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Title: Turkish Journal of Medical Sciences



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Title: Turkish Journal of Medical Sciences


Full Journal Title: Turkish Journal of Medical Sciences

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? Aysan, E., Koroglu, G., Turkeli, V., Ozgonul, A., Ozyasar, A., Gulumser, C., Kilic, K., Erturk, T., Ozdemir, O., Alpaslan, A.H. and Bayrak, S. (2008), Resident physicians in Turkey: Results of a survey of 1069 residents from 11 provinces. Turkish Journal of Medical Sciences, 38 (1), 35-42.



Full Text: 2008\Tur J Med Sci38, 35.pdf

Abstract: Aims: To determine the problems, expectations and objectives of resident physicians in Turkey and to provide a contribution to the development and amendment of the residency program. Background: Residency varies considerably in accordance with factors like teaching staff, the institution and government policies. If characteristics, problems, expectations and objectives of resident physicians are stated and known, development and amendment of residency programs will be both easier and faster. Materials and Methods: A 50-question survey was completed by a randomly selected 1069 resident physicians from 15 university and 12 teaching hospitals in 11 provinces (Istanbul-503, Ankara-116, lzmir-86, Erzurum-71, Sivas-60, Bolu-49, Bursa-49, Sanliurfa-46, Trabzon-38, Kocaeli-32, Van-20). The male/female ratio of the participants was 1.53, their mean age was 28.37 years (range, 23-48 years) and mean duration of residency was 19.7 months (1-66 months). Results: 83% of the participants were content with their current medical branch selection. The most common reason for preference of residency training was job satisfaction (80%). 84% of the participants had personal computers, 69% had personal internet connection and 90% had an e-mail address. 44% of them connected to the internet daily and 26% connected every other day. Knowledge of a foreign language was in English in 97%, and 5.6% of the assistants achieved competency in official examinations for their foreign language level. Regular departmental teaching meetings were reported by 78% of the participants, whereas 16% reported having no teaching meetings. The duration of the meetings was 1-2 hours per week in 53%, 3-4 hours per week in 34% and more than 4 hours in 13% of the hospitals. 67% of the resident physicians considered that the theoretical education level to be inadequate, whereas 33% considered the practical training inadequate. While 28% of the resident physicians were being evaluated by written examinations, 18% were evaluated orally, and 38% were never evaluated. 23% had no knowledge of MEDLINE, 82% had no knowledge of Science Citation Index Expanded and 65% did not know how to prepare a specialty dissertation. 65% of them reviewed MEDLINE at least once. 58% of them did not have any scientific publication, and only 3% had at least 10 scientific publications. 56% of them suggested that the duration of residency was adequate and 36% thought that it was long. 37% reported that the training during rotations in other sections was inadequate. 61% of junior residents reported having no communication problem with seniors and 65% of senior residents reported no communication problem with juniors. The most common complaints during training periods were excessive workload (56%), excessive number of on-duty shifts (45%), and economic problems (44%). When future objectives were considered, 30% wanted to work in private enterprise, 29% wanted an academic career, 22% wanted to work on their own and 19% wanted to work abroad. Conclusions: the percentage of residents with technological accessibility and use was relatively high, but reserved training time was low. Evaluation of education was low as well. Rotations of sections were not effective. Moreover, there were additional complaints like workload, on-duty shifts and economic difficulties. In conclusion, theoretical and practical information, competency in foreign languages and the number of scientific publications were not adequate. To prolong the duration of residency might increase displeasure and decrease motivation. More effective use of time by trainers might constitute a better approach.

Keywords: Career, Characteristics, Citation, Communication, Competency, Contribution, Development, Doctor, Economic, Education, English, Evaluation, Knowledge, Language, Medical, Medicine, MEDLINE, Physician, Publication, Publications, Questionnaire, Resident, Residents, Science, Science Citation Index, Scientific Publication, Scientific Publications, Selection, Surgical Residents, Survey, Training, Turkey, University

? Çalik, Ş. and Gökengin, A.D. (2011), Human brucellosis in Turkey: A review of the literature between 1990 and 2009. Turkish Journal of Medical Sciences, 41 (3), 549-555.

Full Text: 2011\Tur J Med Sci41, 549.pdf

Abstract: Aim: Brucellosis is a systemic infection, which may involve any organ or system of the body. The aim of this study was a review of the literature related to human brucellosis in Turkey. Materials and methods: In order to find the published reports on this subject, 3 national databases (TUBITAK-ULAKBIM Turkish Medical Literature database, http://www.turkishMEDLINE.com, http://MEDLINE.pleksus.com.tr) and 2 international databases [Index Medicus and Science Citation Index (SCI)-expanded] were searched. In addition to the databases, abstracts of congresses held by the Turkish Clinical Microbiology and Infectious Diseases Association and the Antibiotic and Chemotherapy Association were searched for reports about brucellosis. Results: the most frequent type of involvement was osteoarticular, followed by hematological abnormalities and nervous system involvement. Conclusion: Brucellosis may present with a broad spectrum of clinical signs and symptoms. Primary health care physicians should be aware of the different clinical presentations of brucellosis.

Keywords: Brucella Infection, Brucellosis, Citation, Complications, Databases, Diagnosis, Health Care, Involvement, Involvement, Literature, Neurobrucellosis, Review, SCI, Science Citation Index, Turkey

? Tasbakan, M.I., Pullukcu, H., Sipahi, O.R., Yamazhan, T., Arda, B. and Ulusoy, S. (2011), A pooled analysis of the resistance patterns of Escherichia coli strains isolated from urine cultures in Turkey: A comparison of the periods 1997-2001 and 2002-2007. Turkish Journal of Medical Sciences, 41 (3), 557-564.

Full Text: 2011\Tur J Med Sci41, 557.pdf

Abstract: Aim: To compare the resistance patterns of Escherichia colt strains reported to be isolated from urine cultures in published medical literature from Turkey in 1997-2001 and 2002-September 2007. Materials and methods: To find the published series, 3 national databases (Ulakbim Turkish Medical Literature database, http://www.turkishMEDLINE.com, http://MEDLINE.pleksus.com.tr), and 2 international databases (Pubmed and Science Citation Index (SCI)) were searched. Results: Data for 25,577 E. colt strains were obtained from 53 articles (28 articles from 1997-2001,25 from 2002-2007). of these strains 18,106 were isolated from outpatients, whereas 7471 were from inpatients. When the strains isolated from outpatients were evaluated, there was a significant increase in the ciprofloxacin resistance, whereas there was a significant decrease in amikacin, netilmicin, and co-trimoxazole resistance (P < 0.05). When the data of hospitalized patients were analyzed, there was significant decrease in amikacin, gentamicin, netilmicin, co-trimoxazole, and amoxicillin/clavulanate resistance, whereas a significant increase was observed in nitrofurantoin resistance (P < 0.05). The ESBL rate increased in both the inpatients and outpatients (P < 0.05). Conclusion: When looked at from Turkey’s perspective, our data suggest that aminoglycosides and third-generation cephalosporins may be good choices in the treatment of inpatients. Fosfomycin/tromethamine, nitrofurantoin, and oral third-generation cephalosporins may be reasonable alternatives in the empirical treatment of uncomplicated outpatient cases. Policies to constrain resistance in both the community, and hospitals, such as antibiotic stewardship or restriction programs, should be implemented immediately.

Keywords: Antibiotic-Resistance, Antimicrobial Susceptibility, Ciprofloxacin, Citation, Databases, E.coli, Fosfomycin, In-Vitro Susceptibility, Literature, Medical, Pathogens, Pyelonephritis, SCI, Science Citation Index, Spectrum-Beta-Lactamases, Tract-Infections, Trimethoprim-Sulfamethoxazole, Turkey, Urinary Tract Infections

? Onat, A. (2011), A quantitative appraisal of the genuine contribution of Turkey and Turkish universities to science. Turkish Journal of Medical Sciences, 41 (5), 909-917.

Full Text: 2011\Tur J Med Sci41, 909.pdf

Abstract: Aim: To assess quantitatively the cumulative and genuine contribution of Turkish universities to science in the main fields over the past 30 years. Materials and methods: In the Citation Reports section of the Web of Science, over 70 main scientific institutions were searched; and publications that received 60 or more citations by May 2010 were selected. Papers having more than a minor share by international authors were excluded. Results: Only 47 universities and 6 institutions generated articles that were cited >= 60 times. These publications, numbering 541, received a total of 51.215 citations. Eight universities (Istanbul University, Istanbul Technical University, Hacettepe University, Bilkent University, Middle-East Technical University, Bogazici University, Ankara University, and Ege University) acquired 62% of these citations. Primary authors were 335 individuals among whom 121 generated 70% of these citations. It is estimated that Turkish scientists produce about 1 per mil of the global scientific output, which indicates that about 40 such papers are produced annually in Turkey. A substantial variance was recorded across major universities in terms of the ratio of citations to highly-cited papers to the total citations. Engineering and geology had higher relative contributions, followed by agricultural sciences, ecology, pharmacy, chemistry and medicine, while physics, mathematics, and biology had less contributions. Conclusion: Along with research in general, research potentially to contribute to science needs specifically to be supported with a coherence, milieu creation and consistent long-term policy.

Keywords: Authors, Biology, Citation, Citations, Contribution, Contribution to Science, Fields of Science, Highly-Cited, Impact, Medicine, Papers, Pharmacy, Policy, Primary, Publications, Quantitative, Ratio, Research, Science, Sciences, Scientific Institutions, Scientific Output, Turkey, Turkish Universities, University, Web of Science




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