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Öğe Aşırı Kilolu ve Obez Bireylerde Kulak Akupunkturu ve NLP Uygulamalarının Kilo Verme Üzerine Etkinliğinin Karşılaştırılması(2020) Taştan, Kenan; Harmancı, Hasibe; Sincan, Suat; Oztekin, CoskunAmaç: Bu çalışma ile önemli bir halk sağlığı sorunu olan obezitenin tedavi seçeneklerinden olan kulak akupunkturu ve NLP (Neuro Linguistic Programming) uygulamalarının kilo verme üzerine etkinliklerinin araştırılması amaçlanmıştır. Gereç ve Yöntem: Prospektif bir müdahale çalışması olarak planlanan bu çalışma 15 Mart-15 Haziran 2018 tarihleri arasında yapıldı. Araştırmaya Atatürk Üniversitesi Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Akupunktur ve Tamamlayıcı Tıp Yöntemleri Uygulama ve Araştırma Merkezi (ATYAM)’a başvuran aşırı kilo ve obezite sorunu bulunan 60 hasta (kulak akupunkturu=30 hasta, NLP=30 hasta) dâhil edildi. Her iki grupta 15 gün ara ile 12 seans tedavi uygulandı. Bulgular: Çalışmamıza katılan hastaların %70‘i (n= 42) kadın %30’u (n=18 ) erkek idi. Kulak akupunkturu grubunda kadın katılımcı sayısı anlamlı derecede daha yüksek idi (p<0,005). Çalışmanın sonunda gruplardaki vücut ağırlığındaki ortalama düşme akupunktur grubunda 7,07±3,85 kg iken, NLP grubunda 4,87±2,55 kg idi (p=0,016). Sonuç: Çalışmamız kulak akupunkturu ve NLP uygulamalarının her ikisinin de obez hastalarda istenen düzeyde kilo vermelerini sağladığına, bununla birlikte kulak akupunkturunun daha etkin bir yöntem olduğuna işaret etmektedir.Öğe Attitudes Towards Sun Protection And Skin Cancer Among Faculty Members And Students Of Medicine And Of Arts/Sciences At A Turkish University(2020) Oztekin, Coskun; Öztekin, Aynure; Şenel, EnginObjectives: Public knowledge about and attitude towards sun protection practices are important factors in attempts to avoid skin cancer and other harmful effects of sun exposure. Such are the awareness levels of the students of medicine or their educators as they deliver the information to the general public and shape public health policies. The aim of this study was to reveal the knowledge and attitudes of the faculty members and students of medicine and of arts/sciences at a Turkish university towards the effects of sun exposure and protection. Materials and Methods: This descriptive cross-sectional study was conducted by administering a 37-item questionnaire to students and faculty members in the School of Arts/Sciences, School of Medicine, and Vocational School of Medical Sciences at Hitit University. The questions were formulated to evaluate the participants’ level of knowledge regarding the effects of sun exposure and protection, the source of their knowledge about these subjects, and their behaviors related to environmental factors. Responses were subjected to statistical analyses with appropriate tools and methods. Results: The study included a total of 217 participants with an average age of 26.0 ± 9.2 years: 145 (66.8%) students and 72 (33.2%) faculty members. Of these, 118 (55.1%) were female and 151 (69.6%) were in medical fields. A great majority of the participants (n=204, 94%) had used sunscreens, and sunscreens with SPF>30 were the most commonly used ones (%44). Brand (45.2%) and high SPF (46.2%) were the most frequently considered aspects when buying sunscreens. A comparison of subgroups of participants based on gender, position, and area of study indicated some differences in knowledge and practices related to sun exposure and sun protection. Conclusion: Although students and faculty members of medical areas had generally higher level of knowledge about the issues surrounding sun exposure and protection in comparison with those from non-medical backgrounds, there is still a significant knowledge deficit about the severity of associated risks and some room for improvement even among the students and faculty members of medical schools. The methods and media channels that would be used to increase public awareness should be adapted according to the demographic characteristics of target audiences. Further studies with a more comprehensive and well-managed data collection tools and a larger sample from more diverse set of institutions are warranted to determine the overall picture in the target population of this study.Öğe Disturbed sleep quality and increased depression scores in alopecia areata patients(2020) Oztekin, Aynure; Oztekin, CoskunAlopecia areata (AA) is a chronic inflammatory disease that affects the hair follicle and sometimes the nails. Comorbidity between alopecia areata and psychiatric disorders is well known. The aim of this study is to evaluate the relationship between the clinical characteristics of AA and sleep quality and depression. This study included 52 patients above 18 years of age who admitted to the dermatology clinic and diagnosed as alopecia areata, and 51 healthy volunteers. Sociodemographic data form, Beck Depression Inventory (BDI), and the Pittsburgh Sleep Quality Index (PSQI) were filled by the patients. Information about the severity of AA, the duration of the disease, the treatments they received, and comorbid illnesses were also recorded. The median BDI total score of the AA patients was higher than that of the control group. In AA patients, PSQI total score and most of the subscale scores were significantly higher than those of the control group. No difference could be found in BDI or PSQI scores according to the presence or absence of poor prognostic criteria. The results of our study support the long-standing relationship between AA and psychiatric disorders and indicate that sleep quality is impaired in addition to the increase in depression level. In particular, a more careful assessment of female AA patients and patients with comorbid atopic dermatitis is important in order not to miss comorbid psychiatric problems.Öğe Dynamic thiol/disulfide homeostasis in serum of patients with generalized vitiligo(Inst Bioloska Istrazivanja Sinisa Stankovic, 2019) Pektas, Gokhan; Pektas, Suzan Demir; Oztekin, Aynure; Oztekin, Coskun; Neselioglu, Salim; Erel, Ozcan; Sadi, GokhanVitiligo is a multifactorial disorder commonly associated with hypo-/depigmentation in the skin and may influence both children and adults psychologically because of the notable leopard-skin-like appearance. This study was designed to investigate the thiol/disulfide homeostasis in patients with generalized vitiligo and to determine its relationship with some of the demographical characteristics. Seventy-six generalized vitiligo patients and 67 healthy individuals were included in the study. Blood serum native thiol, disulfide and total thiol concentrations, together with some hematological parameters, were determined. Results demonstrated that native and total thiol contents, and their ratios, were significantly lower in vitiligo patients. Disulfide/native thiol and disulfide/total thiol ratios were significantly higher in the patient group. Progressivity of the disease strongly regulated the thiol/disulfide homeostasis in such a way that active vitiligo patients had reduced native and total thiol levels but increased disulfide/native thiol and disulfide/total thiol ratios. Moreover, there was a statistically significant negative correlation between both duration of the vitiligo and native and total thiol contents. As these results clearly demonstrated that thiol/disulfide homeostasis was shifted toward disulfide formation in patients with generalized vitiligo, determining the dynamic nature of thiol/disulfide homeostasis can be used to monitor disease progression.Öğe Impact of Individual, Familial and Parental Factors on Adolescent Smoking in Turkey(Mdpi, 2021) Oztekin, Coskun; Batra, Mehak; Abdelsalam, Shady; Sengezer, Tijen; Ozkara, Adem; Erbas, BircanThe burden of adolescent cigarette smoking is substantial. We assess mothers' and fathers' attitudes and behaviours on adolescent smoking using a cross-sectional study of n = 707 adolescents. Associations between parental attitudes and behaviours in adolescent smoking were assessed using logistic regression separately for boys and girls. Occasional alcohol use by both parents increased odds of smoking once a day (OR = 2.44, 95% CI 1.26, 4.71, OR = 1.51, 95% CI 0.97, 2.35, respectively). Fathers smoking increased odds for girls (OR = 1.59, 95% CI 1.01, 2.52). A democratic mother decreased odds for boys (OR = 0.32, 95% CI 0.10, 0.93) whereas a protective, demanding mother increased the odds for girls (OR = 8.65, 95% CI 1.38, 54.22). Public health smoking prevention programs could support changing parental behaviours and attitudes in early years to address this burden in countries with authoritarian parenting styles.Öğe Sleep Quality and Depression in Vitiligo Patients(2020) Öztekin, Aynure; Oztekin, CoskunAim: Vitiligo is a common disorder that has not only dermatological but also psychological consequences. The aim of this study was to compare depression and sleep quality of vitiligo patients with healthy control group. Methods: In this cross-sectional case-control study, patients admitted to the Dermatology Clinic of Skin and Venereal Diseases Department of Hitit University Erol Olçok Education and Research Hospitalbetween August 2018 and August 2019 were compared with healthy control group. The study included 67 patients and 69 control group participants who were matched for age, sex, marriage status, and education level. The subjects were asked to complete a sociodemographic data form, the Beck Depression Inventory, and the Pittsburgh Sleep Quality Index. Results: The median total Pittsburgh Sleep Quality Index score was higher in the patient group compared with the control group. The median scores for subjective sleep quality, sleep latency, and sleep disturbance were also higher in the patient group compared with the control group. A family history of vitiligo was present in 18 (26.9%) patients. The most common type was acrofacial vitiligo, which was present in 29 (43.3%) patients.Conclusions: Increased probability levels of depression and impaired sleep quality in vitiligo patients suggest that psychiatric evaluation and treatment should be provided for vitiligo patients as a part of a multidisciplinary approach in order to increase the success of the treatment.Öğe The association of depression, loneliness and internet addiction levels in patients with acne vulgaris(Bmc, 2020) Oztekin, Coskun; Oztekin, AynureBackground Acne vulgaris is a very common skin disorder that has negative effects on the mood, self image and social relations of the patients. We want to evaluate the effects of acne vulgaris and its severity on depression, loneliness, internet addiction levels, and the quality of life of young adult females. Methods Two hundred three female acne vulgaris patients and 202 healthy controls who admitted to the dermatology clinic of a university hospital formed the study sample. Global Acne Grading System (GAGS) was used to assess the severity of acne. The Young Internet Addiction Scale-Short Form (YIAS-SF), The Acne Quality of Life Scale (AQLS), The University of California Los Angeles-Loneliness Scale (UCLA-LS), and The Beck Depression Inventory (BDI) were used to collect information about the patients. Results The median BDI and the mean UCLA-LS and YIAS-SF scores were higher in the Acne group than those in the control group. The correlations between acne severity and the 3 scales were not significant but the correlations between AQLS and BDI, UCLA-LS, and YIAS-SF were highly significant. In multiple regression analysis, age and the BDI score predicted the YIAS-SF score significantly. Conclusions Our findings support the previous findings that acne vulgaris patients are prone to depression and loneliness, and expand these findings to the vulnerability against internet addiction. Loneliness and depression should be assessed and, if found, targeted by psychological means to prevent internet addiction in acne vulgaris patients.Öğe Vitamin D Levels in Patients with Recurrent Herpes Labialis(Mary Ann Liebert, Inc, 2019) Oztekin, Aynure; Oztekin, CoskunRecurrent infections of herpes simplex virus in the orolabial area are known as recurrent herpes labialis (RHL). Vitamin D has been shown to have an important immunomodulatory role and to be associated with several infectious diseases. This hospital-based case-control study aimed at investigating the association between vitamin D and RHL by comparing vitamin D levels in individuals with and without RHL. Individuals who presented to the dermatology clinic at a state hospital due to RHL (n = 50) and matching control group of healthy volunteers (n = 51) were studied. Their vitamin D levels were measured, stratified based on clinical guidelines, and compared. The average serum vitamin D (25-hydroxyvitamin D) levels were 23.8 +/- 15.5 and 42.0 +/- 26.3 nM in the patient and control groups, with significant differences between their average serum vitamin D levels and vitamin D status. The studied population had serious vitamin D deficiency regardless of having RHL, with vitamin D levels below the adequate limits in more than 96% of the population. Most importantly, the study established a significant association between low serum vitamin D levels and the presence of RHL. Further interventional and pathophysiological studies should clarify the nature and mechanism of the relationship.