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Biomedical subjects

Hakan Yaman

Publications and source records attributed to Hakan Yaman.

13 recordsLinked to original sources
PubMed2005

The use of a standardized pre-participation physical examination form in Turkish adolescent athletes.

OBJECTIVE: The pre-participation physical examination (PPE) has become the standard of care for athletes of all ages. The PPE is generally intended to identify medical conditions that may affect safe and effective participation in organized sports. The aim of this study is to validate and to implement a standardized questionnaire in Turkish language, which might aid Turkish physicians during the PPE. METHODS: A total of 1350 athletes visiting the yearly PPE of the Directorate of Sports and Youth in Isparta, Turkey were asked to participate in this study between October 2001 and November 2001. Eight hundred and ten (60%) students accepted to fill out the questionnaire. A self-reported questionnaire that includes 2 parts has been administered. The first part included questions on socio-demographics. Second part is a translated PPE evaluation form. The questionnaire has been piloted in 15 adolescent students. Athletes have been examined afterwards by one of the medical practitioner and he used the questionnaire (PPE Evaluation Form) to identify additional problems in each athlete. RESULTS: Participants were predominantly male, with higher family income and social security, active at an amateur level, participated in team, and in contact sports. Internal consistency of the PPE form was Cronbach alpha=0.69. Thirty-one (3.8%) athletes had significant findings that needed further evaluation. No one was disqualified after follow-up. Eight items, which asked for certain cardiovascular risk factors, had significant relation to cardiovascular findings of PPE [Chi-Square (1) = 7.4-99.6, p<0.01]. An additional 132 (16.3%) athletes had significant problems that never had been adequately evaluated or treated but which were not likely to affect safe sports participation. CONCLUSION: The Turkish PPE form seems to be promising tool to support the physician during PPE. Using a standardized and valid PPE tool might diminish the dependency of primary care physicians to technological equipment, which are mostly not available in developing countries' primary health care settings and would also reduce the costs of PPE, which might not be affordable for athletes without social security.

Adolescent↗
PubMed2004

[A survey study on "Turk-Orthopod", a Turkish electronic discussion group in orthopedics and traumatology].

OBJECTIVES: This study evaluated demographic data of Turk-orthopod members, an electronic mailing list organized for communication between Turkish speaking orthopedic surgeons, and the contribution of the mailing list to the academic improvement and education of its members. METHODS: A twenty-seven item questionnaire was prepared for online survey and an e-mail massage was sent to the members of the e-group asking them to respond to the questionnaire. RESULTS: The response rate was 33% (n=225; 224 males, 1 female; mean age 36.5 years; range 25 to 64 years). A great majority of the respondents (74.2%) worked in a teaching hospital as a member of active education; 104 respondents worked in a medical school, and 76 respondents (33.8%) had a faculty membership. Access to scientific information (55.1%) was the most frequent reason for using the Internet. Messages related to case discussions (60.9%) and scientific announcements (27.6%) received the most attention and interest. Of the participants, 56.4% reported to have read all the incoming messages, and 35.1% reported not to have sent any messages to the group. CONCLUSION: Our electronic discussion group, Turk-orthopod, has proved to be a quick communication tool, presenting a considerable potential to contribute to continuous medical education of Turkish orthopedists.

Adult↗
PubMed2004

Breastfeeding practices of health professionals and care workers in Turkey.

Breastfeeding has a significant positive impact on the health of infants and is the best nutrition source. Health professionals/care workers play a considerable role in the promotion of breast-feeding. The knowledge and attitude level of health professionals/care workers and its influence on their own breastfeeding behaviour was investigated. Two hundred sixty three of 345 health care workers (response rate = 76.2%) working in Children and Birth Hospitals and primary health care centres in a rural city (Isparta) in south Turkey participated in this study. A questionnaire was administered. Descriptive statistics and chi2 test have been used (alpha = 0.05) to analyse the data. Seventy four (41.1%) of the respondents with children (n = 180) exclusively nursed their children for less than 4 months; 62 (34.4%) nursed beyond 6 months. Physicians with children (n = 14, 53.8%) were used to exclusively breastfeed less than 4 months (chi2 (4) = 9.76, p = 0.045). This study showed a difference between health professionals/care workers attitudes and knowledge level and their or their spouses breastfeeding behaviour. The reason why knowledge level of health professionals did not translate into their own or their spouses' breastfeeding practices needs to be evaluated in further studies.

Adult↗
PubMed2003

AIDS knowledge and educational needs of technical university students in Turkey.

AIDS is a main health problem of the recent century and is now considered a very important cause for mortality and morbidity among young people. The aim of this research is to determine the Turkish university students knowledge, sexual risk behavior, attitude towards AIDS and educational needs concerning AIDS. A cross-sectional exploratory design is utilized in this study. One thousand four hundred and twenty-seven university new registrants from the Middle East Technical University participated and answered a 32-item self-administered questionnaire. The questionnaire addressed sociodemographics, sexual risk behavior, self-assessed knowledge on HIV transmission and AIDS, attitudes towards AIDS infection and AIDS patient, source of information and need for AIDS course. The response rate was 84%. Two hundred and seventy-one (19%) participants had sexual intercourse. Eighty-one (30%) participants reported condom use during the last encounter. Seven hundred and twenty-four (51%) stated they knew "very much" about AIDS. Students of faculty of engineering (n=384, 69%), economic and administrative sciences (n=115, 55%), and architecture (n=42, 52%) declared they knew "very much" on AIDS and had a higher frequency as the students from the faculty of arts and sciences (n=119, 43%) and education (n=64, 40%). Television was reported as the major source of information about AIDS (n=871, 61%). Students in faculty of education had lower scores than others (P=0.01). Almost all students stated that there should be a course on AIDS in their curriculum. Educational and medical institutions are the minor information sources for students at universities. Therefore, schools have to integrate new courses on AIDS and sexual health in their curricula, physicians caring for these students have to take more time for health education.

Acquired Immunodeficiency Syndrome↗
PubMed2003

Perceptions of physicians on infection control activities in Turkish hospitals: a cross-sectional survey.

BACKGROUND: Most countries practice some form of infection control (IC) to minimize hospital-acquired infections. There is still considerable diversity in IC activities in Turkey. Little is known about practical issues and perceptions of physicians regarding IC in Turkey. METHODS: The authors developed an 11-item questionnaire addressing questions on IC activities. Physicians attending a national infection control meeting (n = 285) were asked to participate. RESULTS: The response rate was 86%. Respondents from nonuniversity teaching hospitals stated a higher involvement in IC. Physicians from university hospitals were in greater need of IC training. CONCLUSIONS: Academic hospitals are particularly concerned with IC. Domains such as surveillance of endemic hospital infections, specific preventive protocols, antibiotics policy, and staff education should be addressed by IC committees. IC is well established in Turkey, but there is still a long way to go to reach the standards found in developed countries.

Attitude of Health Personnel↗
PubMed2002

Continuing medical education in Turkey: recent developments.

BACKGROUND: The Turkish Association of Medicine founded a Continuing Medical Education Accreditation Committee in 1993 to evaluate and accredit scientific meetings and publications. The aims of this project were to raise the standards of meetings and to introduce compulsory revalidation and re-certification for physicians in Turkey. DISCUSSION: Since the year 1994, 2348 applications to the Continuing Medical Education board have been made (mostly for scientific meetings), and 95% of these applications have been accepted. Physicians received 139.014 credits during this time. This number is increasing every year. Meeting organisers' demand for such a kind of evaluation is increasing, because participants increasingly request it. SUMMARY: Efforts for revalidation and re-certification of physicians have not been completely successful yet. In the near future the Co-ordination Council of Medical Speciality Societies is going to oblige member associations to establish speciality boards. This will be the first step to the conventional use of Continuing Medical Education credits in occupational evaluation. Time-limited re-certification of physicians is the principal goal of Turkish Medical Association. Efforts to implement this change in legislation are being made.

Education, Medical, Continuing↗
PubMed2002

Health problems among UN refugees at a family medical centre in Ankara, Turkey.

OBJECTIVES: Political lability in the Near East has brought about the migration of refugees from adjacent countries to Turkey in recent years. To provide an effective health service for refugees, a needs assessment has to be done. UN refugees referring to a family medical centre located in Ankara, Turkey, were therefore investigated for health problems. DESIGN: Medical records were studied retrospectively for age distribution, gender, origin, diagnoses, type of treatment and referral to a secondary health care setting. SUBJECTS: 212 refugees of different countries (mostly from Iraq, Iran and Palestine). RESULTS: Infectious disease was the most often diagnosed condition. Post-traumatic stress disorders could be observed in 12% of refugees. CONCLUSION: The family physician must be careful not to misdiagnose these disorders during medical examination. Most disease can be diagnosed and treated in family practice. Special care must be taken in the case of mental disorders.

Adult↗
PubMed2002

The prevalence of antibodies to hepatitis A among preschool children in an urban setting in Turkey.

The prevalence of antibodies to hepatitis A virus (HAV) was investigated in 114 children (59.7 per cent males) aged 4-6 years, in the campus area of Middle East Technical University, Ankara, Turkey. The prevalence of hepatitis A antibody in this age group was 11.4 per cent (13/114). The rate of immunized children against hepatitis A was 3.65 per cent (5/137). In conclusion the prevalence of anti-HAV demonstrates the susceptibility of other preschool children to hepatitis A. This may be a cause for considering hepatitis A vaccination before preschool attendance in Turkey.

Biomarkers↗
PubMed2002

Satisfaction with family medicine training in Turkey: survey of residents.

AIM: To explore how satisfied family medicine residents are with their training in teaching hospitals and current postgraduate training program. METHODS: We surveyed 135 family medicine residents in 5 teaching hospitals in Ankara region. The residents were asked to fill out the questionnaire at their work place. The questionnaire consisted of 23 open- and closed-ended questions about general demographic data, training conditions, appropriateness of training, and quality of training delivered by clinical teachers in family medicine. The response rate was 75%. RESULTS: Seventy percent of respondents found the order of rotation important. Most residents were satisfied with the duration of rotation. Eighty two percent of residents found basic skills taught during the course of the training to be insufficient. Fifty five percent of the participants felt that training in teaching hospitals was not sufficient, and majority desired training in family practice settings. Ninety-nine respondents suggested establishing a coordinating center for family medicine training and training of clinical teachers in topics relevant to family practice. CONCLUSION: Family medicine residents were generally dissatisfied with their training in major teaching hospitals in Turkey. Postgraduate family medicine curriculum needs to be changed and opinions of residents regarding their training should be taken into consideration.

Education, Medical, Graduate↗
PubMed2002

The job related burnout questionnaire. A multinational pilot study.

OBJECTIVE: In preparation for investigating burnout among general practitioners internationally, we examined the validity and reliability of an instrument called the Maslach Burnout Inventory (MBI). METHOD: Twenty-four members from 16 European countries who attended the European General Practice Workshop in Gdansk, Poland (Autumn, 2001) were mailed a draft version of the MBI, and asked to administer it to a small group of family physicians. CONCLUSION: This pilot study suggests the MBI scale is reliable and valid. We believe it of use in identifying GPs at risk of, or already experiencing, burnout.

Adult↗