Browsing by Author "Konuk, N"

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    THE IMPACT OF PHYSICAL AND PSYCHOLOGICAL COMORBID CONDITIONS ON THE QUALITY OF LIFE OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION: A MULTI-CENTER, CROSS-SECTIONAL OBSERVATIONAL STUDY FROM TURKEY
    Sertoz, OO; Aydemir, O; Gulpek, D; Elbi, H; Ozenli, Y; Yilmaz, A; Ozan, E; Atesci, F; Abay, E; Semiz, M; Direk, N; Hocaoglu, C; Elyas, Z; Ozmen, M; Ozen, S; Konuk, N
    Objective: Acute myocardial infarction (MI) has significant and detrimental effects on the lifestyles of the patients. It has been shown that quality of life (QoL) in patients with MI is impaired in every aspect. This study aims to evaluate the impact of depression and physical comorbidity on QoL in Turkish patients with acute first MI. Method: This multi-center cross-sectional study was carried out in 15 centers with 998 patients hospitalized for acute first MI. For detection of depression, Beck Depression Inventory (BDI) was used. For evaluation of QoL, World Health Organization Quality of Life Questionnaire (WHOQOL) was applied. Results: The mean age of the patients was 57.5 +/- 10.1 years and 79.2 % (n = 792) of the patients were men. Patients with comorbid depression (BDI >= 10) and comorbid medical conditions, and female patients had significantly lower scores in every domain of WHOQOL. In the regression analysis model, female gender, low education, comorbid medical conditions, especially comorbid hypertension, and BDI score were found to have a significant effect on the domains of WHOQOL. Conclusions: Female patients are more prone to impairment in quality of life after myocardial infarction. Both comorbid medical conditions and depression have a significant impact on the impairment of QoL in Turkish patients with acute MI. In order to improve the subjective wellbeing of post MI patients, both psychiatric and physical comorbidities must be detected and managed even in the short term.
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    Undergraduate Psychiatric Training in Turkey
    Basterzi, ADC; Tükel, R; Ulusahin, A; Coskun, B; Alkin, T; Demet, MM; Konuk, N; Tasdelen, B
    Objective: The current trend in medical education is to abandon the experience-based traditional model and embrace the competency-based education model (CBE). The basic principle behind CBE is standardization. The first step in standardization is to determine what students must know, what they must accomplish, and what attitude they should display, and the establishment of educational goals. One of the goals of the Psychiatric Association of Turkey, Psychiatric Training Section is to standardize psychiatric training in Turkish medical schools. This study aimed to determine the current state of undergraduate psychiatric training in Turkish medical schools. Method: Questionnaires were sent to the psychiatry department chairs 01 41 medical schools. Data were analyzed using descriptive statistical methods. Results: Of the 41 department chairs that were sent the questionnaire, 29 (70%) completed and returned them, of which 16 (66.7%) reported that they had already defined goals and educational objectives for their undergraduate psychiatric training programs. The Core Education Program, prepared by the Turkish Medicine and Health Education Council, was predominately used at 9 (37.5%) medical schools. Pre-clinical and clinical training schedules varied between medical schools. In all, 3 of the medical schools did not offer internships in psychiatry. The majority of chairs emphasized the importance of mood disorders (49.9%) and anxiety disorders (40%), suggesting that these disorders should be treated by general practitioners. Computer technology was commonly used for lecturing; however, utilization of interactive and skill-based teaching methods was limited. The most commonly used evaluation methods were written examination (87.5%) during preclinical training and oral examination (91.6%) during clinical training. Conclusion: The most important finding of this study was the lack of a standardized curriculum for psychiatrictraining in Turkey. Standardization of psychiatric training in Turkish medical schools must be developed