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    A Cross-sectional Study; 2015 Evaluation of Lung Graphs
    (Kare Publ, 2018) Alkan, Ender; Pekgor, Selma; Tolu, Ismet; Inal, Zeynep Ozturk; Kucukkendirci, Hasan
    Objectives:This study was an evaluation of posteroanterior chest radiographs taken of residents of Konya determined by the cluster sampling method. Methods: This study was a descriptive cross-sectional study, conducted in cooperation with the Konya Education and Research Hospital, the provincial health directorate, and the metropolitan municipality. The sociodemographic characteristics of 2015 individuals participating in the study were recorded. The standard chest radiographs, which were taken with a traditional analog system during inspiration in the standing position, were evaluated by 2 radiologists.The most obvious pathological finding was recorded. Results: Of the participants, 1075 (53.40%) were female and 940 (46.60%) were male. The mean age was 45.89 +/- 0.45 years for the women and 46.20 +/- 0.54 years for the men. In the group, 340 (16.90%) were retired, 492 (24.40%) were farmers and/or laborers, 144 (7.10%) were white-collar employees, and 1039 (51.60%) were housewives or unemployed. In all, 580 (28.80%) were cigarette smokers. While 249 (12.36%) had pathological findings on the chest radiograph, 1766 (87.64%) had normal results.The pathological findings were hilar fullness (n=50, 2.48%), emphysematous appearance (n=48, 2.38%), nodule (n=29, 1.44%), increased reticulonodular density (n=26, 1.29%), increased bronchovascular branching (n=9, 0.44%), bronchiectasis (n=4, 0.20%), and other changes (n=83, 4.12%). The incidence of emphysematous appearance was 2.77 times greater in the smokers than in the non-smokers (p<0.05; odds ratio [OR]: 2.77, confidence interval [CI]: 1.56-4.91). While the chest X-ray was normal in 93.50% of the individuals under the age of 40 years, the rate decreased to 84.60% in the individuals over the age of 40 years. The incidence of a pathological chest radiograph was also 2.62 times higher in individuals over the age of 40 years (p<0.001; OR: 2.62, CI:1.90-3.61). Conclusion: The incidence of pathological lung findings was greater in individuals over the age of 40 years, and in workers and retirees.
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    A Cross-sectional Study; 2015 Evaluation of Lung Graphs
    (Kare Publ, 2018) Alkan, Ender; Pekgor, Selma; Tolu, Ismet; Inal, Zeynep Ozturk; Kucukkendirci, Hasan
    Objectives:This study was an evaluation of posteroanterior chest radiographs taken of residents of Konya determined by the cluster sampling method. Methods: This study was a descriptive cross-sectional study, conducted in cooperation with the Konya Education and Research Hospital, the provincial health directorate, and the metropolitan municipality. The sociodemographic characteristics of 2015 individuals participating in the study were recorded. The standard chest radiographs, which were taken with a traditional analog system during inspiration in the standing position, were evaluated by 2 radiologists.The most obvious pathological finding was recorded. Results: Of the participants, 1075 (53.40%) were female and 940 (46.60%) were male. The mean age was 45.89 +/- 0.45 years for the women and 46.20 +/- 0.54 years for the men. In the group, 340 (16.90%) were retired, 492 (24.40%) were farmers and/or laborers, 144 (7.10%) were white-collar employees, and 1039 (51.60%) were housewives or unemployed. In all, 580 (28.80%) were cigarette smokers. While 249 (12.36%) had pathological findings on the chest radiograph, 1766 (87.64%) had normal results.The pathological findings were hilar fullness (n=50, 2.48%), emphysematous appearance (n=48, 2.38%), nodule (n=29, 1.44%), increased reticulonodular density (n=26, 1.29%), increased bronchovascular branching (n=9, 0.44%), bronchiectasis (n=4, 0.20%), and other changes (n=83, 4.12%). The incidence of emphysematous appearance was 2.77 times greater in the smokers than in the non-smokers (p<0.05; odds ratio [OR]: 2.77, confidence interval [CI]: 1.56-4.91). While the chest X-ray was normal in 93.50% of the individuals under the age of 40 years, the rate decreased to 84.60% in the individuals over the age of 40 years. The incidence of a pathological chest radiograph was also 2.62 times higher in individuals over the age of 40 years (p<0.001; OR: 2.62, CI:1.90-3.61). Conclusion: The incidence of pathological lung findings was greater in individuals over the age of 40 years, and in workers and retirees.
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    Evaluation of the Relationship of Fatigue, Anxiety and Depression Levels in Individuals with the Precautions Taken in the COVID-19 Pandemic Process
    (Marmara Univ, Inst Health Sciences, 2022) Kucukkendirci, Hasan; Yucel, Mehtap; Durduran, Yasemin
    Objective: This study aims to evaluate the effects of the COVID-19 process and the measures taken on fatigue, anxiety and depression levels in individuals, and the factors that may cause this effect. Methods: The study is of cross-sectional type. A total of 281 participants who applied to the pandemic outpatient clinic were included in the study. Data collection form with 27 questions and Hospital Anxiety and Depression Scale (HADS) with 14 questions were used in the study. Relationships between data were evaluated with t-test and chi-square test in independent groups. The importance levels of the factors affecting the anxiety and depression scores were determined by the Chaid Analysis. Statistically, cases with p<.05 were considered significant.Results: A total of 281 participants, with a mean age of 40.09 +/- 12.35 years and 56.2% women, were included in the study. The mean depression score of the participants in HADS was 7.43 +/- 3.85. The mean anxiety score was 8.11 +/- 4.04. 61.6% of the participants had depression and 31.0% had anxiety. According to Chaid's analysis, the most effective factor on anxiety and depression scores was that the fear of contracting the COVID-19 infection exhausted the individual. Conclusion: As a result of the research, it was found that the frequency of depression and anxiety was high in patients who applied to the pandemic outpatient clinic. It was determined that more than half of the participants were afraid of catching an infection and this fear caused fatigue in them. Mental health should not be ignored during the pandemic period and both physical and mental health of people should be protected with holistic approaches.
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    Investigation of cesarean sections at Konya Training and Research Hospital Obstetrics and Gynecology Department between 2010 and 2015
    (Via Medica, 2017) Inal, Zeynep Ozturk; Inal, Hasan Ali; Kucukkendirci, Hasan; Oruc, Ayla Sargin
    Objectives: Analysis of the annual distribution of cesarean sections and indications between 2010 and 2015 in our clinic. Material and methods: Medical records of 10,437 cesarean section patients from a total number of 24,283 deliveries performed at Department of Obstetrics and Gynecology between 2010-2015 were evaluated retrospectively. The indications for Cesarean section were analyzed and compared based on years. Results: The lowest cesarean section rate was 18.67% in 2011 and the highest rate was 24.5% in 2013, and the annual rates were close to each other in this 6-year period (p > 0.05). History of uterine surgery was the indication with the highest rate of 49.52%, while fetal distress was the second most frequent with 12.53%; presentation anomalies were observed as the most frequent third indication with 7.55%, and umbilical cord prolapse was the least frequent indication with 0.33%. Conclusions: Patient education about normal delivery and providing means for pain control during normal delivery, improvement in physical conditions of the clinics, frequent and regular training of the assisting staff with obstetrics physicians are important to diminish the rates of primary cesarean sections. In addition, a normal delivery after a previous cesarean section must be encouraged.
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    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 Gulperi
    Objective 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.
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    Spermiogram Test Results of Patients Presenting to our IVF Center Due to Infertility
    (Derman Medical Publ, 2017) Inal, Zeynep Ozturk; Inal, Hasan Ali; Aksoy, Emine; Kucukkendirci, Hasan
    Aim: The aim of this study was to evaluate the semen samples of patients who had presented to our andrology laboratory for spermiogram analysis, according to the WHO 2010 criteria. Material and Method: Spermiogram tests of 10,153 patients who had presented to our andrology laboratory between January 2010 and December 2015 were retrospectively analyzed. The cases were classified as normozoospermia, oligozoospermia, severe oligozoospermia, teratozoospermia, astenozoospermia, oligoastenoteratozoospermia, and azoospermia. Age, body mass index (BMI), marital status, smoking habit, alcohol consumption, drug abuse, fast food consumption, cellular phone use, and history of previous varicocele surgery were evaluated as well. Results: The distribution of 10,153 admissions across years was as follows: 2010: 574; 2011: 1,118; 2012: 1,583; 2013: 2,008; 2014: 2,346; and 2015: 2,524. 9,219 of the participants (90.80%) were married. All were between 17-65 years of age; the mean age was 37.73 +/- 14.04. The mean BMI was 25.79 +/- 4.03. 4,715 (46.44%) of the presenting individuals were smokers, 67 (0.66%) used alcohol, and 693 (6.82%) were smokers and alcohol users. Only 14 (0.13%) had drug abuse. 3,298 (32.48%) consumed fast food and 9,997 (98.46%) used cellular phones. 1,827 (17.99%) had a history of varicocele surgery. According to the WHO 2010 criteria, 4,330 (42.56%) had normozoospermia, 1,952 (19.22%) had teratozoospermia, 1,238 (12.20%) had oligoastenoteratozoospermia, 807 (7.94%) had severe oligozoospermia, 759 (7.48%) had astenozoospermia, 717 (7.06%) had azoospermia, and 351 (3.45%) had oligozoospermia. Discussion: Our data demonstrate an increase in male infertility over the period of the study, and further studies are needed to illuminate the causes of this increase and the preventable factors.