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    Better Knowledge and Regular Vaccination Practices Correlate Well with Higher Seasonal Influenza Vaccine Uptake in People at Risk: Promising Survey Results from A University Outpatient Clinic
    (2017) Guvenc, Isil Adadan; Parildar, Hulya; Sahin, Mustafa Kursat; Erbek, Selim Sermed; https://orcid.org/0000-0003-4825-3499; 28449918; S-2103-2016; B-7604-2019
    Background: The knowledge, beliefs, opinions, and attitudes of patients and their relatives regarding seasonal influenza vaccination were evaluated. Methods: This descriptive study was undertaken in the outpatient clinics of Baskent University Hospital. There were 566 responders who completed a self-administered questionnaire. Results: The mean age of participants was 48.35 years, and 16.8% were >= 65 years. Of the responders, 21.7% were vaccinated this year, whereas 57.8% did not desire to get it. Vaccination rates were significantly higher among responders >= 65 years of age (56.4%), those having at least 1 chronic illness (46.5%), and those who were vaccinated regularly every year (22.2%). Half of the responders did not know that the vaccine was reimbursed for people at risk. The most common reason for refusing the influenza vaccine was not getting the flu frequently (51.2%). Fear of side effects, concerns about vaccine's effectiveness, and belief that vaccine causes the flu were other common reasons for not being vaccinated. Of the responders, 77% believed that getting official information or a recommendation from a physician would influence their decision about seasonal influenza vaccination. Conclusions: People who are at risk or vaccinated regularly display a higher vaccine uptake and better knowledge of influenza and vaccination. The opinions and attitudes of this study population may assist in developing strategies for changing attitudes of the public toward influenza vaccination. (C) 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
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    Evaluation of the Knowledge Level, Practice and Attitudes of the Caregivers on Ketogenic Diet Management
    (2022) Bayram, Sinem; Caliskan, Hilal
    Objective: Patients with intractable childhood epilepsy may benefit from ketogenic diet treatment. Management of ketogenic diet depends on the knowledge level and practice and attitudes of their caregivers. Although advances have been made on early diagnosis and treatment options, there is still a lack of knowledge in children with epilepsy and their caregivers. Methods: In the study, 40 voluntary individuals caring for a child with intractable childhood epilepsy who is under a ketogenic diet were included. The visual analog scale was used to determine adherence to the ketogenic diet for both caregivers and children. Dietary adherence of young children (<10 years) was assessed by the caregiver. Ketogenic diet knowledge of caregivers was determined to form with 40 questions (free/prohibited foods, meal contents, any form of carbohydrate sources, label reading, side effect awareness, and management practices). Results: Availability of ketogenic products, feeling of hunger, frequent glucose, and ketone measurement were determined to be the most difficulties in adherence to the ketogenic diet. According to the visual analog scale results, the mean knowledge level of the caregivers was 3.55 +/- 3.67, ketogenic diet adherence was 7.52 +/- 2.40 for the caregivers, and 8.42 +/- 1.62 for the patients. 25% of the caregivers have high, 65% of them have low knowledge. The number of antiepileptic drugs used decreased. The number of seizures per week was 32.65 +/- 21.15 before the ketogenic diet, it decreased to 21.54 +/- 15.69. Conclusions: The effectiveness of the ketogenic diet was better in medium and high knowledge levels. As the competence increases, ketogenic diet management will be easier. Therefore, it would be beneficial to visit a dietitian during clinic visits and to seek answers to food-related problems.