Suleyman Gorpelioglu
Dışkapı Yıldırım Beyazıt EAH, Family Medicine, Faculty Member
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Research Interests: Medicine and Osteoporosis
Proton pump inhibitors are the commonly prescribed drugs for acid-related disorders. However, many of those prescriptions are inappropriate in inpatient and outpatient settings according to the recommended guidelines. Many studies have... more
Proton pump inhibitors are the commonly prescribed drugs for acid-related disorders. However, many of those prescriptions are inappropriate in inpatient and outpatient settings according to the recommended guidelines. Many studies have been conducted in inpatient clinics, but data about the appropriateness of proton pump inhibitor prescribing in outpatient clinics are scarce. Therefore, the aim of this study was to determine inappropriate proton pump inhibitor prescribing rates among patients admitted to a tertiary hospital family medicine outpatient clinic. A total of 259 patients (median age = 59 years; 72.6% women) were enrolled into the study and 35.9% of them had no proper indications to utilize proton pump inhibitors. Inappropriate proton pump inhibitor usage rate was significantly higher in patients older than 60 years compared with their younger counterparts (62.4% vs. 37.6%;p= .001). The most frequent reason to use a proton pump inhibitor with nonapproved indications was polypharmacy (41.9%). Despite endoscopic evaluation, 41.9% of the patients received a proton pump inhibitor without an approved indication. A significant proportion of nonindicated prescriptions were a consequence of continued prescribing without re-evaluating patients in outpatient clinics. Consideration of proton pump inhibitor indications according to the guidelines in every admission may prevent inappropriate prescriptions.
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Amac: Bu calismanin amaci dogurganlik cagindaki kadinlarin HPV ve HPV asisi hakkindaki farkindalik ve bilgi duzeylerini ortaya cikarmaktir. Materyal ve Metod: Calismaya 15-49 yas araligindaki 294 kadin dahil edildi. Yazarlar tarafindan... more
Amac: Bu calismanin amaci dogurganlik cagindaki kadinlarin HPV ve HPV asisi hakkindaki farkindalik ve bilgi duzeylerini ortaya cikarmaktir. Materyal ve Metod: Calismaya 15-49 yas araligindaki 294 kadin dahil edildi. Yazarlar tarafindan literatur taranarak hazirlanan anket formunun doldurulmasi istendi. Bulgular: Katilimcilarin ortalama yasi 30.5±8.9 idi. Yalnizca %24.5'i HPV enfeksiyonundan, %28.2'si ise HPV asisindan haberdardi. Katilimcilardan 188'i bilgi sorularindan sifir puan aldi. Sonuc: Bu calisma birinci basamaga basvuran kadinlarin dusuk bilgi duzeyinde olduklarini , bireysel ve toplumsal egitimin gerekliligini gostermistir. Birinci basamak saglik politikalarinda hasta egitimine onem verilmesi toplumun bilgi ve farkindalik duzeylerini artiracak ve kanser insidansinin dusmesini saglayacaktir.
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Common cold is one of the frequently seen disease in childhood. Pseudoephedrine hydrochloride (PEH) is a sympathomimetic drug which is widely used for treatment of common cold as a decongestant on children. The aim of this case report is,... more
Common cold is one of the frequently seen disease in childhood. Pseudoephedrine hydrochloride (PEH) is a sympathomimetic drug which is widely used for treatment of common cold as a decongestant on children. The aim of this case report is, to draw attention to serious adverse effects of PEH treatment.
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Wstep. Cele badania obejmowaly ustalenie, czy istnieją roznice w wystepowaniu powiklan u chorych na cukrzyce typu 2 palących tyton i niepalących, oraz ocene, czy zachodzi związek miedzy wystepowaniem powiklan mikronaczyniowych a wynikiem... more
Wstep. Cele badania obejmowaly ustalenie, czy istnieją roznice w wystepowaniu powiklan u chorych na cukrzyce typu 2 palących tyton i niepalących, oraz ocene, czy zachodzi związek miedzy wystepowaniem powiklan mikronaczyniowych a wynikiem testu uzaleznienia od nikotyny wedlug Fagerstroma. Material i metody. Do badania wlączono chorych na cukrzyce typu 2 pozostających pod opieką ambulatoryjnych poradni medycyny rodzinnej. Porownano osoby palące tyton i niepalące pod wzgledem wynikow metabolicznych oraz obecności powiklan mikronaczyniowych. Stopien uzaleznienia od palenia tytoniu oceniono za pomocą testu uzaleznienia od nikotyny wedlug Fagerstroma. Wyniki. U palaczy zaobserwowano wyzsze wartości glikemii na czczo (FBG), stezenia lipoprotein niskiej gestości (LDL) oraz wartości skurczowego i rozkurczowego ciśnienia tetniczego. Neuropatia wystepowala w tej grupie znacząco cześciej. Odsetek chorych ze stwierdzoną retinopatią zwiekszal sie wraz z rosnącym poziomem uzaleznienia od nikotyny. Wynik testu Fagerstroma wykazal dodatnią korelacje z wartościami HbA1c oraz FBG, jednocześnie wykazując odwrotną zaleznośc w stosunku do wartości wskaźnika masy ciala (BMI) u palących. Wnioski. Ocena uzaleznienia od nikotyny u chorych na cukrzyce dokonana w trakcie pierwszej wizyty oraz nacisk na istotnośc rzucenia palenia powinny byc zasadniczą cześcią programu leczenia cukrzycy.
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Unilateral hypoplasia of the internal carotid artery, is an extremely rare conjenital anomaly. It is usually diagnosed incidentally during radiological examination for another reason. Although mostly asymptomatic, it may be accompanied... more
Unilateral hypoplasia of the internal carotid artery, is an extremely rare conjenital anomaly. It is usually diagnosed incidentally during radiological examination for another reason. Although mostly asymptomatic, it may be accompanied with life-threatening developmental anomalies. In this report a case determined with left carotid artery hypoplasia in radiological imaging for evaluation of dizziness was presented.
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2018 © Yayın hakları Türkiye Aile Hekimleri Uzmanlık Derneği’ne (TAHUD) aittir. Medikal Akademi tarafından yayımlanmaktadır. Bu makalenin koşullu kullanım hakları Medikal Akademi ve TAHUD tarafından Creative Commons... more
2018 © Yayın hakları Türkiye Aile Hekimleri Uzmanlık Derneği’ne (TAHUD) aittir. Medikal Akademi tarafından yayımlanmaktadır. Bu makalenin koşullu kullanım hakları Medikal Akademi ve TAHUD tarafından Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) lisansı aracılığıyla bedelsiz sunulmaktadır. Copyright © 2018 Turkish Association of Family Physicians (TAHUD). Published by Medikal Akademi, Istanbul. This article is licensed by Medikal Akademi and TAHUD under the terms of Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) License. Araştırma | Research Article doi: 10.15511/tahd.18.00333
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Amac: Bu calismada hipertansif hastalarin, hipertansiyon (HT) hakkindaki bilgi duzeylerinin degerlendirilmesi, yasam tarzi degisikliklerine uyumlarinin saptanmasi ve antihipertansif tedavi altindaki kan basinci duzeylerinin tespit... more
Amac: Bu calismada hipertansif hastalarin, hipertansiyon (HT) hakkindaki bilgi duzeylerinin degerlendirilmesi, yasam tarzi degisikliklerine uyumlarinin saptanmasi ve antihipertansif tedavi altindaki kan basinci duzeylerinin tespit edilmesi amaclanmistir. Yontem: Bu kesitsel calismaya, Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi Aile Hekimligi polikliniklerine 1 Şubat-30 Nisan 2012 tarihleri arasinda ilk defa basvuran HT hastalari dahil edilmistir. Hastalar, kan basinci kontrolu basta olmak uzere tedavi hedeflerine ulasma oranlari ve bunlari etkileyebilecek faktorler acisindan degerlendirilmistir. Bulgular: Calismaya 340 hasta dahil edildi. Hastalarin yas ortalamasi 60,5±10,7 yil olup 222"si (%65,3) kadindi. 108 (%31,8) hastanin kan basinci kontrol altinda degildi. Erkek hastalarin ortalama vucut agirliklari kadin hastalara gore istatistiksel olarak fazlaydi (p=0,015). Normal tansiyon degerinin kac olmasi gerektigini bilen 249 (%73,2) hastanin, 155"i (%62,2) kadi...
Research Interests: Medicine and Gynecology
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... Title: Associate Professor. Contact Address: , Sakarya, 54187, Turkey. Contact Telephone: 9.03E+11. Email: ndede@sakarya.edu.tr. Co-Authors: Muge Filiz, MD; Cemile Dede, Msc; Ysmail Sakar, Msc; Funda Akduran, Msc; Suleyman... more
... Title: Associate Professor. Contact Address: , Sakarya, 54187, Turkey. Contact Telephone: 9.03E+11. Email: ndede@sakarya.edu.tr. Co-Authors: Muge Filiz, MD; Cemile Dede, Msc; Ysmail Sakar, Msc; Funda Akduran, Msc; Suleyman Gorpelioglu, MD and Pynar Topsever, MD. ...
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Hastalara aile hekimli¤i poliklini¤i olmasayd› hangi kuruma baflvuracaklar› soruldu¤unda, %65.0’›n›n bir ikinci ya da üçüncü basamak sa¤l›k kurulufluna baflvuraca¤›, %18.3’ünün ise her hangi bir sa¤l›k kurumuna baflvurmayaca¤› ö¤renildi.... more
Hastalara aile hekimli¤i poliklini¤i olmasayd› hangi kuruma baflvuracaklar› soruldu¤unda, %65.0’›n›n bir ikinci ya da üçüncü basamak sa¤l›k kurulufluna baflvuraca¤›, %18.3’ünün ise her hangi bir sa¤l›k kurumuna baflvurmayaca¤› ö¤renildi. Hastalar›n %67.5’inin kronik bir sa¤l›k sorunu mevcuttu, buna karfl›l›k %60.2’si takip alt›nda de¤ildi, takip edilenlerin de %87.2’si ikinci ya da üçüncü basamak sa¤l›k kurulufllar›nda takip ediliyordu.
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Common cold is one of the frequently seen disease in childhood. Pseudoephedrine hydrochloride (PEH) is a sympathomimetic drug which is widely used for treatment of common cold as a decongestant on children. The aim of this case report is,... more
Common cold is one of the frequently seen disease in childhood. Pseudoephedrine hydrochloride (PEH) is a sympathomimetic drug which is widely used for treatment of common cold as a decongestant on children. The aim of this case report is, to draw attention to serious adverse effects of PEH treatment.
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Aim: Positive behaviors of healthcare workers are very important in terms of presenting preventive health recommendations. However, in many studies, it has been found that the behaviors of health personnel are not sufficient. The aim of... more
Aim: Positive behaviors of healthcare workers are very important in terms of presenting preventive health recommendations. However, in many studies, it has been found that the behaviors of health personnel are not sufficient. The aim of this study was to determine the training needs of women healthcare workers, working in a tertiary hospital, in the field of cervical cancer prevention education and to propose a training method. Methods: This cross sectional, descriptive study was conducted between March 1 and May 31, 2017 with 500 women health care workers working in a training and research hospital. A questionnaire consisting of knowledge and behaviors about cervical cancer prevention were applied. Descriptive statistical methods were used in the evaluation of the data. Results: Among the women health care workers who partipicated in our study, regular gynecologic examination rate was 17.8%, servikal smear rate was 37.2% and HPV vaccination rate was only 4%. Cervical cancer knowled...
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Aim: Healthcare professionals will set an example to society with their behaviors about Traditional and Complementary Medicine usage. We aimed to investigate and compare the knowledge and attitudes of society and physicians about... more
Aim: Healthcare professionals will set an example to society with their behaviors about Traditional and Complementary Medicine usage. We aimed to investigate and compare the knowledge and attitudes of society and physicians about Traditional and Complementary Medicine to create an infrastructure for medical training. Methods: In this cross-sectional descriptive study "Turkish Version of Complementary, Alternative and Conventional Medicine Attitude Scale" was used for data collection. Results: A total of 392 physicians and 438 citizens participated in the study. Among all participants, 36.9% had used a Traditional and Complementary Medicine method before and the most used method was phytotherapy. There was a significant difference between groups in terms of the level of knowledge. Surprisingly no significant difference was found between physicians and the public in the "Dissatisfaction with Modern Medicine" subgroup. Conclusion: Although there were differences in ...
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Research Interests: Medicine and Gynecology
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Aim: The aim of this study is to reveal the knowledge, attitude and behaviors of the university students about Hepatitis A, Hepatitis B and Hepatitis C. Methods: This study was done among 1048 students from different faculties of five... more
Aim: The aim of this study is to reveal the knowledge, attitude and behaviors of the university students about Hepatitis A, Hepatitis B and Hepatitis C. Methods: This study was done among 1048 students from different faculties of five different universities in Ankara, was carried out between October 2012 and July 2013. A questionnaire was prepared by the authors by rewieving the literature and the participants were asked to fill this questionnaire. Knowledge level of participants was scored from 1 to 5 out of 100 according to the answers given about Hepatitis A, B and C. Results: When the average points of knowledge about hepatitis A, B and C is considered, it is seen that the knowledge points of males according to females and the knowledge points of the students who study in medical faculties according to the other faculties are higher. Participants were found to have a risky attitude with respect to the spread of Hepatitis A, B and C infections. While males had more risky behavior...
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Aim: Night Eating Syndrome is thought to pose a risk for the development of cardiovascular system, endocrinological and psychiatric diseases. The aim of our study was to investigate the frequency of night-eating syndrome and risk factors... more
Aim: Night Eating Syndrome is thought to pose a risk for the development of cardiovascular system, endocrinological and psychiatric diseases. The aim of our study was to investigate the frequency of night-eating syndrome and risk factors related to night eating syndrome. Methods: This cross-sectional, descriptive study was carried out among 525 people who admitted to the Family Medicine Clinic of a tertiary hospital between 01 October and 30 November 2018. The night-eating questionnaire was applied to the partcipants using face-to-face interview. Persons with a psychiatric disorder, who have a history of chronic medication or disease, who have alcohol and drug addiction and who are working on the night shift were excluded from the study. p values < 0.05 were considered as statistically significant. Results: Fifty-one (9.7%) of the 525 patients admitted to our clinic met the criteria of Night Eating Syndrome. In our study, there were statistically significant difference between ni...