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Öğe Assessment of 5556 applications submitted to the rights of patient unit of a university hospital(DRUNPP-SARAJEVO, 2012) Durduran, Yasemin; Okka, Berrin; Bodur, Said; Dindas, HamideObjective: The first step in assessing applications and the practice of the rights of patient in hospitals is the rights of patient unit. The practices the patients are not satisfied with have to be determined in great detail in order to increase the patient satisfaction. This study was carried out to explicate the applications of the patients or their relatives to the rights of patient unit. Methods: Study design: This descriptive archive study was carried out in Konya (Turkey) in April-June 2011. Setting: In the study, the applications made to the Rights of Patient Unit of Meram Medical Faculty of Selcuk University were examined. Participants: 5556 applications made in January-2006 and March-2011 were examined. Intervention(s): Register books the applications were registered in, complaint box forms, letters of applications, and the contents of the files comprising online applications were evaluated. The data were transcribed to verse forms prepared for this purpose. Main Outcome Measure(s): Independent variables of the study were demographic features; and dependent variables were the department/person to whom the complaints were brought, the complaints, and the way they were responded. Statistics: The data were coded and assessed on electronic environment. The applications were expressed in a number of ways; however, they were summed up under 10 main topics. In descriptions the percentages were used, and in comparisons chi-square was used. Results: The number of applications submitted to the rights of patient unit tended to increase. 51% of the application forms 31% of which were submitted by women were made via complaint boxes and 31% directly. 59% of the applicants were from the metropolis center, and the remaining were from long-distance. 85% of the applications were complaints, 15% were suggestions, demands, and thanks. The first three of the application cases consisted of the communication problems by 19% rate, hitch in the service by 15% rate, and disapproval of physical conditions by 13%. 41% of the applications were about persons and 59% about institutions and service procedures. The personnel complained about the most were the physicians by 41% (P<0.001). The rate of the personal applications increased every year (P<0,001). While the rate of suggestions and thanks decreased, the rate of applications about the hitch in the service increased. Conclusion: According to the findings of this study, the level of expectations of the patients and their relatives from hospitals is increasing. It can be concluded that the patients with similar problems behave more self-confidently. Increasing the communication skills and acquainting the patients with the contents of the patient rights may decrease the complaints.Öğe Attitudes of Medical Freshmen's About Some Principles of Professionalism(Drunpp-Sarajevo, 2010) Karaoğlu, Nazan; Okka, Berrin; Şeker, MuzafferObjectives: The baseline of teaching professionalism is teaching cognitive bases of professionalism and internalization of its values by students. It is necessary to know the current status of professionalism and then educating about lapses of it and assessing the results. This study aims to determine the proper attitudes and the effect of six month faculty experience to these attitudes. Study Design: An anonymous and voluntary questionnaire consisting of brief socio-demographic variables and 25 sentences about some principles of professionalisms was applied to the new entrants of Selcuk University Meram Medical Faculty at the first and terms of 2007-2008 academic years. Chi-square test was used in statistical analyses and significance accepted as p=0.05. Results: The first questionnaire represented 76.9% (107/139), and second 179.8% (111/139) of new entrants. There were 54 male (50.5%), 53 female (49.5%) in the first group and 62 male (55.9%) and 49 female (44.1%) in the second group. In answers of sentences there was a significant negative change about professionalism in seven items and a non-significant negative change in 11 items. Conclusion: This study shows negative changes in the attitudes of new entrants towards some principles of professionalism. It must be the first aim to integrate these lapsing points to the curriculum and to evaluate the results.Öğe The curriculum and education of medicine after Galen in Alexandria, Egypt(SAUDI MED J, 2012) Okka, Berrin; Demirci, MustafaIn the medieval history of Islamic medicine sources, there is a lot of information regarding the translation of the books on the Alexandria Medical School and regarding the bibliographies of doctors. Among the books that were taught in Alexandria Medical School, Galen's works are the most important. One of the famous translators, Hunayn ibn Ishaq, has made a full bibliographic list of Galen's works. Galen's corpus consisted of 16 books in summary. This corpus is called "Jawami al-Iskandaraniyyin". These books consisted of 7 training stages. The data on our research show that this corpus that was brought together during the last period of the Alexandria Medical School has been passed on to the Muslims as a whole, and has continued to be taught in a way according to the old traditions. Saudi Med J 2012; Vol. 33 (9): 937-941Öğe Diabetik retinopatide Farnsworth-Munsell 100 Ton Renk Testi sonuçları(Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü, 2002-07-08) Okka, Berrin; Ergene, NeyhanDiabetes mellitus (DM), geç komplikasyonları nedeniyle görmeyi tehdit eden ve hatta görme kayıplarına yol açan en önemli sağlık sorunlarından biridir. DM'un retinada neden olduğu mikrovasküler değişiklikler olarak tanımlanan diabetik retinopati ilerleyici bir hastalıktır. Bugün diabetik retinopatide önce fonksiyonel değişimlerin olduğu ve bunu morfolojik değişikliklerin izlediği kabul edilmekte ve bu erken lezyonların erken tam ve tedavi ile geriye döndürülebileceği düşünülmektedir. Bu nedenle de fonksiyonel değişikliklerin erken tanısı önem kazanmaktadır. Tezin amacı DM'lu olgularda retinal hasarın erken dönemde tespiti ve hastalığın seyrini izlemede kullanılan testlerden biri olan Farnsworth-Munsell (FM) 100 ton renk görme testinin tanısal değerinin araştırılmasıdır. S. Ü. Meram Tıp Fakültesi Göz Hastalıkları Anabilim Dalı polikliniği ve Türk Diabet Cemiyeti polikliniğine başvurarak takip ve tedavi edilen 100 hastanın 186 gözüne ve kontrol grubu olarak belirlediğimiz 30 sağlıklı bireyin 60 gözüne FM 100 ton testi uygulandı. FM 100 ton testi sonuçlarının değerlendirilmesinde kadran analizi yöntemi kullanıldı. Sonuçların istatistiksel açıdan değerlendirilmesinde X2 testi kullanıldı, P< 0.05 anlamlı olarak kabul edildi. DM'lu grup ile kontrol grubu karşılaştırıldığında, DM'lu hastalarda renk görmede belirgin kötüleşmenin olduğu ve bu renk görme defektlerinin hastalığın ilerlemesi ve süresi ile doğru orantılı olarak arttığı, hakim olan renk defektinin mavi-sarı renk defekti tipinde olduğu gözlendi. 51 DM'lu olgularda henüz retinopati bulguları ortaya çıkmadan renkli görmede bozukluk oluştuğu, bu defektin tespitinde FM 100 ton testinin öneminin olduğu, retinopatinin tam ve takibinde bu testin kullanılmasının hastalığın erken tanısı ve klinik seyrinin izlenmesinde önemli ölçüde yardımcı olabileceği sonucuna varıldı.Öğe Improvement in rabbit corneal cell suspension viability after freezing with Gingko Biloba extract.(2007) Aktan, Murad; Okka, Berrin; Okka, Mehmet; Duman, SelçukWe investigated whether the addition of Gingko Biloba extract (EGb 761) to rabbit corneal epithelial medium before cell freezing improved cell viability after freezing then thawing. After removal of corneas, they were treated with enzymes and the corneal epithelium was prepared as a single cell suspension in freezing media with or without EGb 761. After freezing for two weeks then thawing, a higher cell viability was found in the cornea cell suspensions which had been frozen pretreated with EGb 761 in the media. The improvement with corneal cell viability with EGb 761 pretreatment is postulated to be based on the antioxidant capacity of the plant extract.Öğe Knowledge of new entrant medical students about medical errors in Selcuk University: An educational perspective(ORTADOGU AD PRES & PUBL CO, 2008) Karaoglu, Nazan; Seker, Muzaffer; Kara, Fatih; Okka, BerrinObjective: In the recent years, medical errors and patient safety have held a great emphasis especially since the report of the Institute of Medicine was published in 1999. Medical students witness and sometimes are involved in unsafe Situations, errors, adverse events etc. The first years of medical education is a chance to teach students medical errors and patient safety. The aim of this cross-sectional descriptive study was to asses the knowledge of medical students on medical errors and the effect of education on knowledge. Material and Methods: This study was conducted in Meram Medical Faculty of Selcuk University. We prepared a questionnaire including the definition of, attitudes towards and reporting of medical errors according to the literature on this subject. This questionnaire was given to first and second year students by the authors during a lesson in November 2007. Results: Study population consisted of 119 male and 123 female students. In the error definition questions although the first year students received 11.24 +/- 4.64 points, second year students had 9.34 +/- 5.38 points. Females had 11.30 +/- 4.67 points and males had 9.14 +/- 5.36 points. The most unrecognized medical error was on prophylaxis (54.4% in the first year, 60.5% in the second year). Misdiagnosis was the most recognized error in both groups. Conclusion: We suggest that patient safety culture can be established properly, easily and correctly if students are equipped with the required knowledge on medical errors starting from the first years of medical education. This may then improve the quality of medical staffs and institutes.Öğe Traditional practices of Konya women during pregnancy, birth, the postpartum period, and newborn care(TUBITAK SCIENTIFIC & TECHNICAL RESEARCH COUNCIL TURKEY, 2016) Okka, Berrin; Durduran, Yasemin; Kodaz, Neslihan DegerliBackground/aim: The purpose of the present study was to identify traditional practices and the extent to which they are practiced by mothers during pregnancy, birth, the postpartum period, and newborn care. Materials and methods: This study was conducted in the city center of Konya (Turkey). Data were collected through questionnaires completed by volunteers. The research sample comprised 450 mothers, all of whom had given birth to at least one live baby. The forms were completed during face-to-face interviews. Results: Some traditional pregnancy practices were followed by 70.7% of the participants. Of the women who performed these practices, 57.4% consciously chose foods they craved, tried not to take nutrients believed to be unsuitable in pregnancy, and took nutrients believed to influence the sex of the baby; 85.6% reported breastfeeding their babies in the first 4 h after birth and 9.7% waited for the first call to prayer (azan) to start breastfeeding. Additionally, 72.2% of the mothers reported performing kirklama (making the forties), a ceremony performed to celebrate the 40th day after a baby's birth. Conclusion: Most of the women who participated in the study still followed some traditional practices and rituals during pregnancy and the postpartum period. Therefore, health care professionals should provide health education that accounts for the women's cultural and social environment.Öğe Traditional practices of Konya women during pregnancy, birth, the postpartumperiod, and newborn care(2016) Okka, Berrin; Durduran, Yasemin; Kodaz, Neslihan DeğerliBackground/aim: The purpose of the present study was to identify traditional practices and the extent to which they are practiced by mothers during pregnancy, birth, the postpartum period, and newborn care. Materials and methods: This study was conducted in the city center of Konya (Turkey). Data were collected through questionnaires completed by volunteers. The research sample comprised 450 mothers, all of whom had given birth to at least one live baby. The forms were completed during face-to-face interviews. Results: Some traditional pregnancy practices were followed by 70.7% of the participants. Of the women who performed these practices, 57.4% consciously chose foods they craved, tried not to take nutrients believed to be unsuitable in pregnancy, and took nutrients believed to influence the sex of the baby; 85.6% reported breastfeeding their babies in the first 4 h after birth and 9.7% waited for the first call to prayer (azan) to start breastfeeding. Additionally, 72.2% of the mothers reported performing kırklama (making the forties), a ceremony performed to celebrate the 40th day after a babys birth. Conclusion: Most of the women who participated in the study still followed some traditional practices and rituals during pregnancy and the postpartum period. Therefore, health care professionals should provide health education that accounts for the womens cultural and social environment.Öğe Yaşlılıkta Yaşam Kalitesi Değerlendirilmesi: Kamu Hastanesine Başvuranlar Örneği(Selçuk Üniversitesi, 2018 Eylül) Durduran, Yasemin; Okka, Berrin; Şafak, Şadiye; Karaoğlu, Nazan; Uyar, MehmetAmaç: Günümüzde yaşlılık dönemi sadece kronolojik yaş olarak kabul edilmekle kalmayıp, aynı zamanda yaşlılık çağında sağlıklı yaşlanmanın ve yaşam kalitesinin önemi vurgulanmaktadır. Çalışmada, bir kamu hastanesine başvuran 65 yaş ve üzeri kişilerin sağlıkla ilgili yaşam kalitesi durumu ve yaşam kalitesini etkileyebilecek faktörlerin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Çalışma, Konya’da bir kamu hastanesine başvuran ve çalışmaya katılmayı kabul eden 65 yaş ve üstü bireylerle yapıldı. Veri toplanmasında, sosyodemografik özellikleri ve hekim tanılı kronik hastalıklarının varlığını sorgulayan bir anket ile Yaşam Kalitesi Kısa Form-36 ölçeği kullanıldı. Veriler, uygun istatistiksel testlerle analiz edildi. Bulgular: Katılımcıların % 78,3’ü 65-74 yaş grubunda olup; % 54,0’ının kronik hastalığı, %7,2’sinin engeli vardı. Yaşlılıkla ilgili mutsuz eden bir olay varlığını belirten % 27,0 katılımcı olurken; katılımcıların % 42,2’sinin uyku problemi vardı. Çalışma grubunun sosyal fonksiyonellik alt boyut puan ortalaması 48,52 ± 20,48, mental-ruh sağlığı 47,15 ± 15,33, genel sağlık alanındaki ortalama puanı 46,56 ± 18,06 idi. Ağrı skoru, yaşlılık ile ilgili üzüntü yaşayanlarda (p=0,04) ve uyku problemleri olanlarda (p = 0,001) diğerlerinden yüksekti. Sonuç: Yaşam kalitesi alt boyutlarına ait puan ortalamaları düşüktür. Yaşlılıkla ilgili, yaşlıları mutsuz edici davranışlar vardır. Yaşlılarda kronik hastalıklar, uyku sorunları ve psikososyal sorunlar birlikte düşünüldüğünde, yaşlı bireylerde izleme ve koruyucu hizmetlere yönelik çalışmaların önemine bir kez daha dikkat çekilmesi gerektiği düşüncesindeyiz.
