IntroductionIn our country, within the scope of the community-based cancer screening program in primary health care institutions, HPV and Pap smear tests are appliedbetween the ages of 30 and 65 for cervical cancer screening, and is repeated every 5 years. This study aims to analyze the cervical cancer screening test results and define the prevalence of HPV genotypes in our province to provide preventive strategies for public health. Materials and MethodsIn the study, cervical cancer screening tests taken between January 2017 and August 2022 in primary health care institutions and Cancer Early Diagnosis and Screening Training Centers (KETEM) in Bursa were evaluated using the Public Health Management Systems (HSYS) database. ResultsA total of 118865 tests taken from women aged 30-65 years were evaluated for cervical cancer screening in primary care in Bursa province. The mean age of the women in the study was 46.19±9.06, and the prevalence of HPV was calculated as 5.6% in the samples taken. More than one HPV type was positive in some cases, and the most common type detected in the study was HPV16 (25.6%). A total of 89.6% of HPV were high-risk types. The frequency of abnormal cytological findings was 56.8% and high-risk HPV was 90.6% in the 30-44 age group; the frequency of abnormal cytological findings was 27.5% and high-risk HPV was 88.4% in the 45-54 age group and the frequency of abnormal cytological findings was 15.7% and high-risk HPV was 88.7% in the 55-65 age group and these were statistically significant (p=0.019 ve p=0.001). ConclusionHPV screening and sampling in high-risk species for the early diagnosis of cervical cancer are an increasingly continuing strategy in our country and around the world. Despite the different frequencies of HPV types reported from many provinces of our country and around the world, HPV 16 and 18 are the most common factors to cause cancer increase the importance of HPV vaccination. Each region should conduct its own prevalence study, determine the most common cervical cytology, age group and HPV types to constitute the first step in determining the precautions for high risk populations.

Objective: The study was conducted to determine the fall risk of patients hospitalized in the palliative care services of state hospitals affiliated to Bursa health directorate and to determine the differences between the groups with and without malnutrition risk. Method: The sample of the study, which was planned as a descriptive study, consisted of consecutive (n=573) patients over 65 years of age who were hospitalized in the palliative care services of public hospitals affiliated to Bursa Health Directorate in the first six months of 2022. The Itaki Fall Risk Scale (19 questions), which will be used to determine the study data, socio-demographic and clinical data of patients (13 questions), fall risk and fall event (13 questions), and fall risk score (for patients aged 17 and over), Nutritional risk collected using the test. Statistical analysis of the data obtained was done using the frequency and percentage, chi-square test in SPSS for Windows 18.0 program. Results: The number of hospitalized patients during the time we worked in palliative care services was 752. Of these, 573 people over the age of 65 were included in our study. The median age of the group aged 65-100 years is 80. 53.2% were female, 46.8% were male. 92% of them had at least one chronic disease. The three most common chronic diseases were HT, Alzheimer's and Cerebrovascular Disease, respectively. A statistically significant difference was observed in the scoring of COPD, Alzheimer's and pressure ulcers in the groups with and without nutritional risk, respectively.(p<0.001, p<0.001, p<0.001) Conclusion: Malnutrition, falls, and bedsores can be prevented early in patients screened with appropriate scales. In this way, it may be possible to prevent the burden of disease on the caregiver, the society, and the state.

Objective: In this study, it was aimed to determine the level of health literacy and related factors in Bursa. Methods: It was determined by the simple random random sampling method from the population of the Family Physicians in Bursa and the 17 districts of Bursa were weighted according to their populations, and the districts where less than 50 questionnaires would be applied were excluded from the scope of the study. In June-July 2018, 2200 people were surveyed, 188 surveys were excluded from the research due to inadequacies in the data and a total of 2012 surveys were evaluated. Results: As a result of the logistic regression analysis of the factors age, education, health status, income level and reading habits were found to be associated with having sufficient health literacy level. Accordingly, adequate level of health literacy; in individuals aged 15- 44, 1.25 times compared to individuals aged 45 and over, 1.36 times more than those with a high school or higher education, secondary school and below, 1.81 times more than those with good health and poor health, it was observed that it was 1.32 times higher in those with a good income level than those with a low income level and 1.45 times more in those with a habit of reading books than in those without a habit of reading. Conclusion: In our health literacy study conducted in Bursa province, we showed the relationship between age, education status, income level, education level, reading habits and health literacy. Health literacy; a concept that has been put forward for the last twenty years for health service delivery, is known to be effective in a wide process ranging from cost-effective patient-physician satisfaction, where it can change the results of health service expectations. In order to protect the society without the need for rehabilitation without getting sick for a total welfare, screening and education activities should increasingly continue

Introduction: This study aims at finding valuable information for predicting vaccination intentions against COVID-19 to guide future interventions to address hesitation. Methodology: This observational study consists of 1010 volunteer health workers from the state hospitals in Bursa, and 1111 volunteers from the non-healthcare group, unvaccinated against COVID-19. In the study, the participants were asked about their sociodemographic information and reasons for refusing the COVID-19 vaccine by face-to-face interview. Results: We classified the unvaccinated healthcare worker group as group 1, and the unvaccinated non-health workers group as group 2. Between groups 1 and 2, vaccination refusal, education level, income level, and pregnancy status were statistically significant (p < 0.001). The groups differed in the reasons for vaccine refusal and recommending vaccination to the relatives of those who refused vaccination (p < 0.001). Conclusions: Healthcare workers have priority among high-risk groups considered candidates for early vaccination. Therefore, it is important to consider health professionals' attitudes towards COVID-19 vaccination to better address barriers to widespread vaccination. The role of healthcare professionals is also important, as it encourages the entire community to be vaccinated with role-modeling behavior and advises patients and communities.

Objective: This study aims to investigate the effect of biomarkers such as CRP, ferritin, troponin, lymphopenia, and D-dimer in predicting disease severity and clinical outcome. Identifying an effective and predictive biomarker will help to evaluate patients' risk and improve overall clinical management of patients with COVID-19 Material and Methods: In this retrospective cohort study, 1458 patients who were taken to intensive care follow-up due to COVID-19 across the province of Bursa were evaluated. Age, gender, and laboratory data such as ferritin, D-dimer, White Blood Cell (WBC), C-reactive protein, troponin values, chronic diseases, length of stay in the intensive care unit, and mortality were recorded. The relation of these variables with mortality was analyzed. Results: There was no significant difference between the groups regarding age and length of stay in the intensive care unit (p=379, p=0.094). There was a statistically significant difference between the groups for ferritin, CRP, D-dimer, troponin, and WBC variables (p<0.001). In the ROC analysis, it was seen that the sensitivity value for ferritin was 86.08%, the specificity value was 85.23%, and the AUC: 0.902 had a high level of diagnostic value. Conclusion: An increase in acute phase reactants was associated with mortality in patients followed up for COVID-19. This may be related to the increased cytokine response triggered by the disease.