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Öğe Can new anthropometric indices be used as a marker for the presence of metabolic syndrome?(Bayrakol Medical Publisher, 2021) Demirbas, Nur; Kutlu, RuhusenAim: Since traditional anthropometric measurements such as waist circumference (WC) and body mass index (BMI) can not adequately demonstrate muscle, fat mass, and body fat distribution, new indices have been developed taking into account the shape of the body. In this study, we aimed to investigate whether new anthropometric indices such as Rohrer Index (RI), Body Shape Index (BSI), and Body Roundness Index (BRI) can be used as markers for the presence of metabolic syndrome or not. Materials and Methods: This study was performed on 1059 patients who met the inclusion criteria. Waist-to-height ratio (WHtR), BMI, BRI, BSI, RI were calculated using the appropriate anthropometric measurements taken from the files of the participants. Results: The prevalence of metabolic syndrome was 39.9% (n=423). There was a statistically significant relationship between BMI, WHtR, RI, BSI, BRI and gender, age, and metabolic syndrome (p<0.001). While there was a weak positive correlation between BSI and metabolic syndrome (r=0.182, p<0.001), there was a strong positive correlation between BRI and metabolic syndrome (r=0.610, p<0.001). The optimum cutting values for BMI, WHtR, and BRI were determined as 30.19 kg/m2, 0.59 cm and 5.24, respectively. Discussion: BRI and WHtR were found to have a higher capacity to predict metabolic syndrome than other indices (BSI, RI, BMI), however, it was seen that it was not superior to BMI. Other anthropometric indices can be used as well as BMI and waist circumference for the prevention, early diagnosis, and detection of the metabolic syndrome risks in the primary health care centers.Öğe Cancer types attributable to cigarette smoking and sociodemographic characteristics(Kare Publ, 2014) Kutlu, Ruhusen; Demirbas, Nur; Boruban, Melih Cem; Guler, TuncOBJECTIVES This study was performed to evaluate the sociodemographic characteristics, smoking status and the frequency of the cancer types attributable to cigarette smoking in the cancer patients treating at Medical Oncology Department. METHODS This descriptive and cross-sectional study was performed among 459 cancer inpatients treating at Medical Oncology Department. Data were obtained via a questionnaire form revealed socio-demographic characteristics, smoking-related attitude and behaviors. RESULTS Of the participants, the mean age was 57.42 +/- 13.29 (range: 1891), 52.9% were male. The prevalence of current smokers was 9.6%, former smokers 48.1%, never-smokers 42.3%. respectively. While respiratory tract cancers (32.1%), GIS (24.3%) and colorectal cancers (18.9%) were seen frequently in the male gender, breast cancer (46.8%) GIS cancers (15.3%) and colorectal cancers (12.5%) were seen frequently in the female. While the frequency of the respiratory tract cancers was 30.6% in the smoker cancer patients, this rate was 4.6% in never smokers. The frequency of the respiratory tract cancers was higher in the smoker cancer patients than never smoker cancer patients (RR=6.65). Of the respiratory tract cancers, 26.0% was attributed to cigarette smoking. CONCLUSION Particularly, smoking plays an important role in the development of lung cancer. Common cancers shows differences according to gender and age. So, the socio-demographic characteristics should be considered while the cancer screening programs are developing.Öğe Comparison of Triglyceride/Glucose Index with the FINDRISC Diabetes Risk Questionnaire in Determining Diabetes Risk in Individuals Attending Periodic Health Examinations(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2020) Demirbas, Nur; Kutlu, RuhusenObjective: In this study, we aimed to compare the FINDRISC questionnaire and the triglyceride/glucose index, used to determine the risk of diabetes in healthy individuals, and to investigate their relationships with obesity. Method: This study was planned as a retrospective review of the files of healthy individuals who had applied to a family medicine polyclinic for a periodic health examination. Sociodemographic characteristics, anthropometric measurements, routine laboratory results from the same period, and the FINDRISC diabetes risk score found in the participants' files were recorded in a separate file. The triglyceride/glucose (TyG) index was calculated using the appropriate formula. After the files meeting the exclusion criteria were removed, the study was completed with 879 people. Results: Of the participants, 66.7% (n=586) were male and the mean age was 37.20 +/- 11.8 years. The mean diabetes risk score calculated by FINDRISC for women was 10.92 +/- 4.9 points and the mean TyG index score was 8.56 +/- 0.5 points, while the mean diabetes risk score of men was 8.75 +/- 4.7 points and the mean TyG index score was 8.77 +/- 0.5. There was a statistically significant association between gender and both mean diabetes risk score and TyG index (p<0.001). Of the participants, 17.1% were found to be at high risk of developing diabetes within 10 years by the FINDRISC survey. There was a moderately significant positive correlation between the diabetes risk score and TyG index and body mass index. Conclusion: The FINDRISC questionnaire and TyG index are easy, practical, and cost-effective methods that can be used in primary health care centers in order to determine the risk of developing diabetes in the early period and inform individuals about this issue.Öğe Effect of cigarette smoking on serum methylarginine and a-klotho levels(Elsevier Sci Ltd, 2023) Onmaz, Mustafa; Demirbas, Nur; Onmaz, Duygu Eryavuz; Kutlu, Ruhusen; Unlu, AliBackground and aims: Smoking causes many diseases such as cardiovascular, lung dis-eases, stroke and premature aging. However, the role of smoking in the pathogenesis of these diseases is unclear. Increasing evidence suggests that methylarginine pathway metabolites and a-klotho may be strong markers for pathologies such as premature aging, endothelial dysfunc-tion, and oxidant damage. Therefore, the study aimed to measure the serum levels of arginine, asymmetric dimethylarginine (ADMA), symmetric dimethylarginine (SDMA), N-monomethyl-L- arginine (L-NMMA), and a-klotho levels in smokers. Methods and results: This case-control analytical study included 65 smokers and 71 non-smokers. Sociodemographic characteristics, routine biochemistry parameters, Framingham risk scores and Fagerstrom Nicotine Dependence Test (FTND) were recorded. Serum methylarginine and a-klotho levels were analyzed by tandem mass spectrometry and enzyme-linked immunosorbent assay (ELISA), respectively. Serum ADMA (p < 0.001), L-NMMA (p Z 0.024), SDMA (p < 0.001) levels of smokers were higher than non-smokers, and serum a-klotho (p < 0.001) and arginine levels (p < 0.001) were lower. There was a positive correlation between serum ADMA levels with FNDT, age and pack/year in smokers, while there was a negative correlation between klotho levels and age. A positive correlation was found between serum ADMA levels, Framingham risk score and age in non-smokers. Conclusion: Smoking is related to premature aging and is a strong risk factor for various diseases such as cardiovascular, inflammatory, and renal diseases. Elevated serum methylarginine and decreased serum klotho levels were found in smokers. Therefore, our findings suggest that smok-ing may be involved in the pathogenesis of these diseases by affecting a-klotho and methylarginine-related pathways. (c) 2023 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Ital-ian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.Öğe Effect of COVID-19 pandemic on health perception, depression, anxiety and stress levels in Turkish society(Bayrakol Medical Publisher, 2021) Kutlu, Ruhusen; Demirbas, NurAim: The purpose of this study was to evaluate the health perception, depression, anxiety and stress levels in Turkish society during the COVID-19 pandemic, and to examine the factors affecting. Material and Methods: In this study, which was planned as a cross-sectional analytical study, individuals were reached through social media using the snow-ball sampling method. Health Perception Scale (HPS), Depression, Anxiety and Stress Scale (DASS), Perceived Stress Scale (PSS) was applied. The study was completed with 440 people. Result: As the level of education increased, health perception scores also increased (p=0.049). There was a significant relationship between regular nutrition, exercise and self-devotion and perception of health (p<0.001, p<0.001, p=0.001). The total score of DASS was found to be statistically significantly higher participants with COVID disease in the first degree (p=0.044). DASS depression subscale scores were statistically higher in singles than married. PSS levels were higher in the participants under the age of 40 (p=0.002), in women (p<0.001), in singles (p<0.001) and in those who did not have children (p<0.001). Discussion: In this study, during the COVID-19 outbreak in the society, it was found that the participants had high levels of depression, anxiety and stress and low perception of health. Priority might therefore be attached to these in future psychiatric planning. Psychological interventions for prevention and treatment are necessary to reduce the psychological effects of the pandemic.Öğe Effects of COVID-19 Fear on Society's Quality of Life(Springer, 2022) Demirbas, Nur; Kutlu, RuhusenThe COVID-19 pandemic is an important factor affecting the health of people worldwide, as well as a source of fear, stress, and anxiety. The aim of this study was to determine the level of fear caused by the COVID-19 pandemic in Turkish society and evaluate its effects on quality of life. The sociodemographic information form, COVID-19 Fear Scale (FCV-19S), and WHOQOL-BREF Quality of Life Scale were applied to the participants. A total of 705 people, who were accessed via the internet, responded willingly to the study, which was planned as a cross-sectional analytical study. The mean FCV-19S score was 17.4 +/- 5.9 (7-32) points. Fear points were higher among females than males (p < 0.001), and among single individuals than among those who were married (p = 0.049). Fear scores were low for tradesmen, those with low educational status, and those with high income levels (p < 0.001). According to the WHOQOL-BREF Scale, the FCV19S of those with very good quality of life was low (p = 0.042), and the FCV-19S of those who were not satisfied with life was high (p < 0.001). Statistically, a weak negative correlation was detected between the fear scores, and physical health and psychological health (r = - 0.190, r = - 0.198, p < 0.001). Fear level varies according to gender, education, and income level, regardless of age. As fear increases, quality of life decreases, and physical and psychological health were negatively affected. The authors believed that the outcome of the study would help inform the public about COVID-19, as well as cope with the psychological effects and fears of COVID-19.Öğe Effects of Music Intervention During Cesarean Section on the Level of the Mother's Anxiety: A Randomized Controlled Study(Erciyes Univ Sch Medicine, 2022) Horasanli, Jule Eric; Demirbas, NurObjective: Anxiety felt before and during childbirth can have negative effects on maternal and infant health. Music interventions during labor have been shown to mitigate the effects of anxiety in a variety of populations. It is a low-cost and easily accessible technique that also has a high level of acceptability. The aim of this study was to examine the effect of listening to music on the vital signs of women during a cesarean section (C-section) and their level of anxiety. Materials and Methods: This was a single-center, controlled, randomized study. The pregnant women in the intervention group listened to Sufi music via earphones during the operation. The control group received standard treatment without music. The C-section was performed under regional anesthesia in all cases. The State-Trait Anxiety Inventory (STAI) was administered to the patients before and after the procedure. Results: There was no significant difference in the vital sign parameters of the music group and the control group (p>0.05). The preoperative STAI anxiety score was similar in the music (45.58 +/- 4.60) and control (43.82 +/- 4.33) groups (p=0.183). However, after the operation, the anxiety score of the music group (35.88 +/- 5.39) was statistically significantly lower than that of the anxiety score of the control group (42.14 +/- 3.75) (p<0.001). Conclusion: The women who listened to Sufi music during a C-section reported less anxiety. Slow, rhythmic music can distract the patient, help them relax, and reduce their anxiety.Öğe Effects of Music Intervention During Cesarean Section on the Level of the Mother's Anxiety: A Randomized Controlled Study(Erciyes Univ Sch Medicine, 2022) Horasanli, Jule Eric; Demirbas, NurObjective: Anxiety felt before and during childbirth can have negative effects on maternal and infant health. Music interventions during labor have been shown to mitigate the effects of anxiety in a variety of populations. It is a low-cost and easily accessible technique that also has a high level of acceptability. The aim of this study was to examine the effect of listening to music on the vital signs of women during a cesarean section (C-section) and their level of anxiety. Materials and Methods: This was a single-center, controlled, randomized study. The pregnant women in the intervention group listened to Sufi music via earphones during the operation. The control group received standard treatment without music. The C-section was performed under regional anesthesia in all cases. The State-Trait Anxiety Inventory (STAI) was administered to the patients before and after the procedure. Results: There was no significant difference in the vital sign parameters of the music group and the control group (p>0.05). The preoperative STAI anxiety score was similar in the music (45.58 +/- 4.60) and control (43.82 +/- 4.33) groups (p=0.183). However, after the operation, the anxiety score of the music group (35.88 +/- 5.39) was statistically significantly lower than that of the anxiety score of the control group (42.14 +/- 3.75) (p<0.001). Conclusion: The women who listened to Sufi music during a C-section reported less anxiety. Slow, rhythmic music can distract the patient, help them relax, and reduce their anxiety.Öğe Effects of Pain, Depression and Quality of Life on Bone Mineral Density in Patients with Fibromyalgia(Dokuz Eylul Univ Inst Health Sciences, 2020) Demirbas, Nur; Kutlu, Ruhusen; Ecesoy, HilalObjective: In this study, we aimed to assess the effects of bone mineral density with fibromyalgia on pain, depression and quality of life. Methods: In this case-control study, 100 women who were diagnosed as FMS and 100 women who were not diagnosed as FMS were included. Visual Analog Scala ( VAS), Fibromyalgia Impact Questionnaire (FIQ) and Hospital Anxiety and Depression Scala (HADS) were used for the patients. Bone mineral density (BMD) of the participants was measured with dual energy x ray absorptiometry (DXA) method. Results: The number of the tender points of the women with fibromyalgia and VAS, FIQ, HAD-A and HAD-D scores were found significantly higher than of the control group (p<0.001). Of the patients with fibromyalgia, 64.3% had anxiety and 59.9% of them had depression. No statistically significant difference was found when the averages of bone mineral density and T-Z scores were compared in two groups (p>0.05). When BMD measurements and HAD-A and HAD-D scores of the fibromyalgia patients were compared; in the L1-L4 region of the patients with anxiety and depression; BMD (mass, T score and Z score) were found respectively lower than of those without anxiety and depression (p=0.011) (p=0.040). Conclusions: The FIQ scores of the patients with low L1-L4 T scores were found higher than of the patients with normal T scores. The L1-L4 region of the patients with anxiety and depression; BMD (mass, T score and Z score) were found respectively lower than of those without anxiety and depression. This study confirmed the concept that FMS is a risk factor for osteoporosis.Öğe The Effects of Smoking on Platelet Count, Mean Platelet Volume and Cardiovascular Risk Factors: A Case-control Study(Galenos Yayincilik, 2017) Kutlu, Ruhusen; Demirbas, NurAim: Smoking and cholesterol levels are two important components of atherosclerosis. Mean platelet volume (MPV) is an indicator of platelet function and activation and a potential marker of cardiovascular disease. In this study, we aimed to investigate the effects of cigarette-smoking on platelet count, MPV and cardiovascular risk factors. Methods: This research was planned as a case-control study. Patients who attended our family medicine outpatient clinic were included in the study. Sociodemographic characteristics, smoking status, hematological and biochemical parameters of the patients were recorded. Results: The mean age of 880 patients who participated in the study was 35.85 +/- 11.6 years (17-77). 54.5% (n=480) of participants were smokers and 45.5% (n=400) were non-smokers. The number of smokers among working individuals was higher than in non-workers. The white blood cell, hemoglobin, hematocrit, red blood cell, mean corpuscular volume and MPV values in the smokers were higher than in the non-smokers, while platelet count was higher in non-smokers (p<0.001). There was a statistically significant relationship between MPV levels and the number of daily cigarette smoking among smokers (p=0.014). Conclusion: MPV levels in smokers were significantly higher than in non-smokers. Platelet count and MPV levels should be investigated in larger patient groups in terms of atherosclerosis and other defined cardiovascular risk factors. It is therefore should take its rightful place in clinical practice.Öğe Evaluation of depression and quality of life with short form 36 of inpatients at the thoracic surgery service(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2015) Kutlu, Ruhusen; Demirbas, Nur; Civi, Selma; Can, AtillaBackground: This study aims to evaluate the depression status and quality of life of the patients at the Department of Thoracic Surgery of Necmettin Erbakan University, Meram Medical School. Methods: This cross-sectional, analytic study included 170 inpatients (124 males, 46 females, mean age 45.7 +/- 18.2 years; range 7 to 80 years) at the Department of Thoracic Surgery between 15 June 2012 and 15 February 2013. Depression status was evaluated With Beck Depression Inventory, quality of life was evaluated with 36-Item Short Form Health Survey (short form-36). Results: Mean Beck depression score was 11.06 +/- 8.79. Of subscales of short form-36; mean scores of physical role limitations, emotional difficulties and general health were low; and mean scores of mental health and social functioning were the highest. When scores of quality of life were compared with depression status, there were statistically significant differences in all subscales of short form-36 between those with and without depression. Scores of quality of life were higher in those without depression. When patients were analyzed in three diagnosis groups as lung cancer, lung infection and thoracic emergencies, number of male patients in all groups was higher than females, indicating a significant relationship between diagnosis and sex (p=0.004). While the diagnosis of lung cancer affected physical functioning and emotional difficulties the most, thoracic emergencies affected general health, vitality and emotional difficulties the most. However, lung infections affected emotional difficulties the most. Conclusion: The quality of life, social and physical functionality are negatively affected in all chronic diseases, and the individuals' satisfaction from life decreases. Measuring the depression levels and quality of life of patients will not only assist us in having a better understanding of the disease, but also provide better evaluation of treatment responses.Öğe Evaluation of knowledge, attitude and awareness of medical faculty students about human papilloma virus Medical faculty students HPV; Knowledge level; Awareness; Vaccine(Bayrakol Medical Publisher, 2021) Horasanli, Jule Eric; Demirbas, NurAim: In this study, we aimed to evaluate the knowledge levels and awareness of medical students about the diagnosis, transmission routes and prevention methods of Human Papiiloma Virus (HPV), which is very common worldwide. Materials and Methods: This cross-sectional study was carried out on 4th grade medical faculty students in the 2019-2020 academic year. A brief sociodemographic information form, an information form on general knowledge, diagnosis, contamination routes, and methods of HPV prevention, and a questionnaire on HPV awareness levels were applied to the students. Results: The average age of the students was 22.31 +/- 1.3 (19-30) years; 44.5% (n 89) of the students were female and 55.5% (n = 111) were male. Among the students, 84% had information about the diseases caused by the virus, transmission routes, prevention and diagnostic methods. The correct response rate of students to knowledge questions was 84.4% for women and 82.7% for men (p = 0.042). It was found that students' levels of knowledge about HPV protection methods and especially vaccines were lower than their knowledge about diagnosis and transmission. Discussion: In this study, it was found that the general knowledge level of medical school students about HPV was high, but their knowledge about prevention and vaccination was low. Medical school students should be encouraged to increase their knowledge and get vaccinated, and importance should be given to HPV vaccination training.Öğe Frequency and Affecting Factors of Premenstrual Syndrome Among Turkish Female University Students(Derman Medical Publ, 2017) Kutlu, Ruhusen; Demirbas, Nur; Dagistan, FatmaAim: Premenstrual syndrome (PMS) refers to physical, cognitive, affective, and behavioral symptoms that occur cyclically during the luteal phase of the menstrual cycle and resolve quickly at or within a few days of the onset of menstruation. Material and Method: This cross-sectional study was conducted among 403 female students attending education and training in Nec-mettin Erbakan University (NEU) Meram Medical Faculty for three months in 2014-2015. The questionnaire included items on students sociodemographic and menstrual pattern characteristics, concerning their age at menarche, menstrual cycle length, and regularity. The menstrual period properties of their mothers were recorded on a pre-prepared form by the researchers. Premenstrual syndrome scale (PMSS) was used to define the severity of symptoms and the presence of PMS. Results: The mean age of the students who participated in the study was 20.67 +/- 1.95 (18-27 years). The mean score of Premenstrual Syndrome Scale was 105.97 +/- 30.45 (44-194). The frequency of PMS was found as 56.6% in this study. When PMS and menstrual features were compared, there was a statistically significant relationship between age (p=0.037), duration of menstruation (p=0.016), and the presence of PMS. Positive direction and very high correlation was found between PMS total score and fatigue, irritability, and depressive thoughts (r=0.826, r=0.788, r=0.833 p<0.000), respectively. Discussion: In this study, the mean score of PMS was high among the university students. Efforts should be made to increase the awareness of premenstrual syndrome among university students and educate them about how to cope with it.Öğe Frequency of anxiety and depression, and affecting factors in inpatients in cardiology intensive care unit(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2016) Kutlu, Ruhusen; Isiklar-Ozberk, Derya; Gok, Hasan; Demirbas, NurBackground: This study aims to evaluate the frequency of anxiety and depression, as well as affecting factors, in inpatients at the Cardiology Intensive Care Unit. Methods: This cross-sectional, analytical study included 245 inpatients (148 males, 97 females; mean age 63.5 +/- 13.8 years; range 20 to 98 years). All patients were administered a socio-demographical data form and hospital anxiety and depression scale. Smoking dependence was evaluated with the Fagerstrom test for nicotine dependence. Results: Of current smoker patients, the mean Fagerstrom dependence score was 5.6 +/- 1.9 (range 1 to 10) and 40% was in the middle level of dependency. Of male patients, 45.9% and 17.6% were followed-up with diagnoses of myocardial infarction and unstable angina pectoris, respectively. Of female patients; 30.9%, 26.8%, and 22.7% were followed-up with diagnoses of arrhythmia, myocardial infarction, and heart failure, respectively. Of the patients, 53.9% (n=132) and 86.1% (n=211) were found to have anxiety and depression, respectively. No significant relationship was detected between age, economic status, and smoking status and anxiety and depression scores (p>0.05). Anxiety scores in married patients (11.6 +/- 4.3) were significantly higher than those of not married patients (9.8 +/- 3.7) (p=0.008). Anxiety and depression scores were significantly higher in employed individuals (11.6 +/- 4.2 vs 10.0 +/- 4.0; p=0.013) (12.0 +/- 3.8 vs 9.7 +/- 3.9; p<0.001), primary school and lower educated individuals (11.7 +/- 4.3 vs 10.1 +/- 3.9; p=0.009) (12.2 +/- 3.9 vs 9.8 +/- 3.7; p<0.001), and female gender (12.1 +/- 4.6 vs 10.6 +/- 3.8; p=0.005) (12.3 +/- 4.2 vs 11.0 +/- 3.8; p=0.009), respectively. Conclusion: Anxiety and depression are common problems seen in inpatients in cardiology intensive care unit. Patients should be assessed by clinicians holistically in terms of biopsychosocial aspects. Detection of depression levels and related factors may facilitate adherence to treatment, reduce anxiety, and improve quality of life.Öğe Importance of Measured Body Fat, Visceral Adiposity Index, and Lipid Accumulation Product Index in Predicting Cardiometabolic Risk Factors(Mary Ann Liebert, Inc, 2021) Demirbas, Nur; Kutlu, RuhusenBackground: Obesity, which is defined as excessive fat accumulation in the body, is an important public health problem. Objective: The aim of this study was to compare measured body fat and the visceral adiposity index (VAI) and lipid accumulation product (LAP) index used to predict cardiometabolic risk (CMR) factors. Methods: This study was performed retrospectively by scanning the files of 817 participants who had bioelectrical impedance analysis (BIA) results and routine blood tests. The VAI and the LAP index were calculated using the appropriate formulas. Results: Of the 817 participants included in the study, 67.9% (n = 555) were female, 32.1% (n = 262) were male, and the mean age was 36.14 +/- 11.4 (18-65) years. The mean body mass index (BMI) was 29.90 +/- 6.6 kg/m(2) and 24.2% (n = 198) of the participants were of normal weight (BMI <25 kg/m(2)), while 75.8% (n = 619) were overweight or obese (BMI >= 25 kg/m(2)). Body fat quantity was higher in females than in males. As BMI increased, the body fat quantity measured by BIA also increased (P < 0.001). The mean LAP index of men was higher than the mean LAP index of women in both the normal-weight group and the obese group (P = 0.025 and P = 0.033, respectively). One unit increase in visceral fat percentage resulted in a 77.9% increase in CMR. Conclusions: It may not be sufficient to use only BMI to predict obesity and related cardiometabolic diseases. According to the study findings, it was determined that the increase in visceral fat percentage significantly increases the CMR.Öğe The level of knowledge about menopause and attitudes towards menopause in women in the climacteric period Menopause attitudes and knowledge levels of women(Bayrakol Medical Publisher, 2021) Horasanli, Jule Eric; Demirbas, NurAim: This study aimed to determine the level of awareness and knowledge about menopause in women aged 40-65 in the climacteric period, and examine the symptoms of menopause and the relationship with their attitudes towards menopause. Material and Methods: The study included 224 women who applied to Obstetrics and Family Medicine outpatient clinics. The Sociodemographic Information Form, Menopause Information and Awareness Form, Menopause Attitude Assessment Scale (ATMS), and the Menopause Rating Scale (MRS) were applied to the participants. Results: Among the participants, 71.0% had gone through menopause, whereas 21.0% had not, and 8.0% did not know whether they had gone through menopause or not. The mean age of the women who had gone through menopause was 47.79 +/- 4.5 years. While the mean ATMS score was 43.97 +/- 10.93, 37.9% of the women had a negative attitude (40 points and below). The mean MRS somatic complaint score was 6.43 +/- 3.74, the mean psychological complaint score was 6.21 t4.09, and the mean urogenital complaint score was 3.88t2.65. There was a moderately significant negative correlation between their ATMS scores and their menopause-related psychological complaints (p.-0.317, p<0.001). As their positive attitude towards menopause increased, theft psychological complaints decreased. As their awareness of menopause increased, their psychological complaints decreased. Discussion: Increased awareness of menopause provided a decrease in the psychological complaints of menopause. In the study, it was seen that the attitudes of women toward menopause were an effective variable in the emergence of menopause complaints. Improving the attitudes of the women towards menopause is important for reducing menopausal symptoms.Öğe The Relationship between Mindful Eating and Body Mass Index and Body Compositions in Adults(Karger, 2021) Demirbas, Nur; Kutlu, Ruhusen; Kurnaz, AyselIntroduction: Obesity and overweight are important public health problems. Mindfulness can promote healthier living and dietary habits, which might support weight loss. This study aimed to evaluate the relationship between eating awareness and body mass index (BMI) and body composition in adults. Methods: This cross-sectional analytical study was conducted with 446 volunteers. The heights, weights, and waist circumferences of the participants were measured, and bioelectrical impedance analyses were performed. A sociodemographic information form prepared by the researchers and the Turkish version of the Mindful Eating Questionnaire (MEQ) were administered to the volunteers. Results: In this study, 31.2% (n = 139) of the participants were overweight and 46.9% (n = 209) were obese. There was no statistically significant relationship between gender and BMI. The total mean MEQ score was found to be 88.26 +/- 13.3 (53-144). The awareness scores of women of normal weight were statistically significantly higher than those of women with obesity (p = 0.001). There was no difference between BMI categories and awareness scores among male participants. While participants with obesity had higher scores for eating disinhibition, their eating control, eating discipline, and interference scores were lower than those of participants with normal weight (p < 0.001). A weak statistically significant correlation was found between the awareness subdimension of the scale and the ages, BMIs, waist circumferences, and body fat rates of the participants. Conclusion: It was observed that mindful eating was lower in women with overweight and obesity than that in women with normal weight. We believe that it is important to increase awareness of eating in order to protect against the diseases caused by obesity and for a healthy life.Öğe Use of Tobacco and Tobacco Products By Public Employees in Konya Province and the Support Status of the Tobacco Control Law(Turkish Green Crescent Soc, 2021) Kutlu, Ruhusen; Marakoglu, Kamile; Demirbas, Nur; Yesildag, Kerim; Cavdarci, FerahnurThis study aimed to evaluate the frequency of the use of tobacco and tobacco products among public employees in Konya province and support for the tobacco control law. This cross-sectional, analytical study was carried out on 4,874 public employees. The participants were surveyed about the use of tobacco and tobacco products, the tobacco control law, and smoking ban in dosed areas. Of the participants, 59.7% were current and/or occasional users of various tobacco products. Specifically, 36.5% of the participants were current smokers. Men smoked 2272 times more than women (p<0.001) (Odds ratio 2.272, confidence interval 2.003-2.576). The highest frequency of smoking (54.4%) was found among the provincial police department personnel. Of the participants, 93.0% supported the ban on smoking in closed areas, and 28.3% supported increasing its coverage. The frequency of smoking among the personnel working in public institutions in our province was found to be higher than the national average. Despite this, almost all the personnel supported and implemented the smoking ban in dosed areas. In-service training on smoking and its harmful effects should be increased, and those who plan to quit smoking should be supported.
