Mehmet Ozen | Saglik - Academia.edu (original) (raw)

Papers by Mehmet Ozen

İzmir tepecik eğitim hastanesi dergisi, 2016

Turkish Journal of Family Practice, Sep 25, 2020

2020 © Yayın hakları Türkiye Aile Hekimleri Uzmanlık Derneği’ne (TAHUD) aittir. Medikal Akademi t... more 2020 © Yayın hakları Türkiye Aile Hekimleri Uzmanlık Derneği’ne (TAHUD) aittir. Medikal Akademi tarafından yayımlanmaktadır. Bu makalenin koşullu kullanım hakları Medikal Akademi ve TAHUD tarafından Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) lisansı aracılığıyla bedelsiz sunulmaktadır. Copyright © 2020 Turkish Association of Family Physicians (TAHUD). Published by Medikal Akademi, Istanbul. This article is licensed by Medikal Akademi and TAHUD under the terms of Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) License. Hipotiroidizm, obezite ve depresyon: Zincirin halkaları

Türkiye aile hekimliği dergisi, Mar 15, 2018

Amaç: Çalışmanın amacı katılımcıların kanser taramaları konusundaki bilgi, tutum ve davranış duru... more Amaç: Çalışmanın amacı katılımcıların kanser taramaları konusundaki bilgi, tutum ve davranış durumunu tespit etmekti. Yöntem: Çalışmaya, aile hekimliği polikliniğine muayene amacıyla başvuran 18-69 yaş aralığında 752 kişi katıldı. Katılımcılara kanser taramaları hakkındaki bilgi, tutum ve davranışlarını içeren anket yüz yüze görüşme yöntemiyle uygulandı. Ardından kanser taramaları ile ilgili, araştırmacılar tarafından geliştirilen bir broşür yardımıyla, eğitim verildi ve hangi kanser taramasını yaptırmak istediği sorusu tekrar sorularak, verilen yanıtlar kaydedildi.

PubMed, Feb 1, 2022

It was aimed to evaluate the relationship between frailty and inflammation in people receiving ho... more It was aimed to evaluate the relationship between frailty and inflammation in people receiving home health care. It was a cross-sectional study. Edmonton Frail Scale was used to determine the level of frailty and, neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio were used to determine inflammation. Of 332 people included in the study, 54.82% were females and 45.18% were males. Participants' ages were between 65 and 106. When we examined the frailty of the participants according to the Edmonton Frail Scale, the mean score was 9.403 ± 2.032. The mean neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio of the participants were 4,397±5,038 and 169,363±101,461 respectively. Accordingly, neutrophil-to-lymphocyte ratio was high in men, frail elderly, 75-84 age range, hypertension patients, malnutrition patients; and neutrophil-to-lymphocyte ratio was low in diabetes mellitus, dementia, cerebrovascular accident and hemiplegia. Platelet-to-lymphocyte ratio, another inflammatory marker, was high in men, non-frail elderly, 75-84 age range, hypertension patients and cerebrovascular accident patients; it was low in hemiplegia, malnutrition, dementia, diabetes mellitus. In the study, no statistically significant difference was found between Edmonton Frail Scale and inflammatory markers. More studies are needed on this subject. In addition, we think that examining NLR and PLR values will be useful for monitoring inflammation in frail elderly.

Turkish journal of family medicine and primary care, Jun 20, 2021

Aim: This study aimed to evaluate the demographic characteristics, clinical course, treatment, an... more Aim: This study aimed to evaluate the demographic characteristics, clinical course, treatment, and outcome data of COVID-19 patients confirmed by laboratory tests in Antalya province according to age and the presence of comorbid diseases. Methods: This retrospective, cross-sectional study included 438 patients diagnosed with COVID-19 as confirmed by PCR tests in Antalya between March 16 th and June 15 th , 2020. The study continued with 311 patients after exclusion of patients under the age of 18 as well as those with incomplete data and those receiving health care at private hospitals. The patients were divided into groups according to being under 65 years of age, with or without underlying comorbidities, with or without intensive care unit (ICU) admission, and were compared in terms of demographic characteristics, clinical course, treatment, and outcomes. Results: The study included 311 patients diagnosed with COVID-19 as confirmed by SARS-CoV-2 RT-PCR tests. The mean age was 47.48 ± 18.08 (min: 18, max: 94) years and 252 patients (81%) were under 65, while 52 patients (19%) were 65 and over years of age. Forty-five percent of the patients were women and 55% were men. Comorbidity, namely, hypertension (p<0.001), diabetes mellitus (p=0.010), chronic pulmonary diseases (p=0.001), and cardiovascular diseases (p<0.001) were significantly more common in geriatric patients compared to non-geriatric patients. Patients aged 65 and over, and patients with underlying comorbidities had significantly increased dyspnea, positive chest CT findings, ICU admission, mortality rates and hospitalization time compared to patients under 65 years of age and without comorbidities, respectively. Oseltamivir, favipiravir and levofloxacin were used significantly more in the treatment of geriatric patients and patients with underlying comorbidities. Being 65 and older was determined as a risk factor in univariate and multivariate models for both ICU admission and mortality. Conclusion: As a result, the need for intensive care and mortality rates have increased in COVID-19 patients who are older and/or have underlying comorbidities, indicating the necessity to take measures for preventing the spread of SARS-CoV-2, especially to patients who are older and/or have underlying comorbidities.

Geriatrics & Gerontology International, Jul 24, 2022

STED / Sürekli Tıp Eğitimi Dergisi

Amaç: Bu çalışmada evde sağlık hizmetleri biriminde takipli hastaların yakınlarının ruhsal sağlık... more Amaç: Bu çalışmada evde sağlık hizmetleri biriminde takipli hastaların yakınlarının ruhsal sağlık durumlarının değerlendirilmesi ve ruhsal sağlık durumuna etki eden faktörlerin incelenmesi amaçlanmıştır. Gereç-Yöntem: Tanımlayıcı ve kesitsel tipte olan bu araştırma 1 Temmuz 2021- 31 Ekim 2021 tarihleri arasında Antalya Eğitim ve Araştırma Hastanesi Evde Sağlık Hizmetleri Birimi’ne başvuran 97 hasta yakını ile gerçekleştirildi. Veriler araştırmacılar tarafından hazırlanan sosyodemografik veri formu ve Kessler Psikolojik Sıkıntı (K-10) PSÖ ölçeği kullanılarak toplandı. Veriler tanımlayıcı istatistikler, One Way Anova testi, Spearman korelasyon analizi, Kruskall Wallis ve Ki-kare testi kullanılarak analiz edildi. Bulgular: Çalışmada hastalara bakım veren 97 katılımcının yaş ortalaması 54,94±11,95’ti.73’ü (%75,3) kadın, 24’ü (% 24,7) erkekti. Hasta bakıcıların 44’ünün (%45,4) psikolojik durumu K-10 PSÖ ölçeğine göre iyi iken, 19‘unun (%19,6) hafif ruhsal bozukluğu, 12’sinin (%12,4) orta...

Turkish Journal of Family Medicine and Primary Care, 2019

Evidence based medicine is a medical decision making approach using the best available medical ev... more Evidence based medicine is a medical decision making approach using the best available medical evidence. For this, the research question should be clearly defined, the evidence should be investigated, the evidences should be assessed, the medical decisions must be made and implemented and the results of the implementation should be observed. Meta-analysis and systematic review are at the top of the evidence based-pyramid at evidence based medicine. Meta-analysis is an original article that it is the synthesis of a large number of researches to reach a large number of data, provides more reliable information about the subject being searched. When the meta-analysis is prepared; the research question is determined, the literature is searched and appropriate studies are selected, the selected researches are coded, the effect size is calculated, the data are analyzed again according to the effect sizes and meta-analysis is written respectively. The PRISMA Protocol is often used in conduc...

Konuralp Tip Dergisi, Aug 30, 2021

This study has aimed to reveal the opinions of family physicians on the COVID-19 vaccine. Methods... more This study has aimed to reveal the opinions of family physicians on the COVID-19 vaccine. Methods: The data collection forms prepared for this cross-sectional study were converted into an online questionnaire form and sent to the physicians working as family physicians in different provinces of Turkey between December 2020-January 2021 via emails (GoogleGroups) and communication groups (Facebook, WhatsApp, etc.). The responses of 494 family physicians in Turkey, who were accessible through this method and volunteered to participate in the study, were recorded to be analysed. Results: Of the 494 family physicians in our study, 6.3% (n=31) appeared to have no intention of getting vaccinated against the COVID-19, whereas 13.2% (n=65) were undecided. The opinion towards which the participants in our study had the highest positive attitude was related to the necessity to provide everyone with the COVID-19 vaccine', while the most obvious negative attitude was related to the view that the efficacy of the vaccine has not yet been tested sufficiently. Conclusions: Although a significant majority of family physicians have a positive attitude towards the need for administering the COVID-19 vaccine, more than half have expressed a negative or indecisive attitude towards relying on the statements made about the vaccine and its efficacy, which is said to have been adequately tested. For the desired levels can be reached in terms of vaccination rates, it is necessary to inform family physicians about the efficacy and benefits of the vaccine and to convey this information to individuals through family physicians.

The Turkish Journal of Geriatrics

Introduction: This study aimed to investigate the relationship between allcause mortality and the... more Introduction: This study aimed to investigate the relationship between allcause mortality and the values of red-cell distribution width, mean platelet volume, platelet-to-lymphocyte ratio, and neutrophil-to-lymphocyte ratio in geriatric patients who had become bedridden.

PSYCHIATRIA DANUBINA

Background: Our study aimed to evaluate the extent of family physicians' anxiety about the viral ... more Background: Our study aimed to evaluate the extent of family physicians' anxiety about the viral epidemic and work-related stress associated with the viral epidemic as well as examining the effects of COVID-19 vaccination period on such situations. Subjects and methods: Data collection forms including the SAVE-9 scale, prepared for this cross-sectional study, were converted into online questionnaires and sent to family physicians in order to evaluate and examine the extent of anxiety and stress of family physicians working as family physicians in different provinces of Turkey via e-mails and communication groups between December, 2020 and March, 2021. The responses of 500 family physicians who were accessible in this way and volunteered to participate in the study were recorded to be analysed. Of all the 500 physicians, the SAVE-9 scale was re-administered to the subgroup of 50 family physicians in the post-vaccination period. The responses were compared with those received in the prevaccination period. Results: Of all the 500 family physicians in this study, 40.6% of them were found to be in a state of anxiety about the viral epidemic. In particular, the scores of anxiety about the viral epidemic and of work-related stress were found much higher in female physicians and in those reporting that they had inadequate income. While there was a significant decline in the scores of anxiety about the viral epidemic in the subgroup in the post-vaccination period of health care workers, no statistically significant change was found in work-related stress scores. Conclusion: Family physicians have been suffering anxiety due to the pandemic. The vaccination period has a positive impact on anxiety levels.

Konuralp Tıp Dergisi, 2019

Amaç: Çalışmada, İngiltere’de Ulusal Sağlık Hizmetleri kapsamında birinci basamaktaerişkinlerin f... more Amaç: Çalışmada, İngiltere’de Ulusal Sağlık Hizmetleri kapsamında birinci basamaktaerişkinlerin fiziksel aktivite düzeyini değerlendirmek için kullanılan “General PracticePhysical Activity Questionnaire (GPPAQ)” adlı ölçeğin Türkçeye uyarlanarak geçerlilik vegüvenilirliğinin araştırılması amaçlanmıştır.Gereç ve Yöntem: GPPAQ’in Türkçeye uyarlaması; ileri çeviri, İngilizceye geri çeviri,orijinalle karşılaştırma, uzman görüşü alınması, deneme ve Türkçe anketin son halininhazırlanması aşamaları gerçekleştirilerek yapıldı. GPPAQ’in Türkçesi “Birinci Basamak içinFiziksel Aktivite Anketi (BBFAA)” olarak adlandırıldı. Anket, Temmuz-Eylül 2015 tarihleriarasında Aile Hekimliği Polikliniğine başvuran 16-74 yaş arası gönüllülere uygulandı. Ayrıcademografik bilgi formu dolduruldu ve Uluslararası Fiziksel Aktivite Anketi-Kısa Formu(UFAA-KF) uygulandı. Sonuçlar SPSS 22.0 ile değerlendirildi. Geçerlilik ve güvenilirlikçalışması için Cronbach alfa ve faktör analizi kullanıldı, ayrıca BBFAA’nın UFAA...

International journal of ophthalmology, 2011

AIM To adapt the low vision-related quality of life (LVQOL) instrument into Turkish language and ... more AIM To adapt the low vision-related quality of life (LVQOL) instrument into Turkish language and to assess its validity and reliability. METHODS The study was conducted in 387 patients attending the Centre of Low Vision Rehabilitation, Faculty of Medicine, Ankara University. For statistical analyses, the Spearman's correlation coefficient, Cronbach's alpha coefficient and Confirmatory Factor Analysis (CFA) were used. RESULTS According to results of CFA, the item in the "Adjustment" subscale because of having the factor loading below 0.40, was excluded from the questionnaire. The reliability of the questionnaire was assessed according to Cronbach's alpha coefficients. The reliability of the "Distance Vision, Mobility, and Lighting" subscale was α=0.863; of the "Adjustment" subscale wasα=0.694; "Reading and Fine Work" wasα=0.791, and "Activities of Daily Living" was α=0.770. So these results indicate that the questionnaire ...

Biomedical Research-tokyo, 2017

Background: First trimester screening is a program used to identify any chromosome abnormalities ... more Background: First trimester screening is a program used to identify any chromosome abnormalities in the first trimester of pregnancy by combining ultrasonography and biochemical markers. The aim of this study is to analyse the relationship between ultrasonography (NT, CRL) and biochemical markers (PAPP-A, β-hCG) with the levels of paraoxonase (PON1), a multifunctional enzyme associated with High-Density Lipoprotein (HDL) and Arylesterase (ARE)-level PON1 phenotypic distribution which are the parameters used in the first trimester screening program. Materials and Methods: Included in the study were pregnant women (n=114) in weeks 11-13 of pregnancy who had undergone first trimester screening tests. Risks were determined through the use of Benetech PRA software, Serum PON1, ARE and stPON1 values were analysed, and PON1 phenotypic distribution was determined through the double substrate method. Results: No significant correlation was found between the results of the PON1 and ARE activi...

International Journal of Medical Science and Clinical Invention, 2021

Background: The COVID-19 pandemic has caused more than 60 million confirmed cases and approximate... more Background: The COVID-19 pandemic has caused more than 60 million confirmed cases and approximately 1.5 million deaths all over the world as of December 1st, 2020. So it’s important to predict the clinical course of infected patients and to prevent the disease course from worsening with early intervention. Aim: This study aimed to evaluate the new generation inflammation markers such as NLR, MPV and RDW in predicting the need for intensive care of COVID-19 patients. Methods: The retrospective cross-sectional study included 112 patients whose hemogram parameters were checked simultaneously with the diagnosis of COVID-19, hospitalized in public hospitals in Antalya province between March 16th and June 15th, 2020. Patients treated in the intensive care unit and treated only in the ward were compared according to laboratory data, and the predictive effect of study parameters on the need for intensive care was investigated. Results: Of the patients 43.8% were female and 56.3% were male. ...

The Journal of Tepecik Education and Research Hospital, 2016

çalışan kadın hekimlerin serviks kanseri, risk faktörleri ve bu kanserden korunma yöntemleri ile ... more çalışan kadın hekimlerin serviks kanseri, risk faktörleri ve bu kanserden korunma yöntemleri ile ilgili bilgi düzeylerinin saptanması, erken tanıda rutin olarak önerilen Pap smear testi konusundaki tutumlarının tespit edilmesidir. Yöntem: Araştırmamız kesitsel bir anket çalışmasıdır. Anket formumuzda katılımcılara demografik özelliklerini saptamaya yönelik sorular, serviks kanserinin risk faktörleri ve korunmada etkili yöntemler ile ilgili sorular ve Pap smear yaptırma durumları sorulmuştur. Anketi doldurmayı kabul etmeyenler çalışma dışı bırakılmıştır. Bulgular: Çalışmamıza 141 kadın hekim katılmıştır. Katılımcıların %99,3'ünün serviks kanserine HPV'nin neden olduğunu, %97,9'unun da ilk cinsel deneyim yaşının erken olmasının serviks kanseri riskini artırdığını bildikleri saptanmıştır. Katılımcıların %49,6'sı daha önce hiç Pap smear testi yaptırmamış, %29,8'i düzensiz ve %20,6'sı düzenli olarak olarak yaptırmıştır. Çalışmamızda test yaptırmama nedeni en sık; "herhangi bir yakınması olmadığı için ihtiyaç duymamak", "jinekolojik muayeneden çekinmek" ve "kendini risk altında görmemek" olarak tespit edilmiştir. Sonuç: Birincil amacımız tüm sağlık çalışanlarını serviks kanseri ve Pap smear taramaları konusunda doğru şekilde bilgilendirmek olmalıdır. Böylece sağlık çalışanları da toplumun bilgilendirilmesine katkıda bulunabilirler.

Canadian Journal of Ophthalmology

International Journal of Ophthalmology, 2011

Sonuç:"Uyum" boyutunda yer alan son madde ölçekten çıkarıldığında, LVQOL'nin az gören Türk hastal... more Sonuç:"Uyum" boyutunda yer alan son madde ölçekten çıkarıldığında, LVQOL'nin az gören Türk hastaların yaşam kalitesinin değerlendirilmesinde bütün alt boyutlarının güvenilir, geçerli ve uygun olduğu bulunmuştur.

Croatian Medical Journal, Mar 1, 2002

Aim. To explore how satisfied family medicine residents are with their training in teaching hospi... more Aim. To explore how satisfied family medicine residents are with their training in teaching hospitals and current postgraduate training program. Methods. We surveyed 135 family medicine residents in 5 teaching hospitals in Ankara region. The residents were asked to fill out the questionnaire at their work place. The questionnaire consisted of 23 open-and closed-ended questions about general demographic data, training conditions, appropriateness of training, and quality of training delivered by clinical teachers in family medicine. The response rate was 75%. Results. Seventy percent of respondents found the order of rotation important. Most residents were satisfied with the duration of rotation. Eighty two percent of residents found basic skills taught during the course of the training to be insufficient. Fifty five percent of the participants felt that training in teaching hospitals was not sufficient, and majority desired training in family practice settings. Ninety-nine respondents suggested establishing a coordinating center for family medicine training and training of clinical teachers in topics relevant to family practice. Conclusion. Family medicine residents were generally dissatisfied with their training in major teaching hospitals in Turkey. Postgraduate family medicine curriculum needs to be changed and opinions of residents regarding their training should be taken into consideration.