Mehmet Uğurlu

Factors associated with Internet addiction: Cross-sectional study of Turkish adolescents.

The aim of this study was to investigate the prevalence of Internet addiction (IA), and the relationship between sociodemographic characteristics, depression, anxiety, attention‐deficit–hyperactivity disorder (ADHD) symptoms and IA in adolescents.

Management of ankle sprains during pregnancy: evaluation of 96 cases

BACKGROUNDnThe aim of this study was to suggest a safe management method for the diagnosis and treatment of ankle sprains in pregnant patients.nnnMETHODSnBetween November 2005 and January 2013, 96 pregnant patients with ankle sprains referred to the department of orthopedics and traumatology were evaluated, retrospectively. The Ottawa ankle rules were used to assess the need for radiologic evaluation. Radiological procedures: Surface USG, X-ray (0,6 mGy, mortise view), MRI (T1 and STIR) and fluoroscopy with 0,8 mGy/s doses 0,4 ms single shot views in surgery room. The results of the operated patients were evaluated with AOFAS scoring system.nnnRESULTSnForty-four (45,8%) patients were treated with conservative methods and there was no need for radiological evaluation. USG was used in 17 (17,7%), MRI in 24 (25%), X-ray in 4 (4,1%) and both USG and MRI in 7 (7,2%) patients during diagnosis. An algorithm was created for the diagnosis and treatment of pregnant patients with ankle sprains. No complications due to radiological and surgical procedures occurred over pregnancies. The AOFAS score was 83 (65-100) in the operated patients.nnnCONCLUSIONnThere is no standard management method for the diagnosis and treatment of pregnant patients with ankle sprains. The algorithm presented in this study may be useful. Good results can be obtained with an appropriate preparation and surgical technique.

Emotional intelligence and leadership traits among family physicians

ABSTRACT Objectives: High emotional intelligence and leadership traits are essential for physicians in managing their responsibilities and thus building successful interactions with patients. This study explored the relationship between emotional intelligence and leadership traits among family physicians. Methods: Participants (2975 men, 972 women, mean = 42.0 ages, SD = 7.47) were family physicians working at family health-care centers across the seven geographical regions of Turkey who were contacted by e-mail. The Trait Emotional Intelligence Questionnaire (TEIQue) and Leadership Traits Tool were used to collect data. Data were analyzed concerning physicians’ sex, age, health-care experience, and geographical region. The correlation between Trait Emotional Intelligence (TEI) and leadership was also being examined. Results: Our findings suggest that family physicians’ TEI differs based on sex, age, health-care experience, and the geographical region where they work. Women had higher mean values than did men for well-being, emotionality, and global TEI. Physicians aged younger than 29 years had the lowest mean values for emotional intelligence. As physicians’ health-care experience increased, they received higher scores for emotional intelligence. Physicians working in the Mediterranean had the highest mean TEI scores. There was a positive correlation between family physicians’ emotional intelligence and leadership traits. Higher emotional intelligence was correlated with increased leadership traits. Conclusion: Emotional intelligence and leadership traits play crucial roles in increasing physicians’ personal and professional development. This may also increase physicians’ caregiving competencies and thus the quality of health services, as well as potentially decreasing physicians’ burnout and health-related costs.

Points to be Improved in Family Practice in Turkey

Aile Hekimligi uygulamasi ile birinci basamak saglik hizmetlerinin guclendirilmesi ve yeniden yapilandirilmasi hedeflenmistir. Uygulamada bazi uyumsuzluklar yasanmaktadir. Bu yazida, tespit edilen problemler ile bu problemlere yonelik olarak cozum onerileri tartisilmaktadir.

Knowledge, Attitude and Behaviour of Married Women of 18-49 Age Group About Reproductive Health and Contraception

Amac: Bu calisma ile evli kadinin ureme sagligi ve kontrasepsiyon hakkindaki bilgi duzeylerinin, yontem tercihlerinin, sosyodemografik ozelliklerinin analiz edilmesi ve bunlarin; bilgi, tutum ve davranislari uzerindeki etkilerinin belirlenmesi hedeflenmistir. Materyal ve Metot: Calismada Ankara Ataturk Egitim ve Arastirma Hastanesi semt poliklinikleri ve Kadin Hastaliklari ve Dogum polikliniklerine basvuran 18-49 yas grubu 264 evli kadina yuzyuze gorusme teknigiyle 37 soruluk coktan secmeli yapilandirilmis anket uygulanmistir. Anketlere verilen cevaplar SPSS 15.0 programi araciligiyla analiz edildi. Bulgular: Kadinlarin %65.2’si herhangi bir korunma yontemi kullanmaktaydi. Dogum kontrol yontemleri icerisinde en cok bilinenleri sirasiyla; oral kontraseptif (OKS), rahim ici arac ( RIA), kondom, geri cekme idi. Geleneksel yontemlerden en cok bilineni ise geri cekme yontemi olarak saptandi. En az bilinen yontemler ise, kadin kondomu, vajinal halka ve spermisit tablet, jel ve kopuklerdi. En cok kullanilan yontem, % 28.5 oraninda geri cekme idi. Yas gruplari ile yontem tercihi arasinda istatistiksel olarak anlamli bir iliski vardi. Saglik personelinin (doktor-ebe hemsire) onerisiyle yontem kullanim orani %64.7 idi. Katilimcilardan %79.9’u aile planlamasinin ne oldugunu bilmekte ve dogru tanimlayabilmekteydi. Egitim ve gelir duzeyi arttikca, aile planlamasini bilme durumu da artmaktaydi. Kadinlarin %26.1’inin plansiz gebeligi olmustu. Toplam kadinlarin istemli dusuk (kuretaj) yapma orani %17.4 idi. Sonuc: Ureme sagligi ve kontrasepsiyon yontemleri konusunda bilgi duzeyi hala istenilen seviyede degildir. Plansiz gebeliklerin ve kuretaj oranlarinin yuksek olmasi, karsilanmayan aile planlamasi ihtiyacinin da yuksek oldugunu gostermektedir. Gunumuzde cok cesitli etkin ve modern yontemler mevcut olmasina ragmen, geleneksel yontemler, hala yuksek oranda kullanilmaktadir. Aile planlamasi egitim ve danismanlik hizmetlerinin artirilmasi, yayginlastirilmasi ve surekliligin saglanmasi ile bu konudaki bilgi eksikligi buyuk oranda giderilecek ve yanlis uygulamalarin onune gecilebilecektir. Boylece; kadin sagligi, ureme sagligi ve toplum sagligi daha ileri seviyelere tasinabilecektir.