APITHERAPY IN PRIMARY CARE

2016-09-26T17-14-53Z
Source: Turkish Journal of Family Medicine & Primary Care
Onur ÖZTÜRK, Mustafa Yasin SELÇUK.



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Oyo State Students and Malaria Management

2016-09-26T17-14-53Z
Source: Turkish Journal of Family Medicine & Primary Care
Abdulfatah Ibrahim, Oluwadamilola Aminat Oluberu, Saheed Opeyemi Usman, Nafisat Oladayo Akintayo-Usman, Ibiwumi Nafisat Isola, Titilope E. Ojediran, Tonubari Fadero.
Background: Malaria is a vector-borne infectious disease caused by eukaryotic protist of genus Plasmodium and transmitted by female Anopheles mosquitoes. Those living mainly in the worlds poorest countries are at risk of malaria as it is more endemic in the tropical and sub-tropical regions. Malaria spread have been linked to environmental changes, malaria vector dynamics, host immune status and individual or community factors such as the socio-economic status, knowledge of malaria and the protective behaviour. Objectives: To assess knowledge, perceptions and practice of malaria management among non-medical students of higher institutions in Oyo State, Nigeria Materials & Methods: An open-ended structured questionnaire was administered consecutively to 1198 consenting non-medical students by interviewer at various higher institutions. The cross-sectional survey questionnaire comprised sections on socio-demographic data, knowledge about causes of malaria and knowledge about malaria management & practice. Results: The mean age (SD) was 21.7 (5.9) years. 530 respondents (44.2%) are male while 668 respondents (55.8%) are female. 1077 students (89.9%) reported that malaria can be cured. 74 students (6.2%) understand malaria prophylaxis to be a preventive treatment of malaria and 211 students (17.6%) said Artemisinin-based Combination Therapies (ACTs) are the most effective among the drugs they have used to treat malaria. Conclusion: Non-medical students have relatively reasonable knowledge about malaria management and practices, although, certain aspects are still not well understood, probably due to the scope of their educational curricula. Hence, there is need to intensify malaria public enlightenment programmes and promote affordable treatment.


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SERUM HBsAg and ANTI-HBs LEVELS WITH HEPATITIS B VACCINATION STATUS in HOSPITAL STAFF ADMITTED FOR HEALTH SCREENING

2016-09-26T17-14-53Z
Source: Turkish Journal of Family Medicine & Primary Care
Ruhuşen Kutlu, Nur Demirbaş.
ABSTRACT Objective: This study was performed to research the HBsAg and anti-HBs levels with hepatitis B vaccination status in hospital staff admitted to family medicine outpatient clinic for health screening. Method: This descriptive study was was carried out in 519 hospital health staff admitted to family medicine outpatient clinic for health screening between 03.10.2015 and 30.12.2015. Socio-demographic characteristics and hepatitis B vaccination status of the participants were recorded on forms prepared in advance by researchers. Serum HBsAg and anti-HBs levels were measured. Antibody titers of 10 and below were considered negative and these staff were taken to 3 doses of hepatitis B vaccine program. Results: Of the participants, 35.6% (n=185) were female, 64,4% (n=334) were male and the mean age was 35.24 ± 8.35 years. One hundred and sixty two (31.2%) had 0-10 mIU/ml, 14.5% (n=75) had 10-100 mIU/mL levels, 54.3% (n=282) ≥100 mIU/mL of the anti-HBsAg value. The serum HBsAg levels of the hospital staff were found as 97.7% (n=507) negative and 2.3% (n=12) positive. While there was no statistically significant difference between the gender and serum HBsAg levels, a statistically significant difference was found between the ages of the staff and serum HBsAg levels (p


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MUNCHAUSEN HEMOPTYSİS : A Rare Type of Factitious Disorder…

2016-09-26T17-14-53Z
Source: Turkish Journal of Family Medicine & Primary Care
Ebru Altıntaş, Akatlı Kürşad Özşahin.
Munchausen Syndrome defined by Asher in 1951 is named after fictitious Baron Karl Friedrich Von Munchausen.This syndrome is characterized by constituting diseases, pathological lying, and visiting healt care units many times with many hospitalizations. These patients seek attention of health workers pretending to be sick when in fact they are not. They try to obtain the care and intimacy which they dont have in daily life from health professionals. They can have the support of physicians because they generally have medical information to a degree to define symptoms. Their medical history is generally full of hard to believe tales. The presented case was a 27 year old female with three kids. She attended the outpatient clinic with complaint of hemoptysis, but investigations proved that she created the condition herself with ordinary paint. The etiology of this syndrome which is not fully understood as well as strategies for differential dignosis is discussed and highlights for management of such patients are underlined in the article


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DOMESTIC VIOLENCE OF WORKING CHILDREN IN AN INDUSTRIAL COMPLEX AND RELATED FACTORS: A QUALITATIVE INQUIRY

2016-09-26T17-14-53Z
Source: Turkish Journal of Family Medicine & Primary Care
Seyhan Hidiroglu, Melda Karavus, Ozlem Tanriover, Turhan Salva, Emel Lüleci, Bulent Herek.
Objective: The aim of this study was to understand the factors related to domestic violence of the working children in the Industry Complex in a district of Istanbul. Method: This qualitative study was carried out with children working in the Industry Complex of Pendik using a convenience sample. These children were working in this Complex under the guidance of Community for Helping the Working Children. Three focus group discussions were held to collect the data each composed of 10 children with one moderator and one reporter. The focus group discussions were held at the work places of these children and during their working hours. In this study, phenomenological approach and thematic analysis was used. Results: In our sample, all the children were males, aged between 14-18 years. The majority were the children of low income families who were not able to graduate from elementary school. Nine themes emerged from the data: perception/explanation of violence at home; to be misinterpreted by the parents; deserving the punishment; feelings towards parents ; thoughts about the financial issues and violence; aggression defined by the children; thoughts about being a parent and how to discipline own children; thoughts about their education; reasons for violence. Children admitted that they became aggressive outside the home after they experienced violence at home. Some of the children believed that the reason for domestic violence was financial problems and agreed that they may apply corporal punishment to discipline their children. Conclusion Acceptance of corporal punishment as a norm would be a risk for domestic violence. As some of the participants of this study mentioned that they may apply corporal punishment to discipline their children. So whole community may use their sources to change the norms.


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THE MAIN PHILOSOPHICAL AND METODOLOGICAL CONSIDERATIONS IN THE EVOLUTION OF PHYSICAL SCIENCES

2016-09-26T17-14-53Z
Source: Turkish Journal of Family Medicine & Primary Care
Süleyman Bozdemir.
The aim of the study: Since a quarter of a century I have been interested in Philosophy of Sciences as a hobby and from time to time gave lectures on this subject to students of physics as an elective course, in which one of the main subjects of the course was Philosophy and methods of the physical Sciences and I would like to share my experience and knowledge with science readers and to introduce philosophical and methodological ideas that play an active role in the development process of physical sciences for those who want to do research to shed some light on this issue.


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Congenital Diaphragmatic Hernia İn A Patıent Presenting With Fever And Respiratory Distress

2016-09-26T17-14-53Z
Source: Turkish Journal of Family Medicine & Primary Care
Abdulkadir Kaya, Mevlüt Demir, Mahmut Polat.
Congenital diaphragmatic hernia (CDH) is a congenital patology characterized by developmental defect of the diaphragm in the intrauterine period. The CDH that presents after the first month of age is called late onset CDH. In these paper we report a case with late-onset CDH presenting with different clinical findings who was referred for surgery.


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