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    Non-valvular atrial fibrillation in the elderly; preliminary results from the National AFTER (Atrial Fibrillation in Turkey: Epidemiologic Registry) Study
    (Verduci Publisher, 2013) Ertaş, Faruk; Oylumlu, Mustafa; Akıl, Mehmet Ata; Acet, Halit; Bilik, Mehmet Zihni; Çelepkolu, Tahsin; Özhan, Hakan
    OBJECTIVE: This study aimed at the assessment of the clinical approach to atrial fibrillation (AF) in the older population and the consistency with the guidelines based on the records of the multicenter, prospective AFTER (Atrial Fibrillation in Turkey: Epidemiologic Registry) study. PATIENTS AND METHODS: 2242 consecutive patients admitted to the Cardiology Outpatient Clinics of 17 different tertiary Health Care Centers with at least one AF attack determined on electrocardiographic examination, were included in the study. Among the patients included in the study, 631 individuals aged 75 years and older were analyzed. RESULTS: The mean age of the patients was determined as 80.3 +/- 4.2 years. The most frequent type of AF in geriatric population was the persistent-permanent type with a percentage of 88%. 60% of the patients with AF were female. Hypertension was the most common co-morbidity in patients with AF (76%). While in 16% of patients a history of stroke, transient ischemic attack or systemic thromboembolism was present, a history of bleeding was present in 14% of the patients. 37% of the patients were on warfarin treatment and 60% of the patients were on aspirin treatment. In 38% of the patients who were on oral anticoagulant treatment, INR level was in the effective range. CONCLUSIONS: The rate of anticoagulant use in the elderly with AF was 37% and considering the reason of this situation was the medication not being prescribed by the physician, one should pay more attention particularly in the field of treatment.
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    Non-Valvular Atrial Fibrillation in the Elderly; Preliminary Results from the National AFTER (Atrial Fibrillation in Turkey: Epidemiologic Registry) Study [conferenceObject]
    (Elsevier Science Inc, 2013) Ertaş, Faruk; Oylumlu, Mustafa; Akıl, Mehmet Ata; Acet, Halit; Bilik, Mehmet Zihni; Çelepkolu, Tahsin; Özhan, Hakan
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    The Characteristics of Families who rejected Vaccination during the Mop-up Oral Polio Vaccination Campaign and Their Reasons of Rejection: A Family Health Center Experience
    (Düzce Üniversitesi, 2017) Erdem, Özgür; Toktaş, İzzettin; Çelepkolu, Tahsin; Demir, Vasfiye
    Objective:Mop-Up Polio Vaccination Campaign is a movement which aims to reach the targetof eliminating polio. Our aim in this study is to investigate thecharacteristics of the families who have rejected oral polio vaccination (OPV)of their children within the OPV Campaign in a family health center and toexamine the reasons of rejecting the vaccination.Methods:The data was obtained through a survey in face-to-face interviews which wereperformed with the families who have rejected the vaccination of their childrenwithin the Mop-Up Oral polio vaccination campaign. The survey form consisted of14 questions about the socio-demographic features of the families and children,and the reasons of rejecting oral polio. Results:1250 children were included in the vaccination program during the campaign. 38of the children (3.04%) rejected vaccination during the campaign, the averageage of the children was 23.2±17.7 months. The youngest one was three days oldand the eldest one was 59 months old. Looking over the family members who tookthe survey, it is seen that 71 % of those were the mothers (n=27), 8% of thosewere the fathers (n=3) and 21% of those were the relatives (n=8). It wasdiscovered that 94.7 % of the children who rejected OPA vaccination got othervaccinations according to the Ministry of Health National Vaccination Calendar(n=36), whereas 5.3% of those children lacked of other vaccinations (n=2).Though 81.6% of the children were given OPA beforehand (n=31), 18.4% were notgiven at all (n=7).Conclusion: Levels of educational andawareness are important in reaching the targeted vaccination rates in theconduction of vaccination works. We believe that informing the medicalpersonnel, especially those who work at the first step, on the vaccinationcampaigns to be conducted and increasing their awareness will decrease thevaccination rejections.