factors for its SEs. Gender-based differences and SEs distribution among age groups are worth further investigation. | [
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https://openalex.org/W2125587881 | Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey | [
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] | https://api.openalex.org/works?filter=cites:W2125587881 | Purpose: This study aimed to assess the attitudes of health professionals towards electronic health records (EHRs) in primary health care settings in Turkey.Methods: A survey was administered to 754 health professionals working in Family Health Centres (FHCs) in seven districts in Istanbul, Turkey. The survey was developed based on extensive literature review, and consisted of 33 statements rated on a five-point Likert-scale.Results: A total of 325 completed questionnaires were received, representing a 43% response rate, with 97% of respondents being satisfied with the EHR system in the FHCs. There were significant differences between health professional groups (physicians and nurses/midwives) in their perceptions of EHRs decreasing paper-based records, data security in EHRs, and costs of EHRs (p < 0.05). Narrative responses indicated ongoing needs in software development, further support of nursing documentation and training.Conclusions: Overall positive attitudes towards EHRs among primary care health professionals in Turkey suggest strong acceptance and use. Recommendations based on the findings include EHR technology refinements, improved clinical documentation using standardized terminologies, and health professional-informed EHR training. | [
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https://openalex.org/W2983551938 | Excess Mortality in Istanbul during Extreme Heat Waves between 2013 and 2017 | [
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] | https://api.openalex.org/works?filter=cites:W2160215361 | Despite compulsory health insurance in Europe, ethnic differences in access to health care exist. The objective of this study is to investigate how ethnic differences between Dutch and non-Dutch women with respect to late entry into antenatal care provided by community midwifes can be explained by need, predisposing and enabling factors. Data were obtained from the Generation R Study. The Generation R Study is a multi-ethnic population-based prospective cohort study conducted in the city of Rotterdam. In total, 2,093 pregnant women with a Dutch, Moroccan, Turkish, Cape Verdean, Antillean, Surinamese Creole and Surinamese Hindustani background were included in this study. We examined whether ethnic differences in late antenatal care entry could be explained by need, predisposing and enabling factors. Subsequently, logistic regression analysis was used to assess the independent role of explanatory variables in the timing of antenatal care entry. The main outcome measure was late entry into antenatal care (gestational age at first visit after 14 weeks). With the exception of Surinamese-Hindustani women, the percentage of mothers entering antenatal care late was higher in all non-Dutch compared to Dutch mothers. We could explain differences between Turkish (OR = 0.95, CI: 0.57–1.58), Cape Verdean (OR = 1.65. CI: 0.96–2.82) and Dutch women. Other differences diminished but remained significant (Moroccan: OR = 1,74, CI: 1.07–2.85; Dutch Antillean OR 1.80, CI: 1.04–3.13). We found that non-Dutch mothers were more likely to enter antenatal care later than Dutch mothers. Because we are unable to explain fully the differences regarding Moroccan, Surinamese-Creole and Antillean women, future research should focus on differences between 1st and 2nd generation migrants, as well as on language barriers that may hinder access to adequate information about the Dutch obstetric system. | [
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https://openalex.org/W2165995714 | Management of Abnormal Uterine Bleeding in Adolescents | [
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] | https://api.openalex.org/works?filter=cites:W2165995714 | Adolescence in girls is marked by a host of physical and psychological changes, including those associated with menstruation. Abnormal uterine bleeding (AUB) is one of the most commonly encountered medical problems in this transition from childhood to maturity. Although common, this problem is likely under-reported and population-derived prevalence rates are not well described for adolescents. Small studies, however, suggest that the problem transcends ethnic and geographic boundaries. In Nigeria, 12.1% of adolescents experienced heavy menstrual bleeding which affected their work or school performance. 1 Barr F. Brabin L. Agbaje S. et al. Reducing iron deficiency anaemia due to heavy menstrual blood loss in Nigerian rural adolescents. Public Health Nutr. 1998; 1: 249 Crossref PubMed Google Scholar In Hong Kong, 17.9% of girls at a mean age of 15 reported heavy menstrual bleeding. 2 Chan S. Yiu K. Yuen P. et al. Menstrual problems and health-seeking behaviour in Hong Kong Chinese girls. Hong Kong Med J. 2009; 15: 18 PubMed Google Scholar In Sweden, 37% of girls with an average age of 16.7 reported heavy menstruations. 3 Friberg B. Ornö A. Lindgren A. et al. Bleeding disorders among young women: a population-based prevalence study. Acta Obstet Gynecol. 2006; 85: 200 Crossref PubMed Scopus (96) Google Scholar Similar rates have been reported in Malaysia and Turkey. 4 Lee L.K. Chen P. Lee K.K. et al. Menstruation among adolescent girls in Malaysia: a cross-sectional school survey. Singapore Med J. 2006; 4: 869 Google Scholar , 5 Cakir M. Mungan I. Karakas T. et al. Menstrual pattern and common menstrual disorders among university students in Turkey. Pediatr Int. 2007; 49: 938 Crossref PubMed Scopus (84) Google Scholar | [
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] | https://api.openalex.org/works?filter=cites:W3113108318 | The COVID-19 pandemic has drastically reduced physical activity (PA) behaviors of many people. Physical education (PE) is considered one of the privileged instruments to promote youths’ PA. We aimed to investigate the effects of lockdown on PE teachers’ behaviors promoting their students’ out-of-school PA and differences between three European countries. A sample of 1146 PE teachers (59.5% females) from France, Italy, and Turkey answered an online questionnaire about guiding students to engage in out-of-school PA, helping them to set PA goals, encouraging in self-monitoring PA, the pedagogical formats of these behaviors and feedback asked to students. RM-MANCOVAs were performed with a two-time (before and during the lockdown), three country (France, Italy, Turkey), two gender factorial design, using teaching years and perceived health as covariates. A significant multivariate main effect time × country × gender (p < 0.001) was reported for the behaviors promoting students’ PA, with French and Italian teachers increasing some behaviors, while Turkish teachers showing opposite trends. Significant multivariate main effects time × country were found for formats supporting the behaviors (p < 0.001) and for asked feedback formats (p < 0.001). The massive contextual change imposed by lockdown caused different reactions in teachers from the three countries. Findings are informative for PA promotion and PE teachers’ education. | [
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] | https://api.openalex.org/works?filter=cites:W2068962268 | Non-Western migrant populations living in Western countries are more likely to be physically inactive during leisure time than host populations. It is argued that this difference will disappear as they acculturate to the culture of the host country. We explored whether this is also true for migrants who experience contextual barriers such as having children, living in a less attractive neighbourhood, or having occupational physical activity. Cross-sectional data were obtained from the LASER-study (2003–2004) on health related behaviours in first and second generation Turkish young people living in the Netherlands. For this study we included 485 Turkish participants aged 15–30 years, who participated in a structured interview during a home visit. Acculturation was indicated by level of 'cultural orientation towards the Dutch culture' and 'social contacts with ethnic Dutch' with persons being low oriented towards the Dutch culture and having few social contacts with ethnic Dutch as reference group. The measured barriers were 'having children', 'occupational physical activity' and 'living in a less attractive neighbourhood'. Logistic regression analyses were used to assess the associations between acculturation and physical activity during leisure time, stratified by these contextual barriers. Greater cultural and social integration was associated with increased physical activity during leisure time. Odds ratio's were 1.85 (CI: 1.19–2.85) for 'cultural orientation' and 1.77 (CI: 1.15–2.71) for 'social contacts with ethnic Dutch'. However, these associations were not present or less strong among people who had children, or who were living in a less attractive neighbourhood or who engaged in occupational physical activity. Physical activity during leisure time increased with greater acculturation, however, this relationship was found only among participants without children, living in a attractive neighbourhood and having no occupational activity. Interventions aimed at migrant populations should not only focus on the least integrated. Instead, effectiveness might be enhanced when interventions are sensitive to the contextual barriers that might inhibit physical activity behaviours during leisure time. | [
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https://openalex.org/W3082416570 | The Effect of COVID-19 Pandemic and Social Restrictions on Depression Rates and Maternal Attachment in Immediate Postpartum Women: a Preliminary Study | [
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https://openalex.org/W2030468616 | Cardiovascular risk factor trends in the Eastern Mediterranean region: evidence from four countries is alarming | [
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] | https://api.openalex.org/works?filter=cites:W3121058453 | Since December 2019, the COVID-19 pandemic has caused serious mental health challenges and consequently the Turkish population has been adversely affected by the virus. The present study examined how meaning in life related to loneliness and the degree to which religious coping strategies mediated these relations. Participants were a sample of 872 adults (242 males and 360 females) drawn from general public in Turkey. Data were collected using Meaning in Life Questionnaire, UCLA Loneliness Scale, and the Religious Coping Measure. Meaning in life was associated with more positive religious coping and less negative religious coping and loneliness. Positive religious coping was associated with less loneliness, while negative religious coping was associated with more loneliness. Religious coping strategies mediated the impact of meaning in life on loneliness. These findings suggest that greater meaning in life may link with lesser loneliness due to, in part, an increased level of positive religious coping strategies and a decreased level of negative coping strategies. | [
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https://openalex.org/W2026132918 | Community-based antenatal education in Istanbul, Turkey: effects on health behaviours | [
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] | https://api.openalex.org/works?filter=cites:W2026132918 | In this article we describe the implementation and evaluation of a community-based antenatal education programme for first-time expectant mothers carried out in ·Istanbul, Turkey, as part of the Healthy Beginnings Project. We hypothesized that women participating in an antenatal education programme would be more likely to have a vaginal birth, practice recommended maternal and infant health-related behaviours, and adopt a contraceptive method after the birth than a control group, even after statistically controlling for differences in background characteristics. Methods used to evaluate the antenatal education programme included pre- and post-tests with programme participants and a household survey with participants and a control group. All antenatal education course participants, as well as a control group composed of women giving birth to their first child at the same hospitals, were interviewed in their homes by a trained interviewer 2.5–3 months after the baby’s birth, starting in October 1998. Results of statistical analyses indicate that a community-based antenatal education programme, such as the one offered as part of The Healthy Beginnings Project in ·Istanbul, may increase the chance that women will adopt behaviours beneficial to health in the period following a birth. In particular, behaviours related to infant health (breastfeeding and infant check-up) and contraception appeared to be influenced by participation in the programme. In a developing country such as Turkey, with persistent maternal and child health problems, there is an urgent need to increase both demand for and quality of reproductive health services. Antenatal education is not the only answer, but it can be part of the answer. Reaching couples early in their reproductive lives may encourage them to adopt healthy behaviours and make use of available services during their reproductive years. | [
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https://openalex.org/W2074605386 | Using Intervention Mapping to develop a programme to prevent sexually transmittable infections, including HIV, among heterosexual migrant men | [
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] | https://api.openalex.org/works?filter=cites:W2074605386 | There is little experience with carefully developed interventions in the HIV/STI prevention field aimed at adult heterosexual target groups in the Netherlands. The ability to apply intervention development protocols, like Intervention Mapping, in daily practice outside of academia, is a matter of concern. An urgent need also exists for interventions aimed at the prevention of STI in migrant populations in the Netherlands. This article describes the theory and evidence based development of HIV/STI prevention interventions by the Municipal Public Health Service Rotterdam Area (MPHS), the Netherlands, for heterosexual migrant men with Surinamese, Dutch-Caribbean, Cape Verdean, Turkish and Moroccan backgrounds.First a needs assessment was carried out. Then, a literature review was done, key figures were interviewed and seven group discussions were held. Subsequently, the results were translated into specific objectives ("change objectives") and used in intervention development for two subgroups: men with an Afro-Caribbean background and unmarried men with a Turkish and Moroccan background. A matrix of change objectives was made for each subgroup and suitable theoretical methods and practical strategies were selected. Culturally-tailored interventions were designed and were pre-tested among the target groups.This development process resulted in two interventions for specific subgroups that were appreciated by both the target groups and the migrant prevention workers. The project took place in collaboration with a university center, which provided an opportunity to get expert advice at every step of the Intervention Mapping process. At relevant points of the development process, migrant health educators and target group members provided advice and feedback on the draft intervention materials.This intervention development project indicates that careful well-informed intervention development using Intervention Mapping is feasible in the daily practice of the MPHS, provided that sufficient time and expertise on this approach is available. Further research should test the effectiveness of these interventions. | [
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https://openalex.org/W2105423894 | Prevalence of allergic rhinitis among the adult population in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2105423894 | The prevalence of self-reported and physician-diagnosed allergic rhinitis (AR) exhibits significant variability across the seven geographical regions in Turkey. Our findings may contribute to the formulation of public health policy and development of preventive and therapeutic strategies for AR in Turkey.The purpose of this study was to assess the prevalence of AR in the Turkish adult population, with emphasis on descriptive parameters in seven distinct geographical regions in Turkey.The volunteers were evaluated with a custom-designed questionnaire for AR. Sample size for the study was calculated by allowing for 2% error in prevalence along with a 95% confidence interval (CI). At the end of the study, we reached 4125 volunteers. The data were analyzed with chi(2), ANOVA, and Tukey (post hoc) tests.A total of 4125 volunteers participated in the study; 2200 were female and 1925 were male. On the basis of self-reporting, 23.1% of the study population was considered to have AR (males 22.3%, females 23.8%). On the other hand, the prevalence of physician-diagnosed AR was 20.1% (males 19.7%, females 20.4%). The prevalence of self-reported AR was 23.8% in the urban and 18.4% in the rural areas. | [
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https://openalex.org/W2035326305 | Depression in Turkey in the 1980s: Epidemiological and Clinical Approaches | [
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] | [
"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W2035326305 | Summary: A review is presented of knowledge about the following issues in Turkey: prevalence of depression, suicidal attempts and suicide, clinical picture of depression, and etiological factors responsible for causing depression. Epidemiological studies of depression are reviewed and their results are discussed in detail, with special emphasis on conclusions with valid generalizations. As in almost all countries, depression, though exhibiting some differences clinically, is a major public health problem in Turkey. The point prevalence rate for depressive symptoms is nearly 20% and clinical depression has a rate of ×10%. Besides, about one-third of depressive patients are chronically ill. Specific risk groups for depression by various sociodemographic characteristics include women, widowed persons aged 40 years and over, close relatives of depressive persons, and members of lower socio-economic classes. An increase in the prevalence rates of depression in Turkey is expected due to changes in public attitudes, which do not consider depression a medical disorder at present; increase in life expectancy; rapid changes in socio-economic, cultural environments; and in family structures and lifestyles. | [
{
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|
https://openalex.org/W2089723741 | Epidemiology of snakebites in Europe: A systematic review of the literature | [
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] | https://api.openalex.org/works?filter=cites:W2089723741 | Snakebites are rare medical emergency cases in Europe but may sometimes be severe and lead to complications. A better knowledge of snakebite epidemiology may help health authorities to better understand therapeutic requirements, especially concerning antivenoms, and thus improve treatment of snakebite. An extensive literature search for studies and articles published between 1970 and 2010 was performed. Both indexed and non-indexed articles were examined, the analysis of which took into account the heterogeneity between the studies and weighted the studies according to size of the study population covered. Most of the articles involved hospitalized patients who represented more than 90% of snakebites. Incidence, mortality and population at risk were estimated after stratification into three regions (northern, central and southern Europe) based both on viper species distribution and climatic characteristics. There was no significant variation in incidence from the north to the south of Europe. In the whole of Europe, including European Russia and Turkey, the annual number of snakebite cases was estimated at 7992 [CI 95% = 6860-9178] bites, out of which approximately 15% were considered severe (grade 3). These bites usually occurred between May and September, with a more dispersed distribution in southern Europe. The average number of deaths per annum was 4 [0.7-7.7]. Children and male victims are more affected, contrary to what one would expect given their respective proportion in the entire population. Both upper and lower limb bites were recorded at an equal frequency while the bites in other parts of the body were very rare. Immunotherapy was prescribed in one out of three snakebites in Europe, with a very high geographical variability, in spite of excellent tolerance, at least considering highly-purified immunoglobulin fragments. Snakebites are uncommon in Europe but can cause life-threatening envenomation. Fragments of highly-purified immunoglobulins are now very well tolerated and dramatically reduce both severity and mortality of snakebites when used in treatment. | [
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https://openalex.org/W2317634428 | The Score for Allergic Rhinitis Study in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2317634428 | Background The clinical definition of allergic rhinitis (AR) is difficult to use in epidemiological settings of large populations where it is impossible to obtain the laboratory evidence of each immune response. However, the standardization of the definition of AR in epidemiological studies is of crucial importance. This study was designed to estimate the prevalence of AR in an adult general population with respect to seven distinct geographical regions in Turkey. Methods Individuals were evaluated with the Score for Allergic Rhinitis (SFAR) questionnaire for a national cross-sectional study. The Turkish version of the SFAR questionnaire was tested for clarity and sensitivity in a small sample of the general population. Results Among the 3967 interviewed subjects, the overall prevalence of AR was 29.6%, with regional variations (from 21.0% in the southeastern Anatolia region to 36.1% in the Marmara region). The prevalence was higher in women and in urban area of residence. Conclusion This national survey confirmed the elevated prevalence of AR in Turkey. Our findings may contribute to the formulation of the public health policy and development of preventive and therapeutic strategies for AR in eastern Europe. | [
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https://openalex.org/W2124497754 | The training needs of Turkish emergency department personnel regarding intimate partner violence | [
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] | https://api.openalex.org/works?filter=cites:W2124497754 | Violence against females is a widespread public health problem in Turkey and the lifetime prevalence of IPV ranges between 34 and 58.7%. Health care workers (HCW) sometimes have the unique opportunity and obligation to identify, treat, and educate females who are abused. The objective of this study was to evaluate the knowledge, attitudes, and experiences of the emergency department (ED) staff regarding intimate partner violence (IPV) at a large university hospital in Turkey. A cross-sectional study was conducted in a large university hospital via questionnaire. The study population consisted of all the nurses and physicians who worked in the ED during a two month period (n = 215). The questionnaire response rate was 80.5% (41 nurses and 132 physicians). The main domains of the questionnaire were knowledge regarding the definition of IPV, clinical findings in victims of IPV, legal aspects of IPV, attitudes towards IPV, knowledge about the characteristics of IPV victims and abusers, and professional and personal experiences and training with respect to IPV. One-half of the study group were females, 76.3% were physicians, and 89.8% had no training on IPV. The majority of the nurses (89.5%) and physicians (71.1%) declared that they were aware of the clinical appearance of IPV. The mean of the knowledge scores on clinical knowledge were 8.84 ± 1.73 (range, 0–10) for acute conditions, and 4.51 ± 3.32 for chronic conditions. The mean of the knowledge score on legal procedures and the legal rights of the victims was 4.33 ± 1.66 (range, 0–7). At least one reason to justify physical violence was accepted by 69.0% of females and 84.7% of males, but more males than females tended to justify violence (chi square = 5.96; p = 0.015). However, both genders accepted that females who experienced physical violence should seek professional medical help. The study participants' knowledge about IPV was rather low and a training program is thus necessary on this issue. Attention must be given to the legal aspects and clinical manifestations of IPV. The training program should also include a module on gender roles in order to improve the attitudes towards IPV. | [
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https://openalex.org/W2059506198 | Migration, acculturation and utilization of primary health care | [
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] | https://api.openalex.org/works?filter=cites:W2059506198 | This study explored the roles of acculturation, urban-rural provenance and length of residence as determinants of the utilization pattern of first line health services by Moroccan, Turkish and Italian migrants in Belgium. Concurrently, utilization characteristics were recorded in Belgian reference patients. With increasing acculturation the demand for preventive care decreased, vague complaints became more prevalent, the delay before consulting for a curative problem shortened and the prognosis improved. There was no correlation between the occurrence of psychological problems and acculturation but, except for 15-44 year old female migrants, the rate of social problems was negatively associated with this study factor. Migrants with an urban background consulted earlier and presented more frequently vague complaints than migrants from rural provenance. We observed no significant influence of length of residence on utilization characteristics and only a marginal influence on morbidity pattern. Although acculturation seems to be a strong determinant of the migrant's utilization pattern of primary health care services, it does not consistently lead to a decrease of utilization differentials with the Belgian reference population. This may imply that there is a need for public health interventions targeted at ethnic minorities. | [
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https://openalex.org/W1994303550 | Fallout from the Chernobyl Nuclear Disaster and Congenital Malformations in Europe | [
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] | https://api.openalex.org/works?filter=cites:W1994303550 | Investigators estimate that the population exposure that resulted from the Chernobyl fallout is in the range of natural background radiation for most European countries. Given current radiobiologic knowledge, health effects-if any-would not be measurable with epidemiologic tools. In several independent reports, however, researchers have described isolated peaks in the prevalence of congenital malformations in the cohort conceived immediately after onset of the fallout. The consistency of the time pattern and the specific types of malformation raise concern about their significance. In this study, the author summarizes findings from Turkey, Belarus, Croatia, Finland, Germany, and other countries, and implications for radiation protection and public health issues are discussed. | [
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|
https://openalex.org/W2955034566 | Assessment of the health needs of Syrian refugees in Lebanon and Syria’s neighboring countries | [
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] | https://api.openalex.org/works?filter=cites:W2955034566 | Health needs of displaced Syrians in refugee hosting countries have become increasingly complex in light of the protracted Syrian conflict. The primary aim of this study was to identify the primary health needs of displaced Syrians in Iraq, Jordan, Lebanon, Turkey, and Syria. A systematic review was performed using 6 electronic databases, and multiple grey literature sources. Title, abstract, and full text screening were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The target population was Syrian individuals displaced due to conflict in Syria and its neighboring countries. The outcomes of interest were health needs (i.e. health problems that can be addressed by health services), gaps in health services, training, and workforce. Studies on mixed refugee populations and Syrians displaced prior to the conflict were excluded. The Lebanon-specific results of the review were validated through two stakeholder roundtable discussions conducted with representatives from primary healthcare centers, non-governmental organizations and humanitarian aid agencies. A total of 63 articles were included in the analysis. Mental health and women’s health were identified as the greatest health needs in the region. The most common health problems were Non-communicable diseases in Jordan, women’s health in Lebanon and mental health in Turkey. Studies addressing gaps in services found the highest gap in general healthcare services, followed by women’s health, mental health, and vaccinations. Sub-optimal training and availability of health workers was also noted particularly in Syria. Results from the stakeholders’ discussions in Lebanon showed communicable diseases, women’s health and mental health as the main health needs of Syrian refugees in Lebanon. Reported barriers to accessing health services included geographical barriers and lack of necessary awareness and education. There is a need for an enhanced synchronized approach in Syria’s refugee hosting neighboring countries to reduce the existing gaps in responding to the needs of Syrian refugees, especially in regards to women’s health, mental health, and communicable diseases. This mainly includes training of healthcare workers to ensure a skilled workforce and community-based efforts to overcome barriers to access, including lack of knowledge and awareness about highly prevalent health conditions. | [
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|
https://openalex.org/W2916165851 | Mapping of carbon monoxide related death risk in Turkey: a ten-year analysis based on news agency records | [
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{
"display_name": "Carbon monoxide poisoning",
"id": "https://openalex.org/C2781119925"
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{
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"id": "https://openalex.org/C161189084"
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{
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{
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{
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{
"display_name": "Cause of death",
"id": "https://openalex.org/C29374701"
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{
"display_name": "Injury prevention",
"id": "https://openalex.org/C190385971"
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{
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"id": "https://openalex.org/C187155963"
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{
"display_name": "Biostatistics",
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{
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"id": "https://openalex.org/C107130276"
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{
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{
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{
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Archaeology",
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{
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{
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{
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"id": "https://openalex.org/C126322002"
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] | [
"Turkey"
] | [
"https://openalex.org/W53883676",
"https://openalex.org/W1504489733",
"https://openalex.org/W1907247371",
"https://openalex.org/W1934101734",
"https://openalex.org/W1970940628",
"https://openalex.org/W1993009282",
"https://openalex.org/W2028952115",
"https://openalex.org/W2029079492",
"https://openalex.org/W2043665050",
"https://openalex.org/W2108997493",
"https://openalex.org/W2116943503",
"https://openalex.org/W2143376749",
"https://openalex.org/W2152561696",
"https://openalex.org/W2155684782",
"https://openalex.org/W2748914801",
"https://openalex.org/W4245020396"
] | https://api.openalex.org/works?filter=cites:W2916165851 | Carbon-monoxide (CO) poisoning is a substantial cause of preventable mortality. In Turkey, no nationwide data are being collected nowadays. In our study, we aimed to assess the trend in deaths related to CO exposure in all provinces of Turkey in a 10-year period by using the records of a news agency which collects the news from the majority of the national newspapers, local newspapers and television channels. In this study, 27,881 news items that were released between January 2008 to December 2017 which included keywords of “poisoning” and “death” or “carbon monoxide” and “death” were evaluated. 2667 non-fire related deaths were used in the final analyses. In a 10-year period, the risk of CO-related death in Turkey was 0.35/100000. 1371 (51.4%) of the victims were male and the median age of the patients was 45 years (range, 15 days-108 years). Most of the deaths occurred ≥50 years of age. Stoves were the predominant source [n = 2096 (78.6%)]. There was a stagnating trend of CO-related deaths. Most of the incidents occurred in winter. The Middle Anatolian region was of the highest risk in CO-related mortality. In conclusion, CO poisoning is still a considerable public health concern in Turkey. Results of our study showed that stoves are still frequently being used and are the cause of death especially in rural areas with lower socioeconomic status. A better organized, nationwide surveillance and management approaches are needed to demonstrate the true burden CO related morbidity and mortality as well as its prevention in Turkey. | [
{
"display_name": "BMC Public Health",
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{
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{
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"id": "https://openalex.org/S4306400806",
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{
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{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
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] |
|
https://openalex.org/W3040839044 | The knowledge level and perceptions toward COVID-19 among Turkish final year medical students | [
{
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{
"country": "Turkey",
"display_name": "Ondokuz Mayıs University",
"id": "https://openalex.org/I227306068",
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"display_name": "Fatih Çalışkan",
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{
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{
"country": "Turkey",
"display_name": "Ondokuz Mayıs University",
"id": "https://openalex.org/I227306068",
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"display_name": "Özlem Mıdık",
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{
"affiliations": [
{
"country": "Turkey",
"display_name": "Erciyes University",
"id": "https://openalex.org/I87673952",
"lat": 38.73222,
"long": 35.48528,
"type": "education"
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],
"display_name": "Zeynep Baykan",
"id": "https://openalex.org/A5058002347"
},
{
"affiliations": [
{
"country": "Turkey",
"display_name": "Akdeniz University",
"id": "https://openalex.org/I197907453",
"lat": 36.90812,
"long": 30.69556,
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],
"display_name": "Yeşim Şenol",
"id": "https://openalex.org/A5039781152"
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{
"affiliations": [
{
"country": "Turkey",
"display_name": "Atatürk University",
"id": "https://openalex.org/I64134780",
"lat": 39.90861,
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"display_name": "Esra Çınar Tanrıverdi",
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{
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{
"country": "Turkey",
"display_name": "Izmir Kâtip Çelebi University",
"id": "https://openalex.org/I250383648",
"lat": 38.48573,
"long": 27.080524,
"type": "education"
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],
"display_name": "Funda İfakat Tengiz",
"id": "https://openalex.org/A5074360853"
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{
"affiliations": [
{
"country": "Turkey",
"display_name": "Trakya University",
"id": "https://openalex.org/I12387023",
"lat": 41.67719,
"long": 26.55597,
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],
"display_name": "Albena Gayef",
"id": "https://openalex.org/A5011264453"
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] | [
{
"display_name": "Turkish",
"id": "https://openalex.org/C2781121862"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Pandemic",
"id": "https://openalex.org/C89623803"
},
{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
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{
"display_name": "Perception",
"id": "https://openalex.org/C26760741"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "2019-20 coronavirus outbreak",
"id": "https://openalex.org/C3006700255"
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{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
},
{
"display_name": "Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)",
"id": "https://openalex.org/C3007834351"
},
{
"display_name": "Knowledge level",
"id": "https://openalex.org/C2776291881"
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{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Infectious disease (medical specialty)",
"id": "https://openalex.org/C524204448"
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{
"display_name": "Virology",
"id": "https://openalex.org/C159047783"
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{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
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{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
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{
"display_name": "Linguistics",
"id": "https://openalex.org/C41895202"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Neuroscience",
"id": "https://openalex.org/C169760540"
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{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Artificial intelligence",
"id": "https://openalex.org/C154945302"
},
{
"display_name": "Outbreak",
"id": "https://openalex.org/C116675565"
},
{
"display_name": "Computer science",
"id": "https://openalex.org/C41008148"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
}
] | [
"Turkey"
] | [
"https://openalex.org/W1987455789",
"https://openalex.org/W2016306293",
"https://openalex.org/W2165454356",
"https://openalex.org/W2809772825",
"https://openalex.org/W3005969859",
"https://openalex.org/W3008443627",
"https://openalex.org/W3011127849",
"https://openalex.org/W3012188173",
"https://openalex.org/W3013830439",
"https://openalex.org/W3015456395",
"https://openalex.org/W3015828277",
"https://openalex.org/W3016048745",
"https://openalex.org/W3031745084",
"https://openalex.org/W3035011439",
"https://openalex.org/W4206572066",
"https://openalex.org/W4322700959"
] | https://api.openalex.org/works?filter=cites:W3040839044 | Background Coronavirus disease 2019 (COVID-19) has upended medical education as well as the lives of healthcare professionals. Higher education institutions have a crucial role in the solution of public health problems by training young doctor candidates, and it is also essential to increase the knowledge level of physician candidates about the epidemic. So, in this study, we aimed to examine Turkish final year medical students’ knowledge level and perceptions toward the COVID-19 pandemic. | [
{
"display_name": "Postgraduate Medicine",
"id": "https://openalex.org/S11800902",
"type": "journal"
}
] |
|
https://openalex.org/W2031307638 | Prevalence of Malnutrition in Various Political, Economic, and Geographic Settings | [
{
"affiliations": [],
"display_name": "Stanisław Kłęk",
"id": "https://openalex.org/A5058953953"
},
{
"affiliations": [
{
"country": "Croatia",
"display_name": "University of Zagreb",
"id": "https://openalex.org/I181343428",
"lat": 45.81444,
"long": 15.97798,
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],
"display_name": "Željko Krznarić",
"id": "https://openalex.org/A5068388301"
},
{
"affiliations": [],
"display_name": "Rıza Haldun Gündoğdu",
"id": "https://openalex.org/A5069148646"
},
{
"affiliations": [
{
"country": "Greece",
"display_name": "Aristotle University of Thessaloniki",
"id": "https://openalex.org/I21370196",
"lat": 40.64361,
"long": 22.93086,
"type": "education"
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],
"display_name": "Michael Chourdakis",
"id": "https://openalex.org/A5075156744"
},
{
"affiliations": [
{
"country": "Lithuania",
"display_name": "Vilnius University",
"id": "https://openalex.org/I173212132",
"lat": 54.68916,
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],
"display_name": "Gintautas Kėkštas",
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{
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{
"country": "Estonia",
"display_name": "Tartu University Hospital",
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],
"display_name": "Triin Jakobson",
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{
"affiliations": [
{
"country": "Poland",
"display_name": "Medical University of Lublin",
"id": "https://openalex.org/I121032520",
"lat": 51.25,
"long": 22.56667,
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],
"display_name": "Piotr Paluszkiewicz",
"id": "https://openalex.org/A5065962633"
},
{
"affiliations": [
{
"country": "Croatia",
"display_name": "University Hospital Centre Zagreb",
"id": "https://openalex.org/I138937732",
"lat": 45.823895,
"long": 16.006521,
"type": "healthcare"
}
],
"display_name": "Darija Vranešić Bender",
"id": "https://openalex.org/A5089851137"
},
{
"affiliations": [
{
"country": "Türkiye",
"display_name": "Ege University",
"id": "https://openalex.org/I41641357",
"lat": 38.41273,
"long": 27.13838,
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}
],
"display_name": "Mehmet Uyar",
"id": "https://openalex.org/A5057828842"
},
{
"affiliations": [
{
"country": "Türkiye",
"display_name": "Ege University",
"id": "https://openalex.org/I41641357",
"lat": 38.41273,
"long": 27.13838,
"type": "education"
}
],
"display_name": "Kubilay Demırağ",
"id": "https://openalex.org/A5084733345"
},
{
"affiliations": [
{
"country": "Greece",
"display_name": "Laiko General Hospital of Athens",
"id": "https://openalex.org/I4210114623",
"lat": 37.98345,
"long": 23.765596,
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}
],
"display_name": "Kalliopi-Anna Poulia",
"id": "https://openalex.org/A5059370831"
},
{
"affiliations": [
{
"country": "Lithuania",
"display_name": "Vilnius University",
"id": "https://openalex.org/I173212132",
"lat": 54.68916,
"long": 25.2798,
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],
"display_name": "Andrius Klimašauskas",
"id": "https://openalex.org/A5012775350"
},
{
"affiliations": [
{
"country": "Estonia",
"display_name": "Tartu University Hospital",
"id": "https://openalex.org/I2802241215",
"lat": 58.36759,
"long": 26.703917,
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],
"display_name": "Joel Starkopf",
"id": "https://openalex.org/A5090675321"
},
{
"affiliations": [
{
"country": "Poland",
"display_name": "Jagiellonian University",
"id": "https://openalex.org/I126596746",
"lat": 50.06143,
"long": 19.93658,
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],
"display_name": "Aleksander Gałaś",
"id": "https://openalex.org/A5040886492"
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] | [
{
"display_name": "Malnutrition",
"id": "https://openalex.org/C551997983"
},
{
"display_name": "Reimbursement",
"id": "https://openalex.org/C2779703844"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Intervention (counseling)",
"id": "https://openalex.org/C2780665704"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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] | [
"Turkey"
] | [
"https://openalex.org/W1580055505",
"https://openalex.org/W1986232735",
"https://openalex.org/W1998092083",
"https://openalex.org/W2001246541",
"https://openalex.org/W2008611744",
"https://openalex.org/W2012496813",
"https://openalex.org/W2024862672",
"https://openalex.org/W2051933815",
"https://openalex.org/W2061319058",
"https://openalex.org/W2065667048",
"https://openalex.org/W2077979034",
"https://openalex.org/W2088209109",
"https://openalex.org/W2101880068",
"https://openalex.org/W2123101563",
"https://openalex.org/W2146175867",
"https://openalex.org/W2149003052",
"https://openalex.org/W2159916436",
"https://openalex.org/W2164672807",
"https://openalex.org/W4250422046"
] | https://api.openalex.org/works?filter=cites:W2031307638 | Background: Disease‐related malnutrition (DRM) represents a critical public health concern. Therefore, Fight Against Malnutrition (FAM) should be a state priority, but the degree to which this is true appears to differ considerably among European countries. The aim of this study was to put the problem into perspective by comparing the prevalence of malnutrition in countries from opposite parts of the continent. Methods: Six countries—Croatia, Estonia, Greece, Lithuania, Poland, and Turkey—participated in the study. A short questionnaire was used to assess DRM: its prevalence, the current situation in hospitals, regulations for reimbursement, and general healthcare circumstances. Data from ESPEN's NutritionDay 2006 were used to broaden the perspective. Results: At admission in October 2012, 4068 patients were assessed. The study was performed in 160 hospitals and 225 units with 9143 beds. The highest proportions of patients with 3 or more points on the Nutritional Risk Screening 2002 were observed in Estonia (80.4%) and Turkey (39.4%), whereas the lowest were in Lithuania (14.2%). The provision of nutrition support was best in Turkey (39.4% required intervention, 34.4% received intervention) and Poland (21.9% and 27.8%, respectively). Nutrition support teams (NSTs) are active in some countries, whereas in others they virtually do not exist. Conclusion: The prevalence of malnutrition was quite high in some countries, and the nutrition approach differed among them. It could be the result of the lack of reimbursement, inactive or nonexistent NSTs, and low nutrition awareness. Those facts confirmed that the continuation of FAM activities is necessary. | [
{
"display_name": "Journal of Parenteral and Enteral Nutrition",
"id": "https://openalex.org/S100343354",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W2592048977 | Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study | [
{
"affiliations": [
{
"country": "Germany",
"display_name": "Leibniz Institute for Prevention Research and Epidemiology - BIPS",
"id": "https://openalex.org/I4210113759",
"lat": 53.100155,
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],
"display_name": "Tilman Brand",
"id": "https://openalex.org/A5071462654"
},
{
"affiliations": [
{
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"display_name": "Leibniz Institute for Prevention Research and Epidemiology - BIPS",
"id": "https://openalex.org/I4210113759",
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],
"display_name": "Florence Samkange‐Zeeb",
"id": "https://openalex.org/A5041750608"
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{
"affiliations": [
{
"country": "Germany",
"display_name": "Robert Koch Institute",
"id": "https://openalex.org/I24359323",
"lat": 52.539383,
"long": 13.347252,
"type": "government"
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],
"display_name": "Ute Ellert",
"id": "https://openalex.org/A5082237154"
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{
"affiliations": [
{
"country": "Germany",
"display_name": "Charité - Universitätsmedizin Berlin",
"id": "https://openalex.org/I7877124",
"lat": 52.52437,
"long": 13.41053,
"type": "healthcare"
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],
"display_name": "Thomas Keil",
"id": "https://openalex.org/A5071563978"
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{
"affiliations": [
{
"country": "Germany",
"display_name": "Charité - Universitätsmedizin Berlin",
"id": "https://openalex.org/I7877124",
"lat": 52.52437,
"long": 13.41053,
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],
"display_name": "Lilian Krist",
"id": "https://openalex.org/A5082718078"
},
{
"affiliations": [
{
"country": "Germany",
"display_name": "Heinrich Heine University Düsseldorf",
"id": "https://openalex.org/I44260953",
"lat": 51.22172,
"long": 6.77616,
"type": "education"
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],
"display_name": "Nico Dragano",
"id": "https://openalex.org/A5071073349"
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{
"affiliations": [
{
"country": "Germany",
"display_name": "Institut für Medizinische Informatik, Biometrie und Epidemiologie",
"id": "https://openalex.org/I4210086407",
"lat": 51.436573,
"long": 6.989042,
"type": "facility"
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],
"display_name": "Karl‐Heinz Jöckel",
"id": "https://openalex.org/A5060093906"
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{
"affiliations": [
{
"country": "Germany",
"display_name": "Bielefeld University",
"id": "https://openalex.org/I20121455",
"lat": 52.037777,
"long": 8.493056,
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],
"display_name": "Oliver Razum",
"id": "https://openalex.org/A5052739492"
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{
"affiliations": [
{
"country": "Germany",
"display_name": "Bielefeld University",
"id": "https://openalex.org/I20121455",
"lat": 52.037777,
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],
"display_name": "Katharina Reiß",
"id": "https://openalex.org/A5011156570"
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{
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{
"country": "Germany",
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https://openalex.org/W2127407743 | Hepatitis B screening in the Turkish-Dutch population in Rotterdam, the Netherlands; qualitative assessment of socio-cultural determinants | [
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] | https://api.openalex.org/works?filter=cites:W2127407743 | Hepatitis B is an important health problem in the Turkish community in the Netherlands. Increased voluntary screening is necessary in this community, to detect individuals eligible for treatment and to prevent further transmission of the disease.We investigated socio-cultural determinants associated with hepatitis B screening in male and female, first and second generation Turkish migrants, by means of Focus Group Discussions.Socio-cultural themes related to hepatitis B screening were identified; these were social norm, social support, sensitivity regarding sexuality, reputation, responsiveness to authority, religious responsibility, cleanliness and religious doctrine regarding health and disease, and the perceived efficacy of Dutch health care services. Motivating factors were the (religious) responsibility for one's health, the perceived obligation when being invited for screening, and social support to get tested for hepatitis B. Perceived barriers were the association of hepatitis B screening with STDs or sexual activity, the perception of low control over one's health, and the perceived low efficacy of the Dutch health care services. Reputation could act as either a motivator or barrier.This study identified relevant socio-cultural themes related to hepatitis B screening, which may serve to customize interventions aimed at the promotion of voluntary hepatitis B screening in the Turkish-Dutch population in the Netherlands. | [
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https://openalex.org/W2085499386 | Turkish health system reform from the people’s perspective: a cross sectional study | [
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] | https://api.openalex.org/works?filter=cites:W2085499386 | Since 2003, Turkey has implemented major health care reforms to develop easily accessible, high-quality, efficient, and effective healthcare services for the population. The purpose of this study was to bring out opinions of the Turkish people on health system reform process, focusing on several aspects of health system and assessing whether the public prefer the current health system or that provided a decade ago. A cross sectional survey study was carried out in Turkey to collect data on people’s opinions on the healthcare reforms. Data was collected via self administered household’s structured questionnaire. A five-point Likert-type scale was used to score the closed comparative statements. Each statement had response categories ranging from (1) “strongly agree” to (5) “strongly disagree.” A total of 482 heads of households (response rate: 71.7%) with the mean age of (46.60 years) were selected using a multi stage sampling technique from seven geographical regions in Turkey from October 2011 to January 2012. Multiple logistic regressions were performed to identify significant contributing factors in this study. Employing descriptive statistics it is observed that among the respondents, more than two third of the population believes that the changes have had positive effects on the health system. A vast majority of respondents (82.0%) believed that there was an increase in accessibility, 73.7% thought more availability of health resources, 72.6% alleged improved quality of care, and 72.6% believed better attitude of politician/mass media due to the changes in the last 10 years. Indeed, the majority of respondents (77.6%) prefer the current health care system than the past. In multivariate analysis, there was a statistically significant relationship between characteristics and opinions of the respondents. The elderly, married females, perceived themselves healthy and those who believe that people are happier now than 10 years ago have a more positive opinion of the changes. While, the single unemployed from rural region who perceived themselves as unhealthy and believe that people are unhappy now compare to ten years ago showed less positive opinions. Hence, we conclude that from the people’s perspective overall the health system reforms were most likely successful. | [
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https://openalex.org/W3131137745 | Turkey production and health: current challenges | [
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] | [] | https://api.openalex.org/works?filter=cites:W3131137745 | Several factors and problems are influencing turkey production and health. These include intense global competition between producing countries, permanent changes in social, political and consumer perceptions regarding food safety, animal welfare and environmental protection. Several human foodborne infections are linked to poultry and poultry products, causing a serious challenge because it is difficult to control. Moreover, contamination of the turkey meat and product with antibiotic-resistant bacteria is a constant public health hazard. The loss of consumer confidence and trust in turkey meat product safety and quality will also be a major concern. The current and future turkey health concepts should cover the control of diseases in birds and the relationship between bird’s health, welfare and environmental protection. Additionally, infectious turkey diseases' emergence and re-emergence will remain an important and never-ending challenge. Only a few authorized pharmaceutical veterinary products are available to treat turkeys. The development of efficient vaccines and natural antimicrobials against bacterial infections will reduce antibiotic use and reduce resistant bacteria's development. Genetic selective breeding to improve production traits and health is a long-standing goal of the turkey industry. Furthermore, rearing technology, management, and feeding will help maintain the birds healthy and comfortable. Finally, all other partners involved in the production chain, including farmers, veterinarians, stockholders, need to collaborate to meet the consumer expectations for high quality and safe products | [
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] | https://api.openalex.org/works?filter=cites:W2191054381 | Although the vaccination coverage in most high income countries is high, variations in coverage rates on the national level among different ethnic backgrounds are reported. A qualitative study was performed to explore factors that influence decision-making among parents with different ethnic backgrounds in the Netherlands. Six focus groups were conducted with 33 mothers of Moroccan, Turkish and other ethnic backgrounds with at least one child aged 0–4 years. Data were analysed using thematic analysis. Parents had a positive attitude towards childhood vaccination and a high confidence in the advices of Child Vaccine Providers (CVPs). Vaccinating their children was perceived as self-evident and important. Parents do perceive a language barrier in understanding the provided NIP-information, and they had a need for more NIP- information, particularly about the targeted diseases. Another barrier parents perceived was the distance to the Child Welfare Center (CWC), especially when the weather was bad and when they had no access to a car. More information about targeted diseases and complete information regarding benefits and drawbacks of the NIP should be provided to the parents. To fulfill parents’ information needs, NIP information meetings can be organized at CWCs in different languages. Providing NIP information material in Turkish, Arabic and Berber language with easy access is also recommended. Providing information tailored to these parents’ needs is important to sustain high vaccination participation, and to ensure acceptance of future vaccinations. | [
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] | https://api.openalex.org/works?filter=cites:W2101242728 | SUMMARY It was possible to demonstrate from retrospective records that a link existed between contaminated animal feedstuffs, turkeys and an outbreak of Salmonella senftenberg infection at Ryhope Hospital. Possibly infected or contaminated turkeys were supplied to the hospital from two turkey farms in one of which the birds were fed on contaminated white fish meal and the other had had infected birds. This work was carried out months after the events described and would not have been possible without the help and co-operation of the Public Health Laboratory Service, The Veterinary Field, Investigation and Research Services, Houghton Poultry Research Station, The Medical Officer of Health for Brighton, Dr Rosetta Parker, and the various feed companies involved, who very kindly made their records available to us. | [
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] | https://api.openalex.org/works?filter=cites:W2142724548 | Family history is a known risk factor for type 2 diabetes (T2DM), and more so in the presence of overweight. This study aims to develop and evaluate the effectiveness of a new lifestyle education programme 'DiAlert' targeted at 1st degree relatives of people with T2DM and overweight. In view of the high risk for diabetes and cardiovascular disease in immigrants from Turkish origin living in Western Europe, a culturally appropriate Turkish version of DiAlert will be developed and tested. In this RCT, 268 (134 Dutch and 134 Turkish) overweight 1st degree relatives of patients with T2DM will be allocated to either the intervention or control group (leaflet). The intervention DiAlert aims to promote intrinsic motivation to change lifestyle, and sustain achieved behaviour changes during follow-up. Primary outcome is weight loss. Secondary outcomes include biological, behavioural and psychological indices, along with process indicators. Measurements will take place at baseline and after 3 and 9 months. Changes in outcomes are tested between intervention and control group at 3 months; effects over time are tested within and between both ethnic groups at 3 and 9 months. The DiAlert intervention is expected to be more effective than the control condition in achieving significant weight loss at 3 months, in both Dutch and Turkish Dutch participants. Netherlands National Trial Register (NTR): NTR2036 | [
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https://openalex.org/W1967594019 | Epidemiological Profile of Naive HIV-1/AIDS Patients in Istanbul: The Largest Case Series from Turkey | [
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] | [] | https://api.openalex.org/works?filter=cites:W1967594019 | The aim of the study was to report the epidemiological profile of HIV-1 positive patients from, Istanbul, Turkey, which has one of the lowest HIV-1/AIDS prevalences in Europe. The patients were followed by ACTHIV-IST group which was established by the Infectious Diseases Departments of five teaching hospitals (three university hospitals and two public hospitals) in Istanbul, Turkey. The HIV-1positive patients were added to the standard patient files in all of the centers; these files were then transferred to the ACTHIV-IST database in the Internet. A total of 829 naiv-untreated HIV-1 positive patients were chosen from the database. The number of male patients was 700 (84.4%) and the mean age of the patients was 37 years (range, 17-79). In our study group 348 (42%) of the patients were married and 318 (38.7%) of the patients were single. The probable route of transmission was heterosexual intercourse in 437 (52.7%) patients and homosexual intercourse in 256 (30.9%) patients. In 519 (62.6%) patients the diagnose was made due to a screening test and in 241 (29.1%) patients, the diagnose was made due to an HIV-related/non-related disease. The mean CD4+ T cell number in 788 of the patients was 357.8/mm3 (±271.1), and the median viral load in 698 of the patients was 100,000 copies/mL (20-9,790,000). In Turkey, the number of HIV-1 positive patients is still low and to diagnose with a screening test is the most common way of diagnostic route. Keywords: Epidemiology, HIV/AIDS, screening test, Turkey. | [
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https://openalex.org/W1867464207 | Reliable mortality statistics for Turkey: Are we there yet? | [
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] | https://api.openalex.org/works?filter=cites:W1867464207 | The Turkish government has implemented several reforms to improve the Turkish Statistical Institute Death Reporting System (TURKSTAT-DRS) since 2009. However, there has been no assessment to evaluate the impact of these reforms on causes of death statistics. This study attempted to analyse the impact of these reforms on the TURKSTAT-DRS for Turkey, and in the case of Izmir, one of the most developed provinces in Turkey. The evaluation framework comprised three main components each with specific criteria. Firstly, data from TURKSTAT for Turkey and Izmir for the periods 2001–2008 and 2009–2013 were assessed in terms of the following dimensions that represent quality of mortality statistics (a. completeness of death registration, b. trends in proportions of deaths with ill-defined causes). Secondly, the quality of information recorded on individual death certificates from Izmir in 2010 was analysed for a. missing information, b. timeliness of death notifications and c. characteristics of deaths with ill-defined causes. Finally, TURKSTAT data were analysed to estimate life tables and summary mortality indicators for Turkey and Izmir, as well as the leading causes-of-death in Turkey in 2013. Registration of adult deaths in Izmir as well as at the national level for Turkey has considerably improved since the introduction of reforms in 2009, along with marked decline in the proportions of deaths assigned ill-defined causes. Death certificates from Izmir indicated significant gaps in recorded information for demographic as well as epidemiological variables, particularly for infant deaths, and in the detailed recording of causes of death. Life expectancy at birth estimated from local data is 3–4 years higher than similar estimates for Turkey from international studies, and this requires further investigation and confirmation. The TURKSTAT-DRS is now an improved source of mortality and cause of death statistics for Turkey. The reliability and validity of TURKSTAT data needs to be established through a detailed research program to evaluate completeness of death registration and validity of registered causes of death. Similar evaluation and data analysis of mortality indicators is required at regular intervals at national and sub-national level, to increase confidence in their utility as primary data for epidemiology and health policy. | [
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https://openalex.org/W2012669517 | Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the Netherlands | [
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https://openalex.org/W2144238764 | What Patients Know About Their Rights in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2512054535 | Unhealthy eating patterns and a lack of physical activity (PA) are highly prevalent in most Western countries, especially among lower-educated people, including people of non-Western origin. The aim of this study was to investigate and compare the beliefs and barriers that underlie socio-cognitive and planning constructs related to healthy eating and PA among lower-educated Dutch, Turkish, and Moroccan adults. Focus group interviews were conducted with 90 Dutch, Turkish, and Moroccan lower-educated adults between March and August 2012. Five semi-structured group interviews were conducted with Dutch participants, five with Turkish participants, and four with Moroccan participants. Men and women were interviewed separately. The question route was based on the Theory of Planned Behavior and self-regulation theories. The theoretical method used for the qualitative data analysis was content analysis. The interviews were recorded, transcribed, and analyzed by applying the framework approach. Some participants seemed to lack knowledge of healthy eating and PA, especially regarding the health consequences of an unhealthy lifestyle. Important attitude beliefs concerning healthy eating and PA were taste and health benefits. Participants suggested that social support can encourage the actual performance of healthy behavior. For instance, exercising with other people was perceived as being supportive. Perceived barriers to PA and cooking healthily were a lack of time and tiredness. These previously mentioned beliefs arose in all the ethnic groups. Differences were also found in beliefs between the ethnic groups, which were mainly related to religious and cultural issues. Turkish and Moroccan participants discussed, for example, that the Koran contains the recommendation to eat in moderation and to take care of one’s body. Furthermore, they reported that refusing food when offered is difficult, as it can be perceived as an insult. Finally, men and women usually cannot exercise in the same location, which was perceived as a barrier. These factors did not emerge in the Dutch groups. The same cognitive beliefs were discussed in all three ethnic groups. The importance of cultural and religious factors appeared to be the most significant difference between the Turkish/Moroccan groups and the Dutch groups. Accordingly, interventions for all three ethnic groups should focus on socio-cognitive beliefs, whereas interventions for Turkish and Moroccan populations can additionally take religious and cultural rules into account. | [
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] | https://api.openalex.org/works?filter=cites:W2113166840 | To evaluate the psychometrics of the SF-36 Health Survey among Turkish and Moroccan ethnic minority populations in the Netherlands and to compare the results to those based on the indigenous Dutch population.Data were derived from the Second Dutch National Survey of General Practice. In total, SF-36 data were available for 409 Turkish, 377 Moroccan, and 9,628 Dutch respondents. Language subgroup analyses were performed for the Turkish (n = 162) and Moroccan-Arabic (n = 52) versions of the SF-36. Psychometric properties were evaluated by descriptive statistics, factor analysis, internal consistency estimates, known-group comparisons, and differential item function (DIF) analysis.Low levels of missing SF-36 data were observed across all groups. Confirmatory factor analysis supported the hypothesized SF-36 scale structure for the Dutch and Turkish group, but high correlations between the MH and VT factors were observed in the Moroccan group. All Cronbach's alpha coefficients were above 0.70, except for the Vitality scale in the Moroccan group and the Vitality and Social Functioning scales in the Moroccan-Arabic language subgroup. Known-groups validity was found across samples using age, sex, education, and comorbidity as grouping variables, but not marital status. Some evidence for DIF was found in both ethnic group samples.The results generally support the use of the SF-36 for general population research among Turkish and Moroccan ethnic minorities in the Netherlands. Additional studies are needed to confirm the psychometrics of the questionnaire when used among these populations in other Western European countries. | [
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https://openalex.org/W2615357824 | Perceived ethnic discrimination in relation to smoking and alcohol consumption in ethnic minority groups in The Netherlands: the HELIUS study | [
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] | https://api.openalex.org/works?filter=cites:W2615357824 | We examined the associations of perceived ethnic discrimination (PED) with smoking and alcohol consumption in ethnic minority groups residing in a middle-sized European city.Data were derived from the HELIUS study in Amsterdam, The Netherlands. We included 23,126 participants aged 18-70 years of Dutch, South-Asian Surinamese, African Surinamese, Ghanaian, Turkish, and Moroccan origin. We collected self-reported data on PED, current smoking, heavy smoking, nicotine dependence, current drinking, excessive drinking, and alcohol dependence. Logistic regression was used.In general, we observed positive associations in participants of African Surinamese and Ghanaian origin, but no associations in those of South-Asian Surinamese, Turkish, or Moroccan origin. In African Surinamese, the associations were positive for current smoking, nicotine, and alcohol dependence (odds ratios of 1.16; 95% confidence interval: 1.06-1.27, 1.34; 1.15-1.57 and 1.40; 1.20-1.64, respectively). In Ghanaians, positive association was observed for current drinking (1.21; 1.08-1.36).The associations of PED with smoking and alcohol consumption considerably varied by ethnicity and outcome measure. This suggests that ethnic minority groups in Europe might use different behavioural strategies to cope with PED. | [
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https://openalex.org/W2728161851 | Awareness, treatment, control of hypertension, and associated factors: Results from a Turkish national study | [
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] | https://api.openalex.org/works?filter=cites:W2728161851 | Objective: Despite the fact that hypertension (HT) can be diagnosed and easily treated, it is frequently not handled well throughout the world, and as a developing country in Turkey. The objective of this study was to assess the factors associated with the awareness, treatment, and control of HT in Turkey.Methods: Data came from Chronic Diseases and Risk Factors Survey, comprising a nationally representative sample of 12,971 individuals, conducted by the Turkish Ministry of Health in 2011. HT was defined as having systolic/diastolic blood pressure (BP) at least 140/90 mmHg, usage of HT medicines, or having a previous diagnosis. Awareness, treated, and controlled HT were determined by questionnaires/BP measurements. Stepwise multiple logistic regression analysis was used to estimate associated factors.Results: The prevalence of HT was found to be 24.8%. Awareness, treatment, and control rates were 65%, 59%, and 30%, respectively. The risk factors for lack of awareness or treatment of HT were male gender, young age, rural residency, lower education, being employed, sedentary lifestyle, and less physical activity for women, unhealthy dietary habits for men, and modifiable risk factors, including smoking and drinking for men. Increasing age, low education for women, marital status subgroups within gender (being single for men and being married for women), smoking and alcohol use for men, and diseases such as diabetes and obesity were also correlated with poor control of HT.Conclusion: This study recognized associated risk factors that may guide policies and interventions to enhance awareness, treatment, and control of HT in Turkey. | [
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"id": "https://openalex.org/S4306525036",
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https://openalex.org/W2111406334 | Explaining inequalities in Health Care Utilization among Turkish adults: Findings from Health Survey 2008 | [
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] | https://api.openalex.org/works?filter=cites:W2111406334 | Turkish health system showed major improvements in health outcomes since initiation of the Health Transition Programme (HTP) in 2003, however little is known regarding income-related inequalities in health care use. The aim of this study was to assess horizontal inequities in health care use in Turkey. We used the data from Turkish Health Survey 2008 with 14,655 respondents. We calculated concentration index (C) and horizontal inequity index (HI) to measure the socioeconomic inequalities in utilization of general practitioner (GP) care, specialist care, inpatient care, dental care and emergency care. Contributions of each factor to the observed inequality in health care utilization were assessed through decomposition method. There was a significant pro-rich inequality in specialist care and oral health care utilization among individuals as indicated by positive values of HI (=0.1149) and HI (=0.1137), respectively. However, the poor were more likely to utilize emergency care (HI = −0.0461) and inpatient care (HI = −0.0731). GP care was also slightly pro-poor distributed (HI = −0.0042). Pro-poor income-related inequalities in health care use were largely explained by greater health care need among low income groups, while non-need factors were the main determinants for pro-rich utilization (education, residence area). Inequalities in dental and specialist care linked to low income, low education level and rural areas should be given priority by decision makers to reduce the negative impact of utilization on health. Our results provide some evidence of inequity in 2008, after the introduction of HTP and provide a baseline against which the effects of the new reforms can be assessed. | [
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https://openalex.org/W2071354122 | The attitude toward tobacco dependence and barriers to discussing smoking cessation: a survey among Turkish general practitioners | [
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] | https://api.openalex.org/works?filter=cites:W2071354122 | To evaluate the general attitude of a sample of Turkish general practitioners (GPs) toward tobacco dependence and to assess their knowledge and behavior regarding smoking cessation (SC). A self-administered questionnaire modified from WHO, Global Health Professional Survey was distributed to GPs, working in our district, Isparta. As much as 41% of GPs were current smokers. Ever smokers were generally less likely to agree with statements that would change their freedom to smoke in certain places. While 46% of GPs frequently inquired about tobacco use in their patients, 13.5% did not advise any of their patients to quit smoking during the month preceding the questionnaire. The most common barriers reported by GPs to discussing SC with their patients were as follows: considering the discussion not to be effective (57.8%), having low confidence in knowledge (48.1%), having unpleasant personal experience or considering it a thankless task (46.1%). It appears essential to reduce the number of GPs who smoke and to improve GP training on SC procedures for integrating SC treatment into primary care in Turkey. | [
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|
https://openalex.org/W2108537249 | Healthy Life-Style Promoting Behaviour in Turkish Women Aged 18-64 | [
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] | https://api.openalex.org/works?filter=cites:W2108537249 | Aim: In this study we aimed to investigate the healthy life-style behaviour of Turkish women and establish influencing features. Methods: This descriptive study performed by a questionnaire method was conducted in a primary health care centre, in an urban region in Kayseri, Turkey. Every midwife region belonging to the health care centre was accepted as a cluster, and a sample of 450 women between ages 18-64, was gathered from 9 midwife regions. The Health Promotion Life-style Profile (HPLP) was applied to evaluated the healthy lifestyle behaviour of 421 women that could be reached. T test, Tukey HSD with ANOVA, and chi square tests were used for analysis. Results: The mean total HPLP was <TEX>$126.8{\pm}19.2$</TEX> (interpersonal support subscale, <TEX>$74.3{\pm}14.1$</TEX>; nutrition subscale, <TEX>$73.6{\pm}12.6$</TEX>; self-actualisation subscale, <TEX>$70.6{\pm}11.9$</TEX>; stress management subscale, <TEX>$63.4{\pm}13.0$</TEX>; health responsibility subscale, <TEX>$61.2{\pm}13.2$</TEX>; and exercise subscale, <TEX>$47.1{\pm}15.0$</TEX>). There was no statistically significant variation when evaluated for age, marital state, family type, economic status, and perception of self-health, smoking, and BMI. HPLP was high in people with an education of primary school and lower in university graduates, in people who lived mostly in the city centre and in individuals with chronic diseases. In conclusion, it was established that the health promoting behaviour in Turkish women is, in general, at a medium level, and women should be enlightened in order to develop and increase the habit of health preservation and promotion. | [
{
"display_name": "Asian Pacific Journal of Cancer Prevention",
"id": "https://openalex.org/S121579133",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W2160097984 | Beliefs, Attitudes, and Behavior of Turkish Women about Breast Cancer and Breast Self-Examination According to a Turkish Version of the Champion Health Belief Model Scale | [
{
"affiliations": [],
"display_name": "Nülüfer Erbi̇l",
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},
{
"affiliations": [],
"display_name": "Nurgül Bölükbaş",
"id": "https://openalex.org/A5035358196"
}
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{
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{
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{
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"id": "https://openalex.org/C2776932478"
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{
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{
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{
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"id": "https://openalex.org/C2778491387"
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{
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"id": "https://openalex.org/C2780472235"
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{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
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{
"display_name": "Breast cancer awareness",
"id": "https://openalex.org/C2777851884"
},
{
"display_name": "Scale (ratio)",
"id": "https://openalex.org/C2778755073"
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{
"display_name": "Affect (linguistics)",
"id": "https://openalex.org/C2776035688"
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{
"display_name": "Health education",
"id": "https://openalex.org/C113807197"
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{
"display_name": "Gynecology",
"id": "https://openalex.org/C29456083"
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{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
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{
"display_name": "Family history",
"id": "https://openalex.org/C2781179581"
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{
"display_name": "Cancer",
"id": "https://openalex.org/C121608353"
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{
"display_name": "Gerontology",
"id": "https://openalex.org/C74909509"
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{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
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{
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"id": "https://openalex.org/C138885662"
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{
"display_name": "Linguistics",
"id": "https://openalex.org/C41895202"
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{
"display_name": "Physics",
"id": "https://openalex.org/C121332964"
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{
"display_name": "Communication",
"id": "https://openalex.org/C46312422"
},
{
"display_name": "Quantum mechanics",
"id": "https://openalex.org/C62520636"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
}
] | [
"Turkey"
] | [
"https://openalex.org/W1951618636",
"https://openalex.org/W1993516762",
"https://openalex.org/W2027745226",
"https://openalex.org/W2076956305"
] | https://api.openalex.org/works?filter=cites:W2160097984 | Breast cancer (BC) is one of the most common cancer affecting women worldwide. Although a great deal of progress has been made in the health sciences, early diagnosis, and increasing community awareness, breast cancer remains a life-threatening illness. In order to reduce this threat, breast cancer screening needs to be implemented in all communities where possible.The purpose of this study was to examine health beliefs, attitudes and behaviors about breast cancer and breast self-examination of Turkish women.Data were collected from a sample of 656 women, using an adapted Turkish version of Champion's Health Belief Model Scale (CHBMS), between January and May 2011, in Ordu province of Turkey.The results showed that 67.7% of women had knowledge about and 55.8% performed BSE, however 60.6% of those who indicated they practiced BSE reported they did so at irregular intervals. CHBMS subscales scores of women according to women's age, education level, occupation, family income and education level of the women's mothers, family history of breast cancer, friend and an acquaintance with breast cancer, knowledge about breast cancer, BSE and mammography were significantly different.Knowledge of women about the risks and benefits of early detection of breast cancer positively affect their health beliefs, attitudes, and behaviors. Health care professionals can develop effective breast health programs and can help women to gain good health behavior and to maintain health. | [
{
"display_name": "Asian Pacific Journal of Cancer Prevention",
"id": "https://openalex.org/S121579133",
"type": "journal"
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{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
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] |
|
https://openalex.org/W2124579509 | Determinants of the number of antenatal visits in a metropolitan region | [
{
"affiliations": [
{
"country": "Belgium",
"display_name": "Vrije Universiteit Brussel",
"id": "https://openalex.org/I13469542",
"lat": 50.85045,
"long": 4.34878,
"type": "education"
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],
"display_name": "Katrien Beeckman",
"id": "https://openalex.org/A5071618849"
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{
"affiliations": [
{
"country": "Belgium",
"display_name": "Vrije Universiteit Brussel",
"id": "https://openalex.org/I13469542",
"lat": 50.85045,
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],
"display_name": "Freddy Louckx",
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{
"affiliations": [
{
"country": "Belgium",
"display_name": "Vrije Universiteit Brussel",
"id": "https://openalex.org/I13469542",
"lat": 50.85045,
"long": 4.34878,
"type": "education"
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],
"display_name": "Koen Putman",
"id": "https://openalex.org/A5068412115"
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"id": "https://openalex.org/C71924100"
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{
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"id": "https://openalex.org/C2775887326"
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{
"display_name": "Pregnancy",
"id": "https://openalex.org/C2779234561"
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{
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"id": "https://openalex.org/C140556311"
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{
"display_name": "Poisson regression",
"id": "https://openalex.org/C73269764"
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{
"display_name": "Metropolitan area",
"id": "https://openalex.org/C158739034"
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Genetics",
"id": "https://openalex.org/C54355233"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
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] | [
"Turkey"
] | [
"https://openalex.org/W1536463040",
"https://openalex.org/W1971550126",
"https://openalex.org/W1980592955",
"https://openalex.org/W2013934280",
"https://openalex.org/W2046901203",
"https://openalex.org/W2048353159",
"https://openalex.org/W2067413330",
"https://openalex.org/W2068155640",
"https://openalex.org/W2071128843",
"https://openalex.org/W2078077396",
"https://openalex.org/W2104232328",
"https://openalex.org/W2108460299",
"https://openalex.org/W2120058250",
"https://openalex.org/W2121150267",
"https://openalex.org/W2125744910",
"https://openalex.org/W2142605522",
"https://openalex.org/W3149422939",
"https://openalex.org/W4244527176",
"https://openalex.org/W4245958214",
"https://openalex.org/W4246614816"
] | https://api.openalex.org/works?filter=cites:W2124579509 | Antenatal care has a positive effect on pregnancy, both clinically and psychologically, but consensus about the optimal number of antenatal visits is lacking. This study aims to provide insight into the dynamics of the number of antenatal visits a woman receives. Independent effects of predisposing, enabling and pregnancy-related determinants are examined. Women were recruited in nine clinical centres in the Brussels Metropolitan region. Antenatal care use was measured prospectively. A Poisson regression model was applied to measure the independent effect of individual determinants on the number of antenatal visits. Data on antenatal care trajectories in 333 women were collected. The multivariate analyses showed that women with a Maghreb or Turkish origin had 14% fewer visits compared with European (EU15) women. More highly educated women had 22% more visits compared with those with a low education. Women with a high income had 14% more antenatal visits compared with those with a low income. Fewer antenatal visits were observed in multiparae (15%), women initiating care after 14 weeks of gestation (31%), women without medical risks during the pregnancy (12%) and in women with a continuity of care index of 50% or more (12%). More visits were observed in delivering after week 37 (22% increase). Predisposing and enabling factors have to be considered when antenatal care programmes are evaluated in a metropolitan area. Variations in the number of antenatal visits show that socially vulnerable women are more at risk of having fewer visits. | [
{
"display_name": "BMC Public Health",
"id": "https://openalex.org/S200437886",
"type": "journal"
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{
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{
"display_name": "PubMed Central",
"id": "https://openalex.org/S2764455111",
"type": "repository"
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{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
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] |
|
https://openalex.org/W3136418470 | COVID-19 Pandemisinin Sağlık Yönetimi ve Sağlık Hizmetleri Üzerine Etkisi: Türkiye Örneği | [
{
"affiliations": [
{
"country": "Türkiye",
"display_name": "Duzce University",
"id": "https://openalex.org/I54001450",
"lat": 40.83889,
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"display_name": "Mehmet Akif Öncü",
"id": "https://openalex.org/A5056549763"
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"affiliations": [
{
"country": "Turkey",
"display_name": "Namık Kemal University",
"id": "https://openalex.org/I125454184",
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"display_name": "Seda Yıldırım",
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{
"country": "Turkey",
"display_name": "Namık Kemal University",
"id": "https://openalex.org/I125454184",
"lat": 40.9781,
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"display_name": "Seda H. Bostancı",
"id": "https://openalex.org/A5054770567"
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{
"affiliations": [
{
"country": "Turkey",
"display_name": "Namık Kemal University",
"id": "https://openalex.org/I125454184",
"lat": 40.9781,
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"display_name": "Fatma Gülru Erdoğan",
"id": "https://openalex.org/A5017252531"
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"id": "https://openalex.org/C2781121862"
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{
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"id": "https://openalex.org/C3008058167"
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{
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"id": "https://openalex.org/C17744445"
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{
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"id": "https://openalex.org/C50522688"
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"id": "https://openalex.org/C71924100"
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{
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"id": "https://openalex.org/C99454951"
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"id": "https://openalex.org/C159110408"
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"id": "https://openalex.org/C199539241"
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"https://openalex.org/W3099033334",
"https://openalex.org/W3106199180"
] | https://api.openalex.org/works?filter=cites:W3136418470 | Aim: The coronavirus disease 2019 (COVID-19) pandemic is a global issue that every country has begun to change its economic and social policies due to sustaining public health in the long term. The aim of this study is to investigate the effects of the COVID-19 pandemic on health management and health services in Turkey. Material and Methods: This study follows a qualitative research methodology and used secondary data sources. The study used open access data based on The Turkish Statistical Institute (TurkStat) and the Republic of Turkey Ministry of Health. Data were analyzed by Qualitative Content Analysis. Results: According to the findings obtained, the study provides two main parts as findings. First, the study presents a current profile for the Turkish health sector including 2010-2019. Secondly, the study provides key elements indicating the effect of the COVID-19 pandemic on health management and health services in Turkey. With the help of classification, tables, and figures, the study provides original findings for the area of health management by giving what kinds of changes have occurred in health policies during COVID-19. Conclusion: When considering the effect of the COVID-19 pandemic on health management and health services in Turkey, it can be said that Turkey has managed this pandemic period sufficiently. As a sample case, Turkish health policies and new management strategies can guide other developing and developed countries that were unsuccessful to manage the COVID-19 pandemic. This study shows that adaptable and sustainable health policies will keep public health in the long term. | [
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{
"display_name": "DergiPark (Istanbul University)",
"id": "https://openalex.org/S4306401840",
"type": "repository"
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|
https://openalex.org/W3171513391 | Symbolic annihilation of Syrian refugees by Turkish news media during the COVID-19 pandemic | [
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"display_name": "Istanbul Bilgi University",
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] | https://api.openalex.org/works?filter=cites:W3171513391 | Abstract Background This article presents a discussion about the representation of Syrian refugees in Turkish news media during the COVID-19 pandemic. Media play a critical role during pandemics by affecting values, opinions, public knowledge about stigmatized groups. When media ignore and stereotypically represent a social group, the social value of the group decreases, and their problems are trivialized. Method I analyzed data provided by Media Monitoring Center which is an independent media company in Turkey. Sample was selected to reveal news representation of Syrian refugees between March 11, 2020 (the first confirmed case of COVID-19 in Turkey) and August 20, 2020 (the time of this research). Mostly watched television evening (prime) news, the most widely circulated newspapers, and the most visited online news platforms were analyzed. By using content analysis method, the news stories about Syrian refugees were examined. Results It has been revealed that Turkish news media overwhelmingly acclaimed for Turkey’s polices on Syrian refugees and the criticized the European Union policies towards refugees in the news stories. Even though almost 4 million Syrian refugees live in Turkey, with the largest refugee population in the world, Turkish news media ignored the plight of Syrian refugees. Conclusion Results of the study demonstrate that Syrian refugees were symbolically annihilated by Turkish news media during the COVID-19 pandemic. The concealment of information and symbolic annihilation of disadvantaged groups could potentially cause health disparities and irreparable harm to public health. Moreover, inequities exacerbate when predicaments of stigmatized groups are ignored in the news media. Further studies are needed to reveal the impact of the media on health disparities among stigmatized groups during the pandemics. | [
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|
https://openalex.org/W2003324083 | Perspectives on public awareness of stroke and aphasia among Turkish patients in a neurology unit | [
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] | https://api.openalex.org/works?filter=cites:W2003324083 | Recent studies on awareness have drawn attention to the fact that aphasia is a little known disorder to the public, in spite of all the publicity about this frequently occurring neurogenic language disorder. Being a very new concept, studies of awareness are rare in Turkey. This survey study assessed the extent of public awareness of neurological disorders, including aphasia, and information sources to answer questions about such disorders. A survey questionnaire consisting of 22 brief questions divided into three sections of awareness was administered to a convenience sample of 196 adults at a University Hospital in 2004. The results indicated that epilepsy and dementia are "the most well-known", and Multiple Sclerosis (MS) is "the least-known" among the surveyed diseases/disorders. Aphasia awareness was also low. The respondents preferred doctors as the most reliable information source. Speech and language therapists were found to be one of the information sources in advocating publicity as well. Most respondents expected to receive information from the doctors; who, in Turkey, are totally occupied with the physical aspects of health care provision. Neurologists, in collaboration with speech and language therapists, should be in a position to develop educational programmes to increase public awareness. | [
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https://openalex.org/W2107001978 | The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes | [
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] | https://api.openalex.org/works?filter=cites:W2107001978 | Support for patient self-management is an accepted role for health professionals. Little evidence exists on the appropriate basis for the role of health professionals in achieving optimum self-management outcomes. This study explores the perceptions of people with type 2 diabetes about their self-management strategies and how relationships with health professionals may support this.Four focus groups were conducted with people with type 2 diabetes: two with English-speaking and one each with Turkish and Arabic-speaking. Transcripts from the groups were analysed drawing on grounded hermeneutics and interpretive description.We describe three conceptually linked categories of text from the focus groups based on emotional context of self management, dominant approaches to self management and support from health professionals for self management. All groups described important emotional contexts to living with and self-managing diabetes and these linked closely with how they approached their diabetes management and what they looked for from health professionals. Culture seemed an important influence in shaping these linkages.Our findings suggest people construct their own individual self-management and self-care program, springing from an important emotional base. This is shaped in part by culture and in turn determines the aims each person has in pursuing self-management strategies and the role they make available to health professionals to support them. While health professionals' support for self-care strategies will be more congruent with patients' expectations if they explore each person's social, emotional and cultural circumstances, pursuit of improved health outcomes may involve a careful balance between supporting as well as helping shift the emotional constructs surrounding a patient life with diabetes. | [
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https://openalex.org/W3027616753 | Cross-cultural research: trying to do it better 2. Enhancing data quality | [
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] | https://api.openalex.org/works?filter=cites:W3027616753 | To discuss a range of strategies to address the methodological and practical challenges in designing cross-cultural public health studies.The Mothers in a New Country (MINC) Study was an interview study of 318 Vietnamese, Turkish and Filipino recent mothers exploring their views of maternity care and the early months of motherhood. It was carried out in Melbourne between 1994 and 1997. Sampling, recruitment, retention and representativeness all pose problems for studies involving non-English-speaking background immigrant populations, as do selection, training and support processes for bicultural interviewers. These issues are discussed with reference to the strategies undertaken to tackle them in the MINC Study.In the MINC Study, a systematic approach to sampling and recruitment, combined with a flexible and sensitive study protocol were largely successful both in achieving in adequate sample size and a largely representative study sample. Similarly, paying significant attention to the selection, training and ongoing support of the biocultural interviewers employed on the study contributed greatly to its successful completion and enhanced confidence in the study findings.Both researchers and funders need to take seriously the implications of the many methodological and practical issues involved in designing sound cross-cultural public health studies. In particular, there are major implications for study costs and timelines. However, the benefits to be gained are significant. | [
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https://openalex.org/W2395763637 | Newborn screening programmes in Europe; arguments and efforts regarding harmonization. Part 2 – From screening laboratory results to treatment, follow‐up and quality assurance | [
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"country": "United Kingdom",
"display_name": "Faculty of Public Health",
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{
"country": "United Kingdom",
"display_name": "London School of Hygiene & Tropical Medicine",
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{
"country": "Canada",
"display_name": "Population Health Research Institute",
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{
"country": "Canada",
"display_name": "Hamilton Health Sciences",
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{
"country": "Canada",
"display_name": "McMaster University",
"id": "https://openalex.org/I98251732",
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"display_name": "Salim Yusuf",
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"display_name": "Faculty of Public Health",
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{
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"display_name": "Martin McKee",
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{
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{
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{
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"id": "https://openalex.org/C2780664029"
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{
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"id": "https://openalex.org/C2776577793"
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{
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"id": "https://openalex.org/C83864248"
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{
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"id": "https://openalex.org/C138816342"
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{
"display_name": "Socioeconomics",
"id": "https://openalex.org/C45355965"
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{
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"id": "https://openalex.org/C50522688"
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{
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{
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{
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"Turkey",
"Iran"
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"https://openalex.org/W1777587551",
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"https://openalex.org/W2106609495",
"https://openalex.org/W2109317822",
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"https://openalex.org/W2414022139",
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"https://openalex.org/W2472994766",
"https://openalex.org/W2510564757",
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"https://openalex.org/W2772759979",
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"https://openalex.org/W2887529525",
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"https://openalex.org/W3123188741",
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] | https://api.openalex.org/works?filter=cites:W3005770889 | Background Non-communicable diseases (NCDs) are the leading cause of death globally. In 2014, the United Nations committed to reducing premature mortality from NCDs, including by reducing the burden of healthcare costs. Since 2014, the Prospective Urban and Rural Epidemiology (PURE) Study has been collecting health expenditure data from households with NCDs in 18 countries. Methods Using data from the PURE Study, we estimated risk of catastrophic health spending and impoverishment among households with at least one person with NCDs (cardiovascular disease, diabetes, kidney disease, cancer and respiratory diseases; n=17 435), with hypertension only (a leading risk factor for NCDs; n=11 831) or with neither (n=22 654) by country income group: high-income countries (Canada and Sweden), upper middle income countries (UMICs: Brazil, Chile, Malaysia, Poland, South Africa and Turkey), lower middle income countries (LMICs: the Philippines, Colombia, India, Iran and the Occupied Palestinian Territory) and low-income countries (LICs: Bangladesh, Pakistan, Zimbabwe and Tanzania) and China. Results The prevalence of catastrophic spending and impoverishment is highest among households with NCDs in LMICs and China. After adjusting for covariates that might drive health expenditure, the absolute risk of catastrophic spending is higher in households with NCDs compared with no NCDs in LMICs (risk difference=1.71%; 95% CI 0.75 to 2.67), UMICs (0.82%; 95% CI 0.37 to 1.27) and China (7.52%; 95% CI 5.88 to 9.16). A similar pattern is observed in UMICs and China for impoverishment. A high proportion of those with NCDs in LICs, especially women (38.7% compared with 12.6% in men), reported not taking medication due to costs. Conclusions Our findings show that financial protection from healthcare costs for people with NCDs is inadequate, particularly in LMICs and China. While the burden of NCD care may appear greatest in LMICs and China, the burden in LICs may be masked by care foregone due to costs. The high proportion of women reporting foregone care due to cost may in part explain gender inequality in treatment of NCDs. | [
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{
"display_name": "Oxford University Research Archive (ORA) (University of Oxford)",
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{
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{
"display_name": "PubMed Central",
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|
https://openalex.org/W2193431212 | Waterpipe Tobacco Smoking in Turkey: Policy Implications and Trends from the Global Adult Tobacco Survey (GATS) | [
{
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"display_name": "Sağlık Bilimleri Üniversitesi",
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"display_name": "Cevdet Erdöl",
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"display_name": "Jeremy Morton",
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"country": "United States",
"display_name": "Centers for Disease Control and Prevention",
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"display_name": "Krishna Palipudi",
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"country": "India",
"display_name": "Healis Sekhsaria Institute For Public Health",
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"display_name": "Prakash C. Gupta",
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"display_name": "Samira Asma",
"id": "https://openalex.org/A5007342326"
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{
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{
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{
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"id": "https://openalex.org/C3020384764"
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{
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"id": "https://openalex.org/C71924100"
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{
"display_name": "Public health",
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{
"display_name": "Smoking prevalence",
"id": "https://openalex.org/C2993680756"
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{
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"id": "https://openalex.org/C3019190695"
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{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
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{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
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{
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"id": "https://openalex.org/C2908647359"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
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"id": "https://openalex.org/C166957645"
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{
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"id": "https://openalex.org/C144024400"
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"Turkey"
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"https://openalex.org/W1496829679",
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"https://openalex.org/W2165177005",
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] | https://api.openalex.org/works?filter=cites:W2193431212 | Waterpipe tobacco smoking (WTS) is an emerging tobacco product globally, especially among adolescents and young adults who may perceive WTS as a safe alternative to smoking cigarettes. Monitoring the use of WTS in Turkey in relation to the tobacco control policy context is important to ensure that WTS does not become a major public health issue in Turkey. The Global Adult Tobacco Survey (GATS) was conducted in Turkey in 2008 and was repeated in 2012. GATS provided prevalence estimates on current WTS and change over time. Other indicators of WTS were also obtained, such as age of initiation and location of use. Among persons aged 15 and older in Turkey, the current prevalence of WTS decreased from 2.3% in 2008 to 0.8% in 2012, representing a 65% relative decline. Among males, WTS decreased from 4.0% to 1.1% (72% relative decline). While the overall smoking prevalence decreased among females, there was no change in the rate of WTS (0.7% in 2008 vs. 0.5% in 2012), though the WTS prevalence rate was already low in 2008. Comprehensive tobacco control efforts have been successful in reducing the overall smoking prevalence in Turkey, which includes the reduction of cigarette smoking and WTS. However, it is important to continue monitoring the use of waterpipes in Turkey and targeting tobacco control efforts to certain groups that may be vulnerable to future WTS marketing (e.g., youth, women). | [
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{
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|
https://openalex.org/W1984887950 | Health policy for the poor: An exploration on the take-up of means-tested health benefits in Turkey | [
{
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{
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"display_name": "Boğaziçi University",
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{
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"display_name": "Kocaeli Üniversitesi",
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"display_name": "Burcu Yakut-Çakar",
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{
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"display_name": "Marmara University",
"id": "https://openalex.org/I74897591",
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"display_name": "Salvatore Cali",
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{
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{
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"display_name": "Boğaziçi University",
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"display_name": "Fikret Adaman",
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{
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{
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{
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{
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{
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"id": "https://openalex.org/C4249254"
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{
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{
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"id": "https://openalex.org/C99454951"
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{
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"id": "https://openalex.org/C162324750"
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{
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"id": "https://openalex.org/C71924100"
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{
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"id": "https://openalex.org/C50522688"
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{
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"id": "https://openalex.org/C145236788"
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{
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"id": "https://openalex.org/C159110408"
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] | [
"Turkey"
] | [
"https://openalex.org/W1966226990",
"https://openalex.org/W1966695920",
"https://openalex.org/W2043182064",
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] | https://api.openalex.org/works?filter=cites:W1984887950 | Recent healthcare reform in Turkey aims at achieving universal coverage with the introduction of General Health Insurance (GHI). As part of GHI, the state assumes the provision of health insurance coverage to those unable to afford the public health insurance premiums conditional on a means-testing procedure where the official threshold is set as one-third of the gross minimum wage. This article aims at exploring in Turkey the prevalence of non-take up of means-tested health insurance for the poor and the consequent financial burdens for those poor segments outside the coverage. Based upon Statistics of Income and Living Conditions micro data, the non-take-up rate is estimated to be around 44%, where the prevalence of non-take-up is lower yet still high, i.e. around 30%, for households with very low incomes as well as those with elderly or ill members. The results from a separate health expenditure survey on urban poor, which is specifically designed and implemented by the authors, reveal that poor households without health insurance coverage are faced with significant out-of-pocket expenditures. About 5% of those households without coverage were found to have inpatient expenditures that exceeded 20% of their annual disposable household income. Also, among the households without coverage but with at least one inpatient visit over the last two years, the median expenditure was reported as high as 8% of the annual household income as opposed to 0% median value for those with GHI. The results highlight that a large proportion of poor population still lacks public health insurance despite the overarching aim of universal coverage. | [
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|
https://openalex.org/W2057460758 | Governing population, public health, and malaria in the early Turkish republic | [
{
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"display_name": "Kyle T. Evered",
"id": "https://openalex.org/A5042636171"
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{
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"display_name": "Emine Ö. Evered",
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{
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"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W2057460758 | Abstract In the early Turkish republic of the 1920s, population was a central question of concern for the leadership of the Kemalist state. This article focuses on how a demographic discourse concerning population – in terms both numerical and medical – provided a basis for emerging programs in public health, confronting the very real threats posed by disease. Employing the example of the nascent republic’s anti-malarial campaigns, this study thus examines the discursive, cartographic, and legislative measures employed in combating this widespread disease in the wider contexts of nation-building. In doing so, it traces one vital trajectory of the development of modern governmentality (i.e., that of public health) in the case of Turkey during the 1920s and 1930s, prior to the wartime slowing of state investments (due to national defense priorities), the post-World War II infusions of foreign aid and the incorporation of DDT in confronting malaria. | [
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|
https://openalex.org/W4240635672 | West Nile Virus Infection Among Turkey Breeder Farm Workers—Wisconsin, 2002 | [] | [
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"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W4240635672 | In 2002, Wisconsin public health officials were notified of two cases of febrile illness in workers at a commercial turkey breeder farm (farm A) in county A. The Wisconsin Division of Public Health (WDPH) initiated an investigation that found a high prevalence of West Nile virus (WNV) antibody among farm A workers and turkeys. An associated high incidence of febrile illness among farm A workers also was observed. This report summarizes the results of this investigation, which indicate possible nonmosquito transmission among birds and subsequent infection of humans at farm A. Because the mode of transmission in this outbreak is unknown, turkey handlers should take appropriate precautions, including use of DEET--containing mosquito repellents, protective clothing and gloves, respiratory protection, and proper hand hygiene. Suspected occupationally acquired WNV infections should be reported immediately to local and state health departments. | [
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{
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|
https://openalex.org/W3018801791 | Forecasting of COVID-19 Cases and Deaths Using ARIMA Models | [
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"https://openalex.org/W3012244307",
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] | https://api.openalex.org/works?filter=cites:W3018801791 | ABSTRACT After the outbreak of severe acute respiratory syndrome (SARS-2002/2003) and middle east respiratory syndrome (MERS-2012/2014) in the world, new public health crisis, called new coronavirus disease (COVID-19), started in China in December 2019 and has spread all over countries. COVID-19 coronavirus has been global threat of the disease and infected humans rapidly. Control of the pandemi is urgently essential, and science community have continued to research treatment agents. Support therapy and intensive care units in hospitals are also efective to overcome of COVID-19. Statistic forecasting models could aid to healthcare system in preventation of COVID-19. This study aimed to compose of forecasting model that could be practical to predict the spread of COVID-19 in Italy, Spain and Turkey. For this purpose, we performed Auto Regressive Integrated Moving Average (ARIMA) model on the European Centre for Disease Prevention and Control COVID-19 data to predict the number of cases and deaths in COVID-19. According to the our results, while number of cases in Italy and Spain is expected to decrease as of July, in Turkey is expected to decline as of September. The number of deaths in Italy and Spain is expected to be the lowest in July. In Turkey, this number is expected to reach the highest in July. In addition, it is thought that if studies in which the sensitivity and validity of this method are tested with more cases, they will contribute to researchers working in this field. | [
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https://openalex.org/W2145938398 | An Investigation of Hospital Disaster Preparedness in Turkey | [
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{
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{
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"https://openalex.org/W2471127371",
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] | https://api.openalex.org/works?filter=cites:W2145938398 | The objective of this study was to examine the plans that public, university and private hospitals in Turkey have made in preparation for possible disasters, and to further investigate what types of measures have been taken as a way of focusing on plan characteristics and surge capacity.The study involved 430 hospitals throughout Turkey, each of which had 100 or more beds according to statistical data issued by The Ministry of Health of Turkey. Of these 430 hospitals, 358 were public, 40 were university-affiliated, and 32 were private. The questionnaires developed for the study were sent to the hospitals by mail. Only 251 hospitals returned responses. The questionnaire response rate was 58.4%. A total of 32 questions were asked in the survey. Frequency distributions of the data for statistical analysis were made, and tables were created according to the type and capacity of the hospitals.This study found that 233 hospitals (92.8%) have written disaster plans. When analyzed according to the type of hospital, 204 public hospitals (93.2%), 19 university hospitals (86.4%) and 10 private hospitals (100%) were found to have written disaster plans. According to the study, 63.5% of the public hospitals, 80% of the private hospitals and 31.8% of the university hospitals perform an exercise on an annual basis, as stated in the disaster plan.Disasters occur at unexpected times and have the potential to seriously affect the demand for health services. Local hospitals are one of the most significant facilities for providing health services during disasters. In this study, the level of disaster preparation of the hospitals in Turkey was examined. | [
{
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|
https://openalex.org/W2020891186 | A Comparative Review of Palliative Care Development in Six Countries Represented by the Middle East Cancer Consortium (MECC) | [
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] | https://api.openalex.org/works?filter=cites:W2020891186 | Palliative care development and services were reviewed in the region represented by the six members of the Middle East Cancer Consortium: Cyprus, Egypt, Israel, Jordan, the Palestinian Authority, and Turkey. The multimethod review synthesized evidence from ethnographic field visits to inpatient units, home care hospice teams and free-standing hospices, including interviews with hospice and palliative care clinicians, administrators, volunteers, policy makers and academic researchers. Public health data and relevant literature were collated together with internet-accessed information on services and health care systems. A total of 69 services were located; two country members have a history of relatively sustained development of hospice and palliative care, but provision across the Middle East Cancer Consortium region is highly variable at a local level. Considerable barriers to service development were identified in a region already struggling with many military and political conflicts. Key problems are a lack of secure funds and government support, inadequate professional training programs, opioid phobia in professionals and the public, and a lack of awareness and understanding of palliative care needs at public, government, and professional levels. Key areas for further attention were increasing national and international professional training and public education programs, improving opioid legislation and health care policies, negotiating for secure government or health insurance funding provision, raising awareness about the need for pediatric services and for patients with other illnesses, as well as for those with cancer, and working to integrate palliative care into mainstream health service provision and education. | [
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https://openalex.org/W4210452496 | The dramatic increase in anti-vaccine discourses during the COVID-19 pandemic: a social network analysis of Twitter | [
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] | https://api.openalex.org/works?filter=cites:W4210452496 | The first case of COVID-19 in Turkey was officially recorded on March 11, 2020. Social media use increased worldwide, as well as in Turkey, during the pandemic, and conspiracy theories/fake news about medical complications of vaccines spread throughout the world. The aim of this study was to identify community interactions related to vaccines and to identify key influences/influencers before and after the pandemic using social network data from Twitter.Two datasets, including tweets about vaccinations before and after COVID-19 in Turkey, were collected. Social networks were created based on interactions (mentions) between Twitter users. Users and their influence were scored based on social network analysis and parameters that included in-degree and betweenness centrality.In the pre-COVID-19 network, media figures and authors who had anti-vaccine views were the most influential users. In the post-COVID-19 network, the Turkish minister of health, the was the most influential figure. The vaccine network was observed to be growing rapidly after COVID-19, and the physicians and authors who had opinions about mandatory vaccinations received a great deal of reaction. One-way communication between influencers and other users in the network was determined.This study shows the effectiveness and usefulness of large social media data for understanding public opinion on public health and vaccination in Turkey. The current study was completed before the implementation of the COVID-19 vaccine in Turkey. We anticipated that social network analysis would help reduce the "infodemic" before administering the vaccine and would also help public health workers act more proactively in this regard. | [
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https://openalex.org/W1976292393 | Ethnic differences in social participation and social capital in Malmö, Sweden: a population-based study | [
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] | https://api.openalex.org/works?filter=cites:W1976292393 | The aim of this study was to investigate ethnic differences in different aspects of social participation in Malmö, Sweden. The public health survey in Malmö 1994 is a cross-sectional study. A total of 5600 randomly chosen individuals aged 20–80 years were asked to complete a postal questionnaire. The participation rate was 71%. The population was divided into categories born in Sweden, Denmark/Norway, other Western countries, former Yugoslavia, Poland, Arabic speaking countries and all other countries. The age-adjusted and multivariate analyses were performed using a logistic regression model in order to investigate the importance of possible confounders (age, education, economic stress and unemployment) on the differences by country of origin in different aspects of social participation. Men and women born in Arabic speaking countries and other countries (Iran, Turkey, Vietnam, Chile and subsaharan Africa) participate to a significantly lower extent in a variety of civic and social activities when compared to the reference population born in Sweden. The differences in participation in these groups compared to the group born in Sweden are observed both for social participation items at the core of the definition of social capital and cultural and other activities unrelated to social capital. This pattern is particularly pronounced for women born in Arabic speaking countries. These women even sharply differ from the participation rates of men born in Arabic speaking countries. The ethnic differences in most cases do not seem to be explained satisfactorily by education, economic stress or possibly unemployment. | [
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https://openalex.org/W2806128019 | Dutch citizens of Turkish origin who utilize healthcare services in Turkey: a qualitative study on motives and contextual factors | [
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] | https://api.openalex.org/works?filter=cites:W2806128019 | Dutch residents of Turkish origin frequently utilize healthcare in Turkey. To investigate their motives for doing so, we conducted a qualitative study among these healthcare users using semi-structured interviews. We complemented this with informal conversations with Turkish healthcare providers and observations at the registration offices and waiting rooms of outpatient clinics in several Turkish hospitals. Respondents believed their perceived needs for referral to specialist care and diagnostic assessments to quantify their health were not being met in the Netherlands. These mismatches in expectations of what constitutes “good care” led to dissatisfaction with Dutch primary care. Consequently, respondents utilized healthcare in Turkey if the opportunity arose, and were encouraged in this by their social networks. Establishing cross-border communication between healthcare providers is necessary, because there is currently no continuity of care for cross-border patients. | [
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https://openalex.org/W2994516978 | Publication rates of public health theses in international and national peer-review journals in Turkey. | [
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] | https://api.openalex.org/works?filter=cites:W2994516978 | Thesis is an important part of specialisation and doctorate education and requires intense work. The aim of this study was to investigate the publication rates of Turkish Public Health Doctorate Theses (PHDT) and Public Health Specialization (PHST) theses in international and Turkish national peer-review journals and to analyze the distribution of research areas.List of all theses upto 30 September 2009 were retrieved from theses database of the Council of Higher Education of the Republic of Turkey. The publication rates of these theses were found by searching PubMed, Science Citation Index-Expanded, Turkish Academic Network and Information Center (ULAKBIM) Turkish Medical Database, and Turkish Medline databases for the names of thesis author and mentor. The theses which were published in journals indexed either in PubMed or SCI-E were considered as international publications.Our search yielded a total of 538 theses (243 PHDT, 295 PHST). It was found that the overall publication rate in Turkish national journals was 18%. The overall publication rate in international journals was 11.9%. Overall the most common research area was occupational health.Publication rates of Turkish PHDT and PHST are low. A better understanding of factors affecting this publication rate is important for public health issues where national data is vital for better intervention programs and develop better public health policies. | [
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https://openalex.org/W2116885285 | An important public health problem: rabies suspected bites and post-exposure prophylaxis in a health district in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2116885285 | The aim of this study was to describe rabies suspected animal bites and post-exposure prophylaxis (PEP) practices in Narlidere District in Turkey between 1999 and 2001.One thousand five hundred and sixty-nine rabies suspected bite cases reported were identified from the District's rabies surveillance forms.Males comprised 66.7% of the cases, and 43.5% of the total were under 20 years old. In 74% of cases the animal involved in the bite was a dog. Only 70% of the animals had an owner, and only 17% of the animals had a rabies vaccination certificate. In terms of treatment, 68% of the human cases received PEP, and 21% of cases had an extra (sixth) vaccination dose, which is a substantial burden on the healthcare system, costing half a million US dollars per year. The place where the bite occurred (rural areas), the age of the recipient (more than 10 years old), the animal type (animals other than dogs and cats), lack of a vaccination certificate for the animal, and place of wound treatment (hospital) were significantly associated with PEP application.In addition to the currently recommended strategy of controlling the dog population and of vaccinating domesticated animals, adults and children should be educated about bite prevention to reduce the number of animal bites. | [
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https://openalex.org/W2101255387 | Development, implementation and outcome of standards to restrict fatty meat in the food supply and prevent NCDs: learning from an innovative trade/food policy in Ghana | [
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] | https://api.openalex.org/works?filter=cites:W2101255387 | Diet-related noncommunicable diseases represent a major global public health challenge, and require a multisectoral policy response. However, the use of trade policy in this context has met with varied success in the face of strong global trade liberalization agendas. The Government of Ghana has implemented an innovative food standards policy to limit the amount of fat in meat and meat cuts, in response to rising imports of low quality fatty meat cuts. This paper presents an analysis of the policy process and outcomes, as well as contextual factors in policy development, to enable policy learning in other jurisdictions. We conducted 28 semi-structured policy analysis interviews with 37 stakeholders at the national and regional level in Ghana, and collated relevant documents. We analysed the data using the health policy analysis triangle and policy theories related to lesson drawing. The standards were developed in response to health concerns related to fatty meat (particularly turkey tails), in a context of rising meat imports and a generalised concern about the low quality and high fat content of imported meats. The standards were the result of collaboration between the trade and health sectors. The standards apply to both imported and domestic meat, and were designed to be compliant with Ghana’s multilateral trade commitments. The overall effect of the ban has been to reduce availability of specific ‘low quality’ high-fat meats in the Ghanaian food supply, namely turkey tails and chicken feet. This study indicates that the use of standards can reduce availability of high-fat meat in a national food supply. The main strength of a standards approach to reducing fatty meat (mainly imported) in the food supply is compliance with global trade law, while the main challenge is effective enforcement. However, the Government of Ghana appears to have developed a functional and flexible application of the policy. Features of this policy approach useful for policy learning include: collaboration at every stage between ministries of trade and health; considerations relating to compliance with international trade law; strategic enforcement of the policy; and the importance of public awareness efforts. | [
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https://openalex.org/W2907969812 | A novel version of Copenhagen Psychosocial Questionnaire-3: Turkish validation study | [
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"Turkey"
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] | https://api.openalex.org/works?filter=cites:W2907969812 | Ceyda Şahana*, Hakan Baydurb & Yücel Demiralca Occupational Medicine Department, Dokuz Eylul University, Izmır, Turkey; b Health School, Faculty of Health Sciences, Celal Bayar University, Manisa, Turkey; c Public Health Department, Dokuz Eylul University, Izmır, Turkey | [
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|
https://openalex.org/W3094575270 | Adoption rates of electronic health records in Turkish Hospitals and the relation with hospital sizes | [
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"display_name": "Şeyma Güner",
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] | https://api.openalex.org/works?filter=cites:W3094575270 | Abstract Background Nation-wide adoption of electronic health records (EHRs) in hospitals has become a Turkish policy priority in recognition of their benefits in maintaining the overall quality of clinical care. The electronic medical record maturity model (EMRAM) is a widely used survey tool developed by the Healthcare Information and Management Systems Society (HIMSS) to measure the rate of adoption of EHR functions in a hospital or a secondary care setting. Turkey completed many standardizations and infrastructural improvement initiatives in the health information technology (IT) domain during the first phase of the Health Transformation Program between 2003 and 2017. Like the United States of America (USA), the Turkish Ministry of Health (MoH) applied a bottom-up approach to adopting EHRs in state hospitals. This study aims to measure adoption rates and levels of EHR use in state hospitals in Turkey and investigate any relationship between adoption and use and hospital size. Methods EMRAM surveys were completed by 600 (68.9%) state hospitals in Turkey between 2014 and 2017. The availability and prevalence of medical information systems and EHR functions and their use were measured. The association between hospital size and the availability/prevalence of EHR functions was also calculated. Results We found that 63.1% of all hospitals in Turkey have at least basic EHR functions, and 36% have comprehensive EHR functions, which compares favourably to the results of Korean hospitals in 2017, but unfavorably to the results of US hospitals in 2015 and 2017. Our findings suggest that smaller hospitals are better at adopting certain EHR functions than larger hospitals. Conclusion Measuring the overall adoption rates of EHR functions is an emerging approach and a beneficial tool for the strategic management of countries. This study is the first one covering all state hospitals in a country using EMRAM. The bottom-up approach to adopting EHR in state hospitals that was successful in the USA has also been found to be successful in Turkey. The results are used by the Turkish MoH to disseminate the nation-wide benefits of EHR functions. | [
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https://openalex.org/W3010993498 | Consumer knowledge, attitudes, and judgments about food safety: A consumer analysis | [
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] | https://api.openalex.org/works?filter=cites:W3010993498 | Food safety is a crucial global public health issue. Causing huge economic and social burden on communities and health systems, food-borne diseases are mostly due to lack of knowledge about food safety and unsafe food handling practices. Consumers’ behavior towards food safety should be considered thoroughly for planning preventive measures to eliminate risks. Knowledge, attitudes, and judgments about food safety among 990 consumers living in Istanbul, the most populous city in Turkey, were investigated. Data were obtained through face-to-face interviews. Forty-two questions including the demographics of consumers, food safety attitudes, awareness of food-borne illnesses, source of information on food safety, and reliance on food safety authorities were asked. Consumers have shown the greatest need for education on food safety. An effective and continuous food safety education is important to improve consumers’ knowledge on food safety. The use of media tools could lead to behavioral changes that will reduce the risk of foodborne illness. | [
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https://openalex.org/W2027970293 | Avian influenza outbreak in Turkey through health personnel's views: a qualitative study | [
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] | https://api.openalex.org/works?filter=cites:W2027970293 | Avian influenza threatens public health worldwide because it is usually associated with severe illness and, consequently, a higher risk of death. During the first months of 2006, Turkey experienced its first human avian influenza epidemic. A total of 21 human cases were identified, 12 of which were confirmed by the National Institute for Medical Research. Nine of the cases, including the four fatal ones, were from the Dogubeyazit-Van region. This study aims to evaluate the efforts at the avian influenza outbreak control in the Van-Dogubeyazit region in 2006 through the experiences of health personnel.We conducted in-depth interviews with seventeen key informants who took active roles during the avian influenza outbreak in East Turkey during the first months of 2006. We gathered information about the initial responses, the progress and management of the outbreak control, and the reactions of the health professionals and the public. The findings of the study are reported according to the topics that appeared through thematic analysis of the interview transcripts.Following the first suspected avian influenza cases, a Van Crisis Coordination Committee was formed as the coordinating and decision-making body and played an important role in the appropriate timing of decisions. The health and agriculture services could not be well coordinated owing to the lack of integrated planning in preparation for outbreak and of integrated surveillance programs. Traditional poultry practice together with the low socio-economic status of the people and the lack of health care access in the region seemed to be a major risk for animal to animal and animal to human transmission. The strengths and weaknesses of the present health system - primary health care services, national surveillance and notification systems, human resource and management - affected the inter organizational coordination during the outbreak. Open communication between the government and the public played an important part in overcoming difficulties.Although there were problems during the avian influenza outbreak in Turkey, the rapid responses of the central and regional health authorities and the performance of the health workers were the key points in controlling the epidemic. The lessons from this outbreak should provide an opportunity for integrating the preparation plans of the health and agricultural organizations, and for revising the surveillance system and enhancing the role of the primary health care services in controlling epidemic disease. Developing successful strategies based on knowledge and experience may play a valuable role in delaying an avian influenza pandemic. | [
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https://openalex.org/W3048923397 | Interference in scientific research on COVID-19 in Turkey | [
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"Turkey",
"Saudi Arabia",
"Iran"
] | [] | https://api.openalex.org/works?filter=cites:W3048923397 | Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), as it was later named, was first identified in Wuhan, China, on Jan 7, 2020.1WHONovel coronavirus—China.https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/Date: 2020Date accessed: July 27, 2020Google Scholar Over the following months, the virus rapidly spread throughout the world. The disease, COVID-19, was characterised as a pandemic by WHO on March 11, 2020. On the same day, the Turkish Ministry of Health reported the first case in Turkey.2Ministry of Health of TurkeyCurrent status in Turkey.https://covid19.saglik.gov.trDate: 2020Date accessed: May 20, 2020Google Scholar According to the Global Initiative on Sharing All Influenza Data platform, which analyses the genomic epidemiology of SARS-CoV-2, the disease reached Turkey mainly through Iran, with whom Turkey has strong commercial and touristic ties, and Saudi Arabia, where thousands of Turkish citizens travelled to visit the holy places until mid-March, 2020.3Global Influenza Surveillance and Response SystemGenomic epidemiology of hCoV-19.https://www.gisaid.org/epiflu-applications/next-hcov-19-app/Date: 2020Date accessed: May 20, 2020Google Scholar 2 months after the first case, on May 11, 2020, the Turkish Ministry of Health declared that the number of COVID-19 cases had reached 139 771, with 3841 deaths.2Ministry of Health of TurkeyCurrent status in Turkey.https://covid19.saglik.gov.trDate: 2020Date accessed: May 20, 2020Google Scholar However, the excess mortality for Istanbul alone during this period was 4209 deaths. From 2016–19, the average number of deaths that occurred in Istanbul was 23 232 for the period of March 11 to July 5.4The Istanbul Metropolitan Municipality Death Information Inquiry.https://www.turkiye.gov.tr/istanbul-buyuksehir-belediyesi-vefat-sorgulamaDate: 2020Date accessed: May 20, 2020Google Scholar In 2020, this figure went up to 27 955 deaths. The excess mortality found between March 11 and July 5, 2020, in Istanbul was 4723 deaths.4The Istanbul Metropolitan Municipality Death Information Inquiry.https://www.turkiye.gov.tr/istanbul-buyuksehir-belediyesi-vefat-sorgulamaDate: 2020Date accessed: May 20, 2020Google Scholar There were at least 1952 unexplained deaths. However, the officially reported COVID-19 mortality in the same period was 2771 deaths.5Ministry of HealthCOVID-19 weekly situation report 29/06/2020—05/07/2020 Turkey.https://dosyamerkez.saglik.gov.tr/Eklenti/37862,covid-19-weekly-situation-report-29062020—05072020pdf.pdf?0&_tag1=8C3F5C6E9B0E4630704978AA6BB815 1EEE4AFC99Date: 2020Date accessed: July 28, 2020Google Scholar Because no other serious mass health events were recorded at that time, this discrepancy could be explained by non-compliance with WHO codes from the International Classification of Diseases (tenth edition).6WHOInternational guidelines for certification and classification (coding) of COVID-19 as cause of death.https://www.who.int/classifications/icd/Guidelines_Cause_of_Death_COVID-19-20200420-EN.pdf?ua=1Date: 2020Date accessed: May 20, 2020Google Scholar The official reporting system of Turkey only covered PCR-positive cases. As of July 27, 2020, Turkey ranks fourth in the European region for cases of COVID-19, with a total number of 225 173 patients and 5596 COVID-19 deaths,7WHOCoronavirus disease (COVID-19) situation report—117.https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200516-covid-19-sitrep-117.pdf?sfvrsn=8f562cc_2Date: 2020Date accessed: July 27, 2020Google Scholar as reported by the Ministry of Health on the basis of PCR-positive cases alone.8Turkish Medical AssociationA two-months evaluation report of COVID-19 pandemic.https://www.ttb.org.tr/userfiles/files/covid19-rapor.pdfDate: 2020Date accessed: July 27, 2020Google Scholar The establishment of a scientific board and full coverage of treatment, and the encouragement of research by the Ministry of Health and funding bodies such as the Scientific and Technological Research Council of Turkey and the Health Institutes of Turkey were admirable steps taken by the authorities in the beginning of the pandemic. However, tension soon started building among the public sector and medical and scientific organisations due to the Ministry of Health's lack of transparency, its reluctance to share basic data, and its refusal to collaborate. There were also concerns about the shortage of personal protective equipment for health-care workers.8Turkish Medical AssociationA two-months evaluation report of COVID-19 pandemic.https://www.ttb.org.tr/userfiles/files/covid19-rapor.pdfDate: 2020Date accessed: July 27, 2020Google Scholar The final stroke came with the control of COVID-19 research by the Ministry of Health. Despite the great interest in research on COVID-19 in Turkey by researchers and physicians, the Turkish Ministry of Health announced a mandatory application for permission for research on COVID-19, before any application is made to ethics committees.9Ministry of HealthScientific research studies on COVID-19.https://bilimselarastirma.saglik.gov.tr/_layouts/15/BilimselYayin_Membership/login.aspx?ReturnUrl=%2f_layouts%2f15%2fAuthenticate.aspx%3fSource%3d%252F&Source=%2FDate: 2020Date accessed: July 27, 2020Google Scholar This unprecedented decision was against the Constitution10Judiciary of TurkeyCurrent version of Constitution of the Republic of Turkey including latest amendments 08.05.2017.http://www.judiciaryofturkey.gov.tr/Current-version-of--Constitution-of-the-Republic-of-Turkey--including-latest--amendmentsDate accessed: July 27, 2020Google Scholar and laws regulating research activities in Turkey. It appears that most submitted projects have been approved by the Ministry of Health, but some projects, including a large, multicentre observational study by the Turkish Thoracic Society, have been rejected without any clear explanation. The regular procedure for research activities in Turkey is well defined. In keeping with the international regulations, researchers must get approval from the independent ethics committee. The Turkish Constitution clearly states that “everyone can learn science and art freely and has the right to teach, explain, disseminate and research in these areas”.10Judiciary of TurkeyCurrent version of Constitution of the Republic of Turkey including latest amendments 08.05.2017.http://www.judiciaryofturkey.gov.tr/Current-version-of--Constitution-of-the-Republic-of-Turkey--including-latest--amendmentsDate accessed: July 27, 2020Google Scholar The Science Academy, a member of the International Science Council, has highlighted this fact.11The Science AcademyDeclaration: subjecting scientific researches about COVID-19 to the notification to The Ministry of Health is inconvenient.https://bilimakademisi.org/covid-19-arastirmalari-hakkinda-bildirim-yukumlulugu-sakincalidir/Date: 2020Date accessed: July 27, 2020Google Scholar The Turkish Medical Association and other professional medical organisations made a declaration through a press conference and urged the Ministry of Health to cancel their decision. In conclusion, we, as respiratory physicians and scientists, are worried about the restrictions imposed by the Turkish Ministry of Health on independent research about the COVID-19 pandemic in Turkey, and we sincerely hope that the Ministry of Health's decision will be taken back in compliance with the Turkish Constitution. We declare no competing interests. All authors are affiliated with the Turkish Thoracic Society: HB is the President, NK is the Foreign Relations Chair, and OE is the Head of the Working Group on Health Policies, OK is the Co-Editor in Chief of the Turkish Thoracic Journal, AS is a member of the Auditing Board, and ED is a member. | [
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https://openalex.org/W2182402072 | Health beliefs and breast self-examination in a sample of Turkish women academicians in a university. | [
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] | https://api.openalex.org/works?filter=cites:W2182402072 | The purpose of this study was to evaluate health beliefs and BSE behavior of female academicians in a Turkish university.This descriptive study was conducted at various faculties located in Ege University, Izmir, Turkey, in 2005. The sample consisted of 224 female academicians. Data were collected using a self-administered questionnaire and the Turkish version of Champion's Health Belief Model Scales (HBM). Descriptive statistics, t-test and Mann Whitney u analysis were conducted.The percentage of participants who regularly performed BSE was 27.7 %. Benefits and health motivation related to BSE ranked either first or second, along with confidence. Perceived barriers to BSE had the lowest item mean subscale score in academicians. Single academicians perceived susceptibility and seriousness higher than their married counterparts. Family history of breast cancer of participants affected their health beliefs subscale.BSE performance among participants was more likely in women academicians who exhibited higher confidence and those who perceived fewer barriers related to BSE performance, complying with the conceptual structure of the HBM. Therefore, it is recommended that in order to increase the rates of regular breast cancer screening, mass health protective programs based on the HBM should be executed for women. | [
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|
https://openalex.org/W2507577395 | Opportunities for reproductive tourism: cost and quality advantages of Turkey in the provision of in-vitro Fertilization (IVF) services | [
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"Turkey"
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] | https://api.openalex.org/works?filter=cites:W2507577395 | The scale and scope of medical tourism have expanded rapidly over the last few decades. Turkey is becoming an important player in this market because of its relatively better service quality and large comparative cost advantage. This paper compares cost, quality and effectiveness of in-vitro fertilization (IVF) in the USA and in Turkey. The data from Turkey were obtained from a hospital specializing in IVF services and the US data came from secondary sources. Package price offered by the dominant IVF-service provider to international patients in Turkey was used as a measure of cost for Turkey while IVF-specific service prices were used to estimate the cost for USA. To compare quality and effectiveness of IVF services, a number of general clinical quality indicators and IVF success rate were used. Indicators of quality, cost and success rate in the Turkish hospital were found to be better than the corresponding indicators in US hospitals. The cost difference of IVF services between USA and Turkey is so significant that the overall cost of obtaining the service from Turkey remains lower even with additional expenses for travel and accommodation. Cost-effectiveness ratio of IVF treatment per successful clinical pregnancy was much lower in Turkey than in the USA. It appears that cost and quality are the two most important factors affecting demand for health care services by international patients in Turkey. Like other important players in the medical tourism market, Turkey should be able to take advantage of its success in IVF, a highly specialized niche market, to transform its health system into an important exporter of general health services. | [
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https://openalex.org/W2144698024 | Application of medical genetics in Turkey. | [
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] | https://api.openalex.org/works?filter=cites:W2144698024 | Turkey is among the most populous countries of the world, and has a young population structure. The rate of consanguinity has been approximately 20-25% for the last 25 years. Various studies have shown that high consanguinity can be a contributing factor to the high incidence of some rare autosomal recessive diseases. Hemoglobinopathies are an important health problem, and Turkey also has one of the highest incidences of phenylketonuria in the world. Training and education in medical genetics, established as a specialty since 1972, play an important role in the setting of genetic services and meeting public health problems. Prenatal and preimplantation diagnosis is available for a variety of fetal diseases. | [
{
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|
https://openalex.org/W1560492130 | Prevalence of nonvitamin, nonmineral supplement usage among students in a Turkish university | [
{
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"display_name": "Eskişehir Osmangazi University",
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{
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"display_name": "Osman Son",
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{
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{
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"id": "https://openalex.org/C27206212"
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{
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"https://openalex.org/W4246361818",
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] | https://api.openalex.org/works?filter=cites:W1560492130 | There have been multiple studies carried out in many countries with regard to the use of nonvitamin, nonmineral (NVNM) supplements. These studies have shown that the use of NVNM supplements is on the increase throughout the world, particularly in western countries. The aim of this study was to assess the extent of NVNM supplement use among Turkish university students.The survey was conducted between September and December 2004 at Osmangazi University, a public university located in the west of Turkey. Responses were analysed, using the chi-square (x2) test, t test and percent (%) ratios, according to gender and consumers. Differences were considered significant for p <or= 0.05.Of 2253 students attending the university, 1871 participated in the survey (909 men and 962 women). Overall, the prevalence of NVNM supplement use was 16.5% (16.6% in men and 16.3% in women, p < 0.05). The three most commonly given reasons for use were 'improvement of energy and vitality (78.6%)', 'promotion of weight loss (71.1%)', followed by 'enhancement of athletic performance (64.3%)'. Twenty-six of the 308 reported NVNM users (26/308, 8.4%) reported having experienced an adverse reaction. Television (76.3%), magazines/newspapers (41.5%) and internet websites (37.3%) were the most frequently used sources for obtaining information about NVNM supplements. The three most frequently used NVNM supplements were echinacea, ginseng, and gingko biloba (38.6%, 36.4%, and 32.8%, respectively). Nutritional scores were higher in NVNM supplement users than in non-users (66.510.8 vs. 62.712.7) (p < 0.001). Users and nonusers of NVNM supplements differed significantly according to sex, age, Body Mass Index (BMI) values, types of school, mother and fathers' education levels, family income, most permanent place of residence up to the time of survey, smoking status, and participating in sports.The results indicate that the prevalence of NVNM supplement use is relatively modest among Turkish university students and more information is needed on why people use particular NVNM supplements. | [
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{
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|
https://openalex.org/W2131856172 | Pediculosis Capitis: Prevalence and Its Associated Factors in Primary Schoolchildren Living in Rural and Urban Areas in Kaiseri, Turkey | [
{
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{
"country": "Turkey",
"display_name": "Turkish Armed Forces",
"id": "https://openalex.org/I2799953620",
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"display_name": "Mustafa Gülgün",
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{
"affiliations": [],
"display_name": "Türker Türker",
"id": "https://openalex.org/A5034320703"
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{
"display_name": "Pediculosis",
"id": "https://openalex.org/C2779202508"
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{
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"id": "https://openalex.org/C71924100"
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{
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{
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"id": "https://openalex.org/C187212893"
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{
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"id": "https://openalex.org/C2776451879"
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{
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{
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{
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"id": "https://openalex.org/C159110408"
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{
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"id": "https://openalex.org/C144024400"
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] | https://api.openalex.org/works?filter=cites:W2131856172 | Objective: The aim of this study was to investigate the prevalence and risk factors of pediculosis capitis in schoolchildren living in rural and urban areas in Kayseri, a city located in central Anatolia in Turkey. Methods: This cross-sectional school-based study was performed in 24 randomly selected public schools. A total of 8,122 schoolchildren aged 5-16 years, from kindergarten to eighth grade, were examined for the presence of pediculosis capitis. A child was defined as being infested by the presence of live or dead lice or eggs/nits. The results were analyzed using the chi-squared test and logistic regression analysis. Results: The overall prevalence of head lice infestation was 13.1%. Pediculosis was more frequent in girls (25.2%) than in boys (0.86%) (p<0.001). The prevalence was lower in children aged 5-8 years than in those aged 9-11 or 12-16 years (p<0.001). In multiple regression analyses, the variables demonstrating statistically significant association with pediculosis were: being a girl (OR=40.93; 95% CI=29.06-57.66), being 9-11 years old (OR=1.54; 95% CI=1.25-1.89), residing with ≥3 siblings (OR=1.98; 95% CI=1.57-2.50), having a mother with no education (OR=1.73; 95% CI=1.29-2.33), having a father with no education (OR=1.45; 95% CI=1.08-1.94), living in a rural area (OR=2.34; 95% CI=2.02-2.71) and living in a one-room house (OR=2.39; 95% CI=1.41-4.08). Conclusions: Pediculosis capitis remains a health problem in schoolchildren in Kayseri, Turkey. In addition to improvement in socioeconomic status, collaborative and participation efforts among physicians, nurses, teachers, and parents are necessary to maintain effective epidemiological surveillance and provide treatment. | [
{
"display_name": "Central European Journal of Public Health",
"id": "https://openalex.org/S2504672647",
"type": "journal"
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] |
|
https://openalex.org/W2139442692 | Regional inequalities in self-rated health and disability in younger and older generations in Turkey: the contribution of wealth and education | [
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"display_name": "Işıl Ergin",
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"display_name": "Anton E. Kunst",
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{
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{
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"id": "https://openalex.org/C129047720"
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"id": "https://openalex.org/C138816342"
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"id": "https://openalex.org/C151956035"
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{
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{
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{
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] | https://api.openalex.org/works?filter=cites:W2139442692 | In Turkey, large regional inequalities were found in maternal and child health. Yet, evidence on regional inequalities in adult health in Turkey remains fragmentary. This study aims to assess regional and rural/urban inequalities in the prevalence of poor self-rated health and in disability among adult populations in Turkey, and to measure the contribution of education and wealth of individual residents. The central hypothesis was that geographical inequalities in adult health exist even when the effect of education and wealth were taken into account.We analyzed data of the 2002 World Health Survey for Turkey on 10791 adults aged 20 years and over. We measured respondents' rating of their own general health and the prevalence of five types of physical disability. Logistic regression was used to estimate how much these two health outcomes varied according to urban/rural place of residence, region, education level and household wealth. We stratified the analyses by gender and age (‹50 and ≥50 years).Both health outcomes were strongly associated with educational level (especially for older age group) and with household wealth (especially for younger age group). Both health outcomes also varied according to region and rural/urban place of residence. Higher prevalence rates were observed in the East region (compared to West) with odd ratios varying between 1.40-2.76. After controlling for education and wealth, urban/rural differences in health disappeared, while regional differences were observed only among older women. The prevalence of poor self-rated health was higher for older women in the Middle (OR = 1.69), Black Sea (OR = 1.53) and East (OR = 2.06) regions.In Turkey, substantial geographical inequalities in self-reported adult health do exist, but can mostly be explained by differences in socioeconomic characteristics of residents. The regional disadvantage of older women in the East, Middle and Black Sea may have resulted from life-long exposure to gender discrimination under a patriarchal ideology. Yet, not geographic inequalities, but the more fundamental socioeconomic inequalities, are of key public health concern, also in Turkey. | [
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https://openalex.org/W1985175341 | Addressing Early Childhood Development in Primary Health Care: Experience from a Middle-Income Country | [
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] | https://api.openalex.org/works?filter=cites:W1985175341 | Objective: This study aimed to evaluate the efficacy of a national training program in Turkey in improving primary health providers' knowledge and perceived competence about the promotion of early childhood development and prevention, early identification and management of developmental problems; and barriers to implementation and sustainability of skills gained. Methods: A pre-post intervention design was used. Tools measuring perceived competence and knowledge about childhood development were administered to primary health providers before and after training. Immediate skills were observed, and implementation and sustainability of skills were determined using individual surveys and focus group discussions 1 year after training. Results: The training was provided in 5 provinces. Of the 148 primary health providers trained, 90% had >5 years experience in providing primary care. Median knowledge test scores were 13 pretraining and increased to 22 posttraining (p < 0.001). Median perceived competence scores increased from 159 to 222 (p < 0.001). A year after the training, the program and materials were reported to be valued and remembered but used limitedly. Patient load, insufficient time allocated to primary care, lack of reimbursement, and ineffective referrals to pediatricians who had knowledge gaps regarding child development were identified as important barriers to implementation and sustainability of skills gained. Conclusions: In Turkey and potentially other countries with similar health systems, short-term inservice training on child development can improve primary health providers' knowledge, perceived competence and skills related to child development. To decrease the disparities between high- and low- and middle-income countries in addressing child development, significant barriers within health systems need to be identified and addressed. | [
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https://openalex.org/W1533852463 | Determinants of daily smoking in Turkish young adults in the Netherlands | [
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] | https://api.openalex.org/works?filter=cites:W1533852463 | As little is known about the determinants of smoking in large ethnic minorities in the Netherlands and other Western European countries, we studied the determinants of smoking young adult offspring of Turkish migrants to the Netherlands. Cross-sectional survey of 439 Turkish adults (18–28 y) in 2003. Smokers were compared with never smokers for five groups of determinants: demographic and socioeconomic factors, behavioral and emotional problems, psychosocial factors, and cultural factors. Associations were measured by prevalence rate ratios. Prevalences for men were 51% for daily smoking, 12% for former smoking, and 38% for never smoking. For women they were 44%, 11%, and 47%, respectively. Without adjustment for other determinants, higher prevalence was associated with: emotional problems, boredom, life events, and being male; and, specifically among women, with low self-esteem and having children. The strongest determinants of daily smoking In multivariate models were alcohol use and demographic and socio-economic factors. Of the cultural factors only strong Muslim identification was associated with lower smoking prevalence. The high prevalence of smoking warrants action. Many of the well-known determinants of smoking in Western countries were also important among young adults from ethnic minorities. Women with children and people of a low educational level deserve special attention. | [
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|
https://openalex.org/W1902946559 | Measuring reproductive health: review of community-based approaches to assessing morbidity. | [
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"Turkey",
"Egypt"
] | [] | https://api.openalex.org/works?filter=cites:W1902946559 | This article begins by reviewing selected past approaches to estimating the prevalence of a range of morbidities through the use of household or community-based interview surveys in developed and developing countries. Subsequently, it reviews epidemiological studies that have used a range of methods to estimate the prevalence of reproductive morbidities. A detailed review of recent community or hospital based health interview validation studies that compare self-reported, clinical and laboratory measures is presented. Studies from Bangladesh, Bolivia, China, Egypt, India, Indonesia, Nigeria, Philippines and Turkey provide empirical evidence that self-reported morbidity and observed morbidity measure different phenomena and therefore different aspects of reproductive health and illness. Rather than estimating the prevalence of morbidity, interview-based surveys may provide useful information about the disability or burden associated with reproductive health and illness. | [
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https://openalex.org/W2120934742 | Patterns of active and passive smoking, and associated factors, in the South-east Anatolian Project (SEAP) region in Turkey | [
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"Turkey"
] | [
"https://openalex.org/W16140526",
"https://openalex.org/W76790531",
"https://openalex.org/W1919407905",
"https://openalex.org/W1938830646",
"https://openalex.org/W1975049145",
"https://openalex.org/W1980013697",
"https://openalex.org/W2004986438",
"https://openalex.org/W2010836341",
"https://openalex.org/W2050127975",
"https://openalex.org/W2082453982",
"https://openalex.org/W2113747920",
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"https://openalex.org/W4254641883"
] | https://api.openalex.org/works?filter=cites:W2120934742 | Abstract Background Smoking is an important health threat in Turkey. This study aimed to determine the frequency of and main factors associated with smoking in persons of 15 years and over, and the frequency of passive smoking in homes in the South-east Anatolian Project (SEAP) Region in Turkey. Methods A cross sectional design was employed. The sample waschosen by the State Institute of Statistics using a stratified cluster probability sampling method. 1126 houses representing the SEAP Region were visited. Questionnaires about tobacco smoking and related factors were applied to 2166 women and 1906 men (of 15 years old and above) in their homes. Face-to-face interview methods were employed. Participants were classified as current, ex, and non-smokers. The presence of a regular daily smoker in a house was used as an indication of passive smoking. The chi-square andlogistic regressionanalysis methods were used for the statistical analysis. Results The prevalence of smoking, in those of 15 years and over, was 11.8% in women and 49.7% in men. The prevalence of current smokers was higher in urban (34.5 %) than in rural (22.8 %) regions. The mean of total cigarette consumption was 6.5 packs/year in women and 17.9 packs/year in men. There was at least one current smoker in 70.1% of the houses. Conclusion Smoking is a serious problem in the South-eastern Anatolian Region. Male gender, middle age, a high level of education and urban residency were most strongly associated with smoking. | [
{
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"id": "https://openalex.org/S200437886",
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{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
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