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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 Comparison of olive oil and lanolin in the prevention of sore nipples in nursing mothers(2013) Gungor, Ayse Nur Cakir; Oguz, Sevilay; Vurur, Gulsen; Gencer, Meryem; Uysal, Ahmet; Hacivelioglu, Servet; Uludag, Aysegul[No abstract available]Öğe Effects of Sleep Hygiene Education on Subjective Sleep Quality and Academic Performance(Derman Medical Publ, 2016) Şahin, Erkan Melih; Ozturk, Levent; Oyekcin, Demet Gulec; Uludag, AysegulAim: Sleep problems are common in students with one third of university students reporting insufficient sleep. It is known that sleep quality and daytime sleepiness cause decrasing academic performans. For this reason we aimed to investigate the effects of a sleep hygiene education on sleep quality and academic performance of first year medical students. Material and Method: Self-reported sleep data and academic performance of 131 first grade medical students were collected. To all students enrolled Pittsburg Sleep Quality Scale in the assessment of sleep quality and Epworth Sleepiness Scale for assessment of daytime sleepiness in the evaluation. The students were divided into two subgroups and the intervention group received a 30 minute structured sleep hygiene education. Global academic performance was assessed by grade point average at the end of the year. Results: Mean Pittsburgh sleep quality index score of the students was 7.9 +/- 3.5 and 106 (82.8%) of then had a score >= 5. After intervention,. the worse the initial sleep quality, the more improvement by the sleep hygiene education on sleep quality and academic performance. Discussion: An education on sleep hygiene might improve subjective sleep quality and academic performance of medical students.Öğe Effects of vaginal discharge on female sexual function(Wiley, 2014) Gungor, Ayse N. C.; Uludag, Aysegul; Sahin, Melih; Gencer, Meryem; Uysal, AhmetObjective: To assess the effects of vaginal discharge on female sexual dysfunction (FSD) by using the Female Sexual Function Index (FSFI). Methods: In a study at a university hospital in Canakkale, Turkey, women affected by vaginal discharge and age-matched healthy control women were recruited between January and December 2012. Women were grouped in accordance with their vaginal discharge complaints and each participant com- pleted the FSFI questionnaire. Results: A total of 114 women were included in the study. Women in the first group (n = 58) had no vaginal discharge or had physiologic vaginal discharge, those in the second group (n = 29) had abnormal vaginal discharge with itching, and those in the third group (n = 27) had abnormal vaginal discharge without itching. Compared with the first group, women in the second and third groups had higher FSFI scores for desire, arousal, orgasm, and pain, in addition to higher overall FSFI scores. Women with genital malodor had significantly higher FSFI scores than patients without genital malodor (23.83 +/- 5.07 vs 21.15 +/- 4.78; P = 0.008). Conclusion: Women with abnormal vaginal discharges were found to have better FSFI scores for some domains. This finding may be attributed to the adverse effects of sexual intercourse on vaginal infections. (C) 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.Öğe Female sexual dysfunction in androgenetic alopecia: Case-control study(Canadian Urological Association, 2016) Sancak, Eyup Burak; Oguz, Sevilay; Akbulut, Tugba; Uludag, Aysegul; Akbas, Alpaslan; Kurt, Omer; Akbulut, Mehmet FatihIntroduction: We sought to evaluate the association of female sexual dysfunction (FSD) with androgenetic alopecia (AGA) and metabolic syndrome (MetS) in premenopausal women. Methods: From December 2013 to June 2015, we performed a case-control, prospective study of 115 patients with AGA and 97 age-matched control patients without AGA from among premenopausal women who visited dermatology clinics of the two reference hospitals. Comprehensive history, anthropometric measurements, and questionnaire administration were performed for each of the total of 212 women. The Female Sexual Function Index (FSFI) was used to assess the key dimensions of female sexual function. AGA was assessed and graded by an experienced dermatologist according to Ludwig's classification. The MetS assessment was made according to the NCEP-ATP III criteria. Results: In univariate analysis, age, weight, waist circumference, hip circumference, waist-to-hip ratio, body mass index (BMI), AGA, MetS, cardiovascular event, marital status, hypertension, high fasting plasma glucose, high triglyceride, large waist, total testosterone, and free testosterone were associated with presence of FSD. In logistic regression analysis, age (odds ratio [OR] 1.21, 95% confidence interval [CI] 1.13. 1.30; p<0.001), AGA (OR 3.42, 95% CI 1.31. 8.94; p= 0.017), MetS (OR 5.39, 95% CI 1.34. 21.62; p= 0.012), and free testosterone (OR 0.18, 95% CI 0.09. 0.37; p< 0.001) were independently associated with FSD. Conclusions: Our study suggests that age, AGA, MetS, and free testosterone may have strong impact on sexual function in premenopausal women. Further studies with population-based and longitudinal design should be conducted to confirm this finding.Öğe Is Multiple Sclerosis Patients Receiving Adequate Medical Assesment for Urological Problems?(Derman Medical Publ, 2015) Sen, Halil Murat; Sancak, Eyup Burak; Uludag, Aysegul; Karaman, Handan Isin OzisikAim: The aim of the study was to determine the medical assesment and treatment services for frequently seen urological problems in multiple sclerosis patients. Material and Method: In this study, 50 MS patients were enrolled. Patients were evaluated about appropriate and adequate medical care for low urinary tract symptoms (LUTS) by questionnaire that was prepared by researchers. Results: Eighty percent of patients (n = 40) had LUTS in study. There were 76% of patients (n = 38) declared that they had never been questioned by doctors even had no complaints about LUTS. Only 7.5% (n = 3) of MS patients with LUTS were under treatment. Discussion: Our study showed that MS patients with urological problems were not questioned and evaluated appropriately and adequately.Öğe Knowledge, attitude and behavior of mothers related to acute respiratory infections(Edizioni Minerva Medica, 2016) Peker, Emel; Sahin, Erkan M.; Topaloglu, Naci; Uludag, Aysegul; Adaoglu, Hasret; Gungor, SelenBACKGROUND: The aim of this paper was to evaluate the level of knowledge and general attitude to acute respiratory diseases and behavior of antibiotic usage and related factors. METHODS: The study included 122 mothers of children between 2 and 16 years of age who applied the complaint of respiratory infections and experienced the respiratory infections previous year, to policlinics between January and May 2012. A survey form was used to evaluate the sociodemographic properties of the mothers, and the level of knowledge, attitude and behavior of mothers to childhood acute respiratory infections, fever and antibiotic use. RESULTS: Of the children, 58.1% applied with cough, and 40.9% applied with fever to the doctor. Before attendance 28.6% of mothers had used antibiotics and 27.8% antipyretics. The rate use of not prescribed antibiotics was 12.3%. Before medical evaluation of children, the use of a variety of traditional and alternative medical methods was at the high rate of 57.4%. The average attitude scores of mothers about the antibiotics use for acute respiratory infections fell into the category of being against antibiotic use and income level toward antibiotic use and a correlation between duration of mother's education against antibiotic use. CONCLUSIONS: We found that the level of knowledge of parents about medications used by their children was insufficient and there is a high percentage of non-prescription use of antibiotics. In low income and low education level of parents the use of antibiotics increased. Health workers must correctly inform parents about symptoms, course and medication. The effects of health education in the management of common diseases must be evaluated with studies.Öğe Men's Perspectives on Family Planning and Their Knowledge on Reproductive Health(Derman Medical Publ, 2014) Gungor, Ayse Nur Cakir; Uludag, Aysegul; Hacivelioglu, Servet; Gencer, Meryem; Ors, Polat; Yucesoy, Kaya; Uysal, AhmetAim: Many training programs for females about contraception have been developed. In this study, we aimed to investigate the perspectives of males on contraception and their knowledge on reproductive health. Material and Method: Husbands of pregnant women who presented in our obstetric clinic were invited to complete a questionnaire. Results: A total of 178 men answered our questionnaire. Among their wives, 11.1% (17/153) terminated their at least one unintended pregnancy. 142 of them (79.8%) knew about modern contraceptive methods, and 104 (58.4%) of them used at least one of these methods. Condoms were perceived as the best contraceptive method for 46.1% (35/76) because of their easiness to use and cheapness, and 41.7% (25/60) of the participants stated that they would like to use condom from then on. 55.6% (40/72) stated that they would never use oral contraceptives because of their possible side effects on their wives. 20 of the questions addressed to the participants were about reproductive health. The participants answered approximately 70% of all questions correctly. The correct answering rate for every question ranged between 39.6% and 96.1%. Discussion: In our study, we investigated attitudes and knowledge about contraception and reproductive health among men who were married and fertile. The findings from this study can provide a foundation for further education programs for men in these areas.Öğe Prevalence of irritable bowel syndrome in primary health care(Cukurova Univ, Fac Medicine, 2017) Ozgen, Kenan; Şahin, Erkan Melih; Uludag, Aysegul; Peker, Emel; Gunayi, Zeynep; Ertekin, Yusuf HaydarPurpose: Irritable Bowel Syndrome includes a group of functional bowel diseases without organic pathology. The prevalence changes between 0.5% to 39% according to diagnostic criteria. In this study, we aimed to investigate the prevalence and characteristics of IBS in primary health care by using Rome III criteria. Material and Methods: This population-based crosssectional study was carried out among 500 adults applying to primary healthcare facilities in eanakkale, Turkey. Data were collected with a data form designed by the researchers, including the Bristol Stool Scale to evaluate defecation characteristics and the ROMA III criteria for the diagnosis of IBS during face-to-face interviews. Results: Of 500 participants, 64 (12.8%) had a previous diagnosis of Irritable Bowel Syndrome who among these were 38 women (59.4%) and 26 men (40.6%). According to the ROMA III criteria no new case was identified. The male: female ratio in Irritable Bowel Syndrome diagnosed patients was 1.46. 34.3% of the patients were diagnosed at a primary healthcare facility, and 62.5% of the patients with Irritable Bowel Syndrome were followed by family practitioners. Conclusion: The prevalence of Irritable Bowel Syndrome found similar with North America and the southern of Europe. Irritable Bowel Syndrome affects mostly females, begins 30-45 age, and constipation-predominant subtype was the most frequent. ROMA III diagnostic criteria is not seem to be appropriate to recognize Irritable Bowel Syndrome cases with mild and moderate severity in primary healthcare.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 Psychiatric Disorders and Demographic Characteristics Among Geriatric Outpatients in Canakkale State Hospital(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2016) Ertekin, Hulya; Ertekin, Yusuf Haydar; Sahin, Basak; Kolat, Esra; Uludag, AysegulObjective: The elderly population in Turkey and in the world is progressively increasing and the increase is expected to be more prominent in the future. As the elderly population grows, there will be an increasing demand on health services, resulting in rapidly rising medical, psychiatric, and social healthcare problems. The aim of the present study is to determine the distribution of psychiatric illness, including gender-based differences, demographic characteristics and prevalence within all elderly age groups, among patients visiting the general psychiatry outpatient clinic. Method: This was a retrospective study using the data of the patient registry system for elderly patients who visited the general psychiatry outpatient clinic between September 2013 and February 2014. Patients were >= 65 years of age. Patients' demographic characteristics and their Axis I diagnoses according to DSM-IV-TR were recorded. Results: Of the 1044 patients who visited the general psychiatry outpatient clinic during the 6-month period, 15% (n=158) were aged >= 65 years; 62% of the 158 patients included in the study were female and 38% were male. Depression was present in 41% of patients; 21% had generalized anxiety disorder (GAD); 8% had adjustment disorder (AD), and 7% had schizophrenia. GAD was statistically significantly higher in females and AD was statistically significantly higher in males. Conclusion: Assessing demographic data including common diagnoses and diagnostic differences between genders in elderly patients is important to improve new diagnosis and treatment strategies.Öğe Relationship Between Response to Colchicine Treatment and MDR1 Polymorphism in Familial Mediterranean Fever Patients(Mary Ann Liebert, Inc, 2014) Uludağ, Ahmet; Sılan, Coşkun; Atik, Sinem; Akurut, Cisem; Uludag, Aysegul; Sılan, Fatma; Özdemir, ÖztürkAim: Investigate the relationship between MDR1 C3435T polymorphism and colchicine response in Familial Mediterranean fever (FMF) patients. Materials and Methods: Patients (n=50) who received colchicine regularly, were willing to participate in the study, and attended control visits were included in the study. MDR1 C3435T genotype was defined by the real-time polymerase chain reaction method. Patients were divided into three groups. Patients, who recovered from episodes with standard colchicine treatment, and had no attack in the last 1 year were accepted as complete; patients whose episode number and intensity were decreased with the ongoing standard treatment as partial; and patients whose episodes were not decreased despite the standard treatment as nonresponders. Results:MDR1 C and T allele frequencies of FMF patients with colchicine responses of complete, partial, and nonresponders were C=0.75 and T=0.25; C=0.56 and T=0.44; and C=0.50 and T=0.50, respectively. When complete responding patients were compared with the partial responding patients, subjects with CT genotype had 6.18 times more increased risk than with CC genotype (OR=6.18; p=0.015). Poor response risk of subjects with the T allele was increased 2.45 times more when compared with the C allele (p=0.03). Conclusion:MDR1 gene C3435T polymorphism enacts an important role on colchicine response in FMF; good response to colchicine treatment was related to the C allele, whereas poor response was related to the T allele in FMF.Öğe Screening mixed depression and bipolarity in the postpartum period at a primary health care center(W B Saunders Co-Elsevier Inc, 2016) Celik, Sercan Bulut; Bucaktepe, Gamze Erten; Uludag, Aysegul; Bulut, Ibrahim Umud; Erdem, Ozgur; Altinbas, KutsatIntroduction: Mixed depression is a clinical condition accompanied by the symptoms of (hypo)mania and is considered to be a predictor for bipolar disorder. Compared to pure major depression, mixed depression is worse in progress. There are limited data on the prevalence of mixed depression since it is a relatively new entity. Therefore, the present study aimed to investigate the prevalence of mixed depression during the postpartum period which is risky for mood disorders. Methods: The study included 63 postpartum women. The participants were administered Beck Depression Scale, Edinburgh Postnatal Depression Scale (EPDS), Mood Disorders Questionnaire (MDQ), and Modified Hypomania Symptom Checklist-32 (mHCL-32). Results: The MDQ scores of the women with expected depression according to the EPDS cut-off scores, were significantly higher than the women with lower EPDS scores (t = 4.968; p < 0.001). The modified hypomania scores were significantly higher in the women with higher depression scores compared to the women under EPDS cut-off scores (t = 4.713; p < 0.001). According to the EPDS and BDS results, 27 (42.9%) and 14 (22.2%) women needed additional clinical examination for depression, respectively. In addition, 3 (4.8%) women require additional clinical examination for bipolar disorder. The scores for the first item of MDQ were above the cut-off value in 11 (17.5%) women. According to the mHCL-32 results, 50 (79.4%) women had at least 1 symptom, 45 (71.4%) women had at least 3 symptoms, and 43 (68.3%) women had at least 5 symptoms of mixed depression. Conclusion: Postpartum mixed depression should be promptly diagnosed by using appropriate diagnostic tools, particularly by primary health care physicians. Patients with mixed depression should be closely monitored to avoid manic switch. (C) 2016 Elsevier Inc. All rights reserved.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 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 Reasons Why Patients with Headache Choose Neurosurgery Outpatient Clinics(Turkish Neurological Soc, 2014) Sen, Halil Murat; Aras, Adem Bozkurt; Guven, Mustafa; Akman, Tarik; Uludag, Aysegul; Karaman, Handan Isin OzisikObjective: We aimed to investigate reasons for the preference of patients who were admitted to the neurosurgery clinic with complaints of headache for admission in this clinic. Materials and Methods: Questioned the reasons for choosing the neurosurgical and most preferred cause of including word for brain surgery of the brain named (n=54, 54%). Patients were questioned about their knowledge of neurology and demostrated that they do not have the basic knowledge of this branch of medicine (n=66, 66%). Results: Questioned the reasons for choosing the neurosurgical and most preferred cause of including word for brain surgery of the brain named (n=54, 54%). Patients were questioned about their knowledge of neurology and demostrated that they do not have the basic knowledge of this branch of medicine (n=66, 66%). Conclusion: Headache causes loss of the financial and workforce. Consulting in the wrong department of the hospital by such patents, as a result of misdiagnosis and inadequate treatment, increases the number of hospital admissions. This finding emphasizes the importance of the names and descriptions of departments.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.
