Süleyman Görpelioğlu

Parents' knowledge and behaviour concerning sunning their babies; a cross-sectional, descriptive study

BackgroundFor centuries, sunlight has been used for therapeutic purposes. Parents still sun their infants to treat neonatal jaundice, nappy rash or mostly to supply vitamin D for bone development as a consequence of health beliefs. In this study we aimed to assess knowledge and behaviour of parents about benefits of sunlight and sun protection.MethodsIn this study, parents attending to governmental primary healthcare units for their childrens routine vaccinations, upon their informed consent, were consecutively enrolled during one month. Data were collected by a semi-structured questionnaire.ResultsThe mean age of 118 enrolled parents and their babies were 27.9 ± 6.5 years and 8.3 ± 5.8 months, respectively. Most of the participants were mothers (93.2%), housewives (81.4%) with an educational level of ≥6 years (71.2%). Sunlight was considered beneficial for bone development (86.4%), diaper rash (5.9%) and neonatal jaundice (12.7%). In case of neonatal jaundice 72.0% of the participants reported that they would consult a physician. Most of the participants (82.2%) were sunning their babies outdoors. Nearly half (49.7%) of them got this information from medical staff. Fifty two percent of the parents were sunning their babies before 10–11 a.m. and/or after 3 p.m. Only 13.6% of parents reported using sunscreen for their babies, and the majority of them were using sun protecting factor ≥ 15. One forth of the sunscreen users was using sunscreen according to their physicians advice.ConclusionMost of the participants were aware of the benefits of sunlight; especially for bone development. However they were displaying inappropriate behaviour while sunning their babies for health reasons. More education should be given to parents about the danger of sunlight at primary health care units while advising to sun their babies, if any.

Counselling and knowledge about contraceptive mode of action among married women; a cross-sectional study

BackgroundFamily planning counselling which covers knowledge transfer about contraceptive mode of action, by enabling informed choice, improves compliance to and efficiency of contraceptive methods.The objective of this study was to investigate associations between family planning counselling, counsellor and correct knowledge about mode of action of modern contraceptive methods among married women.MethodsFor this cross-sectional study, stratified (according to current modern contraceptive method in use) random sampling was performed from the registries of two primary health care centres. Main outcomes were; prevalence of family planning counselling, professional background of the counsellor and correct knowledge about mode of action. A semi-structured questionnaire developed by the researchers was applied via face-to-face interview. The answers about mode of action were categorized as correct vs. incorrect by consensus rating.ResultsPrevalence of counselling and correct knowledge about mode of action was 49.0% and 39.3%, respectively. Higher educated women were significantly more likely to know the mode of action (p < 0.001). Being counselled by a physician (54.1%, n = 120) was not associated with correct knowledge about mode of action (p = 0.79). Non-barrier method users were less educated (p = 0.001), more often counselled (60.8% vs. 8.0%) and less knowledgeable (p < 0.001) about mode of action of their contraceptive method, compared to condom users. Nevertheless, counselled non-barrier method users were significantly more likely to know the correct mode of action of their chosen method (p = 0.021) than counselled condom users.ConclusionThe beneficial effect of counselling on knowledge about mode of action of the more complicated, medical (non-barrier) contraceptive methods suggests that the use of family planning counselling services in primary health care should be promoted; furthermore, counselling strategies and content should be re-structured for better efficacy.

Satisfaction among women: Differences between current users of barrier (male condom) and non-barrier methods

Objectives To determine the differences in and factors related to satisfaction between barrier (male condom) and non-barrier method users. Methods A semi-structured questionnaire was used for collecting data for this cross-sectional survey. The questionnaires were completed via one-on-one interviews by the researchers. The study group was selected using stratified random sampling. Exclusion criteria were, being unmarried, pregnant, in postmenopausal status and using traditional methods. A total of 434 currently married women using modern contraceptive methods participated in the study. Contraceptive users were dichotomized into two groups as non-barrier method users and barrier method users. Results About half of the participants (n = 191, 44%) were barrier method users. Their mean age was 33.7 ± 7.3 years, 66.6% (n = 131) were well educated and reported significantly less pregnancies, given births, living children and abortions (reproductive history events) than non-barrier users. Barrier method users were significantly more likely to be satisfied with their contraceptive method of choice (OR: 2.4; 95% CI 1.2–5.2). Among barrier method users, deciding the type of the contraceptive method themselves had significant effect on satisfaction. Conclusion In our study, satisfaction was mostly affected by heavy side effects and health risks of the methods resulting in less satisfaction with the contraceptive method among non-barrier method users. Other factors which may influence satisfaction deserve further investigation.

Use of Herbal Products in Type 2 Diabetes Mellitus Patients

Aim: In this study, it was aimed to find out the frequency of utilisation of herbal products in Type 2 Diabetes Mellitus (T2DM) patients. In addition, we aimed to identify the factors that are effective in the use of herbal products. Methodology: A total of 313 T2DM patients, (210 female (67.1%) who were referred to Family Medicine Outpatient Clinics of Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital were included. A pre-prepared questionnaire was applied with face-to-face interview technique in order to determine sociodemographic data, the use of herbal products and the factors affecting the use of herbal products. Results: The rate of herbal products use at any given period after receiving T2DM diagnosis was found to be 32%. The most preferred products were Cinnamomum zeylanicum, Nigella sativa, Olea europaea and Citrus lemon respectively. A total of 73% of the patients declared that their physicians never asked about utilisation of herbal products in the past. Herbal usage was found to be more common among patients who have been disease duration ≥ 5 years (p:0.003). HbA1c values of women using herbal products were higher than those who did not (p:0.038). Conclusion: We found that herbal products utilisation is a common practice among T2DM patients along with the long term duration of disease. Most of the physicians are unaware of their patients’ herbal use. Therefore, clinicians should evaluate complementary medicine utilisation of their patients at every clinical visit in order to guide the integrative treatment. *Correspondence to: Süleyman Görpelioğlu M.D. Prof., Department of Family Medicine, University of Health Sciences, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, 06110, Ankara, Turkey, Tel: :+903125962033; Email: sgorpelioglu@yahoo.com

Prevalence, distribution and influencing factors of risky behaviour in Ankara

2017

Tip 2 Diyabet Hastalarında Kronik İnflamasyon Belirteci Olarak Lökosit Sayımı

Amac: Epidemiyolojik arastirmalar periferik kandaki lokosit sayisi ile Tip 2 Diyabetes Mellitus (T2DM) arasinda iliski bulundugunu gostermesine ragmen bu iliski sistematik olarak incelenmemistir. Bu calismada, T2DM tanisi olan hastalarin (T2DM(+)) lokosit sayimi ve biyokimya tetkik sonuclarinin diyabeti olmayan hastalarin (T2DM(-)) sonuclariyla karsilastirilmasi amaclanmistir. Materyal ve Metot: Calismaya; 02.02.2015-30.09.2015 tarihleri arasinda Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi Aile Hekimligi Poliklinikleri’ne basvuran hastalar alinmistir. Hastalarin antropometrik olcumleri, tam kan sayimi ve biyokimyasal testlerinin sonuclari kaydedilmistir ve bu degerler T2DM(+) ile T2DM(-) gruplari arasinda karsilastirilmistir. Bulgular: Calismaya dâhil edilen 286 hastanin yas ortalamasi 58,7±10,5 yil olarak saptandi. T2DM(+) (n=108) ve T2DM(-) (n=178) gruplarinin yas ve cinsiyet dagilimlari arasinda fark yoktu. T2DM(+) grubun ortalama lokosit sayisinin T2DM(-) grubundan yuksek oldugu saptandi (7,73 × 103/ml; 7,17 × 103/ml; p=0,001). T2DM(+) grubun bel cevresi, vucut kitle indeksi (VKI), aclik kan sekeri (AKŞ), alanin aminotransferaz (ALT) ve trigliserid degerleri T2DM(-) grubuna gore anlamli olarak yuksek oldugu, dusuk yogunluklu kolesterol (LDL) ve yuksek yogunluklu kolesterol (HDL) degerlerinin ise anlamli olarak daha dusuk oldugu bulundu.xa0 Sonuc: Lokosit sayisi normal sinirlar icerisinde dahi T2DM hastalarinda diyabeti olmayan bireylerden daha yuksektir. Bizim sonuclarimiz kronik inflamasyonun Tip 2 diyabetteki rolunu desteklemektedir. Inflamasyonun diyabetteki rolunu aciklayacak daha kapsamli calismalara ihtiyac vardir.

Primary Care Practise in Turkey and Training of Contracted Family Physicians

The official organization of family practice was renewed by Ministry of Health in Turkey and practicaly started in Duzce at 09.15 th . 2005. It become widespread across Turkey by the end of 2010. In the mean time, specialists and practitioners who wanted to work as contracted family physicians were trained by a standardized training module and started working. First in 2014, as a part of the project aiming to train contracted family physicians to grow up as specialists (SAHU), Turkish Community Health Institution (THSK) started to recruit family medicine residents by an elective examination in 2014. This article targets to define the changes appeared in the process, evaluate the progress and revise the problems that might be a concerne in the future.

Erişkin Hastada Rastlantısal Saptanan Tek Taraflı İnternal Karotis Arter Hipoplazisi

Unilateral hypoplasia of the internal carotid artery, is an extremely rare conjenital anomaly. It is usually diagnosed incidentally during radiological examination for another reason. Although mostly asymptomatic, it may be accompanied with life-threatening developmental anomalies. In this report a case determined with left carotid artery hypoplasia in radiological imaging for evaluation of dizziness was presented.

Soğuk Algınlığı Tedavisinde Kullanılan Psödoefedrin"in Önemli Bir Yan Etkisi: Ventriküler Aritmi

Common cold is one of the frequently seen disease in childhood. Pseudoephedrine hydrochloride (PEH) is a sympathomimetic drug which is widely used for treatment of common cold as a decongestant on children. The aim of this case report is, to draw attention to serious adverse effects of PEH treatment.

Aneminin Nadir Rastlanan Bir Nedeni: Cameron Ülseri

Cameron ulseri, genis hiatal herni kesesi icerisindeki gastrik mukozal katlantilarda lineer uzanan ulserdir. Ust gastrointestinal sistem (GIS) endoskopisi ile incelenen hiatal hernili olgularin %5inde gorulur. Cameron ulserinin klinik onemi, GIS kanama ve anemiye neden olabilme potansiyelinden kaynaklanmaktadir. Bu calismada Aile Hekimligi polikliniginde demir eksikligi anemisi tanisi konulan ve etyolojiye yonelik arastirma esnasinda yapilan ust GIS endoskopisinde Cameron ulseri saptanan bir vaka sunulmustur.