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    Knowledge, attitude and behavior of mothers related to acute respiratory infections
    (Edizioni Minerva Medica, 2016) Peker, Emel; Sahin, Erkan M.; Topaloglu, Naci; Uludag, Aysegul; Adaoglu, Hasret; Gungor, Selen
    BACKGROUND: The aim of this paper was to evaluate the level of knowledge and general attitude to acute respiratory diseases and behavior of antibiotic usage and related factors. METHODS: The study included 122 mothers of children between 2 and 16 years of age who applied the complaint of respiratory infections and experienced the respiratory infections previous year, to policlinics between January and May 2012. A survey form was used to evaluate the sociodemographic properties of the mothers, and the level of knowledge, attitude and behavior of mothers to childhood acute respiratory infections, fever and antibiotic use. RESULTS: Of the children, 58.1% applied with cough, and 40.9% applied with fever to the doctor. Before attendance 28.6% of mothers had used antibiotics and 27.8% antipyretics. The rate use of not prescribed antibiotics was 12.3%. Before medical evaluation of children, the use of a variety of traditional and alternative medical methods was at the high rate of 57.4%. The average attitude scores of mothers about the antibiotics use for acute respiratory infections fell into the category of being against antibiotic use and income level toward antibiotic use and a correlation between duration of mother's education against antibiotic use. CONCLUSIONS: We found that the level of knowledge of parents about medications used by their children was insufficient and there is a high percentage of non-prescription use of antibiotics. In low income and low education level of parents the use of antibiotics increased. Health workers must correctly inform parents about symptoms, course and medication. The effects of health education in the management of common diseases must be evaluated with studies.
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    Scleroderma renal crisis and ovarian hyperstimulation syndrome related to the use of clomiphene in a patient with scleroderma
    (Elsevier Doyma Sl, 2014) Kobak, Senol; Hacivelioglu, Servet; Gungor, Selen
    This paper presented a 28-year-old female with systemic sclerosis who developed scleroderma renal crisis and ovarian hyperstimulation syndrome following clomiphene administration. Urgent therapy including angiotensin-converting enzyme (ACE) inhibitors and supportive care resulted in regression and eventually resolution of all the clinical and laboratory symptoms. Although scleroderma renal crisis is a fatal complication of high-dose corticosteroids, rarely is this seen with the use of ACE inhibitors. This case report aimed to investigate the potential capacity of the selective oestrogen receptor modulator clomiphene to induce scleroderma renal crisis as well as corticosteroids. (C) 2012 Elsevier Espana, S.L. All rights reserved.