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    Evaluation of the knowledge level and attitude of physicians towards obstructive sleep apnea syndrome
    (Bayrakol Medical Publisher, 2021) Sarioglu, Ayse; Ecirli, Samil; Senturk, Hayriye; Pekgor, Selma; Vatansev, Hulya; Bekci, Taha Tahir
    Aim: The knowledge level and approach of physicians in Turkey to obstructive sleep apnea syndrome (OSAS) is unknown. The aim of this study is to evaluate the knowledge level and attitudes of physicians from various branches to OSAS. Materials and Methods: In this cross-sectional analytical study, Obstructive Sleep Apnea Knowledge and Attitude (OSAKA) questionnaire was performed in order to measure knowledge levels and attitudes to OSAS. SPSS 22 package program was used for statistical analysis of data, p-value <0.05 was considered significant. Results: Four hundred forty-four physicians (16 from fundamental sciences, 295 from internal branches, 99 from surgical branches and 34 general practitioners) participated in the study. The mean knowledge score was 11.41 +/- 3.05 (0-18). The knowledge score of physicians aged 30 years and younger was significantly higher than those aged 31 years and older (p <0.001). There was a negative correlation between knowledge score and age of doctors (rs=-0.214, p <0.001). The level of knowledge of pulmonologists and ENT specialists was higher compared to physicians of other branches (p <0.05). No significant difference was detected between the knowledge scores of academicians and non-academicians (p> 0.05). There was no correlation between knowledge scores and academic degrees (rs=-0.072, p = 0.188). It was observed that the knowledge level of physicians whose professional experience was 4 years or less was higher than that of those whose professional experience was 5 years or more (p = 0.001). A negative correlation was also detected between knowledge scores and professional experience (rs=-0.193, p <0.001). Discussion: It was determined that physicians' level of knowledge about OSAS was not sufficient and they felt insufficient about the management of OSAS patients. It would be appropriate to raise awareness of OSAS among practicing physicians within the scope of vocational training as well as in medical faculties and institutions providing specialist training.
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    Gender-Related Changes of the Epicardial Fat Thickness and Leptin in Obstructive Sleep Apnea
    (Wiley, 2014) Akilli, Hakan; Kayrak, Mehmet; Bekci, Taha Tahir; Erdogan, Halil Ibrahim; Aribas, Alpay; Yildirim, Oguzhan; Taner, Alpaslan
    BackgroundEpicardial fat thickness (EFT), an indicator of visceral obesity, and leptin are 2 novel markers for studying the obstructive sleep apnea (OSA) population. This study aimed to investigate the effects of gender on leptin levels and EFT, and the relation with OSA severity. MethodsA total of 149 patients with OSA (female/male 55/94 and mean age 50.89.2 years) and 50 control patients (female/male 24/26 and mean age 48.98.8 years) were included in the study. The study population was divided into 4 groups according to apnea/hypopnea index (AHI) as control (AHI <5), the mild OSA (AHI 5-14), the moderate OSA (AHI 15-29), and the severe OSA (AHI 30). EFT was obtained from parasternal long-axis and parasternal short-axis echocardiographic images. ResultsLeptin levels among females were significantly higher than among males (10.5 [7.8] vs. 5.4 [4.5] ng/mL, P=0.001, respectively). Among women, leptin levels were significantly higher in the severe OSA group compared to the control group (9.8 [9.0] vs. 15.5 [10.1] ng/mL, P=0.05, respectively). Conversely, no relation was observed between OSA severity and the leptin levels among men. EFT was not significantly different between the 2 genders (P>0.05). EFT was thicker in the severe OSA group than in the control and mild OSA groups among women, whereas EFT was not changed according to OSA severity among males (P>0.05). ConclusionLeptin and EFT may be a valuable parameter in the evaluation of OSA severity in women than in men.