INTRODUCTION: Diabetic neuropathy is a complication seen in diabetic patients and involves motor, sensory or autonomic nerve fibers due to minor vessel damage. This study was planned to determine the ...knowledge and awareness levels of physicians working in family health centers about diabetic neuropathy and their approach to diabetic neuropathy. METHODS: Our study is a cross-sectional descriptive study conducted in 111 family health centers. Two hundred seventy-nine physicians were included in the study, and 219 physicians (78.49%) agreed to participate in the study. The researchers created the questionnaire form by conducting a literature review. The data were obtained by survey method under supervision. RESULTS: Of the 219 people participating in the study, 70.78% (n = 155) were male and 6.85% (n = 15) were family medicine specialists. 94.06% of the participants (n=206) gave the optimal glycemic control response as the most effective method to prevent diabetic neuropathy and delay its progression. 74.42% of the participants (n = 163) stated that they did not use any diabetic neuropathy diagnosis and screening tests in their daily practice. 31% (n = 68) of the participants stated that their level of knowledge of diabetic neuropathy was either poor or very poor. 89.49% (n = 196) of the participants stated that they needed training on diabetic neuropathy. Those who rely on their knowledge and clinical experience in diagnosing, monitoring, and treating diabetic neuropathy were 44.29% of the participants (n = 97). DISCUSSION AND CONCLUSION: As a result, although the rate of those who correctly knew the primary and secondary prevention of diabetic neuropathy was found to be high among the physicians participating in our study, it was determined that the diabetic neuropathy knowledge level of the participating physicians was insufficient. Simple tests and methods for physicians working in primary care should be included in the daily polyclinic routine.
This study aimed to investigate fertility behaviours and contraceptive use among Syrian migrant women in western Turkey.
An epidemiological, single-centre, cross-sectional, descriptive study was ...conducted. The survey collected data on sociodemographic characteristics and types of marriage, use of contraceptive methods and fertility behaviours among 223 Syrian migrant women.
The women's mean (± standard deviation) age range was 29.6 ± 9.1 (range 18-49) years; 29.6% had no formal marriage status; 61.0% had had an arranged marriage. The mean age at first pregnancy was 19.5 ± 3.4 (13-39) years; 26.4% had become pregnant before the age of 18. In total, 94.2% of participants had knowledge of contraceptive methods. However, 47.5% did not use contraception and the main reason for this was to become pregnant again. Intrauterine devices and oral contraceptive pills were known as contraceptive methods by 67.7% and 72.2% of women, but used by only 16.1% and 8.5%, respectively. Withdrawal (22.0%) was the most used contraceptive method. There was a risk of unwanted pregnancy in 13.0% of participants. Arranged marriage and low educational level were determined to be risk factors for adolescent pregnancy.
Although Syrian migrant women were aware of contraceptive methods, the rate of method use was low.
The aim of this study was to determine the degree to which socioeconomic status is a risk factor for first birth at age 19 or younger in married women in an urban area of Turkey. The research was a ...population-based case-control study. The study group comprised all married and pregnant women aged 15-19 (adolescent pregnancies) attending primary care centres (144 subjects). Married women between 20 and 29 years of age, experiencing their first pregnancy (adult pregnancies), were determined as the control group (144 subjects). A questionnaire was completed for each subject during face-to-face interviews. Adolescent pregnancy was more frequent in women from families with a low socioeconomic status, as determined by occupation (class) and income; both were associated with adolescent pregnancy. Multiple logistic regression analysis identified seven factors associated with adolescent pregnancy: exposure to violence within the family prior to marriage; families partially opposed or unopposed to adolescent marriage; secondary school or lower education level; lack of social security; living in houses in which the number of persons per room was over 1; unemployed women; and having sisters with a history of adolescent pregnancy.
Covid-19 virüsü 2019 yılı aralık ayında ortaya çıkmış ve tüm dünyayı etkilemiştir. Dünya Sağlık örgütü 2020 yılı ocak ayında pandemi ilan etmiştir. Virüs birçok kişinin hastalanmasına ve ölümüne yol ...açarken aynı zamanda insanların yaşam biçiminde de önemli değişikleri beraberinde getirmiştir. Bu değişimlerden en önemlileri bireylerin beslenme ve hijyen konusundaki tutum ve davranışları konusunda olmuştur. Pandemi döneminde sokağa çıkma kısıtlamaları nedeniyle de insanların dışarıda yemek yeme sıklıkları azalmış ve herhangi bir bulaş olması endişesiyle hijyen konusunda daha dikkatli davranmaya başlamışlardır. Bu araştırma pandemi döneminde bireylerin beslenme ve hijyen konusundaki tutum ve davranışlarını belirlemek amacıyla planlanmış ve yürütülmüştür. Çalışmada nicel araştırma yöntemlerinden anket tekniği kullanılmış ve Google üzerinden online olarak gönüllü kişilere uygulanmıştır. Anket toplamda 810 katılımcıya uygulanmış ancak eksik ve yanlış doldurulan anketler kapsam dışı tutulmuş ve 795 anket dikkate alınmıştır. Araştırma sonucunda bireylerin pandemi süresince beslenme ve hijyen konusundaki tutum ve davranışlarının olumlu yönde değiştiği ortaya konmuştur.
Atrial fibrillation is a frequently detected cardiac arrhythmia in the etiology of ischemic stroke. The incidence of atrial fibrillation and the risk of it causing ischemic stroke increase ...significantly with age; it is rare in young people. It is known that the risk of developing atrial fibrillation is high when there is a background of hyperthyroidism. COVID-19 is thought to cause thromboembolic events, cardiac pathologies, and endocrine disorders. A 54-year-old presented with right-sided hemiplegia and motor aphasia of 1.5 h duration. On evaluation, he tested positive for SARS-CoV-2 imaging was suggestive of acute pons ischemia and found to have hyperthyroidism and atrial fibrillation. It is clear that atrial fibrillation, which is highly unlikely to cause ischemic stroke in young adults, may develop due to hyperthyroidism. COVID-19 has been suggested as a cause of atrial fibrillation and hyperthyroidism. It is also thought to be involved in the etiology of stroke by causing hypercoagulation or triggering vasoconstriction through the renin–angiotensin system.
: The present study aimed to investigate the prevalence of atopic dermatitis in primary schoolchildren in Denizli, Turkey, and to determine the possible risk factors for atopic dermatitis in home ...environment. A self‐administered questionnaire was handled to the parents of 2,100 children aged 7 to 15 years, from three randomized primary schools and 1,644 (78.9%) completed and returned the questionnaire. The questionnaire included the United Kingdom Working Party diagnostic criteria and asked about conditions that could affect the course of atopic dermatitis. The prevalence of atopic dermatitis and coexisting factors that may affect the course of the disease were evaluated in 1,644 children (825 girls and 819 boys). The prevalence of atopic dermatitis was detected as 4.9%. Passive smoking, heating systems either in the house or in the child’s bedroom, and the number of people living in the house had no significant effect (p > 0.005). The difference in prevalence of atopic dermatitis between developed and developing countries is striking. The determination of the factors that have an influence in this issue will probably enable us to change the course and frequency of atopic dermatitis.
The purpose of this study was to evaluate Denizli midwives’ self‐reported knowledge of genetic diseases and genetic counseling. Data was collected on forms that obtained information about midwives ...approaches to basic genetics, genetic disorders, and genetic counseling (response rate = 70.1%). The highest response rate of midwives describing themselves as “knowledgeable” about basic genetic information was for mitosis and meiosis with 4.8%, about genetic disorders was for phenylketonuria with 61.1%, and about genetic counseling was for recommending ultrasonography during pregnancy with 98.1%. The source for basic genetics information for 56.4% of participants was in their school level classes. None of the midwives felt that they had sufficient knowledge about genetic counseling or screening and 76.4% would like to attend an educational course. Even though the midwives have recognized their knowledge deficit they occasionally give genetic counseling. As a result of this study a genetics course is planned for midwives so they can actively participate in the prevention and early diagnosis of genetic diseases.
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