Determination of the Knowledge and Practice of Mothers with Children Aged 0-6 Years About High Fever

Aim: We aimed to determine the knowledge and practice of mothers with children aged 0-6 years about fever in this study. Methods: 214 mothers with children aged 0-6 were included in the study in family health center between in January and February 2014. The data was collected by demographic information form and a questionnaire about the knowledge and practice of mothers. Results: In our study, we observed that 99 of the mothers (46.3 %) measured fever of children at home. 200 (93.5%) mothers preferred first family health center, 14 (6.5 %) preferred second or third level health services when children have a raised body temperature. We observed that166 (77.6%) mothers admitted to the medical center on the first day of raised child's temperature, 48 (22.4%) mothers admitted to the medical center on the second day of raised child's temperature. It was observed that antipyretic application was applied by 206 (96.3%) mothers. The first application for reducing the fever; 51.9% of children take their clothes off, 27.6% of gives antipyretic, and 18.2% put their children in the bath, 2.4% makes cold application. Conclusion: In our study, most of the mothers who have brought children aged 0-6 to family health center have knowledge about fever and it has been observed that the morhers exhibited appropriate behavior

Association between the use of renin-angiotensin system blockers and development of in-hospital atrial fibrillation in patients with ST-segment elevation myocardial infarction

Background and aim: Atrial fibrillation (AF) is the most common supraventricular arrhythmia following ST-segment elevation myocardial infarction (STEMI). We evaluated the association between use of previous angiotensin converting enzyme inhibitors and/or angiotensin receptor blockers (renin-angiotensin system [RAS] blockers) and started RAS blockers after MI and development of AF in patients presenting with acute STEMI. Materials and methods: This retrospective study enrolled 1000 patients with acute STEMI who were admitted to the coronary care unit. Patients were divided into groups according to the use of RAS blockers before MI and development of AF rates was compared. Predictors of AF were determined by multiple logistic regression analysis. Results: Of the 1000 patients presenting with STEMI, 247 received and 753 did not receive RAS blockers. The incidence of AF was 7.9%. The incidence of AF in patients receiving RAS blockers and did not receiving RAS blockers before MI were similar (5.7% vs. 8.6% respectively, P = 0.13). On the other hand, AF rate was lower in patients in whom RAS blockers were administered during MI as compared to those in whom these agents were not administered (7.2% vs. 28.6%, P < 0.001). Multiple regression analysis results showed that administration of RAS blockers or statins during hospitalization and left atrial diameter were associated with development of AF in patients with acute STEMI. Conclusions: Previous therapy with RAS blockers does not reduce the incidence of AF in STEMI. Administration of RAS blockers at the hospital may decrease the AF rate in STEMI

Results Of Diaphragm Pacing Application in Amyotrophic Lateral Sclerosis Patients. First Turkish Experience

Objective: To share the application and outcomes of diaphragmatic pace stimulating system (DPSS) used in amyotrophic lateral sclerosis (ALS) patients first in Turkey