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Öğe Alopesia areatalı hastalarda metakognisyonun değerlendirilmesi(2016) Akyol, Esra Soydas; Isik, Selda; Ertekin, Hülya; Şahin, Başak; Oğuz, Sevilay; Cevizci, SibelAmaç:Genetik ve çevresel faktörler üzerinde durulsa da patogenezi tam olarak bilinmeyen alopesi areatanın(AA) emosyonel stres ile birlikteliği sıktır. AA da en sık rastlanan psikiyatrik bozuklukların depresyon ve anksiyete bozukluğu olduğu bilinmektedir. Alopesi areata ile psikiyatrik hastalıkların sıklıkla birlikteliği göz önüne alındığında pek çok psikiyatrik hastalığın kaynağını oluşturan metakognisyonun hastalığın etiyolojisinde etkin bir rol oynayabileceği kanaatini taşımaktayız. Gereç ve Yöntem:Çalışmaya 50 alopesi areata tanılı hasta ve 50 sağlıklı gönüllü alındı. Her iki gruba, tarafımızca hazırlanmış olan Sosyodemografik Veri formu ve Üstbiliş Ölçeği (ÜBÖ-30), alopesi areata grubuna ise ek olarak DSM IV Yapılandırılmış Klinik Görüşme Formu I (SCID-I) uygulandı. İki grup sosyodemografik ve klinik özellikler ile metacognisyon özellikleri açısından karşılaştırıldı. Bulgular:Sosyodemografik veriler değerlendirildiğinde Ailede AA ve psikiyatrik hastalık varlığı dışında gruplar arasında anlamlı bir farklılık saptanmadı. Bu iki özellik ise AA tanılı grupta SG grubuna oranla anlamlı şekilde yüksek bulundu. Düşünceleri kontrol ihtiyacı alt skoru AA grubunda SG grubuna kıyasla anlamlı oranda yüksek olarak saptanmıştır(p=0.022). AA hastalarının, tutulum yüzdesine göre karşılaştırıldığında; gruplar arasında kontrol edilmezlik ve tehlike, düşünceleri kontrol ihtiyacı ve bilişsel farkındalık skorları açısından anlamlı fark bulunmaktaydı ( p=0,01; P=0.002, p=0,009) AA hastaları remisyonu olup olmamasına göre karşılaştırıldığında bilişsel farkındalık alt skorlarında remisyonu olmayan grupta daha yüksek olmak üzere anlamlı bir fark bulunmaktaydı (p=0.018). Sonuç:Psikosomatik bir hastalık olduğu bilinen AA nın psikiyatrik açıdan araştırılmamış pek çok yönü olduğu kanaatindeyiz. Çalışmamız metakognisyon konusunda bir ön çalışma niteliğinde olup, metakognisyonla birlikte diğer psikiyatrik hastalıkların(OKB, YAB) beraberliğinin araştırılmasının AAnın daha iyi anlaşılmasında daha fazla yol gösterici olacağını düşünmekteyiz.Öğe Association between apparent diffusion coefficient and intervertebral disc degeneration in patients with ankylosing spondylitis(E-Century Publishing Corp, 2015) Resorlu, Mustafa; Gokmen, Ferhat; Resorlu, Hatice; Adam, Gurhan; Akbal, Ayla; Cevizci, Sibel; Sariyildirim, AbdullahPurpose: To assess the relation between ankylosing spondylitis (AS) and degenerative disc disease emerging in association with various intrinsic and extrinsic factors and to evaluate the correlation between degree of degeneration in intervertebral discs and apparent diffusion coefficient (ADC) values. Methods: Thirty-five patients with AS and a control group of 35 patients were included in the study. Three hundred fifty intervertebral discs were assessed in terms of degeneration by analyzing signal intensities and morphologies on T2 weighted series of a 1.5 Tesla magnetic resonance scanner. ADC values were determined in diffusion weighted images (DWI) using a b value of 500 s/mm(2). Patients in the AS and control groups were compared in terms of intervertebral disc degeneration, and association between degree of degeneration and ADC values was analyzed. Results: The mean of total degeneration degrees for five lumbar intervertebral discs was significantly higher in the patients with AS compared to the control group (16.77 +/- 4.67 vs 13.00 +/- 4.08, respectively; P=0.001). When intervertebral discs were analyzed separately, disc degeneration was again significantly higher in patients with AS compared to the control group, with the exception of L5-S1. Age, cholesterol level, triglyceride level, duration of disease and BASFI index were significantly associated with degree of degeneration in patients with AS. A negative correlation was determined between disc degeneration and ADC value. Conclusion: AS is a risk factor for degenerative disc disease due to its systemic effects, the fact it leads to posture impairment and its inflammatory effects on the vertebrae. A decrease in ADC values is observed as degeneration worsens in degenerative disc disease.Öğe Association between respiratory health and indoor air pollution exposure in Canakkale, Turkey(Pergamon-Elsevier Science Ltd, 2015) Mentese, Sibel; Mirici, Nihal A.; Otkun, Muserref T.; Bakar, Coskun; Palaz, Elif; Tasdibi, Deniz; Cevizci, SibelIndoor air quality (IAQ) measurements were conducted in three different towns (i.e. Centre, Lapseki, and Can) in Canakkale, Turkey (n = 121) throughout the year. All indoor environments were selected randomly among the volunteer participants of a previous health survey. Particulate matter (PM), Total Volatile Organic Compounds (TVOCs), Total Bacteria Concentration (TBC), Total Mold Concentration (TMC), and Carbon dioxide (CO2) together with temperature and relative humidity (RH) were measured monthly. Together with IAQ measurements, bronchial hyper-responsiveness indicators such as forced vital capacity (FVC) and forced expiration volume (FEV1) of the occupants of the homes were measured by monthly Pulmonary Function (PF) test. Furthermore, a comprehensive survey was given to the participants. The measured IAQ parameters showed seasonal and spatial variations (p < 0.05). Among them, the highest levels of TVOC, CO2, and PM were found in the winter, while the highest levels of both TBC and TMC were found in the summer. In general, levels of IAQ parameters and asthma prevalence were the highest in Can (i.e. industrial area). Also, IAQ adversely influenced the respiratory health of participants in Can (p < 0.05). Shortness of breath was the most prominent respiratory symptom. Negative associations between asthma and FEV1/FVC ratio, and between respiratory symptom score (RSS) and FEV1/FVC, support the idea that the PF test can be a good indicator for (early) prognosis of respiratory diseases. (C) 2015 Elsevier Ltd. All rights reserved.Öğe Association between teething and independent walking in healthy children(Turkish J Pediatrics, 2015) Kaymaz, Nazan; Yildirim, Sule; Cevizci, Sibel; Cimen, Mehmet; Topaloglu, Naci; Binnetoglu, Fatih Koksal; Tekin, MustafaDeveloping teeth provide a reliable indication of maturation and biological age. The objective of this study was to establish whether there is any association between the time of emergence of the first primary tooth and the time when independent walking occurs. A cross-sectional study was conducted with a sample of 206 healthy children (95 girls and 111 boys) aged 12 to 60 (mean: 29.79 +/- 0.66) months who were able to walk independently. The study was conducted using a questionnaire that was filled out by the parents. The first primary tooth emerged at 6.86 +/- 0.14 (min: 3-max: 13) months; the mean independent walking time was 12.58 +/- 2.15 (min: 8.50-max: 24.00) months. There was no correlation between the first teething and independent walking times (r=0.045, p=0.523). Factors such as breastfeeding status, intake of vitamins, walker usage and body mass index were found not to affect the time of either emergence of the first deciduous tooth or independent walking. To the best of our knowledge, this is the first paper in literature to have researched the relationship between the time of emergence of the first deciduous tooth and that of independent walking. It should be explained to parents that there is no relationship between the two in order to resolve anxiety when their child acquires a tooth but does not walk, or vice versa.Öğe Association between teething and independent walking in healthy children(2015) Kaymaz, Nazan; Yıldırım, Şule; Cevizci, Sibel; Çimen, Mehmet; Topaloğlu, Naci; Binnetoğlu, Fatih Köksal; Tekin, MustafaKaymaz N, Yıldırım Ş, Cevizci S, Çimen M, Topaloğlu N, Binnetoğlu FK, Tekin M, Özmert EN. Association between teething and independent walking in healthy children. Turk J Pediatr 2015; 57: 53-59.Developing teeth provide a reliable indication of maturation and biological age. The objective of this study was to establish whether there is any association between the time of emergence of the first primary tooth and the time when independent walking occurs. A cross-sectional study was conducted with a sample of 206 healthy children (95 girls and 111 boys) aged 12 to 60 (mean: 29.79±0.66) months who were able to walk independently. The study was conducted using a questionnaire that was filled out by the parents. The first primary tooth emerged at 6.86±0.14 (min: 3–max: 13) months; the mean independent walking time was 12.58±2.15 (min: 8.50–max: 24.00) months. There was no correlation between the first teething and independent walking times (r=0.045, p=0.523). Factors such as breastfeeding status, intake of vitamins, walker usage and body mass index were found not to affect the time of either emergence of the first deciduous tooth or independent walking. To the best of our knowledge, this is the first paper in literature to have researched the relationship between the time of emergence of the first deciduous tooth and that of independent walking. It should be explained to parents that there is no relationship between the two in order to resolve anxiety when their child acquires a tooth but does not walk, or vice versaÖğe Associations among exposure to microbial, organic, and inorganic indoor/outdoor air pollution and respiratory problems in different towns of Canakkale, Turkey(Amer Chemical Soc, 2014) Mentese, Sibel; Otkun, Muserref Tatman; Bakar, Coskun; Mirici, Nihal Arzu; Cevizci, Sibel; Tasdibi, Deniz; Palaz, Elif[Anstract Not Available]Öğe Bir eğitim ve araştırma hastanesinde kolorektal kanser hastalarının demografik dağılımı ve hastalık özellikleri(2012) Özkan, Ömer Faruk; Kaya, Ümit; Güner, Ali; Cevizci, Sibel; Özkul, Faruk; Sezer, Cem; Reis, ErhanAMAÇ: Kliniğimizde kolon ve rektum kanseri nedeniyle ameliyat edilen olguların yaş, cinsiyet ve hastalık ile ilgili özelliklerini ortaya koymak ve güncel literatür eşliğinde, verilerimizi karşılaştırmaktır.YÖNTEMLER: Kolon ve rektum tümörü tanısıyla ameliyat edilen 123 olgunun dosyaları Trabzon Numune Eğitim Araştırma Hastanesi arşivinden retrospektif olarak taranarak, hastalarda yaş, cinsiyet, tümör lokalizasyonu, cerrahi tedavi şekli ve evresi değerlendirildi.BULGULAR: Çalışmaya dahil edilen 123 hastanın 77 (%62.6)’si erkek, 46 (%37.4)’sı kadındı. Tüm hastaların yaş ortalaması 66,01±14.15 idi. Hastaların 61 (%49.6)’inde rektumda, 24 (%19.5)’ünde sağ kolonda, 18 (%14.6)’inde sigmoid kolonda, 18 (%14.6)’inde sol kolonda, 2 (1.6%)’ sinde senkron tümör saptandı. Histopatolojik incelemede tüm hastalarda adenokarsinom saptandı. Hastaların %11.4 (n=14)’ünde Aster Coller evre A, %29.3 (n=36)’ünde evre B, %48.8 (n=60)’inde evre C, %10.6 (n=13)’ünde evre D olarak saptandı.SONUÇ: Rektosigmoid bölge en sık tümörün saptandığı alan olup, olguların yarısından fazlası ileri evrededir. Yüksek tedavi maliyetleri ve prognozun kötü seyrederek ölümle sonuçlanma olasılığı dikkate alınarak, kolorektal kanser tarama programları daha etkin olarak uygulanmalıdır.Öğe Comparison of exposure to indoor air pollution in different towns of Çanakkale, Turkey(International Society of Indoor Air Quality and Climate, 2014) Mentese, Sibel; Otkun, Muserref T.; Bakar, Coskun; Mirici, Nihal A.; Cevizci, Sibel; Cotuker, Osman; Tasdibi, Deniz[No abstract available]Öğe Data for death registration system: An accuracy evaluation of the data of death causes in Çanakkale, Turkey(Nobelmedicus, 2016) Bakar, Coşkun; Cevizci, SibelObjective: This research aims to evaluate the registration system for deaths in Turkey, starting from the death records from Çanakkale Province between 2007 and 2012. Material and Method: This study used the death records of Çanakkale Public Health Directorate from the years 2007 to 2012. Within this period, 15,154 causes of death were re-coded using the ICD-10 Procedure Coding System. The data on deaths between 2001 and 2008 was obtained from the Turkish Statistical Institute (TSI). Results: Among the top three causes of death were circulatory and respiratory system diseases and cancers. When the distribution of causes of death in Çanakkale province between 2001 and 2008 is examined, circulatory system diseases are in first place, with cancers in second place. This study, generated by examining the death records of the Public Health Directorate shows that causes of the 20% of the deaths happened in Çanakkale Province between the years 2007 and 2012 are not defined anywhere. With further investigations cardiopulmonary arrest, senility and fate are observed among these causes. Conclusion: With regulation of the death registration system in recent years, there has been some improvement; however, it is observed that there are still significant gaps. Training to develop the knowledge, skills and attitude of clinicians and health managers as regards recording deaths correctly is necessary. There is a need for death records to determine health policies in our country, and they need to be used more, especially by policymakers. © 2016, Nobelmedicus. All rights reserved.Öğe DATA FOR DEATH REGISTRATION SYSTEM: AN ACCURACY EVALUATION OF THE DATA OF DEATH CAUSES IN CANAKKALE, TURKEY(Nobel Ilac, 2016) Bakar, Coskun; Cevizci, SibelObjective: This research aims to evaluate the registration system for deaths in Turkey, starting from the death records from Canakkale Province between 2007 and 2012. Material and Method: This study used the death records of Canakkale Public Health Directorate from the years 2007 to 2012. Within this period, 15,154 causes of death were re-coded using the ICD-10 Procedure Coding System. The data on deaths between 2001 and 2008 was obtained from the Turkish Statistical Institute (TSI). Results: Among the top three causes of death were circulatory and respiratory system diseases and cancers. When the distribution of causes of death in Canakkale province between 2001 and 2008 is examined, circulatory system diseases are in first place, with cancers in second place. This study, generated by examining the death records of the Public Health Directorate shows that causes of the 20% of the deaths happened in Canakkale Province between the years 2007 and 2012 are not defined anywhere. With further investigations cardiopulmonary arrest, senility and fate are observed among these causes. Conclusion: With regulation of the death registration system in recent years, there has been some improvement; however, it is observed that there are still significant gaps. Training to develop the knowledge, skills and attitude of clinicians and health managers as regards recording deaths correctly is necessary. There is a need for death records to determine health policies in our country, and they need to be used more, especially by policymakers.Öğe Developing of health perception and psychosocial skills in disadventaged students: A school based interventional study from çanakkale(Gulhane Military Medical Academy, 2015) Cevizci, Sibel; Uludağ, Ayşegül; Babaoğlu, Ülken Tunga; Karaahmet, Elif; Vural, Ahmet; Şahin, Erkan Melih; Özdemir, HamideAIM: The aim of this study was to develop health perception and psychosocial skills in disadvantaged students in a primary school. METHOD: This interventional study was conducted in a primary school between May 2012 and June 2012 in Kepez, Canakkale within the context of “Consultancy Application in Primary Schools”as the first step of “From Local to Cambridge and NASA: Development of Canakkale Values and Promotional Awareness in Disadvantaged Students” (TR22.11.SK01.0111) project. Fifteen students with different disadvantages at the 5th,6th,7th,and 8th grades in the second semester were included in the study. Training studies were performed to develop psychosocial skills and health perception of students. These studies were performed at the school library twice a week for three weeks. In this study, socio-demographic, health perception evaluation and psychosocial skill evaluation forms were used as material. Study data were analyzed using by SPSS, 15.00 version. RESULTS: Most students (66.6%) were female. Statistically significant difference was defined in psychosocial skill developments of students between the median values measured three weeks apart (p<0.001). When examined responses of students to the health perception scale, it was observed that favorable attitudes of students were increased, whereas unfavorable attitudes were decreased in the measurements during the training. CONCLUSION: Students with disadvantages gained physical, psychological and social skills (being interactive; sharing, communicating, enterprising) features of leadership and social supporting as well as the development of health perception. Two students, who successfully completed these training activities in our study group, were chosen to the project camp. One of these two students, who successfully completed the activities in the project camp and past the final exam was accepted by science trip in the United Kingdom. In conclusion, professional group trainings at early ages may be helpful for developing characteristics of health perception, psychosocial skills, enterprising in disadvantaged students. © 2015, TAF Preventive Medicine Bulletin. ALL RIGHTS RESERVED.Öğe Dezavantajlı öğrencilerde sağlık algısının ve psikososyal becerilerin geliştirilmesi: okul tabanlı bir müdahale çalışması(2015) Cevizci, Sibel; Uludağ, Ayşegül; Babaoğlu, Ülken Tunga; Karaahmet, Elif; Vural, Ahmet; Şahin, Erkan Melih; Özdemir, HamideAMAÇ: Bu çalışmada, Çanakkale'de bir ilköğretim okulunda dezavantajlı öğrencilerde sağlık algısının ve psikososyal becerilerin geliştirilmesi amaçlandı. YÖNTEM: Müdahale tipteki bu çalışma, \"Yerelden Cambridge ve NASA'ya: Dezavantajlı Öğrencilerde Çanakkale Değerleri ve Girişimcilik Bilinci Geliştirme\" (TR22.11.SK01.0111) projesinin ilk basamağı olan \"İlköğretim Okullarına Danışmanlık Uygulaması\" kapsamında 18 Mayıs 2012-18 Haziran 2012 tarihleri arasında Çanakkale Kepez'de bir İlköğretim okulunda yürütüldü. Bahar yarıyılında 5., 6., 7., ve 8. sınıflarda okuyan farklı dezavantajlara sahip 15 öğrenci çalışma grubumuzu oluşturdu. Öğrencilerin psikososyal becerilerini ve sağlık algılarını geliştirecek eğitim çalışmaları yapıldı. Bu çalışmalar 3 hafta boyunca haftada 2 kez okul kütüphanesinde yapıldı. Çalışmada materyal olarak sosyodemografik bilgi formu, sağlık algısı ölçeği ve psikososyal beceri değerlendirme formu kullanıldı. Çalışma verileri, SPSS 15,0 sürümü ile değerlendirildi. BULGULAR: Çalışma grubumuzun %66,6'sı (n=10) kızdı. Öğrencilerin psikososyal beceri gelişimleri incelendiğinde 3 haftalık ölçümlerde ortanca puanlar arasında istatistiksel olarak anlamlı bir fark saptandı (p<0,001). Öğrencilerin sağlık algısı ölçeğine verdikleri yanıtlar incelendiğinde, eğitim süresince yapılan ölçümlerde öğrencilerin olumlu tutumlarında bir artış, buna karşılık olumsuz tutumlarında da bir azalma olduğu gözlendi. SONUÇ: Dezavantajlı öğrencilerle yapılan bu destekleyici eğitim çalışmaları ile öğrenciler interaktif olma, paylaşımcı olma, iletişimci ve girişimci olma, lider olma, sosyal destek sunma, sağlık algısının gelişmesi gibi konularda fiziksel, ruhsal ve sosyal kazanımlar elde etmişlerdir. Çalışma grubumuzda yer alan ve eğitim aktivitelerini başarıyla tamamlayan öğrencilerden 2'si proje kampına seçilmiştir. Proje kampındaki aktiviteleri ve yapılan sınavı başarıyla tamamlayan bir öğrencimiz İngiltere'ye bilimsel gezi programına katılmıştır. Sonuç olarak, sağlık algısının, psikososyal becerilerin ve girişimcilik gibi özelliklerin erken yaşlarda gelişmesi için ilköğretim çağındaki dezavantajlı öğrencilere yönelik profesyonel grup eğitimleri yararlı olabilirÖğe Dog-Assisted Therapies and Activities in Rehabilitation of Children with Cerebral Palsy and Physical and Mental Disabilities(Mdpi Ag, 2015) Elmaci, Dilek Tunay; Cevizci, SibelThe aim of the present study was to evaluate dog-assisted therapies and activities in the rehabilitation of children with cerebral palsy and physical and mental disabilities who have difficulties in benefiting from well-being and health-improving services. This descriptive-explanatory study was conducted in disabled children of various ages between 2008 and 2011 by an experienced team in a private training and rehabilitation center in Antalya (Turkey). In this study, five study groups were formed among the children with physical and mental disabilities. During the therapy studies, three dogs were used. For each therapy group, the goals for the children and therapist were defined, and the activities were determined according to these goals. The entire study process was followed using audio-records and photographs of patients. The expected targets were reached in all study groups. The children who experienced fear, anxiety and difficulties due to their disabilities in daily life learned to cope with their anxieties and fears, set goals and make plans to achieve their aims. During this study, the children improved their abilities to use their bodies according to their capabilities. Accordingly, they improved their ability to develop empathy between themselves and a therapy dog, to receive and present help, and to communicate. The results of the present study revealed that dog-assisted therapies and activities can be a supportive method for routine treatment procedures in the rehabilitation of children with cerebral palsy and physical and mental disabilities.Öğe Dyspepsia, Irritable Bowel Syndrome, and Hematological Parameters in Recurrent Aphthous Stomatitis(Derman Medical Publ, 2017) Kilic, Sevilay; Cevizci, Sibel; Sen, Hacer; Isik, Selda; Gunes, Fahri; Binnetoglu, Emine; Hiz, Meliha MerveAim: The goal of this study was to investigate the relationship between gastrointestinal complaints (dyspepsia, irritable bowel syndrome) and hematological parameters among recurrent aphthous stomatitis (RAS) patients. Material and Method: Forty-four RAS patients with a diagnosis of recurrent oral ulcers in oral mucosa were included in this study. They answered a questionnaire concerning oral aphthous properties, dyspepsia problems, and irritable bowel syndrome. Routine hematological screening and hemoglobin, vitamin B12, folic acid, and TSH were analyzed retrospectively. Data analyses were performed using SPSS. Results: Constipation complaints by females were statistically more frequent than those of males (59.3% vs. 11.8%; p< 0.05). There was a positive, statistically moderate and significant correlation between the time passed without having an aphtha (r= 0.343; p= 0.026) and lymphocyte level (r= 0.383; p= 0.028). However, there was no association between the time passed without having an aphtha and age (r= 0.112; p= 0.473), aphtha recurrence frequency (r= 0.05; p= 0.738), vitamin B12 (r= 0.019; p= 0.929), and Hb levels (r= 0.047; p= 0.781). Discussion: It was determined that there was positive correlation between aphtha size and lymphocyte level. Further studies should be designed in light of the association of RAS and gastrointestinal system disease.Öğe Effects of Local Administration of Boric Acid on Posterolateral Spinal Fusion with Autogenous Bone Grafting in a Rodent Model(Humana Press Inc, 2015) Komurcu, Erkam; Ozyalvacli, Gulzade; Kaymaz, Burak; Golge, Umut Hatay; Goksel, Ferdi; Cevizci, Sibel; Adam, GurhanSpinal fusion is among the most frequently applied spinal surgical procedures. The goal of the present study was to evaluate whether the local administration of boric acid (BA) improves spinal fusion in an experimental spinal fusion model in rats. Currently, there is no published data that evaluates the possible positive effects if the local administration of BA on posterolateral spinal fusion. Thirty-two rats were randomly divided into four independent groups: no material was added at the fusion area for group 1; an autogenous morselized corticocancellous bone graft was used for group 2; an autogenous morselized corticocancellous bone graft with boric acid (8.7 mg/kg) for group 3; and only boric acid was placed into the fusion area for group 4. The L4-L6 spinal segments were collected at week 6, and the assessments included radiography, manual palpation, and histomorphometry. A statistically significant difference was determined between the groups with regard to the mean histopathological scores (p=0.002), and a paired comparison was made with the Mann-Whitney U test to detect the group/groups from which the difference originated. It was determined that only the graft+BA practice increased the histopathological score significantly with regard to the control group (p=0.002). Whereas, there was no statistically significant difference between the groups in terms of the manual assessment of fusion and radiographic analysis (respectively p=0.328 and p=0.196). This preliminary study suggests that BA may clearly be useful as a therapeutic agent in spinal fusion. However, further research is required to show the most effective dosage of BA on spinal fusion, and should indicate whether BA effects spinal fusion in the human body.Öğe Epicardial Adipose Tissue Is Increased in Patients With Inflammatory Bowel Disease(Amer Inst Ultrasound Medicine, 2016) Uysal, Fatma; Akbal, Erdem; Akbal, Ayla; Cevizci, Sibel; Arik, Kasim; Gazi, EmineObjectives-Patients with inflammatory bowel disease (IBD) have high cardiovascular morbidity, and, in general, epicardial adipose tissue thickness is related to atherosclerotic vascular disease. This study aimed to investigate the association between epicardial adipose tissue thickness and carotid intima-media thickness as markers of early atherosclerosis in patients with IBD. Methods-The study comprised 47 patients with IBD (25 with Crohn disease and 22 with ulcerative colitis) and 35 control participants. In all individuals, epicardial adipose tissue and carotid intima-media thickness values were measured by sonography. Results-The mean age +/- SD of the 47 patients with IBD was 42.3 +/- 11.2 years, versus 41.4 +/- 10.1 years for the control group. The epicardial adipose tissue thickness was higher in both the Crohn disease and ulcerative colitis groups compared to the control group (P < .001), but not the carotid intima-media thickness (P = .695 and .917, respectively). There was a strong positive correlation between the carotid intima-media and epicardial adipose tissue thickness values in the Crohn disease and ulcerative colitis groups (r = 0.757; 95% confidence interval, 0.711-0.901; r = 0.786; 95% confidence interval, 0.364-0.615; both P < .001). However, there was no significant difference between the patients who were in the active and inactive disease periods in both groups in terms of carotid intima-media and epicardial adipose tissue thickness values. Conclusions-Our findings suggest that epicardial adipose tissue thickness might be a marker for detection of early atherosclerosis in patients with IBD. There was a strong positive correlation between carotid intima-media thickness and epicardial adipose tissue thickness values in the patients with IBD. However, there was no correlation between IBD activity and carotid intima-media or epicardial adipose tissue thickness.Öğe Epilepsy management at work environment: Aspects of occupational health and safety(Nobelmedicus, 2016) Cevizci, Sibel; Erginöz, Ethem; Karaman, Handan Işin ÖzişikObjective: There is a need to manage epilepsy, which is a common neurological disease, in terms of occupational health and safety at work environment. Numerous individuals with epilepsy is a part of the working population. Main problems are disease perception of patients, employers and coworkers, the severity and control of seizures, social acceptance by community, negative beliefs, attitudes and behaviors that affect negatively quality of life of both patients and their relatives at work environment for managing epilepsy. In order to cope with these difficulties in the management of epilepsy, every country needs to develop, implement and renew periodically their own epilepsy guides according to the socio-cultural structure. Various guidelines which are used for managing epilepsy and followed by occupational health and safety organizations are available in most of the countries. There are recommendations, which are including sample case presentations, to protect physical, mental and social health of employees with a disability such as epilepsy at work environment in these guidelines. These recommendations consist of valuable informations in terms of coping with problems that especially workers with epilepsy may encounter when they do job work. In this study, it was aimed to present knowledge on perception of epilepsy, epidemiology and epilepsy management through international epilepsy guides, publications, and case presentations in the work environment. In conclusion, we consider that developing and renewing periodically of epilepsy guidelines and training with case presentations may be beneficial in order to be successful in the management of epilepsy at work environment accordingly socio-cultural organizational structure in Turkey. © 2016, Nobelmedicus. All rights reserved.Öğe EPILEPSY MANAGEMENT AT WORK ENVIRONMENT: ASPECTS OF OCCUPATIONAL HEALTH AND SAFETY(Nobel Ilac, 2016) Cevizci, Sibel; Erginoz, Ethem; Karaman, Handan Isin OzisikObjective: There is a need to manage epilepsy, which is a common neurological disease, in terms of occupational health and safety at work environment. Numerous individuals with epilepsy is a part of the working population. Main problems are disease perception of patients, employers and coworkers, the severity and control of seizures, social acceptance by community, negative beliefs, attitudes and behaviors that affect negatively quality of life of both patients and their relatives at work environment for managing epilepsy. In order to cope with these difficulties in the management of epilepsy, every country needs to develop, implement and renew periodically their own epilepsy guides according to the socio-cultural structure. Various guidelines which are used for managing epilepsy and followed by occupational health and safety organizations are available in most of the countries. There are recommendations, which are including sample case presentations, to protect physical, mental and social health of employees with a disability such as epilepsy at work environment in these guidelines. These recommendations consist of valuable informations in terms of coping with problems that especially workers with epilepsy may encounter when they do job work. In this study, it was aimed to present knowledge on perception of epilepsy, epidemiology and epilepsy management through international epilepsy guides, publications, and case presentations in the work environment. In conclusion, we consider that developing and renewing periodically of epilepsy guidelines and training with case presentations may be beneficial in order to be successful in the management of epilepsy at work environment accordingly socio-cultural organizational structure in Turkey.Öğe EVALUATING PESTICIDE USE AND SAFETY PRACTICES AMONG FARMWORKERS IN GALLIPOLI PENINSULA, TURKEY(Southeast Asian Ministers Educ Organization, 2015) Cevizci, Sibel; Babaoglu, Ulken Tunga; Bakar, CoskunUnsafe pesticide use among farmworkers is a major public health problem in Turkey. This study aimed to investigate pesticide use and safety practices of farmers in a village of Gallipoli Peninsula, Turkey This cross sectional study was conducted with 117 farmers. The questionnaire included questions on demographic data, knowledge, attitudes, and safety practices concerning pesticides. The mean age of participants was 42.8 years, and 38.5% was female participants. Of the total 177 respondents, 77.8% reported that they prepared the chemical mixture at a public fountain, whereas 22.2% prepared it in their houses. Almost half (44.4%) reported that they experienced at least one health problem after pesticide application in the previous one year. Total scores for pesticide safety practices of the subjects, who declared that they experienced at least one health problem after the application in the previous one year, were statistically significantly lower (p<0.001). Their responses about safe use of pesticides and storage conditions were very striking. Our findings indicated that there is a need to increase health promotion activities through training, and the local administrations should promote safe use of pesticides by farm workers.Öğe Evaluating pesticide use and safety practices among farmworkers in gallipoli peninsula, turkey(SEAMEO TROPMED Network, 2015) Cevizci, Sibel; Babaoglu, Ulken Tunga; Bakar, CoskunUnsafe pesticide use among farmworkers is a major public health problem in Turkey. This study aimed to investigate pesticide use and safety practices of farmers in a village of Gallipoli Peninsula, Turkey. This cross sectional study was conducted with 117 farmers. The questionnaire included questions on demographic data, knowledge, attitudes, and safety practices concerning pesticides. The mean age of participants was 42.8 years, and 38.5% was female participants. Of the total 177 respondents, 77.8% reported that they prepared the chemical mixture at a public fountain, whereas 22.2% prepared it in their houses. Almost half (44.4%) reported that they experienced at least one health problem after pesticide application in the previous one year. Total scores for pesticide safety practices of the subjects, who declared that they experienced at least one health problem after the application in the previous one year, were statistically significantly lower (p<0.001). Their responses about safe use of pesticides and storage conditions were very striking. Our findings indicated that there is a need to increase health promotion activities through training, and the local administrations should promote safe use of pesticides by farm workers. © 2015, SEAMEO TROPMED Network. All rights reserved.
