TR-Dizin İndeksli Yayınlar Koleksiyonu

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    Self-Medication Patterns among Turkish University Students
    (2021) Zagil, Gamze Gursul; Fidan, Cihan; Oksuz, Ergun; Kut, Altug; 0000-0002-5723-5965; K-8238-2012
    Objective: This study aims to determine the prevalence of self-medication practice among university students in Turkey and the effective factors and self-medication practices. Methods: To conduct a descriptive cross-sectional study, this study was conducted with 494 undergraduate students selected through a stratified random weight-proportional sample. The students were asked to fill in a self-report questionnaire form including introductory characteristics and self-medication practices. Analyses were carried out using descriptive statistics and binary logistic regression. Results: The prevalence of self-medication at any time was determined to be 81.6% (n=403). The prevalence of self-medication was 84.9% in females and 75.6% in males (OR 2.0, 95% CI 1.2-3.3, p=0.005). Of the participants, 27.5% (n=111) bought the medication by their own preferences and experiences. The most common self- medication symptoms of the participants were headache (90.8%). Self-medication drug groups were in the form of analgesics in 95.9% (n=259) of females and 93.2% (n=123) of males. The prevalence of antibiotic self-medication was 9.5% in the self-medication group and 7.7% for all participants. Due to self-medication, 8.2% (n=33) of the students experienced an adverse effect at any time. The students in the self-medication group believed that there would not be serious adverse effects caused by the OTC drugs even if they caused adverse effects (30.5%) or that they would not cause any adverse effects (3.8%). Conclusions: Self-medication is a common behavior among university students, with higher rates in females. Students practice this largely by relying on their previous experiences. They mostly prefer medicines previously given by their physicians for similar conditions.
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    Analysis of Quality of Life, Depression, and Sexual Function in Patients on the Liver Transplant List
    (2021) Fidan, Cihan; Akdur, Aydincan; Kirnap, Mahir; Selcuk, Haldun; Yildirim, Sedat; Moray, Gokhan; Haberal, Mehmet; 0000-0002-3462-7632; 0000-0002-8726-3369; 34609310; AAJ-8097-2021; AAA-3068-2021
    Background: I he only treatment in patients developing liver failure is liver transplantation. According to the Ministry of Health, the number of patients waiting for a liver transplantation is 2141, the average waiting period for liver transplantation is approximately 5 years, and 15-18% of these patients lose their life while waiting for transplantation. In these patients, limitations in daily activities and depression-anxiety are commonly found. The aim of this study was to analyze life quality, depression symptoms, and existence of sexual functional disorders of patients waiting for liver transplantation. Methods: A total of 74 patients, who were registered in Baskent University Hospital between 2015 and 2018, were included into the study. Short Form-36, Beck Depression Inventory, and Arizona Sexual Experiences Scale were applied to 56 patients who approved study. Results: Most of the patients were male (64.3%), and the mean age was 46 (18-64). Short Form-36 scores were low in all patients. The mean Beck Depression Inventory score of patients was found as 18.4 +/- 11.3, and they were suffering from moderate depressive symptoms. According to Arizona Sexual Experiences Scale, total mean scores of males was found as 16.3 +/- 5.5, and for females, it was 19.5 +/- 5.3 with a statistically significant difference (P < .05). It was found that sexual dysfunction mostly had moderate to mild. Conclusion: Depression and sexual dysfunction are common in patients with chronic liver diseases, and their life qualities deteriorate significantly. It is anticipated that evaluation of these patients in terms of psychological issues and sexual dysfunction will increase their quality of life during the organ waiting period and affect their well-being post-transplant.
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    Evaluation of Nicotine Dependence Level and Factors Affecting the Success of Smoking Cessation in an Outpatient Clinic
    (2021) Fidan, Cihan; Salguer, Funda; Simsek, Meliha Kubra; Birlik, Seyma Berfu; Akcay, Mueserref Sule
    AIM: We aimed to determine the sociodemographic characteristics of those who applied to the smoking cessation outpatient clinic and to determine the factors affecting their smoking cessation success. MATERIALS AND METHODS: A total of 97 people who applied to Baskent University Hospital Family Medicine Smoking Cessation Outpatient Clinic between May 2019 and May 2020 were included in the descriptive cross-sectional study. A questionnaire form including demographic characteristics and smoking history, the Fagerstrom Test for Nicotine Dependence (FTND), and the Hospital Anxiety and Depression Scale (HADS) were applied to the participants. A pulmonary function test was performed; carbon monoxide (CO) and carboxyhemoglobin (COHb) levels were measured of the participants. RESULTS: The mean age of the participants was 42.9 & PLUSMN; 11.9, and 56.7% (n = 55) were male. The average number of cigarettes smoked daily was 23.2 & PLUSMN; 10.6, and the duration was 23.2 & PLUSMN; 11.7 years. FTND scores of the participants were determined as 14.4% (n = 14) very low, 18.6% (n = 18) low, 22.7% (n = 22) medium, 21.6% (n = 21) high, and 22.7% (n = 22) very high. The mean of FTND score was 5.4 & PLUSMN; 2.5, and the mean of CO and COHb levels was 11.2 & PLUSMN; 7.0 and 2.4 & PLUSMN; 1.1, respectively (r = 0.345, P = 0.001; r = 0.342, P = 0.001). A positive correlation was found between the FTND and HDS scores of participants and observed that depression scores increased as the level of nicotine addiction increased (r = 0.303, P = 0.003). Finally, 54.6% (n = 53) of the applicants were a quitter. There was a significant relationship between smoking cessation success and the number of drug boxes used in pharmacotherapy (P = 0.005). CONCLUSION: In this study, the most critical factor affecting smoking cessation success is ensuring that pharmacotherapy is completed within the recommended treatment period.