Migraine headaches among university students using id migraine test as a screening tool

<p>Abstract</p> <p>Background</p> <p>Migraine is a significant health problem, especially for the young people, due to its frequency and accompanying morbidity, causing disability and loss of performance. In this study, our aim was to determine the prevalence of migraine headaches among university students in Edirne, a Turkish city.</p> <p>Methods</p> <p>In this cross-sectional and descriptive study, study population was composed of students registered to Trakya University in the academic year of 2008-2009. Out of these, 3694 of them accepted to participate. Participants who had two or more headaches in the last 3 months formed the headache group. Afterwards, two preliminary questions were applied to the headache group and participants with at least one affirmative response were asked to perform the validated ID-Migraine™ test.</p> <p>Results</p> <p>The mean age of 3694 students participated in the study was 19.23 ± 1.84 (17-39 years), with adolescents:adult ratio being 2.5:1. 1613 students (43.7%) did have at least two headaches in the last three months. Migraine-type headache was detected in 266 subjects (7.2%) based on the ID-Migraine™ test. Of the migraine group, 72 were male (27.1%) and 194 were female (72.9%). There was no significant difference in migraine prevalence between adolescent and adult age groups.</p> <p>Conclusions</p> <p>With a prevalence similar to adults, primary care physicians should be aware of the probability of migraine headaches in university students in order to maintain a successful school performance.</p

Pricing and reimbursement of generic pharmaceuticals in Turkey: Evaluation of hypertension drugs from 2007 to 2013

WOS: 000436912800012Purpose: This study was designed to examine the effects of drug pricing and reimbursement politics on drug expenditures from January 2007 to September 2013, with a focus on internal reference pricing in Turkey. Method: Data used in this study are from January 2007 to September 2013, which includes five drug clusters involving original drugs and the first generic drug (equivalent of the original drug) that was available on the market in 2010 and 2011. The effect of the first generic drug that entered the market on original drug use was analyzed using the time-series analysis method. To account for the absence of generic drugs in the market, original drug consumption was estimated and compared with original drug consumption following generic drug entry. Winters' Additive was selected as the most suitable method to estimate the consumption amount of the original drug in the five equivalent groups. Results: From 2007 to 2012, the consumption of prescribed drugs in the hypertension group increased about 63% and hypertension drug expenditures of the Social Security Institute (SSI) increased almost 82%. Between 2007 and 2012, the increase in hypertension drug consumption not included in the equivalent group was 83%, whereas it was calculated as 61% for drugs in the equivalent group. The prices of the original and generic drugs were similar as time went by and after regulation by authorities. Conclusion: The generic drug market in Turkey has not reached its full potential. Original pharmaceuticals still dominate most of the market. The internal reference pricing system in Turkey has not been able to encourage price competitiveness and price reductions.Scientific and Technological Research Council of Turkey Direct Institute Doctorate Scholarship Program [1649B031000021]The data used in this study was obtained from the doctorate thesis study entitled "Effects of Reimbursement Reference Pricing in Hypertension Pharmaceutical Expenditure: 2007-2012 Period Evaluation". This thesis was supported by The Scientific and Technological Research Council of Turkey Direct Institute Doctorate Scholarship Program (Grant no. 1649B031000021) (TUBITAK Dogrudan Yurt Ici Doktora Burs Programs). Thesis detail: "Effects of Reimbursement Reference Pricing in Hypertension Pharmaceutical Expenditure: 2007-2012 Period Evaluation". Doctoral Thesis, Hacettepe University, Social Sciences Institute, Ankara, Turkey, 2015

Organizational Variables On Nurses’ Job Performance In Turkey: Nursing Assessments

Background: The purpose of this study was to describe the influence of organizational variables on hospital staff nurses’ job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence. Methods: The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables on their job performance using a five-point Likert-type scale (1- Never effective, 5- Very effective). The study used comparative and descriptive study design. The staff nurses who were included in this study were 831 hospital staff nurses. Descriptive statistics, frequencies, t-test, ANOVA and factor analysis were used for data analysis. Results: The study showed the relative importance of the 28 organizational variables in influencing nurses’ job performance. Nurses in this study reported that workload and technological support are the most influential organizational variables on their job performance. Factor analysis yielded a five-factor model that explained 53.99% of total variance. Conclusion: Administratively controllable influence job organizational variables influence job performance of nurses in different magnitude.PubMe

Budget Impact Analysis In Health Sector

Sağlık sektöründe bütçe etkisi analizi özellikle sosyal güvenlik kurumları tarafından yeni bir ilaç veya diğer tedavi yöntemlerini güvence kapsamına alma noktasında yoğun olarak kullanılmaktadır. Sağlık sektöründe hizmet sunucuları ve hizmet ödeyicileri günümüzde hastalık esaslı bütçeleme yöntemlerini kullanmaya başlamıştır. Hastalık bütçelemesi kapsamında hastalıkların tedavisinde kullanılan yeni ilaçların ve tedavi yöntemlerinin bütçe etki analizinin yapılması kaçınılmazdır. Bütçe etki analizi etkili bir şekilde uygulanırsa sağlık sistemlerinde kaynak tasarrufu sağlanabilir ve etkili bütçeleme sağlanabilir. Bu çalışmada bütçe etki analizi sağlık sektörü açısından genel olarak incelenmiş, kavramsal ve uygulamaya dönük genel bilgiler sunulmaya çalışılmıştır. Ayrıca makalede bütçe etkisi analizi konusunda temel araştırmalar özetlenmiştir. Sonuç kısmında ise Türkiye’deki sağlık sistemi açısından bütçe etkisi analizi ile ilgili öneriler getirilmeye çalışılmıştır.The budget impacts analysis in the health sector is extensively used by social security institutions for taking a new drug or other treatment methods under coverage. Service providers and service payers in the health sector now use disease-based budgeting methods. It is inevitable to make a budget impact analysis of new drugs and treatment methods, which are used in the treatment of diseases, within the scope of the disease budgeting. If budget impact analysis is made effectively, resource saving in health systems and effective budgeting can be achieved. This study examined the budget impact analysis in terms of the health sector in general and presented general conceptual and practical information. In addition, it summarized the basic studies on budget effect analysis. The conclusion made suggestions about the analysis of budget impact in terms of health system in Turkey

Quality of life and oral health impact profile in Turkish dental patients

Top, Mehmet/0000-0001-9162-4238WOS: 000383527000009Background: OHRQoL, oral health impact assessment and QoL in oral health have become central to dental and oral health research. Researchers studying oral health problems have used OHRQoL as an outcome measure to determine the effect of treatment on QoL in health technology assessment. Aim: Here we aimed to evaluate the effect of oral health related quality of life and oral health impact dimensions on general health related quality of life. Method: Outpatients (n=527) at a public dental hospital were incorporated into the study. Data were collected using a survey, including questions addressing socio-demographic features, oral health related quality of life (Oral Health Impact Profile-14 [OHIP14] and Oral Health Related Quality of Life - United Kingdom [OHRQoL-UK]) and general health related quality of life (SF-36). Results: We found that OHIP-14, OHRQoL-UK responses significantly correlated with the physical and mental health dimensions of the SF-36. Our data will be useful for health managers and decision makers in health planning and reimbursement policies. Conclusion: The research results are expected to provide important evidence based information to health managers and decision makers in health planning, health technology assessment, and reimbursement policies. (C) 2016 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved

Hoşap Kalesi 2017 Kazı Sezonundan Süslemeli Alçı Buluntular

Hosap Castle is located in Eastern Anatolia, Gurpinar town in Van, in Hosap (Guzelsu) which is on Van-Hakkari highway. It has reached today in the form as it was built, according to the inscription in 1643 (H. 1052) by Mahmudi Seigniory affiliated to Ottoman Empire in this paper, plaster objects which were found at 2017 in Hosap Castle Excavation will be analyzed. Most of the plaster objects that found previous seasons were excavated from harem part of the castle. But the stucco ornaments found in the summer season of 2017 have found buried under the ground west side of the castle, near the West tower. They must be removed from walls or were unused material. They consist of different compositions and techniques with geometric and floral motifs. Early and Classical Ottoman motifs were dominant yet late period motifs are also observed. Tulip, poppy, clover, straw (saz) leaves are some of these motifs. These compositions and motifs are composites and motifs that reminiscent of the Ottoman Westernization Period. They were made with a qualified labor in capital style rather than rural style. Although it is understood from the excavation that there were lots of different compositions but analysis of the compositions in the rooms could not be done due to inconveniences in excavation system. However niche arches and window parts were also found during excavations. It was observed that some of the findings were painted

Quality of Life in Oral Health: Effect of Diabetes Mellutus On Quality of Life

Bu çalışmanın amacı diyabet hastalığının ağız ve diş sağlığında yaşam kalitesi ve genel sağlık yaşam kalitesi üzerine etkisini değerlendirmektir. Çalışma evrenini Kırıkkale Ağız ve Diş Sağlığı merkezine başvuran hastalar oluşturmaktadır. Araştırmaya ilişkin veriler diyabet hastalarından (n259) ve sosyo-demografik özellikleri açısından eşleştirilen kontrol grubuna (n268) farklı sosyodemografik özellikleri içeren sorulardan ve ağız ve diş sağlığı ile ilgili yaşam kalitesi ölçekleri olan OHIP-14 ve OHQoL-UK ve genel sağlık yaşam kalitesi ölçeği olan SF-36'dan oluşan anket formu aracılığıyla toplanmıştır. Yapılan analizler sonucunda diyabet hastalarında ağız ve diş sağlığına ilişkin yaşam kalitesi ve genel sağlık yaşam kalitesi diyabet hastası olmayan bireylerden daha düşük bulunmuştur (p0,05). Bu araştırmada diyabet hastalığının ağız ve diş sağlığı yaşam kalitesi ve genel sağlık statüsünü anlamlı bir şekilde farklılaştırdığı bulunmuştur. Ayrıca araştırmada cinsiyetin yaşam kalitesi ve sağlık statüsünü etkileyen önemli bir değişken olduğu sonucuna ulaşılmıştır. Araştırma sonuçlarının diş hekimliği uygulamalarında sağlık yöneticilerine ve karar vericilere diyabet hastalığına ilişkin kanıta dayalı önemli bilgiler sağlaması beklenmektedir.The aim of this study to evaluate the effect of diabetes mellitus disease on oral health related quality of life and general health related quality of life. This study is also evaluate effects on oral health related quality of life of general health related quality of life dimensions. Outpatients of a public dental hospital, which is located in Kırıkkale province, are the universe of the study. Data were collected from diabetic patients (n259) and socio-demographic variables matched controls (n268) by the application of a survey form including different questions about socio-demographic features, and oral health related quality of life surveys OHIP-14 and OHQoL-UK and general health related quality of life survey SF-36. As a result of the study diabetes mellutus was a important variable for diffences in quality of life and general health status in oral health (p<0,05). Also, quality of life and general health status in oral health changed significantly in term of gender. The survey results are expected to provide important evidence based information on diabetes disease to health managers and decision makers in dental practices

Preparation of synthetic carnallite and amorphous silica from chromite beneficiation plant tailings

WOS: 000404337900001In this paper, synthetic carnallite (MgCl2 center dot KCl center dot 6H(2)O) and amorphous silica (SiO2) preparation possibilities were investigated by utilizing chromite beneficiation plant tailings which contain 3.44% chromite (Cr2O3) and 30.55% magnesium oxide (MgO) by weight. Firstly, laboratory scale high intensity wet magnetic separator was applied for removing the magnetic materials such as chromite, iron (II) and manganese (II) minerals in the tailings. About 85.75% of chromite, 91.22% of MnO and 64.71% of Fe2O3 were removed by single stage magnetic separation. After the magnetic separation, hydrometallurgical recovery was initiated by leaching of the tailings with hydrochloric acid (HCl). Amorphous silica particles and the other solids were separated from the leach solution by filtration. Impurities were precipitated from the leach solution by elevating the solution pH via magnesium hydroxide (Mg(OH)(2)) adding. The purified magnesium chloride (MgCl2) solution was mixed with potassium hydroxide (KOH) at stoichiometric ratio. According to the XRD and chemical analysis, the synthetic carnallite was synthesized by controlled heating of this solution at 90-100 degrees C. Also, the amorphous silica with 96.5% SiO2 content and 84.38% recovery yield was obtained by additional magnetic separation treatment.Institute of Natural and Applied Sciences of Cukurova University [MMF2012YL24]This study was supported in part by the Institute of Natural and Applied Sciences of Cukurova University (Project id: MMF2012YL24)