Browsing by Author "Özalp Ateş F.S."

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    Mindful Eating Questionnaire for Children: Validation and Reliability in Turkish Children
    (Springer, 2022) Kocaadam-Bozkurt B.; Köksal E.; Özalp Ateş F.S.
    Objectives: This study aims to adapt the Mindful Eating Questionnaire for Children (MEQ-C) to Turkish and test its validity and reliability. Methods: A total of 227 children (118 boys, 109 girls, aged 8–11 years) participated in the study. Data were collected through face-to-face interviews using surveys that contained the MEQ-C, Emotional Eating Scale Adapted for Use in Children and Adolescents (EES-C), and the Children’s Eating Behaviour Questionnaire (CEBQ). Confirmatory factor analysis (CFA) was applied for categorical data. For the evaluation of external construct validity, Spearman’s correlation coefficient was calculated between MEQ-C scores and EES-C and CEBQ. Reliability was examined in terms of internal consistency and test–retest reliability. Results: A confirmatory factor analysis confirmed that the 12-item Turkish version of the MEQ-C measures two underlying factors (Mindless eating and Awareness). The fit indices were found to be acceptable. The Cronbach alpha coefficient was found to be 0.82 for the Mindless eating subscale, while it was found to be 0.80 for the Awareness. The test–retest reliability was 0.78 for the Mindless eating and 0.75 for the Awareness. Also, the total contribution of two factors to the variance was 51.70%. The Mindless eating subscale had significant positive correlations both with the EES-C and its subscales and with the CEBQ scale, and the Awareness subscale had statistically significant negative correlations with Food Responsiveness and Emotional Undereating subscales. Conclusions: The two subscales (Mindless eating and Awareness) are valid and reliable tools for measuring mindful eating in Turkish children. © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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    Poverty and health inequalities: Perceptions of social work students and nursing students
    (John Wiley and Sons Inc, 2022) Demirtas B.; Polat G.; Özalp Ateş F.S.; Ka‘opua L.S.
    Aim: This study describes student perceptions on health inequalities and causes of poverty. Background: As frontline providers, social workers and nurses are expected to engage with patients from socioeconomically diverse backgrounds. Methods: In this cross-sectional study, a socio-demographic questionnaire, a questionnaire on health inequalities and the Perceived Causes of Poverty Scale were administered using a convenience sample of 155 students in social work and 266 students in nursing undergraduate programmes at a state university in Turkey. Mann–Whitney U test and Spearman correlation coefficient were used in the analysis of the data. Findings: Social work students were more likely to attribute the cause of poverty to social injustice and a lack of opportunities, whereas nursing students had more fatalistic explanations or beliefs, maintaining that outcomes are pre-determined and therefore cannot be changed. In both groups, those who agreed that there were problems and deficiencies in health service provision and that there was ill-health among poor groups were more likely to associate poverty with social injustice and lack of opportunities. Those without a systemic understanding of poverty and health inequalities showed a tendency to hold more individualistic/fate-related perspectives. Conclusion and implications for nursing and education policy: The nursing students, as compared to the social work students, tended to explain poverty more on the basis of individual responsibility and fatalism and were less likely to link poverty with health inequalities and to advocate for policies to end health inequalities. The students’ perceptions on the causes of poverty affected their views on health inequalities. These findings suggest the need to develop curricula that equip nursing students with an understanding of poverty as a systemic cause of health inequality. Health inequality and poverty need to be positioned at the centre of training curricula by professional accreditation bodies. Interdisciplinary collaboration is recommended to foster advocacy skills in students. Furthermore, transformative changes are needed in nursing and social work education to prepare students to adequately address the Social Determinants of Health. Curricula should incorporate leadership and political activism within courses to facilitate structural change. © 2021 International Council of Nurses
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    Children’s eating attitudes test (ChEAT): validation and reliability in Turkish children
    (BioMed Central Ltd, 2023) Bozkurt O.; Kocaadam-Bozkurt B.; Köksal E.; Özalp Ateş F.S.
    Objectives: This study aims to examine the validity and reliability of the children’s eating attitudes test (ChEAT) in Turkish children. Methods: The participants were 331 children (137 boys and 194 girls, ages 8–15). Data was collected through face-to-face interviews using a questionnaire containing socio-demographic characteristics, the ChEAT, and the children's eating behaviour questionnaire (CEBQ). Exploratory factor analysis (EFA) was performed to determine the factor structure of the Turkish version of the ChEAT. Additionally, the reliability was examined in terms of internal consistency and test–retest reliability. All statistical analyses were performed using Mplus Trial Version and SPSS 11.5 (SPSS, Chicago, IL, USA). Results: According to the goodness-of-fit statistic, a three-factor solution was appropriate and compatible with clinical considerations. The three factors explained 50.1% of the variance. Cronbach’s alpha coefficient was 0.75 for ChEAT-26, 0.67 for “Preoccupation with thinness and food”, 0.63 for “Social pressure to eat”, and 0.71 for “Dieting”. Furthermore, the test–retest reliability was 0.72, 0.62, 0.59, and 0.59 respectively. Statistically significant correlations between the ChEAT and CEBQ were found (p < 0.05). “Preoccupation with thinness and food” was significantly higher in obese children (p < 0.05), while “Social pressure to eat” was lower (p < 0.001). Sex, grade, BMI, parental education in addition to working status affected the ChEAT-26 scores. Conclusions: The present study has provided preliminary evidence for the validity and reliability of a Turkish version of the ChEAT. © 2023, The Author(s).
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    Factors affecting recurrence and metastasis in conjunctival melanoma
    (Springer Science and Business Media B.V., 2023) Çalış Karanfil F.; Gündüz A.K.; Gündüz Ö.Ö.; Özalp Ateş F.S.
    Purpose: To evaluate clinical and demographic characteristics and factors affecting recurrence, metastasis, and survival in conjunctival melanoma (CM). Methods: The clinical records of 45 patients who were treated for CM between October 1998 and June 2022 were retrospectively evaluated. Age, gender, presence of underlying conjunctival nevus-primary acquired melanosis (PAM), tumor stage according to the 8th edition of the American Joint Committee on Cancer (AJCC) staging system, tumor basal diameter, tumor thickness, lymph node (LN) involvement, metastasis, presence of tumor at the surgical margin, treatment method, need for adjuvant therapy, local tumor control, recurrence, and survival were recorded. Results: Twenty-one (46.7%) patients were female and 24 (53.3%) patients were male. The mean age at diagnosis was 53.2 ± 16.1 years. Median follow up time was 12 (1–300) months. Fifteen (33.3%) patients had conjunctival PAM; 2 (4.4%) patients had conjunctival nevus. The tumor stage was T1 in 24 (55.8%), T2 in 13 (30.2%), and T3 in 6 (14.0%) of the cases. The T stage in 2 cases could not be determined. For stage T1 and T2 CM, in addition to excisional biopsy (EB) and cryotherapy, alcohol epitheliectomy (AE) was performed in 17 cases (37.8%), superficial sclerectomy (SS) was performed in 7 (15.6%), and amnion membrane transplantation (AMT) due to a large conjunctival defect in 9 (20.0%). Six (14.0%) T3 cases underwent primary exenteration. Positive surgical margins were observed in 23 (51.1%) of the excised tumors at histopathologic examination. Adjuvant topical mitomycin-C (MMC) was used in 7 (30.4%) and strontium-90 episcleral brachytherapy in 4 (17.4%) of the 23 cases with tumor-positive borders. During the follow-up, recurrence was seen in 14 (31.1%) cases. According to Kaplan Meier analysis, the mean time to recurrence development was 90.5 ± 16.1 months and the 5-year recurrence free rate was 52.0%. Fourteen of the recurrent cases underwent EB + cryotherapy, 3 underwent AE + SS, and 3 underwent secondary exenteration. Metastasis and LN involvement occurred in 11 (24.4%) and 8 (17.8%) of the cases, respectively. Four (8.9%) cases expired during follow-up. According to Kaplan–Meier analysis, the mean time to metastasis was 106.2 ± 17.3 months and the 5-year metastasis free rate was 52.0%. While recurrence was more frequent in CM developing from PAM/nevus, metastasis was more frequent in men and those with LN involvement. Conclusion: Conjunctival melanoma was a malignant tumor with high recurrence and metastasis rates. Precursor nevus/PAM is a risk factor for recurrence, while male gender and regional LN involvement were risk factors for metastasis in this study. © 2023, The Author(s), under exclusive licence to Springer Nature B.V.
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    High Resolution Computed Tomography Imaging Findings in Chronic Otitis Media With and Without Cholesteatoma; [Kolesteatomlu ve Kolesteatomsuz Kronik Otitis Mediada Yüksek Rezolüsyonlu Bilgisayarlı Tomografi Bulguları]
    (Turkiye Klinikleri, 2023) Kul M.; Yilmazer Zorlu S.N.; Özalp Ateş F.S.; Ünal S.
    Objective: To correlate high-resolution computed to-mography (HRCT) imaging findings of chronic otitis media (COM) with and without cholesteatoma regarding the presence, site, and severity of bone defects. Material and Methods: Temporal bone HRCT images of patients with COM, obtained between 2011 and 2022, were retrospectively reviewed. Patients with a soft tissue mass in the tympanic cavity were allocated into either COM with cholesteatoma (CH+COM) or without cholesteatoma group (CH-COM) based on pathology results and-/or magnetic resonance imaging findings. Computed tomography images were analyzed with regard to the presence, site, and severity of middle ear bone erosions/defects and group comparisons were made. Results: A total of 60 patients (CH+COM: 23 patients, CH-COM: 37 patients) were included. Blunting of the scutum, defect of the tegmen tympani, absence/incompleteness of the Körner's septum, erosion of the ossicular chain, and destruction of the medial and lateral tympanic walls were significantly more frequent in the CH+COM group (p<0.05). While small bone discontinuities (≤2 mm) of the tegmen tympani or blunting of the scutum were present in both groups, a greater defect of these structures was observed only in the CH+COM group. No significant difference was detected neither regarding the location of the soft tissue masses nor the presence of posterior wall defects (p>0.05). Con-clusion: Radiologists should be aware of bone erosions when evaluat-ing temporal bone HRCT images of patients with COM, even if cholesteatoma is not suspected. Furthermore, reporting the severity of bone destruction could be a helpful hint regarding the presence of cholesteatoma and might impact surgical planning. © 2023 Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. Production and hosting by Türkiye Klinikleri.
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    Pseudoretinoblastoma: Distribution based on gender, age, and laterality
    (SAGE Publications Ltd, 2023) Mirzayev I.; Gündüz A.K.; Özalp Ateş F.S.; Tetik D.
    Purpose: To investigate the distribution of pseudoretinoblastoma (PSRB) cases based on gender, age, and laterality Materials and Methods: The clinical records of 607 patients (851 eyes) who were referred for diagnosis of retinoblastoma or simulating conditions between October 1998 and May 2021 were retrospectively evaluated. Patients were stratified by age as follows: ≤1 year, >1–3 years, >3–5 years, and >5 years. Results: Of 190/607 PSRB patients, 129 (67.9%) were males and 61 (32.1%) females (p = 0.001). The 3 most common diagnoses in males were Coats disease (20.2%), persistent fetal vasculature (PFV, 14.0%), and chorioretinal coloboma (6.2%). In females, the 3 most common diagnoses included PFV (21.3%), retinal dysplasia, congenital glaucoma, and combined hamartoma (each 6.6%). PFV was the most common diagnosis in ≤1 year old patient group (26.6%). Coats disease and PFV were the most common diagnoses in >1–3 years old patient group (each 16.7%). Coats disease was the most common diagnosis in >3–5 years old (30.8%) and >5 years old patient groups (13.1%). PSRBs were unilateral in 121/190 (63.7%) patients. Coats disease usually presented unilaterally (p < 0.001) while PFV, optic nerve head drusen, and retinopathy of prematurity as bilateral diseases (p = 0.019, p = 0.001, and p = 0.001 respectively). Discussion: PSRB diagnoses show differences depending on gender, age, and laterality. In our study, the most common PSRB lesions were Coats disease in males and PFV in females. PFV was the most frequent diagnosis in ≤3 years and Coats disease in >3 years of age groups. Coats disease and PFV were the most common unilateral and bilateral PSRB diagnoses respectively. © The Author(s) 2022.
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    Anterior segment swept-source optical coherence tomography and ultrasound biomicroscopy in iris and ciliary body lesions
    (Taylor and Francis Ltd., 2024) Mirzayev I.; Gündüz A.K.; Gündüz Ö.Ö.; Özalp Ateş F.S.; Okcu Heper A.
    Objectives: Differentiation of iris and ciliary body lesions as benign or malignant and cystic or solid is important. The aim of this study was to compare anterior segment swept-source optical coherence tomography (AS SS-OCT) and ultrasound biomicroscopy (UBM) findings in iris and ciliary body tumors. Research design and methods: Forty-two eyes of 38 cases with iris and ciliary body tumors imaged with UBM and AS SS-OCT between September 2018 and September 2023 were evaluated retrospectively. Results: Of 42 eyes, 14 had melanoma, 14 iris pigment epithelial (IPE) cysts, 7 nevi, 3 Lisch nodules, 2 iris stromal cysts, 1 pars plana cysts, and 1 iris mammillations. An equivalent (100%) visualization of the anterior tumor margin was obtained with both techniques. Compared to AS SS-OCT, UBM was superior for posterior margin visualization in melanocytic tumors and IPE cysts. Bland-Altman plots demonstrated good agreement between UBM and AS SS-OCT for melanocytic tumors < 2.5 mm in base diameter and < 2 mm in thickness. Conclusions: Although, UBM is the gold standard for ciliary body and iridociliary tumors. AS SS-OCT should be considered as an excellent alternative to UBM, especially in minimally elevated iris lesions. © 2024 Informa UK Limited, trading as Taylor & Francis Group.
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    Awareness and knowledge of halitosis among students at two different dental universities in Turkey: a cross-sectional survey
    (BioMed Central Ltd, 2025) Kahraman E.N.; Erensoy Ş.; Dikilitaş A.; Gülşahı A.; Aydın E.Ö.; Özalp Ateş F.S.
    Background: Halitosis, or bad breath, significantly affects social and psychological well-being and is often caused by intraoral factors. Dentists play a key role in the diagnosis and treatment of halitosis, but inadequate education may lead to ineffective patient care. This study examines the levels of knowledge and awareness of halitosis among undergraduate dental students. Methods: This study employed a cross-sectional design and used an online questionnaire that was developed via Google Forms. The questionnaire was distributed to a convenience sample of 250 undergraduate students from two different dentistry faculties who had completed their clinical internships. All the statistical analyses were performed using SPSS for Windows 11.5 (SPSS Inc., Chicago, IL, USA). Responses to the questionnaire were compared between groups using the Pearson chi-square test or Fisher’s exact test. The correct answer scores were compared between groups via the Mann‒Whitney U test. Results: There was a significant difference in the degree of attention devoted to halitosis between X University and Y University (p < 0.05). When asked, “Have you ever treated patients with halitosis? “, 28.5% of fourth-year students and 60.5% of fifth-year students answered affirmatively, indicating a statistically significant difference (p < 0.001). There was no significant difference in the number of correct answers between fourth- and fifth-year students (U = 7714.00, p = 0.886). There was a significant difference in the number of correct answers between the universities (U = 5817.50, p = 0.001). The number of correct answers of X University students was slightly higher than that of Y University students. Conclusions: These results support the importance of developing training programs to improve dentists’ self-confidence, social skills, and communication skills, thereby enhancing the diagnosis and treatment of halitosis. A manual for the diagnosis and treatment of halitosis could be helpful for improving dentists’ attitudes and behaviours and for promoting optimal oral health. © The Author(s) 2025.