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Öğe Assessment of a diabetes education program on knowledge of diabetes among diabetics attending a government hospital in Turkey(SEAMEO TROPMED Network, 2019) Soylar P.; Özer A.It is important for diabetics to understand their disease and how to prevent its complications. The aim of this study was to assess the efficacy of a diabetes education program on knowledge of diabetes among diabetic patients attending a government hospital in Turkey in order to inform program organizers about deficiencies and strengths of the program and how to improve it. A multidisci-plinary team at a government hospital developed a diabetes educational program for diabetic patients following the 5 modules of the Turkey Diabetes Program (2015-2020). The study subjects consisted of patients with diabetes mellitus type 2 (T2DM) attending the diabetes outpatient clinic, Malatya State Hospital and were willing to participate in the all sessions of the education program and willing to complete the pre-and post-program questionnaire. All the eligible subjects were invited to participate (n=276) whom 185 completed the program and filled out the questionnaire. The mean [± standard deviation (SD)] age of study subjects was 56.3 (±9.9) years; 54.6% males. The mean questionnaire score prior the program was 6.3 points and after the program was 11.7 points; this difference was significant (p<0.001). The mean questionnaire score in males prior to the program (6.6 points) was significantly higher (p=0.020) than the female subjects (6.0 points) but after the program the mean questionnaire score among males (11.8 points) was not significantly higher than the female subjects (11.5 points) (p=0.334). The mean questionnaire score prior to program among subjects with a higher education level (7.2 points) was significantly higher (p=0.002) than among subjects with a lower education level (5.9 points) but the questionnaire score after the program among subjects with a higher education level (11.9 points) was not significantly different (p=0.323) from those with a lower education level (11.6 points). We conclude the diabetes education program was effective in improving knowledge about T2DM and it corrected disparities in knowledge level by gender and education level. Further studies are needed to determine if this improved in knowledge level is retained over time and if it results in a measurable effect on the level of diabetes control and the prevelance of complications. © 2019, SEAMEO TROPMED Network. All rights reserved.Öğe Development and validation of food and nutrition literacy instrument in young people, Turkey(Mattioli 1885, 2022) Demir G.; Özer A.Background and aim: To evaluate food and nutrition literacy, measurement tools that include declarative, procedural, and subjective knowledge output are needed. The present study aimed to develop a valid and reliable measurement tool that can evaluate FNL holistically in young people. Methods: This study was developed in nine steps under three phases:1) item development and content validity, 2) scale development including pre-testing of questions, sampling and survey administration (by sex with the quota sampling method), item reduction strategies, extraction of factors (exploratory factor analyses), and 3) scale evaluation including confirmatory factor analyses, reliability analyses (Cronbach's ?, KR-20, intraclass correlation coefficient) and differentiation by "known groups" with total of 538 young people. Results: The instrument consisted of knowledge, attitude, and behavior domain dimensions: (1) knowledge as five factors and (2) attitude and behavior as four factors. After the analysis of the FNL instrument, 51 items were removed from 87 items. The final instrument has 36 items, of which 13 were in the domain of knowledge, 13 in the domain of attitude, and 10 in the domain of behavior. The total variance explained by the domain dimensions of the instrument was ?55%. The confirmatory factor analysis fit indices were good. There was satisfactory internal reliability for the domain dimensions (?0.60). There was external test-retest reliability (ICC ? 0.84). Women's knowledge level regarding criterion validity was higher than that of men, and the difference was statistically significant (p < 0.05). Conclusions: This 36 item, three domains dimensional FNL instrument can be used to assess food and nutrition literacy in young people. It can be used to assess and improve food and nutrition literacy in university settings. © 2022 Mattioli 1885. All rights reserved.Öğe Incidence of cryptosporidium spp. in the human population of Malatya in Turkey(Acta Medica Mediterranea, 2015) Karaman Ü.; Daldal N.; Özer A.; Engiyurt Ö.; Ertürk Ö.Aims: Cryptosporidium species, settled in the microvilli of digestive and respiratory systems of vertebrates, infect mammals, poultry, fish and reptiles. Cryptosporidium species are common worldwide. Symptoms vary depending on species of infected host, condition of the immune system and age. In healthy patients with strong immune system it is characterized by self-limiting diarrhea in approximately 2 weeks, whereas in people with suppressed immune systems it can cause diarrhea such as cholera and could create a life-threatening clinical condition The aim of this study is to determine the epidemiology of Cryptosporidium species in the human population of Malatya province and around. Materials and methods: In Malatya province in 2006, 2.281 stool samples were taken from patients admitted to the Inonu University Faculty of Medicine Parasitology Department with the gastrointestinal complaints and analyzed. On the other hand a questionnaire has been prepared to determine the epidemiology of Cryptosporidium species in the human population of Malatya province. Each patient included in the study filled out and signed a patient information form. Results: In the studies, it has been reported that the Cryptosporidium infection rate is 6.1% in the developing countries and it is 2.1% in the developed countries. In different studies carried out in Turkey, it has been reported that the prevalence of infection is between 0-35.5%. Stool samples were examined by direct microscopy and acid-fast staining method and 161 (7.1%) of them were positive. In this study, a significant relationship hasn't been found in patients with loss of appetite, general body itching, allergies, immunosuppressive and cancer, dyspnea, ulcerative colitis, diarrhea, abdominal pain, salivation, constipation, nausea, vomiting, growth retardation, the rectal itching and anemia, but in the statistical analysis, the difference is statistically significant. Conclusion: Consequently, molecular studies are needed to determine the common Cryptosporidium species and their sources in Malatya province and around. This will guide in determining strategies of public health education.Öğe The psychiatric profile of chronic pruritus patients(Istanbul Universitesi, 2015) Akman O.; Orhan F.Ö.; Öztürk P.; Özer A.; Akman Y.; Karaaslan M.F.Objective: Itching, or pruritus, is an uncomfortable sensation leading to the urge to scratch, and it is the most common symptom in skin diseases. Chronic pruritus may be seen in many skin and systemic diseases as well as in psychiatric disorders. The aim of the present study was to investigate itching features, psychiatric disorders, and depressive symptoms of patients with chronic pruritus due to reasons other than primary skin diseases or systemic diseases that may cause itching. Methods: 126 patients with chronic pruritus were included in the study. Sociodemographic data and disease-related features were recorded on a form. Psychiatric diagnoses were established based on the Diagnostic and Statistical Manual of Mental Disorders- IV-Text Revision (DSM-IV-TR) criteria, using the Structured Clinical Interview for DSM-IV, Clinical Version (SCID-I/CV). The Beck Depression Inventory (BDI) was applied. Results: Of the chronic pruritus patients, 70.6% had psychiatric disorders ranging from one to three. The most common psychiatric disorders were depressive disorders, with a rate of 34.1%. The generalized itching and BDI scores were significantly higher in patients with a psychiatric diagnosis as compared to those without (p<0.05). Among all chronic pruritus patients, 62% had depressive symptoms ranging from mild to severe. Conclusions: The high rate of psychiatric disorders, particularly the presence of concomitant depressive symptoms, in patients with chronic pruritus without a primary skin or systemic disease indicates the importance of psychiatric assessment in such patients. © 2015, Istanbul Universitesi. All rights reserved.Öğe Serum adenosine deaminase (ADA) levels in surgically treated hydatid cyst patients(2011) Isik S.; Karaman U.; Kiran T.R.; Özer A.Adenosine deaminase (ADA) is an essential enzyme in the monocytes - macrophage system and in the proliferation and differentiation of lymphocytes. ADA activity is routinely used in the differentiation of other etiologies of tuberculosis pleurisy in clinical practice and elevated ADA levels are stated to indicate the severity of the disease. In this study the purpose was to compare the serum ADA levels between patients operated due to hydatid cyst and healthy individuals (control group). The serum ADA levels of surgically treated patient with hydatid cyst were analyzed and a significant decrease was observed in comparison with the control group (10.98±6.53 vs 21.11±14.07, p<0.05). Decreasing of ADA levels on surgical treated hydatid cyst patients can be interpreted as the inhibition of tissue damage or cessation of lymphocyte proliferation as a result of the elimination of the parasite by means of surgical treatment and breaking the relation between the parasite and immune cells of the host. Determination of ADA activity in hydatid cyst patients might be a diagnostic tool if further clinical trials are carried out. © 2011 Academic Journals.
