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Öğe Çorum Ili Bir Saglik Ocagi Bölgesinde Yasayan Evli Kadinlarda Dogurganlik ve Etkileyen Faktörler+(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2002) Karaoglu, Leyla; Öztürk, Canan; Pehlivan, ErkanBu çalismada, Çorum, Merkez saglik ocaklarindan biri olan Mimar Sinan Saglik Ocagi bölgesindeki 15-49 yas evli kadinlarin dogurganlik özellikleri ve etkileyen faktörlerin incelenmesi amaçlanmistir. Yöntem: Kesitsel tipte olan arastirma, Mimar Sinan Saglik Ocagi bölgesinde, tabakali rastgele örnekleme yöntemi kullanilarak seçilen 280 evli kadini kapsamaktadir. Veriler, Nisan-Mayis 1997 tarihleri arasinda, yüz-yüze anket teknigiyle toplanmistir. Verilerin analizi SPSS programinda, nonparametrik testler kullanilarak yapilmistir. Bulgular: Kadinlarin yas ortalamasi 32 ? 0.5 olup, % 71' i ilkokul mezunudur. Ortalama ilk evlilik yasi 17.7, ortalama gebelik sayisi 3.7, ortalama canli dogum sayisi 2.8, ortalama düsük sayisi 0.75 olarak saptanmistir. Düsüklerin üçte ikisini istemli düsükler olusturmaktadir. Lojistik regresyon analiziyle, kadinin yasi, ilk gebelik yasi, egitim düzeyi ve esinin egitim düzeyi riskli dogurganlik davranisi olan dört ve daha fazla canli dogum yapmada birinci derecede etkili olan faktörler olarak belirlenmistir. Sonuç: Mimar Sinan Saglik Ocagi bölgesinde yasayan 15-49 yas evli kadinlarin dogurganlik düzeyinin hem 1990 Durum Saptama Arastirmasi hem de 1995 Degerlendirme Arastirmasi Çorum Il’i verileriyle karsilastirildiginda daha düsük oldugu saptanmistir.Öğe General home hygiene practices and infectious disease transmission in Malatya, Turkey(Professional Medical Publications, 2011) Aylaz, Rukuye; Gunes, Gulsen; Pehlivan, Erkan; Karaoglu, LeylaObjective: To determine the general home hygiene practices of housewives and to examine the relationship between hygienic practices in the home and the transmission of infectious diseases symptoms among housewifes. Methodology: This is a cross-sectional study conducted on 339 housewifes. The questionnaire included questions about home hygiene practices: general cleaning, laundry, kitchen hygiene and sociodemographic characteristics and about illness information including whether or not some symptoms had been present within the previous 30 days. The dependent variable, infectious disease transmission was defined as the presence in two or more individuals within the same household of one or more of the same symptoms. Results: In more than one-third of households (122 of 339, 36%), had symptoms during the previous 30 days. Transmission was 16.0% among women who used self-disinfecting sponge, 42.6% among women who used only sponge or clothe (p=0.001). Transmission was found higher among those who used detergent or soap for floor cleaning than women who used bleach. Duration of sponge/clothe use in kitchen and frequency of using bleach was found significant. Conclusion: Home hygiene practices was found relevant to transmission of infectious disease symptoms among household members. Use of disinfectants in home cleaning can have an effective role in home hygiene and healthcare situations.Öğe A household survey: unintentional injury frequency and related factors among children under five years in Malatya(Turkish J Pediatrics, 2010) Atak, Nazli; Karaoglu, Leyla; Korkmaz, Yasemin; Usubutun, SedaAccidents constitute a major public health problem around the world. They are one of the leading causes of death among children under five, with residential accidents accounting for the majority. Since there is no recording system that provides routine and reliable data about accidents, the data about the frequency of accidents and related factors are available only through researches. The aim of this study was to determine the frequency of injury-producing accidents and related factors among children aged under five who live in Malatya city center. In this cross-sectional epidemiological study, we covered first each regional health center in Malatya city center, a total of 30 clusters out of the population using a proportional systematic sampling method, and in turn, a sample size of 704 children under five. The frequency of injury-producing accidents was determined as 12.6%. The majority of the accidents occurred in the house, and 65.3% of them were due to falls; in 65.1%, accidents occurred in the presence of the mother. The frequency of the accidents was highest for the 4-5 age group (14.1%) and lowest among those <= 1 year. It was found that maternal age <= 30 (odds ratio [OR]=1.9) and patient age of 4-5 years (OR=5.4) primarily affected the chances of having an accident. A drawing of a kitchen setting, representing a total of 13 accident-producing risks, was given to the mothers, who were able to define an average of only 5.1 +/- 0.2 risks. The average number of risks defined by the mothers was found to be associated with the age of the child, educational background of the mother, her occupation, type of family, and monthly family income. No relation was determined between the accident risk awareness and accident frequency. In conclusion, the injury-producing accident frequency among children aged under five in central Malatya was found to be high. Given the finding that children have accidents in the presence of their mothers, it seems reasonable to provide mothers with parenting applications and training programs to reduce the home-based risks.Öğe Iodine deficiency in pregnant women in eastern Turkey (Malatya Province): 7 years after the introduction of mandatory table salt iodization(Cambridge Univ Press, 2009) Egri, Mucahit; Ercan, Chan; Karaoglu, LeylaObjective: The aim of the present study was to evaluate the Urinary I excretion of pregnant women in Malatya Province, eastern Turkey. Design and setting: A cross-sectional study Was performed on pregnant women in Urban and rural settlements of Malatya Province. Subjects: Urinary I excretion Was measured for 824 pregnant women who were randomly selected using a probably-proportional-to-size sampling methodology. Results: Median urinary I concentration (UIC) of pregnant women was 77.4 mu g/l. The percentage of pregnant women with UIC below 100 mu g/l was 83.3. Conclusion: These results indicate that I deficiency disorders (IDD) is still a problem in Malatya Province and most certainly in other parts of the country. Proper monitoring of I content of the salt sold or used in the area, in order to strengthen the IDD intervention programme, is suggested.Öğe The lifetime and point prevalence of neck, upper back and low back pain of the people living in central Malatya with influencing factors(Kare Publ, 2013) Ozdemir, Filiz; Karaoglu, Leyla; Ozfirat, OzlemObjectives: To determine the lifetime and point prevalence of neck, upper back and low back pain of people living in central Malatya with influencing factors. Methods: This research study is a cross-sectional interview survey. Thirty health house spots tied to the health clinics in the city center were chosen as thirty sets with the method of sampling and 600 people by taking 20 people from each set were included in the research. The data were collected between the 1st of June and the 1st of September. The association between pain prevalence and socio-demographic, health and behavior related characteristics were evaluated. Chi-square and backward stepwise logistic regression tests were used in the analyses. Results: Of the participants, 56.2% were women, 46.8% were men, and the mean age was 38.5 +/- 0.5 years. The lifetime neck, upper back and low back prevalence were 79.3%, 59.5% and 86.3%, respectively. The point prevalence of neck, upper back and low back were 12.0%, 3.0% and 18.3%, in that order. Gender, age, and psychological problems were determined to be the main predictors of life time pain prevalence. For point pain prevalences, the main predictors were gender, psychological problems and body mass index. Conclusion: Both lifetime and point pain prevalence showed that musculoskeletal disorders symptoms were common in the central Malatya region. In-service training of health personnel on the subject, assessment, notification, and prevention methods should be developed.Öğe Prevalence of flat foot among elementary school students, in rural and urban areas and at suburbs in Anatolia(Springer, 2011) Cetin, Aymelek; Sevil, Sedat; Karaoglu, Leyla; Yucekaya, BircanAbout 326 elementary school boys and 299 elementary school girls of an age ranging from 6 to 13 are included in this flat foot prevalence study. Results of the study are categorized in three groups, namely city centers, rural areas and suburbs. For the assessment of flat foot, footprint test is used. Prevalence of flat foot was 35.5% among girls and 28.5% among boys. Flat foot was associated with child age, residency and body mass index (BMI). Flat foot prevalence was highest among 6-year-old children, and lowest among 11-year and older children (P < 0.05). Flat foot prevalence was lower among children living in rural areas and children with low BMI value (P = 0.001). More overweight and at risk of overweight children had flat foot compared to normal and underweight children (P < 0.05). Familial predisposition was also noted for flat foot; 16.1% of children with flat foot had a familial history of flat foot, while this rate was only 5.6% in families of healthy subjects (P = 0.001).Öğe The prevalence of nutritional anemia in pregnancy in an east Anatolian province, Turkey(Bmc, 2010) Karaoglu, Leyla; Pehlivan, Erkan; Egri, Mucahit; Deprem, Cihan; Gunes, Gulsen; Genc, Metin F.; Temel, IsmailBackground: Anemia is considered a severe public health problem by World Health Organization when anemia prevalence is equal to or greater than 40% in the population. The purpose of this study was to determine the anemia prevalence with the associated factors in pregnant women and to determine the serum iron, folate and B12 vitamin status in anaemic pregnants in Malatya province. Methods: This is a cross-sectional survey. A multi-sage stratified probability-proportional-to-size cluster sampling methodology was used. A total of 823 pregnant women from sixty clusters were studied. Women were administered a questionnaire related with the subject and blood samples were drawn. Total blood count was performed within four hours and serum iron, folate and B12 vitamin were studied after storing sera at -20 C for six months. Results: Anemia prevalence was 27.1% (Hb < 11.0 gr/dl). Having four or more living children (OR = 2.2), being at the third trimester (OR = 2.3) and having a low family income (OR = 1.6) were determined as the independent predictors of anemia in pregnancy. Anemia was also associated with soil eating (PICA) in the univariate analysis (p < 0.05). Of anaemic women, 50.0% had a transferrin saturation less than 10% indicating iron deficiency, 34.5% were deficient in B12 vitamin and 71.7% were deficient in folate. Most of the anemias were normocytic-normochromic (56.5%) indicating mixed anemia. Conclusions: In Malatya, for pregnant women anemia was a moderate public health problem. Coexisting of iron, folate and B vitamin deficiencies was observed among anaemics. To continue anemia control strategies with reasonable care and diligence was recommended.Öğe The Rates of Seropositivity and Seroconversion of Toxoplasma Infection in Pregnant Women(Ankara Microbiology Soc, 2012) Dogan, Keziban; Kafkasli, Ayse; Karaman, Ulku; Atambay, Metin; Karaoglu, Leyla; Colak, CemilInfections caused by Toxoplasma gondii are frequently asymptomatic in healthy adults, however they may be serious in pregnant women and immunocompromised patients. The aims of this study were to investigate the rates of seropositivity and seroconversion in pregnant women and newborn cord blood samples, and to evaluate those data in the view of relation to lifestyle and nutrition. A total of 312 pregnant women (mean age: 28.1 +/- 5.2 years) who were admitted to and followed by gynecology clinics of Inonu University Medical School Hospital, Malatya, Turkey were included in this observational and cross-sectional study. Anti-toxoplasma IgG and IgM antibodies in pregnants and newborn cord sera were screened by commercial ELISA and immunofluorescence antibody (BioTek; USA) methods. A total of 312 sera from pregnant women and 312 cord blood samples during delivery were collected. IgG seropositivity rate in pregnants was found as 37.5% (117/312), seroconversion was not determined in restrained pregnants and T.gondii IgM was found negative in all pregnants. Also in all newborns IgM was negative and IgG seropositivity was determined as 33.3% (104/312) in cord blood. There was a statistically significant relationship between IgG seropositivity and raw meat consumption (p<0.001) and being engaged in agriculture (p<0.005). It was concluded that toxoplasma antibodies should routinely be searched on the first visit of the pregnants and the seronegative cases should be trained about the preventive measures related to toxoplasmosis. The follow-up of toxoplasma seronegative cases during pregnancy can be achieved by only detecting the IgM class antibodies and this will also reduce the cost of screen test.Öğe Violent Discipline Behaviors in Mothers of Preschool Children in Malatya, East Anatolia(Sage Publications Inc, 2020) Omac Sonmez, Mehtap; Genc, Metin Fikret; Karaoglu, LeylaViolent parenting behavior, whether physical or psychological, give harms to child well-being. This study was conducted to describe and compare the prevalence of discipline methods used by mothers of 2- to 5-year-old children in Malatya, Turkey. This is a cross sectional study and 552 mothers were administered a face-to-face questionnaire describe the methods they use to discipline their children in the year previous the survey. It was observed that nine of 10 women used violence on their children physically and psychologically. The study showed that nine of 10 mothers used physical and/or psychological punishment toward their children in the previous year. Nonviolent discipline was less prevalent than punitive discipline, such as psychological and physical punishment. The most commonly used method was psychological punishment. Significant sociodemographic associations with discipline methods were found. Mother's educational level, family income, child gender, and child age were the independent predictors that explained discipline methods used by mothers. Starting parenting classes and strengthening the child protection systems at national level were suggested.
