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Öğe Applicability of the Finnish Diabetes Risk (FINDRISC) as a Screening Tool for Type 2 Diabetes Mellitus(Duzce Univ, 2016) Kutlu, Ruhusen; Sayin, Seher; Kocak, AhmetObjective: In this study, we aimed to investigate the applicability of the Finnish Diabetes Risk Score (FINDRISC) as a screening tool for undiagnosed Type 2 Diabetes Mellitus. Methods: This cross-sectional analytic study was carried out on 479 persons referred to the Outpatient Clinic of Family Medicine. The risk of developing Type 2 diabetes mellitus was assessed using the FINDRISC. LDL-c, HDL-c, total cholesterol, triglyceride, glucose and insulin levels were measured in the blood of the patients taken after 10-12 hours of fasting. For insulin resistance, HOMA IR (Homeostasis Model Assessment) was calculated by using fasting plasma glucose (FBG) and insulin levels. Results: In all the participants, 73.9% (n=354) were female, 26.1% (n=125) were male, the mean age was 35.14 +/- 10.77. The Diabetes risk was increasing with low education level, marriage, unemployment, obesity and sedentary lifestyle. Age, BMI, waist circumference, hip circumference, systolic and diastolic blood pressure were significantly higher in the high and very high risk group than other groups (p<0.001). A significant positive correlation were found between the FINDRISC score and FBG, insulin, total cholesterol, triglycerides, LDL-c, as well as a negative correlation with HDL-c level (p<0.001). The frequency of insulin resistance were higher in the moderate risk group, this difference was statistically very significant (p<0.001). Conclusion: Type 2 diabetes is a major health problem in our country as well as all over the world. FINDRISC can be used as a simple and noninvasive screening tool to identify individuals at high risk for diabetes in the adults.Öğe Assessment of 10-Year Major Osteoporotic and Femur Fracture Risk of Postmenopausal Women Using FRAX®(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2014) Demir, Ayse; Kutlu, Ruhusen; Civi, SelmaObjective: The aim of this study is to assess osteoporosis (OP) risk factors in postmenopausal women and 10-year major osteoporosis and femur facture risks using the World Health Organization's fracture risk assessment scale (FRAX (R)). Material and Methods: This cross-sectional analytic study was carried out on 340 postmenopausal women. Considering participant risk factors and bone mineral densities and using the FRAX (R) risk assessment scale, their 10-year major osteoporotic and femur fracture was assessed. Results: The mean age of the women in our study was 57.5+/-7.8. Of the participants, 47 (13.8%) were osteoporotic, 177 (52.1%) were osteopenic, and 116 (34.1%) were normal. As age increased, OP frequency increased (p<0.001), and as body mass index (BMI) increased, OP frequency decreased (p<0.001). Considering OP existence, there was a statistically significant relation between major OP risk and femur fracture risk, calculated using BMD and without using BMD (p<0.001). Major OP fracture risk, calculated using BMD, was low in 94.7% of the subjects, mild in 5.0%, and high in 0.3%. When osteoporosis risk factors were assessed, while OP frequency in those with 2 or fewer clinical risk factors (CRFs) was 12.8%, OP frequency was 28.0% in those with 3 or 4 risk factors. Conclusion: In this study, it was determined that the FRAX (R) risk assessment scale, which is used to assess 10-year OP fracture risk, is a significant, cost-efficient, easy-to-use assessment criterion whether BDM is applied or not.Öğe Awareness of Pregnant Women About Routine Applied Screening Tests and Supportive Treatments in a University Hospital(Istanbul Training & Research Hospital, 2020) Kutlu, Ruhusen; Uzun, Latife; Karaoglu, Nazan; Gorkemli, HuseyinIntroduction: in this study, we aimed to evaluate the awareness of pregnant women about routine applied screening tests and supportive treatments in a university hospital and the factors affecting this. Methods: This observational, descriptive study was carried out between 15th April and 30th November 2018. Four hundred and ninety-three volunteer pregnant women who applied to the Necmettin Erbakan University Meram Faculty of Medicine outpatient clinic for the first time or were being followed up formed the study cohort. In order to determine socio-demographic characteristics, awareness of screening tests, and supportive therapies, and the factors affecting this, a questionnaire consisting of 36 multiple-choice, open-ended questions was applied through face-to-face interviews. Results: The median age of the participants was 27. More than half (57.4%) were graduated from primary school or did not receive education, and 89.0% were unemployed. The majority of the participants stated that they knew screening tests (92.1%) and supportive treatments (93.9%). Forty-eight point one percent and 44.0% of screening tests and supportive treatments were learned from obstetricians, respectively. The reason stated by 57.6% of the participants who did not want to have screening tests was, I find it unnecessary because I do not want to end my pregnancy. Participants who were 27 years old or older (p=0.021), who were at least high school graduates (p=0.016), who were employed (p=0.041), and who had given birth before (p<0.001) knew the screening tests more significantly. Conclusion: The study results showed that the awareness of pregnant women about screening tests and supportive treatments increased with increasing maternal age, education level, employment status, and the number of births. Although the percentage of getting information from healthcare workers about screening tests and supportive treatments was higher, it was still not at the desired level. Therefore, we believe that healthcare workers should be more sensitive to informing and counseling during prenatal care, especially for young and low-educated mothers living in rural areas.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 migraine on anxiety, depression symptoms and quality of life: A hospital-based study(Bayrakol Medical Publisher, 2022) Buyukyoruk, Cennet; Kutlu, Ruhusen; Genc, EmineAim: Migraine has a great detrimental effect on the daily life of the patient by making negative effects on socioeconomic functioning and quality of life. In this study, it was aimed to evaluate the symptoms of anxiety, depression and quality of life in patients with and without migraine and to determine the factors affecting them. Material and Methods: This analytical typed case-control study was conducted on 402 people over the age of 18. 201 of whom had migraine and 201 did not have migraine. Hospital Anxiety and Depression Scale (HADS) and World Health Organization Quality of Life Scale Short Form (WHOQOL-BREF TR) were used to collect data about patients. Results: In the present study, 90.5% (n=182) of patients with migraine were female, 80.1% were married, 58.2% had secondary school education, 21.9% were smokers. Among the factors that triggered the migraine attack, noise ranked first with a frequency of 78.1% (n=157). Anxiety and depression scores were significantly higher in those with migraine than in those without migraine (p<0.001). Quality of life parameters such as physical health, psychological health, social relations and environmental area scores were significantly higher in those without migraine than in those with migraine (p<0.001). General health and life satisfaction of the individuals without migraine were significantly higher (p<0.001). Discussion: Migraine must be taken seriously since it has a negative impact on patients' lives. Besides medical treatment, patients should be evaluated carefully for their quality of life and psychiatric conditions. As family physicians, we must approach our patients holistically.Öğe Effects of nutrition, depression symptoms and demographic characteristics on dementia in the elderly population(Marmara Univ, Fac Medicine, 2021) Taser, Sadik; Kutlu, Ruhusen; Karaoglu, NazanObjective: Due to the increase in the elderly population, there is an increase in chronic diseases, infections, depression and nutritional problems as well as a decrease in cognitive abilities. This study aimed to investigate the effects of nutritional status, depression symptoms and demographic characteristics on dementia in the elderly population. Materials and Methods: This study is a cross sectional analytic study which took place between first day of April to first day of June in 2018 in three family health centers selected by simple random sampling from random numbers table in Konya, Turkey. Mini Nutritional Assessment normal (MNA) and short form (MNA-SF), Geriatric Depression Scale-30 (GDS-30) and the Standardized Mini-Mental Test (SMMT) was applied to 298 elderly people. Results: Mild dementia was found in 11.4% (n=34) and, depression symptoms were detected in 5.7% (n=17) of total. MNA-SF showed that 15.8% were under the risk of malnutrition while 2.3% had malnutrition. MNA-SF total score (p=0.004) was significantly higher in males than in females showing that there was more cognitive impairment in women than men. There was a significant relationship between the presence of dementia and gender (p=0.048), age groups (p=0.006), education (p<0.001), MNA-SF (p=0.012) and MNA (p=0.002). Conclusion: The frequency of dementia was higher in women, in low educated, depressive and aged ones and in those with malnutrition. Regarding dementia, depression and malnutrition in the elderly in primary care; it is important to use well designed specific scales to these conditions for early diagnosis.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 The effects of smoking on vascular endothelial growth factor and inflammation markers: A case-control study(Wiley, 2018) Ugur, Merve Guzeldulger; Kutlu, Ruhusen; Kilinc, IbrahimBackground and AimsChronic obstructive pulmonary disease (COPD) is a type of obstructive lung disease characterized by long-term poor airflow. Tobacco smoking is the most common cause of COPD. In this study, we aimed to assess the vascular endothelial growth factor (VEGF) and inflammation markers on smokers and non-smoking individuals. MethodsOur study was a case-control study and 175 individuals who want to give up smoking constituted the case group. As a control group, 175 individuals who never smoked. ResultsThe mean age of 350 participants was 35.8313.11 years. Educational status of the non-smokers was significantly higher than that of the smoking group (P<.001). When smoking and non-smoking groups were compared in terms of VEGF and interleukin-6 (IL-6), it was found that these values were statistically higher in smokers than non-smokers (P<.001). The levels of IL-10 were found to be higher in non-smokers than in smokers (P<.001). Although a moderate positive correlation was found between VEGF and IL-6 levels (r=.486, P<.001), there was a weak negative correlation between VEGF and IL-10 (r=-.210, P<.001). A weak negative correlation was found between IL-6 and IL-10 (r=-.185, P<.001). ConclusionsIn our study, IL-6 inflammatory marker and VEGF levels were found to be high and IL-10 anti-inflammatory marker was discovered to be low in smokers. For this reason, raising awareness in the society about the harms of smoking and encouraging people to give it up have become more challenging to counteract the inflammatory effects of smoking in human body and to prevent many smoking-related diseases.Öğe The effects of vitamin D supplementation during pregnancy and maternal vitamin D levels on neonatal vitamin D levels and birth parameters(Taylor & Francis Ltd, 2018) Kilicaslan, Ayse Ozlem; Kutlu, Ruhusen; Kilinc, Ibrahim; Ozberk, Derya IsiklarObjective: The current study aimed to measure the levels of vitamin 25(OH)D in pregnant women and in the umbilical cord blood of newborns and to evaluate the association of vitamin D levels with birth parameters.Methods: This cross-sectional analytic investigation was performed in 100 pregnant women at term and in 100 newborns born to these mothers. Plasma vitamin D level was measured and birth parameters of the babies were recorded.Results: Mean vitamin D levels in pregnant women and cord blood were 11.396.24ng/ml and 8.00 +/- 4.95ng/ml, respectively. Vitamin D levels were found to be higher in the women who had received vitamin D support during pregnancy (p<.001). Height (p=.004), head circumference (p=.003), and chest circumference (p=.005) of newborns born to mothers who had received vitamin D support were higher compared to non-receivers. Maternal vitamin D deficiency (<10ng/ml) and insufficiency (10-30ng/ml) was detected in 53.0% and 47.0% of the cases, respectively. None of the women had sufficient levels of vitamin D.Conclusions: This study established that vitamin D levels were low in maternal and cord blood in spite of the administration program of Ministry of Health in pregnant women. The importance of vitamin D supplementation should be explained to the pregnant women in each visit.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 Changes in The Hematological Parameters, Lipid Profile and Depressive Symptoms Before and After Smoking Cessation Treatment(Aves Press Ltd, 2019) Dagistan, Fatma; Kutlu, RuhusenIntroduction: Tobacco dependence is a cluster of behavioural, cognitive, and physiological phenomena. We aimed to investigate the changes in the hematological parameters, lipid profile and depressive symptoms before and after smoking cessation. Methods: In this intervention study, 150 casesadmitted to the d in is to quit smoking and stopped smoking for at least three months were investigated. All participants have received motivational interview and appropriate medical treatment (varenicline, bupropion, nicotine replacement therapy). We designed the study to evaluate the effects of cigarette smoking on some biochemical markers and depressive symptoms. Results: Motivational interviews were conducted on all participants, and 68,7% (n = 103) were treated with varenicline, 19,3% (n=29) with bupropion and 12% (n=18) with nicotine replacement therapy (NRT). There was a statistically significant relationship between the treatment method and the smoking cessation duration (p=0.002). Cessation period was longer in the group using varenicline. After quitting smoking, the Beck Depression Scores (BDS) decreased significantly (p<0.001). In cases with smoking duration between 3-6 months, the levels of carbon monoxide (CO) (p<0.001), white blood count (WBC) (p<0.001), hematocrit (p=0.003), hemoglobin (Hb) (p=0.002) and mean corpuscular volume (MCV) (p<0.001) decreased significantly. Conclusions: In our study, positive changes were observed in hematologic, biochemical parameters and depressive symptoms after quitting smoking. So, it is important that the society should be informed about the dangers of smoking. In particular, primary health care physicians should ask each patient whether they smoke or not, and encourage to quit smoking.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 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 Quality of Life in Postmenopausal Women with and without Osteoporosis using the QUALEFFO-41 Scale(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2014) Pamuk, Gulseren; Kutlu, Ruhusen; Civi, SelmaObjective: Osteoporosis (OP) is a disease of bones that leads increasing risk of the bone fracture, decreasing of mineral density (BMD) and deterioration of bone microarchitecture. In this study, it is aimed to assess the quality of life by using QUALEFFO-41 scale in postmenopaused women with and without osteoporosis. Material and Methods: This cross-sectional analytic survey was conducted on 280 postmenopaused women. BMD of the patients was diagnosed and osteoporosis-specific quality of life criteria (QUALEFFO-41) was used to determine the quality of life. Results: In our study, the mean age of the participants was 56.9 +/- 8.3. Of the participants, 38 (13.6%) were osteoporotic, 156 (55.7%) were osteopenic, 86 (30.7%) were normal. While the age and menopause duration increased, osteoporosis frequency increased (p<0.001), but while body mass index (BMI) increased, osteoporosis frequency decreased (p<0.001). When their activities increased, osteoporosis frequency decreased (p=0.006) and osteoporosis frequency was higher in having previous fracture history (p=0.015). When the women's quality of life compared with the results of DXA, a negative, moderate significant relationship was found. The quality of life was decreasing in the individuals having older age and lower education level. Quality of life of was higher in workers, individuals having high income level, having exercise and high activities (p<0.001). Conclusion: While OP was higher with aging, menopause duration, having previous fracture history; OP was lower for high activitiy and for high BMI. While the quality of life was higher in workers, individuals having high income, having exercise regularly; the quality of life was lower in aging, OP and lower educational level.
