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Öğe Lise son sınıf öğrencilerinin meslek seçiminde karşılaştığı sorunlar ve bu sorunların anksiyete ve depresyonla ilişkisi(Dicle Üniversitesi Tıp Fakültesi, 2014) Kars, Veysel; Arslan, Necmi; Erik, Leyla; Avcı, Nuran; Bucaktepe, Pakize Gamze; Çelepkolu, Tahsin; Şahin, Hüseyin AvniAmaç: Lise son sınıf öğrencilerinde anksiyete ve depresyon bozukluğu belirtisi gösterme sıklığını ve bu durumun bazı sosyodemografik değişkenlerle ilişkisini incelemeyi ve öğrencilerin meslek seçimlerini etkileyen sosyo-ekonomik ve kültürel faktörlerin neler olduğunu ortaya çıkarmayı amaçladık. Yöntemler: 2010-2011 eğitim öğretim dönemi ikinci yarıyılında Van il merkezinde toplam 412 öğrenciye Sosyodemografik Bilgi Formu, Beck Depresyon Ölçeği (BDÖ) ve Beck Anksiyete Ölçeği (BAÖ) uygulandı. İstatistiksel analiz için Student t testi ve tek yönlü ANOVA testi kullanıldı. Bulgular: Öğrencilerin yaş ortalaması 16,8 yıldı, %73.8’i erkekti. BAÖ puanı ortalaması ve BDÖ puanı ortalaması sırasıyla 15,4±13,3 ve 15,3±12,8 olarak bulundu. Katılımcıların %58’inde BAÖ, %66’sında BDÖ puanı 41 ve üstündeydi. BAÖ puanı, Anadolu lisesi öğrencilerinde genel lise öğrencilerinden daha yüksek bulundu. Kız öğrencilerin hem BAÖ hem de BDÖ puanları erkeklerden daha yüksek bulundu. BDÖ ve BAÖ puanları arasında pozitif korelasyon saptandı. Sonuç: Çalışmamızda, lise son sınıf öğrencilerinde önemli bir oranda saptanan Anksiyete ve Depresyon’un öğrencilerin meslek seçimini olumsuz yönde etkilediği sonucuna varıldı. Lise son sınıf öğrencilerine meslek seçimi hakkında rehberlik hizmeti verilmesinin ergen ve toplum sağlığı açısından faydalı olacağı kanaatindeyiz.Öğe 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, HamzaBackground: 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.Öğe The prevalence of diabetes mellitus, dysglycaemia and factors that affect them in public employees of Kahramanmaras(Family Medicine Academy, 2015) Yılmaz, Ahmet; Kılınç, Faruk; Usman, Mustafa Gökhan; Sucaklı, Mustafa Haki; Aslanhan, Hamza; Bucaktepe, Gamze; Kars, Veysel; Tanrıverdi, Halis MehmetAim: Our aim is to determine the prevalence of diabetes mellitus, impaired fasting glucose and sociodemographic characteristics of employees in public institutions and organizations in Kahramanmaras province and to assess the effect of these variables in the development of diabetes mellitus. Methods: The work, which was planned as an observational, cross-sectional and an analytical type study, was conducted with 1201 male and female participants between 01/10/2013 and 01/12/2013 in the city of Kahramanmaras. The age, gender, body mass index (BMI), systolic and diastolic blood pressure, marital status and educational status of participants were recorded. The association between these parameters and diabetes mellitus or impaired fasting glucose (IFG) were evaluated Results: The mean age of the study participants 42.86 ± 9.56, of those 79% were male, 21% were women.DM was observed in 120(10%) persons, BAG was observed in 373 (31%) persons, hypertaension was observed in 218 (18,1%) persons. Marital status single / widowed patients with DM and IFG rate of sequentially 4.7% and 24.3% , In the married respectively; 10.7% and 31.7% (p< 0,05). DM and IFG ratio were significantly different in participants who were graduated from primary school 15% , IFG is 27.9% , in the high school graduates respectively; 11.6% and 29.8% while university graduates were respectively; 6.6% and 29.9% (p< 0,05). The rate of DM and BAG were respectively; 15% , 35.3% in first-degree relatives in the story of DM, while there were 6,8% , 28.2 % and in patients with no DM family story (P<0.05). Conclusion: An increase in the level of education to reduce the incidence of diabetes and family history, marital life were found to increase the rate of DM and IFG. We obtain the finding that increased the level of DM and IFG when increse the Body Mass Index (BMI).Firstly, the identification of risk groups and lifestyle changes, such as; exercise, appropriate training, etc., were eligible to be given to this group by the current practice of family medicine units.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, VeyselObjective: 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.