The aim of this study was to suggest a safe management method for the diagnosis and treatment of ankle sprains in pregnant patients.Between 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.Forty-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.There 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.
It is important for academic articles to be written in the right technique in order to be published in scientific journals. Especially well-written “introduction” and “materials and methods” sections would be more attractive for readers and reviewers. We aimed to give some suggestions and tips on this subject.
Ozet: Aile sagligi elemani: Aile hekimi ile birlikte hizmet veren, sozlesmeli olarak calistirilan veya Bakanlikca gorevlendirilen hemsire, ebe, saglik memuru (toplum sagligi) ve acil tip teknisyenini ifade eder. Aile sagligi elemani aile hekimligi uygulamasinda ekibin dogal uyesidir. Bu makalede aile sagligi elemaninin temini ile ilgili onerilerin tartismaya acilmasi amaclanmistir.
Community-oriented care, which is considered as one of the basic competencies of the family medicine, requires a team work and it is essential to establish a common language in harmony with the healthcare workers, as well as those who are not healthcare professionals. It is thought that Educational Family Medicine Centers (EFMC’s) will play an important role when the necessary trainings are given during family medicine specialization in order to achieve this coordination. In this article, we aimed to share our experiences about the EFMC we have opened within the Family Medicine Department of our University on 06/06/2017.
Hipertansiyon, önlenebilir ölüm nedenleri arasında ilk sırada yer almaktadır. Tedavi yetersizliğinde en önemli nokta , yaşam tarzı değişikliklerinin yeterince önemsenmemesi ve önerilmemesidir. Asemptomatik gidişatı nedeniyle tedaviye uyum zordur. Hipertansiyonun tanı, tedavi ve takibinde esas sorumluluk aile hekimlerindedir.
Amac: Bu calisma ile ulkenin agiz ve dis sagligi hizmet sunumunda buyuk bir paya sahip olan Agiz ve Dis Sagligi Merkezleri (ADSM) ile Agiz ve Dis Sagligi Hastaneleri (ADSH)’nde verilen hizmetlere ait tahakkuk miktarlarinin degerlendirilmesi ve verilerin diger agiz ve dis sagligi hizmet sektorlerdeki durum ile iliskilendirilmesi amaclanmaktadir. Agiz ve dis sagligi ile ilgili hizmetlerinin etkili bir sekilde planlanabilmesi icin bu analizler gereklidir. Materyal ve Metot: Bu retrospektif kesitsel calismada, 2010-2013 yillarinda, Turkiye butununde hizmet veren ADSM-ADSH’lerinden elde edilen tahakkuk verileri degerlendirilmektedir. Bulgular: 2010-2013 yillari arasinda ADSM-ADSH’lerinde gerceklesen tahakkuk rakamlari incelendiginde reel rakamlarla 2013 yilina kadar Ortadogu Anadolu ve Dogu Karadeniz bolgeleri disindaki tum bolgelerde bir artis oldugu gorulmektedir. Elde edilen bu analiz sonuclari, yillar itibari ile artan nufus ve yillar itibari ile “Saglikta Donusum Programi” kapsaminda artan hizmet sunumuna paraleldir. Gerek nominal rakamlarda olsun gerekse reel rakamlarda olsun, bolgeler arasindaki bu farklar bolgelerin sosyo-ekonomik gelismislik endeks degeri ve gelismislik siralamasi ile uyumludur. Sonuc: Turkiye’de, agiz ve dis sagligini gelistirmek icin, toplumsal agiz ve dis sagligi programlarinin yururluge konmasi, ulkede agiz ve dis sagligi alaninda hizmet sunan tum sektorlerin arasindaki entegrasyonun saglanmasi gerekmektedir. Boylece, agiz ve dis sagligi hizmetlerinde ulasilabilirligin arttirilabilecegi ve tedavi maliyetlerinin de dusurulebilecegi asikardir.
To determine the prevalence of overweight and obesity in the Tokat Region with demographic, socioeconomic and medical factors in the adult population.A sample was selected from the province of Tokat. A total of 5162 participants over 18 years (1885 women and 3277 men) were included in the study. Demographic factors, family history of selected medical conditions, and lifestyle factors were obtained and blood pressure levels were measured for all participants. Obesity was defined as BMI > or = 30 kg/m2 and overweight as BMI between 25.0 to 29.9 kg/m2.The study demonstrated that the prevalence of overweight was 27.6% in men, 34.2% in women and 30% for overall. Obesity was prevalent in 33.6% men, 22.3% women, and 29.5% overall. The prevalence of obesity increased with age. Age, gender, educational level, marital status, hypertension, family histories of selected medical conditions were independently associated with obesity. Prevalence of hypertension increased with the degree of obesity. Results were in accordance with recent Turkish population-based obesity studies.The data obtained showed that obesity prevalence was high in the study area. Primary prevention through lifestyle modifications may have a critical role in the control of obesity.
increasing usage of herbal products/drugs has become a risk for their unconscious use. The fact that doctors, who have information about both the herbal products used and the way they are used, can prevent unconscious usage. In this review, the preparation techniques of commonly used herbal teas are discussed.
Ozet: Hipertansiyon sistolik kan basincinin 140 mm Hg, ve/veya diyastolik kan basincinin 90 mm Hg’nin uzerinde olmasiyla giden hastaliktir. Dunya’da en onde gelen olum nedenidir. Yuksek prevelansi nedeniyle birinci basamakta en sik karsilasilan hastaliklardandir.
