Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Bostan, Sedat(7)
- Arslan, Mesut(3)
- Doğan, Melike Demir(3)
- Aydın, Emine Büşra(2)
- Demirağ, Hatice(2)
- Düzgün, Azer Özad(2)
- Okan, Tarhan(2)
- Sarıyer, Aysegül Saral(2)
- Acet, Tuba(1)
- Akdu, Serap(1)
- Akdu, Uğur(1)
- Akeren, Zahide(1)
- Akmeşe, Osman(1)
- Aksoy, Metin(1)
- Akyildiz, Esma(1)
- Altinkaynak, Muhammed(1)
- Alver, Ahmet(1)
- Atan, Sibel Gayretli(1)
- Aykut, Memnune Kabakuş(1)
- Bayrakdaroğlu, Serdar(1)
- Bekar, Fevziye(1)
- Cengiz, Sevil(1)
- Coşkun, Ceyhun(1)
- Demir, Halis(1)
- Demirbag, Birsel Canan(1)
- Dincel, Gungor Cagdas(1)
- Donat, Ali(1)
- Doğan, Orhan Veli(1)
- Doğan, Süheyla(1)
- Eken, Hüseyin(1)
- Eken, Özgür(1)
- Ekinci, Hasan(1)
- Erkuran, Hatun(1)
- Eroğlu, Hasan(1)
- Futsi, Ali(1)
- Gödek, Şule(1)
- Gökçe, Ahmet(1)
- Gözün, Melike(1)
- Helvacı, Gizem(1)
- Hintistan, Sevilay(1)
Yayınlar
- Derleme MakaleYalnız künye2019Çocukluk Çağında Obezite
Karadeniz, Havva; Erkuran, Hatun
Obezite, vücutta depolanan yağ miktarının fazla olması ile ortayaçıkan, fiziksel ve ruhsal sorunlara neden olabilen bir enerji metabolizması bozukluğudur. Son 20 yılda tüm dünyada obezite sıklığındaartış gözlenmektedir. Türkiye’de yakın zamana kadar çocuklardakişişmanlık üzerinde pek durulmamış ve “şişman çocuk sağlıklı çocuk” anlayışı aileler tarafından yaygın bir biçimde kabul görmüştür.Ancak son yıllarda Dünya ile birlikte Türkiye’de de artan obeziteprevalansı ve çocukluk çağı obezitesi ile hipertansiyon, diyabet, kardiyovasküler hastalıklar gibi birçok hastalık arasında yakın ilişki olduğunun anlaşılması tüm Dünya’da olduğu gibi Türkiye’de de hemsağlık profesyonellerinin hem de toplumun çocukluk çağı obezitesinebakışını değiştirmiştir. Çocukluk ve adölesan döneminde başlayanobezitenin ileri yaşlarda da devam ettiği bilinmektedir. Bu nedenleerken dönemde bu olguların saptanması ve gerekli tedavi yaklaşımlarında bulunulması gerekmektedir. Bu çalışmanın amacı önemli birsağlık sorunu olan çocukluk çağı obezitesine dikkat çekmektir.
- MakaleYalnız künye2018Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness
Doğan, Melike Demir; Tosun, Esen; Tek, Ahmet Duran
Chronic illnesses with prolonged and slow progression are a rising problem in health care and the number of individuals with one or more chronic illnesses is increasing day by day. This cross-sectional study was conducted to determine the relationship between the perception of disease, self-care management, and quality of life in individuals with chronic illness. The sample of the study consisted of 127 patients who were hospitalized in Internal Medicine and Surgical clinics, had at least one chronic illness and agreed to participate in the study. The data were collected with personal information form, illness perception questionnaire (IPQ), self-care management scale in chronic illnesses (SCMP-G Questionnaire), and EQ-5D-5L general quality of life questionnaire.As a result of the statistical analysis, scores of the self-guarding subscale of self-care management scale were seen to be significantly higher in women than men. Self-care management of the patients with respiratory disease was significantly higher than diabetic patients. As a result of the present study, it was observed that the female patients had better self-care management compared to the male patients. However, the men were found to have a better quality of life than the women. Patients with respiratory disease had a better self-care management than diabetic patients.
- MakaleYalnız künye2018Effect of Pomegranate on Blood Pressure: A Meta-Analysis Study
Doğan, Melike Demir
Pomegranate, a fruit peculiar to The Middle East, has been used in traditional medicine for centuries. According to in vivo and in vitro studies; pomegranate and its juice have effects such as increased insulin sensitivity, α-glucosidase inhibition, reducing cholesterol, and therapeutic hypoglycemic effect. In the light of this information, this study was conducted to determine the effect of pomegranate on blood pressure reduction. Randomized controlled clinical trials were reviewed on Pubmed, ISI Web of Sciences and Google Scholar databases. 8 randomised controlled trials were included in meta-analysis. Results of blood pressure obtained at the end of pomegranate studies were evaluated. When the standardised mean difference value of pomegranate and placebo groups was calculated to evaluate the effect of pomegranate on reducing the diastolic blood pressure, this value was found to be -0.255 (95% CI: 56.31-87.96). When the standardised mean difference value of pomegranate and placebo groups was calculated to evaluate the effect of pomegranate on reducing the systolic blood pressure, this value was found to be -0,160 (95% CI: 16,10-80,65). As a result of this meta-analysis, it was observed that pomegranate could reduce diastolic and systolic blood pressure.
- Derleme MakaleYalnız künye2018Türkiye’deki Suriyeli Misafirler ve İlişkilendirilen Bulaşıcı Hastalıklar
Turan, Melikşah; Sezen, İrem; Kaya, Afşin Ahmet
Türkiye son 7 yılda Suriye’den gelen yoğun bir göç dalgasına maruz kalmakta, insani amaçla sınırlarını açarak barınma, sağlık, güvenlik, beslenme, eğitim, sosyal alanlarda hizmet sağlamaktadır. Sınır dışı edilme korkusuyla yasa dışı yollarla ülkeye girerek varlıklarını bildirmeyen bireylerin, sağlık durumlarının belirsizliği ve hayat standartlarının düşük olması büyük tehlike oluşturmaktadır. Sağlık problemleri göçün oluşturduğu olumsuz yaşam koşulları ile birlikte yoğun bir tehdit oluşturmaktadır. Çalışmamızda Türkiye’deki Suriyeli misafirler ve ilişkilendirilen bulaşıcı hastalıklar ile ilgili bilgi vermek ve önerilerde bulunmak amaçlanmaktadır. Çalışma kapsamında Suriyeli misafirler ve bulaşıcı hastalıklara yönelik raporlar ve yayınlar incelenmiştir. Rapor ve yayın sonuçları çalışmamız çerçevesinde derlenerek öneriler oluşturulmuştur. 2012-2017 yılları arasında yapılan raporlamalara göre çocuk felci (polio), kızamık, tüberküloz, şark çıbanı (leishmania) gibi hastalıkların ortaya çıkma sıklığı düzensiz olarak değişmiştir. Çalışma sonucunda giriş noktalarında ve yaşam alanlarında sağlık ve diğer hizmetlerin cevap verebilirliğini artırmak için ‘Göç öncesinde; Kendi ülkesindeki bulaşıcı hastalıklar, Göç sırasında; Kendi ülkesi, Geçilen ülkelerdeki bulaşıcı hastalıklar, Göç Sonrasında; Kendi ülkesi, Geçilen ülkelerdeki, konuk ülkedeki bulaşıcı hastalıklar’ stratejik ve eylem planlarının hazırlanmasının sağlanması, tarama, aşılama, eğitim (hijyen-bulaş), vektörlerle mücadele ve erken müdahale enfeksiyonlarla mücadele paketinde yer alması, bulaşıcı hastalık açısından risk oluşturabilecek kesimin belirlenerek takip ve tedavi altına alınması, sınıra yakın bölgelerde bağışıklama ile ilgili kampanyaların oluşturulması önerilmektedir.
- MakaleAçık Erişim2018Antidiabetic Potential: Effect of Resorcinol on α-Glycosidase and α-Amylase Enzymes
Topal, Fevzi
The vast majority of the carbohydrates in the biomolecule class are formed by photosynthesis using sunlight. One of the important enzymes in this class is α-glycosidase. This enzyme converts complex carbohydrates to monosaccharides. On the other hand, another important enzyme species is the α-amylase enzyme. Which directly related to starch. Starch is a type of polymer formed by the oxygen binding of glucose units to each other at the C1 position with glycosidic bonds. α-Amylase is an enzyme that catalyzes the hydrolysis of glycosidic bonds in starch, and this enzyme is purified from a wide variety of animals, plants, and microorganisms. Resorcinol, a phenol derivative, is an important organic chemical substance in the production of textile, medicine, hair dye, plastic and agricultural products of many industrial materials. Resorcinol, a phenol derivative, is present as white crystals, and resorcinol consists of two hydroxyl molecules attached to the benzene ring, and also was defined as α-glycosidase and α-amylase inhibitor to detect antidiabetic properties. Resorcinol was used as 𝛼-glycosidase and 𝛼-amylase inhibitor. Accordingly, IC50 values of α-amylase and α-glycosidase were calculated as 1.34 μM and 77.00 nM, respectively. On the other hand, Ki value for α-glycosidase was found as 30.16 nM. It has been observed that α-amylase and α-glycosidase enzymes can inhibit by resorcinol compound. It has the properties of inhibiting carbohydrate absorption by inhibiting α-glycosidase enzymes in the small intestine. For both metabolic enzymes, resorcinol may be preferred as an inhibitor. In this case, resorcinol may be used as an inhibitor against to healty problems like Diabetes mellitus and antiobesity.
- MakaleAçık Erişim2018Investigation of Antibiotic Resistance Genes and Class 1 Integron in Multi-Drug Resistant P. aeruginosa and E. coli Strains
Sarıyer, Aysegül Saral; Düzgün, Azer Özad
P. aeruginosa and E. coli are resistant to many antibiotics, so the treatment of infections of these pathogens has become difficult. Therefore, searching for the presence of antibiotic resistance genes in clinical isolates is of great importance. The purpose of this study is to investigate the presence of beta-lactam resistance genes and class 1 integron in multi-drug resistant P. aeruginosa and E. coli clinical strains. Vitek 2 Compact automatization system were used for identification and antibiogram of 2 P. aeruginosa and 2 E. coli isolates which were isolated from blood, urine and sputum specimens of patients whom were hospitalized in Gümüşhane State Hospital intensive care unit. Total DNA isolation was done by boiling DNA method. PCR were performed using primers of class 1 integron gene cassette, blaVIM, blaNDM, blaIMP, blaGES, blaCTXM-1, blaCTXM-2, blaOXA-58, blaOXA-23, blaOXA-51, blaOXA-40 and blaKPC. All amplification samples were performed on 1% agarose gel and subsequently visualized under UV light. According to the results of the antibiogram, P. aeruginosa isolates showed resistance against all used antibiotics except gentamicin. The E. coli isolates were found to be resistant to cephalosporin antibiotics and susceptible to carbapenems. blaCTXM-1-class A beta lactamase genes was found in 3 strains of 4, while no blaCTXM-2, blaGES and blaKPC genes were detected in the strains. The presence of the investigated class B and class D beta lactamase genes was not observed in any sample. The presence of class 1 integron was detected in 3 strains. According to the result of the DNA sequence analysis, it was determined that three integron positive samples had the dfrA1/AadA5 gene cassettes.
- MakaleAçık Erişim2018The Detection of the Relationship Between Depression and Malnutrition in Cancer Patients
Ünlü, Ayşe; Sancar Bekircan, Esra
Objective: The disease of cancer and the treatments administered might cause malnutrition and depression in patients. This research aims to assess the risk of depression and malnutrition in cancer patients and analyse the relationship between two diseases. Material and Method: The supplementary research conducted face-to-face interview method with 82 patients who applied to Gaziantep University Şahinbey Research and Application Hospital with cancer diagnosed and Adult Oncology Clinic and Polyclinic between the dates 4 April-4 September 2018 and volunteered to participate in the research. Depression case was assessed with Beck’s Depression Inventory (BDI) and nutrition cases were assessed with Nutrution Risk Screening (NRS2002). SPSS 17 (Statistical Package for the Social Sciences) programme was used to anaylse the data. Results: Participants received 28.98±10.10 points on average. According to the scores of the participants, 37.8% percent of them have moderate depression. They received 2.22±0.72 points on average from NRS-2002. It was revelaled that 43.9% percent of the participants had moderate malnutrition. A further analysis (LSD) conducted to detect which depression level the difference resulted from showed that NRS-2002 scores of the participants with severe depression are higher than the ones with moderate mood disorders, clinical depression and moderate depression. According to BDI, the difference between NRS-2002 scores is statistically meaningful. Furthermore, it has been revealed that the NRS-2002 scores of the participants with severe depression are higher than the ones with moderate mood disorders, clinical depression and moderate depression. Conclusion: The problems of oncologic patients related to nutrition and depression should be diagnosed earlier and treated soon.
- Derleme MakaleYalnız künye2017Micronutrient malnutrition in nutritional support? or enrichment?
Aykut, Memnune Kabakuş
Today, health problems related to nutrition have a great deal. Regulation of individual nutrition programs, nutrient enrichment, vitamin-mineral supplements and health improvement and disease control to prevent nutritional problems are important public health strategies. In order to select the most suitable method, it's necessary to identify the present health problem as well as knowing the addressed population. Serious health problems may arise in deficiencies of vitamin-mineral, known as micronutrients. In such cases, nutritional support comes to the fore if there is an individual deficiency; however, the use of food-fortification policy may be a correct step if there is a deficiency, and dependent disease-conditions, in the population at large. But it is important to know the upper intake levels well to avoid any toxicity
- MakaleAçık Erişim2017Public Hospital Union Construction and Changing Patient Rights Board Effects on Board Decisions
Bostan, Sedat
The concept of patient rights, 1980s went into the literature, developed in 1990, and began to be implemented in health institutions in the 2000s. Thus, a legal infrastructure has gained, institutionalized in 2010 years. The purpose of this study is to investigate patient rights violations through the decisions of the patient rights board, taking into account the change in board structure and public hospital union structuring. The survey was conducted on board decisions taken in 2012- 2015. The data were processed with cross-table technique and the difference between the years was tried to be monitored by Pearson Chi-square test. Public hospital union structure has reduced written complaints of patients and strengthened on-site solutions. When the causes of patient com- plaints are examined, half is concerned with the right to benefit from the service, and issues of re- spect, medical care and information are at the forefront. Approximately half of the complaints are consisted of physicians and one in ten nurses. Significant reductions have been observed in com- plaints of medical secretaries, cleaners, security personnel and administrative staff when there has been a significant increase in complaints of dentists in the last year. According to findings; the in- tegration of patient rights boards within the health directorates and the change of member struc- ture contributed to making decisions more professionally and objectively. As a result, patient privacy violations that have been acknowledged by the system and the patients, is destroying human val- ues. Lack of patient information reduces treatment effectiveness. Health worker's seizure-prone work are increasing their exhaustion and triggers insecurity in medical care. Health administrators and educators should be very interested in these issues.
- MakaleAçık Erişim2017A Research on the Relationship Between Performance and Medicine Styles
Bostan, Sedat
Objective: The behavior and approach of doctors have always been important. In theliterature, these behavior styles are often described through doctor-patient relationship. The aim ofthis study is to go beyond this limitation and to determine practice styles and discover the relationship between these styles and performance. A new model of the style of practice developmentprocess is proposed. Material and Methods: The practice style and performance scale developed bythe author was used. Scales are applied to specialist physicians, a validity of the scale and discoveryof the scales is provided with exploratory factor analysis. The relationship between practice stylesand performance is analyzed with correlation and regression. Results: The exploratory factor analysis results shows that the scale items are collected in five dimensions after varimax rotation. Thesedimensions explain 60,7% of the cumulative variance. Barletta's test was significant (chi-square =682.945, P <.001) and the KMO value achieved (0.684) provide evidence that data is suitable for factor analysis.The factor loads of the material loaded to resulting factors ranged from 0.420 to 0.917.These values are within acceptable limits. According to the study findings, four types of practicehave been described. A positive correlation has been identified between performance and numerical and patient-friendly styles. It was not found any relationship between performance and idealistic and conservative medicine styles. Conclusion: An analysis of medicine styles will contributeto medicine services, evaluation of the performance of the health care business and patient satisfaction.
- MakaleAçık Erişim2017Mide Kanserli Olguların Geriye Dönük İncelenmesi
Eken, Hüseyin; Pülat, Hüseyin; Çağlar, Kazım; Eroğlu, Hasan; Zihni, Ismail; Karaköse, Oktay
Amaç: Mide kanseri Avrupa’da kadınlarda ve erkeklerde görülme sıklığıaçısından beşinci sırada yer almaktadır. Erkek kadın oranı ise 1.6:1 olarakbelirlenmiştir. Mide kanseri, kansere bağlı ölümlerde ülkemizde erkeklerdeikinci, kadınlarda ise üçüncü sırada yer almaktadır. Mide kanserinin prognozugenellikle kötüdür. Bunun sebebi de tanıda gecikme ve tanı konan olgularınileri evrede olmasıdır.Gereç ve Yöntemler: Süleyman Demirel Üniversitesi Tıp Fakültesi GenelCerrahi Anabilim Dalı 1995 -2009 yılları arasında mide kanseri tanısı ilecerrahi işlem yapılan 204 olgu geriye dönük olarak incelendi. Bu olgulardan131’ine küratif cerrahi rezeksiyon yapıldığı belirlendi. Olguların %80’i lokalileri evre olgulardı (evre IIIa, IIIb ve IV). Olguların yaş, cinsiyet, başvurusemptomları, tümör lokalizasyonu, T, N, M, evre, tümör diferansiyasyonu,histolojik tipleri, tümör çapı, vasküler ve perinöral invazyon varlığı, yapılancerrahi işlem, rezeksiyon tipi, diseksiyon tipi, diseke edilen toplam lenf nodusayısı, metastatik lenf nodu varlığı, metastatik lenf nodu sayısı ve toplam lenfnodu sayısına oranı, komplikasyonlar, cerrahi mortalite, adjuvan kemoterapi,adjuvan radyoterapi ve diğer adjuvan tedavileri ve sağkalım süreleribelirlendi. Bu verilerin sağkalım üzerine etkileri lojistik regresyon analizi iledeğerlendirildi. Sağkalım açısından 3 ve 5 yıllık sağkalım eğrileri Kaplan-Meieryöntemiyle çıkarıldıBulgular: Küratif rezeksiyon ve diseksiyon yapılan 131 olguda morbidite%15.2, mortalite ise %7.6 idi. Evre ve metastatik lenf nodlarının toplam lenfnodu sayısına oranı sağkalım üzerinde en önemli faktörler olarak bulundu(p<0.05). Evrelere göre sağkalımda 5 yıllık sağkalım oranlarının evre Ia için%79.1, Ib için %78.3, II için %61.8, IIIa için %46, IIIb için %24.8 ve IV için %25.8olduğu görüldü.Sonuç: Sonuç olarak olgularımızın çoğunun lokal ileri evre olgular olmasınakarşın yapılan radikal cerrahi işlemlerden fayda gördüğü ve sağkalımoranlarının bu anlamda olumlu olduğunu söylemek mümkündür.
- MakaleYalnız künye2016Streptozotosin Kaynaklı Tip 1 Diyabetik Sıçanlarda Meydana Gelen Nefropatilerde Artan eNOS ve iNOS Sunumlarının Apoptozisle İlişkilendirilmesi
Dincel, Gungor Cagdas; Yildirim, Serkan
The present study was designed to evaluate the effects of high level of nitric oxide (NO) production and oxidative stress (OS) on nephropathology and to identify whether NO and OS have any correlation with apoptosis seen in diabetic kidney, elucidating the underlying mechanism(s) involved in the development of nephropathology in streptozotocin (STZ)-induced diabetic rats. Expression levels of caspase 3, caspase 9, endothelial nitric oxide synthase (eNOS), inducible nitric oxide synthase (iNOS), 8-hydroxy-2'-deoxyguanosine (8-OHdG), for the detection of oxidative damage to DNA, were examined in diabetic kidney tissues. Results of the study revealed that the levels of 8-OHdG (P<0.005), eNOS (P<0.005), iNOS (P<0.005), caspase 3 (P<0.005) and caspase 9 (P<0.005) were remarkably higher in diabetic kidney tissues than in controls. In addition, STZ-treated animals showed significant loss of body weight and renal enlargement. It was suggested that apoptosis, OS and increased NO levels are involved in the pathogenesis of diabetic nephropathy. The results also strongly suggested that STZ-induced apoptosis through activation of the intrinsic pathway and that might be most likely related to increased NO levels. Moreover, high NO production was not only mediated by eNOS but also by iNOS. Increased NO production may contribute to hyperfiltration and microalbuminuria in early diabetic nephropathy. Furthermore, expression of 8-OHdG might give an idea of the progress and may be essential as it has a diagnostic significance for this disease. In conclusion, we believe that eNOS and iNOS overexpressions induce diabetic nephropathy by mediating apoptosis in STZ-induced rats.
- MakaleYalnız künye2016The Knowledge and Perspective of University Students about Organ Donation
Doğan, Melike Demir; Ekinci, Hasan; Kaya, Nahsan; Altinkaynak, Muhammed; Uzun, İbrahim
Objective: This study was conducted to determine the knowledge and attitudes about organ donation of college students studying in health-related sections. Materials and Methods: This cross-sectional study was conducted between 15 April - 15 May 2015. The sample of the study consisted of 764 students. Students are selected by simple random sampling and the students who agreed to participate were included in the sample. Data of the study were collected using socio-demographic information form and questionnaire about knowledge and attitudes of organ donation prepared by the researchers in line with the literature. Results: The mean age of the students was 20.66 ± 1.73 and then 43.84% of male and 56.16's% of female. The study showed that only 2.4% of the students donated organs. 38.7% of students stated that while seeking an organ donor, 24% of students reported that they did not want to donate their organs. There were seen that 56.5% of students received information about organ donation before. Conclusion: The knowledge level of the students were found to be good. In line with these findings, it is thought that health care professionals of the future should be supported to change their attitudes about organ ties
- MakaleYalnız künye2016Orijinal araştırma
Bostan, Sedat; Çolakc, Tuğba
AABBSS TTRRAACCTT The aim of this study is to assess the attitudes, thoughts and views of media workers in relation to the patient rights implementations that have been practiced since 2014 in hospitals in Turkey. As the patient rights is a relatively emerging and social concept in Turkey, it is covered in various ways by the news media. As the coverage ways have important influence over the for- mation of social perception, individual attitudes of media workers gain importance. Thus we made a survey on media workers in Trabzon city center with the aim to assess their personal views and attitudes. The obtained data has been analyzed by SPSS and yielded findings suggesting that although media workers were seeing patient rights as a rising value, they needed sufficient information on the topic. It was also found that a difference appeared between the attitudes of those media workers who had read or written about patient rights and those who hadn't. It is awaited that a positive coverage could support patient rights practices to get more influential in the health care process which in turn would foster more convenient conditions for patients and patients' relatives for appealing to patient communication units. Efforts for informing media workers would be influential on a media cover- age that could foster a peaceful relationship between health care workers and patients.
- MakaleYalnız künye2016The Changing Effect Of Health Transformation Project On Hospital Services View Of Healt Professionals
Kıraç, Fatma Çiftçi; Bostan, Sedat
Objective: This study has been conducted to determine the changing effect of healty transformation programme hospital services view of health care workers.Material-Method: Using the questionaire given to health workers in 284hospitals,774 healty workers in 81 cities. Research groups constitute doctors, nurses, pharmacists, biologists / chemists and health technicians / technicians.Results: As a result, quality of hospitals receive certification work, encouraging hospitals each specialist doctor separate patient examination room (outpatient) to be done, patients working at the hospital the same expertise in the field from doctors whom he will choose facilities and patient records and paperwork simplification and automation of regulating the work of It was determined that positive from healty workers. General Health Insurance Law as prescribed by health care regulations related to the implementation of the Ministry of Health and hospital management of Local Hospital Unions transfer and hospital autonomy envisaging organizing the implementation of the health workers in terms of not good is thought to. Conclusion: Health workers are not find positive enough for themselves in terms of program implementation .Given the existing personnel of health services will be conducted for sustainability of the results of the transformation of health care workers in their own regulations and practices that ensure positive perceptions needed to be said.
- MakaleYalnız künye2015Yönetici adayı hekimleri hangi güdü motive eder? başarma ve güç ihtiyaçları ile mesleki performans ilişkisi üzerine
Okan, Tarhan; Bostan, Sedat; Demir, Halis
Hekimler neden yönetici olmalı ya da olmamalı sorusundan yola çıkan bu araştırmanın amacı, hekimlerin mesleki performansı ile motivasyonel ihtiyaçları (başarma ve güç) arasındaki ilişkileri incelemektir. McClelland'ın ihtiyaçlar kuramı çerçevesinde geliştirilen araştırma modeli, Gümüşhane ve Trabzon illerinde görev yapmakta olan 93 uzman hekimden meydana gelen bir örneklem üzerinde test edilmiştir. Bulgular, hekimlerin yüksek düzeyde mesleki performans, yüksek düzeyde başarma ihtiyacı ve daha düşük düzeyde güç ihtiyacına sahip olduğunu göstermektedir. Analiz sonuçlarına göre, başarma ihtiyacı mesleki performans üzerinde pozitif yönlü bir etkiye sahip iken, güç ihtiyacı için elde edilen ilişkiler anlamsız veya negatif yönlüdür. Korku (başarısızlık ve güç) değişkeni ise mesleki performans üzerinde negatif etkiye sahiptir. Bununla birlikte mesleki performansı en iyi açıklayan modelde, güç ihtiyacı değişkeni yer almamaktadır. Bu modelde yer alan kontrol değişkenleri için elde edilen bulgular ayrıca, mesleki performans üzerinde yaş ve görev yapılan il (Gümüşhane) değişkenlerinin negatif ve aynı hastanede çalışma süresinin pozitif etkilere sahip olduğunu göstermektedir
- MakaleYalnız künye2015The mediator role of psychological effects between mobbing behaviors towards personality and physiocological effects
Okan, Tarhan; Sezerel, Hakan; Bostan, Sedat
The study attempts to reveal the direct or/and the indirect physical effects of mobbing behaviors (the psychological violence) on employees. The research model which posits the psychological effects as the mediator variable tested via the data drawn from 1187 health employees. Consequently, it is found that the psychological effects mediate the relationship between mobbing behaviors (direct, indirect, and explicit) and physiological effects. The model also applied to organizational positions namely, physicians, nurses, administrative staff, outsources staff and the other health staff. Accordingly, when the data suggest the mediator role of physiological effects is partially valid for nurses, outsourced staff, and the other health staff, it does not suggest any mediator role for physicians or/and the administrative staff. In addition, the exposed mobbing behaviors and the effects of mobbing have different aspects.
- MakaleYalnız künye2015Evaluation of oxidative stress balance in acute deep vein thrombosis
Doğan, Orhan Veli; Doğan, Süheyla; Coşkun, Ceyhun; Menteşe, Seda Öztaş; Menteşe, Ümit; Mentese, Ahmet; Alver, Ahmet; Turan, İbrahim; Sumer, Aysegul
Bu çalışmanın amacı akut derin ven trombozlu (DVT) hastalarda toplam oksidan durum (TOS), toplam antioksidan durum (TAS) ve oksidatif stres indeksi (OSI) düzeylerini ölçerek oksidatif stres ve DVT arasındaki ilişkiyi ortaya koymak ve klinisyenlerin bu hastalarda oksidatif stresi dengelemek üzere koruyucu önlemler almasına yardımcı olmaktır.Metod: Bu çalışmada 52 DVT'li ve 45 DVT olmayan bireylerden alınan serum örneklerinde TOS, TAS ve OSI seviyeleri belirlenerek karşılaştırıldı.Bulgular: TOS ve OSI seviyeleri DVT hastalarında kontrol grubu ile karşılaştırıldığında istatistiksel olarak anlamlı yüksek bulunurken (p<0.0001) TAS seviyelerinde fark görülmedi, p=0.118. Hasta grubu idiopatik ve sekonder DVT olarak iki gruba ayrıldı. TOS ve OSI seviyeleri hem idiyopatik DVT hem de sekonder DVT hastalarında kontrol grubu ile karşılaştırıldığında istatistiksel olarak anlamlı yüksek bulundu (p<0.0001). İdiyopatik DVT hastalarında TAS seviyeleri kontrol grubundan anlamlı yüksek iken sekonder DVT hastalarında fark gözlenmedi. Sonuç: Sonuç olarak ROC eğrisine göre elde edilen spesifite ve sensitivite değerleri TOS ve OSI parametrelerinin DVT'nin tanısında kullanılabilecek birer belirteç olabileceğini göstermektedir. Aynı zamanda oksidatif stres belirteçlerinin belirlenmesi hastalarda oksidatif stresin düzeltilmesi için klinisyenlere gerekli önlemleri alabilmeleri için yol gösterici olabilir
- MakaleYalnız künye2015Aintab american hospital and its effect on the region people (1880-1920)
Taşkın, Faruk; Aksoy, Metin
ABCFM (American Board of Commissioners for Foreign Missions) which was founded in the USA in 1810 began its mission work in Ottoman lands after 1820. This mission organization showed its efficacy on health studies as well as religious, educational and media activities in the Ottoman geography. One of the centers that American Board organizations carried out health studies was Aintab. With the establishing Azariah Smith Memorial Hospital in Aintab missionaries continued to work in line with their targets. American Board was continuing of health studies in Aintab in a dispensary which was established in 1876. Azariah Smith's classmates at Yale University began creating a fund to collect donations for the establishment of a hospital in his memory. Hospital whose construction began in 1879 was completed in 1880. The hospital also has been the administration hospital of the Central Turkey College of Medicine Department. In Azariah Smith Memorial Hospital which was serving a 10bed in 1884 with the addition of women's and children's section the number later was found 42. In hospital services were provided without distinction of religion, race and gender. Ethnic distribution of patients which was treated in hospital were Turks, Armenians, Kurds, Arabs, Greeks, Circassians, German, Syrian and Jewish. The religious distribution were; Muslims, Gregorian, Protestant, Greek Catholic, Jewish and Mormon. The subject of this paper is Aintab American Hospital and its effect on the region people in the framework of missionary activity. In this context, American Board's activities will be discussed referring to the missionary activities, social and ethnic structure of the region. This study which includes the 1880-1920 date range was prepared utilizing archives, microfilm, annual reports and hospital catalog of the American Board. American Hospital in Aintab continues its works as Gaziantep American Hospital today. STRUCTURED ABSTRACT
- MakaleYalnız künye2014The relationship between serum lipid levels, high blood pressure and obesity in children
Kürtüncü, Meltem; Tanır, İbrahim Murat; Yigitbas, Cagla; Demirbag, Birsel Canan
Amaç: Bu çalışmanın amacı sağlıklı çocuklarda serum lipit, kolesterol ve obezite seviyesini tespit ederek, bunlar arasında ilişki olup olmadığını araştırmaktır. Yöntemler: Örneklem grubunu Nisan-Mayıs 2011 tarihleri arasında Zonguldakta Gelik ilköğretim okuluna devam eden, hekim tarafından tanı konulmuş kronik hastalığı ve sürekli kullandığı bir ilacı olmayan ve araştırmaya katılmayı kabul eden 103 öğrenci oluşturdu. Bulgular: Öğrencilerin yaşları ile VKİ (Vücut Kitle İndeksi) ortalamalarına bakıldığında; 13 yaşta VKİ ortalaması (21,03 ± 0,23), 14 yaşa göre (20,05 ± 0,20) daha yüksek olup bu farklılığın istatistiksel olarak anlamlı olduğu bulundu (p=0,002). Öğrencilerin boy, ağırlık, VKİ, tansiyon, AKŞ (Açlık Kan Şekeri), kolesterol, LDL (Low Density Lipoprotein), HDL (High Density Lipoprotein) seviyeleri arasındaki ilişkiye bakıldığında; boy-ağırlık (r=0,472; p<0,001); boy-tansiyon (r=0,432; p<0,001) ile boy-AKŞ (r=0,332; p=0,001) arasında pozitif yönde anlamlı ilişki görüldü. Sonuçlar: Sonuç olarak, çocukluk çağında yapılacak sağlık muayenelerinde kan basıncı, kolesterol, LDL, HDLnin izlenmesi yalnız obezite için değil; çocuklara yö- nelik beslenme alışkanlıklarındaki yanlışlık ve eksikliklerin erken teşhisinde de önemli olduğu kanısına varıldı.