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    Changes in parents' attitudes towards childhood vaccines during COVID-19 pandemic
    (Wiley, 2023) Duran, Sedef; Duran, Ridvan; Acunas, Betul; Sahin, Erkan Melih
    Background: Concerns about the safety and adverse reactions of rapidly-developed vaccines against COVID-19 contributed to parents' vaccine hesitancy and this situation created an opportunity for anti-vaccine campaigners. The aim of this study was to examine the changes in parents' attitudes towards childhood vaccines during COVID-19 pandemic. Methods: In this cross-sectional study, parents of children who applied to the outpatient clinic of pediatric department of Trakya University Hospital, Edirne, Turkiye, between August 2020 and February 2021 were recruited into two study groups according to COVID-19 peak time in Turkiye. Group 1 included parents of children who applied after first peak of the COVID-19 pandemic and Group 2 included parents of children who applied after second peak. The World Health Organization 10-item Vaccine Hesitancy Scale (WHO-VHS) was applied to each group. Results: A total of 610 parents agreed to participate in the study. Group 1 and 2 consisted of 160 and 450 parents, respectively. While the number of parents who were hesitant about childhood vaccines was 17 (10.6%) in Group 1, it was 90 (20%) in Group 2. A statistically significant difference was found between the two groups ( p = 0.008). The (WHO-VHS) mean +/- SD score was found to be higher in Group 2 (23.7 +/- 6.9) than Group 1 (21.3 +/- 7.3) (p < 0.001). The WHO-VHS-mean +/- SD scores of parents who experienced COVID-19 infection themselves or their family or acquaintances were significantly lower than those who did not (20.0 +/- 6.5 vs. 24.7 +/- 6.9) (p < 0.001). Conclusions: The hesitant attitudes towards childhood and COVID-19 vaccines were low in parents who directly or indirectly experienced COVID-19 or were worried about the devastating effects of this disease. However, it was shown that as the COVID-19 pandemic progressed, parents' hesitations towards childhood vaccines increased.
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    Diagnosis and treatment of hydatid cysts
    (Aves Yayincilik, Ibrahim Kara, 2008) Sahin, Erkan Melih; Yuksek, Yunus Nadi; Daglar, Guel; Gozalan, Ugur; Kama, Nuri Aydin
    Objectives: Hydatidosis is frequently seen in Turkey due to social and geographical conditions. The aim of this study was to evaluate the results of treatment in patients with hydatidosis. Patients and Methods: The study included 120 patients (35 males, 85 females; mean age 40.7 years; range 7 to 75 years) who underwent treatment for hydatidosis. Data on diagnostic evaluation, medical and surgical treatments, and follow-up results were reviewed. Results: The most frequent complaints were abdominal pain, nausea, and vomiting. Fifty-four patients were found normal on physical examination. The most frequent findings were hepatomegaly and abdominal mass. The cysts developed in other abdominal organs other than the liver in 21 patients. Treatment was medical in 16 patients, and six patients underwent PAIR (Percutaneous aspiration, injection, and reaspiration). The preferred surgical procedure was partial cystectomy. Medical treatment was added to surgery in 55 patients. The most frequent surgical complication was wound infection (12.8%). Recurrences were encountered in 16.3%. Conclusion: Conservative surgery which is the preferred option for main line of treatment is adequate and reliable for hydatidosis. Addition of medical agents may increase treatment success rate.
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    Effects of Sleep Hygiene Education on Subjective Sleep Quality and Academic Performance
    (Derman Medical Publ, 2016) Sahin, Erkan Melih; Ozturk, Levent; Oyekcin, Demet Gulec; Uludag, Aysegul
    Aim: Sleep problems are common in students with one third of university students reporting insufficient sleep. It is known that sleep quality and daytime sleepiness cause decrasing academic performans. For this reason we aimed to investigate the effects of a sleep hygiene education on sleep quality and academic performance of first year medical students. Material and Method: Self-reported sleep data and academic performance of 131 first grade medical students were collected. To all students enrolled Pittsburg Sleep Quality Scale in the assessment of sleep quality and Epworth Sleepiness Scale for assessment of daytime sleepiness in the evaluation. The students were divided into two subgroups and the intervention group received a 30 minute structured sleep hygiene education. Global academic performance was assessed by grade point average at the end of the year. Results: Mean Pittsburgh sleep quality index score of the students was 7.9 +/- 3.5 and 106 (82.8%) of then had a score >= 5. After intervention,. the worse the initial sleep quality, the more improvement by the sleep hygiene education on sleep quality and academic performance. Discussion: An education on sleep hygiene might improve subjective sleep quality and academic performance of medical students.
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    The Effects of Time of Watching Television and Food Advertisements on Nutritional Status of Preschool Children
    (Galenos Publ House, 2023) Ozturkler Cakir, Utku Begum; Duran, Sedef; Can, Seher; Sahin, Erkan Melih
    Aim: Watching television for a long time affects the nutrition of children, and the effect of orientation on these foods is quickly seen in children watching food advertisements. The aim of this study was to determine the nutritional status and television viewing time of children aged 3-4 and 5 years, to examine the effect of food advertisements on the nutritional status of children, and to determine how this effect impacted the nutrient intake of children. Materials and Methods: The study was conducted with 215 adult parents who volunteered to collect information about children in order to determine the nutritional status and television watching time of 3-4 and 5 -year -old children studying in a kindergarten in Edirne city center and to evaluate these situations. Children's socio-demographic characteristics, anthropometric measurements, food consumption frequency and food consumption records, nutrition and television watching habits were evaluated. Results: It was found that 49.8% of children watched television for 2-3 hours a day on average, and 36.7% demanded the food they saw in food advertisements 1-2 times a week. A positive and significant relationship was determined between the fact that the food advertisements on the television attracted the attention of children and the frequency of the children wanting the food they saw in the advertisements, like acidic beverages, fruit juice, chips, chocolate, wafers, sweets, biscuits and crackers (p<0.05). Daily energy intake, the percentage of carbohydrates in the food pattern, and daily sugar consumption were found to be higher in children who paid attention to food advertisements compared to those who did not (p<0.05). It was determined that the consumption of chocolate, wafer, soda and fruit juice increased as the television viewing time increased (p<0.05). Conclusion: As a result, television viewing time and food advertisements on television can be effective on children's food choices and thus their nutritional status.
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    Evaluation of Academicians' Levels of Nutritional Knowledge and Adherence to the Mediterranean Diet
    (Duzce Univ, Fac Medicine, 2023) Celik, Ozge Mengi; Duran, Sedef; Sahin, Erkan Melih
    Objective: In this study, it was aimed to evaluate the nutritional knowledge levels of academicians and their adherence to the Mediterranean diet.Methods: The research data were collected face to face with the help of a questionnaire created by the researchers. Demographic characteristics, anthropometric measurements, nutritional habits, nutritional knowledge levels and adherence to the Mediterranean diet were questioned with the questionnaire form. Nutritional knowledge levels of individuals were evaluated with the 'Nutrition Knowledge Level Scale for Adults (NKLSA)'. Mediterranean diet pattern characteristics were identified with the 'Mediterranean diet adherence score (MEDAS)'.Results: The mean age of the individuals was 40.2 & PLUSMN;9.20 years, 42.2% of individuals were overweight and 7.8% are obese. 8.4% of the individuals had bad, 24.7% moderate, 44.8% good, 22.1% very good basic nutrition knowledge levels. 7.1% of the individuals had bad, 26.6% moderate, 27.9% good, 38.3% very good knowledge levels about food preference. 68.2% of individuals were in compliance with the Mediterranean diet. A statistically significant difference was found between individuals who did and did not comply with the Mediterranean diet in terms of the total score of NKLSA, basic nutrition knowledge score and food preference knowledge score (p<0.05).Conclusions: It was determined that the majority of academicians were in compliance with the Mediterranean diet and their nutritional knowledge level was good. However, half of the academicians were determined to be overweight or obese, which is a risk factor for noncommunicable chronic diseases.
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    Smoking status of medical students
    (Ekin Tibbi Yayincilik Ltd Sti-Ekin Medical Publ, 2007) Sahin, Erkan Melih; Oezer, Cahit; Cakmak, Huriye; Tunc, Zafer; Tastan, Kenan; Can, Fatma Nur Enec
    Objectives: The aim of this study is to determine the status of smoking habits and quitting behaviors of the students of Trakya University Medical Faculty. Patients and Methods: Smoking habits, nicotine addiction, quitting motivation and behaviors were investigated in the 5th and 6th year students of Trakya University Medical Faculty in 2003-2004 academic year by a self reported questionnaire. Out of 336 students 200 (59.5%) (90 males, 110 females, mean age 24.11 +/- 1.87 years; range 21 to 34 years) were included in the study. Results: There were 129 (64.5%) never smokers, 18 (9%) ex-smokers and 53 (26.5%) current smokers. Smoking rate was increasing with age. Nicotine addiction test scores corresponded to the least addiction. The most frequently declared reason to quit smoking were worries related to health. The most frequently declared reasons to restart smoking were stress and smoking friends. Counseling to quit smoking, nicotine replacement and drug use were very limited. Conclusion: Counseling to quit smoking was insufficient even in this advantageous group of medical students. Action planning targeting physician candidates is immediately required to enhance national movement against smoking.