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Öğe Bir üniversite hastanesinde çalışanların depresyon düzeyleri ve etkileyen faktörler(Ankara Yıldırım Beyazıt Üniversitesi, 2016) Taştan, Kenan; Öztekin, Coşkun; Kaya, Abdülkadir; Demirhan, Beytullah İsmetAmaç: Depresyon, sağlık hizmetine başvuran hastalarda tüm bozukluklar arasında en sık rastlanan tanıların arasında yer almaktadır. Çalışanlardaki ruh sağlığı bozukluklarında çalışma ortamının önemli rol oynadığı birçok çalışmada belirtilmiştir. Bu çalışmada Atatürk Üniversitesi Tıp Fakültesi hastanesi çalışanlarının depresyon düzeyleri ve depresyonu etkileyen faktörlerin araştırılması amaçlanmıştır. Materyal ve Metot: Çalışmaya Atatürk Üniversitesi Tıp Fakültesi işyeri hekimliği polikliniğine başvuran hastalardan rastgele 337 kişi alındı. Hastalara birinci basamak için Beck Depresyon Tarama Ölçeğinin Türkçe (BDÖ-BB) çevirisi uygulandı. Alınan sonuçlar SPSS 18 ile analiz edildi. Çalışmada Fisher's Exact testi, Mann-Whitney U testi, Tek Yönlü ANOVA ve Post Hoc testler kullanıldı. İki yönlü p anlamlılık değeri <0,05 olarak kabul edildi. Bulgular: Çalışmadaki kişilerin yaş ortalaması 34,60±10,20 yıl idi. Katılımcıların % 56,90'u (n=192) kadınlardan, % 43,10'i (n=145) erkeklerden oluşmaktaydı. Katılımcıların hastanede ortalama çalışma süresi 11,90±8,80 yıl idi. Hastaların BDÖ-BB' den aldıkları puanların ortalaması 1,70±2,20 (min:0, maks:16) idi. Çalışmada % 11,30 (n=38) kişi 5 ve üstünde, %1,50(n=5) kişi de 10 ve üstünde puan aldı. Çalışmaya katılanların % 66,20'si (n=223) evli, % 32,60'sı (n=110) bekâr, %1,20'si (n=4) boşanmış idi. Katılımcıların % 9,80'i (n=33) daha önce depresyon tanısı almıştı. Sonuç: Dünyada ve ülkemizde en sık görülen psikiyatrik hastalık olan depresyon işgücü kaybı, sağlık giderleri, intihar girişimi gibi durumlar göz önüne alındığında özellikle sağlık çalışanları açısından önemle ele alınması gereken bir konudur.Öğe Çorum Bölgesinde Yaşayan İnflamatuar Romatizmal Hastalıkları Olan Kişilerde Tanı ve Tedavi Gecikmesinin Değerlendirilmesi(2019) Öztekin, Coşkun; Doğan, İsmail; Özkara, Adem; Özbolat, Fulya; Yılmazel, GülayAmaç: Bu çalışma ile Çorum bölgesinde yaşayan inflamatuar romatizmal hastalıkları olan kişilerde tanı ve tedavi gecikmesinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Tanımlayıcı özellikteki bu çalışma Eylül-Kasım 2018 tarihleri arasında Çorum ilinde yapıldı. Araştırmaya 119 hasta dahil edildi. Araştırmada verilerin analizi SPSS 22.0 paket programı ile gerçekleştirildi. Verilerin değerlendirilmesinde yüzdelik, ortalama, Ki-kare (Chi-square) testi kullanıldı. Değerlendirmelerde p<0.05 değeri anlamlı kabul edildi. Bulgular: Araştırma grubunun yaş ortalaması 46,00±14,00 yıl olup katılımcıların %63,0’ü kadın ve %86,7’si lise ve daha az eğitime sahipti. Katılımcıların üçte birinden fazlası romatoid artrit tanısı almıştı. Herhangi bir inflamatuar romatizmal hastalık tanısını ilk olarak romatolog tarafından alan bireylerin oranı %50,4 iken aile hekimleri tarafından ilk tanıyı alanların oranı %2,5’dir. Katılımcıların %49,6’sında tanıda gecikme olduğu belirlendi. Katılımcılar tarafından tedaviye başlamada gecikmenin en önemli nedeni olarak %63,6 ile doktor gösterildi. Katılımcıların sosyodemografik özelliklerinin tedaviye başlamada gecikmenin üzerinde etkisinin olmadığı belirlendi (p<0.05). Sonuç: Çalışmamızda inflamatuar hastalıklarda tanı gecikmesinin sosyo-demografik özelliklerden etkilenmeksizin yüksek olduğu saptanmıştır. Geriatrik dönem nüfusunun giderek arttığı ülkemizde mezuniyet öncesi ve sonrası romatolojik hastalıkla ilgili eğitim programlarının artırılması, hastaların tanı, tedavileri ve komplikasyonlardan korunmaları kapsamında faydalar sağlayabilir.Öğe Effects of parental attitudes on the use of addictive substances in high school students(Medknow Publications, 2017) Öztekin, Coşkun; Şengezer, Tijen; Özkara, AdemBackground: Substance abuse is a major public health problem including social and economic aspects. Although multidimensional data about substance abuse are limited in our country, the fact that Turkey is located at the crossroads of Europe and Asia with a young population creating a promising market brings out the necessity of maintaining high awareness on substance abuse. Smoking, alcohol, and substance use are important health problems of adolescence period and families play a major role on adaptation to the changes in growth and development period. The research on substance abuse and dependence emphasizes on protective or risk-enhancing effects of family. Aims: The aim of this study was to provide evidence on the interventions that could be implemented about substance use by evaluating the relationship between parental attitude and attitudes of high school students toward substance use. Study Design: This was a survey study. Materials and Methods: The study included randomly selected high school students who were willing to participate in the study from Ankara province. The students were applied the sociodemographic information questionnaire especially prepared for this research, the Addictive Substances Attitudes Scale for high school students, and the Parental Attitudes Scale. Results: In the study, data of 707 students, 311 boys and 396 girls, with a mean age of 16.1 years were evaluated. According to the obtained findings, the rate of students with a negative attitude toward addictive substances increases as parental attitude changes from authoritative attitude to democratic attitude. Conclusion: The present study demonstrated that parental attitudes are related with the attitudes of high school students toward addictive substances. Students mostly adopted a negative attitude toward substance use in case of democratic parental attitude. Therefore, to protect children from substance abuse, parents should be advised to adopt a democratic attitude characterized with sincere love and constructive control. © 2017 Nigerian Journal of Clinical Practice | Published by Wolters Kluwer - Medknow.Öğe Images Download Cite Share Favorites Permissions Research Article: Observational Study The evolution of Pemphigus publications: A bibliometric analysis with research trends and global productivity(LIPPINCOTT WILLIAMS & WILKINS, 2024) Öztekin, Aynure; Öztekin, CoşkunDespite an increase in global research on the subject of Pemphigus, which seriously affects patient health and quality of life, there is no bibliometric research on this subject in literature to date. The aim of this study was to conduct a holistic analysis of scientific articles published on Pemphigus, using bibliometric methods. Articles published on the subject of Pemphigus between 1980 and 2021 were downloaded from the web of science (WoS) database and analyzed using various statistical methods. To determine trend subjects, collaboration between countries, and the most effective studies with citation analyses, visual network maps were obtained with bibliometric analyses. A total of 3034 articles were analyzed. The 3 countries making the greatest contribution to literature were the USA (n:831, 27.3%), Japan (n:402, 13.2%), and Germany (n:221, 7.2%). The 3 most active institutions were Keio University (n:163, 5.3%), Kurume University (n:130, 4.2%) and Tel Aviv University (n:107, 3.5%). The 3 journals publishing the most articles were the British Journal of Dermatology (n: 88), Journal of the American Academy of Dermatology (n:171) and the Journal of Investigative Dermatology (n:143). The 3 leading journals according to the mean number of citations (NC) per article (citation count: CC) were the New England Journal of Medicine (CC:246), the Lancet (CC:143) and the Journal of Cell Biology (CC:133). The author with the most articles published was Hashimoto Takashi (n.168, 5.5%). As a result of cluster analysis, it was seen that 9 different main clusters had been studied on Pemphigus subjects to date (1: desmoglein, 2: paraneoplastic Pemphigus (PNP) – Pemphigus types-desmosome, 3: desmoglein 1 ve 3-autoimmunity, 4: treatment-rituximab, 5: acantholysis-apoptosis, 6: quality of life-remission-relapse, 7: autoantibodies, 8: epidemiology-mortality, 9: corticosteroids). The most commonly studied subjects were determined to be pemphigus vulgaris (PV), pemphigus foliaceus (PF), autoimmunity, rituximab, PNP, desmoglein (desmoglein3-desmoglein1), autoantibodies, acantholysis, autoantibody, treatment, autoimmune disease, desmosome, ELISA, and immunofluorescence. The primary trending topic was rituximab drug, which is used in the treatment of Pemphigus. The other most studied trend topics were azathioprine drug used in treatment, intravenous immunoglobulin treatment, quality of life, mortality rates, Pemphigus herpetiformis, and wound healing. Abbreviations: AC = average citation per article, CC = citation count, CI = confidence interval, GDP = gross domestic product, HDI = human development index, NC = number of citations, PF = pemphigus foliaceus, PNP = paraneoplastic Pemphigus, PV = pemphigus vulgaris, UK = United Kingdom, USA = United States of America, WoS = web of science.Öğe Review of family physician applications and referral status of patients with skin problems who applied to dermatology clinic: a survey study(Carbone Editore di Alessandro Pennino, 2019) Öztekin, Coşkun; Öztekin, AynureIntroduction: The aim of the present study is to evaluate the family physician applications, diagnosis and referral status of patients who admitted to dermatology clinic. Materials and Methods: Voluntary patients who were applied to dermatology clinic were included in the study. The 14-item questionnaire was administered by a dermatologist through face-to-face interview method after examination. Results: A total of 1009 patients completed the survey. Of these, 69.67% (n=703) were female and 30.33% (n=306) were male. The mean age of the study participants was 42.37±18.16 years. Most of the patients have applied with the same complaints to health caregivers (n=500, 49.55%) or family physicians (n=172, 17.04%) before dermatology clinic visit. Female participants more likely knew their family physicians compared to males (p=0.03). One hundred and thirty (%12.85) patients were treated previously by the family physician for the same complaint. Twenty-six of them referred to a dermatologist. Discussion: Patients receive less service from family physicians related to skin diseases. Most patients applied directly secondary and tertiary health care centers for skin problems.Öğe The association between verruca vulgaris and Vitamin D: Is there a casual link?(Carbone Editore di Alessandro Pennino, 2018) Öztekin, Coşkun; Öztekin, Aynure; Taştan, Kenan; Özmen, Gülsen Gül; Demir Pektaş, SuzanIntroduction: Verruca vulgaris is a well-known skin lesion caused by human papillomavirus. There are topical, local invasion and immune therapy options for verruca vulgaris. The role of Vitamin D levels in patients with verruca vulgaris is not clear. We investigated the serum Vitamin D levels in patients with verruca vulgaris. Materials and methods: Fifty-five patients with verruca vulgaris (Group I) and 60 healthy controls (Group II) included in the study. The characteristics of verruca vulgaris (duration, clinical type, the number of lesions, family history) and demographics of the participants were recorded. Serum 25-hydroxycholecalciferol levels were measured using electrochemiluminescence binding method. Results: After covariance analysis, we found no statistically significant difference between the groups in terms of mean age (23.38±4.68 years in Group I versus 27.35±8.14 years in Group II). Other baseline characteristics were not significantly different between the groups (p > 0.05 for all). The mean duration of verruca vulgaris was 12 (4-18) years and the most common sites were hand (26 patients, 47.3%) and foot (23 patients, 41.8%). Serum Vitamin D levels were 8.35±6.03 ng/ml in Group I and 18.08±10.01 ng/ml in Group II. There was a statistically significant difference between the groups in terms of serum Vitamin D levels (p < 0.001). Conclusion: In this study, Vitamin D levels in patients with verruca vulgaris were found to be decreased compared to healthy controls. Low Vitamin D levels may play an etiological role in the development of verruca vulgaris. © 2018 A. CARBONE Editore. All rights reserved.Öğe Vitamin D levels in patients with recurrent aphthous stomatitis(BMC, 2018-11-09) Öztekin, Aynure; Öztekin, CoşkunBackground Lower serum vitamin D levels, a major public health problem worldwide, has been found to be associated with various infectious diseases, cancers, autoimmune and dermatological diseases. The serum levels of vitamin D in patients with recurrent aphthous stomatitis are not clear. We investigated the vitamin D levels in patients with recurrent aphthous stomatitis. Methods Forty patients with recurrent aphthous stomatitis (Group I) and 70 healthy controls (Group II) included in the study. The characteristics of aphthous lesions (duration of disease and remission, frequency, diameter and number of the lesions) and demographics of the participants were recorded. Serum 25-hydroxycholecalciferol levels were measured using electrochemiluminescence binding method. Results There was no statistically significant difference between the groups in terms of age (p = 0.06) and sex (p = 0.4). Other baseline characteristics were not significantly different between the groups (p > 0.05 for all). The mean diameter of aphthous lesions was 0.5 (0.4–0.6) cm and the mean number of lesions was 2.2 ± 1.5. Serum vitamin D levels were 11 ± 7.04 ng/ml in Group I and 16.4 ± 10.19 ng/ml in Group II. Serum vitamin D levels were significantly lower in patients with recurrent aphthous stomatitis (p = 0.004). Conclusions The present study showed lower vitamin D levels in patients with recurrent aphthous stomatitis compared to healthy controls.
