TSK Koruyucu Hekimlik Bulteni

TSK Koruyucu Hekimlik Bulteni1303-734Xen-us Sun, 01 Apr 2007 05:44:17 -0700http://www.korhek.org Copyright: (C) TSK-KHB RUBELLA SEROPREVALENCE OF UNVACCINATED CHILD-BEARING AGE MARRIED WOMEN The aim of the study was to evaluate the rubella seroprevalence of unvaccinated child-bearing age married women in Dogankent region of Adana. 95 rubella unvaccinated women who had at least one child were included to the study by Simple Randomization Sampling. Enzyme Immunoassay (ELISA) was used for Rubella Ig G detection. Chi square test was used for the statistical analysis. The mean age of the women was 25.86±4.95 (min-max: 1841) years and %8.4 was found to be susceptible to rubella. There was no statistically significant difference in age groups, rubella anamnesis, and education status between rubella susceptibility (p>0.05). The main aim of the rubella vaccination is to prevent congenital rubella infection. Turkish Ministry of Health has just programmed two times Measles, Mumps and Rubella vaccination as a national vaccination programme in 2006 for eradication of rubella and prevention of congenital rubella infection. Ç.Ü.T.F. Halk Saðlýðý ABD Balcalý-ADANA Necdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLU http://www.korhek.org/makale.php http://www.korhek.org/makale.php?id=200 2007-6-1.. PREVALENCE, AWARENESS, TREATMENT AND CONTROL OF HYPERTENSION IN THE 15-49 YEARS-OLD HOUSE-WIVES IN FAZILET ULUI�IK HEALTH DISTRICT IN KONYA The aim of this study was to determine the prevalence, risk factors, awareness, treatment and control of hypertension among 15-49 years-old house-wives in Fazilet Uluýþýk Health District in Konya. This study was a cross-sectional study. A total of 12447 women aged 15-49 years were included in study who were resident in that health district. 576 participants were selected by cluster sampling method. The prevalence of hypertension was 40.5%. Risk factors for hypertension were being older than 35 years of age, and also being below the primary school education level and no smoking. Among hypertensives, 23.1% were aware of their hypertension, 10.3% were treated, and 5.5% were controlled. The rates of awareness, were higher in over 35 years of age, maried-widowed women and being below the primary school education level. The results showed that the prevalence of hypertension was high in Konya in 15-49 age group. The detection and control of hypertension is unsatisfactory among womens. There is need to implement an effective community based programme.Selçuk Üniversitesi Meram Týp Fakültesi Halk Saðlýðý ADNecdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLUhttp://www.korhek.org/makale.phphttp://www.korhek.org/makale.php?id=1832007-6-1..KOWLEDGE, ATTITUDES AND BELIEFS CONCERNING FEVER IN KAZIM KARABEKIR A DISTRICT AREA OF UMRANIYE Fever is extremely common in population. People have been shown to have unrealistic fears of the harmful effects of fever and they generally see it as the main component of an illness. The objective of this study was to survey people about their kowledge, attitude and beliefs concerning fever. The study was conducted in Kazým Karabekir a district area of Ümraniye. The data were collected by focus group discussion in 6 goups and 40 people. An education was given to participants after discussion to teach the use of thermometer and patient care with high fever. Most of the participants feel the need for decreasing the temparature of people with high fever. They define the harms of high fever as febrile convulsion, stroke and menengitis. They dont know the range of normal body temparature. They generally dont use termometers, measure the fever by touching with hand. Consequently, it has been observed that participants consider high fever is dangerous. However their applications related to high fever are insufficient.Marmara Univ. Týp Fakültesi Halk Saðlýðý AD. Týbbiye cad. No:49 Haydarpaþa 34000, ÝstanbulNecdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLUhttp://www.korhek.org/makale.phphttp://www.korhek.org/makale.php?id=1892007-6-1..A GROUP OF UNIVERSITY SCHOOL FOR HEALTH SCIENCES STUDENTS' HIV/AIDS KNOWLEDGE LEVELThis study was conducted for the purpose of determining the HIV/AIDS knowledge level of students in a university School for Health Sciences before they began their infectious disease class. The study population was 56 students who were enrolled in the nursing and health officer divisions of a university School for Health Sciences and who were in the Infectious Disease class. All of the students were to be included in the sample, however there were students absent on the day the questionnaire was implemented and the sample, therefore, contained 45 students (80.3%). Forty percent of the students were over 20 years old, 51.1% were female and in the nursing division, 46.7% were living in a rented home with friends and 20% had not previously received information about AIDS. It was determined that 66.7% of the students wanted to have the AIDS test done, 93.3% thought that it was necessary for couples to be tested for AIDS before marriage and 75.6% thought that individuals with AIDS should be kept away from society. No significant relationship was found between the students' age group, gender, school in which they were enrolled, and place of residence with their AIDS knowledge score mean. There was a statistically significant difference between the students' status of receiving information about AIDS and status of their wanting to be tested with their AIDS knowledge level (p<0.05). The students who had received information about AIDS from health care personnel and who wanted to be tested for AIDS had higher knowledge level score means than the others.Pamukkale Üniversitesi Denizli Saðlýk Yüksekokulu Devlet Hastanesi Yaný DENÝZLÝNecdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLUhttp://www.korhek.org/makale.phphttp://www.korhek.org/makale.php?id=1902007-6-1..THE EFFECTS OF WATER CESSATION AND WATER CONSUMPTION HABITUDE ON DIARRHEA: G�LBA�I REGION We aimed to determine the water usage behavior and the incidence of diarrhea during the summer months (June, July, August 2003) in the people of Gölbaþý county in this study. The developed questionnaire form was used with the face-to-face interview technique on people aged 18 and over present at home during home visits on September 2003. Diarrhea was detected in 36.7 % of the 2100 households included in the study in the summer of 2003. The percentage of those living in the study area experiencing at least one bout of diarrhea was 12.2 %. The diarrhea episode rate was 21.0 %. Assumed that diarrhea related factors were water consumption amount, water invoice totality, existence water cessation during summer months, existence drinking water seperation from using water, existence purification fountain water before drinking. In the logistic regression model we developed for factors influencing diarrhea, existence water cessation during summer months was statistically significant (p <0.05). Gazi Üniversitesi Týp Fakültesi Halk Saðlýðý AD, Beþevler, AnkaraNecdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLUhttp://www.korhek.org/makale.phphttp://www.korhek.org/makale.php?id=1972007-6-1..BURNOUT SYNDROME, JOB SATISFACTION LEVELS AND RELATED FACTORS IN CENTRAL TRABZON PROVINCE PRIMARY HEALTH CENTER WORKERS Burnout manifests itself in individuals working in professions involving face-to-face contact with the public in depersonalization towards others, feelings of emotional exhaustion, and reduced feelings of personal achievement and adequacy. The objective in this study was to determine burnout and job satisfaction levels and related factors in primary health center personnel in the central part of the Turkish province of Trabzon. A total of 227 people working in central Trabzon province primary health centers participated in this cross-sectional study, a level of 90.4%. The Maslach Burnout Inventory was used to determine burnout level and the Job Satisfaction Inventory for job satisfaction. Burnout levels in health personnel were high among women (15.06±5.57), married individuals (14.80±5.65) and those dissatisfied with their working conditions (16.80±5.81); physicians (5.00±2.79), those without children (5.19±2.54), those whose spouses were not working (4.69±2.70) and smokers (4.71±3.29) had a high level of depersonalization; and married individuals were determined to have a low personal achievement level (10.24±4.14) (p=0.020, p=0.028, p=0.011, p=0.038, p=0.028, p=0.012 and p=0.010, respectively). In conclusion, gender, marital status, age, satisfaction with working conditions and income level were determined to be related to burnout and job satisfaction.Karadeniz Teknik Üniversitesi Týp Fakültesi Halk Saðlýðý Anabilim Dalý 61080 TRABZONNecdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLUhttp://www.korhek.org/makale.phphttp://www.korhek.org/makale.php?id=1982007-6-1..ASSOCIATION OF SOCIOECONOMIC VARIABLES AND CORONARY HEARTH DISEASE IN A POPULATION OVER 20 YEARS OLD AT KONAK DISTRICT OF �ZM�R The aim of this study was to determine the relationship between socioeconomic variables and coronary hearth disease (CHD) and risk factors among a Turkish urban population aged 20 years and older. Hypertension, waist circumferences, total cholesterol, high density lipoprotein cholesterol, glucose intolerance, and smoking were used as the major CHD risk factors. CHD was defined as the previous doctor diagnosis and derivation ECG findings. The study completed with 607 people, of those 389 were women. Among women, illiterates showed significantly higher CHD, hypertension, central obesity, and glucose intolerance were higher than the higher educated groups. Additionally hypertension, central obesity and high cholesterol were higher among the women with agricultural origin. Hypertension was higher in the less educated men. Of those economical status was less favorable compared with the current status glucose intolerance prevalence was higher. As the conlusion socioeconomic and CHD and CHD risk factors were inversy associated like industrial countries. Dokuz Eylül Üniv. Týp Fakülyesi Halk Saðlýðý AD. Ýnciraltý, ÝzmirNecdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLUhttp://www.korhek.org/makale.phphttp://www.korhek.org/makale.php?id=1992007-6-1..OPERATIONAL RESEARCH IN NARLIDERE EDUCATION RESEARCH AND HEALTH DISTRICT�S HEALTH CENTRES (1999-2002) This study is an operational research study which is conducted in 18 health centers (HC), in Narlýdere Education Research and Health District (ERHD). Initial data were collected in 1999 and it was repeated anually until 2002. Data were collected from the health workers in ERHD by face to face interview and the from HC records. Health services of the HC were obtained by monthly reports and visitings. In the study period all HC services indicators has been increased in some extent. There were five HC (%29) that lack of midwife services among their responsible areas in 1999. After the relevant intervention all HC started to midwife services in their responsible areas in 2002. There has been considerable improvements in records of the HC. The least improvements have been observed for BCG vaccination (from 59% to 61%), workplace visits (from 41% to 50%), and personnel health records (from 12% to 22%). As the conclusion operational research have been considered as beneficial for health districts management and shown as useful for improvements in HC services.Dokuz Eylül Üniversitesi Týp Fakültesi Halk Saðlýðý AD.,35340, Ýnciraltý,ÝzmirNecdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLUhttp://www.korhek.org/makale.phphttp://www.korhek.org/makale.php?id=2012007-6-1..LIVING IN HARMONY WITH THE EARTH AND WITH EACH OTHEREnvironmental deterioration and violent armed conflict are both massive public health problems. They are often associated with each other, and they are also interconnected in complex ways with physical, biological, social, demographic, economic and cultural factors that can be described as addiction to carbon-based fuels. Collectively the combination threatens the earths life-support systems and human survival. This is the most serious public health problem of modern times. Tackling this problem will challenge all public health workers, and there is much that public health can do to help.John M Last MD, Emeritus Professor of Epidemiology, University of Ottawa. 451 Smyth Road. Ottawa, Ontario, Canada K1H 8M5Necdet AYTAÇ*, Ayþe Berrin YAPICIOÐLU, Salih ÇETÝNALP, Filiz KÝBAR, Önder KARAÖMERLÝOÐLUhttp://www.korhek.org/makale.phphttp://www.korhek.org/makale.php?id=2712007-6-1..