The Journal of Turkish Family Physician最新文献

{"title":"Quetiapine related myocarditis: Late diagnosed Tourette Syndrome a case report","authors":"D. A. Başer, Hilal Aksoy, I. Fidancı, M. Cankurtaran, T. Arslan","doi":"10.15511/TJTFP.21.00298","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00298","url":null,"abstract":"Tourette syndrome is a neurological and psychiatric disorder that is accompanied by involuntary bodily movements and / or making meaningless sounds that begin in childhood. Recurrent symptoms is an important feature. Despite its low prevalence, patients can come to primary health care services for various reasons and their controls can be done by their family physicians in coordination with the relevant departments. In this article, we presented a case of late diagnosis of Tourette’s syndrome who developed myocarditis due to antipsychotic use during follow-up.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"26 1","pages":"108-112"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82315505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tıbbi dedektiflik: Filyasyon","authors":"Adil Çetin, A. Benli, Hümeyra Aslaner, Mebrure Beyza Gökçek, Serkan Yildiz","doi":"10.15511/TJTFP.21.00040","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00040","url":null,"abstract":"A pandemic is the spread of a disease, an infection factor or a health problem in a wide area like worldwide. Pandemics affect an important part of the population in the whole world. A pandemic is the spread of a disease, an infection factor or a health problem in a wide area. Pandemics affect an important part of the population in the whole world. Protection and control measures should be taken during an epidemic. These measures are generally for resource control, mode of transmission and healthy individuals. Filiation activities on COVID-19 have been being performed meticulously in our country since the first index case was detected. The following case series were presented in order to explain how filiation activities were performed in Kayseri and in our country. We presented four case series. The most important point in coping with epidemics is having a strong infrastructure in healthcare system. It is considered that the works of filiation teams as an example for medical surveillance have had a great contribution to the management of pandemic.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"43 9 1","pages":"40-49"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82691011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Çevrimiçi çoktan seçmeli değerlendirme aracının güvenilirliğinin genellenebilirlik kuramı ile değerlendirilmesi","authors":"Giray Kolcu, Mukadder İ̇nci Başer Kolcu, Sadettin Demir","doi":"10.15511/TJTFP.21.00003","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00003","url":null,"abstract":"Introduction: Due to the COVID-19 pandemic in our country, it has been decided by the Higher Education Council (CoHE) to apply online measurement and evaluation in higher education, valid only for the pandemic period. Aim: In our study, it is aimed to evaluate the basic analyzes of the multiple-choice assessment tool, which is applied online for 1st year and 3rd commitee students at Süleyman Demirel University, with classical test and generalizability theory. Method: Our study is designed in quantitative research design. The population of the study was determined as first year students actively studying at Süleyman Demirel University Faculty of Medicine (n: 271). In the study, the 3rd commitee applied online to the 1st year students was analyzed with the multiple choice assessment tool SPSS and EduG. Results: When the exam was evaluated over 100 points, the average was 78.5 ± 11.05 (min: 27.4; max: 98.0), variance 122.229, kurtosis -1.196 and skewness 1.683. The average item difficulty was 0.785, the mean discrimination index was 0.262, and the reliability coefficient (KR-20) was 0.902. For the 95-item exam, the G value was calculated as 0.91 and the Phi value as 0.90. Discussion: Our faculty has also ensured the monitoring of measurement-evaluation practices in distance education in line with the recommendations of CoHE and the Association for Evaluation and Accreditation of Medical Education Programs. Although the evaluation of a single assessment tool was considered as a limitation for our study, our study provided valuable information about the review of the basic analysis and assessment of the multiple-choice measurement tools. Based on this experience, we believe that the basic analysis of online measurement and evaluation applications can be preferred for the analysis of measurement tools after the pandemic.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"3 4","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72609569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altı Yaş Altı Çocukların Ebeveynlerinde Otizm Bilgi Düzeyinin Ölçülmesi","authors":"Aslı Can, Çağla Zelal Güner, E. Lüleci, Fatma Bağrıaçık, M. Karavuş, Nurşah Arı, Seyhan Hidiroğlu, Zeynep Meva Altaş","doi":"10.15511/TJTFP.21.00012","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00012","url":null,"abstract":"Introduction and Aim: Social awareness is important to recognize the behaviors of children with autism spectrum disorder (ASD) at an early stage. The aim of this study is to measure the ASD knowledge levels and to evaluate the autism awareness of the parents who applied to an university hospital’s pediatric outpatient clinic for their children aged under 6 years. Methods: This descriptive study is conducted with 110 parents between 18-22 February 2019. The used questionnaire had 43 questions; first 5 questions were about sociodemographic information, questions between 6-38 were about definition and symptoms of autism, questions between 39-43 were about the thoughts of parents about the role of a person with ASD in society. The tenth question was about the sources of information on ASD. The questions that used to measure the knowledge level of ASD were inspired by the developmental tests used in children and the questionnaires used in previous studies on this subject. Collected data was analysed with multiple Chi-Square test. p values less than 0,05 was considered as statistically significant. Results: Of the participants 69,1% (n= 76) were women and the mean age was 34,8 ± 7,2. Of the participants 92,7% (n= 102) have heard the word autism before. Age, gender and education level did not have a significant effect on hearing the word autism. The rate of the correct definition of autism was significantly higher in participants below thirty-five years of age and those who had a higher education level (p= 0,014; p= 0,007). Discussion and Conclusion: Since the media / television / internet constitute most of the information sources about autism, the role of these channels is important to increase the ASD knowledge level and ASD awareness in the society. The rate of the correct definition of autism is higher in participants with a higher level of education similar to this study. It is considered that educational studies for autism will yield positive results, since the ASD awareness rate was higher in participants with higher level of education.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"5 1","pages":"12-21"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84047784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Majör nörobilişsel bozukluk (demans) hastalarında ücretin bakım verme yükü ile ilişkisi","authors":"Gökhan Gökpınar, Mehmet Hamdi Örüm","doi":"10.15511/TJTFP.21.00050","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00050","url":null,"abstract":"Caring for dementia patients results in varying degrees of burden. Caregiver burden is related to various factors such as demographics, health-related, caregiving situation, social resources, culture, and financial status. While paid care is more common in Western societies and its emergence go back to the old years, it has become widespread in Eastern regions in the last few decades.(3,4) The relationship between pay and caregiving burden in dementia patients has not been investigated in our province yet. Our aim in this study is to compare caregiving burden and depression in paid caregivers with those who are not paid and reveal the related factors.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"43 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89764833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enflamatuar bir belirteç olan monosit – HDL oranının sigara içme durumu ile ilişkisi","authors":"Engin Köylü, Y. Kurtoğlu","doi":"10.15511/TJTFP.21.00022","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00022","url":null,"abstract":"Objective: It has been shown that the monocyte/HDL ratio may be a new marker of inflammation and oxidative stress. In this study, it was aimed to investigate the monocyte / HDL ratio levels and related factors of smokers and non-smokers. Method: 84 people between the ages of 18-65 who applied to the Family Medicine Clinic of Kütahya SBÜ Evliya Çelebi Training and Research Hospital for 3 months as of December 2019 were included in the study. A questionnaire form consisting of the a personal and clinical information form consisting of 13 questions and Fagerström Nicotine Dependence Test were used as data collection tools. In addition, HDL cholesterol and complete blood count in hemogram were performed from blood samples taken from the patients. Chi-square, Mann Whitney U and Spearman correlation tests were used to analyze the data. Statistical significance value was accepted as p <0.05. Results: In this study, there was no statistically significant difference between smoking and non-smoking groups in terms of age groups, gender, chronic disease and regular medication use (p>0.05). Of the smoking participants 13.1% (n=11) were in the high addiction group, and 4.8% (n=4) in the very high addiction group according to the FNBT scale. The mean erythrocyte (p <0.001), hemoglobin (p=0.015), hematocrit (p=0.005), monocyte (p <0.001), HDL (p=0.005), MNO (p <0.001) in smoking patients were significantly higher than non-smoking patients. Conclusion: Monocyte / HDL ratio can be used as a simple, easy and cost-effective marker that can be used to predict inflammation and endothelial dysfunction in smokers.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"64 1","pages":"22-31"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84832667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erken Sigara Bırakma Sürecinde Uyku Kalitesi ve Medikal Tedavi ile İlişkisi","authors":"B. M. Yalçin, E. Yalçin, T. Karahan","doi":"10.15511/TJTFP.21.00032","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00032","url":null,"abstract":"Objective: Nicotine metabolism has important effects on sleep. People who quit smoking due to nicotine withdrawal during the smoking cessation process may experience different sleep disorders. Side effects of pharmacological agents used to quit smoking (Varenicline, Bupropion and Nicotine Replacement Therapy [NRT]) on sleep quality are also known. The aim of this study is to investigate the relationship between smoking cessation and the preferred treatment approach with sleep disorders. Material and Methods: 520 participants who applied to OMU Family Medicine Smoking Cessation Clinic in 2019 were accepted as the study population. Demographic data of all participants in the survey, smoking characteristics (Fagerstrom Nicotine Dependency Test score [FNDT], pack / year, etc.), sleep characteristics (sleep duration, evening awakenings, etc.) and Pittsburg Sleep Quality Index (PSQI) at their first visit and one recorded months later. Standard treatment of our clinic was applied to all participants. 387 volunteers (71.6%) without any data loss were accepted as the study group. Results: 165 of 387 (71.6%) people quit smoking in the first month (42.6%). Varenicline was used in 102 (61.8%), Bupropion in 25 (15.1%) and NRT alone in 38 (23.0%) of these patients. Mean sleep time (hours) did not change in this group before and after quitting (6.4 ± 4.8 hours versus 6.3 ± 5.0 hours p> 0.05). There was no difference between the mean PSQI scores of the patient groups receiving different treatments one month later (p> 0.05). Complaints of insomnia (n=5, 17.5%) and drowsiness (n=4, 14.6%) were more common in patients who received Varenicline (x2=12,145, p <0,001). Conclusion: No difference was detected in the sleep quality of patients who were used different treatment options to quit smoking in the first month.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"15 1","pages":"32-39"},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81666251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behaviors and problems of a medical school students’ related to distance education in pandemic medical education in the pandemic process","authors":"D. A. Başer, Ezgi Agadayi, Naim Karagöz","doi":"10.15511/TJTFP.20.00449","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00449","url":null,"abstract":"Introduction and Aim: In a medical school, to determine whether students have the necessary infrastructure for distance education, students’ access to educational materials, the concerns and expectations of students about the process. Methods: First, second, third, fourth and fifth-year students, continue through distance education in the pandemic process in Cumhuriyet University Medical School, were included in the study. 336 students volunteered to participate in this descriptive research. The data collection tool used in research was created by the researchers. The data collection tool created by the researchers consists of 24 questions that the descriptive variables of students, their study status and problems in distance education process. Results: Students’ 91.4% entered the university’s distance education module. 82.1% of them stated that they studied less than the old working program during this process. Participants’ 19.3% did not have a suitable study environment at home, 19.6% of them did not have a computer and 12.2% of them had an irregular internet connection. There were significant differences between the presence of a suitable environment for home study (p=0.001), the internet access status (p=0.004) and the frequency of study. The answers given by students to the question of their concerns/problems related to this process; concerns about the distance education module (not getting feedback, problems with material adequacy, etc.) (42.3%), the lack of training (39.0%), concerns about the exam (28.9%), decreased will to study (16.7%), fail the class/low grades (14.6%) were gathered in these main categories, respectively. Participants’ 76.5% felt the lack of occupational practice. 61.6% of them demanded the increase of multimedia items in the materials uploaded to the system. Conclusion: Depending on the pandemic, the duration of distance education process remains uncertain. In this process, especially in occupational practice-oriented faculty such as medical faculties, students have concerns related to these deficiencies. In addition, when planning distance education, faculties should consider students’ availability of having devices and internet access.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80471353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case presentation from a family physician from the frontline in the pandemic","authors":"Feyza Yeğin","doi":"10.15511/TJTFP.20.00400","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00400","url":null,"abstract":"The World Health Organization China National Office have announced pneumonia cases of unknown etiology from Hubei district of China for the first time on 31st of December 2019. On 7th of January 2020 the etiologic agent has been accepted as a new coronavirus (Covid19) that is not formerly detected in human. World Health Organization classified Covid19 epidemic as “international public health emergency” on the 30th of January, and as a global pandemic on the 11th of March, since Covid19 cases have been detected in 113 countries other than China, where the epidemic has first begun, and because of the expansion of the virus and its severity. Covid19 related studies have been started in our country on the 10th of January 2020 and the first meeting of the T.R. Ministry of Health Scientific Advisory Committee has been realized on 22 January, and due to the preventive measures, the first Covid19 case is seen on 11 March after Europe and Iran, the countries in our neighborhoods. With the case presentations in this article we tried to present a section from the field.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72907995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendation for after the oro-nasopharyngeal swab process taken for COVID-19 PCR sampling","authors":"E. Ö. Atmis, I. Fidancı","doi":"10.15511/TJTFP.20.00409","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00409","url":null,"abstract":"","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"32 1","pages":"209-212"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74995036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}