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Öğe Birth types and opinion on caesarean section of women who gave birth within last 10 years in diyarbakir(2011) Ceylan A.; Yigitalp G.; Saka G.; Ertem M.Objective: In this study we aimed to determine the alteration of birth types by years and opinion of women on caesarean section (C/S) who gave birth within last 10 years in Diyarbakir. Material and Methods: A cross sectional study was conducted in the area of 12 primary healthcare centres in Diyarbakir between March and April 2010. In each primary healthcare centres area it was planned to reach 50 mothers (25 women not working and 25 working women) who had at least one child less than 10 years old and totally 497 women were interviewed. A structured questionnaire including sociodemographic features, birth types within last ten years and opinions about C/S was introduced to women. For intermittent variables percentage distributions, for continue variables arithmetic means were calculated and chi square analyse was used for cross tabulates. Result: Mean age of mothers was 30.6 ± 5.6 and 53.3% of women was housewives. 57% of health workers, 43,5% of other employed women and 29.4% of housewives had at least one C/S during their lives. 64,9% of women who had C/S were satisfied with it. Having no labor pain 49.2% and facing with no problems 17.8% were the reasons for C/S satisfaction shown by women. The unsatisfaction reasons were pain (27.4%), late wound healing (24.2%) and abdominal fat fall (6.5%). During 10 years, 497 women gave 833 births. 30.8% of them was C/S. Birth types according to years were dramatically changed. Thirteen point seven percent of children born ten years ago were delivered by C/S while this ratio was 31.2% in 5 years old children and 46.3% in 0-12 months children. Conclusion: Within last 10 years, C/S births had been increased gradually and decision of both physicians and families had played an important role in this reason. Copyright © 2011 by Türkiye Klinikleri.Öğe Drinking water quality at accommodations in the Southeastern Anatolian Project Region(2006) Ceylan A.; Saka G.; Ilçin E.; Acemoğlu H.; Palanci Y.; Bozkur A.I.; Şahinöz S.This study was aimed to determine drinking water quality at accommodations and houses in the Southeastern Anatolian Project (SEAP) Region. It was designed as a cross-sectional study in 9 cities at SEAP Region, Turkey in 2001. Sample was chosen by Institute of Statistics by sampling method proportional to size. Totally, 230 cluster and 1150 houses were visited with an optimum sample size representing the rural and urban area of SEAP Region. Firstly, questionnaires about house and household water were applied and then, water samples were collected for microbiological and chemical analyses. The level of clorinization of household water was also measured. Totally 79.9% of the houses (59% in rural, 93% in urban) were supplying their drinking-water by piped community water. Approximately 75% of water samples did not contain chlorin, 45.9% of water samples were defined as infected microbiologically and 28.4% chemically. Failure to provide healthy drinking water in this region will result to the risk of outbreaks of intestinal and other infectious diseases.Öğe Evaluation of porter examination of food factory workers(Refik Saydam National Public Health Agency (RSNPHA), 2020) Toktaş I.; Ceylan A.Objective: The aim of this study was to determine the prevalence of Salmonella spp., Shigella spp. and parasites in the gaita and the prevalence of staphylococcus in the nose and to prevent the spread of diseases by treating the identified carriers the food factory workers in Diyarbakir. Methods: This descriptive study was carried out between 15 November and 30 December 2009. According to the records of the Provincial Directorate of Agriculture in Diyarbakir province, there are 15 food factories and 568 personnel work in these food factories. 50% of the employees working in the food factories in the province were aimed to be sampled. A questionnaire was applied to 252 individuals who agreed to participate in the study. Nasal and stool samples were taken from all the food workers who were surveyed and written consent was obtained from the participants. However, since nine people did not have laboratory results due to lack of samples or sampling, 243 people (85.6% of thesample) were included in the study. Nasal specimens were collected from 237 subjects and stool specimens were taken from 217 subjects. Stool samples of the employees were evaluated within half an hour. The data obtained were calculated frequency, percentage and mean values by using SPSS program. Chi-square, Fisher's Exact tests were used for statistical analysis. P<0.05 was considered statistically significant. Results: The mean age of the study group was 30,9 ± 8,9 years and 93,4% of them were male. The incidence of parasites in stool was found to be higher in the workers whose toilet was not connected to the sewer system or whose toilet was outside the house (p <0,05). Staphylococcus aureus carriage was found to be 5,49 times higher in the cooks than in the other employees. On the nose S. aureus carriage rate was 7.6% and parasite carriage in the intestine was 7.4%. In the Gaita culture, Salmonella spp. and Shigella spp. were observed but no growth was observed. Conclusion: The high level of parasitic carriage and S. aureus carriage in the food factory workers indicate the lack of personal hygiene in employees. The S. aureus carriage was found to be higher in the nose of the cooks than the other workers. In the porter examination, the patients who were found to be carriers or patients were treated and hygiene training was provided to the employees. © 2020 Refik Saydam National Public Health Agency (RSNPHA.Öğe Prevalence of asthma and other allergic disorders among schoolchildren in Diyarbakir, Turkey(2001) Ece A.; Ceylan A.; Saraçlar Y.; Saka G.; Gürkan F.; Haspolat K.This study was performed to describe the prevalence rates of allergic diseases among children in southeast Anatolia. A questionnaire survey of children six to 15 years old was conducted using a modified version of the Turkish translated ISAAC protocol, with additional questions concerning sociodemographic and environmental characteristics of children that could be potential risk factors for allergic disorders. Questionnaires were distributed to parents of all children aged below 11 years and to children themselves aged over 11 for completion. A total of 3,040 children returned the questionnaires. The lifetime prevalence rates of asthma, wheezing, allergic rhinitis and atopic dermatitis were 14.1%, 22.4%, 12.9%, and 7.8%, respectively. The prevalence of wheezing, rhinitis and chronic rash in the last 12 months were 14.7%, 39.9%, and 11.8%, respectively. The prevalence rates of symptoms and diagnoses of allergic disorders were similar in boys and girls. Passive smoking, pet ownership, number of household and socioeconomic status were not significant risk factors for allergic diseases. Family history of atopy was the most prominent risk factor for all types of allergic diseases. high prevalence rates of asthma, rhinitis and eczema exist among schoolchildren in southeast Anatolia.Öğe Seroprevalence of hepatitis b and tetanus among ezidian (Yazidi) women fleeing war(Bulgarian Society for Microbiology (Union of Scientists in Bulgaria), 2018) Özcan N.; Bulut Z.K.; Evinç E.; Yiğitalp G.; Özekinci T.; Ceylan A.Women suffer much from wars and forced migrations. In 2014, Ezidians (Yazidis) living in Iraq migrated to Syria and then to Turkey due to civil war. Tetanus is a bacterial infection caused by Clostridium tetani spores getting into the body. Hepatitis B is an infection caused by the hepatitis B virus. Both hepatitis B and tetanus are vaccine-preventable diseases. We aimed to evaluate the seroprevalence of tetanus and hepatitis B among Yazidi women who had fled to our country and have been living in a tent city. This study was conducted in Diyarbakır province, located in Southeastern Turkey, between July 2015 and February 2016. A total of 245 Yazidi women aged between 15 and 49 years, living in a tent city, were included. HBsAg, anti-HBs and anti-HBcIgG were studied by ELISA method with Cobas e 601 (Roche Diagnostics, Switzerland) system autoanalyzer. Antibodies to tetanus toxin were tested by ELISA method with the Virotech ELISA tetanus (Virotech, Germany). Of the 245 women, 38 (15.5%) had vaccine-induced immunity, while 11 (4.5%) had antibodies against hepatitis B due to previous exposure. Two women (0.8%) had isolated anti-HBcIgG positivity. Among 245 women, 96 (39.2%) had anti-tetanus antibodies. This population was notably susceptible to both tetanus and hepatitis B. Vaccination of this sensitive population was important for the well-being of the women, their spouses and children to be born. © 2018, Bulgarian Society for Microbiology (Union of Scientists in Bulgaria). All rights reserved.Öğe Tetanus seroprevalence among pregnant women in ben-u sen health center in diyarbakir(Gulhane Military Medical Academy, 2011) Ceylan A.; Çöplü N.; Saka G.; Gül K.; Sönmez C.; Esen B.; Bozyel O.A.AIM: At the aim of this study was to determine the tetanus seroprevalence among pregnant women and childbearing aged woman living in the Ben-u Sen Health Center region that is in lower socio-economical level. METHOD: In this descriptive study, a team including the staff of health center and several volunteers visited the houses of pregnant women living in the health center coverage region and questionnaires were completed through face to face interviews. The study group included 214 pregnant women. Among them, serum samples of 197 subjects' were studied for anti-toxic antibody for tetanus. For control, serum samples from 200 women living in the same health center region were collected. It was evaluated as partially protective, protective and longterm protection when tetanus antibody level was 0,01-<0,1 IU/ml, 0,1-<1.0 IU/ml and 1,0 IU/ml and over, respectively. RESULTS: The mean age of the women was 26.4, mean marriage and first pregnancy ages were 17.9 and 18.9, respectively, and 40% of the subjects had never been examined or received follow up by a health center. It was revealed that 25.8% of the subjects were not protected and 74.2% had a full protection level of antibody. Within the control group, the same levels of antibodies were detected in 40.0% and 60.0% of the women, respectively. CONCLUSION: The study indicates that the immunity levels against tetanus are not satisfactory and every childbearing aged woman should be included in a vaccination program whenever they receive any examination in a health center.Öğe Typhoid fever outbreak in Ahmetli village, Ergani-Diyarbakir(2003) Ceylan A.; Acemo?lu H.; Hoşo?lu S.; Gül K.; Ilçin E.; Efe M.Salmonella typhi leads to typhoid fever outbreaks due to the contamination of drinking water. In this study, a typhoid fever outbreak due to drinking water contamination in Ahmetli willage, Ergani-Diyarbakir, in the period of December 25, 2001 - January 4, 2002 was evaluated. A total of 181 suspicious cases were admitted to different health care centers during the outbreak and 71 (39.2%) of them were hospitalized. Gruber-Widal test could be performed for only 8 hospitalized patients, and were found positive in 6 of them. S.typhi was isolated from 3 of the 26 blood cultures and two of the 73 stool cultures of the patients. All village inhabitants were visited and suspicious cases were screened for salmonellosis. It was shown that the village-drinking water was contaminated with sewage. No S.typhi was isolated from the drinking water since it was previously disinfected. Maintenance of drinking water supply system, individual chloride usage and education were recommended, as safety causions.
