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Öğe ASSESSMENT OF PSYCHOLOGICAL RESPONSES AND RELATED FACTORS OF DISCHARGED PATIENTS WHO HAVE BEEN HOSPITALIZED WITH COVID-19(Medicinska Naklada, 2021) Cansel, Neslihan; Tetik, Burcu Kayhan; Demi, Gulsu Hilal; Kurt, Osman; Evren, Bahri; Yucel, AytacBackground: COVID-19 is the biggest pandemic of the last century. While a large number of cases and mortality rates direct the research to the clinic and prognosis of the disease, the mental health of these patients has recently become a matter of concern. This study aims to predict psychiatric morbidity and possible associated markers in COVID-19 survivors. Subjects and methods: A total of 102 survivors with COVID-19 infection participated in this study. A questionnaire was applied to the participants to evaluate demographic variables, history of comorbid diseases, smoking, loss of a relative due to COVID-19, and environmental attitudes after the discharge. Length of hospitalization, lung findings, intensive care history and treatments were recorded. Psychiatric morbidities were evaluated with General Anxiety Disorder-7, Patient Health Questionnaire-9 and The Results: Anxiety was found in 20.6%, depression in 13.7% based on moderate and above levels, 21.6% had significant PTSD. Female gender, history of psychiatric and comorbid diseases, smoking, perceived discrimination, and lack of long-lasting immunity posed a risk in terms of psychological response. There was a negative correlation between age and depression scores. No relation was found between the duration of hospitalization, presence of lung involvement, receiving intensive care treatment, losing a relative due to COVID-19 and psychological response. Conclusions: On patients treated for COVID-19 infection, psychological response continue after discharge. Mental health support and efforts to reduce stigma among infected subjects can reduce the psychological impact caused by the pandemic.Öğe Evaluation of Adolescents' Status of The FirstStep Health Services Use and Healthy Nutrition Behaviors(2021) Kayhan Tetik, Burcu; Gedik, İsilay; Kurt, OsmanAbstract: Aim: This study aimed to evaluate the status of the first-step health services use, healthy nutrition behaviors in adolescents and investigate their relationships with each other. Methods: One hundred and forty-six adolescents between the ages of 10 and 18 were included in this descriptive study. A survey of 15 questions about the participants' healthy nutritional behaviors, the status of knowing their family physicians, and going to their family physicians for the examination was applied. The obtained data were analyzed using the SPSS 22 package program, and p <0.05 was considered significant. Results: Of the participants, 85.6% went to their family physicians for the examination, the mean age was 16.4±1.6, and 58.9% were girls. Girls' mean scores of healthy nutritional behavior and going to their family physicians for the examination were significantly higher than boys'. In those who were obese and overweight, the rate of knowing their family physicians, the mean score of going to their family physicians for the examination, and healthy nutritional behavior were lower than normal weight. Conclusion: In our study, lower obesity and overweight rates and having a healthier diet were seen in adolescents using primary health care services more. We believe that to eliminate obesity, which has been a significant public health problem today, increasing the rate of using primary health care services for adolescent individuals needs to be increased. We hope that our comments raised herein will encourage other physicians to be more sensitive about this issue and direct patients to primary care more often to receive such services.Öğe Evaluation of Doctors' Knowledge of Rational Laboratory Use, a Descriptive Study from Turkey(Duzce Univ, Fac Medicine, 2021) Kilic, Evrim; Tetik, Burcu Kayhan; Kurt, OsmanObjective: The effects of health expenditures on the economy of countries have become more evident in recent years. Especially unnecessary and inappropriate laboratory tests increase both the cost and the workload. In this study, it was aimed to evaluate the level of knowledge of physicians about rational laboratory use and procedure for frequently ordered tests in clinical practice. Methods: This study was planned to be a descriptive study. A questionnaire based on the current circular about 'Rational Laboratory Use' and including sociodemographic data was applied to physicians working at Turgut Ozal Medical Center. Results: The questionnaire was applied to a total of 400 physicians working in internal medicine and surgical branches. The average age of the physicians was 33.01 +/- 5.97 (min = 22, max = 59) years. The question about order period of blood lipids was answered correctly by 3.3% of physicians, HbA1c by 80.8%, Urea / creatinine by 64.5%, and vitamin D and vitamin B12 was answered by 40% of physicians. On the other hand 85.3% of the physicians were not aware of the rational laboratory test ordering procedure and 94% had not received any training on rational laboratory use. Conclusions: It was found that physicians had insufficient knowledge about rational laboratory use and they did not receive any training about the test procedures. In order to reduce health expenditures, more training on this subject should be organized for physicians and awareness should be raised.Öğe Evaluation of Doctors’ Knowledge of Rational Laboratory Use, a Descriptive Study from Turkey(2021) Kılıç, Evrim; Tetik, Burcu Kayhan; Kurt, OsmanObjective: The effects of health expenditures on the economy of countries have become more evident in recent years. Especially unnecessary and inappropriate laboratory tests increase both the cost and the workload. In this study, it was aimed to evaluate the level of knowledge of physicians about rational laboratory use and procedure for frequently ordered tests in clinical practice. Methods: This study was planned to be a descriptive study. A questionnaire based on the current circular about 'Rational Laboratory Use' and including sociodemographic data was applied to physicians working at Turgut Ozal Medical Center. Results: The questionnaire was applied to a total of 400 physicians working in internal medicine and surgical branches. The average age of the physicians was 33.01 ± 5.97 (min = 22, max = 59) years. The question about order period of blood lipids was answered correctly by 3.3% of physicians, HbA1c by 80.8%, Urea / creatinine by 64.5%, and vitamin D and vitamin B12 was answered by 40% of physicians. On the other hand 85.3% of the physicians were not aware of the rational laboratory test ordering procedure and 94% had not received any training on rational laboratory use. Conclusions: It was found that physicians had insufficient knowledge about rational laboratory use and they did not receive any training about the test procedures. In order to reduce health expenditures, more training on this subject should be organized for physicians and awareness should be raised.Öğe Post-Covid pain frequency and affecting factors(2021) Teti?k, Bora; Demi?r, Gulsum Hilal; Kurt, Osman; Derya, SerdarCovid-19 disease was believed to be a short-term disease. However, as the disease was continuing to spread, it was understood that, it can continue for a long time. The aim of this study is to determine the symptoms of individuals with Coronavirus disease 2019 (Covid-19) and those who recovered from the disease and whether they have ongoing symptoms after recovery and the factors affecting of their pain complaints. This descriptive study included 152 patients who admitted to our hospital and diagnosed with Covid-19 and those recovered. The patients were interviewed by telephone and were questioned about their symptoms and conditions when they had Covid-19 and after recovering from Covid-19, by questions based on the literature as well as sociodemographic characteristics. The mean age of the patients was 44.9±13 (min=20, maks=83) and 66 (43.4%) were female and 86 (56.6%) were male. It was determined that 43 patients (28.3%) had and recovered from Covid-19, 1-2 months ago, 60 (39.5%) 2-3 months ago, 36 (23.7%) 3-4 months ago, and 13 (8.8%) 4-5 months ago. During the Covid-19 disease period, pain conditions were listed as 112 had body pain, 94 had headache, 36 had back pain, 35 had joint pain and 13 had lumbar pain. Post-Covid pain was detected in 12 people (7.9%). Body pain was reported in 5 people, headache in 2 people, lumbar pain in 4 people, and both body and joint pain in 1 person. It was observed that as the age group increased, the incidence of post- Covid pain increased. It was determined that the post-Covid pain rate was 7.9% and the patients experienced long-term body, head, lumbar and joint pain. Post-covid pain syndrome was more common in older ages. We suggest that a follow-up algorithm for post-recovery period should be developed.Öğe The role of hematologic parameters in recurrent aphthous stomatitis(2021) Oner, Umran; Oner, Fatih; Kurt, Osman; Ozdemir, SevkiAim: Recurrent Aphthous Stomatitis (RAS) is one of the most common diseases of oral mucosa characterized by recurrent painful ulcers. Although many factors have been implicated in the etiology of the disease, it has not yet been fully elucidated. We aimed to investigate serum vitamin B12, ferritin, folate, vitamin D, hemoglobin, and thyroid stimulating hormone (TSH) levels in patients with RAS.Materials and Methods: The study involved in 60 patients (34 women, 26 men) with idiopathic RAS and 70 healthy volunteers (41 women, 29 men). The serum vitamin B12, ferritin, folate, vitamin D, hemoglobin, and TSH levels of the patients were measured and statistically compared.Results: Serum levels of vitamin B12 (204.5 vs. 301.0 pg/ml) and ferritin (31.0 vs. 48.5 ml/ng) were significantly lower and serum level of folate (7.7 vs. 6.7 ng/ml) were significantly higher in the patient group than control group (p0.05). No correlations were detected between RAS assessed by family history, mean duration of disease, and frequency of attacks and hematinic deficiencies. Conclusion: Vitamin B12 and ferritin deficiency can play a role in the underlying etiology of RAS therefore we suggested the investigation of the vitamin B12 and ferritin status in RAS patients.
