Browsing by Author "Budak, Ersin"
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Item Analysis of the role of physicians in the cessation of cigarette smoking based on medical specialization(Elsevier, 2018) Dülger, Seyhan; Doğan, Canan; Dikiş, Özlem Şengören; Yıldırım, Eylem; Tapan, Utku; Özmen, İpek; Satılmış, Birsen Şahin; İntepe, Yavuz Selim; Ocaklı, Birsen; Budak, Ersin; Yıldız, Tekin; Kaçan, Cevriye Yüksel; Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi.; AAJ-3829-2021; 57201686945OBJECTIVE: Physicians do not adequately use their unique professional privilege to prevent patients from smoking. The aim of this study was to investigate the type and extent of advice given to patients by physicians of different medical specialties regarding smoking cessation. METHODS: In total, 317 volunteer physicians were included in this study. The participants rated their attitudes toward the smoking habits of their patients by completing a questionnaire. The approaches used to address the smoking habits of patients significantly differed among physicians working at polyclinics, clinics and emergency service departments (p < 0.001). Physicians working at clinics exhibited the highest frequency of inquiring about the smoking habits of their patients, while physicians working at emergency service departments exhibited the lowest frequency. RESULTS: Physicians from different medical specialties significantly differed in their responses. Physicians specializing in lung diseases, thoracic surgery, and cardiology were more committed to preventing their patients from cigarette smoking. CONCLUSIONS: The role of physicians, particularly pulmonologists and thoracic surgeons, is critical in the fight against cigarette smoking. Promoting physician awareness of this subject is highly important in all other branches of medicine.Publication Associations between olfactory impairment and cognitive functions in patients with parkinson disease(Turkish Neuropsychiatry Assoc-turk Noropsikiyatri Dernegi, 2020-09-01) Pekel, Nilufer Büyükkoyuncu; Yıldız, Demet; Taymur, İbrahim; Budak, Ersin; Özmen, Suay; Capkur, Cağla; Seferoğlu, Meral; Güneş, Aygul; Sığırlı, Deniz; SIĞIRLI, DENİZ; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; AAA-7472-2021Introduction: Olfactory impairment and cognitive impairment are common non-motor symptoms in Parkinson's disease (PD). Olfactory impairment may be present even many years before the main symptoms of the disease develop. The associations between olfactory loss and cognition in PD are evaluated in this study.Methods: 31 patients with PD and 31 healthy subjects were included in this study. The Unified Parkinson's Disease Rating Scale (UPDRS) and Hoehn and Yahr Scale (H&Y Scale) were administered to all subjects. Butanol threshold test and Sniffin'Sticks test were used to assess olfaction. The Mini Mental State Examination (MMSE) and Clock Drawing Test (CDT) and Stroop Color Word Test (SCWT) were used to assess cognition.Results: The Sniffin'Sticks test scores were significantly lower in the Parkinson group in comparison to the control group (p<0.001). The rate of anosmia was 90% in the PD group while this rate was found to be 54.8% in control group (p=0.005). A significant correlation was found between butanol test scores and stoop 5 and 5 errors. Significant correlations were found between the Sniffin'Sticks scores and MMSE scores (p=0.047) and orientation (p=0.041) and language (p=0.003) functions of the MMSE test. Worse olfaction was associated with worse memory.Conclusions: In PD, olfactory impairment correlates with cognitive impairment and olfactory tests may be used to predict the likelihood of developing dementia in this patient population.Item Why do patients with minor complaints choose emergency departments and does satisfaction with primary care services influence their decisions?(Cambridge Univ Press, 2017-11-19) Akpınar, Yakup; Demirci, Hakan; Budak, Ersin; Baran, Ayse Karalar; Candar, Ali; Ocakoĝlu, Gökhan; Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Bölümü.; HLG-6346-2023; AAH-5180-2021; 15832295800Aim: To identify the reasons why patients with minor complaints choose emergency departments (EDs) as a first contact of care and whether dissatisfaction with primary care services influences their decisions. Methods: In this study, a self-completed survey called EUROPEP was given to 535 outpatients who were admitted to the XXXXX Hospital in Bursa and examined in the green zone in July 2015. Patients were asked about their complaints and why they preferred EDs as a first contact of care. Results: EDs were the first contact of care in 87.8% of cases. In all, 9% of patients registered to family physicians who were working outside the city of Bursa. There was no relationship between patient satisfaction and the number of previous visits to EDs in last 12 months (P=0.09). The main reasons for admitting to the emergency services were feeling excessive pain (20.4%), perception of urgency (14.5%) and that the family doctor services were closed outside working hours (13.2%). The mean patient satisfaction with family practice offices was calculated to be 68.1%. Conclusions: The frequency of admission to EDs as a first contact of care was extremely high in the absence of a referral system. Patients who did not have family doctors in the settlement where they live put an extra burden on the EDs. Overall, patient satisfaction with their GPs did not influence the number of visits to EDs but accessibility remains a big challenge.