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Aim: This study aims to determine a relationship between factors, such as the health literacy levels of individuals and their drug (medicine) utilization habits, and sociodemographic characteristics. Methods: In this cross-sectional... more
Aim: This study aims to determine a relationship between factors, such as the health literacy levels of individuals and their drug (medicine) utilization habits, and sociodemographic characteristics. Methods: In this cross-sectional study, we used a questionnaire to ascertain the sociodemographic attributes of individuals and their drug utilization habits and the Turkish Health Literacy Scale to measure their health literacy levels. The Student T-Test was used to compare means in independent groups. The relationship between categorical variables was evaluated using the Chi-Square Test. Results: It was determined that the 402 participants had a mean age of 41.15±11.58 years, 52.2% of them were women, and 53.2% were university graduates. The mean overall index score of the Turkish Health Literacy Scale was 30.39±7.82. For 45.5% of the participants, the health literacy rate was problematic-limited. Comparing participants over 40.5 years old to those of age 40.5 years and younger and pa...
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The aim of the study was to investigate and evaluate factors affecting levels of negative bias or attitude towards obesity, known as “fat phobia.”
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Background: As countries are affected by COVID-19, the elderly population will be told to self-isolate for "a very long time" in Turkey and a lot of countries. The aim of study was to evaluate the biopsychosocial needs of... more
Background: As countries are affected by COVID-19, the elderly population will be told to self-isolate for "a very long time" in Turkey and a lot of countries. The aim of study was to evaluate the biopsychosocial needs of elderly individuals in the COVID-19 outbreak. Methods: In this qualitative research in-depth interviewwas used. A total of 20 participants aged 65 and over were interviewed. The interviews went on until no new data was obtained. All interviews were recorded digitally and the records were transcribed and coded by two independent researchers, who identified major themes by relevance. Results: According to the in-depth interviews with elderly: all elderly people were exposed to fear and anxiety in this process and elderly living in rural areas were found to be less biopsychosocially affected by the pandemic process and it was observed that most elderly people were afraid to apply to health centers during pandemic even if they have a disease condition. The majority of the participants stated that they did not meet anyone outside the home during this period. Conclusion: It is of great importance to evaluate these people within the framework of the biopsychosocial approach. Our study confirmed this need with in-depth interviews with the elderly. We are concerned about the effects of the curfew on elderly people appropriate;effective campaigns should be done to promote healthy life behaviors and physiological needs of them. Copyright (C) 2021, Taiwan Society of Geriatric Emergency & Critical Care Medicine.
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Research Interests: Primary Care and Medicine
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AIMS Diabetes mellitus is one of the most significant global health emergencies of the 21st century. Every year, an increasing number of people succumb to the condition and therefore suffer life-changing complications. So management of... more
AIMS Diabetes mellitus is one of the most significant global health emergencies of the 21st century. Every year, an increasing number of people succumb to the condition and therefore suffer life-changing complications. So management of this disease has an important role to prevent complications. In this study, our objective is to assess the quality of guidelines related to the significant public health problem diabetes that have been developed by international and national organizations using the AGREE II tool. METHODS This observational study assesses the quality of clinical practice guidelines used in the management of diabetes with AGREE II tool. Statistical analysis was performed using the SPSS 20 program package. RESULTS The overall quality score of the guidelines ranges between 3 and 6.25. While NICE's guidelines scored the highest, the guidelines of the National Diabetes Foundation scored the lowest. CONCLUSION More comprehensive studies are needed for assessing the quality of guidelines in every subject.
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Aims: With this study; it was aimed to determine the use of various medications or nutritional supplements to support immune system and opinions, usage status and attitudes towards the drugs currently used / recommended for the treatment... more
Aims: With this study; it was aimed to determine the use of various medications or nutritional supplements to support immune system and opinions, usage status and attitudes towards the drugs currently used / recommended for the treatment of COVID-19, and the factors affecting drug use during the COVID-19 pandemic according to the condition of having COVID-19. Methods: The descriptive research was conducted in Family Medicine outpatient clinics. Data were collected with a questionnaire prepared by the researchers through the internet (sites on social media) due to the pandemic. The e-questionnaire form was shared on the internet a total of 10 times at 6-day intervals. Results: 1484 people participated, 60.8% were female, 51.5% was a healthcare professional. While 23.3% had a known disease; 19.3% of them had COVID-19 infection, 79% of them received outpatient medication. Although not recommended, it was observed that the most used drugs were Vitamin C and antipyretic drugs, followed b...
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Aim: Studies on the relationship between cardiovascular disease risk level and cardiovascular disease risk factors knowledge levels are limited in the literature. Our study mainly aimed to determine the cardiovascular diseases risk level... more
Aim: Studies on the relationship between cardiovascular disease risk level and cardiovascular disease risk factors knowledge levels are limited in the literature. Our study mainly aimed to determine the cardiovascular diseases risk level and the cardiovascular disease risk factors knowledge level of the individuals. Methods: Males between the ages of 40 and 65, being informed about the study and agreed to participate in the study, and having cholesterol values checked in the last 3 months were included in the study. A demographic data questionnaire and Cardiovascular Diseases Risk Factors Knowledge Level Scale was administered to the participants by the researcher using the face-to-face interview technique. The cardiovascular risk score is calculated on the SCORE chart. SPSS 20.0 package program was used to evaluate the research data. Results: A total of 390 male participants were included in the study. The mean SCORE risk value of the patients was 4.79±4.01. The scores were obtaine...
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Background: Anti-vaccination is spreading among parents. In 2017, 23000 families in Turkey refused vaccinations for their children. Meanwhile an increase in infectious diseases was observed, which might be caused by vaccination rejection.... more
Background: Anti-vaccination is spreading among parents. In 2017, 23000 families in Turkey refused vaccinations for their children. Meanwhile an increase in infectious diseases was observed, which might be caused by vaccination rejection. The reasons why families do not vaccinate their children may be very different, such as side effects, or advocation for "healthy life" by gurus. However, the real reasons for vaccine refusal are unknown. Our aim is to determine the reasons for anti-vaccination in Turkey. Methods: In order to reveal the real reasons for not taking the vaccine, we planned to conduct interviews with the representatives of the vaccine rejection group using qualitative research methodology with the "grounded theory" method. We searched some anti-vaccination blogs to find candidates for interviews. Within the scope of our study, parental concerns about vaccinations were classified by analyzing the data obtained from semi-structured questions and inter...
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Objective: In this study, it was aimed to evaluate the sleep quality and depression status of dementia patients during the Covid-19 pandemic. Materials and Methods: Patients aged 65 and over with dementia who applied to our polyclinics or... more
Objective: In this study, it was aimed to evaluate the sleep quality and depression status of dementia patients during the Covid-19 pandemic. Materials and Methods: Patients aged 65 and over with dementia who applied to our polyclinics or those who can be reached from their relatives and those who agreed to participate in our research; a questionnaire consisting of sociodemographic information, “Cornell Scale for Depression in Dementia" and "Pittsburgh Sleep Quality Index" was applied. Results: All of 64 (43.5%) of the participants were male and 83 (56.5%) were female. It was found that 68.7% of the participants had poor sleep quality and 31.3% had good sleep quality. 76.2% of the participants suggested depression, 2.8% did not. Pittsburgh Sleep Quality Index score and Cornell Scale for Depression in Dementia score did not differ according to educational status, occupation and gender. Conclusion: In periods such as the pandemic period, which may cause behavioral chang...
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Objective: This study included participants from Hacettepe University 4th, 5th, and 6th-grade students of Medical School and 4th and 5th-grade students of Dental School; and aimed to evaluate the general health status, COVID-19 history,... more
Objective: This study included participants from Hacettepe University 4th, 5th, and 6th-grade students of Medical School and 4th and 5th-grade students of Dental School; and aimed to evaluate the general health status, COVID-19 history, vaccination status, and SARS-CoV-2 antibody levels of the participants to support their physical and social health, during the pandemic period. Methods: A prospective cohort study was conducted with an integrated, matched, nested case-control study. Sociodemographic characteristics, life habits, COVID-19 history, vaccination status, compliance with mask-distance-hygiene rules, and risks (if any) for COVID-19 were inquired via online questionnaires. Physical examinations, complete blood count, biochemistry tests, and anti-SARS-CoV-2 anti-spike antibody tests were conducted for all consenting participants. All analyses were established using depersonalized data. Results: Of the 778 participants completing the baseline visit in June-July 2021, the perce...
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I want to inform the readers about clinical quality measurement and evaluation system in Turkey. The aim of the systemis monitoring the health-cases with indicators based on process and result. The programme was first initiated in 2012.... more
I want to inform the readers about clinical quality measurement and evaluation system in Turkey. The aim of the systemis monitoring the health-cases with indicators based on process and result. The programme was first initiated in 2012. The programme is still in developing process to gain better information about clinical quality from the healthcare institutions.
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Objective: In this study, it was aimed to examine the effect of transplantation on physical, mental and psychosocial health of donors by evaluating the quality of life of living liver donors after transplantation. Methods: The study was... more
Objective: In this study, it was aimed to examine the effect of transplantation on physical, mental and psychosocial health of donors by evaluating the quality of life of living liver donors after transplantation. Methods: The study was conducted with three groups at XXXX University Faculty of Medicine Organ Transplantation and Research Center. 43 living donors from 2017 and 43 living donors from 2007-2016 who underwent liver transplantation were randomly selected to participate in the study. Also 43 control subjects were selected randomly from the community. The study was conducted by a single interviewer between 01.02.2018 and 31.05.2018 by telephone or e-mail. The socio-demographic data questionnaire, Short Form-36 (SF-36) and Hospital Anxiety-Depression Scale (HADS) prepared by the researchers were applied to all participants. Results: The mean age of the participants was 38.04 ± 9.84 years, and of these participants 48.1% (n= 62) of them were female. When donors and control gro...
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Objectives: The aim of the study was to evaluate the effect of COVID-19 pandemic on family health center admissions within the framework of a primary health care institution. Materials and Methods: The data of this retrospective study... more
Objectives: The aim of the study was to evaluate the effect of COVID-19 pandemic on family health center admissions within the framework of a primary health care institution. Materials and Methods: The data of this retrospective study were obtained from the patient applications of a two-unit Family Health Center in Ankara (6407 population) between 01/04/2019-01/12/2019 and 01/04/2020-01/12/2020, which registered on the Family Medicine Information System. A total of 12,878 patients were included in our study, 8,315 of whom applied to our family medicine outpatient clinics in 2019 and 4,563 patients who applied in 2020. In the data form, for the specified application years, the total number of applications by years / months, the number of examinations, the number of baby-child, woman, puerperant and pregnant monitoring and immunization services and individually; age, gender, number of applicants, main diagnoses of admission, chronic-psychiatric illnesses status of applicants have been...
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We aimed to learn about the experiences of family medicine research assistants during COVID‐19 pandemic and to obtain information about improvement activities that can be done in similar situations.
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Research Interests: Medicine and Gynecology
OBJECTIVE In this study, we aim to investigate the thoughts and attitudes of individuals towards the future COVID-19 vaccine. METHODS This descriptive study was carried out on the web between 10/06/2020 - 10/07/2020. The sample... more
OBJECTIVE In this study, we aim to investigate the thoughts and attitudes of individuals towards the future COVID-19 vaccine. METHODS This descriptive study was carried out on the web between 10/06/2020 - 10/07/2020. The sample constitutes all individuals above 18 years of age using social media and smartphone. The e-survey form was shared by the researchers via the web for a month, and those who completed the survey were included in the study and formed the sample of the research. RESULTS 759 were participated. 49.7% of the participants stated to be vaccinated; 38.4% of them stated to be vaccinated their children against COVID-19; if the vaccine for COVID-19 is developed. The request for the COVID 19 vaccine had relationship with gender, occupation, health insurance, anxiety level, having children, willing to get vaccinated for their children. “Afraid of the side effects of vaccine”, “don’t think it can be reliable as it will be a new vaccine” and “COVID-19 infection is a biological weapon and the vaccine will serve those who produce this virus” were the most common reasons for rejection of vaccine. CONCLUSION In our study afraid of the side effects of vaccine and not thinking it can be reliable as it will be a new vaccine is the most reasons of indecision and rejection about COVID 19 vaccine. In order for the future COVID 19 vaccination campaign to not fail, media, politicians, healthcare professionals should closely follow the vaccination development processes, inform the public transparently and consider public’s concerns.
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Birinci basamak çalışanları, yeni bir durum olan covid-19'un yayılmasını önlemek için büyük bir sorumluluğa sahiptir. Sağlık sisteminin iyi işlemesi için birinci basamak sağlık hizmetleri daha fazla kullanılmalıdır. Yazımızda sağlık... more
Birinci basamak çalışanları, yeni bir durum olan covid-19'un yayılmasını önlemek için büyük bir sorumluluğa sahiptir. Sağlık sisteminin iyi işlemesi için birinci basamak sağlık hizmetleri daha fazla kullanılmalıdır. Yazımızda sağlık sisteminin bloke olmasını önleme önerilerimizi paylaştık.Dear Editor,Primary preventive healthcare services have alwaysbeen the easiest and fastest way for the patientto accesshealthcare services. In addition to the emergencydepartments, these centers come to mind first to bereferred in case of pandemics.[1] Primary healthcarepersonnel undertake a great responsibility in this newand special case of Covid-19 viral pandemic. The basisfor the emergency action plan should be established bytaking necessary measures in these primary healthcarecenters and easing the workload in order to prevent abottleneck in the health system.Necessary equipment should be provided, or diagnosiscenters should be established so that Covid-19 viruscan be diagnosed through all...
Dear Editor,Primary preventive healthcare services have alwaysbeen the easiest and fastest way for the patient to accesshealthcare services. In addition to the emergencydepartments, these centers come to mind first to bereferred in case... more
Dear Editor,Primary preventive healthcare services have alwaysbeen the easiest and fastest way for the patient to accesshealthcare services. In addition to the emergencydepartments, these centers come to mind first to bereferred in case of pandemics.[1] Primary healthcarepersonnel undertake a great responsibility in this newand special case of Covid-19 viral pandemic. The basisfor the emergency action plan should be established bytaking necessary measures in these primary healthcarecenters and easing the workload in order to prevent abottleneck in the health system.Necessary equipment should be provided, or diagnosiscenters should be established so that Covid-19 viruscan be diagnosed through all primary preventivehealthcare services. People should stay in isolatedenvironments as much as possible and the contagionrisk for the virus should be minimized in order to easethe workload of hospitals and to take the pandemicunder control. It is clear that the delayed diagnosisof people infec...
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The profession of medicine is very depressing both mentally and physically. There were studies conducted to investigate the reasons of depression and burnout. Hopelessness leads to depression and may be it is the first sign. The aim of... more
The profession of medicine is very depressing both mentally and physically. There were studies conducted to investigate the reasons of depression and burnout. Hopelessness leads to depression and may be it is the first sign. The aim of our study is to determine the despair levels of primary care physicians.
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Objective The tools used for critically appraising the quality of clinical practice guidelines are complex and not suitable for the busy end users. So rapid, effective and simple instruments are more preferred. The aim of this study is to... more
Objective The tools used for critically appraising the quality of clinical practice guidelines are complex and not suitable for the busy end users. So rapid, effective and simple instruments are more preferred. The aim of this study is to compare two critical appraisal tools: iCAHE as a rapid instrument and AGREE II as a complex instrument on guideline quality assessment. Material and Methods The diabetes mellitus guidelines of the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Clinical Excellence (NICE), the International Diabetes Federation (IDF) and the Society of Endocrinology and Metabolism of Turkey (SEMT) were assessed separately by four appraisers using the iCAHE and AGREE II instruments. The mean iCAHE criteria scores and the total and domain AGREE II scores given by the four appraisers are presented for each guideline. Results No statistically significant difference was detected between the iCAHE scale scores of the guidelines eva...