Person: TOPUZOĞLU, AHMET
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TOPUZOĞLU
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AHMET
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Publication Open Access Assessment of adjustment disorder in people with COVID-19 infection(2023-01-01) PEKER, MEHMET SERTAÇ; TOPUZOĞLU, AHMET; PEKER M. S., TOPUZOĞLU A.Objective: This study aimed to evaluate the development of adjustment disorder according to the ADNM-20 (Adjustment Disorder New Module-20) scale in participants who were followed up for Covid-19 infection. Methods: A cross-sectional survey was conducted from September to November 2020. After sample size calculation, we aimed to reach minimum 170 people out of 1290 people who applied to the hospital for Covid-19 disease treatment. Participants were selected from the patients admitted to the hospital using a simple stratified random sampling method. We reached 182 people after treating the patients who were followed up with Covid-19 infection in a University Hospital in Istanbul, Turkey. A questionnaire and the Adjustment Disorder New Module-20 scale were applied via phone / mail at the end of the 6th month after Covid-19 related hospital admission by researchers. Results: Adjustment disorder was found in 28.8 % (n=42) of the participants disorder according to the ADNM-20 scale. While the rate of development of adjustment disorder due to Covid-19-related stress was 26.7 % (n=39); the rate of development of adjustment disorder due to non-Covid-19 stress was found to be 2.1 % (n=3). With the increase in stress load, the development of adjustment disorder increased significantly. The frequency of developing Covid-19-related stress-related adjustment disorder was statistically significantly increased with the duration of exposure to stress. Conclusion: We have found out that one out of every four people who apply to the hospital for healthcare services due to Covid-19 infection may develop an adjustment disorder. Assessment of the adjustment disorder more frequently and making early interventions may contribute to the prevention of progressive mental disorders.Publication Open Access Transmission of SARS-CoV-2 in Different Districts of a County in Istanbul, March to September 2020(SAGE PUBLICATIONS INC, 2021-07) TOPUZOĞLU, AHMET; Bilgin, Huseyin; Topuzoglu, Ahmet; Korten, VolkanEpidemics caused by airborne viruses in cities with large populations create a big problem as in the current COVID-19 pandemic. Cramped lifestyle, busy workplaces, crowded public transportation, and higher household member counts are responsible for the transmission of the disease. In Turkey, Istanbul has taken the lead in the number of cases since the beginning of the epidemic. The excess population density is the major cause for disease transmission. It is essential to monitor the contaminated regions with geographical information systems on city maps. Outbreak maps visualize and help analyze the patterns of transmission and serve as a communication and education tool. A dynamic heat map video of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) polymerase chain reaction positive cases in a county of Istanbul was generated. The heat map visualizes how the epidemic spread to all the districts and the cumulative cases increased in one county of Istanbul with real attack rates.Publication Open Access The barriers against childhood immunizations: a qualitative research among socio-economically disadvantaged mothers(OXFORD UNIV PRESS, 2007-03-28) TOPUZOĞLU, AHMET; Topuzoglu, Ahmet; Ay, Pinar; Hidiroglu, Seyhan; Gurbuz, YucelBackground: The socio-economically disadvantaged populations are among the most vulnerable groups that are under-vaccinated. Therefore, the aim of this qualitative study was to understand the behaviours of mothers concerning the immunization of their children, the decision-making process, the perceived barriers, and the enabling factors to access the services in a suburban population in Istanbul. Method: Eight focus group discussions and two in-depth interviews were carried out with the mothers who have children younger than five years. Results: While the responsibility of immunization was left totally to the mother, the socially subordinate role of women did not provide the means of getting the immunization services. The women were dependent mostly on social networks for getting the immunization services. Another important barrier to the services was related to the economical constraints and accessibility of the services. In addition, the lack of effective communication and information transfer between the health personnel and the mothers formed an important obstacle. Conclusion: This study underlines a need for an effective counselling tailored to the immunization session, which will maintain a positive relationship between the personnel and the mother.Publication Open Access Effect of circumcision on urinary tract infection in boys(TURKISH PEDIATRICS ASSOC, 2011-06-15) TOPUZOĞLU, AHMET; Ozdemir, Nihal; Alpay, Harika; Biyikli, Nese; Gokce, Ibrahim; Topuzoglu, AhmetAim: To assess the effect of circumcision after the newborn period on recurrence of urinary tract infections (UTI) in boys. Material and Method: Fifty-six boys ranging in age from 1 to 70 months (median 5 months) with UTI were evaluated retrospectively. Renal ultrasonography and dimercaptosuccinic acid scan were performed in all patients at admission. Voiding-cystourethrography was performed in selected patients. Thirty-three boys had no underlying vesicoureteral reflux (VUR), 23 boys had VUR grade 1-3. Regular urine samples were cultured to detect UTI, defined as a single species with > 10(5) colony-forming units/ml. Number of UTI per urine sample (number) and per follow-up time (month) were compared before and after circumcision. Results: In the whole group; median UTI per sample was 0.33 (IR; 0.21) before circumcision and 0.0 (IR; 0.50) after circumcision, median UTI per month was 0.37 (IR; 0.51) before circumcision and 0.0 (IR; 0.0) after circumcision. When the analysis was done seperately, UTI episodes were significantly lower after circumcision both in patients with no underlying urinary tract anomaly and patients with low grade reflux. Conclusions: This study suggests that circumcision after the newborn period decreases recurrence of urinary tract infections in preschool boys with and without reflux. (Turk Arch Ped 2010; 45: 137-40)Publication Open Access A qualitative analysis evaluating how medical students perceive COVID-19 pandemic and its impact on their lives: Life in the Pandemic(2023-06-01) AYVAZ, İLKNUR; GİRGİN, ŞEVKET; LÜLECİ, NİMET EMEL; HIDIROĞLU, SEYHAN; TOPUZOĞLU, AHMET; SAVE, DİLŞAD; KARAVUŞ, MELDA; Ataoğlu B. N., Kesen Yurtcanlı C. H., Doğanç F. B., Çekici D., Peker Ş., Bakır Keser N., Ayvaz İ., Girgin Ş., Sandal Kılıç A., Doğan Jamil S., et al.One of the groups experiencing the pandemic’s effects were students. This study was aimed to evaluate the effects of the COVID-19 pandemic on the lives of medical students and also to see their perspectives about the pandemic. This study is designed as a qualitative study. In-depth interviews were conducted with 30 medical students on an online platform in February 2022, at the end of the third peak period. A semi-structured question guide used as a data collection tool. First, questions about individual characteristics then open-ended questions about their COVID-19 pandemic perception and its impact on their lives were asked. The thematic analysis method was used and \"Life in the pandemic\" were grouped into two main themes: 1.Perception of the Pandemic and Consequent Impact on Life and 2. Pandemic Period and Its Impact on Life. The median age was 22. Half of the participants have been diagnosed with COVID-19. All of the participants were vaccinated. In this study it has been observed that the majority of the medical students have perceived the COVID-19 pandemic as a difficult period and also as a new, uncertain and adverse situation. Another adverse effect perceived by the majority was restriction of social life. Fear and anxiety were most commonly used to express their mood during the pandemic. During the pandemic students individual, mental and social lives are highly affected. While negative effects are generally seen during the social isolation process, this situation has eased with the normalisation of the process.Publication Open Access Impact of different antiseptics on umbilical cord colonization and cord separation time(J INFECTION DEVELOPING COUNTRIES, 2017-02-28) TOPUZOĞLU, AHMET; Ozdemir, Hulya; Bilgen, Hulya; Topuzoglu, Ahmet; Coskun, Senay; Soyletir, Guner; Bakir, Mustafa; Ozek, ErenIntroduction: There is still some uncertainty on cord care practices all around the world, especially in developing countries. The aim of our study was to investigate the effects of six different umbilical cord care practices on the rate of colonization and cord separation time. Methodology: A total of 516 newborns were randomly allocated to the following six umbilical cord care groups: group 1 received dry care; groups 2-4 received a single application of 70% alcohol, 4% chlorhexidine, or povidon-iodine in the delivery room, respectively, which were discontinued thereafter; groups 5 and 6 received a single application of 70% alcohol or 4% chlorhexidine, respectively, starting in the delivery room and continuing every six hours until discharge. Umbilical cords were examined on the second and third days and between the fifth and seventh day for signs of omphalitis. Swab cultures were taken on the second or third day from all cases. Results: Cord separation time (median [interquartile range]) was the shortest for group 1 (7 [6-7] days) and the longest for group 3 (10 [7-12] days) and group 6 (10 [8-12] days) (p < 0.001). The cord colonization in the swab cultures was significantly lower in groups 3 and 6 (p < 0.001). Omphalitis was detected in eight (1.5%) patients among the study population, and there was no significant difference between the groups. Conclusions: Our study showed that chlorhexidine application was the most effective agent in decreasing colonization, though it increased cord separation time significantly in both groups.Publication Open Access Asemptomatik covıd-19 olgularında bulaştırıcılığın ve ilişkili faktörlerin değerlendirilmesi(2022-01-01) GİRGİN, ŞEVKET; TOPUZOĞLU, AHMET; SAVE, DİLŞAD; Peker Ş., Kurnaz Ay M., Girgin Ş., Topuzoğlu A., Save D.COVID-19 (SARS-CoV-2) pandemisi; prevalansı, ciddi klinik sonuçları ve kolay bulaşan bir enfeksiyon olması nedeniyle günümüzün en öncelikli halk sağlığı sorunları arasında bulunmaktadır. Enfeksiyonun kliniği asemptomatik düzeyden çoklu organ yetmezliğine değişiklik göstermektedir. Araştırmalara göre COVID-19 enfeksiyonu geçirenlerin %17,9-%80,0’inin asemptomatik olgular olduğu bildirilmiştir. Asemptomatik olguların önlem alınmaması halinde COVID-19’u geniş kitlelere bulaştırma potansiyeli üzerine tartışmalar sürmektedir. Ayrıca asemptomatik olgularda hastaların viral yükü, viral bulaşma modelleri ve potansiyel enfektivitesi ile ilgili belirsizlikler mevcuttur. Serolojik testlerle hastalığın immün sistem üzerindeki etkileri izlenebilmektedir fakat enfeksiyonu geçiren bireylerde bağışıklık süresine ilişkin net bir uzlaşma sağlanamamıştır. Bu belirsizliklerin açığa kavuşturulması salgınla mücadele açısından önemli bir yere sahiptir.Bu makalede; COVID-19 enfeksiyonunu asemptomatik olarak geçiren olgularla ilgili yapılmış olan araştırmalarderlenerek olguların tespiti, hastalığı bulaştırma düzeyleri, viral yükleri, bulaştırıcılık süreleri ve potansiyel enfektiviteleriile ilgili konular tartışılmıştır.Publication Open Access Gestasyonel Di̇abetes Melli̇tus Yaşam Tarzı Müdahaleleri̇ ile Önlenebi̇li̇r mi?(2020-06-15) TOPUZOĞLU, AHMET; Pınar KUMRU;Ahmet TOPUZOĞLU;Nimet Emel LÜLECİGestasyonel diyabetes mellitus(GDM) gebelik sırasında ortaya çıkan, kısa ve uzun vadede anne/yenidoğanda ciddi mortalite ve morbidite artışına neden olan önemli bir komplikasyondur. GDM prevalansı dünyada artan tip 2 Diabetes Mellitus ile paralel olarak artış göstermektedir. GDM nüksü de oldukça yaygın olarak (%40-73) bildirilmiş olup bu durum anne/fetüs/çocuk sağlığı risklerini daha da artırmaktadır. GDM için bilinen en önemli değiştirilebilir ve bağımsız risk faktörleri; gebelik öncesi fazla kilolu / obez olmak ve gebelik sırasında aşırı kilo almaktırLiteratürde prospektif kohort çalışmalarda, gebelik sırasında diyet, aktivite artışı ve çeşitli sağlıklı davranış stratejilerini içeren yaşam tarzı müdahaleler ile GDM riskinin azaltılabileceği bildirilmesine rağmen, bu konudaki randomize kontrollü çalışmalarda tutarsızlıklar vardır. Bazı araştırmalar bu tür müdahalelerin GDM'nin önlenmesinde etkili olduğunu, bazıları ise etkisi olmadığını bildirmiştir. GDM öyküsü olan kadınlarda doğum sonrası yaşam tarzı müdahalelerinin etkilerini inceleyen araştırmalar, uzun dönemde diyabet insidansının azaldığını ve kardiyovasküler hastalık risk faktörlerinde iyileşme olduğunu göstermiştir. Bununla birlikte, gebelik sırasında ve gebelik öncesi yaşam tarzı müdahalelerinin sonraki GDM üzerine etkileri henüz bilinmemektedir.Bundan sonraki süreçte, GDM'yi önlemek amacı tüm toplum için özellikle de adolesan kız çocukları ve üreme çağındaki kadınlar için optimal sağlıklı yaşam tarzı stratejisinin belirlenmesi ve toplumda benimsenerek yaygınlaşmasının sağlanmalıdır. Geliştirilecek halk sağlığı stratejisinin belirlenmesi için ise güçlü, iyi tasarlanmış randomize klinik çalışmalara ihtiyaç vardırPublication Open Access Evaluation of the effects of emotional intelligence status on the communication skills of the faculty of medicine students(MARMARA UNIV, FAC MEDICINE, 2021-05-25) TOPUZOĞLU, AHMET; Kurnaz Ay, Merve; Sulaiman, Tasnim Musa; Garabli, Nefise; Acar, Yusuf; Uzunoglu, Ihsan; Akkus, Mehmet; Topuzoglu, AhmetObjective: In this study, we aimed to evaluate the emotional intelligence levels of the faculty of medicine students and to determine the effects of emotional intelligence levels on communication skills, and the effect of sociodemographic factors on emotional intelligence and communication skills. Materials and Methods: The faculty of medicine students constituted the sample of this descriptive study. The research was completed with a total of 225 students selected by the haphazard sampling method from each year of a six - year medical school. The data were collected using a questionnaire consisting of sociodemographic characteristics, the Emotional Intelligence Assessment Scale (ETAS), and the Communication Skills Evaluation Scale (CSES). Results: In our study, 44.4% (n = 100) of the participants were male , 55.6% (n = 125) were female. Approximately, 46.7% (n = 105) had low, 44.4% (100) had normal and 8.9% (n = 20) had high emotional intelligence. The communication skills mean score was found to be statistically significantly higher in female than in male. There was a moderate level of a positive correlation between emotional intelligence and communication skills. Conclusion: In conclusion, participants with a high level of emotional intelligence have better communication skills. In training programs, more emphasis can be given to emotion management, emotional intelligence, and communication skills.Publication Open Access Corpus callosum volume in patients with first-episode psychosis(2022-06-01) TOPUZOĞLU, AHMET; Agdanlil O., TOPUZOĞLU A., KARABAY N., Alptekin K.Objective In first-episode psychosis, a relationship may exist between disruption communication between two brain hemispheres and psychosis symptomatology. We aimed to investigate the relationship between corpus callosum (CC) volume and psychosis symptomatology in patients with first-episode psychosis. Methods This is a retrospective case-control study wherein first-episode psychosis cases and healthy controls were included from inpatient unit archives of the Department of Psychiatry and Department of Radiology, Dokuz Eylül University School of Medicine. Psychosis symptoms were assessed using the positive and negative syndrome scale (PANSS). The CC, the chief connection between two brain hemispheres, was examined using magnetic resonance imaging (MRI); 27 patients with first-episode psychosis and 29 healthy volunteers were evaluated via 1.5-T MR. MRI findings of CC volumes of the two groups were compared. Correlations between PANSS scores and CC volume were also evaluated. Results The CC volume was lower in patients with first-episode psychosis than in healthy controls. Moreover, we observed a significant negative correlation between the CC volume and emotional withdrawal scores, and a significant positive correlation between the CC volume and hallucinations. Conclusions The CC is a vital structure that connects two frontal lobes of the brain. There may be CC abnormalities in first-episode psychosis. Emotional withdrawal is associated with decreased CC volume, whereas hallucinations are associated with increased CC volume. The development of these symptoms may be associated with changes in CC connections.