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Blood Types and Severity of COVID-19 COVID-19的血型和严重程度
Pub Date : 2021-12-30 DOI: 10.33880/ejfm.2021100407
B. Ozdemir, L. Ozdemir, Bilge Akgunduz, M. Çelik, Senem Urfali, Ayse Sema Vicdan
Aim: Since blood types first appeared, their association with diseases caused by microorganisms has been further investigated with several studies for many years. The bond of blood groups described as A, B, AB, and O with coronavirus has been the research subject in many countries.We aimed to elucidate whether there was a relationship between blood types and Rh factor and contracting COVID-19 disease and disease severity. Methods: The study was designed as a retrospective case-control study. Between March 2020 - February 2021, 1110 patients were included (538 cases, 572 controls). Disease severity was classified according to where patients were treated: those who were outpatients considered as “mild disease”, hospitalized in a hospital ward considered as “moderate disease”, and treated in the intensive care unit were considered as “severe disease”. Results: The number of people with blood type A was 447 (40.3%), blood type B was 197 (17.7%), blood type AB was 90 (%8), and blood type O was 376 (33.9%). There was no significant difference between the case and control groups according to the blood types. A 3.93 times increase of developing mild illness was detected compared to the control group in Rh-positive individuals. The rate of developing a severe disease was higher in females with blood type A than a mild disease, and A blood type caused the disease to be severe compared to other blood groups in females. Conclusion: We concluded that blood type A caused more severe disease than other blood types in females, and females with B blood type survived the disease as outpatients. Our study can shed light on pathophysiological investigation of the relationship between COVID-19 disease causing a pandemic with high mortality and virulence and blood types. Keywords: COVID-19 virus, blood group, disease
目的:自血型首次出现以来,其与微生物引起的疾病的关系已经过多年的几项研究进一步调查。A型、B型、AB型和O型血型与冠状病毒的关系一直是许多国家的研究课题。我们的目的是阐明血型和Rh因子与感染COVID-19疾病和疾病严重程度之间是否存在关系。方法:采用回顾性病例对照研究。在2020年3月至2021年2月期间,纳入了1110例患者(538例,572例对照)。疾病严重程度根据患者的治疗地点进行分类:门诊患者被认为是"轻度疾病",在医院病房住院被认为是"中度疾病",在重症监护病房接受治疗被认为是"严重疾病"。结果:A型血447例(40.3%),B型血197例(17.7%),AB型血90例(%8),O型血376例(33.9%)。根据血型,病例组与对照组之间无显著差异。与对照组相比,rh阳性个体出现轻度疾病的几率增加了3.93倍。a型血的女性患严重疾病的几率比轻度疾病高,a型血的女性患严重疾病的几率比其他血型的女性高。结论:A型血的女性比其他血型的女性发病更严重,B型血的女性作为门诊患者存活。本研究可为新型冠状病毒病引起高死亡率大流行与毒力与血型关系的病理生理学研究提供线索。关键词:COVID-19病毒,血型,疾病
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引用次数: 0
Depression, Anxiety and Sleep Disturbance in Primary Health Care Workers During the COVID-19 Pandemic COVID-19大流行期间初级卫生保健工作者的抑郁、焦虑和睡眠障碍
Pub Date : 2021-12-30 DOI: 10.33880/ejfm.2021100405
C. Yurtsever, Burcu Aykanat Yurtsever
Aim: In Turkey, family physicians and family health nurses are among the groups fighting COVID-19 on the frontline. This study was aimed to determine depression, anxiety, and sleep disorders and related factor during the COVID-19 pandemic in FPs and FHNs working in Rize.Methods: Single-centered, a cross-sectional web-based survey study was conducted between July 21-31, 2020 in Rize, Turkey. Demographic characteristics and information related to the COVID-19 pandemic were collected from primary health care workers and depression, anxiety, and sleep quality were evaluated by Beck Depression Inventory, Beck Anxiety Inventory, and Pittsburgh Sleep Quality Index, respectively. A total of 109 primary health care workers were included in the study.Results: While 48 (44%) of the primary health care workers had at least mild depressive symptoms, 46 (42.2%) had the least mild anxiety symptoms. Sleep disturbance was also found in 48 (44%) of them. The frequency of psychological symptoms was higher in women, nurses, and those who thought that their protective equipment was insufficient. Sleep disturbances were more common in primary health care workers with psychiatric illness and who suspect they have had COVID-19 at any time.Conclusion: Primary health care workers had a high rate of depression, anxiety, and sleep disorders. It would be beneficial to make special interventions to promote mental health for primary health care workers, who are among the frontline groups in the fight against COVID-19.Keywords: anxiety, COVID-19, depression, health care worker, sleep disorders
目的:在土耳其,家庭医生和家庭保健护士是在第一线抗击COVID-19的人群之一。本研究旨在确定在Rize工作的FPs和fhn在COVID-19大流行期间的抑郁、焦虑和睡眠障碍及其相关因素。方法:于2020年7月21日至31日在土耳其Rize进行了一项基于网络的单中心横断面调查研究。从初级卫生保健工作者中收集与COVID-19大流行相关的人口统计学特征和信息,并分别使用贝克抑郁量表、贝克焦虑量表和匹兹堡睡眠质量指数对抑郁、焦虑和睡眠质量进行评估。共有109名初级卫生保健工作者参与了这项研究。结果:48名初级卫生保健工作者(44%)至少有轻度抑郁症状,46名(42.2%)有最轻的焦虑症状。其中48人(44%)存在睡眠障碍。女性、护士和那些认为自己的防护装备不足的人出现心理症状的频率更高。睡眠障碍在患有精神疾病并随时怀疑自己患有COVID-19的初级卫生保健工作者中更为常见。结论:初级卫生保健工作者有较高的抑郁、焦虑和睡眠障碍发生率。初级卫生保健工作者是抗击COVID-19的一线人群,采取特别干预措施促进他们的心理健康将是有益的。关键词:焦虑,COVID-19,抑郁,医护人员,睡眠障碍
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引用次数: 0
Evaluation of Clinical Follow-Up of The Patients Monitored at Home Due To COVID-19 Pandemic 新型冠状病毒病疫情居家监测患者临床随访评价
Pub Date : 2021-12-30 DOI: 10.33880/ejfm.2021100401
A. Esen, S. Arıca, Mikail Ozdemir
Aim: The most valuable approach to prevent the spread of the novel COVID-19, which is a pandemic today, is to detect, isolate, and treat patients. The majority of patients are mild or asymptomatic cases. These cases are followed up and isolated at home in many countries. With a governmental decision issued in Turkey, it has been deemed appropriate to follow up the suspected, contact or definitive diagnosis patients who do not indicate inpatient treatment, have a mild clinical course, or do not have a risk factor that may lead to a severe course of COVID-19, at home by the family practice units. In this study, we aimed to investigate the characteristics of the patients with COVID-19 who were being monitored at home.Methods: The study was designed as a retrospective cross-sectional observational study. In this study, 321 people who were registered at the Education and Family Health Centers of our hospital and followed up as COVID-19 suspects, contacts, or definitive cases were identified. Home follow-up data of these patients between April 1-30 were obtained retrospectively from the records of family health centers. Data, such as the presence and course of symptoms of people followed at home, their isolation status, medicine usage status, and test results were recorded electronically for further analysis. Results: In this study, 321 patients, 163 (50.28%) males, and 158 (49.22%) females were included. Among 321 patients, 287 (89.41%) were contact patients, 54 (16.82%) were suspected patients, and 28 (8.72%) had a definitive diagnosis. The mean age of the patients was 40.00±20.68. Among the patients included in this study, 27 (8.41%) were hospitalized, symptoms worsened in 8 (2.49%), 5 (1.56%) were re-applied to the hospital, 5 (1.56%) were re-hospitalized, and 28 people (8.72%) were administered medication.Conclusion: The mean age of patients who complied with the measures of isolation was higher than patients who did not. The mean age of hospitalized patients was higher than in non-hospitalized patients. The frequency of observed symptoms was consistent with the previous studies in the literature.Keywords: cough, fever, pandemics, quarantine, SARS-CoV-2
目的:预防新型冠状病毒病(COVID-19)传播的最有价值的方法是检测、隔离和治疗患者。大多数患者为轻度或无症状病例。在许多国家,对这些病例进行随访并在家中隔离。土耳其政府发布了一项决定,认为家庭诊所应在家中对不需要住院治疗、临床病程较轻或不存在可能导致COVID-19严重病程的风险因素的疑似患者、接触者或确诊患者进行随访。在本研究中,我们旨在调查在家监测的COVID-19患者的特征。方法:本研究采用回顾性横断面观察性研究。在本研究中,在我院教育和家庭健康中心登记并随访为COVID-19疑似病例、接触者或确诊病例的321人被确定。这些患者4月1日至30日的家庭随访资料回顾性地从家庭保健中心的记录中获得。以电子方式记录数据,如在家中随访的患者的症状和病程、他们的隔离状态、药物使用状况和测试结果,以供进一步分析。结果:本研究共纳入321例患者,其中男性163例(50.28%),女性158例(49.22%)。321例患者中,接触者287例(89.41%),疑似病例54例(16.82%),确诊28例(8.72%)。患者平均年龄40.00±20.68岁。本研究纳入的患者中,住院27例(8.41%),症状加重8例(2.49%),再次住院5例(1.56%),再次住院5例(1.56%),用药28例(8.72%)。结论:遵守隔离措施的患者平均年龄高于未遵守隔离措施的患者。住院患者的平均年龄高于非住院患者。观察到的症状频率与文献中先前的研究一致。关键词:咳嗽、发热、大流行、检疫、SARS-CoV-2
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引用次数: 1
The First Ten Years with Edirne Red 与Edirne Red在一起的第一个十年
Pub Date : 2021-12-30 DOI: 10.33880/ejfm.2021100409
H. N. Dagdeviren, S. Oztora, A. Caylan, Onder Sezer
The Eurasian Journal of Family Medicine (EJFM) is completing its 10th volume with this issue as one of the first products of the dreams of a group of academicians devoted to family medicine.Eurasian Society of Family Medicine (ESFAM) has been established in 2009 with the aim of carrying out scientific education and research activities, supporting ongoing scientific activities, and informing the society, carrying out activities for community education, and establishing a foundation to operate in this field.Shortly after its establishment, the first product of the association was organizing Trakya Family Medicine Congresses (TAHEK). At first, TAHEK was organized as a national congress in 2010 but since 2016 it became an international one with the participation of scientists from many countries (1). Next year on March 23-27, 2022 TAHEK will bring together Family Medicine academicians in Edirne for the 11th time (2). Edirne (Orestia, Orestas, Uscudama, Hadrianopolis, Edrenos, Edrenaboli, Edrene, finally Edirne) being the headquarters of ESFAM, is one of the ancient civilization centers of the world with its eight thousand years of history (3,4). After its conquest by the Turks in 1361, it was the capital of the Ottoman Empire until the conquest of Istanbul in 1453.Edirne has an important place in medical and academic history. The Complex of Sultan Bayezid II, which was opened in 1488, is one of the oldest universities in Europe with its medical faculty and hospital (5,6).In addition, the smallpox vaccine was first used in Edirne, its usage was later disseminated to Istanbul and Europe (7).Another imperial legacy that Edirne has is Edirne Red. Edirne Red was a natural dye obtained from the Rubia Tinctorum plant and very resistant to sunlight and washing, and was used in Turkish carpets and silk and cotton fabrics (8).While preparing the first issue of the Eurasian Journal of Family Medicine in 2012, we have chosen Edirne Red as the color of the cover of our journal, aiming to express our respect for the city where the association was established.Over the years, Trakya Family Medicine Congresses (TAHEK) have become one of the leading Family Medicine congresses of the Eurasian region, especially in the Balkans; It has made significant progress in becoming the meeting point of distinguished Family Medicine researchers and academicians from all over the world. During this time, our journal contributed to the dissemination of thousands of academic papers in the participating countries and increased the number of its followers.Likewise, Eurasian Journal of Family Medicine (EJFM) has enriched the international literature with many researches published over the years. It is a pride for us to express that the Eurasian Journal of Family Medicine has started to be indexed by many respected international scientific indexes. Scopus and DOAJ were added to these indexes this year.At the end of the tenth volume of our journal, we are happy to expr
《欧亚家庭医学杂志》(EJFM)即将完成第10卷,这一期是一群致力于家庭医学的院士梦想的首批产品之一。欧亚家庭医学学会(ESFAM)成立于2009年,其目的是开展科学教育和研究活动,支持正在进行的科学活动,向社会提供信息,开展社区教育活动,并建立在该领域开展业务的基础。成立后不久,该协会的第一个产品是组织Trakya家庭医学大会(TAHEK)。最初,TAHEK于2010年作为国家大会组织,但自2016年以来,它成为一个国际大会,来自许多国家的科学家参与(1)。明年,2022年3月23日至27日,TAHEK将第11次将家庭医学院士聚集在Edirne(2)。Edirne (Orestia, Orestas, Uscudama, Hadrianopolis, Edrenos, Edrenaboli, Edrene,最后Edirne)是ESFAM的总部。是拥有八千年历史的世界文明古国之一(3,4)。在1361年被土耳其人征服后,它一直是奥斯曼帝国的首都,直到1453年伊斯坦布尔被征服。Edirne在医学史上占有重要地位。苏丹巴耶济德二世建筑群于1488年开放,是欧洲最古老的大学之一,拥有医学院和医院。此外,天花疫苗首先在埃迪尔内使用,它的使用后来传播到伊斯坦布尔和欧洲(7)。埃迪尔内的另一个帝国遗产是埃迪尔内红。Edirne Red是一种从Rubia Tinctorum植物中提取的天然染料,非常耐阳光和洗涤,用于土耳其地毯和丝绸和棉织物(8)。在准备2012年第一期《欧亚家庭医学杂志》时,我们选择了Edirne Red作为我们杂志的封面颜色,旨在表达我们对协会成立城市的尊重。多年来,特拉基亚家庭医学大会(TAHEK)已成为欧亚地区,特别是巴尔干地区领先的家庭医学大会之一;它在成为来自世界各地的杰出家庭医学研究人员和学者的交汇点方面取得了重大进展。在此期间,我们的期刊为参与国数千篇学术论文的传播做出了贡献,并增加了其追随者的数量。同样,《欧亚家庭医学杂志》(EJFM)多年来发表了许多研究成果,丰富了国际文献。我们很自豪地表示,《欧亚家庭医学杂志》已经开始被许多受人尊敬的国际科学索引收录。Scopus和DOAJ今年被添加到这些指标中。在第十卷的最后,我们很高兴地向我们的作者、审稿人、杰出的国际顾问委员会成员、编辑和所有分享我们的梦想并为我们的产品做出贡献的利益相关者表示感谢和感谢。
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引用次数: 0
Knowledge, Attitude, And Practice Towards Antibiotic Resistance Among General Practitioners in Polyclinics in Yerevan, Armenia 亚美尼亚埃里温综合诊所全科医生对抗生素耐药性的知识、态度和实践
Pub Date : 2021-12-30 DOI: 10.33880/ejfm.2021100402
D. Muradyan, A. Demirchyan, V. Petrosyan
Aim: The objectives of the study were measuring knowledge, attitude, and practice scores among general practitioners on antibiotic resistance; exploring associations between antibiotics prescribing practice score among general practitioners and their knowledge and attitude scores after adjusting for other factors; and identifying barriers for rational antibiotics prescription by general practitioners.Methods: A cross-sectional study design was used. A self-administered survey was conducted among general practitioners employed in private and public polyclinics in Yerevan, Armenia. All general practitioners, working in Yerevan polyclinics and fluent in the Armenian language, were eligible for the study. The study was conducted in primary healthcare facilities of Yerevan, Armenia. All polyclinics (n=18) serving 30,000 or more populations were included in the study. All general practitioners available in selected polyclinics at the time of the survey were invited to take part in the survey, to target 20 general practitioners from each polyclinic. Results: Overall, 291 general practitioners participated in the study. Knowledge, attitude, and practice mean percent scores were 58.3%, 67.5%, and 63.0%, respectively. In the adjusted analysis, the practice percent score was significantly associated with the attitude percent score, though the relationship between the practice and knowledge scores was insignificant. The main barriers reported by general practitioners: lack of rapid diagnostic tests, high costs of laboratory tests, high costs of some antibiotics, and lack of guidelines. Conclusion: Identified low knowledge, attitude, and practice mean percent scores suggest a need for improvements in these areas. Availability of rapid and inexpensive diagnostic tests, enforcement of prescriptions could potentially prevent the development of antibiotic resistance. Keywords: drug resistance, general practitioners, polyclinics, prescribing
目的:本研究的目的是测量全科医生对抗生素耐药性的知识、态度和行为得分;在调整其他因素后,探讨全科医生抗生素处方实践得分与其知识和态度得分之间的关系;确定全科医生合理使用抗生素的障碍。方法:采用横断面研究设计。在亚美尼亚埃里温私营和公立综合诊所的全科医生中进行了一项自我管理的调查。所有在埃里温综合诊所工作并精通亚美尼亚语的全科医生都有资格参加这项研究。这项研究是在亚美尼亚埃里温的初级保健设施进行的。所有为30,000或更多人群服务的综合诊所(n=18)都被纳入研究。在进行调查时,所有在选定综合诊所的全科医生都被邀请参加调查,每所综合诊所的目标是20名全科医生。结果:总共有291名全科医生参与了这项研究。知识、态度和实践的平均百分比分别为58.3%、67.5%和63.0%。在调整分析中,实践百分比得分与态度百分比得分显著相关,但实践和知识得分之间的关系不显著。全科医生报告的主要障碍是:缺乏快速诊断检测、实验室检测费用高、某些抗生素费用高以及缺乏指南。结论:确定的低知识,态度和实践平均百分比分数表明这些领域需要改进。快速和廉价的诊断测试的可用性以及处方的强制执行可能潜在地防止抗生素耐药性的发展。关键词:耐药性,全科医生,综合诊所,处方
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引用次数: 1
Evaluation of the Knowledge Level of Family Medicine Residents about Mammography and Breast Cancer Screening Programs 家庭医学住院医师对乳房x光检查和乳腺癌筛查项目知识水平的评价
Pub Date : 2021-12-30 DOI: 10.33880/ejfm.2021100404
A. Koç
Aim: It was aimed to evaluate the level of knowledge of family medicine residents about breast cancer screening program national standards and mammography.Methods: In this cross-sectional study, an online questionnaire was used to measure the knowledge level of family medicine resident doctors about breast cancer and mammography. In addition to demographic information, the questionnaire included questions about the diagnostic advantages of radiological breast imaging methods, the age of onset of breast cancer screening in different risk groups, and the national breast cancer screening program. The questionnaire, prepared through Google forms, was announced on social media channels used by family physicians and kept open for three months.Results: The mean age of 151 physicians was 30.4±4.3. 61.6% of the physicians were female and 38.4% were male. Only 11.9% (n=18) of the participants had previously attended a training/course on mammography. The mean correct answer score was 4.58±1.50 for 9 questions. The test scores of the residents who received specialized training in the education and research hospital were statistically significantly higher than those who received training in the university hospital (4.77±1.86 and 3.64±1.63). The mean score of residents who received previous mammography education was significantly higher than others.Conclusion: Awareness and knowledge levels of family medicine residents about breast cancer screening methods and programs should be increased with multidisciplinary training programs.Keywords: mammography, breast cancer, screening, family practice
目的:了解家庭医学住院医师对乳腺癌筛查项目、国家标准和乳腺x线摄影的了解程度。方法:采用横断面研究方法,采用在线问卷调查的方式,对家庭医学住院医师对乳腺癌和乳房x光检查的知识水平进行调查。除了人口统计信息外,调查问卷还包括乳房放射成像方法的诊断优势,不同风险人群乳腺癌筛查的开始年龄,以及国家乳腺癌筛查计划。这份问卷是通过谷歌表格准备的,在家庭医生使用的社交媒体渠道上公布,并开放三个月。结果:151名医师平均年龄30.4±4.3岁。女性占61.6%,男性占38.4%。只有11.9% (n=18)的参与者曾参加过乳房x光检查的培训/课程。9道题的平均正确率为4.58±1.50分。在教研型医院接受专业培训的住院医师的考试成绩分别为4.77±1.86和3.64±1.63,显著高于在大学医院接受专业培训的住院医师。既往接受过乳房x光检查教育的居民的平均得分明显高于其他人。结论:通过开展多学科培训,提高家庭医学住院医师对乳腺癌筛查方法和筛查方案的认识和知识水平。关键词:乳房x线摄影,乳腺癌,筛查,家庭实践
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引用次数: 1
The Status of Healthcare Professionals’ Having COVID-19 Vaccine and Evaluation of Its Side Effects: A Pandemic Hospital Experience 卫生专业人员接种COVID-19疫苗的现状及其副作用评价:大流行医院的经验
Pub Date : 2021-12-30 DOI: 10.33880/ejfm.2021100406
O. Polat, M. Berber
Aim: Vaccination is one of the most effective and safest preventive health services in the fight against COVID-19. Many people in society have hesitations about the COVID-19 vaccines. We evaluated the vaccination participation rates of healthcare workers to be a positive role model for society. Methods: Between 14 January 2021 and 15 April 2021, 2637 healthcare workers who received 2 doses of 0.5 ml CoronaVac vaccine with 4 weeks intervals were classified as occupation, unit, marital status, age, and gender. Registered side effects were evaluated.Results: It was observed that 65.6% of the healthcare workers were vaccinated and 2.4% (n=62) of the vaccinated workers developed side effects. The mean age of the vaccinated personnel was 34.37±10.04 years. 59.8% (n=1577) of the vaccinated personnel were male and 53.6% (n=1413) were single. The occupational group with the highest vaccination rate was doctors with 78% (n=658). The most common side effect was myalgia in 45.2% (n=28), followed by headache with 38.7% (n=24). About half of those who developed side effects had only one side effect.Conclusion: It was concluded that COVID-19 vaccination differs according to age, gender, and role in the hospital, with the highest vaccination rate among physicians. The vaccination status of healthcare workers who are heavily affected by COVID-19 will positively affect society.Keywords: health personnel, COVID-19, vaccination
目的:疫苗接种是抗击COVID-19最有效和最安全的预防性卫生服务之一。社会上很多人对COVID-19疫苗犹豫不决。我们评估了卫生保健工作者的疫苗接种参与率,为社会树立了积极的榜样。方法:在2021年1月14日至2021年4月15日期间,2637名卫生工作者接种了2剂0.5 ml冠状病毒疫苗,间隔4周,按职业、单位、婚姻状况、年龄和性别进行分类。对登记的副作用进行评估。结果:65.6%的卫生工作者接种了疫苗,2.4% (n=62)的卫生工作者出现了不良反应。接种人员平均年龄34.37±10.04岁。59.8% (n=1577)的接种人员为男性,53.6% (n=1413)为单身。接种率最高的职业是医生,接种率为78% (n=658)。最常见的副作用是肌痛,占45.2% (n=28),其次是头痛,占38.7% (n=24)。大约一半出现副作用的人只有一种副作用。结论:新冠肺炎疫苗接种率在医院因年龄、性别、角色不同而存在差异,以医生接种率最高。受COVID-19严重影响的医护人员的疫苗接种状况将对社会产生积极影响。关键词:卫生人员,COVID-19,疫苗接种
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引用次数: 0
Evaluation of YouTube Videos as a Source of Information on Non-Invasive Prenatal Testing YouTube视频作为无创产前检测信息来源的评估
Pub Date : 2021-12-30 DOI: 10.33880/ejfm.2021100403
C. Yener, S. Ateş
Aim: Non-invasive prenatal testing is a method that determines the risk of a fetus being born with certain genetic abnormalities. In this study, we aimed to examine the quality of information on YouTube for non-invasive prenatal testing.Methods: The term "Non-invasive prenatal testing" was entered in the YouTube search bar on May 1, 2021, and the top 50 YouTube videos of the non-invasive prenatal testing with the highest number of views were recorded after the exclusion of videos with a non-English language, videos repeated twice and irrelevant videos. Length of the videos, likes, and dislikes were recorded. Videos were evaluated by two obstetricians. A questionnaire consisting of 9 dichotomous questions was conducted to assess whether there was adequate information about non-invasive prenatal testing. In addition, video quality was evaluated with the Global Quality Scale, the Patient Education Materials Assessment Tool and the Journal of the American Medical Association Benchmark Criteria.Results: The mean Global Quality Scale was 2.96±0.62. Most videos answered the question: ‘What is non-invasive prenatal testing?’ (94%), and ‘How is non-invasive prenatal testing done?’ (82%). However, there was a lack of information about the limitation of non-invasive prenatal testing in certain situations (only %16 of videos answered limitations of non-invasive prenatal testing). Three (6%) of the videos had misinformation. The mean Global Quality Scale was 2.96±0.62. The Patient Education Materials Assessment Tool mean value was 72% and 58% in terms of understandability and actionability, respectively. The mean Journal of the American Medical Association Benchmark Criteria score was found as 1.4±0.8. Conclusion: The videos posted about non-invasive prenatal testing on YouTube were of poor-moderate quality. If the quality of the videos increases, patients can have sufficient and accurate information about non-invasive prenatal, especially during these pandemic days.Keywords: health information, prenatal diagnosis, online systems
目的:非侵入性产前检查是一种确定胎儿出生时携带某些遗传异常风险的方法。在这项研究中,我们旨在检查YouTube上无创产前检测信息的质量。方法:于2021年5月1日在YouTube搜索栏输入“无创产前检查”一词,剔除非英语视频、重复两次视频和无关视频后,记录YouTube上观看次数最高的无创产前检查视频前50名。视频的长度、喜欢和不喜欢被记录下来。录像由两位产科医生评估。通过9个二分法问题的问卷调查来评估无创产前检查的信息是否充分。此外,使用全球质量量表、患者教育材料评估工具和美国医学协会基准标准杂志对视频质量进行了评估。结果:总体质量量表平均为2.96±0.62。大多数视频都回答了这个问题:“什么是无创产前检查?”(94%),以及“如何进行无创产前检查?””(82%)。然而,在某些情况下,缺乏关于非侵入性产前检查局限性的信息(只有16%的视频回答了非侵入性产前检查的局限性)。其中3个(6%)视频含有错误信息。全球质量量表平均为2.96±0.62。患者教育材料评估工具在可理解性和可操作性方面的平均值分别为72%和58%。美国医学协会杂志基准标准的平均得分为1.4±0.8。结论:YouTube上发布的无创产前检查视频质量较差。如果视频质量提高,患者就可以获得关于非侵入性产前的充分和准确信息,特别是在这些大流行期间。关键词:健康信息,产前诊断,在线系统
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引用次数: 0
Common Symptoms in COVID-19 Confirmed Cases Followed-Up at Home by Primary Healthcare Services 初级卫生保健机构在家随访的COVID-19确诊病例的常见症状
Pub Date : 2021-09-30 DOI: 10.33880/ejfm.2021100302
Yeliz Mercan, Figen Dığın, Sedar Bulut
Aim: This study aims to determine common symptoms in COVID-19 confirmed patients who were followed up at home by primary health care services. Methods: This descriptive study was conducted in Kırklareli, Turkey between July 2020 and December 2020. The study was conducted with 315 patients aged 18 years and over who were confirmed positive by the Polymerase Chain Reaction test and followed up at home by a Family Health Center. Results: The mean age of the participants was 43.13±16.33 years. 53.7% were male, 87% lived in rural areas, 98.1% had health insurance and 54.9% were employed. Of the adults, 5.1% had the adult vaccine and 25.4% had a chronic disease. While at least one symptom was observed in 84.8% of the patients, 15.2% had no symptoms. The symptoms detected among the participants were cough (26.3%), headache (26.3%), and high fever (24.1%). The frequency of symptoms was higher in women than in men, and myalgia, arthralgia, nausea, and vomiting were also more frequent. The symptom of chills was more common in adults at 40 years and over compared to those under 40. Conclusion: In case of cough, headache, or high fever among adults, a healthcare provider should be consulted and screening for other symptoms. In terms of follow-up, symptom management, and treatment of the disease, women, and individuals 40 years and over should be prioritized, carefully followed up, and provided with the necessary isolation. There are also asymptomatic cases of COVID-19 disease. Isolation of asymptomatic patients is also important because of the high contagiousness of the disease. Keywords: COVID-19, symptoms, primary care, home care
目的:本研究旨在确定由初级卫生保健机构在家随访的COVID-19确诊患者的常见症状。方法:本描述性研究于2020年7月至2020年12月在土耳其Kırklareli进行。该研究对315名年龄在18岁及以上的患者进行了研究,这些患者经聚合酶链反应试验证实呈阳性,并由家庭健康中心在家中随访。结果:参与者平均年龄43.13±16.33岁。53.7%是男性,87%生活在农村地区,98.1%有医疗保险,54.9%有工作。在成人中,5.1%接种成人疫苗,25.4%患有慢性疾病。84.8%的患者至少有一种症状,15.2%的患者无症状。在参与者中检测到的症状是咳嗽(26.3%)、头痛(26.3%)和高烧(24.1%)。女性出现症状的频率高于男性,肌痛、关节痛、恶心和呕吐也更频繁。与40岁以下的成年人相比,40岁及以上的成年人更容易出现寒战症状。结论:在成人咳嗽、头痛或高烧的情况下,应咨询医疗保健提供者并筛查其他症状。在随访、症状管理和疾病治疗方面,应优先考虑妇女和40岁及以上的个体,仔细随访,并提供必要的隔离。也有无症状感染者。由于该病的高传染性,对无症状患者进行隔离也很重要。关键词:COVID-19,症状,初级保健,家庭护理
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引用次数: 1
The Knowledge and Attitudes of The Non-Health Worker Citizens and Physicians About Traditional and Complementary Medicine: A Cross-Sectional Study 非卫生工作者公民和医生对传统和补充医学的知识和态度:一项横断面研究
Pub Date : 2021-09-30 DOI: 10.33880/ejfm.2021100301
Reyhan Tekin, S. Gorpelioglu, C. Aypak, Ozlem Suvak, C. Emiroğlu
Aim: Healthcare professionals will set an example to society with their behaviors about Traditional and Complementary Medicine usage. We aimed to investigate and compare the knowledge and attitudes of society and physicians about Traditional and Complementary Medicine to create an infrastructure for medical training.Methods: In this cross-sectional descriptive study "Turkish Version of Complementary, Alternative and Conventional Medicine Attitude Scale" was used for data collection.Results: A total of 392 physicians and 438 citizens participated in the study. Among all participants, 36.9% had used a Traditional and Complementary Medicine method before and the most used method was phytotherapy. There was a significant difference between groups in terms of the level of knowledge. Surprisingly no significant difference was found between physicians and the public in the "Dissatisfaction with Modern Medicine" subgroup.Conclusion: Although there were differences in the level of knowledge between the public and physicians, it was seen that the behavioral patterns were similar to each other. This situation suggests that physicians are also influenced by the society they live in, rather than scientific data, in their decisions about Traditional and Complementary Medicine. Being as a role model to the public, physicians are responsible for providing evidence-based answers to questions about Traditional and Complementary Medicine and should receive adequate training about methods.Keywords: complementary medicine, therapeutic use, evidence-based practice, knowledge, physicians
目的:医疗保健专业人员将以其传统和补充医学的使用行为为社会树立榜样。我们的目的是调查和比较社会和医生对传统医学和补充医学的知识和态度,以建立医疗培训的基础设施。方法:采用“土耳其版补充、替代和传统医学态度量表”进行横断面描述性研究。结果:共有392名医生和438名市民参与了研究。在所有参与者中,36.9%的人以前使用过传统和补充医学方法,最常用的方法是植物疗法。在知识水平方面,两组之间存在显著差异。令人惊讶的是,在“对现代医学不满意”这一分组中,医生和公众之间没有发现显著差异。结论:虽然公众与医生在知识水平上存在差异,但其行为模式具有相似性。这种情况表明,医生在对传统医学和补充医学作出决定时,也受到他们所处社会的影响,而不是受到科学数据的影响。作为公众的榜样,医生有责任为有关传统和补充医学的问题提供基于证据的答案,并应接受有关方法的充分培训。关键词:补充医学,治疗用途,循证实践,知识,医生
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引用次数: 2
期刊
Eurasian Journal of Family Medicine
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