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An Evaluation of Men’s Beliefs and Perceptions and Affecting Factors on Prostate Cancer Screenings with the Health Belief Model 用健康信念模型评价男性前列腺癌筛查的信念、认知及影响因素
Pub Date : 2021-01-01 DOI: 10.54308/tahd.2021.52714
N. Demirbaş, Mustafa Onmaz
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引用次数: 1
Post Traumatic Stress Disorder in the COVID-19 Pandemic: A Family Medicine Approach COVID-19大流行中的创伤后应激障碍:家庭医学方法
Pub Date : 2021-01-01 DOI: 10.5222/tahd.2021.58066
Hüseyin Serinçay, Gökçe Mat, E. Ülger, Alis Ozcakir, Z. Alper, Y. Uncu
Studies show that more than two-thirds of the general population may experience trauma at least once in their lifetime.[1] Post-Traumatic Stress Disorder (PTSD) is the most common psychopathological consequence of exposure to traumatic events.[2] Without a vaccine or effective medical treatments, an unrecognized epidemic of infection such as COVID-19 can be defined as a traumatic experience in terms of acute and chronic effects at the individual and community level. This pandemic has once again demonstrated the central role of family medicine in the health system. On one hand, family physicians taking an active role in informing the society, triage of patients and referral to hospitals, when necessary, prevents excessive burden on hospitals and the health system and consuming resources, on the other hand, they play an important role in creating the most needed sense of trust in the crisis. This article summarizes the information about trauma, PTSD, PTSD in COVID-19 pandemic and PTSD approach in Family Medicine.
研究表明,超过三分之二的普通人一生中至少会经历一次心理创伤。[1]创伤后应激障碍(PTSD)是暴露于创伤性事件后最常见的精神病理后果。[2]在没有疫苗或有效治疗的情况下,COVID-19等未被识别的感染流行病可被定义为在个人和社区层面造成急性和慢性影响的创伤性经历。这次大流行再次证明了家庭医学在卫生系统中的核心作用。一方面,家庭医生在必要时积极向社会通报、分流病人和转诊到医院,防止医院和卫生系统负担过重和资源消耗,另一方面,他们在危机中创造最需要的信任感方面发挥了重要作用。本文综述了创伤、创伤后应激障碍、新冠肺炎大流行中的创伤后应激障碍以及家庭医学中的创伤后应激障碍治疗方法。
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引用次数: 1
Examining the Knowledge, Attitudes and Behaviors of Adults about Colorectal Cancer Risk Factors and Early Diagnosis Methods 调查成人对结直肠癌危险因素及早期诊断方法的认识、态度和行为
Pub Date : 2021-01-01 DOI: 10.5222/tahd.2021.63825
Esra Sancaktar, Ö. Tuncer
INTRODUCTION: In this study, ıt was aimed to determine the level of awareness by evaluating the knowledge, attitudes and behaviors of people about the risk factors, symptoms and early diagnosis methods of colorectal cancer. METHODS: The study was conducted with a face-to-face interview with 300 patients who met the inclusion criteria of the study, who applied to the Family Medicine Clinic of İzmir Bozyaka Education and Research Hospital at the University of Health Sciences, between January 2019 and February 2019. Data obtained statistically were analyzed using SPSS (Statistical Package for Social Sciences) program. RESULTS: The mean age of the participants was 51,8±8,66 years and the age ranged was between 40 to 70 years. 68.3% (205) of the participants were female. When the educational status of the patients is examined, the highest rate is composed of primary school graduates with 33% (99), followed by university graduates with 28.7% (86). 66.3% (124) of those who have heard about colorectal cancer screening test reported that they heard it from health care workers, 25.7%(48) from their relatives and friends. 62.3% (187) of the participants heard about colorectal cancer screening tests. While 96.7% (290) of the participants believed that those tests were necessary, 85% (255) of the participants thought that the aim of the colorectal cancer screening test was to catch the disease at an early stage. Only 29% (87) of the participants were informed by the doctor about colorectal cancer screening tests. Only 25% (75) of the participants knew names of colorectal cancer screening tests correctly. 39.7% (60) of the participants over the age of 50 had a CRC screening test. While the participants considered changes in the habit of defecation as the most frequent sign of CRC, the most known risk factor was the family history of CRC. DISCUSSION AND CONCLUSION: In our study ıt was determined that individuals had a lock of knowledge about CRC and the rate of screening test recommended for those over the age of 50 was low. For this reason, Family Physicians, who are great importance in terms of ptotective medicine should inform and guide their patients more about the screening test.
INTRODUCTION:本研究ıt旨在通过评估人们对结直肠癌危险因素、症状和早期诊断方法的认识、态度和行为来确定认知水平。方法:该研究是在2019年1月至2019年2月期间,对300名符合研究纳入标准的患者进行面对面访谈,这些患者申请了健康科学大学İzmir Bozyaka教育与研究医院家庭医学诊所。统计得到的数据使用SPSS (Statistical Package for Social Sciences)程序进行分析。结果:参与者平均年龄为51,8±8.66岁,年龄范围为40 ~ 70岁。女性205例,占68.3%。在调查患者的学历时,比例最高的是小学毕业生,占33%(99人),其次是大学毕业生,占28.7%(86人)。66.3%(124人)的受访者表示从医护人员处听说大肠癌筛查,25.7%(48人)的受访者表示从亲友处听说大肠癌筛查。62.3%(187人)的参与者听说过结直肠癌筛查试验。96.7%(290)的参与者认为这些测试是必要的,85%(255)的参与者认为结直肠癌筛查测试的目的是在早期发现疾病。只有29%(87)的参与者被医生告知结直肠癌筛查测试。只有25%(75)的参与者正确地知道结直肠癌筛查试验的名称。50岁以上的参与者中有39.7%(60人)进行过CRC筛查试验。虽然参与者认为排便习惯的改变是结直肠癌最常见的征兆,但最广为人知的危险因素是结直肠癌的家族史。讨论和结论:在我们的研究中,ıt确定个体对CRC有一定的了解,并且推荐对50岁以上人群进行筛查的比率很低。因此,在保护医学中发挥重要作用的家庭医生应该更多地告知和指导患者筛查试验。
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引用次数: 0
Health Anxiety Levels and Healthy Lifestyle Behaviors of Çukurova University Medical Faculty Students Çukurova大学医学院学生健康焦虑水平与健康生活方式行为
Pub Date : 2021-01-01 DOI: 10.5222/tahd.2021.69775
Özge Orhan Özgül, E. Saatci
Objective: Medical students’ attitudes and behaviors are particularly important for themselves, their families and the society as the yare the health professionals of the future. The aim of this study was to investigate the relationship between health anxiety levels and healthy lifestyle behaviors of medical students in Cukurova University and there lated factors. Methods: The study population consisted of 1886 medical students in Cukurova University during the 2018-2019 academic year. The study sample consisted of 319 medical students. The students completed a Socio-demographic Data Form consisting of 24 questions, Health Anxiety Inventory (short version) consisting of 18 questions and Healthy Lifestyle Behaviors Scale consisting of 48 questions. Data was analyzed using SPSS 23.0 package program. Results: Of 319 students, 58.9% were female and 41.1% were male; the mean age was 21.5±2.1 years. The mean score of Health Anxiety inventory was 17.6±6.2. There was a significant relationship between self-perception of health and health anxiety (p=0.001). The total score of the Healthy Lifestyle Behaviors Scale was 120.1±18.1 out of 192 indicating a moderate level. The mean scores of subdimensions were 35.9±5.9 for self actualisation, 21.7±4.9 for health responsibility, 9.7±3.6 for physical activity, 15.2±3.6 for nutrition, 20.3 for interpersonal relationships, and 17.3 for stres management, respectively. The total scores of the Healthy Lifestyle Behaviors Scale and the mean scores of exercise and stress management subscales were higher in male students than female students. Conclusion: It was found out that the students did not have high levels of health anxiety and had moderate healthy lifestyle behavior levels. It was observed that students with increased levels of health anxiety had less healthy lifestyle behaviors. Students should be empowered about health promotion to enable them to have the ability for self-management.
目的:医学生的态度和行为对他们自己、他们的家庭和社会都特别重要,因为他们是未来的卫生专业人员。摘要本研究旨在探讨库库罗娃大学医学生健康焦虑水平与健康生活方式行为的关系及其影响因素。方法:以2018-2019学年库库罗娃大学1886名医学生为研究对象。研究样本包括319名医学生。学生完成了包含24个问题的社会人口统计数据表、包含18个问题的健康焦虑量表(简短版)和包含48个问题的健康生活方式行为量表。数据分析采用SPSS 23.0软件包程序。结果:319名学生中,女生占58.9%,男生占41.1%;平均年龄21.5±2.1岁。健康焦虑量表平均得分为17.6±6.2分。健康自我知觉与健康焦虑之间存在显著相关(p=0.001)。健康生活方式行为量表总分为120.1±18.1分(满分192分),属于中等水平。各子维度的平均得分分别为自我实现(35.9±5.9)、健康责任(21.7±4.9)、身体活动(9.7±3.6)、营养(15.2±3.6)、人际关系(20.3)和压力管理(17.3)。健康生活方式行为量表总分、运动与压力管理量表均分均高于女生。结论:发现学生健康焦虑水平不高,健康生活方式行为水平适中。据观察,健康焦虑水平较高的学生的健康生活方式行为较差。增强学生的健康促进能力,使他们具备自我管理的能力。
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引用次数: 1
The Evaluation of the Anxiety Towards Scientific Research Among the Medical Faculty Residents 医学院住院医师科研焦虑的评价
Pub Date : 2021-01-01 DOI: 10.5222/TAHD.2021.36855
N. Emre, T. Edirne, Aysun Özşahin, Burak Arikan
INTRODUCTION: Improving the current medical health care system is achieved by increasing the quality on research and this is managed by encouraging residents to develop interest in research beginning from the first years of the medical school. It is important to understand the attitudes of students and address their negative opinions for research, and to evaluate their anxiety. In this study, we aimed to assess the levels of anxiety related to scientific research and the factors that may be related to these factors among the residents working in a university hospital. METHODS: This descriptive study covered all medical faculty residents working at a medical school between October and December 2019. The sociodemographic characteristics of all participants were questioned and all medical faculty residents completed an anxiety scale that assessment the level of anxiety for research RESULTS: A total of 310 medical faculty residents were included in the study. The mean age of the participants was 28.3±2.6 years and 49.0% (n=152) of the participants were women. The mean score of the anxiety scale for scientific research in residents was 33.37 ± 9.27 and there was no difference between the participants in terms of gender (p = 0.666). The residents who were doing their residency on basic science compared to those working in other departments, those who had a less workload compared to those who had a more workload, those who thought of pursuing an academic career compared to those who do not think of becoming an academic, those who were satisfied with the department compared to those who were not satisfied with the department had a significantly lower level of anxiety for scientific research (p=0.023; p <0.001; p <0.001; p<0.001 respectively). DISCUSSION AND CONCLUSION: A total of 310 medical faculty residents were included in the study. The mean age of the participants was 28.3±2.6 years and 49.0% (n=152) of the participants were women. The mean score of the anxiety scale for scientific research in residents was 33.37 ± 9.27 and there was no difference between the participants in terms of gender (p = 0.666). The residents who were doing their residency on basic science compared to those working in other departments, those who had a less workload compared to those who had a more workload, those who thought of pursuing an academic career compared to those who do not think of becoming an academic, those who were satisfied with the department compared to those who were not satisfied with the department had a significantly lower level of anxiety for scientific research (p=0.023; p <0.001; p <0.001; p<0.001 respectively).
简介:改善当前的医疗保健系统是通过提高研究质量来实现的,这是通过鼓励居民从医学院的第一年开始培养对研究的兴趣来管理的。了解学生的态度,解决他们对研究的负面意见,评估他们的焦虑是很重要的。本研究旨在评估某大学附属医院住院医师的科研相关焦虑水平及可能与这些因素相关的因素。方法:这项描述性研究涵盖了2019年10月至12月在一所医学院工作的所有住院医师。所有参与者的社会人口学特征都被询问,所有医学院住院医师都完成了一份焦虑量表,评估了研究的焦虑水平。结果:共有310名医学院住院医师被纳入研究。参与者的平均年龄为28.3±2.6岁,女性占49.0% (n=152)。居民科研焦虑量表平均得分为33.37±9.27分,性别差异无统计学意义(p = 0.666)。基础科学住院医师与其他院系住院医师相比,工作量少的住院医师与工作量多的住院医师相比,考虑从事学术事业的住院医师与不考虑从事学术事业的住院医师相比,对院系满意的住院医师与对院系不满意的住院医师的科研焦虑水平显著低于其他院系(p=0.023;p < 0.001;p < 0.001;p < 0.001)。讨论与结论:共有310名住院医师被纳入研究。参与者的平均年龄为28.3±2.6岁,女性占49.0% (n=152)。居民科研焦虑量表平均得分为33.37±9.27分,性别差异无统计学意义(p = 0.666)。基础科学住院医师与其他院系住院医师相比,工作量少的住院医师与工作量多的住院医师相比,考虑从事学术事业的住院医师与不考虑从事学术事业的住院医师相比,对院系满意的住院医师与对院系不满意的住院医师的科研焦虑水平显著低于其他院系(p=0.023;p < 0.001;p < 0.001;p < 0.001)。
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引用次数: 1
The Nameless Warriors of Filiation 无名勇士家族
Pub Date : 2021-01-01 DOI: 10.5222/TAHD.2021.43531
H. Parildar
{"title":"The Nameless Warriors of Filiation","authors":"H. Parildar","doi":"10.5222/TAHD.2021.43531","DOIUrl":"https://doi.org/10.5222/TAHD.2021.43531","url":null,"abstract":"","PeriodicalId":23359,"journal":{"name":"Turkish Journal of Family Practice","volume":" 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91515751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Internet Addiction on Family Relations and School Success in Adolescents 网络成瘾对青少年家庭关系和学业成功的影响
Pub Date : 2021-01-01 DOI: 10.54308/tahd.2021.51523
Görkem Çalık, Çağdaş Emin Maç, G. Zeren Öztürk
Objective: This study aimed to determine whether high school adolescents between the ages of 1419 are internet addicts. It also investigates the effects of internet addiction on family harmony and school success. Methods: Our study was conducted between 30 June 2020 1 August 2020 in Istanbul Bağcılar Barbaros Family Health Centre. Firstly, in our study, high school adolescents were asked 29 questions about their socio-demographic status. Then, the Young Internet Addiction Scale consisting of 20 questions and the 5-Question Family Harmony Scale created by Kavikondala et al. were applied. School success was measured verbally via learning the school year-end grade averages. Results: In our study, the internet addiction scale was applied to 183 high school students aged between 14 and 19. We determined that 85.8% of the participants were normal internet users, 13.1% were potential addicts, and 1.1% were addicted. The participants consisted of 100 girls and 83 boys. The total scores of the Internet addiction scale did not show a statistically significant difference between girls and boys. Girls’ school success scores were higher than boys. The students studying at the science high school had higher internet addiction scale scores than other high school groups. Compared to the other groups, the total internet addiction scores were significantly higher in those who have a smartphone, use a smartphone or computer for more than 3 hours daily, and have been using the internet for more than 5 years. The Internet addiction scale scores were significantly higher in individuals with irregular sleep. Received/Geliş: 10.07.2021 Accepted/Kabul: 12.11.2021 Publication date: 29.12.2021 Corresponding Author: Ç. E. Maç ORCID: 0000-0003-3422-083X Sinop Uzungürgen Aile Sağlığı Merkezi, Sinop, Türkiye ✉ cagdaseminmac@gmail.com G. Çalık ORCID: 0000-0003-1421-4811 İstanbul Bağcılar Barbaros Aile Sağlığı Merkezi, İstanbul, Türkiye G. Z. Öztürk ORCID: 0000-0001-7730-2929 Seyrantepe Etfal Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İstanbul, Türkiye Çalık ve ark., Adolesanlarda İnternet Bağımlılığının Aile İçi Uyuma ve Okul Başarısına Etkileri 121 We found a statistically significant negative correlation between total internet addiction and family harmony scores (r=-0,217 p=0,003). We did not find a correlation between school success and internet addiction scores (r=-0,039 p=0,596). Conclusion: Our study found a statistically significant negative correlation between internet addiction total scores and family harmony scores. Still, we did not find a correlation between school success and internet addiction scores.
目的:本研究旨在确定1419岁之间的高中青少年是否存在网络成瘾。它还调查了网瘾对家庭和谐和学业成功的影响。方法:我们的研究于2020年6月30日至2020年8月1日在伊斯坦布尔Bağcılar Barbaros家庭健康中心进行。首先,在我们的研究中,高中生被问及29个关于他们的社会人口状况的问题。然后使用由20个问题组成的青少年网络成瘾量表和由Kavikondala等人创建的5个问题的家庭和谐量表。学校成绩是通过学习学校年终平均成绩来口头衡量的。结果:本研究采用网络成瘾量表对183名14 ~ 19岁高中生进行问卷调查。我们确定85.8%的参与者是正常的互联网用户,13.1%是潜在的成瘾者,1.1%是成瘾者。参与者包括100名女孩和83名男孩。网络成瘾量表总分在女孩和男孩之间没有统计学上的显著差异。女孩的学业成功分数高于男孩。科学高中学生的网络成瘾量表得分高于其他高中组。与其他组相比,那些拥有智能手机、每天使用智能手机或电脑超过3小时、上网时间超过5年的人的总网瘾得分明显更高。在睡眠不规律的个体中,网络成瘾量表得分明显更高。收稿/ gelikan: 10.07.2021接受/Kabul: 12.11.2021出版日期:29.12.2021通讯作者:Ç。E . Mac ORCID: 0000 - 0003 - 3422 - 083 - x锡诺普Uzungurgen爱乐SağlığıMerkezi,锡诺普,Turkiye✉cagdaseminmac@gmail.com g·卡尔kıORCID: 0000-0003-1421-4811İstanbul英航ğcı守护神Barbaros爱乐SağlığıMerkezi,İstanbul, Turkiye g . z Ozturk ORCID: 0000-0001-7730-2929 Seyrantepe Etfal Eğitim ve Araştırma Hastanesi,爱乐Hekimliğ我Kliniğ我İstanbul, Turkiye卡尔kı柜。,青春期青少年İnternet Bağımlılığının Aile İçi Uyuma ve Okul Başarısına Etkileri 121我们发现总的网络成瘾与家庭和谐得分之间存在统计学上显著的负相关(r=-0,217 p=0,003)。我们没有发现学业成绩与网络成瘾分数之间的相关性(r=- 0.039 p= 0.596)。结论:网络成瘾总分与家庭和谐得分呈显著负相关。然而,我们并没有发现学业成绩和网瘾得分之间的相关性。
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引用次数: 0
Awareness of the pregnancy planning women about relationship between BMI, Obesity and Pregnancy 拟孕妇女对体重指数、肥胖与妊娠关系的认识
Pub Date : 2021-01-01 DOI: 10.5222/TAHD.2021.00719
E. Ersoy, E. Saatci, C. Ardic
INTRODUCTION: Adequate knowledge about body mass index (BMI), which is a traditional method of measuring obesity, and about obesity-related pregnancy risks will possibly decrease obesity-related pregnancy complications in women contemplating pregnancy. In this study, we aimed to determine knowledge levels of women contemplating pregnancy about BMI and pregnancy risks related with obesity. METHODS: In this cross-sectional study, our sample was 211 married women age 18 to 45 years old who visited a family physician in Fındıklı Center of Goitre Research and Treatment between June to August 2020. Patients completed the questionnaire including sociodemographic data, questions about BMI and questions about effects of obesity on pregnancy via the face-to-face interview method. The data was analyzed using statistical analysis program. RESULTS: The mean age of participants (n=211) was 31.7 ± 5.9 years. Of the participants, 40.3% (n=85) stated that they received pre-pregnancy counseling and 37.4% (n=79) had BMI score between 25 to 29.9. The mean BMI knowledge score of participants was 0.99±0.69 out of 5, and the mean BMI knowledge score of participants who received preconceptional counselling was significantly higher than those who did not (p=0.01). The mean BMI knowledge score of participants who stated 'high' or 'very high' risk level for each complication during pregnancy of a morbid obese woman was significantly higher than those of the remaining groups (p<0.05). In case of that a morbid obese woman loses weight before pregnancy, the mean BMI knowledge score of participants who stated 'lower' or 'much lower' risk level for each complication during pregnancy significantly higher than those of the remaining groups (p<0.05). DISCUSSION AND CONCLUSION: In our study, we determined women who contemplating pregnancy had inadequate BMI knowledge levels, but had adequate awareness about effects of obesity on pregnancy and potential pregnancy risks related obesity. The conversation of family physicians about BMI with their patients will ensure them to realise their own weight as well as effective prevention and management of obesity, and will increase awareness of women contemplating pregnancy about obesity related pregnancy risks.
摘要:了解体重指数(BMI)是衡量肥胖的一种传统方法,了解肥胖相关的妊娠风险可能会减少考虑怀孕的妇女的肥胖相关妊娠并发症。在这项研究中,我们旨在确定考虑怀孕的女性对体重指数和与肥胖相关的怀孕风险的了解程度。方法:在这项横断面研究中,我们的样本是211名年龄在18至45岁之间的已婚女性,她们在2020年6月至8月期间访问了Fındıklı甲状腺研究与治疗中心的家庭医生。采用面对面访谈法,对患者进行问卷调查,问卷内容包括社会人口统计数据、体重指数、肥胖对妊娠的影响等。采用统计分析程序对数据进行分析。结果:参与者的平均年龄(n=211)为31.7±5.9岁。在参与者中,40.3% (n=85)表示她们接受了孕前咨询,37.4% (n=79)的BMI评分在25至29.9之间。参与者的BMI知识平均分为0.99±0.69分(满分为5分),接受孕前咨询的参与者BMI知识平均分显著高于未接受孕前咨询的参与者(p=0.01)。病态肥胖妇女妊娠期各并发症风险水平为“高”或“非常高”的参与者的BMI知识平均分显著高于其余组(p<0.05)。在病态肥胖妇女孕前减肥的情况下,妊娠期各并发症风险水平“较低”或“较低”组的BMI知识平均分显著高于其余组(p<0.05)。讨论与结论:在我们的研究中,我们确定考虑怀孕的女性BMI知识水平不足,但对肥胖对怀孕的影响以及与肥胖相关的潜在妊娠风险有足够的认识。家庭医生与患者关于BMI的对话将确保他们认识到自己的体重,有效地预防和管理肥胖,并将提高怀孕妇女对肥胖相关妊娠风险的认识。
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引用次数: 0
The Relationship Between Health Perception and Cancer Screening Awareness 健康认知与癌症筛查意识的关系
Pub Date : 2020-12-25 DOI: 10.15511/TAHD.20.00475
Seda Karakoyunlu, Y. Öztürk
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引用次数: 1
Gebelerde Antenatal Bakım Alma Durumu ve Antenatal Bakım ile Depresyon Belirtileri Arasındaki İlişkinin Değerlendirilmesi
Pub Date : 2020-12-25 DOI: 10.15511/TAHD.20.00413
Ersan Gürsoy, Turan Set
2020 © Yayın hakları Türkiye Aile Hekimleri Uzmanlık Derneği’ne (TAHUD) aittir. Medikal Akademi tarafından yayımlanmaktadır. Bu makalenin koşullu kullanım hakları Medikal Akademi ve TAHUD tarafından Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) lisansı aracılığıyla bedelsiz sunulmaktadır. Copyright © 2020 Turkish Association of Family Physicians (TAHUD). Published by Medikal Akademi, Istanbul. This article is licensed by Medikal Akademi and TAHUD under the terms of Creative Commons Attribution-NoCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND3.0) License. Gebelerde Antenatal Bakım Alma Durumu ve Antenatal Bakım ile Depresyon Belirtileri Arasındaki İlişkinin Değerlendirilmesi
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引用次数: 0
期刊
Turkish Journal of Family Practice
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