Browsing by Author "Baydur H."
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Item The relationship between obesity and health related quality of life of women in a Turkish city with a high prevalence of obesity(2006) Dinç G.; Eser E.; Saatli G.; Cihan Ü.A.; Oral A.; Baydur H.; Özcan C.The purpose of this study was to demonstrate the relationship between body weight and HRQOL in a representative sample of nonpregnant women in reproductive age period. The data of this cross-sectional study was extracted from a survey: Manisa Demographic and Health Survey (MDHS) conducted in Manisa city in 2000. The study population of MDHS is a representative sample of 1602 reproductive (15-49) age women. World Health Organization Quality of Life Questionnaire abbreviated version (WHOQOL-BREF), which was composed of four domain factors (physical, psychological, social relations and the environment), was used to assess HRQOL. Each of four domains had a possible score ranged between 0 (poor HRQOL) and 20 (excellent HRQOL). The mean age of the women was 35.29 ± 8.19 years. Among them, 35.8 % had normal weight (BMI 18.5 to 24.9), 32.3 % were overweight (BMI 25.0 to 29.9) while 31.9% were moderate and 3.4% were morbidly obese. After adjusting for age, level of education and co-morbid illnesses, subjects with a BMI higher than normal value, had significantly lower HRQOL scores, compared to normal-weight individuals on each of the domains, except for the environmental domain. Our results suggested that the body weight alone could negatively affect HRQOL. In other words, obesity not only increased the risk of morbidity and mortality, but also affected the perceived health and life quality negatively. In conclusion, in addition to age, socioeconomic status and co-morbid illnesses, body weight should also be controlled in studies examining HRQOL.Item Onychomycosis in primary school children: Association with socioeconomic conditions(2006) Gunduz T.; Metin D.Y.; Sacar T.; Hilmioglu S.; Baydur H.; Inci R.; Tümbay E.Onychomycosis in childhood is reported to be unusual. The aim of this study was to determine the prevalence of onychomycosis in primary school children and to make comparison between different socioeconomic status in the rural and urban areas of the city. Hand and foot nails of 23235 children aged 7-14 were examined. Onychomycosis was suspected and nail scrapings for mycological examination were taken in 116 of them. Hyphae or spores were seen in 41 (0.18%) by direct microscopic examination, and mycological cultures were positive in 24 (0.1%) of them. Toenails were affected in all of the fungal culture positive cases. Trichosporon spp, Trichophyton rubrum, Candida albicans and Candida glabrata grew in 11, 6, 5 and 2 of the cultures repectively. Onychomycosis prevalence was significantly higher in the children living in the rural areas (p = 0.016) [Odds ratio = 3.43 (%95 CI 1.11Item Quality of life of workers aged 14-16 years in the Manisa apprentice training center(2008) Dündar P.E.; Baydur H.; Eser E.; Bilge B.; Nesanir N.; Pala T.; Ergör A.; Oral A.Objective: The literature related to child labor, discusses the causes and socioeconomic factors contributing to child labor but very few studies examine the quality of life among child workers. The purpose of this cross-sectional study was to investigate the quality of life (QoL), socioeconomic and labor related factors in young people aged 14-16 in the city of Manisa . Methods: The study population consisted of 266 students who were attending the Apprentice Training Center in Manisa. The QoL of the subjects was measured by the adolescent version of KINDL-R (Kiddo-Kindl). Odds ratios (95% Confidence Interval) were used in the assessment. Logistic regression analysis was performed in multivariate analysis. Results: Of the 253 adolescent workers, 77.9% were male, with a mean age of 15.6(0.5). According to logistic regression analysis; being female (OR=2.9), lack of family health insurance (OR=2.3), being exposed to family violence (OR=3.7) and absenteeism (OR=2.4) were associated with total Qol. Lack of family health insurance, insufficiency in family income, using alcohol, being exposed to family violence, job dissatisfaction and father illiteracy were associated with poorer QoL of six domains of KINDL-R. Conclusion: The findings of this study concludes that, socioeconomic, family and job related variables are factors associated with QoL in adolescent workers.Item Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight(2009) Dinç G.; Saatli G.; Baydur H.; Özcan C.Objective: A school-based survey was performed in 1346 adolescents aged 15-18 years to determine the relationship between "overweight" and hypertension among adolescents in a western city in Turkey with a low prevalence of "overweight". Methods: The data were collected by a self administered questionnaire. Weight and height of adolescents were measured. US CDC pediatric anthropometric reference data were used to establish the body mass index (BMI) percentile. "At risk of overweight" (BMI-for-age and sex ≥85th, and <95th percentile) and "overweight" (BMI-for-age and sex ≥95th percentile) were defined. Hypertension (systolic and/or diastolic blood pressure that is ≥95th percentile for sex, age and height percentile) was defined according to the 4th Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents (2004). The Chi-square test, Chi-square test for trend and logistic regression models were used for analysis. Results: Overall, prevalence of "at risk of overweight" and "overweight" were found to be 10.7% and 3.2%, respectively. About 3.5% of the adolescents were hypertensive. After adjustment for sex and age, income, family history of hypertension, the factors positively associated with hypertension were "at risk for overweight" (Odds Ratio [OR]=5.09, 95% CI: 2.57-10.07) and "overweight" (OR=7.60, 95% CI: 2.90-19.89). Conclusion: The results of this study confirm low hypertension risk among adolescents in Manisa, which may be attributed to the low prevalence of "overweight". The relatively low cardiovascular disease risk factor profile of these adolescents needs to be encouraged through adulthood. Thus, a school program of health promotion should be established to prevent the epidemics of cardiovascular diseases in our region. ©Copyright 2009 by AVES Yayincilik Ltd.Item The reliability and validity of the turkish version of the world health organizat on quality of life instrument-older adults module (WHOQOL-Old)(Turkish Association of Nervous and Mental Health, 2010) Eser S.; Saatli G.; Eser E.; Baydur H.; Fidaner C.Purpose: To determine the psychometric properties of the Turkish version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old). Methods: The Turkish version of the WHOQOL-OLD was administered to 527 older (> 65 years) adults living in urban, suburban, and rural areas of Manisa Province, Turkey. The WHOQOL-OLD module consists of 24 items assigned to 6 facets (sen sory abilities, autonomy, past, present and future activities, so cial participation, death and dying, and intimacy) and is a supplementary module of WHOQOL-BREF. The WHOQOL-BREF and GDS-30 were also administered to the participants. A confirmatory approach was used during reliability and validity analysis. SPSS v.10.0 and LISREL v.8.54 were used for analysis. Results: Mean age of the participants was 71.06 ± 5.20 years and the overall WHOQOL-OLD score was 56.02 ± 11.86. In all, 54.5% of the participants were female and 60.5% reported to be in poor health. Both ceiling and floor effects of the WHOQOL-OLD were satisfactory (< 0.05%). Alpha values for the facets and overall scale (range: 0.68-0.88) (> 0.70), and item total correlations and overall scale success were satisfactory. As a measure of the construct validity of the scale, confirmatory factor analysis showed very high CFI values (range: 0.936-0.999) for each of the domains. Convergence of WHOQOL-OLD facet scores on WHOQOL-BREF domains and WHOQOL-OLD were very fine in general. Conclusions: The psychometric properties of the Turkish version of the WHOQOL-OLD were acceptable, indicating that the scale is reliable and valid for use with older Turkish adults (> 65 years).Item Decomposing socioeconomic inequalities in self assessed health in Turkey(2012) Sözmen K.; Baydur H.; Simsek H.; Ünal B.Introduction. This study aimed to measure socioeconomic inequalities in Self Assessed Health (SAH) and evaluate the determinants of such inequalities in terms of their contributions amongst the Turkish population. Methods. We used data from the Turkish part of World Health Survey 2003 with 10,287 respondents over 18 years old. Concentration index (CI) of SAH was calculated as a measure of socioeconomic inequalities in health, and contributions of each determinant to inequality were evaluated using a decomposition method. Results: In total 952 participants (9.3%) rated their health status as either bad or very bad. The CI for SAH was -0.15, suggesting that suboptimal SAH was reported more by those categorised as poor. The multiple logistic regression results indicated that having secondary, primary or less than primary school education, not being married and being in the lowest wealth quintile, significantly increased the risk of having poor SAH. The largest contributions to inequality were attributed to education level (70.7%), household economic status (9.7%) and geographical area lived in (8.4%). Conclusion: The findings indicate that socioeconomic inequalities measured by SAH are apparent amongst the Turkish population. Education and household wealth were the greatest contributing factors to SAH inequality. These inequalities need to be explicitly addressed and vulnerable subgroups should be targeted to reduce the socioeconomic disparities. © 2012 Sözmen et al.; licensee BioMed Central Ltd.Item A new diagnostic approach for Turkish speaking populations DAWBA Turkish Version(2013) Dursun O.B.; Guvenir T.; Aras S.; Ergin C.; Mutlu C.; Baydur H.; Ozbek A.; Ozek H.; Alsen S.; Iscanli L.; Karaman B.I.; Goodman R.Aims. Turkey has the youngest population in Europe with about 25 million people aged below 19 years and Turkish-speaking people comprise the biggest migrant group in Europe with 2.5 million people dispersed in different countries, but conducting epidemiologic surveys on Turkish people is challenging due to the lack of a suitable diagnostic tool. The Development and Well-Being Assessment (DAWBA) is one of the most widely used diagnostic interviews in child and adolescent psychiatry. In this study, we aimed at translating the DAWBA into Turkish and then examined its validity and reliability. Methods. The validity of the Turkish version was examined in clinical (n = 50) and community (n = 104) samples. The interrater reliability was also evaluated on 20 cases. Results. The translation method used in the study achieved semantic, conceptual, content, technical, item and criterion equivalence between the Turkish and original forms. The validity of the Turkish DAWBA was good or excellent for different diagnostic categories (κ: 0.43-0.84); the interrater reliability was also excellent (κ: 0.85-1). Conclusions. The Turkish DAWBA may be useful for future prevalence studies in Turkey. European clinicians and researchers who work with Turkish-speaking families can use the online Turkish DAWBA to gather structured information from Turkish-speaking informants and review the answers in their own language. Copyright © Cambridge University Press 2012.Item Careers and research performance of PhD program graduates of health sciences in Turkey; [Türkiye'de Saǧlık Bilimleri Doktora Programlarından Mezun Olanların Kariyerleri ve Araştırma Performansları](Turkish Biochemistry Society, 2013) Cavdar Z.; Ulman C.; Kirkali G.; Baydur H.; Akdogan G.G.In this review, we aimed to evaluate PhD graduates of the period between 1985-2010 and analyze the status, motivation and positive and negative factors influencing research motivation of graduates in eight disciplines from three graduate schools of Health Sciences in Turkey and to compare with the present status in the world. Some information obtained by web-based survey is the following: The most of graduates (83%) have academic positions in basic sciences departments in the faculty of medicine in universities. 94.2 % of graduates recognized the importance of personal motivation, while 54% of them thought that finding the appropriate research environment was important for research. For 52%, the biggest hindrance to medical research was lack of funding and for 39%, lack of technic personnel for research. The studies in the literature related to PhD graduates pointed out to the following facts: The number of PhD graduates is increasing gradually and the graduates' career choices have changed from academic to non-academic positions, especially in the industry. This is not parallel to our pilot study findings. About the teaching perspective treated in the relevant literature, the concept of "one should be a good researcher, as well as a good teacher" is dominant. PhD graduates in our pilot study mentioned that they had responsibilities in the education activities during their PhD education. We think that these responsibilities are useful for their future academic career. In conclusion, the majority (83%) of graduates from Graduate Schools of Health Sciences in Turkey are enrolled into academic researcher positions in universities. They keep producing funded research work as a first author and publish despite some problems. © TurkJBiochem.com.Item Stigma of tuberculosis scale: Validity and reliability; [Tüberküloz Damgalanma Ölçeği: Geçerliliği ve güvenilirlik](Ankara University, 2015) Özpinar S.; Taner Ş.; Yildirim G.; Mahleç Anar C.; Altiparmak O.; Baydur H.Introduction: In many health conditions, stigma is receiving increasing attention. Public stigmatization toward social illness can affect particularly the patients and family memberships to help seeking behavior and treatment. This study, the aim of this study was to investigate the validity and reliability of the Turkish “Stigma of Tuberculosis Scale ” which was developed to evaluate of perception of stigma with tuberkulosis patient. Patients and Methods: This methodological study was conducted with 150 with tuberculosis disease people who above 18 age and without known psychological and mental disability. In the study, “Stigma of Tuberculosis Scale” was used as data collection tool. During the study, language equivalence, content validity, reliability and construct validity of the scale was performed. The data was assessed by using mean, median, standard deviation, Spearman Correlation, Cronbach Alpha coefficient and confirmatory factor analysis. Results: The mean age of study participants was 45.6 ± 16.1 (20-85). years. Spearman correlation coefficient of the scale for testretest reliability was 0.853 and the Cronbach Alpha coefficient was 0.95. According to fit indexes of confirmatory factor analysis [x2/ SD= 481.38/230= 2.09; RMSEA= 0.087; GFI= 0.776; CFI= 0.776; NNFI= 0.875] it was found that one factors were appropriate for the scale. Conclusion: The adoption of the translated “Stigma of Tuberculosis Scale”in Turkey is found reliable and valid to evaluate of perception of stigma with tuberkulosis patient. © 2015, Ankara University. All rights reserved.Item Coincidence of low social support and high depressive score on quality of life in elderly(Elsevier Masson SAS, 2015) Unalan D.; Gocer S.; Basturk M.; Baydur H.; Ozturk A.The aim of this study is to determine the effect of depression and social support on quality of life in elderly. Methods: This is a cross-sectional study conducted from November 2012 to January 2013. The population of the study was composed of 917 elderly people over 65 who lived at their homes in Kayseri. We used the Geriatric Depression Scale, the Multidimensional Perceived Social Support Scale, and the WHOQOL-OLD module in addition to a personal information form consisting of the demographical and sociocultural characteristics of the elderly as data collection tools. During the analysis, the correlation coefficient was examined and uni-and multivariate logistic regression analyses were applied. Results: It was found that depression and social support were significantly correlated for the total and all dimensions of the WHOQOL-OLD scale. According to the multivariate logistic regression analysis which was created from the significant variables found through univariate analysis, it was found that the higher scores from the geriatric depression scale have significant effects on the total and all other quality of life dimensions except for death and dying in a negative way; in contrast, they have a significant protective effect in the death and dying dimensions. Social support displayed a significant protective correlation in sensory abilities, autonomy, past, present and future abilities, intimacy and total scores. Conclusions: Quality of life in the elderly is affected negatively by the presence of depression while social support affects it positively. © 2015 Elsevier Masson SAS and European Union Geriatric Medicine Society.Item Smoking cessation and the effect of nicotine dependence on relapse rate in İzmir, Turkey(Turkiye Klinikleri, 2015) Pekel Ö.; Ergör G.; Günay T.; Baydur H.; Choussein B.; Budak R.; Doğanay S.Background/aim: Smoking is the leading preventable cause of death in the world. There is growing evidence of the need for communitybased programs on smoking cessation. The main purpose of this study is to establish the rate of smoking cessation and restarting in 1 year at the Balçova Smoking Cessation Center. Materials and methods: This is a prospective study with a study group of 359 individuals who quit smoking at the Balçova Smoking Cessation Center for at least 4 weeks between October 2009 and April 2010. The outcomes of the study were 1-year cessation rate and relapse rate. Individuals who reported restarting and/or had CO measurements above 6 ppm were accepted as quitters who had relapsed. Results: The 1-year rate of smoking cessation was 30.1% for the study group. Of the subjects who quit smoking, 50.1% started smoking again during the 1-year follow-up. Relapse rate was also higher in nicotine addicts. Pharmacological treatment was associated with increased success rates in smoking cessation. Conclusion: Nicotine dependency was shown to be associated with lower rates of smoking cessation and higher rates of relapse. Therefore, it is important to begin smoking cessation attempts before individuals become serious addicts. © TÜBİTAK.Item Validity and reliability of the diabetes obstacles questionnaire in type-2 diabetic patients; [Tip-2 diyabet hastalarında diyabette engeller ölçeğinin geçerlilik ve güvenilirlik çalışması](Cukurova University, Faculty of Medicine, 2016) Kahraman G.; Güngör Tavşanli N.; Baydur H.; Özmen D.; Özmen E.Objective: The Diabetes Obstacles Questionnaire (DOQ) helps to determine the problems encountered with their illness by type-2 diabetic patients in daily life and the purpose of this study was to adapt this questionnaire to Turkish and to perform validity and reliability analysis.Methods: This was a methodological study planned to adapt DOQ to the Turkish language and to carry out validity and reliability analysis. After obtaining the necessary permission and making the translation, the questionnaire was applied to 400 type 2 diabetes patients, who had been diagnosed at least one year previously, in the endocrinology polyclinic of Manisa Government Hospital and the endocrinology polyclinic of Hafsa Sultan Hospital in Celal Bayar University. The WHOQOL-8 quality of life questionnaire was applied along with the DOQ in order to examine the extent of correspondence with a scale which measures similar concepts. In order to assess the reliability of the scale, the coefficient of internal consistence (Cronbach’s alpha value) was examined and in order to evaluate the relation of each item to dimension, the item-total correlations and the internal consistence coefficients when items were deleted were evaluated. Also, the items of the questionnaire were applied again to 30 people after a gap of at most two weeks and testretest analysis as performed. When this was done, intraclass correlation coefficients were examined. Results: The DOQ consists of eight scales and a total of 78 questions. Ten of these questions were excluded in our study as they were not applicable to Turkish society. Conclusion: The study was similar to the original study from the aspect of factors produced in the dimensions. © 2016, Cukurova University, Faculty of Medicine. All rights reserved.Item Factors affecting the views and experiences of women living in the city centre of Manisa, Turkey, regarding domestic violence(CSIRO, 2016) Özpinar S.; Horasan G.D.; Baydur H.; Canbay T.Domestic violence against women is an important social and public health problem worldwide resulting from unequal power relationships between men and women. The purpose of the present cross-sectional descriptive study was to determine the factors affecting the views and experiences of women living in the city centre of Manisa, Turkey, regarding domestic violence. The data were collected from a representative sample of women (n≤873) in 2012. The socio-demographic questionnaire and the World Health Organization's Multi-country Study on Women's Health and Domestic Violence Against Women were used for data collection. The study results revealed that of the women, 14.8% were exposed to physical violence, 7.9% to sexual violence, 20.2% to emotional violence/abuse and 11.2% to economic violence/abuse within the last 12 months. Lower income level, lower social status, lower educational level, unemployment, being exposed to parental violence during childhood and being married to husbands exposed to parental violence during childhood were associated risk factors with domestic violence. The study results indicate that domestic violence against women is a common phenomenon in Manisa. © La Trobe University 2016.Item Comparison of generic and lung cancer-specific quality of life instruments for predictive ability of survival in patients with advanced lung cancer(SpringerOpen, 2016) Eser S.; Göksel T.; Erbaycu A.E.; Baydur H.; Başarık B.; Yanık A.Ö.; Gürsul K.K.; Çelik P.; Ediz E.Ç.; Hatipoğlu O.; Yayla B.A.; Başer S.; Eser E.Background: Our purpose is to examine the relationship of Health related quality of life measured by EORTC QLQc30, QLQ-LC13; FACT-L, LCSS, Eq5D) with survival in advanced lung cancer patients. A total of 299 Lung Cancer (LC) patients were, included in this national multicenter Project entitled of “the LC Quality of Life Project (AKAYAK). Baseline scores were analyzed by using Cox’s proportional hazard regression to identify factors that influenced survival. Univariate and multivariate models were run for each of the scales included in the study. Results: Mean and median survival were 12.5 and 8.0 months respectively. Clinical stage (as TNM), comorbidity; symptom scales of fatigue, insomnia, appetit loss and constipation were associated with survival after adjustment for age and sex. Global, physical and role functioning scales of QLQc30; physical and functional scales of LCS and TOI of the FACT-L was also associated with survival. Mobility and Usual activities dimensions of the Eq5D; Physical functioning and the constipation symptom scale of the QLQ-c30; and LCS and TOI scores of the FACT-L remained statistically significant after adjustment. LC13 and LCSS scales were not predictors of survival. Conclusions: HRQOL serves as an additional predictive factor for survival that supplements traditional clinical factors. Besides the strong predictive ability of ECOG on survival, FACT-L and the Eq5D are the most promising HRQOL instruments for this purpose. © 2016, The Author(s).Item Reliability and validity study of the KIDSCREEN health-related quality of life questionnaire in a Turkish child/adolescent population; [Türk çocuk/ergenlerde KIDSCREEN sağlıkla ilişkili yaşam kalitesi ölçeğinin geçerlilik ve güvenilirliği](Cukurova University, Faculty of Medicine, 2016) Baydur H.; Ergin D.; Gerçeklioğlu G.; Eser E.Objective: The aim of this study is to adapt KIDSCREEN Health Related Quality of Life (HRQoL) questionnaire into Turkish and to analyze the psychometric properties of the scale. Methods: The study conducted in the city of Manisa located in western Turkey is a validity and reliability study and consisted of 662 children/adolescents be-tween the ages of 8 and 18 and 552 parents. In the study, sociodemographic characteristics of the participants were identified, and KIDSCREEN-52 and KINDL QoL questionnaires were administered. The KIDSCREEN scale was adapted to Turkish and applied psychometric analyses. Results: Cronbach's alpha ranged between 0.69 and 0.95 for the child/adolescent version of the KIDSCREEN-52, KIDSCREEN-27 and KIDSCREEN-10 index and between 0.68 and 0.94 for the proxy version. The results of confirmatory factor analyses fit indices for KIDSCREEN were considered to be at a good level. Correlation coefficient between the dimensions of the KIDSCREEN and KINDL scales assessing similar constructs (ranging between 0.45 and 0.62) were higher than that of other dimen-sions. In addition, the KIDSCREEN yielded results to discriminate the physical well-being, psychological well-being and perception of insufficient income. Conclusion: Turkish version of the child/adolescent and proxy versions of KIDSCREEN is a valid and reliable measurement tool. © 2016, Cukurova University, Faculty of Medicine. All rights reserved.Item Effects of participatory ergonomic intervention on the development of upper extremity musculoskeletal disorders and disability in office employees using a computer(Japan Society for Occupational Health, 2016) Baydur H.; Ergör A.; Demiral Y.; Akalin E.Objective: To evaluate the participatory ergonomic method on the development of upper extremity musculoskeletal disorders and disability in office employees. Methods: This study is a randomized controlled intervention study. It comprised 116 office workers using computers. Those in the intervention group were taught office ergonomics and the risk assessment method. Cox proportional hazards model and generalized estimating equations (GEEs) were used. Results: In the 10-month postintervention follow-up, the possibility of developing symptoms was 50.9%. According to multivariate analysis results, the possibility of developing symptoms on the right side of the neck and in the right wrist and hand was significantly less in the intervention group than in the control group (p < 0.05). Neck disability/symptom scores over time were significantly lower in the intervention group compared with the control group (p < 0.05). Conclusion: The participatory ergonomic intervention decreases the possibility of musculoskeletal complaints and disability/symptom level in office workers. © 2016, Journal of Occupational Health.Item Adaptation, reliability, and validity study of the hwalek–sengstock elder abuse screening test (H-S/EAST): A Turkish version(Turkiye Klinikleri Journal of Medical Sciences, 2017) Özçakar N.; Toprak Ergönen A.; Kartal M.; Baydur H.Background/aim: The most important issues in elder abuse and neglect are lack of awareness and difficulties in determining the situation. Our aim is to determine the reliability and validity of the Turkish version of the Hwalek–Sengstock Elder Abuse Screening Test (H-S/EAST). Materials and methods: The H-S/EAST (15-itemed, three-dimensional: direct abuse, characteristics of vulnerability, and potentially abusive situation) was translated according to the guidelines and experts evaluated it for content validity and cultural adaptation. Participants’ (n = 252) mean age was 73.4 ± 6.4 years and 58.3% were female. The World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD) and the Barthel Index were used for validity. Cronbach’s alpha for internal consistency, exploratory factor analysis for content validity, t-test for construct validity, and discriminant ability were used. SPSS 15.0 was used for analysis and statistical significance was P < 0.05. Results: In test–retest reliability, internal consistency coefficient values for direct abuse, characteristics of vulnerability, and potentially abusive situation were 0.88, 0.73, and 0.80, respectively. Cronbach’s alpha for internal consistency of the H-S/EAST was 0.741. Exploratory factor analysis obtained 5 factors, and explained variance was 61.8%. Cut-off value was 6, and sensitivity, specificity, and area under the ROC curve were 76.9%, 96.2%, and 0.938, respectively. Conclusion: The Turkish version of the H-S/EAST can be used as a reliable, valid clinical tool for the assessment of elder abuse. © TÜBİTAK.Item Effect of socio-demographic characteristics and clinical findings on the quality of life of patients with chronic venous insufficiency(SAGE Publications Ltd, 2017) Soydan E.; Yılmaz E.; Baydur H.Objective: This study was planned and implemented to evaluate the effect of socio-demographic characteristics and clinical findings on the quality of life of patients with chronic venous insufficiency. Methods: The sample of this cross-sectional study consisted of 163 patients that presented with the diagnosis of chronic venous insufficiency to the cardiovascular surgery clinic of an education and research hospital in the west of Turkey. The data were collected during face-to-face interviews using a personal information form, clinical, etiology, anatomy, pathophysiology classification, venous insufficiency epidemiological and economic study-quality of life/symptoms scales and the Short Form-36. Descriptive statistics as well as univariate and multivariate analyses were used to analyze the data. Results: The chronic venous insufficiency patients were found to have a low quality of life. Advanced age, higher body mass index, longer working times, being on regular medication, hypertension and presence of pigmentation according to the clinical, etiology, anatomy, pathophysiology classification were found to be associated with a reduced physical score in SF-36. Furthermore, longer weekly working hours and presence of pigmentation reduced the Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms scores. Undertaking physical exercise at twice and more than twice a week increased the overall physical scores in SF-36. Conclusions: The results of the study showed that the quality of life of chronic venous insufficiency patients are affected by not only physical characteristics, working hours and physical activity but also presence of edema and pigmentation. © 2016, © The Author(s) 2016.Item A descriptive, cross-sectional study to assess quality of life and sexuality in Turkish patients with a colostomy(Cliggott Publishing Co., 2017) Yilmaz E.; Çelebi D.; Kaya Y.; Baydur H.A stoma affects personality, self-esteem, and body image, inevitably impacting lifestyle and quality of life (QOL). A descriptive, cross-sectional study was conducted between May 1, 2015 and May 1, 2016 to evaluate the effect of a stoma on sexual function and QOL among patients receiving care in a general surgery clinic of a university hospital in the western region of Turkey. Eligibility requirements included patients willing to participate, >18 years of age, with a colostomy for at least 4 months, who were married and/or with a sexual partner and in otherwise good physical and mental health with no rectal nerve damage or receiving radio-or chemotherapy. Data were collected during face-To-face interviews. Demographic variables (age, gender, body mass index [BMI], educational status, income level); and clinical information (duration of the precipitating disease, and stoma duration, cause, and type) were collected, and the International Index of Erectile Function (IIEF) measure; the Index of Female Sexual Function (IFSF); and a Stoma Quality of Life Scale (SQOLS) were completed. Statistical analyses were performed using descriptive statistics, Spearman's correlation coefficient, and the Mann-Whitney U test. Of the 57 study participants, 57.9% were >60 years old (mean age: 59.81 ± 10.12), more than half (57.92%) were male, 33.3% had a permanent stoma, and the mean duration of the stoma was 9.60 ± 6.40 months. Scores for all 3 outcomes were low; mean IIEF score was 3.64 ± 2.47 (range 2-10), mean IFSF score was 13.04 ± 5.19 (range 9-29), and mean SQOLS was 45.10 ± 18.88 (range 0-100). Eighteen (18) of the 33 men (54.5%) had severe, 5 (15.2%) had moderate, and 9 (27.3%) had mild erectile dysfunction. The IFSF total score for all female patients was <30; all female patients experienced sexual dysfunction. A negative correlation between age and the SQOLS subscale sexuality/body image was found (rs =-0.305, P <.05). A positive correlation was found among BMI, erectile function (rs = 0.350, P <.05), sexual desire (rs = 0.474, P <.01), and intercourse satisfaction (rs = 0.385, P <.05). These study results provide reference data for future study and underscore the importance of assessing and addressing QOL and sexuality concerns among patients with a colostomy. © 2018 HMP Communications. All rights reserved.Item The assessment of the effect of changes in lung cancer follow-up period on the quality of life using EQ-5D questionnaire and follow data (AKAYAK-1 multicenter project); [Akciğer Kanserli Hastalarda İzlem Sürecindeki Değişikliklerin Yaşam Kalitesine Etkisinin EQ-5D Ölçeği ve Takip Sonuçları ile Değerlendirilmesi (AKAYAK-1 Çok Merkezli Proje)](UHOD - Uluslararasi Hematoloji Onkoloji Dergisi, 2018) Erbaycu A.E.; Goksel T.; Eser E.; Gursul K.K.; Basarik B.; Oz A.; Celik P.; Ediz E.C.; Hatipoglu O.; Yayla B.A.; Baser S.; Baydur H.The EURO-QOL (EQ-5D), a generic quality of life measure, is a self-report scale. The aim was to study the reliability, validity and feasibility of the Turkish version of the EQ-5D as an instrument to evaluate quality of life in lung cancer patients in Turkish society. A prospective cohort study carried out within the framework of the multicenter Lung Cancer Association Project which was conducted in collaboration with Turkish Thoracic Society, Lung and Pleural Malignancies working group and Health and Quality of Life Society. A total of 266 patients were included in the study with a mean age of 61.3 years. 75,9% of the patients had chemotherapy alone; 9% received sequential chemotherapy and radiotherapy, 8,6% were given concurrent chemotherapy and radiotherapy, and 6,4% of them received radical radiotherapy alone. EQ-5D score measures at the moment of diagnosis were found to be moderately reliable while measures at the 3rd chemotherapy cycle, 5th chemotherapy cycle and after the radiotherapy were highly reliable. The items of the EQ-5D were found to be consistent among themselves. EQ-5D Visual Analogue Scale scores at diagnosis, the 3rd cycle, the 5th cycle and following radiotherapy were assessed to be correlated with each other. EQ-5D scale was found to be valid as it meets the conditions of 6 fit indices in our study design. The psychometric properties of the Turkish version of the EQ-5D questionnaire is a valid and reliable scale for patients with lung cancer in Turkey and it can be safely used in clinical practices. © 2018, UHOD - Uluslararasi Hematoloji Onkoloji Dergisi. All rights reserved.