{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:37:46Z","timestamp":1785404266323,"version":"3.56.0"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"unspecified","delay-in-days":222,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789325101699_sec1\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study is to examine the effect of the heat index over a 1-week period in the region where patients reside on those presenting to the emergency department (ED) with complaints of acute diarrhea and diagnosed with amoebic diarrhea based on their test results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101699_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study retrospectively analyzed patients who presented with acute diarrhea to a tertiary health care center over the course of 1 year, focusing on the association between symptomatic amoebic diarrhea cases and the 7-day average heat index prior to admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101699_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1406 patients were included in the analysis, of whom 251 (17.9%) were diagnosed with amebiasis, while 1155 (82.1%) were classified as non-amebiasis. Multivariate logistic regression analysis identified an increased 7-day heat index average (OR: 1.12, 95% CI: 1.099-1.141,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) as independent predictors of amebiasis. The proportion of amebiasis cases demonstrated a moderate positive correlation with the heat index at lag 0 (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.55,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), peaking at lag 4 (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.57,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). This correlation remained statistically significant up to lag 14 (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.46,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.013) but weakened substantially at longer lags\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101699_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study determined that in diarrhea patients presenting to the ED, the average increase in the heat index during the week prior to admission influenced the detection rate of amoebic infections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10169","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T09:57:19Z","timestamp":1754906239000},"source":"Crossref","is-referenced-by-count":0,"title":["Effect of Average Heat Index on the Diagnosis of Amoebic Diarrhea in Emergency Departments: A Climate Change Perspective Study"],"prefix":"10.1017","volume":"19","author":[{"given":"Neslihan","family":"Erg\u00fcn S\u00fczer","sequence":"first","affiliation":[{"name":"University of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4279-297X","authenticated-orcid":false,"given":"Omerul Faruk","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04z33a802","id-type":"ROR","asserted-by":"publisher"}],"name":"Istanbul Yeni Y\u00fczy\u0131l University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8166-659X","authenticated-orcid":false,"given":"Sarper","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01c2wzp81","id-type":"ROR","asserted-by":"publisher"}],"name":"Kartal Dr. Lutfi Kirdar City Hospital"},{"name":"Turkish Emergency Medicine Association"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"S1935789325101699_r10","unstructured":"10. Amoebiasis: Advances in Diagnosis, Treatment, Immunology Features and the Interaction with the Intestinal Ecosystem - PubMed. Accessed January 4, 2025. https:\/\/pubmed.ncbi.nlm.nih.gov\/37511519\/"},{"key":"S1935789325101699_r13","unstructured":"13. Heat Index Calculation. Accessed January 4, 2025. https:\/\/www.wpc.ncep.noaa.gov\/html\/heatindex.shtml"},{"key":"S1935789325101699_r17","unstructured":"17. Amebiasis. Institut Pasteur. October 6, 2015. Accessed January 4, 2025. https:\/\/www.pasteur.fr\/en\/medical-center\/disease-sheets\/Amebiasis"},{"key":"S1935789325101699_r18","first-page":"186","article-title":"Symptomatic intestinal amoebiasis and climatic parameters","volume":"35","author":"Erdem","year":"2003","journal-title":"Scand J Infect Dis."},{"key":"S1935789325101699_r21","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2024.118803"},{"key":"S1935789325101699_r8","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/8.2.228"},{"key":"S1935789325101699_r15","doi-asserted-by":"publisher","DOI":"10.1088\/1748-9326\/ad3144"},{"key":"S1935789325101699_r22","unstructured":"22. Clinical and Microscopic Predictors of Entamoeba histolytica Intestinal Infection in Travelers and Migrants Diagnosed with Entamoeba histolytica\/dispar infection - PubMed. Accessed January 4, 2025. https:\/\/pubmed.ncbi.nlm.nih.gov\/30372434\/"},{"key":"S1935789325101699_r16","unstructured":"16. Diarrhoeal Disease. Accessed January 5, 2025. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/diarrhoeal-disease"},{"key":"S1935789325101699_r1","unstructured":"1. United Nations. (n.d.). What is climate change? United Nations. Accessed January 5, 2025. https:\/\/www.un.org\/en\/climatechange\/what-is-climate-change"},{"key":"S1935789325101699_r11","doi-asserted-by":"publisher","DOI":"10.3201\/eid2701.202119"},{"key":"S1935789325101699_r2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2018.07.033"},{"key":"S1935789325101699_r14","unstructured":"14. Heat Index Calculator. ISGLOBAL. Accessed January 4, 2025. https:\/\/www.isglobal.org\/heat-index-calculator"},{"key":"S1935789325101699_r9","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofy161"},{"key":"S1935789325101699_r12","unstructured":"12. Meteoroloji Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc. Accessed January 4, 2025. https:\/\/www.mgm.gov.tr\/veridegerlendirme\/il-ve-ilceler-istatistik.aspx?m=ISTANBUL"},{"key":"S1935789325101699_r5","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2020.143732"},{"key":"S1935789325101699_r19","doi-asserted-by":"publisher","DOI":"10.1080\/21505594.2022.2158656"},{"key":"S1935789325101699_r20","unstructured":"20. Acclimatization Across Space and Time in the Effects of Temperature on Mortality: A Time-series Analysis | Environmental Health | Full Text. Accessed November 26, 2024. https:\/\/ehjournal.biomedcentral.com\/articles\/10.1186\/1476-069X-13-89"},{"key":"S1935789325101699_r6","unstructured":"6. Osilla, EV , Marsidi, JL , Shumway, KR , et al. Physiology, temperature regulation. In: StatPearls. StatPearls Publishing; 2024. Accessed November 20, 2024. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK507838\/"},{"key":"S1935789325101699_r3","doi-asserted-by":"publisher","DOI":"10.1038\/s41558-022-01426-1"},{"key":"S1935789325101699_r4","unstructured":"4. Heat Index: When Humidity Makes it Feel Hotter | Blogs | CDC. June 5, 2017. Accessed November 20, 2024. https:\/\/blogs.cdc.gov\/niosh-science-blog\/2017\/06\/05\/heat-index\/"},{"key":"S1935789325101699_r7","doi-asserted-by":"crossref","unstructured":"7. Amoebiasis. Wkly Epidemiol Rec. 1997;72(14):97\u201399.","DOI":"10.1080\/08276331.1997.10600546"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325101699","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T09:57:21Z","timestamp":1754906241000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325101699\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":22,"alternative-id":["S1935789325101699"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10169","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e231"}}