Nezih Dağdeviren

Migraine headaches among university students using id migraine test as a screening tool

BackgroundMigraine is a significant health problem, especially for the young people, due to its frequency and accompanying morbidity, causing disability and loss of performance. In this study, our aim was to determine the prevalence of migraine headaches among university students in Edirne, a Turkish city.MethodsIn this cross-sectional and descriptive study, study population was composed of students registered to Trakya University in the academic year of 2008-2009. Out of these, 3694 of them accepted to participate. Participants who had two or more headaches in the last 3 months formed the headache group. Afterwards, two preliminary questions were applied to the headache group and participants with at least one affirmative response were asked to perform the validated ID-Migraine™ test.ResultsThe mean age of 3694 students participated in the study was 19.23 ± 1.84 (17-39 years), with adolescents:adult ratio being 2.5:1. 1613 students (43.7%) did have at least two headaches in the last three months. Migraine-type headache was detected in 266 subjects (7.2%) based on the ID-Migraine™ test. Of the migraine group, 72 were male (27.1%) and 194 were female (72.9%). There was no significant difference in migraine prevalence between adolescent and adult age groups.ConclusionsWith a prevalence similar to adults, primary care physicians should be aware of the probability of migraine headaches in university students in order to maintain a successful school performance.

Sexual activity among Turkish adolescents: Once more the distinguished male

UNLABELLED The mean age of first sexual intercourse in Western countries is around 17 years and decreasing. Although Turkey is a bridge between East and West, embracing different cultures, little data are available on sexual issues in the population. METHODS A questionnaire was administered to all students in the study year 2004-2005, collecting demographic data, sexual activities, sexual and contraceptive attitudes, and contraceptive knowledge. Of 7,657 applicants invited, 3,970 questionnaires could be analyzed. RESULTS Median age of the participants was 18 years (48.0% female, 52% male). Median age at first sexual intercourse was 17 years for females and 16 years for males. 46.5% of the males and 3.0% of the females had sexual intercourse experience. While 68% of the girls had their first sexual intercourse with their lovers, this ratio was 44.8 % for males (Chi square = 59.963, p <.001). Significantly more girls than boys were planning to have their sexual partner as future spouses (Chi square = 55.569, p <.001). Three fourth of the males approved premarital sex for males; this ratio was reversed for females (Chi square = 574.838, p <.001). Although both sexes disapproved premarital sexual intercourse of women, girls were significantly more conservative in this regard (78.6% vs. 92.5%) (Chi square = 110.460, p <.001). CONCLUSION Although the adolescent sexual intercourse rate in Turkey is low compared with Western countries, there is a tendency to increase. Therefore, sexual education is needed. When augmenting sexual education programs in undergraduate education, gender difference and cultural factors should be further evaluated.

Tibial intercondylar eminence fractures in adults.

A 42-year-old man entered our Emergency Department (ED) with pain and swelling in the right knee. The patient gave a history of fall onto the right knee while playing football with his friends. He came to the ED by taxi. During the fall, the knee was in a flexed position. No torsion movement was described by the patient. On physical examination, the affected knee was swollen, and there was tenderness with palpation and movement. After the initial examination, the knee was splinted by a long leg inflatable splint. The X-ray study revealed a tibial intercondylar eminence fracture; Meyers type I (Figs. 1, 2) and orthopedics were consulted. No ligament or meniscus injuries were detected. The fracture was treated by a long leg splint for 2 months. During the follow-up visit at 2 months, the fracture was healing properly (Figs. 3, 4). He was referred for physical therapy without subsequent complications. In this paper, we aimed to review diagnosis and management of tibial intercondylar eminence fractures.

Akademisyenlerde İş Doyumunu Etkileyen Faktörler

Amac: Akademisyenlik ozveri ve dolayisiyla mesleki tatmin gerektiren alanlardan biridir. Bu calismada Trakya Universitesinde calisan tum akademik personelin sosyodemografik ozellikleri ile is doyumu duzeylerinin arastirilmasi amaclanmistir. Gerec ve Yontemler: Arastirmada Minnesota Tatmin Olcegi kisa formunu iceren bir anket kullanildi. Verilerin degerlendirilmesinde frekans tablolari, capraz tablolar, Pearson Ki-kare, Exact Ki-kare, Kruskal Wallis ve Dunn coklu karsilastirma testleri ve “Chi-squared Automatic Interaction Detector” (CHAID) analiz testleri kullanildi. Bulgular: %47’si (n=263) kadin, %53’u (n=297) erkek olan 560 katilimci- nin yas ortalamasi 33.86±7.33’tu. Ogretim elemanlarinin genel is doyumu ortalamalari 63.06±10.96, ortanca 64.00’tu. Katilimcilarin icsel is doyumu ortalamalari 44.79±7.49, dissal is doyumu ortalamalari 18.27±4.64 olarak saptandi. Ogretim elemanlarinin is doyumu duzeyleri %85.4’unde (n=478) orta, %14.6’sinda (n=82) yuksek olarak saptandi. Gelir duzeylerine gore is doyumu duzeyleri arasinda anlamli fark saptandi. Yapilan CHAID analizinde is doyumu ile bagimsiz degiskenlerden yas, ogrenim durumu, toplam hizmet yili ve bolumdeki hizmet yili degiskenlerinin iliskili oldugu saptandi. Sonuc: Is doyumu, calisanlarin genel duygusal durumunu gosterebilmekte ve ise yonelmeyi saglayan olumlu etki olarak tanimlanmaktadir ve kisilerin basarili, mutlu ve uretken olabilmelerinin en onemli gereklerinden biridir. Ozellikle meslek disi yasamlari dogrudan etkileyen ve surekli ozveri gerektiren mesleklerde is doyumu buyuk onem tasimaktadir. Verimliligi artirabilmek icin yoneticilerin is doyumunu artiracak onlemler almalari gerekmektedir.