Eurasian Journal of Family Medicine最新文献

{"title":"The Increasing Importance of the e-Health System after the COVID-19 Outbreak with New Healthcare Expectations","authors":"Z. Gamsızkan, A. Kaya, M. Sungur","doi":"10.33880/ejfm.2021100206","DOIUrl":"https://doi.org/10.33880/ejfm.2021100206","url":null,"abstract":"Aim: The health system is undergoing a rapid transformation with the constantly developing world. The Covid-19 pandemic that threatens humanity seems to change the health system as in every field. The study aimed to determine the use of the e-Health system before and after the pandemic and how health services have changed after the pandemic.\u0000\u0000Methods: The study was designed with a mixed method that includes analysis of qualitative and quantitative data. The quantitative data of the study were collected with the help of a questionnaire before the pandemic. Qualitative data acquisition and analysis were carried out after the pandemic.\u0000\u0000Results: According to the results of the study, the rate of participants who did not use the e-Health system before the pandemic was 73.5% (n=155). When asked about the reasons for not using the e-Health system; 43.2% of the participants (n=67) stated that they did not need it, 28.4% (n=44) were not aware of the system and 28.4% (n=44) stated that they did not know how to use the system. According to the qualitative data results, five main themes were obtained after the Covid -19 outbreak. The themes were; getting health information and guidance remotely during the pandemic is the best alternative, creating a sense of trust, compliance with the new situation, expectations from the health system in the new period, and expectations for guidance in accessing e-health information. \u0000\u0000Conclusion: The most important result of this study, the increase in the use of distance health and e-health, seems to be the framework of the new health service. When the results are read in this context, it can be predicted that a large share of the investments in the field of health will be shifted to digital health systems.\u0000\u0000Keywords: e-Health, digital health, COVID-19, expectations, pandemics","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"7 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133788545","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":"Evaluation of Adolescents' Status of The First-Step Health Services Use and Healthy Nutrition Behaviors","authors":"Burcu Kayhan Tetik, Isilay Gedik Tekinemre, O. Kurt","doi":"10.33880/ejfm.2021100207","DOIUrl":"https://doi.org/10.33880/ejfm.2021100207","url":null,"abstract":"Aim: This study aimed to evaluate the status of the first-step health services use, healthy nutrition behaviors in adolescents and investigate their relationships with each other.\u0000\u0000Methods: One hundred and forty-six adolescents between the ages of 10 and 18 were included in this descriptive study. A survey of 15 questions about the participants' healthy nutritional behaviors, the status of knowing their family physicians, and going to their family physicians for the examination was applied. The obtained data were analyzed using the SPSS 22 package program, and p\u0000\u0000Results: Of the participants, 85.6% went to their family physicians for the examination, the mean age was 16.4±1.6, and 58.9% were girls. Girls' mean scores of healthy nutritional behavior and going to their family physicians for the examination were significantly higher than boys'. In those who were obese and overweight, the rate of knowing their family physicians, the mean score of going to their family physicians for the examination, and healthy nutritional behavior were lower than normal weight. \u0000\u0000Conclusion: In our study, lower obesity and overweight rates and having a healthier diet were seen in adolescents using primary health care services more. We believe that to eliminate obesity, which has been a significant public health problem today, increasing the rate of using primary health care services for adolescent individuals needs to be increased. We hope that our comments raised herein will encourage other physicians to be more sensitive about this issue and direct patients to primary care more often to receive such services.\u0000\u0000Keywords: adolescents, nutrition behavior, primary health care","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127756712","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":"A Possible COVID-19 Reinfection Case in a Healthcare Professional","authors":"E. Yavuz, Ese Basbulut","doi":"10.33880/EJFM.2021100107","DOIUrl":"https://doi.org/10.33880/EJFM.2021100107","url":null,"abstract":"In these days when the effect of the COVID-19 pandemic is felt with all its severity, the findings of re-infection in people who have had COVID-19 disease have led to some questions about the natural immunity against this disease. Here, we report a possible COVID-19 reinfection. The second episode confirmed by RT-PCR with a more severe clinical picture one month after an incidentally detected first episode with mild symptoms of a doctor working as a microbiologist at a training research hospital. While a 47-year-old female doctor was working in a tertiary hospital serving as a reference hospital for the diagnosis and treatment of COVID-19 patients, symptoms of sore throat, cough and runny nose appeared on October 25. The patient, with a history of chronic tendinitis, COPD, asthma and allergic rhinitis, attributed these symptoms to her previous clinical diagnosis and did not consider consulting a doctor or testing for COVID-19 due to the mild course of symptoms. SARS-CoV-2 Ig G antibodies were found to be positive in a screening study conducted on November 11 in the patient whose complaints resolved within a few days. RT-PCR performed thereafter was reported as negative. The RT-PCR test performed on December 2 of the patient who complained of fever and severe weakness, immediately after her colleague had COVID-19, was interpreted as positive. No signs of viral pneumonia were found in the thoracic CT when the cough complaint of the patient who received COVID-19 treatment did not improve. The patient's complaints regressed with the addition of phenocodine to her treatment, and the RT-PCR test on December 12 was reported as negative. Further analysis of the frequency and possible causes of COVID-19 reinfections will be needed in the near future.\u0000\u0000Keywords: SARS-CoV-2, COVID-19, reinfection, coronavirus","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123596174","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":"Normal Variations in Blood Pressure in Ambulatory Blood Pressure Measurements","authors":"S. Mıstık, Kevser Goktas, D. Unalan, A. Oguzhan, B. Tokgöz","doi":"10.33880/EJFM.2021100101","DOIUrl":"https://doi.org/10.33880/EJFM.2021100101","url":null,"abstract":"Aim: Hypertension is very common in primary care patients. The diagnosis of hypertension is made by office measurements and home blood pressure measurements. The aim of this study was to define the normal variation levels of blood pressure in individuals in primary care by using ambulatory blood pressure measurement.\u0000\u0000Methods: This study was performed in primary care. Individuals who had no hypertension history were included in the study. Subjects were evaluated by using three office measurements, seven days home blood pressure measurements and 24 hours ambulatory blood pressure measurement. The ambulatory blood pressure gave us the variations in blood pressure values. \u0000\u0000Results: The study started in January 2018 and ended in May 2018. Of the 47 subjects, 70.2% were women and 29.8% were men. The mean age was 41.63±12.00. The most common educational level was elementary school graduates. The most common occupation was housewives. Of the participants, 84.2% were married. At ambulatory blood pressure measurements, 34.0% of the subjects had mean systolic blood pressures 24 hours between 120-129 mmHg. Of the diastolic blood pressure 24 hours mean values, 15.3% had values between 80-89, where 51.0% were between the 71-79 mmHg groups. The mean value of 24 hours variation in systolic blood pressure was 15.75±18.59 (median=11.40, min=8.80, max=106.00). The 24 hours variation in the mean values of diastolic blood pressures was 12.12±10.90 (median=9.70, min=6.80, max=64.00).\u0000\u0000Conclusion: The results of this study demonstrated that there were high levels of variations in normal blood pressures, which could show candidates for hypertension.\u0000\u0000Keywords: ambulatory monitoring, blood pressure, variability, primary care","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129285952","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":"Anxiety Levels of Healthcare Professionals’ Relatives During COVID-19 Pandemic: A Longitudinal Study","authors":"G. Kolcu, Gokmen Ozceylan","doi":"10.33880/EJFM.2021100102","DOIUrl":"https://doi.org/10.33880/EJFM.2021100102","url":null,"abstract":"Aim: Health workers are the most important risk groups in the last century outbreaks. This situation creates anxiety in the relatives of healthcare workers as well as in healthcare workers. In this study, it was aimed to evaluate the anxiety levels of the relatives of healthcare workers during the COVID-19 epidemic.\u0000\u0000Methods: The study was designed as a longitudinal study in quantitative research design. In the study, data were collected regularly every day for 20 days between 20.03.2020-08.04.2020, when the coronavirus pandemic continued, and these data were associated with the data of the Ministry of Health.\u0000\u0000Results: One thousand one hundres and eighty participants' opinions were collected for the study. In the study process, it was observed that the anxiety level at 20.03.2020 was 8.25±5.36 and it increased to 17.21±17.07 on 08.04.2020. The relationship between the anxiety level of the participants and the total number of cases the total number of deaths were weak. There was a moderate correlation between the number of deaths per day and the number of patients recovering per day. In the study, it was shown that there is a moderate correlation between the anxiety levels and the level of knowledge of the opinion makers. In this upward trend, it has been observed that there are 3 breaking points: 23-24.03.2020, 28-29.03.2020 and 05-06.04.2020.\u0000\u0000Conclusion: In our study described the first cases of anxiety in the vicinity of 20 health workers in Turkey after the first day (twenty) were found to correlate with increased number of deaths in days. It was observed that anxiety level correlated weakly with the total number of cases / deaths, but moderately with the number of daily deaths / recovered patients in the relatives of the health studies. This situation was interpreted as that although the anxiety of healthcare workers was affected by the process, it was more affected by daily changes. Relatives as well as healthcare professionals also experienced a manageable anxiety during the COVID-19 outbreak. We believe that information and rehabilitation programs should be developed for the relatives of healthcare professionals in order to maintain the resilience / resiliency of healthcare professionals.\u0000\u0000Keywords: anxiety, coronavirus, pandemics, Family Medicine","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131354256","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":"Determining The Relationship Between Smoking Habits and Healthy Lifestyle Behaviors of Health Workers: Smoke-Free Hospital, Healthy Life","authors":"S. Gucuk, Makbule Tokur Kesgin, Keziban Turken Gel, Songul Yorgun","doi":"10.33880/ejfm.2020090402","DOIUrl":"https://doi.org/10.33880/ejfm.2020090402","url":null,"abstract":"Aim: Using tobacco and tobacco products is an important public health issue. This study aims to determine the smoking status of hospital staff and to examine the relationship between their smoking habits and healthy lifestyle behaviors. \u0000\u0000Methods: This cross-sectional study was carried out between March and September 2018 with 387 health workers in Izzet Baysal Training and Research Hospital affiliated to Bolu Abant Izzet Baysal University. Data were collected using the Healthy Lifestyle Behaviors Scale II and the Fagerstrom Test for Nicotine Dependence, which were applied via face-to-face interview technique to health workers who accepted to participate in the study.\u0000\u0000Results: The study sample consisted of 387 health workers. Of them, 58.7% of the participants were exposed to smoking in the workplace, and 75.9% of the nonsmokers were exposed to smoking environment, which was statistically significantly high. A statistically significant difference was found between the health workers’ Healthy Lifestyle Behaviors Scale mean scores with respect to gender, smoking status, being in a smoking environment, and duration of smoking.\u0000\u0000Conclusion: Determining the relationship between smoking habits and healthy lifestyle behaviors of health workers, identifying their negative or incomplete behaviors in this regard, and developing training and support programs for their relevant needs are considered to positively affect the images of health workers in society, and thus to increase healthcare quality and satisfaction.\u0000\u0000Keywords: health personnel, smoking cessation, healthy lifestyle","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123260937","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":"Frequency and Sociodemographic Characteristics of Urinary Incontinence in Patients Over 65 Years of Age in Rural of Turkey","authors":"M. Kızmaz, Burcu Kumtepe Kurt, Nisa Çetin Kargın, Ezgi Doner","doi":"10.33880/ejfm.2020090403","DOIUrl":"https://doi.org/10.33880/ejfm.2020090403","url":null,"abstract":"Aim: The aim of this study was to determine the prevalence of urinary incontinence in patients over 65 years of age and to investigate its relationship with sociodemographic characteristics.\u0000\u0000Methods: This study is a cross-sectional descriptive study performed using a face to face survey and conducted between the dates of May 1st, 2019 and August 1st, 2019 in patients aged 65 and above and who applied to Gemerek State Hospital Family Medicine Outpatient Clinics. Following a literature search, the questionnaire developed by the investigators was applied.\u0000\u0000Results: The prevalence of UI was 28.5%. Among those, 43.8% alone had not presented to any physician with this complaint. Among the patients with UI who refrained to tell this complaint to their physicians, 76% considered this condition as a natural consequence of ageing, 17.4% were shy to get examined and 6.6% told that they had no discomfort to have a UI. Among the patients, 72.9% (n=269) were never asked by a physician or a nurse whether they had experienced UI. \u0000\u0000Conclusions: The symptoms of urinary incontinence are generally considered as a reflection of ageing or patients are shy to express this complaint. In addition, the rate of questioning about urinary incontinence by the physicians or nurses seems to be very low.\u0000\u0000Keywords: geriatrics, urinary incontinence, aging","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127768842","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":"Rapid Antigen Detection Test Using Rates of Family Physicians, Test Results and Its Impact on Their Prescription Behaviours","authors":"Humeyra Aslaner, H. Aslaner, Bade Ertürk Arik, F. A. Onuk, A. Benli, S. Mıstık","doi":"10.33880/ejfm.2020090405","DOIUrl":"https://doi.org/10.33880/ejfm.2020090405","url":null,"abstract":"Aim: The aim of this study is to determine the rates of rapid antigen detection test use, test results and its relationship with Modified Centor Score and investigate the effect of rapid antigen detection test use on prescribing behaviour.\u0000\u0000Methods: This research was conducted by scanning the family physicians’ information system retrospectively. From the Family Medicine Information System, where polyclinics and prescription records of the family health centers where 12 family physicians work in Kayseri are located, the number and results of rapid antigen detection tests performed between February 2017 and April 2019, the Modified Centor Score automatically calculated by the system, the number of prescribed antibiotics and symptomatic treatment information was recorded.\u0000\u0000Results: The positivity of rapid antigen detection test was considered, cut-off value of Modified Centor Score was >2 (ROC EAA:63.9, Cl:0.95,0.61-0.66). Sensitivity rate of the test for diagnostic score was 86% and selectivity rate was 48.8%.\u0000\u0000Conclusion: Family physicians should be encouraged to use rapid antigen detection test. The fact that antibiotics are prescribed in rapid antigen detection testnegative patients may indicate that confidence level of the test is less than physical examination and clinical findings.\u0000\u0000Keywords: sore throat, primary care, score","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128631649","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":"A Rare Etiology of Bilateral Foot Drop: Weight Loss","authors":"Aylin Reyhani, N. Dortcan","doi":"10.33880/ejfm.2020090408","DOIUrl":"https://doi.org/10.33880/ejfm.2020090408","url":null,"abstract":"Excessive weight loss especially when it occurs in a short period of time can lead to some neurological problems including peroneal nerve palsy. Foot drop is the most common presentation of peroneal neuropathies and they rarely occur bilaterally at the same time. Herein, we presented a 46-year-old male patient who developed bilateral foot drop after losing 25 kgs. in two months with an intensive weight reduction diet which was advised by a doctor as a therapeutic regimen. The electromyographic study confirmed the bilateral entrapment neuropathy of the peroneal nerves at the fibular necks and these findings could not be attributed to any other factor except the weight loss. After a balanced diet and a physiotherapy programme, he recovered completely. This case highlights an uncommon but a well documented etiology of peroneal neuropathies. Being aware of this complication and close follow-up are important for the prognosis of these patients. \u0000\u0000Keywords: foot deformities, peroneal neuropathies, weight loss","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123161704","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":"Health Beliefs Regarding Medicine Use of Mothers Whose Children Are Hospitalized in a University Hospital and Knowledge and Practices of Mothers Towards Rational Use of Medicines in Their Children","authors":"Tuğçe Kolukisa, Ozlem Ozturk Sahin","doi":"10.33880/ejfm.2020090406","DOIUrl":"https://doi.org/10.33880/ejfm.2020090406","url":null,"abstract":"Aim: This study was carried out to determine the health beliefs of mothers with children hospitalized at a university hospital regarding medicine use and their knowledge and practices towards rational use of medicines in the children.\u0000\u0000Methods: This is a descriptive and cross-sectional study. The study was conducted between 15 July and 15 October 2018 at the Karabük University Research and Training Hospital with 260 mothers. A Participant Information Form and the Drug Use Health Beliefs Scale were used as the data collection tools. \u0000\u0000Results: It was determined that only 10.8% (n=28) of the mothers had knowledge about rational use of medicines. The mothers’ Drug Use Health Beliefs Scale total mean score was 150.91 ± 15.13. 93.5% (n=243) of the mothers used antipyretics, whereas only 17.7% (n=43) of them used antipyretics recommended by a doctor. The mothers who read the package inserts of medicine had a significantly higher mean scale score than those who did not.\u0000\u0000Conclusion: The mothers had insufficient knowledge on rational use of medicines, but their health beliefs related to prescription medicine use were high. However, the mothers used antipyretic, analgesic, antibiotic and cough medicines in their children without consulting a doctor, whereas the majority of them used particularly antipyretics without a doctor’s recommendation. \u0000\u0000Keywords: rational use of medicines, Drug Use Health Beliefs Scale, children, mothers","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"442 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127606005","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}