Browsing by Author "Demirci, Hakan"
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Item Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015(Wiley, 2016-12-20) Demirci, Hakan; Yıldırım, Nevruz Topak; Karakulak, Mehtap Gömleksiz; Üstünyurt, Emin; Ulku, Ayşe Türker; Ocakoğlu, Gökhan; Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; AAH-5180-2021; 15832295800Objective: To compare the birth characteristics of Syrian refugees with those of Turkish citizens. Methods: In a retrospective study, data were obtained for singleton live births that occurred at a hospital in Bursa, Turkey, between June 1 and December 31, 2015. All Syrian refugees were eligible for inclusion; one Turkish citizen was included for each refugee. Results: Overall, 545 Syrian refugees and 545 Turkish citizens were included. Cesarean delivery was undertaken for 176 (32.3%) Syrians and 235 (43.1%) Turks (P<0.001). Median neonatal birth weight was higher among Turkish citizens (3300 g, range 970-4720) than among Syrian refugees (3110 g, range 540-4790; P<0.001). Gestational diabetes was recorded for 42 (7.7%) Turkish citizens and 9 (1.7%) Syrian refugees (P<0.001). Pre-eclampsia affected 21 (3.9%) Turkish citizens and 8 (1.5%) Syrians (P=0.014). Conclusion: Cesarean delivery is more common among pregnant Turkish citizens than among Syrian refugees. Other notable differences between the groups were recorded.Item Effect of fasting on 24-h blood pressure values of individuals with no previous history of hypertension(Lippincott Williams & Wilkins, 2017) Şeker, Ayşe; Demirci, Hakan; Aydın, Ufuk; Uçar, Hakan; Yıldız, Gürsel; Yaman, Özen; Ocakoğlu, Gökhan; Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; AAH-5180-2021; 15832295800Objective We aimed to analyze the difference in 24-h blood pressure values during Ramadan of fasting and nonfasting individuals with no previous history of hypertension. Patients and methods This study was planned as a multicenter research study in the cities of Izmit, Zonguldak, Sivas, and Adana. The percentage changes in the blood pressure of the patients were calculated from their blood pressure measurements at 0 h while they were resting. A Food Frequency Questionnaire was filled out by all participants. Results Forty patients were included in the fasting group and 55 patients were included in the nonfasting group in the study. There was a difference between the two groups in percent changes of systolic measurements performed at the 4th (5% difference and P=0.020), 13th (6% difference and P=0.015), 14th (10% difference and P=0.017), 18th (9% difference and P=0.027), 19th (9% difference and P=0.020), and 20th (6% difference and P=0.014) hours with respect to the baseline measurement at the 0 h. There was a difference between the fasting and nonfasting groups in the Fasting Food Questionnaire results. Meat consumption was significantly higher in the fasting group. Conclusion A systolic blood pressure increase in fasting patients was observed in measurements at 18:00, 19:00, and 20:00 h. We believe that an increase of more than 10% in blood pressure at the time of iftar is an important result of our study in terms of the meal preferences of the individuals under risk.Publication Effect of health literacy of caregivers on survival rates of patients under palliative care(Wiley, 2019-09-01) Metin, Şalih; Demirci, Hakan; Metin, Aybüke Tuğçe; METİN, AYBÜKE TUĞÇE; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; FKR-4152-2022Aim In this study, we aimed to investigate the effect of health literacy of the patient caregiver on the care results of palliative care patients. Methods Two hundred and forty-two patients who were hospitalised in palliative care units of seven hospitals in the city in January 2018 were involved in the study. Mortality of the patients was checked 3 months later. A survey interrogating the sociodemographic characteristics of the patients and Turkish translation of Health Literacy Survey - European Union to measure the health literacy level of the caregivers were used. Results About 19.50% of the patient caregivers are in adequate (sufficient/perfect) HL group in term of general HL. Caregivers had difficulty to access information/knowledge of what to do in case of emergency. Prevalence of bedsore occurrence in patients whose caregiver has 'inadequate' HL is higher than patients whose caregiver has 'adequate' HL. Rate of 'inadequate HL' of the caregiver is higher in dead group. As the length of hospitalisation variable value increases 1 unit, risk of mortality decreases 2%. Conclusions Health literacy levels of the individuals dealing with the care of palliative unit patients hospitalised in our region are low. Amelioration of health literacy of the caregivers will have a direct effect on patient health and prevention of complications. Improving health literacy must be a priority target for a more quality patient care and less complication. The issues that caregivers felt themselves insufficient should be addressed and necessary actions should be taken in the identified issues.Item Metabolic syndrome and depressive symptoms in a primary health care setting in Turkey(Küre İletişim Grubu, 2011-03) Demirci, Hakan; Çınar, Yıldırım; Bilgel, Nazan; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; 7801564702Background: 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.Item A multicenter family practitioners' research on chronic obstructive pulmonary disease screening using the COPD assessment test(Cambridge University, 2017-06-17) Demirci, Hakan; Enişte, Koncuy; Başaran, Ebru Onuker; Yılmaz, Zeynep; Tuna, Sümeyye; Ocakoğlu, Gökhan; Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; AAH-5180-2021; HLG-6346-2023; 15832295800Objectives: Spirometry is known to be a gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD). COPD Assessment Test (CAT) is an eight-item questionnaire currently in use to evaluate patients with COPD. In the present study, we aimed to evaluate if CAT is an adequate tool for screening COPD. Methods: In total, 600 persons aging. 40 years old were randomly selected from three different family practice units located in the city center. CATwas asked to the participants and a spirometry was used to assess pulmonary obstruction. Pulmonary obstruction was defined as forced expiratory volume in first second/ forced vital capacity (FEV1/ FVC)< 70% and then COPD diagnosiswas confirmed with the reversibility test. The relationship between CAT results and pulmonary function test values was evaluated. Results: In this sampling, the prevalence of COPD was 4.2%. Reliability of the CAT in the study group was acceptable (Cronbach's a: 0.84). TheCAT scores was significantly higher in patients with COPD (P< 0.001). There was a significant negative correlation between CAT score and FEV1, FVC and FEV1/ FVC ratio (r = -0.31, P< 0.001; r = -0.26, P< 0.001; r = 0.18, P = 0.001). Among smokers, phlegm was the predominating symptom (P = 0.01). Sensitivity of CAT was 66.67% and its specificity was 75.15% to determine COPD. Conclusions: CAT is a reliable questionnaire and there is an apparent relationship between the total CAT scores and COPD. However, CAT's ability to screen COPD is limited since it may miss the symptom-free cases.Item Quality of life in type II diabetic patients in primary health care(Danish Medical Assoc, 2012-10) Demirci, Hakan; Çınar, Yıldırım; Bayram, Nuran; Bilgel, Nazan; Uludağ Üniversitesi/İktisadi ve İdari Bilimler Fakültesi/Ekonometri Bölümü.; Uludağ Üniversitesi/Tıp Fakültesi/Aile Hekimliği Anabilim Dalı.; 0000-0001-5492-184X; 0000-0002-4539-5849; AAG-9068-2021; 13609585600; 7801564702INTRODUCTION: This study evaluated the quality of life of patients with type II diabetes in primary health care with the Turkish version of the Audit of Diabetes Dependent Quality of Life (ADDQoL) instrument. MATERIAL AND METHODS: A total of 180 patients diagnosed with type II diabetes and registered at an urban primary health care unit in Turkey were included to this study. RESULTS: The ADDQoL instrument showed good internal consistency and factor structure. Diabetes had the largest impact on "enjoyment of food" (mean impact rating -1.65) and the least impact on "others fussing" (-0.44). The duration of diabetes and insulin therapy had a significant impact on quality of life among diabetic patients. CONCLUSION: Multidimensional assessments of quality of life including both generic and disease-specific measures are important for diabetic patients in primary health care.Item Relationship of pneumococcal and influenza vaccination frequency with health literacy in the rural population in Turkey(Elsevier, 2019-09-12) Guclu, Ozge Aydin; Demirci, Hakan; Guclu, Yasin; Uzaslan, Esra; Karadag, Mehmet; Ocakoğlu, Gökhan; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Temel Tıp Bilimleri/Biyoistatistik.; AAH-5180-2021; 15832295800Introduction: Vaccines have been shown to prevent illness, disability and death from vaccine-preventable diseases. The purpose of our study was to analyze the influenza and pneumococcal vaccination status of patients, the factors that influence the uptake of influenza/pneumococcal vaccination and the effects of health literacy (HL) on vaccination. Materials and methods: In this cross-sectional study, demographic characteristics, comorbid diseases and the pneumococcal and influenza vaccination status in previous years were recorded for each patient. The Turkish version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) was used to assess HL. Results: A total of 350 patients were enrolled in the study. A total of 6.3% of patients had received both vaccines. 20% of subjects were vaccinated with influenza vaccine and 11.1% of the subjects were vaccinated with pneumococcal vaccine. Overall HL was insufficient for 70.9%, problematic for 20.6%, sufficient for 7.1% and excellent for 14.2% of patients. Patients who had pneumococcal and influenza vaccination had higher disease prevention HL scores (p = 0.013, p = 0.001; respectively). Discussion: An insufficient HL level was found to be much higher than previous studies. It was observed that an increase in disease prevention HL was associated with a rise in the rate of pneumococcal and influenza vaccination.Publication Validation of Turkish version of newest vital sign scale to assess health literacy(Galenos Publishing House, 2021-04) Çiftçi, Fatih; Demirci, Hakan; Çiftçi, Hilal; Ocakoğlu, Gökhan; Uludağ Üniversitesi/Tıp Fakültesi/Temel Tıp Bilimleri Bölümü; HLG-6346-2023Objective: The aim of the study was to check Turkish validation ofthe Newest Vital Sign (NVS) scale.Methods: The participants were composed of the patients whowere registered in a Family Health Center located in Bursa betweenSeptember 2016 and February 2017. The subjects selected byrandom sampling method and they were invited to the study. Theresearch was performed by applying survey with the face to facemethod to the participants.Results: Turkish version of the NVS scale is a valid tool to assesshealth literacy. Cronbach alpha coefficient was calculated as 0.720for NVS scale. Receiver Operating Characteristic analysis revealed acut-off point for the NVS scale which was 4. According to the NVSscale, 57.9% of the participants had an adequate health literacylevel.Conclusion: This sample was found to be adequate for validationanalysis of NVS scale. NVS is a reliable and valid tool to evaluatehealth literacy among Turkish population and the cut-off point forthe scale is 4. Health literacy is inadequate for less than half of thepeople living in our region.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.