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https://openalex.org/W2025027919 | The association between physical environment and cycling to school among Turkish and Moroccan adolescents in Amsterdam | [
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] | https://api.openalex.org/works?filter=cites:W2025027919 | This study examined the effect of physical environment on cycling to and from school among boys and girls of Turkish and Moroccan origin living in Amsterdam. The LASER study (n = 697) was an interview study that included information on cycling to and from school and the perceived physical environment. Objective information on physical environment was gathered from Statistics Netherlands and the Department for Research and Statistics at the Municipality of Amsterdam. Structural equation modelling with latent variables was applied, taking into account age, gender, self-assessed health, education, country of origin, and distance to school. For every unit increase in the latent variable scale for bicycle-friendly infrastructure, we observed a 21 % increase in the odds for cycling to and from school. The association was only borderline statistically significant and disappeared after controlling for distance to school. The enjoyable environment was not associated with cycling to and from school after controlling for all background factors. Bicycle-friendly infrastructure and an enjoyable environment were not important factors for cycling to and from school among those with no cultural cycling background. | [
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https://openalex.org/W2954115975 | Systematic review and meta-analysis of public hospital efficiency studies in Gulf region and selected countries in similar settings | [
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] | https://api.openalex.org/works?filter=cites:W2954115975 | Abstract Background The assessment of hospital efficiency is attracting interest worldwide, particularly in Gulf Cooperation Council (GCC) countries. The objective of this study was to review the literature on public hospital efficiency and synthesise the findings in GCC countries and comparable settings. Methods We systematically searched six scientific databases, references and grey literature for studies that measured the efficiency of public hospitals in appropriate countries, and followed PRISMA guidelines to present the results. We summarised the included studies in terms of samples, methods/technologies and findings, then assessed their quality. We meta-analysed the efficiency estimates using Spearman’s rank correlations and logistic regression, to examine the internal validity of the findings. Results We identified and meta-analysed 22 of 1128 studies. Four studies were conducted in GCC nations, 18 came from Iran and Turkey. The pooled technical-efficiency (TE) was 0.792 (SE ± 0.03). There were considerable variations in model specification, analysis orientation and variables used in the studies, which influenced efficiency estimates. The studies lacked some elements required in quality appraisal, achieving an average of 73%. Meta-analysis showed negative correlations between sample size and efficiency scores; the odd ratio was 0.081 (CI 0.005: 1.300; P value = 0.07) at 10% risk level. The choice of model orientation was significantly influenced (82%) by the studied countries’ income categories, which was compatible with the strategic plans of these countries. Conclusions The studies showed methodological and qualitative deficiencies that limited their credibility. Our review suggested that methodology and assumption choices have a substantial impact on efficiency measurements. Given the GCC countries’ strategic plans and resource allocations, these nations need further efficiency research using high-quality data, different orientations and developed models. This will establish an evidence-based knowledge base appropriate for use in public hospital assessments, policy- and decision-making and the assurance of value for money. | [
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https://openalex.org/W4223609444 | Associations of lockdown stringency and duration with Google searches for mental health terms during the COVID-19 pandemic: A nine-country study | [
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] | https://api.openalex.org/works?filter=cites:W4223609444 | We examined the associations of lockdown stringency and duration with Google searches for four mental health concepts (i.e., "Anxiety," "Depression," "Suicide," "Mental Health") in nine countries (i.e., Hungary, India, Iran, Italy, Paraguay, Serbia, South Africa, Spain, Turkey) during the COVID-19 pandemic.We retrieved national-level data for each country from Google Trends and the Global Panel Database of Pandemic Policies. In our primary analysis, we used data from all countries to estimate a set of multilevel regression models examining associations of overall lockdown stringency and lockdown duration with relative search volumes for each mental health term. We repeated the models after replacing overall lockdown stringency with each of the lockdown stringency components.A negative association was found between overall lockdown stringency and "Depression." Lockdown duration and the most stringent stay-at-home requirements were negatively associated with "Anxiety." Policies that recommended or required the cancelation of public events evidenced negative associations with "Depression," whereas associations between policies that required some or all levels of schooling to close and "Depression" were positive. Policies that recommended or required workplaces to close and those that enforced quarantines on non-citizens arriving from high-risk regions or closed borders entirely were negatively associated with "Suicide."Lockdown duration and some lockdown policies during the COVID-19 pandemic were generally associated with significantly lower, rather than higher, Google searches for selected mental health terms. These findings could be used alongside other evidence to develop future lockdown strategies that are sensitive to mental health issues during public health crises. | [
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|
https://openalex.org/W2101760721 | Effects of Breast Cancer Fatalism on Breast Cancer Awareness among Nursing Students in Turkey | [
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{
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] | https://api.openalex.org/works?filter=cites:W2101760721 | Breast cancer is the most common cancer among women and leading cause of death worldwide, including in Turkey. High perceptions of cancer fatalism are associated with lower rates of participation in screening for breast cancer. This study was conducted to evaluate the effect of breast cancer fatalism and other factors on breast cancer awareness among nursing students in Turkey.This cross-sectional descriptive study was conducted at three universities in the Western Black Sea region. The sample was composed of 838 nursing students. Data were collected by Personal Information Form, Powe Fatalism Inventory (PFI) and Champion's Health Belief Model Scale (CHBMS).Breast cancer fatalism perception of the students was at a low level. It was determined that students' seriousness perception was moderate, health motivation, BSE benefits and BSE self-efficacy perceptions were high, and BSE barriers and sensitivity perceptions were low. In addition, it was determined that students awareness of breast cancer was affected by breast cancer fatalism, class level, family history of breast cancer, knowledge on BSE, source of information on BSE, frequency of BSE performing, having breast examination by a healthcare professional within the last year and their health beliefs.In promoting breast cancer early diagnosis behaviour, it is recommended to evaluate fatalism perceptions and health beliefs of the students and to arrange training programs for this purpose. | [
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|
https://openalex.org/W1978252129 | A fatal case of brucellosis displaying an atypical clinical course | [
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{
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] | https://api.openalex.org/works?filter=cites:W1978252129 | Brucellosis continues to be a major public health problem worldwide. In our region, eastern Turkey, we frequently encounter brucellosis in children. Although the extent of the infection in the domestic animal population is not clearly known in our region, the majority of the population are farmers, and raise domestic animals such as cattle. Cheese made from fresh milk and specific traditional herbs are produced and consumed in our region. These are two factors that explain why brucellosis is still a severe problem in Turkey ( 1 Çaksen H. Arslan S. Öner A.F. et al. Childhood brucellosis is still a severe problem in the eastern region of Turkey. Trop Doct. 2002; 32: 91-92 PubMed Google Scholar , 2 Çaksen H. Odabaş D. Arslan S. Öner A.F. Central nervous system involvement in childhood brucellosis. J Emerg Med. 2001; 21: 291-292 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar ). We report a girl with brucellosis who displayed a fatal clinical course due to an unusual presentation. | [
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|
https://openalex.org/W3082802487 | Turkish and Slovenian health ministries' use of Twitter: a comparative analysis | [
{
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{
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] | https://api.openalex.org/works?filter=cites:W3082802487 | Purpose The purpose of this paper is to explore how the health ministries of Turkey and Slovenia use Twitter as government agencies obliged to communicate with the public. Design/methodology/approach This study employed a content analysis methodology to examine how Turkish (TR) and Slovenian (SLO) health ministries use Twitter for informing and encouraging behavior change in the public. A total of 662 “tweets” were analyzed. Drawing on prior studies, a coding scheme was developed and employed, and χ 2 and t -tests were conducted for data analysis. Additionally, this study aimed at effecting a content analysis according to the “four models” method of Grunig and Hunt regarding efforts made to build communication with the public. Findings This study uncovered that the TR and SLO health ministries did not utilize two-way communication principles for Twitter communication, and their frequency of Twitter use is inadequate. Research limitations/implications The sampled tweets were selected by using a scientific sampling method. However, this might not have been substantial enough to represent the entirety of tweets in the study timeframe. Analyzing tweets across a longer timeframe would be helpful in confirming this study's findings. This study was also limited to two countries and to publicly available tweets; the messages of health ministries' followers to the ministries themselves were not examined. The findings of this study may not be generalizable to other countries. Other potential studies, with a particular focus on this topic, may be able to measure individual perceptions of the credibility and usefulness of messages from health ministries and their willingness to engage in two-way communication. Originality/value This study is one of the first to evaluate how the health ministries of Turkey and Slovenia communicate on Twitter and to apply the four models of Grunig and Hunt with regard to Twitter. This study also identified that noncompeting government agencies were not minded to communicate with their publics. | [
{
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"id": "https://openalex.org/S193408319",
"type": "journal"
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|
https://openalex.org/W3030160454 | Investigating the barriers preventing adolescents from physical activities in urban green spaces | [
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"display_name": "Adnan Menderes University",
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"display_name": "Abdullah Akpınar",
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https://openalex.org/W4200021131 | An Integrated Approach to COVID-19 Preventive Behaviour Intentions: Protection Motivation Theory, Information Acquisition, and Trust | [
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] | https://api.openalex.org/works?filter=cites:W4200021131 | COVID-19 has been a global threat since November 2019 due to its high transmission rates and the issue of unwillingness to vaccinate. Effective risk management requires accurate health communication and public compliance with reccomended preventive behaviors. Therefore, we investigated predictors of COVID-19 preventive behavior intention based on Protection Motivation Theory (PMT) in addition to frequency of public's use of and trust in a group of COVID-19 related information sources. This cross-sectional study was conducted on 458 adults in Turkey with online survey. Results showed that all PMT components (except perceived susceptibility) accounted for 49% of the variance in protection motivation and there was relationship between information sources and protection motivation. Overall, our study findings suggested that being more informed and having confidence in the feasibility (self-efficacy) and effectiveness (response efficacy) of preventive behaviors may particularly help slow the disease spread. | [
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https://openalex.org/W2015434564 | International consumer insights into the desires and barriers of diners in choosing healthy restaurant meals | [
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] | https://api.openalex.org/works?filter=cites:W2015434564 | Overweight and obesity are global public-health problems and unhealthy restaurant meals have been identified as one contributing factor. Given the increase in restaurant meals and the number of chefs and restaurants throughout the world, small changes in restaurant meals can have a large public health impact. However, to ensure that chefs and operators are able to provide changes that diners will accept and find appealing, an understanding of diners’ desire for healthier menus items and the barriers faced in choosing healthier meals is required. As such we conducted an international consumer study to identify these barriers and needs. A cohort of restaurant diners was recruited from ten countries: United Kingdom, United States of America, Germany, Poland, Turkey, Russia, Brazil, South Africa, Indonesia and China (n = 5000, aged 18–65 years, 50% females). Participants completed a comprehensive web-based questionnaire on aspects related to healthy eating at restaurants. Globally only 18% of the sampled diners were strongly satisfied with current healthy options on restaurant menus. Among the diners there was a preference to have “slightly healthier” options. The top 3 small changes that these diners wanted to see included on restaurant menus to make them healthier included: steamed, baked or grilled instead of fried, fresh ingredients used, and served with plenty of vegetables. Taste, price and satiation were seen as key barriers to current healthy options. Diners had clear preferences for when they wanted to see healthy items on the menu in terms of time of day, time of the week and occasions. Country, age and gender had a large influence on preferences, while personal factors such as diet type, family status and food reactions had minimal influence. In the current study, diners were largely unsatisfied with current healthy options and clear barriers and triggers for healthier meals were identified. Nutritionists, dietitian, chefs and managers working for restaurants and other out of home food services can leverage these insights to provide healthier and appealing meals. | [
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https://openalex.org/W4308361374 | Evaluation of the Effects of Thermal Comfort Conditions on Cardiovascular Diseases in Amasya City, Turkey | [
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] | https://api.openalex.org/works?filter=cites:W4308361374 | Studies fall short when it comes to determining the relationship between thermal comfort and cardiovascular diseases. Studies examining the relationship between thermal comfort conditions and human health in Turkey, located in the transition zone of air masses at mid-latitudes, are quite limited. This is the first study conducted in Turkey that deals with thermal comfort conditions and CVDs, which is the leading cause of death. This study aimed to examine the relationship between thermal comfort conditions and CVDs of Amasya, a medium-sized exemplary Turkish city.To determine the thermal comfort conditions in the study area between 2014-2019, the physiologically equivalent temperature (PET) index obtained from the Rayman model, which uses hourly air temperature (ºC), relative humidity (%), wind speed (m/s), and cloud cover (octa) data, was used. The relationship between PET values and CVDs was determined by Pearson correlation analysis and linear regression analysis.The study indicated a negative, high, and moderate correlation between PET values and cardiovascular diseases (p < 0.001). The results show that when PET values increase by 1 ºC, patient admissions will decrease by about 104 to 108 patients (-104.737 to -108.619 units.).These results can be informative and guiding for both the protection of public health and studies on climate change and human health. | [
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https://openalex.org/W2063056981 | Assessment of Knowledge and Skills in Primary Health Care Services: Senior Medical Students' Self-Evaluation | [
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] | [] | https://api.openalex.org/works?filter=cites:W2063056981 | The responsibility of medical schools is to educate physicians who are able to provide integrated health care services including curative and preventive components to individuals and the community. They should acquire the necessary knowledge and skills for management of health services with a scientific background and necessary skills to conduct research and be able to make plans to improve the health level of the community.This study aims to examine last-year students in Hacettepe University Medical School and how they assess their knowledge and skills in providing primary health care services.The study includes all last-year students in the 2000 to 2001 academic years; 80.4% of the students (n = 313) participated in the survey. The last-year students assessed their own knowledge and skills by using a 5-point scale ranging from 1 (none) to 5 (very good).According to the scoring of the scale, it is found that their level of knowledge is 2.82, and the level of skill is 2.44 for all primary health care services, between low (2) and intermediate (3). A small sample of available students was interviewed regarding these low ratings of their knowledge and skills.The findings of the study clearly indicate that the curriculum of the medical school does not satisfy the expectations that the newly graduated physicians have the sufficient knowledge and skills necessary for the primary health care services; the graduates have to work just after their graduation from medical school in the health system of Turkey. | [
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https://openalex.org/W3093203398 | Agile Application of Digital Health Interventions during the COVID-19 Refugee Response | [
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] | https://api.openalex.org/works?filter=cites:W3093203398 | The intersection of digital health platforms and refugee health in the context of the novel 2019 coronavirus disease (COVID-19) has not yet been explored. We discuss the ability of a novel mobile health (mhealth) platform to be effectively adapted to improve health access for vulnerable displaced populations. In a preliminary analysis of 200 Syrian refugee women, we found positive user feedback and uptake of an mhealth application to increase access to preventive maternal and child health services for Syrian refugees under temporary protection in Turkey. Rapid adaptation of this application was successfully implemented during a global pandemic state to perform symptomatic assessment, disseminate health education, and bolster national prevention efforts. We propose that mhealth interventions can provide an innovative, cost-effective, and user-friendly approach to access the dynamic needs of refugees and other displaced populations, particularly during an emerging infectious disease outbreak. | [
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https://openalex.org/W2119065426 | An unusually extensive case of cutaneous anthrax in a patient with type II diabetes mellitus | [
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https://openalex.org/W1916453176 | The effectiveness of the Omaha System intervention on the women’s health promotion lifestyle profile and quality of life | [
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] | https://api.openalex.org/works?filter=cites:W1916453176 | This article is a report of a quasi-experimental study of the effectiveness of the Omaha System intervention on the women's health promotion lifestyle profile and the quality of life.The Omaha System is a model for organizing, documenting and evaluating the outcomes of comprehensive, community-based, client-centred care. Therefore, the Omaha System is important for public health nurses whose aim is to protect and promote health. However, few studies addressed the influence of the Omaha System on health promotion activities or quality of life in adult population.The design of the study was one-group pre-test and post-test. The study took place in Turkey in 2007; the sample comprised 76 women from an urban primary healthcare centre. The women completed questionnaires consisting of demographical characteristics, the health promotion lifestyle profile scale developed by Walker and colleagues and the quality of life scale developed by Burckhardt and colleagues. The researcher then visited selected women in their home weekly or biweekly for a 4-month period. At the end of intervention, the scales were applied to the women as the post-test.The mean scores of self-actualization, health responsibility, interpersonal support, stress management subscales of the health promotion lifestyle profile and the total score increased in post-test, except for nutrition subscale. There were statistically significant differences between pre- and post-test scores.This study demonstrated that the Omaha System intervention increases health promotion lifestyle profile of the women. It is recommended as a nursing care to health promotion. | [
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https://openalex.org/W2946077048 | New public management, physicians and populism: Turkey's experience with health reforms | [
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] | https://api.openalex.org/works?filter=cites:W2946077048 | Abstract Recent debates on the rise of right‐wing or neoliberal populism globally have prompted public health and health systems researchers to explore its implications in the healthcare systems. This case study of Turkey's recent health reform initiative, the Health Transformation Program, aims to contribute to this debate by examining the nexus among populism, professionalism and the contemporary market and managerial reforms, often described as New Public Management ( NPM ). Building on document analysis and secondary sources, this article introduces a framework to explore whether and how populist agendas grow up in the shadow of NPM policies. We aim to deepen our understanding of the governance settings that might be used in different ways by right‐wing populist leaders to advance their agendas. Our research reveals that the NPM reforms in Turkey have opened a ‘backdoor’ through which right‐wing populist agendas were supported and the position of the medical profession as an important stakeholder in the institutional settings was weakened. However, what mattered most in the reform process was not the policies themselves but the ways new managerialist policies were implemented. Our analysis makes blind spots of the NPM reforms and healthcare governance research visible and calls for greater attention to implementation processes. | [
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https://openalex.org/W2163195058 | Migration from low- to high-risk countries: a qualitative study of perceived risk of breast cancer and the influence on participation in mammography screening among migrant women in Denmark | [
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https://openalex.org/W2096732291 | Differences in health care utilisation between elderly from ethnic minorities and ethnic Dutch elderly | [
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] | https://api.openalex.org/works?filter=cites:W2096732291 | In the Netherlands, as in other Western countries, ethnic minority elderly are more often in poorer health than the indigenous population. The expectation is that this health disadvantage results in more frequent use of health care services.We studied registered data on the proportion of health care receivers, frequency of use, and health care costs collected by a major Dutch health insurance company in 2010. Data from 10,316 Turkish, 14,490 Moroccan, 8,619 Surinamese, and 1,064 Moluccan adults aged 55 years and older were compared with data from a sample of 33,725 ethnic Dutch older adults.Unadjusted and adjusted (for age and gender) analyses showed the following. Moluccans had lower usage levels for all types of health care services. Use of primary health care facilities was higher for Turks, Moroccans, and Surinamese compared with the ethnic Dutch, with the exception that physical therapy was less frequently used among the Turks and Moroccans. Use of hospital care was lower, except for the Surinamese, who had a similar level of usage to that of the ethnic Dutch.The health disadvantage previously observed within most ethnic minority elderly populations does not result in an overall more frequent use of health care services. Further research is needed for the interpretation of the ethnic variations in health care use as potentially inequitable, by taking medical need, patient treatment preferences, and treatment adherence into account. | [
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https://openalex.org/W181876037 | The rabies situation in the Middle East. | [
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"Turkey",
"Saudi Arabia",
"Yemen",
"Iran",
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] | [] | https://api.openalex.org/works?filter=cites:W181876037 | Rabies is a public health problem of significant importance in the majority of Southern and Eastern Mediterranean and Middle Eastern countries. In some of these countries, there is a considerable death rate due to rabies. Dogs are the main source of human infection, while cats constitute the second most important group of domestic animals followed by cattle, sheep, goats, camels, donkeys and then wild animals. There are around 300 reported human cases in these regions annually, with several hundred thousand post-exposure treatments. Laboratory confirmation of rabies cases is not always performed. In most countries, there is one central rabies diagnosis laboratory with trained staff and the diagnosis capability of district laboratories is weak. Animal rabies control consists of the vaccination of dogs and cats, the elimination of stray animals, health education for the public, etc. Mass vaccination of dogs is not implemented, and the effective coverage rate is not exactly known. The elimination of stray dogs and other animals by shooting and poisoning is still implemented in certain countries, however, this has a minimal effect on rabies transmission. Certain countries of the Middle East region are facing increasing problems due to wildlife rabies, including Saudi Arabia, Oman, Yemen, Israel, Iran and Turkey. The red fox (Vulpes vulpes) and golden jackal (Canis aureus) are usually involved. Coordinated actions to confront the serious rabies public health and economic problems should be undertaken by affected countries, with the assistance of international organisations, under conditions that are suitable for each country. | [
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|
https://openalex.org/W2583428375 | Occupational Risks of Health Professionals | [
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] | https://api.openalex.org/works?filter=cites:W2583428375 | Health service is an important work area which can lead to important risks related to occupational health and safety (OHS) of employees. This book chapter is prepared to evaluate the effects of occupational risks on health and decrease the exposure to occupational risks of health professionals by searching national and international literatüre. Thus, awareness can be raised to define occupational risks and help planning services for health professionals. American National Institute for Occupational Safety and Health (NIOSH) has reported 29 kinds of physical, 25 kinds of chemical, biological 24 varieties, 10 and six kinds of ergonomic and psycho‐social hazards and risks. According to ILO, it has been reported that there is 1.25 trillion dollars loss each year due to the OHS problems. In Turkey, the loss of only social security systems has been reported as approximately 4 million Turkish Liras per year. Health professionals have work stress, and they suffer from the inconvenient design and the hazards within the workplace. The health of the health professionals affects the health of the community. Thus, it is important to decrease the exposure to occupational risks of health professionals and diligently work on this issue. | [
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https://openalex.org/W2092382035 | Religious Officials' knowledge, attitude, and behavior towards smoking and the new tobacco law in Kahramanmaras, Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2092382035 | Tobacco control effort should be first started in people that are looked upon as role models for the general population. We aimed to determine the knowledge, attitude, and behavior of religious officials towards smoking and the new tobacco law.The study group was comprised of 492 Imams and 149 Quran course instructors working in Kahramanmaras city of Turkey, 641 religious officials in total, and our survey form was applied on 406 (63.3%) of those religious officials who agreed to participate in the study.Twenty-eight (6.9%) participants were current smokers and 35 (8.6%) were ex-smokers. 99.8% of the religious officials believed that smoking was harmful and/or prohibited in terms of religion. While 43.6% respondents thought smoking was "haram" (forbidden by Islam), 56.2% believed it was "makruh" (something regarded as reprehensible, though not forbidden by God according to Islam). 85.2% of the participants were aware of the recent tobacco law. 55.5% of the respondents, who were aware of the recent tobacco law, evaluated their knowledge level on the law as adequate, whereas 44.5% evaluated it as inadequate 92.4% of the participants noted that religious officials should play active roles in tobacco control effort.Smoking rate among religious officials is much lower than that of general public. In order to help religious officials to take a more active role on this issue, they should be trained on the subject and appropriate platforms should be established. | [
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https://openalex.org/W2025296903 | Health Services Pricing in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2025296903 | One of the most important and complex decisions that public services managers have to make is pricing. This is especially difficult within public health care because pricing decisions are influenced by a myriad of ideological, political, economic and professional arguments. In Turkey the majority of health care services are provided under public auspice; however, recent changes in governmental policy have led to increased competition among hospitals in both the public and private sector. Therefore, all institutions are being watched and remain open to government scrutiny and regulation. The aim of the study is to analyze how the private and governmental hospitals determine pricing or the actual cost of services in Turkey. Also, comparisons are made between health services expenditures and the Consumer Price Index with suggestions provided for public and private hospital managers in regard to the general cost of health services. | [
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https://openalex.org/W2898893889 | Ethnic Differences in Health Literacy Among Young Adults in Amsterdam | [
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] | https://api.openalex.org/works?filter=cites:W2898893889 | Ethnic differences in health commence early in life. Ethnic minority young adults have a greater prevalence of unhealthier lifestyles and poorer health outcomes than their peers. Variations in health literacy could contribute to these ethnic inequalities in health but have not yet been investigated in this group.This study investigated ethnic differences in performance-based and self-reported health literacy in young adults and examined whether these differences are explained by educational level, language difficulties, or cultural distance.Young adults (age 18-25 years) from Dutch, African Surinamese, South-Asian Surinamese, Ghanaian, Turkish, and Moroccan ethnic backgrounds (N = 2,215) participated in the HELIUS (HEalthy Life in an Urban Setting) study, a cohort study in Amsterdam, the Netherlands. Performance-based health literacy was measured by the Rapid Estimate of Adult Literacy in Medicine in Dutch (REALM-D). Self-reported health literacy was measured by the Chew's Set of Brief Screening Questions (SBSQ). The association between ethnicity and health literacy, and the role of background characteristics was assessed by linear regression analyses.Performance-based health literacy was low (REALM-D <60; range, 0-66) among 17% of the participants. After adjustment for educational level, average levels of REALM-D were lower among participants from a Ghanaian, Turkish, and Moroccan background than those from a Dutch background, whereas the two Surinamese groups did not differ from the Dutch group. Additional adjustment for language difficulties and cultural distance did not explain the differences between the five ethnic minority groups. Self-reported health literacy was low (SBSQ <3; range, 0-4) among 3% of the participants. There were no differences in levels of SBSQ between the ethnic minority groups and the Dutch group.We found ethnic differences in performance-based health literacy, which largely remained after adjustment for educational level. Further research is needed to gain insight into how young adults from different ethnic groups appraise and apply health information in various contexts. [HLRP: Health Literacy Research and Practice. 2018;2(4):e192-e204.].We investigated ethnic differences in health literacy among young adults (age 18-25 years) living in the Netherlands. Compared to the Dutch group, some ethnic minority groups scored lower on performance-based health literacy, independent of educational level. Self-reported health literacy did not differ between Dutch and ethnic minority groups. | [
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https://openalex.org/W2506264824 | Comparison of Immunization in Iran and Turkey between Years 1980- 2013 | [
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"Turkey",
"Iran"
] | [] | https://api.openalex.org/works?filter=cites:W2506264824 | Immunization is today one of the safest, most cost-effective, and powerful means of preventing deaths and improving lives. Over the years, all countries of the world have incorporated an increasingly broad immunization agenda in their public health interventions. Immunization programmes are now routinely reaching over 80 percent of children under one year of age. Iran and Turkey with a population of nearly the same, are in the neighborhood and the aim of this study is to compare the vaccination situation in the two countries from 1980 to 2013. | [
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https://openalex.org/W2788440585 | A study to assess the awareness of risk factors of cystic echinococcosis in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2788440585 | <h3>Objectives:</h3> To determine the knowledge, attitudes, practices, and awareness for risk factors associated with cystic echinococcosis (CE) among animal breeders, nurses, nursing students, dietitians, food professionals and other public groups in Turkey. <h3>Methods:</h3> Questionnaire forms were prepared in compliance with the individuals’ diversity, and a survey was created about agents, transmission modes, epidemiology, treatment, and risk factors for CE. The descriptive survey was performed between May 2015 and May 2016 by face-to-face communication. Data were collected from a total of 647 individuals, including 95 animal breeders, 92 nurses, 249 nursing students, 49 dietitians, 28 food professionals and 134 people from other public groups from Turkey. Survey data were evaluated in terms of percentages and means and analyzed by the Pearson’s chi-square test and Mann-Whitney U test to determine the relationships between questionnaire answers and socio-demographic attributes, such as age, gender, educational level, and profession. Non-categorical variables were compared via Spearman’s rho correlation analysis with statistical significance set at the 0.05 level. <h3>Results:</h3> We determined low awareness for vegetable washing, raw vegetables and offal consumption, informative courses, contact with dogs, and administration of antiparasitic drugs to dogs. <h3>Conclusion:</h3> The participants of this survey were found to be with insufficient knowledge regarding risk factors of CE. We advocate the implementation of training programs to improve public awareness on this important disease. | [
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https://openalex.org/W2082451146 | Trends in maternal mortality in Switzerland among Swiss and foreign nationals, 1969–2006 | [
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] | https://api.openalex.org/works?filter=cites:W2082451146 | To test whether maternal mortality was higher among immigrant women than Swiss women. All maternal deaths and live births in Switzerland from 1969 to 2006 from official vital statistics were considered. We calculated maternal mortality ratios (MMRs) in four time intervals (1969–1979, 1980–1989, 1990–1999, 2000–2006) for both Swiss and immigrant women overall, and for Italian, Spanish and Turkish women. We also computed the odds ratios and 95% confidence intervals of maternal mortality over the four time periods, considering maternal deaths as cases, and live births as controls. From 1969 to 2006 there were 279 maternal deaths, 204 of Swiss women and 75 of immigrant women. Women’s age, marital status and cause of death were similar in the two groups. For immigrant women, the crude odds ratio of a pregnancy ending with maternal death, not homogeneous across the four periods, was 4.38 (95% CI 1.88–10.55) in 2000–2006. Immigrant women have a higher risk of maternal mortality than Swiss women. A closer scrutiny of risk factors and quality of care is necessary to identify opportunities for prevention. | [
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https://openalex.org/W2419040736 | Effect of a health promotion course on health promoting behaviours of university students. | [
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] | https://api.openalex.org/works?filter=cites:W2419040736 | The purpose of this pilot study in Turkey was to determine the effects of a health promotion course on enhancement of self-care agency and health-promoting behaviours of University of Kocaeli students. A group of 41 civil engineering students attended a 15-week course developed by the investigator, which included 30 hours of classroom lectures. The success of the education was measured by pre- and post-intervention tests using the Exercise of Self-care Agency scale and the Health Promotion Lifestyle Profile II scale. After the course, the self-care agency and health-promoting lifestyle scores of the university students increased significantly. University students with the lowest scores before the course displayed the most progress after the course. | [
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https://openalex.org/W2169600791 | Nutrition and dietary intake and their association with mortality and hospitalisation in adults with chronic kidney disease treated with haemodialysis: protocol for DIET-HD, a prospective multinational cohort study | [
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"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
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{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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{
"display_name": "Social psychology",
"id": "https://openalex.org/C77805123"
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{
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{
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"id": "https://openalex.org/C159110408"
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{
"display_name": "Psychiatry",
"id": "https://openalex.org/C118552586"
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{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Machine learning",
"id": "https://openalex.org/C119857082"
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{
"display_name": "Creativity",
"id": "https://openalex.org/C11012388"
},
{
"display_name": "Infectious disease (medical specialty)",
"id": "https://openalex.org/C524204448"
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{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
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] | [
"Turkey",
"Syria"
] | [
"https://openalex.org/W2103390652",
"https://openalex.org/W2325873044",
"https://openalex.org/W2517525732",
"https://openalex.org/W2901549597",
"https://openalex.org/W2995492787",
"https://openalex.org/W3003422654",
"https://openalex.org/W3005995896",
"https://openalex.org/W3008827533",
"https://openalex.org/W3012573472",
"https://openalex.org/W3012654185",
"https://openalex.org/W3012959809",
"https://openalex.org/W3021879836",
"https://openalex.org/W3023414002",
"https://openalex.org/W3026347338",
"https://openalex.org/W3034823740",
"https://openalex.org/W3036495543",
"https://openalex.org/W3046399041",
"https://openalex.org/W3093338099",
"https://openalex.org/W4205971477"
] | https://api.openalex.org/works?filter=cites:W3124160145 | Purpose The COVID-19 pandemic is a new crisis in the world that caused many restrictions, from personal life to social and business. In this situation, the most vulnerable groups such as refugees who are living in the camps are faced with more serious problems. Therefore, a system dynamic approach has been developed to evaluate the effect of applying different scenarios to find out the best response to COVID-19 to improve refugees’ health and education. Design/methodology/approach The interaction of several health and education factors during an epidemic crisis among refugees leads to behavioral responses that consequently make the crisis control a complex problem. This research has developed an SD model based on the SIER model that responds to the public health and education system of Syrian refugees in Turkey affected by the COVID-19 virus and considered three policies of isolation, social distance/hygiene behavior and financial aid using the available data from various references. Findings The findings from the SD simulation results of applying three different policies identify that public health and education systems can increase much more by implementing the policy of social distance/hygiene behavior, and it has a significant impact on the control of the epidemic in comparison with the other two responses. Originality/value This paper contributes to humanitarian organizations, governments and refugees by discussing useful insights. Implementing the policy of social distance and hygiene behavior policies would help in a sharp reduction of death in refugees group. and public financial support has improved distance education during this pandemic. | [
{
"display_name": "Journal of humanitarian logistics and supply chain management",
"id": "https://openalex.org/S4210172729",
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|
https://openalex.org/W2034025079 | Health-related quality of life of infants from ethnic minority groups: the Generation R Study | [
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"display_name": "Jeanne M. Landgraf",
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"display_name": "Henriette A. Mol",
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"display_name": "Vincent W. V. Jaddoe",
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"display_name": "Albert Hofman",
"id": "https://openalex.org/A5039611937"
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"display_name": "Erasmus MC",
"id": "https://openalex.org/I2801952686",
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],
"display_name": "Johan P. Mackenbach",
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"display_name": "Hein Raat",
"id": "https://openalex.org/A5081648742"
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{
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"id": "https://openalex.org/C149923435"
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{
"display_name": "Turkish",
"id": "https://openalex.org/C2781121862"
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{
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{
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{
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{
"display_name": "Cohort",
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{
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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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] | https://api.openalex.org/works?filter=cites:W2034025079 | To assess whether the health-related quality of life of infants from ethnic minority groups differs from the health-related quality of life of native Dutch infants and to evaluate whether infant health and family characteristics explain the potential differences. We included 4,506 infants participating in the Generation R Study, a longitudinal birth cohort. When the child was 12 months, parents completed the Infant Toddler Quality of Life Questionnaire (ITQOL); ITQOL scale scores in each ethnic subgroup were compared with scores in the Dutch reference population. Influence of infant health and family characteristics on ITQOL scale scores were evaluated using multivariate regression models. Infants from ethnic minority groups presented significantly lower ITQOL scale scores compared to the Dutch subgroup (e.g., Temperament and Moods scale: median score of Turkish subgroup, 70.8 (IQR, 15.3); median score of Dutch subgroup, 80.6 (IQR, 13.9; P < 0.001)). Infant health and family characteristics mediated an important part of the association between the ethnic minority status and infant health-related quality of life. However, these factors could not fully explain all the differences in the ITQOL scale scores. Parent-reported health-related quality of life is lower in infants from ethnic minority groups compared to native Dutch infants, which could partly be explained by infant health and by family characteristics. | [
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|
https://openalex.org/W3113369102 | The Public Health Impact of Implementing a Concentration‐Based Microbiological Criterion for Controlling <i>Salmonella</i> in Ground Turkey | [
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] | https://api.openalex.org/works?filter=cites:W3113369102 | Despite initiatives to improve the safety of poultry products in the United States, progress has stalled, and salmonellosis incidence is still above Healthy People 2020's goal. One strategy to manage Salmonella and verify process control in poultry establishments is to implement microbiological criteria (MC) linked to public health outcomes. Concentration-based MC have been used by the food industry; however, the public health impact of such approaches is only starting to be assessed. This study evaluated the public health impact of a concentration-based MC for Salmonella in raw ground turkey consumed in the United States using a quantitative risk assessment modeling approach. The distribution of Salmonella concentration in ground turkey was derived from USDA-FSIS monitoring surveys. Other variables and parameters were derived from public databases, literature, and expert opinion. Based on considered concentrations, implementing a MC of 1 cell/g led to an estimated 46.1% reduction (preventable fraction, PF) in the mean probability of illness when consumer cooking and cross-contamination were included. The PF was consistent across scenarios including or excluding cross-contamination and cooking, with slightly lower mean PF when cross-contamination was included. The proportion of lots not compliant with the 1 cell/g MC was 1.05% in the main scenarios and increased nonlinearly when higher Salmonella concentrations were assumed. Assumptions on concentration variability across lots and within lots had a large impact, highlighting the benefit of reducing this uncertainty. These approach and results can help inform the development of MC to monitor and control Salmonella in ground turkey products. | [
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|
https://openalex.org/W3202839354 | Health Information Systems in the COVID-19 Pandemic: A Short Survey of Experiences and Lessons Learned From the European Region | [
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"id": "https://openalex.org/C111919701"
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"Turkey",
"Israel"
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"https://openalex.org/W3003714166",
"https://openalex.org/W3016254328",
"https://openalex.org/W3025624902",
"https://openalex.org/W3033248051",
"https://openalex.org/W3033328382",
"https://openalex.org/W3040436721",
"https://openalex.org/W3042022921",
"https://openalex.org/W3047747926",
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"https://openalex.org/W3106386073",
"https://openalex.org/W3111039031",
"https://openalex.org/W3122754251"
] | https://api.openalex.org/works?filter=cites:W3202839354 | Introduction: The COVID-19 crisis provides an opportunity to reflect on what worked during the pandemic, what could have been done differently, and what innovations should become part of an enhanced health information system in the future. Methods: An online qualitative survey was designed and administered online in November 2020 to all the 37 Member States that are part of the WHO European Health Information Initiative and the WHO Central Asian Republics Information Network. Results: Nineteen countries responded to the survey (Austria, Belgium, Croatia, Czech Republic, Finland, Greece, Iceland, Ireland, Israel, Italy, Kazakhstan, Latvia, Lithuania, Romania, Russian Federation, Sweden, Turkey, United Kingdom, and Uzbekistan). The COVID-19 pandemic required health information systems (HIS) to rapidly adapt to identify, collect, store, manage, and transmit accurate and timely COVID-19 related data. HIS stakeholders have been put to the test, and valuable experience has been gained. Despite critical gaps such as under-resourced public health services, obsolete health information technologies, and lack of interoperability, most countries believed that their information systems had worked reasonably well in addressing the needs arising during the COVID-19 pandemic. Conclusion: Strong enabling environments and advanced and digitized health information systems are vital to controlling epidemics. Sustainable finance and government support are required for the continued implementation and enhancement of HIS. It is important to promote digital solutions beyond the COVID-19 pandemic. Now is the time to discuss potential solutions to obtain timely, accurate, and reliable health information and steer policy-making while protecting privacy rights and meeting the highest ethical standards. | [
{
"display_name": "Frontiers in Public Health",
"id": "https://openalex.org/S2595931848",
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{
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"type": "repository"
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{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
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|
https://openalex.org/W3207166434 | Avrupa ülkelerinin sağlık göstergeleri ve sağlık harcamalarının kümeleme analizi ile karşılaştırılması | [
{
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{
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] | [
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"https://openalex.org/W1580201539",
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"https://openalex.org/W2615295490",
"https://openalex.org/W2905948219",
"https://openalex.org/W4250937910"
] | https://api.openalex.org/works?filter=cites:W3207166434 | The main purpose of health systems is to ensure citizens utilize the health services by adequately and effectively. As the quantity and the quality of health services are improved, health indicators such as quality of life and life expectancy at birth are also improved. Health indicators and health care expenditures allow policy makers to compare health systems and to monitor and evaluate the current situation of the health systems. The main reason behind the international comparison of health indicators and expenditures is to enable countries to benchmark successful health systems. In this context, the aim of this study was to compare health indicators and health expenditures of 28 European Union (EU) countries, 6 EU candidate countries and 3 European Free Trade Association (EFTA) countries by cluster analysis method. As a result of the clustering analysis, the countries were grouped under 3 clusters. The public, private and out-of-pocket health expenditure per capita averages of the first cluster, which Turkey was included in, was the lowest among three clusters. It was determined that the cluster in which Turkey was placed falled behind other two clusters in terms of life expectancy at birth, number of physicians and nurses, maternal mortality rate, and smoking ratio health indicator averages. | [
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"id": "https://openalex.org/S4210240322",
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{
"display_name": "DergiPark (Istanbul University)",
"id": "https://openalex.org/S4306401840",
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|
https://openalex.org/W1965033309 | Sleep Practices and Environment and the Risk of Sudden Infant Death Syndrome in Turkey | [
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"display_name": "Emine Efe",
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{
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{
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"display_name": "Kamile Kukulu",
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{
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{
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"id": "https://openalex.org/C111919701"
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] | [
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"https://openalex.org/W2171483311",
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] | https://api.openalex.org/works?filter=cites:W1965033309 | The aim of this study is to determine what mothers know about infant sleep practices and the environment.Data were collected with a semistructured questionnaire. The research was conducted with 231 mothers who delivered an infant and who agreed to participate between September and December 2005.It was determined that 70.6% (n = 163) of mothers would use a pillow with their sleeping infants, and 44.2% (n = 102) would cover their infants' faces. When infants were alone in a room, 96.5% of mothers would leave them in the supine position.Public health interventions should alert women to the increased risk of sudden infant death syndrome associated with identifiable risk factors, and specific intervention campaigns for safe sleeping can be developed for Turkish families. | [
{
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{
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"id": "https://openalex.org/S4306525036",
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|
https://openalex.org/W3152551484 | Türkiye Sağlık Turizm Sektörünün Analizi ve Strateji Önerileri | [
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"display_name": "Mehmet Barca",
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"display_name": "Erdal Akdeve",
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"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W3152551484 | This study is to identify the current state of health tourism in Turkey, to assess the developments, and to advise on strategic studies future developments in the assessment and aims to advice on strategic studies to be done in the future. An annual picture of Turkey in terms of health tourism is put forward by analyzing data (public-private rate, the separation of health tourists, health-tourists, the service industry, country of origin, etc.) for 2011 collected offial channels from Provincial Health Directorates of the Ministry of Health (about public and private hospitals). Furthermore, strategic assessments and recommendations on the need for the future regarding medical tourism in Turkey are made in the light of developments in the World and Turkey. | [
{
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|
https://openalex.org/W2125985584 | Mothers in Cases of Incest in Turkey: Views and Experiences of Professionals | [
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{
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] | https://api.openalex.org/works?filter=cites:W2125985584 | This paper aims to understand how professionals view non-offending mothers in cases of incest. Its data is based on a larger qualitative research project with 98 professionals in Turkey, including both frontline workers and those who join the process after the disclosure of abuse and are contacted professionally in incest cases. In spite of the differences in their views, the interviewed professionals have acknowledged the critical role of the mother in various phases of incest from disclosure of abuse to the treatment of the victim. However, they have also pointed out the insufficiencies and ambivalences of the mothers in terms of dealing properly with incest by underlining their economic and social vulnerability. The results reflected that the mothers need to be perceived in another light, understood better and empowered according to their needs to become vital partners within the support system combating incestuous abuse. | [
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{
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"id": "https://openalex.org/S4306400079",
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] |
|
https://openalex.org/W1622242993 | A report on syphilis control in Turkey. | [
{
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"display_name": "Sven Christiansen",
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{
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{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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] | [
"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W1622242993 | This report presents the results of a six-month survey of the nature and extent of venereal diseases in Turkey which was undertaken by the author, on behalf of WHO, at the request of the Turkish Government. The first part of the report outlines the present venereal-disease-control system and includes descriptions of the work undertaken by public authorities, hospitals and dispensaries, mobile venereal-disease-control teams, and laboratories; in the second part, the author enumerates certain recommendations for the intensification of the current control programme. These recommendations are particularly concerned with the control of syphilis (since the incidence of other venereal diseases in Turkey is of very secondary importance), and with the expansion, standardization, and co-ordination of serodiagnostic facilities and services. It is suggested that there might be a gradual intensification and reorientation of the present programme. A proposed plan of operations for an eight-year period is described. | [
{
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|
https://openalex.org/W2999281811 | VACCINE HESITANCY IN TURKEY | [
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] | https://api.openalex.org/works?filter=cites:W2999281811 | We read your recent editorial that appeared on vaccine hesitancy with a great interest.1 We would like to add some information on this problem in the case of the Turkish population. In 2011 the vaccine hesitancy was recorded as less than 500. However, recent data on vaccine hesitancy showed a remarkable increase from 5000 to 24 000 between the years 2015–2017 among infants younger than 5 years of age. 2 Reasons for the hesitancy of the parents were mainly listed as distrust about content (contains mercury and aluminium) by 44%; religious causes by 15%; outsourced vaccines from foreign countries (8%); causes subacute sclerosing panencephalitis (SSPE), hyperactivity and infertility (7%); negative news on media (7%); as miscellaneous, including chronic illness, patient rights, adjudication, multiple injections at a time, sensitiveness to the natural life (5%).2 As you argued the most critical point is to sustain the positive influence of vaccination on public health. Such sustainability relies on the cooperation of international and national policies. Even Turkey, which is a country that has high vaccination coverages and successful immunisation policies, has developed policies focusing on therapeutic health services and emphasising a more consumer-conscious perspective in its policies on life gradually.3 Policies are one of the most significant dimensions of engaging immunisation policies nationally. On the other hand, social adoption and applicability of these policies need a deeper understanding. Currently, Turkey has a suggested vaccination calendar but does not mandate a legal obligation of vaccination. Despite recent changed constitutional court decision that vaccination cannot be mandatory4 and ongoing debate about the decision,5 ongoing high vaccination coverage suggests the Turkish population has a positive attitude to vaccines. Yet, the recent increase in vaccine hesitancy in Turkey indicates that sociological and anthropological research is crucial to figuring out how and why these changes occurred, and how to respond. | [
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https://openalex.org/W2928680694 | Exploring the relationship between Big Food corporations and professional sports clubs: a scoping review | [
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] | https://api.openalex.org/works?filter=cites:W2928680694 | Abstract Objective Professional sport occupies a prominent cultural position in societies across the globe and commercial organisations make use of this to promote their products. The present scoping review explores existing academic literature on the relationship between professional sports clubs and food and drink marketing and considers how this relationship may impact upon the public’s health. Design The scoping review searched six databases. Experts were also consulted. Records written in languages other than English were excluded. We also excluded records relating to mega events (e.g. Olympics, Football World Cup) and alcohol marketing, because of the attention already given to these. Setting Professional sports clubs. Results We identified 18 166 titles, reviewed 163 abstracts and read twenty-six full texts. We included six papers in the review. Four were from Australia and New Zealand. The Australasian literature focused largely on the marketing of foods and beverages to children and the potential impact on consumption. Single papers from researchers in Turkey and the USA were identified. The Turkish paper analysed shirt sponsorship in football leagues internationally and showed food and beverage (including alcohol) companies were the most common sponsors. The US paper examined a mixed reaction to a football team named after an energy drink. Conclusions Commercial relationships between professional sports clubs and Big Food corporations have largely eluded scrutiny in much of the world. The current review highlights the lack of public health research on these relationships. Research exploring the interdependent commercial practices of food and drink companies and professional sports clubs is urgently needed. | [
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https://openalex.org/W2100006550 | Landmine injuries at the Emergency Management Center in Erbil, Iraq | [
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] | https://api.openalex.org/works?filter=cites:W2100006550 | Landmines can cause death, injury and disability in addition to many indirect public health consequences. This study aimed at understanding the trends, demography and other epidemiological characteristics of hospitalized landmine injured patients in Erbil governorate. The case records of landmine injured patients who had been admitted to the Emergency Management Centre in Erbil city from July 1998 to July 2007 were reviewed and descriptively analyzed. Two hundred eighty five landmine injured patients were admitted to the center, their mean ± SD age was 26.5 ± 13.2 years (range 6-71 years), 95.1% were males, nearly 50% were between 19 to 35 years of age and 96.8% were civilians. Around 72% of victims sustained limb amputations; 58.6% lower limb and 13.3% upper limb out of the total. The hospital mortality rate was 2.1%. The number of admissions for landmine injury was steadily decreasing between July 1998 and July 2001, followed by prominent increase between July 2002 and July 2003. The highest proportion of admissions occurred in summer (35.4%) and majority of incidents occurred along the borders with Iran and Turkey (61.8%). Civilian male adolescents and young adults constituted the majority of hospitalized landmine victims in Erbil governorate. While a high proportion of victims sustained lower limb amputations, upper limb amputations particularly among children and injury to head and face were relatively common which might be attributed to handling explosives. This emphasizes the need to examine the reasons behind handling explosives. | [
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https://openalex.org/W2805758243 | “The needs have clearly evolved as time has gone on.”: A qualitative study to explore stakeholders’ perspectives on the health needs of Syrian refugees in Greece following the 2016 European Union-Turkey agreement | [
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"https://openalex.org/W2654257443",
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] | https://api.openalex.org/works?filter=cites:W2805758243 | By 2017, more than 500,000 Syrian refugees had passed through Greece seeking safety and asylum. Understanding how their health needs evolved over the refugee crisis in Greece and in relation to changing migration policy, and exploring the challenges involved in delivering their healthcare is timely as non-governmental organizations (NGOs) transition health service provision to the Greek health authorities. We conducted a qualitative study to explore stakeholders’ perspectives on delivering health services to Syrian refugees over the course of the humanitarian response in Greece from 2015 to 2017. Twenty-five in-depth interviews were conducted face-to-face or by Skype with healthcare providers, NGO staff, and organizational and government representatives involved in coordinating and managing healthcare for the Syrian refugee population in Greece. Following informed consent, interviews were audio-recorded or detailed summaries were manually recorded. Data were coded inductively to identify emerging themes. Following the implementation of the European Union-Turkey agreement in 2016, healthcare providers in refugee camps reported a shift from acute physical health issues to mental health disorders, and heightened risks of gender-based violence among Syrian refugees. Key challenges to service delivery included a narrow model of healthcare provision and insufficient referral mechanisms for social support and mental health services. Language and gender differences between refugees and healthcare providers, and a lack of privacy and space in clinics impeded the quality of care. Stakeholders observed deterioration in refugees’ mental health in relation to longer periods spent in the camps. Many also emphasized that services for gender-based violence and mental health should be prioritized. This study provides stakeholders’ perspectives on changes in refugee health needs over the course of the humanitarian response in Greece. With protracted encampment resulting from migration policy, addressing mental health disorders and gender-based violence should be prioritized, including psychosocial training for healthcare providers and strengthening referral mechanisms for specialized care. The findings also emphasize the importance of providing human-centered care and gender concordant services by incorporating female healthcare providers and interpreters into medical teams. Strategic communication and coordination is needed between NGOs and Greek health authorities to facilitate the transition of health service delivery to the Greek healthcare system and to improve access and quality of care for refugees. | [
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https://openalex.org/W2010776090 | Discrimination in health care industry: a research on public hospitals | [
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] | https://api.openalex.org/works?filter=cites:W2010776090 | Purpose The purpose of this study is to investigate discrimination areas within public hospitals and discuss the potential reasons that will provide a contributive perspective on reducing discriminative behaviors. Design/methodology/approach The research was conducted in public hospitals in Afyonkarahisar, a city in the central‐west part of Turkey. Two distinct approaches were used to gather data, one of which was a questionnaire that was responded by 351 health care employees. And, the second method semi‐structured interviews were conducted with five health care employees from each hospital. Findings The research reveals that discriminative behaviors are not part of organizational life to a problematical extent in public hospitals. However, the dependence on governmental policies forces ideological/political engagements to play significant roles in public hospitals determination of discriminated groups. Professional solidarity, status‐based stratification and embedded codes of patriarchal culture are other crucial dynamics, first two and last one causing, respectively, vocational and gender discrimination. Originality/value This paper is an exploratory study focusing on discrimination among employees and from management to employees in the health care industry. Two distinct methods are used together to understand and analyze the areas and dynamics of discriminative behaviors. | [
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|
https://openalex.org/W2093937857 | Behavioral adjustment to avian flu in Europe during spring 2006: The roles of knowledge and proximity to risk | [
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] | https://api.openalex.org/works?filter=cites:W2093937857 | The threat of a widespread avian flu influenza outbreak represented a significant public health challenge for the European region during late 2005 and early 2006. Little is known, however, about how individuals learn about new global-level health risks, especially influenza outbreaks. We empirically test the hypothesis that knowledge about and geographic proximity to avian flu play a role in individuals’ consumption behavior regarding this health risk. This article employs Eurobarometer survey data collected in spring 2006 to examine how Europeans (from 27 European Union countries plus Croatia and Turkey) altered their consumption of poultry, eggs and egg-based products during the virus’ emergence in Europe. Our findings are consistent with the hypothesis that behavioral change indeed depends on proximity to those risks. Significant differences emerged between individuals’ likelihood of behavioral change in countries where avian flu had been found in humans either in individuals’ countries of residence or in bordering countries. Furthermore, we find that those who were more knowledgeable about avian flu risks were less likely to have reduced their consumption of poultry, eggs or egg-related products in the spring of 2006 compared to six months prior. Yet, the influence knowledge has on consumption behavior is found to change depending on proximity to avian flu risks. These findings have implications for our larger understanding of how individuals alter their behavior in the face of new health risks. | [
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https://openalex.org/W2031081744 | Role of Exercise Stages in Self-Reported Health-Promoting Behaviors of a Group of Turkish Adolescents at Transition to University | [
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"Turkey"
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] | https://api.openalex.org/works?filter=cites:W2031081744 | The purpose of this study was to examine the self-perceived health-promoting behaviors with respect to exercise stages of Turkish adolescents at transition from high school to university. Participants were 358 adolescents (192 boys, 166 girls) who were accepted to a research university for undergraduate education. The Adolescent Health Promotion Scale was used to examine Nutrition, Health Responsibility, Life Appreciation, Social Support, Exercise and Stress Management behaviors. Physical Activity Stages of Change Questionnaire was used to examine the exercise stages of change. Scores were lowest for Exercise and highest for Life Appreciation regardless of exercise stage. All health-promoting behaviors differed by exercise stage. Participants at lower exercise stages had lower scores. Interventions should focus on increasing physical activity of physically inactive adolescents for holistic development of all health-promoting behaviors. | [
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|
https://openalex.org/W3192939792 | Attempted suicide and suicide of young Turkish women in Europe and Turkey: A systematic literature review of characteristics and precipitating factors | [
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] | https://api.openalex.org/works?filter=cites:W3192939792 | The increased risk of suicidal behaviour among Turkish women living in Europe and Turkey is a serious public health problem. This study compares and synthesises the empirical evidence of demographic, social, psychological and interpersonal characteristics and precipitating factors in the suicides and attempted suicides of Turkish women in Europe and Turkey.We systematically searched eight databases (PsycINFO, PubMed, Med Line, Web of Science, Smart Cat, Safety Lit, BASE and Ulakbim), using search terms in English, Turkish, German and Dutch, as well as the reference lists of the retrieved papers. We extracted data on countries/regions, population characteristics, sample characteristics, recruitment, method of data collection, type of suicidal behaviour (suicide or attempted suicide) and precipitating factors and characteristics. The results were qualitatively synthesised.We retrieved nine studies on attempted suicide in Europe (from Germany, Switzerland and the Netherlands), 17 studies on attempted suicide in Turkey and 10 studies on suicide in Turkey (36 in total). Overall, we found similar precipitating factors and characteristics of attempted suicide and suicide in Turkey and Europe, including socio-demographic factors (young age and not being enrolled in the labour market), poverty and, to some extent, mental illness. Moreover, conflicts with family or spouses and violence against women, including so-called honour violence, were particularly common for women living in or originating from traditional areas in Turkey.The framework of intersectionality is relevant to understanding our results, because structural inequalities in gender roles, gender role expectations as well as power imbalances among socio-economic classes collectively impact the suicidal behaviour of Turkish women. Moreover, the importance of violence against women points to the cultural continuity of the patriarchal and oppressive structures of Europe and Turkey. Suicide prevention efforts should address cultural attitudes underlying violence against women and girls through community education programmes, cultural and gender-sensitive care provision and jurisdiction. | [
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https://openalex.org/W2898716284 | Women’s Studies in the Muslim World: A Bibliometric Perspective | [
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https://openalex.org/W2778709015 | The Development of a General Disaster Preparedness Belief Scale Using the Health Belief Model as a Theoretical Framework | [
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https://openalex.org/W4210455150 | Mental Healthcare Policy Reform in Turkey: A Qualitative Study on the Perspectives of User Groups | [
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https://openalex.org/W3211129780 | The Relationship between the Fear of Covid-19, Depression, and Spiritual Well-Being in Pregnant Women | [
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https://openalex.org/W37875540 | Tularaemia outbreaks in Sakarya, Turkey: case-control and environmental studies. | [
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] | https://api.openalex.org/works?filter=cites:W37875540 | Tularaemia is an important zoonotic disease that leads to outbreaks. This study aimed to compare the epidemiological characteristics of two tularaemia outbreaks that occurred in the Sakarya region of Turkey, analyse the risk factors for the development of outbreaks and identify Francisella (F.) tularensis in the water samples.Two tularaemia outbreaks occurred in the Kocadongel village in 2005 and 2006. A field investigation and a case-control study with 47 cases and 47 healthy households were performed during the second outbreak. Clinical samples from the patients and filtrated water samples were analysed for F. tularensis via real-time polymerase chain reaction.From the two outbreaks, a total of 58 patients were diagnosed with oropharyngeal tularaemia based on their clinical and serological results. Both outbreaks occurred between the months of January and April, and the number of patients peaked in February. Logistic regression analysis revealed that the consumption of natural spring water was the only significant risk factor for tularaemia infection (odds ratio 3.5, confidence interval 1.23-10.07). F. tularensis was detected in eight clinical samples and in the filtrated natural spring water.This study is the first report of tularaemia from this region. The results show that both tularaemia outbreaks were related to the consumption of untreated natural spring water. To prevent waterborne tularaemia, community water supplies should be treated and checked periodically. | [
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https://openalex.org/W1990319599 | Vitamin A status and factors associated in healthy school-age children | [
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"display_name": "Doğuş Vurallı",
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"Turkey"
] | [
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"https://openalex.org/W2002288377",
"https://openalex.org/W2036098731",
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] | https://api.openalex.org/works?filter=cites:W1990319599 | Vitamin A deficiency (VAD) is one of the most widespread vitamin deficiencies. Vitamin A is essential for children in order to ensure a healthy life span and sustain the normal growth and development. Aim of this study is to examine vitamin A status, and factors associated with it, in healthy school-age children.The study was carried out in schools in Altindag, the district of Ankara, from April to May 2009. 585 girls and 478 boys, a total of 1063 healthy children aged 5-16 years were taken into the study. Serum retinol, ferritin and hs-CRP levels and complete blood count of each case were measured. A questionnaire was developed to collect socio-economic and demographic information of the participants.Any subclinical VAD (SRL <0.7 μmol/L) was not detected in the children attending the study. However, SRLs were suboptimal in 2.2% of cases and these children were under a high risk of developing subclinical, and subsequently clinical VAD. There were significant positive correlations between serum retinol and hemoglobin values, and statistically significant negative correlation between serum retinol level and ferritin and hsCRP.Vitamin A deficiency does not constitute an important public health problem for Altindag, Ankara, Turkey. Frequency of such vitamin deficiencies should be revealed before launching nationwide public health programs to fight with these deficiencies. | [
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|
https://openalex.org/W2026857667 | Tuberculous meningitis in Turkish children: an evaluation of 38 cases | [
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"display_name": "MA Selimoğlu",
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{
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{
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{
"display_name": "Tuberculosis",
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{
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{
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{
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"display_name": "Disease",
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{
"display_name": "Mortality rate",
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{
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{
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{
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"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W2026857667 | Thirty-eight cases of tuberculous meningitis in children were studied. Mortality was 28.9%; most of these presented with stage III disease. Tuberculous meningitis (TBM) still ranks as one of the most important communicable diseases in terms of morbidity and mortality. It is universally fatal if not treated and has high morbidity and mortality, if not recognized early. According to WHO's data, 1.3 million new TB cases under 15 year olds were reported. In Turkey, the TB prevalence is 0.4 %. According to data from the Turkish Ministry of Health, the number of admissions to hospitals dropped from 108 per 100,000 in 1971 to 51 per 10,000 in 1988. Early diagnosis and treatment of TBM are essential in order to prevent late sequelas and death. The diagnosis of TBM may be delayed because many patients initially have vague, seemingly minor, signs and symptoms. In this study, the clinical and laboratory findings of 38 patients with the diagnosis of TBM in our hospital were reviewed, retrospectively, during the past five years. Our purpose was to stress the importance of TBM as a public health problem in Turkey, particularly in the Eastern of Turkey. | [
{
"display_name": "Tropical Doctor",
"id": "https://openalex.org/S45864524",
"type": "journal"
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{
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"id": "https://openalex.org/S4306525036",
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|
https://openalex.org/W2330782001 | International Students in Turkey: Main Problems Related to Poor Academic Performance | [
{
"affiliations": [],
"display_name": "Nurka Redžepagić-Bulić",
"id": "https://openalex.org/A5005249319"
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] | [
{
"display_name": "Social psychiatry",
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{
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"id": "https://openalex.org/C77805123"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W2330782001 | Every year many students leave their countries in order of experiencing life and study in another country. The lenght of these studies is different: Students that leave for undergraduate studies are obligated to stay at least 4 years in that particular country of choice; at least 2 years for master studies and at least 3 or 4 years for doctoral studies. If we assume that these students will finish all of their obligations on time, yet there is a lot of time to be spent in a foreign country, with different customs and tradition. During last couple of years, more than 500 students from Bosnia and Herzegovina left to Turkey for finishing undergraduate or graduate studies. Living in a different country for awhile is a great experience from which students can learn more than from any book or movie. However, after gaining the scholarships and the departure, students are facing difficulties which sometimes result as leaving everything and going back home. The purpose of the study is to provide an insight why do international students in Turkey often have poor academic performance. | [
{
"display_name": "Journal of Psychology & Clinical Psychiatry",
"id": "https://openalex.org/S2764577009",
"type": "journal"
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|
https://openalex.org/W3120499071 | Mental health consequences of long-term stays in refugee camps: preliminary evidence from Moria | [
{
"affiliations": [],
"display_name": "Willemine van de Wiel",
"id": "https://openalex.org/A5069215041"
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{
"affiliations": [
{
"country": "Chile",
"display_name": "Universidad del Desarrollo",
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{
"country": "United Kingdom",
"display_name": "City, University of London",
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"display_name": "I Francisco Urzúa",
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"display_name": "Michelle Fish",
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"country": "Netherlands",
"display_name": "University of Amsterdam",
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"display_name": "Willem F. Scholte",
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{
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"id": "https://openalex.org/C144024400"
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] | https://api.openalex.org/works?filter=cites:W3120499071 | Abstract Background Ever since the implementation of the EU-Turkey deal, most refugees that enter Greece via sea are confined to the island on which they arrive until their asylum claims are adjudicated, where they generally reside in camps. Some of these camps have detention-like characteristics and dire living conditions, such as Moria camp on the island of Lesbos, Greece. Aid-organizations have stated that the situation in camp Moria deteriorates the mental health of its inhabitants and there is qualitative evidence to support this. This study explores the quantitative relationship between the incidence of acute mental health crises and the length of stay in the camp. Methods A cross-sectional study was conducted using routinely collected data on 856 consultations of 634 different patients during 90 nights at an emergency clinic in Moria camp. Logistic regression analysis was used to explore whether the length of stay in the camp was predictive of the occurrence of an acute mental health crisis. Results Of the 634 patients, the majority were men (59·3%), the average age was 23·2 years [0–71], and 24·3% was < 18 years. 25·5% ( n = 218) of consultations were related to mental health problems; 17·0% ( n = 37) of these met the study’s case definition of an acute mental health crisis. Such crises were positively associated with the length of stay in the camp ( p = 0·011); the odds ratio of a mental health crisis increases with 1·03 for every 10% increase in days of residence in the camp. This is notable when considering the average length of stay in the camp is 71 days. Conclusion This study offers quantitative support for the notion that the adverse conditions in Moria camp deteriorate the mental health of its inhabitants as suggested in qualitative research. Although this study does not provide evidence of causality, it is likely that the poor and unsafe living conditions, challenging refugee determination procedures, and a lack of mental health services in the camp are significant contributing factors. We urgently call for Europe’s policymakers to honour the ‘51 Geneva refugee convention and terminate the neglectful situation on the Greek archipelago. | [
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{
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"id": "https://openalex.org/S4306402450",
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|
https://openalex.org/W3185607370 | Safety priority, safety rules, safety participation and safety behaviour: the mediating role of safety training | [
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{
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] | https://api.openalex.org/works?filter=cites:W3185607370 | Objectives. This study explores the effects of employee perception of the management’s safety priority, safety rules and safety training on safety participation and safety behaviour decided by management, as well as the mediating role of safety training on the other four dimensions. Methods. The study covers employees working in 27 metal companies classed as hazardous/very hazardous in Turkey. The research data were collected by surveying 822 employees in the metal sector. Collected data were tested through explanatory and confirmatory factor analyses, in that order. Results. The findings of this analysis indicated statistically direct, positive effects of safety priority on safety rules and safety training, such an effect of safety rules on safety training, and again such effects of safety training on safety participation and safety behaviour. Besides, indirect relationships were detected between safety priority and safety rules and safety participation, and safety behaviour through the mediating role of safety training. Conclusion. Employee participation in health and safety issues as well as safe behaviour in the workplace depend on management prioritizing health and safety issues as much as production, formulating safe working rules, procedures and practices using comprehensive and regular training programmes. | [
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"id": "https://openalex.org/S4306525036",
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|
https://openalex.org/W180048899 | [The investigation of malaria cases in Bursa between 2006-2008]. | [
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"Turkey",
"Sudan"
] | [] | https://api.openalex.org/works?filter=cites:W180048899 | Malaria caused by Plasmodium parasites is one of the most common infectious diseases and an enormous public health problem. In this study, malaria cases detected and reported by the Malaria Control Dispensary of the Infectious Disease Division of Bursa Health Directory from October 2006 through December 2008 have been reported. The cases were evaluated according to age, gender, occupation and localization of the cases (indigenous or imported cases). A total of 23.416 blood smears were examined during this 26-month period and malaria parasite was found in 9 cases (0.038%). Of the 9 positive cases, 8 (88.9%) were male and 1 (11.1%) was female. Of these, 4 (44.5%) were acquired in Azarbajcan; 1 (1.1%) in Pakistan; 1 (1.1%) in Ghana; 1 (1.1%) in Sudan; 1 (1.1%) in an unknown Africa country; and 1 (1.1%) in the southeastern of Turkey. Except for three cases of foreign origin infected with Plasmodium falciparum, all the other cases were caused by Plasmodium vivax. The 0.05% decrease in malaria cases during the last 26-month, compared with prior data of malaria prevalence in Bursa, resulted primarily from a decrease in the number of cases acquired in Turkey. | [
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https://openalex.org/W2123713396 | Migrants’ perceptions of aging in Denmark and attitudes towards remigration: findings from a qualitative study | [
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"Iran",
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"https://openalex.org/W2131597816",
"https://openalex.org/W2152227824",
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] | https://api.openalex.org/works?filter=cites:W2123713396 | The increasing number of elderly migrants in Europe poses challenges for the organisation of healthcare and social services if these migrants do not remigrate to their countries of birth at old age. More insight into perceptions of aging among migrant women is needed to inform service delivery for culturally and linguistic diverse populations, yet few studies have explored this field. The aim of this study is to explore perceptions of aging among middle-aged migrant women, with emphasis on identifying factors shaping their decisions on whether to remigrate or stay in Denmark during old age. The study is based on 14 semi-structured interviews including a total of 29 migrant women residing in Copenhagen, Denmark. The women were born in Somalia, Turkey, India, Iran, Pakistan, or Middle Eastern countries. The majority of participants were middle-aged and had one or more chronic illnesses. The analysis was inspired by phenomenological methods and guided by theory on access to services, social relations, and belonging. The results showed that the existence of chronic conditions requiring frequent use of medical care and the availability of high-quality healthcare in Denmark were important factors for the decision to spend one’s old age in Denmark rather than to remigrate to one’s country of origin. Similarly, availability of social services providing financial and tangible support for the elderly was perceived to be important during old age. For these middle-aged women, social ties to children and grandchildren in Denmark and feelings of belonging further nourished a wish to stay in Denmark rather than remigrating. Since the study suggests that elderly migrants will be utilising healthcare and social services in Denmark rather than returning to their countries of birth, these services should prepare for increased cultural and linguistic diversity among users. This could entail provision of translators, specific outreach programmes, and culturally adapted services to meet elderly from diverse linguistic, religious, and cultural backgrounds. | [
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|
https://openalex.org/W4210911537 | Establishment of local wastewater-based surveillance programmes in response to the spread and infection of COVID-19 – case studies from South Africa, the Netherlands, Turkey and England | [
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] | https://api.openalex.org/works?filter=cites:W4210911537 | The COVID-19 pandemic has resulted in over 340 million infection cases (as of 21 January 2022) and more than 5.57 million deaths globally. In reaction, science, technology and innovation communities across the globe have organised themselves to contribute to national responses to COVID-19 disease. A significant contribution has been from the establishment of wastewater-based epidemiological (WBE) surveillance interventions and programmes for monitoring the spread of COVID-19 in at least 55 countries. Here, we examine and share experiences and lessons learnt in establishing such surveillance programmes. We use case studies to highlight testing methods and logistics considerations associated in scaling the implementing of such programmes in South Africa, the Netherlands, Turkey and England. The four countries were selected to represent different regions of the world and the perspective based on the considerable progress made in establishing and implementing their national WBE programmes. The selected countries also represent different climatic zones, economies, and development stages, which influence the implementation of national programmes of this nature and magnitude. In addition, the four countries' programmes offer good experiences and lessons learnt since they are systematic, and cover extensive areas, disseminate knowledge locally and internationally and partnered with authorities (government). The programmes also strengthened working relations and partnerships between and among local and global organisations. This paper shares these experiences and lessons to encourage others in the water and public health sectors on the benefits and value of WBE in tackling SARS-CoV-2 and related future circumstances. | [
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{
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] | https://api.openalex.org/works?filter=cites:W2057165547 | As in other Western countries, the number of immigrants in the Netherlands is growing rapidly. In 1980 non-western immigrants constituted about 3% of the population, in 1990 it was 6% and currently it is more than 10%. Nearly half of the migrant population lives in the four major cities. In the municipality of Rotterdam 34% of the inhabitants are migrants. Health policy is based on the ideal that all inhabitants should have equal access to health care and this requires an efficient planning of health care resources, like staff and required time per patient. The aim of this study is to examine ethnic differences in the use of internal medicine outpatient care, specifically to examine ethnic differences in the reason for referral and diagnosis.We conducted a study with an open cohort design. We registered the ethnicity, sex, age, referral reasons, diagnosis and living area of all new patients that visited the internal medicine outpatient clinic of the Erasmus Medical Centre in Rotterdam (Erasmus MC) for one year (March 2002-2003). Additionally, we coded referrals according to the International Classification of Primary Care (ICPC) and categorised diagnosis according to the Diagnosis Treatment Combination (DTC). We analysed data by using Poisson regression and logistic regression.All ethnic minority groups (Surinam, Turkish, Moroccan, Antillean/Aruban and Cape Verdean immigrants) living in Rotterdam municipality, make significantly more use of the outpatient clinic than native Dutch people (relative risk versus native Dutch people was 1.83, 1.97, 1.79, 1.65 and 1.88, respectively). Immigrant patients are more likely to be referred for analysis and treatment of 'gastro-intestinal signs & symptoms' and were less often referred for 'indefinite, general signs'. Ethnic minorities were more frequently diagnosed with 'Liver diseases', and less often with 'Analysis without diagnosis'. The increased use of the outpatient facilities seems to be restricted to first-generation immigrants, and is mainly based on a higher risk of being referred with 'gastro-intestinal signs & symptoms'.These findings demonstrate substantial ethnic differences in the use of the outpatient care facilities. Ethnic differences may decrease in the future when the proportion of first-generation immigrants decreases. The increased use of outpatient health care seems to be related to ethnic background and the generation of the immigrants rather than to socio-economic status. Further study is needed to establish this. | [
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] | https://api.openalex.org/works?filter=cites:W2151756573 | The aim of the study is to evaluate whether health inequalities associated with unemployment are comparable across different ethnic groups. A random sample of inhabitants of the city of Rotterdam filled out a questionnaire on health and its determinants, with a response of 55.4% (n = 2,057). In a cross-sectional design the associations of unemployment, ethnicity, and individual characteristics with a perceived poor health were investigated with logistic regression analysis. The associations of these determinants with physical and mental health, measured by the Short Form 36 Health Survey, were evaluated with linear regression analyses. Interactions between ethnicity and unemployment were investigated to determine whether associations of unemployment and health differed across ethnic groups. Ill health was more common among unemployed persons [odds ratio (OR) 2.6; 95% CI 1.7–3.8] than workers in paid employment. Health inequalities between employed and unemployed persons were largest among native Dutch persons (OR = 3.2) and Surinamese/Antillean persons (OR = 2.6), and smaller in Turkish/Moroccan persons (OR = 1.6) and overseas refugees (OR = 1.6). The proportions of persons with poor health that could be attributed to unemployment were 14, 26, 14, and 13%, respectively. Differences in ill health between employed and unemployed persons were less profound in ethnic groups compared to the majority population, but the prevalence of unemployment was much higher in ethnic groups. The population attributable fractions varied between 14 and 28%, supporting the argument that policies for health equity should pay more attention to measures that include persons in the labour market and that prevent workers with ill health from dropping out of the workforce. | [
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"display_name": "Kyung Hee Cho",
"id": "https://openalex.org/A5075503929"
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{
"affiliations": [
{
"country": "Argentina",
"display_name": "Hospital General de Niños Ricardo Gutierrez",
"id": "https://openalex.org/I4210166344",
"lat": -34.594395,
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],
"display_name": "Guillermo Goldfarb",
"id": "https://openalex.org/A5065310277"
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{
"affiliations": [
{
"country": "Turkey",
"display_name": "Akdeniz University",
"id": "https://openalex.org/I197907453",
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{
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{
"country": "Israel",
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{
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{
"country": "Japan",
"display_name": "Hamamatsu University",
"id": "https://openalex.org/I13491362",
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],
"display_name": "Michio Kimura",
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{
"affiliations": [
{
"country": "Turkey",
"display_name": "Antalya IVF",
"id": "https://openalex.org/I4210163979",
"lat": 36.91776,
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],
"display_name": "Önder Kırca",
"id": "https://openalex.org/A5016216593"
},
{
"affiliations": [
{
"country": "Japan",
"display_name": "Tottori University Hospital",
"id": "https://openalex.org/I4210123591",
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"display_name": "Hiroshi Kondoh",
"id": "https://openalex.org/A5082736356"
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{
"affiliations": [
{
"country": "Sweden",
"display_name": "Karolinska Institutet",
"id": "https://openalex.org/I28166907",
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"display_name": "Sabine Koch",
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{
"affiliations": [
{
"country": "Israel",
"display_name": "Holon Institute of Technology",
"id": "https://openalex.org/I157943965",
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"display_name": "Hadas Lewy",
"id": "https://openalex.org/A5056750841"
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{
"affiliations": [
{
"country": "United States",
"display_name": "Vanderbilt University",
"id": "https://openalex.org/I200719446",
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"display_name": "Dara Mize",
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{
"affiliations": [
{
"country": "Finland",
"display_name": "University of Eastern Finland",
"id": "https://openalex.org/I175532246",
"lat": 62.8925,
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"display_name": "Sari Palojoki",
"id": "https://openalex.org/A5062352166"
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{
"affiliations": [
{
"country": "South Korea",
"display_name": "Seoul National University",
"id": "https://openalex.org/I139264467",
"lat": 37.460155,
"long": 126.9519,
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],
"display_name": "Hyeoun-Ae Park",
"id": "https://openalex.org/A5014541443"
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{
"affiliations": [],
"display_name": "Christopher Pearce",
"id": "https://openalex.org/A5007992712"
},
{
"affiliations": [
{
"country": "Argentina",
"display_name": "Hospital Italiano de Buenos Aires",
"id": "https://openalex.org/I2802359038",
"lat": -34.606583,
"long": -58.425,
"type": "healthcare"
}
],
"display_name": "Fernán Gonzalez Bernaldo de Quirós",
"id": "https://openalex.org/A5016588359"
},
{
"affiliations": [
{
"country": "Finland",
"display_name": "University of Eastern Finland",
"id": "https://openalex.org/I175532246",
"lat": 62.8925,
"long": 27.6783,
"type": "education"
}
],
"display_name": "Kaija Saranto",
"id": "https://openalex.org/A5011241066"
},
{
"affiliations": [
{
"country": "Germany",
"display_name": "Hessian Ministry for Social Affairs and Integration",
"id": "https://openalex.org/I4210116873",
"lat": 50.068825,
"long": 8.226731,
"type": "government"
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],
"display_name": "Christoph Seidel",
"id": "https://openalex.org/A5069469485"
},
{
"affiliations": [
{
"country": "Sweden",
"display_name": "Linköping University",
"id": "https://openalex.org/I102134673",
"lat": 58.41086,
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],
"display_name": "Vivian Vimarlund",
"id": "https://openalex.org/A5050137152"
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{
"affiliations": [
{
"country": "United States",
"display_name": "Vanderbilt University Medical Center",
"id": "https://openalex.org/I901861585",
"lat": 36.16589,
"long": -86.78444,
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],
"display_name": "Martin Were",
"id": "https://openalex.org/A5016073759"
},
{
"affiliations": [
{
"country": "Australia",
"display_name": "Macquarie University",
"id": "https://openalex.org/I99043593",
"lat": -33.86785,
"long": 151.20732,
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],
"display_name": "Johanna I. Westbrook",
"id": "https://openalex.org/A5045744680"
},
{
"affiliations": [],
"display_name": "Chung P. Wong",
"id": "https://openalex.org/A5029360784"
},
{
"affiliations": [
{
"country": "Germany",
"display_name": "Technische Universität Braunschweig",
"id": "https://openalex.org/I94509681",
"lat": 52.26594,
"long": 10.52673,
"type": "education"
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{
"country": "Germany",
"display_name": "Hannover Medical School",
"id": "https://openalex.org/I34809795",
"lat": 52.37052,
"long": 9.73322,
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],
"display_name": "Reinhold Haux",
"id": "https://openalex.org/A5001425006"
},
{
"affiliations": [
{
"country": "United States",
"display_name": "The University of Texas Southwestern Medical Center",
"id": "https://openalex.org/I867280407",
"lat": 32.78306,
"long": -96.80667,
"type": "healthcare"
}
],
"display_name": "Christoph U. Lehmann",
"id": "https://openalex.org/A5044059906"
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] | [
{
"display_name": "eHealth",
"id": "https://openalex.org/C202645933"
},
{
"display_name": "Benchmarking",
"id": "https://openalex.org/C86251818"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Health informatics",
"id": "https://openalex.org/C145642194"
},
{
"display_name": "Health information exchange",
"id": "https://openalex.org/C2778759051"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Health information",
"id": "https://openalex.org/C2982795734"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Marketing",
"id": "https://openalex.org/C162853370"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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] | [
"Turkey",
"Jordan",
"Israel"
] | [
"https://openalex.org/W2030677354",
"https://openalex.org/W2078229213",
"https://openalex.org/W2211648215",
"https://openalex.org/W2516286349",
"https://openalex.org/W2786455401",
"https://openalex.org/W2801287189",
"https://openalex.org/W2968069280",
"https://openalex.org/W4253742186",
"https://openalex.org/W4322696861"
] | https://api.openalex.org/works?filter=cites:W3100067644 | Abstract Background Many countries adopt eHealth applications to support patient-centered care. Through information exchange, these eHealth applications may overcome institutional data silos and support holistic and ubiquitous (regional or national) information logistics. Available eHealth indicators mostly describe usage and acceptance of eHealth in a country. The eHealth indicators focusing on the cross-institutional availability of patient-related information for health care professionals, patients, and care givers are rare. Objectives This study aims to present eHealth indicators on cross-institutional availability of relevant patient data for health care professionals, as well as for patients and their caregivers across 14 countries (Argentina, Australia, Austria, Finland, Germany, Hong Kong as a special administrative region of China, Israel, Japan, Jordan, Kenya, South Korea, Sweden, Turkey, and the United States) to compare our indicators and the resulting data for the examined countries with other eHealth benchmarks and to extend and explore changes to a comparable survey in 2017. We defined “availability of patient data” as the ability to access data in and to add data to the patient record in the respective country. Methods The invited experts from each of the 14 countries provided the indicator data for their country to reflect the situation on August 1, 2019, as date of reference. Overall, 60 items were aggregated to six eHealth indicators. Results Availability of patient-related information varies strongly by country. Health care professionals can access patients' most relevant cross-institutional health record data fully in only four countries. Patients and their caregivers can access their health record data fully in only two countries. Patients are able to fully add relevant data only in one country. Finland showed the best outcome of all eHealth indicators, followed by South Korea, Japan, and Sweden. Conclusion Advancement in eHealth depends on contextual factors such as health care organization, national health politics, privacy laws, and health care financing. Improvements in eHealth indicators are thus often slow. However, our survey shows that some countries were able to improve on at least some indicators between 2017 and 2019. We anticipate further improvements in the future. | [
{
"display_name": "Methods of Information in Medicine",
"id": "https://openalex.org/S61967871",
"type": "journal"
},
{
"display_name": "KTH Publication Database DiVA (KTH Royal Institute of Technology)",
"id": "https://openalex.org/S4306401559",
"type": "repository"
},
{
"display_name": "PubMed Central",
"id": "https://openalex.org/S2764455111",
"type": "repository"
}
] |
|
https://openalex.org/W3139448691 | Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period | [
{
"affiliations": [
{
"country": "Turkey",
"display_name": "Ankara Yıldırım Beyazıt University",
"id": "https://openalex.org/I4210150808",
"lat": 39.91987,
"long": 32.85427,
"type": "education"
}
],
"display_name": "Abdullah Tirgil",
"id": "https://openalex.org/A5066122289"
},
{
"affiliations": [
{
"country": "Turkey",
"display_name": "Ankara Yıldırım Beyazıt University",
"id": "https://openalex.org/I4210150808",
"lat": 39.91987,
"long": 32.85427,
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],
"display_name": "Muhammed Şehid Görüş",
"id": "https://openalex.org/A5076969519"
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{
"affiliations": [
{
"country": "Turkey",
"display_name": "Ankara Yıldırım Beyazıt University",
"id": "https://openalex.org/I4210150808",
"lat": 39.91987,
"long": 32.85427,
"type": "education"
}
],
"display_name": "Önder Özgür",
"id": "https://openalex.org/A5073641183"
}
] | [
{
"display_name": "Club",
"id": "https://openalex.org/C2776459890"
},
{
"display_name": "Convergence (economics)",
"id": "https://openalex.org/C2777303404"
},
{
"display_name": "Consumption (sociology)",
"id": "https://openalex.org/C30772137"
},
{
"display_name": "Turkish",
"id": "https://openalex.org/C2781121862"
},
{
"display_name": "Tobacco control",
"id": "https://openalex.org/C2780832096"
},
{
"display_name": "Government (linguistics)",
"id": "https://openalex.org/C2778137410"
},
{
"display_name": "Convergence clubs",
"id": "https://openalex.org/C2777019961"
},
{
"display_name": "Test (biology)",
"id": "https://openalex.org/C2777267654"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Public economics",
"id": "https://openalex.org/C100001284"
},
{
"display_name": "Demographic economics",
"id": "https://openalex.org/C4249254"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Social science",
"id": "https://openalex.org/C36289849"
},
{
"display_name": "Anatomy",
"id": "https://openalex.org/C105702510"
},
{
"display_name": "Paleontology",
"id": "https://openalex.org/C151730666"
},
{
"display_name": "Linguistics",
"id": "https://openalex.org/C41895202"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
}
] | [
"Turkey"
] | [
"https://openalex.org/W1925873924",
"https://openalex.org/W1964751696",
"https://openalex.org/W2017136273",
"https://openalex.org/W2053510492",
"https://openalex.org/W2068610677",
"https://openalex.org/W2084524033",
"https://openalex.org/W2088540620",
"https://openalex.org/W2099119398",
"https://openalex.org/W2128013496",
"https://openalex.org/W2141347501",
"https://openalex.org/W2158833779",
"https://openalex.org/W2161971408",
"https://openalex.org/W2200501376",
"https://openalex.org/W2268756055",
"https://openalex.org/W2568413665",
"https://openalex.org/W2810275014",
"https://openalex.org/W2903506931",
"https://openalex.org/W2907398842",
"https://openalex.org/W3024902647",
"https://openalex.org/W3123790840",
"https://openalex.org/W3124866407",
"https://openalex.org/W3125128165",
"https://openalex.org/W4255689663"
] | https://api.openalex.org/works?filter=cites:W3139448691 | Aim: Turkey introduced price and non-price measures in recent years to reduce smoking. The government banned smoking in all enclosed workplaces and public places. Then, they extended the ban to include all restaurants, cafeterias, and the hospitality sector in 2009 and increased the Special Consumption Tax dramatically on tobacco products by 20 percent in 2010. This study aims to examine regional disparities in cigarette consumption across Turkish cities employing provincial-level data by utilizing a club convergence test. Material and Methods: We report some descriptive results for the smoking trend for sub-regions of Turkey. Then, we explore regional disparities in smoking across Turkish provinces, employing monthly provincial-level data, through a club convergence test in pre-pandemic period, 2009-2017. Results: Our results suggest that the initial effects of the anti-tobacco policies resulted in a substantial decline in smoking. It seems that distinct regions behave differently to the policy changes in a way that some areas reduce their cigarette consumption considerably while some regions did not. Club convergence test results demonstrate that it is not proper to conduct a common tobacco control policy in Turkey since there is more than one convergence club in the analyses. Conclusion: We encourage authorities to decentralize power by including local agencies and municipalities in enforcing the anti-tobacco law. We urge authorities to take different policy measures for different regions. Besides, from a pandemic perspective, one can argue that the regional disparities in cigarette consumption is also a signal for the need of diversified health policies across regions in Turkey. | [
{
"display_name": "Duzce Universitesi Tip Fakültesi Dergisi",
"id": "https://openalex.org/S2739443996",
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},
{
"display_name": "DergiPark (Istanbul University)",
"id": "https://openalex.org/S4306401840",
"type": "repository"
},
{
"display_name": "DSpace - Düzce (Duzce University)",
"id": "https://openalex.org/S4377196355",
"type": "repository"
}
] |
|
https://openalex.org/W2113058452 | Travel and vaccination patterns: A report from a travel medicine clinic in northern Sweden | [
{
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{
"country": "Sweden",
"display_name": "Umeå University",
"id": "https://openalex.org/I90267481",
"lat": 63.82842,
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],
"display_name": "Martin Angelin",
"id": "https://openalex.org/A5010052574"
},
{
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{
"country": "Sweden",
"display_name": "Umeå University",
"id": "https://openalex.org/I90267481",
"lat": 63.82842,
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],
"display_name": "Birgitta Evengård",
"id": "https://openalex.org/A5006089165"
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{
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{
"country": "Sweden",
"display_name": "Umeå University",
"id": "https://openalex.org/I90267481",
"lat": 63.82842,
"long": 20.25972,
"type": "education"
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],
"display_name": "Helena Palmgren",
"id": "https://openalex.org/A5013782448"
}
] | [
{
"display_name": "Travel medicine",
"id": "https://openalex.org/C2779516188"
},
{
"display_name": "Destinations",
"id": "https://openalex.org/C2776687071"
},
{
"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
},
{
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"id": "https://openalex.org/C71924100"
},
{
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"id": "https://openalex.org/C512399662"
},
{
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"id": "https://openalex.org/C138816342"
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{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Tourism",
"id": "https://openalex.org/C18918823"
},
{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Psychiatry",
"id": "https://openalex.org/C118552586"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Archaeology",
"id": "https://openalex.org/C166957645"
},
{
"display_name": "Immunology",
"id": "https://openalex.org/C203014093"
}
] | [
"Turkey"
] | [
"https://openalex.org/W1978917485",
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"https://openalex.org/W1990809214",
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"https://openalex.org/W2073975292",
"https://openalex.org/W2076752393",
"https://openalex.org/W2081153548",
"https://openalex.org/W2097065607",
"https://openalex.org/W2107266314",
"https://openalex.org/W2116316108",
"https://openalex.org/W2128214420",
"https://openalex.org/W2130202824",
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"https://openalex.org/W2415801075",
"https://openalex.org/W3146268749",
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] | https://api.openalex.org/works?filter=cites:W2113058452 | The Travel Medicine Clinic in Umeå is one of Sweden's largest public providers of vaccination and counselling prior to international travel. During the study period it was the only travel medicine clinic in Umeå. This study describes the demography of the visitors to the clinic and travel destinations and durations, as well as vaccinations administered.This was a retrospective study for the period January 2005 to April 2008 based on pre-travel consultation questionnaires and on vaccine expenditure data. A 10% sample of 16,735 first visits prior to international travel was consecutively selected according to the chronology of the visits.Data on 1698 travellers were included in the study. Thailand was the most common destination among visitors, accounting for one third of all destinations. Medical problems affecting pre-travel health planning were rare. Four out of 5 visitors (79%) received only 1 vaccination, mainly for hepatitis A. Travellers to Thailand more often sought travel health advice compared to travellers to Turkey, despite the fact that the 2 destinations were almost equally distributed among travellers from Umeå. We found differences between men and women in money spent on vaccines and in particular in vaccination against Japanese encephalitis.To assess the optimal vaccination level at a travel medicine clinic is difficult. Decisions are affected by general recommendations and the risk perception of the travel medicine practitioner, as well as the risk perception of the traveller. The sex difference found in this study might be due to gender differences in risk perception and should be further investigated. | [
{
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"id": "https://openalex.org/S200495913",
"type": "journal"
},
{
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"id": "https://openalex.org/S4306525036",
"type": "repository"
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] |
|
https://openalex.org/W3049111362 | Psychometric Testing of the Turkish Version of the Technology Informatics Guiding Educational Reform–Based Assessment of Nursing Informatics Competencies Tool | [
{
"affiliations": [
{
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"display_name": "Istanbul University-Cerrahpaşa",
"id": "https://openalex.org/I4210112471",
"lat": 41.01384,
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{
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"display_name": "Chamberlain University",
"id": "https://openalex.org/I4210152507",
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{
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] | https://api.openalex.org/works?filter=cites:W3049111362 | Nursing informatics competencies are vital to benefit from information technologies to improve patient outcomes. It is essential to use a reliable and valid instrument for evaluating competencies. The Technology Informatics Guiding Educational Reform–Based Assessment of Nursing Informatics Competencies Tool is a valid and reliable tool used to evaluate nursing informatics competencies in nurses who primarily speak English. This cross-sectional research aimed to evaluate the psychometric properties of a Turkish version of the instrument. Data were collected from 518 nurses working in two university hospitals in Istanbul, Turkey. The tool was translated into Turkish, validated by professional experts, back-translated, and analyzed. Thirty nurses completed the tool twice for test-retest reliability. A four-factor structure identified in exploratory factor analysis (73.64% of the total variance with all items loaded >0.40 [0.44–0.88] for each factor). Cronbach's α reliability coefficients of the subsets were .98 for basic computer skills, .97 for clinical information management, and .98 for information literacy. The total item correlations for subsets were between 0.57 and 0.84. The Turkish version of the Technology Informatics Guiding Educational Reform–Based Assessment of Nursing Informatics Competencies demonstrated sufficient reliability and validity for assessing nursing informatics competencies within Turkish culture. | [
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https://openalex.org/W2601379159 | Reliability and Validity of the Turkish Version of the Moral Competence Scale for Public Health Nurses | [
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] | https://api.openalex.org/works?filter=cites:W2601379159 | Moral competencies must be improved in nursing area practice. To evaluate the moral competence seems necessary for nurses.The aims of this study are to adapt and evaluate the psychometric properties of the moral competence questionnaire for public health nurses in Turkey.The moral competence scale was translated into Turkish by a skilled translator, after which it was back-translated into English by another translator. We then administered the Turkish version of the moral competence scale to 138 public health nurses working in family and public health centers in Erzurum, a city in eastern Turkey. We analyzed the data using factor analysis and Cronbach's α.Three factors were extracted, which together explained a total of 67.50% of the variance. The Cronbach's α values were .83, .91, .87, and .88 for factors 1, 2, and 3 and for the whole scale, respectively.The Turkish version of the moral competence scale for public health nurses is a valid and reliable assessment tool. | [
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https://openalex.org/W3104938131 | Antimicrobial use data collection in animal agriculture | [
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"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W3104938131 | Abstract Antimicrobial drug use can contribute to the emergence of antimicrobial drug‐resistant organisms; therefore, judicious use of this important category of drugs is critical in both human and animal medicine to slow the development and spread of resistance. The US Food and Drug Administration (FDA) Center for Veterinary Medicine (CVM) is committed to advancing efforts to implement good antimicrobial stewardship practices in veterinary settings as part of our mission to protect human and animal health. In order to understand the drivers of resistance in veterinary settings and assess the impact of interventions designed to slow the development and spread of resistance, it is vital to have access to scientifically sound data on antimicrobial use and resistance. In 2016, FDA awarded funds in the form of cooperative agreements to support pilot projects for the collection of farm‐level antimicrobial use data in animal agriculture. These funded data collection efforts are intended to provide needed information on antimicrobial use practices in various animal production settings and to inform the development of long‐term strategies for collecting and reporting such data in a sustainable and nationally representative manner. Data were collected from records of participating dairy and feedlot cattle operations, swine companies, and broiler and turkey companies. Information from the first 2 years of the pilot projects is presented in this special issue, along with discussions related to challenges of collecting and reporting antimicrobial use data. | [
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https://openalex.org/W3115076245 | A REVIEW OF COVID-19 PANDEMIC AND PUBLIC SERVICE ADS | [
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] | [] | https://api.openalex.org/works?filter=cites:W3115076245 | Coronavirus disease Covid-19, started affecting the world as of December 2019, and Turkey as of 2020. The disease became a global crisis threatening the whole world in the context of public health. All the countries made attempts on protecting the society and on informing the public in the right direction in the process of fighting against the disease. Public service advertising aiming to change the behavior of people and to attract attention on public issues gained specific importance among these attempts. Providing successful examples in many aspects such as combating social and public problems, raising awareness, and informing, public service advertisements managed to create an agenda at a level that cannot be ignored with the themes covered during the Covid-19 pandemic. In this context, the main subject of this study consists of public service advertisements with Covid-19 content. In the study, it was aimed to analyze the effectiveness of the public service advertisements published by the Ministry of Health of Turkey after detecting the first official case in our country in March 2020. Using the phenomenology method; the study group of the research consists of 8 male and 8 female volunteers between the ages of 25-65, and of undergraduate and postgraduate education level. | [
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https://openalex.org/W3214477604 | Determining the Spiritual Care Requirements and Death Anxiety Levels of Patients Diagnosed with COVID-19 in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W3214477604 | Our study was conducted to determine the spiritual care needs and death anxiety levels of individuals diagnosed with COVID-19. The population consisted of patients who were diagnosed with COVID-19 in Turkey. The mean total Spiritual Care Requirements Scale score of the participants was 67.05 ± 26.30. The mean VAS for Death Anxiety score of the participants was 8.82 ± 1.26. In our study, it was found that the patients diagnosed with COVID-19 had an increased need for spiritual care and high levels of anxiety about death. | [
{
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https://openalex.org/W1980548571 | Public Awareness and Knowledge of Herpes Zoster: Results of a Global Survey | [
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"Turkey"
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"https://openalex.org/W2015358085",
"https://openalex.org/W2017429267",
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"https://openalex.org/W2096848795",
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"https://openalex.org/W2104761404",
"https://openalex.org/W2131041950",
"https://openalex.org/W2148882495",
"https://openalex.org/W2155234518",
"https://openalex.org/W2321123402",
"https://openalex.org/W2339705038",
"https://openalex.org/W3031436746"
] | https://api.openalex.org/works?filter=cites:W1980548571 | <i>Background:</i> Herpes zoster (HZ), the reactivation of varicella zoster virus, occurs in 1 in 5 people worldwide and may result in a variety of complications, including postherpetic neuralgia (PHN). Treatment of patients with HZ represents a considerable challenge, especially among the elderly who are prone to get a more severe form of the disease and its complications. Since May 2006, a vaccine was approved for the prevention of HZ or PHN among individuals aged 50 or 60 years and older. <i>Objective:</i> Since the success of any new vaccine initiative depends on public awareness of the disease, we conducted the HZ Global Awareness Survey to gauge existing levels of awareness and knowledge of HZ. <i>Methods:</i> The survey was conducted by telephone or face-to-face among 8,688 adults ≧50 years of age in 22 countries between December 2006 and January 2007 and addressed awareness, knowledge, symptoms, and treatment of HZ. <i>Results:</i> Wide variation in HZ awareness was noted among countries. In some countries (New Zealand, Brazil, and Malaysia) nearly all individuals surveyed (97–100%) over the age of 50 years had heard of HZ. In contrast, less than 20% of individuals surveyed were aware of HZ in Turkey, India and Chile. The survey revealed almost universally poor knowledge of the causes and symptoms of HZ. Only 3% of respondents mentioned chicken pox as the cause of the disease. The majority of respondents were unaware of their risk of HZ, with 71% considering themselves unlikely or very unlikely to develop HZ. The survey also revealed that those respondents with prior HZ experience were much more likely to consider pain as the worst symptom of the disease than those without prior HZ experience. The misconception of HZ-related morbidity among individuals with no first-hand experience of the disease highlights the global educational need to raise awareness of the seriousness of HZ and its potential long-term complications. <i>Conclusions:</i> This survey suggests a population-wide effort to improve global awareness of HZ would be required for a successful vaccine initiative. Further studies would be required to understand regional differences in the understanding of HZ. | [
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https://openalex.org/W2116009832 | Differences in Health Promoting Lifestyle Behavior of Health Management Students Based Upon Early Diagnosis Coverage in a Cancer Course | [
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] | https://api.openalex.org/works?filter=cites:W2116009832 | This is a descriptive study to determine whether coursework that is focused on early diagnosis in cancer makes a difference in self-reported health promoting lifestyle behavior of students who study health management.The population of the study consisted of a sample of 104 students enrolled in the Department of Health Management at the Faculty of Health in Kirikkale University in Turkey. Forty- eight students enrolled in a course called "Early Diagnosis of Cancer" and fifty-six did not take this course. Demographic information was collected and the "Health Promotion Life-Style Profile (HPLP) " was used to collect health promotion data. Frequency and descriptive statistics including one-way ANOVA, Mann-Whitney U test, Kruskal Wallis tests were used to evaluate data.The HPLP mean score of the students was found to be 127.5±17.45. The highest mean score was observed for self-fulfillment and health responsibility, while the lowest was for diet and exercise sub-scales. It was found that certain variables were effective in developing health promoting lifestyle behaviors such as choosing this job voluntarily, working status of father and participation in social activity (p<0.05). In conclusion, it was found that the students had moderate levels of health promoting lifestyle behavior and they should be supported in terms of diet and exercise. | [
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https://openalex.org/W2146736084 | Importance of research networks: the Reproductive Health Working Group, Arab world and Turkey | [
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"Turkey",
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] | https://api.openalex.org/works?filter=cites:W2146736084 | A meeting of the Reproductive Health Working Group's Consultative Committee was due to take place at the Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon, on June 17–18, 2013. This Committee plans the activities of the Reproductive Health Working Group, Arab World and Turkey, a 25-year-old capacity-building research network for the Arab countries and Turkey. The Consultative Committee members are based in Egypt, Jordan, Lebanon, Oman, occupied Palestinian territory, Syria, Tunisia, and Turkey, where, with the exception of Oman, conflicts, wars, military occupation, insecurity, and uncertainty seem to be the norm these days. Huda Zurayk: advancing health and research in the Arab world“The first time we met was in the early 1980s during a workshop in Bellagio, Italy. Then we began to work together as Huda Zurayk led the Reproductive Health Working Group during its inception”, recalls Rita Giacaman, from the Institute for Community and Public Health (ICPH), Birzeit University, West Bank, occupied Palestinian territory. Through working together, the two women became close friends and advocates for building research efforts to promote health in the Arab world. They and Samer Jabbour, who worked at the Faculty of Health Sciences at the American University of Beirut (AUB) until 2013 and is currently at the WHO Regional Office for the Eastern Mediterranean, are coordinators, members of the steering group, and authors of the Lancet Series about health in the Arab world. Full-Text PDF Health in the Arab world: a renewed opportunityAt one peer review meeting held during the preparation of the Lancet Series on Health in the Arab World: a View from Within, Karima Khalil gave me a copy of her beautiful book, Messages from Tahrir: Signs from Egypt's Revolution (American University in Cairo Press, 2011). She inscribed on the inside “These voices from Tahrir”, and powerful voices they were too. They were voices that seemed to herald an era of extraordinary events across the region. Here are some of the messages she captured in photographs of Egyptians during the first few months of 2011: “We are all Egyptians…wake up”; “America should support the people not the tyrant”; “Enough humiliation”; “Stay steadfast for freedom”; “Do not let your revolution be stolen from you.” 3 years later, the sense of hope that this, and other, Arab uprisings gave birth to has been tempered by an understanding that achieving liberty, equality, and democracy will take considerably longer than perhaps was initially thought. Full-Text PDF | [
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|
https://openalex.org/W2945390027 | Compliance With The Legislation Of The Smoking Cessation Clinic In Turkey | [
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"Turkey"
] | [
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"https://openalex.org/W2317848039",
"https://openalex.org/W2400147374",
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] | https://api.openalex.org/works?filter=cites:W2945390027 | The number of smoking cessation outpatient clinics (SCCs) is increasing day by day in Turkey. The objective of this study is to evaluate the situation of smoking cessation clinics in our country.The SCC list was obtained from the website of the Ministry of Health of the Republic of Turkey. A total of 305 centers from 80 cities were called by telephone, and a questionnaire including questions about polyclinics was directed to SCC employees whose verbal consent was obtained.Of the 305 SCCs, 183 could be reached, 33 of which did not provide outpatient services. A questionnaire was directed to 146 SCCs. A total of 347 doctors work in these centers. Of these 146 SCCs, 69 (47.3%) accepted patients with appointments and 77 (52.7%) accepted patients directly. The specializations of physicians in the SCCs were as follows: 84 (57.5%) were chest disease specialists, 30 (20.5%) were general practitioners, 10 (6.8%) were psychiatrists, 12 (8.2%) were other branch physicians, 6 (4.1%) were family physicians, and 3 (2.1%) were public health physicians. A total of 125 (85.6%) physicians working in SCCs received smoking cessation training. Only 35 (24%) SCCs have one or more provincial tobacco control members. Eighty (54.8%) SCCs had a separate SCC room, 74 (50.7%) had a waiting room for the patients, and 63 (43.2%) had a carbon monoxide (CO) measurement device in the SCC.All physicians in Turkey are able to provide smoking cessation services, but the chest physicians are mostly responsible for this task. In addition to increasing the number of SCCs, it is very important to increase the quality and comply with the standards. | [
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https://openalex.org/W3012897386 | Limits of the social-benefit motive among high-risk patients: a field experiment on influenza vaccination behaviour | [
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] | https://api.openalex.org/works?filter=cites:W3012897386 | Abstract Background Influenza vaccine uptake remains low worldwide, inflicting substantial costs to public health. Messages promoting social welfare have been shown to increase vaccination intentions, and it has been recommended that health professionals communicate the socially beneficial aspects of vaccination. We provide the first test whether this prosocial vaccination hypothesis applies to actual vaccination behaviour of high-risk patients. Methods In a field experiment at a tertiary care public hospital in Istanbul, Turkey, we compare the effects of two motivational messages for promoting vaccination. Using a between-subjects single-blind experimental design patients were randomly assigned to frames emphasizing the vaccine’s benefits to self ( n = 125) or social benefits ( n = 119). Free influenza vaccination was offered to each patient. Results Among 222 patients who were not vaccinated for the season prior to the study (72% medically assessed to be at high risk), 42% in the self-benefit frame chose to receive a vaccination compared with 34% in the social-benefits frame, but the difference was not statistically significant (aOR = 1.63, 95% CI 0.90 to 2.95, p = 0.108). Reasons for vaccination focused primarily on self-benefit (67%) rather than social-benefit (5%). Exploratory analysis showed that the effect of messages depended on patient perception of risk group membership (aOR High / aOR Low = 5.59, 95% CI 1.30 to 24.05, p = 0.021). In particular, emphasis on self-benefit was more influential among patients who perceived themselves to be in the risk group (aOR = 6.22, 95% CI 1.69 to 22.88, p = 0.006). Conclusions In contrast to the literature observing intentions of low-risk populations, we found no evidence that social-benefit motivates actual vaccination behaviour among a high-risk patient population. Instead, those who self-categorize as being in the high risk group are more motivated by the self-benefit message. Our results suggest that a stratified approach can improve coverage: even if an emphasis on social-benefit could be effective among low-risk groups, an emphasis on self-benefit holds more promise for increasing vaccination in medical organizational settings where high-risk groups are prevalent. Trial registration ClinicalTrials.gov NCT04230343 Retrospectively registered on the 13th January 2020. | [
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https://openalex.org/W2583432448 | Ontology-based automatic identification of public health-related Turkish tweets | [
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] | https://api.openalex.org/works?filter=cites:W2583432448 | Social media analysis, such as the analysis of tweets, is a promising research topic for tracking public health concerns including epidemics. In this paper, we present an ontology-based approach to automatically identify public health-related Turkish tweets. The system is based on a public health ontology that we have constructed through a semi-automated procedure. The ontology concepts are expanded through a linguistically motivated relaxation scheme as the last stage of ontology development, before being integrated into our system to increase its coverage. The ultimate lexical resource which includes the terms corresponding to the ontology concepts is used to filter the Twitter stream so that a plausible tweet subset, including mostly public-health related tweets, can be obtained. Experiments are carried out on two million genuine tweets and promising precision rates are obtained. Also implemented within the course of the current study is a Web-based interface, to track the results of this identification system, to be used by the related public health staff. Hence, the current social media analysis study has both technical and practical contributions to the significant domain of public health. | [
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https://openalex.org/W2110087491 | Moving equilibria in the public health care sector: A low-quality trap and a resolution | [
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] | https://api.openalex.org/works?filter=cites:W2110087491 | This paper demonstrates the existence, in a particular subset of the Turkish public health care sector, of equilibria moving towards a low-quality trap over time. The dynamics of the movement in question hinges, in part, on the socially necessary but demographically asymmetric burden, on some public health care institutions, of providing affordable health care to certain sections of the population. The paper formulates a policy option that could help the sector to escape the trap, moving the sector towards high quality-high welfare equilibria. | [
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https://openalex.org/W3146906114 | Burnout among physicians working in a pandemic hospital during the COVID-19 pandemic | [
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https://openalex.org/W2144774267 | Türkiye’de tütün kontrolü uygulamaları | [
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] | https://api.openalex.org/works?filter=cites:W2144774267 | Tobacco use is accepted as a major public health problem, killing 6 million people every year globally. However, millions of lives can be saved by implementing the effective tobacco control measures recommended by WHO Framework Convention on Tobacco Control (FCTC), the first international treaty on tobacco control which was accepted in 56th World Health Assembly in 2003. In line with WHO FCTC six effective tobacco control strategies were defined in MPOWER Package in 2008. In Turkey, the first law controlling tobacco came into force in 1996, banning smoking in most indoor public places. By amendment of the law in 2008, Turkey became a completely smoke free country. Turkey achieved major advances on tobacco control during the past 15-20 years; tobacco use was reduced considerably (from 63% to 41% among males, and from 24% to 13% among females), indoor air quality improved (up to 90% reduction of PM2.5 values), health complaints, such as stuffy nose, watering eyes or coughs, of workers at restaurants, hospitality venues were reduced), and acute health effects of smoking such as cardiovascular and respiratory conditions were reduced. Turkey is the only country implementing all six measures of the MPOWER package successfully and was used as a model for other countries by WHO. Nevertheless, there is still much to do in Turkey as there is a high smoking prevalence and still some violations of smoking bans in indoor places. | [
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https://openalex.org/W4221007078 | Patient safety culture in Iranian teaching hospitals: baseline assessment, opportunities for improvement and benchmarking | [
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] | https://api.openalex.org/works?filter=cites:W4221007078 | Patient safety culture is an essential factor in determining the ability of hospitals to treat and reduce patient risks. Healthcare professionals, especially nurses, play an important role in patient safety because they are responsible for direct and ongoing patient care. Few studies in Iran examine the patient safety culture in Iranian teaching hospitals, particularly from the perspective of nursing staff. This research assessed patient safety culture in teaching hospitals in Iran from the nurses' point of view and compared the outcomes with similar regional and global studies. Furthermore, the study identified the factors influencing patient safety culture and its association with outcomes.A cross-sectional study was accomplished in thirty-two teaching hospitals in five provinces of Iran. A total of 2295 nurses were chosen through convenience sampling. Collection data were done using the Hospital Survey of Patient Safety Culture (HOPSC) from October 2018 and September 2019. We analyzed the data using descriptive statistics, independent sample t-test, one-way ANOVA, and multiple linear regression analysis.The results demonstrated the overall percentage of positive response rate for the HOPSC tool (36.4%). The average percentage of positive responses among all dimensions ranged from 27.1% in "Staffing" to 53.8% in "Teamwork across Hospital Units". Benchmarking analysis shows that Iranian hospitals are equal or better performance than the benchmark on several composites compared to regional and global findings. The results of multiple linear regression analysis showed that the age, gender, total years of experience in nursing, work area or unit, work hours, and size of the hospital were significant predictors of the perceptions patient safety culture of nurses (p < 0.05).This is one of few studies that examine nurses' perceptions of patient safety culture in public hospitals in Iran. Although the results of the present study showed that the results of Iran were at or better than the many composites in Jordan, Turkey, KSA, and the Philippines. The findings confirmed that all 12 dimensions can be considered as areas requiring improvement, and these results demonstrated that there was a severe shortage in patient safety culture among the included hospitals. | [
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https://openalex.org/W1885510237 | Risk factors for violence against women by intimate partners in Sakarya, Turkey | [
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] | https://api.openalex.org/works?filter=cites:W1885510237 | Intimate partner violence (IPV) is an important public health problem in many countries including Turkey, with serious short- and long-term physical and mental health consequences, as well as significant social and public health costs. To understand the violence characteristics and the individual risk factors for both the married women victims and the perpetrator partners are the objectives of this study.243 married women, who have consulted to hospitals and village clinics between 2008 and 2009 with the mean age of 36.76 (SD = 11.59), accepted to participate in the study voluntarily. Participants were divided into two groups as "victimized" (58.8%, n = 143) and "non-victimized" (41.2%, n = 100) women. Victimized group consisted of women who have had any type of violence from their husbands during their life. A 61-item questionnaire was prepared that included items on demographics, IPV experience, attitudes about IPV and knowledge of legal rights.As compared to non-victimized group, women in victimized group mostly lived in villages than in town/city centers, were illiterate, had bride-price agreement and were younger when married. Place of accommodation, age and number of pregnancies were associated with the risk of victimization.In order to prevent IPV, further qualitative research is required to evaluate the involved risk factors and training programs on how to behave against violence in association with the legal rights should be designed for poorly educated women in their natural settings and hospitals. | [
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https://openalex.org/W3210723870 | Differences in health literacy level of patients from public and private hospitals: a cross-sectional study in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W3210723870 | Policy-making based on a health literacy approach makes it a priority to develop people-centered public health strategies and programs, particularly in the time of COVID-19 across the world. This is the first study to assess health literacy levels of patients visiting public and private hospitals in Turkey and also compares these levels with sociodemographic and health-related variables by hospital type to suggest health policies aimed at improving the health literacy skills for patients with different socio-economic backgrounds.This is a cross-sectional study.The study was conducted on 948 outpatients from both hospital types in 2018. Health literacy was assessed using the validated Turkish version of the European Health Literacy Survey Questionnaire with 47 items. The level of health literacy and sociodemographic factors influencing it were analyzed using correlation and binary logistic regression tests. Patients from private hospital had better health literacy index score compared with the public hospital.The health-related variables, such as self-reported health and the presence of long-term illness, and sociodemographic characteristics, including education, age, and gender, were associated with health literacy for both public and private hospitals. Age and education were important predictors, whereas gender, long-term disease condition, self-reported health, and perceived income status were statistically significant variables for adequate health literacy in both hospital types.Participants from private hospital had better health literacy than that of public hospital. These findings could be used to help health policy makers to improve the current health literacy policy for patients and develop strategies by stakeholders for reducing barriers to obtaining health-related information. | [
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https://openalex.org/W3021762143 | Effect of education and counseling on anthropometric measures and healthy lifestyle behavior among overweight and obese women | [
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"Turkey"
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] | https://api.openalex.org/works?filter=cites:W3021762143 | Journal Article Effect of education and counseling on anthropometric measures and healthy lifestyle behavior among overweight and obese women Get access Dilek Cingil, Dilek Cingil Nursing Faculty, Public Health Nursing, Necmettin Erbakan University, Konya, Turkey Correspondence to: Dilek Cingil, [email protected] https://orcid.org/0000-0001-8098-4190 Search for other works by this author on: Oxford Academic PubMed Google Scholar Seda Göger Seda Göger Geriatric Care, Department of Health Care Services, Vocational School of Health Services, Sakarya University, Sakarya, Turkey Search for other works by this author on: Oxford Academic PubMed Google Scholar Translational Behavioral Medicine, Volume 10, Issue 6, December 2020, Pages 1450–1457, https://doi.org/10.1093/tbm/ibz084 Published: 06 June 2019 | [
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https://openalex.org/W3087732782 | Epidemic trends of COVID-19 in 10 countries compared with Turkey | [
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"Turkey"
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] | https://api.openalex.org/works?filter=cites:W3087732782 | The outbreak rapidly spread to more than 200 countries and led to millions of confirmed cases as well as thousands of deaths worldwide. This makes a serious threat to the world in terms of public health. The present study aimed to compare the COVID-19 epidemic parameters in Turkey with the top ten countries that reported the highest number of confirmed cases worldwide on April 25, 2020. Plus, it might provide better insight into the efficacy of national interventions on the course of the disease by measuring the case-fatality rate.A detailed search of the Johns Hopkins University Center for Systems Science and Engineering official websites, and announcements were conducted between January 22 and April 25, 2020. COVID-19 related datasets for the distribution of the infection on each reported day were obtained.Although the growth rate sharply increased by more than 1.2% in the late January 2020, the cumulative number of cases remained below 1500 around the world. The epidemic growth curve in Turkey was very similar to the US and Italy during the period. The case-fatality rate in Turkey was 2.51%, which below the countries with the most cases, except Russia, and the recovery-death ratio appeared to be at a moderate level among these countries.Since there are no standard treatments for the disease, it is important to avoid infection or further spreading. Decision-makers should adopt a series of measures to mitigate the impact of the pandemic, using national surveillance systems.El brote se extendió rápidamente a más de 200 países y provocó millones de casos confirmados y miles de muertes en todo el mundo. Esto representa una seria amenaza para el mundo en términos de salud pública. El presente estudio tuvo como objetivo comparar los parámetros de la epidemia de COVID-19 en Turquía con los diez principales países que informaron el mayor número de casos confirmados en todo el mundo el 25 de abril de 2020. Además, podría proporcionar una mejor comprensión del papel de las medidas nacionales en el curso de la enfermedad mediante el cálculo de la tasa de letalidad.Se realizó una búsqueda detallada de los sitios web oficiales del Centro de Ciencias e Ingeniería de Sistemas de la Universidad Johns Hopkins, y se realizaron anuncios entre el 22 de enero y el 25 de abril de 2020. Se obtuvieron los datos relevantes de la distribución de la infección en cada día informado.Aunque la tasa de crecimiento aumentó bruscamente en más del 1,2% a fines de enero de 2020, el número acumulado de casos se mantuvo por debajo de los 1.500 en todo el mundo. La curva de crecimiento epidémico en Turquía fue muy similar a la de Estados Unidos e Italia durante el período. La tasa de letalidad en Turquía fue del 2,51%, que está por debajo de los países con la mayoría de los casos, excepto Rusia, y la tasa de recuperación y mortalidad parecía estar en un nivel moderado entre estos países.Debido a que no existen tratamientos estándar para la enfermedad, es importante evitar la infección o una mayor propagación. Los tomadores de decisiones deben adoptar una serie de medidas para mitigar el impacto de la pandemia, utilizando sistemas de vigilancia nacionales. | [
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https://openalex.org/W2991192842 | Prevalence of upper respiratory tract infections and associated factors among children in Turkey | [
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] | https://api.openalex.org/works?filter=cites:W2991192842 | Abstract Purpose Upper respiratory tract infections (URIs) are the most common diseases observed in children aged 0–6 years in Turkey. This study was conducted to investigate URIs in 0–6 year–old children in Turkey. Design and Methods Data of children aged 0–6 years who were included in the 2014 Turkey Health Survey conducted by the Turkish Statistical Institute were collected from their parents. Results In total, 1,293 and 1,732 children with and without URIs, respectively, were identified. The weighted point prevalence of URIs was 42.23%. Compared with the uninsured and female children belonging to high‐income families, insured male children belonging to low‐income families were more likely to develop URIs ( p < .001). Moreover, comorbidities such as communicable diseases, anemia and diarrhea, and factors like health services utilization were associated with URIs. Analysis of health services utilization highlights that URIs were reported more among the children who had not visited a hospital than among those who had visited a hospital, with an odds ratio of 1.23. Conclusions The results of this study provide a deeper understanding of sociodemographic, comorbid, and health services utilization factors associated with URIs. These results provide useful insights for pediatric nursing professionals to improve the quality and efficiency of pediatric respiratory nursing services. Practice Implications Collaborative networks with other health professionals, parents, and public health policy‐makers are essential to decrease the prevalence of URIs in Turkey. These study results provide several insights for health professionals to improve pediatric action plans for ultimately improving child health status. | [
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https://openalex.org/W2899818553 | Systematic Review, Meta-analysis and Meta-regression of Epidemiological Studies for Cardiovascular Risk Factors in Turkey: Smoking Data | [
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"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W2899818553 | Smoking is one of the most important public health problems and preventable causes of mortality in Turkey. Major healthcare policies have been implemented to combat this problem over the past 10 years. The aim of this study was to conduct a systematic review and meta-analysis of epidemiological studies performed in the country in the last 15 years to determine the prevalence of smoking in Turkey.Ovid Medline, the Web of Science Core Collection, and the Turkish Academic Network and Information Center (ULAKBIM), as well as the websites of the Ministry of Health and the Turkish Statistical Institute were searched for the appropriate epidemiological studies. Studies included in the analysis were evaluated by a selfdeveloped bias score regarding their potential to represent Turkey and standardization of measurements. The meta-analysis and metaregression analysis were performed using a random effects model.Ten epidemiological studies (n=122383) that included data about smoking were found. Eight of them (all with low bias score) included separate data about the smoking habit of women (n=49524) and men (n=37684). The smoking prevalence was determined to be 30.5% for the whole group, 15.7% for women, and 46.1% for men, when occasional smokers were included. Although the change observed in crude prevalence values over time was not statistically significant, when the data of the 3 studies that gave prevalence values according to age categories were standardized according to age, the incidence of smoking between 2003 and 2012 decreased 6.8% (20.2%) when occasional smokers were included and 8.4% (26.3%) when they are excluded.Despite implementation of major healthcare policies and some success in decreasing rate of smoking, one-third of the Turkish population aged over 15 years and nearly half of the men are smokers. It is essential to continue and to strengthen measures to combat smoking. | [
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https://openalex.org/W4280531203 | Impact of trends and gender disparity in obesity on future type 2 diabetes in Turkey: a mathematical modelling analysis | [
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] | https://api.openalex.org/works?filter=cites:W4280531203 | Using a previously developed and validated mathematical model, we predicted future prevalence of type 2 diabetes mellitus (T2DM) and major modifiable risk factors (obesity, physical inactivity and smoking) stratified by age and sex in Turkey up to the year 2050.Our deterministic compartmental model fitted nationally representative demographic and risk factor data simultaneously for Turkish adults (aged 20-79) between 1997 and 2017, then estimated future trends. Our novel approach explored the impact of future obesity trends on these projections, specifically modelling (1) a gradual fall in obesity in women after the year 2020 until it equalled the age-specific levels seen in men and (2) cessation of the rise in obesity after 2020.T2DM prevalence is projected to rise from an estimated 14.0% (95% uncertainty interval (UI) 12.8% to 16.0%) in 2020 to 18.4% (95% UI 16.9% to 20.9%) by 2050; 19.7% in women and 17.2% in men by 2050; reflecting high levels of obesity (39.7% for women and 22.0% for men in 2050). Overall, T2DM prevalence could be reduced by about 4% if obesity stopped rising after 2020 or by 12% (22% in women) if obesity prevalence among women could be lowered to equal that of men. The higher age-specific obesity prevalence among women resulted in 2 076 040 additional women developing T2DM by the year 2050.T2DM is common in Turkey and will remain so. Interventions and policies targeting the high burden of obesity (and low physical activity levels), particularly in women, could significantly impact future disease burdens. | [
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https://openalex.org/W4229445966 | Artificial intelligence for COVID-19: A Short Article | [
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https://openalex.org/W2774257263 | Self-rated health and endogenous selection into primary care | [
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] | https://api.openalex.org/works?filter=cites:W2774257263 | This study assesses the causal effects of primary care utilization on subjective health status in Turkey using individual-level data from the 2012 Health Research Survey. Employing recursive bivariate ordered models that take into account the possibility that selection into healthcare might be correlated with the respondent's self-reported health status, we find that selection into primary care is endogenously determined and that the utilization of primary care significantly improves self-rated health after controlling for sociodemographics, socioeconomic status, health behaviors and risk factors, and access to healthcare. We show that the causal association between healthcare utilization and health status is robust to the use of objective measures of health and specific types of care, suggesting that the use of a single-item question on self-rated health and binary measures of preventive care utilization is valid. | [
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https://openalex.org/W3183122866 | WHY SOME HESITATE MORE: CROSS-CULTURAL VARIATION IN CONSPIRACY BELIEFS, BELIEF IN SCIENCE, AND VACCINE ATTITUDES | [
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] | https://api.openalex.org/works?filter=cites:W3183122866 | Abstract Background Countries differ in their levels of vaccine hesitancy (a delay in acceptance or refusal of vaccines), trust in vaccines, and acceptance of new vaccines. In this paper, we examine the factors contributing to the cross-cultural variation in vaccine attitudes, measured by levels of 1) general vaccine hesitancy, 2) trust in vaccines, and 3) COVID-19 vaccine acceptance. Methods We examined the relative effect of conspiracy mentality, belief in COVID-19 conspiracies, and belief in science on the above-mentioned vaccine attitudes in the UK (n= 1533), US (n= 1550), and Turkey (n= 1567) through a quota-sampled online survey to match the population for age, gender, ethnicity, and education level. Results We found that belief in COVID-19 conspiracies and conspiracy mentality were the strongest predictors of general vaccine hesitancy across all three countries. Belief in science had the largest positive effect on general vaccine trust and COVID-19 vaccine acceptance. Although participants in Turkey demonstrated the lowest level of vaccine trust, their belief in science score was significantly higher than participants in the US, suggesting that belief in science cannot explain the cross-cultural variation in vaccine trust. The mean levels of conspiracy mentality and agreement with COVID-19 conspiracies were consistent with the country-level differences in general and COVID-19 vaccine attitudes. Demographic variables did not predict vaccine attitudes as much as belief in conspiracies and science. Conclusions Our findings suggest that cross-cultural variation in vaccine hesitancy, vaccine trust, and COVID-19 vaccine acceptance rates are mainly driven by differences in the prevalence of conspiratorial thinking across countries. | [
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https://openalex.org/W2190255801 | International Diabetes Management Practice Study (Idmps): Resource Use Associated With Type 2 Diabetes In Africa, Middle East, South Asia, Eurasia and Turkey | [
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] | [] | https://api.openalex.org/works?filter=cites:W2190255801 | Although type 2 diabetes (T2DM) has been globally recognised as a major public health issue with substantial economic implications, its quantitative impact in some geographical regions is not well documented. This study aimed to describe the health care resource utilisation (HCRU) associated with T2DM in Africa, Middle East, South Asia, Eurasia and Turkey. Cross-sectional data from 8,156 patients recruited across four geographical regions (18 countries) was collected as part of the 5th wave of the IDMPS (2011–2012). Mean (SD) annual levels of different types of HCRU were estimated and negative binomial regression was undertaken to identify drivers of HCRU by region and country. Estimated HCRU showed that patients in South Asia (n=1,195), Eurasia (n=1,843), Africa (n=2,220) Middle East (n=2,065) and Turkey (n=842) experienced a mean (SD) of 0.4 (1.5), 1.7 (4.1), 0.6 (1.9), 0.3 (1.2) and 1.3 (2.7) hospitalisations annually. The mean (SD) annual number of diabetes-related inpatient days was 1.5 (6.8), 16.0 (30.0), 4.7 (22.7), 1.1 (6.1) and 10.8 (34.3) respectively. The mean (SD) annual number of sick days due to diabetes for the same regions were 4.6 (19.7), 17.5 (35.4), 11.6 (44.4), 1.4 (6.8) and 8.0 (34.4). Presence of macrovascular complications was a key driver of incidence of hospitalisations [Incidence Rate Ratio - IRR (CI 95%)] in South Asia [3.4 (1.4–8.5)], Eurasia [1.4 (1.1–1.8)], Africa [3.9 (2.1–7.3)], Middle East [8.9 (4.6–15.7)] and Turkey [2.9 (1.8–4.6)]. Microvascular complications were associated with increased risk of hospitalisations in all regions with IRRs (CI 95%) of 3.5 (1.8 – 7.0), 3.4 (2.2 – 5.1), 3.7 (2.2 – 5.1), 1.7 (1.0 – 2.9) and 3.4 (2.2 – 5.1) respectively. Results of this study demonstrate that in South Asia, Eurasia, Africa, Middle East and Turkey, development of micro and macrovascular complications are key drivers for economic burden of T2DM. | [
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https://openalex.org/W4229335744 | Financial Impacts of Covid-19 Pandemic for Turkish Public Hospitals | [
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] | https://api.openalex.org/works?filter=cites:W4229335744 | The aim of the study is to assess financial implications of Covid-19 pandemic on Turkish public hospitals and to discuss Turkish government's responses. A comparative analysis is carried out with the medical and financial data of Turkish public hospitals between March-December 2019 and March-December 2020. Outpatient services decreased by approximately 49%, inpatient admissions dropped by %35. Due to this decrease in the number of patients, outpatient revenues decreased by 37.8%, while inpatient revenues increased by 6.3% thanks to reimbursement supports by the Social Security Institution (SSI). On the other hand, total hospital expenses increased by 24% with the impact of Covid-19-related expenses. This increase is largely caused by performance-based supplementary payments, drugs, and operating expenses. Prospective global budget model helps healthcare financing stability for Turkish public hospitals. Public hospitals receive their global budgets to compensate for revenue shortfalls. The SSI also try to compensate the financial losses of public and private hospitals with additional reimbursement supports. However, policymakers and managers should prepare for the change of paradigm in the healthcare system and should concentrate to cost-effective policies (such as tele-health services) in hospitals as a result of Covid-19 demands. | [
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https://openalex.org/W3155161121 | Social and ethnic disparities in stillbirth and infant death in Denmark, 2005–2016 | [
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] | https://api.openalex.org/works?filter=cites:W3155161121 | Ethnic disparity in stillbirth and infant death has been demonstrated in Europe. As the relation between migration and health change over time, this population based register study investigated the recent figures and explored if potential differences could be explained by the well-known educational and income inequalities in stillbirth and infant death using a novel approach. Stillbirth and infant mortality varied considerably according to country of origin, with only immigrants from China, Norway, and Poland having an overall lower risk than Danish women. Women of Pakistani, Turkish, and Somali origin had a particularly high risk of both outcomes. Women from recent high conflict areas displayed a pattern with increased stillbirth risk. An observed excess risks across generations was found, which is disturbing and rule out factors related to language barriers or newness. Differences in educational level and household income explained only part of the observed inequalities. Strengthening of the maternity care system to better understand and meet the needs of immigrant women seems needed to mitigate the disparities. | [
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https://openalex.org/W3149547141 | Classroom Predictors of National Belonging: The Role of Interethnic Contact and Teachers’ and Classmates’ Diversity Norms | [
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https://openalex.org/W4296977064 | “Let the strongest survive”: Ageism and social Darwinism as barriers to supporting policies to benefit older individuals | [
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] | https://api.openalex.org/works?filter=cites:W4296977064 | Abstract The World Health Organization (WHO) identified +65 individuals as one of the most vulnerable populations in the current pandemic. Previous research has shown a robust association between ageism and derogatory attitudes and behaviors targeting older people. We proposed that reluctance of people under age 65 to endorse the policies that benefit older adults can be further explained by their adherence to social Darwinism. We tested a mediation model to examine whether social Darwinism would predict support for policies directly and indirectly through the endorsement of ageist attitudes. We conducted two correlational studies in Turkey (Study 1; N = 1261) and the United States (Study 2; N = 210). In Study 1, we collected data through social media and messaging platforms in April 2020. In Study 2, participants were recruited via Prolific Academic in May 2020. In both studies, we found that adherence to social Darwinist beliefs negatively predicted support for policies. We also found that this association was positively mediated by ageist attitudes. Overall, our research contributes to the scholarly effort to identify the social‐psychological barriers to public support for legal initiatives aimed to secure a healthy and productive future for older people. | [
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|
https://openalex.org/W2321853684 | Determinants of General Health, Work-Related Strain, and Burnout in Public Versus Private Emergency Medical Technicians in Istanbul | [
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"display_name": "Mehmet Sarper Erdoğan",
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] | https://api.openalex.org/works?filter=cites:W2321853684 | This study investigated the impact of working for public versus private ambulance services in Turkey and elaborated on predictors of mental, physical, and emotional well-being in emergency medical technicians (EMT-Bs). In this observational cross-sectional study, an 81-question self-report survey was used to gather data about employee demographics, socioeconomic status, educational background, working conditions, and occupational health and workplace safety (OHS), followed by the 12-item General Health Questionnaire (GHQ-12), the Work-Related Strain Inventory (WRSI), and the Maslach Burnout Inventory (MBI) with three subscales: Emotional Exhaustion (MBI-EE), Depersonalization (MBI-DP), and Diminished Personal Accomplishment (MBI-PA). In 2011, 1,038 EMT-Bs worked for publicly operated and 483 EMT-Bs worked for privately owned ambulance services in Istanbul, Turkey, of which 606 (58.4%) and 236 (48.9%) participated in the study (overall participation rate = 55.4%), respectively. On all scales, differences between total mean scores in both sectors were statistically insignificant (p > .05). In the public sector, work locations, false accusations, occupational injuries and diseases, work-related permanent disabilities, and organizational support were found to significantly influence self-reported perceptions of well-being (p < .05). In the private sector, commute time to and from work (p < .05), false accusations (p < .05), vocational training and education (p < .05), informed career choices (p < .05), and work-related permanent disabilities (p < .05) were found to significantly influence self-reported perceptions of well-being. EMT-Bs were asked about aspects of their working lives that need improvement; priority expectations in the public and private sectors were higher earnings (17.5%; 16.7%) and better social opportunities (17.4%; 16.8%). Working conditions, vocational training, and OHS emerged as topics that merit priority attention. | [
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|
https://openalex.org/W2441077330 | H5N1 in wild and domestic birds in Europe – remaining vigilant in response to an ongoing public health threat | [
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{
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"id": "https://openalex.org/C148383697"
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"Turkey"
] | [] | https://api.openalex.org/works?filter=cites:W2441077330 | Since the emergence of A/H5N1 in the winter of 2005-2006 at the border of the European Union (EU), including human cases in Turkey, the European Centre for Disease Prevention and Control (ECDC) has developed assessments on the public health risks from A/H5N1, and guidance on how to protect those that may be exposed to the virus. | [
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] |
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