ABS TRACT Objective: Healthcare professionals (HP) play a role in vaccine acceptance as they influence people's decisions by sharing their personal experiences. The study was aimed to determine the coronavirus disease-2019 (COVID-19) vaccine literacy (VL) and vaccine hesitancy (VH) level among HP in Türkiye, their relationship and influencing factors. Material and Methods: This cross-sectional online study was applied to 1,111 HP between 15.02.2022-15.03.2022. The sociodemographic data form, COVID-19 Vaccine Literacy Scale (CVLS), and Vaccine Hesitancy Scale-long form (VHS) were used. Sociodemographic characteristics, questions about COVID-19 and COVID-19 vaccines were considered as independent variables, while VL and VH were considered as dependent variables. Results: Of the participants, 33.8% (n=376) were physicians, 25.2% (n=280) were nurses/midwives and 41.0% (n=455) were other HP.The CVLS functional mean score of HP was 2.6±0.7 and the interactivecritical mean score was 3.0±0.6. The VHS mean score was 44.6±16.3. Being a physician (p<0.001 for functional, p=0.002 for interactive-critical) and thinking that the origin of the coronavirus is a natural source from animals (p=0.029 for functional, p<0.001 for interactive-critical) were the factors that increased VL. Being a physician (p<0.001) and having high CVLS mean scores (p<0.001 for functional and interactive-critical) were the factors that decreased the VH. There was a weak negative correlation between VL and VH levels (r=-0.223 for functional, r=-0.323 for interactive-critical) (p<0.001). Conclusion: Considering that high VL level decreased VH level, it is obvious that the knowledge level of HP about COVID-19 vaccines should be increased.
Objective: To examine the distribution of HPV types, histopathological typing and advanced center examination results in women who applied to KETEM in Kayseri in 2018 and were positive for HPV. Methods: Ethical approval was obtained from Erciyes University Nonclinical Research Ethics Committee for the study. This study was carried out by scanning the data of 28148 people between the ages of 30-65 who received HPV tests in KETEM units throughout 2018. The age, HPV type, cervical cytology result of patients with positive HPV results for 2018 from the HSYS database, and the results of examinations, tests and other procedures performed on patients from public hospitals were examined and transferred to the SPSS 21.0 program. Results:The number of people with positive HPV test is 1171 (4.16%). HPV type 16 (26.8%) was the most common. It was observed that 771 (65.8%) of 1171 women with positive HPV test were examined in public hospitals, 478 (620%) had biopsy, 62 (8.0%) had smear examination and 597 (77.4%) had ultrasonography. Pathological findings were not detected in 596 (77.3%) after the examination, LSIL was found in 78 (10.1%) and HSIL in 66 (8.6%). Invasive cancer was detected in three patients (0.4%) Conclusion: It is clear that with cervical cancer screening, patients can be diagnosed at an early stage or when they have a precancerous lesion and this situation is of vital importance.
Objective: The aim of this study is to investigate the infant mortality in Kayseri in 2017. Materials and Methods: The study was carried out by examining all 2017 year infant deaths in Kayseri. Written permission was obtained from the Provincial Health Directorate to conduct the study. This is a cross -sectional study. Information about the dead infants was obtained from the files and analyzed. Results: In 2017, 21456 live births and 171 infant deaths occurred in Kayseri.Infant mortality rate was calculated as 8 per thousand. 89 (52%) of the babies died in the early neonatal period, 35 (20.5%) died in the late neonatal period and 47 (27.5%) died in the post neonatal period.Prematurity (48%), congenital anomaly (21.6%), sudden infant death syndrome (9.9%) were the first three causes of death. Conclusion: In this study, infant mortality rate was found to be 8 per thousand in Kayseri province and it was found that the most common cause of infant death was preamaturity. Infant mortality rate is below the national average in Kayseri and has decreased compared to previous years. Explaining the speed and causes of infant mortality can be guiding in terms of activities to prevent infant mortality. Conducting such studies in the following years may play a key role in demonstrating the effectiveness of health services.
Aim: This study was carried out to evaluate the change of body weights of the applicants to the diet polyclinics in 5 wellness centers in Kayseri in 2018. Material and Methods: This study was conducted by examining the data of 5.462 people who applied to dietitian outpatient clinics in the field of primary health care in Kayseri in 2018. Data were scanned through the Public Health Management System (HSYS) and transferred to SPSS 21.0. Obesity classifications were made by calculating Body Mass Index (BMI). Written permission from Kayseri Provincial Health Directorate and ethical approval from Erciyes University Non-Clinical Researches Ethics Committee were obtained for the study. Results: In 2018, 5462 people over the age of 18 applied to dietician outpatient clinics in 5 healthy life centers in Kayseri. It was observed that 58.4% of the applicants had over 30 BMI. 53.2% of those who come at least once are stage 1 obese. 52.7% of those who come at least twice are stage 1 obese. While the median BMI of obese individuals who came for the second time was 34.7 at the first visit, their BMI median at the second visit was found to be 33.1. When the medians are compared with the Wilcoxon test, the differences are statistically significant. Conclusion:In our study, it was determined that diet polyclinics that serve in health centers are effective in losing weight. Gyms within healthy life centers; The creation of physiologists and sports coaches will contribute to the fight against obesity.
Bu çalışmada Sağlık Bakanlığı'nca hijyene uygun ve bilimsel olarak sunulmaya çalışılan geleneksel uygulamalar hakkında merkez ilçe sağlık müdürlüğü çalışanlarının bilgi, görüş ve tutumlarını tespit etmek amaçlanmıştır.
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