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Clinical characteristics of essential and physiological tremor in Orhangazi district of Bursa, Turkey: A population based study
(Journal Neurological Sciences, 2009) Erer, Sevda; Zarifoğlu, Mehmet; Karlı, Necdet; Özçakır, Alis; Çavdar, Çiğdem; Ocakoğlu, Gökhan; Tıp Fakültesi; Nöroloji Ana Bilim Dalı; 0000-0001-5588-2037; AAH-5180-2021; AAG-8209-2021; 25635370800; 6603411305; 6506587942; 9733230000; 25935825700; 15832295800
To find out the estimated prevalence and clinical features of tremor and its subtypes, such as essential tremor (ET) or physiological tremor (PT), by means of a population-based study in the Orhangazi district of Bursa, Turkey. Our study was carried out between June 2004 and September 2005 among adults aged 40 years or more in Orhangazi, Bursa, Turkey. This population-based study was planned in 3 phases. In phase 1, face-to-face home interviews with 1124 subjects were carried out by residents of the departments of neurology and family medicine, using a short questionnaire; 247 persons had symptoms indicative of tremor. Of the persons with tremor symptoms in phase 1, 48 did not continue to phase 2. In phase 2, participants were videotaped and evaluated by movement disorders specialists by using scales specific to tremor. In phase 3, video recordings of all identified patients were reviewed and final diagnoses were made through a consensus of all three specialists. In the study population, the prevalence rate of ET was found to be 3.34%; of PT, 4.14%; and all types of tremor, 9.00%. There was no significant variability according to gender and age groups in prevalence rate of ET, PT. ET and PT showed significant comorbidity with hypertension (HT), rheumatological disease, diabetes mellitus (DM), and asthma.
A meta-analysis and an evaluation of trends in obesity prevalence among children and adolescents in Turkey: 1990 through 2015
(Galenos Publishing House, 2018-03) Alper, Züleyha; Ercan, İlker; Uncu, Yeşim; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-8349-9868; 0000-0002-5225-4403; ABE-2261-2020; ABF-2367-2020; D-9597-2016; 8580079400; 6603789069; 8892370600
Objective: Obesity in childhood and adolescence is one of the most serious public health problems due to a remarkable increase in prevalence in recent years and its close relationship with non-communicable diseases, such as diabetes and hypertension, resulting in increased adult morbidity and mortality. This study aims to quantify the secular trend in different regions of Turkey from 1990 to 2015 by performing a meta-analysis of childhood and adolescent obesity prevalence studies conducted. Methods: Uludag University Library Database was searched for relevant articles published prior to March 2017. The heterogeneity of the studies in the meta-analysis was tested by the I2 statistic and Cochran's Q test. The obesity trend analyses were examined by chi-square trend analysis with respect to five year periods. The statistical significance level was taken as alpha=0.05. Results: A total of 76 papers were initially identified addressing childhood and adolescent obesity in Turkey. Fifty-eight papers were selected for analysis. The prevalence of obesity increased from 0.6% to 7.3% with an 11.6-fold increase between the periods 1990-1995 to 2011-2015. The prevalence of obesity increased in both genders. However, boys were more likely to be obese than girls. Conclusion: Studies on obesity prevalence in the 5-19 age group in Turkey have gained importance, especially in the 2000s. While a remarkable number of prevalence studies, mostly regional, have been conducted between 2005-2011, a gradual decline was observed thereafter. Further national and population-based surveys on prevalence of obesity in children and adolescents are definitely needed in Turkey.
Metabolic syndrome and depressive symptoms in a primary health care setting in Turkey
(Küre İletişim Grubu, 2011-03) Demirci, Hakan; Çınar, Yıldırım; Bilgel, Nazan; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 7801564702
Background: The possible association between depressive symptoms and metabolic syndrome (MetS) has recently become an important topic of discussion. There is some limited and inconsistent evidence in the literature concerning whether or not depression and metabolic syndrome are associated. The aim of this study was to examine the association between depressive symptoms and metabolic syndrome. Methods: This is a cross-sectional community-based study. The setting is a family practice unit in an urban area which serves about 3,600 people. The participants were 250 individuals aged 18 and over, selected randomly from all enrolled patients in this family practice unit. National Cholesterol Education Program (NCEP- ATP-III) criteria were used for the classification of metabolic myndrome (MetS). The Beck Depression Inventory was filled out by the participants for the evaluation of depressive symptoms. Results: The prevalence of MetS was similar for men (48.8%) and women (48.1%) and increased with age in both sexes. Participants with only primary education were found to be 2.2 times more at risk of developing MetS than participants with a higher education. The prevalence of depressive symptoms was higher among women (31.0%) than men (9.9%). Statistical analyses revealed no statistically significant association between MetS and depressive symptoms. Conclusion: The prevalence of MetS was found to be high in both sexes. Women had a 3.8 times higher risk of developing depressive symptoms than men. We found no association of depressive symptoms with MetS or with any of the MetS criteria.
Psychosocial evaluation of physicians receiving adaptation training in family practice
(TÜBİTAK, 2011-08) Tekin, Oğuz; Cebeci, Sevsen; Göktaş, Olgun; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 6603078279
Aim: To identify the psychosocial conditions of physicians who received the first phase of the transition period adaptation training for family medicine practice in Bursa, and develop an efficient and reliable scale to take measurements during subsequent training processes. Materials and methods: A pilot test was given, using survey methodology, to physicians (442 people) who attended the first phase of the transition period adaptation training for family medicine practice in province of Bursa, Turkey, in 2008. The survey questions were designed to assess 3 factors: A- Adaptation to the program, B- Occupational self-confidence, and C- Non-exhaustion. Each factor was represented by 10 to 11 questions. A 5-point Likert-type scale was used for assessment (I-Strongly agree, II- Agree, III-Neither agree nor disagree, IV- Disagree, V-Strongly disagree.). Questions involving age, gender, length of professional experience, opinions about the training, knowledge and opinions of the family practice system, as well as views about the future work practice of each participant were asked. The contents of the 31-question survey to be used for the Pilot Test, along with its validity in terms of scope and content investigated, taking the views of 3 specialist doctors. Then, the survey was given to 442 doctors who participated in adaptation training, both before and after the training program. The results were analysed using the SPSS (Statistical Package for the Social Sciences) program. Reliability analysis was performed for all the factors in all 31 questions. Having removed the questions lowering the reliability in each factor, the remaining 17 questions were classified in 3 factors, by applying Factor Analysis (Quatrimax Method). Results: Two hundred seventy-one male (61.3%) and 171 female (38.7%) physicians participated in the survey. Mean age and length of professional experience was higher in males than females. While the majority of the participants (72%) thought the training they received was just an activity that would improve their adaptation, a small percentage (7.9%) thought that it would increase their professional competence. Statistically speaking, mean occupational self-confidence factor scores were higher in post-training tests compared to the mean scores before training (P < 0.001). Conclusion: Findings show that the first phase of the transition period adaptation training for family medicine provides a positive beginning and psychosocial improvement for these family medicine practitioners.
Turkish version of the depression anxiety stress scale (DASS-42): Psychometric properties
(Türk Nöropsikiyatri Derneği, 2010) Bilgel, Nazan Gönül; Bayram, Nuran; İktisadi ve İdari Bilimler Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0001-5492-184X; AAG-9068-2021; 7801564702; 13609585600
Objective: This study explores the reliability, the construct and convergent validity of the Turkish version of the DASS-42. Methods: The Turkish-language version of the DASS-42 was administered to a non-clinical sample, broadly representative of a university student population (N=1102) in terms of demographic variables. Competing models of the latent structure of the DASS were derived from theoretical and empirical sources and evaluated using confirmatory factor analysis. The convergent validity of the scale was examined by correlating it with the previously validated and frequently used Turkish version of the Hospital Anxiety and Depression Scale. Results: The best fitting model of the latent structure of the DASS consisted of three correlated factors corresponding to the depression, anxiety, and stress scales. The reliability of the DASS was excellent and the measure possessed adequate convergent validity. Conclusion: The Turkish version of the DASS-42 is a reliable and valid measure of the constructs it was intended to assess. This measure was found useful for evaluating depression, anxiety, and stress in non-clinical population. Further studies are needed to study the utility of this measure in psychiatric patients.
What influences herbal medicine use? - Prevalence and related factors
(TÜBİTAK, 2008-10) Aydın, Serpil; Bozkaya, Ayfer Oklay; Mazıcıoğlu, Mustafa Mümtaz; Özturk, Ahmet; Gemalmaz, Ayfer; Özçakır, Alis; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-6458-2906; 0000-0001-5588-2037; 0000-0002-7130-5624; H-4382-2013; H-4382-2013; H-4382-2013; 9733230000
Aims: The use and cost of complementary/alternative medicine (CAM) has been gaining in importance worldwide. Herbal medicine is one of the most commonly used methods. To understand the effectiveness, reliability, and quality of CAM and provide standardization in its analysis, its prevalence and the factors influencing its use must be identified. This study was conducted to identify the prevalence of CAM use and the effective factors in our population. Materials and Methods: A stratified multistage probability sampling design was used in this cross-sectional, population-based study, which was conducted in Aydin. Participants were interviewed face to face by trained inter-viewers with a questionnaire. The answers for the open-ended questions were categorized. Univariate and multiple (backward Wald) logistic regression and chi-square test were used for the statistical analysis. A P value <0.05 was considered as statistically significant. Results: Totally, 873 people completed the questionnaire; 539 (61.7%) were female, 334 (38.3%) were male. Fifty-eight percent of the participants (n: 511) reported that they had used a CAM method at least once in the previous year. More than half of the participants had used herbal medicine (55.4%), and the Most commonly used herb was lime (n: 426, 88.1%). The reasons for the use of herbal medicine were mostly for prevention and for treatment. In the previous year, 233 (26.7%) of the participants stated that they had applied one of the CAM methods as a treatment for their children. Health status perception, being a nonsmoker and belief that "CAM was superior to conventional medicine" were determined as the factors that influenced CAM use. Conclusions: CAM, especially herbal medicine. is commonly used in our population, and individuals use these methods not only for themselves but also for their children.

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