[The opinions of Turkish physicians about the tasks of tuberculosis central dispensary].

Department of tuberculosis control is the main tuberculosis branch of Minister of Health, with coordinators in cities as intermediate departments and Tuberculosis Central Dispensaries (TCD) as peripheral branches. This study was performed through January-May 2007 in seven different geographical regions to figure out opinions of physicians on tuberculosis dispensaries. A specific questionnaire was distributed to doctors in two cities in each geographical region. A number of 1250 doctor participated in the study as at least fifty doctors in each city. Mean age of the subjects was 32.58 +/- 6.63 (22-65), 52.1% (651) of whom had diagnosed tuberculosis before. It was found in the study that two important functions of tuberculosis central dispensaries for the doctors were the treatment of patients regularly and freely, and scanning the persons who have very close contact with active tuberculosis patient. A number of 157 doctors accepted all seven functions of dispensary as important. Female doctors, pediatricians and chest physicians had better knowledge on the tasks of tuberculosis central dispensaries (p< 0.005). This study showed that Turkish physicians did not have enough knowledge about tuberculosis and its tasks. We believe that practical training procedures for the physicians on the goals and functions of TCD will help to treat tuberculosis

Neuronal Plasticity and Temporal Adaptivity: GasNet Robot Control Networks

Designing controllers for autonomous robots is not an exact science, and there are few guiding principles on what properties of control systems are useful for what kinds of task. In this article we analyze the functional operation of robot controllers developed using evolutionary computation methods, to elucidate the strengths and weaknesses of the underlying control system class. By comparing and contrasting robot controllers based on two different classes of artificial neural network, the GasNet and NoGas networks, we show that the increased evolvability of the GasNet class on a visual shape discrimination task is due to the temporally adaptive nature of the GasNet, where neuronal plasticity mediated through the concentration of virtual neuromodulatory "gases" occurs over a wide range of time courses. We argue that the availability of mechanisms operating over a wide range of potential time courses is a crucial property for controllers used to generate adaptive behavior over time, and that the design process should easily be able to adapt those time courses to the natural time scales in the environment

Vaccination coverage in the South-East Anatolian Project (SEAP) region and factors influencing low coverage

Objectives: To determine the vaccination coverage of children living in the South-east Anatolian Project (SEAP) region; whether the vaccination coverage was similar to formal reports, other studies and other countries; and which factors influence vaccination, in order to indicate how vaccination coverage can be improved. Study design: A descriptive cross-sectional study conducted in nine provinces of the SEAP region in order to determine public health problems and their causes. Methods: A population-based sample of 1150 houses was selected from rural and urban areas of the SEAP region and visited by the researchers. Questionnaires were applied in 2001 and 2002. Results: In the SEAP region, only 30% of children had received a complete set of vaccines. The vaccination coverage was 76.7% for Bacille Calmette-Guérin; 62.0% for the third doses of diphtheria, tetanus toxoid, pertussis and polio vaccine; 62.7% for measles; 44% for the third dose of hepatitis B vaccine in children aged 12-23 months; and 13.3% for the second dose of tetanus toxoid in women who gave birth in the last 5 years. In logistic regression analysis, residence type, number of siblings, birth interval, follow-up visits of midwives, and maternal level of education were found to influence whether children were completely vaccinated. Conclusions: The findings of this study indicate that vaccination coverage is not acceptable in the SEAP region. Efforts must focus on family planning services, education of women, follow-up visits and strengthening health facilities, especially in rural regions, to improve vaccination. © 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved

(SEAP) region of Turkey

Objective To determine attitudes towards family size and last pregnancies in order to improve family planning services in the Southeast Anatolian Project (SEAP) region.Methods A questionnaire survey in the nine SEAP regional provinces was carried out under the auspices of the 'SEAP Public Health Project' from 2001 to 2002. The participants comprised 1756 women and 661 men from 1126 households.Results For men and women aged 15 years and over the median ideal number of children was three. The rate of unintended last pregnancies (43.1%) in the present study was very high compared to the national average of 18.8%. Some 30.1% of the last pregnancies were unwanted by either partner.Conclusions The number of pregnancies and children in this region is approximately twice as high as the ideal number. Families in the region are having more children than they want. Basic education must be given to women, particularly non-Turkish speakers, to improve their knowledge and use of family planning. Family planning education for men in rural areas also needs special attention