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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 Disability and chronic disease prevalence in the individuals aged 55 years or older in Di?yarbakir(2000) Turhano?lu A.D.; Saka G.; Karabulut Z.; Kilinç Ş.; Ertem M.The elderly population is an age group that increased most rapidly in the population of the world and life expentancy period is showed gradually increasing through the development of the treatment of the chronical diseases. Health problems are primary trouble due to the increasing of the elderly population and it is important to determine the details of the problems associated with the health of the elderly people. This study was scheduled to determine the ratios of disability, the frequency of chronical disease diagnosed and the ratio of the dependence on activities of daily life on the elderly people living in a specific region of Diyarbakir. Five hundredten elderly individuals were enrolled for this study. The mean age was 66.31±6.4 years, 233 (%45.7) of individuals were male and 277 (%54.3) were female. It was found that 95 (%18.5) of elderly people had disabilities (92 (%18.04) acguired, 3 (%0.59) congenital). It was found that the number of individuals who had one disability were 59(%11.57), two disabilities were 23 (%4.51), three and more disabilities were 13 (%2.55). Visual, audial and orthopedic disabilities were found the most. There were found that 169 (%33.1) had visual disturbances and 110 (%22.2) of elderly people had audio disturbances and the number of elderly people using hearing apparatus was 6 (%1.2). The number of elderly people using walking stick was found 58 (%11.4), tripot was 5 (%1) and quadripot was 1(%0.02). it was found that 3 (%0.58) of elderly people stayed most of the day in bed, 16 (%3.3) of these could were active only at home, don't have the ability to gou out home, 71 (%13.92) of these were independent at home, but needed help out of home, and 420 (%82.35) of these were independent in the activities out of home. When the groups were compared, it was found that the individuals who were 75 years old and older had higher dependency levels than others (p<0.01). Hypertension, osteoporosis and osteoarthritis were the most seen chronical diseases in the elderly people of this study and rheumatoid arthritis and osteoarthritis as chronical diseases were found to effect the daily life. Also it was found that the individuals who were 75 years old or older had spent most of their time at home and needed help to go outside.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 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 Prevalence of PTSD and related factors in communities living in conflictual area: Diyarbakir case.(2008) Yasan A.; Saka G.; Ertem M.; Ozkan M.; Ataman M.OBJECTIVE: In this study, we aimed to investigate the distribution of Post-Traumatic Stress Disorder (PTSD) among adults who were living in the Diyarbakir city center. METHOD: Data was obtained from 708 participants that represented the demographic structure of Diyarbakir. Houses to be visited were determined in collaboration with the Turkish Institute of Statistics. RESULTS: The prevalence of traumatic life experience was 47.9%. Most prevalent traumatic life experiences were forced emigration and witnessing of a case of murder or injury. The lifelong and current PTSD prevalence was 34.9% and 15.1% respectively. We concluded that the prevalence of traumatic experiences and subsequent PTSD was high among people who were living in areas of conflict, and treatment opportunities were inadequate. CONCLUSION: An important finding of this study is the association between the range of prevalence rates of traumatic experiences and risk factors for PTSD in an armed conflict region in Turkey. There is a need for studies that will also include people living in rural areas in order to understand the full picture of problems encountered by those in areas of conflict. Moreover, we believe in the importance of an effective approach of institutional and occupational organizations not to leave these people alone with their traumatic experiences.Öğe Seroprevalance of hepatitis A and C in nurses(2002) Kara I.H.; Aydin B.; Kizil A.; Saka G.Needlestick injuries are an important and continuing cause of exposure to serious and fatal diseases among health care workers. In present study, we aimed to determine the seroprevalence of hepatitis B and C, and to evaluate the niddlestick injury and other risk factors in nurses. In this descriptive study, 158 nurses were enrolled from different departments of Dicle University Medical Faculty Hospital (in Diyarbakir). Any risk factor for hepatitis B virus (HBV) and hepatitis C virus (HCV) infection (niddlestick injury, blood or blood products transfusion, tooth extraction, hospitalization, surgical intervention, HCV and/or HBV positivity in family members and economic status) was questioned by a questionnaire. Third generation ELISA reagent was used in the study. Mean age of cases was 25.6±4.4 (ranged between 19 and 44), and mean duration time of occupation was 7.3±4.8 (ranged between 1 and 26) years. HbsAg, anti-HbsAg and Anti-HCV seropositivity were % 5.06 (n=8), % 81.0 (n=128) and % 1.9 (n=3), respectively. Anti-HBc IgM positivity was seen in only one case. Present study has again exposed that niddlestick injury is the leading risk factor among the nurses (106 cases, % 67.1). No significant difference was found in HbsAg, anti-HbsAg and Anti-HCV seropositivity between Departments of Surgery, Internal and Laboratory (p>0.05). Preventing the needlestick injury is the best approach to preventing these diseases such as HBV and HCV in all health care workers especially in nurses, and it is an important part of any bloodborne pathogen prevention program in the work place.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.
