Browsing by Author "Aygun, Olgu"

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Citation - WoS: 6
Citation - Scopus: 7
Evaluation of Functional Constipation Frequency and Related Factors
(Oxford Univ Press, 2023) Cifci, Ismail; Gokdemir, Ozden; Aygun, Olgu; Guldal, Dilek
Background/Introduction The aim of this study is to determine the prevalence of functional constipation (FC) in Izmir using ROME IV criteria, as well as to investigate the relationship of FC with various factors, particularly obsessive-compulsive disorder (OCD) and personality traits. Methods This study was designed as cross-sectional analytical research. The participants were those aged 18 and over who applied to Family Health Centers (FHC). Participants were randomly selected from 11 FHC. Data were collected via a face-to-face interview, a questionnaire designed by the researcher using ROME IV criteria, the OCD module in the Mini-International Neuropsychiatric Interview, and the Ten-Item Personality Inventory. Results The study included 990 participants, 502 (50.7%) women and 488 (49.3%) men. According to the ROME IV criteria, 7% (n = 69) of the participants in our study had FC. OCD was found to be present in 13% of the cases. This rate was found to be significantly higher (P = 0.003). The emotional stability scores of FC patients were found to be significantly lower (P = 0.038). Conclusions FC is a common gastrointestinal system complaint in primary care and emphasizes the importance of the diagnostic approach, particularly in patients presenting with constipation due to treatment differences. Individuals with FC diagnoses had a significantly higher incidence of OCD, and their emotional stability levels were significantly lower. It should be noted that psychiatric diseases and personality traits may also play a role in this situation in individuals diagnosed with FC.
Evaluation of Vitamin D and Vitamin B12 Levels in Patients with and Without Hashimoto's Thyroiditis: A Case-Control Study
(Lippincott Williams & Wilkins, 2025) Aygun, Olgu; Asma Sakalli, Ayca; Kucukerdem, H. Seda; Gokdemir, Ozden
Hashimoto's thyroiditis (HT) is a common autoimmune thyroid disorder whose pathogenesis may be influenced by various biochemical and immunological parameters. Recent evidence suggests that vitamin D and B12 levels may play a role in autoimmune diseases. This study aimed to evaluate vitamin D and B12 levels in patients with HT and to examine their associations with disease pathogenesis and clinical features. This retrospective case-control study included patients who visited a family medicine outpatient clinic. The case group consisted of patients diagnosed with HT confirmed by positive anti-thyroid peroxidase antibody (anti-TPO) and/or anti-thyroglobulin antibody (anti-Tg). The control group included individuals without chronic diseases and with negative thyroid autoantibodies. Data on age, gender, history of hypothyroidism, vitamin D, vitamin B12, anti-TPO, and anti-Tg levels were collected and analyzed. Binary logistic regression was used to identify predictors of HT. A statistically significant correlation was found between vitamin D levels and HT, age, history of hypothyroidism, anti-TPO, anti-Tg, and vitamin B12 levels. There was no significant association between vitamin D and gender. Logistic regression analysis revealed that older age, female gender, and lower vitamin D and B12 levels were independently associated with an increased risk of HT. Vitamin D and B12 deficiencies appear to be associated with the presence and progression of HT. These findings highlight the potential role of nutritional and immunological markers in the disease's clinical course. Further prospective studies are warranted to confirm causality and inform clinical management.
Citation - WoS: 2
Evaluation of Women's Beliefs About Pap Smear Screening Using the Health Belief Model Scale
(Istanbul Univ, Fac Medicine, Publ Off, 2020) Aygun, Olgu; Gokdemir, Ozden; Bulut, Ulku; Yaprak, Seval; Ozcakar, Nilgun
Objective: To evaluate women's beliefs about screening Pap smear test. Material and Method: The survey has been conducted through a questionnaire prepared by researchers, based on the Health Belief Model Scale for the Pap smear test. The participants consisted of 266 women between 18-70 years of age registered at a Family Health Center in Izmir. Their beliefs about screening Pap smear test were evaluated using the Health Belief Model Scale. Results: The mean age of first sexual intercourse was 21.67 +/- 4.5 (min:13--max:45 years), 86.5% reported a single partner and 41.0% of them (n=109) had never undergone a Pap smear test. Women who previously had a Pap smear test had high scores of sensitivity, seriousness, advantage and motivation, health motivation subscales, but the mean scores for obstacles were low. There was a difference between seriousness, health motivation subscales and taking the Pap smear test (p=0.021, p=0.006). The Mean scores of seriousness and health motivation of Health Belief Model Scale were higher. There was no difference between education level, working status and undergoing a Pap test (p>0.05). Conclusion: Having a Pap smear test is still moderately frequent and there are obstacles. Planning the interventions to eliminate Pap smear test barriers is an important issue for family physicians.
The Frequency of Gastroesophageal Reflux Disease (Gerd) in Migraineurs and the Impact of Gerd Treatment on Migraine Attacks
(Duzce Univ, Fac Medicine, 2025) Cifci, Merve Pozlu; Gokdemir, Ozden; Aygun, Olgu; Cifei, Ismail; Guldal, A. Dilek
Objective: To determine the frequency of gastroesophageal reflux disease (GERD) in migraine patients and investigate the impact of adherence to gastroesophageal reflux treatment on migraine attack frequency. Method: A total of 757 people aged 18-45 years who applied to the Dokuz Eylul University (DEU) Neurology-Headache Clinic and the DEU Family Health Centers and met the inclusion criteria were included in the study. Exclusion criteria were pregnancy, cancer or alarming findings, and any mental disability that would prevent understanding of the questionnaire. The Migraine Diagnostic Questionnaire, including International Headache Society (IHS) criteria, was used to diagnose migraine, the Gastroesophageal Reflux Disease Questionnaire (GERDQ) to diagnose GERD, and the Modified Morisky Scale to assess medication compliance. SPSS 22 package was used for statistical analysis. Chi-square, t-test and ANOVA were used for statistical evaluation of the data, and p<0.05 was considered significant. Results: Of the 757 people who participated in the study, 428 patients were diagnosed with migraine and followed up in the neurology outpatient clinic. Of the 329 patients who applied for family health centers, 122 were diagnosed with migraine and 108 with non-migraine headaches. 99 did not complain of headache. When the GERDQ scores of the patients participating in the study were evaluated, there were 183 people (33.3%) with a GERDQ score of 8 and above among the migraineurs, 19 people (17.6%) with non-migraine headaches and 8 people (8.1%) without headaches. The GERDQ reflux score of migraineurs was found to be higher than in the other groups and this level was statistically significant (p<0.001). When the migraine attack frequency of migraine patients treated for GERD was evaluated, no significant relationship was found between treatment adherence and migraine attack frequency. Conclusion: The incidence of GERD in patients with migraine was found to be higher than in patients without migraine, and the compliance of these patients with treatment was found to be lower. It may be useful to ask patients with migraine about GERD when they come to the outpatient clinic and to support their motivation for treatment.
Citation - WoS: 2
Citation - Scopus: 1
The Perspectives of Young General Practitioners/Family Physicians on Mooc as Part of Continuous Education: a Descriptive Semi-Qualitative Multinational Study
(Walter De Gruyter Gmbh, 2022) Gokdemir, Ozden; Ozkan Bayrakci, Nursah; Aygun, Olgu; Hoedebecke, Kyle
Objectives In 2018, Harvard University provided a 10-week online course titled Improving Global Health: Focusing on Quality and Safety as using Massive Online Open Courses (MOOCs) web-based platform. The course was designed for those who care about health and healthcare and wish to learn more about how to measure and improve that care - for themselves, for their institutions, or for their countries. The goal of this course was to provide visual and written education tools for different countries and different age groups. In respect to the aim of this study is to evaluate the impressions and benefits of group learning activity and educational needs after this Improving Global Health courses experience with an online survey among the participants. Methods Sixty-six family medicine practitioners and trainees who were among the participants of the course were the universe of the study. These young General Practitioners/Family Physicians (GPs/FPs) from different countries were organized among themselves to follow the course as a group activity. Two weeks after the course, an online survey was sent to all the participants of this group activity. Results Twenty-eight out of 66 participants (42.4%) completed the survey and provided feedback on their perspectives and experience. Most of them were female (70.4%), and have not attended any MOOC course before (63%). This international group achieved a completion rate of approximately 65% by the deadline and nearly 90% including those finishing afterward. The majority felt that the group activity proved beneficial and supportive in nature. Conclusions Well-structured, sustainable e-learning platforms will be the near futures' medical learning devices in a world without borders. Future studies should further explore facilitators and barriers among FPs for enrolling and completing MOOCs. Furthermore, there is a need to evaluate how these group-learning initiatives may help participants incorporate lessons learned from the course into their daily practice.
The Use of Contraceptive Method Patterns Evaluation at Family Health Centers
(Istanbul Univ, Fac Medicine, Publ Off, 2021) Gokdemir, Ozden; Pak, Halil; Aygun, Olgu; Bulut, Ulku; Ekim Yardim, Sabire Ilke; Balik, Gurcan; Yaprak, Seval
Objective: Family planning is one of key responsibilities of family physicians; providing birth control methods, and ensuring its practical application remains important for maternal and child health. The aim of this study is to determine the contraception methods used by the individuals who applied to Family Health Centers (FHC) and to reveal the relationship between family planning methods chosen. Material and Methods: A descriptive research method was adopted for this study using the follow-up records of the FHCs. One thousand two hundred thirty-two follow-up records in total were accessed between March 2018 and December 2018, and SPSS 21.0 was used for data analysis. Results: Mean ranks provide evidence that age scores were higher for the users of tubal ligation, and this group had significantly more children than the users of combined oral contraceptives (p<0.001), condom (p<0.001) and intrauterine device (p=0.043). When all the follow-ups were evaluated, it was seen that the number of people who did not use contraceptive methods was high. Conclusion: Family planning and sexual education are associated with the availability and sustainability of resources that are crucial for healthcare. It remains important to provide Family Planning counseling to those who do not use any contraceptive method during the follow-up.