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Öğe Can waist circumference clinically be useful as a predictor of obesity/underweight in children?(Gulhane Medical School, University of Health Sciences, 2011) Kutlu R.; Çivi S.; Karao?lu O.Waist circumference is accepted as a better index of nutrition-related health risks. In this study we aimed to evaluate whether the measurement of waist circumference may clinically be useful as a predictor of obesity/ underweight in children or not. This descriptive and cross-sectional study was carried out on 2572 children selected by the cluster sampling method from 178 primary and high schools in Konya. Height, weight, hip and waist circumference were measured in all the cases. The differences of waist circumference according to age and gender were compared to Body Mass Index specific to age and gender. The mean value of waist circumference in boys was statistically greater than that of girls at the ages of 8, 10, 11, 15, 16, 17 and 18. Body Mass Index was statistically greater in boys than girls in the age group of 18 (p=0.037). Obesity prevalence was 7.7% in 8-yearold girl students and 5.3% in 9- and 14-year-old boy students. Prevalence of being overweight was 10.9% in 13-year-old girl students and 11.5% in 8 year-old boy students. Prevalence of being underweight was 17.9% in 18-year-old girl students and 20.0% in 7-year-old boy students. Waist circumference measurement is a very cheap, simple, easy and non-invasive method. Therefore, child nutrition can be closely monitored by measurement of waist circumference. © Gülhane Askeri Ti{dotless}p Akademisi 2011.Öğe Depression status and the factors affecting the quality of life in the relatives of the patients with cancer [Kanserli hasta yakinlarinda depresyon ve yaşam kalitesini etkileyen faktörler](Gulhane Medical School, University of Health Sciences, 2011) Çivi S.; Kutlu R.; Çelik H.H.This cross-sectional, analytic study was conducted to investigate the depression and factors affecting the quality of life in the relatives of the patients with cancer. The sample of the study consisted of 110 relatives of the cancer patients who were treated at the Department of Medical Oncology of Meram Medical Faculty of Selçuk University. WHOQOL-Bref's scale of quality of life was used to measure the patients' quality of life. Depression status was evaluated with Beck depression inventory. Of the interviewers, 53.6% were male, 46.4% female, 86.4% married, 55.5% primary school educated, and the mean age was 47.3±13.5 years and 44.5% were the offsprings of the cancer patients. The mean value of Beck depresyon inventory was 8.0±7.7. According to the values of the inventory, 65.5% were normal, 24.5% mildly, 7.3% moderately and 2.7% severely depressed. The gender, occupation, education and marital status of the relatives of the cancer patients did not affect the depression status (p>0.05). When we compared the quality of life scores and depression status, there were significant differences in psychological health (p=0.000), perception of overall health and the satisfaction from life (p=0.002), general health and the quality of life (p=0.008), physical health (p=0.001) and environmental area (p=0.025) while there was no statistically significant difference in social relationships (p=0.089) between the cases with and without depression. Cancer is an important health problem for both the cancer patients and their relatives. The relatives of cancer patients would inevitably be affected by the cancer patients psychologically. Anxiety and depression are the major concerns in these cases, and empathic approach of physicians and health care personnel is necessary to cope with these problems. © Gülhane Askeri Tip Akademisi 2011.Öğe The effects of depression and smoking upon the quality of life of municipal police officers(2008) Kutlu R.; Çivi S.; Karao?lu O.Objectives: Quality of Life (QoL) is a broad concept incorporating the person's physical health, psychological health, social relationships and environment. In this study, we aimed to establish the effects of depression and the smoking status upon the quality of life among municipal police officers. Patients and Methods: : This cross-sectional study was carried out among 157 municipal police officers working at the Municipal Department of Konya. A socio-demographical information form, World Health Organization Quality of Life (WHOQOL-BREF) and Beck Depression Inventory (BDI) were applied. Qol was assessed using the WHOQOL-BREF questionnaire. Results: Of the participants, 99.4% (n=156) were men, 79.6% (n=125) had secondary and high school level education and they were aged between 22-57 (mean=39.33±7.29). Of the total, 117 (74.5%) were indebted and 77 (49.1%) were current smokers. Quality of life scores in the domains of physical health (p<0.001), psychological health (p<0.001), social relationships (p<0.001) and general health (p<0.001) were significantly lower among the depressive persons than the non-depressive ones. Conclusion: Approximately half of the municipal police officers had depressive symptoms and were smokers. To prevent the negative manifestations of depression and smoking that might occur in the future, it is important to understand the origins of the stresso.Öğe Evaluation of Initiating, Continuing and Weaning Time of Breastfeeding(2006) Kutlu R.; Marakoğlu K.Objective: The aim of this study was to evaluate the knowledge and behavior of mothers related to the initiation time, duration and affecting factors of breastfeeding. Methods: This descriptive and cross-sectional study included 214 mothers who had children aged between 1-72 months. These mothers were selected from the pediatric policlinics of the Meram Medical Faculty. Data were obtained via questionnaire form by interviewing. Statistical analyses were performed using the software package SPSS version 10.0. Results: The mean age of the mothers was 28.96 (SD±6.06). 187 mothers (87.4 %) delivered in the hospital. 20 mothers (9.3 %) delivered in a primary health care center. The rate of exclusive breast-feeding for at least 6 months was 37.7 %. The rate of breast-feeding initiation time in the first 1-2 hours after delivery was 78.9 %. The mean breast-feeding weaning duration was 10.6 months (SD±5.69). Conclusion: In our study, 96.7 % of the mothers delivered their babies in a hospital or primary health care center under the control of a nurse or a doctor. All health professionals should have the necessary knowledge and skills in order to protect, promote and support breastfeeding. Consequently, prenatal and postnatal breastfeeding education and support courses should be provided everywhere.Öğe Evaluation of the frequency and factors affecting smoking among nurses(Gulhane Medical School, University of Health Sciences, 2008) Kutlu R.In this descriptive and cross-sectional study, the frequency of and factors affecting smoking among 919 nurses were examined. Nurses working at the Medicine Faculty of Meram Maternity Hospital, Social Security Hospital, Province Health Administration of Konya and State Hospital were included in this study. Data were obtained via a standardized questionnaire form. Of all the nurses, (13.3% male and 86.7% female) 52.4% were ever-smokers, 38.5% never-smokers, 9.1% ex-smokers and the quit ratio was 14.7%. The lowest age of starting smoking was 7, the highest age was 38 and the median value was 20. Of the participants, 51% started to smoke at the age of 26 and over. Social factors (environment, friends, etc.) were the first reasons to start smoking (43.8%). Approximately, 70.2% of ever-smokers had tried to stop smoking. In the families of non-smokers, the ratio of never-smoking was significantly high (p<0.001). The ratio of smoking among the close friends who were ever-smokers was significantly higher than the ratio among the non-smokers (p<0.001). Our study indicates that nearly half of the nurses are smokers. Therefore, to prevent and reduce smoking among nurses, further researches and more effective smoking cessation programs should be carried out. © Gülhane Askeri Tip Akademisi 2008.Öğe Evaluation of the mini-mental state examination among the elderly people in Konya, Turkey(2006) Kutlu R.; Karaoglu N.; Marakoglu K.; Civi S.Objectives: To evaluate cognitive function by using the Mini-Mental State Examination (MMSE) among the elderly people in Konya, Turkey, and to examine the acceptance, and screening efficacy of the MMSE in the family medicine practice setting. Methods: A descriptive and cross-sectional study was carried out between 15th December 2004 and 15th February 2005, in Konya, Turkey. Two hundred elderly people were included in the study. Participants were selected from the cases who were at least 65 years of age and older. Cognitive levels were assessed with the MMSE. Two different MMSE forms for educated and uneducated individuals were applied. Socio-demographic characteristics, orientation, registry memory, attention and calculation, recall, and language status were determined. The data were evaluated with SPSS 10.0 software. Results: Participants of 65 years of age and older (36.5% women, n=73 and 63.5% men, n=127) were included in this study. The age interval of participants was 65 and 85, and the mean age was 71.02 (SD=4.569). Of the participants, 66% (n=132) were uneducated, and 34% (n=68) were educated. The mean score of MMSE was 23.33 (SD=4.799). The score of MMSE was considered as normal when the value was 24 and over. Of the participants, 57% (n=114) were evaluated as normal score and 43% (n=86) as abnormal score. The female mean MMSE score was 21.808 (SD=5.352). The male mean MMSE score was 24.204 (SD= 4.230). It was observed that cognitive impairment was higher among women than men (p=0.002). When we compared the cognitive status, there was no significant difference between uneducated and educated people (p>0.05). The cognitive function of participants with a dominant left hand was significantly lower than those with a dominant right hand (p=0.027). Conclusion: Family physicians should be able to competently diagnose, evaluate, and initiate treatment in most patients with dementia. Physicians should be familiar with psychometric instruments such as the MMSE. These instruments are useful both to diagnose Alzheimer's dementia and follow patients on therapy. The MSSE should be used by family physicians of elderly patients, as early diagnosis and treatment will enable patients to retain the greatest possible functional capacity, and may allow families to care for the patient successfully for a longer period. Consequently, early diagnosis and aggressive treatment are crucial for people with dementia.Öğe Evaluation of the prevalence and behaviours of the ex-smoker university students(2005) Kutlu R.; Marako?lu K.Objective: To evaluate the prevalence, knowledge, and attitudes of ex-smokers at the university in Konya. Methods: This study consisted of 613 ex-smoker university students. The participants were selected by multiphase sampling from 17 different faculties. Data were obtained via questionnaire technique by interviewing. The Chi-square test was used for statistical analysis. Result: In the majority of ex-smokers (98%), the initiation age of smoking was under 21 years. 70.0% of ex-smokers had had the knowledge of the harmful effects of smoking before. The most effective way of smoking-cessation was sudden quitting (55.7%). Conclusion: Cigarette smoking is an important public health problem in Turkey. An effective and comprehensive-national tobacco control program is urgently needed.Öğe Evaluation of the socio-demographic characteristics of persecutors according to female victims: A community-based study in Konya(Turkiye Klinikleri, 2006) Karao?lu N.; Çivi S.; Kutlu R.; Marako?lu K.Objective: This study aimed to determine the socio-demographic and personality characteristics of persecutors from the victims' point of view. Material and Methods: This descriptive study was performed in two randomly selected primary health centers in Konya. Four hundred and five women were asked about domestic violence by a questionnaire and the responses of 84 women who were subject to violence were evaluated. Victims of violence were inquired about their persecutors' socio-demographic characteristics, substance abuse, personality, organic diseases and the obligatory drugs. Results: We found that 84 out of 405 women (20.7%) were subject to violence. The persecutor was male in 83.3% (n = 70) and was the victim's husband (77.4%, n = 65). The median age was 40.0 years. Seventy-three (86.9%) subjects had an occupation, 27.4% (n = 23) were ignorant, 14.3% (n = 12) had alcohol abuse and 52.4% (n = 44) were smokers. The personality of the persecutor was defined as aggressive in 53.6% of cases (n = 45) by the victims. There was no organic disease in 60 persecutors (71.4%). Questions about violence experience showed that 61.9% (n = 52) of the aggressors faced with violence in their own families. Conclusion: There are many factors affecting domestic violence. Mainly, being male gender, primary school education, being self-employed, having an aggressive and jealous personality, substance abuse like tobacco and alcohol, and psychiatric disorders seem to be affecting factors of violence in the study. Copyright © 2006 by Türkiye Klinikleri.Öğe The frequency of erectile dysfunction between diabetic and non-diabetic men: Case-control study [Şeker hastal??? olan ve olmayan erkeklerde erektil disfonksiyon s?kl???: Olgu-kontrol çal?şmas?](2008) Yilmaz A.; Kutlu R.; Çivi S.Introduction: We aimed to research the frequency and affecting factors of erectile dysfunction (ED) among diabetic men and non-diabetic men in a control group in this study. Materials and Methods: 100 diabetic men and 100 non-diabetic men were included in this case-control study. In the case and control group, the questionnaire was applied to determine the socio-demographic features. Diabetic group was examined about diabetic features and complications resulting from diabetes. The questionnaire of Sexual Health Inventory For Men (SHIM), which has five questions was carried out to examine erectile dysfunction. The patients who had <18 SHIM score were accepted as erectile dysfunction positive. Results: The prevalence of ED was 76.0% in diabetic group and 32.0% in control group. The prevalence of ED among diabetic group was significantly higher than control group (p<0.001). Statistically, significant relationship was found between two groups related to the incidence of ED, age distribution, job and education levels (p<0.05). Statistically there was also significant relationship between ED and the type of diabetes (p=0.002) and duration of diabetes (p=0.032) in the diabetic group. Conclusion: Diabetes caused an obvious elevation in the prevalence of ED, significant relationship was found between the duration of diabetes and ED. The frequency of ED among diabetic men was 6.7 times higher than non-diabetics. The doctors have to alert the patients about ED, emphasize the importance of giving education and planning the treatment about diabetes to the patients due to regulation of diabetes.Öğe The frequency of violence against women and the factors affecting this: A study on women who applied to two primary health care centers(Gulhane Medical School, University of Health Sciences, 2008) Çivi S.; Kutlu R.; Marako?lu K.Gender-based violence is being increasingly recognized as a major public health concern and a violation of basic human rights. This is not only a social problem but also a significant burden on the public health. We have determined the frequency of and factors affecting the violence against women in Konya in this study. This descriptive study was carried out at two primary health care units selected randomly between 15th January and 15th February 2005. We evaluated domestic violence among 405 cases. Women were asked about their socio-demographic characteristics and experiences about violence. The median age of the respondents was 32.0 (15-77) years. Eighty four (20.7%) of the women experienced violence at least once in their life. Low economic position was a significant factor contributing to the increase in violence against women (p=0.004). Whilst low education levels of husbands (p=0.040) and mothers (p=0.002) and high numbers of sibling (p=0.032) were significantly associated with violence, the woman's own education level was not a significant factor (p=0.850). The following feelings were statistically significant among battered women: disappointment with marriage (p<0.001), suicide idea (p<0.001), leaving home (p<0.001) and feeling insecure (p<0.001). Consequently, low economic position, low education levels of husbands and mothers and high numbers of offspring have been found as risk factors among battered women. © Gülhane Askeri Tip Akademisi 2008.Öğe A maternal death complicated by systemic lupus erythematosus: A case report(2008) Çivi S.; Kutlu R.This paper is a case report of a pregnant woman with systemic lupus erythematosus (SLE) complicated by preeclampsia, nephritis, pericardial effusion, and massive pulmonary congestion. Nephritis is known to be one of the most serious complications of SLE and is a strong predictor of poor outcome. She was a primigravida in the 27th week of gestation. In our patient, postgestational lupus flare up was noted. Risk factors included lower serum albumin, elevated serum ANA and anti-ds DNA antibody, proteinuria, pericardial effusion, massive pulmonary congestion, and hypertension. Thus, our patient had many risk factors to develop preeclampsia and she died.Öğe Measles, rubella, mumps and hepatitis B seroprevalence among the female medical students [Tıp fakültesi kız ö?rencilerinde kızamık, kızamıkçık, kabakulak ve hepatit B seroprevalansı](Gulhane Military Medical Academy, 2011) Kutlu R.; Çivi S.; Aslan R.AIM: Measles, rubella, mumps and viral hepatitis is still a considerable health problem around the world. The risk of contamination of health care workers is higher related to occupational causes. The aim of the study was to research the measles, rubella, mumps and hepatitis B seroprevalence among the female students of Medical Faculty and to apply the vaccines whom need the vaccination. METHOD: This descriptive study was conducted among female students attending Meram Medical Faculty of Selçuk University. Age and sociodemographic characteristics of 351 female students who participated in the study were recorded on the prepared forms. Serum specific IgG levels for measles, rubella, mumps, HBsAg and anti HBs levels were measured in the serum patterns of the participants. Statistical analyses were perfor¬med using SPSS version 13.0. RESULTS: The mean age of the students was 20.5 years (min=16.0, max=29.0). Measles, rubella, and mumps seropositivity were 91.6%, 97.2% and 93.5% respectively. Of the students, 0.7% (n=2) had HBs Ag seropositivity, 42.4% (n=149) had antiHBs seronegativity. The rates of the measles, rubella, and mumps seropositivity were very high among the female students. Sixty two female students (17.7%) required the measles mumps rubella vaccine (MMR). One hundred forty nine female students who have antiHBs seronegativity needed hepatitis B vaccination. CONCLUSION: In order to eradicate measles, mumps, rubella it is necessary that use of MMR vaccine should be expanded nationwide rapidly by the Ministry of Health; the regulation should be revised to include the children born before 2005.
