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Öğe Analysis of Assumed Violence Exposed Pediatric Cases(Derman Medical Publ, 2012) Arica, Vefik; Tutanc, Murat; Arm, Mustafa; Arica, Secil; Turhan, Ebru; Zeren, Cem; Arslan, MustafaAim: Violence against children is among one of the major problems encountered in family health practice. In this study, we aimed to analyze the demographic features of children who what exposed to violence and the types of violence exposed. Material and Method: Records of children who have administered to Hatay Child Police Department among 2005-2008 withcomplaint of violence exposure have been retrospectively analyzed. Results: Pediatric cases were analyzed according to their age, gender and the type of violence that they have benne exposed. The number of children that present with violence exposure was 156 while it raised to 597 with an increase of approximately 382%. 1577 cases presented during study period and 732 cases were male and 845 of them were female. We detected that male children between 0-12 years old age were more prone to violence exerted by family members as physical violence and wounding. Female children were exposed to more sexual violence and suicide while male children were exposed to physical violence.Discussion: We detected in this study that violence exerted to children show differences according to age and gender. It has been suggested that the number of children exposed to violence is much more higher than the reported number if we include economic and emotional abuse. Violence against children is an important issue that should be carefully addressed.Öğe Assessment of reliability and validity of The Menopause-Specific Quality of Life Questionnaire in a Turkish Population(Drunpp-Sarajevo, 2011) Turhan, Ebru; Inandi, TacettinAim: The aim of this study was to assess reliability and validity of the Menopause-specific Quality of Life Questionnaire-Intervention (MENQOL-I) Methods: The study sample consists of 320 women who attended to clinics of three hospitals in Antakya in 2008. Patients filled the MENQOL-I and the Turkish version of World Health Organization-Quality of Life (WHOQOL-BREF-TR) questionnaires in addition to demographic questions. Results: Among respondents, 19.4% were illiterate, 94.4% were married and 70.9% were housewife. Mean age was 50.5 +/- 4.9, mean marital age was 19.2 +/- 2.1 and mean pregnancy number was 4.5 +/- 2.1. With regard to reliability analysis, overall Chronbach alpha value was 0.91. Overall mean score of the MENQOL-I was 4.2 +/- 1.0. In terms of item statistics, Chronbach alpha varied between 0.90 and 0.92 if item deleted. Correlations among the domains of MENQOL-I were statistically significant (p < 0.05). Three domains of the MENQO-I were significantly and negatively correlated with the some domains of WHOQOL-BREF-TR (p < 0.05). Sexual domain of MENQOL-I did not have correlation with WHOQOL-BREF-TR. Conclusion: The MENQOL-I has reliable and valid psychometric properties, and it can be used to evaluate the quality of life in Turkish women in menopausal period.Öğe Awareness and Knowledge Levels of 18-Year-Old and Older Individuals Regarding Human Papillomavirus (HPV) and HPV Vaccine in Hatay, Turkey(Springer, 2019) Turhan, Ebru; Cetin, Sirin; Cetin, Meryem; Abacigil, FatmaThe aim of this study was to evaluate the knowledge and awareness levels of 18-year-old and older women and men on HPV infection, HPV vaccine, and the potential risk factors in Hatay, Turkey. In our study, it was found that overall 27.0 and 23.2% of the participants reported having heard of HPV infection and HPV vaccine. The rate of participants who had heard of HPV infection and HPV vaccine was higher in women than in men (p < 0.000). Thirteen percent of the participants was aware of the fact that HPV triggers cervical cancer, 10.2% penile cancer, and 16.7% genital warts, respectively. The overall vaccination rate of the participants was 2.7%. When the total knowledge score of the participants about HPV infection and HPV vaccine was evaluated according to independent variables, it was found that being a woman, urbanization, and having a high level of education had a positive effect on knowledge score, while never having heard of HPV infection and HPV vaccine had a negative effect on knowledge score (p < 0.000). It was determined in the linear regression model that gender, educational status, residential area, and having heard of HPV infection before influenced knowledge levels. It was determined that the relation between these variables and the total knowledge scores of the participants was statistically significant (p < 0.05). It was also determined that women who had higher educational levels, those who were living in urban areas, and those who had heard HPV infection before had higher knowledge levels. The level of knowledge of the participants about HPV infection and HPV vaccine was found to be very low. Having adequate knowledge about HPV infection and increasing the acceptance of HPV vaccination in public will play an important role in decreasing the rate of mortality and morbidity of the different HPV-associated cancers in women and men.Öğe Brucellosis Seroprevalance and Risk Factors in the Population Older Than Fifteen Years in Hatay, Turkey(Ortadogu Ad Pres & Publ Co, 2010) Turhan, Ebru; Inandi, Tacettin; Cetin, MeryemObjective: Brucellosis is a common infectious disease in Turkey. The aim of this study is to explore seroprevalence of Brucellosis and the risk factors associated with it in Hatay. Material and Methods: In this community-based cross-sectional study, the study sample consisted of a total of 1150 people older than 15 years of age. During March-May 2008, a questionnaire which included variables about socio-demographic characteristics, profession, occupation with farm animals, milk and milk product consumption was applied. Blood samples were taken, and evaluated with the standard tube agglutination test. Titers greater than 1:160 were considered positive. Chi-Square test and logistic regression were performed to analyze relations between socio-demographic variables and seropositivity. Results: Data of 1120 subjects were completed and analyzed in the study. Of them, 56.8% were males, and %43.2 were females. The mean age and standard deviation of the subjects was 16.8 +/- 44.01. The seropositivity for Brucella was 2.9% (1.96-3.94) in the study population. In univariate analysis, the highest seropositivity was in farmers while the lowest was in officers (p < 0.05). The seropositivity was higher in those who consume raw milk cheese and fresh cream, positive family history, or had close contact with animals (p < 0.01). In multiple analyses, the relations disappeared regarding to close contact with animals and occupation while the other relations remained. The differences by gender, age, rural-urban and education level were not significant (p > 0.05). Conclusion: Brucellosis is an important health problem in Hatay. Consumption of fresh cheese, butter, skim-milk cheese, raw milk and cream are the most frequent route of transmission of Brucellosis in our population.Öğe Completed and Attempted Suicide in Antakya (Antioch), Turkey during 2007-2009(Drunpp-Sarajevo, 2011) Turhan, Ebru; Inandi, TacettinObjectives: Suicide is one of the most important public health problems worldwide. The aim of this study was to determine differences between completed and attempted suicide groups in terms of gender, age groups and methods of suicide. Design: Retrospective study Setting: Antakya State Hospital, Hatay, Turkey Subjects: Three hundred and eighty-five completed and attempted suicide cases during the 3-year period between 2007 and 2009 Main Outcome Measures: Completed and attempted suicide rates by age, gender, methods of suicide, during the study years Results: Attempted suicide rate per 100,000 was 27.25, and completed suicide rate was 2.64 per 100,000. Overall case fatality rate was 8.83. There was a male predominance in completed suicides, and contrarily, a female predominance in attempted suicides (p<0.001). Suicide attempt rate was higher among the young, and case fatality rate was higher in elderly (p<0.001). Self-poisoning with drug overdose was the most common method in attempted suicides, and hanging was the most common method in completed suicides (p<0.001). The decrease in the attempted suicide rate was significant, and it accounted for the significant decrease in the overall suicide rate over the study period (p<0.001). However, there was no significant change in the completed suicide rates over the years (p>0.05). Conclusions: Suicide rate was lower than the rate in western societies. Age and gender were significant factors for suicides The annual suicide attempt rates have decreased while the completed suicide rates have not changed over the years.Öğe Determination of the Knowledge Levels on Hepatitis B Virus of Residents at Mustafa Kemal University Hospital(Galenos Yayincilik, 2007) Cetin, Meryem; Temiz, Muhyittin; Aslan, Ahmet; Turhan, EbruThe purpose of this study was to determine the general knowledge levels of the residents in Mustafa Kemal University Hospital on hepatitis B virus (HBV) infection. A total of 60 residents were asked to fill in a questionnaire. It was observed that 31 out of 60 (51.7%) answered the question correctly on the general knowledge, 9 out of 60 (15%) on transmission routes, 5 out of 60 (8.3%) on prevention measures, and 59 out of 60 (98.3%) on risk factors of HBV infection. A significant difference was observed between the knowledge scores of the participants with sex and employment duration whereas no difference was determined between the knowledge scores, with age and departments of the participants. The result of this study demonstrates that the residents, who were under the risk of HBV infection, did not have enough knowledge on the overall characteristics, transmission routes, and prevention measures of HBV infection. It was concluded that, periodic workshops are necessary after graduation from the medical school to keep doctors informed and updated on this particular infection.Öğe Does Polycystic Ovary Syndrome Itself Have Additional Effect on Apelin Levels?(Hindawi Ltd, 2014) Silfeler, Dilek Benk; Gokce, Cumali; Kurt, Raziye Keskin; Atilgan, Nigar Yilmaz; Ozturk, Oktay Hasan; Turhan, Ebru; Baloglu, AliObjective. The present study was designed to compare serum levels of apelin between lean PCOS women and healthy women with regular menses. Study Design. A total of 30 lean patients with PCOS and 30 healthy subjects were included in this study. Serum apelin levels were compared between groups. Results. Serum apelin levels in lean PCOS patients were not significantly different from the control subjects. Conclusion. Our findings indicate that PCOS itself does not seem to change apelin levels. Further investigation on a large number of subjects will need to be conducted to prove the consistent or variable association in PCOS.Öğe The Effects of Performance Based Supplementary Payment on Physician Practice; A Cross Sectional Questionnaire Study(Drunpp-Sarajevo, 2011) Turhan, Ebru; Inandi, Tacettin; Ceylan, Ali; Gun, Iskender; Oner, SevaAim: The aim of this study is to assess the effects of performance based supplementary payment (PBP) on work conditions, relations among health workers, income level, and use of health care services. Method: In this cross sectional survey, 654 physicians who had been practicing for at least ten years filled in a questionnaire to obtain opinions on the PBP. Results: Mean age and standard deviation of the physicians were 43.26+/-6.8. In terms of relationship among physicians, 67.6 % reported 'negative effect' of PBP. In terms of solidarity and competition, 68.8% responded that PBP decreased solidarity, and 84.1% responded that PBP increased competition among health care workers. Of the subjects, 56.1% reported an increased work load during PBP. More than two third of physicians thought that performance method increased unnecessary procedures and overuse of the services. More than half of the subjects responded that waiting time for physical examination reduced, and 60.9% reported that spending time per examination also decreased. More than half of the physicians had negative opinion about the PBP, 70.2% implied a negative effect on peace at work. With regard to effect of PBP on social life, 44.8% responded 'no effect' while 40.7% responded 'negative effect', and 60.6% reported that holiday activities were affected negatively. Conclusion: Increased income level of physicians, and increased accessibility to health care are main positive effects of PBP. Great incentives with fixed low salary may cause increased overuse of health services, increased competitions, decreased solidarity, conflict among physicians, inefficient use of resources, loss of ethical values, and decreased quality of service.Öğe Evaluation of hemoglobinopathy screening results of a six year period in Turkey(Drunpp-Sarajevo, 2012) Arica, Secil Gunher; Turhan, Ebru; Ozer, Cahit; Arica, Vefik; Silfeler, Dilek Benk; Silfeler, Ibrahim; Altun, Ayse BetulBackground and Objectives: Hemoglobinopathies are autosomal recessive inherited diseases more commonly seen in Mediterranean countries. Hereditary blood diseases including Bthalassemia and sickle cell anemia are important health problems. In our study we aimed to analyze the results of the premarital hemoglobinopathy screening test for a 6 years period in Hatay region. Material and Methods: The study sample comprised the couples attending to the Mother and Child Health Care Center in Hatay for premarital hemoglobinopathy screening from 2004 to 2009. Hemoglobin chain analyses of 87.830 couples were evaluated. Results: 175.660 people were screened at total. The prevalence of beta thalassemia trait, sickle cell anemia trait, sickle cell anemia, beta thalassemia major, beta-thalassemia intermedia, alphathalassemia, alpha-thalassemia trait was found as 13.921 (7,9%), 6.074 (3,4%), 631 (0.35%), 132 (0.07%), 118 (0.06%), 9 (0.005%), 150 (0.08%) respectively. 72 newborns with betathalassemia were diagnosed as a result of the marriage of the carrier couples in 6 years. Conclusions: Hatay is a high risk region for beta-thalassemia and sickle cell anemia trait. In countries with high prevalence of hemoglobinopathies, a premarital screening program and counseling is needed to decrease the prevalence.Öğe GLOBAL HEALTH PROFESSIONS STUDENT SURVEY - TURKEY: SECOND-HAND SMOKE EXPOSURE AND OPINIONS OF MEDICAL STUDENTS ON ANTI-TOBACCO LAW(Natl Inst Public Health, 2013) Inandi, Tacettin; Caman, Ozge Karadag; Aydin, Neriman; Onal, Ayse Emel; Kaypmaz, Ayse; Turhan, Ebru; Erguder, TokerAim: This study, as a part of the Global Health Professions Student Survey (GHPSS), aimed to assess medical students' tobacco use, exposure to second-hand tobacco smoke (SHS), and opinions as well as smoking policies at medical faculties in Turkey. Methods: The study was conducted in 2010 as a school-based survey of third-year students in 12 medical schools. GHPSS uses a standardised methodology for selecting schools (probability proportional to student enrolment size) and data processing. In total, data from 1,217 of third year medical students were analysed. Results: Prevalence of current tobacco use among participating students was 28.5%. Exposure to SHS in the last seven days was 46.9% at home, and 42.2% in other places. Among smokers, over 7 in 10 students reported smoking on medical school premises during the past 30 days and the past year. Conclusion: Medical students' exposure to SHS is common and smoking on medical school premises/buildings constitutes a problem. Turkey passed an anti-tobacco law in 2008, yet enforcement of the law must be stronger. In addition, medical schools must evaluate, and likely revise their education curricula to better prepare medical students to advocate tobacco control.Öğe Hatay ili 7-11 yaş arası dış genital organ anomali oranları(2012) Davarcı, Mürsel; Rifaioğlu, Mehmet Murat; İnci, Mehmet; Yalçınkaya, Fatih Rüştü; Gökçe, Ahmet; Turhan, Ebru; Tutanç, Murat; Kaya, Yusuf SelimAmaç: Bu çalışmada Hatay il merkezinde öğrenim gören ilköğretim çağındaki erkek çocuklarda dış genitaorgan bozukluğu sıklığı ve çeşitliliğinin belirlenmesi hedeflendi. Yöntem: Mustafa Kemal Üniversitesi Etik komitesi tarafından çalışma onaylandıktan sonra, il merkezindek6 adet ilköğretim okulunda öğrenim görmekte olan ve rastgele örnekleme yöntemi ile 7-11 yaş arasındaktoplam 981 erkek öğrenci çalışmaya dahil edildi. Tüm öğrenciler iki üroloji uzmanı tarafından okullarında muayene edildi ve tespit edilen dış genital organ anomalileri kaydedildi. Bulgular: Çalışmaya katılan 981 öğrencinin 126’sında (%12,8) anomali saptandı. Saptanan anomalilerinmemiş testis 60(%6,1),retraktil testis 49 (%5), inguinal herni 7(%0,7), hipospadiyas 4(%0,4), hidrose4(%0,4) ve varikosel 2(%0,2) idi. Çalışmamızda, Hatay il merkezinde ilköğretim çağındaki çocuklardagenital anomali oranını tespit etmeye çalıştık. Sonuç: Dış genital anomali oranları diğer yapılan tarama çalışmalarında birbirine yakın değerler bulunsa bile ülkemizde dış bölgelere göre farklılıklar izlenmektedir.Öğe Hatay ili çocuk esirgeme ve yetiştirme kurumlarında kalan çocuklarda bağırsak parazitlerinin dağılımı(2009) Turhan, Ebru; İnandı, Tacettin; Çetin, Meryem; Taş, SedatBağırsak parazitleri dünyada olduğu gibi ülkemizde de önemli bir halk sağlığı sorunudur. Paraziter enfeksiyonların yaygınlığı, sosyoekonomik koşullarla ve çevresel faktörlerle yakından ilişkilidir. Bu çalışmadaki amaç, Hatay ili erkek ve kız yetiştirme yurtlarında kalan çocuklardaki parazit sıklığını belirlemekti. 177 çocuk bağısak parazitleri yönünden araştırılmıştır. İncelenen dışkı örneklerinin 87 tanesinde (%49,2) bir veya birden fazla parazit saptanmıştır. Saptanan parazitlerin sayısı ve dağılımı şu şekildedir: 57 (%32,2) Enterobius vermicularis, 14 (%7,9) Giardia intestinalis, 11 (%6,2) Ascaris lumbricoides, 5 (%2,8) Taenia saginata.Öğe Hatay'da 6-18 yaş arası çocuklarda enürezis sıklığı ve risk etkenleri(2008) Görür, Sadık; İnandı, Tacettin; Turhan, Ebru; Helli, Ali; Kiper, Ahmet NamıkHatay ili genelinde 6-18 yaş arasında olan çocuklardaki enürezis sıklığını ve bununla ilgili sosyo-demografik etkenleri belirlemeyi amaçladık. Hatay ili merkez ve coğrafi yönlerden (doğu, batı, kuzey ve güney) birer ilçe olmak üzere toplam 5 ilçe seçildi. Belirlenen ilçelerden 5 anasınıfı, 12 ilkokul ve 12 lise rastgele olarak belirlendikten sonra anket formları her sınıftan rasgele seçilen bir şubedeki çocuklara velilerine verilmek üzere dağıtıldı. Toplam 4000 adet form dağıtıldı ve bir hafta sonra formlar toplandı. Formların %74.6’sı geri toplandı. Öğrencilerin yaşları 6 ile 18 arasında (ortalama±SS; 11.26±3.03) dağılmakta idi. Öğrencilerin %51.8’si kız, %48.2’si erkekti. Enürezis sıklığı kızlarda %7.4 ve erkeklerde %10.7 idi (p=0.002). Enüretik çocukların yaşı, vücut kitle indeksi, anne ve baba yaşları enüretik olmayan çocuklara göre istatistiksel olarak anlamlı derecede düşük idi (p<0.001). Enürezisi olan çocuklarda dikkat bozukluğu, arkadaşlık ilişkilerinde sorunlar, okulda başarısızlık, uykudan uyanma güçlüğü, tonsillit öyküsü, horlama ve apne daha fazla görülmekte idi (p<0.001). Kardeşlerinde ve ebeveynlerinde enürezis olan çocuklarda enürezisin daha sık olduğu gözlendi (p<0.001). Başka bir ürolojik sorunu olan çocukların %27.4’ünde enürezis saptandı (p<0.001). Öte yandan, enürezis ile yazı eli, doğum yeri ve doğum şekli arasında bir ilişki saptanmadı. Çoklu regresyon analizde ise, çocuk ve anne yaşı, kötü arkadaşlık ilişkisi, düşük okul başarısı, kardeşlerde ve ebeveynlerde enürezis varlığı ve uykuda apne olması ile enürezis arasında ilişki olduğu görüldü. Enürezis ailesel ve çevresel nedenlerle ilişkili gözükmektedir. Çocukluk ve adolesan çağdaki enüretik olguları değerlendirmede üriner sistem ile birlikte çocuğun diğer sistemlerinin ve psikososyal davranışlarının değerlendirilmesinin yaklaşımda ve tedavide fayda sağlayacağını düşünüyoruz.Öğe Hemoglobinopathy awareness among high school students in Antakya (Antioch), Turkey(Springer Japan Kk, 2010) Savas, Nazan; Turhan, Ebru; Inandi, Tacettin; Kaya, HasanHemoglobinopathy is a major public health problem in Eastern Mediterranean, Turkey, where homozygote babies continue to be born. We wanted to present the knowledge of high school students and their attitudes on hemoglobinopathy in Antakya (center of Hatay).The study was performed on 11th grade students in 17 high schools and 486 students in the center at Antakya. We used a questionnaire and frequency tables and chi-square tests were used. Of the students who took part, 37.7% were previously informed about hemoglobinopathies, while 62.3% were not. There was no significant relationship between the school types and their being previously informed (p > 0.05). There was an index case for 28% of the students, and 25.4% of the students who did not have any diseased person around them were previously informed (p < 0.01). While the range of percentage of correct answers was between 17.5% (about treatment of the diseases) and 73.3% (about the carrier status), these percentages seemed to be higher for those who stated that they were previously informed (22.2% about treatment and 85.8% about the carrier status). As much as 83.7% of the students stated that they wanted to be educated about hemoglobinopathies in the school and 89.1% wanted to know if they were carriers. Our study suggests that there is an urgent need to revise the Hemoglobinopathy Control Programme especially with regard to the enlightenment of the students and public.Öğe Mağdur oldukları iddia edilen çocuk olgularının analizi(2012) Arıca, Vefik; Tutanç, Murat; Arı, Mustafa; Arıca, Seçil; Turhan, Ebru; Zeren, Cem; Arslan, MustafaAmaç: Çocuklara karşı gösterilen şiddet, son yıllarda dünyada ve ülkemizde giderek önemi artan önemli halk sağlığı sorunlarından biri haline gelmiştir. Bu çalışmada şiddete maruz kalan çocuk olgularının demografik özellikleri ve uygulanan şiddet türünün genel bir analizi amaçlandı. Gereç ve Yöntem: Hatay Çocuk Şube Müdürlüğüne 2005-2008 yıllarında mağdur olarak gelen/ getirilen çocuk olgularının retrospektif olarak kayıtları incelendi. Sonuçlar: Olgular yaş, cinsiyet ve maruz kaldıkları şiddet türüne göre değerlendirildi. 2005 yılında olgu sayısı 156 iken 2008 yılında % 382 artış ile bu sayının 597’e ulaştığı gözlendi. Toplam 1577 olgunun 732’si kız, 845’inin erkek çocuk olgusu olduğu görüldü. Ancak 0-12 yaş grubunda erkek çocukların daha sık şiddete maruz kaldıkları ve en sık uygulanan şiddet türünün ise aile efradına kötü muamele ve darp olduğu tespit edildi. Kız çocuklar en çok cinsel şiddete ve zehirlenmeye (intihara teşebbüs) maruz kalırken, erkek çocuk olgularının daha çok darp ve yaralanmaya maruz kaldıkları saptandı. Özellikle kesici alet ile yaralanma 12 yaş üstü erkek çocuklarda kız çocuklara göre daha yüksek olduğu görüldü. Sonuç: Bu çalışmada çocuklara uygulanan şiddet türünün yaş ve cinsiyete göre farklılık gösterdiği görüldü. Resmi makamlarca bilinmeyen çocuğa yönelik ekonomik ve duygusal istismar olguları da eklendiğinde mağdur çocuk sayısının çok daha yüksek olduğu tahmin edilmektedir. Çocukların şiddetten korunması, gelecekteki erişkinlerin daha az şiddet uygulaması ile de ilişkili olduğundan çocuklara karşı şiddet üzerinde önemle durulması gereken bir konudur.Öğe A new anthropometric measurement of penile length and its relation to second and fourth digital lengths(2012) Davarcı, Mürsel; Gökçe, Ahmet; Yalçınkaya, Fatih Rüştü; Kaya, Yusuf Selim; Turhan, Ebru; Tutanç, Murat; Doğramacı, Yunus; Balbay, Mevlana DeryaAmaç: Ürogenital sistem farklılaşmasını kontrol eden Hox genleri parmakların gelişimini de kontrol etmektedir. Bu çalışmada penis uzunluğu ile ikinci ve dördüncü parmakaların uzunlukları arasındaki ilişki değerlendirildi. Yöntem ve gereç: Bu çalışmaya doğu akdeniz bölgesindeki ilkokul çağındaki toplam 1028 Türk erkek çocuğu dahil edilmiştir. Vücut kitle indeksini hesap edebilmek için ağırlık ve uzunlukları ölçülmüştür. Penis uzunlukları gevşek ve gerilmiş halde ölçülmüştür. Sağ el ikinci ve dördüncü parmakların uzunlukları ölçülmüştür. İstatiksel ölçümler deskriptif istatistik ve Pearson korrelasyon analizi ile yapılmıştır. Bulgular: Aşağıdaki karşılaştırmalar arasında anlamlı korelasyon tespit edilmiştir: ikinci parmak uzunluğu ile gevşek ve gerilmiş penis uzunluğu (r = 0,166 and r = 0,276, sırasıyla; P < 0,01); dördüncü parmak uzunluğu ile gevşek ve gerilmiş penis uzunluğu (r = 0,174 and r = 0,287, sırasıyla; P < 0,01). 2D:4D oranı ile gevşek ve gerilmiş penis uzunluğu arasında anlamlı korelasyon bulunmamıştır (r = –0,013; P = 0,668, r = –0,018; P = 0,565). Sonuç: Sonuç olarak, çalışmamızdaki pozitif korelasonlar yeni bir bulgudur ve içerisinde daha başka klinik anlamlar içerebilir.Öğe Overlerde neoplastik ve non-neoplastik kistik lezyonların değerlendirilmesi(2011) Benk Şilfeler, Dilek; Güngören, Arif; Dolapçıoğlu, Kenan Serdar; Turhan, Ebru; Hakverdi, Sibel; Erdem, Duygu; Hakverdi, Ali Ulvi; Baloğlu, AliClassification of Neoplastic and Non-neoplastic Cystic Lesions in Ovaries Purpose: Determination of the rates of neoplastic and non-neoplastic lesions in ovary cyst cases having been operated. Material and methods: Files of 126 patients being operated with pre-diagnosis of cystic mass in ovary in obstetrics and gynecology service of our hospital between 2005 and 2010 were inspected retrospectively. Findings: TNon-neoplastic cysts in 41 patients (32,5%) and neoplastic tumors in 85 patients (67,4%) were observed out of ovarian masses. 74 benign (58,7%), 3 borderline(2,4%) and 8 malign tumors (6,3%) were observed in neoplastic tumors. All malign ovary tumors cases were operated in elective conditions using laparoscopy. While the average age of patients having these problems was 46±13, average cyst diameter was measured as 18±7.9 cm. 75% of malignancy was resulted from right ovary. The average Ca-125 value was 1420 ± 2079. Discussion: 91 % of cystic masses resulting from ovary were detected as benign in histopathological inspection. Each case has to be evaluated considering ultrasonography, age, tumor determinant and operated in elective conditions if possible. Laparoscopy has to be preferred first of all for the patients that were supposed to suffer from benign and protection of ovary tissue has to be taken care of with minimal invasive approach.Öğe The prevalence and risk factors of enuresis in children aged between 6 and 18 years in Hatay(2008) Görür, Sadik; Inandi, Tacettin; Turhan, Ebru; Helli, Ali; Kiper, Ahmet NamikIntroduction: Aim of this study was to determine the prevalence and associated socio-demographic factors of enuresis among children aged between 6-18 years in Hatay. Materials and Methods: Five districts were selected in different geographic directions (east, west, north, south, and central) of Hatay. Five mother schools, twelve primary schools and twelve high schools were selected randomly from schools in these districts. The questionnaire was distributed to the students in order to fill by the parents. A total of 4000 questionaire were sent and re-collected one week later. Results: The percentage of the response rate was 74.6%. Age of the children ranges from 6 to 18 years (mean±SD; 11.26±3.03). Of the participants, 51.8% were girls and 48.2% were boys. Prevalence of enuresis were 7.4% in girls and 10.7% in boys (p=0.002). Mean age, body mass index and parents age were lower in the children with enuresis than the nonenuretics (p<0.001). Deficiency disorders, problems in friendship relation, failure in school, difficult aurosal, tonsillitis history, snoring and apnea were more frequent in the groups of enuresis (p<0.001). It was found that enuresis were more common in the children whose parents and siblings have enuresis history (p<0.001). The percentage of enuresis among the children with another urological problems was 27.4% (p<0.001). On the other hand, no relation was determined among the writing hand, birth place and birth type with enuresis. Child and mother age, bad friendship relations, low school success, enuresis history in siblings and parents and apnea period in sleeping were associated with enuresis in multipl logistic regression analysis. Conclusion: Enuresis seems associated with familial and behavioral factors. We suggest that evaluation of urinary and other systems in addition to physico-social behaviors of children and adolescence with enuresis may provide some benefit for management and therapy.Öğe THE PREVALENCE AND RISK FACTORS OF ENURESIS IN CHILDREN AGED BETWEEN 6 AND 18 YEARS IN HATAY(Aves, 2008) Gorur, Sadik; Inandi, Tacettin; Turhan, Ebru; Helli, Ali; Kiper, Ahmet NamikIntroduction: Aim of this study was to determine the prevalence and associated socio-demographic factors of enuresis among children aged between 6-18 years in Hatay. Materials and Methods: Five districts were selected in different geographic directions (east, west, north, south, and central) of Hatay. Five mother schools, twelve primary schools and twelve high schools were selected randomly from schools in these districts. The questionnaire was distributed to the students in order to fill by the parents. A total of 4000 questionaire were sent and re-collected one week later. Results: The percentage of the response rate was 74.6%. Age of the children ranges from 6 to 18 years (mean+/-SD; 11.26+/-3.03). Of the participants, 51.8% were girls and 48.2% were boys. Prevalence of enuresis were 7.4% in girls and 10.7% in boys (p= 0.002). Mean age, body mass index and parents age were lower in the children with enuresis than the nonenuretics (p<0.001). Deficiency disorders, problems in friendship relation, failure in school, difficult aurosal, tonsillitis history, snoring and apnea were more frequent in the groups of enuresis (p<0.001). It was found that enuresis were more common in the children whose parents and siblings have enuresis history (p<0.001). The percentage of enuresis among the children with another urological problems was 27.4% (p<0.001). On the other hand, no relation was determined among the writing hand, birth place and birth type with enuresis. Child and mother age, bad friendship relations, low school success, enuresis history in siblings and parents and apnea period in sleeping were associated with enuresis in multipl logistic regression analysis. Conclusion: Enuresis seems associated with familial and behavioral factors. We suggest that evaluation of urinary and other systems in addition to physico-social behaviors of children and adolescence with enuresis may provide some benefit for management and therapy.Öğe Risk perception, knowledge and social distance of Turkish high school students about HIV/AIDS(Oxford Univ Press, 2006) Turhan, Ebru; Inandi, Yusuf; Inandi, TacettinAIDS, in its third decade, is one of the greatest global challenges, and people with HIV/AIDS have been subjected to social ostracism, discrimination and violence since the earliest days of the epidemic. 1 Negative attitudes towards people with illness have a large impact on communities. In this cross-sectional study, we evaluated risk perceptions, knowledge, beliefs and social distance of the Turkish high school student related to AIDS. In 2004, data were collected from the provinces of Erzurum and Istanbul using a questionnaire. One general, 1 health and 1 Muslim religious high school were randomly selected from the each province. A total of 1387 students responded the questionnaire, and 94.5% believed that AIDS is an important problem for Turkish society. However, 54.4% stated no HIV risk for them in the future, and it is higher than in Greece. 2 Overall true response rate was 60.3%, and no idea was 24.1% regarding AIDS knowledge. In terms of transmission routes, the true response rate was 61.4% and the correct rates were lower than 50% regarding insect and mosquito bite, breast feeding, sharing razor, public bath and toilets, sneezing and coughing. With regard to preventive methods, the true response rate was 63.7% and no idea was 23%. The students stated condom as a preventive method was lower than monogamy and sharing needle. A positive linear correlation was found between age, grade, population size of childhood habitat and parent education with the AIDS knowledge score. As an expected result, students of the health high schools were more knowledgeable than the others. Nearly half of the students expressed discomfort at the prospect of contact with people with HIV/AIDS ( Table 1). Of the students, 52.7% stated that they should be publicly announced or somehow marked as HIV+. The desire for social distance towards people with HIV/AIDS was increasing with age, grade and population size of childhood habitat. Increasing of the social distance with age and grades is a notable finding, and it is consistent with a previous study. 3 Controlling for gender, the students of the health high schools have highest social distance score. It seems that knowledge is not always enough to change attitudes by alone.(4) Lastly, the students had knowledge gap about HIV/AIDS, and individual risk perception is very low. Negative attitudes and discrimination are prevalent. As the negative attitudes significantly increase community burden of diseases, 1 more consideration needs to be given on effective health education methods.
