Browsing by Author "Dündar P.E."

Now showing 1 - 6 of 6
  • No Thumbnail Available
    Item
    The prevalence of low back pain and Its relationship with household jobs and other factors in a group of women in a rural area in Manisa; [Manisa'da kirsal bir bölgede kadinlarda bel aǧrisi sikliǧi; ev işleri ve diǧer faktörlerle ilişkisi]
    (2006) Dündar P.E.; Özyurt B.C.; Özmen D.
    The aims of this cross-sectional study were to determine the prevalence of low back pain and to evaluate the effects of household jobs on low back pain in women living in a rural setting in Manisa. Study population is consisted of 302 women and cluster sampling is performed according to percentage of health center district populations. Participation ratio of this study was 89.1%. Univariete and multivariete risk approach in 95% confidence interval and t test were performed in data analysis. Brief Disability Questionnaire was applied to the study group. Life time and point prevalence of low back pain were determined 79.2% and 34.9% of the study group. Low back pain risk in 95% CI was higher in wrong posture during ironing, heavy load lifting, overweight/obesity and disability 2.2 (1.14.5), 4.5 (2.1-9.2), 3.8 (1.7-8.3) and 9.2 (4.3-19.7) times respectively. For preventive health measures it is necessary to apply ergonomie working conditions and to give appropriate postural habits to women.
  • No Thumbnail Available
    Item
    The knowledge and attitudes of breast self-examination and mammography in a group of women in a rural area in western Turkey
    (2006) Dündar P.E.; Özmen D.; Öztürk B.; Haspolat G.; Akyildiz F.; Çoban S.; Çakiroǧlu G.
    Background: Breast cancer appears to be a disease of both the developing and developed worlds. Among Turkish women, breast cancer is the second leading cause of cancer-related deaths. The aims of this cross-sectional study were to determine levels of knowledge about breast cancer and to evaluate health beliefs concerning the model that promotes breast self- examination (BSE) and mammography in a group of women aged 20-64 in a rural area of western Turkey. Methods: 244 women were recruited by means of cluster sampling in this study. The questionnaire consisted of sociodemographic variables, a risk factors and signs of breast cancer form and the adapted version of Champion's Health Belief Model Scale (CHBMS). Bivariate correlation analysis, Chi square test, Mann-Whitney U test and logistic regression analysis were performed throughout the data analysis. Results: The mean age of the women was 37.7 ± 13.7. 49.2% of women were primary school graduates, 67.6% were married. Although 76.6% of the women in this study reported that they had heard or read about breast cancer, our study revealed that only 56.1 % of them had sufficient knowledge of breast cancer, half of whom had acquired the information from health professionals. Level of breast cancer knowledge was the only variable significantly associated with the BSE and mammography practice (p = 0.0 11, p = 0.007). BSE performers among the study group were more likely to be women who exhibited higher confidence and perceived greater benefits from BSE practice, and those who perceived fewer barriers to BSE performance and possessed knowledge of breast cancer. Conclusion: By using the CHBMS constructs for assessment, primary health care providers can more easily understand the beliefs that influence women's BSE and mammography practice. © 2006 Dündar et al; licensee BioMed Central Ltd.
  • No Thumbnail Available
    Item
    Quality of life of workers aged 14-16 years in the Manisa apprentice training center
    (2008) Dündar P.E.; Baydur H.; Eser E.; Bilge B.; Nesanir N.; Pala T.; Ergör A.; Oral A.
    Objective: The literature related to child labor, discusses the causes and socioeconomic factors contributing to child labor but very few studies examine the quality of life among child workers. The purpose of this cross-sectional study was to investigate the quality of life (QoL), socioeconomic and labor related factors in young people aged 14-16 in the city of Manisa . Methods: The study population consisted of 266 students who were attending the Apprentice Training Center in Manisa. The QoL of the subjects was measured by the adolescent version of KINDL-R (Kiddo-Kindl). Odds ratios (95% Confidence Interval) were used in the assessment. Logistic regression analysis was performed in multivariate analysis. Results: Of the 253 adolescent workers, 77.9% were male, with a mean age of 15.6(0.5). According to logistic regression analysis; being female (OR=2.9), lack of family health insurance (OR=2.3), being exposed to family violence (OR=3.7) and absenteeism (OR=2.4) were associated with total Qol. Lack of family health insurance, insufficiency in family income, using alcohol, being exposed to family violence, job dissatisfaction and father illiteracy were associated with poorer QoL of six domains of KINDL-R. Conclusion: The findings of this study concludes that, socioeconomic, family and job related variables are factors associated with QoL in adolescent workers.
  • No Thumbnail Available
    Item
    The relationship between gender and depression, self-esteem, hopelessness, submissive acts, guilt, shame and anger in adolescents
    (Nova Science Publishers, Inc., 2009) Özmen E.; Özmen D.; Çetinkaya A.Ç.; Oryal Taskin E.; Dündar P.E.
    Literature Review and Objective: Although there were a number of research findings on gender differences in mental health problems, it is not known that it is a universal phenomenon or not. The purpose of this study was to investigate the relationship between gender and depression, self-esteem, hopelessness, submissive acts, guilt, shame and anger in Turkish adolescents. Methods: A cross-sectional survey of 1185 ninth-grade Turkish adolescents aged 14-19 was conducted. 708 (59.7 %) of the students were male and the mean age of students was 15.53±0.72. Hopelessness was measured by using Beck Hopelessness Scale (BHS), self-esteem was measured by using the Rosenberg Self-Esteem Scale (SES), depression was measured by using Children’s Depression Inventory (CDI), guilt and shame was measured by using Guilt and Shame Scale (GSS), submissive acts was measured by using Submissive Acts Scale (SAS), anger was measured by using The State-Trait Anger Scale (STAS). Student’s t-test was used to find out the relationship between gender and depression, self-esteem, hopelessness, submissive acts, guilt, shame and anger in adolescents. Results: The findings indicate that the mean score of the SAS and BHS, anger control subscale of STAS of the boys were higher than that of the girls and the mean score of the CDI, guilt subscale of GSS, shame subscale of GSS, SES, trait anger subscale of STAS, anger-in subscale of STAS and anger-out subscale of STAS of the girls were higher than that of the boys. While there were statistically significant associations between gender and the SAS, BHS, CDI, guilt subscale of GSS, shame subscale of GSS, trait anger subscale of STAS, anger-out subscale of STAS and anger control subscale of STAS mean scores; no relationship was found between gender and the anger-in subscale of STAS and SES mean scores. Conclusion: The results of this study point out that there are gender differences in hopelessness, depression, guilt, shame, submissive acts and anger levels but not in selfesteem levels in Turkish adolescents. The findings suggest that psychological gender differences are seen not only in individualistic societies, but also in collectivistic societies. © 2009 Nova Science Publishers, Inc. All rights reserved.
  • No Thumbnail Available
    Item
    Relationship between duodenal histopathology and strong positive tissue transglutaminase antibodies in children with celiac disease; [Çölyak hastası çocuklarda duodenal histopatoloji ve güçlü pozitif doku transglutaminaz antikorları arasındaki ilişki]
    (Galenos Yayincilik,, 2015) Doğan G.; Ayhan S.; Yılmaz B.; Appak Y.Ç.; Dündar P.E.; Ecemiş T.; Ünal F.; Kasırga E.
    Introduction: In celiac disease (CD) strong positive tissue transglutaminase antibody (TTGA) levels (≥100 U/A) have been shown to almost always indicate villous atrophy. The aim of this study is to determine the sufficiency of ≥100 U/A Ig A type TTGA levels for diagnosis of CD. Materials and Methods: Results from duodenum biopsy performed due to positive TTGA in 197 children were retrospectively examined. IgA TTGA levels had a positive value of >18 U/A. Increases of 5 times or more than this threshold value (≥100 U/A) are accepted as strong positivity. CD diagnosis was made according to ESPGHAN criteria. A modified Marsh stage ≥2 was accepted as significant for CD. Results: Of the cases, 129 were female (65.5%) and 68 were male (34.5%). Duodenum histopathology was compatible with Marsh 0 for 1 case (0.5%), Marsh 2 for 17 cases (8.6%), Marsh 3a for 41 (20.8%), Marsh 3b for 81 (41.4%) and Marsh 3c for 57 (28.9%). The TTGA levels of 64 of the 197 cases (32.5%) were ≥100 U/A. In cases with strong positivity for TTGA the duodenum histology was compatible with Marsh 3 (villous atrophy) for 63 and Marsh 0 (normal histology) for 1 case (type 1 diabetic and asymptomatic for CD). For Marsh 3c TTGA levels ≥100 U/A had a sensitivity of 85.96% (95% CI: 74.2-93.7%), specificity of 89.29% (95% CI: 82.9-93.8%), positive predictive value of 76.56% (95% CI: 64.3-86.2%) and negative predictive value of 93.9% (95% CI: 88.4- 97.3%). Conclusions: This study showed that positive IgA TTGA levels (≥100 U/A) were almost always accompanied by Marsh 3 duodenal histopathological changes. Diagnosis of CD without biopsy may miss certain accompanying diseases, however in some cases with advanced examinations CD may be diagnosed by pediatric gastroenterology specialists without endoscopy. © The Journal of Current Pediatrics, published by Galenos Publishing.
  • No Thumbnail Available
    Item
    Investigation of the dual cascade algorithm in the diagnosis of antinuclear antibodies
    (Walter de Gruyter GmbH, 2019) Ecemiş T.; Faraşat V.T.; Doğan Y.; Şener A.G.; Ece G.T.; Dündar P.E.; Şanlıdağ T.
    Background: The dual cascade algorithm which involves screening and confirmation of antinuclear antibodies (ANAs) by further reflex testing is widely used in the detection of ANAs. We aimed to investigate this algorithm which is commonly used in many laboratories. Methods: A total of 475 sera obtained from patients with a clinical suspicion of systemic autoimmune rheumatic diseases (SARDs) upon which three expert assessors agreed for interpretation in the indirect immunofluorescence (IIF) test were determined and tested by the line immunoassay (LIA) containing 16 antigens. The results of the tests were statistically compared and evaluated. Results: In 141 of the sera (29.7%), there was an agreement between ANA-IIF(+) and LIA(+) results. The overall agreement rate between the two tests for positivity and negativity only was 85.5% with a Cohen’s κ coefficient of 0.69. In 118 of these 141 sera (83.7%), pattern and associated ANA agreement was detected with an overall agreement rate of 80.6% and a Cohen’s κ coefficient of 0.57. The highest agreement between the pattern and associated ANAs was seen in centromere, dense fine speckled (DFS) and cytoplasmic reticular patterns. In these patterns, the rate of anti-centromere-associated protein B (CENP-B), anti-DFS and anti-antimitochondrial antibody M2 (anti-AMA-M2) antibodies were 93.4%, 92.3% and 66.7%, respectively. Conclusions: We found an overall moderate agreement between IIF screening and LIA confirmation tests. However, the level of agreement varies according to the pattern type. The discrepancy in agreement rates may cause false reflex test requests. Our results highlight the need for collaboration between clinical and laboratory professionals in selected cases instead of the reflex testing approach. © 2019 Walter de Gruyter GmbH. All rights reserved.