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Öğe Discussion on provincial evaluation results of maternal mortality in terms of preventability: Commission decision differences in Konya(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2018) Durduran, Y.; Soysal, S.; Başaran, M.; Çelik, Ç.; Acar, A.; Doğan, C.; Kaya, H. M.Objective: The objective of this study was to investigate the risk factors of maternal mortality in Konya province, as well as the preventability of deaths in cases where the central and local commissions differed in their decisions. Material and Methods: Maternal mortality between 2009 and 2014 in the Konya province was screened for the cases, where the central and local Maternal Mortality Investigation Commissions gave different decisions. These differences pertain to whether the deaths were ‘preventable’ or ‘not-preventable’, differences in the first, second and third delay models, and indirect, direct and incidental deaths. The data were evaluated electronically along with a descriptive statistical analysis, differences in the decisions and compliance in the mortality rates were evaluated. Results: The median age of the deceased mothers was 28 (21–44) years and 83.3% of the mothers had at least one mortality risk factor. While the overall maternal mortality rate was 36.7% within the first 48 h after birth, the rates were highest within the first 48 h after birth (26.7%) and between the 1st and 42nd day after birth (26.7%) in indifferently assessed cases. The cause in 30% of all deaths and 33.3% of deaths with differential assessments was postpartum hemorrhage, as per the results of central Maternal Mortality Investigation Commissions. The decisions of the central and local commissions differed in terms of preventability, delay models or death classification in 50% of the deaths. Taken together, the compliance between central and local decisions was not precise in investigating maternal mortality. Conclusion: The first 48 h after birth and the postpartum period are particularly critical. The causes of death, particularly postpartum hemorrhage, should be thoroughly investigated. We recommend periodic re-evaluations of cases where different decisions were made, in order to lower the rate of preventable maternal mortality. Copyright © 2018 by Türkiye Klinikleri.Öğe The role of pentraxin-3 in patients with severe sepsis and septic shock(SPRINGER HEIDELBERG, 2011) Buyukunaldi, P.; Gul, M.; Cander, B.; Ergin, M.; Cicekler, H.; Erayman, O.; Durduran, Y.[Abstract not Available]Öğe Sleep habits and related factors in kindergarten children(WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2019) Durduran, Y.; Pekcan, S.; Çolpan, B.Aim: This study aimed to determine the sleeping habits and sleeping periods of kindergarten children, in order to analyze the problems related to sleep hygiene and determine the underlying factors. Methods: The sample size of this cross-sectional study consisted of 390 children. A questionnaire filled in by the parents was used as the data collection tool. The data were analyzed with appropriate statistical tests. Results: According to the mothers, 77.2% of the children had their own room at home. Thirty nine percent of children slept with the full light on in their room, 50.3% slept with night light on in their room, 12.3% slept with the radio/television on in their room. Infant sleep practices found in this study are swaddling (18.5%), wrapping of the infant's arms (21.0%), and rocking (58.7%). Conclusions: In terms of sleep hygiene, the vast majority of the children slept in a bright environment, and there were electronic appliances in the room. Common infant-transition-to-sleep practices observed were wrapping their arms and swaddling them. In our point of view, awareness training for parents about the subject will support sleep hygiene practices.
