Browsing by Author "Esen A."

Now showing 1 - 8 of 8
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    Smoking cessation - Two sides of the story [2]
    (1999) Esen A.; Celik P.; Yorgancioglu A.; Sen F.S.; Yagiz D.
    [No abstract available]
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    Attitudes of Turkish physicians towards cigarette smoking
    (1999) Esen A.; Celik P.; Yorgancioglu A.; Sen F.S.; Yagiz D.
    The aim of this study is to investigate the smoking habits of the physicians working in Manisa province and their attitudes towards patients who smoke. A three-part questionnaire was given to 305 of 447 physicians (68.2%). Part 1 investigated the smoking habits of the physicians; part 2 asked about their attitudes towards patients who smoke; and part 3 assessed their knowledge of smoking cessation techniques. Of the physicians 30.2% (n = 92) were female and 69.8% (n = 213) were male, and 41.3% of the total were smokers (37.0% of these were female and 43.2% were male). Almost two thirds of the physicians (64.2%) always or frequently asked questions about the smoking habits of their patients; 60.6% offered suggestions to their patients about quitting smoking, but only 23.9% gave information about smoking cessation techniques, and 18.9% gave information about withdrawal symptoms. The results of this study showed that the physicians working in Manisa province had similar smoking rates compared with those of the general population. They were interested in their patients' smoking habits, but they did not have enough information about smoking cessation programmes.
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    Sexual behaviour during pregnancy
    (Royal Australian and New Zealand College of Obstetricians and Gynaecologists, 1999) Oruç S.; Esen A.; Laçin S.; Adigüzel H.; Uyar Y.; Koyuncu F.
    The effects of pregnancy on sexuality were studied in 158 pregnant women. They were surveyed by questionnaire about sociodemographic variables and sexual behaviour. Dyspareunia was common in our study group during pregnancy. Pregnancy had a negative effect on orgasmic quality. Dyspareunia and orgasmic quality influenced coital frequency. Coital frequency declined as the month of the pregnancy increased. Pregnancy is a potent influence on sexuality irrespective of an individual's conditioning.
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    Depression and anxiety in patients with fibromyalgia syndrome; [Fi̇bromyalji̇ sendromlu hastalarda depresyon ve anksi̇yete]
    (2000) Tüzün Ç.; Cindaş A.; Esen A.
    Several observations showed that psychiatric disorders may be involved in the pathogenesis of Fibromiyalgia Syndrome (FMS). In this study we aimed to compare the depression and anxiety levels among FMS, major depression and healthy controls and to investigate which depression and anxiety features are especially discriminating. We also investigated the relationship between clinical features and depression and anxiety. The study included 34 female patients with FMS, 21 patients with major depression and 14 educational status, age and sex matched healthy controls. Beck Depression Scale (BDS), Hamilton Depression Rating Scale (HDRS) and State Anxiety Inventory (SAI) were significantly lower than major depression, and were higher than healthy controls in FMS (p<0.05). Results of discrimant analysis for SAI showed that nervousness was exactly, and patient discomfort was low level discriminating for FMS. Similarly, in analysis of HDRS and BDS, It was found that somatic anxiety and patient discomfort was low level discriminating for FMS. We found statistically significant correlation between BDS and HDRS scores and intensity of general pain, intensity of pain after physical activity, intensity of pain with palpation (p<0.05). We also found positive significant correlation between HDRS scores and sleep disturbance scores (p<0.05). But there was no correlation between SAI scores and clinical features (p>0.05). Our study indicates that depression and anxiety levels are higher than healthy controls, but don't reach levels of major depression, and nervousness is the major discriminating psychiatric feature of FMS. We concluded that there was a relationship between psychiatric disorders and FMS and psychiatric disturbance may play role in the pathogenesis of FMS.
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    An evaluation of nursing care in cancer patients
    (2004) Karadeniz G.; Yanikkerem E.; Altiparmak S.; Sevil Ü.; Ertem G.; Esen A.
    The aim of the present study was to identify what hospitalized cancer patients expect from nurses in terms of the care they receive. The specific aims of this study were: (i) to identify those individuals to whom the patients felt closest in the hospital setting and (ii) to evaluate nurses' management of cancer patients during their stay in the hospital. The sample included patients hospitalized at Ege University Hospital and Suat Seren District Hospital, Izmir, Turkey. We found significant differences between the scores of satisfaction and dissatisfaction and gender, age, education, occupation, type of cancer and the mode of treatment (p < 0.05). The majority of the cancer patients reported that nursing management was unsatisfactory. Some demographic factors such as cultural and social status affected patients' expectations.
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    Turkish health professional's attitude toward Euthanasia
    (2008) Karadeniz G.; Yanikkerem E.; Pirinçci E.; Erdem R.; Esen A.; Kitapçioǧlu G.
    The cross-sectional study was administrated between April and September 2006. Participants are doctors, nurses, and midwives. Between these dates we met only 750 health staff (doctor, nurse, and midwife). Six hundred thirty-two of them responded to our questionnaire, 122 of them were in Manisa city, and 510 of them in Erciyes. We sought to identify variables that contribute to euthanasia attitude, including demographics, in order to demonstrate Turkish doctors, nurses', and midwives' attitudes toward euthanasia and to compare their attitudes in this regard. The data was collected by a two-part questionnaire. The first part included questions about the health personnel; the second part comprised the euthanasia (Medical Staff's Attitude toward Euthanasia) scale. The scale was developed by the researcher to measure the attitude of healthy staff euthanasia. The SPSS was used to analyze the data. Student t-test, ANOVA, Mann Whitney U, and Kruskal Wallis were used to evaluate the data. The p value 0.05 (95% confidence interval) was accepted as significant. In our study, professional groups are compared with all the factors but there is a significant difference only between social cost and professional groups. © 2008, Baywood Publishing Co., Inc.
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    Erectile function and late-onset hypogonadism symptoms related to lower urinary tract symptom severity in elderly men
    (2013) Bozkurt O.; Bolat D.; Demir O.; Ucer O.; Şahin A.; Ozcift B.; Pektaş A.; Turan T.; Gümüş B.H.; Can E.; Bolukbasi A.; Erol H.; Esen A.
    The aim of this study was to evaluate the relationship between lower urinary tract symptoms (LUTSs), erectile dysfunction (ED) and symptomatic late-onset hypogonadism (SLOH) in ageing men in the Aegean region of Turkey. Five hundred consecutive patients >40 years old who had been in a steady sexual relationship for the past 6 months and were admitted to one of six urology clinics were included in the study. Serum prostate-specific antigen and testosterone levels and urinary flow rates were measured. All patients filled out the International Prostate Symptom Score and Quality of Life (IPSS-QoL), International Index of Erectile Function (IIEF) and Aging Males' Symptoms (AMS) scale forms. Of the patients, 23.9% had mild LUTSs, 53.3% had moderate LUTSs and 22.8% had severe LUTSs. The total testosterone level did not differ between groups. Additionally, 69.6% had ED. The presence of impotence increased with increasing LUTS severity. Symptomatic late-onset hypogonadism (AMS >27) was observed in 71.2% of the patients. The prevalence of severe hypogonadism symptoms increased with the IPSS scores. A correlation analysis revealed that all three questionnaire scores were significantly correlated. In conclusion, LUTS severity is an age-independent risk factor for ED and SLOH. LUTS severity and SLOH symptoms appear to have a strong link that requires etiological and biological clarification in future studies. © 2013 AJA, SIMM & SJTU. All rights reserved.
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    The Importance of DHEA-S Levels in Cushing's Syndrome; Is There a Cut-off Value in the Differential Diagnosis?
    (Georg Thieme Verlag, 2022) Ciftci S.; Soyluk O.; Selek A.; Erol S.; Hekimsoy Z.; Esen A.; Dursun H.; Sahin S.; Oruk G.; Mert M.; Soylu H.; Yurekli B.S.; Ertorer M.E.; Omma T.; Evran M.; Adas M.; Tanrikulu S.; Aydin K.; Pekkolay Z.; Can B.; Karakilic E.; Karaca Z.; Bilen H.; Canturk Z.; Cetinarslan B.; Kadioglu P.; Yarman S.
    The purpose of this study was to determine possible cut-off levels of basal DHEA-S percentile rank in the differential diagnosis of patients with Cushing's syndrome (CS) with ACTH levels in the gray zone and normal DHEA-S levels.In this retrospective study including 623 pathologically confirmed CS, the DHEA-S percentile rank was calculated in 389 patients with DHEA-S levels within reference interval. The patients were classified as group 1 (n=265 Cushing's disease; CD), group 2 (n=104 adrenal CS) and group 3 (n=20 ectopic ACTH syndrome).ROC-curve analyses were used to calculate the optimal cut-off level of DHEA-S percentile rank in the reference interval in the differential diagnosis of CS, and the effectiveness of this cut-off level in the identification of the accurate etiology of CS was assessed in patients who were in gray zone according to their ACTH levels.The DHEA-S percentile rank in the reference interval were significantly lower in group 2 compared to the other two groups (p<0.001), while group 1 and group 3 had similar levels. The optimal cut-off level of DHEA-S percentile rank in the reference interval providing differential diagnosis between group 1 and group 2 was calculated as 19.5th percentile (80.8% sensitivity, 81.5% specificity) and the level demonstrated the accurate etiology in 100% of CD and 76% of adrenal CS patients who were in the gray zone.This study showed that the cut-off value of DHEA-S level less than 20% of the reference interval could be used for differential diagnosis of CD and adrenal CS with high sensitivity and specificity, and it should be taken into the initial evaluation. © 2022 ASTM International. All rights reserved.