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Öğe A comprehensive assessment of ambient air quality in Canakkale city: Emission inventory, air quality monitoring, source apportionment, and respiratory health indicators(Turkish Natl Committee Air Pollution Res & Control-Tuncap, 2020) Mentese, Sibel; Mirici, Nihal Arzu; Elbir, Tolga; Tuygun, Gizem Tuna; Bakar, Coskun; Otkun, Muserref Tatman; Oymak, SibelThis comprehensive study aims to examine the relationships between ambient air quality (AAQ) and respiratory health of the participants residing in three different towns of Canakkale city, Turkey between August 2013 and 2014. AAQ measurements for bioaerosols, volatile organic compounds (VOCs), total particulate matter (PM) count, carbon dioxide (CO2), and carbon monoxide (CO) were performed and monthly pulmonary function test (PFT) was applied to volunteer participants residing in the study sites (n = 121) for one year. Additionally, concentrations of air pollutants for PM2.5/PM10, sulfur dioxide (SO2), nitrogen oxides, and ozone were gathered from AAQ monitoring stations. To estimate the contributions of the emission sources and their effects on human health in the region, an emission inventory was also prepared in the region and AERMOD modelling system was applied for the year of 2013. Accordingly, the industry was the most polluting sector for NOx and SO2, while road traffic and residential heating were the most polluting sectors for CO and PM10. Factor analysis revealed that organics, combustion, bioaerosol propagation, and ozone accumulation contributed to AAQ, in agreement with AQ modelling results. Can had the worst air quality (industrialized site), which affected the respiratory health indicators of the participants. Generalized linear model estimated that PF of the participants varied according to the residing district, gender, suffering from asthma, and lifelong smoking or environmental tobacco smoke exposure (p < 0.05). Also, PF of the participants were linked with VOCs levels in the Central town, total PM count in Lapseki, and ozone levels in Can (p < 0.05).Öğe A long-term multi-parametric monitoring study: Indoor air quality (IAQ) and the sources of the pollutants, prevalence of sick building syndrome (SBS) symptoms, and respiratory health indicators(Turkish Natl Committee Air Pollution Res & Control-Tuncap, 2020) Mentese, Sibel; Mirici, Nihal Arzu; Elbir, Tolga; Palaz, Elif; Mumcuoglu, Deniz Tasdibi; Cotuker, Osman; Bakar, CoskunPoor indoor air quality (IAQ) can cause several respiratory diseases and symptoms. In this study, IAQ of 121 homes located in 3 different towns of Canakkale, Turkey was monitored throughout a year. Target air pollutants were particulate matter, volatile organic compounds (VOCs), bioaerosols, and Carbon dioxide (CO2), as well as air temperature and humidity. Moreover, pulmonary functions of the occupants were measured on a monthly basis. Also, occurrence of sick building syndrome (SBS) symptoms and other health related data were gathered from the occupants by a detailed questionnaire. The SBS is a situation related to indoor air pollution in which the occupants of a building experience health or comfort related adverse effects that appear to be associated directly to the time spent in the sick building. Results of this study showed that the highest indoor air pollutant levels were observed in Can town and the lowest levels were observed in Central town. Indoor levels of bioaerosols, particulate matter, benzene, Cladosporium spp., and Penicillium spp. as well as pulmonary functions of the occupants showed statistically significant differences between the locations of the homes (p < 0.001). Factor analysis implied that both indoor and outdoor originated sources contributed to IAQ. Even though the predominant SBS symptoms varied seasonally and spatially among the study sites, fatigue, cold-flu like symptoms, and difficulty in concentration occurred frequently. Correlations were found among the occurrence of SBS symptoms, measured IAQ parameters, and personal factors (p < 0.05). Performing more studies from the health and IAQ points of view improve public awareness.Öğe Anxiety and depression in primary and secondary dystonia: A burden on health related quality of life(2013) Degirmenci, Yildiz; Oyekcin, Demet Gülec; Bakar, Coskun; Kurklu, NehirDystonia is a reason of visible chronic motor and/or psychological disability that may influence the quality of life. Our aim was to investigate depression and anxiety in patients with primary and secondary dystonia, and to evaluate their effects on the quality of life. Patients with primary and secondary dystonia, and age-matched healthy volunteers were enrolled in the study. Anxiety and depression was evaluated with Hospital Anxiety Depression (HAD) scale. Short Form-36 was used to assess the quality of life in both study groups. Both mean anxiety and depression subscales scores were found to be increased in the patients with dystonia, when compared with the control group (p < 0.05). There were no statistically significant differences in the HAD scores patients with primary and secondary dystonia (p > 0.05). When compared with controls, all domains of SF-36 were found to be decreased in patients with dystonia contributing to a deterioration in the HR-QoL (p < 0.05). Among dystonia patients, a statistically significant decrease was found in all domains of SF-36, except vitality and mental health in secondary dystonia (p < 0.05). Multiple regression analysis revealed that secondary dystonia, long term disease, depression and anxiety have a great impact on quality of life of patients with dystonia. Dystonia can be considered as an important risk factor for anxiety and depression which leads to a deterioration in the quality of life of patients. © 2013 Elsevier GmbH.Öğe Association between respiratory health and indoor air pollution exposure in Canakkale, Turkey(Pergamon-Elsevier Science Ltd, 2015) Mentese, Sibel; Mirici, Nihal A.; Otkun, Muserref T.; Bakar, Coskun; Palaz, Elif; Tasdibi, Deniz; Cevizci, SibelIndoor air quality (IAQ) measurements were conducted in three different towns (i.e. Centre, Lapseki, and Can) in Canakkale, Turkey (n = 121) throughout the year. All indoor environments were selected randomly among the volunteer participants of a previous health survey. Particulate matter (PM), Total Volatile Organic Compounds (TVOCs), Total Bacteria Concentration (TBC), Total Mold Concentration (TMC), and Carbon dioxide (CO2) together with temperature and relative humidity (RH) were measured monthly. Together with IAQ measurements, bronchial hyper-responsiveness indicators such as forced vital capacity (FVC) and forced expiration volume (FEV1) of the occupants of the homes were measured by monthly Pulmonary Function (PF) test. Furthermore, a comprehensive survey was given to the participants. The measured IAQ parameters showed seasonal and spatial variations (p < 0.05). Among them, the highest levels of TVOC, CO2, and PM were found in the winter, while the highest levels of both TBC and TMC were found in the summer. In general, levels of IAQ parameters and asthma prevalence were the highest in Can (i.e. industrial area). Also, IAQ adversely influenced the respiratory health of participants in Can (p < 0.05). Shortness of breath was the most prominent respiratory symptom. Negative associations between asthma and FEV1/FVC ratio, and between respiratory symptom score (RSS) and FEV1/FVC, support the idea that the PF test can be a good indicator for (early) prognosis of respiratory diseases. (C) 2015 Elsevier Ltd. All rights reserved.Öğe Associations among exposure to microbial, organic, and inorganic indoor/outdoor air pollution and respiratory problems in different towns of Canakkale, Turkey(Amer Chemical Soc, 2014) Mentese, Sibel; Otkun, Muserref Tatman; Bakar, Coskun; Mirici, Nihal Arzu; Cevizci, Sibel; Tasdibi, Deniz; Palaz, Elif[Anstract Not Available]Öğe Associations between respiratory health and ambient air quality in Canakkale, Turkey: a long-term cohort study(Springer Heidelberg, 2018) Mentese, Sibel; Bakar, Coskun; Mirici, Nihal Arzu; Oymak, Sibel; Otkun, Muserref TatmanFew epidemiological studies investigating the association between air pollution and health are available in Turkey. The aim of this cohort-type study is to examine the relationships between ambient air quality, respiratory diseases, and decreases in pulmonary function over a year in three different towns in Canakkale: Canakkale Central town (region I), Lapseki town center (region II), and Can town (region III). Region III had four different sub-regions, which were Can town center (region III-A), and the villages located around Can town, namely Durali (region III-B), Kulfal (region III-C), and Yuvalar (region III-D). In the first stage of the study, a detailed questionnaire was completed by the participants (n = 1152) in face-to-face interviews and pulmonary function test (PFT) was performed. In the second stage of the study, PFT measurements were repeated 1 year after the first stage. Particulate matter, SO2, NO2, and ozone were gathered from air quality monitoring stations located in the centers of the three regions. The most polluted area was region III, while region I and region II were the least polluted areas. The risk of pulmonary function decline throughout a year was 2.1 times higher in region III, 2.4 times higher both in regions III-B and III-C, and 1.6 times higher for smokers in all regions. In the present study, ambient air quality was worse in region III (industrialized region), which influenced PFT scores and the prognostics for chronic respiratory diseases. The findings of this study should be considered for future investment plans in this region related to human and environmental health needs.Öğe Attitudes Towards the Elderly Among Medical Students and Related Factors(Galenos Publ House, 2022) Ozerdogan, Ozgur; Eker, Esen; Yuksel, Buse; Oymak, Sibel; Bakar, CoskunBACKGROUND/AIMS: this study aimed to determine the attitudes towards elderly people and related factors among medical students. MATERIALS AND METHODS: The population of this cross-sectional study consisted of 385 students in the fourth, fifth and sixth classes studying at a medical school. The questionnaire consisted of sociodemographic characteristics, the Kogan's Attitude Toward Old People Scale and the Beck Hopelessness Scale. For the analysis of the data, difference between two means, variance test, Mann-Whitney U test and Spearman Correlation Analysis was used. For statistical significance, p<0.05 was accepted. RESULTS: The study was conducted with 324 people, the mean age was 23.3 +/- 1.4 years, 34.6% was in fourth, 32.7% was in fifth, 32.7% was in the sixth year and 55.7% was female. The mean attitude score toward the elderly was 100.7 +/- 14.4. The median value of KOGAN was higher in women than in men (p=0.004). There was a negative correlation (r=-0.251, p<0.001) between KOGAN and the hopelessness scores. KOGAN score of those who had a history of living with an elderly individual in a period of their life was 102.4 +/- 13.4, while it was 99.9 +/- 14.8 for others. It was 102.1 +/- 13.0 for those with a history of caring for a bed-dependent elderly person, and 100.7 +/- 14.4 for others (p>0.05). CONCLUSION: Applications to be made to integrate medical students and elderly people and intensification of elderly care education will be effective in developing positive attitude among young people.Öğe Comparison of exposure to indoor air pollution in different towns of Çanakkale, Turkey(International Society of Indoor Air Quality and Climate, 2014) Mentese, Sibel; Otkun, Muserref T.; Bakar, Coskun; Mirici, Nihal A.; Cevizci, Sibel; Cotuker, Osman; Tasdibi, Deniz[No abstract available]Öğe DATA FOR DEATH REGISTRATION SYSTEM: AN ACCURACY EVALUATION OF THE DATA OF DEATH CAUSES IN CANAKKALE, TURKEY(Nobel Ilac, 2016) Bakar, Coskun; Cevizci, SibelObjective: This research aims to evaluate the registration system for deaths in Turkey, starting from the death records from Canakkale Province between 2007 and 2012. Material and Method: This study used the death records of Canakkale Public Health Directorate from the years 2007 to 2012. Within this period, 15,154 causes of death were re-coded using the ICD-10 Procedure Coding System. The data on deaths between 2001 and 2008 was obtained from the Turkish Statistical Institute (TSI). Results: Among the top three causes of death were circulatory and respiratory system diseases and cancers. When the distribution of causes of death in Canakkale province between 2001 and 2008 is examined, circulatory system diseases are in first place, with cancers in second place. This study, generated by examining the death records of the Public Health Directorate shows that causes of the 20% of the deaths happened in Canakkale Province between the years 2007 and 2012 are not defined anywhere. With further investigations cardiopulmonary arrest, senility and fate are observed among these causes. Conclusion: With regulation of the death registration system in recent years, there has been some improvement; however, it is observed that there are still significant gaps. Training to develop the knowledge, skills and attitude of clinicians and health managers as regards recording deaths correctly is necessary. There is a need for death records to determine health policies in our country, and they need to be used more, especially by policymakers.Öğe DEVELOPMENT OF THE COVID-19 FEAR SCALE FOR MEDICAL FACULTY CLINICAL STUDENTS(Nobel Ilac, 2023) Yalcin, Sibel Oymak; Can, Gamze; Toraman, Cetin; Kartal, Hakan; Yildirim, Mustafa Sefik; Bakar, CoskunObjective: Healthcare professionals continue to work uninterruptedly and provide preventive and therapeutic services, due to the COVID-19 pandemic. The risk of experiencing psychological health problems increases due to this heavy and continuous workload and various risk factors. Scales available in the international literature have been developed in adults to screen for fear of COVID-19. The purpose of this research was to develop a scale that will mediate the collection of valid and reliable data for medical faculty and to determine the COVID-19 fear levels of term 4, 5, 6 students. Material and Method: This methodological type study was conducted in the 2020-2021 education period and total of 371 students in classrooms of 4,5 and 6 terms were included. Necessary arrangements were made and the candidate fear scale was created. The items in the scale were structured in a 5-point Likert style. The suitability of the data set for factor analysis was done with the Kaiser Meyer Olkin (KMO) test. The principal axis factoring (PAF) method was used as the factor determination method. The Direct Oblimin method was used as the rotation method. The validity and reliability proofs of the scale were examined according to the Classical Test Theory and Item Response Theory. In this study, unidimensionality was examined by EFA. The local independence assumption was tested with the Q3 statistic. IRT calibrations were provided with mirt v.1.30 program within the scope of R v.4.0.5 software. Results: 55.3% of three hundred and seventy-one participants were women (n=205). 41.8% of the students were in term 4 (n=155), 29.6% were in term 5 (n=110), 28.6% were in term 6 (n=106). The item-total correlation analysis of 35 items of the Candidate COVID-19 Fear Scale was carried out by explanatory factor analysis (EFA), and 18 items were excluded from the item pool because measurement and evaluation could not reach the desired values in the scale development literature. As a result of the analyzes made, it was determined that the COVID-19 fear scale, in a total of 17 items, with three sub-factors validly and reliably determined the COVID-19 fear level of the students (F1: Fear of Practicing Your Occupation Due to COVID-19; F2: Fear of Catching and Spreading COVID-19; F3: Fear of Illness Due to Negative Habits). In addition, the validity and reliability levels of the scale were proven according to both classical test theory and item response theory. The scale Total Cronbach Alpha Reliability Value was found to be 0.932, which is the reliability indicator of the COVID-19 fear scale according to the classical test theory. The marginal reliability coefficients were detected at the levels of 0.920, 0.870 and 0.811 respectively for the F1, F2 and F3 sub-factors according to the item response theory. Conclusion: It has been observed that the COVID-19 fear scale determined the COVID-19 fear level in medical students in a valid and reliable way with three sub factors in 17 items. If the scale is used in different regions and medical students, it will also make an important contribution to the literature and detailed comparisons can be made.Öğe Effect of High Aluminum Concentration in Water Resources on Human Health, Case Study: Biga Peninsula, Northwest Part of Turkey(Springer, 2010) Bakar, Coskun; Karaman, Handan Isin Oezisik; Baba, Alper; Sengunalp, FatmaWidespread and intense zones of silicified, propylitic, and argillic alteration exist as outcrop around the Biga Peninsula, NW Turkey. Most of the springs in the study area surface out from these altered volcanic rocks. The concentrations of aluminum (Al) in these springs ranged from 13.17 to 15.70 ppm in this region. These high levels of Al were found to exceed the maximum allowable limits (0.2 ppm) depicted in national and international standards of drinking water quality. Therefore, the effect of high Al in water resources on human health was evaluated in this research. A total of 273 people aged above 18 years and living in the Kirazli region (whose water supply is from springs emerging from these alteration zones) and in the Ciplak-Halileli region (whose water supply is provided from an alluvium aquifer) were selected as the research group. For this group, a questionnaire was completed that contained questions on descriptive characteristics of humans and a Mini-Mental State Examination (MMSE) was administered by the authors using the face-to-face interview technique. A neurological examination was then performed by the neurology specialist as a second-stage investigation. Finally, 10 ml of venous blood samples were obtained from these people as a third-stage analysis to determine the serum Al levels together with vitamin B-12, folic acid, and thyroid-stimulating hormone parameters. The result typically revealed that the MMSE score was less in 31.9% and there was no statistically significant difference between the two regions. However, the result also showed that neuropathy in the history (including a careful past medical history) was significantly higher in the Kirazli region.Öğe EFFICACY OF PROJECT-WRITING AND APPLICATION TRAINING FOR ACADEMIC PERSONNEL IN THE FIELD OF HEALTH SCIENCES(Nobel Ilac, 2020) Yalcin, Sibel; Ozerdogan, Ozgur; Yuksel, Buse; Bakar, CoskunObjective: This research aimed to assess the efficacy of project writing training for participants wishing to write projects for the health sciences field. Material and Method: This interventional-type research was conducted in November 2017 on 32 individuals who were interested in writing projects in the health sciences field. Pretest and posttest were applied before and after training by answering under observation of the research team. The efficacy of the second stage of project writing training was assessed by creating a skill checklist based on the project writing stages for Scientific and Technological Research Council of Turkey (TUBITAK) 1001 number project. Results: The mean knowledge points of participants were identified to significantly increase after training compared to those before training (p<0.05). 14 people successfully completed the project-writing training. For each group the project-writing stages were found at should be developed and sufficient levels. Participants stated that project-writing was not as easy as they thought and they required more time. When the feedback from participants is investigated, medical faculty specialization students found that they required separate group training about scientific project writing. Additionally, feedback was received that specific project-writing training for different occupational groups within the health science field may be more beneficial. Conclusion: The project-writing training presented in this research was found to be effective. A project writing training module that is updateable and may be used to train different groups in the future was created.Öğe EVALUATING PESTICIDE USE AND SAFETY PRACTICES AMONG FARMWORKERS IN GALLIPOLI PENINSULA, TURKEY(Southeast Asian Ministers Educ Organization, 2015) Cevizci, Sibel; Babaoglu, Ulken Tunga; Bakar, CoskunUnsafe pesticide use among farmworkers is a major public health problem in Turkey. This study aimed to investigate pesticide use and safety practices of farmers in a village of Gallipoli Peninsula, Turkey This cross sectional study was conducted with 117 farmers. The questionnaire included questions on demographic data, knowledge, attitudes, and safety practices concerning pesticides. The mean age of participants was 42.8 years, and 38.5% was female participants. Of the total 177 respondents, 77.8% reported that they prepared the chemical mixture at a public fountain, whereas 22.2% prepared it in their houses. Almost half (44.4%) reported that they experienced at least one health problem after pesticide application in the previous one year. Total scores for pesticide safety practices of the subjects, who declared that they experienced at least one health problem after the application in the previous one year, were statistically significantly lower (p<0.001). Their responses about safe use of pesticides and storage conditions were very striking. Our findings indicated that there is a need to increase health promotion activities through training, and the local administrations should promote safe use of pesticides by farm workers.Öğe Evaluating pesticide use and safety practices among farmworkers in gallipoli peninsula, turkey(SEAMEO TROPMED Network, 2015) Cevizci, Sibel; Babaoglu, Ulken Tunga; Bakar, CoskunUnsafe pesticide use among farmworkers is a major public health problem in Turkey. This study aimed to investigate pesticide use and safety practices of farmers in a village of Gallipoli Peninsula, Turkey. This cross sectional study was conducted with 117 farmers. The questionnaire included questions on demographic data, knowledge, attitudes, and safety practices concerning pesticides. The mean age of participants was 42.8 years, and 38.5% was female participants. Of the total 177 respondents, 77.8% reported that they prepared the chemical mixture at a public fountain, whereas 22.2% prepared it in their houses. Almost half (44.4%) reported that they experienced at least one health problem after pesticide application in the previous one year. Total scores for pesticide safety practices of the subjects, who declared that they experienced at least one health problem after the application in the previous one year, were statistically significantly lower (p<0.001). Their responses about safe use of pesticides and storage conditions were very striking. Our findings indicated that there is a need to increase health promotion activities through training, and the local administrations should promote safe use of pesticides by farm workers. © 2015, SEAMEO TROPMED Network. All rights reserved.Öğe GENERAL HEALTH AND DISABILITY STATUS: A COMPARATIVE STUDY BETWEEN NURSING HOME RESIDENTS AND ELDERLY LIVING AT THEIR OWN HOMES(Gunes Kitabevi Ltd Sti, 2012) Maral, Isil; Bakar, Coskun; Durukan, Elif; Arslan, Selcuk; Ilhan, Mustafa N.; Oztimur, Nese; Ozkan, SecilIntroduction: The objective of this study is to compare the general health and disability status of the elderly living in nursing homes or in their own homes. Materials and Method: The study was carried out in July, 2000 on 367 elderly, aged >= 60, living in two nursing homes in Ankara and at their own houses in three villages of Golbasi. A survey form including descriptive questions, the General Health Questionnaire (GHQ-12), the Brief Disability Questionnaire (BDQ), and the Geriatric Depression Scale (GDS) was administered to participants. Results: There was a statistically significant difference in the GHQ-12 and BDQ mean scores between those living in nursing homes and at home (p<0.05). Scores were higher for those living at nursing homes for both conditions. For those living in nursing homes, the risk factors for increased BDQ scores were being female, suffering from a chronic disease and to having a depression disorder. The risk factor for GHQ-12 was having a depression disorder (p<0.05). Conclusion: We found that the GHQ-12 and BDQ scores were higher for those living in nursing homes compared to those living at home. The GHQ-12 and BDQ should be used as screening tools for the early diagnosis of psychological problems, especially for those living in nursing homes.Öğe Is Single Measurement Enough to Get a Reliable Result with Optical Coherence Tomography?(Turkish Ophthalmological Soc, 2012) Comez, Arzu Taskiran; Eser, Ilker; Bakar, Coskun; Komur, BarisPurpose: To evaluate the repeatability and reliability of retinal nerve fiber layer (RNFL) thickness measurements using optical coherence tomography (OCT). Material and Method: Two hundred sixty-six eyes of 135 subjects (glaucoma, glaucoma suspects and healthy) were included in this study. Three sequential inferior, superior, nasal and temporal RNFL thickness measurements were performed using Spectral OCT [Opko/OTI, Inc., Miami, FL] by one operator at one session without pupillary dilatation. The differences between these three measurements of each quadrant in each eye were compared in microns and percentages. Repeated measures analysis of variance was performed for statistical analysis. Reliability is measured by intraclass correlation coefficient (ICC) for each quadrant. Results: ICCs of all quadrants ranged between 0.77 and 0.92, with the measurements of nasal quadrant being the least reproducible and the inferior being the most reproducible of all quadrants. RNFL measurement errors over 20% were seen in 9.63% of nasal quadrant, 5.3% of temporal quadrant, 0.6% of superior quadrant and only 0.3% of inferior quadrant measurements. Discussion: In order to get more repeatable and reliable results with OCT, sequential measurements more than one should be considered. We believe that special attention is required in the analysis of data of nasal and temporal quadrants.Öğe MICROBIOLOGICAL EXAMINATION OF BLACK MUSSELS (MYTILUS GALLOPROVINCIALIS) CAUGHT IN DARDANELLES(Nobel Ilac, 2013) Sener, Alper; Demir, Neslihan; Cakici, Nesrin; Cakici, Hasan; Kaya, Hasan; Bakar, CoskunObjective: Among seafoods mussels are the most common ones that are mostly raw consumed raw Bacterial contamination in foods that cause food poisoning are is known to be due to mainly storage and processing conditions. Due to mussels' dietary specifications, them filter water and take in its toxic substances and microbial contaminants. Mussel bacterial load prior to consumption is important to demonstrate pollution levels of the hunting regions. Material and Method: In this study, black mussels (Mytilus galloprovincialis) hunted from seven different stations on two coasts of Dardanelles two coast (Asia: Cardak, Yapildak, Saricay; Europe: Kilitbahir, Eceabat, Camburnu, Gelibolu) were analyzed microbiologically in the months of February and June. Mussel samples were examined for total aerobic mesophilic bacteria (TAMB), coliform group bacteria, Escherichia coli, Staphylococcus aureus and Salmonella spp. Results: The mean colony count from all stations was; 5.4x10(5)+/- 1.6x10(6) cfu/g TAMB, 1.0x10(5)+/- 2.6x10(5) cfu/g coliform group bacteria, 2.6x10(5)+/- 1.4x10(6) cfu/g E. coli, 2.2x10(5)+/- 1.3x10(5) cfu/g S. aureus respectively. Salmonella spp. were not detected in any mussel samples examined. Black mussels hunted in June had significantly higher microbiological contamination for all bacteria than mussels hunted in February (p<0.0001). When we investigated two coasts as Anatolia (Cardak, Yapildak, Saricay) and Europe (Kilitbahir, Eceabat, Camburnu, Gelibolu) in two different periods; contamination on Europe coast was significantly higher for TAMB at february (p=0.01), at the same time S. aureus contamination was significantly higher at Anatolia coast (p=0.02). TAMB (p=0.004) and E.coli (p=0.005) count in samples on Anatolian coast were found to be significantly higher. Conclusion: Mussels bacterial load may vary depending on region and the hunting season. Mussels' bacterial load of mussels is more higher especially if hunted during the summer months. In our region, when we compared the Anatolian and European coasts, the bacterial load of hunted mussels on Anatolian coast was higher Food processing and storage conditions are important especially in food poisoning of raw consumed foods. In addition it should be kept in mind that region and the season for seafood hunting is also an important factor In order to prevent the health risks associated with mussels, heat treatment has to be applied prior to consumption.Öğe Perception of epilepsy in Turkey in the light of two different cities(2013) Degirmenci, Yildiz; Kabay, Sibel Canbaz; Yilmaz, Zahide; Bakar, Coskun; Karaman, Handan Isin OzisikThe aim of this study was to investigate the perception of epilepsy in Turkey, from west to east, in Kutahya and Yuksekova, two cities of different sociocultural and ethnic status. This was a retrospective comparison study which evaluated the results of two prior studies investigating stigmatization of patients diagnosed with epilepsy and their first-degree relatives in two different cities of Turkey, Kutahya and Yuksekova. The Survey of Epileptic Patient Relatives on the Knowledge, Attitudes, and Behavior Regarding the Disorder was used and included questions on descriptive characteristics, familiarity with epilepsy, attitudes toward epilepsy, and understanding of epilepsy. Data collected by use of the SPSS 15.0 software were analyzed with ?2-test. In Yuksekova group, 88.5% of first-degree relatives of people with epilepsy felt primarily fear when they heard the diagnosis of epilepsy in their relatives; in Kutahya group, the respective rate was 19.1% (p<0.05). The number of participants who objected their child marrying someone with epilepsy was significantly higher in Yuksekova group (p<0.05); however, if married, the Yuksekova group significantly stated that they should have a baby, revealing the importance of children as an indicator of power and dignity in the eastern region of Turkey (p<0.05). Although understanding of epilepsy was favorable, educating the community about epilepsy and personal contacts are the major strategies against epileptic stigmatization.Öğe PERCEPTION OF EPILEPSY IN TURKEY IN THE LIGHT OF TWO DIFFERENT CITIES(Sestre Milosrdnice Univ Hospital, 2013) Degirmenci, Yildiz; Kabay, Sibel Canbaz; Yilmaz, Zahide; Bakar, Coskun; Karaman, Handan Isin OzisikThe aim of this study was to investigate the perception of epilepsy in Turkey, from west to east, in Kutahya and Yuksekova, two cities of different sociocultural and ethnic status. This was a retrospective comparison study which evaluated the results of two prior studies investigating stigmatization of patients diagnosed with epilepsy and their first-degree relatives in two different cities of Turkey, Kutahya and Yuksekova. The Survey of Epileptic Patient Relatives on the Knowledge, Attitudes, and Behavior Regarding the Disorder was used and included questions on descriptive characteristics, familiarity with epilepsy, attitudes toward epilepsy, and understanding of epilepsy. Data collected by use of the SPSS 15.0 software were analyzed with chi(2)-test. In Yuksekova group, 88.5% of first-degree relatives of people with epilepsy felt primarily fear when they heard the diagnosis of epilepsy in their relatives; in Kutahya group, the respective rate was 19.1% (p<0.05). The number of participants who objected their child marrying someone with epilepsy was significantly higher in Yuksekova group (p<0.05); however, if married, the Yuksekova group significantly stated that they should have a baby, revealing the importance of children as an indicator of power and dignity in the eastern region of Turkey (p<0.05). Although understanding of epilepsy was favorable, educating the community about epilepsy and personal contacts are the major strategies against epileptic stigmatization.Öğe Perceptions of epilepsy of three different groups in Turkey(Academic Press Inc Elsevier Science, 2010) Degirmenci, Yildiz; Karaman, Handan Isin Ozisik; Bakar, CoskunObjective: Our aim was to investigate epilepsy-related knowledge, behavior, perceptions, and attitudes of people with epilepsy, their relatives, and a control group (390 participants in total) at the State Hospital Neurology Clinic, Yuksekova City, Turkey. Methods: The Survey of Epileptic Patient Relatives on the Knowledge, Attitudes, and Behavior Regarding the Disorder was used and included questions about descriptive characteristics, familiarity with epilepsy, attitudes toward epilepsy, and understanding of epilepsy. Data on SPSS 15.0 software were analyzed with the chi(2) test. Results: Patients (95.3%), their relatives (89.2%), and controls (63.3%) felt primarily fear when they heard the diagnosis of epilepsy. Most participants would not let their child marry a person with epilepsy, with no statistically significant difference between groups (P>0.05). Patients (66.7%) and relatives (70%) saw no problem in people with epilepsy having children; there was a statistically significant difference between groups on this point because of the control group's response (31.5%) (P<0.05). Conclusion: Patients and relatives showed similar attitudes and behaviors, perhaps because they had common information and experience regarding the disorder. (C) 2010 Elsevier Inc. All rights reserved.
