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Öğe Assessment of levels of knowledge of breastfeeding counseling of health personnel working in primary health care institutions(2019) Kayhan Tetik, Burcu; Aksoy Derya, Yeşim; Uçar, Tuba; Coşkun, Ebru İnci; Felek, Selma; Citil, Semsettin; Sener, KemalAbstract: Aim: The aim of this study is to evaluate the knowledge level of breast milk and breastfeeding of health professionals working in primary health care institutions in Malatya. Material and Methods: A Cross-sectional Study’s survey prepared by using the Handbook of Breastfeeding Counseling translated by Child and Adolescent Reproductive Health Branch of the Ministry of Health of Turkey. 778 people were contacted by the interviewers by visiting the primary health care institutions in Malatya city center and districts, directly. All data was evaluated with SPSS 22 software and p<0.05 was accepted as statistically significant. Results: The mean age of the participants was 36.15 ± 8.57 years; 77.6% of them were women; 49.1% were working in Family Health Center. It was determined 80.1% of family physicians and 84.5% of midwives / nurses have been consulting about breast milk / breastfeeding in daily practice. When the respondents’ answers to the statements of knowledge about breast milk/breastfeeding counseling were assessed, there was no significant difference between the answers given by the family physicians and midwives/ nurses (p> 0.05). The participants gave wrong answers to 40% of the questions about conditions that require practical support such as insufficient breastmilk and the conditions related to the breasts. Conclusion: In our study we observed that basic subjects were well known by healthcare personnel whereas there is a serious lack of information, especially in daily practice, which should be constantly updated. We think that the training of breastfeeding and breastfeeding counseling should be updated periodically and especially emphasis should be given to new developments and practical information.Öğe Assessment of levels of knowledge of breastfeeding counseling of health personnel working in primary health care institutions(2019) Kayhan Tetik, Burcu; Aksoy Derya, Yeşim; Ucar, Tuba; Coskun, Ebru Inci; Felek, Selma; Citil, Semsettin; Sener, Kemal;Aim: The aim of this study is to evaluate the knowledge level of breast milk and breastfeeding of health professionals working in primary health care institutions in Malatya.Material and Methods: A Cross-sectional Study’s survey prepared by using the Handbook of Breastfeeding Counseling translated by Child and Adolescent Reproductive Health Branch of the Ministry of Health of Turkey. 778 people were contacted by the interviewers by visiting the primary health care institutions in Malatya city center and districts, directly. All data was evaluated with SPSS 22 software and p0.05 was accepted as statistically significant.Results: The mean age of the participants was 36.15±8.57 years; 77.6% of them were women; 49.1% were working in Family Health Center. It was determined 80.1% of family physicians and 84.5% of midwives / nurses have been consulting about breast milk / breastfeeding in daily practice. When the respondents’ answers to the statements of knowledge about breast milk/breastfeeding counseling were assessed, there was no significant difference between the answers given by the family physicians and midwives/ nurses (p> 0.05). The participants gave wrong answers to 40% of the questions about conditions that require practical support such as insufficient breastmilk and the conditions related to the breasts. Conclusion: In our study we observed that basic subjects were well known by healthcare personnel whereas there is a serious lack of information, especially in daily practice, which should be constantly updated. We think that the training of breastfeeding and breastfeeding counseling should be updated periodically and especially emphasis should be given to new developments and practical information.Öğe Attitudes and behaviors of physicians in dealing with difficult patients and relatives: a cross-sectional study in two training and research hospitals(Tubitak Scientific & Technological Research Council Turkey, 2017) Sandikci, Kamuran Bahar; Ustu, Yusuf; Sandikci, Mert Muhittin; Kayhan Tetik, Burcu; Isik, Derya; Ugurlu, MehmetBackground/aim: The aim of this study was to examine the reasons constituting the definition of 'difficult patient' and to evaluate attitudes and behaviors of physicians in coping with these patients and their relatives. Materials and methods: This cross-sectional study was conducted in May and June 2013 with 400 randomly selected physicians from different specialties working in two training and research hospitals in Ankara. A questionnaire was created by reviewing the relevant literature, by family medicine clinic, and delivered to the physicians following a pilot study. Results: In our study 92.8% of the physicians participating had experienced a negative contact with patients and/or their relatives, previously; 46.8% of the participants stated that they used their own experiences in coping with those situations. The frequency of negative communications was higher in surgical departments, increasing with average daily working hours and number of patients and decreasing with the experience of the physicians. The ways of coping with a difficult patient were nonjudgmental listening, patience, tolerance, and empathy, in declining order of importance. Conclusion: Physicians frequently experience negative communications with patients and/or relatives. Awareness of physicians about the concept of difficult patients and the causes and solutions should be enhanced.Öğe Breastfeeding Promotion and Baby?Friendly Health Facilities in Turkey: A Systematic Approach to Scale up the Program(2019) Çaylan, Nilgün; Kılıç, Melek; Kayhan Tetik, Burcu; Armut, Ceren; Tezel, BaşakAbstract: Objectives: In Turkey, Breastfeeding Promotion and Baby?Friendly Health Facilities Program (BFHF)was launched in 1991 with the collaboration of the Ministry of Health (MoH) and United NationsInternational Children’s Emergency Fund (UNICEF). Since 2002, the program has been extended fromhospitals to the primary health care services and the community level. This paper aims to present thecurrent status of BFHF and development of new strategies to revitalize the program and thus, tocontribute to the progress.Materials and Methods: All information about health facilities and provinces was collected from thedatabase of the Child and Adolescent Health Department. Discussions about Initiative with stakeholderinstitutions and baby?friendly advocates took place in the National Breastfeeding Committee Meetingand in Annual Breastfeeding Symposium. Then a SWOT (strengths, weaknesses, opportunities, threats)analysis of the Program was performed by the working group. Using this analysis results, new strategiesand course of action were identified.Results: The current number of baby?friendly hospitals has reached a total of 1051(69.42% of allhospitals). Of those, 46 were maternity hospitals, which were 93.50% approved as baby?friendly at theend of 2017. Between 2008 and 2017, 120 (%11.42) of those pre?certified hospitals were reassessed.Between 2002 and 2013, all 81 provinces have been designated Baby?Friendly Provinces. Since 2008, 61 ofthe 81 provinces have been designated Golden Baby?Friendly Provinces and 95% of Family MedicineUnits have been certified as baby?friendly. According to the SWOT analysis result, the main strength ofthe program was strong recognition and support of the BFHF by the government. The difficulties inmaintaining of baby?friendly standards in health facilities and inadequate reassessment of pre?certifiedfacilities were determined as the main weaknesses of the BFHF by the working group.Conclusion: To protect, promote and support breastfeeding effectively and to reach the national andglobal breastfeeding goals, interventions should be planned in a combination of settings byconcurrently involving health policies, health systems, home, family and the community.Öğe Complete blood count, Vitamin D, Vitamin B12, Hepatitis A and Hepatitis B screening results in students of faculty of dentistry(2020) Dayi, Burak; Kayhan Tetik, Burcu; Kayhan, Eda; Yakıncı, CengizAbstract: Abstract Aim: To evaluate the blood tests of the students of faculty of dentistry, to complete their vaccination and to start their treatment if necessary depending on the vitamin levels and complete whole blood count. Material and Methods: The study was conducted between December 2017 and March 2018 in Inönü University Faculty of Dentistry. Three tubes of venous blood sample were collected from all of the students for the tests. The data were analyzed by using SPSS ver. 22.0 software. A value of p< 0.05 was considered statistically significant in all tests. Results: A total of 283 students, 160 (56.5%) female and 123 (43.5%) male, were included in the study. The mean age was 21.7 years. Anemia was detected in 46 (16.2%) of the students. Only 13 (4.59%) students had no HBV immunity and 117 (41.3%) had no immunity against Hepatitis A. Vitamin B12 deficiency was detected in only 20 (7.06%) students, while vitamin D deficiency was detected in 206 (72.79%) students. Conclusion: Most of the students had vitamin D deficiency and a large number of them were unimmunized against hepatitis A. In order the students to be able to be successful in the pre-service education and to protect both themselves and their patients from infectious diseases, we should check the vitamins and anemia levels, immunity against hepatitis and complete the deficiencies.Öğe Complete blood count, Vitamin D, Vitamin B12, Hepatitis A and Hepatitis B screening results in students of faculty of dentistry(2020) Dayi, Burak; Kayhan Tetik, Burcu; Kayhan, Eda; Yakinci, CengizAim: To evaluate the blood tests of the students of faculty of dentistry, to complete their vaccination and to start their treatment if necessary depending on the vitamin levels and complete whole blood count. Material and Methods: The study was conducted between December 2017 and March 2018 in Inönü University Faculty of Dentistry. Three tubes of venous blood sample were collected from all of the students for the tests. The data were analyzed by using SPSS ver. 22.0 software. A value of p 0.05 was considered statistically significant in all tests.Results: A total of 283 students, 160 (56.5%) female and 123 (43.5%) male, were included in the study. The mean age was 21.7 years. Anemia was detected in 46 (16.2%) of the students. Only 13 (4.59%) students had no HBV immunity and 117 (41.3%) had no immunity against Hepatitis A. Vitamin B12 deficiency was detected in only 20 (7.06%) students, while vitamin D deficiency was detected in 206 (72.79%) students.Conclusion: Most of the students had vitamin D deficiency and a large number of them were unimmunized against hepatitis A. In order the students to be able to be successful in the pre-service education and to protect both themselves and their patients from infectious diseases, we should check the vitamins and anemia levels, immunity against hepatitis and complete the deficiencies.Öğe Determination of sunscreen and cosmetic product use awareness in adolescents(2019) Sarac, Gulbahar; Kayhan Tetik, Burcu; Sener, Serpil; Mantar, İrem; Kapicioglu, YeldaAim: Using an appropriate sunscreen is very important because the role of sun rays in development of skin cancer is well known. Besides, the recent increase in the use of cosmetics among adolescents is noteworthy. In this study, we aimed to determine the frequency of using cosmetics and the level of awareness of harmful effects of the sun, in adolescents. Material and Methods: In this cross-sectional descriptive study, a questionnaire consisted of 25 questions was applied, on voluntary basis, in middle schools. Results: A total of 607 students participated in the study; 434 participants were female students (71.5%), 173 were male students (28.5%) and the average age was 17 years. The question “Do you think it is necessary to protect from the sun?” is answered as “yes” by 361 of the female students (81.1%) and 109 of the male students (62.3%). The question “Do you use sunscreen?” is answered as “Yes” by 33.3% of all participants. Conclusion: In our study, we found that adolescents had a good understanding of the harmful effects of sun, but in contrast to this, we found that the use of sunscreen products was at very low levels. We think that education and methods for building awareness in this regard will be effective.Öğe The Effect of Breastfeeding Education Given to Mothers in the Accompanying Mother Unit on the Attitude and Knowledge of Feeding(2021) Kayhan Tetik, Burcu; Kös Aksin, GülşahBackground: In this study, we examined the breastfeeding attitudes of mothers whose babies are in intensive care unit and the change of thought, after breastfeeding training given to mothers during they were staying as accompanying mothers. Methods: This study was conducted on the mothers whose babies were hospitalized in the neonatal intensive care unit between May and July 2019. Before the training entitled “The Importance of Breastmilk and Breastfeeding” was given to mothers during their babies were intensive care unit, a face-to-face interview questionnaire and the IOWA Infant Feeding Attitude Scale (IIFAS) were applied. After the training, IIFAS was applied to the mothers again. Results: A total of 51 mothers participated in our study. The mean age of the mothers was 27.77 ± 5.8 years. The mean IIFAS score of the mothers was 66.35 ± 5.11 before the training and 74.5 ± 5.55 after the training. While only 15 (31.3%) of the mothers had an intention of breastfeeding before the training, 40 mothers (83.3%) had an intention of breastfeeding, after the training. We observed a significant increase in the mean IIFAS score after the training. Conclusion: When we compare the attitudes of mothers, regarding breastfeeding their babies before and after breastfeeding training, it was observed that the trainings positively affected their attitudes. Growing healthy generations can only be achieved by feeding with breast milk and increasing the rate of breastfeeding can be achieved by increasing the awareness in the society.Öğe The Effect of the COVID-19 Pandemic on Smoking Cessation Success(Springer, 2021) Kayhan Tetik, Burcu; Gedik Tekinemre, Isilay; Tas, ServetThe coronavirus pandemic first started in Wuhan, China, in December 2019 and affected the whole world. In our country, new measures to be taken were announced after the first case was seen on March 11, 2020. In this study, patients who admitted to the smoking cessation clinic in 2018 and followed up by phone, regarding smoking cessation status in 2019 were questioned for their smoking cessation status after the coronavirus pandemic in 2020. In this descriptive study, the patients who applied to the smoking cessation outpatient clinic in 2018 were questioned regarding their smoking cessation status after 1 year and after the pandemic. It was investigated whether coronapandemia had an effect on smoking cessation. The data were evaluated by using SPSS 22 software. A value of p < 0.05 was considered significant. A total of 357 individuals with a median of Fagerstrom score of 7.0 were included in the study. Seventy-one (19.9%) of the subjects used nicotine tape, 268 (75.1%) used varenicline, and 18 (5.0%) used both. When the success of those who quit smoking before pandemic and those who quit smoking after pandemic were compared, a statistically significant relationship was found (p < 0.001). In our study, the rate of smoking cessation after 1 year was 23.7%, and the most common side effects were psychiatric complaints, whereas the rate of smoking cessation during the pandemic period was 31.1%. In order to increase the rate of smoking cessation, which is an important public health problem, more counseling should be provided, during the pandemic period.Öğe Evaluating the Behaviours of Citizens and Physicians During Healthcare System Changes in Turkey(2016) Karatas, Mehmet; Korkmaz, Mehmet Fatih; Selçuk, Engin Burak; Karataş, Turgay; Yalçınsoy, Murat; Kayhan Tetik, BurcuAbstract: This study may provide insights into the positive and negative perceptions of physicians and citizens in Turkey regarding the Transformation in Health Project.We aimed to evaluate the views of physicians and citizens regarding the changing healthcare system using different questionnaires.We interviewed 1190 actively working physicians and 1997 citizens using face-to-face questionnaires to determine how the changing healthcare system has affected the behaviours of physicians and citizens. When asked whether the behaviours of patients and relatives had improved, 495 physicians (41.6%) answered yes and 580 (48.7%) answered no. When citizens were asked whether the behaviours of physicians had improved, 1399 (70.1%) answered yes and 362 (18.1%) answered no. According to the results of this study, there have been some changes in our healthcare system associated with the Transformation in Health Project.Öğe Evaluation of Adolescents' Status of The FirstStep Health Services Use and Healthy Nutrition Behaviors(2021) Kayhan Tetik, Burcu; Gedik, İsilay; Kurt, OsmanAbstract: Aim: This study aimed to evaluate the status of the first-step health services use, healthy nutrition behaviors in adolescents and investigate their relationships with each other. Methods: One hundred and forty-six adolescents between the ages of 10 and 18 were included in this descriptive study. A survey of 15 questions about the participants' healthy nutritional behaviors, the status of knowing their family physicians, and going to their family physicians for the examination was applied. The obtained data were analyzed using the SPSS 22 package program, and p <0.05 was considered significant. Results: Of the participants, 85.6% went to their family physicians for the examination, the mean age was 16.4±1.6, and 58.9% were girls. Girls' mean scores of healthy nutritional behavior and going to their family physicians for the examination were significantly higher than boys'. In those who were obese and overweight, the rate of knowing their family physicians, the mean score of going to their family physicians for the examination, and healthy nutritional behavior were lower than normal weight. Conclusion: In our study, lower obesity and overweight rates and having a healthier diet were seen in adolescents using primary health care services more. We believe that to eliminate obesity, which has been a significant public health problem today, increasing the rate of using primary health care services for adolescent individuals needs to be increased. We hope that our comments raised herein will encourage other physicians to be more sensitive about this issue and direct patients to primary care more often to receive such services.Öğe Evaluation of awareness regarding skin moisturisation and moisturiser usage frequency in individuals over 65 years of age(Wiley, 2020) Altunisik, Nihal; Kayhan Tetik, Burcu; Mete, BurakObjective Skin dryness is a common dermatological problem among older people.We aimed to evaluate the frequency of moisturiser use and awareness of its benefits among older people. Methods This cross-sectional descriptive study included 556 individuals over 65 years of age, all of whom were patients at family medicine and dermatology outpatient clinics at a tertiary teaching hospital. Data were summarised descriptively and analysed using binary logistic regression analysis. Results Of the 556 individuals who participated in the study, 241 were women and 315 were men. Moisturisers were being used by 217 patients (39%), and 91 patients (16.4%) classified the use of skin moisturisers as skincare. Conclusion We found that individuals over 65 years of age had insufficient knowledge regarding the use and benefits of skin moisturisers.Öğe Evaluation of hepatitis A, B and C serological assays and complete blood count results in medical school students(2018) kayhan, Eda; Kayhan Tetik, BurcuAim: Healthcare workers are at high risk for infectious diseases that can be transmitted from patients and the physical environment. In addition, university students staying at dormitories are at risk for anemia due to nutritional disorder. In this study, our aim is to conduct serological screening of hepatitis A, B and C and to complete the missing vaccinations and to conduct complete blood counts, and to perform the necessary treatments in medical faculty students. Material and Methods: The study was conducted on the first-year students in Malatya İnönü University Faculty of Medicine, between September and October 2017. SPSS ver. 22.0 software is used in analysis of the data. A value of p<0.05 was considered statistically significant. Results: A total of 302 students participated in the study; 153 (50.7%) were female and 149 were (49.3%) male. We found that, anemia is present in 8% of the students, HbsAg is positive in 1.2% and Anti HCV is positive in 0.66% of the students. In addition, 13% of students had not been immunized against Hepatitis B, and 60% had not been immunized against Hepatitis A. Conclusion: The results of our study suggest that serological analysis of HAV, HBV and HCV and to ensure necessary immunization is required and screenings for anemia should also be performed, in order to keep education performance of medical students at a sufficient level.Öğe Evaluation of Inflammatory Markers in Childhood-onset Psychiatric Disorders by Using Artificial Intelligence Architectures(2020) Ucuz, İlknur; Özel Özcan, Özlem; Mete, Burak; Arı, Ali; Kayhan Tetik, Burcu; Yıldırım, KübraAbstract: Objective: One of the mechanisms proposed in the etiology of psychiatric disorders is the immunological and inflammatory processes. The aim of this study was to evaluate the neutrophil/lymphocyte ratio (NLR), platelet/ lymphocyte ratio (PLR), monocyte/lymphocyte ratio (MLR) and mean platelet volume (MPV) levels as an inflammatory marker in childhood-onset psychiatric disorders and to evaluate the inflammation parameters in the etiology. Methods: The hemogram data of 165 patients with early onset schizophrenia, bipolar disorder, depressive disorder and anorexia nervosa and 70 healthy children and adolescents were evaluated. In this study, artificial neural networks (ANN) are used for artificial intelligence-based computer aided system (CAS) design which can be able to help pediatric psychiatry specialists to diagnose easily and quickly. The data belonging to the patients were subjected to the normalization process in the designed system. Then, normalized data was entered to ANN and five outlets including four diseases and one test group were determined. The ANN model used has features of multilayer sensor network design. A three-tier cross validation method was used to test the success of the designed system. The three-tier cross-validation method is further divided into three parts. In each stage the first part was used for the test and the second and third parts was used for training. Results: The accuracy value of the model were calculated as 99%. Conclusion: These results show that the designed model gives robust and reliable results and can help the physicians in prediagnosis and differential diagnosis in clinical practice. (Anatolian Journal of Psychiatry 2020; 21(3): 301-309)Öğe Evaluation of Multiple Drug Using Status by Sociodemographic Characteristics of Individuals with Chronic Disease(2018) Alhuraıbı, Wadee; Hassanlı, Samima; Mete, Burak; Gül, Hacer Gözde; Gedik Tekinemre, Işılay; Kayhan Tetik, BurcuAbstract: Introduction: The most common belief in traditional medicine is necessarily needed to prescribe a drug. Studies show two-thirds of medical examinations are ended up with the prescription. In this study, our aim is showing the effects and features of polypharmacy on chronic disease patients and assess the sociodemographic properties, create awareness about them. Method: This descriptive cross-sectional study is done with 340 patients who admit Inonu Unıversity Turgut Ozal Medicine Centre cardiology, pulmonary disease, neurology, family medicine and psychiatry policlinics. Statistical analysis is done with SPSS ver. 22.0 and in all tests p<0.05 level is accepted as statistically meaningful. Results: In our study, there are 333 participants and 154 of them are female (46.2%) 179 of them are male (53.8%) and mean age is 52.37. Eighty participants are 65 years old or over. When we evaluate the chronic disease patients, the most common diagnoses are heart disease which is seen in 177 (52.1%) of participants and hypertension which is seen in 176 of participants (51.8%). 184 of participants (54.1%) are using less than 5 drugs and 149 of participants (43.8 %) are using more than 5 drugs. In the comparison of multidrug using and suffer from side effects, 50 of less than 5 drugs using participants (27.2%) and 29 of more than 5 drugs using participants (19.5%) had adverse effects, this difference is not statistically meaningful (p=0.100). Conclusion: We are in thought of family physicians can lower multi-drug using rates collaborating with patients for managing both acute and chronic diseases in our country where the cost of drugs are rising day by day. Because of that sociodemographic properties and drugs should be questioned for all the policlinics appeal of chronic disease patients and the cessation of drugs should be done according to the proper guidelines, they should be warned about drug interaction and how to use it.Öğe EVALUATION OF PATIENTS ADMISSING EMERGENCY CARE SERVICES FROM THE POINT OF VIEW OF FAMILY MEDICINE(2020) Kayhan Tetik, Burcu; Tetik, Bora; Karaoğlan, Aytaç; Alpağan, Cem; Mete, Burak; Paksoy, NurAbstract: Objectives: Inappropriate use of Emergency Department (ED) for non-urgent complaints compromises the functioning of ED and has been increasing day by day. In this study, we examined the annual data of the patients who admitted to the Emergency Department in order to determine the ratio of appropriate usage according to the definitive diagnoses of the patients and to help forward new policies regarding this issue. Materials and Methods: Files of patients, who admitted to our ED between January 1 and December 31 , 2017, were examined. Data were evaluated by SPSS software version 22 , and the analyses were performed by using the Chi-square test. A value of p <0.05 was accepted to be statistically significant. Results: We found that 72.20% (n: 42785\59282) of the people who admitted to the ED during one year had admitted for complaints that should be addressed in the primary healthcare centers or specialist policlinics and only 19.2% (n: 11359\59282) of the ED visits were appropriate. We also found that the most frequent reasons for ED visits were respiratory system symptoms and pain. Conclusion: We found that the vast majority of the patients admitted to the emergency department were not actually urgent. We suggest that measures such as effectuation of the referral system for effective use of the family medicine system, use of triage in emergency departments, and extra fees for using the emergency department inappropriately can be implemented to reduce the workload in emergency services.Öğe Evaluatıon of sunbathıng and protectıon awareness accordıng to thesocıodemographıc characterıstıcs of ındıvıduals aged above 65 years(GUNES KITABEVI LTD STI, M RAUF INAN SOK NO 3, ANKARA, SIHHIYE 06410, TURKEY, 2018) Kayhan Tetik, Burcu; Saraç, Gülbahar; Mete, Burak; Şener, Serpil; Kalem, Hülya; Kılıç, EvrimIntroduction: Because excessive exposure to solar radiation contributes to the aging of skin and the risk of skin cancer, protection from sunlight has become an important public health problem. This study aims to assess the knowledge level of individuals aged > 65 years regarding sun exposure and their current use of sunscreen products. Materials and Method: A questionnaire consisting of 22 questions was prepared to measure sun protection awareness and use of sunscreen products by individuals aged > 65 years. Between July and August 2017, the questionnaire was administered to 603 patients who presented to outpatient clinics. The data were analyzed using SPSS 22 software; a p-value of. < 0.05 was considered significant. Results: The average age of the 603 participants was 67.8 years; 202 (33.5%) of them stated that they generally remained in the sun for 4-6 h, and 518 (86.3%) indicated that they had not received any information about sun protection. Conclusion: We found that individuals aged >= 65 years had insufficient knowledge of the dangers of excessive sun exposure and were not protected from it. In order to reduce the risk of skin cancer in Turkey, education regarding lifestyle modification, sun protection, and use of sunscreen should be provided and relevant health policies should be formulated for these trainings to become a part of lifestyle there.Öğe Evaluatıon of sunbathıng and protectıon awareness accordıng to thesocıodemographıc characterıstıcs of ındıvıduals aged above 65 years(Gunes kıtabevı ltd stı, m rauf ınan sok no 3, ankara, sıhhıye 06410, turkey, 2018) Kayhan Tetik, Burcu; Sarac, Gulbahar; Mete, Burak; Sener, Serpil; Kalem, Hulya; Kilic, EvrimIntroduction: Because excessive exposure to solar radiation contributes to the aging of skin and the risk of skin cancer, protection from sunlight has become an important public health problem. This study aims to assess the knowledge level of individuals aged > 65 years regarding sun exposure and their current use of sunscreen products. Materials and Method: A questionnaire consisting of 22 questions was prepared to measure sun protection awareness and use of sunscreen products by individuals aged > 65 years. Between July and August 2017, the questionnaire was administered to 603 patients who presented to outpatient clinics. The data were analyzed using SPSS 22 software; a p-value of. < 0.05 was considered significant. Results: The average age of the 603 participants was 67.8 years; 202 (33.5%) of them stated that they generally remained in the sun for 4-6 h, and 518 (86.3%) indicated that they had not received any information about sun protection. Conclusion: We found that individuals aged >= 65 years had insufficient knowledge of the dangers of excessive sun exposure and were not protected from it. In order to reduce the risk of skin cancer in Turkey, education regarding lifestyle modification, sun protection, and use of sunscreen should be provided and relevant health policies should be formulated for these trainings to become a part of lifestyle there.Öğe Fenitoin Kullanımı Sonrası Gelişen DRESS Sendromu: Olgu Sunumu(2017) Tetik, Bora; Oğuzoğlu, Serdar Ali; Kayhan Tetik, Burcu; Saraç, GülbaharÖz: DRESS Sendromu ateş, cilt döküntüsü, iç organ tutulumu ve hematolojik anormalliklerle karakterize akut başlangıçlı, hayatı tehdit eden, nadir görülen, ilaca bağlı bir aşırı duyarlılık reaksiyonudur. En sık nedeni aromatik antikonvülzan kullanma sonrası görülmektedir. Bu olguda fenitoin kullanımı sonrasında ikinci haftada ateş yüksekliği ve cilt döküntüleri başlayan kırk dört yaşında bir erkek hasta sunulmuştur. Olgu, fenitoin tedavisinin kesilmesi sonrasında sistemik kortikosteroid ve destek tedavisi ile başarılı bir şekilde tedavi edilebilmiştir. Birinci basamakta aile hekimi, hastalarının akut ve kronik sağlık sorunlarını aynı anda yönetebilmelidir. Olgumuzda olduğu gibi akut başlangıçlı ateşe yaklaşımda bir aile hekimi hastasını iyi yönetebilmeli ve beraberinde cilt döküntüleri de gördüğünde kullandığı ilaçları da sorgulayarak DRESS Sendromunu akla getirmelidir.Öğe GÜNCEL KILAVUZLAR EŞLİĞİNDE BİRİNCİ BASAMAKTA DİZ OSTEOARTRİTİNE YAKLAŞIM(2021) Çelik, Metin; Taştan Çelik, Songül; Kayhan Tetik, BurcuOsteoartrit (OA), eklemlerin tamamında tutuluma neden olabilen, eklem kıkırdağında ve subkondral kemikte harabiyete yol açan kronik ve dejeneratif bir kas iskelet sistemi hastalığıdır. OA daha çok diz ve kalça eklemi gibi büyük eklemleri etkilemekle birlikte, en sık diz eklemini tutar. Prevalansı yaşla birlikte artmakta olup, en sık 65 yaş üstü hastalarda görülmektedir. OA etiyolojisi multifaktöriyel olup yapısal ve mekanik nedenleri içermektedir. Tutulan eklemde ağrı, hareket kısıtlılığı ve sonuç olarak fonksiyon kaybına neden olduğu için çok sayıda hasta bu şikayetlerle hekime başvurmaktadır. OA tedavisinde amaç hastanın şikayetlerini gidermektir. Güncel literatürde hasta bilgilendirilmesi ve eğitimi, diyet, analjezikler, nonsteroidal anti inflamatuvar ilaçlar (NSAID), fizik tedavi uygulamaları, intra-artiküler enjeksiyonlar gibi konservatif tedaviler önerilmektedir. Bu gibi koruyucu tedaviler yeterli olmadığında cerrahi tedavi düşünülebilir. OA, aile hekimlerine yaşam kalitesinde azalma ve ağrı şikayeti ile oldukça sık başvurulmaktadır. Bizde güncel kılavuzlar eşliğinde hasta eğitimi ile yaşam tarzı değişiklikleri oluşturabilecek danışmanlık hizmetleri vermeliyiz. Bu derlemede, birinci basamak sağlık kuruluşuna başvuran diz OA’lı hastalara yaklaşım, güncel tedavi rehberleri eşliğinde anlatılmıştır.
