Pub Date : 2019-06-26DOI: 10.33880/EJFM.2019080202
Hilal Gokce, Eylem Pasli Gurdogan
Aim: With the increase in chronic diseases, the number of patients using complementary and alternative medicine is increasing. In this study, it was aimed to examine the opinions and practices of complementary and alternative therapy usage status and attitudes of hypertension patients. Methods: A descriptive and cross-sectional study consisting of 290 patients was performed with patients who applied to the cardiology and internal diseases outpatient clinic of a public hospital and diagnosed with hypertension. Data were collected by using the patient information form which including socio-demographic form, disease-related characteristics and opinions, and also practices of the patients about the use of complementary and alternative therapies and attitudes towards Holistic Complementary and Alternative Medicine Scale. Results: The mean age of the patients was 61.52±11.19 and 63.1% were female, 83.4% were married, and 74.8% were at primary school and lower education level. Of patients, 56.9% use complementary and alternative treatment methods in addition to hypertension therapy. 27.3% of them think that they are more effective than drugs, 63% of them do not share the method they use with health care workers. The total score of the Holistic Complementary and Alternative Medicine Scale is 23.05±5.80. The scores are taken out of the scale and the sub-dimensions differ according to the age groups, education level, monthly income status and complementary and alternative treatment methods usage status (p <0.05). Conclusion: It was found that patients use complementary and alternative methods but do not share them with health care workers, and they have a positive attitude towards holistic complementary and alternative medicine. It is considered important for health care professionals to question the use of these methods in planning the patients’ treatment.
{"title":"Complementary and Alternative Therapy Usage Status and Attitudes of Hypertension Patients","authors":"Hilal Gokce, Eylem Pasli Gurdogan","doi":"10.33880/EJFM.2019080202","DOIUrl":"https://doi.org/10.33880/EJFM.2019080202","url":null,"abstract":"Aim: With the increase in chronic diseases, the number of patients using complementary and alternative medicine is increasing. In this study, it was aimed to examine the opinions and practices of complementary and alternative therapy usage status and attitudes of hypertension patients.\u0000Methods: A descriptive and cross-sectional study consisting of 290 patients was performed with patients who applied to the cardiology and internal diseases outpatient clinic of a public hospital and diagnosed with hypertension. Data were collected by using the patient information form which including socio-demographic form, disease-related characteristics and opinions, and also practices of the patients about the use of complementary and alternative therapies and attitudes towards Holistic Complementary and Alternative Medicine Scale.\u0000Results: The mean age of the patients was 61.52±11.19 and 63.1% were female, 83.4% were married, and 74.8% were at primary school and lower education level. Of patients, 56.9% use complementary and alternative treatment methods in addition to hypertension therapy. 27.3% of them think that they are more effective than drugs, 63% of them do not share the method they use with health care workers. The total score of the Holistic Complementary and Alternative Medicine Scale is 23.05±5.80. The scores are taken out of the scale and the sub-dimensions differ according to the age groups, education level, monthly income status and complementary and alternative treatment methods usage status (p <0.05).\u0000Conclusion: It was found that patients use complementary and alternative methods but do not share them with health care workers, and they have a positive attitude towards holistic complementary and alternative medicine. It is considered important for health care professionals to question the use of these methods in planning the patients’ treatment.","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124454117","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}
Pub Date : 2019-06-26DOI: 10.33880/EJFM.2019080201
Allan Rod S. Pasuelo
Aim: The study determined the effects of the cash incentive implementation of Pantawid Pamilyang Pilipino Program in terms of family attendance to health consultations, school and family development sessions in an urban community. Methods: A cross-sectional study was conducted among Pantawid Pamilyang Pilipino Program Filipino families with a total sample size of 124. An assisted interview was done and the data were analyzed using Stata 14. Results: Among 124 respondents, seventy percent were housewives, 35 finished secondary education with median income of 400 pesos ($7) daily. Out of 381 pregnancies, there were 342 and 39 pregnancies before and after implementation. All pre and post-natal check-ups attended by a physician. Childbirth were in secondary and tertiary health care facilities. Preventive health check-ups for children were reported only in 45 children aged zero to five years old. Deworming were received twice a year by 261/264 children 6-14 years old. There were 96% enrolled in school for the academic year 2018-2019 and 92% receive elementary education. Family development sessions included topics of wide variety. Conclusion: Overall, the Pantawid Pamilyang Pilipino Program beneficiaries were compliant with conditionalities of the cash transfers. Mothers were seen and giving birth in health care facilities while children are receiving preventive medical care and education. Keywords: preventive health services, health promotion, cash incentive plans, Pantawid Pamilyang Pilipino Program, Philippines
{"title":"Effects of the Cash Incentive Implementation of Pantawid Pamilyang Pilipino Program on Family Attendance to Health Consultations, School and Family Development Sessions in an Urban Community Setting","authors":"Allan Rod S. Pasuelo","doi":"10.33880/EJFM.2019080201","DOIUrl":"https://doi.org/10.33880/EJFM.2019080201","url":null,"abstract":"Aim: The study determined the effects of the cash incentive implementation of Pantawid Pamilyang Pilipino Program in terms of family attendance to health consultations, school and family development sessions in an urban community.\u0000Methods: A cross-sectional study was conducted among Pantawid Pamilyang Pilipino Program Filipino families with a total sample size of 124. An assisted interview was done and the data were analyzed using Stata 14. Results: Among 124 respondents, seventy percent were housewives, 35 finished secondary education with median income of 400 pesos ($7) daily. Out of 381 pregnancies, there were 342 and 39 pregnancies before and after implementation. All pre and post-natal check-ups attended by a physician. Childbirth were in secondary and tertiary health care facilities. Preventive health check-ups for children were reported only in 45 children aged zero to five years old. Deworming were received twice a year by 261/264 children 6-14 years old. There were 96% enrolled in school for the academic year 2018-2019 and 92% receive elementary education. Family development sessions\u0000included topics of wide variety.\u0000Conclusion: Overall, the Pantawid Pamilyang Pilipino Program beneficiaries were compliant with\u0000conditionalities of the cash transfers. Mothers were seen and giving birth in health care facilities while children are receiving preventive medical care and education.\u0000Keywords: preventive health services, health promotion, cash incentive plans, Pantawid Pamilyang Pilipino Program, Philippines","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125999968","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}
Pub Date : 2019-06-26DOI: 10.33880/EJFM.2019080204
Sedef Duran, Ezgi Durmuşçelebi, M. Yalcin, Gülşah Karmil, Asja Radonciq
Aim: Sleep duration and quality affect the food consumption and weight gain; also food consumption affects the sleep. It was found that the university students have very serious problems in terms of nutrition and sleep patterns. The aim of this study is to investigate the sleep status and eating habits of the students in the first and secondary education of university. Methods: This cross-sectional study was carried out with 130 students from first and 108 students from secondary education of the university. Height, weight, waist and hip measurements of each participant were taken. Demographic characteristics, habits, dietary behaviors and sleep patterns of the participants were evaluated. Results: It was determined that the students in the secondary education had a significantly higher rate of eating more at nights and skipped meals during the day. When all the participants were considered, there was a opposite and weak opposite correlation in the between the Pittsburgh Sleep Quality Index and Mediterranean Diet Quality Index scores. According to the Mediterranean Diet Quality Index, the ratio of those with very low dietary quality was 51.5% for the students in the first education and 61.1% for the students in the second education. Conclusion: It was found that, secondary education students eat more at night than first education students; they skip meals during the day and had a very low diet quality according to Mediterranean Diet Quality Index. In order to prevent these problems, regular sleep and nutrition training should be given to the students of secondary education.
{"title":"Comparison of The Sleep Status and Nutrition Habits of the Students in The First and Second Education of Trakya University Faculty of Economics and Administrative Sciences","authors":"Sedef Duran, Ezgi Durmuşçelebi, M. Yalcin, Gülşah Karmil, Asja Radonciq","doi":"10.33880/EJFM.2019080204","DOIUrl":"https://doi.org/10.33880/EJFM.2019080204","url":null,"abstract":"Aim: Sleep duration and quality affect the food consumption and weight gain; also food consumption affects the sleep. It was found that the university students have very serious problems in terms of nutrition and sleep patterns. The aim of this study is to investigate the sleep status and eating habits of the students in the first and secondary education of university. \u0000\u0000Methods: This cross-sectional study was carried out with 130 students from first and 108 students from secondary education of the university. Height, weight, waist and hip measurements of each participant were taken. Demographic characteristics, habits, dietary behaviors and sleep patterns of the participants were evaluated. \u0000\u0000Results: It was determined that the students in the secondary education had a significantly higher rate of eating more at nights and skipped meals during the day. When all the participants were considered, there was a opposite and weak opposite correlation in the between the Pittsburgh Sleep Quality Index and Mediterranean Diet Quality Index scores. According to the Mediterranean Diet Quality Index, the ratio of those with very low dietary quality was 51.5% for the students in the first education and 61.1% for the students in the second education.\u0000\u0000Conclusion: It was found that, secondary education students eat more at night than first education students; they skip meals during the day and had a very low diet quality according to Mediterranean Diet Quality Index. In order to prevent these problems, regular sleep and nutrition training should be given to the students of secondary education.","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124784441","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}
Pub Date : 2019-03-31DOI: 10.33880/EJFM.2019080105
Hacer Alan Dikmen, K. Marakoğlu, Kadriye Mertcan
Aim: The objective of this study is to evaluate the women health profession gender roles and attitudes towards women's work. Methods: This descriptive study was carried out with 351 female employees, including female academicians and nurses at the Medicine and Health Sciences Faculties of Selçuk University. The data were collected by using a data collection form for female academic staff and nurses, The Attitudes Towards Woman’s Working Scale and The Gender Role Attitudes Scale between September 2017 and March 2018. The ethical approval was obtained from the Faculty of Medicine of Selcuk University for this study. Results: The mean age of the participants was 29,97±7,52; the mean working time was 4,60±7,49; 59,8% of them (210 participants) were nurses; 40,2% of them (141 participants) were academicians. 72,6% of the participants had difficulties in their working life, 61,8% of them stated that their working life had a negative effect on their private life. In our study, the mean of Gender Roles Attitudesscore was 137,14±27,19 (min-max: 38-190) and the meanof Attitudes Towards Woman’s Working Scale score was 53,42±8,62 (min-max: 15-75). The mean of Gender Roles Attitudesscore of the nurses was statistically significantly higher than the mean of Gender Roles Attitudesscore of the academicians (p<0,05). The mean of Attitudes Towards Woman’s Workingscore of the nurses was statistically significantly lower than the mean of Attitudes Towards Woman’s Working score of the academicians (p<0,05). It was found that there was a significant (p<0,001) and weak (rs= -0,208), negative correlation between The Gender Roles Attitudes and The Attitudes Towards Woman’s Working scores. Conclusion: In this study, it was determined that the nurses and academicians had "positive attitudes" towards moderate gender roles and working of women.
{"title":"Evaluation of Attitudes Towards Gender Roles And Women's Working of Woman Health Professionals","authors":"Hacer Alan Dikmen, K. Marakoğlu, Kadriye Mertcan","doi":"10.33880/EJFM.2019080105","DOIUrl":"https://doi.org/10.33880/EJFM.2019080105","url":null,"abstract":"Aim: The objective of this study is to evaluate the women health profession gender roles and attitudes towards women's work.\u0000\u0000Methods: This descriptive study was carried out with 351 female employees, including female academicians and nurses at the Medicine and Health Sciences Faculties of Selçuk University. The data were collected by using a data collection form for female academic staff and nurses, The Attitudes Towards Woman’s Working Scale and The Gender Role Attitudes Scale between September 2017 and March 2018. The ethical approval was obtained from the Faculty of Medicine of Selcuk University for this study.\u0000\u0000Results: The mean age of the participants was 29,97±7,52; the mean working time was 4,60±7,49; 59,8% of them (210 participants) were nurses; 40,2% of them (141 participants) were academicians. 72,6% of the participants had difficulties in their working life, 61,8% of them stated that their working life had a negative effect on their private life. In our study, the mean of Gender Roles Attitudesscore was 137,14±27,19 (min-max: 38-190) and the meanof Attitudes Towards Woman’s Working Scale score was 53,42±8,62 (min-max: 15-75). The mean of Gender Roles Attitudesscore of the nurses was statistically significantly higher than the mean of Gender Roles Attitudesscore of the academicians (p<0,05). The mean of Attitudes Towards Woman’s Workingscore of the nurses was statistically significantly lower than the mean of Attitudes Towards Woman’s Working score of the academicians (p<0,05). It was found that there was a significant (p<0,001) and weak (rs= -0,208), negative correlation between The Gender Roles Attitudes and The Attitudes Towards Woman’s Working scores. \u0000\u0000Conclusion: In this study, it was determined that the nurses and academicians had \"positive attitudes\" towards moderate gender roles and working of women.","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127709365","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}
Pub Date : 2019-03-31DOI: 10.33880/EJFM.2019080101
Merve Unal, H. N. Dagdeviren
World Health Organization describes traditional and complementary medicine as “the sum total of the knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health, as well as in the prevention, diagnosis, improvement or treatment of physical and mental illnesses”. The use of traditional and complementary medicine has a long history. As a result of increasing life expectancy of people, chronic and malignant diseases increases. Because of health care workers can not allocate enough time and the reasons such as avoiding the side effects of drugs, patients have increased interest in traditional and complementary medicine methods. It is predicted that the use of these methods will increase even more over time. To protect people from the harmful effects of these methods and to prevent unauthorized use, a variety of arrangements have been made in Turkey and in the world. For this reason, on October 27, 2014 "Regulations of Traditional and Complementary Medicine Practices" was published. In this regulation, 15 methods are accepted and their usage areas are expressed. These are phytotherapy, mesotherapy, maggot therapy, prolotherapy, cupping therapy, music therapy, hypnotherapy, homeopathy, hirudotherapy, ozone therapy, osteopathy, reflexology, acupuncture, apitherapy and chiropractic. Generally, patients do not tell their physician that they are using one of these methods. No matter what causes people to use these methods, if they use them unconsciously; diagnosis of diseases may be delayed, side effects may occur, or patients may be damaged by persons who are not authorized to perform these methods. For this reason, physicians should be aware of the tendencies of their patients and protect them from misuse by increasing their awareness.
{"title":"Traditional and Complementary Medicine Methods","authors":"Merve Unal, H. N. Dagdeviren","doi":"10.33880/EJFM.2019080101","DOIUrl":"https://doi.org/10.33880/EJFM.2019080101","url":null,"abstract":"World Health Organization describes traditional and complementary medicine as “the sum total of the knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health, as well as in the prevention, diagnosis, improvement or treatment of physical and mental illnesses”. The use of traditional and complementary medicine has a long history. As a result of increasing life expectancy of people, chronic and malignant diseases increases. Because of health care workers can not allocate enough time and the reasons such as avoiding the side effects of drugs, patients have increased interest in traditional and complementary medicine methods. It is predicted that the use of these methods will increase even more over time. To protect people from the harmful effects of these methods and to prevent unauthorized use, a variety of arrangements have been made in Turkey and in the world. For this reason, on October 27, 2014 \"Regulations of Traditional and Complementary Medicine Practices\" was published. In this regulation, 15 methods are accepted and their usage areas are expressed. These are phytotherapy, mesotherapy, maggot therapy, prolotherapy, cupping therapy, music therapy, hypnotherapy, homeopathy, hirudotherapy, ozone therapy, osteopathy, reflexology, acupuncture, apitherapy and chiropractic. Generally, patients do not tell their physician that they are using one of these methods. No matter what causes people to use these methods, if they use them unconsciously; diagnosis of diseases may be delayed, side effects may occur, or patients may be damaged by persons who are not authorized to perform these methods. For this reason, physicians should be aware of the tendencies of their patients and protect them from misuse by increasing their awareness.","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131346699","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}
Pub Date : 2019-03-31DOI: 10.33880/EJFM.2019080102
Mustafa Armutlukuyu, K. Marakoğlu, Nisa Çetin Kargın
Aim: It was aimed to evaluate the burnout levels of the academicians and research assistants employed at Medical Faculty of Selcuk University and Necmettin Erbakan University, and to investigate the factors affecting the level of burnout. Methods: This study included total 894 subjects; 564 faculty members and research assistants working at Necmettin Erbakan University and 330 faculty members and research staff employed at Faculty of Medicine, Selçuk University. A questionnaire consisting of 50 questions containing sociodemographic characteristics of the participants, and the Maslach Burnout Inventory (MBI) were filled with face-to-face interviews. Results: Of the participants, 63.1% were working at the University of Necmettin Erbakan, and 36.9% at Selçuk University. While the mean emotional exhaustion (EE) (p<0.001) and depersonalization (DP) (p<0.001) scores of the physicians who work in basic medical sciences, the staff titled Prof. Dr. and Assoc. Prof. Dr., the physicians with administrative duties, the staff at/over 40 years old and the married physicians were statistically significantly lower than those of the staff employed in the other medical and surgical sciences, the staff with other titles, the physicians without administrative duties, the staff under 40 years old and the single staff respectively; personal success (PS) mean scores were statistically significantly higher (p<0.001). Conclusion: In particular, the supports reducing burnout and motivating should be provided and maintained to the physicians who are employed at such places especially as Faculties of Medicine which aims both to provide the highest level of health care in the region and to raise the physicians of the future.
{"title":"Evaluation of Burnout Levels of the Academic Staff and Research Assistants Working at Medical Faculties","authors":"Mustafa Armutlukuyu, K. Marakoğlu, Nisa Çetin Kargın","doi":"10.33880/EJFM.2019080102","DOIUrl":"https://doi.org/10.33880/EJFM.2019080102","url":null,"abstract":"Aim: It was aimed to evaluate the burnout levels of the academicians and research assistants employed at Medical Faculty of Selcuk University and Necmettin Erbakan University, and to investigate the factors affecting the level of burnout.\u0000\u0000Methods: This study included total 894 subjects; 564 faculty members and research assistants working at Necmettin Erbakan University and 330 faculty members and research staff employed at Faculty of Medicine, Selçuk University. A questionnaire consisting of 50 questions containing sociodemographic characteristics of the participants, and the Maslach Burnout Inventory (MBI) were filled with face-to-face interviews.\u0000\u0000Results: Of the participants, 63.1% were working at the University of Necmettin Erbakan, and 36.9% at Selçuk University. While the mean emotional exhaustion (EE) (p<0.001) and depersonalization (DP) (p<0.001) scores of the physicians who work in basic medical sciences, the staff titled Prof. Dr. and Assoc. Prof. Dr., the physicians with administrative duties, the staff at/over 40 years old and the married physicians were statistically significantly lower than those of the staff employed in the other medical and surgical sciences, the staff with other titles, the physicians without administrative duties, the staff under 40 years old and the single staff respectively; personal success (PS) mean scores were statistically significantly higher (p<0.001). \u0000\u0000Conclusion: In particular, the supports reducing burnout and motivating should be provided and maintained to the physicians who are employed at such places especially as Faculties of Medicine which aims both to provide the highest level of health care in the region and to raise the physicians of the future.","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130583685","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}
Pub Date : 2019-03-31DOI: 10.33880/EJFM.2019080106
D. Yılmaz, D. Toprak, G. Karatemiz, F. Borlu
Granulomatosis with polyangitis (GPA/WG) (previously known as Wegener granulomatosis) is a multisystem systemic necrotizing non-caeseating granulomatous vasculitis affecting small to medium sized arteries, capillaries and veins, with a predilection for the respiratory system and kidneys. The average incidence of this disease is 40-55. 90% of the WG patients have pulmonary involvement. Wegener Granulomatosis is a disease with high mortality when its diagnosis and treatment is delayed. Although WG may have symptoms such as hemoptysis and hematuria, it should be noted that it may present with severe arthralgia and arthritis which may be in many connective tissue diseases and vasculitis. Male patient, 52 years old. Analgesic treatment was applied when he came to the center due to arthralgia two months ago, however, there was no change in his complaints and intra-articular injection treatment was applied on left knee and both shoulders. The symptoms did not regress and the patient lost 20 kg within the last two months. In urine analysis, 14-15 erythrocyte and 10-15 leucocyte detected in every field; 1 positive detected. The patient was hospitalized in order to make further examination upon the determination of CRP: 61mg/L and ESR: 82mm/hr in the next polyclinic control after three days. In the kidney biopsy report, “Pauci-immun glomerulonephritis” was primarily considered in the phenomenon. For the first three days 1 gr pulse and by the fourth day 1 mg/kg methylprednisolone and cyclophosphamide treatment was applied.
{"title":"A Wegener Granulomatosis Case Presented with Arthralgia","authors":"D. Yılmaz, D. Toprak, G. Karatemiz, F. Borlu","doi":"10.33880/EJFM.2019080106","DOIUrl":"https://doi.org/10.33880/EJFM.2019080106","url":null,"abstract":"Granulomatosis with polyangitis (GPA/WG) (previously known as Wegener granulomatosis) is a multisystem systemic necrotizing non-caeseating granulomatous vasculitis affecting small to medium sized arteries, capillaries and veins, with a predilection for the respiratory system and kidneys. The average incidence of this disease is 40-55. 90% of the WG patients have pulmonary involvement. Wegener Granulomatosis is a disease with high mortality when its diagnosis and treatment is delayed. Although WG may have symptoms such as hemoptysis and hematuria, it should be noted that it may present with severe arthralgia and arthritis which may be in many connective tissue diseases and vasculitis. Male patient, 52 years old. Analgesic treatment was applied when he came to the center due to arthralgia two months ago, however, there was no change in his complaints and intra-articular injection treatment was applied on left knee and both shoulders. The symptoms did not regress and the patient lost 20 kg within the last two months. In urine analysis, 14-15 erythrocyte and 10-15 leucocyte detected in every field; 1 positive detected. The patient was hospitalized in order to make further examination upon the determination of CRP: 61mg/L and ESR: 82mm/hr in the next polyclinic control after three days. In the kidney biopsy report, “Pauci-immun glomerulonephritis” was primarily considered in the phenomenon. For the first three days 1 gr pulse and by the fourth day 1 mg/kg methylprednisolone and cyclophosphamide treatment was applied.","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129760245","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}
Pub Date : 2019-03-31DOI: 10.33880/EJFM.2019080103
R. Gümüştakım, A. Ozkara, R. Kahveci, Pınar Döner Güner, Duygu Ayhan Başer, F. Dede
Aim: It was aimed to evaluate the awareness levels of patients about hypertension, treatment and control rates. Methods: The descriptive study included 203 patients between ages of 35–80 with a previous diagnosis of hypertension to the primary care outpatient clinic of Ankara Numune Training and Research Hospital in September 2011-January 2012. A 42-item questionnaire was used and 19 questions were used to determine the level of awareness among them. Nine measurements were in the office by the researcher and 12 measurements at home by the patient. Results: 25.6% of the patients were males and 74.4% were females. The median age was 59 years (IQR=13). The section for scoring the awareness levels revealed following: 27.1% of patients were non-aware, 58.6% had a low level of awareness and 14.3% had a high level of awareness. 72.9% of the patients were aware, 93.1% were taking antihypertensive treatment, while 42.4% measured blood pressures both at home and at office are under control. Awareness level is related to diet, exercise, education, salt usage, blood pressure measurement frequency, doctor referral frequency, education and knowledge level about hypertension, blood pressure monitoring branch, antihypertensive treatment status, hypertension duration, number of antihypertensive drugs and regular usage rates; but hypertension control was only associated with salt use, antihypertensive treatment and number of antihypertensive drugs. Conclusion: Hypertension is a common problem in our country and as we have seen in our studies, awareness rates are insufficient. Although the treatment rates are high, the control rates are not sufficient. This suggests that patients' compliance with treatment is not at the desired level. The most important thing to do in this regard is to raise awareness by increasing public awareness about hypertension. In this respect, primary care physicians have a great responsibility.
{"title":"Awareness, Treatment and Control Rates of Hypertensive Patients in Ankara","authors":"R. Gümüştakım, A. Ozkara, R. Kahveci, Pınar Döner Güner, Duygu Ayhan Başer, F. Dede","doi":"10.33880/EJFM.2019080103","DOIUrl":"https://doi.org/10.33880/EJFM.2019080103","url":null,"abstract":"Aim: It was aimed to evaluate the awareness levels of patients about hypertension, treatment and control rates.\u0000\u0000Methods: The descriptive study included 203 patients between ages of 35–80 with a previous diagnosis of hypertension to the primary care outpatient clinic of Ankara Numune Training and Research Hospital in September 2011-January 2012. A 42-item questionnaire was used and 19 questions were used to determine the level of awareness among them. Nine measurements were in the office by the researcher and 12 measurements at home by the patient. \u0000\u0000Results: 25.6% of the patients were males and 74.4% were females. The median age was 59 years (IQR=13). The section for scoring the awareness levels revealed following: 27.1% of patients were non-aware, 58.6% had a low level of awareness and 14.3% had a high level of awareness. 72.9% of the patients were aware, 93.1% were taking antihypertensive treatment, while 42.4% measured blood pressures both at home and at office are under control. Awareness level is related to diet, exercise, education, salt usage, blood pressure measurement frequency, doctor referral frequency, education and knowledge level about hypertension, blood pressure monitoring branch, antihypertensive treatment status, hypertension duration, number of antihypertensive drugs and regular usage rates; but hypertension control was only associated with salt use, antihypertensive treatment and number of antihypertensive drugs.\u0000\u0000Conclusion: Hypertension is a common problem in our country and as we have seen in our studies, awareness rates are insufficient. Although the treatment rates are high, the control rates are not sufficient. This suggests that patients' compliance with treatment is not at the desired level. The most important thing to do in this regard is to raise awareness by increasing public awareness about hypertension. In this respect, primary care physicians have a great responsibility.","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131046297","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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