Eurasian journal of family medicine最新文献

{"title":"A Patient with Decubitus Ulcer in the Scapular Region: Case Report","authors":"Lutfiye Celik, Burcu Dogan","doi":"10.33880/ejfm.2023120308","DOIUrl":"https://doi.org/10.33880/ejfm.2023120308","url":null,"abstract":"Decubitus ulcers are a widespread healthcare problem, especially among hospitalized patients who receive long-term time treatment. A multidisciplinary approach is required to provide appropriate treatment. The patient's general health status and cooperation define the treatment methods. Decubitus ulcers of the scapular region are not a common entity. This paper aimed to present a case with the successful treatment of decubitus ulcer stage IV with diagnosed Staphylococcus aureus deep wound infection in a patient who followed up by home health care service. Our multidisciplinary approach includes cleaning, debridement and dressing of the wound, optimized dressings, anti-biotherapy, the role of reconstructive surgery, and improvement of nutritional conditions and chronic health problems. Keywords: decubitus ulcer, pressure ulcer, geographic locations","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136343968","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":"Assessment of Herbal Product Use Among Infertile Women: A Survey-Based Study in Türkiye","authors":"Hilal Cumhur, Abdulkadir Aydin, Gokhan Oturak, Hasan Cetin Ekerbicer, Erkut Etcioglu","doi":"10.33880/ejfm.2023120302","DOIUrl":"https://doi.org/10.33880/ejfm.2023120302","url":null,"abstract":"Aim: The use of herbal products is the most commonly preferred traditional and complementary medicine method. This study aimed to determine the prevalence of herbal product use among infertile women in Türkiye and identify the factors affecting the use of these products. Methods: We created a survey consisting of 31 questions, six of which were open-ended and used to interview 108 infertile women at the infertility clinic of Sakarya University Hospital to assess herbal product use. SPSS v20 was used for data analysis. Results: Of the participants, 69 (63.8%) had previously used herbal products to treat their infertility. They were found to have used 62 different herbal products for their condition. In order, the five most commonly used plants were onions, figs, carobs, yarrows, and walnuts. However; 15.94% of the participants who used herbal products experienced mild to moderate side effects, with the most common side effects being nausea, dizziness, and muscle weakness. In addition, 79.71% of the participants who used herbal products had not consulted their doctor about using these products. Conclusion: At present, alternative treatments have become more common, and people use alternative treatment methods for many health problems, such as infertility. According to the literature, herbal products are one of the most frequently used alternative treatment methods. However, there is insufficient evidence-based research on the positive and negative effects of these products. Hence, more comprehensive studies on the impacts of herbal products are needed. Keywords: herbal, products, infertility, complementary medicine","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"780 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136343950","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":"Cautionary Considerations for The Role of Artificial Intelligence in Healthcare","authors":"Sawera Haider","doi":"10.33880/ejfm.2023120309","DOIUrl":"https://doi.org/10.33880/ejfm.2023120309","url":null,"abstract":"Dear Editor Artificial Intelligence (AI) has the potential to revolutionize healthcare by making it more accessible and adaptive. The use of AI technologies, including large language model tools (LLMs), offers exciting possibilities for improving health outcomes and supporting healthcare professionals, patients, researchers, and scientists. However, it is crucial to approach the integration of AI in healthcare with caution, taking into consideration the lessons learned and potential risks highlighted by experts. One of the key considerations raised in the field of AI in healthcare is the potential for biased data used to train AI systems. Biased data can lead to the generation of misleading or inaccurate health information, exacerbating existing disparities and hindering equitable access to care. To mitigate this, it is important to ensure that AI systems are trained on diverse and representative datasets, reducing biases and promoting inclusiveness and equity (1). Ensuring the reliability and accuracy of AI-generated responses, particularly in LLMs, is another critical aspect that requires attention. Although LLMs can produce responses that appear authoritative and plausible, there is a risk of these responses being completely incorrect or containing serious errors, especially in the context of health-related information. Rigorous evaluation, expert supervision, and transparent quality assurance mechanisms are necessary to ensure the reliability of AI-generated insights and prevent potential harm to patients (2,3) The protection of sensitive health data and the preservation of patient privacy are paramount in the development and deployment of AI technologies. It is crucial to establish robust consent procedures, implement secure data storage practices, and prioritize data protection measures. Striking the right balance between data accessibility and privacy protection is essential to maintain public trust and ensure the responsible use of AI in healthcare (4,5). Furthermore, the potential misuse of AI technologies, including LLMs, for the dissemination of health-related disinformation poses a significant concern. Highly convincing false health information generated by AI systems can be difficult for the public to differentiate from reliable sources. Proactive measures, such as regulation and monitoring, are necessary to prevent the spread of health-related disinformation, preserve public trust, and uphold the integrity of healthcare systems (6,7). In harnessing the potential of AI to improve human health, it is imperative for policy-makers, healthcare professionals, and technology firms to prioritize patient safety, protection, and well-being. Ethical principles, transparency, accountability, inclusiveness, and responsible governance should underpin the design, development, and deployment of AI technologies in healthcare. While AI holds immense promise in transforming healthcare, it is essential to approach its implementation with caution. By le","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344204","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":"The Burden of Post-COVID-19 Syndrome: A Cross-Sectional Study of Symptoms and Quality of Life in a Turkish Sample","authors":"Ersan Gursoy, Salih Eren","doi":"10.33880/ejfm.2023120307","DOIUrl":"https://doi.org/10.33880/ejfm.2023120307","url":null,"abstract":"Aim: Post-COVID-19 refers to the period of symptoms and health problems that last longer than 12 weeks after being infected with the SARS-CoV-2 virus and cannot be explained by other diagnoses. This study aims to determine the symptoms experienced by patients in the post-COVID-19 period and how these symptoms affect their quality of life. Methods: The study was cross-sectional and descriptive, and it was conducted at a tertiary hospital's COVID-19 follow-up outpatient clinic between November 2021 and October 2022. Due to the clinic's policy of accepting only inpatients previously, only patients with proven polymerase chain reaction positivity, inpatient treatment and between 12-52 weeks post-infection were included in the study. The study assessed 77 different symptoms in 145 participants using a comprehensive symptom questionnaire and the European Quality of Life 5 Dimensions 3 Level Version Scale. Results: The study included 145 participants with an average age of 62.39±14.71 years. Of the total participants, 56.6% (n=86) were male and 43.4% (n=63) were female. The most common symptom among the participants was fatigue (53.1%), followed by forgetfulness (40%) and dyspnea (26.9%). The study found that the patient's overall quality of life was negatively affected by the symptoms they experienced (p<0.001). The symptoms that most affected the quality of life were sleeping disorder and muscle pain (p<0.001). Conclusion: Even long after infection with COVID-19, patients may be symptomatic, and this may affect their quality of life. Keywords: post-acute COVID-19 syndrome, long-COVID, quality of life, COVID-19","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344205","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":"The Red and Yellow Flag Awareness Level of Family Physicians in Low Back Pain","authors":"Savas Karpuz, Ramazan Yilmaz, Ibrahim Solak, Halim Yilmaz","doi":"10.33880/ejfm.2023120304","DOIUrl":"https://doi.org/10.33880/ejfm.2023120304","url":null,"abstract":"Aim: This study aims to determine the level of attitude and awareness of family physicians about red and yellow flags in patients with low back pain. Methods: A total of 395 family physicians were included in the study between February 2022 and April 2022. A questionnaire that evaluates the physicians’ non-mechanical causes of low back pain, red flag symptoms and findings, yellow flag signs, and the rate of questioning them in clinical practice was created and used. Results: Although 70.1% of the participants specified cauda equina symptoms, 65.3% non-mechanical nature of pain, 63.5% systemic illness findings, 62.5% history of severe trauma and malignancy as red flag symptoms and findings, 71.1% the presence of catastrophic thoughts as a yellow flag sign in low back pain, they could not achieve the same success in other red and yellow flag signs. The rate of questioning red and yellow flags in patients who applied to family physicians with low back pain was 60.7% and 34.5%, respectively. Conclusion: The results of our study show that family physicians have a deficiency in questioning the red and yellow flags. When it is considered that patients with low back pain consult family physicians frequently, we think that training family physicians on red and yellow flags may help to the quick determination of non-mechanical causes of low back pain and to prevent low back pain from becoming chronic. Keywords: low back pain, awareness, physicians, family","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136343975","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":"Anemia Frequency in Geriatric Patients Receiving Home Health Care: A Retrospective Study","authors":"Selma Turker, Ezgi Caglar Seyis, Merve Nur Serce Ozkoc, Furkan Bektas, Serdar Karakullukcu, Cuneyt Ardic","doi":"10.33880/ejfm.2023120306","DOIUrl":"https://doi.org/10.33880/ejfm.2023120306","url":null,"abstract":"Aim: This study aims to investigate the frequency and causes of anemia in geriatric patients registered in the Home Health Services Unit of our hospital and to apply appropriate treatment regimens according to the etiology. Methods: This descriptive study was conducted between 15.03.2022 and 15.03.2023. The files of 282 patients who received service from the Home Health Services Unit between August 1, 2020 and November 30, 2021 were reviewed retrospectively. Geriatric patients who had laboratory tests requested in the last 6 months were included. Socio-demographic data of the patients, chronic diseases, and the number of chronic diseases were recorded. The World Health Organization criteria were considered for the diagnosis of anemia. The causes are grouped as anemia due to iron deficiency, chronic renal failure, vitamin B12 deficiency, folic acid deficiency, and other anemias. Results: A total of 282 individuals, 198 (70.2%) women, were included in the study. The mean age of the participants is 79.2±11.06 years, 218 (77.3%) of them live in rural areas. 33.7% of the patients have 3 chronic diseases. Anemia was detected in 176 (62.4%) patients. 44.9% of the participants had anemia due to chronic renal failure, 28.4% had anemia due to iron deficiency, 13.1% had anemia due to vitamin B12 deficiency, 13.1% had anemia due to folate deficiency, and 26.1% had unclassified anemia. The presence of anemia was significantly higher in patients with a diagnosis of malignancy and in participants with 4 or more chronic diseases. Conclusion: This study shows that anemia is a common health problem in geriatric patients receiving home health care. In this population, effective management of the process by detecting anemia in individuals screened with regular visits as a result of continuous care in home health care, conducting research on the etiology, and controlling comorbidities may be important steps to improve the patient's quality of life. We recommend that physicians dealing with geriatric patients keep in mind the importance of detecting and managing anemia in their patients and organize their routine examinations in this perspective. Keywords: home health care, geriatrics, patients, anemia","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136343964","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":"Social Skills and Empathy Levels of Dental Students: A Cross-Sectional Study","authors":"Aylin Cilingir, Caglar Bilmenoglu","doi":"10.33880/ejfm.2023120305","DOIUrl":"https://doi.org/10.33880/ejfm.2023120305","url":null,"abstract":"Aim: This study aimed to determine the social skills and empathic levels of students of Trakya University Faculty of Dentistry. Methods: A questionnaire including sociodemographic questions, a social skill inventory, and an empathy scale was administered to 293 students. Results: The empathy score ranged from 17 to 70, with a mean of 42.20±10.40. Empathy scores of 3rd grades were significantly lower than 1st grades, 2nd grades, and 4th grades. There was no statistically significant difference between the 1st, 2nd, and 4th grades regarding empathy scores. The empathy scores of females were statistically significantly higher than males. According to The Social Skills Inventory, the total inventory score was 283.90±24.50. 3rd grade students had lower total inventory scores than 4th grade students. There was no statistically significant difference between the other grades. Pearson correlation analysis showed a positive, moderate (48.6%), and statistically significant relationship between empathy score and emotional sensitivity and the total inventory scores. Conclusions: Results suggest that dental students had the most social control and the least social sensitivity. The empathy scores of females were higher than males, and both emotional and social 'sensitivity' subgroups were positively correlated with the empathy scale. Keywords: dental education, dental students, empathy, social skills","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344977","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":"The Complaints of Health Workers After Mask Usage","authors":"Beray Gelmez Tas, Guzin Zeren Ozturk, Ilknur Demir, Ipek Acar, Muhammed Basanmay","doi":"10.33880/ejfm.2023120303","DOIUrl":"https://doi.org/10.33880/ejfm.2023120303","url":null,"abstract":"Aim: The purpose of this study was to evaluate the complaints of health workers after the use of masks. Methods: Individuals who were actively working at the hospital and who agreed to participate in the study were included in the study. The questionnaire form was created by the researchers with respect to recent literature and was applied by the face-to-face inquiry method. Results: The study included 1557 health workers. Experiencing at least one side effect related to the mask was reported to be 72.7% (n=1135). While systemic side 40% effects (n=625) were seen; local side effects concerning the nose were 67.3% (n=1051). The most common skin-related side effect was defined as acne 38.6% (n=603). The most common systemic side effect was dyspnea (37.5%; n=585). There was a relationship between having at least one side effect and the total mask load. In addition, there was a relationship between total mask load with systemic side effects and local effects. Conclusion: The most common side effects were mostly local effects, and most of them were scar formation in the nose. A correlation was found between mask load and side effects, calculated by the type and duration of mask use. Keywords: COVID-19, healthcare workers, masks","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136345164","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 Hepatitis B Vaccine Awareness in Diabetic Patients Admitted to Diabetes Clinic","authors":"Busra Aybike Kumcu, Ali Ozdemir, Müzeyyen Eryilmaz, Berrin Telatar","doi":"10.33880/ejfm.2023120301","DOIUrl":"https://doi.org/10.33880/ejfm.2023120301","url":null,"abstract":"Aim: This study aimed to evaluate the awareness of diabetic patients about the hepatitis B vaccine, hepatitis B vaccination rates, and the effect of our recommendations on vaccination status. Methods: This is a cross-sectional study carried out in 627 adult diabetic patients who were admitted to our diabetes outpatient clinic between October 2019 and December 2019. We prepared the hepatitis B vaccine awareness questionnaire, consisting of 14 items, and administered it to the patients through face-to-face interviews. Results: The study included 627 diabetic patients (59.8% female, mean age=58.9±9.5). Only 9.3% (n=58) of the patients were previously vaccinated against hepatitis B and 90.7% (n=569) were not. There was a significant difference between the education level and hepatitis B vaccination status of the patients (p<0.001). The most common reason with 94.7% (n=539) for not being vaccinated was the lack of information that diabetics should be vaccinated against hepatitis B. After the patients were informed, the hepatitis B vaccination rates increased from 9.3% to 68.1% at the end of the study. Conclusion: The hepatitis B vaccination rates were found to be quite low in diabetic patients, yet increased seriously after the patients were informed. This result revealed that informing patients and increasing their awareness can positively affect vaccination rates. Keywords: diabetes mellitus, hepatitis B vaccines, awareness","PeriodicalId":476271,"journal":{"name":"Eurasian journal of family medicine","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344974","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}