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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 An Evaluation of Provoked Vulvodynia, Pelvic Floor Muscles and Sexual Functions in Female Patients with Fibromyalgia Syndrome(Galenos Yayincilik, 2017) Resorlu, Hatice; Beyazit, Fatma; Doner, Davut; Oymak, Sibel; Zateri, CoskunObjective: The aim of our study is to investigate the genital origin of pain, particularly provoked vulvodynia (PVD) in female patients with Fibromyalgia syndrome (FMS), to reveal the relationship between PVD and pelvic floor muscle functions and to evaluate patients' sexual functions. Materials and Methods: Twenty four female patients who were diagnosed with FMS and who had not yet been treated, sexually active and 24 control cases were included to study. Severity of dyspareunia and dysmenorrhea was evaluated with a visual analogue scale, PVD was assessed using the cotton swab exam of vulva and sexual functions were evaluated with using the Female Sexual Function Index (FSFI). Additionally, pelvic floor muscles were graded using Brink scoring. Results: The severity means of menstrual term pain and dyspareunia severity were significantly higher in the patients than the control group (p=0.003, p=0.006). Significant differences were observed between the patient and control group in terms of vulvar pain in cotton swab exam and total Brink scores (both p<0.001). FSFI score was lower in the patient group than in the control group (p=0.001). A powerful correlation in the negative direction was determined between the result of cotton swab exam and Brink score (p<0.001, r=-0.575). Conclusion: The result of our study showed that dysmenorrhea, dyspareunia and PVD were significantly high in the FMS patients than in the control group. Pelvic floor muscle functions were affected in the FMS patients, and PVD was closely associated with the pelvic floor muscle functions.Öğe An Evaluation of Sexual Functions and Marital Adjustment in Female Patients with Fibromyalgia Syndrome(Galenos Yayincilik, 2019) Doner, Davut; Resorlu, Hatice; Zateri, Coskun; Sahin, Basak; Ertekin, Hulya; Oymak, SibelObjective: The purpose of this study was to investigate sexual functions and marital adjustment which are neglected issue in married female patients diagnosed with Fibromyalgia syndrome (FMS) and to reveal the factors affecting these. Materials and Methods: Sexually active, 47 married females who diagnosed with FMS and 50 healthy volunteers in a similar age group were included in the study. Beck anxiety inventory, beck depression inventory, female sexual function index (FSFI) and dyadic adjustment scale (DAS) evaluations were also performed for both groups. In the patient group, the severity of pain was evaluated by the visual analogue scale and functional impairment due to the disease was assessed by the fibromyalgia impact questionnaire (FIQ). Results: No significant difference was determined between the two groups in terms of socio-demographic features. FSFI and DAS total scores were significantly lower in the patient group compared to the controls (p<0.001, p=0.028, respectively). Low DAS scores were determined in patients with low FSFI scores (p=0.003, r=+0.043). Neither FSFI nor DAS scores have exhibited correlation with duration of disease and FIQ scores. Depression was correlated with both FSFI and DAS (p<0.001, r=-0.569; p<0.001, r=-0.546, respectively). Conclusion: In this study, sexual functions and marital adjustment were adversely affected in patients with FMS. This effect was found closely related to depression. However, there was no relationship determined between duration of the disease, the severity of pain and the functional impact.Öğe Assessment of Indoor Air Quality in Schools from Anatolia, Turkey(Univ Tehran, 2022) Babaoglu, Ulken Tunga; Ogutcu, Hatice; Erdogdu, Makbule; Taskiran, Funda; Gullu, Gulen; Oymak, SibelAir pollution damages children's health in many different ways, through both chronic and acute effects. The aims of our research are to reveal the indoor air quality levels in schools. Subject and indoor air measurements were performed in 34 primary schools located in the Central Anatolia region. PM10, PM2.5, CO2, CO, CH2O, relative humidity, temperature, and total bacteria and fungus levels were measured. In the urban region, mean PM1 was higher than the other regions(p=0.029). PM10 and PM2.5 were higher in schools in rural areas. According to CO2 measurements, only one school was identified to be below the upper limit recommended by the WHO. Total microorganism concentration was exceeded in 44.1% of classrooms. Indoor PM1, PM2.5, PM10, CO2, total bacteria and fungus levels were high and above recommended limits. Human activities, movements of students could be considered the most important indoor factors for particle matter increase. Indoor parameters could be lowered by organizing the school environment.Öğe Association between mean platelet volume and disease severity in patients with psoriasis and psoriatic arthritis(Termedia Publishing House Ltd, 2017) Kilic, Sevilay; Resorlu, Hatice; Isik, Selda; Oymak, Sibel; Akbal, Ayla; Hiz, Meliha Merve; Ogretmen, ZerrinIntroduction: Mean platelet volume (MPV) is an important marker that shows the activation and function of the platelets, which is effective in the inflammatory diseases. Aim: To show the relationship between MPV and the development of psoriatic arthritis (PA) in patients with psoriasis vulgaris (PV) and the correlation between MPV and psoriasis severity score (PASI). Material and methods: Our study included 116 patients with psoriatic arthritis (68 female, 48 male) and 41 patients in the psoriasis group (19 female, 22 male) and 90 subjects in the control group (55 female, 35 male). The demographic data of the patients, duration of disease, PAS', the nature of the disease were evaluated retrospectively. Results: Mean platelet volume levels of both the PV group (8.79 +/- 0.86 fl) and the PA group (9.18 +/- 1.26 fl) were significantly higher compared to the control group (8.42 +/- 0.74 fl). There was a weak statistically positive correlation between the PASI and the MPV according to the correlation analysis (r = 0.165; p = 0.046). Conclusions: Our results show that MPV may be helpful as an indicator of the clinical course of PV and PA. In this regard, that study should be supported by prospective studies to find strong correlations.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 Çanakkale Ezine Ilçesinde Borrelia Seroprevalansının Ve Risk Faktörlerinin Incelenmesi(2020) Bakar, Coşkun; Yüksel, Buse; Akçalı, Alper; Oymak, SibelAmaç: Lyme hastalığı Ixodes cinsi keneler tarafından taşınan Borrelia burgdorferi sensu lato kompleksinin neden olduğu vektörel bir hastalıktır. Türkiye?de yapılmış bölgesel çalışmalar ile riskli popülasyonda %6-44 arasında, normal popülasyonda %2-6 arasında Borrelia burgdorferi antikor pozitifliği saptanmıştır. Bu çalışmanın amacı Çanakkale İli Ezine ilçesi kırsalında Borrelia seropozitifliğinin saptanması ve risk faktörlerinin incelenmesidir. Yöntem: Kesitsel tipteki bu araştırma 2019 yılında Çanakkale ili Ezine ilçesine bağlı tarım ve hayvancılığın yoğun olarak yapıldığı üç köyde yürütülmüştür. Araştırma verileri, anket formu ve alınan kan serum örnekleri ile elde edilmiştir. Kan örneklerinde ELISA yöntemi ile anti-Borrelia IgG antikoru varlığı analiz edilmiş, pozitif ya da borderline saptanan örneklere Immmunblot yöntemi ile doğrulama testi yapılmıştır. Bulgular: Çalışmaya 456 kişi dahil edilmiştir. ELISA yöntemi ile toplanan kan örneklerinin %2,2?si anti-Borrelia IgG pozitif ve %4,2?si borderline olarak saptanmıştır. Immunblot yöntemi ile seropozitiflik %2,4?tür (n=11). Cinsiyet, yaş, eğitim durumu, meslek, kene ısırığı öyküsü, keneden korunma yöntemleri kullanma vb. bağımsız değişkenler ile seropozitiflik arasında istatistiksel olarak anlamlı ilişki saptanmamıştır. Sonuç: Çalışmamızda Borrelia burgdorferi seroprevalansı %2,4 olarak saptanmıştır. B.burgdorferi seroprevalansının düşük düzeyde saptanması nedeniyle, Lyme hastalığının bölgemizde öncelikli bir halk sağlığı sorunu olmadığı düşünülmektedir. Ancak düşük de olsa var olması nedeniyle tamamen göz ardı edilmemelidir. Bu araştırmada Borrelia burgdorferi seroprevalansı ile ilişkili olabilecek bir risk faktörü saptanmamıştır. Bu durumun araştırma bölgesinin kırsal alan olması nedeniyle çevresel olarak kene ısırığı maruziyet riskinin yüksek olması ile ilişkili olduğu düşünülmüştür. Düşük sıklıkta da olsa bölgede bu patojenin saptanması nedeniyle kliniklerde Lyme hastalığı ile ilişkili olabilecek vakaların dikkatli değerlendirilmesi ve pasif sürveyansının yapılması önerilmektedir.Öğe Çanakkale ili Ezine bölgesinde kene ısırığı ve etkileyen faktörlerin incelenmesi(Refik Saydam National Public Health Agency (RSNPHA), 2021) Yüksel, Buse; Eker, Esen; Önder, Taylan; Özerdoğan, Özgür; Şener, Alper; Oymak, Sibel; Bakar, CoşkunAmaç: Dünya Sağlık Örgütü’ne göre bulaşıcı hastalıkların yaklaşık %17’si vektör kaynaklıdır. Türkiye, iklimi ve bitki örtüsü özellikleriyle kene yaşamına uygun ve kene ile bulaşan hastalıklar açısından riskli bir konumdadır. Bu çalışmanın amacı, Çanakkale ili Ezine ilçesi kırsal alanında bulunan Mahmudiye ve Pınarbaşı köylerinde yaşayanlarda kene ısırığı prevalansının ve etkileyen faktörlerin incelenmesidir. Yöntem: Kesitsel tipteki bu çalışma Çanakkale ili Ezine ilçesi Mahmudiye ve Pınarbaşı köylerinde 2018 yılında yürütüldü. Çalışma öncesinde Çanakkale Onsekiz Mart Üniversitesi Klinik Araştırmalar Etik Kurulu’ndan izin alındı. ‘Evrenin Bilindiği Durumlarda Evren Oranını Tahmin Etmek için Örneklem Büyüklüğü’ formülü kullanıldı ve örneklem büyüklüğü 329 kişi hesaplandı. Mahmudiye köyünden 292, Pınarbaşı köyünden 128 olmak üzere toplam 420 kişiye ulaşıldı. Köylerde belirlenen örneklem sayısına ulaşılmak için olasılıksız gelişigüzel örnekleme yöntemi kullanıldı. Araştırmanın verileri yüz yüze görüşme tekniği ile uygulanan anket formu ile elde edildi. Anket formu, demografik özellikler ve kene ısırığı hakkında bilgi durumu ve tutumunu sorgulayan 23 sorudan oluşmaktaydı. Kene ısırığı ile ilişkili risk faktörlerinin incelenmesi için lojistik regresyon analizi yapıldı. Araştırmanın veri toplama aşamasının ardından her iki köyde kadınlara ve erkeklere yönelik olarak kene ısırmasından korunmaları konusunda eğitim verildi. Bulgular: Araştırmada kene ısırığı prevalansı %20 olarak saptandı. Erkek cinsiyet kadın cinsiyete göre 3,4 kat; lise seviyesi altında eğitime sahip olmak, lise ve üstü eğitime sahip olmaya göre 3,0 kat; çiftçilik/ hayvancılık/ziraat teknikerliği/kasaplık ile uğraşmak, diğer mesleklere göre 3,4 kat kene ısırığı riskini artırmaktaydı. Sonuç: Kene ısırığından korunmak için koruyucu önlemler mevcuttur ve koruyucu sağlık hizmetlerinin temeli sağlık eğitimidir. Kırsal bölgede yaşayan, özellikle tarım ve hayvancılık ile uğraşan bireylere yönelik kene ısırıkları hakkında bilinçlendirme için yapılacak eğitimlerin yararlı olacağı düşünülmektedir. Ayrıca kene ısırığının beşte bir sıklıkta olduğu bu kırsal alanda kene ısırığının neden olabileceği sağlık sorunlarının da taranmasını önermekteyiz.Öğe Çanakkale ilinde evde sağlık hizmeti alan kişilerin temel demografik özellikleri ve sağlık durumları(2019) Eser, Esen; Özerdoğan, Özgür; Yıldırım, Eftal; Oymak, Sibel; Bakar, ÇoşkunAmaç: Bu çalışmanın amacı, Çanakkale Devlet Hastanesi kapsamında yürütülen Evde Sağlık Hizmetlerinden (ESH), Ocak 2015-Aralık 2017 tarihleri arasında faydalanmış ve/veya faydalanmakta olan bireylerin sosyo-demografik özelliklerinin ve bu hizmet gereksinimine neden olan psikolojik ve hastalık durumların belirlenmesidir. Yöntem: Tanımlayıcı tipte bu epidemiyolojik araştırma kapsamında Ocak 2015-Aralık 2017 tarihleri arası Çanakkale Devlet Hastanesi Evde Sağlık Birimi tarafından sağlık hizmeti sunulan 901 kişinin takip dosyaları incelendi. Dosyalarda bulunan bilgiler üzerinden veri toplama formu hazırlandı ve kişilerin sosyodemografik özellikleri, takip süreleri, yatağa bağımlılık, kişisel bakım, güvenlik, kişisel hijyen, beslenme, yardımcı araç kullanımı ve psikolojik durumları, kronik hastalık, geçirilmiş ameliyat, bası ülseri, nöroloji, dahiliye konsültasyonu varlığı, şu an takipte olmayan bireylerin takipten çıkış nedenleri kayıt altına alındı. Bulgular: İncelenen kişilerin %62.7’si kadın, yaş ortalaması 77.72±12.78 yıldı. Kişilerin %40.7’si tam bağımlıydı, %26.7’sinin beslenmesi uygun değildi, psikolojik durum değerlendirilmesinde %44.9’u üzüntülüydü, %13.1’inde bası ülseri vardı, %7.7’si yardımcı araç kullanıyordu, %99.3’ünde en az bir kronik hastalık vardı, %22.8’inin ameliyat öyküsü vardı. Sonuç: Kişilerin fiziksel ve psikososyal sağlıklı durumlarının devamı için birinci basamak sağlık hizmeti sunan birimlerde ve ESH birimlerinde hizmet modeli içinde diyetisyene, psikoloğa ve psikiyatri uzmanına, sosyal hizmet çalışanlarına ihtiyaç vardır. ESH alan kişilerin tedavi başarıları ve bu hizmetin verimliliği için ESH; birinci basamak sağlık hizmetleri ile entegre ve eşgüdümlü olmalıdır. ESH ihtiyacı olan kişilere yönelik hizmet öncelikle birinci basamak sağlık hizmetleri tarafından belirli aralıklarla takip edilecekleri 65 yaş üzeri izlem modeli oluşturmaktır.Öğe CHRONOTYPE AND QUALITY OF LIFE IN PATIENTS WITH ALLERGIC RHINITIS(2021) Çağlar, Özge; Tas, Halil İbrahim; Oymak, SibelObjective: The aim of this study is to investigate the coronotypes and quality of life of patients with allergic rhinitis.Material Method: Our patient group consisted of 100 patients and our control group consisted of 74 patients. The patients with allergicrhinitis and the control group were selected from patients who did not have any other psychiatric or comorbid diseases and did not use anymedication. First, patients with symptoms for at least 6 months were diagnosed with allergic rhinitis with appropriate examinations ,followed by morning-evening test (MEQ) and quality of life test (SF-36). Results were compared statistically.Results: The average age of our study group is 32.03 ± 8.31. There was no difference between the control group and the patient group interms of age, gender and socioeconomic status. The number of those who were close to the evening type and definitely close to the eveningtype was higher in the patient group and it was statistically significant. It was observed that the parameters showing the quality of life in theevening type patients were worse.Conclusion: This study shows that patients with allergic rhinitis tend to have the evening type. This also reduces the quality of life. Thisshows us that the sleep and psychological states of patients with allergic rhinitis are also affected by the disease and this should be taken intoconsideration.Öğe Evaluation of Epilepsy Prevalence and Clinical Correlations in Individuals aged 18 and over in Çanakkale City Center(2023) Tan, Tülay; Yücel, Selma; Oymak, Sibel; Karaman, Handan Işın ÖzışıkObjective: Epilepsy; is a common neurological disease characterized by sudden and recurrent seizures, especially affecting the young population. The burden of epilepsy is not limited to seizures. The disease also significantly affects personal, familial and social quality of life by causing psychological problems. In this study, it was aimed to determine the prevalence of epilepsy and to determine the effect of epilepsy on quality of life and sleep hygiene in people aged 18 years and older living in Çanakkale city center. Method: In our study, 397 participants aged 18 years and older residing in Çanakkale city center were interviewed. Sociodemographic characteristics, personal and family history, and epilepsy disease history were questioned. World Health Organization Quality of Life Scale (WHOQOL-BREF) and Sleep Hygiene Index (SHI) scales were applied to patients with epilepsy diagnosis. Results: 2.0% (n=8) of the participants had a diagnosis of epilepsy. 75% (n=6) of patients with epilepsy were female. There was a family history of epilepsy in 62.5% (n=5) of individuals with epilepsy, a family history of febrile seizures in 25% (n=2), and a family history of consanguinity between parents in 12.5% (n=1). There was no significant difference between the groups with and without epilepsy in terms of the mean SHI scores (p=0.400). There was no difference in the WHOQOL-BREF quality of life scale in terms of bodily domain, mental domain, social domain and environmental domain sub-scores (p>0.05). Conclusion: In our study, the prevalence of epilepsy was found to be 2%. Most of the patients were female. There was an increased rate of consanguineous marriage in the families of the patient group. Again, a devastating majority of the patient group had a family history of epilepsy or a history of febrile convulsions. Sleep hygiene and quality of life scales did not differ between the patient group and the control group. This may be due to the very small number of our patient group. There is a need for larger-scale studies on this subject in our region.Öğe Evaluation of von Willebrand factor and protein/creatinine ratio in idiopathic sudden hearing loss(Elsevier Espana Slu, 2023) Cil, Ozge Caglar; Bakirdogen, Serkan; Cakir, Dilek Ulker; Gul, Hasan; Oymak, SibelObjective: The objective of this study was to evaluate the levels of von Willebraund Factor (vWF) in plasma and the protein/creatinine ratio in urine in patients with idiopathic sudden acute hearing loss, which we think to be caused by epithelial dysfunction. Materials-Methods: Thirty patients with a sudden hearing loss and thirty healthy individuals were included in the study. Before the treatment, blood and urine were collected from the patients and the control group to investigate the levels of the protein/creatinine ratio and the levels of vWF. The test results of the patients group were compared with those of the control group. Results: We found that the levels of vWF increased in the patient group, which was statistically significant (P <.05). The protein/creatinine ratio in the urine increased in the patient group, but this was not statistically significant (P >.05). In addition, we found that the vWF and urine protein/creatin ratio of the patients who benefited from treatment were lower than those who did not benefit. Conclusions: This study showed that sudden sensorineural hearing loss may result from endothelial dysfunction. However, more studies that include more patients are needed in order to support this. (c) 2022 Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espanola de Otorrinolaringolog ' ia y Cirug ' ia de Cabeza y Cuello.Öğe Examining prevalence of urinary incontinence and risk factors in women in third postpartum month(Wiley, 2019) Dinc, Ayten; Oymak, Sibel; Celik, MerveAre pregnancy and birth-related parameters important risk factors in the development of urinary incontinence (UI)? The aim of this study is to examine the prevalence of UI and associated risk factors in Turkish women in the third postpartum month. Incontinence after childbirth is a common problem. A cross-sectional study that included 370 women in third postpartum month in Canakkale is presented in this paper. Wagner's quality of life scale questionnaire exploring the risk factors for UI was used as the principle data collection tool. All women gave consent prior to inclusion in the study. Chi-square, t test, Mann-Whitney U test and Binary logistic regression were used for comparison. The prevalence of self-reported postpartum UI was 35.9%. In this study; age, educational level, parity, number of normal birth, nocturia and constipation were determined to be the associated risk factors for postpartum UI in univariate analysis. When examining these risk factors by using logistic regression, it was found that the number of birth being 2 increased UI 2.7 times (P=0.002, 95% CI:1.434-5.324), the number of birth being 3 or more increased UI 20.3 times (P=0.001, 95% CI:7.130-58.332) and nocturia being 3 times and more increased UI 2.6 times (P=0.041, 95% CI:1.042-6.790). Pregnancy and birth-related parameters are important risk factors in development of UI. It would be useful to increase the awareness in women in pregnancy and the postpartum period, by providing health training and consultancy services about UI protection and the reduction of risk factors.Öğe Healthcare Satisfaction of the Elderly and Associated Factors From Çanakkale(Çanakkale Onsekiz Mart Üniversitesi, 2019-03-18) Yüksel, Buse; Özerdoğan, Özgür; Çelik, Merve; Oymak, Sibel; Bakar, CoşkunObjective: The prevalence of use of health services increase with age. In Turkey, 48.8% of people who are 15 years old and over and received inpatient services at least once are individuals who are aged 65 years and over. The rate of satisfaction with health services has increased in the last decade, however, comparison of satisfaction levels in terms of age groups is insufficient. The aim of this study was to examine the satisfaction levels of elderly population living in the province of Çanakkale from health service and the factors affecting their satisfactions. Materials and Methods: This cross-sectional study was conducted in the city center of Çanakkale between May-September 2013. The questionnaires were applied for individuals aged 65 years and over lived. The data were assessed by using SPSS package program version 20.0. Univariate and multivariate analysis were used for statistical evaluation. Results: It was found that 55.0% of 1001 people who constituted the sample group were female. 87.0% of the participants were satisfied with the health institution. As a result of the analysis, the contributions made by EUROHIS total score was found to be statistically significant. When the EUROHIS total score was below 23 (median value), healthcare dissatisfaction increased 4.5 (95% CI 3.356-6.018) times. Conclusion: Determining the healthcare satisfaction and the factors affecting the satisfaction is important in order to evaluate the quality of health service delivery and to determine the needs. The relationship between quality of life and health care satisfaction is among the most important results of this research.Öğe KNOWLEDGE, ATTITUDE AND BEHAVIOR OF CHEMOTHERAPY PATIENTS ABOUT INTERVENTIONS FOR FERTILITY PRESERVATION: A DESCRIPTIVE SAMPLE STUDY FROM CANAKKALE(Nobel Ilac, 2019) Buyuk, Basak; Oymak, Sibel; Koral, Lokman; Ozerdogan, OzgurObjective: Neoplasm treatments include chemotherapy and radiotherapy methods alternatively in relation to the type of neoplasms. These methods have many side effects for different tissues and organs. One of these side effects is infertility. Infertility is associated with toxic effects of chemotherapeutics to the germ cells. The aim of this study was to investigate the knowledge, attitude and behavior related to fertility preservation among patients who received chemotherapy. Material and Method: This descriptive type epidemiologic research was completed at a University Research Hospital Oncology Clinic after obtaining written permissions from the chief doctor of the hospital and the oncology clinic and ethical board. The study included patients aged 18 and older with neoplasms attending a University Research Hospital Oncology Clinic from November 2016 to April 2017. The data obtained were analyzed with the SPSS 20.0 statistical program. Results: Of 167 people in the study group, 48.5% were female. In our study, 79.1% of patients stated that doctors did not provide information before beginning neoplasm treatment. In our study reproductive technics assisted intervention consultations were requested by 35.3% who reported they were concerned about experiencing reproductive problems after neoplasm diagnosis, 11.4% who were not concerned and 30.0% who didn't remember their emotions about this topic (p<0.05). Conclusion: It is necessary to create awareness among patients of who, where and when to apply about preserving reproduction and to ensure doctors direct these patients to the correct center. With this aim, it may be useful to train oncologists by embryologists about reproductive technics assisted interventions.Öğe Knowledge, attitude and behavior of chemotherapy patients about interventions for fertility preservation: A descriptive sample study from Çanakkale(Nobelmedicus, 2019) Büyük, Başak; Oymak, Sibel; Koral, Lokman; Özerdoğan, ÖzgürObjective: Neoplasm treatments include chemotherapy and radiotherapy methods alternatively in relation to the type of neoplasms. These methods have many side effects for different tissues and organs. One of these side effects is infertility. Infertility is associated with toxic effects of chemotherapeutics to the germ cells. The aim of this study was to investigate the knowledge, attitude and behavior related to fertility preservation among patients who received chemotherapy. Material and Method: This descriptive type epidemiologic research was completed at a University Research Hospital Oncology Clinic after obtaining written permissions from the chief doctor of the hospital and the oncology clinic and ethical board. The study included patients aged 18 and older with neoplasms attending a University Research Hospital Oncology Clinic from November 2016 to April 2017. The data obtained were analyzed with the SPSS 20.0 statistical program. Results: Of 167 people in the study group, 48.5% were female. In our study, 79.1% of patients stated that doctors did not provide information before beginning neoplasm treatment. In our study reproductive technics assisted intervention consultations were requested by 35.3% who reported they were concerned about experiencing reproductive problems after neoplasm diagnosis, 11.4% who were not concerned and 30.0% who didn’t remember their emotions about this topic (p<0.05). Conclusion: It is necessary to create awareness among patients of who, where and when to apply about preserving reproduction and to ensure doctors direct these patients to the correct center. With this aim, it may be useful to train oncologists by embryologists about reproductive technics assisted interventions. © 2019, Nobelmedicus. All rights reserved.Öğe Plant Protection Products and Personal Protective Use Information, Attitude, Behavior of Turkish Farmers(2019) Özerdoğan, Özgür; Oymak, Sibel; Yuksel, Buse; Bakar, ÇoşkunThe aim of this work is to examine the knowledge, attitudes and behaviours of farmers about the use of plantprotective products (PPPs) and personal protective equipment (PPE). This descriptive study was conducted in a village located inÇanakkale Ezine town, Marmara region of southern Turkey. The questionnaire was applied by face to face interview method.Criteria for inclusion in the research were determined as voluntary participation, being 18 years old or older and actively farmingor previous active farming experience. 194 people were interviewed in the study. The data of 184 subjects were included instatistical analysis. By the study it was concluded that farmers knew the harmful effects of PPPs, but did not use adequate PPE.Total score data of PPPs behaviour were obtained from 11 questions. In further analysis, it was determined that total score data ofPPPs behaviour increased with not doing livestock, knowing the harmful effects of PPPs and not experiencing discomfort afterusing PPPs in the last year. In order to protect human and environmental health should be undertaken multidisciplinary training onfarmer-safe personal protective use and PPPs applications and the level of knowledge, attitude and behavior of farmers should beimproved. Periodic monitoring of farmer health and safety may be useful.Öğe The Effects of Different Types of Nasal Packing on Odor Function and Mucociliary Function After Septum Surgery(Sage Publications Inc, 2019) Caglar, Ozge; Guclu, Oguz; Oymak, Sibel; Derekoy, SefaBackground: In this study, we evaluated how the Merocel and nasal splint packing placed in the nose after septoplasty surgery affects the olfactory and mucociliary functions of the nose in the early period, and compared the 2 packing with each other. Material and Method: The study included 60 patients with isolated septal deviation and 30 patients in the control group. The patients were randomly divided into 2 groups. Nasal splint was inserted after septoplasty in group A (n = 30). Merocel was inserted in group B (n = 30). The Sniffin sticks test and saccharin test were applied to the patients before surgery and 15 days after the surgery. The same tests were applied to the control group consisting of 30 patients and the results were compared. Results: No complications, such as postoperative bleeding, submucoperichondrial hematoma, or abscess formation, were found in both groups. Mucociliary function was improved after septoplasty, and it was statistically significant, but there was no statistically significant difference between both packing groups. A statistically significant difference was found for the odor test in patients who used nasal splint packing in comparison with patients who used Merocel in the early period. Conclusion: The odor test showed significant differences between the 2 groups and this was statistically significant in the early period. Mucociliary function was better after surgery, but there was no statistical difference in the different nasal packing groups.Öğe The evaluation of nose functions in chronic obstructive pulmonary disease(2019) Çil, Özge Çağlar; Mutlu, Pınar; Mirici, Nihal Arzu; Oymak, Sibel; Dereköy, SefaAim: The aim of this study was to assess the nasal and olfactory functions of patients with chronic obstructive pulmonary disease(COPD).Material and Methods: This prospective study included patients followed-up with COPD in the pulmonary diseases clinic. Patientswith COPD without any nasal disease or systemic disease were included in the study. After routine ear nose throat examination wasperformed, patients with no nasal pathology had the saccharin test and Sniffin’ Sticks tests applied. The control group consistedof volunteers that were living in the same region. The same tests applied to the control group too and the results were compared.Results: There were no significant differences between patient group and control group in terms of categorical variables such asgender, age, smoking status, living area... It was found that the odor functions of COPD patients were significantly affected whencompared with the control group. Odor test results were significantly lower in the patient group (p: 0.0001). In addition, mucociliaryfunction was decreased in COPD patients.Conclusions: It was found that the smell and mucociliary functions of COPD patients were worse than the individuals of the sameage and this situation had a significant effect on the quality of life of the patients.
