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Öğe Brain-Derived Neurotrophic Factor Levels in Children with Asthma and Isolated Chronic Cough(Mary Ann Liebert, Inc, 2016) Guc, Belgin Usta; Asilsoy, Suna; Cihan, Fatma GoksinStudies show that neurogenic inflammation is implicated in the pathogenesis of chronic cough. Neurotrophins (NTs) regulate the synthesis of neuropeptides, which cause neurogenic inflammation. There is growing evidence suggesting their involvement in airway inflammation. The role of the brain-derived neurotrophic factor (BDNF), a member of the NT family, is not clear in chronic cough. The aim of this study was to evaluate the role of BDNF in children with nonspecific isolated chronic cough and to compare the differences between patients with asthma and healthy controls. In this case-control study, we included 30 patients with chronic cough (5-15 years) as the patient group. As the control group, 28 asthma patients under control, 30 children with asthma attacks, and 30 healthy children were included. Serum BDNF levels were measured by ELISA in all groups. The median of BDNF levels was 708.12 pg/mL (155-974) in the patient group, 952.94 pg/mL (220-1,018) in the controlled asthma group, 852.09 pg/mL (355-1,036) in the uncontrolled asthma patients, and 572.65 pg/mL (213-818) in the healthy children group. There were differences in the patient group and control groups regarding the BDNF levels (for the patient group and the controlled asthma group, P = 0.0014; for the patient group and the uncontrolled asthma patients, P = 0.0009; for the patient group and healthy children group, P = 0.05). The BDNF levels of asthma patients were statistically different from healthy children (P = 0.0001). Neurogenic inflammation was implicated in the pathogenesis of chronic cough. In patients with chronic cough, high BDNF levels may support the presence of asthma.Öğe THE COMPARISON OF VITAMIN D LEVELS OF HEALTHY AND GESTATIONAL DIABETIC PREGNANT WOMEN(Derman Medical Publ, 2017) Pekgor, Selma; Basaran, Mustafa; Cihan, Fatma Goksin; Pekgor, AhmetAim: To evaluate and compare 25-hydroxyvitamin D [25(OH)D3] levels of women with gestational diabetes mellitus (GDM) and those with normal glucose tolerance (NGT). Material and Method: A total of 40 women (20 with GDM and 20 with NGT) admitted to the clinic of obstetrics and gynecology due to follow-ups between the 24th and 28th gestational weeks and exposed to 50 and/or 100 gr oral glucose tolerance testing (OGTT) were enrolled into this prospective case-controlled study. Patients with GDM and controls with NGT were defined according to the 2013 criteria of the American College of Obstetricians and Gynecologists (ACOG). Age, height, weight, body mass index (BMI), history of previous diseases and surgeries, vitamin D replacement, clothing style (in this region 95% of participants dress in a style that prevents the sun from reaching skin) exercising status, and familial history were recorded. Serum samples were collected between the 24th and 28th gestational weeks to measure 25(OH)D3 levels via the chemiluminescence method. Results: Mean 25(OH)D3 levels were found as 8.71 +/- 3.36 ng/mL (ranging from 4.20 to 18.84). Vitamin D deficiency (< 10 ng/mL) and insufficiency( 10-30 ng/ml) were observed at the rate of 70% and 30%, respectively. 25(OH)D3 levels were 9.40 +/- 3.53ng/mL in patients with GDM and 8.0 +/- 3.11 ng/mL in controls with NGT. In terms of vitamin D deficiency, no statistically significant difference was found between the GDM and NGT groups. Discussion: 25(OH)D3 levels were found to be similar or lower in patients with GDM and those with NGT. We consider that prospective, randomized-controlled and comprehensive studies with larger populations are needed to illuminate the role of 25(OH)D3 levels in the development of GDM.Öğe Evaluation of 25-Hydroxyvitamin D Levels in Central Anatolia, Turkey(Hindawi Ltd, 2018) Solak, Ibrahim; Cihan, Fatma Goksin; Mercan, Seher; Kethuda, Tugba; Eryilmaz, Mehmet AliBackground/Aim. The aim of this study is to evaluate serum 25-hydroxyvitamin D levels measured within one year at an Education and Research Hospital in Turkey to identify vitamin D insufficiency/deficiency (which is very commonly seen in the society) and to provide a current approach to treatment management. Materials and Methods. This retrospective descriptive study was carried out by examining the data relating to 35,667 individuals. Results. Of the individuals participating in the study, 94.47% had a serum 25-hydroxyvitamin D level less than 30 ng/ml, 76.25% had a serum 25-hydroxyvitamin D level less than 20 ng/ml, and 32.20% had a serum 25-hydroxyvitamin D level less than 10 ng/ml. The mean serum 25-hydroxyvitamin D level of all individuals included in the study was 15.2 +/- 8.8 ng/ml. The mean serum 25-hydroxyvitamin D level was 14.5 +/- 8.8 ng/ml among women and 18.1 +/- 8.4 ng/ml among men, respectively (p<0.001). Conclusion. Vitamin D deficiency/insufficiency is widespread in the world and in Turkey. The data obtained from this study suggest that without measuring serum 25-hydroxyvitamin D level will be cost-effective in every age group (except for those are at risk of toxicity) as in children aged 0-1 year old in Turkey and that making a decision in this direction will make a great contribution to the economy of the country.Öğe Evaluation of alexithymia, anger and anxiety depression levels in smokers(Taylor & Francis Inc, 2024) Alagoz, Yasemin; Cihan, Fatma Goksin; Kutlu, Ruhusen; Alagoz, Celal; Eren, I'brahim; Ecirli, SamilObjectiveSmoking is a major mental health concern due to its addictive nature and its status as the leading preventable cause of premature death worldwide. This study aimed to examine the levels of alexithymia, anger, anxiety, and depression in smokers compared to nonsmokers.Materials and MethodsThis case-control study involved 176 smokers from a Smoking Cessation Clinic and 175 age- and gender-matched nonsmokers. Participants completed assessments using the Toronto Alexithymia Scale (TAS-20), State-Trait Anger Expression Inventory (STAXI), and Hospital Anxiety and Depression Scale (HADS). Nicotine dependence in smokers was measured using the Fagerstrom Nicotine Dependency Test. Statistical analysis was performed using SPSS 22.0.FindingsSignificant differences were observed between smokers and nonsmokers in TAS, TAS-1, TAS-2, HADS-A, and HADS-D scores. Smokers exhibited higher levels of alexithymia, anger expression, and anxiety, while nonsmokers demonstrated better anger control. Additionally, addiction levels in smokers were associated with variations in TAS, TAS-1, TAS-2, TAS-3, STAXI scores (SA, AC, AI, AO), and HADS-A, highlighting a complex interplay between addiction, psychological factors, and smoking habits.ResultThis study establishes a link between smoking status, addiction levels, and elevated alexithymia, anger, anxiety, and depression. The findings underscore the psychological impact of smoking, contributing valuable insights for mental health interventions in individuals with smoking habits.Öğe Evaluation of bowel habits in patients with acne vulgaris(Wiley, 2021) Daye, Munise; Cihan, Fatma Goksin; Isik, Begum; Hafizoglu, BernaPurpose To evaluate the bowel habits of patients with acne vulgaris. Method In this case-control study, socio-demographical characteristics of the participants (age, gender, marital status, educational status, profession, economic status, smoking-alcohol habits, chronic diseases, previous operations, people they live with and diet) were questioned and the global acne grading scores of the patients were calculated. Bristol Stool Scale, Rome III IBS Criteria, International Physical Activity Questionnaire-Short Form, Hospital Anxiety Depression and KADF (dietary fibre information) scales were completed. Results The patient group consisted of 102 participants and the control group consisted of 104 participants. The mean age was 20.9 +/- 3.9 years old in the case group and 21.8 +/- 5.0 years old in the control group. Patient and control groups were similar in terms of age and gender. Smoking rates were significantly higher in the patient group (P = .035). The amount of coffee consumed/day was significantly higher in the patient group (P = .040). According to the global acne grading scores, 55.9% (n = 57) had medium, 39.2% (n = 40) had mild, 3.9% (n = 4) had severe and 1% (n = 1) had very severe acne. Anxiety scores were found to be significantly higher in the patient group (P = .005). When the case and control groups were compared for IBS presence, no significant difference was found (P = .317). Also, IBS was not related to acne severity (P = .162). Conclusion Further large sample sized studies are needed on this subject, as there is strong evidence about brain-gut-skin axis existence.Öğe Evaluation of clinical practice guideline quality: comparison of two appraisal tools(Oxford Univ Press, 2020) Koc, Esra Meltem; Aksoy, Hilal; Baser, Duygu Ayhan; Artantas, Aylin Baydar; Kahveci, Rabia; Cihan, Fatma GoksinObjective: The tools used for critically appraising the quality of clinical practice guidelines are complex and not suitable for the busy end users. So rapid, effective and simple instruments are more preferred. The aim of this study is to compare two critical appraisal tools: iCAHE as a rapid instrument and AGREE II as a complex instrument on guideline quality assessment. Material and Methods: The diabetes mellitus guidelines of the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Clinical Excellence (NICE), the International Diabetes Federation (IDF) and the Society of Endocrinology and Metabolism of Turkey (SEMT) were assessed separately by four appraisers using the iCAHE and AGREE II instruments. The mean iCAHE criteria scores and the total and domain AGREE II scores given by the four appraisers are presented for each guideline. Results: No statistically significant difference was detected between the iCAHE scale scores of the guidelines evaluated (P = 0.063). The rank of the guidelines according to their average total iCAHE and AGREE II instrument scores was similar. The iCAHE mean scores of the guidelines were as follows: NICE, 92.85%; SIGN, 92.85%; IDF, 66.07% and SEMT, 73.21%. The AGREE II mean scores of the guidelines were as follows: NICE, 87.13%; SIGN, 78.25%; IDF, 53.44% and SEMT, 53.22%. Conclusions: In addition to being a quality scale, the iCAHE checklist is easy, practical and short to implement. It also helps the users to understand the quality of the guideline in a shorter time. To increase the use of guidelines, it is important that users with little experience and time use the iCAHE scale as a rapid appraisal tool, but more studies are needed to decide the best appraisal tool.Öğe EVALUATION OF GERIATRIC PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT DUE TO A TRAFFIC ACCIDENT(Gunes Kitabevi Ltd Sti, 2017) Mesin, Mehmet Zahid; Cihan, Fatma Goksin; Pekgor, Selma; Kutlu, Ruhusen; Eryilmaz, Mehmet Ali; Koylu, RamazanIntroduction: The aim of this study was to evaluate patients aged 65 years and older who were admitted to hospital due to a traffic accident through the last year retrospectively. Materials and Methods: The study included 204 elderly patients admitted to the emergency department of Konya Training and Research Hospital due to a traffic accident between 1st November 2014 and 30th October 2015. The socio-demographic characteristics, accident stories, and treatments of these patients were examined. The data were analyzed by statistical tests. Results: Of the patients, 64.7% (n = 132) were male and 35.3% (n = 72) were female. The traffic accidents occurred most frequently in the spring and summer time (p < 0.001). During winter months, the accidents occurred between 06.00 and 11.59 hours at most, but in other seasons they occurred between 12.00 and 17.59 hours more frequently (p < 0.001). Of the admitted patients, 4.4% (n = 9) lost their lives and 6.9% (n = 14) were hospitalized at the intensive care unit. While 56.4% (n = 115) of the patients were discharged from the emergency department by recovery, 43.6% (n = 89) of the patients were referred to 17 different clinics. Injuries were sustained to one or more parts of the body in 93.1% (n = 190) of the patients. The patients with head trauma had the highest mortality (p. 0.001). Conclusion: New strategies are needed to prevent traffic accidents and to treat geriatric patients more effectively after a traffic accident.Öğe Evaluation of knowledge levels and attitudes of health management department students about epilepsy disease; a cross-sectional study(Academic Press Inc Elsevier Science, 2022) Durmaz, Funda Gokgoz; Cihan, Fatma Goksin; Sevinc, Ismail; Kizmaz, MuhammetAim: We aimed to evaluate the knowledge levels and attitudes of the students of the Department of Health Management about epilepsy. Method: This descriptive and cross-sectional study was conducted with the voluntary participation of 238 health management department students in their first and third years of study who were registered at the Faculty of Health Sciences summer school exam. We collected the data through a research questionnaire form and the Epilepsy Knowledge and Attitude Scales. Results: Girls accounted for 66.6% (n = 157) all participants, 53.4% of them were 1st year (n = 127), whereas 46.6% (n = 111) were third-year students. Their mean age was 19.97 +/- 1.46 years. Among these participants, 52.9% grew in the province (n = 126), 20.6% were smoking, 5% had epilepsy, and 36.6% had relatives with epilepsy. The mean epilepsy knowledge scale score was 5.64 +/- 4.41 and the mean epilepsy attitude scale score was 52.55 +/- 9.98. The third-year students' epilepsy knowledge score was significantly higher than their first-year counter parts (p < 0.001). We found no statistically significant difference between the first and third-year participants in attitude scores (p = 0.907). A moderate positive correlation was found between the students' knowledge level scores about epilepsy and their total attitude scores (r = 0.405, p < 0.001). The female students had a more positive attitude toward epilepsy and higher scores on the epilepsy knowledge scale than their male counterparts (p = 0.001, p = 0.005, respectively). Students who knew someone with epilepsy had higher epilepsy knowledge and attitude scale scores than those who did not (p = 0.001, p = 0.005 respectively). Conclusion: The epilepsy knowledge levels and attitude scale scores of health management students were found to be low. Third-year students were found to have higher knowledge levels than first-year students but there was no statistically significant difference between their attitude scores. More education opportunities should be provided for students of the Department of Health Management about this common chronic disease.Öğe Evaluation of peripheral lymphadenopathy with excisional biopsy: six-year experience(E-Century Publishing Corp, 2015) Ozkan, Esra Akyuz; Goret, Ceren Canbey; Ozdemir, Zeynep Tuba; Yanik, Serdar; Goret, Nuri Emrah; Dogan, Meryem; Cihan, Fatma GoksinBackground: Lymphadenopathy (LAP) may be the first symptom of many diseases. We aimed to investigate peripheral LAP results taken by excisional biopsy. Methods: Histopathological examination of 185 lymph node biopsy specimens were evaluated between January 2009 and April 2015 in Istanbul Private Ekin Pathology Laboratory, retrospectively. Results: The average age of patients ranged from 1 to 86 was 41.01 +/- 20.62 years. 87 of were female, 98 of male. 62 (33.5%) of excisional biopsy materials were benign lesions and 123 (66.5%) of malignant. Benign lesions were consisted of reactive hyperplasia, cat-scratch disease, toxoplasmosis, necrotizing/nonnecrotizing granulomatous. Of these patients, 40 had nodes with reactive hyperplasia (15 female/25 male, mean age: 27.35 y), 14 had necrotizing granulomatous disease (9 female/5 male, mean age: 39.86 y), 2 non-necrotizing granulomatous disease (1 female/1 male mean age: 43 y), 4 had cat-scratch disease (1 female/3 male mean age: 54.25 y), 1 toxoplasmosis (26 y, female), 1 Kikuchi disease (25 y, female). In the evaluation of malign lesions; 38 were Hodgkin lymphoma (HL) (20.5%, 17 female/21 male, mean age: 34.89 y) 77 had non-Hodgkin lymphoma (NHL) (41.6%, 37 female/40 male, mean age: 52.26 y), 8 metastasis (4.3%, 5 female/3 male, mean age: 53.5 y). Reactive LAP observed most common in cervical region, NHL in axillary-abdomen-inguinal-mediastinum and HL in the supraclavicular region. Conclusion: Excisional biopsy can be applied safely with minimal morbidity and mortality and a gold standard diagnostic method for LAP. Although LAP is mostly related with benign lesions, malignancy should be kept in mind in differential diagnosis.Öğe Evaluation of skin problems and dermatology life quality index in health care workers who use personal protection measures duringCOVID-19 pandemic(Wiley, 2020) Daye, Munise; Cihan, Fatma Goksin; Durduran, YaseminThe aim of this study was to evaluate the skin problems and dermatological life quality of the health care workers (HCWs) due to personal protection equipment (PPE) use, who are at high risk for COVID-19 infection. A questionnaire about HCWs' PPE use, their skin symptoms, and prevention, management methods and Dermatology Life Quality Index (DLQI) was fulfilled. The median age of 440 participants was 33.5 (21.0-65.0) years old. Skin problems were found to be 90.2%, the most common were dryness, itching, cracking, burning, flaking, peeling and lichenification. The presence of skin problems (P < .001) was higher in those who did not use moisturizers. Of all, 22.3% (n = 98) stated that the use of PPE increased the severity of their previously diagnosed skin diseases and allergies (P < .01). Only 28.0% (n = 123) stated that they know the skin symptoms that may develop by using PPE. The proper hand washing rate was higher as education level increased (P < .001). Skin problems were higher in those using mask with metal nose bridge (P: .02 andP: .003, respectively). As the mask using period prolonged, acne was more common (P: .02). DLQI was significantly affected in women (P= .003), and with increased skin problems related to PPE (P < .001). It is important to organize trainings on prevention and management of possible skin symptoms due to PPE use according to guidelines.Öğe Faun tail: a rare cutaneous sign of spinal dysraphism(Dermatovenerological Soc Slovenia, 2015) Kurtipek, Gulcan Saylam; Cihan, Fatma Goksin; Oner, Vefa; Ataseven, Arzu; Ozer, Ilkay; Akman, ZahideFaun tail is a triangle-shaped hypertrichosis of the lumbosacral region. It is a rare condition and it can be a cutaneous marker of underlying spinal cord anomaly. We report on a 17-year-old female patient with hypertrichosis on the lumbosacral area since birth that was later diagnosed with tethered cord in magnetic resonance imaging.Öğe Faun tail: a rare cutaneous sign of spinal dysraphism(Dermatovenerological Soc Slovenia, 2015) Kurtipek, Gulcan Saylam; Cihan, Fatma Goksin; Oner, Vefa; Ataseven, Arzu; Ozer, Ilkay; Akman, ZahideFaun tail is a triangle-shaped hypertrichosis of the lumbosacral region. It is a rare condition and it can be a cutaneous marker of underlying spinal cord anomaly. We report on a 17-year-old female patient with hypertrichosis on the lumbosacral area since birth that was later diagnosed with tethered cord in magnetic resonance imaging.Öğe The Frequency of Autoimmune Thyroid Disease in Alopecia Areata and Vitiligo Patients(Hindawi Ltd, 2015) Kurtipek, Gulcan Saylam; Cihan, Fatma Goksin; Demirbas, Sule Erayman; Ataseven, ArzuAim. Many studies demonstrated that alopecia areata (AA) and vitiligo are commonly associated with autoimmune thyroid diseases. We aimed to investigate the frequency of thyroid dysfunctions and autoimmunity related with vitiligo and AA. Material and Methods. 200 patients, 92 AA and 108 vitiligo diagnosed, were surveyed retrospectively. The control population was in reference range and from Konya, central Anatolian region of Turkey. Thyroid function tests (free T-3, free T-4, and TSH) and serum thyroid autoantibody (anti-TG, anti-TPO) levels were evaluated in all patients. Results. In vitiligo patients, 9 (8.3%) had elevated anti-TG levels and 16 (14.8%) had elevated anti-TPO, and in 17 patients (15.7%) TSH levels were elevated and 3 (2.8%) patients had elevated fT(4) levels and 5 (4.6%) had elevated fT(3) levels. Within AA patients, 2 (2.2%) had anti-TG elevation and 13 (14.1%) had anti-TPO elevation, in 7 patients (7.6%) TSH were elevated, and in 1 patient (1.1%) fT(4) were elevated and 5 (5.4%) patients had elevated fT(3) levels. Conclusion. In our study, impaired thyroid functions and thyroid autoantibodies in vitiligo and AA patients were identified at lower rates than the previous studies. According to results of this study there is no need for detailed examination in alopecia areata and vitiligo patients without clinical history.Öğe Frequency of sarcopenia and associated outcomes in patients with chronic obstructive pulmonary disease(Tubitak Scientific & Technological Research Council Turkey, 2020) Demircioglu, Havva; Cihan, Fatma Goksin; Kutlu, Ruhusen; Yosunkaya, Sebnem; Zamani, AdilBackground/aim: We aimed to evaluate the prevalence of sarcopenia and associated outcomes in patients with chronic obstructive pulmonary disease (COPD). Materials and methods: This cross-sectional study was performed on 219 patients aged 50 years and over who were diagnosed with chronic obstructive pulmonary disease (COPD) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. The study included 196 (89.5%) male and 23 (10.5%) female patients. The mean age of the patients was 66.9 +/- 10.1 years. To diagnose sarcopenia, muscle function was determined by a gait speed test. Muscle strength was assessed with a hand dynamometer and muscle mass was measured with a bioelectrical impedance analysis device. Pulmonary function tests and six-min walking tests were also performed. The modified Medical Research Council (mMRC) dyspnoea scale was used to evaluate all the participants. Our sample consisted of sarcopenic patients at different stages (17 presarcopenic patients (7.8%), 32 patients with sarcopenia (14.6%), 65 patients with severe sarcopenia (29.7%), and 105 nonsarcopenic patients (47.9%). Results: Sarcopenia was significantly associated with age, BODE (body mass index (BMI), airflow obstruction, dyspnoea, and exercise capacity) index, GOLD spirometric classification, mMRC dyspnoea scale score, BMI, and educational status. Sarcopenia in COPD patients was firmly related to the severity of the disease and its prognosis. The prevalence of sarcopenia increased in severe and very severe COPD cases. The dyspnoea score was higher, and exercise capacities were lower in sarcopenic patients. Conclusions: Sarcopenia in COPD patients was closely related to the severity of COPD and a negative prognosis. The frequency of sarcopenia increased in severe and very severe COPD cases. Dyspnoea scores were higher and exercise capacities were lower in patients with sarcopenia. In patients with COPD, a diagnosis of sarcopenia should be considered, and preventive measures should be taken before irreversible changes develop.Öğe Human papillomavirus (HPV) subtypes and their relationships with cervical smear results in cervical cancer screening: a community-based study from the central Anatolia region of Turkey(E-Century Publishing Corp, 2019) Findik, Siddika; Findik, Serkan; Abuoglu, Seyfettin; Cihan, Fatma Goksin; Ilter, Huseyin; Iyisoy, Mehmet SinanObjective: Cervical cancer can be diagnosed early by cancer screening programs. The aim of this study was to evaluate the cervical smear test results of healthy women. Methods: We enrolled 94,848 healthy women from 30-65 years of age in whom both HPV typing and a cervical smear test was performed between 2014 and 2017. Results: HPV was detected in 3001 women (3.16%). The mean age was 42 +/- 8.94 years old. Positive HPV types were HPV16; HPV16 and multiple infection; HPV31; HPV51; HPV39; HPV52; HPV56; HPV18; HPV68; HPV35; HPV18 and multiple infection; HPV58; HPV45; HPV59; HPV16, HPV18 and multiple infection; HPV16 and 18; and HPV33, in descending order. Cytology results were normal in 63.61%. We also identified atypical squamous cells of undetermined significance in 6.60%, atypical squamous cells-cannot exclude high-grade squamous intraepithelial lesion in 0.73%, low-grade squamous intraepithelial lesion in 10%, high-grade squamous intraepithelial lesion and atypical glandular cells in 0.53%, and adenocarcinoma in situ in 0.03%. In terms of HPV subtypes, abnormal smear results were divided into an HPV16, HPV18, and multiple infection group (25%), an HPV35 group (23.61%), an HPV 16 and multiple infection group (22%), and an HPV16-only group (21.85%). Most cases of HPV (39.02%) and abnormal cytology (43.04%) were detected between the ages of 30 and 40. Conclusions: This study is remarkable because it is a community-based study and includes a large population of healthy women to detect HPV prevalence, its subtype, and abnormal smear results.Öğe Knowledge levels and behavior of women related to breast milk and breastfeeding(Bayrakol Medical Publisher, 2021) Yaka, Humeyra; Kutlu, Ruhusen; Cihan, Fatma GoksinAim: Breast milk should be given alone for the first six months and after six months with supplementary food for at least two years. In this study, we aimed to evaluate the level of knowledge and behavior of women related to breast milk and breastfeeding of 0-24 months old babies. Materials and Methods: This cross-sectional analytical study was conducted on 401 women. Sociodemographic characteristics of mothers were questioned, a questionnaire including questions about breast milk and breast-feeding knowledge levels and behaviors was applied. Results: Infants born normally were introduced earlier to breast milk after delivery compared to infants born by cesarean section (p<0.001). Premature infants have started to take breast milk later than the infants born mature (p<0.001), and the rates of taking only breast milk in the first six months were low (p<0.001). The breastfeeding rate of working mothers was lower than housewives (p=0.036). While the normal spontaneous delivery rate was high in non-working mothers, the rate of cesarean section was higher in working mothers (p=0.021). The frequency of exclusive breastfeeding in the first six months, when babies aged between 6-24 months (n=339) were evaluated, 71.1% (n=241) took only breast milk during the first six months. Fathers with higher levels of education were more positive and supportive of breastfeeding than the fathers with lower education levels (p=0.028). Discussion: In conclusion, starting breastfeeding educations from pregnancy, reducing the incidence of cesarean sections without indications, encouraging normal spontaneous delivery, and motivating and raising awareness of mothers with premature infants will positively affect breastfeeding.Öğe The Knowledge, Attitude and Behaviours of Women above 18 Years Old about Genital Warts, Cervical Cancer and Human Papilloma Virus Vaccination(Wolters Kluwer Medknow Publications, 2016) Kurtipek, Gulcan Saylam; Cihan, Fatma Goksin; Ataseven, Arzu; Ozer, Ilkay; Turhan, Zeynep CanObjective: This study aims to evaluate the knowledge and attitudes of women on genital warts, cervical cancer and human papilloma virus (HPV). Methods: Women aged 18 years old and over, admitting dermatology outpatient clinics of Konya Training and Research Hospital for any reason, were included in this cross sectional descriptive study. A 19-question survey was administered to 543 women to evaluate their knowledge and attitudes on genital warts, cervical cancer, smear test, protection methods, HPV vaccination and education. The collected data were analyzed by SPSS 21.0. Results: Only 16.6% (n=90) of the participants had information about genital HPV, among them only 38.9% (n=35) had information about the treatment of genital warts. While 61.1% of women having knowledge about genital HPV (n=55) knew about cervical cancer, 56.7% (n=51) knew genital warts might cause cervical cancer. 25.8% (n=140) knew of vaginal smear test while 16.9% (n=92) had a smear test before. Only 26.7% of women with genital HPV knowledge (n=24) knew prevention methods of genital warts. 40.0% of them (n=36) believed that condoms can protect them from genital HPV. 68% (n=369) had never heard of HPV vaccination. Conclusion: The study results showed that information level of the focus group is quite low about genital warts, cervical cancer, protection methods, screening methods, and HPV vaccination.Öğe Knowledge, Beliefs and Attitudes of Patients with Verruca Vulgaris About the Disease(Galenos Yayincilik, 2015) Kurtipek, Gulcan Saylam; Cihan, Fatma Goksin; Akyurek, Fatma Tuncez; Ataseven, Arzu; Sarioglu, Ayse; Akman, ZahideObjective: The purpose of this study was to learn the opinions of the patients with non-genital verruca vulgaris about the cause, course and treatment of verruca and their sources of information. Methods: A total of 187 non-genital verruca patients over 15 years old were included in the study. Their ideas about the cause, ways of transmission and treatment, and the sources they referred for information about the disease were recorded. Results: Of the participants, 44.4% thought it was contagious, 3.2% thought it was genetically inherited and 11.8% thought that is was not a disease. Seventy six of the patients (40.6%) had no idea about the subject. When the causes of verruca was questioned, 88 patients (47.1%) replied that it is a virus, 12 patients (6.4%) thought that it was transmitted by frogs, 4 patients (2.1%) thought that it was transmitted by turtles and 83 patients (44.4%) thought that it was transmitted by other reasons. Forty five of the patients (24.1%) tried conventional treatment methods previously. Of them, 16 (35.5%) had the verruca prayed, 7 (15.5%) applied fig sap, 6 (13.4%) applied vaseline/toothpaste, 6 (13.4%) applied acid on it, 4 (8.9%) tied it with a string, 4 (8.9%) used keratoma tape, and 2 (4.4%) cut it. Conclusion: It was determined that such a common dermatological disease is not recognized and the treatment methods are not known enough.Öğe Occupational Future Concerns and Stress Management Conditions of Intern Doctors(Aves, 2017) Cihan, Fatma Goksin; Kutlu, Ruhusen; Karademirci, Medine MerveObjective: The study was conducted to evaluate the occupational anxiety levels of the final year medical students about their future and the factors affecting it. Methods: This cross-sectional analytical research was conducted between September 2015 and February 2016 with 296 final year students who were at family medicine internships. The Perceived Stress Scale (PSS) and the State Trait Anxiety Inventory (STAI TX-2), and a questionnaire containing socio-demographic items prepared by the researchers were administered. Results: Of the participants, 47.3% (n=140) were female and 52.7% (n=156) were male. The average ages of the male and female students were 23.83 +/- 1.18 and 24.13 +/- 1.18 years, respectively. Among the students, 51.8% (n=142) were living with their friends, 34.3% (n=103) with their family members and 12.8% (n=38) in hostels. 81.8% (n=242) of the participants had occupational future anxiety. Occupational anxiety was significantly more frequent in female students than in male students (.2=5.167, p< 0.05). During medical education, 68.9% of the students (n=204) had difficulty during oral exams, 18.9% (n=56) were unable to communicate with senior staff, 27.0% (n=80) had difficulty with presenting their patient during visits, 22.3% (n=66) were afraid of misdiagnosing, 15.9% (n=47) were afraid of psychiatric patient management, and 16.6% (n=49) had difficulty with reporting a case. Conclusion: Being a doctor is accepted as a profession with high income and work quarantee in general. However, this study has revealed that final year students have high levels of occupational future concerns. There is a need for further research on causes and solutions.Öğe Quality Assessment of Clinical Practice Guidelines Developed by Professional Societies in Turkey(Public Library Science, 2016) Yasar, Ilknur; Kahveci, Rabia; Artantas, Aylin Baydar; Baser, Duygu Ayhan; Cihan, Fatma Goksin; Sencan, Irfan; Koc, Esra MeltemBackground Clinical practice guidelines (CPGs) are systematically developed statements to assist practitioner and patient decisions about appropriate healthcare for specific clinical circumstances. There is a limited number of studies on guidelines in Turkey. The quality of Ministry of Health guidelines have formerly been assessed whereas there is no information on the other guidelines developed in the country. Aim This study aims to assess the quality of CPGs that are developed by professional societies that work for the health sector in Turkey, and compare the findings with international guidelines. Methodology Professional societies that work for the health sector were determined by using the data obtained from the Ministry of Internal Affairs. Inclusion and exclusion criteria were defined for selecting the CPGs. Guidelines containing recommendations about disease management to the doctors, accessible online, developed within the past 5 years, citing references for recommendations, about the diseases over 1% prevalence according to the Statistical Yearbook of Turkey 2012 were included in the study. The quality of CPGs were assessed with the AGREE II instrument, which is an internationally recognized tool for this purpose. Four independent reviewers, who did not participate in the development of the selected guidelines and were trained in CPG appraisal, used the AGREE instrument for assessment of the selected guidelines. Findings 47 professional societies were defined which provided access to CPGs in their websites; 3 of them were only open to members so these could not be reached. 8 CPGs from 7 societies were selected from a total of 401 CPGs from 44 societies. The mean scores of the domains of the guidelines which were assessed by the AGREE II tool were; Scope and purpose: 64%, stakeholder involvement: 37.9%, rigour of development: 35.3%, clarity and presentation: 77.9%, applicability: 49.0% and editorial independence: 46.0%. Conclusion This is the first study in Turkey regarding quality appraisal of guidelines developed by the local professional societies. It adds to the limited amount of information in the literature that comes from Turkey as well as other developing countries.
