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Evaluation of Physicians' Information Technology Readiness 医师信息技术准备评估
Pub Date : 2020-09-30 DOI: 10.33880/EJFM.2020090308
Alaattin Parlakkılıç
Aim: In this study, the information technology and health informatics knowledge readiness of Turkish physicians were evaluated. Methods: In the evaluation of the Information Technology Dimension, basic computer usage, health informatics concepts and privacy in health informatics were evaluated by a questionnaire.Results: When the science education dimension and survey data were evaluated, it was observed that the male participants’ information technology readiness was higher than the female participants' information technology readiness. The average score of physicians was 3.5 in our study and it needs a personal effort to have a better information technology skills level. Another observation is that the informatics education dimension changes according to the age group, and it is determined that the participants at the early ages have more qualifications in terms of education. Conclusion: Likewise, it is one of the results obtained in the evaluation of the data that young physicians have higher information technology skills. When the data were evaluated in terms of academic title, it was observed that informatics education was affected according to the academic title and basic computer usage skills were not affected by the title, but the information about health informatics was affected by the academic title.Keywords: information technology, readiness, health informatics
目的:在本研究中,评估土耳其医生的信息技术和卫生信息学知识准备情况。方法:在信息技术维度的评价中,采用问卷法对计算机基本使用情况、健康信息学概念和健康信息学中的隐私进行评价。结果:在科学教育维度和调查数据的评估中,男性被试的信息技术准备程度高于女性被试。在我们的研究中,医生的平均得分为3.5分,提高信息技术技能水平需要个人的努力。另一个观察是,信息学教育维度根据年龄组而变化,确定了早期的参与者在教育方面具有更多的资格。结论:同样,年轻医师具有较高的信息技术技能是在数据评估中得到的结果之一。以学衔评价数据时,发现学衔对信息学教育有影响,计算机基本使用技能不受学衔的影响,但健康信息学信息受学衔的影响。关键词:信息技术,战备,卫生信息学
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引用次数: 1
The Attitudes About Law Number 4207 Among Health Administration Students 卫生管理专业学生对第4207号法律的态度
Pub Date : 2020-06-26 DOI: 10.33880/ejfm.2020090204
Fatma Ozlem Yilmaz, E. Koç, Meryem Aşkin, R. Kahveci, M. Ozata
Aim: ‘National Tobacco Control Program’ had developed in Turkey by the Ministry of Health in 2009 with amendment of Law 4207 and all closed places became smoke-free. The National Media Campaign has been initiated with the “Smoke Free Air-Zone” slogan for raising public awareness. The aim of our study is to determine the smoking status and attitude of Health Management students about Law 4207 in a university in Turkey, four years after the application of Smoke Free Air-Zone.Methods: In this study we used a questionnaire with 33 questions, which was developed by researchers and Fagerstrom Nicotine Dependent Test to obtain the addiction level of the smokers.Results: Sixty-two percent of 244 students were female. 3.3% were ex-smokers and 10.7% were active smokers. 5.2% of females and 19.3% of males were smoking. 87.5% of smokers think smoking habbit is harmful. 41.4% of the students thought that Law 4207 was generally accepted by the society.Conclusion: Reducing the smoking prevalence and increasing the awareness about the Law 4207 among health administrators is very important for the imlementation of health policy. So our research has an importance to highlight this subject and increase the awareness of the campaign.Keywords: administrators, Law 4207, smoking cessation, tobacco use cessation
目的:土耳其卫生部于2009年修订了第4207号法律,制定了"国家烟草控制方案",所有封闭场所都成为无烟场所。全国媒体宣传活动以“无烟区”为口号,提高公众意识。我们研究的目的是确定土耳其一所大学的健康管理专业的学生吸烟状况和对法律4207的态度,在无烟区应用四年后。方法:本研究采用研究者自行开发的33题问卷和Fagerstrom尼古丁依赖测验来了解吸烟者的成瘾程度。结果:244名学生中有62%是女性。3.3%为戒烟者,10.7%为活跃吸烟者。5.2%的女性和19.3%的男性吸烟。87.5%的吸烟者认为吸烟习惯有害。41.4%的学生认为4207号法律是被社会普遍接受的。结论:降低吸烟率,提高卫生行政人员对《4207法》的认识,对卫生政策的实施具有重要意义。因此,我们的研究对突出这一主题并提高对该活动的认识具有重要意义。关键词:行政人员,法律4207,戒烟,戒烟
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引用次数: 0
Evaluation of Chronic Pruritus in Patients over Age 65 Who Admitted to Family Medicine Outpatient Clinic 65岁以上家庭医学门诊患者慢性瘙痒的评价
Pub Date : 2019-09-30 DOI: 10.33880/ejfm.2019080304
Nurcan Akbas Gunes
Aim: This study aims to evaluate the hematologic values, multiple drug use, regions with pruritus, number of regions with pruritus, and systematic diseases of patients over age 65 with chronic pruritus. Methods: A detailed evaluation was made of the hematologic values, itchy regions, multiple drug use, and systematic diseases of 102 patients age 65 and older who presented to our Family Health Center within the past year. Results: When the patients were evaluated according to additional disease, 39 (38.2%) patients had one, and 63 (61.8%) patients had more than one additional disease. According to drug use, 36 (35.5%) patients were using one drug, 27 (26.5%) were using two different drugs, and 39 (38.2%) patients were using three or more different drugs. Number of itchy regions was found to have no significant impact on number of additional diseases. There was no significant difference in number of itchy regions according to number of different drugs used. Conclusion: A detailed hematologic, systematic disease, and multiple drug use assessment of patients ages 65 and older who presenting with chronic itching to Family Health centers could establish a general approach to elderly individuals with chronic pruritus.
目的:探讨65岁以上慢性瘙痒患者的血液学指标、多种药物使用情况、瘙痒区、瘙痒区数量及全身性疾病。方法:对我院家庭健康中心收治的102例65岁及以上患者的血液学指标、瘙痒区、多种药物使用情况及全身性疾病进行详细评价。结果:根据附加疾病进行评估时,39例(38.2%)患者有一种附加疾病,63例(61.8%)患者有一种以上附加疾病。按用药情况分,使用一种药物36例(35.5%),使用两种不同药物27例(26.5%),使用三种及以上不同药物39例(38.2%)。发现发痒区域的数量对其他疾病的数量没有显著影响。不同用药次数对发痒区域数量的影响无显著性差异。结论:对65岁及以上就诊于家庭健康中心的慢性瘙痒患者进行详细的血液学、系统性疾病和多种药物使用评估,可以为老年慢性瘙痒患者建立一个通用的治疗方法。
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引用次数: 0
A Novel Parameter for Predicting Therapeutic Response in Iron Deficiency Anemia: Red Blood Cell Distribution Width 预测缺铁性贫血治疗反应的新参数:红细胞分布宽度
Pub Date : 2019-09-30 DOI: 10.33880/ejfm.2019080303
Aslı Korur, Didar Yanardağ Açık, S. Solmaz, Ç. Gereklioğlu, Suheyl Asma, H. Ozdogu
Aim: Anemia is a public health problem worldwide. Cost effectiveness and efficient use of resources are vitally important. Red blood cell distribution width, which can be obtained from a standard complete blood count, is a measure of the variability in size of circulating erythrocytes. The present study was performed to investigate whether red blood cell distribution width can be used to predict response to iron therapy. Methods: This study was conducted in 50 patients admitted to hematology and family medicine clinics. Complete blood count and reticulocyte count were determined on day 5; complete blood count was examined 1 month after commencement of therapy. Results: Statistically significant differences were detected between hemoglobin levels and red blood cell distribution width values at the time of diagnosis and on day 5 and after 1 month of therapy. A significant positive correlation was found between the increase in red blood cell distribution width and the increase in hemoglobin. Conclusion: Red blood cell distribution width may be used in place of reticulocyte count to predict response to iron therapy. Red blood cell distribution width is the best biomarker for this purpose as a component of complete blood count, and therefore it may be accepted as superior to reticulocyte count.
目的:贫血是一个全球性的公共卫生问题。成本效益和资源的有效利用至关重要。红细胞分布宽度可以从标准全血细胞计数中获得,是循环红细胞大小变异性的量度。本研究旨在探讨红细胞分布宽度是否可用于预测铁治疗的反应。方法:对在血液科和家庭医学门诊就诊的50例患者进行研究。第5天测定全血细胞计数和网织红细胞计数;治疗开始1个月后检查全血细胞计数。结果:诊断时、治疗第5天、治疗1个月后血红蛋白水平、红细胞分布宽度值差异有统计学意义。红细胞分布宽度的增加与血红蛋白的增加呈显著正相关。结论:红细胞分布宽度可以代替网织红细胞计数来预测铁治疗的疗效。作为全血细胞计数的组成部分,红细胞分布宽度是最好的生物标志物,因此它可以被认为优于网织红细胞计数。
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引用次数: 0
Importance of Measurement and Assessment in Postgraduate Education 测量与评估在研究生教育中的重要性
Pub Date : 2019-09-30 DOI: 10.33880/ejfm.2019080302
S. Görpelioğlu, C. Emiroğlu, C. Aypak
Aim: Whether a specialization training program achieves its objectives or not is decided by showing that the graduates of the program have gained the expected knowledge, skills and behaviors. The measurement tools used in this decision require some specific knowledge and skills. The aim of this study was to analyze the questions asked in an examination and to investigate the suitability of the assistants and the education program in terms of educational sciences.Methods: Responses of Family Medicine residents to a multiple-choice test that consists of 50 items, conducted throughout the country. The questions were analyzed in terms of the connection with the educational objectives, the degree of difficulty, separation and distraction power.Results: Of the 150 questions asked, 20 were not found in the learning objectives. In the analysis of difficulties, 105 of the questions were easy and very easy questions; on the other hand, in the analysis of distraction, 27 out of 150 questions are sufficient for discriminating; in terms of distractors, all the distractors of the 19 problems were found to be functional.Conclusion: The examination is not suitable for the evaluation of both the residents and the program, because it is based on knowledge measurement by multiple choice quiz method, not being competency based, the questions are not included in the learning objectives, the disaggregation of the questions are weak, and the distractors are not working in a large majority. In order to avoid these situations, it would be appropriate for the family medicine trainers to undergo a training including the role and importance of measurement and assessment in education before taking the authority of assistant and program evaluation.
目的:一个专业培训项目是否达到其目标,取决于该项目的毕业生是否获得了预期的知识、技能和行为。在此决策中使用的度量工具需要一些特定的知识和技能。本研究的目的是分析考试中的问题,并从教育科学的角度调查助教和教育计划的适用性。方法:在全国范围内对家庭医学住院医师进行50项选择题的问卷调查。从与教育目标的联系程度、难度程度、分离程度、分散力等方面对问题进行分析。结果:在150个问题中,有20个问题没有出现在学习目标中。在难度分析中,105道题为易、极易题;另一方面,在分心分析中,150个问题中有27个足以进行判别;在干扰因素方面,19个问题的干扰因素都是功能性的。结论:该考试不适合对住院医师和项目进行评价,因为它是基于选择题方法的知识测量,而不是基于能力,问题没有纳入学习目标,问题的分解能力弱,大多数干扰因素不起作用。为了避免这些情况的发生,家庭医学培训师在行使助理评估和项目评估的权力之前,应先对其进行包括测量和评估在教育中的作用和重要性在内的培训。
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引用次数: 0
The Frequency of Night-Eating Syndrome in People Aged 18-65 Who Admitted to a Family Medicine Clinic of a Tertiary Hospital 某三级医院家庭医学门诊18 ~ 65岁患者夜食综合征发生频率分析
Pub Date : 2019-09-30 DOI: 10.33880/ejfm.2019080305
Murat Dicle, S. Gorpelioglu, C. Aypak
Aim: Night Eating Syndrome is thought to pose a risk for the development of cardiovascular system, endocrinological and psychiatric diseases. The aim of our study was to investigate the frequency of night-eating syndrome and risk factors related to night eating syndrome. Methods: This cross-sectional, descriptive study was carried out among 525 people who admitted to the Family Medicine Clinic of a tertiary hospital between 01 October and 30 November 2018. The night-eating questionnaire was applied to the partcipants using face-to-face interview. Persons with a psychiatric disorder, who have a history of chronic medication or disease, who have alcohol and drug addiction and who are working on the night shift were excluded from the study. p values < 0.05 were considered as statistically significant. Results: Fifty-one (9.7%) of the 525 patients admitted to our clinic met the criteria of Night Eating Syndrome. In our study, there were statistically significant difference between night eating syndrome and non-night eating syndrome groups with respect to smoking status and body mass index. Conclusion: Night eating syndrome is a hidden public health problem which is related to cardiovascular system diseases, diabetes mellitus and psychiatric disorders besides obesity. Because of the presence of serious health problems associated with night eating syndrome, it is very important to determine night eating syndrome in primary care.
目的:夜食综合征被认为对心血管系统、内分泌和精神疾病的发展有风险。本研究的目的是调查夜间进食综合征的发生频率及与夜间进食综合征相关的危险因素。方法:对2018年10月1日至11月30日在某三级医院家庭医学门诊就诊的525人进行横断面描述性研究。采用面对面访谈的方式对被试进行夜食问卷调查。患有精神疾病的人、有慢性药物或疾病史的人、有酒精和药物成瘾的人以及上夜班的人被排除在研究之外。P值< 0.05认为有统计学意义。结果:525例患者中有51例(9.7%)符合夜食综合征标准。在我们的研究中,夜食综合征组和非夜食综合征组在吸烟状况和体重指数方面存在统计学差异。结论:夜食综合征是除肥胖外与心血管系统疾病、糖尿病、精神疾病相关的隐性公共卫生问题。由于存在与夜食综合征相关的严重健康问题,在初级保健中确定夜食综合征是非常重要的。
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引用次数: 0
Current Approach to Travel Health Services 目前的旅行保健服务方法
Pub Date : 2019-09-30 DOI: 10.33880/ejfm.2019080301
Memet Taşkın Eğici, Fulya Kahraman Aydogan, Cemal Ayazoglu, Güzin Zeren Öztürk
As a result of the improvement on transportation and communication opportunities and the increase in commercial, touristic and cultural relations, travels have increased and diversified. Despite these improvements, the nature of the travel process can make the passenger more vulnerable to health risks due to environmental, climatic and hygiene conditions. Lack of adequate housing and diffucilties to access the health care services increase the risk further. In this review, current information have given about travel health services in Turkey and the necessary precautions were discussed to be taken before, during and after the travel in order to avoid the health risks associated with the travel.
由于交通和通讯机会的改善以及商业、旅游和文化关系的增加,旅行增加了,而且多样化了。尽管有这些改进,但由于环境、气候和卫生条件,旅行过程的性质可能使乘客更容易受到健康风险的影响。缺乏适当的住房和难以获得保健服务进一步增加了这种风险。在这次审查中,提供了有关土耳其旅行卫生服务的最新信息,并讨论了在旅行之前、期间和之后应采取的必要预防措施,以避免与旅行有关的健康风险。
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引用次数: 1
Six Months Results of Obesity Management in Primary Care 初级保健中肥胖管理的六个月结果
Pub Date : 2019-09-30 DOI: 10.33880/ejfm.2019080306
S. Mıstık, Seyma Gul Yapici, H. Şahin, S. Kutuk
Aim: The purpose of this study was to give obese patients diet and exercise program and behavior modification who had admitted to the outpatient clinic in primary care, to lose 5-10% of their weight within 6 months.Methods: This study was performed at March 2017- March 2018 in Erciyes University Family Medicine Department with the approval of the ethics committee and with the support of the Scientific Research Projects (ERUBAP, Project No. TTU-2016-7091). Patients with body mass index 30-40 kg/m2 between the ages of 18-65 who applied to the family medicine polyclinic were included in the study. Diets were initiated according to baseline metabolic rates, exercise and fluid consumption recommendations were made, and behavior modification were told. Results: In the observation group 2 people (10%) had lost more than 10% of their weight; 10 people (50%) had lost 5-10%, and the remaining 40% had lost 1-5% of their weight. On average, 5.2 (92.3±2.63 to 87.1±2.44) kg were lost at 3 months, while this was 4.3 kg (88.00±2.62) at 6 months. The weight loss of the patients in the first 3 months was above expectations. Afterwards, however, the patients had a slight weight regain due to difficulties in diet compliance and not having enough time for exercise, but they did not return to their starting weight at the end of the study.Conclusion: It has been observed that obesity care could be done in primary care and family physicians should be encouraged to do so.
目的:本研究的目的是为在初级保健门诊就诊的肥胖患者提供饮食和运动计划及行为矫正,使其在6个月内体重减轻5-10%。方法:本研究于2017年3月- 2018年3月在埃尔西耶斯大学家庭医学系进行,经伦理委员会批准,并得到科研项目(ERUBAP,项目编号:ttu - 2016 - 7091)。本研究选取年龄在18-65岁、体质指数30-40 kg/m2的家庭医学综合门诊就诊患者。根据基线代谢率开始饮食,提出运动和液体消耗建议,并告知行为纠正。结果:观察组2人(10%)体重减轻10%以上;10人(50%)的体重减轻了5-10%,其余40%的体重减轻了1-5%。3个月时平均减重5.2(92.3±2.63 ~ 87.1±2.44)kg, 6个月时平均减重4.3 kg(88.00±2.62)。患者在前3个月的体重减轻超过预期。然而,之后,由于饮食依从性困难和没有足够的时间进行运动,患者的体重略有回升,但在研究结束时,他们没有恢复到开始时的体重。结论:肥胖护理可在基层开展,应鼓励家庭医生开展。
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引用次数: 0
Familial Hypokalemic Periodic Paralysis: Case Report 家族性低钾性周期性麻痹1例报告
Pub Date : 2019-06-26 DOI: 10.33880/EJFM.2019080205
Gokmen Ozceylan, D. Toprak
Hypokalemic periodic paralysis is a congenital disorder which is characterized by intermittent episodes of muscle weakness or paralysis. The attacks can occur everyday or once a year, may last for a few hours or for several days. Serum potassium level is low during the attack. But serum potassium levels are normal between two attacks. There is no potassium deficiency in the whole body. In this report, a 16 years old boy, whose grandfather, father and uncle had the same semptoms, and had his first attack of familial hypokalemic periodic paralysis following a grand exercise were presented according to the clinical and laboratory features.
低钾性周期性麻痹是一种先天性疾病,其特点是间歇性发作的肌肉无力或麻痹。发作可以每天发生,也可以一年发生一次,可能持续几个小时,也可能持续几天。发作时血清钾水平很低。但两次发作之间的血钾水平是正常的。全身不缺钾。本文报告了一名16岁男孩,其祖父、父亲和叔叔均有相同的症状,并根据临床和实验室特征,在一次大运动后首次发作家族性低钾性周期性麻痹。
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引用次数: 0
Health Services Accessibility And Expectations of Disabled People 残疾人的卫生服务可及性和期望
Pub Date : 2019-06-26 DOI: 10.33880/EJFM.2019080203
M. Arca, G. Saka
Aim: In this study, it was aimed to investigate the distribution of disability types, treatment and rehabilitation needs, utilization of the basic services provided, and determination of expectations of disabled persons.Methods: This descriptive study was carried out in Hazro district of Diyarbakır. Of the 1069 individuals screened by a cross-sectional study, 148 disabled individuals were identified. A face-to-face meeting was provided with the families of these disabled individuals. The demographic characteristics of the disabled person, information on the types of disability, the use of health services and the questionnaire form which asks the expectation status were used.Results: The prevalence of disability was 13.8%. 51.3% of the disabled were male, 48.2% were not literate and 16.7% did not have any social security. It was determined that 37.8% of people with disabilities did not receive treatment for their disability and 98.0% did not benefit from rehabilitation services. It was found that 70.9% of the disabled did not receive education, 60.1% of them did not know about vocational and skill courses and 51.4% of them could not benefit from public transportation services. Families stated that, the disabled people do not go to any institution or rehabilitation center with 44.8% because of absence in the close environment; 26.9% stated that they do not know if there is any. It was found that the most important expectation of 50% of disabled people and their families from institutions and organizations is to provide health services easily.Conclusion: Disabled persons have difficulty in accessing health services and cannot benefit from rehabilitation services. Basic services such as education, vocational courses and public transport are also insufficient. In this sense, health and social service institutions have important duties.
目的:本研究旨在调查残疾人的残疾类型分布、治疗和康复需求、所提供的基本服务的利用以及残疾人期望的确定。方法:在Diyarbakır哈兹罗地区进行描述性研究。在横断面研究筛选的1069名个体中,确定了148名残疾个体。为这些残疾人的家属提供了一次面对面的会议。使用了残疾人的人口特征、关于残疾类型的信息、保健服务的使用情况和询问期望状况的调查表。结果:残疾患病率为13.8%。51.3%的残疾人是男性,48.2%的人不识字,16.7%的人没有任何社会保障。确定37.8%的残疾人没有得到残疾治疗,98.0%的残疾人没有得到康复服务。调查发现,70.9%的残疾人未接受过教育,60.1%的残疾人不了解职业技能课程,51.4%的残疾人无法享受公共交通服务。家庭表示,残疾人没有去任何机构或康复中心(44.8%),因为在封闭的环境中缺席;26.9%的人表示不知道是否有。调查发现,50%的残疾人及其家庭对机构和组织最重要的期望是方便地提供保健服务。结论:残疾人难以获得保健服务,不能从康复服务中受益。教育、职业课程和公共交通等基本服务也不足。从这个意义上讲,卫生和社会服务机构负有重要责任。
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引用次数: 1
期刊
Eurasian Journal of Family Medicine
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