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    Aile hekimliği polikliniğine başvuran kadınlarda demir eksikliği anemisi ve gestasyon öyküsü ilişkisi
    (Dicle Üniversitesi Tıp Fakültesi, 2009) Erdem, Özgür; Bucaktepe, Pakize Gamze Erten; Kara, İsmail Hamdi
    Bu çalışmada kadınlarda demir eksikliği anemisinin, gestasyon öyküsü (gravida, parite, abortus ve yaşayan çocuk sayısı) ile ilişkisinin incelenmesi amaçlandı. Dicle Üniversitesi Tıp Fakültesi Aile Hekimliği AD’na iki aylık (Eylül-Ekim 2007) dönemde başvuran kadın hastaların verileri retrospektif olarak incelendi. Hastaların hematokrit, hemoglobin, demir, serum demir bağlama kapasitesi, yaş, gebelik sayısı (gravida), doğum sayısı (parite) ve düşük sayısı (abortus) kaydedildi. Transferin saturasyon indeksi %20’nin altında olanlar ile hematokriti %35’in altında olanlar anemi olarak değerlendirildi. Çalışmaya alınan hastaların %23,1’inde anemi tespit edildi. %76,9’u normal olarak değerlendirildi. Anemi; gravidası ≤ 3 olanlarda %26.7 iken, >3 olanlarda %73.3 oranında idi. Anemi saptanmayanlarda; gravida ≤ 3 olanlar %68 olup, >3 olanlar ise %32 oranında idi (p=0.037). Bu çalışmada gravida ve paritesi yüksek olan kadınlarda demir eksikliği anemisinin arttığı saptanmıştır. Dolayısıyla kadınlarda anemiyi önlemek amacı ile etkili aile planlaması yöntemleri kullanılmalıdır. Kadınlar bu konuda uyarılmalı ve gebelik dışında da demir desteği sağlanmalıdır
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    Aile hekimliği polikliniğine başvuran kadınlarda demir eksikliği anemisi ve gestasyon öyküsü ilişkisi
    (2009) Kara, İsmail Hamdi; Erdem, Özgür; Bucaktepe, Pakize Gamze Erten
    Bu çalışmada kadınlarda demir eksikliği anemisinin, gestasyon öyküsü (gravida, parite, abortus ve yaşayan çocuk sayısı) ile ilişkisinin incelenmesi amaçlandı. Dicle Üniversitesi Tıp Fakültesi Aile Hekimliği AD’na iki aylık (Eylül-Ekim 2007) dönemde başvuran kadın hastaların verileri retrospektif olarak incelendi. Hastaların hematokrit, hemoglobin, demir, serum demir bağlama kapasitesi, yaş, gebelik sayısı (gravida), doğum sayısı (parite) ve düşük sayısı (abortus) kaydedildi. Transferin saturasyon indeksi %20’nin altında olanlar ile hematokriti %35’in altında olanlar anemi olarak değerlendirildi.Çalışmaya alınan hastaların %23,1’inde anemi tespit edildi. %76,9’u normal olarak değerlendirildi. Anemi; gravidası ? 3 olanlarda %26.7 iken, >3 olanlarda %73.3 oranında idi. Anemi saptanmayanlarda; gravida ? 3 olanlar %68 olup, >3 olanlar ise %32 oranında idi (p=0.037). Bu çalışmada gravida ve paritesi yüksek olan kadınlarda demir eksikliği anemisinin arttığı saptanmıştır. Dolayısıyla kadınlarda anemiyi önlemek amacı ile etkili aile planlaması yöntemleri kullanılmalıdır. Kadınlar bu konuda uyarılmalı ve gebelik dışında da demir desteği sağlanmalıdır.
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    Analysis of some measurement parameters that may predict the risk of developing obesity: a clinical study
    (2023) Çelik, Sercan Bulut; Bucaktepe, Pakize Gamze Erten; Batur, Ülkü Bulut; Bulut, İbrahim Umud
    Aim: Obesity is a severe and chronic disease, which is currently increasing rapidly. The aim of this study was to reveal some parameters that can predict the risk of obesity and to create a new scale using these parameters.Material and Method: The demographic information of the study subjects was recorded, together with the anthropometric measurements of Body Mass Index (BMI), blood pressure, height, body weight, waist circumference, and hip circumference were recorded.Results: Evaluation was made of 74 subjects, comprising 11 (14.9%) females and 63 (85.1%) males with a median age of 34 years (24-45). Mean body weight was measured as 77.3±12.46 kg, height as 174.3±8.86 cm, waist circumference as 84 (66-103) cm, hip circumference as 97 (83-121) cm, and BMI as 25.4±3.21 kg/m2. It was seen that the risk of developing obesity could increase when age and duration of work increased, with an increased frequency of eating outside the home, in the absence of regular exercise, and when the waist and hip circumference values increased. Regression analysis showed that body weight, waist, and hip circumference measurement values could be used to predict the obesity development risk. Finally, a valid and reliable scale called OBEZRISK was created that would easily predict the risk of obesity development in individuals.Conclusion: The study results showed that body weight, waist, and hip circumference measurement values could be used to predict the risk of obesity development in individuals. It was also concluded that the OBEZRISK scale could be used to predict the risk of developing obesity.
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    Catecholamine levels in a Ramadan fasting model in rats: a case control study
    (Taylor and Francis Ltd., 2016) Bucaktepe, Pakize Gamze Erten; Akdaǧ, Mehmet; Daşdağ, Süleyman; Çelepkolu, Tahsin; Yılmaz, Mustafa Abdullah; Demir, Vasfiye; Haris, Parvez
    Eating habits as well as physical exercise are very important for a healthy lifespan. Ramadan-type fasting, which is food and water avoidance during the daylight period for four weeks, has drawn attention due to its positive impacts on metabolism and health. The aim of this study was to compare the blood and urine catecholamine (CA) levels in fasting and non-fasting rats, in terms of stress response. A total of 20 male rats were randomly divided into a fasting group and a control group. Four weeks later, blood and urine samples were taken after decapitation. Analysis of CAs was done using high-performance liquid chromatography with florescence detection (HPLC-FLD). The dopamine (DA), adrenaline (ADR) and noradrenaline (NA) blood and urine concentrations were found to be higher in the fasting group compared to the control group, but the difference was statistically significant only for the blood DA levels (p < 0.05). In the fasting group, the blood values of ADR and NA correlated with each other but not with the DA levels, whereas there was correlation among the urine levels of DA, ADR and NA. In the control group, the blood and urine values of DA, ADR and NA correlated with each other. The differences observed in the blood and urine CAs indicate a specific regulation of CAs in Ramadan-type fasting, which needs to be investigated thoroughly in future studies.
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    ENFEKSİYON HASTALIKLARI VE AİLE HEKİMİ UZMANI GÖZÜYLE COVİD-19 NORMALLEŞME SÜRECİ
    (2022) Akgul, Fethiye; Bucaktepe, Pakize Gamze Erten
    [Abstract Not Available]
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    THE EVALUATION OF NEPHROPATHY RISK FACTORS IN TYPE 2 DIABETES
    (Carbone Editore, 2014) Celepkolu, Tahsin; Tanriverdi, Mehmet Halis; Celk, Sercan Bulut; Bucaktepe, Pakize Gamze Erten; Can, Huseyin; Aslan, Ilknur; Kibrisli, Erkan
    Introduction: The prevalence of diabetes has been increasing at an alarming rate worldwide. Thus, the complications of diabetes are increasingly prevalent and each year three million people die as a result of its chronic complications. In our study, we aimed to compare nephropathic and non neplzropathic patients according to socio-denzographic features, biochemical parameters, and proteinuria characteristics. Methods: Data of 923 type 2 diabetic patients, who were admitted to our Department between January 2000 and December 2008, were analysed retrospectively. The records of 378 patients were included in the study and classified as normoalbuminuric, microalbuminuric and macroalbumhzuric. These groups were compared in terms of demographic, clinical and laboratory findings to investigate the risk factors related to nephropathy. Results: Of the 378 patients, 224 were female (59%) and 154 were male (41%). The mean age was 58.9 +/- 9.7 years. A total of 100 patients (265%) with micro and macroalbuminuria were identified as nephropathic. In the nephropathic group, the levels of FBG (Fasting Blood Glucose), PBG (Postprandial Blood Glucose), HbAl c (Hemoglobin Al c= glycosylated hemoglobin), urea, and creatinine, and the duration of known diabetes were significantly increased when compared with the non-nephropathic group. Diastolic blood pressure and urea levels were significantly higher and creatinine clearance was significantly lower in the macroalbuminuric group. Conclusion: We found a significant relationship between nephropathy and HbAl c, an important indicator of blood glucose control. Therefore, it is essential to provide aggressive blood pressure management and long-term glycaeinic control in order to reduce cardiovascular risk, prevent the development of diabetic nephropathy and ESRF (End Stage Renal Failure), and reduce overall mortality and morbidity. Education of diabetic patients about the risks and complications of elevated blood pressure and poor glycaemic control is a critical component of clinical practice.
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    Evaluation of Prevalence and Risk Factors for Postpartum Depression Using the Edinburgh Postpartum Depression Scale: A Cross-Sectional Analytic Study
    (2021) Kahveci, Gaye; Kahveci, Bekir; Bucaktepe, Pakize Gamze Erten
    OBJECTIVE: To evaluate the prevalence and associated risk factors for postpartum depression using the Edinburgh Postpartum Depression Scale. STUDY DESIGN: The population of this cross-sectional analytic study consisted of 311 women who were admitted to our hospital at 4-6 weeks after birth. The data were collected between April-June 2018 by applying a sociodemographic data form consisting of 44 questions and the Edinburgh Postpartum Depression Scale consisting of 10 questions. We used the Edinburgh Postpartum Depression Scale in the postpartum period to divide parturients into those with (n=47) and without (n=264) postpartum depression using a cut-off score of ? 13. The primary outcome is the prevalence of postpartum depression, while the secondary outcomes are associated-risk factors. RESULTS: The postpartum depression prevalence was 15.1% (n=47). In the postpartum depression group, the difference was highly significant in terms of abortion, antenatal depression, inadequate care for the baby, and health problem in the newborn ?0.6±0.9 vs. 0.2±0.6, 13 (37.1%) vs. 27 (10.5%), 9 (56.3%) vs. 38 (12.9%), 12 (36.4%) vs. 35 (12.6%), respectively? (p<0.001). The Logistic regression analysis revealed that abortion by 1.64 fold (1.13-2.37% at 95% CI), antenatal depression by 5.04 fold (2.38-10.68% at 95% CI), inadequate baby care by 6.28 fold (1.89-20.86% at 95% CI), and health problem in the newborn by 3.59 fold (1.43-8.99% at 95% CI) increased postpartum depression. CONCLUSION: postpartum depression is a health problem that can affect primarily mother and child. Therefore, it is important to determine highly predictable risk factors using a scale (e.g. Edinburgh Postpartum Depression Scale) for early diagnosis and timely treatment of symptoms.
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    Evaluation of pulmonary function after radiotherapy using helical tomotherapy for breast cancer treatment: Prospective study
    (KARE yayıncılık, 2016) Teke, Fatma; Demir, Melike; Bucaktepe, Pakize Gamze Erten; Kaya, Mehmet Ali; Doğan, Mehmet Hakan; Küçüköner, Mehmet; Zincircioğlu, Seyit Burhanedtin; Teke, Memik
    Purpose of the present study was to investigate acute pulmonary changes using pulmonary function tests (PFTs) after breast cancer irradiation with helical tomotherapy (HT). METHODS Forty patients were included in this study. Pretreatment and 3 months after completion of radiotherapy (RT), values of forced vital capacity (FVC), forced expiratory volume in first second (FEV1), and FEV1/ FVC ratio were measured and recorded. RESULTS Restrictive pattern was seen in 4 patients in baseline PFTs and moderate deterioration was observed in their measurements of PFT at 3 months after RT. Obstructive pattern was defined in only 1 patient in baseline PFTs and it remained unchanged after RT. Mild obstructive pattern in 4 patients and mild restrictive pattern in 3 patients had developed at 3 months after RT. CONCLUSION Minimal changes that result in mild restrictive and obstructive pattern in PFTs can be seen in acute phase after RT with HT.
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    THE EVALUATION OF Streptococcus Mutans COLONIZATION IN PRIVATE SCHOOL NURSERY-KINDERGARTEN CHILDREN's TOOTHBRUSH AT DIYARBAKIR REGION
    (2022) Bucaktepe, Pakize Gamze Erten; Toptancı, İsmet Rezani; Toptancı, Bırcan Çeken; Celepkolu, Tahsin
    AIM: Disinfection of the toothbrush is an essential parameter for oral hygiene. As a result, especially children can not clean their toothbrushes sufficiently after brushing their teeth. The purpose of this study was to evaluate the accumulation level of Streptococcus mutans colonization at private school nursery-kindergarten children's toothbrushes and evaluate the effectiveness of chlorhexidine solution in four weeks for disinfection. METHODS: This study was approved by the local ethics committee. Two hundred thirty-four private school nursery-kindergarten children were selected for this study, who's aged between 24-72 months. These selected children for this study did not have any dental, antibiotic, antimycotic treatment in the last three months. Before the study, a survey was conducted about parents' education, employment, the income. A pediatric dentist made an oral examination of these children, dental caries, fillings, and missing teeth were determined. Children were divided into two groups; toothbrushes, toothpaste, and practical solutions distilled water and %0,12 chlorhexidine gluconate solution was given in a bottle for four weeks. In addition, the toothbrushes of children were collected every week. After incubation, Streptococcus mutans colonization was evaluated under stereomicroscope. All the collected data were statistically evaluated. RESULTS: The DMF-T scores were statistically significant when evaluated with parents' education and income (p<0,05), but there was no statistical relationship between parents' employment and DMF-T scores (p?0,05). Streptococcus mutans colony reduction at the Chlorhexidine group was statistically significant (p<0,05). CONCLUSION: From the first brushing, toothbrushes can be contaminated with bacteria. If the toothbrushes are not clean sufficiently, the bacteria taken from the oral environment have a chance to form a colony on the toothbrushes with the effect of moisture. In addition, Streptococcus Mutans is a bacteria that can stay on toothbrushes and cause re-infection. This study shows that toothbrush disinfection is essential to prevent bacteria from re-infection and contamination of oral flora.
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    Exploring health literacy and associated factors among individuals registered in family health centers in Batman province
    (MediHealth Academy Yayıncılık, 2023) Çelik, Sercan Bulut; Bucaktepe, Pakize Gamze Erten
    Introduction: Health literacy is often defined as one’s capacity to obtain, interpret, and understand basic health information and services to preserve, improve, or recover their health and their ability to make the right choices regarding their health. In this study, we attempted to explore health literacy and associated factors among individuals registered in primary health centers. Materials and Methods: We carried out this cross-sectional study with individuals registered infamily health centers in Batman province between October 2018 and March 2019. After obtaining ethical approval from the relevant ethics committee, we collected the data from the participants with a sociodemographic information form and the Turkish version of the European Health Literacy Survey Questionnaire (HLS-EU-Q). Findings: Our findings revealed that 62.3% (n = 301) of the participants were females, 52.0% (n= 251) held an undergraduate or higher degree, and 17.6% (n = 85) had a high monthly income.The mean age of the participants was found to be 33.1±11.8 years (18-78 years), and 62.1% (n =300) were younger than 35 years. We discovered that the younger participants (p = 0.003), thosewith higher educational attainment (p = 0.001), and those without chronic disease (p = 0.005)had significantly greater health literacy. Given gender and other sociodemographic characteristics demonstrating significant relationships with health literacy, our logistic regression findings also showed that income level, perceived socioeconomic and health status, and reading enjoyment had significant impacts on the participants’ sufficient/excellent health literacy level. Conclusion: Thus, the results of this research and prospective studies would further facilitate developing policies for boosting health literacy to protect public health and to alleviate inequalities in accessing healthcare services.
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    Healthcare professionals' beliefs regarding influenza vaccination: What has COVID-19 changed?
    (Wolters Kluwer Medknow Publications, 2023) Akgül, Fethiye; Çelik, Sercan Bulut; Atabey, Pınar; Bucaktepe, Pakize Gamze Erten
    Background: Influenza poses a potential public health threat among healthcare professionals since an infected healthcare professional can spread the virus to patients at higher risk as well as his/her own family members and colleagues. Annual influenza vaccination is the most effective way to protect HCPs. Aim: This study was conducted to determine whether demand for and beliefs about influenza vaccination have changed among healthcare professionals in the COVID-19 era and the factors that might have influenced them in the early phase of the pandemic when COVID-19 vaccines were eagerly awaited. Patients and Methods: This observational descriptive study was conducted between November 16, and December 15, 2020. A total of 317 healthcare professionals completed an online survey. Bivariate analysis and binary logistic regression analysis were performed. Results: Nineteen (6.0%) healthcare professionals were regularly vaccinated against influenza every year, and 199 (62.8%) had never been vaccinated. During the 2019-2020 season, 30 (9.5%) participants had been vaccinated and the proportion desiring to be vaccinated against influenza during the 2020-2021 season was 49.8% (n = 158). The results revealed that those with chronic diseases, those who believed they had adequate information about influenza vaccination and those who believed healthcare professionals should be vaccinated against influenza regularly every year, respectively, had 3.5 times, 4.7 times, and 11 times higher vaccination rates. Conclusion: Although the proportion of healthcare professionals with the intention to be vaccinated for influenza increased with the COVID-19 pandemic, it is still not high enough. Influenza vaccination rates should be promoted by in-service training programs.
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    Job satisfaction in primary care after the health reform in a province of Turkey
    (Verduci Publisher, 2022) Bucaktepe, Pakize Gamze Erten; Çelik, Sercan Bulut; Çelik, Fatima
    OBJECTIVE: Health care reform, which started to be restructured after the Alma Ata Declaration, positively contributed to the development of primary health care administrations around the world. In Turkey, the Ministry of Health launched a "Health Transformation Program" by initiating the "Family Medicine Model" that influenced the working conditions and job satisfaction of primary health care workers (PHCWs). In this cross-sectional study, we evaluated job satisfaction levels of PHCWs and the factors affecting these levels a decade after the introduction of the health care reform in a province of Turkey. PATIENTS AND METHODS: A total of 223 PHCWs participated in the study and completed a structured questionnaire that probed their views regarding their jobs and working conditions. Additionally, the short version of the Minnesota Satisfaction Questionnaire (MSQ) was administered to each participant. Participants were also asked to indicate whether they had any intention to quit their job, whether they liked their profession and workplace, and whether they were satisfied with their job. Bivariate analysis and binary logistic regression analysis were performed to determine predictors of job satisfaction. RESULTS: PHCWs were found to be generally dissatisfied with their working conditions and they declared that they were not sufficiently qualified to work in primary care. Their overall satisfaction was found to be moderate (3.21 +/- 0.67 out of 5) and the most important predictor for job satisfaction was found to be "Liking the workplace" (OR=3.07; 95% CI=1.46-6.45). CONCLUSIONS: The results indicated that environmental factors for job-related issues need to be examined more intensively for future planning and policy making in primary care.
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    Low fetuin-A level in migraine: a case-control study
    (Springer-Verlag Italia Srl, 2014) Tanriverdi, Mehmet Halis; Varol, Sefer; Arikanoglu, Adalet; Bucaktepe, Pakize Gamze Erten; Celepkolu, Tahsin; Akil, Esref; Yuksel, Hatice
    Migraine is a type of primary headache which is caused by the alterations in trigeminovascular system. Migraine attacks are associated with neurovascular inflammation of the cerebral and extracerebral vessels, but its pathophysiological mechanisms have not still been fully delineated. Also, migraine has been found to be associated with higher risks for various metabolic disorders. Thus, we aimed to investigate the matrix metalloproteinases (MMP), fetuin-A, ghrelin, and omentin levels which have important roles in metabolic disorders and inflammation, and to examine their relationship with migraine subtypes and attack frequency. Forty-nine migraine patients and 30 age- and sex-matched healthy control subjects were enrolled. Migraine diagnosis was confirmed according to the International Classification of Headache Disorders-II diagnostic criteria. Analyses of MMP9,MMP3, ghrelin, omentin, and fetuin-A were performed by the ELISA method. Fetuin-A, MMP-9, and MMP-3 levels were significantly lower in migraine than controls (p < 0.05). There were no significant differences between groups with respect to omentin and ghrelin (p > 0.05). In migraine patients, serum fetuin-A levels were positively correlated with MMP-9 and negatively correlated with MMP-3. MMP-3, MMP-9, fetuin-A, omentin and ghrelin levels did not correlate with age, disease duration, or frequency of migraine headache (p > 0.05). Migraine patients have lower fetuin-A, MMP-3 and MMP-9 levels than healthy individuals. Migraine patients have low fetuin-A levels, which may be related to the pathogenesis of migraine. The importance and impact of our findings on the pathogenesis, characteristics, and treatment of migraine needs to be investigated in further detailed studies.
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    A microbiological assessment of the oral hygiene of 24-72-month-old kindergarten children and disinfection of their toothbrushes
    (Biomed Central Ltd, 2014) Celepkolu, Tahsin; Toptanci, Ismet Rezani; Bucaktepe, Pakize Gamze Erten; Sen, Velat; Dogan, Mehmet Sinan; Kars, Veysel; Aslanhan, Hamza
    Background: The objective of this study is to assess the index of decayed, missing and filled teeth (DMF-T), habit of brushing teeth, and the microbiological agents accumulating on the children's toothbrushes for 4 weeks and response of these agents to disinfection via a chlorhexidine solution, then compare those results with the education and income levels of the children's parents. Method: Included in the study were 187 children (96 in the control group and 91 in the experiment group - chlorhexidine) chosen randomly from 600 kindergarten children whose ages ranged from 24 months to 72 months. The children selected had not taken any antibiotics, antimicotics for three months and dental treatments during this trial. The distribution of these children to the groups was also done randomly. After performing a survey for the education, occupation, and income status of the parents, the children were examined and the number of decayed teeth was recorded. The children were given toothbrushes, toothpaste (with fluroide), and the solutions (including distilled water and chlorhexidine) for four weeks under the condition that toothbrushes were returned at the end of each week. The 14 different microbiological agents observed as a result of the assessment of the samples taken in the first week were also included in the assessments of the samples taken over the four-week period. Results: The decrease in the DMF-T index was found to be meaningful according to the differences in education, income, and occupation status of the parents. Of all the samples taken from the toothbrushes, the bacteria with the greatest rate of reproduction included Streptococcus mutans, Escherichia Coli, Pseudomonas aeuroginosa, Enterococcus spp, Staphylococcus epidermidis and Candida albicans. Except for Candida albicans, the other microorganisms taken as samples from the toothbrushes reproduced less overall. In the group using the solution with chlorhexidine, a meaningful decrease in bacterial reproduction was discovered compared to the control group. Conclusion: The findings of this study show that the education, occupation, and socioeconomic situations of the parents should be considered when discussing children's oral and dental health. Moreover, the study shows that disinfection of toothbrushes in order to prevent reinfection and contamination oral flora with the bacteria again is important in terms of preventive medicine and family-children health.
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    Obezite geliştirme riskini öngörebilecek bazı ölçüm parametrelerinin analizi: klinik bir çalışma
    (MediHealth Academy Yayıncılık, 2023) Çelik, Sercan Bulut; Bucaktepe, Pakize Gamze Erten; Batur, Ülkü Bulut; Bulut, İbrahim Umud
    Amaç: Obezite günümüzde hızla artan ciddi ve kronik bir hastalıktır. Bu çalışma, obezite riskini öngörebilecek bazı parametreleri ortaya çıkarmayı ve bu parametreleri kullanarak yeni bir ölçek oluşturmayı amaçlamıştır. Gereçler: Demografik bilgilerin anket kapsamında kayıt altına alınmasının yanı sıra “Beden Kitle İndeksi” (VKİ), kan basıncı, boy, vücut ağırlığı, bel çevresi ve kalça çevresinden oluşan antropometrik ölçümler kaydedildi. Bulgular: Çalışmaya dahil edilen katılımcıların 11'i (%14,9) kadın, 63'ü (%85,1) erkekti. Katılımcıların ortanca yaşı 34 (24-45), ortalama vücut ağırlığı 77,3 ±12,46 kg; boy 174,3 ±8,86 cm, bel çevresi 84 (66-103) cm, kalça çevresi 97 (83-121) cm ve VKİ 25,4 ±3,21 kg/m2 idi. Egzersiz yapma alışkanlığının olmadığı durumlarda, ev dışında yemek yeme alışkanlığının artması, bel ve kalça çevresi değerlerinin artması, yaş ve çalışma süresinin artması durumunda obeziteye yakalanma riskinin de artabileceği görüldü. Regresyon analizi, obezite gelişme riskini tahmin etmek için vücut ağırlığı, bel ve kalça çevresi ölçüm değerlerinin kullanılabileceğini göstermiştir. Son olarak, insanlarda obezite gelişme riskini kolayca tahmin edebilecek, OBEZRISK adlı geçerli ve güvenilir bir ölçek oluşturulmuştur. Sonuç: Bu çalışma, bireylerde obezite gelişme riskini tahmin etmede vücut ağırlığı, bel ve kalça çevresi ölçüm değerlerinin kullanılabileceğini göstermiştir. Ayrıca OBEZRISK ölçeğinin obezite gelişme riskini tahmin etmede kullanılabileceği sonucuna varılmıştır.
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    Obstrüktif uyku apne sendromu semptomları ile okul performansı arasındaki ilişki
    (Dicle Üniversitesi Tıp Fakültesi, 2016) Demir, Melike; Bucaktepe, Pakize Gamze Erten; Yılmaz, Süreyya; Kaya, Halide; Coşkunsel, Mehmet; Kırbaş, Gökhan; Sezgi, Cengizhan; Taylan, Mahşuk
    Amaç: Obstrüktif Uyku Apne Sendromu(OUAS), öğrenme güçlüğü, dikkat eksikliği ve unutkanlık gibi nörokognitif bozukluklara yol açarak, akademik performansı olumsuz etkileyebilmektedir. Bu çalışmada, farklı akademik başarı seviyesindeki öğrencilerin uykuda solunum bozukluğu düşündüren semptomlar açısından karşılaştırılması amaçlandı. Yöntemler: Üniversite giriş sınavında aynı puan türüyle girilen bölümlerinden, giriş puanı en yüksek(Grup 1) ve en düşük(Grup 2) olan bölümlerin birinci sınıf öğrencilerine yüz yüze görüşülerek anket dolduruldu ve demografik özellikleri, sigara kullanımı, araç kullanımı, trafik kazası sayısı ile Epworth Uykululuk Ölçeği(EUÖ) ve OUAS riskini belirleyen Berlin Anketi sorgulanarak skorlandı. İki grubun bulguları karşılaştırıldı. Bulgular: Grup 1’de 136, Grup 2’de 116 olmak üzere toplam 252 öğrenci çalışmaya dahil edildi. Öğrencilerin yaş ortalamaları, cinsiyet dağılımı, tartı, boy ve beden kitle indeksi değerleri arasında fark saptanmadı. Grup 2’deki öğrencilerin sigara kullanma oranı (%25,3) Grup 1’e (%18,2) göre fazlaydı (p<0,001). Ayrıca Grup 1 ile karılaştırıldığında Grup 2’deki öğrencilerde horlama (%87,1; %27,2), uykuda nefes kesilmesi (%10,3; %5,1) ve gündüz aşırı uykululuk hali (%25,8; %13,2) oranları yüksekti (sırasıyla p<0,001, p=0,021, p=0,002). Berlin Anketi’ne göre OUAS için yüksek risk taşıma oranları (%45,7; %31,6) ve EUÖ [(5,3±3,5); (1,8±3,6)] skorları da Grup 2’de yüksekti (sırasıyla p=0,006 ve p<0,001). Grup 2’deki sigara içenlerde horlama (% 97,8; % 20) ve uykuda nefes kesilmesi (% 68,9; % 6,7) sigara içmeyenlere göre fazla idi (sırasıyla p<0,001 ve p=0,047). Sonuç: OUAS düşündürecek semptomların ve sigara kullanımının başarı seviyesi düşük öğrencilerde daha sık olduğu saptandı. Genç erişkinlerde, okul başarısını etkileyebilecek faktörlerden birinin de OUAS gibi uykuda solunum bozuklukları olabileceği bulgusu daha kapsamlı araştırmalara zemin hazırlayabilir.
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    Postpartum depresyon görülme sıklığı ve tarama yöntemleri
    (Dicle Üniversitesi Tıp Fakültesi, 2012) Erdem, Özgür; Bucaktepe, Pakize Gamze Erten
    Doğum olayının en sık komplikasyonu olan postpartum depresyon, yeni doğum yapan kadınların yaklaşık %10- 15’inde görülmektedir. Birçok kadının mutlu olmaları gerektiğine inandıkları bir dönemde, depresif duygular taşıdıklarından dolayı suçluluk duymaları, belirtilerini saklamalarına ve postpartum depresyon tablosunun kolaylıkla gözden kaçabilmesine neden olmaktadır. Gebelikte, ağır düzeyde psikiyatrik hastalıkların görülme riski düşük olmakla birlikte, postpartum dönemde ruhsal hastalık sıklığında dramatik bir artışın ortaya çıktığı ve bu riskli dönemin 6 ay, bir yıl ve hatta iki yıl sürebildiği bildirilmektedir. Başlangıcı sinsi olabildiğinden postpartum depresyon, özellikle hafif ve orta şiddette olduğunda ve yardım arayışı desteklenmediğinde rahatlıkla gözden kaçabilir. Bu olgularda postpartum depresyon uzun süre devam edip, sonunda hastaneye yatış gerekli olacak derecede ağırlaşabilir. Bu nedenle erken tanı çok önemlidir ve birinci basamakta çalışan hekim ve diğer sağlık çalışanlarına çok iş düşmektedir. Yeni doğum yapan kadınlarda, doğum sonu depresyon, güvenilir tanımlama yöntemleri kullanılarak belirlenmelidir. Ülkemizde geçerlilik ve güvenirlilik çalışması yapılmış olan, Doğum Sonrası Depresyon Tarama Ölçeği, Beck Depresyon Ölçeği, Edinburgh Doğum Sonrası Depresyon Ölçeği ve Durumluluk-Süreklilik Kaygı Envanteri gibi ölçekler gebe ve lohusa izlemleri sırasında kullanılabilir
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    Öğe
    Quality of Life, Psychological Burden, and Sleep Quality in Patients With Brain Metastasis Undergoing Whole Brain Radiation Therapy
    (Oncology Nursing Soc, 2016) Teke, Fatma; Bucaktepe, Pakize Gamze Erten; Kibrisli, Erkan; Demir, Melike; Ibiloglu, Aslihan Okan; Inal, Ali
    Background: Patients with brain metastasis (BM) usually suffer from poor quality of life (QOL), anxiety, depression, and sleep disorders in their reduced lifespan. Objectives: The aim of this study was to evaluate QOL, anxiety, depression, and sleep characteristics in patients with BM at the beginning and end of whole brain radiation therapy (WBRT) and three months after treatment. Methods: Thirty-three patients undergoing WBRT for BM were featured in this study. The authors used the Karnofsky Performance Status (KPS) scale to measure performance status, the Hospital Anxiety and Depression Scale (HADS) to evaluate anxiety and depression, the SF-36 (R) to evaluate health-related QOL, and the Pittsburgh Sleep Quality Index to evaluate sleep disorders at the start of WBRT, the end of WBRT, and three months after WBRT. Findings: Statistically significant improvements were noted in KPS scores from baseline evaluation to the end of WBRT and to three months after WBRT. No significant differences were observed in SF-36 and HADS scores between the start and the end of WBRT. Anxiety scores were negatively correlated with survival at the end of WBRT. Overall survival was better in those who reported better sleep. WBRT improves KPS scores and does not worsen sleep quality or mood, even in patients with poor performance status. When changes in mood and sleep quality are observed, survival and QOL may improve in patients with BM; consequently, nurses should be responsive to these changes.
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    Öğe
    The Relationship between Obesity and Cardiovascular Risk in Postmenopausal Women
    (Duzce Univ, 2019) Bucaktepe, Pakize Gamze Erten; Celepkolu, Tahsin; Aslan, Ilknur; Tanriverdi, M. Halis; Yilmaz, Ahmet; Aslanhan, Hamza; Kars, Veysel
    Objective: The aim of this study was to investigate the relationship between obesity and cardiovascular risk in postmenopausal women. Methods: The study included 43 postmenopausal women who were admitted to Dicle University Medical School Family Medicine Outpatient Clinic. Body mass index (BMI), waist and hip circumferences, body fat mass and percentage, 24-hour arterial tension measurements, homocysteine (Hcy), lipid and vitamin B12 levels, and Framingham risk score (FRS) were compared between obese (BMI >= 30 kg/m(2)) and non-obese (BMI<30 kg/m(2)) patients. Results: The patients included 25 (58.1%) obese and 18 (41.9%) non-obese patients. Abdominal obesity was seen in 29 (67.4%) and truncal obesity in 18 (41.9%) participants. Family history of cardiac disease was seen in 25 (58.1%) women, most of whom were obese. Based on FRS, moderate cardiovascular risk was assessed in 21.6%, but none of the participants were at high risk. FRS was positively correlated with Hcy and waist/hip ratio. Conclusions: The results of this study indicate that age- and gender-dependent differences must be taken into consideration for cardiovascular risk assessments and postmenopausal women should be informed about obesity and hypertension in order to improve their quality of life.
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    Öğe
    Sağlık çalışanlarının çocuklarında depresif belirti sıklığı
    (Dicle Üniversitesi Tıp Fakültesi, 2015) Bucaktepe, Pakize Gamze Erten; Çelik, Sercan Bulut; Tekeli, Aysun; Öztekin, Coşkun; Çelepkolu, Tahsin; Demir, Vasfiye; Değirmen, Elif
    Amaç: Bu araştırmada, oldukça ağır ve stresli koşullarda çalışan sağlık personellerinin çocuklarında depresif belirti sıklığı ve sosyodemografik özelliklerle ilişkisinin incelenmesi amaçlanmıştır. Yöntemler: Tanımlayıcı ve kesitsel tipteki çalışmamız 15 Haziran-17 Temmuz 2014 tarihleri arasında Batman ilinde gerçekleştirilmiş, 6-17 yaş grubunda çocuğu olan, çalışmaya katılmayı kabul eden ve anketleri tam olarak dolduran 106 sağlık personelinin verileri değerlendirilmiştir. Katılımcılar, sosyodemografik veri formunu ve çocukları ile birlikte de çocuk depresyon ölçeğini (ÇDÖ) doldurmuşlardır. Veriler istatistiksel olarak değerlendirilmiştir. Bulgular: Depresyon ölçeği skorları çocukların biri hariç hepsinde 19 ve üstü olarak tespit edilmiştir (%99,1). Çocukların depresyon ölçek skorları ile ebeveynlerin çalıştıkları birim (r=0,050, p=0,621), nöbet tutma durumları (r=0,178, p=0,071), depresyon öyküleri (r=0,100, p=0,315), ailelerin çocuk sayıları (r=0,001, p=0,994), çocukta kronik hastalık varlığı (r=0,138, p=0,162) arasında korelasyon saptanmamıştır. Kadın sağlık çalışanlarının çocuklarının ortalama ölçek skoru daha yüksek olarak tespit edilmiştir (p=0,027). Sonuç: Sağlık çalışanı çocuklarında skorların yüksek olması oldukça düşündürücüdür ve nedenin multifaktöriyel olabileceği unutulmamalıdır. Bu konuda taramalar yapılarak önlemler almak gerekmektedir