A Crimean-Congo haemorrhagic fever (CCHF) outbreak emerged from 2001 to 2003 in the Middle Anatolia region of Turkey. This study describes the clinical characteristics and outcome features of CCHF patients admitted to four tertiary care hospitals in Turkey. Definitive diagnosis was based on the detection of CCHF virus-specific IgM by ELISA or of genomic segments of the CCHF virus by RT-PCR. Related data were collected by a retrospective chart review. Hospital costs were extracted from the final discharge bills. Univariate and multivariate analyses were conducted to determine the independent predictors of mortality. CCHF virus-specific antibodies or genomic segments were detected in the sera of 99 cases. Seven cases that were treated with ribavirin were excluded from the study. Cases were mostly farmers (83 cases, 90 %), and 60 % had a tick-bite history before the onset of fever. Impaired consciousness and splenomegaly were independent predictors of a fatal outcome.
Depression, anxiety, ADHD and smoking addiction are associated with PIU in adolescent students. Preventive public health policies targeting the psychological wellbeing of young people are needed.
Background: There are few existing large population studies on the epidemiology of metabolic syndrome-related disorders of Turkey. The purpose of this study was to assess the prevalence of metabolic syndrome-related disorders in the Turkish adult population, to address sex, age, educational and geographical differences, and to examine blood pressure, body mass index, fasting blood glucose and serum lipids in Turkey.
This study aimed to remove phenolic and lignin compounds from paper mill industry (4500 m 3 /h) wastewaters, which is discharged to sea from a plant located in the western Turkey. As adsorbent, fly ash, raw sepiolite and heat-activated sepiolite were used. The effect of factors such as, particle size, temperature and pH on adsorption process was investigated. From kinetic studies, equilibrium time was found as 1 h for both. The kinetic data supports pseudo-second order model but shows very poor fit for pseudo-first order model. Intraparticle model also shows that there are two separate stages in sorption process, namely, external diffusion and pore diffusion. Adsorption isotherms for fly ash and activated sepiolite were obtained at two different temperatures. From experiments carried out at different pHs, it was observed that pH plays an important role in the adsorption process in removing of both lignin and phenolic compounds, providing both ionizating the compounds and modifying sorbent surfaces. It was also observed that heat-activated sepiolite is more effective than raw sepiolite and fly ash to remove these compounds. Adsorption of lignin and phenolic compounds increases with decreasing particle size. In addition, the efficiency of adsorption decreases with increasing adsorption temperature for both fly ash and untreated sepiolite.
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