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Türkiye’de HIV pozitif bireylerde yapılmış epidemiyolojik çalışmaların bibliyometrik incelemesi 在土耳其,对艾滋病毒阳性地区进行的流行病学研究进行了文献计量研究
Pub Date : 2017-01-01 DOI: 10.20518/tjph.326771
C. Hekimoğlu, Duygu Lüleci, A. Bilgin
Objective: This study aims to evaluate the bibliometrics of epidemiologic studies in HIV positive individuals in Turkey. Methods: We reached the epidemiologic studies through Pubmed, Türk Medline, Ulakbim databases and ”Türk HIV/AIDS” journal on November 1, 2015. Results: Among 204 studies 89.1% were observational descriptive and the most frequent type was case report (48.5%). Cross-sectional (23.7%) was the most common type among analytic studies. Article’ were published in Turkish (67.2%) and English (32.8%). The great majority (92.6%) of the studies were conducted in general patient population. The most studied topics were opportunistic infections (41.3%) and complications (16.3%) among the case series/reports types of studies; whereas HIV/AIDS epidemiology (18.1%) and treatment (17.0%) were more common ones among the other studies. The proportion of the studies carried out by a single specialty was 47.1%. First-name authors work in university hospitals (55.4%), teaching and research hospitals (37.3%) and 76.9% were from Istanbul, Ankara, or Izmir. The frequent specialties were infectious diseases (47.1%) and medical microbiology (22.1%). Researchers used stigmatizing statements in 33.8% of the articles that were in Turkish referring to HIV positive individuals, although this type of statements tended to decline over time (p trend = 0.007). Conclusion: Researchers should conduct analytic, multi-disciplinary and nationwide studies on HIV positive individuals in Turkey, particularly in non-general patient groups and on relatively less studied topics.
目的:本研究旨在评估土耳其HIV阳性个体流行病学研究的文献计量学。方法:我们于2015年11月1日通过Pubmed、t rk Medline、Ulakbim数据库和t rk HIV/AIDS期刊进行流行病学研究。结果:204项研究中,89.1%为观察性描述性研究,最常见的类型为病例报告(48.5%)。横断面(23.7%)是分析研究中最常见的类型。文章以土耳其语(67.2%)和英语(32.8%)发表。绝大多数(92.6%)的研究是在普通患者人群中进行的。在病例系列/报告类型的研究中,研究最多的主题是机会性感染(41.3%)和并发症(16.3%);而HIV/AIDS流行病学(18.1%)和治疗(17.0%)在其他研究中更为常见。由单一专科进行的研究比例为47.1%。第一名作者在大学医院(55.4%)、教学和研究医院(37.3%)工作,76.9%来自伊斯坦布尔、安卡拉或伊兹密尔。常见专科为感染性疾病(47.1%)和医学微生物学(22.1%)。研究人员在33.8%的土耳其文文章中使用污名化的语句来指代艾滋病毒阳性个体,尽管这种类型的语句随着时间的推移而下降(p趋势= 0.007)。结论:研究人员应该对土耳其的艾滋病毒阳性个体进行分析性、多学科和全国性的研究,特别是在非一般患者群体和相对较少研究的主题上。
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引用次数: 1
Ayaktan tanı ve tedavi başvurularında hasta başına kaç dakika ayrılmalıdır 每个患者应与足部识别和治疗应用程序分开多少分钟
Pub Date : 2017-01-01 DOI: 10.20518/tjph.326827
M. Yardım, E. Eser
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引用次数: 1
Hekimlik Değer Algısı Ölçeğinin güvenilirlik ve geçerliliğinin tıp fakültesi öğrencilerindeki sonuçları 医学院学生参与量的信度和有效性研究
Pub Date : 2017-01-01 DOI: 10.20518/tjph.326786
Mehmet Enes Gökler, F. Öz, Selma Meti̇ntas
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引用次数: 0
Seroprevalance of rickettsioses among healthy individuals in Mersin province, Turkey 土耳其梅尔辛省健康人群中立克次体病的血清患病率
Pub Date : 2016-12-30 DOI: 10.20518/tjph.288392
İlker Alakus, E. Horasan, A. Kurt, Güliz Evi̇k, G. Ersoz, G. Aslan, A. Kaya
Objective: Studies relevant to rikettsial biology, its pathogenesis and diagnosis have increase due to the increase of rickettsioses incidents in the world, particularly over the the past two decades. We investigated the seroprevalence of the ricketsia disease in the Mersin province of Turkey. Methods: This study included 450 healthy individuals aged 5 years and over, who had attended family health centers in Mersin city center. Serum samples collected during November 2011 were evaluated. Rickettsia antibody assays were used indirect immunofluorescenc techniques. Data were analyzed using a descriptive analysis, the Chi-Square Test and the Student T Test for comparison of variables. Results: The prevelance of ricketsia positivity was determined as 9.8%. The seropositivities were higher in males, in the unemployed, in the occupational risk groups, in people who live in rural regions, in people who work in gardens/farms, in picnickers, in countryside walkers, in hunters, in owners of livestock, in people with no history of rash diseases. When the relationship of spotted fever group (SFG) seropositivity the risk factors was investigated, there was no statistical significance. Conclusion: According to our study rickettsial disease is detected in Mersin and it was seen that the rickettsiosis disease need for more comprehensive studies to show the prevalence in all of Turkey.
摘要目的:近年来,随着立克次体病在世界范围内的发病率不断上升,立克次体的生物学、发病机制和诊断等方面的研究日益增多。我们调查了土耳其梅尔辛省立克次体病的血清患病率。方法:本研究包括450名5岁及以上的健康个体,他们曾在梅尔辛市中心的家庭保健中心就诊。对2011年11月收集的血清样本进行评估。立克次体抗体检测采用间接免疫荧光技术。数据分析采用描述性分析、卡方检验和学生T检验进行变量比较。结果:立克次体阳性检出率为9.8%。男性、失业者、职业风险人群、农村居民、在花园/农场工作的人、野餐者、乡村步行者、猎人、牲畜主人和没有皮疹病史的人的血清阳性率较高。当调查斑点热组(SFG)血清阳性与危险因素的关系时,差异无统计学意义。结论:根据我们的研究,立克次体病在梅尔辛被检测到,立克次体病需要更全面的研究来显示在土耳其全国的流行情况。
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引用次数: 2
Knowledge, attitude and stigma experienced by leprosy patients in tribal concentrated Bastar district of Chhattisgarh, India 印度恰蒂斯加尔邦部落集中的巴斯塔尔地区麻风病患者所经历的知识、态度和耻辱
Pub Date : 2016-12-30 DOI: 10.20518/TJPH.288398
Swapan Kumar Kolay
Objective: To study leprosy patients in tribal concentrated Bastar district of Chhattisgarh, India in terms of their knowledge, attitudes and the stigma they have experienced. Method: This cross-sectional study included 101 registered Leprosy patients, in a single leprosy treatment centre between April, 2012 - June, 2013. The data collection tool (a pre tested close-ended questionnaire) was based on leprosy related socio-demographic variables, knowled geregarding different kinds of problems and issues experienced by the patients/participants. The investigators collected the data in face to face interviews and house hold visit. Results: Overall the majority of the respondents (85.1%) were between 16 and 60 years of age. 74.3% were males, 80.2% were married, and 54.5% were literate. The majority (67.3%) articulated positive knowledge about transmission of the disease, 75.3% knew that numbness of hands is an early symptom, 88.12% that it is curable, 91.1% had untreated deformities. Experiences reported included disturbed marital relationships (90.1%) or social life (94.1%), loss of employment (54.5%), isolation with the sitation to talk to people (29.7%), family members not sharing food (94.1%); being forced to leave the family (54.45%). Health education interventions improved the knowledge of 91.1% of participants. Multi-Bacillary leprosy was higher in newly registered cases with higher disabilities in the hands and feet (60.4%), eyes (29.7%). 9.9% of WHO grade-2 disabilities were due to a delayed diagnosis. 67.5% of the patients/participants with some form of disability had experienced a delay in diagnosis up to 12 months. Conclusion: The study noted that the tribal people were affected by leprosy not only in terms of the physical problems, but also by the stigmatization that affects their social participation. These need to be addressed by the progress of the national leprosyp rogram. Keywords: Leprosy, social stigma, disability grading, India
目的:了解印度恰蒂斯加尔邦部落集中的巴斯塔尔地区麻风病患者的知识、态度和病耻感。方法:本横断面研究纳入2012年4月至2013年6月在一个麻风治疗中心登记的101例麻风患者。数据收集工具(预先测试的封闭式问卷)基于麻风病相关的社会人口变量,了解患者/参与者所经历的不同类型的问题和问题。调查人员通过面对面访谈和家访收集数据。结果:总体上,受访者年龄在16 - 60岁之间的占85.1%。74.3%为男性,80.2%为已婚,54.5%为文盲。大多数(67.3%)对疾病的传播有积极的认识,75.3%的人知道手麻木是早期症状,88.12%的人知道手麻木是可以治愈的,91.1%的人有未经治疗的畸形。报告的经历包括婚姻关系(90.1%)或社交生活(94.1%)受到干扰,失业(54.5%),与人交谈(29.7%),家庭成员不分享食物(94.1%);被迫离开家庭(54.45%)。健康教育干预提高了91.1%的参与者的知识水平。多杆菌性麻风病在新登记病例中较高,手脚(60.4%)和眼睛(29.7%)残疾程度较高。9.9%的世卫组织二级残疾是由于诊断延误造成的。67.5%患有某种形式残疾的患者/参与者经历了长达12个月的诊断延迟。结论:该研究指出,麻风病对部落人民的影响不仅体现在身体问题上,而且还体现在影响其社会参与的污名化上。需要通过国家麻风病规划的进展来解决这些问题。关键词:麻风病,社会污名,残疾分级,印度
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引用次数: 2
Observations of a Public Health Nurse in the Erasmus Program at the Health Centre of Monte, Madeira/Portugal 葡萄牙马德拉蒙特卫生中心伊拉斯谟项目中一名公共卫生护士的观察
Pub Date : 2016-12-30 DOI: 10.20518/TJPH.288399
N. Kuru
In this paper, impressions and experiences gained during the Erasmus+plus (YITAK Yeni Is Tecrubeleri icin Ankara Konsorsiyumu) program is shared by a Phd candidate in Public Health Nursing at the Health Centre of Monte, working from the 5th July to the 7th August, 2015. In this program the host institution was Escola de Enfermagem S. Jose Cluny from Madeira, Portugal and the home institution was the Hacettepe University, Turkey.  Keywords: Public health, public health nursing, Erasmus programme, Portugal
在本文中,一位蒙特卫生中心的公共卫生护理博士候选人分享了2015年7月5日至8月7日在Erasmus+plus (YITAK Yeni Is Tecrubeleri icin Ankara Konsorsiyumu)项目中获得的印象和经验。在这个项目中,东道主机构是来自葡萄牙马德拉岛的Escola de Enfermagem S. Jose Cluny,主场机构是土耳其的Hacettepe大学。关键词:公共卫生,公共卫生护理,伊拉斯谟计划,葡萄牙
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引用次数: 0
Is there an association between health policies and professional ethics? An evaluation based on disciplinary actions of the Bursa Chamber of Medicine 卫生政策与职业道德之间是否存在关联?基于法尔萨医学协会纪律处分的评估
Pub Date : 2016-12-30 DOI: 10.20518/tjph.288393
Kayıhan Pala, Rukiye Çakır, M. Civaner
Amac: Hekimlik pratigine dair meslek orgutune yansiyan ihlal iddialarini ve belirleyenlerini incelemektir. Yontem: Arastirma, Bursa Tabip Odasi (BTO) Yonetim Kurulu’nun 1991-2014 yillari arasindaki tum kayitlarinin, Onur Kurulu dosyalarinin ve bilgisayar kayitlarinin taranmasiyla gerceklestirilmistir. Bulgular: Incelenen donemde BTO’ya yapilan 593 basvuruda toplam 623 ihlal iddiasi bulunmaktadir. Ihlal iddialarinin %46.2’si Onur Kurulu’na iletilmis ve %29.5’ine yaptirim uygulanmasina karar verilmistir. Basvurular en cok hasta, hasta yakini ya da hastanin vekili tarafindan yapilmistir (%34.1). Hakkinda basvuru yapilan hekimlerin %75.7’si uzman, %23.3’u pratisyen, %1.0’i asistan hekimdir. En sik uc ihlal iddiasi sirasiyla; tanitim kurallarinin ihlali, haksiz kazanc/rekabete aykirilik (%24.8), tibbi uygulama hatasi (%21.4) ve gercek disi belge/rapor duzenlemektir (%18.2). ‘Gercek disi belge/rapor duzenlemek’, ‘Hasta haklarina saygisizlik’ ve ‘Aracilik, yonlendirme, cikar iliskisi’ eylemlerinin Saglikta Donusum Programi (SDP) sonrasinda anlamli derecede arttigi saptanmistir. Zorunlu Mesleki Sorumluluk Sigortasi sonrasinda tibbi uygulama hatasi iddialarinin sayisinda ve bu iddia sonucunda yaptirima ugratilan hekim sayisinda anlamli bir artis saptanmamistir. Sonuc: Bu calisma ile hekimlik uygulamalarina dair meslek ahlaki ihlallerini anlayabilmek ve sorunlari saptayabilmek acisindan onemli cikarimlar elde edilmis, bulgular SDP ile uygulamaya konulan politikalarin mesleki yukumluluklerin yasama gecirilmesini guclestirebilecegi yonunde yorumlanmistir.
阿马克:调查该机构在社会战略方面工作的暴力指控和标识符。Yontem:Arastirma,Bursa Tabip Odasi(BTO)是埃塞俄比亚大学1991年至2014年间砖记录扫描的必修课。调查结果显示,BTO提出的593项申请中有623项冲突。伊赫拉尔46.2%的索赔已移交最高法院,29.5%的索赔已决定申请。这些指纹是由最生病、最亲密或最有耐心的顾问(%34.1)制作的。估计有75.7%的医生、专家、23.3%的医生和1.0%的医生。与叙利亚最深刻的争论;tanitim规则违反了,不公平的kazanc/rekabete aykirik(%24.8),tibbi应用程序错误(%21.4)和gercek disi belge/rapor duzenlemektir(%18.2)。Saglikta Donusum Programi(SDP)中的“gercek disi-belge/ropor duzenlemek”,“Hasta haklarina saygisizlik”和“Aracilik,yonlendirme,cikar iliskisi”行为严重违反了该规则。Zorunlu Mesleki Sorumluluk Sigortasi sonrasinda tibbi vigulama hatasi iddialarin sayinda ve bu iddia sonucunda yaptirima ugratilan hekim sayinda anamli bir artis saptanmamistir。因此,值得注意的是,有十种香烟可以理解和解决科学和科学应用方面的法律差异,与实施调查结果有关的政策可以鼓励执法合法性的扩散。
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引用次数: 0
Hatay'da Akraba Evliliği'ne Dönük Eleştirilere Yanıt 返回到需要注册的冲突
Pub Date : 2016-12-30 DOI: 10.20518/TJPH.288405
Tacettin Inandi
Derginizin Cilt 14, No:1,  Sayi: 216,  43-55 sayfalari arasinda yayimlanan “Hatay’da akraba evliligi sikligi, nedenleri, cocuk sagligi, iliskilerde mutluluk ve yasam doyumu” isimli makaleye Necati Dedeoglu tarafindan getirilen elestirilerde yanitimiz asagida ozetlenmistir.
根据杂志《Cilt 14》,编号:1,编号:Sayi:216,编号:43-55,“与婚姻周期、原因、医疗保健、幸福和天空中的合法性有关的错误”一集,该集由Necati Dedeoglu介绍。
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引用次数: 0
Gender differences in self-rated health and their determinants in Turkey: A further analysis of Turkish health survey 土耳其自评健康的性别差异及其决定因素:对土耳其健康调查的进一步分析
Pub Date : 2016-12-30 DOI: 10.20518/TJPH.288395
N. Etiler
Objective: This study analysed gender differences in self rated health status and their determinants by gender in Turkey. Methods: This is a further analysis of a 2010 Health Survey conducted by Turkish Statistical Institute (TurkStat) A total of 5488 men and 7149 women in Turkey were included in this cross-sectional study. Self-rated health was analysed using three logistic regression models. Results: The rates of poor health were 9.8% among women and 5.2% among men, with the gender gap increasing with age. Low level of education, chronic diseases and poverty were associated with poor perceived health in both genders. For women, marriage and retirement from secure jobs were associated with good health; obesity and smoking were factors that caused poor health. For men, unemployment had a negative impact on health. Conclusion: The determinants of poor health were associated with not only on socioeconomic status but also on gender in the Turkey. Marriage may provide social protection for women where there are insufficient social policies to protect them
目的:本研究分析了土耳其自评健康状况的性别差异及其性别决定因素。方法:这是对2010年土耳其统计研究所(TurkStat)进行的健康调查的进一步分析,土耳其共有5488名男性和7149名女性被纳入这项横断面研究。采用三种逻辑回归模型对自评健康状况进行分析。结果:健康状况不佳的比例女性为9.8%,男性为5.2%,性别差异随年龄增长而增大。受教育程度低、慢性病和贫穷与男女的健康状况不佳有关。对妇女来说,婚姻和从稳定的工作中退休与身体健康有关;肥胖和吸烟是导致健康状况不佳的因素。对男子来说,失业对健康有负面影响。结论:在土耳其,健康状况不佳的决定因素不仅与社会经济地位有关,而且与性别有关。如果没有足够的社会政策保护妇女,婚姻可以为她们提供社会保护
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引用次数: 6
Client satisfaction with maternal and child health care services at a public specialist hospital in a Nigerian Province 客户对尼日利亚某省某公立专科医院妇幼保健服务的满意度
Pub Date : 2016-12-30 DOI: 10.20518/TJPH.288390
K. B. Tesleem, P. OkaforIfeoma
The level of service satisfaction of a client determines further utilization and also recommendations to others. Thus, this study assessed client satisfaction with Maternal, Newborn and Child Health (MNCH) services provided at the Mother and Child Hospital, in Ondo State, Nigeria. Methods: This is a descriptive study carried out during July and August, 2012 among 321 respondents. Data were collected using an interviewer-administered questionnaire at selected clinics in the hospital. Proportionate sampling was used to determine the total number of clients to be selected from each clinic. Results: Most of the respondents were generally satisfied with the services at the hospital with a majority (81.5%) rating the intra-partum service as the service they were most satisfied with. Overall, 62.5% of respondents were very satisfied with services provided by the hospital. Patient expectations, facility structures/equipment and healthcare providers’ attitude and the educational level of clients were found to be statistically associated with clients’ satisfaction (p<0.05). Conclusion: The overall satisfaction with services at the facility was 62.6%. The satisfaction level was higher among illiterate patients, who had no costs for transportation and those who had high expectation while coming to the hospital.
客户对服务的满意程度决定了进一步的使用,也决定了向他人的推荐。因此,本研究评估了客户对尼日利亚翁多州妇幼医院提供的孕产妇、新生儿和儿童保健服务的满意度。方法:采用描述性研究方法,于2012年7 - 8月对321名调查对象进行调查。在医院选定的诊所使用访谈者填写的问卷收集数据。比例抽样用于确定从每个诊所选择的客户总数。结果:大多数受访妇女对医院的服务总体满意,其中大多数(81.5%)认为最满意的服务是分娩服务。总体而言,62.5%的受访者对医院提供的服务非常满意。患者期望、设施结构/设备、医护人员态度和患者受教育程度与患者满意度有统计学相关性(p<0.05)。结论:整体满意度为62.6%。文盲患者的满意度较高,他们没有交通费用,而来医院时期望很高。
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引用次数: 10
期刊
Turkish Journal of Public Health
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