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Öğe Are Primary Health Care Workers Aware of Cervical Cancer Risk?(Asian Pacific Organization Cancer Prevention, 2014) Can, Huseyin; Erdem, Ozgur; Oztekin, Coskun; Celik, Sercan Bulut; Onde, Mete; Celepkolu, Tahsin; Ongel, KurtulusBackground: We here examined the awareness of female health employees (doctors, nurses, midwives) working in primary health care service about cervical cancer and its risk factors. Additionally attitude and behavior for gynecologic examination and pap smear screening wwere researched. Materials and Methods: This cross-sectional, descriptive study con cerned female health employees working at primary health care services in two southern cities of Turkey, over a four month period in 2013. Participants were recently or previously sexually active research was explained and verbal informed consent was obtained face to face. The questionnaire consisted of two parts; socio-demographic characteristics and level of knowledge about cervical cancer and its risk factors. Results: The average age of the participants (midwives 43.7%, n=143; nurses 40.4%, n=132; doctors 6.4%, n=21; emergency medical technicians and others, 9.5%, n=31; total, n=327) was 30.9 +/- 6.41 years. 64.2% (n=210) were working in Diyarbakir and 35.8% (n=117) in Batman. A large proportion reported low knowledge and inadequate screening practice Conclusions: Health employees should be better informed about the importance of screening for cancers, given their preventive roles for the general population.Öğe THE EVALUATION OF NEPHROPATHY RISK FACTORS IN TYPE 2 DIABETES(Carbone Editore, 2014) Celepkolu, Tahsin; Tanriverdi, Mehmet Halis; Celk, Sercan Bulut; Bucaktepe, Pakize Gamze Erten; Can, Huseyin; Aslan, Ilknur; Kibrisli, ErkanIntroduction: The prevalence of diabetes has been increasing at an alarming rate worldwide. Thus, the complications of diabetes are increasingly prevalent and each year three million people die as a result of its chronic complications. In our study, we aimed to compare nephropathic and non neplzropathic patients according to socio-denzographic features, biochemical parameters, and proteinuria characteristics. Methods: Data of 923 type 2 diabetic patients, who were admitted to our Department between January 2000 and December 2008, were analysed retrospectively. The records of 378 patients were included in the study and classified as normoalbuminuric, microalbuminuric and macroalbumhzuric. These groups were compared in terms of demographic, clinical and laboratory findings to investigate the risk factors related to nephropathy. Results: Of the 378 patients, 224 were female (59%) and 154 were male (41%). The mean age was 58.9 +/- 9.7 years. A total of 100 patients (265%) with micro and macroalbuminuria were identified as nephropathic. In the nephropathic group, the levels of FBG (Fasting Blood Glucose), PBG (Postprandial Blood Glucose), HbAl c (Hemoglobin Al c= glycosylated hemoglobin), urea, and creatinine, and the duration of known diabetes were significantly increased when compared with the non-nephropathic group. Diastolic blood pressure and urea levels were significantly higher and creatinine clearance was significantly lower in the macroalbuminuric group. Conclusion: We found a significant relationship between nephropathy and HbAl c, an important indicator of blood glucose control. Therefore, it is essential to provide aggressive blood pressure management and long-term glycaeinic control in order to reduce cardiovascular risk, prevent the development of diabetic nephropathy and ESRF (End Stage Renal Failure), and reduce overall mortality and morbidity. Education of diabetic patients about the risks and complications of elevated blood pressure and poor glycaemic control is a critical component of clinical practice.Öğe EVALUATION OF THE REACHING TARGET VALUES IN PATIENTS WITH HYPERTENSION AND IMPORTANCE OF TENSION FOLLOW-UP CARDS(Carbone Editore, 2014) Can, Huseyin; Celik, Sercan Bulut; Celepkolu, Tahsin; Akbayin, Zelal; Guclu, Yusuf Adnan; Ongel, Kurtulus; Cakir, LutfullahAim: To detect the efficiancy of the tension follow-up cards, which are used to follow tension, in achieving target values in the treatment of hypertensionl. Material and method: The research planned as a multicenteral, noninterventional observe and follow-up. was made in IS different Family Health Care units in different 7 cities, in Turkey, between November 2011 and April 2012. Patients diagnosed as essential hypertension and who were already taking at least one antihypertensive medicine, who were above 18 years old, were informed about the study and accepted 529 patients were involved into the study The patients involved were divided into two groups as experimental group and control group. The patients in the experimental group were given,a tension follow up card while the control group were not Both of the groups were given appoinments for control at the end of the fourth week. For statistical analysis, chi-square test, t-test and multiple variable logistic regression analysis were used. Results: Study was performed on 529 hypertensive patients; 247 (46.7%) were in the experimental, 282 (53.3%) were in the control group. In total; 332 patients (62.8%) were women and 197 patients (37.2%) were men. Mean age for the patients was 58.15 +/- 10.68 (mm 32 max:90) and mean body mass index was 30.76 +/- 5.18 (min:18.31 max 52.07) No statistical difference Was found between experimental and control groups for the begining tension values, except for the first visit first systole measurement. After one month, all measurements were repeated. For all measurements in the second visit, tension values of the experimental group were statistically lower than the control group (p<0.00 I). Conclusion: Patients who get treatment for hypertension but don't reach target blood pressure values constitudes high risk in the society. Data obtained from the study showed that; to control hypertension effectively, patients must be under control and must participate in the follow-up actively.Öğe Preliminary analysis of Plasmodium vivax genotypes isolated in southeastern Turkey(Springer Int Publ Ag, 2015) Doskaya, Aysu Degirmenci; Doskaya, Mert; Caner, Ayse; Gul, Kadri; Nergiz, Sebnem; Can, Huseyin; Guruz, YukselPlasmodium vivax is the most common cause of malaria worldwide as well as southeastern Turkey. After the implementation of a successful national elimination program that the local malaria cases were not reported in 2011, malaria returned to county of Savur located in southeastern Turkey in summer of 2012. The present study aimed to determine the prevalent P. vivax genotypes isolated from southeastern Turkey. Genetic polymorphism in P. vivax CSP gene was analyzed by PCR-RFLP to assess the ratio of VK210 and VK247 types. Blood samples were obtained from 15 patients who lived in southeastern between 2005-2006. According to the results, VK210 type was detected in 10 samples (66.6%), VK247 type was observed in three samples (20%). Remaining two samples showed mixed infection (13.3%). The results of the present study first time showed the ratio of P. vivax genotypes in southeastern Turkey before the elimination in 2011. The results of the present study will be enable researchers to compare the new isolates with the previously detected ones and design new treatment and/elimination strategies.
