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    Chronic Fatigue Syndrome among nurses and healthcare workers in a research hospital in Turkey
    (Soc Personality Res Inc, 2008) Kara, Ismail Hamdi; Demir, Dogan; Erdem, Oezguer; Sayin, Guelfer Topcu; Yildiz, Nuran; Yaman, Hakan
    Chronic fatigue syndrome (CFS) among nurses and healthcare workers was evaluated via a questionnaire examining CFS, sociodemographic factors, lifestyle, work capacity and education. The criteria of the Centers for Disease Control were applied. One hundred and eighty-three nurses and 18 healthcare workers (mean age 29.04 +/- 5.31 years) participated. More than half of cases (n = 116, 57.7%) complained of fatigue. Thirty-six cases (17.9%) fully matched the criteria of the CDC for CFS. High income level (> $400/month) (p = 0.005) and overworking (> 8 hr/day) (p = 0.017) had a significant effect on CFS [high income (OR: 9.60, CI, 95%: 1.98 - 46.54) and overworking (OR: 7.66, CI, 95%: 1.44 - 40.92), respectively]. CFS was also related to being under 35 years old.
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    An evaluation of articles in international peer-reviewed publications in Turkish family medicine
    (Int Scientific Literature, Inc, 2007) Yaman, Hakan; Kara, Ismail Hamdi
    Background: Scientific publication in Turkish family medicine (FM) has currently increased and a systematic assessment of the qnantity and quality of the published research is the aim of this study. Material/Methods: The data were obtained from the Institute for Scientific Information Citation Databases (SCI, SCI-Expanded, SSCI, and A&HSCI) and the period between 1975-2005 was searched. Key words such as family practice, family medicine, primary care, primary medical care, and Turkey were used and publications were classified according to the type of research, the number of authors, first authorship, the number of citations, and address. The classification was performed by two investigators and the inter-rater-reliability was found to be Cramer's V=0.79 (p < 0.05). Results: One hundred five publications were found. Publications were evident since the year 1991 and showed all increase with the year 2001. The median number of authors of the publications was five (range 1-8), and family physicians were generally the second authors (range: 1-7). The predominant types of publication was research articles (n=72, 69%), and the leading types of research were surveys (n=29, 28%) and case-control studies (n=21, 23%). The median citation number of publications per article was 0.89 (range: 0-13). Conclusions: A recent increase in publication in international peer-reviewed journals was observed. Mostly research articles were published, but randomized controlled trials were in the minority. More emphasis on developing a research capacity in family medicine might help to optimize research activities in Turkey.
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    Habitual tea drinking and bone mineral density in postmenopausal Turkish women
    (Verlag Hans Huber, 2007) Kara, Ismail Hamdi; Aydin, Serpil; Gemalmaz, Ayfer; Akturk, Zekeriya; Yaman, Hakan; Bozdemir, Nafiz; Kurdak, Hatice
    Aim: In this epidemiological report, we assessed the prevalence of osteopenia and osteoporosis (OP) in postmenopausal Turkish women and the relationship between body mass index (BMI), and some nutritional factors (habitual tea, coffee, tobacco, and milk product consumption) with OP. Methods: This multicenter study was done in postmenopausal women residing in five big cities, in four different regions of Turkey between August and November 2005. An inclusion criterion was being in the postmenopausal period for at least 12 months. A semi-structured questionnaire was completed by face-to-face interview, consisting of closed- and open-ended questions about demographic characteristics, nutritional status, and habits with two or more choices as possible responses. Bone mineral density (BMD) measurements were performed with a MetriScan (R) Densitometer (Alara Inc., Ca, USA). Results: Seven hundred twenty-four women were included in the study. The mean age was 57.6 +/- 9.6 years, and mean age at natural menopause was 46.4 +/- 5.6 years. Of the participants, 51% were illiterate. According to WHO classification; 42.5% were normal in terms of BMD, 27.2% had osteopenia, and 30.2% had OP. Women with high education levels had better T-scores (p = 0.0 19). Increase in BMI also had a positive effect on T-scores (p < 0.0001). A linear correlation was found between age (r= -0.386, p < 0.000 1), BMI (r = -0.175, p < 0.0001), and education (r = -0.317, p < 0.0001), with T-scores. The T-scores of women who consumed tea on a regular basis were found to be higher than non-consumers (-1.51 +/- 1.68 vs. -1.09 +/- 1.66; p = 0.070) [when smokers, those who received hormonal therapy (HT), and those > 65 years were excluded]. Conclusion: OP was determined in 1/3 of the women. Advanced age (> 65) and being illiterate were negative factors, while high education levels, being overweight, and being treated with HT had a positive effects on BMD. Habitual tea drinking also may have a positive effect on BMD. However, tea drinking was not found to be a statistically significant factor in the present study.