ore throat is among the most common causes of admission in primary care. A sore throat is predominantly a disease of adolescents and those in their early school years. 1 In adults, the most common reason for sore throat is an upper respiratory tract virus infection including rhinovirus, coronavirus and adenovirus with a ratio of 85% to 90%. 2 The bacterial cause of sore throat is mainly group A β-hemolytic streptococci (GAβHS), and can be cultured in 5% to 17% of adults with sore throat. 3 Acute tonsillitis is an acute inflammatory disorder of the tonsils manifested usually by swollen tonsillar structures associated with the symptoms of a sore throat. Tonsillitis may represent as an isolated disease or it can be associated with systemic diseases such as infections and neoplastic disorders. 4,5 A study exploring patients with tonsillitis showed that those whose tests were positive for GAβHS and treated with penicillin had relieved symptoms about 16 hours earlier than those whose tests were negative for GAβHS. 4 Treated or not, 85% of patients became completely free of symptoms after one week. 6 The host immunity and the aggressivity of the etiological agent effects the severity and course of acute tonsillitis. Herein we present an adult who had been complaining about a sore throat, headache, high fever, and weakness for two weeks and, after being suspected of having leukemia by the primary health care professionals, was
Background Although family physicians (FPs) often encounter patients who have been subjected to intimate partner violence (IPV), the data on FPs’ response to IPV is limited. This study aimed to determine FPs’ attitudes towards IPV survivors in the Çankaya district of Ankara, Turkey. Methods An online questionnaire designed to elicit sociodemographic information and FPs’ attitudes towards IPV was distributed between 20 August 2021 and 20 October 2021. Results Eighty-nine FPs participated in the study. Of the participants, 71.9% had a patient diagnosed with IPV during their practice. Of these physicians, 100% diagnosed physical, 56.3% sexual, 71.9% psychological, 53.1% economic, and 10.9% cyber violence. Among these physicians, sexual, psychological, and economic violence were determined at higher rates by family medicine specialists (FMSs) compared to general practitioners (GPs), by FPs who had received IPV training compared to those who were untrained, and by female physicians compared to males (P < 0.05). Despite diagnosing IPV, some physicians did not intervene/guide their patients, and some only consoled their patients because they thought the situation was inevitable. The reasons for not taking official action included insufficient time, feeling uncomfortable talking about violence, lack of information about the detection and reporting, and the thought that the woman would not leave her abusive partner. Conclusions The results showed that among the physicians who encountered IPV, female sex, family medicine speciality training, and IPV training resulted in acting more consciously in diagnosing violence, implementing referral and notification systems, and approaching IPV survivors. The prevention of IPV could be made possible by supporting FPs with ongoing training, breaking down stereotypes and prejudices about gender roles, and changing the structures that maintain unequal power relationships.
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