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Öğe Amlodipine-induced gingival overgrowth(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2016) Ertekin, Yusuf Haydar; Ertekin, Hulya; Uludag, Aysegul; Yakar, Burkay; Tekin, Murat[Anstract Not Available]Öğe Being a physician: what messages have medical students received during the first month of medical school experience?(BMC, 2024) Korkmaz, Gunes; Toraman, Cetin; Tekin, Murat; Uysal, IbrahimBackgroundThis study aims to investigate the meanings that first-year medical students make about becoming a physician from the messages they receive from the faculty environment, faculty members and senior students after their one-month experience at the faculty of medicine.MethodsIn this phenomenological qualitative research, in-depth semi-structured interview was used to collect data from 21 first-year medical students, and data were analyzed through inductive content analysis method.ResultsAs a result of the analysis, one theme and four categories emerged about gaining professional competencies, having emotions specific to the profession, having sources of motivation, and challenges of becoming a physician in the future. The results reveal that first-year medical students think being a physician will help them gain professional competences, motivate them as the job is prestigious, a guaranteed profession, provides a multidisciplinary working environment, and gives opportunity to serve society and keep people alive. On the other hand, the first-year medical students are aware of the fact that their future profession will bring some challenges such as having to deal with a lot of stress, long working hours, mobbing, and having to study hard all the time during their education.ConclusionsWe believe that the current study presents significant results and some useful knowledge regarding the first-year medical students' perception of their future career as a physician.Öğe How many grades of response categories does the commitment to the profession of medicine scale provide the most information?(Izzet Kara, 2024) Tekin, Murat; Toraman, Cetin; Kogan, Aygen Melek AytugIn the present study, we examined the psychometric properties of the data obtained from the Commitment to Profession of Medicine Scale (CPMS) with 4-point, 5-point, 6-point, and 7-point response sets based on Item Response Theory (IRT). A total of 2150 medical students from 16 different universities participated in the study. The participants were divided into four groups consisting of 560, 544, 502, and 544 medical students. The first group (n=560) was assigned four-point, the second group (n=544) five-point, the third group (n=502) six-point, and the fourth group (n=544) seven-point Likert forms. We used R statistical software to analyze the data. The results of item calibrations conducted with the Graded Response Model (GRM) were analyzed. The results show that the eigenvalue increased from 4-point to 7-point. Similarly, the explained variance percentage and the scale's reliability increased gradually from 4-point to 7-point. The explained variance, reliability level, and eigenvalue were very close in the 5-point and 6-point forms.Öğe İlköğretim sekizinci sınıf öğrencilerinde internet bağımlılığı: Çanakkale örneklemi(2016) Ertekin, Yusuf Haydar; Ertekin, Hülya; Uludağ, Ayşegül; Tekin, MuratAmaç: İnternetin yaygın ve etkili kullanımı, özellikle çocuklar ve gençler olmak üzere tüm toplumu etkilemektedir. Bu çalışmanın amacı ergenliğin başlangıç dönemlerinde yer alan ilköğretim 8. sınıf öğrencilerinde internet bağımlılığı sıklığını araştırmak ve gelir düzeyi ile ilişkisini saptamaktı. Gereç ve Yöntem: Çalışmamız kesitsel-tanımlayıcı desende bir çalışma olup evrenini Çanakkale il merkezinde bulunan 8. sınıf öğrencileri oluşturmuştur. İnternet bağımlılığını tespit etmek amacıyla Young'ın geliştirdiği İnternet Bağımlılığı Ölçeği kullanılmıştır. Bulgular: Çalışmaya %47,0'si (s = 120) kız, %53,0'ü (s = 137) erkek olmak üzere toplam 257 öğrenci alındı. Erkek öğrencilerin ölçek puan ortalaması 29,3 ± 20,0, kız öğrencilerin ise 26,5 ± 17,0 olup aralarındaki fark istatistiksel olarak anlamlı değildi (p>0,05). İnternet bağımlı öğrenci sıklığı %0,8 (s = 2) idi ve her iki bağımlı öğrenci de yüksek gelir düzeyli ailelerin çocuklarının okuduğu okulda eğitim görmekteydi. Olası internet bağımlılığı erkek öğrencilerde kızlardan daha fazlaydı ancak istatistiksel olarak anlamlı farklılık yoktu (p>0,05). Gelir düzeyi yüksek olan ailelerin çocuklarının okuduğu okullarda; düşük olan okula göre internet bağımlı ya da olası bağımlı olan öğrenci sayısı anlamlı olarak daha yüksekti (p = 0,018). Sonuç: Çalışmamıza katılan ilköğretim düzeyindeki adolesan öğrencilerde internet bağımlılığı oldukça düşüktür. Olası internet bağımlılığında erkek cinsiyet ve yüksek gelir düzeyi etkili gibi görünmektedir.Öğe Pedagogical potential and didactic limitations of assessment rubrics: An example from medical education(IGI Global, 2023) Tekin, MuratHigh-level cognitive skills are often demonstrated at theperformance level. For this reason, performance assessment has become an important element of educational assessment. One of the biggest problems in open-ended questions, oral exams, and performance evaluation is to develop a scoring method that will ensure consistency between raters. At this point, the rubric emerges as a functional scoring tool. Rubrics have many known advantages such as defining the elements and qualities of performance that should be exhibited in educational assessment, consistency between raters, and supporting teaching. On the other hand, there are situations that create barriers in use, such as difficulty in preparation, time consuming to prepare, requiring expertise, and defining the qualifications by distributing them in a balanced way. However, it cannot be said that these are the only obstacles in the use of rubrics. At the same time, educator typology in lesson process and trainer profiles, educational beliefs, and educator roles can be counted among the important barriers in using rubric. © 2023, IGI Global. All rights reserved.Öğe Prevalence of skin disorders in primary and secondary school age children in Canakkale, Turkey: a community-based survey(Termedia Publishing House Ltd, 2016) Uludag, Aysegul; Kilic, Sevilay Oguz; Isik, Selda; Ertekin, Yusuf Haydar; Tekin, Murat; Cevizci, Sibel; Ogretmen, ZerrinIntroduction: Skin lesions may be of dermatological importance, affect appearance, and cause problems communicating with peers and may be especially more significant in childhood. Aim: Information on the prevalence of pediatric dermatoses in Western Turkey. This study was aimed to define the existing data. Material and methods: A cross-sectional study was conducted in Canakkale, Turkey, in September-December 2013. It involved 1,957 students from five randomly selected primary and secondary schools. Each student was interviewed for age, gender, and family history, and a dermatologic examination was performed by a dermatologist. Data were coded and analyzed. Results: Of the students, 79.9% revealed at least one dermatosis. The most common disease was benign neoplasms (76%), followed by pigmentary disorders (26.8%), and xerosis (5.8%). In primary schools, the acquired melanocytic nevus, hypopigmented macule, and xerosis; in secondary school the acne was statistically significantly more common. Acne and xerosis was more common in girls, and pityriasis alba was statistically more common in boys. Students who had at least one dermatosis were positively correlated with monthly income. Conclusions: In Turkish school age children, the prevalence of dermatosis is 79.9%. It may be due to not using preventive means for adequate protection from the sun and other environmental factors. Infectious dermatosis and atopic dermatitis are rare and it may depend on the adequacy of public health work.Öğe Second to fourth digit ratio, sex differences and antropometric measuments: their relationship in children(Edizioni Minerva Medica, 2017) Uludag, Aysegul; Tekin, Murat; Ertekin, Yusuf H.; Sahin, Erkan M.; Cevizci, Sibel; Cibik, Birol; Oguz, SevilayBACKGROUND: The aim of this study was to determine the effect of socio-demographic factors and anthropometric measurements on 2/4 digit ratio in the school aged children. METHODS: This cross-sectional study was completed in primary and secondary schools in the city center of Canakkale, Turkey. The students were seated at a table by the responsible doctor, and were asked to extend the palm of the right and left hand in the schools. Using a Vernier Caliper the 2/4 fingers were measured from the palm twice, and the results were noted together with socio-demographic information. Weight, length, waist and hip measurements were taken while students were behind a folding screen. RESULTS: A total of 1860 students from 5-14 years were included in the study. The right hand 2/4 digit ratio was 0.9765 +/- 0.035 and the left hand ratio was 0.9716 +/- 0.036 for girls. For the boys the ratios were 0.9688 +/- 0.035 for right hand and 0.9653 +/- 0.033 for left hand. The digit ratios of girls were significantly higher than boys and the right hand ratio was even greater. The 2/4 digit measurements of both hands of students were positively correlated with each other. In regression model left hand 2/4 ratio is dependent hip circumference, monthly income and gender as adjusted r(2) 0.051. The right hand 2/4 ratio was dependent gender, monthly income, hip circumference and birthweight as adjusted r(2) 0.041. CONCLUSIONS: The 2/4 digit ratio of school-aged in Turkish children differed based on gender. Digit ratios depend on the hip circumference, gender (girls have higher ratio), birthweight, gestation week and monthly income. Further research, especially the effect of monthly income, is needed.Öğe The Approaches Taken by Family Physicians in Turkey Regarding Prostate Patients and Prostate Specific Antigen(Derman Medical Publ, 2016) Akbas, Alpaslan; Tekin, Murat; Verim, Levent; Gulpinar, Murat Tolga; Sancak, Eyup Burak; Ertekin, Yusuf Haydar; Uludag, AysegulAim: This survey study questioned family physicians about their approaches to lower urinary tract symptoms (LUTS) and about the clinical application of total and free prostate-specific antigens (tPSA and fPSA). Material and Method: The survey link was prepared online and sent to an email group for family physicians. The survey had 14 questions, none of which identified the respondents, concerning approaches to male patients with LUTS. Some questions were multiple choice and others allowed multiple answers to be chosen. The results were graphed and interpreted. Results: A total of 350 family physicians responded online. While 250 (72%) were family physician assistants or experts, 214 (61%) worked in family health centers. Of the 300 (85%) family physicians who had seen male patients with LUTS, only 64 (20%) stated that they performed a prostate examination. While 298 (99%) of the physicians prescribed alpha blockers, 234 (78%) physicians stated they requested a tPSA, and 134 (44%) answered that they requested an fPSA. Of the 134 physicians, 104 requested an fPSA without regard to the tPSA value. Discussion: The study identified differences in the approaches of family physicians to male patients with LUTS. DRE was not performed for the majority of patients and, as a result, unnecessary requests for fPSA were made. Increased awareness of approaches to LUTS patients can be provided for family physicians at events such as in-service training and scientific congresses.Öğe The effect of depression and related psychosocial factors on disease activity in rheumatoid arthritis(2022) Tekin, Murat; Oğuz, AytekinIntroduction: Rheumatoid arthritis is one of the most common inflammatory chronic diseases worldwide. Depression is common in patients with rheumatoid arthritis. The relationship between depression and rheumatoid arthritis is a matter of curiosity, and it is thought that there is a bidirectional interaction between them. Depression is an important health problem that requires treatment. Therefore, it is essential to determine the conditions that call for more attention in terms of depression when following rheumatoid arthritis patients in primary care. Methods: Patients who applied to the rheumatology outpatient clinic, followed up for at least 1 year, and were diagnosed with rheumatoid arthritis according to the American College of Rheumatology (ACR) criteria were consecutively invited to the study. A total of 110 people, 18 men and 92 women, accepted the invitation. Beck Depression Inventory (BDI), Health Assessment Questionnaire (HAQ), and visual analogue scale (VAS) were filled together with the questionnaire developed by the researcher. In the joint examination of the patients, the number of tender joints and swollen joints were noted. Disease Activity Score (DAS28) was calculated and noted by measuring C Reactive Protein and erythrocyte sedimentation rates (ESR) in earlier tests performed on the patients. Rheumatoid factor status was recorded at the time of diagnosis or by checking the follow-up records. Results: In rheumatoid arthritis (RA) patients, the BDI score was higher in people with other chronic diseases and those who felt the need to apply to a psychiatry clinic. The BDI score was higher in patients with other chronic diseases and those who felt the need to apply to a psychiatry clinic for rheumatoid arthritis. RA patients with high BDI scores also had high DAS28 and HAQ scores. In addition, disease activity was significantly correlated with RF positivity. Conclusion: Rheumatoid arthritis patients should be evaluated for depression. Depression evaluation should be done more carefully in cases with high disease activity, other chronic diseases, and those who feel the need to apply to a psychiatry clinic.Öğe The effect of social interaction on decision making in emergency ambulance teams: a statistical discourse analysis(BioMed Central Ltd, 2023) Tekin, Murat; Uysal, İbrahim; Toraman, Çetin; Akman, Canan; Aytuğ Koşan, Ayşen Melek; Postacı, Emine SevinçIntroduction: This study examined the effects of social interaction, cognitive flexibility, and seniority on the correct response among emergency ambulance teams during case intervention. Methods: The research, structured with the sequential exploratory mixed method, was conducted with 18 emergency ambulance personnel. The approach process of the teams working on the scenario was video recorded. The records were transcribed by the researchers, including gestures and facial expressions. Discourses were coded and modeled with regression. Results: The number of discourses was higher in groups with high correct intervention scores. As the level of cognitive flexibility or seniority increased, the correct intervention score tended to decrease too. Informing has been identified as the only variable that positively affects the correct response to the emergency case, especially in the first period, which is directed toward case intervention preparation. Conclusion: Within the findings of the research, it is recommended that activities and scenario-based training practices that will increase the intra-team communication of the emergency ambulance personnel should be included in the medical education and in-service training.Öğe The Effect of Working Conditions to the Health Status in Taxi and Bus Drivers in Canakkale, Turkey; Community Based StudyTaksi(Derman Medical Publ, 2015) Uludag, Aysegul; Cevizci, Sibel; Tekin, Murat; Ertekin, Yusuf Haydar; Sevim, Sezgin; Babaoglu, Ulken; Bakar, CoskunAim: The growing taxi and bus driver workforce is at risk for poor health status, obesity, hypertension, metabolic syndrome and with increased risk for cardiovascular disease. We aimed to determine the relationship between working conditions and health status in taxi and bus drivers. Material and Method: This study is a descriptive study. The population of the study was taxi and bus drivers in central of Canakkale. There were total 250 taxi and bus drivers who registered in The Chamber of Canakkale Drivers and Vehicle. We reached the 70 taxi drivers and 93 bus drivers. The participants were visited at their workplace. We performed the questionnaire that include the socio-demografic features, habits, the working conditions. We evaluated the blood pressure, waist-hip measurements and capillary blood glucose at any time. Results: Total of the 163 men drivers were enrolled the study. Nine (12.9%) taxi drivers and 6 (6.5%) bus drivers were hipertensive, and 1 taxi driver and 2 bus drivers with random capillary blood glucose levels higher than 200 mg. The prevalence of hypertension was 9.2%, diabetes mellitus was 1.8, obesity was 49.4%. Discussion: Drivers have many risk factors for CVD like stress and immobility. In our study, the socio-demografic and working conditions are limited for explaining the risk for hipertension, diabetes mellitus and obesity in drivers in Canakkale. These study have to be done in metropolitan cities. In this aspect, the drivers can be evaluated in their own living spaces and working conditions.Öğe THE IMPACT OF HEALTH MINISTRY POLICIES ON PREGRADUATE AND POSTGRADUATE MEDICAL EDUCATION CAREER PLANNING(2023) Tekin, Murat; Karayaka, HasanThe news that physicians tend to work abroad in recent years in Turkey, the frequent occurrence of violence in healthcare, the dissatisfaction of physicians and the news of resignation have prompted the Ministry of Health and led to some regulations known as 'White Reform' in the society. We aimed to investigate the impact of these reforms on the career plans of final-year medical students, medical residents, and doctors who have graduated in the last 5 years. A descriptive study was planned, and a survey form created by researchers was used to reach the target audience. Data from 561 doctors and medical students were evaluated. The majority of doctors viewed the reforms positively, but it was determined that they were not implemented at the desired level in terms of application and adequacy. The impact of the reforms on career plans was seen primarily among intern doctors. The most common goal in terms of career plans was to work as a specialist physician.Öğe Vision screening in children: Is 7-9 years of age a threshold for visual impairment?(Professional Medical Publications, 2016) Ertekin, Yusuf Haydar; Tekin, Murat; Uludag, Aysegul; Arikan, Sedat; Şahin, Erkan MelihObjective: The present study aimed to assess the prevalence of decreased visual acuity, strabismus, and spectacle wear in children aged 5 to 13 years. Methods: A cross-sectional study was performed in primary education schools. A total of 1938 participants, including 940 females (48.5%) and 998 males (51.5%) with a mean age 8.96 +/- 2.31 (5-13 years old), were screened. The comparisons were performed with gender, age, and age groups. The children attended to vision screening were assigned to three age groups as 5-6 years, 7-9 years, and 10-13 years. Results: The prevalence of the parameters was detected as decreased visual acuity 12.4%, strabismus 2.2%, and spectacle wear 6.9%. The prevalence of decreased visual acuity was significantly higher in girls and in children aged 7-9 years old (p = 0.013, p < 0.001). The prevalence of spectacle wear was significantly higher in girls and in children aged 7-9 years old (p = 0.019, p < 0.001). There was a visual acuity decrease in 33 of 106 (31.1%) children despite wearing own spectacle. There was no significant difference among three age groups for strabismus. Conclusion: Increased prevalence of decreased visual acuity, as well as the higher frequency of spectacle wear in children at ages of 7-9 years old may point out a threshold for visual impairment.
