{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:45:36Z","timestamp":1791888336861,"version":"4.3.4"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"unspecified","delay-in-days":285,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326104698_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare dermatologic outpatient diagnostic frequencies before and after the February 6, 2023 Hatay earthquake and to evaluate the implications of these temporal changes for disaster-responsive dermatologic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104698_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study compared tertiary-center dermatology outpatient diagnosis records from the pre-earthquake (February 6, 2021-February 3, 2023) and post-earthquake (May 11, 2023-February 6, 2025) periods. Diagnoses were classified into 18 categories and 69 ICD-10-coded subdiagnoses. Logistic regression adjusted for age, sex, and calendar month using patient-clustered robust standard errors; aORs with 95% CIs and FDR-adjusted q values were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104698_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 41,012 diagnosis records, 19,646 were from the pre-earthquake period and 21,366 from the post-earthquake period. After adjustment, infestations\/insect bites were more frequently represented in the post-earthquake diagnostic mix (aOR 2.55, q &lt; 0.001). Dermatitis (aOR 1.17, q &lt; 0.001), bacterial diseases (aOR 1.58, q &lt; 0.001), environmentally induced diseases (aOR 1.51, q = 0.003), and sexually transmitted diseases (aOR 1.50, q &lt; 0.001) were also more frequently represented. Acneiform disorders were less frequently represented (aOR 0.61, q &lt; 0.001). Despite a crude increase, fungal infections did not differ significantly in the adjusted analysis (aOR 1.04, q = 0.149).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104698_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Post-earthquake records showed more infestations and selected infectious and environmentally related diagnoses, but lower representation of some chronic disorders. These clinic-based associations support dermatologic surveillance, infection control, and continuity of care in disaster planning without implying population-level prevalence changes or causal earthquake effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10469","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:50:59Z","timestamp":1791885059000},"source":"Crossref","is-referenced-by-count":0,"title":["Shifts in Dermatology Outpatient Diagnostic Patterns Following a Major Earthquake: A Comparative Pre- and Post-Disaster Study"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0368-9096","authenticated-orcid":false,"given":"Selen","family":"Taner Akbay","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/056hcgc41","id-type":"ROR","asserted-by":"publisher"}],"name":"Hatay Mustafa Kemal 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