BackgroundIn recent times, medical schools have committed to developing good communication and history taking skills in students. However, there remains an unresolved question as to which constitutes the best educational method. Our study aims to investigate whether the use of videotape recording is superior to verbal feedback alone in the teaching of clinical skills and the role of student self-assessment on history taking and communication skills.MethodsA randomized controlled trial was designed. The study was conducted with 52 of the Dokuz Eylul University Faculty of Medicine second year students. All students' performances of communication and history taking skills were assessed twice. Between these assessments, the study group had received both verbal and visual feedback by watching their video recordings on patient interview; the control group received only verbal feedback from the teacher.ResultsAlthough the self-assessment of the students did not change significantly, assessors' ratings increased significantly for videotaped interviews at the second time.ConclusionsFeedback based on videotaped interviews is superior to the feedback given solely based on the observation of assessors.

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Despite common use of primary health-care systems, with regard to tertiary hospital presentation, the most important factors for preferring tertiary hospital presentation were caregiver trust in tertiary hospital resources for diagnosis and treatment.

Background: When dealing with breast cancer, early detection is closely associated with determining and closely monitoring high risk groups. The aim of this study was to determine the preventable risk factors that are specific for our country, and to understand which risk factors were most predominant. Materials and Methods: The study was planned as a case-control design. Women diagnosed with breast cancer who visited the Surgery, Obstetrics and Gynaecology, and Radiation Oncology outpatient clinics of the Izmir Dokuz Eylul University (DEU) School of Medicine were accepted as the case group. Then a control group matched for age was established among females who visited the outpatient clinics on the same days. A questionnaire prepared by the researchers was implemented using a face-to-face interview technique. The Mann-Whitney U test was used in the comparisons of the group averages, and the Pearson chi-square test in the comparisons between groups. In order to determine the dominant risk factors, binary logistical regression test was implemented. Results: A total of 138 patients, 69 cases and 69 controls, were included in the study. A significant difference can be detected between the groups in terms of BMI, smoking, breast cancer prevalence among first degree family members, presence of breast cancer among distant family members, existence of other types of cancers among family members and the age of onset of menopause (p<0.05). Logistical regression analysis revealed that the presence of breast cancer among first degree relatives increased the risk of developing breast cancer 5.7 times. Conclusions: Although some results of this study are compatible with findings in the literature, some are not. In order to determine unique risk factors, there is a clear need for large-scale studies.

Araflt›rma153 Ö nlenebilir bir sa¤l›k sorunu olan serviks kanseri dünyada kad›nlarda en s›k görülen ikinci kanser türüdür ve kad›n hayat›na yönelik tehditlerin en önemlilerinden biridir. Olgular›n %80'inden fazlas› geliflen ülkelerdedir; 2020'de bu oran›n %90'a ulaflmas› beklenmektedir. [1] 2005 y›l›nda dünyada 260,000 kad›n bu hastal›ktan ölmüfl, bu ölümlerin yaklafl›k %95'i geliflen ülkelerde gerçekleflmifltir. [2] Hastalarda beklenen 5 y›l sa¤kalma oran› geliflmifl ülkelerde %66, geliflmekte olanlarda ise %50'nin alt›ndad›r. [1] Türkiye'de 2005'teki bir çal›flmaya göre kad›nlarda en s›k görülen ilk 10 kanser aras›nda endometrium kanseri 9. (%5.38), serviks kanseSa¤l›k kurulufllar›na baflvuran kad›nlar›n rahim a¤z› kanseri afl›s› ile ilgili bilgilenmelerinin tutumlar› üzerine etkisi Türk Aile Hek Derg 2011;15(4):153-158 Araflt›rma | Research Article Özet Amaç: Serviks kanseri dünyada ve ülkemizde önemli bir sa¤l›k sorunudur. Bu kanserin en önemli nedeni HPV virüsüne karfl› gelifltirilen afl›y› T.C. Sa¤l›k Bakanl›¤› da önermektedir. Ailelerin bilgilendirilmesi ile afl› kullan›m›n›n yayg›nlaflmas› öngörülmektedir. Çal›fl-mam›z›n amac›, HPV afl›s› ile ilgili bilgi art›fl›n›n, kad›nlarda afl›n›n kabulü ile ilgili tutumu de¤ifltirip de¤ifltirmedi¤ini araflt›rmaktad›r. Yöntem: 468 kad›na, HPV ve serviks kanseri ile ilgili bir bilgilendirme formu okutulmadan önce ve okutulduktan sonra bilgi ve tutumlar›n› de¤erlendiren bir soru formu uyguland›. Demografik veriler, hastalar›n önceki bilgileri ile bilgilendirme sonras› tutum de¤iflikli¤ini ölçen sorular ki-kare ba¤›ms›zl›k testi ile karfl›laflt›r›ld›. Bulgular: Bilgilendirme öncesi ortalama do¤ru yan›t oran› %49.72 iken; bilgilendirme sonras›nda %72.44'e yükseldi. Bilgilendirme öncesi ve sonras› afl› yapt›rma ile ilgili tutumlar aras›nda-ki fark anlaml› idi. E¤itim durumu ve smear testi yapt›rma s›kl›¤› ile bilgilendirme öncesi bilgi düzeyi aras›nda istatistiksel olarak anlaml› bir iliflki gözlendi. Eflinin izin vermesi, afl›n›n aile hekimince hastaya önerilmesi, afl› ücretini devletin ödemesi afl›n›n kabul edilirli¤ini art›rmaktad›r. Sonuç: Kad›n ve erkeklerin do¤ru bilgilendirilmelerinin yan› s›ra afl› ücretinin ulafl›labilir olmas›n›n HPV afl›s›n›n kabul edilmesinde önemli rol oynayaca¤› gözlenmifltir. Anahtar sözcükler: HPV afl›s›, serviks kanseri, birincil koruma. SummaryObjective: Cervical cancer is a major health problem. A vaccine has been developed against HPV which is the most important etiological factor for cervical cancer and is endorsed by the Ministry of Health in our country. Informing families is predicted to increase the usage of the vaccine. In our study, we investigated whether giving information to women about the HPV vaccine increased acceptance of the vaccine. Methods:A questionnaire measuring the attitudes and knowledge regarding HPV and cervical cancer was applied to 468 female participants. Then they were given an educational document and then a second questionnaire was administered to measure attitudes. Chi square test of independence was used...

Abstract Introduction Hypertension (HT) is a systemic disease manifested by high blood pressure and is a major health problem, common in the community and the cause of serious complications. Control of blood pressure levels is an essential step in reducing the resulting complications. The aim of the study is to evaluate the impact of a face-to-face HT training on the HT knowledge and awareness of the family medicine resident doctors, and to understand their needs. Method Our study was planned in a descriptive-cross-sectional research design. Immediately before and after the face-to-face training, participants were given a questionnaire created by researchers based on two documents: the Turkish Hypertension Consensus Reports published in 2019, and the Hypertension Diagnosis and Treatment Guidelines published by the Turkish Endocrinology and Metabolism Society in 2022. Results In our study, we observed the effect of face-to-face education on 15 sub-categories of HT as an intervention research model. In the post-training evaluation, 12 of the 15 sub-categories involved theoretical questions, and three were case-based evaluation questions. The goal was to correctly answer 50% or more of the questions, and it was observed that, after the training, in five of the fifteen sub-categories, this target was generally achieved . Conclusion Face-to-face training is effective in increasing knowledge and awareness, and evaluation capacity, which are two important elements of HT administration in primary care. A detailed examination of 15 sub-categories related to HT revealed the categories that were better in terms of effect size. In addition, we reviewed other factors in the success of education, such as "case study”, and identified the most influential of these. Our study also detailed the effects on sub-categories related to HT management (such as resistance to first-stage HT management), which reveal interesting and somewhat unexpected results

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