TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14365/4
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Article Aile Hekimlerinin Sağlıklı Yaşam Biçimi Davranışlarının ve Klinik Uygulamalarında Yaşam Biçimi Tıbbının Değerlendirilmesi(Galenos Publishing House, 2025-04-15) Semin, Ilgi; Kazdağlı, Hasan; Gökdemir, Özden; Semin, Makbule IlgiAmaç: Bu çalışmanın amacı, aile hekimlerinin sağlıklı yaşam biçimi davranışlarını değerlendirmek ve klinik uygulamalarında yaşam biçimi tıbbına yönelik katılımlarını incelemektir. Yöntemler: Temmuz 2018 ile Ağustos 2019 tarihleri arasında aile hekimlerinden veri toplamak amacıyla çevrimiçi bir anket geliştirildi. Tanımlayıcı ve korelasyonel bir araştırma deseni kullanıldı. Çalışmada uygulanan anket, “katılımcıların kişisel bilgileri” ve “Sağlıklı Yaşam Biçimleri Davranış Ölçeği-II”i içermektedir. Kesitsel bir çalışma olarak tasarlanan bu araştırmada, örneklem kolayda örnekleme metodu ile sekiz ülkeden belirlenmiştir, ve anketler katılımcılara elektronik ortamda uygulanmıştır. Katılımcılara anketin süresi, veri saklama işlemleri, saklama süresi, araştırmacıların kimliği ve çalışmanın amacı hakkında bilgi verilmiştir. Bulgular: Çalışmaya 131 aile hekimi katılmış olup, erkek katılımcı oranı daha yüksek bulunmuştur. Sigara içme sıklığının Türk aile hekimleri arasında anlamlı derecede yüksek olduğu tespit edilmiştir (p=0,013). Ancak, ölçek toplam puanı veya altı boyutta alınan puanlar açısından aile hekimleri arasında istatistiksel olarak anlamlı bir fark bulunmamıştır. Sonuç: Çoğu aile hekimi, bu alanda daha fazla eğitim almak istediklerini belirtmiştir, bu da tıp fakültelerinin müfredatına eğitim müdahalelerin dahil edilmesi gerekliliğini göstermektedir. Ayrıca, iyi yapılandırılmış web tabanlı kitlesel çevrimiçi kurslar, aile hekimlerinin sağlıklı yaşam biçimi davranışları ve yaşam biçimi tıbbı uygulamalarına yönelik eğitim gereksinimlerini karşılamada etkili bir çözüm olabilir.Article Mental Health and Planetary Health(2023-12-31) Görgü, Genco; Gökdemir, ÖzdenAim: While the mental health burden of the COVID-19 pandemic is turning into a public health problem, the global dimension of the problem makes it necessary to address the issue in the context of planetary health for a solution. The goal of this study was to examine the contents and challenges of managing mental health issues at the planetary health level during COVID-19. Method: The bibliographic method was used. Theses were searched by searching YOKSIS and PubMed for reviews with the keywords "mental health, planetary health, and COVID-19." Results: In the search made in June 2021, from 2018 till 27.02.2022; 19 related articles have been found. The most proportion of published reviews was about patients’ mental health via telehealth; only three of the reviews were about healthcare workers. Two of the researches were excluded because they were not reviewed. The same keywords are used for searching among the thesis of YOKSIS, only one research was found about fuzzy cognition maps and decision making. Conclusions: Research on managing mental health problems and planetary health during pandemics in the family medicine discipline is far from providing sufficient literature diversity. Advances in data analytics and information technologies are opening up new medical clinical problem-solving methods. In order to measure the effects of the COVID-19 pandemics and to establish global well-being and higher planetary mood in the future, research at the level of the individual, society and planet are required.Article Unresolved Pain in a Middle-Aged Woman: an Integrated Family Medicine Approach(Cukurova Univ, FAC Medicine, 2023-09-30) Küçükerdem, Halime Seda; Aygün, Olgu; Gökdemir, Özden47 years old woman had applied to the outpatient clinic as she was suspicious because of COVID-19. The patient has non-specific symptoms such as fever, pain, and anosmia. The family physician has prescribed Enfluvir, vitamin D, etol-fort tb . After the medication, she has come to the clinic again because of the not finished pain. The family physician that the first one consulted has ordered Magnetic Resonance Imagining for the sacroiliac region as the patient told that the pain when she was sitting for at least two and half years and nowadays her pain was more although she was taking her painkillers. According to the non-contrast, MRI of the sacroiliac joint: “ joint surfaces exhibit irregularity and narrowing. In the posterior, more prominent articular surfaces on the right in the fat-suppressed axial and coronary sequences, there is focal bone marrow edema and sacroiliitis activation. The right adnexa within the sections showed an 8 cm cystic appearance. MRI and USG of the lower abdomen are advised.”. The lab and also with IV contrast, MRI of the pelvis, and ultrasonography were planned with the rheumatology and gynecology consultations.Article Strengthening Primary Health Care Through Moocs (massive Open Online Courses): a Cross-Sectional Study(Duzce Univ, FAC Medicine, 2023-10-20) Gökdemir, Özden; Hoedbecke, Kyle; Bojaj, Gazmend; Küçükerdem, Halime Seda; Bhattacharya, Sudip; Bakola, Maria; Jelastopulu, Eleni; Hoedebecke, KyleObjective: After the increased number of COVID-19-positive patients, a plateau phase and a decrease in the numbers were expected, followed by a second phase which could lead to an increased health system workload. The importance of training well-educated and qualified healthcare professionals (HPs) has been reconsidered. The rapid spread of the epidemic revealed the limitations of traditional method education. Massive online courses (MOOCs) were offered as a solution to keep the information up-to-date and accessible. The aim of our study was to evaluate the perceptions and experiences of healthcare professionals on strengthening the health system during the COVID-19 pandemic. Methods: In this descriptive cross-sectional multi-centered study, an online survey was applied to HPs between February-May 2021. There were 28 participating countries. Due to international participation, the survey was conducted in English. Results: There were 88 female and 87 male participants. Most of the participants were from Europe and Euroasia. Most of them reported their income as $501-$1500 US Dollars). The duration of job experience was between 5-15 years. 111 of them have completed a postdoctoral degree. Conclusion: According to the survey, all the groups reported as the effect of strengthening primary care by MOOC was positive.Article The Relationship Between Hypothyroidism-Induced Autoantibodies, Tsh Levels, and Rdw, as an Inflammation Marker(2023-04-30) Aygün, Kemal; Demir, Tevfik; Gökdemir, Özden; Şişman, Ali RızaAim: Serum RDW grades were detected in patients with Hashimoto's thyroiditis. We aimed to use RDW to detect increased cardiovascular events in patients, increased oxidative stress, and inflammation without the need for an additional cost. Methods: We collected 904 persons results, 462 patients which have Hashimoto's thyroiditis, and 442 age and sex-matched control cases were comprised in our study. From laboratory measurements of the patients’ records were utilized such as hemogram, hs-CRP, fasting blood glucose, insulin, C-peptide, kidney function tests, liver function tests (ALT, AST), serum lipids (total cholesterol, triglyceride, HDL, LDL), anti-Tg, and anti-TPO, FT3, FT4, TSH levels. Results: RDW was considerably scaled up in case group compared to control group (Hashimoto's thyroiditis =10.08 ± 4.48%, control = 8.95 ± 6.68%, p <0.05). Also, MPV was increased in the study group(p<0.05). hs-CRP showed a statistically significant positive correlation between the level of RDW. Conclusion: Although the exact mechanism is still not fully understood, increased RDW levels in individuals with Hashimoto’s thyroiditis, possibly related to ongoing subclinical inflammation, neurohumoral activation, and changes resulting from oxidative stress in such patients. RDW is potentially a valuable tool for assessing cardiovascular diseases among patients diagnosed with Hashimoto's thyroiditis.Article Vaccine Hesitancy Among University Students of Healthcare(2022) Gökdemir, Özden; Yörük, Selda; Koca, Bennur; Acıkgoz, AylaThe World Health Organization defines vaccine hesitancy as "the refusal or delay in accepting vaccines despite the availability of immunization services." When a person rejects all vaccines, it is referred to as vaccine rejection. Vaccine hesitancy stems from a lack of trust in the vaccine and apprehension about side effects, as well as a lack of knowledge about vaccines and sociocultural factors. The research aims to determine the COVID-19 vaccine indecision and attitudes of students studying in the field of health. This study is a cross-sectional research project. Vaccine rejection is among the independent variables included in the logistic regression model developed to de- termine the factors influencing trust in the content of the COVID-19 vaccine. When compared to medical school students, vaccine rejections were found to be 3.05 times greater for vocational school students and 2.47 times for midwifery-nursing students. The majority of the participants had been vaccinated at the time of the study, but only 9.5% of them stated that they trusted the vaccine's active ingredient. In conclusion, even though the majority of students reported that they did not trust vaccine indigents, the decision to become fully vaccinated during the school year had a positive effect on the overall health situation.Article Burnout and Job Satisfaction Among Family Physician(2022-06-20) Gökdemir, Özden; Güldal, Azize Dilek; Batur, Ülkü Bulut; Dağbağlı, Gamze; Aygün, Olgu; Guldal, DilekAim: Burnout syndrome is a major problem, especially among health care workers. The higher the sense of individual skills and achievement, the lower the likelihood of burnout syndrome. The objective of the study is to measure the level of burnout and job satisfaction of family physicians. Methods: Both data of the Family Physicians (FPs) who are working in rural and urban has been included in the study. The study is designed to measure their level of burnout and job satisfaction using the Maslach Burnout Inventory, Minnesota Work Satisfaction Questionnaire. Their relationship with the working area and other factors is also analyzed. Results: Maslach depersonalization subscale was found to be significantly higher in those who lived alone, those who defined their location as rural, and those who did not participate in continuing medical education (CME) (p=0.02, p=0.01, p=0.03). While Maslach personal achievement score was low in those who define their location as rural (p=0.01) it was found to be higher in women and those who did not participate in CME (p=0.02, p=0.03). In addition, as age increases, Maslach emotional burnout and depersonalization scores decrease and personal success scores increase (r =-0.169, -0.205, 0.163 and p=0.00, p=0.00, p=0.00). Conclusions: Emotional and total burnout scores decreased with age, and that attending CME increased personal achievement. CME could be a beneficial tool not only to support FPs but also to prevent burnout.Letter Elderly but Could Be Mastoiditis?(Cukurova Univ, Fac Medicine, 2023-03-31) Gökdemir, Özden; Özcakar, Nilgun[No Abstract Available]Article Community-Based Cancer Screening: Reaching the Target Population(2020-09-20) Kartal, Mehtap; Gökdemir, ÖzdenObjective:The aim of this study is to determine the risk factors and the results of the community-based screening program of the women who attended the Cancer Early Diagnosis, Screening, and Education Center between 2005-2011. Methods:This study was planned on a descriptive design. Data of the women who attend to cancer screening center between 2005-2011 years for breast cancer and cervical cancer screening program were collected retrospectively and evaluated. Incomplete forms were excluded.Results:Research has been completed by the records of 3162 women. The age of the study group was between 25-69 years old. The majority of them has been educated for 5 years and/or less, or not educated (89%), more than one-third of patients had more than four birth(38%), the breastfeeding rate was high (93.6%), the oral contraceptive drugs and HRT medication usage ratios were low (7.2%, 7.2%), respectively), the smoking rate was low (14.9%). The number of women who consulted for cervix cancer screening was 215 in 2008 and 142 for breast cancer screening; by the end of June 2011. Those numbers increased to 1271 and 1012, respectively.Conclusion:Community-based cancer screening programs are much more successful to reach the target population although single women, LGBT individuals, “working class” are still the missing parts of the puzzle.Article Violence at Healthcare(2020-01-20) Bhattacharya, Sudip; Gökdemir, ÖzdenViolence, a problematic phenomenon experienced in different forms (physical, verbal, symbolic, sexual,etc.), is increasingly prominent in sociological analysis. Violence is an unwanted aspect of everyday lifeexperience; it is common in traffic incidences, in the family, in the workplace, and in personal interactionsalmost everywhere. In recent years, women and health professionals (doctors and non-doctors) in particularhave been subjected to violence. Violence against women and children has become remarkablycommonplace. An increase in violence against physicians and healthcare professionals as part of this morehostile environment could be observed.Violence against doctors is now a global problem.The well-being ofhealth workers has been disrupted not only by the changing dynamics in doctor-patient relationships, butalso by the general environment of insecurity. All forms of violence must be condemned; not only healthcareworkers but also the decion makers have to deal with the issue of violence collectively and systematically.