Browsing by Subject "physician attitude"

Now showing 1 - 5 of 5
  • No Thumbnail Available
    Item
    Experience of workplace violence during medical speciality training in Turkey
    (2008) Acik Y.; Deveci S.E.; Gunes G.; Gulbayrak C.; Dabak S.; Saka G.; Vural G.; Can G.; Bilgin N.G.; Dundar P.E.; Erguder T.; Tokdemir M.
    Aims: To determine the type, extent and effects of workplace violence among residents during postgraduate speciality training in various departments of medical schools in Turkey. Methods: A cross-sectional survey was conducted in seven medical schools representing all geographical regions of Turkey. All physicians in speciality training in the selected medical schools were asked to complete a semi-structured 'violence questionnaire' addressing the type (emotional, physical and sexual) and extent of violence experienced, the perpetrators of the violence and the victim's reactions to the experience. Results: A total of 1712 residents out of 2442 completed the questionnaire. In all, 68% indicated they had experienced some form of workplace violence, 67% had experienced verbal violence, 16% had experienced physical violence and 3% had experienced sexual violence. The victims' most prevalent reactions to violence included being deeply disturbed but feeling they had to cope with it for the sake of their career (39%), being distressed (26%) but considering that such events are common in all occupations and discounting it and being confused and bewildered and unsure how to respond (19%). The most frequently named perpetrators of verbal violence were relatives/friends of patients (36%) and academic staff (36%), followed by other residents/senior residents (21%), patients (20%), heads of department (13%) and non-medical hospital staff (6%). Conclusions: Physicians in speciality training in medical schools in Turkey are subject to significant verbal, physical or sexual violence. Precautions to prevent such exposure are urgently needed. © The Author 2008. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved.
  • No Thumbnail Available
    Item
    Treatment of severe asthma: Expert opinion; [Aǧi{dotless}r asti{dotless}m tedavisi: Uzman görüşü]
    (Ankara University, 2014) Türktaş H.; Bavbek S.; Çelik G.; Demir T.; Gemicioǧlu B.; Günen H.; Kiyan E.; Mungan D.; Oǧuzülgen I.K.; Polatli M.; Saryal S.; Sayiner A.; Şen E.; Yildirim N.; Yildiz F.; Yorgancioǧlu A.
    Severe asthmatics account 10% of the all asthmatic population. Those asthmatics whose disease is inadequately controlled account for up to half of the cost for asthma, because they have more emergency room visits, more hospital admission and greater absenteeism from work. New therapeutic options were tried in those patients whose asthma was uncontrolled with standart high dose inhaled corticosteroid and long acting beta-2 agonsit combination therapy. In this paper taking into account the conditions of our country, current literature was reviewed and treatment options was discussed and graded recommendations are made for daily clinical practice in patients with severe treatment-refractory asthma.
  • No Thumbnail Available
    Item
    Untitled
    (Turkiye Klinikleri Journal of Medical Sciences, 2016) Karabay O.; Hoşoğlu S.; Güçlü E.; Akalin Ş.; Altay F.A.; Aydin E.; Ceylan B.; Çelik A.; Çelik İ.; Demirdal T.; Demirli K.; Erben N.; Erkorkmaz Ü.; Erol S.; Evirgen Ö.; Gönen İ.; Güner A.E.; Güven T.; Kadanali A.; Koçoğlu M.E.; Kökoğlu Ö.F.; Küçükbayrak A.; Sargin F.; Sünnetçioğlu M.; Şenol Ş.; Taşbakan M.I.; Tekin R.; Turhan V.; Yilmaz G.; Dede B.
    Background/aim: Broad-spectrum antibiotics have become available for use only with the approval of infectious disease specialists (IDSs) since 2003 in Turkey. This study aimed to analyze the tendencies of doctors who are not disease specialists (non-IDSs) towards the restriction of antibiotics. Materials and methods: A questionnaire form was prepared, which included a total of 22 questions about the impact of antibiotic restriction (AR) policy, the role of IDSs in the restriction, and the perception of this change in antibiotic consumption. The questionnaire was completed by each participating physician. Results: A total of 1906 specialists from 20 cities in Turkey participated in the study. Of those who participated, 1271 (67.5%) had ≤5 years of occupational experience (junior specialists = JSs) and 942 (49.4%) of them were physicians. Specialists having >5 years of occupational experience in their branch expressed that they followed the antibiotic guidelines more strictly than the JSs (P < 0.05) and 755 of physicians (88%) and 720 of surgeons (84.6%) thought that the AR policy was necessary and useful (P < 0.05). Conclusion: This study indicated that the AR policy was supported by most of the specialists. Physicians supported this restriction policy more so than surgeons did. © TÜBITAK.
  • No Thumbnail Available
    Item
    Trendelenburg Lithotomy Position During Vaginoscopic Office Hysteroscopy Reduces Pain and Procedure Duration; [Trendelenburg Litotomi Pozisyonu Vajinoskopik Ofis Histeroskopide Ağrıyı ve İşlem Süresini Azaltır]
    (Galenos Publishing House, 2021) Gencer F.K.; Yüksel S.; Kumbasar S.; Babaoğlu B.; Kavsi B.; Salman S.
    Objective: Vaginoscopic office hysteroscopy (VOH) is a gold standard diagnostic method for many uterine disorders. However, it may result in patient discomfort. This study aimed to investigate the effect of the Trendelenburg lithotomy (TL) position, in respect of the level of pain and procedure time during the VOH for diagnostic purposes. Methods: This study included 157 patients between the ages of 20 and 65 years, of whom 74 underwent diagnostic VOH with the lithotomy position (group 1) and 83 with the TL position (group 2). Subsequent evaluation that was conducted on both groups included visual analog scale scores of patients, procedure duration, and the attitudinal Likert-type survey of doctors. Results: A significant difference was found between groups 1 and 2 in pain scores (p<0.001), procedure duration (p<0.001), and attitudinal Likert-type survey of doctors (p=0.002). Group 2 reported lower pain scores than group 1 (3.34±2.37 and 5.69±2.33, respectively). Similarly, the procedure duration in group 2 was significantly reduced (60.11±26.3 and 83.3±29.5, respectively). The attitudinal Likert-type survey of doctors also showed significant improvement in group 2 (3.48±0.97 vs. 3.03±0.86, respectively). Conclusion: VOH with the TL position lowered the pain scores in patients and reduced the procedure duration. The TL position is a good way of increasing the patients’ compliance and tolerance. Likewise, it makes the procedure easier for the doctor without any additional price. ©Copyright 2021 by Medical Journal of Bakırköy published by Galenos Yayınevi.
  • No Thumbnail Available
    Item
    Assessing rheumatologists’ attitudes and utilization of classification criteria for ankylosing spondylitis and axial spondyloarthritis: a global effort
    (Springer Science and Business Media Deutschland GmbH, 2021) Rich-Garg N.; Danve A.; Choi D.; Vakil-Gilani K.; Akkoc N.; Azevedo V.; Russell A.; Sharma A.; Cush J.; Curtis J.R.; Deodhar A.
    Objectives: This study aims to assess rheumatologists’ perceptions, utilization patterns, and attitudes towards the modified New York (mNY) criteria for ankylosing spondylitis (AS) and Assessment of SpondyloArthritis International Society (ASAS) criteria for axial spondyloarthritis (axSpA). Methods: Members of the national rheumatology societies in five countries (United States of America (USA), Canada, India, Turkey, and Brazil) were invited to participate in a survey containing questions regarding rheumatologists’ familiarity, and use of AS and axSpA classification criteria in daily practice, perceived specificity of spondyloarthritis features in making the diagnosis, patterns of imaging tests performed in daily practice, and their opinion about the need for modification of current classification criteria. The responses were analyzed by gender, age, years in practice, as well as by country of practice. Descriptive statistics, t test, and chi-square test were used for comparison of groups. Results: Approximately 6% rheumatologists (478 out of 8021 professional association members) from five countries completed the survey. The country-specific response rates were Brazil 4%, USA 4.3%, India 11%, Canada 14%, and Turkey 29%, though the overall contributions from individual countries were USA 47%, India 14.9%, Brazil 13.8%, Turkey 12.8%, and Canada 8.8%. The mean age of respondents was 50 years (± 11.8), 31% were females and 90% spent majority (> 75%) of their time in clinical practice. The mNY and ASAS criteria were regularly used in clinical practice by 44 and 66% of responders, respectively. Those reporting “always” using ASAS criteria were more likely to be women (p = 0.006), and within 5 years of completing rheumatology training. Vast majority (74%) regarded Inflammatory Back Pain (IBP) as a specific feature for axSpA. Majority (50 and 60%, respectively) regarded uveitis and dactylitis as “very specific” features helping them make the diagnosis of axSpA, whereas heel enthesitis, peripheral inflammatory arthritis, and response to NSAIDs were considered “somewhat specific” by 50% of the responders. Less than half (47%) of the responders used the mNY grading for X-ray of SI joints. In the case of normal X-ray of SI joint, the use of MRI was more frequent than CT scan (83.6 vs. 10.9%) in assessing for sacroiliitis. If sacroiliitis was not seen on X-rays, the likelihood of ordering MRI was significantly higher among rheumatologists completing training within < 15 years versus > 25 years prior (90 vs. 75%, p = 0.007). Overall, 70% thought that ASAS criteria were adequately specific for clinical trials. However, 42% respondents still felt a need to modify ASAS classification criteria for axSpA. Also, 46% respondents felt that mNY criteria should be modified. Conclusions: In the absence of diagnostic criteria, majority of rheumatologists are using the classification criteria for diagnosis of axSpA. Though axSpA classification criteria are perceived to be specific for clinical trials, 40% rheumatologists feel the need to modify these criteria.Key Points• This study informs how rheumatologists in five countries spread over four different continents diagnose axSpA in clinical practice.• Since majority rheumatologists among survey respondents across the countries use ASAS criteria for diagnosis of axSpA, more specific criteria may be required to avoid overdiagnosis.• MRI is commonly used to rule out sacroiliitis in case of normal X-ray of sacroiliac joints. © 2020, International League of Associations for Rheumatology (ILAR).