Objectives. Turkey is one of the countries that has the most cases of CCHF in recent years among the endemic countries. The disease also poses an important health threat with high mortality rate. The aim of the study was to determine the seroprevalence and risk factors of CCHF in adults aged ≥20 years in Tokat in the endemic region, Turkey. Methods. In this population-based cross-sectional study, a total of 85 Family Medicine Units (FMUs), from over 170 in Tokat, were randomly selected using 50% sampling. The sample size was determined among the subjects aged ≥20 who registered with the FMUs, due to gender, age group, and the urban/rural population size of Tokat using the stratified cluster sampling method. Subjects were invited to the FMUs. A questionnaire was performed face to face. The blood samples were taken, and anti-CCHFV IgG antibodies were measured with ELISA method. Results. 1272 (54.9%) out of 2319 participants were female, and the mean age was 47.3 ± 15.3. Anti-CCHFV IgG seropositivity was 5.6% (n = 130). Seropositivity rates in terms of adjusted odds ratios (AOR) were higher 2.53 times (95% CI: 1.57–4.08; p = 0.001 ) in males; 4.05 (95% CI: 2.14–7.65; p < 0.001 ) in age group ≥65; 0.33 (95% CI: 0.14–0.76; p < 0.001 ) in graduates of high school and above; 0.71 (95%CI: 0.33–1.52; p < 0.001 ) in ones with good income; 1.84 (95%CI: 1.18–2.86; p < 0.001 ) in farmers; 1.64 (95% CI: 1.04–2.27; p < 0.001 ) in people dealing with animal husbandry; and 1.02 (95% CI: 1.03–2.29; p < 0.001 ) in those with history of tick contact. Conclusions. CCHF seroprevalence is still a common public health problem in Tokat, Turkey. Male gender, advanced age group, low-educated, low-income, farmers, animal husbandry, and history of tick contact were found to be risk factors for CCHF. The importance of this kind of community-based studies to identify the seroprevalence in regional and national level increases even more.

Methods: Overall, 85 separate exemplification groups were formed to reflect the population density, and the demographic data of the region they represent. In the first stage, the individuals, who were selected in random order, were invited to a Family Physician Unit at a certain date and time. The dermatological examinations of the volunteering individuals were performed by only 3 dermatology specialists. In the second stage, those individuals who had symptoms of BD were invited to our hospital, and the Pathergy Test and eye examinations were performed. Results:The annual prevalence of RAS was determined as 10.84%. The annual prevalence was determined to be higher in women than in men (p=0.000). It was observed that the prevalence was at the peak level in the 3 rd decade, and then decreased proportionally in the following decades (p=0.000). It was also observed that the aphtha recurrence decreased in the following decades (p=0.048). The Behçet's prevalence was found to be 0.60%. The prevalence in women was found to be higher than in men (0.86% female, 0.14% male; p=0.022). Conclusion: While the RAS prevalence ratio was at an average value when compared with the other societies; the BD prevalence was found as the highest ratio in the world according to the literature.

Hyperuricemia is an independent predictor for early atherosclerosis in hypertensive subjects with normal renal function. Therefore, the optimal control of UA may provide further benefits in preventing atherosclerosis and hypertensive end-organ injury.

Introduction: Population of the disabled is increasing worldwide and the disabled face with many limitations due to various social and physical obstacles. It is important that the practices that are made in order to provide the ideal health care service for the disabled are in compliance with the current legislation and that the attitudes of health personnel are positive.  The present study aims at determining the awareness of the physicians and nurses in a university hospital about the applications for the disabled and their attitudes towards the disabled. Method: This cross-sectional study was completed with 220 participants in Kahramanmaraş Sütçü Imam University Hospital. Data were obtained by using a socio-demographic data form and Scale of Attitudes Toward Disabled Persons (SADP) for participants through face to face interviews. Chi-square test, Independent Samples t test and One Way ANOVA were used for assessment of data. Results: Of the participants, 41,4% are physicians, 58,6% are nurses; 62,7% are women. the Mean age is 27,3±5,8 years; 49,6% have 2-4-year professional time and 4,1% of the participants have a disabled person in their family. With respect to the regulations for the disabled in the hospital in which the research was carried out, 25% of the participants stated that there is a car park for the disabled, 24,1% stated that there is a washbasin and toilet for the disabled, 10,5% there is a disabled lift, 23,6% there are guide signs, 14,5% there is a ramp, 9,1% there is welcoming personnel, 3,2% there is personnel who know sign language, 24.5% of the participants stated that the disabled have priority Mean SADP scores was 64,34±13,19, the attitudes of health professionals towards the disabled was found to be moderate. While there is a significant difference between SADP scores with regard to the education level and professional time of the participants (p&lt;0,05), no significant difference was found with regard to occupation, gender, age group, marital status, having children and having a disabled person in their family (p&gt;0,05). Conclusion: Physicians and nurses have low awareness for practices for disabled people at the hospital, and the attitudes towards the disabled are overall moderate despite being positive. The curriculum of health personnel should be re-arranged and raise the awareness of the society should be ensured for improving the attitudes towards the disabled.Giriş: Dünya genelinde engelli nüfus oranı artmakta olup engelli bireyler çeşitli sosyal ve fiziksel engellerden dolayı birçok sınırlılıklarla karşılaşmaktadır. Engellilere yönelik ideal sağlık hizmeti sunulabilmesi için yapılan uygulamaların güncel mevzuata uygun olması ve sağlık personelinin tutumlarının olumlu yönde olması önemlidir. Bu çalışmada üniversite hastanesindeki doktor ve hemşirelerin engellilere yönelik uygulamalardan haberdar olma durumlarının ve engellilere yönelik tutumlarının belirlenmesi amaçlanmıştır. Yöntem: Kesitsel nitelikteki çalışmaya Kahramanmaraş Sütçü İmam Üniversite Hastanesi’ndeki toplam 220 doktor ve hemşire katılmıştır. Veriler sosyo-demografik veri formu ve Engellilere Yönelik Tutum Ölçeği’nin (YEKYTÖ) yüz yüze uygulanmasıyla elde edilmiştir. Verilerin değerlendirilmesinde Ki-kare Testi, İki Ortalama Arasındaki Farkın Önemlilik Testi ve Tek Yönlü Varyans Analizi kullanılmıştır. Bulgular: Katılımcıların %41,4’ü doktor, %58,6’sı hemşire, %62,7’si kadındır. Yaş ortalaması 27,3±5,8 yıl, %49,6’sının meslekte hizmet süresi 2-4 yıldır. Katılımcıların %4,1’i ailesinde engelli birey olduğunu belirtmiştir. Hastanede engellilere yönelik düzenlemeler konusunda katılımcıların %25’i araç park yeri, %24,1’i lavabo/tuvalet, %10,5’i asansör, %23,6’sı yönlendirme işaretleri, %14,5’i çıkış rampası, %9,1’i karşılama personeli, %3,2’si işaret dili bilen personel olduğunu, %24,5’i engellilere öncelik verildiğini belirtmiştir. Katılımcıların engellilere yönelik tutum ölçeği ortalama puanları 64,34±13,19 olup, engellilere yönelik tutumları orta düzeydedir. Engellilere yönelik tutumların öğrenim düzeyi ve meslekte hizmet süresine göre anlamlı farklılık göstermesine karşılık (p&lt;0,05); meslek, cinsiyet, yaş grubu, evlilik durumu, çocuğu olma durumu ve ailesinde engelli birey olma durumunun ise bu tutumlar üzerine anlamlı etkisi yoktur (p&gt;0,05). Sonuç: Doktor ve hemşirelerin hastanede engelli bireylere yönelik yapılan uygulamalarla ilgili farkındalığı düşüktür ve engellilere yönelik tutumları olumlu olmakla birlikte genel olarak orta düzeydedir. Engellilere yönelik tutumların olumlu yönde olması için sağlık personelinin eğitim müfredatı düzenlenmeli ve toplumun farkındalık kazanması sağlanmalıdır.

In general, PS prevalence in this region was higher than in Asia and Africa but lower than in Europe and the United States. Whereas SD prevalence varies between 2% and 12% throughout the world, the average SD prevalence was 5.2% in this study.