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    Insulin initiation status of primary care physicians in Turkey, barriers to insulin initiation and knowledge levels about insulin therapy: A multicenter cross-sectional study
    (Elsevier Sci Ltd, 2017) Ates, Elif; Set, Turan; Saglam, Zuhal; Tekin, Nil; Eray, Irep Karatas; Yavuz, Erdinc; Sahin, Mustafa Kursat
    Aims: Our aim was to evaluate the insulin initiation status, barriers to insulin initiation and knowledge levels about treatment administered by primary care physicians (PCP). Methods: We conducted our study in accordance with a multicenter, cross-sectional design in Turkey, between July 2015 and July 2016. A questionnaire inquiring demographic features, status of insulin initiation, obstacles to insulin initiation and knowledge about therapy of the PCPs was administered during face-to-face interviews. Results: 84 PCPs (19%) (n =446, mean age =41.5 +/- 8.4years, 62.9% male and 90.0% ministry certified family physicians) initiated insulin therapy in the past. Most of the stated primary barriers (51.9%, n=230) were due to the physicians. The most relevant barrier was lack of clinical experience with a rate of 19% (n = 84 of the total). The average total knowledge score was 5.7 +/- 2.0 for the family medicine specialist, and 3.81 +/- 2.1 for the ministry certified family physicians (p= 0.000, maximum knowledge score could be 10). Conclusions: The status of insulin initiation in Turkey by the primary care physicians is inadequate. Medical education programs and health care systems may require restructuring to facilitate insulin initiation in primary care. (C) 2017 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
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    Knowledge level, attitude and own experience of health professionals about breastfeeding and breast milk in a city of Turkey: Cross-sectional study
    (Soc Argentina Pediatria, 2016) Artantas, Aylin Baydar; Tetik, Burcu Kayhan; Kilic, Melek; Eray, Irep Karatas; Cetin, Nazan; Guney, Sinem; Akdogan, Dogan
    Introduction: Worldwide consensus about breastfeeding is that the infant should exclusively be breastfed until six months of life. Despite this, the rate of exclusive breastfeeding for the first six months of age is low in so many countries including Turkey. The aim of this study was to evaluate the knowledge, the attitudes and the own experiences of health professionals about breastfeeding and breast milk, in a metropolitan city in Turkey. Materials and methods: This study was performed between July 2012 and December 2013. Study subjects included health professionals working in the university hospitals, research and training hospitals, public and private hospitals; child, adolescent, women and reproductive health services centers, family health centers, and community health centers located in Ankara. A questionnaire was used to collect data. SPSS 11.5 package program was used for statistical analysis. Results: A total of 715 people participated in this study. From those who had children themselves 3.4% (n=16) had not breastfed their babies at all, and 7.6% (n=36) had breastfed their baby until second year of age. It was found that 28.4% of the participants had poor, 43.1% had average and 28.5% had good knowledge level about breastfeeding and breast milk. Conclusion: This study reflects the lack of knowledge about breastfeeding and breast milk among the health professionals in Turkey. Although a great majority of participants agree the recommendation of WHO about the duration of breastfeeding, the percentage of breastfeeding of health care professionals during recommended period was very low.