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    Evaluation Of Morbid Obese Patients In Terms Of Sexual Dysfunctions: A Cross-Sectional Study
    (2022) YAPRAK, BÜLENT; Sahin, ibrahim; evren, bahri; keskin, lezan; erbay, lale gonenir
    Aim: Obesity is a risk factor for sexual dysfunction. The aim of this study was to determine the frequency of sexual dysfunction in patients diagnosed with morbid obesity.Methods: The patient group included in the study consisted of 78 morbidly obese patients with BMI?40 kg/m2 and 68 healthy individuals with normal BMI. The data were obtained by using the sociodemographic information form filled by the participants, Beck anxiety scale, Beck depression scale and Golombok Rust Sexual Satisfaction Inventory.Results: Obese individuals were found to have sexual dysfunction compared to individuals with normal body BMI (p<0.05). When the Golombok Rust subscale scores of obese men were compared to those of normal-weight individuals, a significant deterioration was found in all subscale scores, including frequency, communication, satisfaction, avoidance, touch, impotence and premature ejaculation. In addition, the anxiety and depression scores of obese individuals were shown to be higher than those of normal-weight individuals (p<0.05).Conclusion: Morbidly obese individuals should be evaluated in terms of sexual functions. We believe that regulating obesity treatment, including possible treatment for sexual dysfunction, will increase the success rate and enhance the quality of life for patients.
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    How effective is the obesity treatment on improving oxidative stress? Is there any difference between drugs?
    (2022) keskin, lezan; Sahin, ibrahim; Yavuz, Dilek Gogas; Yuksel, Meral; Taskapan, Mehmet
    Introduction: Obesity shortens the life period and decreases its quality, causing several complications. Recently, oxidative stress produced by lipid peroxydation is considered a cardiovascular risk factor. In this study, we aimed to investigate the relationship between weight loss with lipid profile, insulin resistance, and lipid peroxidation products malondialdehyde (MDA, oxidant) and paraoxonase-1 (PON1, antioxidant) levels which is protective in atherosclerosis, and to evaluate alteration on oxidative stress. Methods: Patients diagnosed as obese at the Endocrinology and Metabolic Diseases Outpatient Clinics of Inonu University Faculty of Medicine between December 2005 and February 2008 were studied. 103 patients were included in the study. Study population was divided into two treatment groups. In the first group, 120 mg of orlistat, three times daily, and in the second group, sibutramine 15 mg per day were given in addition to appropriate diet therapy. The patients were evaluated at the end of three months treatment period. Results: Dramatic changes in body weight, Body Mass Index (BMI), and waist and hip circumference were observed during the three-month evaluation in patients receiving orlistat or sibutramine. Additionally, significant improvements were measured in systolic- diastolic blood pressure levels, lipid levels, and insulin resistance. The decrease in the MDA level and the increase in the PON level were similar and significant in both patient groups. Discussion and Conclusion: The treatment of obesity, aimed at reducing body weight, acts to reduce oxidative stress by increasing paraoxonase-1 activity (antioxidant) and reducing the amount of the peroxidation product malondialdehyde (oxidant), regardless of the type of medication administered.
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    The Use Complementary and Alternative Practices among Adult Patients with Diabetes Mellitus: An Example of University Hospital
    (2025) Aktura, seher Çevik; evren, bahri; sarıtaş, seyhan çıtlık; Sahin, ibrahim
    Aim: The consequences of diabetes mellitus (DM) have a serious impact on the quality of life. As the results obtained from diabetes management are not satisfactory for some patients, they resort to complementary and alternative practice (CAP) methods. The study was conducted in order to examine the patients with diabetes mellitus who use and do not use CAP according to various variables. Material and Methods: The study was designed as a cross-sectional study. The data were collected between January-July 2020. The research was carried out at endocrine service and outpatient clinics of a university hospital. The data were analyzed using descriptive statistics, and chi-square analysis. Results: In the study, it was determined that 21% of diabetic patients used one of the CAP methods and mostly preferred herbal tea [chamomile, green tea, clove, sage, thyme] and cinnamon. It was found that 54,5% of the patients used CAP practices during the treatment process, 31,8% as soon as the diagnosis was made, 11,4% before treatment and 2.3% after treatment. In the study, 70,5% of the patients stated that they knew the effect of the CAP method they used, 56,8% found the CAP method useful, and 81,8% stated that they had no health problems related to the method they used. It was found that 43,2% of the patients used CAP for 1-3 months, 47,7% used it every week. Conclusion: It was observed that patients with DM who participated in the study frequently used CAP methods to reduce/stabilise blood glucose levels and mostly used information teas and cinnamon. It was observed that half of the patients received information about the CAP method from neighbours/friends and only one third of the patients stated that they benefited from the CAP method they used.