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Öğe Cigarette use frequency and the affecting factors in primary and high school students in Diyarbakir(Turkish Assoc Tuberculosis & Thorax, 2009) Palanci, Yilmaz; Saka, Gunay; Tanrikulu, Abdullah Cetin; Acemoglu, HamitCigarette, alcohol and substance use is a worldwide threat which especially affects young people and a preventable public health problem. Aim of the study is to investigate the prevalence of substance use and the factors affecting this prevalence among the students of primary and high school students in Diyarbakir. 62% of the students were males, and 38% were females. The age range was from 11 to 20 and the mean age was 15.2 + 2.0. The smoking prevalence was a total of 14.8% (6.0% in females and 20.2% in males), 5.8% in primary school students, 23.7% in high school students. The mean first-smoking age was found as 12.6 + 2.3 years. Smoking were more common among male students than girls. Close friends and teachers were source of imitation to smoke cigarettes. Other associated factors were age, buying cigarettes from the corner shops for parents, usage of other addictive substances. Cigarette use among students attending to schools in Diyarbakir is significant health problem and preventive interventions should be employed without delay. Interventions which will be implemented in this context not only should comprise the young, but also the all society. Families, teachers and primary school students are the groups which are of priority for intervention. The law about cigarette smoking should be fully enforced.Öğe Intracranial hemorrhage: Clinical and demographic features of patients with late hemorrhagic disease(Wiley, 2011) Pirinccioglu, Ayfer Gozu; Gurkan, Fuat; Boşnak, Mehmet; Acemoglu, Hamit; Davutoglu, MehmetBackground: This retrospective study presents clinical, demographical features and radiological findings as well as outcomes of 31 infants with intracranial hemorrhage (ICH) due to vitamin K deficiency and hence evaluates the risk factors involved. Methods: Thirty-one cases (17 males and 14 females) having a mean age of 52.52 +/- 20.80 days with intracranial hemorrhage due to late hemorrhagic disease of the newborn (LHDN), hospitalized in our clinics were included in the study. Cranial computerized tomography (CT) was performed in all patients for the diagnosis and evaluation of ICH. Results: It was found that the most frequent presenting symptoms were pallor (77.4%), seizures (58%), altered consciousness (58%), vomiting (44%) and poor feeding (35%). Pulsatile fontanel was found in 61% and bulging in 26%. Seven (22.5%) patients had prior history of antibiotic usage. All patients (93.5%) except two were breast fed. Sixteen (51.6%) were delivered at home. Eighteen (58%) had a history of single-dose vitamin K prophylaxis on the first day of delivery. Parenchymal (44%), subdural (39%) or subarachnoidal (22.5%) bleeding was observed. Seven (22.6%) were exitus. During the follow-up period (ranging from 3 months to 18 months) neurological examination findings were recorded. Conclusion: Our results indicate that it may be questionable whether single-dose vitamin K prophlaxis at birth is adequate for the prevention of LHDN and if a different timing of this prophylaxis should be made for the exclusively breast fed infants.Öğe Levels of Health Care Utilization in Patients with Type 2 Diabetes Mellitus(Aves, 2006) Acemoglu, Hamit; Ertem, Meliksah; Bahceci, Mithat; Tuzcu, AlpaslanObjective: A diabetic patient should be provided a planned care and professional help throughout his life. Although sustained health-care is important for the disease, few patients, especially in developing countries, can reach health-care facilities and treatment. In the planning of the health-care policies, it is very important to know how many patients can reach these facilities. Aim of the study was to determine and compare the level of health care facility use by the patients with type 2 diabetes mellitus among the patients who use various health care facilities. Materials and Methods: The data was obtained via structured questionnaire which were filled by face to face interviews made between October 2002 and December 2002. The level of health care facility use was measured according to the Diabetes Care Scale and the affecting factor of using were studied. Results: Generally, level of health care facility use was found to be low among diabetics; moreover, chronic complications were high among diabetics and they were not appropriately advised by the health care professionals. The Diabetic Care Scale score was found to be significantly higher in the patients who admit to university hospital (43.3 +/- 19.3) compared with those who admit to other health care centers (30.3 +/- 19.1)(p=0.0001). Of the patients, 79.6% had at least one chronic complication, the 13.6% had no problem to reach the diabetes nurse, and 59.6% had no problem to reach the doctor. But it was found that 47.6% of the patients were not using their drugs regularly. In our study, 52% of patients were able to be evaluated for HbA1c. Conclusion: In Diyarbakir, the place of the study, the scores show that diabetic patients have difficulties to reach to the health care system. Because effective health care is very important for the diseases like diabetes, the barriers for the patients to use of preventive health care system should be eliminated. National Diabetes control program should be distributed to the general country and the medical service presented to the patients should be effective in all steps. Standard diagnosis and treatment guidelines should be prepared and the patients should be examined according to these guidelines. Once the diabetes diagnosis is confirmed, every patient should be given diabetes education.Öğe The Results of the Poll Which is about Rank of Knowledge of Viral Hepatitis at High School Students(Galenos Yayincilik, 2005) Celen, Mustafa Kemal; Ayaz, Celal; Geyik, Mehmet Faruk; Hosoglu, Salih; Acemoglu, Hamit; Ulug, MehmetViral hepatitis is an infectious diseases which is accepted liver, has five type A, B, C, D and E. Both sewer system's in sufficiency and hygiene rules does not adjust in our region because of this reason students were needed to know against methods for viral hepatitis especially. For this reason the poll which is about students rank of knowledge of hepatitis B, was taken in Anatolia Industry Vocational High School at Diyarbakir. 2003-2004 education years high school students (n=452) were included in this study. Poll forms which have got rady before, was dialed before thirty minutes, the seminar whose topic is against for viral hepatitis, began. 16 questions were asked to students in the poll than their rank of knowledge was investigated in three groups: good, medium and bad; according to their answes. 352 students (197 male, 155 female, mean age 15.8 +/- 1.2 years) were paticipated in this poll. These students were in high school class 1 (52%), class 2 (29%), class 3 (19%). Inspite of viral hepatitis topic involves in curriculum of The Ministry of Education, students (92%) were wanted to give them information about viral hepatitis at lessons in their school. Students answered questions of the poll medium level (63.4%), good (20.5%) and bad ( 16.2%). The relationship between parents of student's rank of knowledge about hepatitis B was meaningful by the statistical analysis which is done (p<0.01). Also the relationship between student's socioeconomic level and student's ranke of knowledge about for students from the cooperation between The Ministry of Education and Health an order to complete high school students lack of knowledge and to illuminate their neighborhood about hepatitis B, should be suitable.Öğe Seroprevalence and genotyping of hepatitis B, hepatitis C and HIV among healthy population and Turkish soldiers in Northern Cyprus(Baishideng Publishing Group Inc, 2006) Altindis, Mustafa; Yilmaz, Sebahattin; Dikengil, Tansel; Acemoglu, Hamit; Hosoglu, SalihAIM: To compare the prevalence of hepatitis viral markers among soldiers from Turkey, blood donors from Northern Cyprus, and soldiers from Northern Cyprus. METHODS: Hepatitis B surface antigen (HBsAg), anti-HCV and anti-human immunodeficiency virus (HIV) seroprevalence, HBV DNA, HCV RNA and HCV genotyping among soldiers from Turkey (group I), civil blood donors from Northern Cyprus (group R), and soldier candidates from Northern Cyprus (group M) were studied and compared to one another. In total, 17545 cases (13546 males and 3999 females with a mean age of 34.5 +/- 10.3 year, group I = 11234, group II = 5057, and group III = 1254) were included into the study. RESULTS: Among all cases, HBsAg positivity rates were 2.46%, anti-HCV was 0.46% and anti-HIV was 0.00%. HBV DNA was 2.25%, HCV RNA was 0.33% in all groups. Hl3sAg positivity rates were 2.16% in group I, 3.00% in group II and 2.71% in group M. There was a significant difference between group I and group II (chi(2) = 6.11, P = 0.047 < 0.05). Anti-HCV positivity rates were 0.45% in group I, 0.45% in group II, and 0.56% in group M. Genotypes of HCV were 1b and 1a in group I, 1b, la and 2 in group II, and 1b, 1a in group III. HBsAg carrier rates were 2.20% in females and 2.53% in males. Anti-HCV prevalence was 0.38% in females and 0.48% in males. Hl3sAg positivity rates were 2.53% in individuals younger than 50, and 1.47% in older than 50. There was a significant difference between the two groups (chi(2) = 23.48, P = 0.001). CONCLUSION: Prevalences of Hl3sAg, HCV and HIV infections in Northern Cyprus population are similar to those of Turkey. (C) 2006 The WJG Press. All rights reserved.Öğe Vaccination coverage in the South-East Anatolian Project (SEAP) region and factors influencing low coverage(2006) Özçırpıcı, Birgül; Şahinöz, Saime; Özgür, S.; Bozkurt, Ali İhsan; Şahinöz, Turgut; Ceylan, Ali; İlçin, Ersen; Saka, Günay; Acemoglu, Hamit; Palancı, Yılmaz; 0000-0002-5111-0627; 0000-0002-5019-8719; 0000-0001-9478-5491; 0000-0002-4667-8103Objectives: To determine the vaccination coverage of children living in the South-east Anatolian Project (SEAP) region; whether the vaccination coverage was similar to formal reports, other studies and other countries; and which factors influence vaccination, in order to indicate how vaccination coverage can be improved. Study design: A descriptive cross-sectional study conducted in nine provinces of the SEAP region in order to determine public health problems and their causes. Methods: A population-based sample of 1150 houses was selected from rural and urban areas of the SEAP region and visited by the researchers. Questionnaires were applied in 2001 and 2002. Results: In the SEAP region, only 30% of children had received a complete set of vaccines. The vaccination coverage was 76.7% for Bacille Calmette-Guérin; 62.0% for the third doses of diphtheria, tetanus toxoid, pertussis and polio vaccine; 62.7% for measles; 44% for the third dose of hepatitis B vaccine in children aged 12-23 months; and 13.3% for the second dose of tetanus toxoid in women who gave birth in the last 5 years. In logistic regression analysis, residence type, number of siblings, birth interval, follow-up visits of midwives, and maternal level of education were found to influence whether children were completely vaccinated. Conclusions: The findings of this study indicate that vaccination coverage is not acceptable in the SEAP region. Efforts must focus on family planning services, education of women, follow-up visits and strengthening health facilities, especially in rural regions, to improve vaccination. © 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.
