Prostate cancer is one of the most common types of cancer in men. The rate of early detection of prostate cancer is low in Türkiye. Therefore, it is important to measure the level of awareness regarding prostate ...Prostate cancer is one of the most common types of cancer in men. The rate of early detection of prostate cancer is low in Türkiye. Therefore, it is important to measure the level of awareness regarding prostate cancer. In our research, we investigate the knowledge levels of prostate cancer among adult individuals in four different geographic region in Türkiye. In addition, we aimed to compare the level of awareness regarding prostate cancer and the depression and anxiety levels among the individuals. The prostate cancer awareness level survey was selected as the data collection tool. In the survey, 20 questions are asked to measure the knowledge level of the participants about prostate cancer. In addition, an evaluation of anxiety and depression was conducted by using the Hospital Anxiety and Depression Scale (HADS). Between April 2022 and December 2022, 834 participants were reached.72.9% of the participants answered the questionnaire correctly. A significant difference was found in terms of correct response rates in four different provinces located in four different regions of Türkiye (79% in Eskisehir, 75.2% in Canakkale, 73% in Ankara, and 54.4% in Maras;p < 0.05). According to the HADS scale, 240 (28.8%) individuals were found to have anxiety and 129 (15.5%) of them had depression. The knowledge level of most of the participants about prostate cancer was found to be above the average. There was a significant difference between provinces in terms of knowledge levels. A significant relationship was observed between depression and knowledge level. However, no significant difference was found for anxiety.展开更多
Background: The prevalence of carpal tunnel syndrome (CTS) and of anxiety and depression in primary care practice are high. Different studies had shown an increased prevalence of anxiety and depression in CTS patients...Background: The prevalence of carpal tunnel syndrome (CTS) and of anxiety and depression in primary care practice are high. Different studies had shown an increased prevalence of anxiety and depression in CTS patients. Nevertheless, few papers had been published studying the anxiety and depression scales in the treatment of CTS, either with corticosteroid injections (I) or with surgical decompression (S). Objective: To assess whether clinical improvement observed after the treatment of CTS either with I or with S correlates with an improvement in the punctuations of the Hospital Anxiety and Depression scales (HADS), at 3, 6 and 12-month follow-up. Methods: Randomized and open-label clinical trial, comparing I and S. Patients with symptoms suggestive of CTS (nocturnal paraesthesias) of at least 3 months duration and neurophysiological confirmation were included. Patients with clinically apparent motor impairment were excluded. The subjective evaluation of symptoms was carried out using the visual-analogue scale of pain (VAS-p). Clinical reviews were performed 3, 6 and 12 months after treatment. Each patient completed the HADS questionnaire and a VAS-p at 0, 3, 6, and 12 months. Statistical significance was established using the Student’s t test and the Mann-Whitney U test when necessary. A linear regression analysis was used to know the effect of the treatment adjusted for the initial score of both scales. Results: 65 patients were included (30 in group I and 35 in group S). There was no statistical difference between both groups in terms of age, gender distribution, disease duration, VAS-p, neurophysiological testing severity of CTS or the 8 subscales of HADS. Both groups improved significantly in relation to the baseline VAS-p values, in the reviews at 3, 6 and 12 months, with no significant differences between I and S. At 6 months, the reduction in the anxiety scale was around 3 points for both treatments (S = 3.6 and I = 3.2), without reaching significant differences. At 12 months, it was somewhat higher for those treated with I, but always around 3 points and without significant differences. The Depression scale score was slightly reduced at 6 months, and in a similar way for both groups (I = 1 and S = 1.19;p = 0.8). After 12 months, group I doubled the previous reduction, with group S experiencing a very slight change (I = 1.96 and S = 1.03;p = 0.3). When analysing the effect of group S on group I, the result was a reduction of 0.25 points for Anxiety (p = 0.7) and of 0.02 points for Depression (p = 0.9). Conclusions: Treatment of CTS with I or S results in a similar and discrete improvement in Anxiety scores on the HADS scale at 6 and 12 months. For both types of treatment, the Depression scores barely changed at 6 months, being somewhat higher in group I after 12-month follow-up. The independent effect of the S on both scales is small and not significant.展开更多
区域蒸散量(evapotranspiration)预测对精准灌溉预报与农田水分管理意义重大。该文利用川中丘陵区11个气象站点1961-2013年逐日气象资料,采用FAO-56 Penman-Monteith公式计算参考作物蒸散量(reference evapotranspiration,ET0),基于Hadl...区域蒸散量(evapotranspiration)预测对精准灌溉预报与农田水分管理意义重大。该文利用川中丘陵区11个气象站点1961-2013年逐日气象资料,采用FAO-56 Penman-Monteith公式计算参考作物蒸散量(reference evapotranspiration,ET0),基于Hadley Centre Coupled Model version 3(HadCM3)的输出和统计降尺度模型(statistical downscaling model,SDSM)分别对A2(高温室气体排放)、B2(低温室气体排放)情景下川中丘陵区2014-2099年ET0进行预测,并使用Mann-Kendall检验和反距离加权插值法对1961-2099年ET0的时空演变特征进行分析。结果表明:基准期(1961-2010年)川中丘陵区ET0整体呈现明显下降趋势,空间上呈现出东北部、西北部和东南部相对较大、中部相对较小的差异;与基准期相比,A2、B2情景下未来2020 s(2011-2040年)、2050 s(2041-2070年)和2080 s(2071-2099年)川中丘陵区ET_0月和年均值都呈增大趋势;A2情景下3个时期ET0将分别增加7.9%、10.9%和16.7%,B2情景下ET_0将分别增加7.1%、4.9%和12.8%;A2、B2情景下3个时期川中丘陵区ET_0空间分布均呈现西北部和南部较大、中部较小的空间差异,且3个时期的ET0相对变化率显示中部及其偏北、偏南区域ET_0增幅相对较大,北部和南部增幅相对较小。因此,未来川中丘陵区ET0的上升可能导致水资源短缺与季节性干旱进一步加剧。该研究可为川中丘陵区水资源优化管理和灌溉制度制定提供科学参考。展开更多
文摘Prostate cancer is one of the most common types of cancer in men. The rate of early detection of prostate cancer is low in Türkiye. Therefore, it is important to measure the level of awareness regarding prostate cancer. In our research, we investigate the knowledge levels of prostate cancer among adult individuals in four different geographic region in Türkiye. In addition, we aimed to compare the level of awareness regarding prostate cancer and the depression and anxiety levels among the individuals. The prostate cancer awareness level survey was selected as the data collection tool. In the survey, 20 questions are asked to measure the knowledge level of the participants about prostate cancer. In addition, an evaluation of anxiety and depression was conducted by using the Hospital Anxiety and Depression Scale (HADS). Between April 2022 and December 2022, 834 participants were reached.72.9% of the participants answered the questionnaire correctly. A significant difference was found in terms of correct response rates in four different provinces located in four different regions of Türkiye (79% in Eskisehir, 75.2% in Canakkale, 73% in Ankara, and 54.4% in Maras;p < 0.05). According to the HADS scale, 240 (28.8%) individuals were found to have anxiety and 129 (15.5%) of them had depression. The knowledge level of most of the participants about prostate cancer was found to be above the average. There was a significant difference between provinces in terms of knowledge levels. A significant relationship was observed between depression and knowledge level. However, no significant difference was found for anxiety.
文摘Background: The prevalence of carpal tunnel syndrome (CTS) and of anxiety and depression in primary care practice are high. Different studies had shown an increased prevalence of anxiety and depression in CTS patients. Nevertheless, few papers had been published studying the anxiety and depression scales in the treatment of CTS, either with corticosteroid injections (I) or with surgical decompression (S). Objective: To assess whether clinical improvement observed after the treatment of CTS either with I or with S correlates with an improvement in the punctuations of the Hospital Anxiety and Depression scales (HADS), at 3, 6 and 12-month follow-up. Methods: Randomized and open-label clinical trial, comparing I and S. Patients with symptoms suggestive of CTS (nocturnal paraesthesias) of at least 3 months duration and neurophysiological confirmation were included. Patients with clinically apparent motor impairment were excluded. The subjective evaluation of symptoms was carried out using the visual-analogue scale of pain (VAS-p). Clinical reviews were performed 3, 6 and 12 months after treatment. Each patient completed the HADS questionnaire and a VAS-p at 0, 3, 6, and 12 months. Statistical significance was established using the Student’s t test and the Mann-Whitney U test when necessary. A linear regression analysis was used to know the effect of the treatment adjusted for the initial score of both scales. Results: 65 patients were included (30 in group I and 35 in group S). There was no statistical difference between both groups in terms of age, gender distribution, disease duration, VAS-p, neurophysiological testing severity of CTS or the 8 subscales of HADS. Both groups improved significantly in relation to the baseline VAS-p values, in the reviews at 3, 6 and 12 months, with no significant differences between I and S. At 6 months, the reduction in the anxiety scale was around 3 points for both treatments (S = 3.6 and I = 3.2), without reaching significant differences. At 12 months, it was somewhat higher for those treated with I, but always around 3 points and without significant differences. The Depression scale score was slightly reduced at 6 months, and in a similar way for both groups (I = 1 and S = 1.19;p = 0.8). After 12 months, group I doubled the previous reduction, with group S experiencing a very slight change (I = 1.96 and S = 1.03;p = 0.3). When analysing the effect of group S on group I, the result was a reduction of 0.25 points for Anxiety (p = 0.7) and of 0.02 points for Depression (p = 0.9). Conclusions: Treatment of CTS with I or S results in a similar and discrete improvement in Anxiety scores on the HADS scale at 6 and 12 months. For both types of treatment, the Depression scores barely changed at 6 months, being somewhat higher in group I after 12-month follow-up. The independent effect of the S on both scales is small and not significant.
文摘区域蒸散量(evapotranspiration)预测对精准灌溉预报与农田水分管理意义重大。该文利用川中丘陵区11个气象站点1961-2013年逐日气象资料,采用FAO-56 Penman-Monteith公式计算参考作物蒸散量(reference evapotranspiration,ET0),基于Hadley Centre Coupled Model version 3(HadCM3)的输出和统计降尺度模型(statistical downscaling model,SDSM)分别对A2(高温室气体排放)、B2(低温室气体排放)情景下川中丘陵区2014-2099年ET0进行预测,并使用Mann-Kendall检验和反距离加权插值法对1961-2099年ET0的时空演变特征进行分析。结果表明:基准期(1961-2010年)川中丘陵区ET0整体呈现明显下降趋势,空间上呈现出东北部、西北部和东南部相对较大、中部相对较小的差异;与基准期相比,A2、B2情景下未来2020 s(2011-2040年)、2050 s(2041-2070年)和2080 s(2071-2099年)川中丘陵区ET_0月和年均值都呈增大趋势;A2情景下3个时期ET0将分别增加7.9%、10.9%和16.7%,B2情景下ET_0将分别增加7.1%、4.9%和12.8%;A2、B2情景下3个时期川中丘陵区ET_0空间分布均呈现西北部和南部较大、中部较小的空间差异,且3个时期的ET0相对变化率显示中部及其偏北、偏南区域ET_0增幅相对较大,北部和南部增幅相对较小。因此,未来川中丘陵区ET0的上升可能导致水资源短缺与季节性干旱进一步加剧。该研究可为川中丘陵区水资源优化管理和灌溉制度制定提供科学参考。