14 research outputs found
Murathan mungan’s stories “Binali ile temir” and “Dumrul ile azrail” on the axis of other, power and masculinity [Öteki, İktidar ve erkeklik ekseninde murathan mungan’ın “binali ile temir” ve “dumrul ile azrail” öyküleri]
No full textThe stories of Murathan Mungan have a structure that allows for interdisciplinary studies and comparative readings. There are two main features that support this structure. The first is the author’s writing pattern that combines/synthesizes tradition and modernity. On the one hand, the author uses the characteristics of traditional narrative genres such as fairy tales, myths, epics, folk narratives and on the other hand, he benefits from the modern narrative techniques such as intertextuality, rewriting and metafiction. The second is the author’s polyphonic and elaborate fiction method. The author establishes a bond among the miscellaneous concepts which are research topics in the fields of sociology, psychology, philosophy, history and eventually constructs a productive narrative ground. In this article, author’s two stories reflecting the aforementioned features were examined around the concepts of other, hierarchy, power and masculinity. In this context, in the first place a conceptual discussion was carried out in order to understand the deep structures of the stories, then the story “Binali ile Temir” in the triangle of “phallus-gun-power” and the story “Dumrul ile Azrail” in the triangle of “body-bridge-power” was analyzed in detail. © 2019 Cyprus International University. All rights reserved
Healthcare workers as parents: attitudes toward vaccinating their children against pandemic influenza A/H1N1
No full textAbstract Background Both the health care workers (HCWs) and children are target groups for pandemic influenza vaccination. The coverage of the target populations is an important determinant for impact of mass vaccination. The objective of this study is to determine the attitudes of HCWs as parents, toward vaccinating their children with pandemic influenza A/H1N1 vaccine. Methods A cross-sectional questionnaire survey was conducted with health care workers (HCWs) in a public hospital during December 2009 in Istanbul. All persons employed in the hospital with or without a health-care occupation are accepted as HCW. The HCWs who are parents of children 6 months to 18 years of age were included in the study. Pearson's chi-square test and logistic regression analysis was applied for the statistical analyses. Results A total of 389 HCWs who were parents of children aged 6 months-18 years participated study. Among all participants 27.0% (n = 105) reported that themselves had been vaccinated against pandemic influenza A/H1N1. Two third (66.1%) of the parents answered that they will not vaccinate their children, 21.1% already vaccinated and 12.9% were still undecided. Concern about side effect was most reported reason among who had been not vaccinated their children and among undecided parents. The second reason for refusing the pandemic vaccine was concerns efficacy of the vaccine. Media was the only source of information about pandemic influenza in nearly one third of HCWs. Agreement with vaccine safety, self receipt of pandemic influenza A/H1N1 vaccine, and trust in Ministry of Health were found to be associated with the positive attitude toward vaccinating their children against pandemic influenza A/H1N1. Conclusions Persuading parents to accept a new vaccine seems not be easy even if they are HCWs. In order to overcome the barriers among HCWs related to pandemic vaccines, determination of their misinformation, attitudes and behaviors regarding the pandemic influenza vaccination is necessary. Efforts for orienting the HCWs to use evidence based scientific sources, rather than the media for information should be considered by the authorities.</p
Secondhand tobacco smoke exposure of infants at home: A population based cross-sectional study
No full textEffect of Social Factors on Cesarean Birth in Primiparous Women: A Cross Sectional Study (Social Factors and Cesarean Birth)
No full textBackground: P Cesarean delivery rates have been increasing throughout the world. Parallel to the developments in the world the cesarean rate in Turkey has risen to 48.1% in 2013. Some of the social factors were related with cesarean births. The purpose of this study was to determine cesarean birth rates and to find out social factors affecting the cesarean birth in primiparous women. Methods: This study was conducted in Burdur Province, Turkey between the dates of 1 Jan 2012-31 Dec 2012 on 223 primiparous women. The data was collected with data collection form prepared by the researchers by using face-to-face interview technique. In these analyses, chi-square and Backward Logistic regression analyses were used. Results: In multivariate analyses, the place of delivery (OR: 11.2 [2.9-42.46] in private hospital and OR: 6.1 [2.6-14.1] in university hospital); time of the birth (OR: 7.1 [3.1-16.0]); doctor's effect (OR: 4.0 [1.8-8.95]) and husband's employment status (OR: 2.23 [1.0-4.7]) have been identified as factors affecting the caesarean delivery in primiparous women. Conclusion: Although the results do not show all of the factors affecting the caesarean delivery in primiparous women, they reveal that medical reasons are not the only reason in this increase trend. Health policy makers and health professionals are required to identify the causes of this increase and to take measures
Night blindness and ancient remedy
No full textThe aim of this article is to briefly review the history of night blindness and its treatment from ancient times until the present. The old Egyptians, the Babylonians, the Greeks and the Arabs used animal liver for treatment and successfully cured the disease. The author had the opportunity to observe the application of the old remedy to a patient. Now we know what the ancients did not know, that night blindness is caused by Vitamin A deficiency and the animal liver is the store house for Vitamin A
Social determinants of sexual violence against pregnant women
No full textBackground/objectives: Violence against women is one of the major social problems in Turkey, maintains its severity as an important social problem globally. The aim of this study was determine the factors affecting sexual violence applied to women by their spouses during pregnancy. Methods: The universe of the cross-sectional study was determined as 26.271 women who gave birth in the Northeastern Anatolia Region. The sample was taken from 1025 women who had just given birth. SPSS (Statistical Package for Social Sciences) package program was applied in the data analysis of the research. Data were analyzed by chi-square and logistic regression (Backward: LR). Results: Lack of civil marriage OR: 3.0 (CI: 1.7–5.1), low education level of women OR: 2.1 (CI: 1.4–3.2), unwantedness of pregnancy by men OR: 2.4 (CI: 1.5–3.8), the men's alcohol use OR: 5.7 (CI: 3.3–9.9) and low total household income OR: 1.8 (CI: 1.3–2.6) were found to be the factors affecting sexual violence during pregnancy. Conclusion: As a result, sexual violence that women are exposed to during pregnancy continues as an important public health problem. In this context, nationwide mobilization should be declared so that the laws passed by governments for the liquidation of the patriarchal family structure should also function in practice
Evaluation of healthcare providers’ approach towards pandemic influenza and their vaccination ratio
No full textObjectives. Pandemic influenza is a contagious disease caused by the new pandemic influenza A H1N1 virus, originated from the genetic combination of human, pig and avian influenza viruses. Our research aimed to determine the level of pandemic influenza vaccination in healthcare providers and the factors influencing this level. Methods. Doctors, midwives and nurses working in primary, secondary and tertiary health institutions in Denizli established the universe of the research. Four nurses visited these health institutions on five workdays between the 4th and 8th of April 2011, informed the healthcare providers that participation to the research was voluntary and handed over data collection forms in the institutions visited. Then, these data collection forms were collected by the same nurses. Research data were analyzed with SPSS package program. Frequency, percentage, chi-square and logistic regression analyses were used in the evaluation. Results. 44.7% of the healthcare providers participating in the study stated that they had been vaccinated with pandemic influenza vaccine. When factors effecting the vaccination decision with pandemic influenza vaccine of the individuals participating the study was evaluated; statistically significant difference between vaccination and occupation (p=0.001), sex (p=0.001), and age (p=0.026) was detected. The proportion of doctors, males and individuals older than 40 years was higher among the vaccinated professionals. Conclusions. It is important to make announcements about vaccination with determination and by taking support from media and non-governmental organizations. Statements and explanations should be released with this in mind and media, and nongovernmental organizations should also take responsibility regarding this matter
EVALUATION OF SECONDARY AND TERTIARY HEALTH CENTERS EMERGENCY SERVICE APPLICATIONS DUE TO SUICIDAL ATTEMPTS
No full textWOS: 000373721600006Objective: In the study, it is aimed to evaluate the suicide attempts according to gender in Bursa. Material and Method: Data were collected from "Emergency Service Unit Suicide Attempts Registration Forms" which were filled in emergency services for people who attempted suicide between 2008-2012 and were applied Emergency Services of secondary and tertiary health care instutions in Bursa, and were notified to Mental Health Branch of Department of Public Health. Results: In Bursa, 78.8% (4153 people) of people who attempted suicide were females, 21.2% (1120 people) of them were males. A statistically significant difference was found in terms of attempted suicide in age groups (p=0.001), being married or single (p=0.001), education groups (p=0.008), hours of suicide attempts (p=0.001), suicide methods (p=0.001) and the causes (p=0.001), the presence of a family member with history of suicide attempt (p=0.015) and the presence or absence of a person who diagnosed with a psychiatric illness in the family (p=0.015) according to gender. Conclusion: In this study, socio-demographic characteristics, suicide story and psychiatric illness story in the family differ according to gender. In this context, these differences according to gender should be considered in developing health policies to prevent suicides
AWARENESS OF WOMEN AND RELATED FACTORS ON EMERGENCY CONTRACEPTION
No full textWOS: 000382619500004Objective: Unintended pregnancy is an important public health problem all over the world due to its negative effects on mother and child health. The most common causes of unintended pregnancies are nonuse or misuse of contraceptive methods. The aim of this study was to determine the recognition frequency of emergency contraceptive methods among women and related factors of this situation. Material and Method: This descriptive study was conducted at a research and education hospital's obstetrical outpatient clinics. All of the women aged 18-49 years attend to these clinics due to any health problem were enrolled to the study. Data was collected by a questionnaire generated by the investigators and p values under 0.05 were considered significant. Results: Fifty-five point five percent of 614 women enrolled to the study were using modern contraceptive methods and 37.9% of these were faced to unintended pregnancy at least one time through out their sexual life. 54.5% of these unintended pregnancies have been resulted with deliveries. The rate of unintended pregnancy was higher in women with higher pregnancy count. Forty-eight point nine percent of participants thought that it is impossible to prevent pregnancy after an unprotected sexual intercourse. The rate of women which were aware of at least one synonymous expressions of emergency contraception was 27.9%. Forty-five of these women had known the exact meaning of emergency contraception. The emergency contraception usage rate was 1.1% in general population but this was 7.4% in women who were aware of emergency contraception. Conclusion: It is possible to decrease unintended pregnancies by using emergency contraception properly. However, the knowledge of women about emergency contraception is inadequate. Therefore, education programmes should be conducted
Improving prenatal breastfeeding education provided by resident physicians via a new educational module: a pilot program
No full textPurpose of Project: This project aimed to establish that a focused educational element provided to OB/GYN residents about the benefits of prenatal breastfeeding counseling could change their clinical practice through improved knowledge and attitude regarding breastfeeding topics.
Methodology: The methodology consisted of an educational module with pre and post-tests using modified components of the validated IIFAS, BKQ, an Al-Binali breastfeeding knowledge and attitude scales, an in-person behavior modeling class offered to help those residents desiring increased comfort or confidence in discussing breastfeeding topics with patients, and retrospective and prospective chart reviews, of 30 charts each, after the implementation period ended to determine if there was a practice change. The participants were OBGYN residents between their first and fourth year of residency.
Results: Of the two pre- and post-tests completed with signed consents, there was no significant difference in pre-and post-test knowledge. There was an overall favorable opinion of breastfeeding as an essential component of nutrition and health for newborns and their parents. The retrospective and prospective chart reviews showed the rate of breastfeeding education provided to patients was 0%.
Implications for Practice: Although this project failed to produce a practice change, the literature review and other background research revealed a promising new avenue of future intervention. Different methods can be attempted to increase efficacy and should be tailored to the institution and group of residents involved. There are broader implications regarding the standardized resident breastfeeding educational curriculum and the low importance placed on that knowledge compared to other maternal/child health topics. Lower breastfeeding rates are associated with higher healthcare costs and rates of patient morbidity and mortality as people succumb to illnesses and infections that might have otherwise been prevented or decreased in severity (Danawi et al., 2016 ),(Bartick et al., 2016). Any increase in the breastfeeding rate can improve overall patient outcomes, particularly in communities of color, which are most vulnerable to the financial and health burdens that may be improved through higher breastfeeding rates (New Jersey, 2021), (Holom-Trundy, 2021).D.N.P.Includes bibliographical reference
