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    HBsAg Screening in the Family Members of the Patients with Chronic Hepatitis B
    (Galenos Yayincilik, 2007) Kayabas, Uner; Bayindir, Yasar; Yologlu, Salim; Akdogan, Dogan
    Hepatitis B is one of the most common viral infections around the world. It is estimated that two billion people have been infected with hepatitis B virus and higher than 350 million have chronic hepatitis B. The aim of this study was to determine HBsAg positivity in the family members of index cases with chronic hepatitis B. Totally 375 subjects who were admitted to our outpatient clinic of Infectious Diseases between 2000 and 2003, were included in this study. Eighty-eight of them were index cases that were detected as HBsAg positive while 287 of them were the family members of the index cases. Thirty (34.1%) of the index cases were female and 58 (65.9%) were male. One hundred and fifty eight (55.1%) of the family members were female, 129 (44.9) were male. There were 36 HBsAg positive family members, 20 (55.5%) of them were male, 16 (44.5%) of them were female (p>0.05). The mean age of HBsAg positive family members and HBsAg negative family members were 26.5 +/- 14.7 (6-58) and 20.1 +/- 14.2 (range 1-60) (p=0.01), respectively. HBsAg positivity of fathers was higher than mothers (p=0.0003). HBsAg positivity was higher in off-springs of families that both parents have HBsAg positivity than families with mother-negative but father-positive HBsAg positivity (p<0.0001). In conclusion, intra-familial transmission is very important for HBV, therefore the family members of HBsAg positive index cases should be screened for HBsAg and if necessary they should be vaccinated.
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    Knowledge level, attitude and own experience of health professionals about breastfeeding and breast milk in a city of Turkey: Cross-sectional study
    (Soc Argentina Pediatria, 2016) Artantas, Aylin Baydar; Tetik, Burcu Kayhan; Kilic, Melek; Eray, Irep Karatas; Cetin, Nazan; Guney, Sinem; Akdogan, Dogan
    Introduction: Worldwide consensus about breastfeeding is that the infant should exclusively be breastfed until six months of life. Despite this, the rate of exclusive breastfeeding for the first six months of age is low in so many countries including Turkey. The aim of this study was to evaluate the knowledge, the attitudes and the own experiences of health professionals about breastfeeding and breast milk, in a metropolitan city in Turkey. Materials and methods: This study was performed between July 2012 and December 2013. Study subjects included health professionals working in the university hospitals, research and training hospitals, public and private hospitals; child, adolescent, women and reproductive health services centers, family health centers, and community health centers located in Ankara. A questionnaire was used to collect data. SPSS 11.5 package program was used for statistical analysis. Results: A total of 715 people participated in this study. From those who had children themselves 3.4% (n=16) had not breastfed their babies at all, and 7.6% (n=36) had breastfed their baby until second year of age. It was found that 28.4% of the participants had poor, 43.1% had average and 28.5% had good knowledge level about breastfeeding and breast milk. Conclusion: This study reflects the lack of knowledge about breastfeeding and breast milk among the health professionals in Turkey. Although a great majority of participants agree the recommendation of WHO about the duration of breastfeeding, the percentage of breastfeeding of health care professionals during recommended period was very low.