Person: ÖZÇAKIR, ALİS
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ÖZÇAKIR
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ALİS
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Publication Functional health literacy in a group of Turkish patients: A pilot study(Taylor & Francis As, 2017-01-01) Bilgel, Nazan; Sarkut, Pınar; Bilgel, Halil; Özçakır, Alis; Bilgel, Nazan; Sarkut, Pınar; Bilgel, Halil; ÖZÇAKIR, ALİS; Tıp Fakültesi; Genel Cerrahi Ana Bilim Dalı; 0000-0002-4539-5849; AAG-8209-2021; FZS-6356-2022; HKB-5363-2023; EKI-3501-2022Background: There is currently no objective original measure developed in the Turkish language for evaluating health literacy. However, some instruments originally developed in Western countries and translated into Turkish do exist. Aims: The aim of this study was to translate and adapt the Test of Functional Health Literacy (TOFHLA) into the Turkish language and validate it among a group of Turkish patients. Methods: Interviews were held in an outpatient clinic. Illiterate patients, those with previously diagnosed mental illness and inadequate visual acuity were excluded. Results: Internal consistencies of the reading comprehension and numeracy items were 0.89 and 0.77 respectively. Inadequate health literacy was determined in 28.0% of participants, marginal in 30.0% and adequate in 42.0%. Among the possible socio-demographic predictors of health literacy, the most significant predictor was the educational level. Participants with lower levels of education had significantly lower levels of health literacy. In general, reading comprehension scores were lower than the numeracy scores. The most disadvantaged groups were women and older people (>= 40 years of age) because of their lower levels of education. Discussion: The TOFHLA in the Turkish language seems to be a valid measure. Functional health literacy was found to be inadequate or marginal. Without enhancing the overall educational level, especially of women, efforts to improve health literacy seem to be ineffective. Conclusions: Functional health literacy is related to education. Non-written visual materials should be considered as a temporary solution to improve health literacy in populations with low literacy.Publication Frequency of post-traumatic stress disorder among relief force workers after the tsunami in asia: Do rescuers become victims?(Cambridge Univ Press, 2006-06-01) Devay, Ali Önder; Erdur, Bülent; Armagan, Erol; ARMAĞAN, EROL; Özçakır, Alis; ÖZÇAKIR, ALİS; Engindeniz, Zülfi; Tıp Fakültesi; Acil Tıp Ana Bilim Dalı; 0000-0003-1874-5097; JBJ-5787-2023; AAG-8209-2021; AAH-8846-2021Objective: The objective of this study was to evaluate the frequency of posttraumatic stress disorder (PTSD) among the participants of the Turkish Red Crescent Disaster Relief Team after the Tsunami in Asia.Methods: The Clinician Administered PTSD Scale-1 (CAPS-1) was administered to 33 of 36 team members one month after their Disaster Relief Team duty. Along with the CAPS-1 interview, demographic features, profession, previous professional experience, previous experience with traumatic events and disasters also were recorded. To be classified as present, a symptom must have a frequency score of "1" and an intensity score of "2" at the CAPS-1 interview. For a diagnosis of PTSD, at least one re-experiencing, three avoidance and numbing, and two increased arousal symptoms should be present.Results: The PTSD was diagnosed in eight of the 33 (24.2%) participants. No significant difference was detected in the distribution of PTSD diagnosis according to gender, age, profession, professional experience, previous disaster experience, and/or previous experience of traumatic events. However, the severity of PTSD symptoms as measured by the CAPS-1 score was significantly higher in women, nurses, and participants with <3 previous disaster duty experiences.Conclusion: Post-traumatic stress disorder is prevalent within disaster teams and healthcare workers, and measures should be taken to prevent PTSD within this group.Publication A population-based survey to determine the prevalence of movement disorders in Orhangazi district of Bursa, Turkey(Galenos Yayıncılık, 2009-01-01) Özbek, Sevda Erer; Zarifoğlu, Mehmet; Karlı, Necdet; Özçakir, Alis; Yıldız, Demet; Aslan, Doğa; ERER ÖZBEK, ÇİĞDEM SEVDA; ZARİFOĞLU, MEHMET; KARLI, HAMDİ NECDET; ÖZÇAKIR, ALİS; Yıldız, Demet; Aslan, Doğa; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0001-5588-2037; AAG-8209-2021; JGR-7854-2023; EHN-5825-2022; JDE-9380-2023; CIX-2047-2022; ELJ-9790-2022Objective: In this study we aimed to determine the prevalence of movement disorders among 40 years and older population in Orhangazi district of Bursa, Turkey.Patients and Methods: This population-based study was planned in three phases. In phase I, door-to-door home interviews were performed on 1256 subjects by residents of departments of neurology and family medicine by using a short questionnaire and 404 subjects with suspected symptoms of movement disorders and Parkinsonism were detected. These subjects were examined and videotaped in phase II. Of the suspected subjects in phase I, 131 did not attend to phase II for various reasons. In phase II, subjects were evaluated by movement disorders specialists by using scales specific to tremor, restless leg syndrome, Parkinson disease, and hemi-facial spasm. In phase III, video recording of all identified patients were reviewed and final diagnoses were made with a consensus of all three specialists.Results: In this phase, subjects were diagnosed to have restless leg syndrome n=60, 9.71%, essential tremor n=21, 3.34%, enhanced physhological tremor n=26, 4.14%, Parkinson's disease n= 14, 2.23%, hemifacial spasm n= 4, 0.82%, and dystonia n= 2, 0.41%.Conclusion: Although essential tremor has been reported as the most common movement disorder, in our study restless leg syndrome had higher prevalence than essential tremor.Publication Characteristics of deliveries at a maternity hospital(Medi+World Int, 2008-03-01) Bayraktar, Gülsün; Sadikoğlu, Ganime; Özçakır, Alis; Cangür, Şengül; Tatlıkazan, Serhat; Bilgel, Nazan; Bayraktar, Gülsün; Sadıkoğlu, Ganime; ÖZÇAKIR, ALİS; Cangür, Sengül; Bilgel, Nazan; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-4539-5849; AAG-8209-2021; ELY-8445-2022; FTO-3267-2022; CHY-1092-2022; FZS-6356-2022Introduction: The planning of the birthplace is considered as important as the pregnancy period. To be aware of the factors that have a strong effect on the preference of maternity hospitals plays an important role in this planning. The aim of this study is to define the socio-demographic traits, birth forms and the prenatal-antenatal care rates of women who preferred Zubeyde Hanim Maternity Hospital.Methods: This study focuses on 500 pregnant women who applied to Zubeyde Hanim Maternity Hospital between July 2005-September 2005. The data has been obtained by the investigators who filled out survey forms, which were prepared by a research group, by way of face to face interview. For the statistical measurements SPSS 9.01 program was used.Results: The average age of the study group was defined as 25.5 +/- 5.2. 80.4% of women were from the town centre of Bursa, 18.4% were from small towns of Bursa and the other 1.2% were from other neighboring cities. When the women in the study group were examined according to their education, it became clear that 65.1% were primary school graduates, 22.2% high school graduates, 7% uneducated and 5.6% higher educated. Whilst 87.8% of women were housewives, just 12.2% were working (p<0.001). The birth form was in 58.4% normal spontaneous birth and in 41.6% caesarean operation. Although 56.3% of women who had a caesarean operation were primary school graduates, 60.7% of higher educated women preferred caesarean operation. It was observed that the caesarean operation rates, age of first birth and prenatal-antenatal care rates increased and the number of children decreased concerning the augmentation of the education level.Discussion: Pregnancy and birth are periods during which women require a health centre most. Women's age, education level and socio-economic factors play an important role in preference of these health centres. The primary care physician is the most important person who can examine the socio-demographic traits and preferences of the woman and can assist with the planning of the consultations during the pregnancy period and birth.Publication Getting better or worse?: General health status of 9th grade students in Orhangazi, Bursa, Turkey(Hindawi Publishing Corporation, 2008-01-01) Alper, Züleyha; Özdemir, Hakan; Uncu, Yeşim; Özçakır, Alis; Sadıkoğlu, Ganime; Bayram, Nuran; ALPER, ZÜLEYHA; Özdemir, Hakan; UNCU, YEŞİM; ÖZÇAKIR, ALİS; Sadıkoğlu, Ganime; BAYRAM ARLI, NURAN; İktisadi ve İdari Bilimler Fakültesi; Ekonometri Bölümü; 0000-0002-1719-4265; AAP-9210-2020; D-9597-2016; AAB-1694-2021; JFK-4021-2023; AAG-8209-2021; ABE-2261-2020Adolescence is a transition phase from childhood to adulthood. In this period, rapid changes and development in their physical, biological, psychological, and social lives take place. While adolescents have to acquire many qualifications, they are faced with many problems, especially those that risk their health. In Turkey, one of the most important issues contributing to risky behaviors is the 1(st) Phase Nationwide High School Exam. Students must pass this phase in order to be in good high schools and to then pass the 2(nd) Phase University Exam. Most of their time is spent studying in school or in private teaching institutions, and less time is spent with their families or participating in social activities. In order to examine the effects on 9(th) grade students after the 1(st) Phase exams, we conducted this study with 1192 students in Bursa, Orhangazi. Data to evaluate students by socioeconomic status, body mass index (BMI), dietary, smoking, and physical activity behaviors and psychological status were collected via classroom questionnaires. We aimed to determine and evaluate the general characteristics and physical examination findings, to some extent, in a nationally representative sample of 9(th) grade students a year following the Nationwide High School Exam.Publication Depression and anxiety among medical students: Examining scores of the beck depression and anxiety inventory and the depression anxiety and stress scale with student characteristics(Taylor & Francis As, 2017-01-01) Ediz, Bülent; Özçakır, Alis; Bilgel, Nazan; Ediz, Bülent; ÖZÇAKIR, ALİS; Bilgel, Nazan; Tıp Fakültesi; Biyoistatistik Ana Bilim Dalı; 0000-0002-4539-5849; AAG-8209-2021; EXB-2757-2022; FZS-6356-2022To evaluate the psychological well-being of medical students a relatively new self-report questionnaire (the depression, anxiety, and stress scale) was used alongside an established instrument (the beck depression and anxiety inventories) in a group of medical students. A total of 928 medical students (49.4% female; 50.6% male) participated voluntarily into this cross-sectional study. Students completed the Turkish versions of the depression anxiety stress scale (DASS), beck depression, and anxiety inventories together with a questionnaire about their socio-demographic characteristics. Mild and moderate levels of depression were found in 30.5% and severe and extremely severe levels of depression in 8.5% of students. Mild and moderate levels of anxiety and stress were present in 35.8% of the participants. Depression and anxiety were more frequently reported by female students. Depression was more frequent among first-year students, students in a poor economic situation and those who were not satisfied with their medical education. The frequency of depression and anxiety were seen to decrease with increasing grades. Bland and Altman plots showed an agreement between beck inventories and depression, anxiety, and stress scales, whereas the agreement between anxiety scales was found to be better than that of depression scales. Depression and anxiety are seen frequently among medical students in Turkey. The psychological distress was influenced only to a modest degree by traditional socio-demographic characteristics. Either the traditional beck inventories or the newer depression anxiety and stress scales can be used for non-clinical screening purposes in individuals.Publication Pap smear screening in the primary health care setting: A study from Turkey(Medknow Publications & Media Pvt Ltd, 2010-10-01) Mehmetoğlu, Hande Çelik; Sadıkoğlu, Ganime; Özcakır, Alis; ÖZÇAKIR, ALİS; Bilgel, Nazan; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-4539-5849; AAG-8209-2021Background: Cervical cancer is one of the ten most frequent cancers in Turkey. It is well known that cervical cancer morbidity and mortality could be significantly reduced with an active cervical smear screening (Pap smear) program. Aims: The aims of this study were: 1) to evaluate the knowledge and attitudes of women about cervical smear testing; 2) to establish a cervical smear screening program and to evaluate the cervical cytological abnormalities that were found; 3) to determine the applicability, limitations and effectiveness of this screening in a primary health care unit. Patients and Methods : A total of 332 married women were included in our study. We collected data concerning socio-demographic and fertility characteristics, and knowledge about Pap smear testing was determined through printed questionnaires. A gynecological examination and Pap smear screening was performed on every woman in our study group. Results: Over ninety percent of our study group had never heard of and had not undergone Pap smear screening before. Of the 332 smears evaluated, 328 (98.8%) were accepted as normal, whereas epithelial cell anomalies were seen in 4 (1.2%), infection in 59 (17.7%), and reactive cell differences in 223 (67.2%) of the smears. Conclusions: The frequency of epithelial cell anomalies in our study group was less than the frequencies reported from Western countries. Knowledge regarding cervical cancer and Pap smear screening was very low. Pap smears can be easily taken and evaluated through a chain built between the primary health care unit and laboratory, and this kind of screening intervention is easily accepted by the population served.Publication Students' views about doctor-patient communication, chronic diseases and death(Wolters Kluwer Medknow Publications, 2008-03-01) Özçakır, A.; Uncu, Y.; Sadıkoğlu, G.; Ercan, I.; Bilgel, N.; ÖZÇAKIR, ALİS; UNCU, YEŞİM; Sadıkoğlu, G.; ERCAN, İLKER; Bilgel, Nazan; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0002-2382-290X; D-9597-2016; AAP-9210-2020; AAG-8209-2021; FTO-3267-2022; CGS-7006-2022Context: Students start their medical study with the opinion that saving lives and preventing deaths are the main goals of medicine. So, what will they do when faced with dying patients? How will they feel; how will they communicate? These are important, but often unspoken and neglected, issues.Objectives: We assessed the attitudes and opinions of first-year medical students regarding doctor-patient communication, chronic diseases, death, and dying patients at Uludag University Medical School in Bursa/Turkey. Our secondary objective was to delineate the educational needs related to this field.Methods: Cross-sectional survey of the first-year students in the class of 2004-2005. Students were evaluated using a questionnaire consisting of six questions and 18 Likert-type statements.Results: Completed questionnaires were received from 253 of the 265 (95.5%) students. According to the students, the most fatal diseases were cancer and AIDS. Students strongly agreed with the importance of talking to patients, where female students agreed more than males with this statement (p<0.05). Most students disagreed that patients should be informed that they are dying. Older students feared less for the death of patients. Female students would like to work in an environment where they can communicate with their patients and where they can be with them for a longer period.Conclusions: The results of this survey indicate that the need of providing palliative care, enhancing communication skills with terminally ill patients, and integrating different teaching strategies are important aspects of the undergraduate medical curriculum.Publication How does family medicine clerkship affect the attitudes to family medicine specialization?(Medi+world Int, 2006-01-01) ÖZÇAKIR, ALİS; ERCAN, İLKER; UNCU, YEŞİM; Sadıkoğlu, Ganime; 0000-0002-2382-290X; AAP-9210-2020; D-9597-2016; AAG-8209-2021Background and Objectives - To investigate whether the attitude of final year medical students to family medicine specialization changes after family medicine clerkship.Method - The authors conducted an analysis of data on 90 final year medical students who attended a 4-week family medicine clinical clerkship in the period between January and June 2004, at Uludag University School of Medicine. The change in preference for family medicine specialization was determined from the responses to the pre-and post-clerkship questionnaires. Statistical analysis of the results was conveyed by utilizing the SPSS 11.0 and Epi-Info 2000 software program.Results - According to the answers given, rank of family medicine residency, which was 4.19 +/- 0.10 before clerkship, increased to 3.88 +/- 0.10 after clerkship. There was a significant difference in rank list between first and last test (before and after clerkship (p<0.05).Conclusion - Final year medical students' clerkship in family medicine clinical practice may encourage more medical school graduates to prefer family medicine as a career, which in turn, may contribute toward establishing a sound healthcare system.