Gülsen Güneş

The prevalence of nutritional anemia in pregnancy in an east Anatolian province, Turkey

BackgroundAnemia is considered a severe public health problem by World Health Organization when anemia prevalence is equal to or greater than 40% in the population. The purpose of this study was to determine the anemia prevalence with the associated factors in pregnant women and to determine the serum iron, folate and B12 vitamin status in anaemic pregnants in Malatya province.MethodsThis is a cross-sectional survey. A multi-sage stratified probability-proportional-to-size cluster sampling methodology was used. A total of 823 pregnant women from sixty clusters were studied. Women were administered a questionnaire related with the subject and blood samples were drawn. Total blood count was performed within four hours and serum iron, folate and B12 vitamin were studied after storing sera at -20 C for six months.ResultsAnemia prevalence was 27.1% (Hb < 11.0 gr/dl). Having four or more living children (OR = 2.2), being at the third trimester (OR = 2.3) and having a low family income (OR = 1.6) were determined as the independent predictors of anemia in pregnancy. Anemia was also associated with soil eating (PICA) in the univariate analysis (p < 0.05). Of anaemic women, 50.0% had a transferrin saturation less than 10% indicating iron deficiency, 34.5% were deficient in B12 vitamin and 71.7% were deficient in folate. Most of the anemias were normocytic-normochromic (56.5%) indicating mixed anemia.ConclusionsIn Malatya, for pregnant women anemia was a moderate public health problem. Coexisting of iron, folate and B vitamin deficiencies was observed among anaemics. To continue anemia control strategies with reasonable care and diligence was recommended.

The epidemiology and factors associated with nocturnal enuresis among boarding and daytime school children in southeast of Turkey: a cross sectional study

BackgroundNocturnal enuresis is an important problem among young children living in Turkey. The purpose of this study was to determine the possible differences in the prevalence of enuresis between children in boarding school and daytime school and the association of enuresis with sociodemographic factors.MethodsThis was a cross-sectional survey. A total of 562 self-administered questionnaires were distrubuted to parents from two different types of schools. One of them was a day-time school and the other was a boarding school. To describe enuresis the ICD-10 definition of at least one wet night per month for three consecutive months was used. Chi-square test and a logistic regression model was used to identify significant predictive factors for enuresis.ResultsThe overall prevalence of nocturnal enuresis was 14.9%. The prevalence of nocturnal enuresis declined with age. Of the 6 year old children 33.3% still wetted their beds, while the ratio was 2.6% for 15 years-olds. There was no significant difference in prevalence of nocturnal enuresis between boys and girls (14.3% versus 16. 8%). Enuresis was reported as 18.5% among children attending day time school and among those 11.5% attending boarding school (p < 0.05). Prevalence of enuresis was increased in children living in villages, with low income and with positive family history (p < 0.05). After multivariate analysis, history of urinary tract infection (OR = 2.02), age (OR = 1.28), low monthly income (OR = 2.86) and family history of enuresis (OR = 3.64) were factors associated with enuresis. 46.4% of parents and 57.1% of enuretic children were significantly concerned about the impact of enuresis.ConclusionEnuresis was more frequent among children attending daytime school when compared to boarding school. Our findings suggest that nocturnal enuresis is a common problem among school children, especially with low income, smaller age, family history of enuresis and history of urinary tract infection. Enuresis is a pediatric public health problem and efforts at all levels should be made such as preventive, etiological and curative.

Color Doppler sonography examination of partially obstructed kidneys associated with ureteropelvic junction stone before and after percutaneous nephrolithotripsy: Preliminary report

Abstract  Aim: To evaluate resistive index (RI) changes before and after unilateral percutaneous nephrolithotripsy in chronic partially obstructed kidneys due to ureteropelvic junction (UPJ) stones.

WOMEN'S KNOWLEDGE, ATTIDUDE AND BEHAVIOURS ABOUT CERVIX CANCER, PAP SMEAR AND HPV VACCINE

KADINLARIN SERVİKS KANSERİ, PAP SMEAR VE HPV AŞISI HAKKINDA BİLGİ TUTUM VE DAVRANIŞLARI ÖZET Serviks kanseri, tüm dünyada kadınlarda kansere bağlı ölümler içinde ikinci sırada yer alır. Bütün dünyada önlenmesi mümkün olan bir hastalıktır. Bu çalışma Malatya Merkeze bağlı Tecde Sağlık Ocağı ve Çöşnük Sağlık Ocağı bölgelerinde yaşayan 15-49 yaş arası evli kadınlar arasında serviks (rahim ağzı) kanseri ve aşısı konusundaki bilgi düzeyleri ve tutumlarını belirlemek amacıyla yapılmıştır. Araştırma kapsamına giren 15-49 yaş arası evli kadınların yaş ortalaması 34.2±8.4 yıldır. Çoğu ilkokul mezunudur (%43.1) Eğitim düzeyi ortaokul ve üzerinde olanlarda serviks kanseri ile ilgili bilgi düzeyi daha yüksektir. Gelir düzeyi arttıkça serviks kanserini duyma oranı artmıştır (%95). Araştırma sonuçları, serviks kanseri, HPV virüsü ve korunma yolları, serviks kanserinin tanısında ve kontrolünde çok önemli bir tarama olan smear testi konusunda kadınların yeterli düzeyde bilgi sahibi olmamalarına rağmen yaklaşık yarısının rahim ağzı kanserinin aşısını duymuş oldukları sonucu ortaya çıkmıştır. Kadınların smear testi konusunda bilinçlendirilmeleri gereklidir. Anahtar Kelimeler: Serviks, Davranış, Kanser, Tutum, Smear TestiServiks kanseri, tum dunyada kadinlarda kansere bagli olumler icinde ikinci sirada yer alir. Butun dunyada onlenmesi mumkun olan bir hastaliktir. Bu calisma Malatya Merkeze bagli Tecde Saglik Ocagi ve Cosnuk Saglik Ocagi bolgelerinde yasayan 15-49 yas arasi evli kadinlar arasinda serviks (rahim agzi) kanseri ve asisi konusundaki bilgi duzeyleri ve tutumlarini belirlemek amaciyla yapilmistir. Arastirma kapsamina giren 15-49 yas arasi evli kadinlarin yas ortalamasi 34.2±8.4 yildir. Cogu ilkokul mezunudur (%43.1) Egitim duzeyi ortaokul ve uzerinde olanlarda serviks kanseri ile ilgili bilgi duzeyi daha yuksektir. Gelir duzeyi arttikca serviks kanserini duyma orani artmistir (%95). Arastirma sonuclari, serviks kanseri, HPV virusu ve korunma yollari, serviks kanserinin tanisinda ve kontrolunde cok onemli bir tarama olan smear testi konusunda kadinlarin yeterli duzeyde bilgi sahibi olmamalarina ragmen yaklasik yarisinin rahim agzi kanserinin asisini duymus olduklari sonucu ortaya cikmistir. Kadinlarin smear testi konusunda bilinclendirilmeleri gereklidir.