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Öğe Determination of the prevalence of head lice Pediculus humanus capitis in primary school students in Ordu province(Refik Saydam National Public Health Agency (RSNPHA), 2018) Karaman Ü.; Enginyurt Ö.; Karaman Ö.; çolak C.; Kaçmaz G.Objective: Within the anoplura suborder with cosmopolitan distribution, Pediculus capitis is an ectoparasite living all its life stages on the scalp of humans. In this study the aim was to determine the epidemiology of this parasite in primary school students in Ordu province, along with treatment, preventive routes and related public health education. Methods: In this study it was screened 11 preschools, 8 primary schools and 7 middle schools in Ordu province for P. capitis. Head examination included investigation for eggs, nymph and adult forms of P. capitis especially in the nape of the neck and behind the ears. A strategy was determined for screening to be protective of mental health. In line with this, students were taken singly to a room provided by the school management and no information was given to students about the examination results. The results were delivered to the school management and necessary treatment was provided. During screening, necessary precautions were taken to avoid behavior that may disrupt the student's mood. Data are given as mean and standard deviation or median and quartile deviation or number/ percentage. Compability of data to normal distribution was investigated by the Shapiro Wilk test. According to the distribution of data, parametric or non-parametric significance tests were used for statistical analysis and p < 0.05 was accepted as significant. Results: In this study, it was investigated 6616 males and 6264 females for a total 12880 students in terms of P. capitis. Of students, positivity was identified in 238 males (3.5%) and 1368 females (21.8%) for a total of 1606 (12.4%) of students. In terms of head lice incidence percentage, there was a significant difference identified between females and males (p < 0.001). The incidence of parasite in females was found to be significantly high. Conclusion: The study of parasite epidemiology was completed in primary school children, with expected high percentage of incidence. Additionally, similar to other studies, our study identified a higher incidence percentage in females. The study determined the prevalence of the parasite in primary schools in Ordu province, with treatment and post-treatment checkups performed. Additionally, a fighting against parasites control program was created to form an effective prevention strategy. © 2018 Refik Saydam National Public Health Agency (RSNPHA).Amaç: Anoplura takiminda yer alan ve kozmopolit yayilim gösteren Pediculus humanus capitiş tüm hayat evrelerini insanlarin saç derişinde geçiren bir ektoparazittir. Bu çalişmada Ordu ili ilköğretim okulu öğrencilerinde parazitin epidemiyolojişinin belirlenmesi, tedavişi ve koruma yollari ile ilğili halk sağliği egitimi verilmesi amaçlanmiştir. Yöntem: çalişmada, P. h. capitiş açişindan Ordu ilinde bulunan 11 anaokulu, 8 ilkokul ve 7 ortaokul taranmiştir. Baş muayenesine alinarak özellikle basin ense ve kulak arkasi bölgeleri P. h. capitiş'in yumurta, nimf ya da erişkin formlari açişindan incelenmiştir. Tarama uygulamasi ile ilğili koruyucu ruh sağliği açişindan bir strateji belirlenmiştir. Bu doğrultuda okul müdürlüğü tarafindan tahsiş edilen odaya öğrenciler tek tek alinmiş ve muayene sonucu öğrenciye herhangi bir bilgi verilmemiştir. Sonuçlar toplu halde okul müdürlüğüne teslim edilmiş ve gerekli tedavilerinin yapilmasi saglanmiştir. Tarama sürecinde öğrencilerin duygu durumlarini bozucu davranişlardan kaçinilmaya yönelik gerekli önlemler alinmiştir. Veriler, ortalama ve standart sapma ya da ortanca ve çeyrek sapma veya sayi/yüzde olarak verilmiştir. Verilerin normal dağilima uygunluğu Shapiro Wilk testi ile incelenmiştir. Istatiştiksel analizlerde verilerin dağilimina göre parametrik ya da parametrik olmayan anlamlilik testleri kullanilmiş ve p < 0,05 anlamli olarak kabul edilmiştir. Bulgular: çalişmada 6.616 erkek, 6.264 kiz olmak üzere 12.880 öğrenci P. h. capitiş açişindan incelenmiştir. 238 (%3,5) erkek, 1368 (%21,8) olmak üzere toplamda 1.606 (%12,4) öğrencide P.h. capitiş varliği saptanmiştir. Baş biti görülme yüzdesi açişindan kizlar ile erkekler arasinda anlamli fark tespit edilmiştir (p < 0,001). Kizlarda parazit görülme orani anlamli olarak yüksek bulunmustur. Sonuç: çalişma, parazitin epidemiyolojişinin görülme yüzdesinin yüksek olmasi beklenen ilköğretim çocuklarinda yapilmiştir. Ayrica diger çalişmalarla benzer olarak kizlarda görülme yüzdesi daha yüksek tespit edilmiştir. çalişmada parazitin Ordu ili ilköğretim okullarinda yayginliği belirlenmiş, tedavileri ve tedavi sonrasi kontrolleri yapilmiştir. Ayrica, parazit ile savasta kontrol programi olusturularak etkili bir korunma stratejişi olusturulmustur. © 2018 Refik Saydam National Public Health Agency (RSNPHA).Öğe Evaluation of intestinal parasites and risk factors in patients applying to outpatient clinics with digestive system complaints in Ordu Province(Refik Saydam National Public Health Agency (RSNPHA), 2022) Karaman Ü.; Kaya Y.; Özdemİr Ö.; Engİnyurt Ö.; Gamsizkan Z.; Çolak C.; Yolalan G.Objective: The aim of this study is to investigate the parasite prevalence, species and factors affecting parasite positivity in patients with digestive system complaints in Ordu Province in Turkey. Methods: 317 patients who presented with gastrointestinal complaints were included in the study. A questionnaire including; socio-demographic characteristics of the patients, lifestyle and digestive system complaints was applied. Cellophane band method, nativ-lugol, sedimentation and Modifiye kinyoun acid-fast methods were used for the diagnosis of fecal parasites. After the samples were prepared and stained, they were examined under a microscope. Results: Parasite positivity was detected in 205 (64.66%) of 317 patients. Blastocystis spp. constitutes 34.1%, 34.7% of Cryptosporidium spp and 16.1% of Entamoeba coli. The incidence of helminths was 2.8% and the incidence of protozoa was 97.2%. 73.7% of the parasite positive patients were in the age group of 40 years and over, 72.7% were women, 81% were married, 65.6% were middle-income, 48.3% had a primary and secondary education level. 58.5% lived in villages, 74.1% were housewives / unemployed. 77.6% of the parasite positive patients lived in the nuclear family, 51.2% were using city water, 93.7% were eating vegetables predominantly. In 9 (4.4%) of the patients with parasite positivity, no parasite was detected at the first examination, and it was detected in the 2nd and 3rd Bakers. The complaints of salivation in Entamoeba coli, Blastocystis spp. and Cryptosporidium spp, and allergy, rectal itching, drooling, increased appetite were significantly higher in Enterobius vermicularis (p <0.05). Conclusion: It has been observed that there is a high rate of parasites in patients presenting with digestive complaints. Mostly Blastocystis spp., Cryptosporidium spp species were observed in Ordu Province. Patients who present with the complaint of digestion, especially those whose complaints do not improve, should definitely be evaluated in terms of parasites and the preliminary diagnosis of parasitosis should not be immediately ruled out, even if the first stool examination is negative. © 2022,Turk Hijyen ve Deneysel Biyoloji Dergisi. All Rights Reserved.Öğe Incidence of cryptosporidium spp. in the human population of Malatya in Turkey(Acta Medica Mediterranea, 2015) Karaman Ü.; Daldal N.; Özer A.; Engiyurt Ö.; Ertürk Ö.Aims: Cryptosporidium species, settled in the microvilli of digestive and respiratory systems of vertebrates, infect mammals, poultry, fish and reptiles. Cryptosporidium species are common worldwide. Symptoms vary depending on species of infected host, condition of the immune system and age. In healthy patients with strong immune system it is characterized by self-limiting diarrhea in approximately 2 weeks, whereas in people with suppressed immune systems it can cause diarrhea such as cholera and could create a life-threatening clinical condition The aim of this study is to determine the epidemiology of Cryptosporidium species in the human population of Malatya province and around. Materials and methods: In Malatya province in 2006, 2.281 stool samples were taken from patients admitted to the Inonu University Faculty of Medicine Parasitology Department with the gastrointestinal complaints and analyzed. On the other hand a questionnaire has been prepared to determine the epidemiology of Cryptosporidium species in the human population of Malatya province. Each patient included in the study filled out and signed a patient information form. Results: In the studies, it has been reported that the Cryptosporidium infection rate is 6.1% in the developing countries and it is 2.1% in the developed countries. In different studies carried out in Turkey, it has been reported that the prevalence of infection is between 0-35.5%. Stool samples were examined by direct microscopy and acid-fast staining method and 161 (7.1%) of them were positive. In this study, a significant relationship hasn't been found in patients with loss of appetite, general body itching, allergies, immunosuppressive and cancer, dyspnea, ulcerative colitis, diarrhea, abdominal pain, salivation, constipation, nausea, vomiting, growth retardation, the rectal itching and anemia, but in the statistical analysis, the difference is statistically significant. Conclusion: Consequently, molecular studies are needed to determine the common Cryptosporidium species and their sources in Malatya province and around. This will guide in determining strategies of public health education.Öğe Malondialdehyde, glutathione and nitric oxide levels in patients with Enterobius vermicularis infection(2010) Kiran T.R.; Karaman Ü.; Çolak C.; Bay Karabulut A.; Daldal N.The aim of this study was to investigate the levels of malondialdehyde (MDA) and nitric oxide (NO) which are indicators of oxidative stress and also the level of glutathione (GSH) which is an antioxidant molecule, in patients with Enterobius vermicularis infection. A total of 41 patients (mean age: 36.4 years; 31 were male) and 40 healthy controls (mean age: 40.2 years; 28 were male) were included to the study. None of the patients and controls have had history of hormone/steroid drug use, smoking and alcoholism. The mean level of GSH in patient and control groups were found 1.17 ± 0.02 ?mol/l and 2.49 ± 0.10 ?mol/l; MDA 26.97 ± 2.06 ?mol/l and 19.47 ± 2.25 ?mol/l NO 20.74 ± 0.60 ?mol/dl and 17.83 ± 0.50 ?mol/dl, respectively. The mean GSH level in patient group was statistically significantly lower (p< 0.05) than controls, while the mean MDA and NO levels were statistically significantly higher (p< 0.05). These results indicated that the consumption of GSH was increased due to the severity of oxidative stress in patients infected with E.vermicularis. Detailed experimental and clinical studies are required to enlighten the relation of GSH in the pathogenesis of E.vermicularis infection. Since oxidative stress is increased during enterobiosis, the use of antioxidant agents (e.g. vitamins C and E) for the supportive treatment deserves evaluation.Öğe Parasitosis in appendectomy cases(TIP ARASTIRMALARI DERNEGI, 2010) Karaman Ü.; Türkmen E.; Iraz M.; Karataş T.; Çolak C.Aim: Obstruction of lumen of appendix vermiformis causes inflammation and requires surgery. The study aimed to detect any parasitosis in appendiceal specimens brought to pathology laboratory. Method: A total 916 appendectomy specimens from Faculty of Medicine at Inonu University between 2002 and 2005 were examined for inflammation and luminal parasitosis. Result: Adult worms and eggs of Enterobius vermicularis were detected in 23 (2.5%) of all cases, while Taenia spp. were found in only 2 (0.2%) cases. Also parasites were found in 8 of (2.0%) of 391 construction appendicitis, and in 5 (1.3%) of 384 acute appendicitis cases. Moreover, plasma cells and polymorphonuclear leukocytes were observed, respectively, in 18, and 2 of Appendix vermiformis cases with parasite. Eosinophils in lamina propria were detected in all cases. Conclusion: Therefore, the intestinal parasitosis should be considered in the differential diagnoses of appendicitis. Education on how to prevent parasitosis should be included in training programs to avoid any unnecessary surgery.Öğe Prevalence of Demodex ectoparasites among humans in Ordu Province in Turkey(SEAMEO TROPMED Network, 2016) Karaman Ü.; Kolören Z.; Enginyurt Ö.; Çolak C.Demodex folliculorum and Demodex brevis are common ectoparasites in humans. Demodex parasite infestations have not been determined in the province of Ordu. We determined the prevalence of Demodex species among humans in Ordu Provience, Turkey. Seven hundred ninety-nine subjects (438 males and 361 females) aged ? 18 years living in the central districts of Ordu Province, Turkey, were selected using the World Health Organization cluster sampling method. A superficial skin biopsy of the face was obtained from each subject. Six hundred sixty-nine subjects (83.7%) had a Demodex parasite. Factors significantly associated with the presence of Demodex infestation were: female gender, employment in the private sector, people who only occasionally wash their face and district of residence. Since Demodex ectoparasites were common in Ordu Province, it is suggested that the diagnosis and treatment of this ectoparasite should be carried out in the hospitals of this region. © 2016, SEAMEO TROPMED Network. All rights reserved.
