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Öğe ECG Interpretation Skills of Family Physicians: A Comparison with Internists and Untrained Physicians(Medi+World Int, 2005) Dagdeviren, N.; Kturk, Z.; Set, T.; Ozer, C.; Mistik, S.; Durmus, B.; Unluoglu, IObjective: To compare the ECG reading skills of a sample of family physicians with those of untrained physicians and internists. Design: A prospective analytic survey conducted between March and June 2002. Setting: Turkish Association of Family Physicians, faculty from two different university hospitals, and untrained general practitioners in Edirne. Subjects: Fifty-nine family physicians (37 senior clerks, 22 residents), 30 untrained general practitioners, and 51 internists (20 senior clerks, 31 residents) have joined the study. Main outcome measures: ECG reading skills of the participants were evaluated with a set of ten different ECGs. Each ECG could be normal or with up to three abnormalities, with overall 16 abnormalities. Correct and false diagnosis scores, and non-response rates were calculated. Results: Of the total participants, 94 (67.1%) could correctly identify two correct ECGs, and 119 (85.0%) could identify acute myocardial infarction. The correct and false diagnosis scores of senior family physicians, family physician residents, untrained general practitioners, senior internists, and resident internists were 7.05 +/- 2.30 vs. 2.54 +/- 1.63, 6.59 +/- 2.46 vs. 2.73 +/- 1.98, 4.73 +/- 1.84 vs. 2.40 +/- 1.54, 9.85 +/- 2.06 vs. 1.20 +/- 1.15, and 8.16 +/- 2.19 vs. 1.71 +/- 1.07 respectively. There was a significant difference with regard to correct (F=18.983, p=0.000) and false (F=4.284, p=0.003) diagnosis scores between the groups. The normal ECG had the lowest non-response rate whereas the ECG with left bundle branch block had the highest non-response rate. Conclusion: Although some groups achieved better in ECG interpretation, and family physicians are in an intermediate place of the spectrum, average scores of all groups are below acceptable levels. There is a need to improve the ECG interpretation skills of medical undergraduates.Öğe Evaluation of health related quality of life among perimenopausal Turkish women(Drunpp-Sarajevo, 2011) Caylan, A.; Aydemir, I.; Dagdeviren, N.; Akturk, Z.; Set, T.; Oztora, S.; Can, F. EnecIntroduction: This study aimed to evaluate life quality and the related factors among women in menopause in Edirne, Turkey. Methods: A questionnaire querying socio-demographic features and menopause status together with the SF-36 inventory and women's health questionnaire to evaluate life quality were applied to 410 women aged between 40 and 59 years living in Edirne, Turkey. Results: Mean natural menopause age of the participants was 46.24 years. Bone mineral density was measured in 50.5%, mammography was performed in 52.4%, Pap smear was obtained in 52.7% and breast exam was performed in 54.1% of the participants. Among the menopausal and postmenopausal women, only 4.9% were using hormone replacement therapy currently. However, past hormone replacement therapy usage history was 23.6%. Women using medications to prevent osteoporosis made 25.6% of the sample. Advanced age, having less education, low socioeconomic level and being at the peri-or post-menopausal phase demonstrated a negative effect on the quality of life. Tobacco use, obesity and presence of chronic diseases were also found to adversely effect the quality of life, as well. Conclusion: Improving education and socioeconomic level with initiating preventive health care at earlier ages would improve health related quality of life among postmenopausal women.Öğe IODINE DEFICIENCY IN PREGNANT WOMEN LIVING IN WESTERN TURKEY (EDIRNE)(Editura Acad Romane, 2016) Celik, H.; Guldiken, S.; Celik, O.; Taymez, F.; Dagdeviren, N.; Tugrul, A.Objective. Data about iodine status in pregnant women in Turkey is not sufficient. We aimed to determine the iodine status, goiter prevalence, iodized salt consumption among first trimester pregnant women living in Edirne. Design and Setting. Cross-sectional study was performed on pregnant women living in Edirne. Subjects and Methods. A total of 275 pregnant women in their first trimester were examined regarding iodized salt use, median urinary iodine concentration (UIC), presence or absence of goitre and thyroid function. Goitre status was determined by palpation. Participants filled out a questionnaire, which included questions regarding sociodemographic features, iodized salt consumption, knowledge, and behavior regarding iodine deficiency. UIC was measured using colorimetric method based on Sandell-Kolthoff reaction. Thyroid hormones and TSH were measured by chemiluminescence immunoassays. Results. While the proportion of iodized salt use was 96.6%, UIC was below 150 mu g/L in 88.4 % of the women. The median UIC was 77 mu g/L, indicating insufficient iodine intake. Total goitre rate was 19.3%. Conclusions. Our study shows that iodine deficiency is a serious problem among pregnant women in Edirne. We suggest that pregnant women living in Edirne should be supplemented by iodine-containing preparations in addition to iodized salt.Öğe Physicians smoke as much as their patients in Turkey(Medi+World Int, 2005) Sahin, E. M.; Ozer, C.; Dagdeviren, N.; Akturk, Z.Background: There are approximately 17 million smokers in Turkey. These smokers impacted the social and behavioural aspects of the community especially the younger age group which constitutes the majority of the Turkish population. Physicians' attitudes towards smoking transcend into their patients. Methods: Attitudes and behaviours of physicians in Trakya University Hospital towards smoking were investigated using a questionnaire prepared with the help of WHO. Results: One hundred and thirty eight physicians out of 413 agreed to participate and respond with a response rate of 33.4%. Of those, 55 (39.9%) were academic staff and 83 (60.1%) were residents. Smoking rate was 45.5% with another 12.9% who have stopped smoking within the last five years. According to their Fagerstrom Tolerance Scale scores 14 (25.5%) were nicotine dependent. Almost 41% of them never thought or tried to quit smoking. Almost 66% of the physicians asked their patients about their smoking habits during their routine visits and 77.4% of them strongly recommended their patients to stop smoking in the event a disease was suspected to be related to smoking. Physicians' recommendations were less strong if the disease in question was not related to tobacco use (36.9%). Discussion: These results concur with others in Turkey. Smoking rates of Turkish physicians were higher than their colleagues in many other countries. They don't think of quitting and they don't even have any desire to quit. They are also unwilling to entertain or undergo smoking cessation counseling. Turkish physicians need more education on smoking cessation and counseling.Öğe THE PREVALENCE OF ESSENTIAL TREMOR IN EDIRNE AND ITS COUNTIES ACCOMPANIED COMORBID CONDITIONS(Elsevier Sci Ltd, 2020) Guler, S.; Caylan, A.; Turan, N.; Dagdeviren, N.[Abstract Not Available]Öğe Prevalence of migraine diagnosis using ID migraine among university students in Thrace area of Turkey(Wiley-Blackwell Publishing, Inc, 2009) Celik, Y.; Dagdeviren, N.; Korkmaz, O.; Oztora, S.; Balci, K.; Asil, T.[Abstract Not Available]Öğe The Prevalence of Restless Legs Syndrome in Edirne and its districts: concomitant comorbid conditions and secondary complications(Wiley, 2017) Guler, S.; Caylan, A.; Turan, N.; Dagdeviren, N.; Celik, Y.[Abstract Not Available]Öğe Prevalence of urinary incontinence and affecting factors among Turkish women(Drunpp-Sarajevo, 2011) Oztora, S.; Cetin, C.; Dagdeviren, N.; Caylan, A.; Set, T.Introduction: The aim of this study is to investigate a usually ignored condition and determine the urinary incontinence prevalence and risk factors among women over 20 years of age in Edirne city. Materials and Methods: This descriptive and cross-sectional study is conducted in Edirne city. The study population consists of 901 adult women living in Edirne. International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) is used to investigate the prevalence, frequency, amount and the perceived reasons of incontinence and its effects on quality of life, along with the type of the urinary incontinence. Results: 25.2% of all participants (n = 227) had urinary incontinence. Among all participants (n = 901), 11.2% had stress incontinence (n = 101), 4.8% urge incontinence (n = 42), 6.4% mixed incontinence (n = 58) and 2.9% had unclassified urinary incontinence (n = 26). The average ICIQ-SF score of the group was 7.21 +/- 3.86. According to visual analog scale scores, that incontinence problem affected the quality of life moderately in 59.5% of the participants (n = 135). Conclusion: Majority of the incontinent individuals can be diagnosed and treated effectively at the primary care level by the family physicians. Thus, the family physicians should accurately differentiate, diagnose and treat the patients with the incontinence problem.
