Süleyman Erhan Deveci

Prevalence and risk factors of female urinary incontinence in eastern Turkey.

Objectives:  To evaluate the prevalence of urinary incontinence (UI) and determine risk factors for its development in women living in eastern Turkey.

Doğu Anadolu\'da yeni açılan bir üniversitenin öğrencilerinde kaygı düzeylerinin sağlık, sosyal ve demografik faktörler ile ilişkisi

Objectives: This study is carried out to determine possible anxiety levels and related factors in Tunceli University students. Materials and methods: Totally 604 students receiving education from Tunceli University included. Field work of the study is done in May, 2010. A questionnaire including a group of questions about socio-demographical features, health, social and demographical factors, and about continuous anxiety that are thought to be related to anxiety is made under direct supervision to the students. Results: 52.2% of the students are men and 47.8 % are women, and the average age of them is 21.38±3.59 years. The students’ average point of state anxiety inventory is found to be 43.37±10.46 and continuous anxiety inventory 45.17±8.79. According to our results if the students parent’s monthly income is less, started to study in the department of the university unwillingly, had sheltering problems at the beginning of the university, expressed that they had chronic diseases, evaluated their health conditions as bad, feel ambiguous or desperate about finding a job after graduation and described their char acters as introverted had higher anxiety scores (p 0.05). Conclusion: Continuous anxiety level of the university students was found at a significant level and affected by several variables. It is thought that counseling and intervention units, particularly for related factors, will be useful.

Effect of Urinary Incontinence and Its Subtypes on Quality of Life of Women in Eastern Turkey

OBJECTIVE To determine the bothersomeness and effect on quality of life (QOL) of different types of urinary incontinence (UI) in married women living in eastern Turkey. MATERIALS AND METHODS A total of 1049 married women was evaluated in the present population-based, cross-sectional study. QOL was assessed using a validated form of the Turkish version of the Incontinence Impact Questionnaire Short Form. The effects of UI subtype on the overall QOL score and on the individual domain scores were determined. The relationship between several demographic characteristics such as age, weight, education level, number of pregnancies, number of live deliveries, and presence of pelvic organ prolapse and the QOL changes was examined. RESULTS The mean age of the women was 44.62 ± 11.01 years (range 17-80). Of the women with UI, 76.2% stated that the UI had a negative effect on their QOL. Women with mixed UI and severe UI had the worst QOL scores. The QOL changes for the different domains revealed that entertainment activities were affected least, and emotional health and feelings of frustration were the 2 domains that showed the most significant deterioration. Furthermore, older and unemployed women, housewives, women living in urban areas, and women with multiple births, difficult labor, and increased weight experienced significant negative effects on their QOL. CONCLUSION Our results have shown that, regardless of different factors, UI has significant negative effects on QOL. The presented data emphasize the importance of the high prevalence of UI in our region and its negative effects on QOL. Thus, additional policies are needed for the prevention of the negative effects of UI.

Düşmeye Bağlı Yaralanmaların Adli Tıp Açısından Değerlendirilmesi

Falls are one of the leading causes of admission to emergency and deaths. There is more than one classification of the falls. In this study we classified falls according to height of the falls: High level (>5 meters) and low level (<5 meters). We didn’t include flat ground falls to our study. In this study, we reviewed 1218 fall cases retrospectively between January 2000 to December 2004 including 779 men and 439 women whose average age is 22.2 + 22.9 (the youngest is 1 age and the oldest is 95 age) years at Firat Medical Center. Nine hundred twenty seven of these cases are low level falls and 213 are high level falls. Of these falls, the level of the fall was not specified in 78 cases. The cases are evaluated according to the sex, age, age groups, the level of fall, simple medical intervention, life threatening, Glasgow Coma Score (GKS), injured body part, mortality and monthly timeframe. Sex and age differences are not significant according to the high and low level fallings (p = 0.1). 37.6% of high level falls are lile threatening compared to 20.4% of low level falls (p=0.0001). Similarly the Glasgow Coma Scores were poorer in high level falls compared to low level falls. The falls are most prevalent among children (59.2%) and lower among adults (32.7%) and elderly (8.1%). We conclude that the falls should be handled with care because of mortality and morbidity risk and burden to health system. It is often seen at childhood therefore the families have to be educated for preventive measures. Also, it is necessary to take some security precautions at the windows and balconies.Keywords: Falling, height, life threatening, glasgow coma score.Düflmeye ba¤l› yaralanmalar; acil servise baflvurmalarda ve yaralanmalara ba¤l› ölümlerde önde gelen nedenlerden biridir. Düflmeler de¤iflik flekillerde s›n›fland›r›lmaktad›r. Çal›flmam›zda, yüksek seviyeden (≥5metre) ve alçak seviyeden (<5metre) düflme fleklinde olan s›n›fland›rma kullan›ld›. Düz zemindeki düflmeler çal›flmam›za dahil edilmedi. Bu çal›flmada F›rat Üniversitesi, F›rat T›p Merkezine Ocak 2000-Aral›k 2004 y›llar› aras›nda baflvuran 779’u erkek, 439’u kad›n, yafl ortalamas› 22.2±22.9 (en küçük 1, en büyük 95 yafl) olan toplam 1218 düflme olgusu retrospektif olarak incelendi. Olgular›n, 927’si alçak, 213’ü yüksek, 78’i ise bilinmeyen bir seviyeden düflmüfltür. Olgular; cinsiyet, yafl, yafl gruplar›, düflme seviyesi, basit t›bbi müdahale, yaflamsal tehlike, Glasgow Koma Skoru (GKS), yaralanan vücut bölgesi, mortalite oran›, aylara göre da¤›l›m› aç›s›ndan de¤erlendirildi. Yüksek ve alçak seviyeden düflme aç›s›ndan cinsiyet ve yafl fark› tespit edilmedi (p=0.1). Yüksek seviyeden düflmelerde yaflamsal tehlikeye maruz kalma %37.6 iken, alçak seviyeden düflmelerde ise bu oran›n %20.4 oldu¤u saptand› (p=0.0001). Benzer flekilde yüksek seviyeden düflmelerde GKS’nin, alçak seviyeden düflmelere göre daha düflük puanlarda oldu¤u belirlendi (p=0.0001). Düflmelerin pediatrik yafl grubunda (%59.2) daha yüksek, eriflkin (%32.7) ve yafll›larda (%8.1) daha düflük oldu¤u tespit edildi. Sonuç olarak; düflmeler mortalite ve morbidite riski tafl›malar› ve sa¤l›k sistemine önemli bir yük getirmeleri aç›s›ndan dikkate al›nmal›d›r. Pediatrik yafl grubunda s›kl›kla görülmesinden dolay›; anne baba e¤itimi, oyun esnas›nda çocu¤un gözetlenmesi, pencere ve balkonlarda güvenli¤i sa¤layacak önlemlerin al›nmas› gerekmektedir. Anahtar kelimeler: Düflme, yükseklik, yaflamsal tehlike, glasgow koma skoru.