Arzu Uzuner

Aim: This study aimed to investigate the association between nutrition knowledge and diabetes risk, as well as metabolic parameters in primary care. Methods: This cross-sectional study included 317 adults attending a family medicine outpatient clinic. Sociodemographic data were gathered via in-person interviews. Nutrition knowledge and diabetes risk were assessed using the Nutrition Knowledge Scale and Finnish Diabetes Risk Score, respectively. Anthropometric measurements were recorded, and fasting plasma glucose, glycated hemoglobin, and lipid profiles were analyzed. Statistical analyses were processed through SPSS 25.0. Results: Participants had a mean age of 43.2±13.6 years, and 75.1% were female. Higher nutrition knowledge levels were associated with lower Finnish Diabetes Risk Score scores, and Nutrition Knowledge Scale was weakly and inversely correlated with Finnish Diabetes Risk Score. Higher Nutrition Knowledge Scale scores were also associated with lower glycated hemoglobin, triglyceride levels, and Body Mass Index. Higher Finnish Diabetes Risk Score values were associated with increased fasting plasma glucose, glycated hemoglobin, and triglyceride levels. Conclusion: Higher nutrition knowledge is linked to lower diabetes risk and improved metabolic parameters. Enhancing nutrition education in primary care may support diabetes prevention.

Background: Thromboembolic complications are frequently observed in patients with COVID‐19 infection, particularly among those admitted to the intensive care unit (ICU). Moreover, COVID‐19 infections today are mostly characterized by mild symptoms and are managed primarily in primary care settings, resulting in limited literature data on thromboembolic complications in this patient group. This study aims to investigate thrombotic event risks and associated factors in the outpatient population. Methods: All outpatient COVID‐19 cases managed at two family health centers in Istanbul between June 2020 and December 2021 were retrospectively reviewed. Patients were contacted and informed about the study. Sociodemographic and clinical data were obtained from family health center records, and information on thrombotic events was extracted from hospital discharge summaries. Fisher’s exact test and logistic regression were used for analysis. Results: A total of 961 patients were included in the study, of whom, 519 (54%) were female and 442 (46%) were male. The mean age was 41 years (range: 18–97). Thromboembolic events occurred in 4 patients (0.42%) within the first 6 months following COVID‐19 infection. Logistic regression analysis identified the use of antacid medications ( p = 0.01) and the presence of hematological disorders ( p = 0.03) as significant risk factors. Conclusion: Thromboembolic events may occur even in mild‐to‐moderate outpatient COVID‐19 cases within six months following the infection. Risk assessments focusing on comorbidities and medication use should be performed during outpatient follow‐up. Due to the small number of thromboembolic events in this study, the findings should be considered preliminary and interpreted with caution. Trial Registration: ClinicalTrials.gov identifier: NCT06695377

Objective: The aim of this study is to evaluate the relationship between irritable bowel syndrome (IBS) and abdominal obesity. Patients and Methods: This is a cross-sectional study, consisting of 18-49 year old patients who applied to Marmara University School of Medicine’s Family Medicine outpatient clinics and who accepted to participate. A questionnaire was applied using face-to-face interview technique; anthropometric measurements were obtained as recommended by World Health Organization (WHO). The diagnosis of IBS was made for those who fully met the diagnostic criteria of ROME IV-IBS and had no alarm symptoms. Abdominal obesity of the participants was determined via anthropometric measurements. Statistical analyses were performed by using SPSS 20 package program. Results: A total of 487 patients participated in the study: 77% female, 33% male; mean age value 33.71±8.59 years. The prevalence of IBS was 24.2% (n=118) [F:27.2% (n=102), M:14.3% (n=16)]. Abdominal obesity prevalence was 31.2% (n=152) [F:24.5% (n=92, M:53.6% (n=60)]. There is no statistically significant difference in terms of abdominal obesity with and without IBS (p>0.05). Conclusion: In this study no statistically significant relationship has been detected between IBS and abdominal obesity.

Aim: Levonorgestrel intrauterine system (LNG-RIS) is a highly effective, safe and reversible contraceptive method. It suppresses endometrial cell proliferation, thickens cervical mucus, disrupts tubal motility by creating a high levonorgestrel concentration in the endometrium and tubal mucosa. In our country, LNG-RIS is mostly used in Gynecology and Obstetrics clinics in the treatment of pathologies such as adenomyosis, endometriosis, hyperplasia and their symptoms such as menorrhagia, dysmenorrhea, pelvic pain, and is prescribed at the hospitals due to a medication report. It has a high level of protection (99.9%), and its contraceptive effect is considered to last five years, and fertility returns rapidly after removal. In this study it was aimed to evaluate retrospectively the continuation rate, the presence of unwanted effects and the patient satisfaction after insertion of LNG-RIS. Method: This is a retrospective, descriptive study of women who had been inserted LNG-IUS with contraceptive purpose in the family planning unit of the Marmara University Pendik Training and Research Hospital, between 2013-2019; the data of a total 38 patients were retrospectively analyzed. Results: The average age of the participants was 36±5 years. No pregnancy is detected during the use of the method. Five-year usage rate was 21% among users. A total of nine patients discontinued the method; one because being diagnosed with a glial tumor, two because of excessive bleeding, one other patient because having hysterectomy due to myoma uteri, two patients because the threads were not visible, two others because they have been told that their LNG-IUS had slipped down and one patient because of her pregnancy plan. The satisfaction rate was 52.6%. There was a decrease in both the duration and the amount of bleeding of menstruation but this decrease was not statistically significant. Conclusion: LNG-RIS is an effective, reliable contraception method with low side effect. It is still limited in primary care and it will be more appropriate to spread its use.

GİRİŞ: Dünya Sağlık Örgütü(DSÖ) verilerine göre hipertansiyon, diyabet ve dislipidemi gibi kronik hastalıklarda uzun süreli medikal tedaviye uyumsuzluk bireylerin sağlığını ve ekonomik koşullarını ciddi dereced etkilemektedir. Antihipertansif ilaçların ortalama kullanım oranı %64’tür. Bu çalışmanın amacı günlük kısa mesaj(sms) göndermenin hipertansif hastalarda kan basıncı kontrolü ve ilaç uyumu üzerine etkisini değerlendirmektir. YÖNTEM: Bu araştırma randomize kontrollü bir araştırmadır. Çalışmaya Marmara Üniversitesi Aile Hekimliği Polikliniğine başvuran ve hipertansif olduğu bilinen hastalar dahil edilmiştir. Katılımcılar randomizasyonla kontrol ve müdahale (sms) grubu olmak üzere iki gruba ayrılmıştır. Kontrol grubuna sadec rutin sağlık hizmeti verilmiş, müdahale grubuna buna ek olarak iki ay boyunca günlük hatırlatma mesajı yollanmıştır. Katılımcılardan ilk vizit ve son vizit öncesi bir haftalık kan basıncı(KB) takibi yapmaları istenmiştir ve her görüşmede KB ölçümleri yapılmıştır. İlaç uyumu Modifiye Morisky Ölçeği ile değerlendirilmiştir. Grupların KB ölçümleri ve ilaç uyumları karşılaştırılmıştır. BULGULAR: İçerleme kriterlerini karşılayan 60 katılımcı çalışmaya dahil edildi. Katılımcıların 45’i kadın, 15’i erkekti. Katılımcıların yaş ortalaması 55±11; ortalama Beden kitle İndeksi (BMI) 30±5; günlük kullandıkları tablet sayısı ortalaması 4±2 idi. Her iki grubun ilk vizitteki KB ölçüm ortalamları ile ilk görüşme bir haftalık evde KB ölçüm ortalamaları birbirine benzer olarak bulundu.(p>0,05) Buna karşılık müdahale grubunun hem son vizitteki KB ölçüm ortalaması, hem de ikinci görüşme evde bir haftalık KB takip ölçüm ortalaması kontrol grubuna göre istatistiksel olarak anlamlı derecede düşük bulundu.(p<0,05) Ayrıca müdahale grubunun ilk-son visit KB ölçüm değişim ortalaması ile ilk-son görüşme bir haftalık KB ölçüm takibi değişimi ortalaması kontrol grubuna göre istatistiksel olarak anlamlı derecede yüksek bulundu.(p<0,05) Kontrol grubunun ilaç uyumu %36,7 iken, müdahale grubunun ilaç uyumu %96,7 olarak bulundu. SONUÇ: Günlük ilaç hatırlatıcı kısa mesaj göndermek, hipertansiyon hastalarında kan basıncı kontrolünü sağlama ve ilaç uyumunu arttırmada etkilidir.

Birinci basamak yönelimli klinik bir uzmanlık dalı olan Aile Hekimliği Uzmanlığı ülkemizde ilk kez 1983 yılında Tababet Uzmanlık Tüzüğü’nde yer almış ve 19

Genel Bilgi Birinci basamak hekimi, kendisine başvuran bireylerin yaşam kalitesinin korunmasını, hizmet kalitesini belirleyen önemli bir unsur olarak görüp

Son yıllarda araştırmacıların ilgi odağı olan tükenmişlik kavramı daha çok insanlarla doğrudan ve yoğun temas gerektiren, çalışma koşullarının kişiyi fizik