This study was performed to investigate knowledge, attitudes and behavior about breast cancer in the women applying to Early Cancer Diagnosis, Screening and Education Centre. The study included 96 women applying to Early Cancer Diagnosis, Screening and Education Centre between 1 January 2013 and 1 February 2014. The women were offered information about the study and those giving written informed consent were enrolled in the study. A questionnaire created by the researchers was used to collect data. The mean age of participants was 40.28±9.21 years (min=18, max=62). Seventy-eight participants (81.3%) reported that the most frequent cancer was breast cancer and 16 participants (16.7%) reported that uterine cancer was the most frequent cancer. Breast cancer was reported to appear in all stages of life by 73 participants (76%), in old age by 13 participants (13.5%) and in young people by 10 participants (10.4%). Information about breast cancer was found to be offered to 37 women (38.5%) by health staff and 24 women (25%) by radio/TV programs. Fiftyfour women (56.3%) performed breast self-examination, but 42 women (43.8%) did not perform the examination. Thirty-four women aged 40 years and older (61.8%) and 20 women aged younger than 40 years (48.8%) were found to carry out breast self-examination, though there was not a significant difference between them (P=0.203). The study showed that the women did not have sufficient knowledge about breast cancer. In addition, the women did not implement methods used for early diagnosis of breast cancer.
ÖzetAmaç: Çalışmamızda acil serviste düzenlenen adli raporları mevzuat eşliğinde incelemeyi amaçladık.
Gereç ve Yöntem:Çalışmamızda bir üniversite araştırma ve uygulama hastanesi acil tıp kliniğine 01.08.2012-01.02.2013 tarihleri arasında başvuran 220 olguya ait genel adli muayene raporu ve hasta dosyası incelendi. Bulgular: Çalışmaya dahil edilen olguların 157'si (%71.4) erkek, 63'ü (%28.6) kadın, yaş ortalaması ise 27.3±15.9 SD (min: 1, maks: 87) idi. Olguların 56'sında (%25.5) herhangi bir konsültasyon yapılmamış olup, en sık beyin cerrahi kliniğin-den konsültasyon istendiği tespit edildi. Adli olguların en sık trafik kazası 67 (%31.5) nedeniyle olduğu görüldü. Olguların hiçbirisinde alkol alım durumlarının tespitine ilişkin analizlerin yapılmadığı belirlendi. Adli raporların 114'ünde (%51.8) yaralanmanın basit tıbbi müdahale ile giderilebilecek nitelikte olduğu saptandı. Raporların 61'inde (%27.7) hayati tehlikenin varlığının belirtildiği bulgusuna ulaşıldı. Düzenlenen raporların türüne bakıldığında 215'inin (%97.7) geçici, beşi-nin (%2.3) ise kati rapor olarak düzenlendiği tespit edildi.Sonuç: Çalışmamızda hekimlerin adli rapor düzenlenmesin-de eksik yaklaşım sergilediği görülmektedir. Hekimlerin adli olgulara ilişkin yapacağı iş ve işlemler ile adli olgulara nasıl bir yaklaşım sergileyeceği hem tıp eğitiminde hem de mezuniyet sonrası eğitimlerde işlenmelidir.Anahtar sözcükler: Acil servis; adli olgu; adli rapor.
SummaryBackground: In this study we aimed to investigate the forensic reports prepared in the emergency department in respect of current legislation.
We found that a significantly high rate of the Maras powder users was Candida carriers. It should be kept in mind that opportunistic infections may be caused by Candida species in Maras powder users especially with immunosuppressive conditions since Candida species are likely to lead to such infections in cases of immunosuppressive diseases.
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