Background: Breast cancer is the leading cause of cancer-related deaths in women. Despite being associated with high morbidity and mortality, breast cancer is a disease that can be diagnosed and treated early. Materials and Methods: In this cross-sectional study of 321 women, data were collected by Questionnaire, Breast Cancer Risk Assessment Form and Champion's Health Belief Model Scale. Mann-Whitney U, Kruskal-Wallis, Chisquared tests and logistic regression were used in the statistical analysis. Results: It was found that only 2.2% of women have high and very high risk levels of breast cancer risk. There is a positive correlation between early diagnosis techniques and Health Belief Model Sub-Dimension scores which are sensibility, health motivation, BSE (Breast self-examination) self-efficient perception and negative correlation between mammography barrier score and BSE barrier score (p 0.05). When factors for not having BSE were examined, it was determined that the women who do not have information about breast cancer and the women who smoke have a higher risk of not having BSE. Conclusions: It is important to determine health beliefs and breast cancer risk levels of women to increase the frequency of early diagnosis. Women's health beliefs are thought to be a good guide for planning health education programs for nurses working in this area.

GirişÜlkemiz, acil hastalıkların, kaza ve yaralanmaların sık karşılaşıldığı, bunun yanında olağan dışı durumlar ve afetlerin yoğun olarak yaşandığı bir ülke konumundadır. Bu nedenlerle de acil sağlık hizmetlerinin ülke düzeyindeki organizasyon yapısı ve uygulamaları önem taşımaktadır (1).Ülkeler acil yardım ve kurtarma hizmetlerini itfaiye, polis ve ambulans üçgeninde organize etmişlerdir. Acil durumlarda, polis olay yerinde güvenliği sağlamak, gerekli adli kayıtları tutmak ve delilleri toplamak; itfaiye, yangınla mücadele ve kurtarma işlemlerini sağlamak; ambulans yaşam desteğini sağlamak ve yaralıyı uygun hastaneye nakletmekle yükümlüdür (2). AbstractObjective: In this study, we have examined the ambulance working order in the 3 years period between the years 2006-2008 in Gaziantep city. Materials and Methods: In this study, the number of personel working in 112 ambulances, daily number of emergency exit patients, period of time of arrival of patients and arrival at the nearest medical institution, transfer of patients according to their illness, range of cases according to sex and age, population per station and automatisation between 112 emergency command centers and hospitals have been examined. Results: According to gender, the number ofmale cases were found to be more than female cases. Female case number above 65 years old has been found greater than the male cases. The highest case number has been found in the 6-25 years old group for males and above 65 years old for females. It was determined that the case number is increasing every year. The reason for calls was determined as 54.6% medical cases and 16.3% traffi c cases. According to pre-diagnosis, it was determined that trauma cases decreased and the cases concerning cardiovascular system increased gradually. It was seen that a great majority of the cases were reached within the fi rst 20 minutes. It was seen that ambulance emergency exits comprised 62.5% hospital transfer, 13.5% timely intervention and 9.5% transfer inter-hospitals. It has been determined that ambulance exit numbers were increasing every passing year. Conclusion: With this study it is concluded that planning should be done to prevent delay in reaching emergency cases due to the increase in ambulance usage and also it was determined that the communication between command centers and inter-hospitals should be at the maximum level in order to minimize the delay period during transfer to hospitals, and frequent updates of used and empty bed lists of hospitals should be made. (JAEM 2011; 10: 27-32) Özet Amaç: Bu çalışmada Gaziantep ilinde 2006-2008 yılları arasındaki 3 yıllık dönemde ambulans çalışma düzenini inceledik. Gereç ve Yöntemler: Çalışmada 112 ambulanslarında çalışan personel sayısı, acil hastalar için günlük yapılan çıkış sayıları, hastaya ulaşma ve en yakın sağlık kurumuna ulaştırma süreleri, hastaların hastalıklarına göre dağılımı, vakaların cinsiyet ve yaşa göre dağılımı istasyon başına düşen nüfus ve 112 acil komuta merkezi ile hastaneler arasındaki otomasyon incelendi. B...

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Objective: Vitamin D deficiency has become an epidemic for all age groups in the world. The aim of this research is to evaluate the vitamin D deficiency in-home care patients and related lifestyle reasons. Method: This research is done on Home Care patients registered to İstanbul Şişli Hamidiye Etfal Training and Research Hospital between January 2015 – February 2016. After getting the patients’ vitamin D records retrospectively, we have inquired patients if they have regular exposure to sunlight, whether they have a history of fracture or osteoporosis, and other related lifestyles.D vitamin deficiency was grouped as; normal(>30ng/ml), insufficiency(20-30ng/ml), deficiency(lower than 20ng/ml)and the severe deficiency(lower than <10ng/ml). We used the SPSS20.0 program; frequency, chi-square, and T-test were evaluated. Results: Totally 232 patients were included in this study. There were 160(%69) women and 72 (%31) men. Vitamin D insufficiency was found in 11.2% (n=26), and vitamin D deficiency in 70.3% (n=163). 70.1% (n=96) of 137 patients who answered the questions were female and 29.9% (n=41) were male. 86.1% of them (n=118) did not benefit from sunlight, 63.5% (n=87) had not received vitamin D treatment before. Vitamin D deficiency was detected in 79.3% (n=69) of those who did not receive vitamin D treatment, and a significant relationship was found between them. Conclusion: In our study, we have found that most homecare patients have low levels of Vitamin D, do not have regular exposure to sunlight, not do exercise regularly. Vitamin D replacement is vital in home-care patients as vitamin D deficiency increases the risk of osteoporosis, falls, and fractures.

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