Person: UNCU, YEŞİM
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UNCU
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YEŞİM
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Publication Knowledge and attitudes towards antibiotics use and an examination on patient's unrealistic health symptoms in Turkey(Modestum Ltd, 2022-04-01) Ahmadian, Robab; Uncu, Yeşim; Ercan, İlker; Toluk, Özlem; Ahmadian, Robab; UNCU, YEŞİM; ERCAN, İLKER; Toluk, Özlem; Tıp Fakültesi; Aile Hekimliği Ana Bilim Dalı; 0000-0003-1550-639X; 0000-0002-2382-290X; 0000-0001-6495-0839; AAL-6835-2021; D-9597-2016; ABF-2367-2020; AAE-5602-2019Background: This study aimed to assess the attitudes and knowledge of adult individuals about antibiotics. Since in Turkey, antibiotics are not sold without a prescription, it was also investigated whether Turkish people compelled physicians to prescribe antibiotics by showing unrealistic symptoms.Methods: A self-administered cross-sectional survey involving 1,057 respondents was conducted using a validated questionnaire. The questionnaire was prepared in four sections. The first section included attitude assessment and a five-point Likert scale has collected information. In the second section, knowledge questions examined participants' knowledge about antibiotics with Three-point Likert scale. The third section contained a sensitive question, and using the crosswise model was indirectly asked whether the participant has forced the physician to prescribe an antibiotic. The reliability test results for the attitude scale showed the a-value of Cronbach was 0.767, and KR-21 reliability for the knowledge scale was 0.713. Test-retest reliability coefficients for attitude scale was r=0.697, the coefficients for knowledge scale was r=0.887.Results: Turkish people's awareness about antibiotics is insufficient but at an acceptable level. The public is aware that antibiotics rapidly develop resistance when used widely and incorrectly. Nevertheless, %17 of them resort to showing unrealistic symptoms to force the physician to prescribe antibiotics.Conclusion: To conclude, Turkish people's knowledge and attitudes about antibiotics are insufficient but acceptable. However, a noticeable rate of patients resorts to showing unrealistic symptoms to force the physician to prescribe antibiotics.Publication Artificial intelligence in medical education: A cross-sectional needs assessment(BMC, 2022-11-09) Civaner, M. Murat; Uncu, Yeşim; Bulut, Filiz; Chalil, Esra Giounous; Tatlı, Abdulhamit; CİVANER, MUSTAFA MURAT; UNCU, YEŞİM; Bulut, Filiz; Chalil, Esra Giounous; Tatlı, Abdulhamit; Tıp Fakültesi; Tıp Etiği Ana Bilim Dalı; 0000-0001-5376-3499; 0000-0001-5376-3499; S-4188-2019; CDG-7200-2022; JSP-5105-2023; HGL-1599-2022; HGN-1277-2022Background As the information age wanes, enabling the prevalence of the artificial intelligence age; expectations, responsibilities, and job definitions need to be redefined for those who provide services in healthcare. This study examined the perceptions of future physicians on the possible influences of artificial intelligence on medicine, and to determine the needs that might be helpful for curriculum restructuring. Methods A cross-sectional multi-centre study was conducted among medical students country-wide, where 3018 medical students participated. The instrument of the study was an online survey that was designed and distributed via a web-based service. Results Most of the medical students perceived artificial intelligence as an assistive technology that could facilitate physicians' access to information (85.8%) and patients to healthcare (76.7%), and reduce errors (70.5%). However, half of the participants were worried about the possible reduction in the services of physicians, which could lead to unemployment (44.9%). Furthermore, it was agreed that using artificial intelligence in medicine could devalue the medical profession (58.6%), damage trust (45.5%), and negatively affect patient-physician relationships (42.7%). Moreover, nearly half of the participants affirmed that they could protect their professional confidentiality when using artificial intelligence applications (44.7%); whereas, 16.1% argued that artificial intelligence in medicine might cause violations of professional confidentiality. Of all the participants, only 6.0% stated that they were competent enough to inform patients about the features and risks of artificial intelligence. They further expressed that their educational gaps regarding their need for "knowledge and skills related to artificial intelligence applications" (96.2%), "applications for reducing medical errors" (95.8%), and "training to prevent and solve ethical problems that might arise as a result of using artificial intelligence applications" (93.8%). Conclusions The participants expressed a need for an update on the medical curriculum, according to necessities in transforming healthcare driven by artificial intelligence. The update should revolve around equipping future physicians with the knowledge and skills to effectively use artificial intelligence applications and ensure that professional values and rights are protected.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 Relationship between symptoms of disruptive behavior disorders and unsafe internet usage in early adolescence(Aves, 2015-09-01) Vural, Pınar; Uncu, Yeşim; Kılıç, Emine Zinnur; VURAL, AYŞE PINAR; UNCU, YEŞİM; Tıp Fakültesi; Çocuk ve Ergen Psikiyatrisi Ana Bilim Dalı; AAP-9210-2020; D-9597-2016; GIK-1690-2022Introduction: Children and adolescents are at the highest risk for negative effects of internet usage. Risk taking and erroneous decision making have been described as major behavioral characteristics of patients with attention deficit hyperactivity disorder (ADHD). ADHD and its association particularly with oppositional defiant disorder/conduct disorder are correlated with risk-taking behaviors. This study was conducted to evaluate how disruptive behavior disorder symptoms are associated with internet usage, particularly unsafe internet usage, in early adolescents.Methods: A sample of 1389 secondary school students was invited to the survey. All children were given an invitation letter and Conners' Parent Rating Scale (CPRS) forms were sent to their parents. The accepted participants filled in questionnaire forms, which consisted of questions interrogating demographic information and internet usage habits.Results: Responses indicated that 27.4% (n= 249) of the participants encountered unwanted content unintentionally and nearly one-third (n= 280, 30.4%) had chatted online with people they did not know. Additionally, respondents who had more severe ADHD symptoms were more likely to report surfing online mainly for the purpose of chatting than respondents with milder ADHD symptoms. Students with comparatively higher attention deficit scores were also significantly more likely to report meeting in person with strangers they knew only from internet chatting. Analyses have demonstrated the presence of a significant difference between study participants with and without conduct disorder as for internet overusage or meeting with their internet acquaintances.Conclusion: This study suggests that there may be a significant relation between ADHD symptoms, conduct disorder and pathological and unsafe internet usage. Evaluating adolescents with ADHD and conduct disorder with this risk in mind is important in the development of both preventive and interventional strategies.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.