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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 Determination of cigarette drinking curriculum and investigation of some demographic effects of grade 1 students of Dicle University Faculty of Medicine(European Publishing, 2018) Yildiz, Bilal; Isen, Gozde; Saka, Gunay[Abstract Not Available]Öğe Etkisi The Effect of Transport on Mortality and Morbidity in Preterm Infants Less than 32 Weeks of Gestation(Galenos Yayincilik, 2014) Katar, Selahattin; Yildiz, Dogan; Turgut, Abdulkadir; Taskesen, Mustafa; Saka, GunayIntroduction: The aim of this study was to compare mortality and morbidity rates of premature infants with gestational age of less than 32 weeks who were born in our hospital and those who were transported to our hospital after birth from other centers. Materials and Methods: Patients were divided into two groups; Group 1 included 40 patients who were born before gestational age of 32 weeks in our hospital, and Group 2 included 108 premature patients who were born before gestational age of 32 weeks in other centers and later transferred to our hospital. Morbidity and mortality rates were compared between the two groups (intraventricular hemorrhage (IVH), retinopathy of prematurity (ROP), respiratory distress syndrome (RDS), necrotizing enterocolitis (NEC), and bronchopulmonary dysplasia (BPD)). Results: Demographic characteristics, gender, body weight, and gestational age were similar in both groups (p> 0.05). The rate of normal vaginal delivery births was higher in Group 2 (p< 0.001). On admission, hypothermia was detected in 90% of the patients and hypoglycemia was found in 2.7% of patients in Group 2. Mortality was higher in Group 2 than in Group 1, however the difference was not significant (p> 0.05). Although higher rates of IVH, ROP, RDS, NEC, and BPD were found in Group 2, there was no statistically significant difference between the two groups (p> 0.05). Conclusions: Being transferred after birth has a negative effect on morbidity and mortality in premature infants. Thus, the best transport method is intrauterine transport except in state of an emergency, especially for infants with severe prematurity; these patients should be treated in centers with facilities of the highest level.Öğe Evaluation of Bone Mineral Density in Terms of Veiling, Socioeconomiical Status and Educatiional Level in Turkish Women Over 40 Years. Veiling May Be A Risk Factor For Osteoporosis(Galenos Yayincilik, 2006) Bahceci, Mithat; Ertem, Meliksah; Saka, Gunay; Gokalp, Deniz; Karacomak, Zuhre; Akdeniz, Nurten; Tuzcu, AlpaslanBackground and aims: Headscarf is a mild kind of veiling, worn for various intentions. We aimed to evaluate effect of veiling, educational status, living area and nutrition on BMD in women over 40 years. Subjects and methods: Four hundred thirty nine moslem women, living in different region (suburb and house provided to workers) of Diyarbakir, aged over 40 years (with mean age 48,9+ 11,3 years) were included to study. The predicted factors influencing BMD were investigated by using a questionnaire. Body weights and heights were measured. BMI was expressed as weight (kilograms) per height (meters) squared. Body fat percent and fat mass were determined by bioelectric impedance. Bone Mineral Density (BMD) was determined with radiographic absorptiometry (RA) in three middle fingers. Results: Living in suburban region (p=0.0001), family history of osteoporosis (p<0.002), low education level (p=0.0001), insufficient calcium intake (p<0.001), parity over 4 (p=0.0001), low body height (p=0.0001), veiling (p=0.0001) and low body weight (p< 0.002) and height (p=0.0001) and duration of menopause (p=0.0001) were the factors with negative effects on BMD. Prevalence of osteoporosis was also higher in illiterate women (p=0.0001), women living in slum (p=0.0001), veiled women (p=0.0001), insufficient nutritional status (p< 0.03) and positive family history for osteoporosis (p< 0.002). Conclusions: In addition to well known factors for osteoporosis such as living in slum, illiteracy, high parity number, insuficient nutrition, and duration of menopause; veiling may also be an important factor for low BMD. Veiled women should be screened for low BMD and osteoporosis regularly.Öğe Experience of workplace violence during medical speciality training in Turkey(Oxford Univ Press, 2008) Acik, Yasemin; Deveci, Erhan; Gunes, Gulsen; Gulbayrak, Canan; Dabak, Sennur; Saka, Gunay; Vural, GulsenAims To determine the type, extent and effects of workplace violence among residents during postgraduate speciality training in various departments of medical schools in Turkey. Methods A cross-sectional survey was conducted in seven medical schools representing all geographical regions of Turkey. All physicians in speciality training in the selected medical schools were asked to complete a semi-structured 'violence questionnaire' addressing the type (emotional, physical and sexual) and extent of violence experienced, the perpetrators of the violence and the victim's reactions to the experience. Results A total of 1712 residents out of 2442 completed the questionnaire. In all, 68% indicated they had experienced some form of workplace violence, 67% had experienced verbal violence, 16% had experienced physical violence and 3% had experienced sexual violence. The victims' most prevalent reactions to violence included being deeply disturbed but feeling they had to cope with it for the sake of their career (39%), being distressed (26%) but considering that such events are common in all occupations and discounting it and being confused and bewildered and unsure how to respond (19%). The most frequently named perpetrators of verbal violence were relatives/friends of patients (36%) and academic staff (36%), followed by other residents/senior residents (21%), patients (20%), heads of department (13%) and non-medical hospital staff (6%). Conclusions Physicians in speciality training in medical schools in Turkey are subject to significant verbal, physical or sexual violence. Precautions to prevent such exposure are urgently needed.Öğe Metallic corneal foreign bodies: an occupational health hazard(Consel Brasil Oftalmologia, 2014) Ozkurt, Zeynep Gursel; Yuksel, Harun; Saka, Gunay; Guclu, Hande; Evsen, Sina; Balsak, SelahattinPurpose: To analyze the risk factors, outcomes, demographic characteristics, and attitudes of workers with metallic corneal foreign body (FB) injury. Methods: One hundred consecutive patients who presented with a metallic corneal FB to the eye clinic at Diyarbakir Training and Research Hospital were evaluated. The patients completed a questionnaire and were examined to determine features of the injury. Results: All patients were male. The mean age was 32.46 +/- 1.03 years. Fifty-five percent of the patients were unregistered workers, 59% were working in the metal industry sector, and 65% injuries resulted from metal cutting. Protective goggles were available in the workplace of 64% patients. However, 57% patients were not wearing goggles when the accident occurred, and 43% were injured despite goggle use. Most patients (52%) attempted to remove FBs by themselves. FBs were located in the central zone of the cornea in 16% patients. Rust marks remained after FB removal in 26% patients. Corneal scars from previous FB injuries were present in 58% patients. Only 8% workplaces provided compensation for physician visits for occupation-related illnesses. Conclusions: Workplaces with a high risk for eye injuries should increase their protective measures, and educational programs should be implemented for both workers and occupational physicians. The government should enforce laws regarding unregistered workers in a better manner.Öğe Post abortion family planning counseling as a tool to increase contraception use(Biomed Central Ltd, 2009) Ceylan, Ali; Ertem, Meliksah; Saka, Gunay; Akdeniz, NurtenBackground: To describe the impact of the post-abortion family planning counseling in bringing about the contraceptive usage in women who had induced abortion in a family planning clinic. Method: The Diyarbakir Office of Turkish Family Planning Association (DTFPA) is a nonprofit and nongovernmental organization which runs a family planning clinic to serve the lower socioeconomic populations, in Diyarbakir-Turkey. Post abortion counseling is introduced by using proper communication skills and with using appropriate methods to women. In this study we introduced contraceptive usage of women who had induced abortion one year ago and followed by DTFPA's clinic. Results: 55.3% of our clients were not using contraceptive methods before abortion. At the end of the one year, 75.9% of our followed-up clients revealed that they were using one of the modern contraceptive methods. There was no woman with IUD before induced abortion. At the end of one year 124 (52.3%) women had IUD. A modern method was introduced immediately after abortion was the most important factor increasing modern method usage. Conclusion: Our results advocate that post-abortion counseling may be an effective tool to increase the usage of contraceptives. Improved and more qualified post-abortion family planning counseling should be an integral part of abortion services.Öğe Prevalence of cigarette smoking and cessation among 15 years old and older people in Kayapinar district of Diyarbakir(European Publishing, 2018) Gorduk, Mehmet; Saka, Gunay; Kolsuz, Selcuk[Abstract Not Available]Öğe The prevalence of disability and contributory factors in Turkey's Southeastern Anatolia region(Springer Heidelberg, 2022) Arca, Muhammed; Saka, GunayAim To determine the prevalence, types, time of disability, and the factors leading to disability in all age groups in the population. Subject and methods A cross-sectional design was used to study a group of 1069 people in the center of Hazro province in Turkey's Southeastern Anatolia Region. Data were collected by visiting 199 households and by face-to-face questionnaire. A survey form for households and a Disabled Person Evaluation Form were used. Results Of the participants, 55.7% were male, 27.1% primary school graduates, and 39.5% were married. The frequency of consanguineous marriages in the region was 44.6%. The prevalence of disability was determined as 13.8%. The most common types of disability are; chronic visceral disorders (56.0%), skeletal system disorders (29.8%), hearing disorders (13.5%). It was determined that 21.6% of the disabled were born with disabilities, and for 78.4% it occurred after birth. The prevalence of congenital disabilities in those with consanguineous marriage of parents (p = 0.000) and those with disabilities in family history (p < 0.05) was higher than that of the non-disabled. Conclusion Disability prevalence was higher than the average in Turkey. It has been determined that chronic diseases are common in the society; most of the disabilities occur after birth and genetic disorders, and consanguineous marriages are an important problem.Öğe Prevalence of skin disorders among primary school children in Diyarbakir, Turkey(Soc Argentina Pediatria, 2014) Sula, Bilal; Ucmak, Derya; Saka, Gunay; Akdeniz, Sedat; Yavuz, Engin; Yakut, Yunus; Arslan, Evrim[Abstract Not Available]
