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    Çocuklarda Ve Adolesanlarda Obezite
    (Selen Medya Yayıncılık Tanıtım ve Organizasyon Hizmetleri, 2020) Çelik, Sercan Bulut; Bucaktepe, Gamze Erten
    Obezite, aşırı vücut yağlanması ile karakterize bir hastalıktır. Son yıllarda çocuk ve adolesanlarda obezite prevalansı da artış göstermektedir. Günümüzde büyük bir halk sağlığı sorunu haline gelen obezitenin, çocukluk döneminden itibaren kontrol altına alınması gerekmektedir. Temel önleme yöntemi, çocukla birlikte aileyi eğitmenin yanısıra, çocukluktan yetişkinliğe kadar uygun diyet ve egzersizin içinde bulunduğu yaşam tarzını düzenlemektir.
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    Öğe
    The Comparing of the sociodemographic features, anthropometric and biochemical parameters of the cases with Metabolic Syndrome, Type 2 Diabetes Mellitus and healthy controls
    (Duzce Univ, 2010) Demir, Dogan; Bucaktepe, Gamze Erten; Kara, Ismail Hamdi
    Aim: In this study, it was aimed to compare the sociodemographic features and biochemical parameters of the patients with Metabolic Syndrome (MS) and Type 2 Diabetes Mellitus (DM) with control group. Material and Method: In this study, among the patients who applied to Dicle University Faculty of Medicine Family Practice outpatient policlinic, 32 patients with MS, 21 patients with Type 2 DM were taken and 21 patients were selected for control group. Patients with MS and Type 2 DM were compared with control group according to their sociodemographic, anthropometric and biochemical parameters. Results: Of 74 patients applied to the study, 29 were female and 45 were male. There weren't any statistical differences about gender, education, diet and exercise between the three groups (respectively, p=0,224, p=0,216, p=0,234 and p=0,504). W/H ratios, BMI and ages were statistically meaningful between three groups (respectively p=0,001, p=0,005 and p=0,0001). Patients with MS had higher W/H ratios and BMI values. HOMA-IR values were increasing with age (r=0,295, p= 0,011), also there was a positive correlation between HOMA-IR and T. CHOL/HDL ratios (r=0.296, p=0.010). Conclusion: While HOMA-IR values were significantly higher in Type 2 DM group, any differences between MS and control group were not detected. Also in both two study groups, HOMA-IR values were increasing with age and there was a positive correlation between HOMA-IR and T. CHOL/HDL ratios. BMI values were positively correlated with systolic and diastolic blood pressures and also W/h ratios. TG values were increasing with W/H ratios.
  • Küçük Resim
    Öğe
    Do oral antiviral drugs used in the treatment of chronic hepatitis B cause erectile dysfunction?
    (Lippincott Williams and Wilkins, 2024) Üzel, Ali; Ebik, Berat; Bucaktepe, Gamze Erten; Yolaçan, Ramazan; Karabulut, Ümit; Uçmak, Feyzullah
    Objective The effect of antiviral drugs on the erectile dysfunction (ED) problem expressed by some patients using antiviral drugs due to chronic hepatitis B infection (HBV) was investigated. Methods A total of 102 male patients receiving antiviral therapy for HBVinfection without any known non-cirrhotic and comorbid disease that may cause ED and whodon't use any drugs with an ED formation potential were analyzed through the InternationalIndex of Erectile Function test. Results Among the patients admitted to the study, anxiety disorder was detected as 24.5% (n = 25) and depression as 46.1% (n = 47). 70.6% (n = 72) of the patients suffered ED. Severe ED was only detected in 3 (n = 2.9%) patients. ED was detected in 70.6% of the entecavir, 64.2% of tenofovir, and 80% of Tenofovir alafenamide users (P = 0.287). On the other hand, the logistics regression analysis revealed that the most important factors that increase the risk of ED are age (>55 age; RR: 2.66; P < 0.001), and anxiety disorder (RR: 2.30; P < 0.0001). The cumulative effect of antiviral drugs on ED was 5.7% (RR: 0.8; P = 0.156). Conclusion We could not find any mounting evidence relating to the effect ofcommonly used antiviral drugs for hepatitis B causing ED. The incidence rate of ED on ourpatients was at a similar rate with population studies in the literature based on society. It is notappropriate to terminate antiviral therapy in hepatitis B for this reason.
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    Screening mixed depression and bipolarity in the postpartum period at a primary health care center
    (W B Saunders Co-Elsevier Inc, 2016) Celik, Sercan Bulut; Bucaktepe, Gamze Erten; Uludag, Aysegul; Bulut, Ibrahim Umud; Erdem, Ozgur; Altinbas, Kutsat
    Introduction: Mixed depression is a clinical condition accompanied by the symptoms of (hypo)mania and is considered to be a predictor for bipolar disorder. Compared to pure major depression, mixed depression is worse in progress. There are limited data on the prevalence of mixed depression since it is a relatively new entity. Therefore, the present study aimed to investigate the prevalence of mixed depression during the postpartum period which is risky for mood disorders. Methods: The study included 63 postpartum women. The participants were administered Beck Depression Scale, Edinburgh Postnatal Depression Scale (EPDS), Mood Disorders Questionnaire (MDQ), and Modified Hypomania Symptom Checklist-32 (mHCL-32). Results: The MDQ scores of the women with expected depression according to the EPDS cut-off scores, were significantly higher than the women with lower EPDS scores (t = 4.968; p < 0.001). The modified hypomania scores were significantly higher in the women with higher depression scores compared to the women under EPDS cut-off scores (t = 4.713; p < 0.001). According to the EPDS and BDS results, 27 (42.9%) and 14 (22.2%) women needed additional clinical examination for depression, respectively. In addition, 3 (4.8%) women require additional clinical examination for bipolar disorder. The scores for the first item of MDQ were above the cut-off value in 11 (17.5%) women. According to the mHCL-32 results, 50 (79.4%) women had at least 1 symptom, 45 (71.4%) women had at least 3 symptoms, and 43 (68.3%) women had at least 5 symptoms of mixed depression. Conclusion: Postpartum mixed depression should be promptly diagnosed by using appropriate diagnostic tools, particularly by primary health care physicians. Patients with mixed depression should be closely monitored to avoid manic switch. (C) 2016 Elsevier Inc. All rights reserved.