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    Determination of non-physician health professionals' in-service training requirements working in primary health care agencies
    (Yerkure Tanitim & Yayincilik Hizmetleri A S, 2016) Duman, Cigdem Savas; Suluhan, Derya; Durduran, Yasemin
    Objective: The purpose of this study is to determine the in-service training topics which are demanded by health professionals without doctors working in primary health care agencies and factors related in-service training topics. Material and Methods: The study was carried out between December 2014 and February 2015 in city center of Konya. The sample of the study consists of 498 non-physician health professionals (nurses, midwife, health officer) working in primary health care agencies within the city center of Konya. The data have been obtained via using a questionnaire prepared by their searchers via viewing literature. SPSS statistical package program version 17 was used for the statistical analysis of data. Data are summarized using percentage distributions; categorical data were analyzed using the chi-square test. In all analyses, p<0.05 was considered statistically significant. Results: 45.4% of participants (n: 195) are midwife, 46.6% of participants (n: 201) are graduated from two year degree. 54.2% of participants (n: 233) are working in Family Health Center and 72.8% of participants (n: 307) are whose tenure in the profession is at least 11 years. Only 24% of participants have expressed the requirement of in-service training. New developments and courses have taken first place among the demanded in-service training. As a result, midwife (29.7%) participants, participants with a history of occupational accident (39.4%) and whose tenure in the profession is fewer than 5 years (34.1%) were the ones who demanded in-service training program (respectively p values: 0.024; 0.039; 0.030). Conclusion: By examination level of knowledge of health professionals periodically and in-service training should be the identification of needs. Training programmes are also recommended in the consideration of topics they want to learn concurrently.
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    Measurement of Optic Nerve Sheath Diameter to Detect Increased Intracranial Pressure in Hypertensive Patients
    (Emergency Medicine Physicians Assoc Turkey, 2020) Dikmetas, Cesareddin; Ergin, Mehmet; Duman, Cigdem Savas; Gulpembe, Mustafa; Acar, Tarik; Yavuz, Kenan; Cander, Basar
    Aim: Our aim was to measure optic nerve sheath diameter (ONSDM) by ultrasonography and to detect whether ONSDM reflected intracranial pressure in hypertensive patients. Materials and Methods: This observational study was performed prospectively in 149 individuals, 77 (51.7%) of whom were female, including 54 hypertensive-symptomatic patients, 45 hypertensive-asymptomatic patients, and 50 healthy volunteers referred to Emergency Medicine Service of Necmettin Erbakan University, Faculty of Medicine. Blood pressure was measured on the right and left upper extremities by the same sphygmomanometer following at least five minutes of rest. ONSDM was recorded. All measurements of hypertensive-symptomatic patients were repeated at 30th minute following antihypertensive therapy. Results: Moderate-to-well statistically significant correlations were determined between initial mean systolic blood pressure and ONSDM (rho=0.629, p=0.001) as well as between initial mean diastolic blood pressure and ONSDM (rho=0.561, p=0.001) in all study groups. Statistically significant differences were determined between the mean pre- and post-treatment systolic and diastolic blood pressures as well as the mean pre- and post-treatment ONSDM values of 40 patients who received antihypertensive therapy (p=0.000, p=0.000, p=0.000, respectively). Conclusion: Ultrasonographic ONSDM reflected increased intracranial pressure in hypertensive patients. The reduction of intracranial pressure was also detected by the same method following antihypertensive treatment. Ultrasonographic ONSDM along with clinical findings and blood pressure measurements may be used for evaluation of response to treatment and deciding on further imaging.