Browsing by Author "Durukan, Elif"

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Awareness about dental amalgam among Turkish dentists and patients: a questionnaire and search engine based cross-sectional study
(2020) Ercin, Ozlem; Berkmen, Begum; Durukan, Elif; Arhun, Neslihan; 0000-0002-8579-5564; 0000-0003-3379-4567; 32996144; AAJ-8621-2021; ABE-4519-2020; R-2536-2019
Objectives There has been considerable controversy concerning the health risks and benefits of using mercury-containing amalgam. This study aimed to evaluate the Turkish dentists' and patients' preference and opinion about amalgam and to assess Internet search trends about amalgam. Methods The study consists of three stages. The first two stages of the study are cross-sectional studies to verify both the patients' perception with amalgam restorations and dentists' attitudes regarding the use of dental amalgam. The third stage of the study evaluated the Internet search trends of Turkish people about mercury and amalgam related concerns between 2004 and 2018. Results A total of 320 patients (180 female, 140 male) and 1,211 dentists (533 female, 678 male) participated in this study. Majority of the patients have no idea about the type of dental restorations and effect of dental materials on their health. 188 (58.8%) participants stated that they would not prefer amalgam restoration in their teeth as amalgam is unaesthetic. A total of 24% (291) of the dentists used amalgam routinely; 9.5% (156) of them used amalgam rarely, and 63.1% (764) did not use amalgam at all. The reason for not using amalgam included the patients' desire and unaesthetic properties. According to the Internet search trends, Turkish people do not know as much about amalgam as people in the rest of the world. Conclusion Awareness about dental amalgam is low among patients studied. Although dentists do not use dental amalgam frequently, they disagree on banning dental amalgam.
Burdur'da 65 yaş ve nüfus yaşam kalitesi ve yalnızlık durumu ilişkili etmenler
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2019) Kılınc, Ahmet Selcuk; Durukan, Elif
Kesitsel tipteki bu araştırmanın amacı Burdur’da 65 yaş ve üzeri nüfusun yaşam kalitesi ve yalnızlık durumunun belirlenmesidir. Çalışmaya 408 kişi dahil edilmiştir. Çalışmaya katılanlara ev ziyaretleri yapılarak sosyodemografik özellikler, yalnızlık ve yaşam kalitesi risk faktörleri anket formu, “Dünya Sağlık Örgütü yaşlılar için yaşam kalitesi ölçeği kısa formu (WHOQOL-OLD TR Kısa)” ve “UCLA-LS Yalnızlık Ölçeği” uygulanmıştır. Gruplara göre yaşam kalitesi ve yalnızlık puanlarının karşılaştırılmasında bağımsız gruplarda t testi ve tek yönlü varyans analizi (ANOVA); yaşam kalitesini ve yalnızlığı etkileyen faktörlerin belirlenmesinde lineer regresyon analizi kullanılmıştır. Yaşlıların dörtte biri yalnız, yarısı eşiyle, biri akrabalarıyla yaşamaktadır. %94,8’inin en az bir kronik hastalığı vardır. En sık görülen semptom / durumlar azalan sırayla görme bozukluğu, tuvalete yetişememe, idrar kaçırma ve işitme problemidir. Her dört yaşlıdan birinde yeti kaybı mevcuttur. Yaşlıların WHOQOL-OLD Yaşam Kalitesi puan ortalaması 68.34±12.25, yalnızlık puan ortalaması 32.92±11.43'dür. Yaşlının kadın olması, formal eğitim almamış olması, gelirinin geçimine yetmemesi, gündüz bakım evine gitmek istememesi, tatile gitmemesi, alışverişi başkasının yapması, iştahının kötü-az olması, oturgan olması, işitme probleminin olması, engelli raporunun olması, kendini mutsuz hissetmesi ve yalnız olması yaşam kalitesini olumsuz etkilemektedir. Yaşlının huzurevinde kalmayı düşünmesi, televizyon izleme ve ev işi dışında iş yapmaması, tatile gitmemesi, oturgan olması, işitme probleminin olması ve kendisini mutsuz umutsuz hissetmesi yalnızlık düzeyini olumsuz etkilemektedir.Çalışmadan elde edilen sonuçların ışığında, yaşlının yaşam kalitesinin yükseltilmesi ve yalnızlık düzeyinin azaltılması için; yapılacak ev ziyaretleriyle yaşlılık dönemi planlanmalıdır. Sadece geriatrik değil, gerontolojik bir yaklaşımla da sağlık ve sosyal hizmetler bütünleşik halde verilmelidir. Kronik hastalık yükünü azaltacak koruyucu sağlık hizmetleri ve aktif yaşlanma önceliklendirilmeli, 1. 2. ve 3. basamak sağlık hizmetleri entegrasyonu sağlanmalıdır. Yaşlı dostu kent uygulamaları hayata geçirilmelidir. Yaşlıların yaşam kalitesini iyileştirmek ve yalnızlığını azaltmak ve bakımı garanti etmek için acilen bakım sigortasının hayata geçirilmesinin uygun olacağı düşünülmüştür. 408 people representing 35.563 people aged 65 and over were included into the scope of this cross-sectional type of study which aims determining the quality of life and condition of loneliness of the population aged 65 and over in Burdur. The questionnaire form intended for determining of factors that could affect the quality of life and condition of loneliness, "The World Health Organization Quality of Life Scale (WHOQOL-OLD TR Short)" and "UCLA-LS Loneliness Scale" were used as data source. The data of the study was collected by home visits, face to face interviews with those who scored 24 and above in the Mini Mental Test (MMT) and evaluated by t-test, one-way analysis of variance (ANOVA) and Linear regression analysis. Elderly’s WHOQOL-OLD Quality of Life score mean is 68.34 ± 12.25 and loneliness score mean is 32.92 ± 11.43. One fourth of the elderly live alone, half live with their spouse and one with relatives. 94,8% of them have at least one chronic disease. The most common encountered symptoms / conditions in descending order are impaired vision, urgency, urinary incontinence and hearing problems. One out of four elderly people has disability. Elderly person’s being old woman, having not received formal education, living income insufficiency, unwilling to go to the day care center, not going on vacation, shopping’s being done by someone else, having poor-diminishing appetite, being still, having hearing problem, having a disabled report, feeling unhappy and being alone adversely affects life quality.Elderly's dwelling on living in a senior center, not doing any work other than watching TV and doing housework, not going on vacation, being still, having hearing problem and feeling unhappy desperate affect the loneliness level negatively. Within the frame of the results obtained from the study; in order to increase the elderly’s life quality and decrease the level of the loneliness the old age period should be planned by the home visits which will be done. Not only geriatric, but also with a gerontological approach, health and social services should be given integratedly. Preventive health services and active aging which will reduce the burden of chronic disease should be prioritized, 1, 2 and 3 level health services integration should be ensured. Elderly friendly urban practices should be actualized. It is considered that care insurance’s urgently being put into practice in order to improve the quality of life of and reduce the loneliness of the elderly will be appropriate.
Burnout Syndrome Among Physicians: The Role of Socio-Demographic Characteristics
(2017) Ozkula, Guler; Durukan, Elif; 0000-0002-8579-5564; AAJ-8621-2021
Objective: Burnout is a syndrome that occurs in occupational groups, which are in close relation with people and includes dimensions of; emotional exhaustion, depersonalization and low sense of personal accomplishment. The aim of the present study is to investigate the relationship between socio-demographic characteristics and burnout syndrome in academic personel working at a hospital of Faculty of Medicine. Method: 258 physicians working at Baskent University Ankara Hospital have been included in the present study voluntarily, between January - April 2014 and they have been administered Socio-Demographic Data Form and Maslach Burnout Inventory. Results: Age, academic title, time span in the profession and at the institution, the number of patients daily examined, administrative tasks, receiving research supports, the number of lectures given were related to all dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment. Personnel assignment, the number of monthly shifts, daily duration of work were related to emotional exhaustion and depersonalization. Specialty preferences and intention to continue on the profession were associated with emotional exhaustion and personal accomplishment. Personnel assignment criteria and time reserved for academic study were related to only emotional exhaustion whereas accessibility to scientific literature was linked to personal accomplishment. Conclusion: Older age, having an academic title, longer time span in the profession and at the institution, concidering the long term consequences of specialty selection are all individual factors that can be related to burnout syndrome. Developing health policies for an optimal organization of daily work duration, number of patients daily examined and personnel assignment criteria could prevent burnout. Also developing organizational climate to create time for academic study, supporting researches, increasing accessibility to scientific literature and optimization of education seminars in academic physicians could protect them from burnout syndrome. Prospective studies modeling individual and organizational risk factors for burnout on academic physicians will help to further illuminate the measures to protect physicians from burnout syndrome and also contribute to the enhancement of treatment service quality and foster the contribution to academic arena.
Does the Urea Breath Test Predict Eradication of Helicobacter Pylori Infection
(2016) Unler, Gulhan Kanat; Ozgur, Gulsum Teke; Gokturk, Huseyin Savas; Durukan, Elif; Erhamamci, Seval; https://orcid.org/0000-0003-0182-002X; https://orcid.org/0000-0002-8579-5564; 26852756; AAJ-8621-2021
Background/Aim : Helicobacter pylori infection is common world-wide and has been linked to development of gastric and duodenal ulcers, gastric adenocarcinoma, and gastric lymphoma. However, antimicrobial resistance has decreased H. pylori eradication rates worldwide. This study aimed to evaluate the effect of-bacterial load on eradication rate. Method : This prospective study included 237 consecutive patients who presented to our institution with dyspeptic symptoms and underwent both upper endoscopy and urea breath tests (UBT). The patients were divided into three equal sized groups according to their UBT values. All subjects received a standard triple eradication regimen, followed by a bismuth-based quadruple eradication regimen if triple eradication was not successful. The three groups were compared with respect to age, endoscopic findings, sex, and eradication rates. Results : Our results were consistent with those of previous studies : higher UBT values were associated with failure of standard 14-day triple treatment (p < 0.05). However, in patients who received a quadruple eradication regimen, differences between groups were not significant (p = 0.434). There was no relationship between UBT values and gastric pathologies (p = 0.751). Age and sex also did not differ significantly between groups (p = 0.061). Conclusions : Our study and others have found that high bacterial loads are negatively associated with achievement of eradication with triple treatment. However, differences between groups were not significant in patients who received a quadruple eradication regimen. Comparisons of treatment results according to bacterial density may be informative. The importance of H. pylori density should be further evaluated with new treatment protocols.
Evaluation of Clinical Approach and Outcomes Staphylococcus aureus Bacteremia
(2023) Yanik Yalcin, Tugba; Erol, Cigdem; Demirkaya, Melike Hamiyet; Durukan, Elif; Kurt Azap, Ozlem; 0000-0002-3171-8926; 0000-0001-5996-8639; 0000-0002-8579-5564; 0000-0002-2535-2534; 38633900; AAK-4089-2021; AAA-4708-2022; AAJ-8621-2021; AAJ-1219-2021
Objective: Despite appropriate treatment and early diagnosis methods, Staphylococcus aureus bacteremia (SAB) is still associated with a high mortality rate. This study aims to evaluate the clinical features and approaches to SAB and to analyze the parameters that may affect 7-day and 30-day mortality. Materials and Methods: Adult patients with SAB data between 2011 and 2018 were evaluated retrospectively. Clinical data, patient demographics, and 7-day and 30-day mortality rates were obtained from their medical records.Results: In total, 144 patients were included in the study; 57.6% (83/144) of patients were men, and the mean age was 65.2 +/- 16.5 years. The most common source of infection was the central-line catheter (38.9%), followed by intra-abdominal (21%), respiratory (16.7), infective endocarditis (5.6%), and osteoarticular foci (2.1%). Fifteen percent (15%) of the strains were methicillin resistant. Transthoracic echocardiography (TTE) was performed for 80.6% (116/144) patients. Infectious diseases specialist consultation within 96 hours from blood culture signal was requested in 79.9%. Overall, 7-day mortality was 11.8%, and 30-day mortality was 21.5%. Staying in intensive care units (ICU) increased the risk of 30-day mortality by 1.1 times, and respiratory-focused SAB increased the risk by 4.3 times.Conclusion: SAB is still a big threat. Staphylococcal pneumonia remains a severe infection. Several prognostic factors influence mortality. Identifying the source, ensuring source control, and appropriate initial therapy as soon as possible are critical for reducing mortality and morbidity in SAB.
Evaluation of the Effect of Periodontitis on Quality of Life Using Oral-Dental Health-Related Quality of Life-United Kingdom Scale
(2021) Kutsal, Derya; Cetin, Mehtap Bilgin; Durukan, Elif; Bulut, Sule; 0000-0002-8579-5564; 33797852; AAJ-8621-2021
Objective The aim of this study was to investigate the impact of periodontitis on oral health-related quality of life (OHQoL) using Oral-Dental Health-Related Quality of Life-United Kingdom (OHRQoL-UK) scale and evaluate the contributing factors. Methods 50 patients with untreated periodontitis and 50 individuals without periodontitis were enrolled in the study. All subjects received detailed periodontal examination. Plaque index (PI), gingival index (GI), probing depth (PD) and clinical attachment level (CAL) measurements were examined. OHRQoL was assessed by the Oral Health Quality of Life-United Kingdom (OHRQoL-UK) scale. Symptoms of periodontitis were monitored by visual analogue scale (VAS). Socio-demographic characteristics, medical history, smoking status, hygiene habits of the participants were recorded. This study is registered at ClinicalTrials.gov as NCT04240014. Results Total OHRQoL-UK scores were 38.24 +/- 6.47 in periodontitis patients and 55.88 +/- 9.38 in non-periodontitis individuals (p < 0.001). The scores of all 4 parameters were significantly lower in patients with periodontitis compared to healthy individuals (p <0.001). Higher PI, GI, PD and CAL values were associated with extensive negative impacts of periodontitis on OHRQoL (p < 0.001). According to the results of linear regression analysis, only periodontitis was found to associate with OHRQoL. Periodontal disease reduces the total quality of life score by 15.087 (ss= -15.087; 95% CI = [(-18.934)-(-11.240)]. Conclusions Individuals with periodontitis has diminished OHRQoL compared to healthy individuals.
The Evaluation of Vaccine Hesitancy and Refusal for Childhood Vaccines and the COVID-19 Vaccine in Individuals Aged Between 18 and 25 Years
(2021) Durukan, Elif; Akdur, Recep; 0000-0002-9766-1117; 0000-0002-8579-5564; AAK-1044-2021; AAJ-8621-2021
Objective: The aim of this study is to determine vaccine hesitancy and refusal for childhood vaccines and the Coronavirus disease-2019 (COVID-19) vaccine in individuals aged between 18 and 25 years and the affecting factors. Materials and Methods: In this descriptive study, an online questionnaire was implemented on 1.033 people aged between 18 and 25 years and living in Turkey between January 28, 2021, and February 19, 2021, by reaching them via e-mail and messaging applications. Results: Among the participants, 68.8% considered getting their children vaccinated, 11.4% were hesitant and 3.1% refused. Among the participants, 36.6% considered getting vaccinated against COVID-19, 34.8% hesitated and 28.6% refused. Hesitation/rejection of childhood vaccines increased with age and when negative information about childhood vaccines was obtained. The acceptance of the COVID-19 vaccine was higher in men, in those who assumed that the COVID-19 virus was of a natural origin, in those who obtained information on the COVID-19 vaccine from the Ministry of Health, and in those who made search in scientific papers. Conclusion: The rates of hesitation and rejection in the COVID-19 vaccines are quite high compared to childhood vaccines. It shows that participants are influenced by speculative news. Therefore, it is recommended that this age group be given trainings based on scientific evidence regarding both childhood vaccines and the benefits of the COVID-19 vaccine.
Feasibility of the Interferon-Gamma Enzyme-Linked Immunospot Assay in Chronic Renal Failure Patients and Immunocompetent Subjects: A Head-To-Head Comparison
(2015) Dilektasli, Asli Gorek; Durukan, Elif; Eyuboglu, Fusun Oner; 0000-0002-8579-5564; 0000-0002-5525-8207; 25387208; AAJ-8621-2021; AAR-4338-2020
Diagnosis of latent Mycobacterium tuberculosis infection (LTBI) by the tuberculin skin test (TST) is hampered due to anergy and impaired sensitivity in chronic renal failure (CRF) patients. We aimed to compare the diagnostic performance of the TST with that of interferon-gamma immunospot (T-SPOT.TB (R)) assay in diagnosing LTBI in CRF and immunocompetent (IC) patients. A total of 74 CRF and 75 IC patients prospectively underwent the TST and T-SPOT. TB. Latent M. tuberculosis infection estimated by TST and T-SPOT. TB was detected in 69% and 43 of CRF; 52 and 35% of IC patients, respectively. The sensitivity and specificity of the T-SPOT. TB were 73 and 74% in IC, whereas 50 and 55% in CRF patients. In conclusion, the prevalence of LTBI was noteworthy in both IC and CRF patients. T-SPOT. TB was less sensitive and specific than the IC group in CRF patients. Both T-SPOT. TB and TST were not associated with the TB exposure.
FREQUENCY OF POLYPHARMACY AND RISK FACTORS IN THE ELDERLYIN BURDUR
(2018) Durukan, Elif; Onal, Ozgur
Introduction: Polypharmacy is common among the elderly. This study aimed to determine the frequency of polypharmacy and the risk factors in the elderly. Materials and Method: This cross-sectional study will be analysed in three stages (polypharmacy, drug characteristics and drug interaction). Herein, the first stage (polypharmacy) was conducted at Burdur city centre and the connected villages. A total of 400 of 11,360 subjects aged >= 65 years who were registered with family physicians in Burdur city centre were selected using a systematic sampling method. A questionnaire of 30 questions about socio-demographic variables and rational drug use was distributed among the subjects. Subsequently, the subjects were asked to bring their own drugs from home that they were actively using or not currently using, and their drug-using behaviour was analysed via specific questions. Results: The average number of different drugs possessed by the subjects at home was approximately 6 (5.95 +/- 4.30). A total of 64.9% of the drugs were used regularly, 21.3% were used occasionally and 13.8% were previously used but not currently used. The median number +/- standard deviation of the drugs that were used regularly, used occasionally and previously used but not currently used was 3.86 +/- 3.36, 1.27 +/- 1.75 and 0.82 +/- 1.82, respectively. According to the results of multivariate analysis, the presence of diabetes, hypertension, respiratory system or cardiovascular (except hypertension) diseases, visual impairment or hearing disorders significantly increased the total drug use (p<0.05). Conclusion: Chronic diseases and living in the city centre are the main risk factors leading to polypharmacy. Therefore, interventions must be undertaken by monitoring and reducing chronic diseases and providing training on rational drug use in the provincial centres.
The Knowledge Level of Dentists in Turkey About Their Potential Role on the Disaster Victims Identification (DVI) Team
(2019) Yasar, Zehtiye Fusun; Durukan, Elif; Buken, Erhan; 30417805
Objective Although dentists are valuable assets in identification teams during disaster events, forensic dentistry is not used effectively in the identification studies conducted in Turkey, and the importance of dental data is ignored. The aim of this study was to determine the level of knowledge of dentists regarding their duties and responsibilities during major disasters. Methods This descriptive study was conducted between December 2015 and June 2016. Registered dentists (n=20.280) of the Turkish Dental Association were invited to complete the organization's online survey. A total of 539 dentists participated in the volunteer workshop. Data were analyzed using SPSS, version 22.0 (IBM Corp, Armonk, NY). The chi-square analysis was used to evaluate the knowledge level of dentists by group regarding disaster victim identification (DVI) - the process and procedure of recovering and identifying victims of major disasters (eg, earthquake, terrorist attack). Results The dentists included in the study consisted of 320 (59.4%) females and 219 (40.6%) males with a mean age of 37.4 +/- 12.6 years. The number of specialists and general dentists were 249 (45.6%) and 297 (54.4%), respectively; 249 (69.71%) dentists who had knowledge about forensic dentistry stated that they received this information during their formal training. The percentage of dentists who were aware of the existence of an organization of a disaster response operation in Turkey was 74.2%, but only 20.5% (n=110) had knowledge about DVI. We found that 92.9% (n=104) of these dentists believed that dentists should be included in the team for the identification of disaster victims. On the other hand, only half (52.3%) of the dentists with knowledge of DVI wanted to work on the identification teams. The majority (99.1%) considered DNA analysis to be the safest method for identification. Conclusion Our findings show that, although dentists know about the identification process, they do not have enough relevant knowledge. (Disaster Med Public Health Preparedness. 2019;13:533-538)
Medya araçlarının Başkent Üniversitesi öğrencilerinin beslenme davranışları ve gıda ürünlerinin seçiminde karar vermedeki etkisi
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2018) Mutlu, Ezgi; Durukan, Elif
Bu araştırmanın amacı medya araçlarının Başkent Üniversitesi öğrencilerinin beslenme davranışı ve gıda ürünleri seçiminde karar vermedeki etkisini saptamaktır. Bu tanımlayıcı araştırmaya 2017-2018 eğitim öğretim yılında Başkent Üniversitesi’nde öğrenim görmekte olan ve araştırmaya katılmayı kabul eden 373 öğrenci dahil edilmiştir. Öğrencilere gözlem altında anket formu uygulanmıştır Araştırmaya katılan öğrencilerin %70,4’ü kadın, %29,6’sı erkektir. Yaş ortalaması 20,7± 1.9’dur. Araştırmaya katılan öğrencilerin %37,9’u düzenli fiziksel aktivite, %30,4’ü kas gruplarını çalıştıran-kuvvetlendiren egzersiz yapmaktadır. Öğrencilerin %72’si normal ağırlıkta, %12,8’i zayıf, %12,8’i fazla kilolu ve %2,5’i obezdir. Öğrencilerin yarısından fazlası sabah, öğlen ve/veya akşam öğünlerinden bir veya birkaçını atlamaktadır. Öğrencilerin %81,7’si süt ve süt ürünlerini, %75,1’i et grubunu, %80,1’i kuru baklagilleri, %82,3’ü sert kabuklu yemiş/yağlı tohumları günlük önerilen miktarda tüketmemektedir. Ekmek ve tahıl, sebze ve meyve gruplarını önerilen miktarda tüketen öğrenci yüzdeleri sırasıyla %2,8; %1,4 ve %2,2’dir. Öğrencilerin %62’si beslenme/ fiziksel aktivite/ diyet konularına ilgi duymaktadır. Öğrencilerin %23,1’i beslenme/fiziksel aktivite/diyet konularını medyadan takip etmektedir. Öğrencelerin %95,5’i bu konuları internet üzerinden takip etmekte, %30,8’i bu konularla ilgili olarak bazı ünlülerin hesaplarını takip etmektedir. Medyada yer alan beslenme/ diyet/ fiziksel aktivite konuları ile ilgili olarak öğrencilerin %16,8’i uzman olan kişilerin yayın yapması ve yalnız bu kişilerin dikkate alınması gerektiğini; %9,7’si bilgi kirliliğinin önüne geçilmesi gerektiğini; %7,8’i halkın bilinçlendirilip, doğru şekilde bilgilendirilmesi gerektiğini düşünmektedir. Sonuç olarak öğrencilerin büyük kısmı sağlıklı beslenmemekte ve beslenme konusunda medyadan etkilenmektedirler. Öğrencilere dengeli ve yeterli beslenme konusunda eğitim verilmesi ve medyada yer alan her bilginin doğru olmayabileceği konusunda farkındalık yaratılmasının uygun olacağı düşünülmüştür. The aim of this study is to determine the effect of the media tools on Baskent university students’ nutrition behavior and food decision. This descriptive study included 373 students who were studying at Başkent University in the academic year 2017-2018 and who agreed to participate research. Survey forms were applied to the students under observation. 70,4% of the students who participated in the survey were females and 29,6% were males. The mean age of the students was 20,7 ± 1,9 years. 37,9% of the students have regular physical activity and 30.4% of them do bodybuilding and muscle strengthening exercises. 72% of the students were in normal weight, 12.8% were underweight, 12,8% were overweight and 2,5% were obese. More than half of the students (80,4%) reported skipping one or more of breakfast, lunch and / or dinner. 81,7% of the students reported they were not consuming milk and dairy products, 75,1% of them were not consuming meat products, 80,1% of them were not consuming leguminous seeds, 82,3% of them were not consuming nuts / fatty seeds in recommended daily amount. The percentages of students consuming in recommended daily allowance bread and grain, vegetable and fruit groups were 2,8%; 1,4% and 2,2% respectively. 62% of the students reported they were interested in nutrition / physical activity / diet issues and topics. 23,1% of the students were following nutrition / physical activity / diet topics in the media. 95,5% of the students were following these topics over the internet and 30, 8% of them were following social media accounts of some famous people concerned with these topics. Regarding nutrition / diet / physical activity topics in the media, 16,8% of the students reported that they think that the experts should do publish and only these people should be considered to be source of information; 9,7% said that information pollution should be avoided; while 7,8% of were thinking that people should be conscious and informed correctly. In conclusion, most of the students are not healthy and are affected by the media. It is considered appropriate to provide students with a balanced and adequate education on nutrition and to raise awareness that every information in the media may not be accurate.
Papanicolaou Smear Findings in Solid-Organ Transplant Recipients Compared With Normal Subjects According to the Bethesda 2001 System
(2015) Atilgan, Alev Ok; Tepeoglu, Merih; Haberal, A. Nihan; Durukan, Elif; Kuscu, Esra; Haberal, Mehmet; 0000-0002-9894-8005; 0000-0002-3462-7632; 0000-0001-9852-9911; 0000-0001-8595-8880; 0000-0002-0992-6980; 0000-0002-8579-5564; 25894158; AAK-5222-2021; AAJ-8097-2021; AAK-4587-2021; AAK-3333-2021; AAI-8792-2021; AAJ-8621-2021
Objectives: Solid-organ transplant recipients are at increased risk of developing cancer including cervical cancer compared with woman in the general population, mostly due to long-term immunosuppressive therapy. The Papanicolaou smear remains the primary method of screening cervical pathology including preinvasive and invasive lesions. The objective of this study was to evaluate Pap smear findings in solid-organ transplant recipients, determine the prevalence of abnormal smears, and compare these patients with the general population. Materials and Methods: We retrospectively examined 111 women patients who received liver or kidney transplant between January 1990 to December 2012 at Baskent University Ankara Hospital. Pap smear findings were compared with normal control patients matched for same age and technical procedure of cervical cytology. To selection of control patients, propensity score matching program was performed. All Pap smears were re-examined according to Bethesda 2001 criteria. Results: In 111 transplant patients, 2 patients (1.8%) had atypical squamous cells of undetermined significance, 8 patients (7.2%) had low-grade squamous intraepithelial lesion, 15 patients (13.5%) had Candida infection, 2 patients (1.8%) had Trichomonas vaginalis, 1 patient (0.9%) had herpes simplex infection, 13 patients (11.7%) had bacterial vaginosis, 15 patients (13.5%) had reactive changes due to inflammation, and 18 patients (16.2%) had atrophy. When we compared our results with the control group, there were statistically significant differences (P <= .05) between the 2 groups in epithelial cell abnormalities (low-grade squamous intraepithelial lesion), Candida infection, bacterial vaginosis, and atrophy. Conclusions: Pap smear screening potentially may help recognize cervical preinvasive and invasive lesions. The risk of developing cervical intraepithelial neoplasia is greater in transplant recipients because of immunosuppressive therapy. The incidence of low-grade squamous intraepithelial lesion was significantly greater in transplant recipients than the general population. Intensive follow-up with Pap smear in transplant recipients is important in the early detection of these lesions.
The Prevalence, Etiologic Agents and Risk Factors for Urinary Tract Infection Among Spinal Cord Injury Patients
(2014) Togan, Turhan; Azap, Ozlem Kurt; Durukan, Elif; Arslan, Hande
Background: Urinary tract infections (UTIs) are important causes of morbidity and mortality in patients with spinal cord injury and 22% of patients with acute spinal cord injury develop UTI during the first 50 days. Objectives: The aim of this study was to determine the prevalence, etiologic agents and risk factors for asymptomatic bacteriuria and symptomatic urinary tract infections in patients with spinal cord injury. Patients and Methods: This was a prospective investigation of spinal cord injury patients with asymptomatic bacteriuria and symptomatic urinary tract infections in Baskent University Medical Faculty Ayas Rehabilitation Center and Ankara Physical Therapy and Rehabilitation Center between January 2008 and December 2010. The demographic status, clinical and laboratory findings of 93 patients with spinal cord injury were analyzed in order to determine the risk factors for asymptomatic or symptomatic bacteriuria Results: Sixty three (67.7%) of 93 patients had asymptomatic bacteriuria and 21 (22.6%) had symptomatic urinary tract infection. Assessment of the frequency of urinary bladder emptying methods revealed that 57 (61.3%) of 93 patients employed permanent catheters and 24 (25.8%) employed clean intermittent catheterization. One hundred and thirty-five (48.0%) of 281 strains isolated form asymptomatic bacteriuria attacks and 16 (66.6%) of 24 strains isolated from symptomatic urinary tract infection attacks, totaling 151 strains, had multidrug resistance (P > 0.05). One hundred (70.4%) of 142 Escherichia coli strains and 19 (34.5%) of 55 Klebsiella spp strains proliferated in patients with asymptomatic bacteriuria; 8 (80%) of 10 E. coli strains and 4 (80%) of 5 Klebsiella spp. strains were multidrug resistant. Conclusions: The most common infectious episode among spinal cord injury patients was found to be urinary tract infection. E. coli was the most common microorganism isolated from urine samples. Antibiotic use in the previous 2 weeks or 3 months, hospitalization during the last one-year and previous diagnosis of urinary tract infection were the risk factors identified for the development of infections with multi-drug resistant isolates. Urinary catheterization was found to be the only independent risk factor contributing to symptomatic urinary tract infection.
Serum Interleukin-18 As an Early Marker of Acute Kidney Injury Following Open Heart Surgery
(2014) Unal, Ertekin Utku; Ozen, Anil; Boysan, Emre; Tak, Sercan; Basar, Veysel; Turkcan, Basak Soran; Durukan, Elif; Tutun, Ufuk; Birincioglu, Cemal Levent; https://orcid.org/0000-0002-8579-5564; AAJ-8621-2021
Background: This study aims to investigate whether serum interleukin (IL)-18 is an early biomarker of acute kidney injury (AKI). Methods: Thirty consecutive patients (22 males, 8 females; mean age 62.4 +/- 9.0 years; range 49 to 78 years) who underwent open-heart surgery were enrolled in this prospective study. Serum IL-18 concentrations were analyzed prior to induction of anesthesia, at weaning from cardiopulmonary bypass (CPB) and two hours after weaning from CPB. Serum creatinine levels were analyzed in the postoperative first, second, and third days. Acute kidney injury was defined as creatinine levels exceeding 50% of the basal value or exceeding the basal value by 0.3 mg/dl at 48 hours postoperatively. The patients were classified into two groups including AKI (n=12) and non-AKI (n=18). Serum IL-18 levels were compared between the groups. Results: Twelve patients (40%) developed AKI. The diagnosis was able to be made using the serum creatinine levels at 24 to 48 hours postoperatively. Although IL-18 concentrations at weaning from CPB decreased slightly in the AKI group, the decrease in the non-AKI presenting group was higher. Using univariate analyses, IL-18 concentrations at two hours after weaning from CPB were found to be related to AKI (p=0.031). The difference in serum IL-18 concentrations between the preoperative period and two hours after weaning from CPB were found to be statistically significant (p=0.017). According to the Receiver operating characteristic curve analysis, the threshold value for AKI prediction of serum IL-18 concentrations at two hours after weaning from CPB was 353.7 pg/ml with a sensitivity of 58.3% and a specificity of 83.3% (AUC=0.736). Conclusion: Serum IL-18 concentration may be used as a biochemical indicator for early detection of acute kidney injury following open heart surgery.
A University Hospital Patients and Their Relatives' Opinions on Violence in Health
(2017) Yasar, Zehtiye Fusun; Durukan, Elif; Buken, Erhan; 0000-0002-4779-0623; 0000-0002-8579-5564; AAL-6847-2021; AAJ-8621-2021
Background. Currently, sectors rendering service for the public such as health, education transport and etc. are frequently exposed to violence without discriminating between age, gender, educational level and occupation. Within these sectors, health sector constitutes the most risky group because it generally renders service to individuals who are distressed and need care Aims. The study aimed to determine the opinions of patients and patient relatives s on violence against health professionals Methods: This descriptive study conducted in January-February 2015 and was implemented on 192 patients and patient relatives applied to a university hospital and who consented to participate the study. A questionnaire form was applied to the participants. IBM SPSS 22.0 statistical package program was used to analyze the data. Results. The mean age of the study participants was 41.3 +/- 13.7; 52,1 % were females and the educational level of 65.6% is university/doctorate level. Nearly 88% of patients stated that violence is not a method for seeking legal remedies, and they believed that it is wrong to use violence against the intervening doctor even in case where it was not possible to save the patient (91.7%). The participants stated that the cause of the increase in violence against health care workers; was related to lack of education of the patients and their relatives (73.2%) and was associated with longer waiting times in hospitals for examination (53.2%). Participants stated the reasons for getting angry in a healthcare facility as being ignored by healthcare professionals (76.6%) and failure in being informed about their patients' status. (54.2%). Thirteen (6.8%) of participants stated that they used violence against healthcare professionals and 7 of these stated that the incident took place in the emergency room. Conclusion. To prevent the violence cases, all individuals constituting the public, including patients/patient relatives and healthcare professionals should be trained. We think that presence of health care providers having high communication skills to communicate the individuals applied to health institution due to their illnesses and presence of effective security systems will contribute to solving of the problem.
University Students with Psoriatic Nail Changes Have a Greater Number of Tender Enthesial Points Than Those with Normal Nails
(2014) Yucel, A. Eftal; Pamukcu, Melih; Durukan, Elif; Tosun, Busra; Batman, Berk; Ozkan, Omer; Korcak, Anil; https://orcid.org/0000-0002-8579-5564; AAJ-8621-2021