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COVID-19 pandemisinin seyri ve sağlık giderleri açısından Türkiye ve Avrupa veri karşılaştırması 新冠肺炎比较土耳其和欧洲的旅行和健康路线数据
Pub Date : 2022-05-31 DOI: 10.22391/fppc.833398
Feruze Turan Sönmez
Giriş: COVID-19 pandemisi tüm dünyayı etkisi altına almış olup, ülkelerin sağlık imkanlarını zorlamıştır. Salgının çeşitli ülkelerde farklı mortalite oranlarıyla seyretmesinin altında yatan en önemli etkenler ülkelerin yaşlı nüfusunun yanı sıra şüphesiz ülkelerin sağlık sistemleri ve sağlığa ayrılan bütçesi olarak sayılabilir. Bu çalışma ile Türkiye nüfus bilgilerini, COVID-19 vakalarını, hastalıkların seyrini ve sağlık harcamalarını değerlendirmeyi ve Avrupa verileriyle karşılaştırmayı hedefledik.Yöntem: Bu çalışma için kullanılan veritabanları: Worldometer dijital veritabanı, Ekonomik İş birliği ve Kalkınma Teşkilatı dijital veritabanı, Türkiye Ulusal Strateji ve Bütçe Başkanlığı gibi Türkiye Ulusal Ekonomi ve Finans Veri Tabanları ve Türkiye İstatistik Kurumu veri tabanı,Veriler 15.12.2021 tarihinde derlenmiş ve 2020 yılı için genel bilgiler dahil edilmiştir.Bulgular: 15/12/2021 inceleme tarihi itibarıyla Türkiye'de toplam COVID-19 vaka sayısı 920.9740 ve Avrupa Birliği ülkelerinde 81.556.853'tür. Hastalığın insidansı Türkiye'de 107.500, Avrupa'da 135.525 idi. Geçen hafta-yeni vakalardaki toplam değişim/artışı oranı Türkiye ve Avrupa'da sırasıyla-%5 ve %8 iken, geçen hafta-ölümlerdeki toplam değişim/artış oranı Türkiye ve Avrupa'da sırasıyla-%1 ile-%8 oldu. Bir milyon nüfus başına COVID-19 tarama testi sayısı Avrupa'da belirgin şekilde daha yüksekti (sırasıyla Türkiye ve Avrupa'da 1.343.256 ila 8.790.27). Kişi başına GSYİH ve sağlık harcaması Avrupa'da belirgin şekilde daha yüksekti.Sonuç: Avrupa ülkelerinde Türkiye’yle kıyasla yaşlı nüfusunun daha yüksek olması ve haftalık saptanan yeni vaka sayısının daha yüksek olmasına rağmen ölüm oranı ve sayısının giderek düşmesi ülkelerin salgınla mücadelede ayırdıkları sağlık harcamaları payının yüksek olması ile ilişkilidir.
条目:新冠肺炎大流行破坏了世界的影响,并迫使各国的健康。袭击在不同国家最重要的影响是卫生系统和卫生预算,以及各国的老年人口。我们旨在评估土耳其的人口信息、新冠肺炎病例、疾病行为和健康成本,并将欧洲数据与本研究进行比较。方法:本工作使用的数据库有:世界计量数字数据库、经济合作与发展学会数字数据库、土耳其国家战略和预算主席、土耳其国民经济和金融数据表以及土耳其统计研究所,数据于2021年12月15日汇编,包括2020年的一般信息。调查结果为:根据调查历史,土耳其新冠肺炎病例总数为9209740例,欧盟国家为81556853例,其中土耳其为107500例,欧洲为135525例。上周,土耳其和欧洲之间最近病例的总变化/增加率在%5至%8之间,而土耳其和欧洲分别为%1和%8。Bir milyon nüfus ba shına新冠肺炎tarama testi sayısıAvrupa'a da belilginşekilde daha yüksekti(sırasıyla土耳其ve Avrupa'da 1.343.256 ila 8.790.27)。lınüfusunun daha yüksek olmasıve haftalık saptanan yeni vaka sayıolmasına rağmenölüm oranıve sayısının giderek düşmesiülkelein salgınla mücadelede ayırdıklarısağlık harcamalarıpayınün yüksek olmaıile ilişkilidir。
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引用次数: 1
Depresyon ve ilişkili psikososyal faktörlerin romatoid artrit aktivitesine etkisi 抑郁症及相关心理宇宙因素对类风湿性关节炎的影响
Pub Date : 2022-05-31 DOI: 10.22391/fppc.1027441
M. Tekin
Introduction: Rheumatoid arthritis is one of the most common inflammatory chronic diseases worldwide. Depression is common in patients with rheumatoid arthritis. The relationship between depression and rheumatoid arthritis is a matter of curiosity, and it is thought that there is a bidirectional interaction between them. Depression is an important health problem that requires treatment. Therefore, it is essential to determine the conditions that call for more attention in terms of depression when following rheumatoid arthritis patients in primary care.Methods: Patients who applied to the rheumatology outpatient clinic, followed up for at least 1 year, and were diagnosed with rheumatoid arthritis according to the American College of Rheumatology (ACR) criteria were consecutively invited to the study. A total of 110 people, 18 men and 92 women, accepted the invitation. Beck Depression Inventory (BDI), Health Assessment Questionnaire (HAQ), and visual analogue scale (VAS) were filled together with the questionnaire developed by the researcher. In the joint examination of the patients, the number of tender joints and swollen joints were noted. Disease Activity Score (DAS28) was calculated and noted by measuring C Reactive Protein and erythrocyte sedimentation rates (ESR) in earlier tests performed on the patients. Rheumatoid factor status was recorded at the time of diagnosis or by checking the follow-up records.Results: In rheumatoid arthritis (RA) patients, the BDI score was higher in people with other chronic diseases and those who felt the need to apply to a psychiatry clinic. The BDI score was higher in patients with other chronic diseases and those who felt the need to apply to a psychiatry clinic for rheumatoid arthritis. RA patients with high BDI scores also had high DAS28 and HAQ scores. In addition, disease activity was significantly correlated with RF positivity.Conclusion: Rheumatoid arthritis patients should be evaluated for depression. Depression evaluation should be done more carefully in cases with high disease activity, other chronic diseases, and those who feel the need to apply to a psychiatry clinic.
简介:类风湿性关节炎是世界范围内最常见的炎症性慢性疾病之一。抑郁症在类风湿性关节炎患者中很常见。抑郁症和类风湿性关节炎之间的关系令人好奇,人们认为它们之间存在双向相互作用。抑郁症是一个需要治疗的重要健康问题。因此,在初级保健中跟踪类风湿性关节炎患者时,有必要确定需要更多关注的抑郁状况。方法:根据美国风湿病学会(ACR)标准,连续邀请到风湿病门诊就诊、随访至少1年并被诊断为类风湿性关节炎的患者参加研究。共有110人接受了邀请,其中包括18名男性和92名女性。Beck抑郁量表(BDI)、健康评估问卷(HAQ)和视觉模拟量表(VAS)与研究人员开发的问卷一起填写。在对患者的关节检查中,注意到了关节压痛和关节肿胀的数量。疾病活动评分(DAS28)是通过测量患者早期测试中的C反应蛋白和红细胞沉降率(ESR)来计算和记录的。在诊断时或通过检查随访记录记录类风湿因子状态。结果:在类风湿性关节炎(RA)患者中,患有其他慢性病的人和那些觉得有必要申请精神科诊所的人的BDI评分更高。患有其他慢性病的患者和那些觉得有必要申请类风湿性关节炎精神科诊所的患者的BDI评分更高。BDI评分较高的RA患者也有较高的DAS28和HAQ评分。此外,疾病活动性与RF阳性显著相关。结论:类风湿性关节炎患者应进行抑郁评估。对于患有高疾病活动性、其他慢性病以及觉得有必要申请精神科诊所的患者,应更仔细地进行抑郁评估。
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引用次数: 0
Metabolik sendrom, insülin direnci, diabetes mellitus ve hipertansiyonu öngörmede visseral adipozite indeksi kesme değerlerinin belirlenmesi
Pub Date : 2022-05-31 DOI: 10.22391/fppc.1001148
Hatice KILIÇ TÜRK, Selma Pekgör, M. Eryılmaz
Introduction: The visceral adiposity index is a reliable indicator of visceral adipose tissue dysfunction. The aim of this research was to determine the cut-off points of the visceral adiposity index in predicting metabolic syndrome, insulin resistance, type 2 diabetes mellitus, and hypertension at specific age ranges and in both sexes separately.Methods: This research is both descriptive and analytical. The research was conducted with 951 participants aged 18 and over between July 2019 and July 2020. 51 participants that did not meet study criteria were excluded from the research. The research was completed with a total of 900 participants, 577 females and 373 males. A physical examination and anthropometric measurements (height, weight, waist circumference, and blood pressure) of all participants were conducted. After 12 hours of fasting, the HDL, TG, glucose, and insulin levels of participants were measured. The blood pressure of participants was measured after 15 minutes of rest. Adult treatment panel 3 criteria were used for the diagnosis of metabolic syndrome. A homeostatic model assessment was calculated. The visceral adiposity index is calculated in the entire population for the prediction of metabolic syndrome, insulin resistance, diabetes, and hypertension: women, men, age groups 18–30, 31–40, 41–50, 51–65, 66 and over.Results: Cut-off points of the visceral adiposity index in predicting metabolic syndrome were 4.53 in the total population and males, 4.28 in females, 4.76 in the 18-30 age range, 4.96 in the 31-40 age range, 4.87 in the 41-50 age range, 5.04 in the 51-65 age range, and 4.59 in the age range 66 and above. Cut-off points of the visceral adiposity index in predicting insulin resistance were 4.24 in the total population and females, 4.68 in males, 3.45 in the 18-30 age range, 4.15 in the 31-40 age range, 4.66 in the 41-50 age range, and 4.87 in the 51-65 age range. Cut-off points of the visceral adiposity index in predicting type 2 diabetes mellitus were 4.89 in the total population, 6.43 in females, 7.02 in the 31-40 age range, 7.29 in the 41-50 age range, and 5.98 in the 51-65 age range. Cut-off points of the visceral adiposity index in predicting hypertension were 4.26 in the total population, 4.07 in females, 4.64 in the 18–30 age range, and 4.43 in the 51–65 age range.Conclusions: The visceral adiposity index can be used to predict metabolic syndrome, insulin resistance, type 2 diabetes mellitus and hypertension.
简介:内脏脂肪指数是衡量内脏脂肪组织功能障碍的可靠指标。本研究的目的是确定内脏脂肪指数在特定年龄段和性别中预测代谢综合征、胰岛素抵抗、2型糖尿病和高血压的分界点。方法:本研究采用描述性和分析性相结合的方法。该研究在2019年7月至2020年7月期间对951名18岁及以上的参与者进行了调查。51名不符合研究标准的参与者被排除在研究之外。这项研究共有900名参与者完成,其中577名女性和373名男性。对所有参与者进行体格检查和人体测量(身高、体重、腰围和血压)。禁食12小时后,研究人员测量了参与者的HDL、TG、葡萄糖和胰岛素水平。参与者在休息15分钟后测量血压。代谢综合征的诊断采用成人治疗组3个标准。计算了稳态模型评估。内脏脂肪指数是在整个人群中计算的,用于预测代谢综合征、胰岛素抵抗、糖尿病和高血压:女性、男性、18-30岁、31-40岁、41-50岁、51-65岁、66岁及以上年龄组。结果:内脏脂肪指数预测代谢综合征的分界点在总人口及男性为4.53,女性为4.28,18-30岁为4.76,31-40岁为4.96,41-50岁为4.87,51-65岁为5.04,66岁以上为4.59。内脏脂肪指数预测胰岛素抵抗的分界点为:总人口及女性4.24,男性4.68,18-30岁3.45,31-40岁4.15,41-50岁4.66,51-65岁4.87。内脏脂肪指数预测2型糖尿病的分界点为:总人口4.89,女性6.43,31-40岁7.02,41-50岁7.29,51-65岁5.98。内脏脂肪指数预测高血压的分界点为:总人口4.26,女性4.07,18-30岁4.64,51-65岁4.43。结论:内脏脂肪指数可用于预测代谢综合征、胰岛素抵抗、2型糖尿病和高血压。
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引用次数: 0
Comparison of the frailty among older adults between the nursing home living versus own home living 老年人在疗养院生活与在自己家生活的脆弱性比较
Pub Date : 2022-03-17 DOI: 10.22391/fppc.919962
Serkan Akdağ, Melike Mercan Başpınar, O. Basat
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引用次数: 0
Prevalence and accompanying factors for postpartum depression symptoms 产后抑郁症状的患病率及相关因素
Pub Date : 2022-03-11 DOI: 10.22391/fppc.1024922
G. Pamuk, Yusuf Adnan Güçlü
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引用次数: 1
Post-discharge evaluation of patients with Covid-19 infection Covid-19感染患者出院后评价
Pub Date : 2022-03-04 DOI: 10.22391/fppc.983957
Adil Çetin, Mebrure Beyza Gökçek, Humeyra Aslaner, Zeliha Kaya Erten, Ayşenur Canan BENLİ ÖZÇAKIR
Introduction: This study was conducted retrospectively, cross-sectional and descriptively to evaluate the telemonitoring results of discharged patients who had been hospitalized due to Covid-19 during the pandemic. Methods : This study was composed of data which were obtained through the folders of 862 patients who had gotten their Covid-19 Polymerase Chain Reaction (PCR) tests positive, were treated in hospital and discharged between 28.08.2020 and 16.09.2020. This study was completed with folders of 760 patients whose data were overall. Descriptive statistics were given as mean, standard deviation, median, minimum and maximum. Percentages were used for categorical data. Also, the Chi-Square test was used to determine differences between the groups in categorical variables. Kolmogorov-Smirnov test was used so as to analyze normal distribution of data. Results: In the study, the age median of patients who stated their clinical condition as good and average, was lower compared to patients whose clinical status was bad (p=0.001). 45% of patients with poor condition were rehospitalized and 35% of them were directed to emergency service (p<0.001). Conclusions: Results have demonstrated that even if those patients were discharged, their problems still continued in their homes, and they need support. Moreover, it is considered that home-monitoring and home attendant care services for elderly patients have to be improved qualitatively.
前言:本研究采用回顾性、横断面和描述性方法,对大流行期间因Covid-19住院的出院患者的远程监护结果进行评估。方法:本研究收集2020年8月28日至9月16日住院出院的862例新冠病毒聚合酶链反应(PCR)阳性患者的资料。本研究以760例患者的资料文件夹完成,其资料是全面的。描述性统计以平均值、标准差、中位数、最小值和最大值给出。分类数据采用百分比。同时,采用卡方检验来确定组间在分类变量上的差异。采用Kolmogorov-Smirnov检验分析数据的正态分布。结果:在本研究中,临床状态为良好和一般的患者的年龄中位数低于临床状态为不良的患者(p=0.001)。病情较差的患者有45%再次住院,35%转至急诊(p<0.001)。结论:结果表明,即使这些患者出院,他们的问题仍然存在于他们的家中,他们需要支持。此外,认为居家监护和居家陪护服务的质量有待提高。
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引用次数: 0
Gender differences in health-related quality of life of patients with active epilepsy and clinical factors that are signs of their associations: a retrospective cross-sectional study 活动性癫痫患者健康相关生活质量的性别差异及其相关性的临床因素:一项回顾性横断面研究
Pub Date : 2022-03-04 DOI: 10.22391/fppc.1028627
S. Basaran
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引用次数: 0
Approaches of family physicians working in primary care regarding palliative care 从事初级保健工作的家庭医生关于姑息治疗的方法
Pub Date : 2022-03-04 DOI: 10.22391/fppc.980400
Ufuk Ünlü, Öznur Şahin, Nagihan Yıldız Çeltek
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引用次数: 0
Depression and anxiety may be cause or effect of attacks in hereditary angioedema 抑郁和焦虑可能是遗传性血管性水肿发作的原因或结果
Pub Date : 2021-12-30 DOI: 10.22391/fppc.977781
G. Özden, M. Bankir
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引用次数: 0
Associations of dietary, body mass index, lifestyle and sociodemographic factors with iron deficiency anemia. 饮食、体重指数、生活方式和社会人口因素与缺铁性贫血的关系。
Pub Date : 2021-09-16 DOI: 10.22391/fppc.704971
B. Yakar, Gamze Karakaya, E. Onalan, E. Pirinççi, E. Dönder
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引用次数: 0
期刊
Family Practice and Palliative Care
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