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2. Pediatric Residency Training in Türkiye.

Author

Alikaşifoğlu, Müjgan

Subjects
*ACCREDITATION, *INTERNSHIP programs, *EVALUATION of human services programs, *CONTINUING medical education, *PEDIATRICS, *ERIC (Information retrieval system)
Abstract

In our country, the Ministry of Health is involved in the regulation and licensure of postgraduate medical education. The Turkish Medical Association plays a role in specialist training through the Coordination Board of Specialist Associations. There are two big associations that are members of the Turkish Medical Association (The Turkish Pediatric Association, The Turkish National Pediatric Association). Modern medical education in the Ottoman Empire started on 14 March 1827. The first Turkish book on newborn care and diseases was written in 1844. Lectures by a pediatrician, at the Military Medical School began in the 1900s. With the law, which was enacted on 8 November 1928 in the Republican period, a requirement of licensure in pediatrics was determined as a two-year working period. With the 1933 university reform, the İstanbul University Medical Faculty Department of Pediatrics was established. Today, Pediatrics residency training continues to be given in 62 Medical Faculties and 29 Training and Research Hospitals, according to the quota data for the 2023 Medical Specialization Examination. In 1995, the Turkish Pediatric Association and the Turkish National Pediatric Association came together and decided to work on improving Pediatric Education in Turkey. On September 14, 2003, the General Assembly of the Turkish Pediatrics Board convened for the first time. In 2019, the board of pediatrics accelerated its work with a new perspective. In 2020, the Pediatric board started accreditation of educational programs and in 2021, two levels (Knowledge and skill exams) the National board exam. [ABSTRACT FROM AUTHOR]

Published
2023
Full Text
View/download PDF

16. The relationship between cardiometabolic risks and vitamin D levels with the degree of obesity.

Author

Güneş, Aslı Okbay, Alikaşifoğlu, Müjgan, Erginoz, Ethem, Köse, Selmin, Çelik, Emre, Vehid, Suphi, and Ercan, Oya

Subjects
*BLOOD pressure, *BODY weight, *CARDIOVASCULAR diseases risk factors, *CHI-squared test, *STATISTICAL correlation, *CHILDHOOD obesity, *REGRESSION analysis, *RISK assessment, *STATISTICS, *VITAMIN D, *DATA analysis, *BODY mass index, *CROSS-sectional method, *RETROSPECTIVE studies, *DESCRIPTIVE statistics, *MANN Whitney U Test, *ADOLESCENCE
Abstract

Aim: The aim of this study was to evaluate the cardiometabolic risk factors including vitamin D levels according to the degree of obesity in adolescents. Material and Methods: This is a retrospective cross-sectional study. A total of 363 overweight/obese adolescents aged between 11 and 18 years who were evaluated in our clinic from January 2012 to December 2015 were included in the study. The degree of obesity was calculated as the body mass index standard deviation. Hypertension, dys-lipidemia, hyperinsulinemia, hyperglycemia, insulin resistance, and vitamin D deficiency were defined as cardiometabolic risk factors. Mann-Whitney U, Chi-square, Spearman and Pearson's correlation tests, and linear regressions analyses were used for statistical analyses. Results: Of the 319 (n=319/363) adolescents, all of whose cardiometabolic risk factors were known, 267 (85.7%) had at least one cardiometabolic risk factor. The body mass index standard deviation had a positive correlation with the number of cardiometabolic risk factors (p<0.001). In the linear regression models in which sex and age were considered as covariates, an increase of one unit in the body mass index standard deviation led to an increase of 6.085 mm Hg in systolic blood pressure, 4.4 mm Hg in diastolic blood pressure, 1.59 points in HOMA-IR, 13% in insulin level, and a decrease of 2.16 ng/mL in vitamin D levels. Conclusion: In adolescents, the number of cardiometabolic risk factors increases as the degree of obesity increases. The determination of the severity of obesity can help to identify individuals at greater risk for higher blood pressure, impaired glucose metabolism, and lower serum vitamin D levels. On the other hand, the degree of obesity may not reflect the presence of abnormal lipid and glucose levels. [ABSTRACT FROM AUTHOR]

Published
2019
Full Text
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17. Ergen dostu sağlık hizmetleri

Author

ALİKAŞİFOĞLU, Müjgan

Subjects
Ergen dostu sağlık hizmetleri,gizlilik,psikososyal öykü
Abstract

Adolescent friendly health services should be nbsp; accessible approachable acceptable appropriate and affordable Health centers are found acceptable approachable and appropriate by adolescents if they are designed for them and have health professionals with necessary knowledge and skills on special health needs of adolescents In these health centers both medical and social services could be offered nbsp; to the adolescents Thus psychologists and social workers should be working nbsp; together with physicians and nurses in adolescent friendly health centers Whatever the reason for a physician to meet with an adolescent is her his aim should be to evaluate general health of the adolescent including risk behaviors besides nbsp; the evaluation of the actual reason of nbsp; the adolescent rsquo;s nbsp; visit nbsp; This visit should also be accepted as an opportunity for the adolescent to learn about being nbsp; healthier and building healthier life style and besides health guidance services should be offered Complying nbsp; with confidentiality is important for adolescent health services Psychosocial evaluation nbsp; is an important element of adolescent friendly health services nbsp; ldquo;HEADSSS rdquo; is a widely used instrument for psychosocial history taking This instrument nbsp; was named with the initials of the words nbsp; ldquo;home rdquo; ldquo;education rdquo; ldquo;activities rdquo; ldquo;drug use rdquo; ldquo;sex rdquo; ldquo;suicidality rdquo; and ldquo;safety rdquo; HEADSSS is a psychosocial screening tool which screen basic areas that can cause stress in an adolescent rsquo;s life nbsp; and is suitable for clinical use Because this instrument screens individual risk it can be used for all adolescents In summary a physician who screens an adolescent both for medical and social problems who determines the adolescent rsquo;s nbsp; priorities nbsp; together with him her and who takes effective intervention nbsp; and prevention measures in an adolescent friendly environment could play an important role in protecting and promoting nbsp; the nbsp; adolescent rsquo;s health Turk Arch Ped nbsp; 2011; 46 Suppl: 1 3, Ergen dostu sağlık hizmetleri bulunabilir ulaşılabilir yaklaşılabilir kabul edilebilir uygun ve ödenebilir olmalıdır Sağlık hizmetlerinin ergenler tarafından kabul edilebilir yaklaşılabilir ve uygun bulunabilmesi ise hizmetlerin sunulduğu ortamın onlar için hazırlanmış olmasına ve hizmeti sunanların da onlara özgü sağlık gereksinimleri hakkında bilgi ve beceri sahibi olmasına bağlıdır Sağlık merkezine başvuran ergene sağlık hizmetleri ve sosyal hizmetler bir arada sunulabilmelidir Bu nedenle ergen dostu sağlık merkezlerinde hekim ve hemşirenin yanı sıra psikolog ve sosyal hizmet uzmanı da bulunmalıdır Ergenlere hizmet sunan ekipte en az bir kişinin değişmeden kalması da nbsp;hizmetin başarısı açısından önemlidir Herhangi bir nedenle bir ergenle karşılaşan hekimin amacı ergenin hekime başvuru nedeninin değerlendirilmesinin yanı sıra riskli davranışlar dahil ergenin genel sağlık durumunu değerlendirmek olmalıdır Aynı zamanda bu ziyaret ergenin daha sağlıklı olmayı öğrenmesi ve sağlıklı bir yaşam biçimi geliştirebilmesi için de bir fırsat olarak kabul edilmeli ve sağlık danışmanlığı hizmetleri de sunulmalıdır Ergen sağlığı hizmetlerinde gizlilik ilkesine uyulması önemlidir Ergen dostu sağlık hizmetlerinin önemli bir parçasını psiko sosyal değerlendirme oluşturmaktadır Psikososyal öykü alınırken yaygın kullanılan araçlardan biri ldquo;HEADSSS rdquo; dir Bu araç ev rdquo;home rdquo; eğitim ldquo;education rdquo; etkinlikler ldquo;activities rdquo; madde kullanımı ldquo;drug use rdquo; cinsel davranışlar ve cinsel kimlik ldquo;sex rdquo; intihar eğilimi ldquo;suicidality rdquo; ve güvenlik ldquo;safety rdquo; kelimelerinin baş harfleri yan yana getirilerek adlandırılmıştır ldquo;HEADSSS rdquo; ergenlerin yaşantılarında stres kaynağı olabilecek temel alanlara değinen klinik kullanıma oldukça uygun bir psikososyal tarama aracıdır Bu araç nbsp;kişisel riski taradığından her ergene uygulanabilir Sonuç olarak ergen dostu bir ortamda ergenin medikal ve psikososyal sorunlarını tarayan onunla birlikte önceliklerini saptayan ve etkin önleme ve müdahale çalışmalarında bulunan bir hekim ergenin sağlığının korunması ve iyileştirilmesinde çok önemli bir rol oynayabilir Türk Ped Arş 2011; 46 Özel Sayı: 1 3

Published
2014

18. P9 OKULUN VE ARKADAŞLARIN 11 13 VE 15 YAŞINDAKİ ÖĞRENCİLERİN SAĞLIK DURUMLARINA ETKİSİ

Author

OCAK, Süheyla, ERCAN, Oya, ALİKAŞİFOĞLU, Müjgan, ERGİNÖZ, Ethem, UYSAL, Ömer, ALBAYRAK, Deniz Kaymak, OKTAY, Gülşah, YÜCEL, İlker Kemal, and EKİCİ, Barış

Abstract

In 2005 a youth consultation and health center has been established by cooperation of nbsp; Turkish Ministry of Health UNFPA and UNİCEF nbsp; Two doctors 2 psychologists and 1 dietician is serving in our center In this center we serve for diagnosis and treatment of adolescents and when needed nbsp; reference to other institutions Consultation on nbsp; physical sexual development psycho social development personal hygiene nutrition physical exercise smoking and alcohol use secure behaviors secure sexual life and psychological problems is also given nbsp; Adolescents generally apply to the center for reasons like conflict with parents low academic performance aggression being overweight computer addiction conflict with siblings and being short As a result of our experience we think that in order to develop adolescent health services all nbsp; health centers should be organized as ldquo;youth friendly rdquo; Turk Arch Ped nbsp; 2011; 46 Suppl: 135 7, Giriş: Pulmoner hipertansiyonu olmayan izole ventriküler septal defektli VSD olgularda ekokardiyografideki sol kalp boşluklarının genişlikleri ile kateter anjiyografideki pulmoner kan akımının sistemik kan akımına oranı Qp Qs arasındaki ilişki araştırıldı

Published
2014

19. P7 ONBİR 13 15 YAŞINDAKİ ÖĞRENCİLERİN SAĞLIK DURUMLARI VE SAĞLIK DAVRANIŞLARI İLE İLİŞKİSİ

Author

Oktay, Gülşah, Alikaşifoğlu, Müjgan, Erginöz, Ethem, Albayrak, Deniz Kaymak, Uysal, Ömer, Ocak, Süheyla, Ekici, Barış, Yücel, İlker Kemal, and Ercan, Oya

Abstract

In 2005 a youth consultation and health center has been established by cooperation of nbsp; Turkish Ministry of Health UNFPA and UNİCEF nbsp; Two doctors 2 psychologists and 1 dietician is serving in our center In this center we serve for diagnosis and treatment of adolescents and when needed nbsp; reference to other institutions Consultation on nbsp; physical sexual development psycho social development personal hygiene nutrition physical exercise smoking and alcohol use secure behaviors secure sexual life and psychological problems is also given nbsp; Adolescents generally apply to the center for reasons like conflict with parents low academic performance aggression being overweight computer addiction conflict with siblings and being short As a result of our experience we think that in order to develop adolescent health services all nbsp; health centers should be organized as ldquo;youth friendly rdquo; Turk Arch Ped nbsp; 2011; 46 Suppl: 135 7, Giriş: Pulmoner hipertansiyonu olmayan izole ventriküler septal defektli VSD olgularda ekokardiyografideki sol kalp boşluklarının genişlikleri ile kateter anjiyografideki pulmoner kan akımının sistemik kan akımına oranı Qp Qs arasındaki ilişki araştırıldı

Published
2014

20. P6 ONBİR 13 VE 15 YAŞINDAKİ ÖĞRENCİLERİN BESLENME ALIŞKANLIKLARININ FİZİKSEL AKTİVİTE VE VÜCUT KİTLE İNDEKSİ İLE İLİŞKİLERİ

Author

Ekici, Barış, Ercan, Oya, Alikaşifoğlu, Müjgan, Erginöz, Ethem, Uysal, Ömer, Albayrak, Deniz Kaymak, Oktay, Gülşah, Yücel, İlker Kemal, and Ocak, Süheyla

Abstract

In 2005 a youth consultation and health center has been established by cooperation of nbsp; Turkish Ministry of Health UNFPA and UNİCEF nbsp; Two doctors 2 psychologists and 1 dietician is serving in our center In this center we serve for diagnosis and treatment of adolescents and when needed nbsp; reference to other institutions Consultation on nbsp; physical sexual development psycho social development personal hygiene nutrition physical exercise smoking and alcohol use secure behaviors secure sexual life and psychological problems is also given nbsp; Adolescents generally apply to the center for reasons like conflict with parents low academic performance aggression being overweight computer addiction conflict with siblings and being short As a result of our experience we think that in order to develop adolescent health services all nbsp; health centers should be organized as ldquo;youth friendly rdquo; Turk Arch Ped nbsp; 2011; 46 Suppl: 135 7, Giriş: Pulmoner hipertansiyonu olmayan izole ventriküler septal defektli VSD olgularda ekokardiyografideki sol kalp boşluklarının genişlikleri ile kateter anjiyografideki pulmoner kan akımının sistemik kan akımına oranı Qp Qs arasındaki ilişki araştırıldı

Published
2014

21. Akran istismarı

Author

Alikaşifoğlu, Müjgan

Subjects
Akran istismarı,fiziksel sağlık,ruhsal sağlık,önleme
Abstract

Peer abuse is commonly seen as bullying behaviors The most common definition of bullying used in the literature was formulated by Dan nbsp;Olweus According to Olweus bullying is an aggressive behavior that: a is intended to cause harm or distress b occurs repeatedly over nbsp;time and c occurs in a relationship in which there is an imbalance of power Peer abuse shares many characteristics with other types of nbsp;abuse namely child maltreatment and domestic violence Bullying behaviors may be physical verbal non physical and non verbal and may be direct and indirect nbsp; Boys are more nbsp;ikely than girls to report bullying behaviors While boys are bullied by only boys girls are bullied by both girls and boys Although nbsp; being bullied decreases with age bullying others does not show the same pattern Researches identified nbsp; many nbsp;individual and environmental factors that place children and adolescents at risk nbsp; for bullying nbsp; others and being bullied Bullying may effect the physical and psychological health and academic work of children who are targeted Physicians have important roles in identifying at risk nbsp, Akran istismarı sıklıkla kabadayılık zorbalık davranışları şeklinde karşımıza çıkmaktadır Kabadayılık zorbalığın yaygın olarak kabul edilen tanımlaması Dan Olweus tarafından yapılmıştır Olweus rsquo;a göre kabadayılık zorbalık nbsp; saldırgan bir davranıştır Güç dengesizliği olan ilişkilerde gözlenir Karşı tarafa zarar ya da sıkıntı vermeye yöneliktir ve zaman içerisinde tekrarlanır Kabadayılık zorbalığın çocuk istismarı aile içi şiddet gibi diğer istismar tipleriyle pek çok ortak özelliği vardır Kabadayılık zorbalık fiziksel sözel ya da diğer direkt ya da indirekt yöntemler nbsp;kullanılarak gerçekleştirilebilir nbsp; Bu davranışlar erkeklerde daha sık görülmekte ve erkekler erkekler tarafından hedef seçilirken kızlar hem erkekler hem de kızlar tarafından hedef seçilmektedir Kabadayılığa zorbalığa uğrama yaşla azalırken kabadayılık zorbalık yapma yaşla nbsp

Published
2014

22. P8 ONBİR 13 VE15 YAŞINDAKİ ÖĞRENCİLERİN ŞİDDET DAVRANIŞLARI: MEDYANIN ETKİSİ VE SAĞLIKLA İLİŞKİSİ

Author

YÜCEL, İlker Kemal, ERGİNÖZ, Ethem, ERCAN, Oya, ALİKAŞİFOĞLU, Müjgan, ALBAYRAK, Deniz Kaymak, UYSAL, Ömer, Ekici, Barış, OCAK, Süheyla, and OKTAY, Gülşah

Abstract

In 2005 a youth consultation and health center has been established by cooperation of nbsp; Turkish Ministry of Health UNFPA and UNİCEF nbsp; Two doctors 2 psychologists and 1 dietician is serving in our center In this center we serve for diagnosis and treatment of adolescents and when needed nbsp; reference to other institutions Consultation on nbsp; physical sexual development psycho social development personal hygiene nutrition physical exercise smoking and alcohol use secure behaviors secure sexual life and psychological problems is also given nbsp; Adolescents generally apply to the center for reasons like conflict with parents low academic performance aggression being overweight computer addiction conflict with siblings and being short As a result of our experience we think that in order to develop adolescent health services all nbsp; health centers should be organized as ldquo;youth friendly rdquo; Turk Arch Ped nbsp; 2011; 46 Suppl: 135 7, Giriş: Pulmoner hipertansiyonu olmayan izole ventriküler septal defektli VSD olgularda ekokardiyografideki sol kalp boşluklarının genişlikleri ile kateter anjiyografideki pulmoner kan akımının sistemik kan akımına oranı Qp Qs arasındaki ilişki araştırıldı

Published
2014

23. The Relationship of Disordered Eating Attitudes with Stress Level, Bone Turnover Markers, and Bone Mineral Density in Obese Adolescents.

Author

Güneş, Aslı Okbay, Alikaşifoğlu, Müjgan, Demirdöğen, Ezgi Şen, Erginöz, Ethem, Demir, Türkay, Kucur, Mine, and Ercan, Oya

Subjects
*FEMUR neck, *CONFIDENCE intervals, *STATISTICAL correlation, *EATING disorders, *EATING disorders in adolescence, *HYDROCORTISONE, *INTERVIEWING, *LONGITUDINAL method, *CLASSIFICATION of mental disorders, *CHILDHOOD obesity, *PROBABILITY theory, *PSYCHOLOGICAL tests, *REGRESSION analysis, *RESEARCH funding, *STATISTICS, *PSYCHOLOGICAL stress, *T-test (Statistics), *DATA analysis, *MULTIPLE regression analysis, *BONE density, *CROSS-sectional method, *DATA analysis software, *STATE-Trait Anxiety Inventory, *DESCRIPTIVE statistics, *PHOTON absorptiometry, *MANN Whitney U Test, *PHYSIOLOGY
Abstract

Objective: To investigate the effect of stress caused by disordered eating attitudes on bone health in obese adolescents. Methods: A cross-sectional study comprising 80 obese adolescents was performed from November 2013 to September 2014. Twentyfour- hour urinary free cortisol levels were measured as a biological marker of stress. Bone turnover was evaluated using bone-specific alkaline phosphatase, serum osteocalcin, and urinary N-telopeptide concentrations. Bone mineral density was measured using dualenergy X-ray absorptiometry. The Eating Disorder Examination Questionnaire, Dutch Eating Behavior Questionnaire, Children's Depression Inventory, and the State-Trait Anxiety Inventory for Children were used to assess eating disorders, depression, and anxiety. Psychiatric examinations were performed for binge eating disorders. Results: In the Pearson's correlation test, a positive correlation was found between the 24-hour urinary cortisol level and Dutch Eating Behavior Questionnaire total and restrained eating subscale scores (p<0.05 for both). In linear regression analyses, the Dutch Eating Behavior Questionnaire total and restrained eating subscale scores were found to be significant contributors for urinary cortisol level (β=1.008, p=0.035; β=2.296, p=0.014, respectively). The femoral neck areal bone mineral density was found to be significantly higher in subjects who had binge eating disorder compared with those without binge eating disorder (p=0.049). Conclusion: Despite the lack of apparent effects on bone turnover and bone mineral density in our obese adolescents at the time of the study, our results suggest that disordered eating attitudes, and especially restrained eating attitudes, might be a source of stress. Therefore, studies in this area should continue. [ABSTRACT FROM AUTHOR]

Published
2017
Full Text
View/download PDF

26. Türkiye’deki 11, 13, 15 yaşındaki okul çocuklarının fiziksel etkinlik düzeylerinin demografik özellikler, beslenme alışkanlıkları ve hareketsiz yaşam davranışlarıyla ilişkisi

Author

Erginöz, Ethem, primary, Alikaşifoğlu, Müjgan, additional, Ercan, Oya, additional, Uysal, Ömer, additional, Ekici, Barış, additional, Kaymak Albayrak, Deniz, additional, Gülşah, Oktay, additional, Yücel, İlker, additional, and Ocak, Süheyla, additional

Published
2011
Full Text
View/download PDF

28. Çocukluk çağı tüberküloz enfeksiyonunda T lenfosit altgrupları

Author

Alikaşifoğlu, Müjgan and Diğer

Subjects
T lymphocytes, Tuberculosis, Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases
Abstract

68 ÖZET Çocukluk çağı tüberküloz enfeksiyonunun farklı klinik tiplerin de hücresel immün sistem araştırılmıştır. Bu amaçla T lenfosit, T4 ve T8 lenfosit sayısal değerleri monoklonal antikorlar kullanılarak belirlenmiş tir. Lenfosit, T ve T lenfosit alt grupları sayısal değerlerinin tüberküloz enfeksiyonunun klinik tabloları, PPD ile değerlendirilen geç aşırı deri duyarlılığı yanıtı ve kemoterapi ile ilişkisi araştırılmıştır. Çalışma grubuna yaş dağılımı 1 yaş ile 14 yaş 3 ay arasında de ğişen 26 yeni tanı konulmuş tüberkülozlu hasta alınmıştır. Kontrol grubuna yaş dağılımı 1 yaş 4 ay ile 13 yaş 5 ay arasında değişen 14 sağlıklı çocuk alınmıştır. Çalışmanın ilk bölümünde tüberkülozlu hastaların tedavi öncesi ve tedavinin 8. haftasında saptanan lenfosit, T lenfosit, T4 ve T8 lenfosit değerleri kontrol grubu değerleri ile ve tedavi öncesi ve sonrası değerle ri kendi aralarında karşılaştırılmıştır. İkinci bölümde ise tüberkülozlu hastalar Lenzini sınıflamasına göre reaktif ve nonreaktif olmak üzere iki gruba ayrılarak veriler karşılaştırılmıştır. Üçüncü bölümde ise PPD ile değerlendirilen geç aşırı deri duyarlılığı yanıtı ile lenfosit, T lenfosit ve alt grupları arasındaki ilişki incelenmiştir. Aktif tüberkülozlu hastaların tedavi öncesi lenfosit, T lenfosit ve T8 lenfosit değerleri ile kontrol grubu değerleri arasında anlamlı fark69 bulunmamıştır. T4 lenfosit değerleri ise tüberkülozlu hastalarda anlamlı olarak düşük bulunmuştur (p

Published
1994

29. İzmir'de liseye devam eden ergenlerin sağlık davranışları.

Author

Çavdar, Sabanur, Sümer, Esin Çetinkaya, Eliaçık, Kayı, Arslan, Aslıhan, Koyun, Begüm, Korkmaz, Nurhan, Kanık, Ali, Erginöz, Ethem, Ercan, Oya, and Alikaşifoğlu, Müjgan

Subjects
BULLYING, CHI-squared test, ALCOHOL drinking, FOOD habits, HEALTH behavior, HIGH school students, QUESTIONNAIRES, SELF-evaluation, SEX distribution, SMOKING, SURVEYS, TEENAGERS' conduct of life, TELEVISION, DISEASE prevalence, CROSS-sectional method, DESCRIPTIVE statistics, CLUSTER sampling
Abstract

Copyright of Türk Pediatri Arşivi is the property of Aves Yayincilik Ltd. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2016
Full Text
View/download PDF

33. Ergenlerde menstrüel dængü bozuklukları.

Author

Evliyaoğlu, Olcay, Alikaşifoğlu, Müjgan, and Ercan, Oya

Subjects
*TEENAGE girls, *PHYSIOLOGY of women, *MENSTRUAL cycle, *ENDOCRINE gynecology, *TEENAGE girls' health, TEENAGE girl physiology
Abstract

In adolescence, for the initiation of normal menstrual cycle hypothalamo-pituitary-ovarian axis should be intact in addition to good general health, different disorders can cause primary-secondary amenorrhea or menstrual irregularities. The first two years after menarche is generally anovulatory thus in normal adolescents in the first years of menstrual life irregularities in menstrual cycle and menstrual blood flow can be observed. Physiology of normal menstrual cycle, menstrual disorders, their diagnosis and treatment are discussed in this review. [ABSTRACT FROM AUTHOR]

Published
2010

34. Ergenlerde riskli davranıŞlar.

Author

Alikaşifoğlu, Müjgan and Ercan, Oya

Subjects
*ADOLESCENCE, *RISK-taking behavior, *VIOLENCE, *HEALTH, *WELL-being, *BEHAVIORAL assessment
Abstract

Knowledge about adolescent risk behavior has expanded in the past several decades. Risk behaviors, such as substance use, violent behavior and sexual risk behavior are behaviors that can directly or indirectly compromise well-being and health of young people. Studies showed that there are many risk factors leading to engage in risk behaviors. Studies also showed that risk behaviors can result in many negative outcomes or adverse consequences. However, there is great heterogeneity in the linkage between involvement in risk behaviors and the likelihood of adverse outcomes, and there is also great heterogeneity in the linkage between exposure to risk factors and the likelihood of involvement in risk behaviors as well. These facts lead the researchers to focus on the identification and assessment of protective factors and the concept of resilliency. Researches over the past decade also lead to changing of intervention programme strategies from risk reduction to healthy youth development. These strategies aim to provide all youth with the support, relationship, experiences, resources, and opportunities needed to become successful and competent adults. They are promising approaches for preventing or reducing a wide range of adolescent health-risk behaviors. In this article, we briefly review what we know about risk behaviors, their risk and protective factors and healthy youth development, and provide definitions of each of these concepts. [ABSTRACT FROM AUTHOR]

Published
2009

36. Editörden.

Author

Alikaşifoğlu, Müjgan

Published
2016

37. EDİTÖRDEN.

Author

Ercan, Oya and Alikaşifoğlu, Müjgan

Published
2011

38. Şişman ergenlerde bozulmuş yeme tutumları ile stres düzeyi, kemik mineral yoğunluğu ve kemik yapım-yıkım belirteçlerinin ilişkisi

Author

Okbay Güneş, Asli, Alikaşifoğlu, Müjgan, and Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı

Subjects
Bone and bones, Hydrocortisone, Nutrition disorders, Obesity, Adolescents, Stress, Bone density, Biomarkers, Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases
Abstract

Giriş: Şişmanlarda bozulmuş yeme tutumlarına sık rastlanmaktadır. Ergenlik dönemi iskelet gelişimi açısından önemli bir dönemdir. Bu nedenle şişman ergenlerde bozulmuş yeme tutumlarının ergen üzerinde yarattığı stresin kemik yapım-yıkım belirteçleri ve kemik mineral yoğunluğu üzerine etkisinin araştırılması önemlidir. Amaç: Şişman ergenlerde bozulmuş yeme tutumlarının yol açtığı stresin kemik yapım-yıkım belirteçleri ve kemik mineral yoğunluğu üzerine etkisini araştırmaktır.Gereç ve Yöntem: Kasım 2013-Eylül 2014 tarihleri arasında Cerrahpaşa Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı Adolesan Bilim Dalı polikliniği'ne başvuran, 11-18 yaş aralığında 80 şişman ergen çalışmaya alındı. Kemiğe özgül alkalen fosfataz, serum osteokalsin, idrar N-telopeptit ölçümleri ile kemik yapım ve yıkımı değerlendirildi. Yirmidört saatlik idrarda serbest kortizol düzeyi biyolojik stres belirteci olarak ölçüldü. Kemik mineral yoğunluğu çift enerji x ışını absorptiometri ile ölçüldü. Bozulmuş yeme tutumları `Yeme Bozukluğu Değerlendirme Ölçeği`, `Hollanda Yeme Davranışı Anketi` ile depresyon `Çocuklar için Depresyon Ölçeği` ile değerlendirildi ve psikiyatrik bakıları yapıldı. İstatistiksel çözümlemeler için Statistical Package for Social Sciences 15.0 versiyon istatistik paket programı kullanıldı. Kategorik değişkenlerin karşılaştırılmasında Ki-kare testi ya da Fisher exact test, sürekli değişkenlerin karşılaştırılmasında Mann-Whitney U testi ya da Student T testi kullanıldı. Değişkenler arasındaki ilişki korelasyon testi ile değerlendirildi. Çok değişkenli çözümlemelerde lineer regresyon modeli kullanıldı. Bulgular: Yirmi dört saatlik idrar serbest kortizol düzeyi ile `Hollanda yeme davranışı anketi` toplam puanı ve kısıtlama alt ölçek puanı arasında anlamlı ilişki saptandı (sırasıyla p= 0,047, p=0,011).Sonuçlar: Şişman ergenlerde kemik sağlığı ile bozulmuş yeme tutumları arasındaki ilişkinin gösterilememiş olması, bozulmuş yeme tutumlarının kemik sağlığı üzerindeki olumsuz etkilerinin uzun sürede ortaya çıkmasına ve ergenlerden oluşan bu çalışma grubunda saptanamamasına bağlı olabilir. Bu nedenle bu ilişkiyi anlamaya yönelik ileriye dönük planlanmış çalışmalara gereksinim olduğunu düşünmekteyiz.Anahtar Kelimeler: Ergenlik, Kemik döngüsü, Kemik mineral yoğunluğu, Bozulmuş Yeme Tutumu, Şişmanlık, Kortizol Introduction: Disordered eating attitudes are common among obese people. Adolescence is a critical period for bone development. So it is important to study the effect of stress that is caused by disordered eating attitudes on markers of bone turnover and bone mineral density among obese adolescents. Objectives: To examine the effect of stress that is caused by disordered eating attitudes on markers of bone turnover and bone mineral density in obese adolescents.Materials and Method: Eighty obese adolescents, between 11- 18 years old, applying to Istanbul University Medical Faculty Adolescence Department between November 2013-September 2014 enrolled in this study. Bone turnover was evaluated with the measurement of serum bone spesific alkalen phosphatase, serum osteocalcin and urine N telopeptide. Twenty four hour urine free cortisol was measured as a marker of biological stress. Bone mineral density was measured by dual energy x ray absorptiometry. Disordered eating attitudes were evaluated with `Eating Disorder Examination Questionnaire`, `Dutch Eating Behaviour Questionnaire`; depression was evaluated with `The Children's Depression Inventory` and psychiatric evaluation was done. All analysis were conducted using Statistical Package for Social Sciences 15.0 version. `Chi- square` or `Fisher exact test` was used to compare categorical variables, `Mann- Whitney U` or `Student T test` was used to compare continous variables. The relationship between the variables was evaluated with correlation test. Lineer regression model was used for multivariate analysis. Results: Statistically significant relationships were found between twenty four hour urine free cortisol and `Dutch Eating Behaviour Questionnaire` total score and restrictive eating subscale score (p in order= 0.047, 0.011).Conclusion: In this study, no relationship between disordered eating attitudes and bone health was found; it may be due to the fact that the negative effects of disordered eating attitudes on bone health were not apparent until later years and that adolescents were the study population. So we think that further prospective studies are required to understand these relationships. Key Words: Adolescents, Bone turnover, Bone mineral density, Disordered eating attitudes, Obesity, Kortizol 80

Published
2016

39. İstanbul'daki üniversite ve sağlık bakanlığı eğitim araştırma hastanelerinde çocuk sağlığı ve hastalıkları alanında tıpta uzmanlık eğitimialan hekimlerin ergen sağlığı konusundaki bilgi, beceri, tutum ve uygulamaları

Author

Yildirim, Hamdi Murat, Alikaşifoğlu, Müjgan, and Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı

Subjects
Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases
Abstract

Amaç: Bu çalışmanın amacı, İstanbul'da Çocuk Sağlığı ve Hastalıkları dalında tıpta uzmanlık öğrencisi olarak çalışmakta olan hekimlerin adolesan sağlığı konusundaki bilgi, beceri, tutum ve uygulamalarını, ve adolesan sağlığı konusundaki eğitim gereksinimlerini saptamaktı.Gereç ve Yöntem: İstanbul'da Çocuk Sağlığı ve Hastalıkları dalında tıpta uzmanlık eğitimi almakta olan 411 hekim kurumlarında ziyaret edilerek, soru formlarını cevaplamaları istendi. Hekimlere adolesanın sağlık sorunları ile ilgili bilgileri, becerileri, yeterlilikleri, tutumları, eğitim alma istekleri ve adolesan sağlık hizmetlerinin bir parçası olarak gizlilik ilkesi ile ilgili görüşleri soruldu. Adolesanın sağlık sorunları medikal, jinekolojik ve psikososyal sorunlar, riskli davranışlar ve, yasal ve etik sorunlar olmak üzere 5 ana grupta toplandı ve hekimlerin yanıtları bu gruplara göre oluşturulan bir skorlama sistemi ile değerlendirildi. İstatistiki değerlendirme ki kare testi, Student testi, ANOVA ve post Hoc Tukey testi, ve Pearson korelasyon testi kullanılarak yapıldı.Bulgular: Çalışmaya 411 hekimden, 344'ü katıldı (%83,6). Adolesan sağlığına ilgi duyduğunu bildiren hekimlerin oranı %27,6 (n=94) idi. Adolesanlara hizmet vermekten hoşlanan hekimlerin oranı % 2,9 idi. Hekimlerin adolesanlarla çalışma isteğini olumsuz yönde etkileyen sebepler çalıştıkları kurumda medikopsikososyal yapılanmaların bulunmaması (% 47,7), çalışma koşullarının adolesanlar için gerekli mahremiyeti sağlayamaması (% 35,9) ve kendilerini deneyimsiz hissetmeleri (%23,6) olarak saptandı. Hekimler adolesanın sağlık sorunlarıyla ilgili konularda yetersiz eğitim aldıklarını, medikal sorunlarla ilgili daha fazla hasta izlediklerini ve bu hastalar karşısında kendilerini daha yeterli hissettiklerini, ancak, jinekolojik ve psikososyal sorunlar ve, riskli davranışlarla gelen hastalar karşısında kendilerini yetersiz hissettiklerini belirttiler. Adolesanın izni olmadan gizlilik ilkesini bozmayacağını belirten hekimlerin oranı %10'dan az saptandı. Adolesan sağlığı ile ilgili konularda eğitim almış olma ile adolesan hasta izleme sıklığı, hasta karşısında kendini yeterli hissetme ve 10?14 yaş gurubu adolesan hasta izlerken gizlilik ilkesine uyma arasında anlamlı korelasyon saptandı.Tartışma: Sonuçlarımız İstanbul ilindeki Çocuk Sağlığı ve Hastalıkları tıpta uzmanlık öğrencilerinin adolesan sağlığı alanındaki bilgi ve becerilerinin artırılması, tutum ve davranışlarının değişmesi gerektiğini göstermektedir. Bu nedenle, tıpta uzmanlık eğitimi sırasında kullanılmak üzere oluşturulacak bir adolesan sağlığı rehberinin bu alanda hem eğitimin standartizasyonunu sağlayabileceğini hem de hekimlerin motivasyonunu arttırabileceğini düşünmekteyiz. Purpose: The aim of this study was to Assessment of knowledge, skills, attitudes, practices and training needs of paediatric residents working at İstanbul with regard to adolescent medicine.Method: A total of 411 paediatric residents were visited at their working places and asked to complete a questionnaire. Paediatric residents were asked to report their knowledge, perceived skills, adequacies, attitudes, practices, desire for further training on adolescent medicine regarding 21 adolescent health items grouped under 5 topics (medical, gynaecologic and psychosocial problems, risky behaviours and legal and ethical issues), and thought about confidentiality issue as part of a adolescent health services. A scoring system was applied to asses their responses. Chi-square test, Student-t test, ANOVA and post Hoc Tukey test and Pearson correlation tests were used for statistical analysis.Results: Questionnaires were responded by 344 (% 83, 6) of total 411 paediatric residents. Percentage of physicians reported to be interested in adolescent medicine was % 27, 6 (n=94). Percentage of residents reported to be pleased with care of adolescents was % 2, 9. Reasons negatively affecting physicians desire for care of adolescents were determined as absence of medico- psychosocial organisations in their institutions ( % 47,7), inability to provide essential privacy due to unfeasible conditions at work (%35,9) and perception of to be underskilled regarding adolescents (%23,6). Physicians reported to be trained inadequately about adolescent?s health issues and also reported caring adolescents with medical problems mostly and feeling more comfortable with this topic. But physicians reported to feeling inadequate regarding adolescents with gynaecologic, psychosocial problems and risky behaviours. Percentage of physicians who would be adherent to confidentiality without permission of adolescent was found to be less than % 10. There was a significant correlation between being trained about adolescent medicine and frequency of caring adolescents in daily practice, feeling adequate with adolescent patients and adherence to confidentiality with adolescents of 10-14 year-of-age.Discussion: Our results demonstrated that improvement of knowledge and skills and change in attitudes and practices of paediatric residents at İstanbul regarding adolescent medicine are required. We think that preparation of a guideline for adolescent medicine to be used in paediatric residency training programme will result in standardisation of training and increased motivation of physicians for care of adolescent patients. 96

Published
2008

42. Health behaviors in high school students in İzmir, Turkey.

Author

Çavdar S, Sümer EÇ, Eliaçık K, Arslan A, Koyun B, Korkmaz N, Kanık A, Erginöz E, Ercan O, and Alikaşifoğlu M

Abstract

Aim: The aim of this cross-sectional study was to determine the prevalence of the self reported health behaviors and differences in these behaviors by gender and grades in high school adolescents in İzmir, Turkey., Material and Methods: A stratified cluster sampling procedure was used for this cross-sectional study. The study sample included 2 296 students attending 22 high schools in Izmir. As a data collection instrument, some questions from the Health Behavior in School-aged Children Study 2009/2010 questionnnaire and questions which were developed by the researchers to understand behaviors of internet use in adolescents were used. Chi-square tests and Cramer's V statistics were used for statistical analyses., Results: Among the high school students, 33.8% experimented smoking, 26.3% smoked cigarette during the 30 days before the survey, 14.9% smoked cigarette regularly during the 30 days before the survey, 54.1% experimented drinking alcohol, 38.4% drunk alcohol during the 30 days before the survey, 31.6% got drunk, 10.9% were adequately physically active, 59.9% watched TV for a long period of time, 72.8% used internet for a long period of time, 48.1% ate breakfast regularly, 36.2% ate adequate amount of fruit, 14.1% ate adequate amount of vegetable, 31.3% ate candies and chocolate very often, 18% drunk soft drink very often, 30.3% were bullied, 29.9% bullied others and 41% involved in a physical fight., Conclusions: These results showed that "Adolescent friendly health services" should be generalized all over Turkey, physicians should evaluate each adolescent for his/her health behaviors in each visit and implementation of prevention programs which adopt a health promotion perspective is necessary begining from the elementary school.

Published
2016
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43. Alcohol drinking behaviors among Turkish high school students.

Author

Alikaşifoğlu M, Erginöz E, Ercan O, Uysal O, Albayrak-Kaymak D, and Ilter O

Subjects
Adolescent, Adult, Alcohol Drinking psychology, Cross-Sectional Studies, Female, Humans, Logistic Models, Male, Prevalence, Surveys and Questionnaires, Turkey epidemiology, Adolescent Behavior, Alcohol Drinking epidemiology, Students psychology
Abstract

The aim of this study was to evaluate the prevalence, behavioral patterns and correlates of regular alcohol drinking in high school students. This cross-sectional study involved the completion of a modified version of "Health Behavior in School Age Children" (HBSC 1997/1998) questionnaire by 4,153 grade 9-11 students from 26 randomly selected high schools in Istanbul. Chi-square test, Spearman correlation test and forward stepwise multiple logistic regression model were used for statistical analyses as appropriate. Overall, 61% of students were experimental drinkers, and 46% of the students were current drinkers. There was a significant difference between female and male students with respect to reporting current alcohol drinking at grade 9 and 11 (p > 0.05 for each comparison). Regular drinking was reported by 6% of students. Male students were more likely than female students to report regular drinking at each grade (p < 0.01 for each comparison). Nineteen percent of the students reported that they had been really drunk at least once during their lifetime. Malestudents were more likely than female students to report an occasion of drunkenness at each grade (p < 0.05 for each comparison). All types of drinking behavior rates tended to increase across grades for both genders (p < 0.05 for each comparison). In logistic regression analysis the following were all independently associated with regular drinking: being in grade 11, smoking cigarettes currently, lifetime drug use, bullying others, being sexually active, playing computer games > or = 4 h/week, exercising < or = 1 h/week, spending > or = four evenings with friends, at ease in talking to same gender friends, tiredness in the morning, perceived as good-looking/beautiful, higher educational level of the mother and perceived poor academic achievement. The results of this study showed that alcohol consumption is prevalent among high school students. There is therefore a need for school-based alcohol prevention programs which also deal with family and peer influences on drinking.

Published
2004

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