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  • Küçük Resim
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    Biküspit Aortalı Bir Adolesanda Enfektif Endokardit Gelişimi: Olgu Sunumu
    (Selçuk Üniversitesi, 2021) Örs, Orhan Polat; Kanık, Ali; Öngel, Kurtuluş
    Bicuspit aortik valvi olan on üç yaşında erkek olgu; yüksek ateş, karın ağrısı, ayak tabanlarında morluk ve yürüyememe yakınmaları ile getirildi. Hastada yaklaşık 3 haftadır süren yüksek ateş, ayak bileğinde ve dizlerde artralji, ayak tabanında vaskulit benzeri döküntü, hepatosplenomegali, anemi, lökositoz, trombositopeni, nonnefrotik proteinüri ve akut faz reaktanlarında pozitiflik ve kan kültüründe üreme saptandı. Bu çalışma ile biküspit aortalı genç bir enfektif endokardit vakası sunularak; konuya dikkat çekilmeye çalışılmıştır.
  • Küçük Resim
    Öğe
    Interventional Competency Goals Self-evaluations from the Perspective of Family Medicine Residents for Emergency Medicine Rotation
    (Selçuk Üniversitesi, 2024 Şubat) Arıkan, Cüneyt; Öngel, Kurtuluş; Saylav Bora, Ejder; Çalışkan Pala, Seval; Kanter, Efe; Alban, Merve; Çomak, Pelin
    Background: This study aims to determine how competent family medicine residents think they are in meeting the interventional competency goals set for the emergency medicine rotation and what factors are linked to their competency levels. Material and Method: The study is a methodological and cross-sectional study between 1 May and 31 October 2022. One hundred thirty-eight family medicine residents who completed their emergency medicine rotation and agreed to participate were included in the study. In the questionnaire used to collect data in the study, the Emergency Medicine Rotation Interventional Competence Scale (EMRICS) was developed by the researchers based on the family medicine specialty training curriculum and sociodemographic characteristics. Results: The mean age of the study group was 29.71±4.27 (Mean±SD) years, and 60.10% (n:83) were women. The mean scores obtained from the scale in the study group were 59.86±11.72 (Mean±SD). While the interventional competence in which family physician residents had the highest proficiency was arterial blood gas with 97.80% (n:135), the lowest was tracheostomy with 15.20% (n:21). Evaluation of essential life support (p:0.037), intubation (p:0.028), tracheostomy (p:0.034), trauma patient assessment (p:0.004) in the study group who applied five or more times received higher EMRICS than those who did not apply at all. Conclusion: Family medicine residents are competent enough for most emergency medicine rotation targets. In order to achieve the desired competence in interventional competency goals, it is recommended that it be repeated at least five times. Developed based on the training curriculum, EMRICS is a valid and reliable measurement tool for competency assessment.
  • Küçük Resim
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    Validity of the Turkish Patient-Doctor Relationship Questionnaire (PDRQ-Turkish) in Comparison with the Europep Instrument in a Family Medicine Center
    (DRUNPP-SARAJEVO, 2012) Mergen, Haluk; Van der Feltz-Cornelis, Christina M.; Karaoğlu, Nazan; Mergen, Berna Erdoğmus; Öngel, Kurtuluş
    AIM: To establish the validity and concurrent reliability of the Turkish version of the PDRQ with an already validated questionnaire in Turkish, the EUROPEP-Turkish. Materials & methods: The study was performed in a family medicine outpatient clinic from October 2009 until April 2010. The PDRQ-Turkish was administered to 405 outpatient volunteers, simultaneously with the EUROPEP-Turkish. The statistics were performed in SPSS 17 and Lisrel 8.3. Student's t- test and confirmatory factor analysis were applied. Results: The mean age of the patients was 21.6 +/- 4.9 years (SD). The total scores for the PDRQ-Turkish and the EUROPEP-Turkish showed a moderate correlation (r=0.471, p=0.000) for all patients. Factor analysis of the PDRQ yielded two factors. However, the variance of the second factor accounted for 9.26% of the total variance, and the internal consistency Cronbach-alpha value of the second factor was 0.37. Thus, we deleted the items that loaded on the second factor (the 6th, 13th, 14th and the 15th items), and this change yielded an internal consistency Cronbach-alpha value of 0.91 and a large goodness of fit index (GFI) of 0.97 with the correlated factors model for the PDRQ-Turkish. The Cronbach-alpha of Europep instrument was found 0.91 also and there is no significant difference both them (p>0.05) Conclusion: The PDRQ-Turkish can be used as efficently as the Europep instrument for the patient and doctor relationship in primary care.