Publications by authors named "Alay H"

Brucellosis is a zoonotic disease that causes high rates of morbidity and mortality due to difficulties in diagnosis and inadequate treatment. The purpose of this study was to assess the diagnostic significance of presepsin, trigger receptor expressed on soluble myeloid cells-1 (sTREM-1), and interferon-gamma (IFN-gamma) levels in patients with brucellosis. One hundred twenty-one brucellosis patients aged 18 or over and 39 healthy volunteers were included in this prospective study.

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  • This study analyzed 331 patients with primary brain abscesses (PBAs) from 39 centers in 16 countries, focusing on infection causes, risk factors, and mortality outcomes over a 12-year period.
  • Study results showed that the majority of patients were middle-aged men (average age 46.8), with symptoms like headaches and fever; Gram-positive cocci were the most common pathogens.
  • Key factors influencing mortality at 42 days included intravenous drug use and malignancy, while factors affecting 180-day mortality included temporal lobe involvement and the presence of unidentified bacteria.
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  • The study aimed to explore the relationship between functional impairment and levels of anxiety, depression, and problematic Internet use among healthcare workers during the COVID-19 pandemic.
  • The study involved 213 participants, finding that medical doctors reported higher levels of problematic Internet use compared to nurses and exhibited significant correlations between functional impairment and mental health issues.
  • The conclusion emphasized the need for health policymakers to create strategies that support healthcare professionals in managing anxiety and depression, while also highlighting the risks of using the Internet as a coping mechanism.
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  • Crimean-Congo Hemorrhagic Fever (CCHF) is increasingly becoming a public health concern, with a significant upward trend in cases over a ten-year period in the study, particularly from 2012 to 2021.
  • The analysis was based on data from healthcare institutions, demographic characteristics, and climatic factors like temperature and humidity, revealing a seasonal pattern where most cases occur from March to October.
  • The study found a link between climatic conditions and the incidence of CCHF, indicating that while these factors indirectly affect disease occurrence, favorable conditions for vector ticks contribute to the spread of CCHF.
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Objective: In this study, we have evaluated 12 patients with cerebral alveolar echinococcosis (AE). All patients underwent surgery for cerebral AE. We aimed to demonstrate the relationship between the demographic properties of patients and surgical outcomes as well as surgical suggestions about surgical approaches.

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Background: Although anthrax is a rare zoonotic infection, it still causes significant mortality and morbidity. In this multicenter study, which is the largest anthrax case series ever reported, we aimed to describe the factors leading to dissemination of cutaneous anthrax.

Methods: Adult patients with cutaneous anthrax from 16 referral centers were pooled.

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  • The study aimed to analyze laboratory differences among 443 COVID-19 patients at Atatürk University, to improve understanding of disease severity and treatment strategies.
  • Patients were categorized into four clinical groups: asymptomatic, uncomplicated, mild/moderate, and severe, with a breakdown of symptoms and comorbidities noted, revealing hypertension as the most common condition.
  • Key laboratory markers showed significant variance, with severe cases exhibiting higher levels of inflammation and markers like procalcitonin and D-dimer, indicating a potential for worse outcomes, including a 4.7% mortality rate.
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We explored the self-reported antibiotic stewardship (AS), and infection prevention and control (IPC) activities in intensive care units (ICUs) of different income settings. A cross-sectional study was conducted using an online questionnaire to collect data about IPC and AS measures in participating ICUs. The study participants were Infectious Diseases-International Research Initiative (IDI-IR) members, committed as per their institutional agreement form.

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Background: Coronavirus disease-2019 (COVID-19) results in acute lung injury. This study examined the usefulness of serum transforming growth factor-beta 1 (TGF-β1) and connective tissue growth factor (CTGF) levels in predicting disease severity in COVID-19 patients with pulmonary involvement.

Methods: Fifty patients with confirmed COVID-19 and pulmonary involvement between September 2020, and February 2021 (Group 1) and 45 healthy controls (Group 2) were classified into three subgroups based on clinical severity: moderate, severe, and critical pneumonia.

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Introduction: Although vaccines are the safest and most effective means to prevent and control infectious diseases, the increasing rate of vaccine hesitancy and refusal (VHR) has become a worldwide concern. We aimed to find opinions of parents on vaccinating their children and contribute to available literature in order to support the fight against vaccine refusal by investigating the reasons for VHR on a global scale.

Methodology: In this international cross-sectional multicenter study conducted by the Infectious Diseases International Research Initiative (ID-IRI), a questionnaire consisting of 20 questions was used to determine parents' attitudes towards vaccination of their children.

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Brucellosis remains an important public health problem in many developing countries. This study examines the serum levels of endocan, a novel immune-inflammatory marker, in this potentially difficult to diagnose disease, and their predictive diagnostic value. Fifty patients under follow-up with diagnoses of brucellosis between May 1, 2020, and December 1, 2020, and 50 healthy individuals constituting the control group were included in the study.

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Background: Because central line-associated bloodstream infections (CLABSIs) are a significant complication of central venous access, it is critical to prevent CLABSIs through the use of central line bundles. The purpose of this study was to take a snapshot of central venous access bundles in various countries.

Methods: The participants in intensive care units (ICUs) completed a questionnaire that included information about the health center, infection control procedures, and central line maintenance.

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Background: Endothelial-specific molecule 1 (endocan) has emerged as an inflammatory biomarker in recent years. The purpose of this study was to investigate the diagnostic value of serum endocan levels in the prediction of COVID-19 disease among patients with a false-negative reverse transcription polymerase change reaction (RT-PCR) test, and also to determine its correlation with the clinical severity of the disease.

Methods: Thirty patients with positive RT-PCR results and 30 with false-negative RT-PCR results, both with suspected COVID-19 in terms of clinical, radiological, and laboratory findings, were included in the study.

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The pandemic of the coronavirus disease (COVID-19) caused by SARS-CoV-2 affects millions of people worldwide. There are still many unknown aspects to this infection which affects the whole world. In addition, the potential impacts caused by this infection are still unclear.

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Objective: Hepatitis B virus (HBV) infection remains a global public health problem. Among its modes of transmission, vertical transmission from mother to child during pregnancy is exceedingly important. This study investigated seropositivity for hepatitis B surface antigen (HBsAg) among pregnant women aged 16-49 years and their pregnancy outcomes in several health institutions (university and state hospitals, family health centers) from seven cities in Turkey.

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Background: This study aimed to investigate the prevalence of the disease and testing and vaccination status of healthcare workers in terms of hepatitis A infection as well as their awareness. This study is a multicenter descriptive study performed with healthcare workers.

Material And Methods: Testing status for hepatitis A, awareness of the results and vaccination status of healthcare workers were compared.

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Introduction: Coronavirus disease-2019 (COVID-19) is a respiratory disease whose clinical manifestation ranges from asymptomatic to severe respiratory failure. The purpose of this study was to investigate the place of serum surfactant-D (SP-D) and angiopoetin-2 (Ang-2) levels in predicting severity of disease in patients diagnosed with COVID-19.

Methods: Sixty-four patients diagnosed with COVID-19 between September 2020 and February 2021, 50 patients diagnosed with community-acquired pneumonia and a 50-member healthy control group were included in the study.

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Introduction: This study investigated the status of serum ischaemia-modified albumin (IMA) levels in the development of diabetic foot ulcer (DFU) in patients with diabetes mellitus (DM) and in predicting ulcer formation and ulcer grading.

Materials And Method: Thirty patients with DM, 30 with DFU and 30 healthy controls were included in the study. All participants' demographic characteristics and serum IMA, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and white blood cell (WBC) levels and DFU infection grades were recorded.

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  • - The study evaluates trends in antibiotic resistance among hospitalized patients with blood infections in intensive care units (ICUs) across 24 countries with various income levels, focusing on multidrug-resistant organisms (MDROs) such as Klebsiella pneumoniae and Acinetobacter baumannii.
  • - Results show that 65.1% of the isolates were multidrug-resistant (MDR) and 4.9% were extensively drug-resistant (XDR), with the highest rates found in upper-middle-income and lower-middle-income countries, while no pan-drug-resistant strains were detected.
  • - The study identifies key predictors for acquiring MDR and XDR infections, particularly highlighting the need for improved antibiotic stewardship in community settings and ICUs,
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