Nafiz Bozdemir - Academia.edu (original) (raw)
Papers by Nafiz Bozdemir
Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 2003
Özet Bu çalışma, Adana Huzurevi'nde yaşayan yaşlılar ile Çukurova Üniversitesi Tıp Fakül... more Özet Bu çalışma, Adana Huzurevi'nde yaşayan yaşlılar ile Çukurova Üniversitesi Tıp Fakültesi Aile Hekimliği Polikliniği'ne başvuran yaşlı kişilerin sosyodemografik ve medikal özelliklerini incelemek, günlük yaşam aktivite değerlerini saptamak ve karşılaştırmak ...
Background: The quality of life in patients with diabetes is reduced and emotional coping with th... more Background: The quality of life in patients with diabetes is reduced and emotional coping with the disease has great impact on patient well-being. Objectives: The aim of this study was to assess the psychological well-being and treatment satisfaction in patients with type 2 diabetes mellitus in primary care. Study Design and Setting: Patients (n = 112) with type 2 diabetes mellitus diagnosis for at least six months were enrolled. The Well-Being Questionnaire-22 and the Diabetes Treatment Satisfaction Questionnaire were used. Physical examination and laboratory investigations were performed. Results: The rates of the achieved targets were 32.1% for hemoglobin A1c, 62.5% for cholesterol and 20.5% for blood pressure. The mean scores for the general well-being, depression, anxiety, positive well-being and energy were 44.40 ± 13.23 (range = 16-62), 12.65 ± 3.80 (range = 5-18), 10.57 ± 4.47 (range = 1-18), 12.00 ± 4.01 (range = 2-18), and 9.16 ± 2.47 (range = 2-12), respectively. The mean...
Turk J Geriatr, 2003
... TO THE FAMILY MEDICINE OUTPATIENT CLINIC. U. Güney ÖZER ERGÜN, Nafiz BOZDEMİR, Şükrü UĞUZ, Re... more ... TO THE FAMILY MEDICINE OUTPATIENT CLINIC. U. Güney ÖZER ERGÜN, Nafiz BOZDEMİR, Şükrü UĞUZ, Rengin GÜZEL, Refik BURGUT, Esra SAATÇİ, Ersin AKPINAR. Çukurova Üniversitesi Tıp Fakültesi Aile Hekimliği ...
Turkish Journal of Family Practice, Mar 31, 2007
Annals of Medical Research, 2020
The relationship between the individuals and their health care attitudes is known as 'The Ecology... more The relationship between the individuals and their health care attitudes is known as 'The Ecology of Medical Care'. The present study aims at revealing the ecology of medical care in our province. Material and Methods: A questionnaire form was applied to 685 individuals from 396 houses between May 1 st , 2009 and June 15 th , 2009. Results: Mean age of 685 subjects was 36.6±13.8 years (18-83). Of them, 504 (73.57%) were females, 520(75.91%) were married; 212 (42.06%) of the females and 61 (33.70%) of the males were graduates of elementary school; 479 (69.92%) were migrated to Adana from another region; 577 (84.23%) had social insurance. When the participants had a health problem, 262 (38.24%) preferred primary care. Of the subjects, 540 (78.83%) reported a health problem and 296 (39.30%) admitted to the physician, received 333 diagnoses during the recent 30 days. Of 333 diagnoses, 133 (39.93%) were made at primary care. 264 (38.54%) subjectshad a chronic disease and 192 (49.70%) preferred secondary care for follow up. Conclusion: While individuals prefer primary care worldwide when they have a health problem, this was found to be secondary care in our study. Comprehensive and patient-centered services may increase the sense of trust and interest toward primary care.
International Journal of Medical and Health Sciences Research, 2016
Aim: Evaluation of patient satisfaction is accepted as a valuable addition to other types of outc... more Aim: Evaluation of patient satisfaction is accepted as a valuable addition to other types of outcome measures (such as health status, quality of life or costs) in measuring the quality of general practice care. The aim of this study is to assess the patient satisfaction for primary care before and after the transition of health care system in Turkey. Methods: The study included a sample of 588 patients from three public family health centers (FHCs) in Adana. The study was conducted between March and April 2008 and May and June 2009. The patients were asked to assess their family physician based on their contact experience before and after the health care system transition in Turkey. Results: Overall satisfaction was %74.6 before and %93.5 after the transition (p=0.0001). The "Organization of care" was evaluated as the most improving dimension. However, the "Medical care" change was the worst rated. "Providing quick services for emergency health problems", "Knowing what s/he had done or told you during contacts" "Preparing you for what to expect from specialist or hospital care", "Being able to speak to the general practitioner on the telephone", "Getting through to the practice on telephone" and "Helping you deal with emotional problems related with your health status" were evaluated as improving items (p=0.0001). Conclusion: Patient evaluation of care can contribute to make practices and their teams more responsive to patient's needs.
Turkiye Klinikleri Journal of Family Medicine Special Topics, 2015
Turkiye Klinikleri Journal of Family Medicine Special Topics, 2015
Turkish Journal of Family Practice, Mar 31, 2007
Hepatit B virus (HBV) enfeksiyonu tüm dünyada karaci¤er hastal›klar›n›n önde gelen nedenidir. Tür... more Hepatit B virus (HBV) enfeksiyonu tüm dünyada karaci¤er hastal›klar›n›n önde gelen nedenidir. Türkiye orta endemisite'de bir ülke olup HbsAg prevalans› %1.7-14.2 aras›nda de¤iflmektedir. Nüfusunun %60'› 25 yafl ve alt›nda olan ülkemizde HBV tafl›y›c›la-r›n›n 4 milyon kadar oldu¤u tahmin edilmektedir. Bu çal›flman›n amac›, Adana il merkezindeki lise ö¤rencilerinde Hepatit B enfeksiyonu fark›ndal›¤›n› de¤erlendirmektir. Yöntem: Adana il merkezindeki 49 okul aras›ndan rasgele örneklem ile seçilen 10 okulda 1999-2000 y›l›nda ö¤renim gören 2352 ö¤renci çal›flmaya al›nm›flt›r. Veriler SPSS 9.0 program› ile analiz edilmifltir. ‹statistiksel de¤erlendirmede ANOVA ve ki-kare testleri kullan›lm›flt›r. Bulgular: Örneklemdeki 2352 ö¤rencinin %50.1'i erkek, %49.9'u k›zd›. Ortalama yafl 16.5±1 y›ld› (aral›k 14-21 yafl). HBV geçifl yolu, etkiledi¤i yafl grubu, risk gruplar›, etkilenen organ ve kanserle iliflkisi ve afl› hakk›nda 6 soru soruldu. Sorulara verilen do¤ru cevap oran› s›ras›yla; %4, %98, %10, %28, %24 ve %40 olarak sap-tand›. Sonuç: Hepatit B fark›ndal›¤› ile yafl, s›n›f, ana-baba e¤itim durumu, aile geliri aras›nda anlaml› iliflki oldu¤u saptand›. Ancak lise ö¤rencilerinin ne bilgi düzeyleri ne de afl›lanma oranlar› istenen düzeyde de¤ildi. Afl› ve e¤itim programlar›n›n acilen uygulanmas› gerekti¤i düflünülmektedir.
Collegium antropologicum, 2005
Fifty years ago adolescents mostly died of natural causes, whereas they now die from more prevent... more Fifty years ago adolescents mostly died of natural causes, whereas they now die from more preventable causes. Part of this change has been a worldwide rise in adolescent suicide rates in both developed and developing countries. Suicides are probably under reported due to cultural and religious stigma attached to self-destruction. Objectives of this study were to collect data about suicidal thoughts, plans and attempts and related sociodemographic details in high school students. The population comprised 2,480 randomly selected students among 46,271 students from 72 high schools in 1999-2000 in Adana and 2,352 (94.8%) students from 10 schools were reached and given a questionnaire modified using Youth Risk Behavior Survey Questionnaire (YRBSQ). Chi2 and Kolmogorov-Smirnov tests were used. Mean age was 16.5 +/- 1 (14-21) year, 1,187 (50.5%) students reported severe desperation, 526 students (22.4%) had suicidal thoughts, 332 (14.1%) planned committing suicide, 145 (6.2%) attempted sui...
Ethiopian medical journal, 2006
Acute tonsillopharyngitis is one of the most common reasons for antibiotic use although it is mos... more Acute tonsillopharyngitis is one of the most common reasons for antibiotic use although it is mostly viral. There seems to be a large variation between physicians in prescribing antibiotics. The aim of this study was to explore the antibiotic prescribing behaviour of physicians while treating cases with acute tonsillopharyngitis. Data were collected using a questionnaire designed to investigate the effect of the antibiotics actively promoted by pharmaceutical companies, the sociodemographic details of primary care physicians, the geographic location (urban-rural) of the primary care organizations, and the effect of laboratory investigations on provider antibiotic prescribing behaviour in the treatment of acute tonsillopharyngitis. Sixty six primary care organisations (PCOs) and 316 primary care physicians working in the 66 PCOs in Adana in 2001 were involved in the study. Out of 66 PCOs, 55 (83%) were urban and 11 (16%) were rural. The response rate was 79%. There was significant as...
Collegium antropologicum, 2007
This study was designed to define the most suitable anthropometric technique among body mass inde... more This study was designed to define the most suitable anthropometric technique among body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR) as indices of obesity in adult people living in Adana, a Southern province of Turkey. A random sample design was used. A total of 900 individuals (men and non-pregnant women aged 25-65 years) were enrolled in the study. Of subjects, 50.9% were females. Anthropometric measurements were performed. Data were analysed using statistical package program. The prevalence of obesity among adults living in Adana was 20.8% 28.4% when defined using BMI, 30.5% by WC and 15.8% 42.0% by WHR. Truncal obesity and gynoid obesity showed similar prevalence with 26.6%, in the same age group. Waist circumference, BMI and WHR identified different proportions of the population, as measured for obesity prevalence. The most common methods for diagnosing overweight and obesity are based on BMI (kg/m2). However, BMI is suboptimal marker for total body fat ...
Collegium antropologicum, 2008
Injuries are the leading cause of mortality and morbidity in adolescents and can be grouped as un... more Injuries are the leading cause of mortality and morbidity in adolescents and can be grouped as unintentional (such as motor vehicle crashes and fires) and intentional (violence and suicide). The aim of this study was to find the prevalence of high risk behaviors related to violence in high school students. The population comprised 2,480 randomly selected students from 10 schools among 46,271 students from 72 high schools in 1999-2000 in Adana and 2,352 (94.8%) were reached. They completed a Youth Risk Behavior Survey Questionnaire (YRBSQ). The mean age was 16.5 +/- 1 (14-21) years. 275 (11.7%) students stated that they carried a knife or a sharp weapon during the last 30 days, 151 (6.4%) carried a gun, 710 (30.2%) participated in a physical fight, 68 (2.9%) were threatened or injured by a weapon, 73 (3.1%) could not attend school because of threats from other students, 96 (4.1%) were forced into sexual intercourse. Male students were significantly more likely than female students to...
Collegium antropologicum, 2010
Defining "healthy weight" is not easy and for an adolescent with all concerns about new... more Defining "healthy weight" is not easy and for an adolescent with all concerns about newly developing physiognomy it is even harder. The aim of this study was to find out the frequency of obesity and the association between the body mass index (BMI), weight-control behaviors and self-perceived body weight status in high school students of a southern city of Turkey. The students from 10 schools were randomly selected among 46,271 students of 72 high schools in Adana from 1999 to 2000. The response rate was 94.8% (2352/2480). The Turkish version of Youth Risk Behavior Survey Questionnaire (YRBSQ) was completed by the students. The students' weights and heights were measured. The mean age was 16.5 +/- 1.0 years of age (range = 14-21 years). The mean BMI was 21.0 +/- 3.1, 25.5% of students were underweight, 65.7% were normal, 6.4% were overweight and 2.3% were obese (p = 0.0001). Of all students, 24.3% defined themselves as thin, 45.3% as normal, 24.9% as overweight and 5.5...
TAF Preventive Medicine Bulletin, 2013
ÖZET AMAÇ: Çalışmamızın amacı; Adana ilindeki insanların ilaç kullanım davranışlarını incelemekti... more ÖZET AMAÇ: Çalışmamızın amacı; Adana ilindeki insanların ilaç kullanım davranışlarını incelemektir. YÖNTEM: Planlanan örnek büyüklüğü 1.222 idi. Hazırladığımız Akılcı İlaç Kullanım Anketi görüşmeyi kabul eden 18 yaş üstü 1.111 kişiye telefonla uygulanmıştır. BULGULAR: Katılanların %57,2'si doktora danışmadan ilaç kullanmaktadırlar. Doktora danışmadan ilaç kullananların %98,4'ü ağrı kesicileri kullandığını söylemiştir. Katılımcıların %30,5'i grip ve soğuk algınlığı durumlarında doktora sormadan antibiyotik kullandıklarını, %47,9'u doktorun verdiği antibiyotikleri bitirmeden bıraktıklarını söylemişlerdir, %85,8'i ilaçların son kullanma tarihlerine baktıklarını söylemişlerdir. SONUÇ: Çalışmamıza katılan kişilerin Akılcı İlaç Kullanım Skoruna göre puanlarını hesapladık. 100 üzerinden tüm bireylerin aldıkları ortalama puan 68,3±13,5 bulunmuştur. Bu da Adana ilindeki insanların akılcı ilaç kullanım bilgisinin yeterli olmadığını, halkın eğitimi ile bilinç düzeyinin artırılması gerektiğini düşündürmektedir. SUMMARY AIM: The purpose of our study is to examine the medicine use behaviors of people in Adana. METHOD: The planned sample size was 1,222. The "Rational Use of Drugs Questionnaire" prepared by us was applied to 1,111 voluntary subjects over 18 years old telephone survey. RESULTS: 57.2% of these participants said that they used drugs without consulting a doctor. 98.4% of these participants told that they used analgesics without consulting a doctor. 30.5% said that they used antibiotics without asking a doctor in cases of common cold; 47.9% told that they discontinue the antibiotics the doctor prescribed for them before completely finishing; 85.8% said that they checked the expiry date of the medicines. CONCLUSION: The average Rational Use of Drug Score of all the participants is found to be 68.3±13.5 on the scale of 100. This score shows that the knowledge of the people in Adana about rational use of drug is not sufficient and that education and awareness levels of the people should be raised.
Turkiye Aile Hekimligi Dergisi, 2009
Yontem: ‹c hastal›klar› (‹H), cocuk sal›¤› ve hastal›klar› (CSH), ka- d›n hastal›klar› ve doum (K... more Yontem: ‹c hastal›klar› (‹H), cocuk sal›¤› ve hastal›klar› (CSH), ka- d›n hastal›klar› ve doum (KHD), genel cerrahi (GC), ilkyard›m ve acil (‹YA), psikiyatri (PS) ve aile hekimlii (AH) anabilim dallar›nda cal›flan toplam 125 asistan›n 99'u (%79.2) cal›flmaya kat›ld›. De- mografik ozelliklerini, uzmanl›k eitimi ve oncesi sureclerini, sa¤- l›k durumlar›n› ve sosyal yaflamlar›n› sorgulayan bir anket uygulan- d›. Bulgular: AH asistanlar›n›n yafl ortalamas›, CSH ve KHD asistanla- r›n›n yafl ortalamas›na gore daha yuksekti (p<0,05). ‹H ve GC-‹YA bolumlerinde erkek asistan, dier bolumlerde ise kad›n asistan oran› daha yuksek bulundu (p<0,05). AH asistanlar›n›n pratisyen hekim olarak cal›flt›klar› sure ‹H, CSH ve KHD asistanlar›na gore daha uzundu (p<0,05). PS ve KHD asistanlar›n›n %80-90'›n›n, ‹H asistanlar›n›n yar›s›n›n, AH ve CSH asistanlar›n›n %30-35'inin T›p- ta Uzmanl›k S›nav›'nda (TUS) ilk uc tercihlerine girdikleri saptand› (p<0,05). AH asistanlar›n›n son bir aydaki nobet s›kl›¤› ortalamas› ‹H, CSH, GC-‹YA, asistanlar›n›nkinden dufluktu (p<0,001). Sosyal yaflam ve sal›k durumlar› ac›s›ndan gruplar aras›nda anlaml› bir fark bulunamad›. Sonuc: Demografik ozellikler, uzmanl›k eitimi ve oncesi surecle ilgili baz› parametrelerde asistan gruplar› aras›nda istatistiksel ola- rak anlaml› farkl›klar saptand›. Aile hekimlii uzmanl›¤›n›n TUS'ta tercih s›ralamas›nda ilk uce girme oran›n›n dufluklu¤u disiplinin geliflimi ve gelecei ac›s›ndan dikkate al›nmas› gereken bir bulgu olarak deerlendirildi. Summary Objective: This paper aims to investigate the features and the dif- ferences of the family medicine residents and the residents of the departments the family medicine residents working during their rotations, in the University of Cukurova. Methods: A total of 99 (79.2%) out of 125 residents working in the departments of internal medicine (IM), pediatrics (PED), gyne- cology and obstetrics (G&O), general surgery (GS), emergency medicine (EM), psychiatry (PS), and family medicine (FM) participat- ed in the study. Data about their demographic features, graduate and undergraduate educational processes, health situations, and social lives were collected using a semi-structured questionnaire. Results: The mean age of the FM residents was higher compared to the PED and G&O residents (p<0.05). While the percentage of male residents was higher than the female residents in the IM, GS, and EM clinics, the other clinics mostly have female residents (p<0.05). For the FM residents, the time period which they served as a general practitioner was longer then the IM, PED, and G&O residents (p<0.05). 80-90% of the PS and G&O residents, half of the IM residents, and 30-35% of the FM and PED residents had succeeded in entering one of their first three choices in the Medical Specialization Exam (MSE) (p<0.05). For the FM residents the mean frequency of being on call in a month was found to be lower compared to the IM, PED, GS, and EM residents (p<0.001). There were no significant differences between all groups in terms of social life and health situation. Conclusions: There were statistically significant differences in some of the demographic features and graduate and undergraduate edu- cational processes between the resident groups. For the family medicine discipline, the low percentage of entering one of the first three choices in the MSE, is considered to be important for the development and future of the discipline.
The Tohoku Journal of Experimental Medicine, 2007
Supportive Care in Cancer, 2014
International Journal for Vitamin and Nutrition Research, 2007
Aim: In this epidemiological report, we assessed the prevalence of osteopenia and osteoporosis (O... more Aim: In this epidemiological report, we assessed the prevalence of osteopenia and osteoporosis (OP) in postmenopausal Turkish women and the relationship between body mass index (BMI), and some nutritional factors (habitual tea, coffee, tobacco, and milk product consumption) with OP. Methods: This multicenter study was done in postmenopausal women residing in five big cities, in four different regions of Turkey between August and November 2005. An inclusion criterion was being in the postmenopausal period for at least 12 months. A semi-structured questionnaire was completed by face-to-face interview, consisting of closed- and open-ended questions about demographic characteristics, nutritional status, and habits with two or more choices as possible responses. Bone mineral density (BMD) measurements were performed with a MetriScan® Densitometer (Alara Inc., Ca, USA). Results: Seven hundred twenty-four women were included in the study. The mean age was 57.6 ± 9.6 years, and mean age at ...
Health and Quality of Life Outcomes, 2010
Background: The quality of life in patients with diabetes is reduced and emotional coping with th... more Background: The quality of life in patients with diabetes is reduced and emotional coping with the disease has great impact on patient well-being. Objectives: The aim of this study was to assess the psychological well-being and treatment satisfaction in patients with type 2 diabetes mellitus in primary care. Study Design and Setting: Patients (n = 112) with type 2 diabetes mellitus diagnosis for at least six months were enrolled. The Well-Being Questionnaire-22 and the Diabetes Treatment Satisfaction Questionnaire were used. Physical examination and laboratory investigations were performed. Results: The rates of the achieved targets were 32.1% for hemoglobin A 1c, 62.5% for cholesterol and 20.5% for blood pressure. The mean scores for the general well-being, depression, anxiety, positive well-being and energy were 44.40 ± 13.23 (range = 16-62), 12.65 ± 3.80 (range = 5-18), 10.57 ± 4.47 (range = 1-18), 12.00 ± 4.01 (range = 2-18), and 9.16 ± 2.47 (range = 2-12), respectively. The mean scores for the treatment satisfaction, perception for hyperglycemia and perception for hypoglycemia were 22.37 ± 9.53 (range = 0.00-36.00), 1.71 ± 1.59 (range = 0-6), and 0.51 ± 0.98 (range = 0-6), respectively. There were significant associations between the depression score and the educational status, compliance to diet and physical exercise, and diabetic complications; between the anxiety score and the educational status, glycemic control, compliance to diet and physical exercise; between the energy score and the educational status, compliance to physical exercise, and diabetic complications; between the positive well-being score and the educational status, compliance to diet and physical exercise, complications and type of treatment; between the general well-being score and the educational status, compliance for diet and physical exercise, and complications. Treatment satisfaction was significantly associated to the educational status, glycemic control and compliance to diet and physical exercise. A significant correlation was found between the treatment satisfaction and the well-being. Conclusions: Individualized care of patients with diabetes should consider improving the quality of life. Psychosocial support should be provided to the patients with type 2 diabetes and the negative effects of psychopathological conditions on the metabolic control should be lessened.
Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 2003
Özet Bu çalışma, Adana Huzurevi'nde yaşayan yaşlılar ile Çukurova Üniversitesi Tıp Fakül... more Özet Bu çalışma, Adana Huzurevi'nde yaşayan yaşlılar ile Çukurova Üniversitesi Tıp Fakültesi Aile Hekimliği Polikliniği'ne başvuran yaşlı kişilerin sosyodemografik ve medikal özelliklerini incelemek, günlük yaşam aktivite değerlerini saptamak ve karşılaştırmak ...
Background: The quality of life in patients with diabetes is reduced and emotional coping with th... more Background: The quality of life in patients with diabetes is reduced and emotional coping with the disease has great impact on patient well-being. Objectives: The aim of this study was to assess the psychological well-being and treatment satisfaction in patients with type 2 diabetes mellitus in primary care. Study Design and Setting: Patients (n = 112) with type 2 diabetes mellitus diagnosis for at least six months were enrolled. The Well-Being Questionnaire-22 and the Diabetes Treatment Satisfaction Questionnaire were used. Physical examination and laboratory investigations were performed. Results: The rates of the achieved targets were 32.1% for hemoglobin A1c, 62.5% for cholesterol and 20.5% for blood pressure. The mean scores for the general well-being, depression, anxiety, positive well-being and energy were 44.40 ± 13.23 (range = 16-62), 12.65 ± 3.80 (range = 5-18), 10.57 ± 4.47 (range = 1-18), 12.00 ± 4.01 (range = 2-18), and 9.16 ± 2.47 (range = 2-12), respectively. The mean...
Turk J Geriatr, 2003
... TO THE FAMILY MEDICINE OUTPATIENT CLINIC. U. Güney ÖZER ERGÜN, Nafiz BOZDEMİR, Şükrü UĞUZ, Re... more ... TO THE FAMILY MEDICINE OUTPATIENT CLINIC. U. Güney ÖZER ERGÜN, Nafiz BOZDEMİR, Şükrü UĞUZ, Rengin GÜZEL, Refik BURGUT, Esra SAATÇİ, Ersin AKPINAR. Çukurova Üniversitesi Tıp Fakültesi Aile Hekimliği ...
Turkish Journal of Family Practice, Mar 31, 2007
Annals of Medical Research, 2020
The relationship between the individuals and their health care attitudes is known as 'The Ecology... more The relationship between the individuals and their health care attitudes is known as 'The Ecology of Medical Care'. The present study aims at revealing the ecology of medical care in our province. Material and Methods: A questionnaire form was applied to 685 individuals from 396 houses between May 1 st , 2009 and June 15 th , 2009. Results: Mean age of 685 subjects was 36.6±13.8 years (18-83). Of them, 504 (73.57%) were females, 520(75.91%) were married; 212 (42.06%) of the females and 61 (33.70%) of the males were graduates of elementary school; 479 (69.92%) were migrated to Adana from another region; 577 (84.23%) had social insurance. When the participants had a health problem, 262 (38.24%) preferred primary care. Of the subjects, 540 (78.83%) reported a health problem and 296 (39.30%) admitted to the physician, received 333 diagnoses during the recent 30 days. Of 333 diagnoses, 133 (39.93%) were made at primary care. 264 (38.54%) subjectshad a chronic disease and 192 (49.70%) preferred secondary care for follow up. Conclusion: While individuals prefer primary care worldwide when they have a health problem, this was found to be secondary care in our study. Comprehensive and patient-centered services may increase the sense of trust and interest toward primary care.
International Journal of Medical and Health Sciences Research, 2016
Aim: Evaluation of patient satisfaction is accepted as a valuable addition to other types of outc... more Aim: Evaluation of patient satisfaction is accepted as a valuable addition to other types of outcome measures (such as health status, quality of life or costs) in measuring the quality of general practice care. The aim of this study is to assess the patient satisfaction for primary care before and after the transition of health care system in Turkey. Methods: The study included a sample of 588 patients from three public family health centers (FHCs) in Adana. The study was conducted between March and April 2008 and May and June 2009. The patients were asked to assess their family physician based on their contact experience before and after the health care system transition in Turkey. Results: Overall satisfaction was %74.6 before and %93.5 after the transition (p=0.0001). The "Organization of care" was evaluated as the most improving dimension. However, the "Medical care" change was the worst rated. "Providing quick services for emergency health problems", "Knowing what s/he had done or told you during contacts" "Preparing you for what to expect from specialist or hospital care", "Being able to speak to the general practitioner on the telephone", "Getting through to the practice on telephone" and "Helping you deal with emotional problems related with your health status" were evaluated as improving items (p=0.0001). Conclusion: Patient evaluation of care can contribute to make practices and their teams more responsive to patient's needs.
Turkiye Klinikleri Journal of Family Medicine Special Topics, 2015
Turkiye Klinikleri Journal of Family Medicine Special Topics, 2015
Turkish Journal of Family Practice, Mar 31, 2007
Hepatit B virus (HBV) enfeksiyonu tüm dünyada karaci¤er hastal›klar›n›n önde gelen nedenidir. Tür... more Hepatit B virus (HBV) enfeksiyonu tüm dünyada karaci¤er hastal›klar›n›n önde gelen nedenidir. Türkiye orta endemisite'de bir ülke olup HbsAg prevalans› %1.7-14.2 aras›nda de¤iflmektedir. Nüfusunun %60'› 25 yafl ve alt›nda olan ülkemizde HBV tafl›y›c›la-r›n›n 4 milyon kadar oldu¤u tahmin edilmektedir. Bu çal›flman›n amac›, Adana il merkezindeki lise ö¤rencilerinde Hepatit B enfeksiyonu fark›ndal›¤›n› de¤erlendirmektir. Yöntem: Adana il merkezindeki 49 okul aras›ndan rasgele örneklem ile seçilen 10 okulda 1999-2000 y›l›nda ö¤renim gören 2352 ö¤renci çal›flmaya al›nm›flt›r. Veriler SPSS 9.0 program› ile analiz edilmifltir. ‹statistiksel de¤erlendirmede ANOVA ve ki-kare testleri kullan›lm›flt›r. Bulgular: Örneklemdeki 2352 ö¤rencinin %50.1'i erkek, %49.9'u k›zd›. Ortalama yafl 16.5±1 y›ld› (aral›k 14-21 yafl). HBV geçifl yolu, etkiledi¤i yafl grubu, risk gruplar›, etkilenen organ ve kanserle iliflkisi ve afl› hakk›nda 6 soru soruldu. Sorulara verilen do¤ru cevap oran› s›ras›yla; %4, %98, %10, %28, %24 ve %40 olarak sap-tand›. Sonuç: Hepatit B fark›ndal›¤› ile yafl, s›n›f, ana-baba e¤itim durumu, aile geliri aras›nda anlaml› iliflki oldu¤u saptand›. Ancak lise ö¤rencilerinin ne bilgi düzeyleri ne de afl›lanma oranlar› istenen düzeyde de¤ildi. Afl› ve e¤itim programlar›n›n acilen uygulanmas› gerekti¤i düflünülmektedir.
Collegium antropologicum, 2005
Fifty years ago adolescents mostly died of natural causes, whereas they now die from more prevent... more Fifty years ago adolescents mostly died of natural causes, whereas they now die from more preventable causes. Part of this change has been a worldwide rise in adolescent suicide rates in both developed and developing countries. Suicides are probably under reported due to cultural and religious stigma attached to self-destruction. Objectives of this study were to collect data about suicidal thoughts, plans and attempts and related sociodemographic details in high school students. The population comprised 2,480 randomly selected students among 46,271 students from 72 high schools in 1999-2000 in Adana and 2,352 (94.8%) students from 10 schools were reached and given a questionnaire modified using Youth Risk Behavior Survey Questionnaire (YRBSQ). Chi2 and Kolmogorov-Smirnov tests were used. Mean age was 16.5 +/- 1 (14-21) year, 1,187 (50.5%) students reported severe desperation, 526 students (22.4%) had suicidal thoughts, 332 (14.1%) planned committing suicide, 145 (6.2%) attempted sui...
Ethiopian medical journal, 2006
Acute tonsillopharyngitis is one of the most common reasons for antibiotic use although it is mos... more Acute tonsillopharyngitis is one of the most common reasons for antibiotic use although it is mostly viral. There seems to be a large variation between physicians in prescribing antibiotics. The aim of this study was to explore the antibiotic prescribing behaviour of physicians while treating cases with acute tonsillopharyngitis. Data were collected using a questionnaire designed to investigate the effect of the antibiotics actively promoted by pharmaceutical companies, the sociodemographic details of primary care physicians, the geographic location (urban-rural) of the primary care organizations, and the effect of laboratory investigations on provider antibiotic prescribing behaviour in the treatment of acute tonsillopharyngitis. Sixty six primary care organisations (PCOs) and 316 primary care physicians working in the 66 PCOs in Adana in 2001 were involved in the study. Out of 66 PCOs, 55 (83%) were urban and 11 (16%) were rural. The response rate was 79%. There was significant as...
Collegium antropologicum, 2007
This study was designed to define the most suitable anthropometric technique among body mass inde... more This study was designed to define the most suitable anthropometric technique among body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR) as indices of obesity in adult people living in Adana, a Southern province of Turkey. A random sample design was used. A total of 900 individuals (men and non-pregnant women aged 25-65 years) were enrolled in the study. Of subjects, 50.9% were females. Anthropometric measurements were performed. Data were analysed using statistical package program. The prevalence of obesity among adults living in Adana was 20.8% 28.4% when defined using BMI, 30.5% by WC and 15.8% 42.0% by WHR. Truncal obesity and gynoid obesity showed similar prevalence with 26.6%, in the same age group. Waist circumference, BMI and WHR identified different proportions of the population, as measured for obesity prevalence. The most common methods for diagnosing overweight and obesity are based on BMI (kg/m2). However, BMI is suboptimal marker for total body fat ...
Collegium antropologicum, 2008
Injuries are the leading cause of mortality and morbidity in adolescents and can be grouped as un... more Injuries are the leading cause of mortality and morbidity in adolescents and can be grouped as unintentional (such as motor vehicle crashes and fires) and intentional (violence and suicide). The aim of this study was to find the prevalence of high risk behaviors related to violence in high school students. The population comprised 2,480 randomly selected students from 10 schools among 46,271 students from 72 high schools in 1999-2000 in Adana and 2,352 (94.8%) were reached. They completed a Youth Risk Behavior Survey Questionnaire (YRBSQ). The mean age was 16.5 +/- 1 (14-21) years. 275 (11.7%) students stated that they carried a knife or a sharp weapon during the last 30 days, 151 (6.4%) carried a gun, 710 (30.2%) participated in a physical fight, 68 (2.9%) were threatened or injured by a weapon, 73 (3.1%) could not attend school because of threats from other students, 96 (4.1%) were forced into sexual intercourse. Male students were significantly more likely than female students to...
Collegium antropologicum, 2010
Defining "healthy weight" is not easy and for an adolescent with all concerns about new... more Defining "healthy weight" is not easy and for an adolescent with all concerns about newly developing physiognomy it is even harder. The aim of this study was to find out the frequency of obesity and the association between the body mass index (BMI), weight-control behaviors and self-perceived body weight status in high school students of a southern city of Turkey. The students from 10 schools were randomly selected among 46,271 students of 72 high schools in Adana from 1999 to 2000. The response rate was 94.8% (2352/2480). The Turkish version of Youth Risk Behavior Survey Questionnaire (YRBSQ) was completed by the students. The students' weights and heights were measured. The mean age was 16.5 +/- 1.0 years of age (range = 14-21 years). The mean BMI was 21.0 +/- 3.1, 25.5% of students were underweight, 65.7% were normal, 6.4% were overweight and 2.3% were obese (p = 0.0001). Of all students, 24.3% defined themselves as thin, 45.3% as normal, 24.9% as overweight and 5.5...
TAF Preventive Medicine Bulletin, 2013
ÖZET AMAÇ: Çalışmamızın amacı; Adana ilindeki insanların ilaç kullanım davranışlarını incelemekti... more ÖZET AMAÇ: Çalışmamızın amacı; Adana ilindeki insanların ilaç kullanım davranışlarını incelemektir. YÖNTEM: Planlanan örnek büyüklüğü 1.222 idi. Hazırladığımız Akılcı İlaç Kullanım Anketi görüşmeyi kabul eden 18 yaş üstü 1.111 kişiye telefonla uygulanmıştır. BULGULAR: Katılanların %57,2'si doktora danışmadan ilaç kullanmaktadırlar. Doktora danışmadan ilaç kullananların %98,4'ü ağrı kesicileri kullandığını söylemiştir. Katılımcıların %30,5'i grip ve soğuk algınlığı durumlarında doktora sormadan antibiyotik kullandıklarını, %47,9'u doktorun verdiği antibiyotikleri bitirmeden bıraktıklarını söylemişlerdir, %85,8'i ilaçların son kullanma tarihlerine baktıklarını söylemişlerdir. SONUÇ: Çalışmamıza katılan kişilerin Akılcı İlaç Kullanım Skoruna göre puanlarını hesapladık. 100 üzerinden tüm bireylerin aldıkları ortalama puan 68,3±13,5 bulunmuştur. Bu da Adana ilindeki insanların akılcı ilaç kullanım bilgisinin yeterli olmadığını, halkın eğitimi ile bilinç düzeyinin artırılması gerektiğini düşündürmektedir. SUMMARY AIM: The purpose of our study is to examine the medicine use behaviors of people in Adana. METHOD: The planned sample size was 1,222. The "Rational Use of Drugs Questionnaire" prepared by us was applied to 1,111 voluntary subjects over 18 years old telephone survey. RESULTS: 57.2% of these participants said that they used drugs without consulting a doctor. 98.4% of these participants told that they used analgesics without consulting a doctor. 30.5% said that they used antibiotics without asking a doctor in cases of common cold; 47.9% told that they discontinue the antibiotics the doctor prescribed for them before completely finishing; 85.8% said that they checked the expiry date of the medicines. CONCLUSION: The average Rational Use of Drug Score of all the participants is found to be 68.3±13.5 on the scale of 100. This score shows that the knowledge of the people in Adana about rational use of drug is not sufficient and that education and awareness levels of the people should be raised.
Turkiye Aile Hekimligi Dergisi, 2009
Yontem: ‹c hastal›klar› (‹H), cocuk sal›¤› ve hastal›klar› (CSH), ka- d›n hastal›klar› ve doum (K... more Yontem: ‹c hastal›klar› (‹H), cocuk sal›¤› ve hastal›klar› (CSH), ka- d›n hastal›klar› ve doum (KHD), genel cerrahi (GC), ilkyard›m ve acil (‹YA), psikiyatri (PS) ve aile hekimlii (AH) anabilim dallar›nda cal›flan toplam 125 asistan›n 99'u (%79.2) cal›flmaya kat›ld›. De- mografik ozelliklerini, uzmanl›k eitimi ve oncesi sureclerini, sa¤- l›k durumlar›n› ve sosyal yaflamlar›n› sorgulayan bir anket uygulan- d›. Bulgular: AH asistanlar›n›n yafl ortalamas›, CSH ve KHD asistanla- r›n›n yafl ortalamas›na gore daha yuksekti (p<0,05). ‹H ve GC-‹YA bolumlerinde erkek asistan, dier bolumlerde ise kad›n asistan oran› daha yuksek bulundu (p<0,05). AH asistanlar›n›n pratisyen hekim olarak cal›flt›klar› sure ‹H, CSH ve KHD asistanlar›na gore daha uzundu (p<0,05). PS ve KHD asistanlar›n›n %80-90'›n›n, ‹H asistanlar›n›n yar›s›n›n, AH ve CSH asistanlar›n›n %30-35'inin T›p- ta Uzmanl›k S›nav›'nda (TUS) ilk uc tercihlerine girdikleri saptand› (p<0,05). AH asistanlar›n›n son bir aydaki nobet s›kl›¤› ortalamas› ‹H, CSH, GC-‹YA, asistanlar›n›nkinden dufluktu (p<0,001). Sosyal yaflam ve sal›k durumlar› ac›s›ndan gruplar aras›nda anlaml› bir fark bulunamad›. Sonuc: Demografik ozellikler, uzmanl›k eitimi ve oncesi surecle ilgili baz› parametrelerde asistan gruplar› aras›nda istatistiksel ola- rak anlaml› farkl›klar saptand›. Aile hekimlii uzmanl›¤›n›n TUS'ta tercih s›ralamas›nda ilk uce girme oran›n›n dufluklu¤u disiplinin geliflimi ve gelecei ac›s›ndan dikkate al›nmas› gereken bir bulgu olarak deerlendirildi. Summary Objective: This paper aims to investigate the features and the dif- ferences of the family medicine residents and the residents of the departments the family medicine residents working during their rotations, in the University of Cukurova. Methods: A total of 99 (79.2%) out of 125 residents working in the departments of internal medicine (IM), pediatrics (PED), gyne- cology and obstetrics (G&O), general surgery (GS), emergency medicine (EM), psychiatry (PS), and family medicine (FM) participat- ed in the study. Data about their demographic features, graduate and undergraduate educational processes, health situations, and social lives were collected using a semi-structured questionnaire. Results: The mean age of the FM residents was higher compared to the PED and G&O residents (p<0.05). While the percentage of male residents was higher than the female residents in the IM, GS, and EM clinics, the other clinics mostly have female residents (p<0.05). For the FM residents, the time period which they served as a general practitioner was longer then the IM, PED, and G&O residents (p<0.05). 80-90% of the PS and G&O residents, half of the IM residents, and 30-35% of the FM and PED residents had succeeded in entering one of their first three choices in the Medical Specialization Exam (MSE) (p<0.05). For the FM residents the mean frequency of being on call in a month was found to be lower compared to the IM, PED, GS, and EM residents (p<0.001). There were no significant differences between all groups in terms of social life and health situation. Conclusions: There were statistically significant differences in some of the demographic features and graduate and undergraduate edu- cational processes between the resident groups. For the family medicine discipline, the low percentage of entering one of the first three choices in the MSE, is considered to be important for the development and future of the discipline.
The Tohoku Journal of Experimental Medicine, 2007
Supportive Care in Cancer, 2014
International Journal for Vitamin and Nutrition Research, 2007
Aim: In this epidemiological report, we assessed the prevalence of osteopenia and osteoporosis (O... more Aim: In this epidemiological report, we assessed the prevalence of osteopenia and osteoporosis (OP) in postmenopausal Turkish women and the relationship between body mass index (BMI), and some nutritional factors (habitual tea, coffee, tobacco, and milk product consumption) with OP. Methods: This multicenter study was done in postmenopausal women residing in five big cities, in four different regions of Turkey between August and November 2005. An inclusion criterion was being in the postmenopausal period for at least 12 months. A semi-structured questionnaire was completed by face-to-face interview, consisting of closed- and open-ended questions about demographic characteristics, nutritional status, and habits with two or more choices as possible responses. Bone mineral density (BMD) measurements were performed with a MetriScan® Densitometer (Alara Inc., Ca, USA). Results: Seven hundred twenty-four women were included in the study. The mean age was 57.6 ± 9.6 years, and mean age at ...
Health and Quality of Life Outcomes, 2010
Background: The quality of life in patients with diabetes is reduced and emotional coping with th... more Background: The quality of life in patients with diabetes is reduced and emotional coping with the disease has great impact on patient well-being. Objectives: The aim of this study was to assess the psychological well-being and treatment satisfaction in patients with type 2 diabetes mellitus in primary care. Study Design and Setting: Patients (n = 112) with type 2 diabetes mellitus diagnosis for at least six months were enrolled. The Well-Being Questionnaire-22 and the Diabetes Treatment Satisfaction Questionnaire were used. Physical examination and laboratory investigations were performed. Results: The rates of the achieved targets were 32.1% for hemoglobin A 1c, 62.5% for cholesterol and 20.5% for blood pressure. The mean scores for the general well-being, depression, anxiety, positive well-being and energy were 44.40 ± 13.23 (range = 16-62), 12.65 ± 3.80 (range = 5-18), 10.57 ± 4.47 (range = 1-18), 12.00 ± 4.01 (range = 2-18), and 9.16 ± 2.47 (range = 2-12), respectively. The mean scores for the treatment satisfaction, perception for hyperglycemia and perception for hypoglycemia were 22.37 ± 9.53 (range = 0.00-36.00), 1.71 ± 1.59 (range = 0-6), and 0.51 ± 0.98 (range = 0-6), respectively. There were significant associations between the depression score and the educational status, compliance to diet and physical exercise, and diabetic complications; between the anxiety score and the educational status, glycemic control, compliance to diet and physical exercise; between the energy score and the educational status, compliance to physical exercise, and diabetic complications; between the positive well-being score and the educational status, compliance to diet and physical exercise, complications and type of treatment; between the general well-being score and the educational status, compliance for diet and physical exercise, and complications. Treatment satisfaction was significantly associated to the educational status, glycemic control and compliance to diet and physical exercise. A significant correlation was found between the treatment satisfaction and the well-being. Conclusions: Individualized care of patients with diabetes should consider improving the quality of life. Psychosocial support should be provided to the patients with type 2 diabetes and the negative effects of psychopathological conditions on the metabolic control should be lessened.