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Öğe Effects of Ramadan Fasting on Biochemical and Hematological Parameters and Cytokines in Healthy and Obese Individuals(Mary Ann Liebert Inc, 2011) Unalacak, Murat; Kara, Ismail Hamdi; Baltaci, Davut; Erdem, Ozgur; Bucaktepe, P. Gamze ErtenBackground: The typical nutritional plan in Ramadan may have beneficial influences on the inflammatory state, as well as on metabolic and anthropometric parameters. We aimed to investigate the effects of Ramadan fasting on biochemical and hematological parameters and cytokines in healthy and obese individuals. Methods: This study was performed during the Ramadan holy month (September and October 2007). The study group consisted of 10 obese males and the control group consisted of 10 males with a normal body mass index (BMI), who were admitted to the Family Medicine Outpatient Clinic of Dicle University Medical Faculty in Diyarbakir, Turkey, and who indicated that they were going to fast throughout the entire month of Ramadan. Individuals with any acute or chronic disease or medication during the study were excluded. Height, weight, BMI, and waist and hip circumferences were measured. High-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), urea, creatinine, insulin, total protein, albumin, C-reactive protein (CRP), lactic dehydrogenase (LDH), alanine aminotransferase (ALT), aspartate aminotransferase (AST), and cytokine levels were evaluated. Results: The average age of the participants was 27.4 +/- 5.2 years. Of the study group, 7 fulfilled the criteria of metabolic syndrome. Significant weight reduction, significant decrease in BMI, and significant decrease of homeostasis model assessment of insulin resistance (HOMA-IR) and fasting blood glucose (FBG) were observed in study group; weight and BMI reduction were insignificant and no significant change was observed in FBG levels, but a significant increase was observed in HOMA-IR in the control group. Post-Ramadan systolic and diastolic blood pressure values, serum white blood cells (WBC) count, interleukin-2 (IL-2), IL-8, tumor necrosis factor-alpha (TNF-alpha, TG, and ALT levels were significantly lower in both groups compared to pre-Ramadan values. Conclusion: Ramadan fasting has beneficial influences on the inflammatory state, as well as metabolic and anthropometric parameters.Öğe Evaluation of post-graduate training effect on smoking cessation practice and attitudes of family physicians towards tobacco control(E-Century Publishing Corp, 2014) Turker, Yasemin; Aydin, Leyla Yilmaz; Baltaci, Davut; Erdem, Ozgur; Tanriverdi, Mehmet Halis; Sariguzel, Yunus; Alasan, FatihObjective: Family physicians (FPs) are cornerstone for tobacco control. It was aimed to compare the effect of training on their smoking cessation practice, knowledge level and attitudes towards smoking and tobacco control. Methods and materials: The cross-sectional and multi-centered study was carried out using structured survey modified WHO based questionnaire. It was delivered to 1500 FPs randomly selected among approximately 23000 family physicians across the country. The study survey was self-reported by FPs, assessing their knowledge, attitudes, status of post-graduate training, and practice about tobacco control. Participants were assigned into two groups as non-trainee groups (Group 1) and post-graduate trainee (Group 2). Results: The mean age was 38.4 +/- 7.1 years-old. The percentage of male and female FPs in the study was 53.1% and 46.9%. The ratio of family physicians who participated in training program Group 2) was 26.5% (n = 327). The ratio of female FPs who participated the SCP training course was significantly higher than that of male FPs (27.3% versus 22.5%, p = 0.035). There was no significant difference for smoking status between groups (p = 0.686). When the number FPs whose consulted by the smokers over = 5 a week was compared, the ratio of FPs was significantly higher in group 2 than group 1 (p < 0.001), but overall ratio of FPs (2.8%) who consulted within a week smokers was considerably lower Statements of Competence and confidence items stated by all FPs were 24.2% and 32.2%, respectively. Physicians who had attended post-graduate training on SCP were more competent and confident, compared to non-trained FPs (p = 0.002 and p = 0.001). Conclusion: Post-graduate training on tobacco control improved self-confidence and competence of FPs. With post-graduate training, significant improvement was seen in practical skills of physicians. A continuing training program should be introduced to FPs, to engage them for smoking cessation practice.Öğe Smoking cessation practice in male versus female family physicians in Turkey(European Respiratory Soc Journals Ltd, 2013) Aydin, Leyla Yilmaz; Baltaci, Davut; Alasan, Fatih; Tanriverdi, Mehmet Halis; Deler, Harun[Abstract Not Available]Öğe Smoking habits of nurses and midwives and their attitudes tobacco control; a primary care based study from four major cities of Turkey(Drunpp-Sarajevo, 2012) Aydin, Leyla Yilmaz; Baltaci, Davut; Ozturk, Serkan; Saritas, Ayhan; Eroz, Recep; Celepkolu, Tahsin; Yilmaz, AylinIt was aimed to investigate smoking habits, knowledge about and attitudes towards tobacco control among nurses and midwifes at primary care settings in Turkey. A cross-sectional survey was applied to nurses/midwives at primary care settings. 1063 surveys were analyzed in the study. Mean age of nurses/midwives was 33.7 +/- 6.3. Current, former and never smokers' ratio among nurses/midwives were 30.1 %, 10.6 % and 59.3 %, respectively. Knowledge of nurses/midwives was observed as quite high. Majority of never smokers significantly marked as higher agreement with items related to knowledge level about smoking by than ever smokers. The lowest ratio was observed in agreement with item of Pharmacotherapy is efficient for smoking cessation (46.6 %). the highest ratio was observed in agreement with item of Health professionals should routinely advise patients to avoid smoking around their children (97.5 %). Significant differences were observed in statement of agreement with items related to attitudes of the nurses/midwives towards smoking and tobacco control between never and ever smokers. Almost all of the nurses/midwives had no any training course on smoking cessation practice (99.6 %). Majority of them were not competent for preparedness in smoking cessation (competent: 17.4 % vs. incompetent or somewhat: 82.6 %). In conclusion, knowledge and skills in smoking cessation practice and attitudes towards smoking and tobacco control in nurses/midwives were observed as low and somewhat high. Therefore, an appropriate education program should be instituted to increase motivation of them about their role in society and smoking cessation practice.
