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    Attitudes Towards the Elderly Among Medical Students and Related Factors
    (Galenos Publ House, 2022) Ozerdogan, Ozgur; Eker, Esen; Yuksel, Buse; Oymak, Sibel; Bakar, Coskun
    BACKGROUND/AIMS: this study aimed to determine the attitudes towards elderly people and related factors among medical students. MATERIALS AND METHODS: The population of this cross-sectional study consisted of 385 students in the fourth, fifth and sixth classes studying at a medical school. The questionnaire consisted of sociodemographic characteristics, the Kogan's Attitude Toward Old People Scale and the Beck Hopelessness Scale. For the analysis of the data, difference between two means, variance test, Mann-Whitney U test and Spearman Correlation Analysis was used. For statistical significance, p<0.05 was accepted. RESULTS: The study was conducted with 324 people, the mean age was 23.3 +/- 1.4 years, 34.6% was in fourth, 32.7% was in fifth, 32.7% was in the sixth year and 55.7% was female. The mean attitude score toward the elderly was 100.7 +/- 14.4. The median value of KOGAN was higher in women than in men (p=0.004). There was a negative correlation (r=-0.251, p<0.001) between KOGAN and the hopelessness scores. KOGAN score of those who had a history of living with an elderly individual in a period of their life was 102.4 +/- 13.4, while it was 99.9 +/- 14.8 for others. It was 102.1 +/- 13.0 for those with a history of caring for a bed-dependent elderly person, and 100.7 +/- 14.4 for others (p>0.05). CONCLUSION: Applications to be made to integrate medical students and elderly people and intensification of elderly care education will be effective in developing positive attitude among young people.
  • Küçük Resim
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    Çanakkale ili Ezine bölgesinde kene ısırığı ve etkileyen faktörlerin incelenmesi
    (Refik Saydam National Public Health Agency (RSNPHA), 2021) Yüksel, Buse; Eker, Esen; Önder, Taylan; Özerdoğan, Özgür; Şener, Alper; Oymak, Sibel; Bakar, Coşkun
    Amaç: Dünya Sağlık Örgütü’ne göre bulaşıcı hastalıkların yaklaşık %17’si vektör kaynaklıdır. Türkiye, iklimi ve bitki örtüsü özellikleriyle kene yaşamına uygun ve kene ile bulaşan hastalıklar açısından riskli bir konumdadır. Bu çalışmanın amacı, Çanakkale ili Ezine ilçesi kırsal alanında bulunan Mahmudiye ve Pınarbaşı köylerinde yaşayanlarda kene ısırığı prevalansının ve etkileyen faktörlerin incelenmesidir. Yöntem: Kesitsel tipteki bu çalışma Çanakkale ili Ezine ilçesi Mahmudiye ve Pınarbaşı köylerinde 2018 yılında yürütüldü. Çalışma öncesinde Çanakkale Onsekiz Mart Üniversitesi Klinik Araştırmalar Etik Kurulu’ndan izin alındı. ‘Evrenin Bilindiği Durumlarda Evren Oranını Tahmin Etmek için Örneklem Büyüklüğü’ formülü kullanıldı ve örneklem büyüklüğü 329 kişi hesaplandı. Mahmudiye köyünden 292, Pınarbaşı köyünden 128 olmak üzere toplam 420 kişiye ulaşıldı. Köylerde belirlenen örneklem sayısına ulaşılmak için olasılıksız gelişigüzel örnekleme yöntemi kullanıldı. Araştırmanın verileri yüz yüze görüşme tekniği ile uygulanan anket formu ile elde edildi. Anket formu, demografik özellikler ve kene ısırığı hakkında bilgi durumu ve tutumunu sorgulayan 23 sorudan oluşmaktaydı. Kene ısırığı ile ilişkili risk faktörlerinin incelenmesi için lojistik regresyon analizi yapıldı. Araştırmanın veri toplama aşamasının ardından her iki köyde kadınlara ve erkeklere yönelik olarak kene ısırmasından korunmaları konusunda eğitim verildi. Bulgular: Araştırmada kene ısırığı prevalansı %20 olarak saptandı. Erkek cinsiyet kadın cinsiyete göre 3,4 kat; lise seviyesi altında eğitime sahip olmak, lise ve üstü eğitime sahip olmaya göre 3,0 kat; çiftçilik/ hayvancılık/ziraat teknikerliği/kasaplık ile uğraşmak, diğer mesleklere göre 3,4 kat kene ısırığı riskini artırmaktaydı. Sonuç: Kene ısırığından korunmak için koruyucu önlemler mevcuttur ve koruyucu sağlık hizmetlerinin temeli sağlık eğitimidir. Kırsal bölgede yaşayan, özellikle tarım ve hayvancılık ile uğraşan bireylere yönelik kene ısırıkları hakkında bilinçlendirme için yapılacak eğitimlerin yararlı olacağı düşünülmektedir. Ayrıca kene ısırığının beşte bir sıklıkta olduğu bu kırsal alanda kene ısırığının neden olabileceği sağlık sorunlarının da taranmasını önermekteyiz.
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    Öğe
    Frequency and Clinical Significance of Incidental Findings Detected in Internal Acoustic Canal Magnetic Resonance Imaging of Patients with Audiovestibular Symptoms
    (Kare Publ, 2022) Eker, Nebil; Karatag, Ozan; Resorlu, Mustafa; Ozer, Sule; Eker, Esen; Guclu, Oguz; Ozkurt, Huseyin
    Objectives: Retrocochlear pathology associated with audiovestibular symptoms is detected in very few of the patients, and most of the internal acoustic canal magnetic resonance imaging examinations (IAC-MRIs) are either completely normal or include accompanying incidental findings (IFs). The aim of our study is to reveal the presence and frequency of IFs in IAC-MRIs, together with retrocochlear lesions. In addition, we intend to emphasize the clinical importance of these IFs. Methods: A retrospective analysis of 374 serial IAC-MRI scans. Results: Gender distribution: 201 males and 173 females. Age range: 2-82 years. Seventy-two scans (19.25%) were totally normal. Fifteen scans (4.01%) demonstrated only pontocerebellar angle findings (PCAFs). The presence of PCAF and IF was together in 57 scans (15.24%). In 230 (61.50%) of the scans, only IFs were present. The incidence of IFs in all IAC-MRIs was 76.74% (287 of 374). Critical findings that may require clinical further evaluation and examination were present in 34 scans (9.09%). IFs that did not require further examination were observed in 253 scans (67.65%). Conclusion: Various IFs can be detected with IAC-MRI that may cause similar symptoms with PCAF. And unfortunately, some of these IFs may be of very high clinical importance. All referral clinicians should know well that these audiovestibular symptoms can appear as IFs anywhere in the auditory pathway, and how they should be followed in their clinical approach.
  • Küçük Resim
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    Prevalence of restless legs syndrome: a cross-sectional population-based study from northwest of Turkey
    (Springer Japan, 2021) Aksoy, Selma; Eker, Esen; Yalçın, Sibel; Özışık Karaman, Handan Işın
    Background: Although restless legs syndrome (RLS) is one of the most frequent movement disorders, it is often misdiagnosed or even unrecognized. The aim of this study is to determine the prevalence of RLS among adult population (individuals who are older than 18 years old) in the city center of Canakkale, from northwest of Turkey. Method: This community-based study was performed as a cross-sectional, door-to-door field study.The adult population of the city center of Canakkale had an estimated population of 126,893 according to 2018 data. The sample size of the study assuming RLS prevalence, in Epi Info Statcalc program was determined to be 476 subjects using the sample calculation formula. We reached 622 adults. The International RLS Study Group (IRLSSG) diagnostic criteria were applied and the IRLSSG rating scale (IRLS) was used to assess the severity of symptoms. Results: The RLS prevalence was determined as 12.1%. The prevalence reached peak point (15.3%) in the 50–65-year-old group. The IRLSSG severity scale score correlated with age (r = 0.356, p < 0.01). We observed particularly a higher RLS prevalence for patients with two or more medical comorbidities, although this trend did not reach significance (p > 0.05). Conclusion: We found high prevalence of RLS among adult individuals. Despite this increasing prevalence, very few patients seek professional help and treatment. We see that the prevalence of RLS has increased with recent prevalence studies over the years.
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    Öğe
    Reliability and validity of the Turkish version of the WHO-5, in adults and older adults for its use in primary care settings
    (NLM (Medline), 2019) Eser, Erhan; Çevik, Celalettin; Baydur, Hakan; Güneş, Soner; Esgin, Tayfun Alperen; Öztekin, Çağlar Söğüt; Eker, Esen
    BACKGROUND: This study aims to determine the psychometric properties of the World Health Organization Well-Being Index (WHO-5) Turkish version in Turkish adults and older adults. METHODS: This is a multicenter cultural adaptation study carried out with 1752 participants. Internal consistency (by Cronbach's alpha); Construct validity (by known groups and confirmatory factor analysis-CFI) and discriminant validity are evaluated stratified by adults and older adults. Cohen's Effect Size is used in known groups and discriminant validity analyses. RESULTS: Distribution properties of the WHO-5 Turkish version are in acceptable limits. Alpha values are 0.81 for adults and 0.86 for older adults. The variances of the 58.5% of the adults sample and 63.9% of the older adults sample are explained in Exploratory FA. Model fits (CFI) are satisfactory ( > 0.95) in both samples; but RMSEA is poor in the older adults sample (0.166) whereas it is acceptable (0.073) in the adults sample. Known groups validity and discriminant analyses are satisfactory in both adults and older adults. CONCLUSION: The WHO-5 Turkish version has a good measurement capacity, internal consistency and good model fits in both samples. The error values in the older adults group suggest that the results when testing older adults should be interpreted with caution.
  • Küçük Resim
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    Tularemia Outbreak in Western Part of Turkey; Revenge of ‘Mount Ida’
    (Türkiye Klinikleri, 2021) Alkan Çeviker, Sevil; Şener, Alper; Güçlü Kayta, Safiye Bilge; Eker, Esen; Önder, Taylan; Doğan, Ebru
    Objective: Tularemia is a zoonotic disease. Sporadic cases and outbreaks occur in humans. Here, we report a waterborne outbreak, its clinical presentation, and the results of treatment. Material and Methods: An increase in the frequency of patients presenting with lymphadenopathy from the same region was detected. Patients with serological diagnosis of tularemia were included in the study between December 2018 and April 2019. This case series were evaluated as an outbreak, clinical and laboratory parameters, demographic characteristics, clinical forms of tularemia and laboratory findings such as immunoglobulin M antibody titer for F. tularemia, inflammatory markers (C-reactive protein, leukocytosis, erythrocyte sedimentation rate), choice of first antibiotic treatment, total duration of treatment, initial clinical/laboratory response day, relapse and reinfection ratios have been investigated. The bacteria was investigated from drinking water fountains by polymerase chain reaction (PCR) (16sRNA Nanobiz® F. tularemia). Results: Tularemia was diagnosed serologically in 35 patients. Distribution of clinical forms was glandular (21 cases-60%); ulceroglandular (11 cases-31.4%); oropharyngeal (2 cases-5.7%) and oculoglandular (1 case-2.8%), respectively. First serologic test positivity was 80%. Inflammatory markers such as C-reactive protein, leukocytes, erythrocyte sedimentation rate were high. Antibiotic choice for treatment was streptomycin in 19 cases (54.3%), ciprofloxacin in nine cases (25.7%), gentamicin in four cases (11.4%); doxycycline in three cases (8.6%) respectively. The common suspicious contact was the use of drinking water from street fountains. F.tularemia PCR (16sRNA) was positive in 35 of these fountains (35/80, 43.75%). Conclusion: Tularemia should always be considered in head and neck lymphandenopathies that do not heal or show late recovery. We should keep in mind tularemia in a water-borne outbreak, were high it is rare.