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Öğe Adults assessments about urban life charesteristics in an eastern city of Turkey(Scibulcom Ltd., 2019) Firinci B.; Mete B.; Pehlivan E.This study was conducted to evaluate the usability and livability of urban areas by the individuals who are at and above the age of 50 living in the city of Malatya which is located in the eastern region of Turkey in terms of housing, outdoor and transportation; and to examine the relevant socio-demographic properties. The questionnaire form, which questioned the sociodemographic properties, and the usability of house, transportation and outdoors, consisted of 41 questions. As a result, it was observed that most of the male individual who were above the age of 50 lived in houses that were in adequate size, and the majority of them owned their houses. It was observed that those who lived in rural areas had more heating problems and experienced less security and environmental problems. When physical disability is considered in old age period, it was observed that half of the participants lived in houses or flats that did not have elevators. It was determined that the comfort of public transport was low. The fact that social gender inequality continued at further age was also determined as another finding that has to be emphasised. © 2019, Scibulcom Ltd. All rights Reserved.Öğe The Bad Bug is Back: Acinetobacter Baumannii Bacteremia Outbreak during the COVID-19 Pandemic in an Intensive Care Unit(Wolters Kluwer Medknow Publications, 2022) Mete B.; Kurt A.F.; Urkmez S.; Demirkiran O.; Can G.; Dumanli G.Y.; Bozbay S.Background: Epidemiology of nosocomial infections may show variability because of under-estimation of infection control measures (ICMs) in coronavirus disease 19 (COVID-19) outbreak. Aim: To investigate the Acinetobacter bacteremia outbreak developed in an intensive care unit (ICU) between March 20 to May 15, 2020, examine the risk factors, and re-evaluate ICM retrospectively. Material and Methods: A retrospective cohort analysis was conducted to determine the risk factors, pulsed field gel electrophoresis (PFGE) was performed for analysis of the outbreak, ICM practices were observed by a team, and infection control interventions were undertaken. Results: Acinetobacter bacteremia developed in 17 patients (21.5%) within 79 COVID-19 patients included in the study. The mean age of the bacteremic patients was 67.3 (SD = 14.82) years, and 82.4% of them were male; of these, 15 died, leading to 88.2% mortality. The bacteremia rate was higher compared with a 14-month period preceding the COVID-19 pandemic (17/79 versus 12/580 patients, respectively). PFGE revealed that the outbreak was polyclonal. On multi-variate analysis, the bacteremia development rate was 13.7 and 5.06 times higher with central venous catheter (CVC) use and in patients with chronic obstructive pulmonary disease (COPD), respectively. The mortality rate was higher in bacteremic patients (p = 0.0016). It was observed that ICMs were not followed completely, especially change of gloves and hand hygiene. Contamination of A. baumannii was observed in 38% of the gloves. Conclusion: COPD and CVC use were determined as risk factors for Acinetobacter bacteremia development, and failures in ICM may have led to cross-contamination of endemic A. baumannii. The outbreak could be controlled within 3 weeks of interventions. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.Öğe Evaluation of water consumption behaviors of young adults living in Malatya(Refik Saydam National Public Health Agency (RSNPHA), 2017) Pehlivan E.; Mete B.; Bektaş D.; Bayat S.; Kart A.Objective: Water is the most basic source of all living things on earth. The aim of this study is to determine the behavior of young adults aged between 18-40 in Malatya province center for water consumption and to determine the factors affecting these behaviors. Methods: Our study is a descriptive cross-sectional study conducted in Malatya province center in December 2016. According to our pilot study results, the minimum number of samples to be achieved is 980.A questionnaire was applied to 1208 people. In the factor questioning section of the questionnaire, questions about the socio demographic characteristics and some properties related to water consumption were used; in the phenomenon inquiry part of the questionnaire, the Water Consumption Behavior Scale consisting of 16 items was used. In the analysis of the data; Mann Whitney-U and Kruskal-Wallis tests were used. p < 0,05 was accepted as significant in all evaluations. Results: As 1208 people participated in our study. When the participants' total scores on the water consumption behavior scale are examined in terms of various socio-demographic characteristics, the mean total score of women is 49.3±10.58, and that of males is 47.92±11.21(p=0.026).There is no difference between the mean scores in terms of daily water consumption (p=0.051). There is a difference between mean scores as to whether there will be a water shortage in the future (p=0.034).Those who do regular sporting activities and, who consume bottled water have a higher and more significant score. Conclusion: In this study, women exhibit more positive behaviours than men in terms of water consumption. As the amount of daily drinking water consumption increases, scores from the scale increase. It has also been found that regular sporting activities make a positive contribution to the behavior of water consumption. It has been determined that the idea of having water scarcity in the future contributes positively to water consumption awareness and behavior.It may be advisable to educate young people on freshwater resources and water consumption in these topics in educational institutions.Öğe Knowledge and behavior of mothers living in malatya province about breastfeeding their babies(Nobelmedicus, 2020) Güneş G.; Ayhan G.Ö.; Mete B.; Aylaz R.Objective: Breastfeeding is the most appropriate way for healthy growth of infants. Breastfeeding is the simplest, rational and economic step that can be taken for a healthy life. The aim of this study was to determine the factors affecting breastfeeding behavior of breastfeeding mothers and their knowledge about breastfeeding. Material and Method: This is a cross-sectional study. In this study conducted in Malatya center in 2017, 200 women selected as sampling were included in the study. A questionnaire was used to question the knowledge and behaviors of breast milk. Results: The mean age of the mothers was 29.41±5.96. 60.0% of the women stated that they breastfed their babies within the first half hour after birth, 88.0% stated that their first food was breast milk, and 73.0% stated that they breastfed their babies whenever they wanted. 54.0% of the mothers expressed that they gave water to their baby while giving breast milk. The average duration of mothers feeding their babies with only breast milk is 5 months. The total duration of breastfeeding is longer in mothers aged 36 years and older. It was observed that university mothers and high income mothers had higher levels of knowledge about breast milk (p<0.05). Conclusion: In breastfeeding mothers in the city center of Malatya, only breastfeeding time was below the recommended period (6 months). Most mothers gave their baby breast milk as the first food. In the first 6 months, breastfeeding rate is high. Training should be increased for mothers with low education and income. © 2020, Nobelmedicus. All rights reserved.