In our study, a considerable number of patients were aware of promotions and the effects of promotion on prescriptions. The findings of our study may contribute to the development of effective regulations on this issue. Very strict measures controlling drug companies' promotion activities must be formulated. Further, these regulations must incorporate and take into consideration the patients' opinion. Today, the basic need for the proper use of drugs does not rest in pharmaceutical promotion, but in providing adequate health services and effective education for both people and physicians.
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.
BackgroundAs the risks and benefits of early detection and primary prevention strategies for breast cancer are beginning to be quantified, the risk perception of women has become increasingly important as may affect their screening behaviors. This study evaluated the women’s breast cancer risk perception and their accuracy, and determined the factors that can affect their risk perception accuracy.MethodsData was collected in a cross-sectional survey design. Questionnaire, including breast cancer risk factors, risk perceptions and screening behaviors, answered by 624 women visiting primary health care center (PHCC). “Perceived risk” investigated with numeric and verbal measures. Accuracy of risk perception was determined by women’s Gail 5-year risk scores.ResultsThe mean age of the participants was 59.62 ± 1.97 years. Of the women 6.7% had a first-degree relative with breast cancer, 68.9% performed breast self-examination and 62.3% had a mammography, and 82.9% expressed their breast cancer worry as “low”. The numeric measure correlated better with worry and Gail scores. Of the women 65.5% perceived their breast cancer risk accurately. Among the women in “high risk” group 65.7% underestimated, while in “average risk” group 25.4% overestimated their risk.ConclusionsTurkish women visiting PHCC are overtly and overly optimistic. This was especially obvious with the result that nearly one third had had no mammography. There is a need for further studies to understand why and how this optimism is maintained so that better screening strategies can be applied at PHCC. All health workers working at PHCC have to be aware of this optimism to prevent missed opportunities for cancer screening.
Araflt›rmaE vde bak›m, kiflinin sa¤l›k ve sosyal gereksinimlerinin kendi ortam›nda, aile bireyleri veya aileden olmayan bak›c›lar arac›l›¤› ile sa¤lanmas› olarak tan›mlanabilir. Bireylerin, engellilik veya sadece ileri yafl nedeniyle kendi bak›m›n› yapamama durumuna göre, sa¤l›k veya sosyal hizmetlere gereksinimi olabilmektedir. Bu nedenle yaln›zca tedavi edici de¤il koruyucu, destekleyici ve rehabilite edici sa¤l›k ve sosyal hizmetlere duyulan Bulgular:Evde sa¤l›k hizmetleri için baflvuru yap›lanlar›n %61.9'u (52 kifli) kad›n ve ortalama yafllar› ise 58.4±7.4 idi. Çal›flmada de¤er-lendirilenlerin 54'ünde (%64.3) ba¤›ml›l›k, kronik durumlara ve yafll›l›¤a ba¤l›yken, 30'unda (%35.7) bedensel veya zihinsel engele ba¤l›yd›. Bu kiflilere halen evinde bak›m verenlerin, evde sa¤l›k hizmetinden en s›k beklentileri hastalar›n ilaçlar›n›n reçete edilmesi (%41.7), gereksinim duyulan t›bbi cihazlar›n sa¤lanmas› (%34.5) ve hastan›n sa¤l›k bak›m›n›n yap›lmas› (%27.4) idi.Sonuç: Daha çok demans ve serebrovasküler hastal›klar gibi kronik durumlar nedeniyle ve bedensel ya da zihinsel engelliler için baflvurulan evde sa¤l›k hizmetlerinden beklentiler ço¤unlukla; hastalar›n ilaçlar›n›n reçete edilmesi, ilaç raporlar›n›n düzenlenme-si, t›bbi malzeme ve cihazlar›n temini ve hastan›n bak›m›n›n yap›l-mas› gibi t›bbi konulard›r. Ülkemizde henüz geliflen bir uygulama olan evde sa¤l›k hizmetlerinden hasta ve yak›nlar›n›n beklentilerinin karfl›lanmas› önem tafl›maktad›r.Anahtar sözcükler: Evde sa¤l›k hizmeti, bak›m veren, hastalar.
Background: In Turkey, the studies have reported that the age at which sexual intercourse and sexual activity starts has been steadily declining. There is an urgent need to increase social and health services for young people in order to provide them with a healthy life by changing their risky behaviors, avoiding unwanted pregnancies and sexually transmitted diseases (STDs). Sexual and reproductive health training particularly for adolescents warrants special attention and consideration.
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