The role of stress management and interpersonal communication in preventing violence against family physicians

Background: Family physicians are the first line of contact with patients seeking primary care services. Therefore, they are vulnerable to violence from patients and family members. Therefore, aim of this study was to determine of stress management and interpersonal communication of the family physicians and examine the role of stress management and interpersonal communication to prevent violence.Methods: 736 family physicians were participated from 37 different provinces of Turkey. The scores of stress management and interpersonal communication were compared according to violence situations.Results: A 20.65% (n = 152) of the physicians participating in the study were subjected to physical violence; their interpersonal communication scores were significantly lower than those of physicians who had not been subjected to physical violence (p = 0.022). Among the participants, 90.77% (n = 668) were subjected to verbal violence; their interpersonal communication scores were significantly lower than those of participants who had not been subjected to verbal violence (p = 0.012). Although the interpersonal communication scores were low and statistically related at the participants who had been subjected to violence.Conclusions: This study revealed that the interpersonal communication and stress management scores were low at the participants who had been subjected to violence; only interpersonal communication was statically related. Therefore, stress management and interpersonal communication is very important to protect from violence, we suggested that this should be part of the curriculum of medical schools and postgraduate education

Development and Validation of a Scale for Measuring Family Happiness

Objectives: We aimed to develop a subjective family happiness scale and analyzed its ‎validation ‎and reliability. Methods: To develop, a scale for measuring subjective family happiness, an item pool ‎was ‎created. A 19-item scale was formed using Delphi rounds and seeking expert opinions. ‎The ‎instrument was applied to 300 participants >18 years of age. Six items were excluded ‎according ‎to participant opinions (n=2) or due to low factor loads (n=4). Results: Kaiser-Meyer-Olkin coefficient was found as 0.93, and the Cronbach Alpha ‎internal ‎reliability coefficient was calculated as 0.93. Exploratory factor analysis confirmed ‎that the scale ‎had a two-dimension structure and these dimensions were named as ‎‎‘happiness’ and ‎‎‘unhappiness’. ‎Conclusion: The scale was valid and reliable for the measurement of subjective family ‎happiness ‎in family members of >18 years. This instrument can be utilized by family ‎physicians, family ‎counsellors, family therapists, psychiatrists, and psychologists in making ‎decisions about the ‎problems related to the families‎.

Newborn Hearing Screening Outcomes From Rize; Turkey

WOS: 000404817500008Objective: the aim of the present study was to evaluate the patients included into national newborn hearing program in Rize Province, Turkey, between 2010 and 2015 with literature outcomes. Material and Method: Totally 25,373 newborns born within Rize province between January 2010 and December 2015 were enrolled into the study. Transient Evoked Otoacoustic Emission (TEOAE) and Auditory Brainstem Response (ARB) tests were used. the infants failed from TEOAE were subjected to ABR on the same day; infants who also failed from ABR were referred to a reference centre for clinical ABR. Results: Among 25,373 infants enrolled into the study, 1,562 (6.15%) infants failed from first and second tests and were referred to a reference centre for clinical ABR. Unilateral hearing loss was detected in 1 infant whereas bilateral hearing loss was detected in 15 infants. A risk factor was determined in 7 of 16 infants with hearing loss. Conclusion: Hearing loss affects the social, emotional and mental development of the newborns negatively. Newborn hearing screening allows early recognition of babies with hearing loss and may provide early treatment.Rize Public Health ManagementWe thank the Rize Public Health Management on this project for their support

Role of mother education level in delivery method preference

Introduction: Cesarean section rate (CS) has increased to 15.5% in 2012 while it was 12% in 2000s, in general. Information during these follow-ups is very important for pregnant women to decide on delivery method. Another aspect that affects women’s delivery method is the education level. The objective of this study is to investigate the effect of education level on delivery method for pregnant women.Method: This descriptive study was carried out by the participation of 500 pregnant women who were regularly followed in Family Physician Polyclinic in Rize between January 2016 and December 2017. Each pregnant woman was followed up in Family Health Center at least 4 times during pregnancy. Methods of delivery of pregnants participating in the study were determined, and the factors affecting them were investigated with appropriate statistical methods.Results: Of 500 pregnant women included in the study, 254 (50.8%) women were between the ages of 20-35 and the majority (n=282; 56.4%) were primary and secondary school graduates. 52 (10.4%) of the mothers were smoking while 104 (20.8%) mothers were working at any job. The mean age of the mothers participating to study is 28.8±9.8. No correlation was found between the delivery method and age groups. (p=0.651) Patients were divided into three groups as primary and secondary school graduates, high school graduates and university graduates according to the education level. University and higher education group was significantly choosing cesarean section more than primary school graduates groups. (p=0.021) Conclusion: In this study carried out in Turkey, where cesarean section is performed in the world at most, we have figured out that there is a relation between high education level and socio-economic status of pregnant women and cesarean delivery preference

Role of mother education level in delivery method preference

Introduction: Cesarean section rate (CS) has increased to 15.5% in 2012 while it was 12% in 2000s, in general. Information during these follow-ups is very important for pregnant women to decide on delivery method. Another aspect that affects women’s delivery method is the education level. The objective of this study is to investigate the effect of education level on delivery method for pregnant women.Method: This descriptive study was carried out by the participation of 500 pregnant women who were regularly followed in Family Physician Polyclinic in Rize between January 2016 and December 2017. Each pregnant woman was followed up in Family Health Center at least 4 times during pregnancy. Methods of delivery of pregnants participating in the study were determined, and the factors affecting them were investigated with appropriate statistical methods.Results: Of 500 pregnant women included in the study, 254 (50.8%) women were between the ages of 20-35 and the majority (n=282; 56.4%) were primary and secondary school graduates. 52 (10.4%) of the mothers were smoking while 104 (20.8%) mothers were working at any job. The mean age of the mothers participating to study is 28.8±9.8. No correlation was found between the delivery method and age groups. (p=0.651) Patients were divided into three groups as primary and secondary school graduates, high school graduates and university graduates according to the education level. University and higher education group was significantly choosing cesarean section more than primary school graduates groups. (p=0.021) Conclusion: In this study carried out in Turkey, where cesarean section is performed in the world at most, we have figured out that there is a relation between high education level and socio-economic status of pregnant women and cesarean delivery preference

Effect of breastfeeding on common pediatric infections: a 5-year prospective cohort study

WOS: 000428743800008PubMed: 29557599Introduction. the studies conducted revealed that breastfeeding duration has a reducing effect on common infectious diseases in the children during breastfeeding period. Objective. the aim of the present study was to address the association between breastfeeding duration and common infectious diseases in the children until 5 years of age to show long-term protective effects of the breast milk. Population and Methods. the study included 411 infants who were born in Rize (Turkey) between January 2011 and December 2011. the present prospective-cohort study lasted for 5 years and 11 interviews were conducted with each mother of the infants during this period. the infants were divided into two groups as those who were breastfed more and less than 12 months and the association between breastfeeding and infections such as acute otitis media, acute gastroenteritis, acute respiratory tract infections and acute urinary system infections was investigated. Results. of 270 infants 193 (71.5%) were breastfed longer than 12 months and 77 (28.5%) were breastfed less than 12 months. Infants in the first group had less acute otitis media and acute gastroenteritis (n=77, 28.52%) when compared with the infants breastfed less than 12 months during 5-year period (p < 0.05). Conclusions. the present study detected that breastfeeding duration longer than 12 months significantly reduces the common childhood infections such as otitis media and gastroenteritis during the first 5 years of life

The role of stress management and interpersonal communication in preventing violence against family physicians

Background: Family physicians are the first line of contact with patients seeking primary care services. Therefore, they are vulnerable to violence from patients and family members. Therefore, aim of this study was to determine of stress management and interpersonal communication of the family physicians and examine the role of stress management and interpersonal communication to prevent violence.Methods: 736 family physicians were participated from 37 different provinces of Turkey. The scores of stress management and interpersonal communication were compared according to violence situations.Results: A 20.65% (n = 152) of the physicians participating in the study were subjected to physical violence; their interpersonal communication scores were significantly lower than those of physicians who had not been subjected to physical violence (p = 0.022). Among the participants, 90.77% (n = 668) were subjected to verbal violence; their interpersonal communication scores were significantly lower than those of participants who had not been subjected to verbal violence (p = 0.012). Although the interpersonal communication scores were low and statistically related at the participants who had been subjected to violence.Conclusions: This study revealed that the interpersonal communication and stress management scores were low at the participants who had been subjected to violence; only interpersonal communication was statically related. Therefore, stress management and interpersonal communication is very important to protect from violence, we suggested that this should be part of the curriculum of medical schools and postgraduate education

Factors affecting healthy life style behaviors in workers working at a tea factory

Introduction: The objective of the present study was to determine educational level of the workers of a tea factory on occupational health and safety and to reveal the factors affecting a healthy lifestyle.Methods: The present descriptive research was carried out in a tea factory where 352 workers are employed between December 2016 and January 2017. 303 volunteer workers were enrolled into the study and a questionnaire form including topics of sociodemographic characteristics, occupational health and safety (OHS) implementations, health state and working conditions that was developed through literature information as well as Healthy Lifestyle Behaviors Scale (HLBS) were used for data analysis. Results: Age average of the workers who were all male was 39.88±5.53. Among the workers, 70.29% were elementary school graduate and more than half of the participants (62.70%) have a middle income (500-1,000 USD). Mean score of HLBS scale was 118.00±20.28 points. Average score of the sub-topics was the highest in health responsibility item with 22.06 points whereas the lowest score was detected in physical activity sub-topic.  It was detected that 64.69% of the workers had an occupational health and safety training at least once during their lifetime and 21.78% use a protective equipment. Rate of exposure to work-related accidents was detected as 10.57%

Factors affecting healthy life style behaviors in workers working at a tea factory

Introduction: The objective of the present study was to determine educational level of the workers of a tea factory on occupational health and safety and to reveal the factors affecting a healthy lifestyle.Methods: The present descriptive research was carried out in a tea factory where 352 workers are employed between December 2016 and January 2017. 303 volunteer workers were enrolled into the study and a questionnaire form including topics of sociodemographic characteristics, occupational health and safety (OHS) implementations, health state and working conditions that was developed through literature information as well as Healthy Lifestyle Behaviors Scale (HLBS) were used for data analysis. Results: Age average of the workers who were all male was 39.88±5.53. Among the workers, 70.29% were elementary school graduate and more than half of the participants (62.70%) have a middle income (500-1,000 USD). Mean score of HLBS scale was 118.00±20.28 points. Average score of the sub-topics was the highest in health responsibility item with 22.06 points whereas the lowest score was detected in physical activity sub-topic.  It was detected that 64.69% of the workers had an occupational health and safety training at least once during their lifetime and 21.78% use a protective equipment. Rate of exposure to work-related accidents was detected as 10.57%

Impact of multiple etiology on dizziness handicap

Objective: Our aim was to find the ratio of multiple diagnosis in dizziness patients and to evaluate the effect of multiple etiologies on handicap level of the patient.Study Design: Retrospective chart review.Setting: Tertiary referral center.Intervention: The data of 703 patients (178 men and 525 women) were included in the study. Diagnoses of the patients were made in a multiple-specialty environment including otolaryngology, neurology, cardiology, internal medicine, and rehabilitation medicine.Main Outcome Measures: All patients filled the dizziness handicap inventory and pointed the severity of dizziness on a 10-point visual analog scale.Results: Four hundred thirty-three patients (61.6%) have only one diagnosis, whereas 183 (26%) had two. Three diseases have been found in 34 patients (4.8%), and four diseases were present in eight patients (1.1%). The mean number of diagnosis in one patient was 1.32 +/- 0.71. There was a significant difference between two sexes on the number of disease. There was no correlation between age and the number of diagnosis. There was no significant difference in functional scale, but the statistically significant increases are present in both physical (p < 0.05) and emotional (p < 0.01) scales. There was no correlation between age and handicap levels.Conclusion: Multiple diagnoses were important factors on physical and emotional handicaps. It was also found that this problem is not limited with older age group