Browsing by Author "Akman D."

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    Antibody Sustainability in SARS-CoV-2 Healthcare Professionals’ Patient Cohort; [Sağlık Çalışanları SARS-CoV-2 Hasta Kohordunda Antikor Sürdürülebilirliği]
    (Ankara Microbiology Society, 2022) Eser E.; Şenol Akar Ş.; Akçali S.; Ecemiş T.; Erbay Dündar P.; Çiçek K.; Akman D.; Tüzün E.; Şanli Erkekoğlu G.; Buran Z.C.; Öztürk Arikan Z.Ö.; Karadağ Yalçin F.
    In this study, it was aimed to evaluate one-year follow-up of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) specific antibodies formed against the virus binding site, in a coronavirus disease-2019 (COVID-19) positive case cohort (n= 413) between the period March 2020 to December 2020 in Manisa Celal Bayar University Hospital, until July 2021. SARS-CoV-2 antibodies were determined by the chemiluminescent enzyme immunoassay (CLIA) method. Values of 1.0 and above were considered positive. Chi-square tests and Joinpoint regression analysis (version 4.7.0) were used in the statistical analyses. The mean age of the participants was 34.9 ± 9.3 and 60.2% of them were women. Between 21-30 days after the diagnosis of COVID-19, total antibody level was above the threshold value in 72.2% (n= 126) of the participants, while this rate increased to 79.1% (n= 240) in 31-60 day interval. In the following period, this rate decreased to 38.8% (n= 108) in days 211st to 240th. Antibody response could not be detected in 76 (20.7%) of 367 employees who have initially been followed up. The percentage of total antibody positivity prevalence ranged from 98.9% to 96.1% in the 31-210th day after diagnosis, in the follow-up of 291 employees whose total antibody positivity was detected after diagnosis. According to the results of the Joinpoint regression analysis, after the diagnosis of COVID-19, the curve showing the percentage of antibody positivity was broken at two points: The first breaking point was observed in 181-210th days (6-7 months) (p= 0.069), and the second breaking point was in 271-300th days (9-10 months) (p< 0.001). As a result, the highest antibody positivity rates were detected after the 30th day of the disease onset and antibody positivity was maintained in the first seven months after diagnosis; the antibody positivity rate decreased to 25% at the end of the first year. © 2022 Ankara Microbiology Society. All rights reserved.
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    Digital Evaluation of the Changes in Eyelid and Ocular Surface Measurements and the Correlation of These Parameters with Visual Field Parameters After Upper Eyelid Blepharoplasty
    (Kare Publishing, 2023) Gumus G.; Karabulut G.O.; Fazil K.; Gunaydin Z.K.; Cabuk K.S.; Akman D.
    Objectives: We aimed to evaluate the change in eyelid and ocular surface parameters that were measured using a digital measurement program, the change in the visual field (VF), and the correlation between ocular surface area (OSA) and VF parameters in patients who underwent upper eyelid blepharoplasty for involutional dermatochalasis. Methods: Patients who underwent upper eyelid blepharoplasty for involutional dermatochalasis between August 2015 and August 2019 were included in the study. The difference between preoperative and postoperative 3rd month values of manually measured margin reflex distance 1 (MRD1), digitally measured eyelid and ocular surface parameters (MRD1, MRD 2 [MRD2], upper eyelid crease height [ECH], pretarsal show height [PTH], eyebrow line-height [EBH] and OSA), and VF parameters were evaluated. The correlation between preoperative and postoperative values of manually and digitally measured MRD1 and also preoperative and postoperative values of OSA and VF parameters were analyzed. Results: Thirty-six eyes from 36 patients were included in this study and the mean age of patients was 57.93±7.64 years. There were statistically significant changes between preoperative and postoperative values in means of the manually measured MRD1 and the digitally measured MRD1, PTH, OSA, and ECH (p<0.001). However, the postoperative changes in the mean MRD2 and EBH were not statistically significant (p=0.664 and p=0.983). There were moderate positive correlations between pre- and post-operative OSA values and pre- and postoperative values of manual and digital MRD1. A statistically significant agreement was observed between the change in OSA and the change in all VF parameters (Bland-Altman analysis test). Conclusion: Digital measurements can be used to evaluate the changes in eyelid and ocular surface parameters in patients who underwent upper eyelid blepharoplasty surgery. OSA provides fast results in accordance with linear measurements and is compatible with the change in the VF. © 2023 Israel Medical Association Journal.
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    Knowledge, Homophobic Attitudes and Behaviors of Medical Students Towards LGBTI+ Individuals: Descriptive Study; [Tıp Fakültesi Öğrencilerinin LGBTİ+ Bireyler ile İlgili Bilgi, Homofobik Tutum ve Davranışları: Tanımlayıcı Çalışma]
    (Turkiye Klinikleri, 2024) Bilgin Şahin B.; Akman D.; Cengiz Özyurt B.; Toraman U.C.; Aktan G.; Cidani B.; Güneş D.; Demir G.; Özen G.; Sergin F.; Tokmak A.A.; Aktay F.
    Objective: The aim of this study is to evaluate the knowledge, behavior, and homophobic attitudes of students in the fourth, fifth and sixth years of the Faculty of Medicine towards LGBTI+ individuals. Material and Methods: The population of the research consists of 607 people who are fourth, fifth and sixth year students at Manisa Celal Bayar University Faculty of Medicine. No sample was selected in the research, and it was aimed to reach the entire population. The participation rate was 46.8% (n=284). The data for the study were collected through an online questionnaire. The questionnaire included questions about sociodemographic characteristics, knowledge, attitude, and behavior towards LGBTI+ individuals, and the Hudson Rickkets Homophobia scale. Results: The research group had an average age of 23.4±1.1 years, with 54.9% women and 45.1% men. Concerning sexual orientation, 90.1% of the group identified as heterosexual, 4.6% as, lesbian/gay and 4.2% as bisexual. The average score of the students on the Hudson and Ricketts Homophobia Scale was 65.14±27.87. There was no significant difference in the mean scores between classes (p>0.05). Students who live in extended families, identify as male, lack LGBTI+ individuals in their close circle, are uninformed about LGBTI+ individuals and their rights, and believe that sexual orientation is a choice and being LGBTI+ is a condition requiring treatment exhibit higher levels of homophobia. Seventy-one point one percent (71.1%) of the students think that the level of knowledge of healthcare professionals about LGBTI+ individuals is insufficient, while 70.1% think that lessons for LGBTI+ individuals are necessary. Additionally, 35.6% of the students believe that being an LGBTI+ individual will affect the healthcare they receive, and 70.1% think that LGBTI+ individuals cannot access comprehensive health services. Conclusion: Only 4.3% of the students think that healthcare professionals' knowledge about LGBTI+ individuals is sufficient, and 70.1% think that lessons for LGBTI+ individuals are necessary. The level of homophobia assessed by the Hudson and Ricketts Homophobia Scale was found to be lower than the results of similar studies across the country. It may be beneficial to integrate awareness-raising trainings in clinical branches into the faculty of Medical school education curriculum. © 2024 by Türkiye Klinikleri.