Makale Arama

 

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Aim: To compare the vascular densities (VDs) of macular microvascular (MMV) and radial peripapillary
capillaries (RPC) according to Erectile dysfunction (ED) in non-ocular Behçet's (NOB) patients, and to
examine the correlation between the patients' International Index of Erectile Function (IIEF)-15 scores in 5
different sexual function domains and the values measured by OCT -A.
Patients and Method: This cross-sectional study was conducted between April 2019 - March 2020. Of the
94 male Behçet's patients, 23 without eye involvement and who met the inclusion criteria were included in
the study. The control group consisted of 25 age-matched healthy individuals. Values measured by optical
coherence tomography angiography (OCT-A) were compared between patients with and without ED and
controls. The correlation between the patients' scores in 5 different sexual function domains of the IIEF-15
questionnaire and those measured by OCT -A was examined.
Results: Compared to controls, VDs were reduced in the whole area of the deep capillary plexus in both
patients with and without ED. VDs of all vessels of the whole area in the RPC network were also decreased
in EDs compared to controls and non-EDs. In addition, retinal nerve fiber layer (RNFL) thicknesses in the
inferior quadrant were found to be decreased in patients with ED compared to controls and those without ED.
In the correlation analysis between NOB patients' scores in 5 domains of IIEF-15 and OCT-A measurements,
there was a positive correlation between the RNFL thickness values and VDs of all vessels in the whole area
of RPC, and the scores in 4 domains of IIEF-15.
Conclusions: After excluding factors that may cause ED, MMV and RPC VDs and RNFL inferior quadrant
thicknesses were found to be decreased in NOB patients with ED. In addition, a correlation was found between
IIEF-15 scores in sexual function domains and RPC VDs and RNFL thicknesses of NOB patients.

It is important to take into consideration of patient expectations and satisfaction in terms of the best utilization of required components that are necessary for the development of health services. The aim of this study was to evaluate the level of the patients’ satisfaction and detect factors affecting the satisfaction, who consulted to Department of Anesthesiology and Reanimation Clinic in Necmettin Erbakan University, Meram Faculty of Medicine. This study was performed on patients who were consulted to the Department of Anesthesiology and Reanimation Clinic, at the Necmettin Erbakan University, Meram Faculty of Medicine for time period of 4 months between November 2015 and February 2016. Within this period, 200 patients who applied to the clinic and accepted to participate in the study by approving informed consent form were included in the study. The survey form was filled by conducting face to face interview. The time duration between patients application to the clinic and their receiving anesthesia consent and ASA scores were recorded. Patient satisfaction coefficient was found as 90.32. Patients who indicated that they did not wait too long for the registration process and assay/analysis tests were 72% and 68.5%, respectively. 98% of the patients stated the physician and 96% of the patients stated the health staff were polite and respectful. The patients having university level and higher education illiterated lower satisfaction coefficients compared with the other levels of education (p = 0.01). The average time duration between patients application to the clinic and their receiving anesthesia consent was 3.00 ±1.014 hours. There was no statistically significant difference between the time duration for receiving anesthesia consent and the ASA score (p=0.08). It was determined that the patients who consulted to the anesthesiology clinic in our hospital had high satisfaction levels, and the patients with an education level of university and higher illutirated lower satisfaction levels compared with the other levels of education. It was concluded that studies that will shorten the waiting time for analysis / examination and the registration process would be useful to increase the level of satisfaction.

To investigate the correlation of body mass index (BMI) with clinical parameters in women with fibromyalgia syndrome (FMS). Under the criteria of 1990 American Council of Rheumatology, 162 women diagnosed with FMS were included. In each patient, duration of complaints, level of education, pain severity via Visual Analogue Scale (VAS), tender point counts (TPC), Beck Depression Inventory (BDI) score, Fibromyalgia Impact Questionnaire (FIQ) and BMI (kg/ m²) were measured. Patients were grouped as normal (BMI<25), overweight (BMI=25-29.9) and obese (BMI≥30), and clinical parameters of FMS were compared between groups. Via Spearman’s ranked correlation coefficient, the association between BMI and FMS was investigated. Fifty-two patients (34.4%) was present in group with BMI<25, 70 (44.8%) in group with BMI=25-29.9 and 40 (%24.7) in group with BMI≥30. While a statistically significant difference was present as to TPC and FIQ between groups, no significant association was found as to age, duration of complaints, VAS and BDI scores. In the analysis, a positive correlation between BMI, and TPC, FIQ scores, duration of complaints and age, and a negative correlation between BMI and level of education were determined. Our findings indicate FIQ and TPC are strongly correlated with BMI, and higher rate of BMI seems to increase the severity of FMS. So, it is considered that weight control may positively impact physical functions and course of the condition.

Regionally to determine cigarette smoking level and affecting factors in a population is an important part of fighting with cigarette smoking. In this study we aimed to evaluate the smoking rates, the factors effecting on smoking and to learn the knowledges about quiting in patients who applied Iğdır Government Hospital Chest Diseaes Department. 721 patient , 426 male ( 59,1 %) and 295 female ( 40,9 %) were enrolled in the study who applied to our hospital between 1 December 2008- 2 February 2009. All patients filled the questionnaire by acting face to face. Demographic characteristics and smoking condition were asked in questionnaire forms. 102 (% 14.1) of the patients were never smoking, 514 (%71.3) of them were still smoking and 105 ( % 14.6) of them were quited. Smoking rates were increasing with education level in females (p

Aim: The aim of this study is to evaluate the outcomes of the patients with uncompleted treatment of TB, their demographical properties and to determine the reasons. Material and Method: This descriptive study was carried out throughout Konya in 2001. Total 1979 cases undergoing TB treatment were included in the study. It was established that 164 (%8.3) of the cases taking TB treatment had given up treatment too early. All these cases were interviewed face to face at their addresses registered in their files. This interview included clinical irregation, PPT application, pulmonary X-ray exemination and collection of sputum for ARB. Results: The mean age of the tuberculosis patients was 36.8±16.5 yrs in male and 38.6±19.1 yrs in female (P>0.05). Among the 1979 cases taking tbc treatment, 8.3% gave up the treatment. This rate was 21.6% among the cases whose treatment began in hospital, and 4.5% among the cases of dispensaries. 40.6 % of the patients was illiterate. 38.7 % of them did not have social security. The relatives of 39.4 % cases had a tuberculosis history. There was accompanying illness in 36.8 % of the patients. 61.9 % of the males and 14.3% of the females were smokers. Conclusion: We believe that general economical development, better education level, regular administration and follow-up systems and efforts to provide a better communication with patients may positively affect the results of efforts against the tuberculosis.

Objectives:

Customer satisfaction surveys are a routine device used to assess performance. Surveys are used in hospitals to check physician and patient satisfaction. Hamad Medical corporation’s (HMC) histopathology laboratory is College of American pathologists (CAP) accredited with highly trained pathologists and technical staff that routinely undertake various educational courses and are involved in research related activities. The lab has state of the art staining and immunohistochemistry service as well. However, it was felt that not all clinicians are very comfortable approaching pathologists and some many times experience problems either contacting lab staff or updating histopathology orders. Hence to narrow down the problems encountered by the clinicians and improve the specimen flow through the lab along with the communication between clinician and pathologist, that we deem vital, we designed this pilot survey.

Methods:

The survey questionnaire was made online with 15 questions in total and the link was electronically mailed to all Consultant and Specialist physicians in Hamad medical corporation (HMC). Around 3500 emails were sent out but only 105 surveys were filled in two months’ time. The survey included questions pertaining to multiple facets of quality of histopathology services and information regarding the participant.

Results:

The overall satisfaction was highest for Multidisciplinary presentations (96%) and lowest (77%) for timeliness of reporting. The satisfaction was above 90% for clarity and format, Diagnostic accuracy and pathologists’ responsiveness to problems. Thirty six percent of the people rated MDT presentations as excellent while 46% of the people thought overall quality of professional interaction was good. The areas of improvement, as per this survey, was timeliness of reporting and notifications of significant abnormal results (overall satisfaction 79%). Majority of the people who took the survey (36%) were from internal medicine and half were members of multidisciplinary meetings (49%). Seventy-one of percent of the participants were from Hamad General hospital (HGH), while rest were from the other hospitals under HMC.

Conclusion:

The response rate for the survey was low, hence another survey with a wider reach, preferably by paper, is required to get more representative data. In general, the clinicians at HGH are satisfied with the services provided by the histopathology laboratory. Areas of improvement include Turnaround time (TAT), avoidance of descriptive reports and better communication with the ordering clinician.

Keywords:

Quality control, quality improvement, survey, histopathology, Laboratory

The purpose of this study was to evaluate the fear, vvorry and axieties of patients about anesthesia and surgery preoperatively by using a questionaire, and to measure their anxiety by using visual analogue scale (VAS). Five hundred and thirty six patients (>19 yr of age) were questioned about their worries, fears and request of Infor­ mation by means of a questionaire. The ansvvers were analysed with chi-square and correlation tests and p<0.05 was considered as significant. Fear from surgery was higher in the less educated patients (p<0.05). VVomen feared from anesthesia and surgery more than men (p=0.0001). Men prefered local anesthesia more than vvomen (p=0.00165). Fear and request of Information increased with increased income (p=0.01). VAS scores vvere high­ er in vvomen, illeterate and primary school graduates, and patients vvithout previous surgical or anesthesia expe- rience (p<0.05). No correlation was present betvveen VAS scores and income or increase or decrease of Informa­ tion requests (p>0.05). İt was concluded that not ali but some patients feared of surgery or anesthesia or vvanted Information. Informing these patients on the consequences of anesthesia and surgery may be usefull in alleviating their fears or vvorries. Positive correlation betvveen the results of the questionaire and VAS scores, leads us to con- sider that VAS scores may be usefull for measuring preoperative anxiety.

Positive end expirium pressure(PEEPi) develops due to dynamic hyperinflation caused by increased airway resistance during the COPD exacerbations. This PEEPi causes muscle weakness and ventilation deficiency. It is thought that noninvasive mechanical ventilation(NIMV) helps the muscle to relax and provide a better feeling in severe COPD patients. In this study we aimed to evaluate whether NIMV has additional benefit to medical therapy in patients with nonasidotic COPD exacerbations. Forty five patients presented with COPD exacerbation were divided into three groups randomly. First group received medical therapy, second group received 2 hours of BiPAP in addition to medical therapy in the first day and third group received BiPAP for two hours in addition to medical therapy every day. The dyspnea scores and StGoerge respiratory questionnaire was applied. All patients underwent MIP, MEP measurement and 6 minutes walking test before discharge. While there was significant decrease in dyspnea scores obtained during discharge compared to admission scores in all three groups, no significant difference was found between discharge and 1st month control scores. Also, while significant improvement was present in StGoerge Questionnaire of first and second groups during hospitalization, no difference was present in the third group. The treatment options caused no significant improvement in the arterial blood gas(ABG) parameters in all three groups. We found that NIMV had no additional effect on hospitalization period, ABG and functional status of the cases admitted with COPD exacerbation, so NIMV had no place in exacerbation treatment of these patients.

The knowledge and attitudes of physicians are important in continuity of the correct applications in breastfeeding and “Baby Friendly Hospital” criteria in the society. Medical education process is a chance to educate future physicians about these issues and should be monitored. The aim of this study is to determine the knowledge level of the medical school students about “breastfeeding” and “Baby Friendly Hospital” criteria and applications in different academic years. In this cross sectional study a anonymous questionnaire was applied to medical students who are in first, third and sixth academic years of education in Necmettin Erbakan University Meram Medical School. After ethical approval 26 item questionnaire consisting socio demographic features and items about breasfeeding and baby freinedly hospital declared by WHO and UNICEF, voluntarily. The data was analyzed via statistics package program. Numbers, percentages, chi-square were used and p value <0.05 accepted as significant. Two hundred and ninety five students who were in 1st (34%), 3rd (35%) and 6th (31%) academic year participated to this study. The percentage of students who could count at least 3 benefits of breastfeeding other than feeding were 8%, 25% and 51% in respect to academic years (p<0.001). The knowledge about the existence of breastfeeding policy in their hospital and “infant friendly city” status of the city they are living in were higher in 6th year students (p<0.001). Knowledge level of correct breast feeding method (p<0.05), knowledge about at least 3 contraindications of breast feeding (p<0.001), and knowledge about the milking methods (by pump and machine) were also significantly higher in 6th year students (p<0.001). In this study it can be observed that the knowledge of students about breastfeeding and infant friendly hospital issues increase by advancing years. The target should be increasing innovations in the education program in order to raise awareness of doctors about this subject during their entire careers. In current situation supporting the theoretical education by practice may contribute to the reflection of breastfeedimg and infant friendly studies to the professional skill.

Aim: Diarrhea is one of the most common causes of mortality and morbidity in childhood, especially in developing countries. Dehydration related to diarrhea can be mortal if it could not be prevented. Mothers play important role in preventing children from diarrhea and replacing fluid and elect rolytes before the dehydration. Material and Method: Information levels of the mothers about diarrhea and oral rehydration solution were extracted from an questionnaire form. The results of the questionnaire were investigated according to socioeconomic, educational levels of the mothers. Results: In the study, 250 mothers’ answers (ages varied 17 to 50-years-old, median; 32-years-old) were evaluated. Seventy-seven (30.8%) of the mothers were from upper-socioeconomic-class 98(39.2%) were from middle-socioeconomic-class, and 75 (30%)were from lower-socioeconomic-class. Approximately, half of the mothers were graduated from primary school. 190 (76%) of mothers pointed out that diarrhea is a mortal disease and the most common protection practice is to be aware of hygiene, whereas 26.8% of the participants remarked that they did not have any idea for protection from diarrhea. The most common method that the mothers choose when their children had diarrhea was juicy drinks (55.6%), and application to medical center (24.4%). 93.6% of the mothers remarked that they should increased intake of juicy drinks and 88.4% remarked that they did not stop breast feedings when their children had diarrhea. Oral rehydration solution was known by 76.4% of the participants, and this knowledge had been achieved from a medical center (42%) and broadcast media (18.8%). Seven of the mothers (2.8%) had a history of child death related to diarrhea. Conclusion: Since diarrhea still remains one of the most common causes of mortality in childhood in the twenty-first century, the mothers must be instructed, and much time must be allowed in primary medical center and media for education about diarrhea. Unlabored achievement to oral rehidration solution must be provided for the parents.

Aim: This cross-sectional study aims to determine job satisfaction of research assistants taking medical specialization education at Meram Medical School and factors that may be related to job satisfaction. Patients and Methods: A questionnaire consisting of Minnesota Job Satisfaction Scale and questions regarding demographic information is applied to 244 (80,2% ) physician assistants via face to face meeting. Results: 52.5% of participants were male, 55.3% of them were married and 29.1% had at least one child. Average of age was 28.42±3.02 years. Average number of night duties monthly was 6.53±4.10. 9.8% of research assistants had quitted a specialization education before. 60.6% of physicians were not content with their salaries. Overall satisfaction point average was 3.24±0.53, intrinsic satisfaction point average was 3.40±0.56, extrinsic satisfaction point average was found to be 2.97±0.62. Extrinsic satisfaction point averages of physicians working in basic sciences was found to be significantly higher than averages of physicians working in internal medicine and surgery branches. 33.2% of physicians were satisfied with working conditions, 44.3% with their chiefs’ behaviours towards employees, 84.4% with their colleagues. Overall satisfaction and extrinsic satisfaction points of participants who graduated from medical schools in Konya were meaningfully higher than points of those who graduated from medical schools outside Konya. Conclusions: Improving the working environments and conditions of physicians having busy schedule, enabling them to have a voice in institution policies, increasing the wages will not only increase the job satisfaction level of research assistant physicians, but also the quality of service provided to patients.

In 0-72 months aging children with early childhood caries, general anesthesia is often preferred due to the following reasons; the non-cooperation based on age, anxiety development during the dental procedures and long treatment sessions. It is known that early childhood caries have a significant impact on the quality of life of child patients’ and their families’. In the assessment of quality of life scores, different questionnaires were developed for children and their parents. Today, Parental Perception Questionnaire and Family Impact Scale, which are composed of two parts including Early Childhood Oral Health Impact Scale, is used for children under 6 years old age. This study included 158 patients who received comprehensive oral rehabilitation under general anesthesia in Necmettin Erbakan University, Department of Pediatric Dentistry and their parents. Demographic information and dmft values of the patients were recorded before the procedure. Parents were asked to complete the relevant questionnaire at the beginning of the procedure and at the 2nd and 4th weeks following the procedure. The data were statistically analyzed by the SPSS program. It was considered that if the effect size was greater than 0.7, a major change occurring in the data exchange. A statistically significant decrease in all values was observed after the treatments performed under the general anesthesia. The greatest reduction was found in the oral symptoms and functional status of the child. In conclusion, dental procedures performed under general anesthesia in children with early childhood caries appear to have a positive impact on the quality of life of patients and their families.

In this study, 113 medical students views which related to using of the photographs of bones and anatomical models on the slides were evaluated and tried to gather comments about effects of slides to anatomy practical education. A questionnaire which consisting of three open-ended question was prepared by the Anatomy Department of Meram Medical Faculty of the Konya University and then they were presented to 113 students. Participants ages of this survey were between 18-30. The obtained data were evaluated using SPSS computer program. The answers that questionnaire about the practical trainings shows; classified through the student opposition wheter: negative, positive and evolution. Whole the volunteers reported that there is a positive impact on the education of practical anatomy using the slides. While 28 % of the students did not give negative opinion on the other hand, 16 % of the students did not give any opinion for evaluating this slides. 20,5% of male students and %1,8 female students gave an opposition about the “advantage of practical slides for lessons” (p<0,001). 15,4% of male students opposition shows that there is no need to attend the classes, on the other hand; 100% of female students disagree on this view. 100% of male students and 19,1% female students agreed on an idea that the slides should develop and evaluate by adding the opinion such that; in the conclusion of the slides there should be questions and the summary. Using the models, bones and slides have a possitive effect on learning anatomy practical education. The results demonstrate that; slides method should be developed by such a subject: technique, meaning and variation. As a result, to reach the better goals on anatomy education, it can be better for anatomy practical education that matter the opinion of students.

Reports have shovvn opposing results for proposed associations betvveen left-handedness and allergic diseases. İn this study we compared the distribution of right- and left-handers in a group of allergic patients and a control population with a Similiarsex and age distribution. The study (59 asthma, 50 rhinitis, 41 asthma+rhinitis; total 150 patients) and control (81 hospital personels and patients' relatives) groups were given a questionnaire that inc- luded a modified version of the Oldfield's Edinburgh Handedness Inventory. The frequency of left-handedness (LS<0) in the study and control population were 10.7%, 9.9%, respectively and there was no difference betvveen two groups, statistically. The percentage of left-handers was 10.7 % in males and 9.4 % in females for the control group and 11.3 % and 10.3 % in males and females, respectively, in the study group. The distribution of han­ dedness was similiar in two sexes, vvithin the control and patient groups. Allergic patients were divided into two groups according to IgE-mediated (n=114) or non-lgE mediated (n=36). The percentage of left/handers in IgE me- diated and non-lgE mediated vvere 10.5%, 12%, respectively. There was no difference in the incidence of left- handedness among these two groups. There was also no difference in the percentage of left-handers in the al­ lergic asthma (8.5%), allergic rhinitis (% 11.1) and allergic asthma+rhinitis (12.2%) patients. As a result, There was no significant association determined betvveen the groups of allergic asthma/ rhinitis and control groups as the incidence of hand preference.

Aim: The aim of the present study was to investigate the medical practitioners' approach to forensic cases and to composing forensic reports and to determine the problems they face regarding these issues and to present suggestions for solutions to problems. Material and Method: Questionnaire forms were administered to practitioners working in emergency services and 112 Hizir Acil (swift emergency ambulance and first aid) services of hospitals affiliated with the Ministry of Health in the Province of Konya and around and who participated in "Emergency Medical Service Certificate Program Basic Module Training" before their training. Results: 85.2 % of the practitioners who participated in the study stated that the undergraduate forensic medicine training was not adequate. It was seen that the percentage of the practitioners who received training on forensic medicine and report after graduation was 20.1 %. Among the subjects, 42.4 % of the practitioners stated that the forensic report should be prescribed by "the medical practitioner who made the first diagnosis", 84.3 % of the practitioners stated that they experienced an uneasiness because of the fact that the patient was a forensic case, 66.8 % stated that a unit which dealt with only forensic cases should be set up in the units they worked, however, they did not want to take part in that group. It was determined that, of the practitioners, the number of the ones who made wrong assessments regarding the issues in the Turkish Penal Code such as "vital danger", "simple medical intervention" and "the effects of bone fractures on life functions" was high. Conclusion: Although the rate of encountering forensic cases is high in practitioners, it is understood that practitioners experience uneasiness about writing forensic reports because of their lack of training and knowledge. It is suggested that practical training should be provided concerning the issues of forensic report writing, concepts used as criteria for severity of injuries and approach to forensic cases, especially to the practitioners who work at emergency services in order to remove the uneasiness experienced and to organize forensic reports according to objective criteria.

In the 1984-1985 academic year, among 4065 students who were randomly selected from primary school children in Diyarbakır city center with a systematic sampling rate of 10%, the rate of rheumatic fever by using a questionnaire was found to be 9.1%. This rate is higher than the rates found in studies conducted in other regions of our country. When the anamnesis of these children were deepened retrospectively, the fact that at the time of diagnosis, most of the children had only extremity pain and no examination was performed, it was thought that some of these pains may have occurred due to reasons other than rheumatic fever. Because of the retrospective diagnosis, the rate of major findings was lower than that reported in the literature. The distribution of patients with rheumatic fever history and valvular lesions by gender did not show a significant difference in accordance with the literature. The distribution of children with valve damage by age has increased gradually in accordance with the literature. Valvule lesion was found in 1.2% in our study. These values ​​are lower than the values ​​reported from Iran, but higher than the values ​​reported in other developing countries and in our country. In the examination of valvule lesions, it was observed that, in accordance with the data in the literature, the most frequent mitral valve involvement was followed by aortic valve involvement. Again, in accordance with the literature, the most common type of valve lesion was mitral insufficiency. Unlike the difference reported in the literature, both mitral and aortic involvement did not differ significantly according to gender. In the retrospective examination of the anamnesis of the cases with valve involvement, no complaints were found by reducing rheumatic fever in 37.2% of the cases. This situation was attributed to the symptoms being mild and forgotten or the occurrence of carditis without other major findings.

Frequency of osteoporosis in postmenopausal women is rising depending on various factors. This study is aimed at to analyse the risk factors that cause osteoporosis for women living in Kütahya. The assessment of bone mineral density (BMD) of Lumbar vertebral bone (L1-L4) via dual energy X-ray absorptiometry (DEXA) machine in a-p position was carried out on 103 women, aged between 40- 82 who had already been in menopause and applied to Kütahya Devlet Hastanesi (Kütahya State Hospital) department of DEXA for assessment of bone mineral density. Study data were achieved from survey results. Experimental group was evaluated according to World Health Organisation (WHO)’s Osteoporosis Classifications via DEXA assessments as T score -1,0 SD> normal, T score -1,0 SD and -2,5 SD is osteopeni and T score <-2,5 SD is osteoporosis. It was observed that all the respondents are housewifes, primary school educated and have a low activity level. It was observed again that the responders who are osteoporosis and osteopenia are older,shorter; particularly, osteoporosis group is 3 cm shorter and have less weight than normal group of people. The group of people who are osteoporosis and osteopenia have a lower age of first and last menstruation than normal people. Yet, they have a higher breast-feeding duration. It was detected that the patients have a lower T scores who had used cortisone for a long time and had bone fracture than who didn’t have any. It was detected again that the scores fell down depending on tested people’s decreasing in come, however, they rose depending on tested people’s rising education status. It was detected that the T scores of people who are leading a rural life was lower than who are leading a urban life. As a result of our study it was noticed that risk of osteoporosis rises depending on age, life style, characteristics of sociodemographic are effective on falling of bone mineral density.

Aim: We aimed to determine the prevalence and risk factors of asthma and atopic diseases in preschool education centers in Afyonkarahisar. Material and Method: Of the 1288 children in 41 preschool education centers in Afyonkarahisar, 1084 children, whose parents have approved the study, were accepted. A standard questionnaire interrogating sociodemographical status, presence and risk factors of asthma and atopic diseases was filled by the parents of the children. Results: The mean age of 1084 children was 5.7 ± 0.7 (3-6), 505 (46.6%) of them were girls and 579 (53.4%) were boys. The prevalence of asthma was 3.1%, allergic rhinitis 5.0% and eczema 1.8%. Presence of asthma or an atopic disease in the family was significantly higher in the group with asthma (44.1%) than without (25.5 %)(P=0.015). Intake of breast milk in the infancy was significantly low in the group with asthma (P=0.039). Presence of an allergic disease in the family was found to cause a 2.3 folds and absence of breast milk intake a 2.7 folds increase in the risk for asthma. In the children with asthma, wheesing and allergic rhinitis frequency was significantly high. While there was no difference in froguency of eczema. Conclusion: Presence of an allergic disease in the family and a bsence of breast milk intake in the infancy was found as significant risk factors for asthma in 3-6 age children in pre-school education centers.

Aim: İn this study, it was aimed to determine the effect of vvorking status of mothers on breastfeeding and using additive food for feeding. Methods: The study vvas consisted of 458 mothers (302 housevvives and 156 vvorking women) having at least 12 months old children. The population samples chosen by using a formula vvere select- ed in tvvo steps. İn the first step, the cluster sampling systematically based on population localities. İn the second step, the mothers of children living in day-center vvere taken into the survey population. Data vvere obtained via çuestonnaire techniçue by intervvieving. Results: The ratio of mothers vvho continued educating after primary school vvas 25% of housevvives and 96% of vvorking mothers. The median of breastfeeding period in housevvives vvas 12 months, but in vvorking mothers it vvas 8 months. This difference vvas significant. The ratio of initiation time of using additive food for feeding before the first four month in vvorking mothers vvas tvvo-fold than that in the house- vvifes. One third of mothers started to feed their babies with commercial supplement foods. The ratio of housevvife mother, starting vvith fluid of home made meal, vvas higher than in vvorking mothers. Conclusion: VVorking moth­ ers could be supported for breastfeeding their babies for longer period. İn addition, increasing education levels of female population and education on infant feeding may encourage to positive attitudes for giving the supplement­ ed food and breastfeeding in population.

Aim

This study aims to determine the prevalence of falls and associated risk factors among elderly living in Sinop, Turkey.

Materials and methods

The universe of this cross-sectional study consists of 32506 people older than 65 years old whom are registered to the family physicians’ information system and live in Sinop. After stratification for sex and age (65-74, 75 and over) a sample size of 2463 and 92.1% were reached. Data about some of the socio-demographic characteristics, falling status, daily living activity functionalities, depression status and awareness about falls of the participants were collected via a structuralized questionnaire. Relations between falls and associated risk factors were assessed by four different logistic regression models.

Results

The mean of falling prevalence after age 65 among elderly was 36.4%. Not being graduated from any school, having low scores for current health conditions, using more than one drug daily, not being able to walk without support and being positive for depression are found to be risk factors for falling among both sex and age groups. Having a chronic disease, living alone, having fear of falling, having low awareness about falls, being dependent in daily living activities and having inadequate knowledge about prevention from falls are found to be risk factors for at least two of the sex and age groups. There were no statistically significant relations between falling risk and previous or current employment status.

Conclusion

Falls are important public health concerns among elderly and the variability of risk factors depending on determinants such as age and sex should be considered while planning further implementations targeting fall prevention and control of risk factors for elderly.

ABSTRACT

Objective: The aim of this study was to investigate the effects of kinesiological banding on symptoms in carpal tunnel syndrome associated with pregnancy.

Materials and Methods: Patients who were admitted to the Physical Therapy and Rehabilitation Clinic due to carpal tunnel syndrome and who were diagnosed with carpal tunnel syndrome by electromyography and who were able to reach the visuel analog score, Short Form-36, Boston Carpal Tunnel Questionnaire and Pittsburgh Sleep Quality Index values were included in the study.

Results: In both groups, there was a significantly difference between the first visuel analog score day-night and the last visuel analog score day-night and first and last Pittsburgh Sleep Quality Index (p<0,05). While there was a significantly improvement in the Boston Symptom Severity Scale, there was no significantly difference in Boston Functional Capacity Scale. In the comparison between the groups, visuel analog score day, Short Form-36 pain parameter and decrease in Boston Symptom Severity Scale were found statistically significant.

Conclusions: In our study, although the superiority of kinesiological banding on hand-wrist rest splint could not be clearly shown, decreased pain and symptoms and an increase in sleep quality were observed.The kinesiological banding should be in mind in patients who have no response to resting splint because of low treatment options during pregnancy.

The study was aimed to determine the ratio of properly timed vaccination according to national vaccine schedule in two time points. Method: The study was performed in Konya city center at the years 1997 and 2007. The subjects were obtained from children aged 0 to 23 months by using systematic cluster sampling. Also power estimated was received attention in this formula. Sample sizes were 467 and 380 for 1997 and 2007, respectively. The data was collected by observation and inquiry techniques. Results: Proportion of children age-appropriately immunized was 79.9 % for year 1997. However the ratio of properly timed vaccination for the vaccine schedule was only 35.3 %. These ratios for year 2007 were 84.2 % and 63.7 %, respectively. Mother’s age and educational level, children’s age and labor order, having a vaccine card, a history of sickness can be prevented by the vaccine in family members and economic status were related to the national vaccine schedule. Conclusion: We consider following families who have more children for vaccination, bringing to mind vaccination date for children aged bigger than six months and taking some cautions in order to protect vaccination card.

Objective: Epistaxis is a common condition in the childhood age group. However, it is important to diagnose the underlying bleeding disorders in children presenting with this complaint. Simple methods to be used in primary health care are needed to determine whether patients have bleeding disorders.

This study aims to evaluate patients presenting with epistaxis with the bleeding questionnaire and determine the diagnostic value of patients with symptomatic but normal hemostatic tests.

Methods: Seventy-seven children with epistaxis were included in the study group and 20 healthy children in the control group. Pediatric Bleeding Questionnaire (PBQ) was used for evaluation.

Results: In our study, 19.4% (n = 15) of the patients were diagnosed with bleeding diathesis (vWh: 10, rare factor deficiency: 5). The mean age at presentation was 8.99 ± 3.42 (3-17) years. Thirty-seven (48%) were girls and 40 were boys. In terms of PBQ epistaxis score, there was no statistically significant difference between those with and without bleeding diathesis. However, the overall score was not statistically different; it was higher in the group with bleeding diathesis. The cutaneous bleeding score was higher in the group with bleeding diathesis and there was a statistically significant difference.

 Conclusions: This study showed that bleeding scores can be used in patients with epistaxis who apply to primary health care institutions and patients with high overall scores and cutaneous bleeding scores should be directed to the hematologist for further research.Keywords: Epistaxis, bleeding diathesis, bleeding score

İn this study, investigation of the knovvledge and attitudes of the nurses about the characteristics of AIDS, spreading ways and prevention was aimed. Totally 236 nurses vvorking in Selçuk University Medical Faculty Hospital were included in this study and vvere intervievved in March 1999. The mean age of the nurses was 24.3 ± 4.3. Nearly 1/3 of the nurses declared that they had participated some educative programs about AIDS previously. 52.1 % of the nurses claimed that there was no difference betvveen having HIV or AIDS disease. 89.0 % of the nurses said that HIV transmission is possible with sexual course vvithout using condom and 56.8 % said that HIV transmission is possible vvith oral sex. The question of "How do you act to an AIDS patient" was ansvvered as "I take preventive measures" by 54.2 % of the nurses. 6.8 % of the nurses said that injectors must be discarded vvithout removing its needle and vvithout closing its cover, 68.6 % said that infected incising tools must be put into resistant boxes. 82.6 % evaluated herself as under the risk of HIV, 20.3 % said that they must have right to refuse medical applications to an AIDS patient. The mean knovvledge score of the nurses vvas 66.7 ± 9.7. The majority of the knovvledge deficiency vvas about the vvays of AIDS prevention. The nurses are generally vvorking very close to the patients. So, they should be educated periodlcally about transmission and prevention of AIDS disease to get correct, adequate and updated knovvledge about it.

Aim: This study was aimed to determine the demography of family caregiver of dependent older adults and their attitude related to care and relationship between attitude and short time education. Material and Method: The study carried out as quasi-experimental design. Forty-eight family caregivers of dependent older adults were included from a randomly selected health center area in Karaman city center. The family caregiving questionnaire was applied by interviewing. The family caregivers were educated by co-researcher about care of elderly. The questionnaire was applied again after eight weeks of education. Results: The mean age of the family caregivers was 49±16, 71% of them were married and 35% were uneducated. Almost all of them were women and were not working elsewhere. In 26 items the average of positive attitude score of the family caregivers was 59±27 on 100 points. The attitude scores was not significantly different according to demographic features. The scores were higher in post-training compared to pre-training. Conclusion: It is concluded that education of family caregivers by public health nurses positively affect the quality of care of dependent older adults.

Selçuk University Medical Faculty staff and people of some health eenters in Konya (Mevlana, 1 Hasanköy. Aydınlıkevler, Binkonut, Karaaslan and Apa village) were examined by palpation of thyroid gland and a specific questionnaire form. 1190 female and ınale people, who were older than 15 years and were selected by lzaphazard method, were entered the study. Thyroid hyperplasia occurance was found ta be 13.6% in Imal. 18.2% of women and 6.96% of men had thyroid hyperplasia. Although the iodine concentration of drinkingutilizing waters in Konya was 12.5 ± 6.25 mcgIL, thyroid hyperplasia is slill a health problem today. We suggest the iodine salt in prophylaxis.

This study was performed to determine relationships among relatives in Konya, by the Family Research Çenter of Selçuk University, in 1996. A questionnaire of twenty-seven questions applied to 539 married subjects. Significant differences were found betvveen male and female in frequency of contact, cooperation and support on overcoming problems in the family.

This study was aimed to compare the knowledge levels of health education teachers with others in basic health subjects. This crosssectional study was performed in all high schools in Konya city center in 2011. The sample consisted of teachers who taught health education or counseled in health related clubs and same number of teachers of other lessons. Data were obtained by a questionnaire filled by teachers themselves under the supervision of interviewer. First part of the questionnaire was about demographic information while the second consisted of 35 questions evaluating the knowledge about protection, improvement, vaccines, contagion, diet, healthy behavior, adolescent health, first approach to frequently encountered health problems, etc. Overall level of health knowledge was assessed by summing the points for each subject, 2 for known, 1 for partially known and 0 for unknown/blank, and converting them to percentage. T test and variation analysis were used for data analysis. The mean age of 314 teachers participated in the study was 39±8, 55% of them were males, 45% were females and 90% were married. 39% of the participants consisted of health education teachers and guide teachers of health related clubs, 61% were the teachers of other lessons. The average score was higher in health education group (56±16) than the other teachers (43±14). The knowledge score was also higher in female teachers and graduates of health related faculties (biology, physical education, child development). Teaching health education or counseling in a health related club increases the general knowledge level of teachers. In writers’ opinion, improving the knowledge level of teachers in health might help students to acquire positive behaviors about health as the current level is not adequate and significant number of wrong answers was present.

Migraine is a frequent headache disorder in the population. The aim of this cross-sectional study was to document demografic and clinical features of subjects with migraine headache who admitted to the outpatient department of a university hospital in Konya. The study included 206 patients diagnosed as migraine according to the 2004 International Headache Society criteria and 218 healty controls of identical sex, age, marital status and education level who did not suffer from frequent headaches other than tension type with a frequency of not more than once a month. Using a questionnaire, we evaluated patient demographics, characteristics of migraine headache, family history and associated symptoms in 206 migraine pattients. 173 woman and 33 men were evaluated. The male:female ratios of migraine patients were 1:5. The mean age at consultation was 37.02±10.40 years. Of the 206 patients, 64.4% met criteria for migraine without aura, while 35.4% met criteria for migraine with aura. Most of the women were of lower educational level. Approximately half of the patients had severe and more than 3 attacks per month. Attack treatment was used frequently. Result of the study confirm that migraine is a more common disorder in women with lower educational level. In additon; this article emphasizes the need for informing patients of the hazards of drug overuse.

Aim: Despite its high prevalence, pain induced by uremic neuropathy is usually underrecognized during diagnostic process and undertreated. In most of the patients, traditional drugs are ineffective. In this study, we investigated the effect of gabapentin on neuropathic pain along with quality of life (QOL) and depression in hemodialysis (HD) patients. Methods: Twenty two patients with chronic renal failure who were on HD were included in our study (10 males and 12 females, mean age 62±3.53). We administered 300 mg/day gabapentin for 8 weeks to patients in whom neuropathic pain was detected. We administered SF-36 Evaluation Test (Physical Component Score and Mental Component Score) for QOL, Beck s Depression Inventory (BDI) for depression and Short Form of McGill s Pain Questionnaire (SF-MPQ: VAS; Visual Analogue Score, PPI; Present Pain Intensity, total SF-MPQ) before and after the treatment. Results: With gabapentin treatment, we found a statistically significant decrease in pain scale scores. Total SF-MPQ decreased from 21.32±8.74 to 7.5±5.72, VAS scale decreased from 6.4±2.15 to 2.45±1.81, PPI decreased from 3.18±1.1 to 1.3±0.88. We also determined significant improvements in SF-36 and BDI scales (p

 

Aim: The aim of this study was to primarily investigate the effects of selected anesthesia method on anxiety, patient satisfaction and pain level in elective caesarean section, and secondarily obtain information about quality of service.

Materials and Methods: The study was carried out as a prospective questionnaire in the Department of Anaesthesiology and Reanimation the Meram Medical Faculty Hospital of Necmettin Erbakan University between June 2017 and August 2017, on 160 volunteers aged between 18 and 45 years for whom elective cesarean section under General Anesthesia (GA) or Spinal Anesthesia (SA) was planned. Demographic data of the patients such as age, place of residence, education level, number of children, and cesarean experiences were recorded. In the preoperative and postoperative period, anxiety levels were measured by State-Trait Anxiety Inventory (STAI-D), pain levels were measured by Visual Analog Scale (VAS) scores and satisfaction levels were evaluated at postoperative 6th and 24th hours by (Quality of Recovery: QoR 40 T) questionnaire.

Results: There was no statistically significant difference between the patients' preoperative and postoperative anxiety scores and demographic data (p> 0.05). Patients with previous cesarean experience had lower preoperative anxiety levels (p <0.05). The STAI-D scores and the numbers of patients with anxiety in the GA and SA groups were similar (p> 0.05).Postoperative anxiety levels were significantly lower in both groups than in the preoperative period (p <0.05). VAS values of the SA group at the 6th and 24th hours were significantly higher than the group treated with GA.(p<0.05). The 24th hour VAS values of the SA group were higher than the VAS values at the 6th hour (p <0.05). In the GA group, VAS values at 24th hour were lower than the VAS values at 6th hour (p <0.05). The satisfaction levels of general anesthesia and spinal anesthesia were similar in the postoperative period (p> 0.05). Complaint of headache was high in SA group while complaint of sore throat was high in GA group(p<0.05). While there was no correlation between anxiety level, VAS values and satisfaction level (p> 0.05), there was a negative correlation between VAS values and pain parameters, which are the subgroup of satisfaction questionnaire, in both groups (p <0.05).

Conclusion: It is concluded that the preferred anesthesia method in elective cesarean section has no effect on anxiety and satisfaction, and the patient satisfaction level and service quality will be improved by providing effective analgesia by reviewing our postoperative pain algorithm.

 

STUDY AIM: In this study, it was aimed to identify the accurate and inaccurate conceptions among the society on COVID-19 disease, which is considered as a public health problem and has a high risk of transmission. 

METHODS: The research was performed online at https://docs.google.com/forms in May 2020. The questionnaire form was composed of 40 queries, which were on sociodemographic characteristics and COVID-19. Following the study, the answers obtained from the questionnaire were analyzed by inserting related data to the software of SPSS. 

RESULTS: Of 580 participants involved in the study, 363 (62.6%) were female. The median age of the participants was 34.0 (18.0-77.0). Of the individuals who completed the questionnaire, 342 (59.0%) were married and 438 (75.5%) were university graduated and / or postgraduated. Of the individuals included in the study, 497 (85.6%) stated that they watched television / news channels to be informed about COVID-19. Most of the questions related to COVID-19 were answered accurately by the participants. The percentage of the premise, which was answered most accurately, was 577 (99.5%), whereas the lowest percentage of the accurately answered premise was 137 (23.6%). It was found that there was a statistically significant difference among the genders in terms of the percentage of accurate responses to the conceptions (p<0.05).

CONCLUSION: It was determined that the vast majority of the participants utilized from at least one news resource on COVID-19. Participants typically have accurate knowledge about COVID-19. Educational programs can be planned to enhance the awareness of the society about the conceptions, which were answered mostly inaccurately.

This study was carried out in order to assess the inpatients’ satisfaction levels with physical condition, doctors, nursing, cleaning and food services in Afyon Kocatepe University Ahmet Necdet Sezer Research and Application Hospital. A total of 345 inpatients were participated in this study. A questionnaire was prepared to evaluate the satisfaction levels of inpatients. A face-to-face interview approach was used. The mean satisfaction levels of inpatients were 4.18±0.77 for physical conditions, 4.20±0.90 for doctors, 4.35±0.84 for nursing, 4.14±0.96 for cleaning, and 3.99±1.05 for food services. Statistically significant difference was found between educational status and their satisfaction levels (p

İn this study, evaluation of antibiotic usage in the community of Konya district was aimed. 206 patients, who used antibiotics during the last month were included in the study. A questionnaire form was applied face to face to the patients. 18 % of the patients did not have a health assurance. İt was found that antibiotics were proposed to 91.3 % of the patients by doctors. İt was determined that about 3/4 of the patients used antibiotics for respiratory infections. Radiological examinations were the most requested examination and amoxicilline-klavulanat was the most frequently used antibiotic by the patients. 44.7 % of the patients declared feeling healthy as the reason of quitting the antibiotic use. There was no significant relation betvveen antibiotic usage properties and educational level of the community. İt was concluded that, the doctors should also be educated with the community about acceptable antibiotic usage.

Context: Alcohol dependence syndrome is a major problem affecting both individuals and their family. Children of alcohol dependent parents are vulnerable to a host of behavioural problems. Studies in the west have shown both internalizing and externalizing symptoms in these children.

Aims: To assess the psychological functioning in offspring of alcohol dependent parents and its association with severity of alcohol dependence.

Settings and Design: This study was conducted at the Department of Psychiatry of a Tertiary hospital in Bangalore spanning a period of one year. Eighty children aged 11 years - 18 years, along with their alcohol dependent fathers were included.

Methods and Material: Socio demographic details of the parent and the child were collected by a semi structured Performa along with informed consent. Alcohol dependence was diagnosed based on ICD 10 criteria. Severity of Alcohol dependence was assessed using Severity of Alcohol Dependence Questionnaire (SADQ). Psychological functioning of the children was assessed using Youth Self Report Scale (YSR).

Statistical analysis used: descriptive statistics, and Chi-square test

Results: Among 80 children assessed 41 were males and 39 were females. 47.5% of them showed significant internalizing symptoms and 48.7% significant externalizing symptoms. Internalizing scores had higher correlation with girls (P – 0.004) and externalizing symptoms in boys (P – 0.008). However no correlation was found with severity of dependence in the father.

Conclusions: It was found that there was high prevalence of psychiatric morbidity in terms of externalizing and internalizing behaviours in children of alcohol dependent fathers. Thus early detection of these problems and intervention would ensure improved functioning in this group.

Objective: To determine the effect of COVID-19 infection on anxiety level in pregnant women.

Material and Methods: In this study, a questionnaire and Beck anxiety scale were applied to pregnant women who referred to outpatient clinic for routine pregnancy control in June 2020 to determine their concerns that may be related to COVID-19. Pregnant women admitted with obstetric emergencies and obstetric risk were not included in the study.

Results: 177 pregnant women were included in the study and the pregnant women were divided into four groups according to their score on Beck anxiety scale. Anxiety level of pregnant women was 44.6%. The possibility of not being with his family at the time of birth and the fear of death due to COVID-19 were statistically significantly associated with higher anxiety levels.

Conclusions: In this process, it is important to provide psychosocial support in addition to the follow-up of pregnant women by a multidisciplinary team consisting of perinatology, newborn and intensive care specialists.

This is a descriptive and corss sectional type of study which was performed among the activities of "World AIDS Day" on 1 st November in 1994 in the two schools of apperentic-eship in KONYA The aim of the study was to determine the difference of know-ledge levels of the students before and aft e4: edu-cation about AIDS. In the study group the total number of the stu-dents were 414 and 11 of them were girls. The stu-dents mean age 1.'as 16.2, 38 (92 %) of the students were graduated from primary school, 33 (8 %) of them were graduated from secondary school. 3 of the students were married, one of them was widowed and the others were unmarried. Their income was 70.000 weekly. The knowledge level of.the 474 students about AIDS was determined by using a questionnaire form about this subject. An education progranune was per- brined by the instructors of microbiology de-partment after the using of questionnaire form. 10 days after the education programme the same qu-estionnaire forms were used again. The results were determined by t. test. A special composite index was developed to determine the know-lad,ge levels. The composite index was 37. The knowledge points before education was bet-ween 0 and 27, the mean was 11.0 After education there was an increase of 18.1 % point. TVlien eva-luated hi t test this increase was si,,f;inficant at the 0.01 level. AIDS is an illiess which-can be prevented by edu-cation. Education of one hour by instructions had been supplied an increase o f.18r in the knowledge level. We think that it will be usefull of AIDS is reached among the education programmes.

Habitual smoking and smoking dependent Itsith-drawal symptoms in psychiatric patients and their healtly attendants which are considered as control, were surveyed. The patients and the control groups were subdivided into smokers and nonsmokers and evaluated accordingly_ Fagersn-om Tolerance Of-estionnory, and criteria of DSM-IV cigarette-smoking dependency and abstinency were included in our survey questionnaries and used for 216 in-dividuals. When compared to control groups, the onset of addiction age was earliers and the duration of smoking was longer in patients and these values were statistically significant. The tendency of smo-king and addiction among the patients found to be severe and this can be attributed to neuroregulatory effects of nicotine.