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Nutritional Recommendations for Post-Disaster Clinical Symptoms

Year 2023, Volume: 8 Issue: 2, 669 - 674, 21.06.2023

Çağla Ayer , Buse Bakır , Gamze Çalık , Gamze Yurtdaş Depboylu , Tuba Yalçın , Gülşah Kaner

Abstract

Disasters are events that occur out of human control and may have an impact on individuals’ nutritional status. Two devastating earthquakes in the Southeastern Anatolia Region reminded us of various clinical symptoms such as crushing and refeeding syndrome, gastrointestinal symptoms that occur in disaster situations and the necessity of nutritional interventions towards them. In this review, clinical symptoms that may occur after a disaster are discussed, and it is aimed to offer nutritional recommendations and solutions for these symptoms.

Keywords

Disaster crush syndrome gastrointestinal symptoms refeeding syndrome

References

  • Chaudhary MT, Piracha A. Natural disasters—origins, impacts, management. Encyclopedia. 2021;1(4):1101-31.
  • İstanbul: Boğaziçi Üniversitesi Kandilli Rasathanesi ve Deprem Araştırma Enstitüsü. Depremle ilgili teknik bilgiler [Internet]. 2023 [cited 2023 Feb. 23]. Available from: http://www.koeri.boun.edu.tr/sismo/ bilgi/depremnedir/index.htm
  • Yaghmaei N. Human cost of disasters: an overview of the last 20 years, 2000-2019: UN Office for Disaster Risk Reduction; [Internet]. 2020 [cited 2023 Feb. 23]. Available from: https://www.undrr.org/quick/50922
  • Ahmed I. Key building design and construction lessons from the 2023 Türkiye-Syria earthquakes. Architecture. 2023;3(1):104-6.
  • OCHA. Türkiye: 2023 earthquakes situation report No. 7, as of 6 March 2023. [Internet]. 2023 [cited 2023 Mar. 7]. Available from: https:// reliefweb.int/report/turkiye/turkiye-2023-earthquakes-situationreport- no-7-6-march-2023
  • Inoue T, Nakao A, Kuboyama K, Hashimoto A, Masutani M, Ueda T, et al. Gastrointestinal symptoms and food/nutrition concerns after the great East Japan earthquake in March 2011: survey of evacuees in a temporary shelter. Prehosp Disaster Med. 2014;29(3):303-6.
  • Rajagopalan S. Crush injuries and the crush syndrome. Med J Armed Forces India. 2010;66(4):317-20.
  • Bywaters EG, Beall D. Crush injuries with impairment of renal function. 1941. J Am Soc Nephrol. 1998;9(2):322-32.
  • Yokota J. Crush syndrome in disaster. Japan Med Assoc J. 2005;48(7):341.
  • Türk Nefroloji Derneği. Crush (Ezilme) Sendromu ve Marmara Depreminden Çıkarılan Dersler [Internet]. 2002 [cited 2023 Mar. 7]. Available from: https://nefroloji.org.tr/tr/icerik/genel-5/crush-ezilmesendromu- ve-marmara-depreminden-cikarilan-dersler-438.
  • Tanaka H, Oda J, Iwai A, Kuwagata Y, Matsuoka T, Takaoka M, et al. Morbidity and mortality of hospitalized patients after the 1995 Hanshin- Awaji earthquake. Am J Emerg Med. 1999;17(2):186-91.
  • Yavuz M. Crush sendromu ve akut böbrek yetmezliği. Turkish J Nephrol. 1999;8(4).
  • Yıldırım E, Kaymaz B, Dörtler H, Üstündağ SE, Akdeniz A, Erbaş O. Crush sendromu. İst. Bilim Üniv. Florence Nightingale Tıp Derg..4(4):213- 8.
  • Smith J, Greaves I. Crush injury and crush syndrome: a review. J Trauma. 2003;54(5 Suppl):S226-30.
  • Porter K, Greaves I. Crush injury and crush syndrome: a consensus statement. Emerg Nurse. 2003;11(6):26-30.
  • Lovallo E, Koyfman A, Foran M. Crush syndrome. AfJEM. 2012;2(3):117-23.
  • Kurultak İ. Deprem yaralanmalı erişkin hastada ezilme (crush) sendromu. TOTBİD Derg. 2022;21:294-303
  • Mardones A, Arellano P, Rojas C, Gutierrez R, Oliver N, Borgna V. Prevention of crush syndrome through aggressive early resuscitation: clinical case in a buried worker. Prehosp Disaster Med. 2016;31(3):340-2.
  • Sever MS, Erek E, Vanholder R, Akoğlu E, Yavuz M, Ergin H, et al. The Marmara earthquake: epidemiological analysis of the victims with nephrological problems. Kidney Int. 2001;60(3):1114-23.
  • Aygin D, Atasoy İ. Crush sendromu tedavi ve bakımı. J Nursology. 2008;11(1):93-100.
  • Erek E, Sever MS, Serdengeçti K, Vanholder R, Akoğlu E, Yavuz M, et al. An overview of morbidity and mortality in patients with acute renal failure due to crush syndrome: the Marmara earthquake experience. NDT. 2002;17(1):33-40.
  • Jagodzinski NA, Weerasinghe C, Porter K. Crush injuries and crush syndrome—a review. Part 1: the systemic injury. Trauma. 2010;12(2):69- 88.
  • Persaud-Sharma D, Saha S, Trippensee AW. Refeeding syndrome [Internet]. 2022 [cited 2023 Mar. 7]. Available from: https://www.ncbi. nlm.nih.gov/books/NBK564513/
  • Reber E, Friedli N, Vasiloglou MF, Schuetz P, Stanga Z. Management of refeeding syndrome in medical inpatients. J. Clin. Med. 2019;8(12):2202.
  • Friedli N, Odermatt J, Reber E, Schuetz P, Stanga Z. Refeeding syndrome: update and clinical advice for prevention, diagnosis and treatment. Curr Opin Gastroenterol. 2020;36(2):136-40.
  • Castro MA, Martínez CV. The refeeding syndrome. Importance of phosphorus. Med Clin (Eng). 2018;150(12):472-8.
  • Koekkoek WA, Van Zanten AR. Is refeeding syndrome relevant for critically ill patients? Curr Opin Clin Nutr Metab Care. 2018;21(2):130-7.
  • Ponzo V, Pellegrini M, Cioffi I, Scaglione L, Bo S. The Refeeding syndrome: a neglected but potentially serious condition for inpatients. A narrative review. Intern Emerg Med. 2021;16:49-60.
  • da Silva JS, Seres DS, Sabino K, Adams SC, Berdahl GJ, Citty SW, et al. ASPEN consensus recommendations for refeeding syndrome. Nutr Clin Pract. 2020;35(2):178-95.
  • Krutkyte G, Wenk L, Odermatt J, Schuetz P, Stanga Z, Friedli N. Refeeding Syndrome: a critical reality in patients with chronic disease. Nutrients 2022, 14, 2859.
  • McKnight C, Newberry C, Sarav M, Martindale R, Hurt R, Daley B. Refeeding syndrome in the critically ill: a literature review and clinician’s guide. Curr Gastroenterol Rep. 2019;21:1-7.
  • Maayeshi N, Salehi-Abargouei A. Nutrition support in earthquakes: a comprehensive program is needed for Iran. JDER 2020;1(2):51-4.
  • Tominaga K, Nakano M, Hoshino M, Hiraishi H. Large-scale disaster and gastrointestinal diseases. Clin J Gastroenterol. 2013;6(2):99-104.
  • Kaya AD, Ozturk CE, Yavuz T, Ozaydin C, Bahcebasi T. Changing patterns of hepatitis A and E sero‐prevalences in children after the 1999 earthquakes in Duzce, Turkey. JPC. 2008;44(4):205-7.
  • Sencan I, Sahin I, Kaya D, Oksuz S, Yildirim M. Assessment of HAV and HEV seroprevalence in children living in post-earthquake camps from Düzce, Turkey. Eur J Epidemiol. 2004:461-5.
  • Karadenizli A, Gurcan S, Kolayli F, Vahaboglu H. Outbreak of tularaemia in Golcuk, Turkey in 2005: report of 5 cases and an overview of the literature from Turkey. Scand J Infect Dis. 2005;37(10):712-6.
  • Gdalevich M, Ashkenazi I. Infection control in earthquake rescue team. The Lancet. 1999;354(9189):1564.
  • Vahaboglu H, Gundes S, Karadenizli A, Mutlu B, Cetin S, Kolayli F, et al. Transient increase in diarrheal diseases after the devastating earthquake in Kocaeli, Turkey: results of an infectious disease surveillance study. CID. 2000;31(6):1386-9.
  • Öztürk CE, Şahin İ, Yavuz T, Öztürk A, AkgünoĞlu M, Kaya D. Intestinal parasitic infection in children in post‐disaster situations years after earthquake. Pediatr Int. 2004;46(6):656-62.
  • Suvak B, Dulger AC, Suvak O, Aytemiz E, Kemik O. The prevalence of helicobacter pylori among dyspeptic patients in an earthquake-stricken area. Clinics. 2015;70:69-72.
  • Silvestros C, Mellou K, Williams C, Triantafyllou E, Rigakos G, Papoutsidou E, et al. A rapid post-disaster surveillance model enabling outbreak detection and healthcare response following earthquakes on Kefalonia island, Greece, February-May 2014. RRH. 2017. 17(1):1-6.
  • Shiga H, Miyazawa T, Kinouchi Y, Takahashi S, Tominaga G, Takahashi H, et al. Life-event stress induced by the Great East Japan Earthquake was associated with relapse in ulcerative colitis but not Crohn's disease: a retrospective cohort study. BMJ open. 2013;3(2):e002294.
  • Farthing M, Salam MA, Lindberg G, Dite P, Khalif I, Salazar-Lindo E, et al. Acute Diarrhea in Adults and Children: A Global Perspective. J Clin Gastroenterol. 2013;47(1):12-20.
  • World Health Organization. Oral rehydration salts : production of the new ORS. Geneva: World Health Organization; [Internet]. 2006 [cited 2023 Mar. 7]. Available from: https://apps.who.int/iris/ handle/10665/69227
  • Aghsaeifard Z, Heidari G, Alizadeh, R. Understanding the use of oral rehydration therapy: A narrative review from clinical practice to main recommendations. Health Sci Rep., 2022;5(5), e827.
  • Bresee JS, Duggan C, Glass RI, King CK. Managing acute gastroenteritis among children; oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003;52(No. RR-16).
  • World Health Organization. The treatment of diarrhoea: a manual for physicians and other senior health workers. World Health Organization. [Internet]. 2005 [cited 2023 Mar. 7]. Available from: https://www.who. int/publications/i/item/9241593180
  • Florez ID, Nino-Serna LF, Beltran-Arroyave CP. Acute infectious diarrhea and gastroenteritis in children. Curr Infect Dis Rep. 2020;22:1- 12.
  • World Health Organization. Public health risk assessment and interventions: Turkey: earthquake: October 2011. World Health Organization. [Internet]. 2011 [cited 2023 Mar. 7]. Available from: https://apps.who.int/iris/handle/10665/70756
  • Angood C. Operational guidance on infant feeding in emergencies (OG-IFE) version 3.0. Emergency Nutrition Network. [Internet]. 2017 [cited 2023 Mar. 7]. Available from: https://www.ennonline.net/ operationalguidance-v3-2017
  • Koç, E., Çetinkaya M, Baş AY, Poyrazoğlu H, Bakkaloğlu S, Kara A, Çiftçi E. (Deprem Bölgesinde Doğan, Sevk Edilen veya Başvuran Yenidoğanın Yönetimi Rehberi. [Internet]. 2023 [cited 2023 Apr. 20]. Available from: http://www.cocukenfeksiyondernegi.org/upload/TND_DEPREM_ BOLGESI_YENIDOGAN_BAKIM_REHBERI_SON_15.02.2023.pdf
  • Öney B, Akman K. Afet Durumlarında Beslenme Hizmetleri. Afet ve Risk Dergisi, 2022;5(1), 239-246.)

Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri

Year 2023, Volume: 8 Issue: 2, 669 - 674, 21.06.2023

Çağla Ayer , Buse Bakır , Gamze Çalık , Gamze Yurtdaş Depboylu , Tuba Yalçın , Gülşah Kaner

Abstract

Afetler, insan kontrolü dışında meydana gelen ve bireylerin beslenme durumlarını etkileyebilen olaylardır. Güneydoğu Anadolu Bölgesi’nde meydana gelen iki yıkıcı deprem bizlere afet durumlarında meydana gelen crush (ezilme) ve refeeding sendromu, gastrointestinal semptomlar gibi çeşitli klinik semptomları ve bunlara yönelik beslenme müdahalelerinin gerekliliklerini hatırlatmıştır. Bu derlemede ise afet sonrası meydana gelebilecek klinik semptomlar ele alınmış, bu semptomlara yönelik beslenme ve çözüm önerileri getirilmesi amaçlanmıştır.

Keywords

Afet ezilme sendromu gastrointestinal semptomlar refeeding sendromu

References

  • Chaudhary MT, Piracha A. Natural disasters—origins, impacts, management. Encyclopedia. 2021;1(4):1101-31.
  • İstanbul: Boğaziçi Üniversitesi Kandilli Rasathanesi ve Deprem Araştırma Enstitüsü. Depremle ilgili teknik bilgiler [Internet]. 2023 [cited 2023 Feb. 23]. Available from: http://www.koeri.boun.edu.tr/sismo/ bilgi/depremnedir/index.htm
  • Yaghmaei N. Human cost of disasters: an overview of the last 20 years, 2000-2019: UN Office for Disaster Risk Reduction; [Internet]. 2020 [cited 2023 Feb. 23]. Available from: https://www.undrr.org/quick/50922
  • Ahmed I. Key building design and construction lessons from the 2023 Türkiye-Syria earthquakes. Architecture. 2023;3(1):104-6.
  • OCHA. Türkiye: 2023 earthquakes situation report No. 7, as of 6 March 2023. [Internet]. 2023 [cited 2023 Mar. 7]. Available from: https:// reliefweb.int/report/turkiye/turkiye-2023-earthquakes-situationreport- no-7-6-march-2023
  • Inoue T, Nakao A, Kuboyama K, Hashimoto A, Masutani M, Ueda T, et al. Gastrointestinal symptoms and food/nutrition concerns after the great East Japan earthquake in March 2011: survey of evacuees in a temporary shelter. Prehosp Disaster Med. 2014;29(3):303-6.
  • Rajagopalan S. Crush injuries and the crush syndrome. Med J Armed Forces India. 2010;66(4):317-20.
  • Bywaters EG, Beall D. Crush injuries with impairment of renal function. 1941. J Am Soc Nephrol. 1998;9(2):322-32.
  • Yokota J. Crush syndrome in disaster. Japan Med Assoc J. 2005;48(7):341.
  • Türk Nefroloji Derneği. Crush (Ezilme) Sendromu ve Marmara Depreminden Çıkarılan Dersler [Internet]. 2002 [cited 2023 Mar. 7]. Available from: https://nefroloji.org.tr/tr/icerik/genel-5/crush-ezilmesendromu- ve-marmara-depreminden-cikarilan-dersler-438.
  • Tanaka H, Oda J, Iwai A, Kuwagata Y, Matsuoka T, Takaoka M, et al. Morbidity and mortality of hospitalized patients after the 1995 Hanshin- Awaji earthquake. Am J Emerg Med. 1999;17(2):186-91.
  • Yavuz M. Crush sendromu ve akut böbrek yetmezliği. Turkish J Nephrol. 1999;8(4).
  • Yıldırım E, Kaymaz B, Dörtler H, Üstündağ SE, Akdeniz A, Erbaş O. Crush sendromu. İst. Bilim Üniv. Florence Nightingale Tıp Derg..4(4):213- 8.
  • Smith J, Greaves I. Crush injury and crush syndrome: a review. J Trauma. 2003;54(5 Suppl):S226-30.
  • Porter K, Greaves I. Crush injury and crush syndrome: a consensus statement. Emerg Nurse. 2003;11(6):26-30.
  • Lovallo E, Koyfman A, Foran M. Crush syndrome. AfJEM. 2012;2(3):117-23.
  • Kurultak İ. Deprem yaralanmalı erişkin hastada ezilme (crush) sendromu. TOTBİD Derg. 2022;21:294-303
  • Mardones A, Arellano P, Rojas C, Gutierrez R, Oliver N, Borgna V. Prevention of crush syndrome through aggressive early resuscitation: clinical case in a buried worker. Prehosp Disaster Med. 2016;31(3):340-2.
  • Sever MS, Erek E, Vanholder R, Akoğlu E, Yavuz M, Ergin H, et al. The Marmara earthquake: epidemiological analysis of the victims with nephrological problems. Kidney Int. 2001;60(3):1114-23.
  • Aygin D, Atasoy İ. Crush sendromu tedavi ve bakımı. J Nursology. 2008;11(1):93-100.
  • Erek E, Sever MS, Serdengeçti K, Vanholder R, Akoğlu E, Yavuz M, et al. An overview of morbidity and mortality in patients with acute renal failure due to crush syndrome: the Marmara earthquake experience. NDT. 2002;17(1):33-40.
  • Jagodzinski NA, Weerasinghe C, Porter K. Crush injuries and crush syndrome—a review. Part 1: the systemic injury. Trauma. 2010;12(2):69- 88.
  • Persaud-Sharma D, Saha S, Trippensee AW. Refeeding syndrome [Internet]. 2022 [cited 2023 Mar. 7]. Available from: https://www.ncbi. nlm.nih.gov/books/NBK564513/
  • Reber E, Friedli N, Vasiloglou MF, Schuetz P, Stanga Z. Management of refeeding syndrome in medical inpatients. J. Clin. Med. 2019;8(12):2202.
  • Friedli N, Odermatt J, Reber E, Schuetz P, Stanga Z. Refeeding syndrome: update and clinical advice for prevention, diagnosis and treatment. Curr Opin Gastroenterol. 2020;36(2):136-40.
  • Castro MA, Martínez CV. The refeeding syndrome. Importance of phosphorus. Med Clin (Eng). 2018;150(12):472-8.
  • Koekkoek WA, Van Zanten AR. Is refeeding syndrome relevant for critically ill patients? Curr Opin Clin Nutr Metab Care. 2018;21(2):130-7.
  • Ponzo V, Pellegrini M, Cioffi I, Scaglione L, Bo S. The Refeeding syndrome: a neglected but potentially serious condition for inpatients. A narrative review. Intern Emerg Med. 2021;16:49-60.
  • da Silva JS, Seres DS, Sabino K, Adams SC, Berdahl GJ, Citty SW, et al. ASPEN consensus recommendations for refeeding syndrome. Nutr Clin Pract. 2020;35(2):178-95.
  • Krutkyte G, Wenk L, Odermatt J, Schuetz P, Stanga Z, Friedli N. Refeeding Syndrome: a critical reality in patients with chronic disease. Nutrients 2022, 14, 2859.
  • McKnight C, Newberry C, Sarav M, Martindale R, Hurt R, Daley B. Refeeding syndrome in the critically ill: a literature review and clinician’s guide. Curr Gastroenterol Rep. 2019;21:1-7.
  • Maayeshi N, Salehi-Abargouei A. Nutrition support in earthquakes: a comprehensive program is needed for Iran. JDER 2020;1(2):51-4.
  • Tominaga K, Nakano M, Hoshino M, Hiraishi H. Large-scale disaster and gastrointestinal diseases. Clin J Gastroenterol. 2013;6(2):99-104.
  • Kaya AD, Ozturk CE, Yavuz T, Ozaydin C, Bahcebasi T. Changing patterns of hepatitis A and E sero‐prevalences in children after the 1999 earthquakes in Duzce, Turkey. JPC. 2008;44(4):205-7.
  • Sencan I, Sahin I, Kaya D, Oksuz S, Yildirim M. Assessment of HAV and HEV seroprevalence in children living in post-earthquake camps from Düzce, Turkey. Eur J Epidemiol. 2004:461-5.
  • Karadenizli A, Gurcan S, Kolayli F, Vahaboglu H. Outbreak of tularaemia in Golcuk, Turkey in 2005: report of 5 cases and an overview of the literature from Turkey. Scand J Infect Dis. 2005;37(10):712-6.
  • Gdalevich M, Ashkenazi I. Infection control in earthquake rescue team. The Lancet. 1999;354(9189):1564.
  • Vahaboglu H, Gundes S, Karadenizli A, Mutlu B, Cetin S, Kolayli F, et al. Transient increase in diarrheal diseases after the devastating earthquake in Kocaeli, Turkey: results of an infectious disease surveillance study. CID. 2000;31(6):1386-9.
  • Öztürk CE, Şahin İ, Yavuz T, Öztürk A, AkgünoĞlu M, Kaya D. Intestinal parasitic infection in children in post‐disaster situations years after earthquake. Pediatr Int. 2004;46(6):656-62.
  • Suvak B, Dulger AC, Suvak O, Aytemiz E, Kemik O. The prevalence of helicobacter pylori among dyspeptic patients in an earthquake-stricken area. Clinics. 2015;70:69-72.
  • Silvestros C, Mellou K, Williams C, Triantafyllou E, Rigakos G, Papoutsidou E, et al. A rapid post-disaster surveillance model enabling outbreak detection and healthcare response following earthquakes on Kefalonia island, Greece, February-May 2014. RRH. 2017. 17(1):1-6.
  • Shiga H, Miyazawa T, Kinouchi Y, Takahashi S, Tominaga G, Takahashi H, et al. Life-event stress induced by the Great East Japan Earthquake was associated with relapse in ulcerative colitis but not Crohn's disease: a retrospective cohort study. BMJ open. 2013;3(2):e002294.
  • Farthing M, Salam MA, Lindberg G, Dite P, Khalif I, Salazar-Lindo E, et al. Acute Diarrhea in Adults and Children: A Global Perspective. J Clin Gastroenterol. 2013;47(1):12-20.
  • World Health Organization. Oral rehydration salts : production of the new ORS. Geneva: World Health Organization; [Internet]. 2006 [cited 2023 Mar. 7]. Available from: https://apps.who.int/iris/ handle/10665/69227
  • Aghsaeifard Z, Heidari G, Alizadeh, R. Understanding the use of oral rehydration therapy: A narrative review from clinical practice to main recommendations. Health Sci Rep., 2022;5(5), e827.
  • Bresee JS, Duggan C, Glass RI, King CK. Managing acute gastroenteritis among children; oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003;52(No. RR-16).
  • World Health Organization. The treatment of diarrhoea: a manual for physicians and other senior health workers. World Health Organization. [Internet]. 2005 [cited 2023 Mar. 7]. Available from: https://www.who. int/publications/i/item/9241593180
  • Florez ID, Nino-Serna LF, Beltran-Arroyave CP. Acute infectious diarrhea and gastroenteritis in children. Curr Infect Dis Rep. 2020;22:1- 12.
  • World Health Organization. Public health risk assessment and interventions: Turkey: earthquake: October 2011. World Health Organization. [Internet]. 2011 [cited 2023 Mar. 7]. Available from: https://apps.who.int/iris/handle/10665/70756
  • Angood C. Operational guidance on infant feeding in emergencies (OG-IFE) version 3.0. Emergency Nutrition Network. [Internet]. 2017 [cited 2023 Mar. 7]. Available from: https://www.ennonline.net/ operationalguidance-v3-2017
  • Koç, E., Çetinkaya M, Baş AY, Poyrazoğlu H, Bakkaloğlu S, Kara A, Çiftçi E. (Deprem Bölgesinde Doğan, Sevk Edilen veya Başvuran Yenidoğanın Yönetimi Rehberi. [Internet]. 2023 [cited 2023 Apr. 20]. Available from: http://www.cocukenfeksiyondernegi.org/upload/TND_DEPREM_ BOLGESI_YENIDOGAN_BAKIM_REHBERI_SON_15.02.2023.pdf
  • Öney B, Akman K. Afet Durumlarında Beslenme Hizmetleri. Afet ve Risk Dergisi, 2022;5(1), 239-246.)
There are 52 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Derlemeler
Authors

Çağla Ayer 0000-0001-6124-7339

Buse Bakır 0000-0001-5884-5063

Gamze Çalık 0000-0002-9160-7750

Gamze Yurtdaş Depboylu 0000-0001-5410-7231

Tuba Yalçın 0000-0002-4820-8180

Gülşah Kaner 0000-0001-5882-6049

Early Pub Date July 13, 2023
Publication Date June 21, 2023
Submission Date March 14, 2023
Published in Issue Year 2023 Volume: 8 Issue: 2

Cite

APA Ayer, Ç., Bakır, B., Çalık, G., Yurtdaş Depboylu, G., et al. (2023). Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(2), 669-674.
AMA Ayer Ç, Bakır B, Çalık G, Yurtdaş Depboylu G, Yalçın T, Kaner G. Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri. İKÇÜSBFD. June 2023;8(2):669-674.
Chicago Ayer, Çağla, Buse Bakır, Gamze Çalık, Gamze Yurtdaş Depboylu, Tuba Yalçın, and Gülşah Kaner. “Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 8, no. 2 (June 2023): 669-74.
EndNote Ayer Ç, Bakır B, Çalık G, Yurtdaş Depboylu G, Yalçın T, Kaner G (June 1, 2023) Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 8 2 669–674.
IEEE Ç. Ayer, B. Bakır, G. Çalık, G. Yurtdaş Depboylu, T. Yalçın, and G. Kaner, “Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri”, İKÇÜSBFD, vol. 8, no. 2, pp. 669–674, 2023.
ISNAD Ayer, Çağla et al. “Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 8/2 (June 2023), 669-674.
JAMA Ayer Ç, Bakır B, Çalık G, Yurtdaş Depboylu G, Yalçın T, Kaner G. Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri. İKÇÜSBFD. 2023;8:669–674.
MLA Ayer, Çağla et al. “Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 8, no. 2, 2023, pp. 669-74.
Vancouver Ayer Ç, Bakır B, Çalık G, Yurtdaş Depboylu G, Yalçın T, Kaner G. Afet Sonrası Görülebilecek Klinik Semptomlara Yönelik Beslenme Önerileri. İKÇÜSBFD. 2023;8(2):669-74.
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