Introduction: The aim of this study is to identify the prevalence of acute toxoplasmosis in pregnant patients who are monitored in our hospital and to provide insight into screening and management options by assessing maternal and fetal outcomes. Methods: Pregnants between the ages of 18-49, who were followed up in the Gynecology and Obstetrics Polyclinic/Clinic and Infectious Diseases Polyclinic/Clinic of a Training and Research Hospital between January 1, 2010 and December 31, 2021, were included in this study. T. gondii IgM, IgG and avidity tests which were performed for pregnant women were evaluated retrospectively. Results: The study consisted of 7480 pregnants. Three hundred eighty-six (%5.16) of the pregnant women tested positive. Anti-T. gondii IgM seropositivity was found to be most common in the 18-28 age group (7.82%), and this frequency gradually decreased as age progressed. Two of the 122 patients whose polymerase chain reaction for T. gondii was examined from amniotic fluid at the outer center had congenital toxoplasmosis, and these pregnancies were terminated. Conclusions: Pregnant women continue to have a considerable risk of developing acute toxoplasmosis. For this infestation, which still remains on the agenda as a public health problem, every individual who is planning a pregnancy and has not had a serological test before should be screened before pregnancy. Pregnant women should continue to be informed and educated about this parasite, in our opinion.
{"title":"A public health problem in pregnant women: acute toxoplasma infection - a retrospective study of 12 years of data from a training and research hospital in Izmir","authors":"Kazım Kıratlı, Mustafa Şengül","doi":"10.22391/fppc.1379747","DOIUrl":"https://doi.org/10.22391/fppc.1379747","url":null,"abstract":"Introduction: The aim of this study is to identify the prevalence of acute toxoplasmosis in pregnant patients who are monitored in our hospital and to provide insight into screening and management options by assessing maternal and fetal outcomes.\u0000Methods: Pregnants between the ages of 18-49, who were followed up in the Gynecology and Obstetrics Polyclinic/Clinic and Infectious Diseases Polyclinic/Clinic of a Training and Research Hospital between January 1, 2010 and December 31, 2021, were included in this study. T. gondii IgM, IgG and avidity tests which were performed for pregnant women were evaluated retrospectively.\u0000Results: The study consisted of 7480 pregnants. Three hundred eighty-six (%5.16) of the pregnant women tested positive. Anti-T. gondii IgM seropositivity was found to be most common in the 18-28 age group (7.82%), and this frequency gradually decreased as age progressed. Two of the 122 patients whose polymerase chain reaction for T. gondii was examined from amniotic fluid at the outer center had congenital toxoplasmosis, and these pregnancies were terminated.\u0000Conclusions: Pregnant women continue to have a considerable risk of developing acute toxoplasmosis. For this infestation, which still remains on the agenda as a public health problem, every individual who is planning a pregnancy and has not had a serological test before should be screened before pregnancy. Pregnant women should continue to be informed and educated about this parasite, in our opinion.","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"40 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140449092","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}
D. Suluhan, Hümeyra Erdem, Dilek Yıldız, Mehmet Bahadır Çalışkan
Introduction: Children suffer from pain due to invasive procedures. Unrelieved pain can lead to social and psychological problems. The aim of this study was to evaluate the effectiveness of vibrating tourniquet and distraction cards on children’s pain, fear and anxiety levels during phlebotomy. Methods: This randomized, controlled study was carried out with 120 children included 40 children in vibrating tourniquet group, 40 children in distraction cards group and 40 children in control group in pediatric blood collection unit at a training and research hospital in Ankara. Data were collected with Child and Parent Data Collection Form, Visual Analog Scale, Child Fear Scale and Child Anxiety-State Scale. The primary outcome measure was the Visual Analog Scale for pain. Secondary outcome measure was the Child Fear Scale for fear and Child Anxiety-State Scale for anxiety. Results: After procedure pain score was significantly lower in the distraction cards group (p=0.006), whereas there was no statistically significant difference in pain scores before and during the procedure in all groups. During procedure fear score was significantly lower in the distraction card group (p=0.042). Conclusion: In this study it was concluded that the use of distraction cards was found to be effective in reducing children's pain and anxiety after the phlebotomy, and fear levels during and after the phlebotomy for the children aged between 6 and 10 years.
{"title":"The effect of using vibrating tourniquet and distraction cards on pain, fear and anxiety during phlebotomy in children","authors":"D. Suluhan, Hümeyra Erdem, Dilek Yıldız, Mehmet Bahadır Çalışkan","doi":"10.22391/fppc.1407098","DOIUrl":"https://doi.org/10.22391/fppc.1407098","url":null,"abstract":"Introduction: Children suffer from pain due to invasive procedures. Unrelieved pain can lead to social and psychological problems. The aim of this study was to evaluate the effectiveness of vibrating tourniquet and distraction cards on children’s pain, fear and anxiety levels during phlebotomy.\u0000Methods: This randomized, controlled study was carried out with 120 children included 40 children in vibrating tourniquet group, 40 children in distraction cards group and 40 children in control group in pediatric blood collection unit at a training and research hospital in Ankara. Data were collected with Child and Parent Data Collection Form, Visual Analog Scale, Child Fear Scale and Child Anxiety-State Scale. The primary outcome measure was the Visual Analog Scale for pain. Secondary outcome measure was the Child Fear Scale for fear and Child Anxiety-State Scale for anxiety.\u0000Results: After procedure pain score was significantly lower in the distraction cards group (p=0.006), whereas there was no statistically significant difference in pain scores before and during the procedure in all groups. During procedure fear score was significantly lower in the distraction card group (p=0.042).\u0000Conclusion: In this study it was concluded that the use of distraction cards was found to be effective in reducing children's pain and anxiety after the phlebotomy, and fear levels during and after the phlebotomy for the children aged between 6 and 10 years.","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"67 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140459771","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}
Introduction: This study was conducted to investigate the effect of long-term drug use due to medical diseases on rational drug use in children, using data obtained from parents. It is a cross-sectional study. Methods: Among the 288 parents who applied to the pediatric outpatient clinics of Muğla Training and Research Hospital between January 1, 2022 and March 31, 2022; 144 people with children aged 0-12 who have a chronic disease and have been using regular medication for at least three months are included in the research group, 144 people who did not have a chronic disease and did not use medication constantly were determined as the control group. In addition to the form containing sociodemographic data and questions to evaluate rational drug use awareness, knowledge, attitudes and behaviors, the "Parental Attitude Scale For Rational Drug Use (PASRDU)" was answered through a face-to-face interview. Data analysis was conducted with SPSS 26 program with a confidence level of 95%. Parental Attitude Scale For Rational Drug Use scores showed normal distribution in both groups. Independent samples t-test was used to compare Parental Attitude Scale For Rational Drug Use scores according to groups, a chi-square test was used to compare the relationship between groups and categorical (grouped) variables, and a two-way ANOVA test was used to compare demographic characteristics and group variables according to Parental Attitude Scale For Rational Drug Use scores. Results: Of the parents participating in the study, 67.71% were mothers and 32.29% were fathers. The average age was 34.88±6.44 years in the research group and 33.57±6.57 years in the control group. The rates of having chronically ill individuals at home and individuals constantly using medication at home are higher in the research group and are statistically significant. While the presence of leftover or spare medication at home was be similar in the research and control groups, the rate of using these medications when necessary was 45.8% in the research group and 56.3% in the control group. While 43.1% of those in the research group did not give over-the-counter medicine to their children, this rate was 16% in the control group. The control group uses over-the-counter vitamins twice as much as the research group. The most commonly used over-the-counter medication in the entire population is antipyretics with a rate of 44.79%. The scores of the research group in Parental Attitude Scale For Rational Drug Use and its subscales are higher than the control group and are statistically significant. The place of residence for the longest time, educational level, having too much medication at home, and using non-prescription medication statistically affect the scores. In addition, the duration of the disease of the children in the research group significantly affected the Parental Attitude Scale For Rational Drug Use total score and the Accurate and Conscious Use subscale, and the disease group signific
{"title":"The effect of long-term drug use on rational use of medicines in children with medical illness","authors":"Aynur Özdemi̇r, E. N. Yeni̇çeri̇, Yaşar Topal","doi":"10.22391/fppc.1370127","DOIUrl":"https://doi.org/10.22391/fppc.1370127","url":null,"abstract":"Introduction: This study was conducted to investigate the effect of long-term drug use due to medical diseases on rational drug use in children, using data obtained from parents. It is a cross-sectional study. Methods: Among the 288 parents who applied to the pediatric outpatient clinics of Muğla Training and Research Hospital between January 1, 2022 and March 31, 2022; 144 people with children aged 0-12 who have a chronic disease and have been using regular medication for at least three months are included in the research group, 144 people who did not have a chronic disease and did not use medication constantly were determined as the control group. In addition to the form containing sociodemographic data and questions to evaluate rational drug use awareness, knowledge, attitudes and behaviors, the \"Parental Attitude Scale For Rational Drug Use (PASRDU)\" was answered through a face-to-face interview. Data analysis was conducted with SPSS 26 program with a confidence level of 95%. Parental Attitude Scale For Rational Drug Use scores showed normal distribution in both groups. Independent samples t-test was used to compare Parental Attitude Scale For Rational Drug Use scores according to groups, a chi-square test was used to compare the relationship between groups and categorical (grouped) variables, and a two-way ANOVA test was used to compare demographic characteristics and group variables according to Parental Attitude Scale For Rational Drug Use scores. Results: Of the parents participating in the study, 67.71% were mothers and 32.29% were fathers. The average age was 34.88±6.44 years in the research group and 33.57±6.57 years in the control group. The rates of having chronically ill individuals at home and individuals constantly using medication at home are higher in the research group and are statistically significant. While the presence of leftover or spare medication at home was be similar in the research and control groups, the rate of using these medications when necessary was 45.8% in the research group and 56.3% in the control group. While 43.1% of those in the research group did not give over-the-counter medicine to their children, this rate was 16% in the control group. The control group uses over-the-counter vitamins twice as much as the research group. The most commonly used over-the-counter medication in the entire population is antipyretics with a rate of 44.79%. The scores of the research group in Parental Attitude Scale For Rational Drug Use and its subscales are higher than the control group and are statistically significant. The place of residence for the longest time, educational level, having too much medication at home, and using non-prescription medication statistically affect the scores. In addition, the duration of the disease of the children in the research group significantly affected the Parental Attitude Scale For Rational Drug Use total score and the Accurate and Conscious Use subscale, and the disease group signific","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139165447","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}
Introduction: Elderly must maintain regular care and complex treatment of several chronic diseases that develop with age or that pre-exist. Having a chronic disease entail both a feeling of loss and the need to keep the disease and one’s life under control. It is important for these individuals to accept their illness while maintaining treatment and care. Life satisfaction, on the other hand, is the result of comparing what a person has with his or her expectations. This analytical cross-sectional study was conducted to examine the effect of disease acceptance on the life satisfaction of geriatric individuals. Methods: The research type is analytical cross-sectional study. The research was conducted between February 1-July 31, 2019 in a hospital in Izmir, in Türkiye. A total of 140 individuals over the age of 65 were included. A sociodemographic questionnaire, the Disease Acceptance Scale, and the Life Satisfaction Scale were used as data collection tools. Results: The mean disease acceptance score of the elderly individuals was 25.95 ± 5.25, and the life satisfaction score was 20.39 ± 5.94. Cardiology, endocrinology, dermatology, and gastroenterology patients evaluated their health as good, while individuals with respiratory system diseases evaluated their health as bad. A significant relationship was also found between marital status, disease type, health assessment status, and life satisfaction. While the life satisfaction of married individuals was borderline significant, it was determined that the life satisfaction of individuals with respiratory problems and poor health status was low. When the scores of the two scales were compared, a moderate positive correlation was found. Conclusion: There is a strong correlation between the acceptance of illness and life satisfaction of elderly individuals. When older individuals accept their illness, their life satisfaction also increases. When older individuals accept their illness, their life satisfaction also increases. Socioeconomic status of elderly individuals and having more than one disease play an active role in accepting the disease and life satisfaction. The importance of accepting the disease should be considered in order to increase life satisfaction. Keywords: Aging, elderly, satisfaction
{"title":"Geriatrik bireylerde hastalığı kabullenişin yaşam doyumu üzerine etkisi","authors":"Gönül DÜZGÜN, Gökşen POLAT, Selden GÜL, Elif ÜNSAL AVDAL","doi":"10.22391/fppc.1344898","DOIUrl":"https://doi.org/10.22391/fppc.1344898","url":null,"abstract":"Introduction: Elderly must maintain regular care and complex treatment of several chronic diseases that develop with age or that pre-exist. Having a chronic disease entail both a feeling of loss and the need to keep the disease and one’s life under control. It is important for these individuals to accept their illness while maintaining treatment and care. Life satisfaction, on the other hand, is the result of comparing what a person has with his or her expectations. This analytical cross-sectional study was conducted to examine the effect of disease acceptance on the life satisfaction of geriatric individuals. Methods: The research type is analytical cross-sectional study. The research was conducted between February 1-July 31, 2019 in a hospital in Izmir, in Türkiye. A total of 140 individuals over the age of 65 were included. A sociodemographic questionnaire, the Disease Acceptance Scale, and the Life Satisfaction Scale were used as data collection tools. Results: The mean disease acceptance score of the elderly individuals was 25.95 ± 5.25, and the life satisfaction score was 20.39 ± 5.94. Cardiology, endocrinology, dermatology, and gastroenterology patients evaluated their health as good, while individuals with respiratory system diseases evaluated their health as bad. A significant relationship was also found between marital status, disease type, health assessment status, and life satisfaction. While the life satisfaction of married individuals was borderline significant, it was determined that the life satisfaction of individuals with respiratory problems and poor health status was low. When the scores of the two scales were compared, a moderate positive correlation was found. Conclusion: There is a strong correlation between the acceptance of illness and life satisfaction of elderly individuals. When older individuals accept their illness, their life satisfaction also increases. When older individuals accept their illness, their life satisfaction also increases. Socioeconomic status of elderly individuals and having more than one disease play an active role in accepting the disease and life satisfaction. The importance of accepting the disease should be considered in order to increase life satisfaction. Keywords: Aging, elderly, satisfaction","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135923298","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}
Introduction: The neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and the systemic immune-inflammation index (SII) have been used as new inflammatory markers in certain autoimmune diseases to assess the severity of inflammation. The current study aimed to evaluate the changes in neutrophil and lymphocyte series in hyperthyroid patients and to investigate whether NLR, PLR, and SII may be markers of inflammation. Methods: This cross-sectional study was conducted with 207 Graves’ patients and 120 healthy controls between 2018-2022 years. Hematologic parameters, thyroid function tests, age and gender were recorded. The NLR, PLR and SII values of all subjects were calculated. Firstly, groups were composed as Graves' group and participants without thyroid disorder as control group. Secondly, Graves' patients composed as two groups before treatment and after antithyroid treatment. These groups were compared with each other in terms of descriptive data and hematological parameters. Results: The patient and control groups were similar in terms of gender (p=0.522) and age (p=0.051). Graves’ patients had a significantly lower NLR than the control group (p=0.004). There was no significant difference between the groups in terms of PLR (p=0.120) and SII (p=0.577). Patients’ baseline TSH-receptor antibodies (TRAb) levels had a significant positive correlation with fT3 (r:0.283, p<0.001), fT4 (r:0.252, p<0.001) and Thyroid stimulating immunoglobulin (TSI) (r:0.673, p<0.001). There was no significant correlation between TRAb and TSI levels, inflammatory markers, and hematological parameters. Conclusions: Graves’ patients had lower NLR compared to the control group. The patient and control groups did not have a significant difference with regard to PLR and SII. Thyroid autoantibody levels and inflammatory markers did not have a significant correlation. Keywords: Hyperthyroidism, inflammation, neutrophils, lymphocytes
{"title":"Evaluation of hematologic inflammatory markers in Graves’ disease","authors":"Hasan ATLI, Ramazan DAYANAN","doi":"10.22391/fppc.1322984","DOIUrl":"https://doi.org/10.22391/fppc.1322984","url":null,"abstract":"Introduction: The neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and the systemic immune-inflammation index (SII) have been used as new inflammatory markers in certain autoimmune diseases to assess the severity of inflammation. The current study aimed to evaluate the changes in neutrophil and lymphocyte series in hyperthyroid patients and to investigate whether NLR, PLR, and SII may be markers of inflammation. Methods: This cross-sectional study was conducted with 207 Graves’ patients and 120 healthy controls between 2018-2022 years. Hematologic parameters, thyroid function tests, age and gender were recorded. The NLR, PLR and SII values of all subjects were calculated. Firstly, groups were composed as Graves' group and participants without thyroid disorder as control group. Secondly, Graves' patients composed as two groups before treatment and after antithyroid treatment. These groups were compared with each other in terms of descriptive data and hematological parameters. Results: The patient and control groups were similar in terms of gender (p=0.522) and age (p=0.051). Graves’ patients had a significantly lower NLR than the control group (p=0.004). There was no significant difference between the groups in terms of PLR (p=0.120) and SII (p=0.577). Patients’ baseline TSH-receptor antibodies (TRAb) levels had a significant positive correlation with fT3 (r:0.283, p&lt;0.001), fT4 (r:0.252, p&lt;0.001) and Thyroid stimulating immunoglobulin (TSI) (r:0.673, p&lt;0.001). There was no significant correlation between TRAb and TSI levels, inflammatory markers, and hematological parameters. Conclusions: Graves’ patients had lower NLR compared to the control group. The patient and control groups did not have a significant difference with regard to PLR and SII. Thyroid autoantibody levels and inflammatory markers did not have a significant correlation. Keywords: Hyperthyroidism, inflammation, neutrophils, lymphocytes","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135962945","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}
Introduction: Preeclampsia is a serious complication of pregnancy leading to maternal and perinatal morbidity and mortality. The etiopathogenesis still remains unsolved, however, various theories currently become well-proved. The leading etiopathogenetic mechanisms are impaired placentation, and placental hypoxia, immune mechanisms, systemic inflammatory reaction, endothelial damage and maternal cardiovascular maladaptation. These mechanisms overlap and induce each other. There are some preventive interventions only if the patients at high-risk are identified timely. This study aimed to investigate the relationship between the inflammatory pathway and placental insufficiency in the first trimester, utilizing the clinical markers of both. It also aims to find out a cheap and easy test to identify those who absolutely need to undergo a comprehensive risk assessment. Methods: This retrospective observational study included 28 patients with high uterine artery resistance (pulsatility index >90th centile) in the first trimester as study group and 67 patients with normal uterine artery resistance in the first trimester as control group. The two groups were compared in terms of risk factors for preeclampsia. Neutrophil/lymphocyte ratio and platelet/lymphocyte ratio as systemic inflammatory markers were compared between the groups. ROC analysis was performed to obtain a cut-off value for predicting high uterine artery pulsatility index. Results: Demographic data, anamnestic and examination risk factors for preeclampsia did not differ between the groups. However, neutrophil/lymphocyte ratio and platelet/lymphocyte ratio were significantly higher in the patients with uterine artery pulsatility index above 90th centile. A cut off value of 3.58 and 136.9 of Neutrophil/lymphocyte ratio and platelet/lymphocyte ratio, respectively were determined for predicting first trimester uterine artery pulsatility index above 90th centile. Conclusions: Neutrophil/lymphocyte and platelet/lymphocyte ratio can simply be used to identify the patients who need referral for uterine artery doppler assessment. Keywords: preeclampsia, uterine artery, pulsatil flow, neutrophil, lymphocyte, placenta
{"title":"Gebeliğin birinci trimesterinde sistemik inflamatuar belirteçler ile yüksek uterin arter pulsatilite indeksi ilişkisi","authors":"UYGUR, Lutfiye\u0000 ","doi":"10.22391/fppc.1349107","DOIUrl":"https://doi.org/10.22391/fppc.1349107","url":null,"abstract":"Introduction: Preeclampsia is a serious complication of pregnancy leading to maternal and perinatal morbidity and mortality. The etiopathogenesis still remains unsolved, however, various theories currently become well-proved. The leading etiopathogenetic mechanisms are impaired placentation, and placental hypoxia, immune mechanisms, systemic inflammatory reaction, endothelial damage and maternal cardiovascular maladaptation. These mechanisms overlap and induce each other. There are some preventive interventions only if the patients at high-risk are identified timely. This study aimed to investigate the relationship between the inflammatory pathway and placental insufficiency in the first trimester, utilizing the clinical markers of both. It also aims to find out a cheap and easy test to identify those who absolutely need to undergo a comprehensive risk assessment. Methods: This retrospective observational study included 28 patients with high uterine artery resistance (pulsatility index &gt;90th centile) in the first trimester as study group and 67 patients with normal uterine artery resistance in the first trimester as control group. The two groups were compared in terms of risk factors for preeclampsia. Neutrophil/lymphocyte ratio and platelet/lymphocyte ratio as systemic inflammatory markers were compared between the groups. ROC analysis was performed to obtain a cut-off value for predicting high uterine artery pulsatility index. Results: Demographic data, anamnestic and examination risk factors for preeclampsia did not differ between the groups. However, neutrophil/lymphocyte ratio and platelet/lymphocyte ratio were significantly higher in the patients with uterine artery pulsatility index above 90th centile. A cut off value of 3.58 and 136.9 of Neutrophil/lymphocyte ratio and platelet/lymphocyte ratio, respectively were determined for predicting first trimester uterine artery pulsatility index above 90th centile. Conclusions: Neutrophil/lymphocyte and platelet/lymphocyte ratio can simply be used to identify the patients who need referral for uterine artery doppler assessment. Keywords: preeclampsia, uterine artery, pulsatil flow, neutrophil, lymphocyte, placenta","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968750","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}
Introduction: During Covid-19 pandemic, many hospitals closed their outpatient clinics because of the high number of inpatients and individuals turned to their family physicians for medical care. In this study, we aimed to evaluate the opinions of family physicians regarding examination phobia and telemedicine video examinations during the pandemic. Methods: This was a single-centered, cross-sectional study. The participating physicians completed a questionnaire with 28 questions including their sociodemographic data, whether they performed examination during the pandemic, telemedicine knowledge and opinions on telemedicine. Statistical analysis was conducted using SPSS 20 software package and statistical significance was set at p<0.05. Results: 364 family physicians participated in our study and 163 of them (44.8%) reported hesitation while examining patients, with the majority (53.8%; n=196) expressing anxiety about oropharyngeal examinations. 211 of them (58%) reported having knowledge of telemedicine. The majority of family physicians thought that follow-ups and prescriptions for chronic diseases, repeat prescriptions, and post-treatment control examinations could be performed online whereas pregnant, postpartum, infant, and child follow-ups could not. While 40% (n=146) didn’t want to provide services via video/telephone examination, 32.7% (n=119) wanted to and 27.2% (n=99) undecided. 86.8% (n=316) of them believed that telemedicine video/telephone examination could result in legal problems. Participants estimated that less than 25% of their daily patients were suitable for telemedicine, and that less than 25% had access to the necessary technology. However, 55.8% (n=203) of family physicians believed that patients would be interested in telemedicine, and 59.6% (n=216) thought that providing such services would increase their workload. Being undecided about providing services through telemedicine was more common among women (p=0.029), while unwillingness to provide online services increased with age and years of occupation (p=0.024, p=0.004, respectively). Conclusion: Telemedicine, which has come to the forefront with the development of technology today, was seen as an opportunity to reduce contact with patients during the pandemic. However, our study found that family physicians believed that telemedicine services would increase their workload and that a large portion of society was not ready for this system. Keywords: Telemedicine, telehealth, covid 19, family physician.
{"title":"Aile hekimlerinin pandemi döneminde muayene fobisi ve online görüntülü muayene hakkındaki görüşleri","authors":"Beray GELMEZ TAŞ, Güzin ZEREN OZTURK, Seda ÖZMEN SEVER, Saliha Büşra AKSU","doi":"10.22391/fppc.1345672","DOIUrl":"https://doi.org/10.22391/fppc.1345672","url":null,"abstract":"Introduction: During Covid-19 pandemic, many hospitals closed their outpatient clinics because of the high number of inpatients and individuals turned to their family physicians for medical care. In this study, we aimed to evaluate the opinions of family physicians regarding examination phobia and telemedicine video examinations during the pandemic. Methods: This was a single-centered, cross-sectional study. The participating physicians completed a questionnaire with 28 questions including their sociodemographic data, whether they performed examination during the pandemic, telemedicine knowledge and opinions on telemedicine. Statistical analysis was conducted using SPSS 20 software package and statistical significance was set at p&lt;0.05. Results: 364 family physicians participated in our study and 163 of them (44.8%) reported hesitation while examining patients, with the majority (53.8%; n=196) expressing anxiety about oropharyngeal examinations. 211 of them (58%) reported having knowledge of telemedicine. The majority of family physicians thought that follow-ups and prescriptions for chronic diseases, repeat prescriptions, and post-treatment control examinations could be performed online whereas pregnant, postpartum, infant, and child follow-ups could not. While 40% (n=146) didn’t want to provide services via video/telephone examination, 32.7% (n=119) wanted to and 27.2% (n=99) undecided. 86.8% (n=316) of them believed that telemedicine video/telephone examination could result in legal problems. Participants estimated that less than 25% of their daily patients were suitable for telemedicine, and that less than 25% had access to the necessary technology. However, 55.8% (n=203) of family physicians believed that patients would be interested in telemedicine, and 59.6% (n=216) thought that providing such services would increase their workload. Being undecided about providing services through telemedicine was more common among women (p=0.029), while unwillingness to provide online services increased with age and years of occupation (p=0.024, p=0.004, respectively). Conclusion: Telemedicine, which has come to the forefront with the development of technology today, was seen as an opportunity to reduce contact with patients during the pandemic. However, our study found that family physicians believed that telemedicine services would increase their workload and that a large portion of society was not ready for this system. Keywords: Telemedicine, telehealth, covid 19, family physician.","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135923299","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}
Introduction: The current study was aimed to evaluate the attitudes and behaviors of individuals 90 years and older living in Malatya regarding rational drug use. Methods: This cross-sectional, descriptive study was carried out with people aged 90 and over (n=1022) living in Malatya province and its districts. Face-to-face interview method was used to collect study data. In the first part of the form used for data collection, the descriptive characteristics of the participants were questioned, and in the second part, the attitudes and behaviors towards rational drug use were examined. Rational drug use features are evaluated by World Health Organization (WHO) prescribing indicators. Results: The frequency of rational drug use was 84.1%, and the rate of over-the-counter drug use was 19.2% among individuals 90 years and older. 52.3% of the participants had over-the-counter medication at home for use, when necessary, without doctor's recommendation. The most commonly available over-the-counter group of drugs at home were painkillers. Conclusion: The frequency of rational drug use in individuals aged 90 and older has been determined higher than in the literature on individuals aged 65 and older. Education, guidance and counseling programs can be created to increase rational drug use within elderly people communities. Keywords: rational drug use; oldest-old; elderly; attitude; behavior
{"title":"Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research","authors":"Neşe KARAKAŞ, Serdar DENİZ, Recep BENTLİ","doi":"10.22391/fppc.1229259","DOIUrl":"https://doi.org/10.22391/fppc.1229259","url":null,"abstract":"Introduction: The current study was aimed to evaluate the attitudes and behaviors of individuals 90 years and older living in Malatya regarding rational drug use. Methods: This cross-sectional, descriptive study was carried out with people aged 90 and over (n=1022) living in Malatya province and its districts. Face-to-face interview method was used to collect study data. In the first part of the form used for data collection, the descriptive characteristics of the participants were questioned, and in the second part, the attitudes and behaviors towards rational drug use were examined. Rational drug use features are evaluated by World Health Organization (WHO) prescribing indicators. Results: The frequency of rational drug use was 84.1%, and the rate of over-the-counter drug use was 19.2% among individuals 90 years and older. 52.3% of the participants had over-the-counter medication at home for use, when necessary, without doctor's recommendation. The most commonly available over-the-counter group of drugs at home were painkillers. Conclusion: The frequency of rational drug use in individuals aged 90 and older has been determined higher than in the literature on individuals aged 65 and older. Education, guidance and counseling programs can be created to increase rational drug use within elderly people communities. Keywords: rational drug use; oldest-old; elderly; attitude; behavior","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135923300","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}
Introduction: ABO blood group (BG) antigens found in many cells and tissues, especially in erythrocytes, have been associated with many diseases including cardiovascular diseases, infections, and malignancies. The association of ABO BG with duodenal and gastric ulcers and upper gastrointestinal bleeding (UGB) has been investigated in few studies and the information on this subject is limited. The primary objective of our study is to examine whether there is an association between ABO BG and UGB, and the secondary objective is to examine whether there is an association between ABO BG and UGB in patients who received blood transfusions after bleeding. Methods: The prevalence values of A, B, AB, 0 BG and Rh antigens, endoscopic procedure, and blood transfusion information of patients who were diagnosed with UGB by endoscopic examination and hospitalized were recorded. Healthy individuals without UGB in the same period were included as the control group (CG). Those who had UGB by endoscopic examination constituted the study group (SG) while those who received at least 2 units of blood transfusion formed the transfusion group (TG). Results: SG consisted of 423 patients, TG included 383 patients, and CG had 1650 individuals. While the risk of bleeding was higher in SG patients with BG 0 (OR 1.33 1.07-1.66 P=0.009), the bleeding risk was lower in SG patients with BG B (OR 0.77 0.63-0.95 P=0.014). In addition, while the risk of bleeding was higher in TG patients with BG 0 (OR 1.35 1.08-1.70 P=0.009), the bleeding risk was lower in TG patients with BG B (OR 0.55 0.38-0.79 P=0.001). There was no statistically significant difference in SG, and TG in other BG A and AB and no significant difference in Rh. Conclusion: While UGB is more common in individuals with BG 0, it is less common in individuals with BG B. The risk of need for blood transfusion during the follow-up period of these patients in the ward is higher in patients with BG 0 but lower in patients with BG B. Keywords: Blood group, bleeding, transfusion
{"title":"The relationship between ABO blood group and blood transfusion in upper gastrointestinal bleeding","authors":"KURT, Hüseyin\u0000 , TİRYAKİ, Ahsen Banu\u0000 , ÇİLEK BALİMRE, Burcu\u0000 , MÜDERRİSOĞLU, Şeyma Büşra\u0000 , DİNDAR, Gökhan\u0000 ","doi":"10.22391/fppc.1353468","DOIUrl":"https://doi.org/10.22391/fppc.1353468","url":null,"abstract":"Introduction: ABO blood group (BG) antigens found in many cells and tissues, especially in erythrocytes, have been associated with many diseases including cardiovascular diseases, infections, and malignancies. The association of ABO BG with duodenal and gastric ulcers and upper gastrointestinal bleeding (UGB) has been investigated in few studies and the information on this subject is limited. The primary objective of our study is to examine whether there is an association between ABO BG and UGB, and the secondary objective is to examine whether there is an association between ABO BG and UGB in patients who received blood transfusions after bleeding. Methods: The prevalence values of A, B, AB, 0 BG and Rh antigens, endoscopic procedure, and blood transfusion information of patients who were diagnosed with UGB by endoscopic examination and hospitalized were recorded. Healthy individuals without UGB in the same period were included as the control group (CG). Those who had UGB by endoscopic examination constituted the study group (SG) while those who received at least 2 units of blood transfusion formed the transfusion group (TG). Results: SG consisted of 423 patients, TG included 383 patients, and CG had 1650 individuals. While the risk of bleeding was higher in SG patients with BG 0 (OR 1.33 1.07-1.66 P=0.009), the bleeding risk was lower in SG patients with BG B (OR 0.77 0.63-0.95 P=0.014). In addition, while the risk of bleeding was higher in TG patients with BG 0 (OR 1.35 1.08-1.70 P=0.009), the bleeding risk was lower in TG patients with BG B (OR 0.55 0.38-0.79 P=0.001). There was no statistically significant difference in SG, and TG in other BG A and AB and no significant difference in Rh. Conclusion: While UGB is more common in individuals with BG 0, it is less common in individuals with BG B. The risk of need for blood transfusion during the follow-up period of these patients in the ward is higher in patients with BG 0 but lower in patients with BG B. Keywords: Blood group, bleeding, transfusion","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968751","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}
Banu Bedir, E. Çalıkoglu, S. Yılmaz, Zahide Koşan, S. Vançelik
Introduction: In recent years, there has been an increase in the number of elderly population with the improvement of living conditions and the acquisition of healthy life behaviors in Türkiye. In this study, it was aimed to evaluate the quality of life of the elderly and the affecting factors. Methods: Our study is planned with a descriptive and cross-sectional design. Quality of life of the participants was assessed using the World Health Organization Quality of Life-Old module (WHOQOL-OLD), whereas depressive symptoms were evaluated using the Geriatric Depression Scale. Results: Their mean total score on the WHOQOL-OLD module was 56.64 ± 15.57. The total quality of life score was found to be significantly lower among females, elderly, illiterate and those who lacked a regular monthly income, who perceived their health status to be worse than that in the previous year, who considered themselves very old and who suffered from chronic diseases (p ˂ 0.001). The mean score of the participants on the Geriatric Depression Scale was 14.59±5.27, whereas the frequency of depression was 56.5%. There was a negative and significant relationship between depression and quality of life scores (p˂0.001, r=0.658). Conclusion: In our study, the indicators, dimensions, and measurement of quality of life and levels of depression in old age are presented. Additionally, factors influencing the perceptions of aging among the elderly and the individual perspective on aging, as well as their associations with depression, are discussed. Keywords: Elderly, Aging, Quality of life, Depression, Perception of aging, Geriatric Depression Scale
{"title":"The factors associated with quality of life and depression score in adults aged 65 and over","authors":"Banu Bedir, E. Çalıkoglu, S. Yılmaz, Zahide Koşan, S. Vançelik","doi":"10.22391/fppc.1165145","DOIUrl":"https://doi.org/10.22391/fppc.1165145","url":null,"abstract":"Introduction: In recent years, there has been an increase in the number of elderly population with the improvement of living conditions and the acquisition of healthy life behaviors in Türkiye. In this study, it was aimed to evaluate the quality of life of the elderly and the affecting factors.\u0000\u0000Methods: Our study is planned with a descriptive and cross-sectional design. Quality of life of the participants was assessed using the World Health Organization Quality of Life-Old module (WHOQOL-OLD), whereas depressive symptoms were evaluated using the Geriatric Depression Scale. \u0000\u0000Results: Their mean total score on the WHOQOL-OLD module was 56.64 ± 15.57. The total quality of life score was found to be significantly lower among females, elderly, illiterate and those who lacked a regular monthly income, who perceived their health status to be worse than that in the previous year, who considered themselves very old and who suffered from chronic diseases (p ˂ 0.001). The mean score of the participants on the Geriatric Depression Scale was 14.59±5.27, whereas the frequency of depression was 56.5%. There was a negative and significant relationship between depression and quality of life scores (p˂0.001, r=0.658). \u0000\u0000Conclusion: In our study, the indicators, dimensions, and measurement of quality of life and levels of depression in old age are presented. Additionally, factors influencing the perceptions of aging among the elderly and the individual perspective on aging, as well as their associations with depression, are discussed.\u0000\u0000Keywords: Elderly, Aging, Quality of life, Depression, Perception of aging, Geriatric Depression Scale","PeriodicalId":31541,"journal":{"name":"Family Practice and Palliative Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45983656","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}
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