Background:In recent years, so many people have left their counties because of the war or social, political and economic reasons. This study aims to evaluate the applications of Syrian refugees to a public health center to describe the health care provided to them. Method:The study is intended as a two-part in regard with the mixed design of the study. The first part planned as single-center, descriptive study to be performed with health records of the Syrian asylum seekers and refugees admitted İzmir-Karabaglar community health center within one year. In the second part semi-structured interviews with three doctors who were working in the same center, taking care of Syrian patients, was planned to understand their experiences and views on this service. For quantitative data SPSS for windows 20 program is used and descriptive analysis are performed. Thematic analysis was used for evaluating interviews. Results: 891 applications were made to Karabaglar community health center within one year and the median of the applicants was 4. The most prevalent reason for application was enfections (519; 58.2%) and the number of refugees who applied for preventive care was very low ( (90; 10.1%). The number of laboratory tests was 41 (4.6%) patients and the most requested test was urinary analysis. 502 (56.3%) application resulted with a prescription, the number of antibiotics and analgesics were the highest. Doctors who provide service were not satisfied with the care they give. They were having very deep communication problems related with both different cultur and language, hard time to understand patient and the disease. They stated that there is a need of different regulations. Conclusions: Refugees and asylum seekers do not receive the necessary health care they need. Physicians in primary care who take care of these people are thinking that they are not competent and not helpful for these patients. ÖZETGiriş: Son yıllarda milyonlarca insan, savaşlar başta olmak üzere siyasi, ekonomik ve sosyal sebeplerle öz vatanlarından ayrılarak yabancı ülkelere sığınmak zorunda kalmıştır. Çalışmamızda, sayıları gittikçe artan Suriyeli sığınmacıların, aldıkları birinci basamak sağlık hizmetlerini tanımlayabilmek amacı ile bir toplum sağlığı merkezine yapılan bir yıllık başvurular değerlendirilmiştir. Yöntem: Çalışma karma desende olup, iki aşamalı olarak tasarlanmıştır. İlk aşamada, İzmir-Karabağlar toplum sağlığı merkezine bir yıl içerisinde başvuran Suriyeli sığınmacı hastalara ait kayıtlardan elde edilen verilerle, tek merkezli, tanımlayıcı bir araştırma olarak planlanmıştır. İkinci bölümde ise, aynı birimde Suriyeli sığınmacılara, poliklinikte hizmet veren üç doktorla yarı yapılandırılmış görüşme yapılarak deneyimlerini ve görüşlerini aktarmaları istenmiştir. Kantitatif veriler, SPSS 20 programında değerlendirilerek tanımlayıcı analizler yapılmış, görüşmeler ise tematik analiz yöntemi ile değerlendirilmiştir. Bulgular: Karabağlar Toplum Sağlığı Merkezi'ne, bir yıl içerisinde yapılan başvuru sayısı 891 olup, ortanca yaş 4 olarak b...

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.

Bu çalışmanın amacı kadınların Pap smear test taramasına ilişkin inançlarını değerlendirmektir. Gereç ve Yöntem: Araştırma, araştırmacı tarafından geliştirilen Pap smear testi için Sağlık İnanç Modeli Ölçeğini içeren bir anket aracılığıyla gerçekleştirilmiştir. Katılımcılar, İzmir'de bir Aile Sağlığı Merkezi'ne kayıtlı 18-70 yaş arası 266 kadındı. Pap smear testi taramasına ilişkin inançları Sağlık İnanç Modeli Ölçeği kullanılarak değerlendirildi. Bulgular: Ortalama ilk cinsel ilişki yaşı 21,67±4,5 (min:13-maks:45 yıl) idi, %86,5'i tek partner olduğunu ve %41,0'ı (n=109) hiç Pap smear testi yaptırmadığını ifade etti. Daha önce Pap smear testi yapılmış kadınların hassasiyet, ciddiyet, avantaj ve motivasyon, sağlık motivasyonu alt ölçek puanları yüksekti, ancak engeller ortalama puanları düşüktü. Ciddilik, sağlık motivasyonu alt ölçekleri ile Pap smear testi yapılması arasında fark vardı (p=0,021, p=0,006), Sağlık İnanç Modeli Ölçeği'nin ciddiyet ve sağlık motivasyonu puanları ortalamaları daha yüksekti (p<0,05). Eğitim düzeyi, çalışma durumu ve Pap testi yaptırmak arasında fark yoktu (p>0,05). Sonuç: Pap smear testi yaptırma durumu halen orta düzeydedir ve engeller bulunmaktadır. Aile hekimleri için Pap smear testini engelleyen nedenlerin ortadan kaldırılması için girişimlerin planlanması önemli bir konudur.

Objective: Family planning is one of key responsibilities of family physicians; providing birth control methods, and ensuring its practical application remains important for maternal and child health. The aim of this study is to determine the contraception methods used by the individuals who applied to Family Health Centers (FHC) and to reveal the relationship between family planning methods chosen.Material and Methods: A descriptive research method was adopted for this study using the follow-up records of the FHCs. One thousand two hundred thirty-two follow-up records in total were accessed between March 2018 and December 2018, and SPSS 21.0 was used for data analysis.Results: Mean ranks provide evidence that age scores were higher for the users of tubal ligation, and this group had significantly more children than the users of combined oral contraceptives (p<0.001), condom (p<0.001) and intrauterine device (p=0.043). When all the follow-ups were evaluated, it was seen that the number of people who did not use contraceptive methods was high. Conclusion:Family planning and sexual education are associated with the availability and sustainability of resources that are crucial for healthcare. It remains important to provide Family Planning counseling to those who do not use any contraceptive method during the follow-up.

Objectives: To define the demographic characteristics, health and dependence status of patients receiving home care services (HCSs) and the services needed and received by the patients. Patients and Methods:It is a descriptive study including 120 patients that had HCSs from a training and research hospital home care unit, where the files of the patients were evaluated retrospectively between January and August 2010. Results:Most of the patients in need of HCSs were female (61.8%), their mean age was 72.6±16.4 (range: 16-105) and 75.5% were 65 years and above, while 79.2% were bedridden. The personal hygiene and nutritional status were deemed inappropriate in 21.7% and 31.7%, respectively. The most common diseases were hypertension (19.3%), cerebrovascular accidents (13.5%), and Alzheimer's disease (9.5%). Family members mentioned their training needs' topics as nutrition (30.3%), sanitation-hygiene (21.2%), and general care (18.2%). Conclusion:The study has shown different aspects of HCSs including medical, nursing, and social welfare problems for all parties, especially family physicians. People applied for HCSs were mostly women, elders with impaired functional status and bedridden. Their caregivers were mostly family members who needed social support not only in economic means but also in training so that they can provide better care for their relatives. Sonuç: Bu çalışma, tüm taraflar için, özellikle aile hekimleri için, tıbbi ve hemşirelik alanları ile sosyal yardım kapsamındaki alanlarda ESH'nin farklı yönlerini göstermektedir. ESH için başvuranların çoğu kadın, yaşlı, fonksiyonel durumu bozuk ve yatağa bağımlıdırlar. Bakım verenler, sadece ekonomik anlamda değil, hastalarına daha iyi hizmet verebilmek için eğitim anlamında da hizmet almak ihtiyacındadırlar. Anahtar kelimeler: Evde sağlık hizmeti, Bağımlılık durumu, Bakımveren IntroductionThe modern description of hospice includes not only palliative care for the incurably ill given in hospitals or nursing homes, but also services provided to those who spend their last months or days of their lives at their own homes. In 1950s Dame Cicely Saunders pointed out the importance of palliative care in modern medicine in England [1, 2]. Evaluation of home care services at a training and research hospital in Izmirİzmir'de bir eğitim ve araştırma hastanesinde evde bakım hizmetlerinin değerlendirilmesi