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Öğe Early surgical abortion: Safe and effective(Informa Healthcare, 2013) Kara, Fatih; Dogan, Nasuh Utku; Bati, Serap; Demir, Senay; Durduran, Yasemin; Celik, CetinObjectives To evaluate patients' characteristics and complications of surgical abortion performed at an early gestation, compared to later gestations. Methods A total of 4310 women with unintended pregnancies attending the family planning unit of a government maternity hospital in Konya, Turkey, were included retrospectively. Abortions were carried out from 6 weeks' up to 10 weeks gestation. Results The gestational age in 62% of the cases was between 6 weeks and 6 weeks + 6 days. Only 8.5% of the 4310 women had used a modern contraceptive method, and 16% had had a surgical abortion for an unplanned pregnancy previously. These women were younger, had more siblings, and a shorter time had elapsed since their last pregnancy when compared to women who never had an abortion. There were four failures (0.09%). The rate of retained products of conception (RPCs) was 1.9% in women aborted between six and six(+6) weeks' gestation, and 6.2% (p < 0.001) in those aborted later. Women who had had a surgical abortion previously more often had RPCs than those who never had (16% vs. 1%, respectively, p < 0.001). Of the 151 women with RPCs, 65 (43%) had been using an intrauterine device prior to surgical abortion. Conclusion Early surgical abortion (at six-six(+6) weeks' gestation) generates few complications. Delaying surgical abortion until a somewhat later gestation causes complication rates (particularly RPCs) to increase.Öğe The Evaluation of Primary School Readiness Levels of the Children Aged 66-72 Months with the Denver II Test(Kowsar Corp, 2018) Yorulmaz, Alaaddin; Sert, Sadiye; Yilmaz, Fatma Hilal; Kara, Fatih; Cinarlidere, SerifeBackground: Primary school can lead to compatibility problems in children without an early childhood education because they experience separation from their families for the first time. Objectives: In order to detect developmental delays that may arise at the school and to plan the necessary support, it was aimed to determine primary school readiness levels of the children aged 66 -72 months. Methods: This study included 91 children aged 66 - 72 months who were admitted to the Pediatric Outpatient Clinic of Beyhekim State Hospital between June 2016 and August 2016. The Denver Developmental Screening Test II which consists of 134 items was performed. The Test items are divided into four main sections and surveys whether the chilren are ready for the first grade of primary school. The test results were interpreted as normal, suspect and abnormal. Results: 36 (39.6%) of 91 patients were female and 55 (60.4%) were male. There was no statistically significant difference between the test results in terms of gender. When examining the distribution of children according to months, there was no statistically significant difference. Data for the child's age, the mother's age, the father's age, duration of breastfeeding, the age (month) at which the child started talking, walking or completed toilet training was expressed as mean +/- standard deviation. When these values were examined and also the mean values containing normal and abnormal results were compared, there was a statistically significant difference only between the months when the children started talking. When examining the results of the Denver II test, it was found that 64 (70.3%) children had abnormal development and 27 (29.7%) normal development. Conclusion: In the study evaluating primary school readiness levels of the children aged 66 -72 months, the substantial proportion of the children who were admitted to the hospital, had a developmental delay. In light of this study, all pre-school children should be evaluated before admission to primary school.Öğe Is Maternal Depressive Symptomatology Effective on Success of Exclusive Breastfeeding During Postpartum 6 Weeks?(Mary Ann Liebert, Inc, 2013) Annagur, Ali; Annagur, Bilge Burcak; Sahin, Akkiz; Ors, Rahmi; Kara, FatihAim: The aim of this prospective study was to examine the relationship between success of exclusive breastfeeding and postpartum depressive symptomatology. Our hypothesis was that mothers with depressive symptoms initially fail exclusive breastfeeding. Subjects and Methods: One hundred ninety-seven mothers were enrolled in the study. The participants were interviewed twice. The first visit was within the first 48 hours after birth. The Edinburgh Postnatal Depression Scale (EPDS) was completed by the participants. The second interview was performed at 6 weeks. Participants answered questions regarding methods of breastfeeding for 6 weeks, any methodological problems, and nipple pain. The EPDS was again completed by the participants at 6 weeks. All newborns were term infants. Results: All the participants were divided into two groups: exclusive breastfeeding and mixed-feeding (partial breastfeeding and/or bottle feeding). Both groups were compared in terms of features, such as mode of delivery, parity, prevalence of depressive symptomatology (at 48 hours and 6 weeks), and delayed onset of lactation within the first 48 hours. Statistical significance was found for only three variables: delayed onset of lactation within the first 48 hours, gestational age, and the problems related to breastfeeding methods. Conclusions: Clinicians should pay special attention to any lactation difficulty during the first week postpartum. Early lactation difficulties are associated with greater risk of early termination of breastfeeding and lower breastfeeding success.Öğe Reasons for Vaccine Rejection in 0 to 2 Years Old Children Registered to Family Health Centers in Konya(Georg Thieme Verlag Kg, 2021) Kucukkendirci, Hasan; Kara, Fatih; Turgut, Gulsum GulperiObjective According to the 2017 report of the World Health Organization ( WHO), similar to 1.5 million people die from vaccine preventable diseases. The WHO is working to generate and popularize effective vaccination programs. However, the concept of vaccine rejection, which first started in Europe and United States, has started to make an impact in Turkey during the past 10 years. It is therefore seen as a growing danger in future. This study was conducted to determine, detect, and prevent the reasons of vaccine rejection that have increased in recent years. Methods A cross-sectional study was conducted between June and December at 2015. In all districts of Konya (n = 31), it was aimed to reach all 242 families who rejected vaccination to their 0 to 2 years old babies. Families having more than one child refused to vaccinate all of their children. A questionnaire consisting of 47 questions was prepared by the researchers, using the standard trainings of the Ministry of Health and the literature. A total of 172 families agreed to participate in this study. The questionnaire was applied to the parents using the telephone interview technique. Data were presented as mean +/- standard deviation and percentage. Results About 41.3% (n = 71) of the mothers were high school graduates, 50.6% (n = 87) of their fathers were university graduates. About 82.6% (n = 142) of the participants received examination, treatment and follow-up services from family physicians and family health personnel. About 20.9% (n = 36) of the children were the only children of the family. About 55.8% (n = 96) of the families also refused the vaccination for other children. About 83.7% (n = 144) of the unvaccinated children had infants/children follow-up care. While all participants stated that vaccines had side effects, 31.4% (n = 54) of these believed that vaccines cause autism or paralysis in infants. About 62.2% (n = 107) of theirmothers did not receive tetanus vaccine during pregnancy. The highest rate of nonvaccination was with the second dose of hepatitis A vaccine, which 96.5% (n = 166) refused. The most accepted vaccine was the first dose of hepatitis B vaccine, which was refused by 18.0% (n 1/4 31). About 79.7% (n = 137) of the participants did not know the reason for the vaccination and 95.9% (n (1/4) 165) thought that the vaccines were not required. All participants received information from the health personnel about the vaccines. While 9.9% (n = 17) of the families thought that vaccines cause infertility, 44.8% (n = 77) did not receive vaccination because the vaccines were produced abroad. Conclusion A growing number of families refuse to have their babies vaccinated. The production of vaccines abroad is a major cause of insecurity. There are also beliefs that vaccines cause infertility. Vaccine production in Turkey should be accelerated and public education about vaccines should be reviewed. Training provided to families about vaccines should also be reviewed.Öğe Tedaviyi terk eden tüberküloz hastaları ve aile fertlerinin saha tarama sonuçları(Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, 2001) Kara, Fatih; Bodur, SaitBu çalışmada tüberküloz hastalarının dispanserler tarafından takip durumu ile tedaviyi terk eden hastalar ve yakın temaslılarının değerlendirilmesi amaçlandı. Araştırma, 1995 - 1999 yıllarında Selçuk Üniversitesi Hastanesi Göğüs Hastalıkları Kliniği ve Konya ilindeki verem savaş dispanserleri tarafından tüberküloz tedavisi yapılan 1979 hasta üzerinde yapıldı. Tedaviyi terk eden 164 hasta saptandı. Bu gruptan Konya ili sınırları içinde ikamet adresi veren hasta ve yakın temaslıları ile görüşüldü. Ölen ve göç edenler dışında 64 hastaya ulaşılabildi. Demografik veriler anket yardımıyla yüz yüze görüşülerek elde edildi. Hasta ve yakın temaslılarına klinik sorgulama yapıldı, PPD uygulandı, akciğer grafısi çekildi ve çıkarabilenlerden balgam alındı. Fakülte hastanesinde tedavisi olan hastalarda tedaviyi terk oram % 21.6, dispanserde tedavi olanlarda % 4.5 idi. Tedaviyi terk eden hastaların % 62.2'si 35 yaşın üzerindeydi. Hastaların, % 4 1.3 'ünün öğrenimi, % 3 8. 7 'sinin sosyal güvencesi yoktu ve hastaların önemli bir bölümü çok fakirdi. Hastalarının % 36.8'inde başta diyabet olmak üzere eşlik eden hastalık bulunmaktaydı. Hastaların % 48.4'ünde sigara içmekteydi. Hastaların % 39.4'ünün yakınlarında tüberkülozlu vardı. Hastaların % 26.2'si üçüncü ayın sonunda ilaçlarını bırakmıştı. Öğrenim görmüş olmak ilaç kullanım süresini olumlu yönde etkilemekteydi. BCG skan hastaların % 49.0, temaslılarının % 31.4'ünde yoktu. PPD enduraşyon çapı hastalarda ortalama 16.4 ± 3.8 mm, yakın temaslılarında 13.3 ±3.6 mm idi. Hasta ve temaslılarından alman numunelerde mikroskopi ve kültür yöntemleriyle tüberküloz basili tespit edilemedi. Sonuç olarak; genel ekonomik kalkınma, öğrenim düzeyinin geliştirilmesi, hasta kayıt ve bildirim sistemlerinin düzenli işletilmesi ve hastalarla iletişimi sürdürme çabalarının sabırla devam ettirilmesi tüberküloz savaşının başarısını artıracağı kamsına varıldı.