Cow's Milk and Egg Allergy Presented With Chronic Diarrhea, Case Report

Persistent diarrhea in infancy, is one of the most common complaints form of food allergies. When the patient's histories are not detailed, they can be easily overlooked and they are tried to be controlled with general gastroenteritis treatments. In this case report, cow's milk and egg allergy was mentioned which is detected by the symptoms of persistant diarrhea, iron deficiency anemia and growth retardation. In this respect, we aimed to emphasize that primary care physicians should evaluate food allergy in the differential diagnosis when they encounter infants and children with persistent diarrhea and growth retardation.

The Frequency of Obesity, Hypertension, and Anemia in School-Aged Children: A Retrospective Cross-Sectional Study from a Family Health Center

Objective: This study aimed to evaluate the frequency of obesity, hypertension and anemia in the periodic follow-up of school-age children and adolescents aged between 6-19 years. Methods: In this retrospective cross-sectional study, weight, height, body mass index (BMI), systolic/diastolic blood pressure measurements and complete blood count results were compiled between January 2018 and August 2019 at a family health center. School-age children and adolescents examined for periodic screening purposes and whose completed measurement records were included while incompleted records were excluded from the study. IBM SPSS 22.0 program was used to analyze the data, and statistical significance was accepted as p<0.05. Results: The follow-up results include the data of 1049 children, (536 boys; 513 girls), with an average age of 11.4±3.2 years. The frequency of obesity, hypertension, anemia, short height, and underweight was 7.3%, 24.5%, 76.6%, 1.9%, and 21.3% respectively. The frequency of anemia was observed higher in girls (85.2%) than in boys (68.6%) (p<0.001). While there is no significant difference between age groups and genders in terms of the presence of hypertension (p=0.299 and p=0.270), a higher hypertension diagnosis rate was observed in primary school children (26.1%) than children with hypertension diagnosis in secondary school (24.3%) and high school (19.9%), significantly (p<0.001 and p<0.001). Although the frequency of hypertension (31%) and anemia (85%) was higher in obese groups compared to other groups, it was not found statistically significant (p=0.151 and p=0.196). Conclusion: This study was performed in a primary health care institution; despite the prevalence of obesity at a similar rate to previous studies, it has demonstrated that one out of every four children was hypertensive or underweight, and almost all of the girls were anemic, resulting in cautionary results in terms of preventing growth and development problems, adult cardiovascular and maternal-fetal mortality risks.

Health Anxiety Levels and Healthy Lifestyle Behaviors of Çukurova University Medical Faculty Students

Objective: Medical students’ attitudes and behaviors are particularly important for themselves, their families and the society as the yare the health professionals of the future. The aim of this study was to investigate the relationship between health anxiety levels and healthy lifestyle behaviors of medical students in Cukurova University and there lated factors. Methods: The study population consisted of 1886 medical students in Cukurova University during the 2018-2019 academic year. The study sample consisted of 319 medical students. The students completed a Socio-demographic Data Form consisting of 24 questions, Health Anxiety Inventory (short version) consisting of 18 questions and Healthy Lifestyle Behaviors Scale consisting of 48 questions. Data was analyzed using SPSS 23.0 package program. Results: Of 319 students, 58.9% were female and 41.1% were male; the mean age was 21.5±2.1 years. The mean score of Health Anxiety inventory was 17.6±6.2. There was a significant relationship between self-perception of health and health anxiety (p=0.001). The total score of the Healthy Lifestyle Behaviors Scale was 120.1±18.1 out of 192 indicating a moderate level. The mean scores of subdimensions were 35.9±5.9 for self actualisation, 21.7±4.9 for health responsibility, 9.7±3.6 for physical activity, 15.2±3.6 for nutrition, 20.3 for interpersonal relationships, and 17.3 for stres management, respectively. The total scores of the Healthy Lifestyle Behaviors Scale and the mean scores of exercise and stress management subscales were higher in male students than female students. Conclusion: It was found out that the students did not have high levels of health anxiety and had moderate healthy lifestyle behavior levels. It was observed that students with increased levels of health anxiety had less healthy lifestyle behaviors. Students should be empowered about health promotion to enable them to have the ability for self-management.

Evalution of Family Physician’s Awareness of Vertigo: A Cross-sectional Study

Objective: This study aims to determine the family physician’s level of awareness on vertigo. The approaches of family medical practitioners and ENT physicians on vertigo-diziness was determined, as well as the knowledge on most common vertigo-causing diseases and the diagnostic and therapeutic approaches of these diseases were contrasted. Methods: 352 physicians including 160 ENT physicians and 192 family physicians were included in the survey study. This study was conducted in the form of an online survey using “google forms” open web page. The questionnaire study was completed by specialist physicians, lecturers and actively working medical residents with more than 1 year of professional experience. Participants were asked to fill in a 34-item questionnaire involving sociodermographic information, the definition of vertigo, the commonest vertigo-causing diseases, the treatment of these diseases and their willingness for educationon vertigo. Results: Concerning the questionnaire item “what is the first disease that comes to mind when vertigo is mentioned?”, 95% of ENT physicians responded benign paroxysmal positional vertigo (BPPV) and 3% of them mentioned Meniere’s disease as their answer while 53% of the family physicians answered BPPV and 35% of them chose Meniere’s disease. 31% of ENT physicians and 63% of family physicians stated that they usually order blood tests to the patients presenting with vertigo complaint. The reply to the question “what is the basic treatment of BPPV” was repositioning maneuvers in 96% of ENT physicians and 71% of family physicians. The rate of performing repositioning maneuvers on patients with BPPV is 97% in ENT physicians and 29% in family medical doctors. Conclusions: The most crucial conclusion of this study is that family physicians participating in the questionnaire need more education about the distinction between vertigo and dizziness and some fundamental points about peripheral vertigo-causing diseases. At this point, we think that organizing courses on vertigo for family physicians will be beneficial in this regard.

Examining the Knowledge, Attitudes and Behaviors of Adults about Colorectal Cancer Risk Factors and Early Diagnosis Methods

INTRODUCTION: In this study, ıt was aimed to determine the level of awareness by evaluating the knowledge, attitudes and behaviors of people about the risk factors, symptoms and early diagnosis methods of colorectal cancer. METHODS: The study was conducted with a face-to-face interview with 300 patients who met the inclusion criteria of the study, who applied to the Family Medicine Clinic of İzmir Bozyaka Education and Research Hospital at the University of Health Sciences, between January 2019 and February 2019. Data obtained statistically were analyzed using SPSS (Statistical Package for Social Sciences) program. RESULTS: The mean age of the participants was 51,8±8,66 years and the age ranged was between 40 to 70 years. 68.3% (205) of the participants were female. When the educational status of the patients is examined, the highest rate is composed of primary school graduates with 33% (99), followed by university graduates with 28.7% (86). 66.3% (124) of those who have heard about colorectal cancer screening test reported that they heard it from health care workers, 25.7%(48) from their relatives and friends. 62.3% (187) of the participants heard about colorectal cancer screening tests. While 96.7% (290) of the participants believed that those tests were necessary, 85% (255) of the participants thought that the aim of the colorectal cancer screening test was to catch the disease at an early stage. Only 29% (87) of the participants were informed by the doctor about colorectal cancer screening tests. Only 25% (75) of the participants knew names of colorectal cancer screening tests correctly. 39.7% (60) of the participants over the age of 50 had a CRC screening test. While the participants considered changes in the habit of defecation as the most frequent sign of CRC, the most known risk factor was the family history of CRC. DISCUSSION AND CONCLUSION: In our study ıt was determined that individuals had a lock of knowledge about CRC and the rate of screening test recommended for those over the age of 50 was low. For this reason, Family Physicians, who are great importance in terms of ptotective medicine should inform and guide their patients more about the screening test.

Follow-up and Treatment of an Orf Case Diagnosed at a Family Health Center

Orf is a zoonotic disease transmitted by contact from small ruminants, which is also common in our country, and its causative agent is parapoxvirus. It usually occurs as lesions characterized by nodules on the fingers, and although it is a self-limiting disease that heals without treatment, it can be confused with other zoonotic diseases and cause complications as a result of unnecessary interventions. For this reason, it is important for primary care physicians to recognize orf disease, which does not require a specific treatment, and to distinguish it from other zoonotic skin diseases. In this study, in a 56-year-old male patient who applied to the family health center, after vaccination of ovine animals; A case of orf diagnosed by history and physical examination and treated with symptomatic methods is presented.

Anxiety and Occupational Anxiety Level of Final Year Medical Students Who Attend a Course for Medical Board Exam

Objective: Our study aimed to evaluate anxiety and occupational anxiety level in final-year medical students attending a medical board exam course. Methods: This study was conducted between February and May 2020 in a medical board exam course center in Istanbul within the necessary permissions. The study was completed with 210 final year medical students who responded appropriately to the Beck Anxiety Inventory (BAI) and Occupational Anxiety Questionnaire (MKA) form, and a questionnaire which is consisted of sociodemographic data prepared by us and statistical analyzes were performed. Results: The mean age of participants was 23.60±1.36 years, with 53.3% (n=112) identified as male and 46.7% (n=98) identified as female. The mean score of BAI was 14.15±11.01, and according to the level of BAI, 81 (38.6%) of participants had minimal, 43 (20.5%) had mild, 48 (22.9%) had moderate, and 38 (18.1%) had severe anxiety. The mean score of OCQ was 55.92±12.81, and 136 (64.8%) participants had a moderate level of OCQ. There was a positive correlation between BAI and OCQ mean score (r=0.228, p=0.01). Conclusion: The study results revealed that most final-year medical students had minimal anxiety levels and moderate occupational anxiety levels.