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

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%

The effect of cystatin-C and pro-BNP in determining mortality in elderly patients with sepsis

In this study we examined whether cystatin-C, pro-BNP, procalcitonin and C-reactive protein (CRP) is valuable in predicting multiorgan failure and mortality in elderly (>= 65) patients with sepsis. A total of 35 patients who were treated for sepsis in hospital were included in the study. Chronic renal failure, hypothyroidism or hyperthyroidism, known history of diabetes and patients with heart failure were excluded from the study. Cystatin-C, pro-BNP, procalcitonin and CRP levels were measured besides the routine biochemical examinations. Patients were divided into two groups according to their in hospital outcome in terms of mortality. There was no statistically significant difference in patients age, CRP, cystatin-C, pro-BNP, procalcitonin, BUN, creatinine, leukocyte count, hemoglobin and platelet count according to the etiology of sepsis. However there was a significant difference in mortality rate between pneumonia and cholangitis groups with the others. Cystatin-C (p=0.031) and pro-BNP (p=0.023) levels were significantly higher in mortality group when both groups were compared. Increase of cystatin-C and pro-BNP levels were detected in elderly patients with sepsis or septic shock. The cystatin-C and pro-BNP levels can be used as an indicator of early mortality in these patients

Evaluation of the use of alternative and complementary therapies and conception status of women receiving infertility treatment

This study aims to evaluate the use of alternative and complementary therapies and conception status of women receiving infertility treatment. A total of 349 patients who applied to the infertility department of Medipol University and Private Nisa Hospital between October 1st and November 30th, 2020 were included in the study on their consent in participating in the research. Data was collected through face-to-face interviews using an information form prepared in accordance with the literature review carried out by the researchers. The pregnancy status of the patients was recorded as a result of the treatment and their relationship with the use of alternative and complementary therapies was examined. Of the 349 patients who participated in the study. A statistically significant difference (p [Med-Science 2021; 10(2.000): 564-70

Evaluation of the use of alternative and complementary therapies and conception status of women receiving infertility treatment

This study aims to evaluate the use of alternative and complementary therapies and conception status of women receiving infertility treatment. A total of 349 patients who applied to the infertility department of Medipol University and Private Nisa Hospital between October 1st and November 30th, 2020 were included in the study on their consent in participating in the research. Data was collected through face-to-face interviews using an information form prepared in accordance with the literature review carried out by the researchers. The pregnancy status of the patients was recorded as a result of the treatment and their relationship with the use of alternative and complementary therapies was examined. Of the 349 patients who participated in the study. A statistically significant difference (p [Med-Science 2023; 12(4.000): 1364-7

How Reliable Is Pupillary Evaluation Following Subarachnoid Hemorrhage? Effect of Oculomotor Nerve Degeneration Secondary to Posterior Communicating Artery Vasospasm: First Experimental Study

AYDIN, Nazan/0000-0003-3232-7713WOS: 000434669900006PubMed: 29241271Background and Study Aim Basic neurophysiologic principles of the light reflex are well known. However, the effects of degenerated axon densities of oculomotor nerves (OMNs) secondary to posterior communicating artery (PComA) vasospasm following subarachnoid hemorrhage (SAH) have not been investigated. Our aim was to study this subject. Methods This study was conducted on 19 rabbits. There was a control group of five animals, a sham group of five animals in which saline was injected into the cisterna magna and a study group of nine animals in which homologous blood was injected into the cisterna magna. Pupillary diameters were measured for 1week, then the animals were decapitated. the normal and degenerated axon densities of the OMNs were examined by stereological methods. Vasospasm indexes (VSIs) of posterior communicating arteries (PComAs) supplying OMNs were estimated and analyzed statistically. Results the pupillary diameter was 5.439368 mu m, and the mean axon density of the OMNs was 0.924 +/- 324/mm (3) in the control group. the pupillary diameter and degenerated axon density of the OMNs in animals of the sham group were 6.980 +/- 0.370 mu m and 36 +/- 8/mm (3) , respectively. the pupillary diameter was 9.942 +/- 653 mu m, and degenerated axon density of the OMNs was 265 +/- 57/mm (3) in animals with SAH. the mean VSI values of PComAs were 0.927 +/- 0.224 in the control group, 1.542 +/- 0.257 in the sham group, and 2.321 +/- 0.324 in the SAH group. Conclusion We found a linear relationship between the axon density of the OMNs and pupillary diameters. High degenerated neuron density in the OMNs may be responsible for an unresponsive pupillary that has not been mentioned in the literature

Evaluation of malnutrition with blood ghrelin and fecal elastase levels in acute decompensated heart failure patients

Objectives: Exocrine pancreatic dysfunction may contribute to malnutrition and lack of appetite in the advanced stages of heart failure. Nutritional assessment was carried out on patients diagnosed with mild or moderate/severe heart failure. Fecal elastase levels are an indicator of pancreatic exocrine function and ghrelin is an appetite hormone which is also investigated for its contribution to malnutrition

Comparison of MPV and High Sensitive CRP Levels between Patients with and without Diabetic Microvascular Complication

Aim: Diabetes is an important cause of mortality and morbidity affecting especially individuals with its complications. We aimed to draw attention to the fact that MPV and hsCRP can be evaluated as warning parameters in terms of development of the complications of diabetes