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A population-based survey to determine the prevalence of movement disorders in Orhangazi district of Bursa, Turkey
(Galenos Yayıncılık, 2009-01-01) Özbek, Sevda Erer; Zarifoğlu, Mehmet; Karlı, Necdet; Özçakir, Alis; Yıldız, Demet; Aslan, Doğa; ERER ÖZBEK, ÇİĞDEM SEVDA; ZARİFOĞLU, MEHMET; KARLI, HAMDİ NECDET; ÖZÇAKIR, ALİS; Yıldız, Demet; Aslan, Doğa; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0001-5588-2037; AAG-8209-2021; JGR-7854-2023; EHN-5825-2022; JDE-9380-2023; CIX-2047-2022; ELJ-9790-2022
Objective: In this study we aimed to determine the prevalence of movement disorders among 40 years and older population in Orhangazi district of Bursa, Turkey.Patients and Methods: This population-based study was planned in three phases. In phase I, door-to-door home interviews were performed on 1256 subjects by residents of departments of neurology and family medicine by using a short questionnaire and 404 subjects with suspected symptoms of movement disorders and Parkinsonism were detected. These subjects were examined and videotaped in phase II. Of the suspected subjects in phase I, 131 did not attend to phase II for various reasons. In phase II, subjects were evaluated by movement disorders specialists by using scales specific to tremor, restless leg syndrome, Parkinson disease, and hemi-facial spasm. In phase III, video recording of all identified patients were reviewed and final diagnoses were made with a consensus of all three specialists.Results: In this phase, subjects were diagnosed to have restless leg syndrome n=60, 9.71%, essential tremor n=21, 3.34%, enhanced physhological tremor n=26, 4.14%, Parkinson's disease n= 14, 2.23%, hemifacial spasm n= 4, 0.82%, and dystonia n= 2, 0.41%.Conclusion: Although essential tremor has been reported as the most common movement disorder, in our study restless leg syndrome had higher prevalence than essential tremor.
ACTH stimulation test in lean polycystic ovary syndrome patients with insulin resistance
(Elsevier, 2006-12-09) Uncu, Gürkan; Özyürek, S. Eser; Uncu, Yeşim; Tıp Fakültesi; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; Kadın Hastalıkları ve Doğum Ana Bilim Dalı; 0000-0002-5225-4403; AAT-3479-2021; 6603716169; 57215443453; 8892370600
Objective: To determine whether insulin resistance in nonobese polycystic ovarian syndrome (PCOS) patients is associated with a higher response to ACTH stimulation. Design: Controlled prospective study. Setting: University hospital ambulatory care unit. Patient(S): Twenty nonobese PCOS syndrome patients with insulin resistance and a body mass index-matched control group of 20 nonobese PCOS patients without insulin resistance. Intervention(S): A 75-g oral glucose tolerance test and an ACTH stimulation test. Main Outcome Measure(S): Blood insulin and glucose levels after ingestion of 75 g oral glucose; blood androstenedione (A), 17(OH)-progesterone [17(OH)-P], free and total T, DHEAS, and progesterone (P) response to ACTH stimulation. Result(S): The proportional increases in the blood levels of total and free T, DHEAS, A,17(OH)-P, and P following ACTH stimulation were similar in the two groups. Only the insulin area under the curve (AUC) values were significantly different among the two groups. The insulin AUC values were positively correlated to the free T blood levels and the homeostasis model assessment scores. Conclusion(S): Within the population of nonobese PCOS patients, insulin resistance is not associated with a more pronounced response to ACTH stimulation. The pathogenesis and management of PCOS in nonobese patients may be different from in obese patients.
Artificial intelligence in medical education: A cross-sectional needs assessment
(BMC, 2022-11-09) Civaner, M. Murat; Uncu, Yeşim; Bulut, Filiz; Chalil, Esra Giounous; Tatlı, Abdulhamit; CİVANER, MUSTAFA MURAT; UNCU, YEŞİM; Bulut, Filiz; Chalil, Esra Giounous; Tatlı, Abdulhamit; Tıp Fakültesi; Tıp Etiği Ana Bilim Dalı; 0000-0001-5376-3499; 0000-0001-5376-3499; S-4188-2019; CDG-7200-2022; JSP-5105-2023; HGL-1599-2022; HGN-1277-2022
Background As the information age wanes, enabling the prevalence of the artificial intelligence age; expectations, responsibilities, and job definitions need to be redefined for those who provide services in healthcare. This study examined the perceptions of future physicians on the possible influences of artificial intelligence on medicine, and to determine the needs that might be helpful for curriculum restructuring. Methods A cross-sectional multi-centre study was conducted among medical students country-wide, where 3018 medical students participated. The instrument of the study was an online survey that was designed and distributed via a web-based service. Results Most of the medical students perceived artificial intelligence as an assistive technology that could facilitate physicians' access to information (85.8%) and patients to healthcare (76.7%), and reduce errors (70.5%). However, half of the participants were worried about the possible reduction in the services of physicians, which could lead to unemployment (44.9%). Furthermore, it was agreed that using artificial intelligence in medicine could devalue the medical profession (58.6%), damage trust (45.5%), and negatively affect patient-physician relationships (42.7%). Moreover, nearly half of the participants affirmed that they could protect their professional confidentiality when using artificial intelligence applications (44.7%); whereas, 16.1% argued that artificial intelligence in medicine might cause violations of professional confidentiality. Of all the participants, only 6.0% stated that they were competent enough to inform patients about the features and risks of artificial intelligence. They further expressed that their educational gaps regarding their need for "knowledge and skills related to artificial intelligence applications" (96.2%), "applications for reducing medical errors" (95.8%), and "training to prevent and solve ethical problems that might arise as a result of using artificial intelligence applications" (93.8%). Conclusions The participants expressed a need for an update on the medical curriculum, according to necessities in transforming healthcare driven by artificial intelligence. The update should revolve around equipping future physicians with the knowledge and skills to effectively use artificial intelligence applications and ensure that professional values and rights are protected.
Assessment of awareness about covid-19 disease and vaccine uptake
(Pakistan Medical Assoc, 2023-01-01) Göktaş, Olgun; Ersoy, Canan; ERSOY, CANAN; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı
Objective: To evaluate the awareness of individuals about coronavirus disease-2019 disease and vaccines during the pandemic.Method: The descriptive, cross-sectional survey-based study was conducted at family health centres in the Bursa province of Turkiye from July 1 to 7, 2021. The face-to-face survey of registered individuals had 20 items that measured coronavirus disease-2019 and vaccines. The scale was named the Coronavirus Disease-2019 and Vaccine Awareness level. It was carried out by family physicians using an online weblink. The Cronbach alpha coefficient was 0.87. Data was analysed using SPSS 25.Results: Of the 228 subjects, 129(56.6%) were males and 99(43.4%) were females. The overall mean age was 27.82 +/- 10.28 years. Awareness levels were high with a mean value of 2.41 +/- 0.31. Female participants were more aware than males (p=0.04) and those with monthly income between 2000-10000 Turkish lira had lower awareness level compared to other income groups (p=0.03). Marital status (p=0.32), education level (p=0.49) comorbidities (p=0.23), regular drug usage (p=0.13) and exercise status (p=0.24) did not affect the awareness levels. Non-smokers were more aware than the smokers (p=0.01).Conclusion: The level of awareness about coronavirus disease-2019 and its vaccine was higher in the female gender and non-smokers, it was lower in the middle-income group.
Attitudes of Turkish men toward wife beating: A study from Bursa, Turkey
(Springer/Plenum Publishers, 2008-10) Özçakır, Alis; Bayram, Nuran; Ergin, Nilüfer; Selimoğlu, Kerem; Bilgel, Nazan; İktisadi ve İdari Bilimler Fakültesi; Sağlık Bilimleri Yüksekokulu; Tıp Fakültesi; Ekonometri Bölümü; Aile Hekimliği Ana Bilim Dalı; Hemşirelik ve Ebelik Bölümü; 0000-0001-5588-2037; 0000-0001-5492-184X; AAG-8209-2021; AAG-9068-2021; 9733230000; 13609585600; 8927016800; 8927016900; 7801564702
The objectives of this cross-sectional, descriptive, questionnaire study were to explore men's attitudes toward wife beating and examine the possible predictors. A total of 1,150 married men aged 18 and up, who had received primary health care in a defined period were the participants. The lifetime prevalence of wife beating was 29.0%. Of the men studied, 42.7% were themselves victims of physical violence during childhood. About 17.9% of the participants thought that they had the right to beat their wives. Significant predictors in logistic regression analysis included women's low education (OR=2.8; 95%CI=1.26-6.46), number of children (OR=2.4; 95%CI=1.34-4.51), childhood beatings (OR=1.6; 95%CI=1.25-2.16) and alcohol intake (OR=1.9; 95%CI=1.49-2.63).Wife beating is a problem in Turkey. To change male attitudes, alcohol abuse control interventions and child abuse prevention should be implemented.
Body fat distribution has no effect on serum visfatin levels in healthy female subjects
(Academic Press - Elsevier Science, 2010-03) Ersoy, Canan; Sadıkoğlu, Ganime; Orhan, Hasan; Güçlü, Metin; Sarandöl, Emre; Akgün, Meral Demirci; Özçakır, Alis; İmamoğlu, Şazi; Tıp Fakültesi; Tıp Fakültesi; Tıp Fakültesi; Tıbbi Biyokimya Ana Bilim Dalı; İç Hastalıkları Ana Bilim Dalı; Aile Hekimliği Ana Bilim Dalı; 0000-0002-2593-7196; 0000-0001-5588-2037; ABI-4847-2020; ABE-1716-2020; AAG-8209-2021; AAH-8861-2021; 6701485882; 22956348700; 36126806400; 15073842600; 55943324800; 36125941900; 9733230000; 6602297533
Obesity is the presence of either abnormal absolute amount or relative proportion of body fat. Contrary to gluteal obesity, visceral obesity is associated with different metabolic alterations including insulin resistance (IR). A relatively new adipocytokine visfatin is shown to be expressed predominantly in visceral fat and exhibit insulin-mimicking effects in rodents. It is still unclear whether serum visfatin levels are associated with increased total or visceral fat mass in humans. The aim of our study was to investigate the relation between visfatin and obesity parameters namely body mass index (BMI) and waist circumference (WaC) and IR in healthy female subjects. Eighty one female subjects >= 20 years of age, having no diagnosis of glucose intolerance or diabetes, hypertension and dyslipidemia were chosen. The patients were divided into four groups according to their BMI and WaC values. Serum visfatin and HOMA-IR levels did not differ among groups. No correlation was detected between serum visfatin levels and obesity and metabolic parameters. In conclusion, we demonstrated that body fat distribution did not affect serum visfatin levels in healthy female subjects. Further studies are needed to clarify the exact factors influencing and determining serum visfatin levels and its clinical reflections.
Bullying in Turkish white-collar workers
(Oxford Univ Press, 2006) Bilgel, Nazan; Aytaç, Serpil; Bayram, Nuran; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0001-5492-184X; 0000-0001-6659-4639; 0000-0002-4539-5849; AAG-9068-2021; I-7814-2019; 7801564702; 56835333800; 13609585600
Objectives To determine the prevalence of reported workplace bullying among a group of white-collar workers, to evaluate the association between reported bullying and its effect on health and to assess the effects of support at work for bullied workers. Methods A cross-sectional questionnaire survey among full-time government employees in the health, education and security sectors. Bullying was assessed using a 20-item inventory. The potential effects of reported bullying were assessed using the Job Induced Stress Scale, the Hospital Anxiety and Depression Scale, Job Satisfaction Scale and the Propensity to Leave Scale. Results The response rate was 79% (944/1200) and 877 questionnaires were analysed after exclusion of non-complete data. Of respondents, 55% (483) reported experiencing one or more types of bullying in the previous year and 47% (416) had witnessed the bullying of others. The bully was most likely to be a superior. Sixty per cent of victims had tried to take action against bullying, but most were dissatisfied with the outcome. There were significant differences in anxiety, depression, job-induced stress and support at work scores between those reporting bullying and those not reporting bullying at work. Those who reported bullying with low support at work had the poorest scores on the mental health scales. Conclusions Bullying is a serious problem in this group of workers and may lead to health consequences. Feeling that the work environment is supportive appears to have a protective effect in terms of the health outcomes.
Changes in the management of type 2 diabetic patients in family medicine practices in the Bursa region
(Elsevier, 2017-04) Göktaş, Olgun; Gül, Özen Öz; Ertürk, Erdinç; Tıp Fakültesi; Tıp Fakültesi; Aile Sağlığı Merkezi; Endokrinoloji ve Metabolizma Ana Bilim Dalı; İç Hastalıkları Bölümü; Aile Hekimliği Ana Bilim Dalı; AAJ-6536-2021; AAI-1005-2021; 6603078279; 26040787100; 7005488796
Aim: The aim of the study was to investigate the treatment and monitoring patterns of type 2 diabetes patients in the Bursa region over the last 5 years since the implementation of family practice in Turkey in 2010. Methods: A total of 216 volunteer family doctors working in family health centers took part in this study. The records of 44,819 diabetic patients who visited these doctors between January 1, 2010 and December 31, 2014 were inspected retrospectively. Apart from the identity of the patients, morphometric data, including the type of medication used for diabetes and the HbA1C, serum creatinine and LDL cholesterol values, were recorded. Results: A total of 38.9% (17,416 patients) of the patients in the study were male and 61.1% (27,403 patients) were female. The average age was 59.7 years with a range of 13.2 years. Although the patients' average body mass index (BMI) did not change over the 5 years monitoring, average blood pressure (BP), and serum creatinine and LDL cholesterol levels decreased significantly. The hemoglobin A1c levels were significantly lower after 2010 compared to the 2010 data. Upon examining the medication prescribed for the patients, we determined that the use of metformin and insulin increased, whereas the prescription of thiazolidinedione (glitazone) decreased. There was a significant increase in the amount of patient data recorded over the last 5 years. Conclusions: Despite the increased level of data entry in these patients with type 2 diabetes, the surveillance of diabetes parameters according to treatment guidelines remains suboptimal. There continues to be a need to engage family practitioners on ongoing education and practice enhancement programs.
Characteristics of deliveries at a maternity hospital
(Medi+World Int, 2008-03-01) Bayraktar, Gülsün; Sadikoğlu, Ganime; Özçakır, Alis; Cangür, Şengül; Tatlıkazan, Serhat; Bilgel, Nazan; Bayraktar, Gülsün; Sadıkoğlu, Ganime; ÖZÇAKIR, ALİS; Cangür, Sengül; Bilgel, Nazan; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-4539-5849; AAG-8209-2021; ELY-8445-2022; FTO-3267-2022; CHY-1092-2022; FZS-6356-2022
Introduction: The planning of the birthplace is considered as important as the pregnancy period. To be aware of the factors that have a strong effect on the preference of maternity hospitals plays an important role in this planning. The aim of this study is to define the socio-demographic traits, birth forms and the prenatal-antenatal care rates of women who preferred Zubeyde Hanim Maternity Hospital.Methods: This study focuses on 500 pregnant women who applied to Zubeyde Hanim Maternity Hospital between July 2005-September 2005. The data has been obtained by the investigators who filled out survey forms, which were prepared by a research group, by way of face to face interview. For the statistical measurements SPSS 9.01 program was used.Results: The average age of the study group was defined as 25.5 +/- 5.2. 80.4% of women were from the town centre of Bursa, 18.4% were from small towns of Bursa and the other 1.2% were from other neighboring cities. When the women in the study group were examined according to their education, it became clear that 65.1% were primary school graduates, 22.2% high school graduates, 7% uneducated and 5.6% higher educated. Whilst 87.8% of women were housewives, just 12.2% were working (p<0.001). The birth form was in 58.4% normal spontaneous birth and in 41.6% caesarean operation. Although 56.3% of women who had a caesarean operation were primary school graduates, 60.7% of higher educated women preferred caesarean operation. It was observed that the caesarean operation rates, age of first birth and prenatal-antenatal care rates increased and the number of children decreased concerning the augmentation of the education level.Discussion: Pregnancy and birth are periods during which women require a health centre most. Women's age, education level and socio-economic factors play an important role in preference of these health centres. The primary care physician is the most important person who can examine the socio-demographic traits and preferences of the woman and can assist with the planning of the consultations during the pregnancy period and birth.
Characteristics of Turkish marital properties of Turkish outpatient population
(Drunpp-Sarajevo, 2012) Mergen, Berna Erdoğmuş; Dağlı, Zehra; Uncu, Yeşim; Mergen, Haluk; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-5225-4403; 0000-0002-5225-4403; AAP-9210-2020; A-1204-2018; D-9597-2016; 8892370600; 27467601400
Objective: To dispose the marital properties, problems and resolution ways among Turkish people based on our trial. Materials & methods: This was a population-based, cross-sectional study. Four hundred and ninety two people addressing to three different health centers have been contributed to study by a written informed consent during September, 2004 and November, 2004. Subjects completed a questionnaire assessing their marriages. Results analyzed in SPSS 11.0. T-test, covariance, linear regression and descriptive statistics used. Results: Of subjects, 88 % were women and 12 % men. Mean age was 42.5 +/- 10.34(SD). Wedding age and marriage duration found higher in men than women. Youth prefers flirting more than elder people do. Violence found in 13.5 % of subjects: all women. Divorce thought by 22.6 % of the subjects in any time of marriage. Conclusion: Turkish couples have different marital properties compared to other nations because of strictness to religion, morale and traditions.
Clinical characteristics of essential and physiological tremor in Orhangazi district of Bursa, Turkey: A population based study
(Journal Neurological Sciences, 2009) Erer, Sevda; Zarifoğlu, Mehmet; Karlı, Necdet; Özçakır, Alis; Çavdar, Çiğdem; Ocakoğlu, Gökhan; Tıp Fakültesi; Tıp Fakültesi; Tıp Fakültesi; Nöroloji Ana Bilim Dalı; Aile Hekimliği Ana Bilim Dalı; Biyoistatistik Ana Bilim Dalı; 0000-0001-5588-2037; AAH-5180-2021; AAG-8209-2021; 25635370800; 6603411305; 6506587942; 9733230000; 25935825700; 15832295800
To find out the estimated prevalence and clinical features of tremor and its subtypes, such as essential tremor (ET) or physiological tremor (PT), by means of a population-based study in the Orhangazi district of Bursa, Turkey. Our study was carried out between June 2004 and September 2005 among adults aged 40 years or more in Orhangazi, Bursa, Turkey. This population-based study was planned in 3 phases. In phase 1, face-to-face home interviews with 1124 subjects were carried out by residents of the departments of neurology and family medicine, using a short questionnaire; 247 persons had symptoms indicative of tremor. Of the persons with tremor symptoms in phase 1, 48 did not continue to phase 2. In phase 2, participants were videotaped and evaluated by movement disorders specialists by using scales specific to tremor. In phase 3, video recordings of all identified patients were reviewed and final diagnoses were made through a consensus of all three specialists. In the study population, the prevalence rate of ET was found to be 3.34%; of PT, 4.14%; and all types of tremor, 9.00%. There was no significant variability according to gender and age groups in prevalence rate of ET, PT. ET and PT showed significant comorbidity with hypertension (HT), rheumatological disease, diabetes mellitus (DM), and asthma.
Consanguineous marriages in a suburb of a Metropolitan City: A study from Bursa, Turkey
(Ortadoğu Yayınları, 2009-10) Özdemir, Hakan; Alper, Züleyha; Bilgel, Nazan; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-8349-9868; AAB-1694-2021; ABE-2261-2020; 57197077578; 8580079400; 7801564702
Objective: The objective of this study was to explore consanguinity, consanguineous marriages, their different types, and socio-demographic correlates in a suburb of Bursa, the fourth largest city in Turkey. Material and Methods: A total of 1380 ever married women, who attended the Emek Family Medicine Clinic in this suburb over a period of one year, were requested to participate in the study. Those who gave their informed consent were accepted as study participants. A total of I 110 women were interviewed. The questionnaire provided information on consanguinity and socio-demographic data. Analyses were made by using SPSS V.11.5. Results: The mean age of our study participants was (mean SE) 34.2 +/- 0.6 years. Most of them were illiterate and housewives. About one-third of the participants had consanguineous marriages and about 93% of those marriages were between first cousins. Among first cousin unions, marriage with uncle's male child was the most common. The mean coefficient of inbreeding was 0.015458. Consanguineous marriages were more prevalent among illiterate women, Consanguineous marriages were 4 times more common in women with a family history of consanguinity than in women without any such history. There were no significant correlations between consanguineous marriages and reported stillbirths, miscarriages or infant deaths. However, we found a significant relationship between consanguineous marriages and reported congenital malformations of the offspring. Conclusion: We conclude that offspring of consanguineous unions are at high risk for some congenital malformations and diseases. Hence, we recommend that families with a high risk for genetic diseases be identified and be provided with prospective genetic counseling.
Contemporary home care service and family medicine in Turkey
(Sage Publications Inc, 2013-06-01) Ünlüoğlu, İlhami; Elçioğlu, Ömür; Mergen, Haluk; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; A-1204-2018
Home care service is providing health care to the patient in his or her dwelling when care in the hospital is no longer required. Home care services provide not only medical services but also the social services that the human needs. Studies concerning home care services bear great importance. In this review, the authors aim to guide new studies by stating the legal and scientific point reached at the moment in Turkey.
Counterproductive work behavior among white-collar employees: A study from Turkey
(Wiley, 2009-06) Bayram, Nuran; Gürsakal, Necmi; Bilgel, Nazan Gönül; İktisadi ve İdari Bilimler Fakültesi; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; Ekonometri Bölümü; 0000-0001-5492-184X; 0000-0002-4539-5849; AAG-9068-2021; 13609585600; 26429334100; 7801564702
The current study was designed to evaluate the magnitude and types of counterproductive work behaviors (CWBs) among a group of white-collar employees from different firms. A total of 766 employees voluntarily participated in our study. We focused especially on employees' perceptions of their work environment and on their affective responses to those perceptions. Data were dependent on self-reporting and privacy, and anonymity measures were taken into account. The five different instruments used to evaluate job satisfaction were, organizational constraints, interpersonal conflict, quantitative workload and CWB. We found a high degree of job satisfaction, a minimal quantitative workload and a limited exhibition of CWBs among our sample. Organizational constraints were found to be the most strongly correlated to exhibited CWBs, followed by interpersonal conflict and quantitative workload. Job satisfaction had a diminishing effect on CWBs. Among the five dimensions of CWBs, abuse and withdrawal were found to be the most important. The most frequently reported CWB was 'came to work late without permission.' Except for income we found no statistically significant relationship between demographic characteristics and the exhibition of CWBs. We concluded that by abolishing pre-existing organizational constraints there may be a reduction in CWBs.
Depression and anxiety among medical students: Examining scores of the beck depression and anxiety inventory and the depression anxiety and stress scale with student characteristics
(Taylor & Francis As, 2017-01-01) Ediz, Bülent; Özçakır, Alis; Bilgel, Nazan; Ediz, Bülent; ÖZÇAKIR, ALİS; Bilgel, Nazan; Tıp Fakültesi; Biyoistatistik Ana Bilim Dalı; 0000-0002-4539-5849; AAG-8209-2021; EXB-2757-2022; FZS-6356-2022
To evaluate the psychological well-being of medical students a relatively new self-report questionnaire (the depression, anxiety, and stress scale) was used alongside an established instrument (the beck depression and anxiety inventories) in a group of medical students. A total of 928 medical students (49.4% female; 50.6% male) participated voluntarily into this cross-sectional study. Students completed the Turkish versions of the depression anxiety stress scale (DASS), beck depression, and anxiety inventories together with a questionnaire about their socio-demographic characteristics. Mild and moderate levels of depression were found in 30.5% and severe and extremely severe levels of depression in 8.5% of students. Mild and moderate levels of anxiety and stress were present in 35.8% of the participants. Depression and anxiety were more frequently reported by female students. Depression was more frequent among first-year students, students in a poor economic situation and those who were not satisfied with their medical education. The frequency of depression and anxiety were seen to decrease with increasing grades. Bland and Altman plots showed an agreement between beck inventories and depression, anxiety, and stress scales, whereas the agreement between anxiety scales was found to be better than that of depression scales. Depression and anxiety are seen frequently among medical students in Turkey. The psychological distress was influenced only to a modest degree by traditional socio-demographic characteristics. Either the traditional beck inventories or the newer depression anxiety and stress scales can be used for non-clinical screening purposes in individuals.
Does the anatomical localization of lower extremity venous diseases affect the quality of life?
(Saudi Med J, 2006) Sadıkoğlu, Ganime; Özçakır, Aliş; Ercan, İlker; Yıldız, Caner; Sadıkoğlu, Yurtkuran; Tıp Fakültesi; Tıp Fakültesi; Tıp Fakültesi; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; Radyoloji Görüntüleme Merkezi; Girişimsel Radyoloji Ana Bilim Dalı; Biyoistatistik Ana Bilim Dalı; 0000-0001-5588-2037; 0000-0002-2382-290X; AAG-8209-2021; 22956348700; 9733230000; 6603789069; 23500430800; 6602402845
Objective: To investigate the effects of venous diseases at different anatomical localizations on the qualities of life of patients with varicose veins. Methods: The study included 354 cases, which was referred to a private vascular and interventional radiology center in Bursa, Turkey between January 2005 to January 2006. The cases were diagnosed with visual inspection and were clinically indicative of varicose veins. Color Doppler ultrasonography was used to radiologically examine the varicose veins. All cases were accepted as class 11 criteria according to the Clinical, Etiologic, Anatomic, Pathophysiologic classification. The generic Short Form Health Survey-36 (SF-36) was used to measure physical and mental quality of life (QOL). High scores indicated good QOL. The Statistical Package for Social Sciences version 13.0 program was used for the statistical evaluation. Results: When the life SF-36 quality parameters of cases with different anatomical localizations of the varicose veins were examined, only the mental health scores were found to differ in different groups (p < 0.01). In females and males with superficial venous disease, significant differences were found in physical function, physical role and pain among the physical health scale components, and in vitality and emotional role scores among the mental state detem-finants. When females and males with deep vein disease were compared, significant differences were found among both physical and mental health determinants. Conclusions: Anatomical localization of lower extremity varicose veins can be accepted as a predictive factor in determining the life qualities of patients with varicosities in their lower limb, and should be used to regulate their therapy and follow up protocols.
Does vitamin d level have an effect on covid-19 positivity and covid-19 related mortality? A retrospective study
(Pakistan Medical Assoc, 2022-09-01) Can, Fatma Ezgi; Uzunoğlu, Arda; Göktaş, Olgun; Ercan, İlker; ERCAN, İLKER; Ersoy, Canan; ERSOY, CANAN; Tıp Fakültesi; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı ; Biyoistatistik Ana Bilim Dalı; İç Hastalıkları Ana Bilim Dalı; 0000-0002-2382-290X; AAH-8861-2021 ; ABF-2367-2020
Objective: To explore the possible relationship between vitamin D and coronavirus disease-2019 in an urban population known to have relatively low vitamin D levels.Method: The retrospective study was conducted in Bursa, Turkey, and comprised data of 30 family health centers from March 1 to December 15, 2020, related to diagnosed inpatients of coronovairus disease-2019.The diagnosis was based on polymerase chain reaction test for severe acute respiratory syndrome coronavirus-2 infection. Vitamin D levels of these patients were obtained from previous records and compared with those without polymerase chain reaction positivity. Vitamin D levels of positive patients who survived were compared with those who died of coronavirus disease-2019. Data was analysed using SPSS 21.Result: Of the 2,105 patients whose data was retrieved, 212(10%) were positive for coronavirus disease-2019, while 1,893(90%) were negative. Among the positive patients, 89(42%) were men and 123(58%) were women.The overall median age was 45 years (Q1-Q3(Q1: first quartile, Q3: third quartile): 35-56 years). Vitamin D level was not significantly different between the positive and negative patients (p>0.05). Among the positive patients, 2(0.9%) patients did not have new admissions to the designated centers and their data was excluded, 206(97.2%) survived and 4(1.9%) died. There was no significant difference in vitamin D levels between those who survived and those who died (p>0.05).Conclusion: There was no significant relationship found between vitamin D levels and coronavirus disease-2019 infection and related deaths.
Domestic violence: A tragedy behind the doors
(Routledge Journals, 2005) Ergin, Nina; Nuran, Bayram; Alper, Züleyha; Selimoğlu, Kerem; Bilgel, Nazan; İktisadi ve İdari Bilimler Fakültesi; Sağlık Bilimleri Yüksekokulu; Tıp Fakültesi; Ekonometri Bölümü; Aile Hekimliği Ana Bilim Dalı; Hemşirelik ve Ebelik Bölümü; 0000-0001-5492-184X; 0000-0002-8349-9868; 0000-0002-4539-5849; ABE-2261-2020; AAG-9068-2021; AAB-1694-2021; 8927016800; 13609585600; 8580079400; 8927016900; 7801564702
Objective: To explore the prevalence, type, frequency and causes of domestic marital violence among Turkish women in a socio-economically developed metropolitan setting. Methods: A cross-sectional Study was performed in 2003. All married women, aged 18 years and over, who were visiting any of the 50 primary health care units for different purposes were asked to participate in the study. Of 1427 asked, 1010 gave consent and completed face-to-face interviews. Multiple correspondence analysis, and logistic regression were used for statistical analyses. Results: Domestic violence was statistically significantly associated with educational level. Illiterate women reported marital abuse 2.6 times more than university or more educated women. No statistically significant relationship was observed between domestic marital violence and women's age or occupation, marital duration or family income. The most frequently reported type of violence was physical, followed by psychological. Among women reporting domestic violence, those with the lowest educational level and income were experiencing all types of domestic violence frequently. Conclusion: Placing more importance oil educating girls Could be a key component ofprcventing domestic violence.
Educating medical students about the personal meaning of terminal illness using the film, "wit"
(Mary Ann Liebert, 2014-08) Özçakır, Alis; Bilgel, Nazan Gönül; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0001-5588-2037; 0000-0002-4539-5849; AAG-8209-2021; 9733230000; 7801564702
Background: Addressing the emotional needs of dying patients is rarely found to have a place in formal medical curriculum and is also a difficult area to teach through classical medical lectures. "Cinemeducation" is a wonderful way to educate health care providers about the magnitude of emotions that arise during those difficult situations. Objective: The aims of this study were to test the relevance and usefulness of the movie 'Wit' in teaching medical students about the personal meaning of terminal illness and to assess the impact of this teaching method on students' attitudes toward palliative care. Design: This was an education study using qualitative and quantitative data analysis of 518 first-year medical students in a single medical faculty in Turkey. Students watched the entire film, filled out an evaluation questionnaire, and answered questions about the film. Students also expressed their own feelings and thoughts about palliative care. Results: Overall, 88% rated the film as excellent, very good, or good. According to 54% of the students, the emotions of terminally ill patients were fully portrayed in the film and in a very realistic way. Approximately 61.4% of the students found this film emotional. Most students (80.5%) stated that this film made them think about the emotional and spiritual suffering that dying patients go through and found this learning approach about palliative care more useful than didactic lectures and journal article readings but not more useful than bedside rounds. It was thought that caring for dying patients would be very or fairly personally satisfying for 65.3% of the students. Conclusions: The film 'Wit' gave the students an opportunity to explore their beliefs, values and attitudes in terms of the bio-psycho-social-spiritual aspects of health care and encouraged them to think more about the humanitarian issues of the medical profession.
Effect of health literacy of caregivers on survival rates of patients under palliative care
(Wiley, 2019-09-01) Metin, Şalih; Demirci, Hakan; Metin, Aybüke Tuğçe; METİN, AYBÜKE TUĞÇE; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; FKR-4152-2022
Aim In this study, we aimed to investigate the effect of health literacy of the patient caregiver on the care results of palliative care patients. Methods Two hundred and forty-two patients who were hospitalised in palliative care units of seven hospitals in the city in January 2018 were involved in the study. Mortality of the patients was checked 3 months later. A survey interrogating the sociodemographic characteristics of the patients and Turkish translation of Health Literacy Survey - European Union to measure the health literacy level of the caregivers were used. Results About 19.50% of the patient caregivers are in adequate (sufficient/perfect) HL group in term of general HL. Caregivers had difficulty to access information/knowledge of what to do in case of emergency. Prevalence of bedsore occurrence in patients whose caregiver has 'inadequate' HL is higher than patients whose caregiver has 'adequate' HL. Rate of 'inadequate HL' of the caregiver is higher in dead group. As the length of hospitalisation variable value increases 1 unit, risk of mortality decreases 2%. Conclusions Health literacy levels of the individuals dealing with the care of palliative unit patients hospitalised in our region are low. Amelioration of health literacy of the caregivers will have a direct effect on patient health and prevention of complications. Improving health literacy must be a priority target for a more quality patient care and less complication. The issues that caregivers felt themselves insufficient should be addressed and necessary actions should be taken in the identified issues.

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