BackgroundMigraine is a significant health problem, especially for the young people, due to its frequency and accompanying morbidity, causing disability and loss of performance. In this study, our aim was to determine the prevalence of migraine headaches among university students in Edirne, a Turkish city.MethodsIn this cross-sectional and descriptive study, study population was composed of students registered to Trakya University in the academic year of 2008-2009. Out of these, 3694 of them accepted to participate. Participants who had two or more headaches in the last 3 months formed the headache group. Afterwards, two preliminary questions were applied to the headache group and participants with at least one affirmative response were asked to perform the validated ID-Migraine™ test.ResultsThe mean age of 3694 students participated in the study was 19.23 ± 1.84 (17-39 years), with adolescents:adult ratio being 2.5:1. 1613 students (43.7%) did have at least two headaches in the last three months. Migraine-type headache was detected in 266 subjects (7.2%) based on the ID-Migraine™ test. Of the migraine group, 72 were male (27.1%) and 194 were female (72.9%). There was no significant difference in migraine prevalence between adolescent and adult age groups.ConclusionsWith a prevalence similar to adults, primary care physicians should be aware of the probability of migraine headaches in university students in order to maintain a successful school performance.

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BackgroundResidents are one of the key stakeholders of specialty training. The Turkish Board of Family Medicine wanted to pursue a realistic and structured approach in the design of the specialty training programme. This approach required the development of a needs-based core curriculum built on evidence obtained from residents about their needs for specialty training and their needs in the current infrastructure. The aim of this study was to obtain evidence on residents' opinions and views about Family Medicine specialty training.MethodsThis is a descriptive, cross-sectional study. The board prepared a questionnaire to investigate residents' views about some aspects of the education programme such as duration and content, to assess the residents' learning needs as well as their need for a training infrastructure. The questionnaire was distributed to the Family Medicine Departments (n = 27) and to the coordinators of Family Medicine residency programmes in state hospitals (n = 11) by e-mail and by personal contact.ResultsA total of 191 questionnaires were returned. The female/male ratio was 58.6%/41.4%. Nine state hospitals and 10 university departments participated in the study. The response rate was 29%. Forty-five percent of the participants proposed over three years for the residency duration with either extensions of the standard rotation periods in pediatrics and internal medicine or reductions in general surgery. Residents expressed the need for extra rotations (dermatology 61.8%; otolaryngology 58.6%; radiology 52.4%). Fifty-nine percent of the residents deemed a rotation in a private primary care centre necessary, 62.8% in a state primary care centre with a proposed median duration of three months. Forty-seven percent of the participants advocated subspecialties for Family Medicine, especially geriatrics. The residents were open to new educational methods such as debates, training with models, workshops and e-learning. Participation in courses and congresses was considered necessary. The presence of a department office and the clinical competency of the educators were more favored by state residents.ConclusionsThis study gave the Board the chance to determine the needs of the residents that had not been taken into consideration sufficiently before. The length and the content of the programme will be revised according to the needs of the residents.

We aimed to determine the prevalence and risk factors of restless legs syndrome in Edirne and its districts, located in Western Thrace, which is the most western part of Turkey. In this study, 4003 individuals who could communicate and agreed to participate in the study were evaluated. To obtain the data from the applicants in 30 Family Health Centres in Edirne and its districts, a face-to-face questionnaire that consisted of 54 questions was prepared by the researchers. The questionnaire included general information, questions to evaluate potential concomitant comorbid conditions and questions regarding the symptomatology used in restless legs syndrome (RLS) diagnosis, as well as questions to evaluate insomnia and tension-type headache secondary to insomnia according to the ICD-II Criteria (International Classification of Sleep Disorders-II Criteria). Of 4003 individuals, 282 were diagnosed with RLS according to the questionnaire results from Edirne and its districts, and the prevalence of RLS was 7%. Approximately, 47.9% of the patients with RLS were male, and 52.1% were female, which was not significantly different (p > 0.05). Anaemia was identified in 41.1 % of the cases and control group was detected in 19.4 %, which was significantly different (p < 0.001). Secondary insomnia was identified in 64.2% of the cases with RLS and was not detected in 35.8%, which was significantly different (p < 0.001). RLS prevalence studies will increase the awareness of the community and provide early diagnosis and treatment, as well as serve as a basis to reduce morbidity and improve the quality of life.

Amaç: Kronik inflamasyonla seyreden, genellikle sigara içicili inin ve hipokseminin e lik etti i, beslenme ve efor kapasitelerini etkileyen kronik obstrüktif akci er hastal nda serum lipid düzeylerinin nas l etkilendi ini ortaya koymak. Gereç ve Yöntem:Çal maya 15.01.2008 ile 15.03.2008 tarihleri aras nda gö üs hastal klar ve iç hastal klar polikliniklerine ayaktan ba vuran Kronik Obstrüktif Akci er hastal tan s alm 110 hasta dahil edildi. ontrol grubu ise gönüllü olarak çal maya kat lan 60 ki iden olu turuldu. Hasta grubu GOLD s n fland rmas na göre orta, a r ve çok a r olarak evrelendirildi. Kontrol ve hasta gruplar sigara içme durumu, vücut kitle indeksleri, serum lipid seviyeleri aç s ndan kar la t r ld . Bulgular: KOAH'l hastalarda total trigliserid, total kolesterol, LDL kolesterol ve LDL/HDL kolesterol seviyeleri anlaml olarak dü ük bulundu. HDL kolesterol yönünden hasta ve kontrol grubu aras nda anlaml bir fark bulunamad . Orta evre KOAH grubunda LDL kolesterol kontrol grubuna göre anlaml olarak dü üktü, ancak LDL/HDL kolesterol, HDL kolesterol, trigliserid ve total kolesterol seviyeleri aç s ndan kontrol grubu ile aras nda anlaml bir fark bulunamad . A r ve çok a r evre KOAH'l hasta gruplar nda total trigliserid, total kolesterol, LDL kolesterol, LDL/HDL kolesterol düzeyleri kontrol grubuna göre anlaml olarak dü ük bulunurken, HDL kolesterol yönünden anlaml bir fark bulunamad .Sonuç: KOAH'l hastalar n serum lipid düzeylerindeki azalman n, hipoksik sürecin sebep oldu u karbonhidrat ve lipid metabolizmas ndaki anaerobik de i iklikler nedeniyle olabilece i dü ünülmü -tür. KOAH'l hastalarda sigara içimi, sedanter ya am tarz na ramen koroner aterosklerozun az görülme nedenlerinden birinin de lipid düzeylerindeki dü üklük ile ilgili olabilece i kan s na var lm t r. Results: Total triglyceride, total cholesterol, LDL cholesterol and LDL/HDL cholesterol levels were significantly low in the patient group. No significant difference was found between HDL levels of patient and control groups. LDL levels were significantly low in the moderate COPD group, but no significant differences were found in LDL/HDL cholesterol, HDL cholesterol, triglyceride and total cholesterol levels between the groups. In the severe and very severe COPD groups, total triglyceride, total cholesterol, LDL cholesterol, LDL/HDL cholesterol levels were significantly lower than the control group, whereas no significant difference was found between HDL levels. Conclusion:Anaerobic changes in carbohydrate and lipid metabolism caused by hypoxia is thought to be the reason for the decrease in serum lipid levels of patients with COPD. One of the causes of low incidence of coronary artery disease in patients with COPD despite smoking habits and sedentary life; is thought to be related to the decrease in lipid levels.(Tur Toraks Der 2010; 11: 55-61) G RGOLD'a (Global Initiative on Obstructive Lung Disease) [1] göre, tam olarak geri dönü ü olmayan hava ak m k s tlanmas ile karakterize bir hastal k olan kronik obstrüktif akci er hastal (KOAH), tüm dün...