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Öğe Applicability of the ROX index in decision-making for hospitalization in COVID-19 patients(Bayrakol Medical Publisher, 2022) Kasapoglu, Umut Sabri; Selcuk, Engin Burak; Yalcinsoy, Murat; Uckac, Kadir; Sahin, Abdullah Fahri; Bentli, RecepAim: Data on the outpatient follow-up of COVID-19 cases is still scarce. Also, the significance of the ROX index in decision-making for hospitalization in the ambulatory COVID-19 cases remains unknown. The aim of this study is to determine the general characteristics of COVID-19 patients treated as outpatients and to investigate whether the ROX index is applicable in hospitalization decisions.Material and Methods: This retrospective cohort study was conducted in confirmed adult COVID-19 cases between 15 October 2020 and 01 March 2021. A total of 5240 confirmed COVID-19 patients were included in the present study. Factors affecting hospitalization were investigated.Results: The study population was divided into two groups as those who require hospitalization (n=672) and those who did not (n=4568). The number of male patients and the mean age of the patients were significantly higher in hospitalized patients group (p=0.046, p<0.001). ROX index that was calculated at the home visit on the third day of disease was found significantly lower in the group of hospitalized patients (p<0.001). There was a significant correlation between ROX index and inflammatory biomarkers in the present study (p<0.001). The ROX index was found the most accurate parameter for decision-making for hospitalization in ambulatory COVID-19 patients (AUC=0.794 CI=0.773-0.814, p<0.001).Discussion: The ROX index can be a useful and objective clinical tool for decision making for hospitalization in the ambulatory COVID-19 cases.Öğe Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research(2023) KARAKAŞ, NEŞE; Deniz, Serdar; Bentli, RecepIntroduction: The current study was aimed to evaluate the attitudes and behaviors of individuals 90 years and older living in Malatya regarding rational drug use. Methods: This cross-sectional, descriptive study was carried out with people aged 90 and over (n=1022) living in Malatya province and its districts. Face-to-face interview method was used to collect study data. In the first part of the form used for data collection, the descriptive characteristics of the participants were questioned, and in the second part, the attitudes and behaviors towards rational drug use were examined. Rational drug use features are evaluated by World Health Organization (WHO) prescribing indicators. Results: The frequency of rational drug use was 84.1%, and the rate of over-the-counter drug use was 19.2% among individuals 90 years and older. 52.3% of the participants had over-the-counter medication at home for use, when necessary, without doctor's recommendation. The most commonly available over-the-counter group of drugs at home were painkillers. Conclusion: The frequency of rational drug use in individuals aged 90 and older has been determined higher than in the literature on individuals aged 65 and older. Education, guidance and counseling programs can be created to increase rational drug use within elderly people communities.Öğe Clinical features and prognostic factors affecting survival of ambulatory followed COVID-19 patients aged over 65 years(Bayrakol Medical Publisher, 2022) Yalcinsoy, Murat; Selcuk, Engin Burak; Uckac, Kadir; Sahin, Abdullah Fahri; Tas, Ayse; Kasapoglu, Umut; Bentli, RecepAim: The majority of the patients with COVID-19 are followed ambulatory. Determination of prognostic factors of mortality in risky groups is essential to improve patient management. The aim of this study is to describe the clinical presentation in patients over 65 years of age with COVID-19 who are followed up at home by a physician and provide insights into the initial prognostic factors in this distinctive population. Material and Methods: This is a retrospective and observational study. Clinical records of the patients aged over 65 years who were visited by the filiation team, including a physician at home, due to the diagnosis of COVID-19 disease within 2 months were reviewed. Factors affecting mortality were examined. Results: Our study included 51 deceased (mean age: 75,1 +/- 9,0 years, 40,2% males), and 102 patients with COVID-19 who survived (mean age: 73,0 +/- 6,9 years, 68,6% male). Platelet count ( < 150.000, OR 7,26, p=0,001), CRP level ( < 4, OR 4,55, p=0,02), albumin level ( OR 3,24, p=0,02), and Troponin I level (OR 0,03, p=0,02) were the strongest predictors for death. When propensity score matching was applied, gender (male, OR 7,14, p=0,02) and platelet count (< 150.000, OR 5,34, p=0,02) were the strongest predictor Discussion: Elderly COVID-19 patients have a high mortality rate. An easily measurable and accessible platelet count may be a predictor of a bad outcome. Close follow-up and timely treatment may significantly reduce mortality in high- risk elderly patients under.Öğe Cyberchondria, Covid-19 phobia, and well-being: a relational study on teachers(Mattioli1885, 2022) Karakaş, Neşe; Tekin, Çiğdem; Bentli, Recep; Demir, EkremBackground: This study aims at investigating level and contributor factors of Cyberchondria, COVID-19-related Phobia, and Well-Being in a sample of teachers in Turkey. Methods: The study was conducted on teachers (n=1000) working in a province in eastern Turkey. Data for the study were collected using a form that included particitest, and Kruskal Wallis analysis of variance were used to analyze the data. Results: As participant's cyberchondria levels rose, C19P-SE scores increased (r=0.271, p<0.001), and WHO-5 scores decreased (r=-0.224, p<0.05). Corona-phobia was higher in those who used social media than in those who did not (p<0.05). Cyberchondria scale scores were higher among those who had taken medications without a physician's recommendation during the pandemic. Participants who had a disabled person or a person in need of care in their household had higher scores for distrust of the physician and C19P-SE than for the cyberchondria severity scale sub-dimension, and the WHO-5 mean scores were lower (p<0.001, P=0.016, and P=0.020, respectively).Conclusions: The study results show that increasing levels of cyberchondria trigger COVID-19 phobias in teachers during the COVID-19 pandemic and negatively affect their well-being. This descriptive study can help understand the risk group for cyberchondria, the influencing factors, and the health and economic consequences, and identify strategies for effective combating with cyberchondria.Öğe Disruption of kinesthesia and position sense in the ankle joint is an independent predictor of falls in elderly patients undergoing hemodialysis(2025) Ulutas, Nihal Sumeyye; Bentli, Recep; BERBER, Ilhami; Ulutaş, ÖzkanAim: Patients receiving HD are more prone to accidental falls than elderly individuals not undergoing HD, leading to higher morbidity and mortality in this group. In this study, we hypothesized that senior HD patients with a history of falls may have impaired ankle kinesthetic position sense. Materials and Methods: This study included 63 hemodialysis patients aged 65 and older. Baseline Timed Up and Go (TUG) test durations and ankle joint inclinometric deviation measurements were assessed in all participants, who were then monitored for fall events over a 12-month period. Patients who experienced one or more falls were classified as the faller group, while the rest were categorized as the non-faller group. Demographic data, laboratory values, TUG test durations, and ankle joint inclinometric deviations were compared between the two groups. Results: Among the 63 patients, 25 (39.7%) were classified as fallers. The mean inclinometric deviation for the entire study population was 4.1±1.9 degrees. Notably, patients in the faller group had a significantly higher deviation (5.5±1.9) compared to those in the non-faller group (3.1±1.2, p=0.000). Age, serum albumin levels, TUG test duration, inclinometric deviation of patients have been included in the logistic regression analysis. Of these parameters, only inclinometric deviation (OR=2.627, p=0.003) was determined as an independent predictor of falls. Conclusion: Falls are prevalent among elderly hemodialysis patients, and impairment of ankle kinesthetic position sense is evident in those who have experienced falls.Öğe Investigation of knowledge, attitude and behaviours of parents refusing childhood vaccines in Malatya, an eastern city of Turkey(Nakladatelske Stredisko CLSJE Purkyne, 2021) Gökçe, Ayşe; Karakaş, Neşe; Özer, Ali; Bentli, RecepObjectives: The modern rise of vaccine rejection in society can alter the current progress that has been made towards the control and prevention of certain diseases, possibly even resulting in epidemics involving these preventable diseases. The aim of this study is to analyse the knowledge, attitude and behaviours of parents in Malatya city who rejected childhood vaccines. Methods: This descriptive, cross-sectional study was conducted between September-November 2019. The study includes parents who rejected vaccines and are registered in the family medicine clinics of Malatya city - total of 453 participants. The objective was to include all parents and avoid a sampling procedure. However, only 151 (33%) parents agreed to participate. These parents who rejected vaccines were individually contacted by phone. Descriptive data was represented by number (n) and percentage (%). The chi-square test was utilized in the statistical analysis of data and p < 0.05 was considered significant in all evaluations. Results: Mothers in the study group had a mean age of 26.07 ± 3.64, while the fathers were on average 30.03 ± 4.59 years of age; 98% of parents were aware of the health risks that vaccine rejection presented; 93% of parents were not satisfied with the explanation, insight, and advice that the healthcare personnel provided regarding vaccines. All parents of the study group stated the following: vaccines should not be administered because other children in their close environment acquired a disease as a result of vaccination, vaccines can harm the immune system of children - not yet fully developed, vaccines are unsafe and endanger the health of children. Conclusions: It can be said that parents who have obtained a lot of false information possess altered decisions and views on vaccinations, to the point where they accept the risks presented by preventable diseases. In addition, individuals lose trust following negative experiences with vaccination.Öğe Stigmatization of healthcare professionals during the COVID-19 pandemic: their psychosocial states and the factors affecting them(Kare Publ, 2023) Tekin, Cigdem; Karakas, Nese; Akbulut, Sami; Kurt, Harun; Bentli, RecepObjectives: It is assumed that healthcare professionals are directly or indirectly subjected to stigma during the COVID-19 pandemic, impacting their psychosocial health. This study aimed to evaluate the psychosocial status of healthcare professionals during the COVID-19 pandemic and examine the factors affecting their exposure to stigma. Methods: This cross-sectional study included all healthcare professionals (n=1132) working in primary and secondary healthcare institutions in Malatya Province. Descriptive questions were asked to measure the stigma experienced by healthcare professionals during the COVID-19 outbreak. The Zung Self-Rating Depression Scale and Insomnia Severity Index were used to evaluate psychosocial health status. Results: Of the participants, 68.7% stated that they were exposed to stigma because they are healthcare professionals. The findings indicated that 72.1% of those who felt stigmatized for being a healthcare professional suffered from mod-erate or severe depression, and 66.9% suffered from subthreshold or moderate insomnia. When their current health state was compared with that before the pandemic, 25.0% said that it became worse\much worse. Conclusion: The results of this study indicated that most participants had been exposed to stigmatization because they are healthcare professionals. The participants who were exposed to stigma were found to suffer more from de-pression and insomnia. When their current health state was compared with that before the pandemic, one of every four participants stated that it became worse/much worse.
