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Permanent URI for this collectionhttps://hdl.handle.net/11452/19318

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Attitudes to the challenges of life among different occupation groups
(TÜBİTAK, 2011-12) Tekin, Oğuz; Şencan, İrfan; Göktaş, Olgun; Aile Sağlığı Merkezi; 0000-0003-2008-8700; AAG-5653-2019; 6603078279
Aim: To determine the attitudes of some occupation groups towards challenges. Materials and methods: In the present study, data were collected by administering the Fatih-Bursa Scale of Attitude to Challenges (F.B.-SATC) to various occupation groups. The participants were divided into 6 occupation groups: healthcare workers, educators, technical staff (engineers, architects, etc.), self-employed people, security staff (police offices, military staff), and housewives. Data were assessed with a F.B.-SATC scoring system measuring attitudes towards challenges. The scale has 5 factors: Thoughts about Challenges (TAG), Outlook on Life (OL), Problem Solving (PS), Targets and Ideals (AI), and Social State (SS) factors. The tool included 26 questions and is answered by a 5 point Likert-type rating scale. Results: Four hundred and fifty-three individuals (205 male and 248 female) participated in the study. Average factor scores of housewives were lower than the scores of the other groups. High scores were shared by healthcare workers and security staff. In dual comparisons, healthcare workers had the highest score in TAG scores and they were significantly higher than educators and housewives (P = 0.027, P < 0.001, respectively). Their OL scores were significantly higher than educators (P = 0.011), security staff (P = 0.003), technical staff (P = 0.003), and housewives (P < 0.001). Conclusion: The effect of the type of occupation on individuals' attitudes towards challenges varies. Precautions should be taken for some occupation groups; guidance should be provided and social studies should be performed.
Changes in the management of type 2 diabetic patients in family medicine practices in the Bursa region
(Elsevier, 2017-04) Göktaş, Olgun; Gül, Özen Öz; Ertürk, Erdinç; Tıp Fakültesi; Aile Sağlığı Merkezi; İç Hastalıkları Bölümü; AAJ-6536-2021; AAI-1005-2021; 6603078279; 26040787100; 7005488796
Aim: The aim of the study was to investigate the treatment and monitoring patterns of type 2 diabetes patients in the Bursa region over the last 5 years since the implementation of family practice in Turkey in 2010. Methods: A total of 216 volunteer family doctors working in family health centers took part in this study. The records of 44,819 diabetic patients who visited these doctors between January 1, 2010 and December 31, 2014 were inspected retrospectively. Apart from the identity of the patients, morphometric data, including the type of medication used for diabetes and the HbA1C, serum creatinine and LDL cholesterol values, were recorded. Results: A total of 38.9% (17,416 patients) of the patients in the study were male and 61.1% (27,403 patients) were female. The average age was 59.7 years with a range of 13.2 years. Although the patients' average body mass index (BMI) did not change over the 5 years monitoring, average blood pressure (BP), and serum creatinine and LDL cholesterol levels decreased significantly. The hemoglobin A1c levels were significantly lower after 2010 compared to the 2010 data. Upon examining the medication prescribed for the patients, we determined that the use of metformin and insulin increased, whereas the prescription of thiazolidinedione (glitazone) decreased. There was a significant increase in the amount of patient data recorded over the last 5 years. Conclusions: Despite the increased level of data entry in these patients with type 2 diabetes, the surveillance of diabetes parameters according to treatment guidelines remains suboptimal. There continues to be a need to engage family practitioners on ongoing education and practice enhancement programs.
Comparative validity and reliability study of the QIDS-SR16 in Turkish and American college student samples
(Küre İletişim, 2011-12) Bernstein, Ira H.; Tavlı, Vedide; Ongel, Kurtuluş; Tavlı, Talat; Tan, Şeref; Mergen, Haluk; Eğitim Fakültesi; Eğitim Bilimleri Bölümü; A-1204-2018; 57225930534; 27467601400
Comparative validity and reliability study of the QIDS-SR16 in Turkish and American college student samples Objective: To evaluate the validity and reliability of the Quick Inventory of Depressive Symptomatology, self-reported version, in a Turkish student sample (QIDS-SR16-T) by comparing it to (a) the American version (QIDS-SR16-US) and (b) the Turkish version of the Beck Depression Inventory (BDI-II-T). Materials and Methods: Slightly modified versions of the QIDS-SR16-T, and the BDI-II-T were administered to 626 outpatients at the Uludag University campus-based family health center. The QIDS-SR16-US was administered to 584 respondents at an American university. SAS and MPlus were used to provide descriptive statistics, classical exploratory factor analysis, and item response theory analyses (in the form of a multiple group confirmatory factor analysis). Results: The internal consistency (Cronbach a) of the QIDS-SR16-T was 0.77. Both QIDS-SR16 versions were unidimensional, but the BDI-II-T was not. The mean QIDS-SR16-T and QIDS-SR16-US item-total correlations were similar. The correlation between the QIDS-SR16-T and BDI-II-T was 0.72 (.90 when disattenuated). Multiple-group confirmatory factor analysis suggested that the QIDS-SR16-T and QIDS-SR16-US had the same factor loadings but different intercepts. This reflects group differences in level of depression, perhaps because the Turkish respondents, unlike their US counterparts, were seen in a medical context where illness-related depression is more prevalent. Scores on the QIDS-SR16-T and the BDI-II-T were also equated. Discussion: The QIDS-SR16-T has good psychometric properties and convergent validity with the BDI-II-T. Its use is recommended when a self-reported instrument is appropriate.
General and abdominal obesity prevelances and their relations with metabolic syndrome components
(Professional Medical Publications, 2019-07) Göktaş, Olgun; Ersoy, Canan; Ercan, İlker; Can, Fatma Ezgi; Tıp Fakültesi; 0000-0003-3291-5187; AAH-8861-2021; ABF-2367-2020; 6603078279; 6701485882; 6603789069; 56689608500
Objective: To evaluate the frequency of obesity and its relation of metabolic syndrome. Methods: The data from the records of the consecutive adult residents of Bursa province in Turkey who were admitted to the family health centers from the 1st January to the 31st December 2016 were evaluated retrospectively. The population size was 2901396 (N) and the sample size was at least n=17729. A total of 17812 participants (10939 females, 6873 males) were included in this retrospective observational study. Sociodemographic characteristics, diseases, used medication and smoking, height, weight, waist and hip circumferences (WaC and HC) were recorded from the files. Results: The mean age of all subjects was 46.1 years, the mean BMI was 28.1 kg/m(2) with a mean WaC of 91.3 cm, HC of 104.7 cm, WHR of 0.87. The prevalence of obesity in Bursa was found to be 32.2% (37.8% in females and 23.3% in males) according to BMI, 63.2% (69.7% in females, 52.9% in males) according to waist and hip circumferences. Conclusions: Preventive measures should be taken by health authorities to prevent the rapid increase in general and abdominal obesity that may lead to serious comorbidities.
The perception of menopause and hormone therapy among women in Turkey
(Taylor & Francis, 2007-02) Uncu, Yeşim; Alper, Züleyha; Özdemir, Halis; Bilgel, Nazan; Uncu, Gürkan; Tıp Fakültesi; Aile Sağlığı Merkezi; 0000-0002-8349-9868; 0000-0002-5225-4403; 0000-0002-5225-4403; 0000-0002-4539-5849; AAB-1694-2021; D-9597-2016; AAP-9210-2020; ABE-2261-2020; 8892370600; 8580079400; 57197077578; 7801564702; 6603716169
Objectives To investigate the influence of sociodemographic characteristics and menopause perception on self-reported menopause-related symptoms among Turkish women and analyze their knowledge and attitudes towards menopause and hormone therapy. Methods This was a population-based, cross-sectional, descriptive study. A total of 1007 women were recruited while attending primary-care health clinics. Women who agreed to participate in the study gave written informed consent. Each woman completed a questionnaire and had an interview to investigate her current health problems. Results Various different problems were reported by 86% of the women, mainly hot flushes. The women who perceived menopause as a pathological period had more complaints. The level of education influenced a more positive perception of the menopause. Only 12% of women were taking a hormonal treatment. Conclusion Different perceptions of menopause among Turkish women are influenced by many factors, including cultural differences, level of education, regular exercise, social factors, and impact of the media. These need to be considered when studying the frequency and characteristics of menopausal problems.
A sample of paediatric residents' loneliness-anxiety-depression-burnout and job satisfaction with probable affecting factors
(Pakistan Medical Association, 2015-02) Karaoglu, Nazan; Pekcan, Sevgi; Durduran, Yasemin; Odabasi, Dursun; Ors, Rahmi; Mergen, Haluk; Aile Sağlığı Merkezi; 0000-0001-6628-7321; A-1204-2018; 27467601400
Objective: To assess levels of anxiety, depression, loneliness, burnout and job satisfaction among paediatric Residents, and how they influence each other. Methods: The cross-sectional study was conducted at Necmettin Erbakan University, Meram, and Konya Meram Education and Research Hospital, Turkey from January to June 2011, and comprised paediatric Residents and their counterparts from other departments who formed the control group. While maintaining confidentiality, a questionnaire was used to collect data that had elements of the University of California, Los Angeles, Loneliness Scale, Hospital Anxiety and Depression Scale, Maslach Burnout Inventory and Minnesota Job Satisfaction Questionnaire. SPSS version 13 was used for statistical analysis. Results: Overall there were 74 Residents in the study; 43(58%) working with the paediatrics department, and 31(42%) in the control group. Overall mean age was 27.60+/-2.25 years. Residents who were not satisfied with the city they were living in, with their professional career and who would not choose the same career given a second chance were feeling more lonely and had higher loneliness scores (p<0.05). In contrast, anxiety among female Residents who were unsatisfied with their professional career and working conditions was significantly high (p<0.05). Positive correlation was detected between the burnout levels of Residents and their anxiety, depression and loneliness scores (r=0.74; r=0.65; r=0.36). In terms of intrinsic, extrinsic and total job satisfaction, there was an obvious negative correlation (r=-0.57; r=-0.54; r=-0.61). Conclusion: Working conditions and professional liability were the main factors affecting the Residents. Informed decision and career willingness may help them feel better.
Validity and reliability of the QIDS-SR16-Turkish in comparison with BDI-II-Turkish among young outpatient sample of Turkish university students
(Türk Nöropsikiyatri Derneği, 2012) Tavlı, Talat; Öngel, Kurtuluş; Mergen, Haluk; Tıp Fakültesi; Aile Sağlığı Merkezi; A-1204-2018; 27467601400
Objective: To evaluate the validity and reliability of 16-item self-report version of the Quick Inventory of Depressive Symptomatology (QIDS-SR16) scale in comparison with BDI-II-Turkish (BDI-II-T) in a young sample of Turkish university students. Methods: A slightly modified version of the QIDS-SR16-Turkish (QIDS-SR16-T) available at www.ids-qids.org, along with the BDI-II-T, was administered to 628 young Turkish university students who attended the Family Health Center in Uludag University Campus between February and April 2010. Descriptive analyses, Student's t-test, receiver operating characteristic (ROC) analysis, and confirmatory factor analyses were used in the study. Results: The mean age of the participants was 21.1 +/- 2.16 (SD) years; 67.8% were female and 32.2% were male. Cronbach's a coefficient for internal consistency of the QIDS-SR16-T was found to be 0.769. The mean item-total correlation was 0.45, ranging from 0.29 to 0.71. The correlation between the BDI-II-T and QIDS-SR16-T was 0.72. ROC curve analysis suggested 9 as the optimal cut-off for a clinical depression level for the QIDS-SR16-T. Conclusion: We observed that the QIDS-SR16-T demonstrated good psychometric properties in a sample of young Turkish students and has convergent validity with the BDI-II-T, a widely used scale for depression. It is essential to diagnose reliably the major depressive disorder and to follow up the patients by valid screening instruments in primary care setting. The internal consistencies of the QIDS determined in studies from the United States were greater than our Cronbach's alpha coefficient, but there was no statistically significant difference between them (z=0.55, p>0.05). The QIDS-SR16-T can be reliably used in primary care settings.
Vitamin D status in the adult population of Bursa-Turkey
(Taylor & Francis, 2020-11-02) Can, Fatma Ezgi; Göktaş, Olgun; Ersoy, Canan; Ercan, İlker; Aile Sağlığı Merkezi; Aile Sağlığı Birimi; 0000-0002-2382-290X; AAH-8861-2021; EXQ-8413-2022; 6603078279; 6701485882; 6603789069
Background Vitamin D, along with parathyroid hormone (PTH) and calcitonin, is an important hormone that affects bone and calcium metabolism. Objectives To evaluate the vitamin D status and its seasonal variation in the adult population of Bursa. Methods Since there is not enough information about vitamin D levels, 25 OH vitamin D levels were analysed retrospectively from the records of 11,734 adult subjects (9142 women, 2592 men) admitted to 24 family health centres located in different districts of Bursa between 1 December 2017 and 30 November 2018. Some tests that can affect vitamin D levels, demographic features, and accompanying comorbidities were also evaluated. A face-to-face questionnaire was administered to subjects who were willing to answer (n = 2965). Results The mean serum vitamin D level was 16.6 +/- 11.5 ng/mL in the entire population, 15.8 +/- 11.7 ng/mL in women and 19.5 +/- 9.9 ng/mL in men. The percentage of subjects with a vitamin D level <20 ng/mL was highest in March-May and lowest in the September-November period (80.7% and 69.9% for women, 77.5% and 32.9% for men, respectively). Conclusion Vitamin D levels <20 ng/mL are more prominent in women, and decline in spring, in the adult population of Bursa. These results are meaningful for the population living in Bursa, Turkey and the northern European region.

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