Ikbal Humay Arman

Background: The healthcare sector contributes substantially to greenhouse gas emissions, and family doctors are well placed to reduce this impact, but their preparedness depends on adequate education in sustainable healthcare. Objectives: The objective of this study was to describe self-reported knowledge of sustainable healthcare and perceived educational gaps among family doctors and trainees affiliated with the European Young Family Doctors Movement (EYFDM) network. Methods: A cross-sectional, web-based survey was distributed through EYFDM. The instrument comprised one open-ended question, five knowledge items (four single-best-answer and one multiselect), and two yes/no items. Open-ended responses were scored independently by three authors using a rubric anchored to the World Health Organization definition of environmentally sustainable health systems. Data were analysed in SPSS v27. Results: A total of 130 family doctors and trainees from 15 European countries responded; 83.8% came from three countries (the Netherlands, Türkiye, and the UK). Of those who answered, 64.7% (75/116) reported no prior experience with sustainable healthcare, and 72.5% (58/80) had received no related teaching during training. The median total knowledge score was 3/5 [interquartile range (IQR) 2]. Scores were higher in participants aged under 45 years (P < .001), in female respondents (P = .014), and in trainees (P < .001). Nearly everyone who responded agreed that planetary health should be included in the family medicine curriculum. Conclusions: Within this EYFDM sample, prior formal education in sustainable healthcare was uncommon, and interest in further training was high. Findings are exploratory and not generalizable to all European family doctors, but they support the development of validated instruments and the integration of planetary health into family medicine curricula.

Aile Hekimliğinde Akut Hastalıkların Yön.Cilt:1-2

Akut hastalık yönetimi, sağlık hizmetlerinin en kritik ve en hızlı karar verme gerektiren alanlarından biridir. Zamanla yarışılan bu süreçte doğru tanıya hızla ulaşmak, uygun tedaviyi başlatmak ve gerektiğinde doğru yönlendirmeyi yapmak, birinci basamak sağlık hizmetlerinin etkinliğini belirleyen temel unsurlardır. Aile Hekimliğinde Akut Hastalıkların Yönetimi, sahada karşılaşılan gerçek klinik gereksinimlerden doğmuş; sistematik, uygulanabilir ve güncel bir başvuru kaynağı olarak hazırlanmıştır. Aile hekimliği ilkeleri doğrultusunda yapılandırılan bu eser, akut hastalıklara yalnızca biyomedikal açıdan değil, biyopsikososyal ve kültürel boyutlarıyla bütüncül bir yaklaşım sunmaktadır. Kitap; ayrışmamış hastaya yaklaşım, hızlı ve doğru klinik karar verme, belirsizliklerin yönetimi ve sevk-izlem dengesi gibi birinci basamak pratiğinin temel zorluklarına rehberlik etmektedir. Aynı zamanda hasta merkezli bakım, etkili iletişim, etik ilkeler ve hasta güvenliği gibi modern tıbbın vazgeçilmez unsurlarını akut bakım süreçleriyle bütünleştirmektedir. Tele-tıp uygulamaları, dijital sağlık araçları ve elektronik sağlık kayıtları gibi güncel yaklaşımlar da eserde pratik bir perspektifle ele alınmaktadır. Klinik içerik açısından ise solunum, gastrointestinal, üriner ve genital, kas-iskelet, travmaya bağlı akut durumlar, kardiyovasküler, nörolojik, dermatolojik, göz, kulak, burun ve boğaz pediatrik, kadın sağlığı ve gebelik, geriatrik ve kırılgan popülasyon, psikiyatrik, metabolik ve endokrin, hematolojik, afetler ve olağanüstü durumlardaki tüm akut hastalıkları, kanıta dayalı ve sahada uygulanabilir bir çerçevede sunulmaktadır.

Objective: This study explores the diagnostic, treatment, and follow‐up approaches of neurologists, psychiatrists, and family physicians in managing late‐onset bipolar disorder (BD) in elderly patients, emphasizing the role of interdisciplinary collaboration.Methods: A cross‐sectional survey involved 300 specialists (100 from each discipline). The survey assessed diagnostic accuracy, treatment preferences, follow‐up adherence, and barriers to interdisciplinary collaboration. A pairwise z‐test with Bonferroni correction was applied for comparative analysis across specialties to evaluate differences in response proportions.Results: Neurologists demonstrated high proficiency in imaging and treatment initiation (91% correct imaging responses) but faced challenges in holistic management and follow‐up adherence (2%). Psychiatrists excelled in diagnosing organic causes of mood disorders (92%) and therapeutic decisions but struggled with non‐priority diagnostic tests (44%) and long‐term follow‐up strategies (14%). Family physicians showed strong skills in pharmacological management (96%) and follow‐up adherence (89%) but encountered barriers like stigma and referral timing for high‐risk cases. Common interdisciplinary challenges included diagnostic communication, treatment coordination, and follow‐up collaboration.Conclusion: Late‐onset BD management requires a multidisciplinary approach to address specialty‐specific gaps and foster effective interdisciplinary collaboration. Enhanced training, integrated care models, and shared guidelines are recommended to optimize outcomes for elderly patients with mood disorders. Future research should focus on developing standardized protocols and evaluating the long‐term impact of interdisciplinary interventions.

Aile Hekimliğinde Kronik Hastalıkların Yönetimi kitabı, birinci basamak sağlık hizmetlerinde kronik hastalıkların etkin yönetimi için kapsamlı ve kanıta dayalı bir rehber sunmaktadır. Aile hekimliği uzmanları, birinci basamak hekimleri, aile sağlığı çalışanları, ebeler, hemşireler ve sağlık yöneticileri için hazırlanmış bu kaynak, kronik hastalıkların tanı, tedavi ve takip süreçlerine dair güncel bilgiler içermektedir.rnrn● Aile Hekimliği İlkeleri ile Birinci Basamakta Kronik Hastalık Yönetimi: Bu kitap, Aile Hekimliği İlkeleri kapsamında aile hekimlerinin kronik hastalıkları etkin bir şekilde yönetebilmesi için bilimsel temellere dayalı rehberlik sunmaktadır.rnrn● Hasta Merkezli Bütüncül, Sürekli, Kapsamlı ve Multidisipliner Yaklaşım: Kardiyovasküler Hastalıklar, Diyabet, KOAH, Geriatrik ve Mental Sağlık gibi yaygın kronik hastalıkların yönetiminde ekip çalışmasının ve bireyselleştirilmiş bakımın önemini vurgulamaktadır. Kronik hastalıklarla yaşayan bireylerin yönetiminde aile hekimliğinin temel prensipleri içinde bütüncül, sürekli, kapsamlı ve multidisipliner bakım stratejilerinin uygulamalarına odaklanmaktadır.rnrn● Güncel Bilgiler, Klinik Rehberler ve Uygulamalar: Kanıta dayalı güncel tıbbi bilgileri, tedavi yaklaşımlarını ve birinci basamakta uygulanabilir pratik önerileri içermektedir.rnrn● Aile Hekimleri İçin Kapsamlı Bir Kaynak: Aile Hekimliği Uzmanları, Birinci Basamak Hekimleri, aile sağlığı çalışanları, ebeler, hemşireler ve sağlık yöneticileri için rehber niteliğinde hazırlanmış olup, kronik hastalıklarla mücadelede etkili stratejiler sunmaktadır.rnrn● Sağlık Hizmetlerinin Geleceğine Katkı: Birinci basamak sağlık hizmetlerinde kronik hastalık yönetiminin kalitesini artırmayı amaçlayan bu eser, hasta bakım süreçlerinde sürdürülebilir iyileşmeler sağlamak için önemli bir başvuru kaynağı olacaktır.rnrn● Eleştirel Düşünme Soruları: Bu kitap, kronik hastalıkların yönetimi ile ilgili temel kavramları daha iyi anlamanızı sağlayacak tartışma soruları ile düşünce ufkunuzu genişletecek önerileri içermektedirrnrn● Öğrenme Hedefleri ve Anahtar Kavramlar: Kitap boyunca odaklanmanız gereken temel noktaları belirleyerek, klinik pratiğinize yön verecek güncel bilgilere erişiminizi sağlayacaktır.rnrn rnrn“Birinci basamak sağlık hizmetlerinde kronik hastalıkların yönetimi, bütüncül bir yaklaşımı zorunlu kılar. Kronik hastalıkların yönetimi, sadece tedavi süreçlerini değil, hastaların yaşam kalitesini artırmayı da gerektirir. Bu kitap, aile hekimleri için pratik ve güncel bilgilerle donatılmış kapsamlı bir rehber niteliği içererek, aile hekimlerinin karşılaştıkları zorluklara kanıta dayalı çözümler sunarak önemli bir boşluğu dolduracaktır.”rn— Prof. Dr. Yeltekin Demirelrnrn“Günümüzde kronik hastalıklar, sağlık sisteminin en büyük yüklerinden biri haline gelmiştir. Bu kitap, aile hekimleri için yalnızca bir kaynak değil, aynı zamanda hastalarıyla etkili iletişim kurmalarına yardımcı olacak bir yol haritası oluşturarak daha kaliteli sağlık hizmet sunumunu sağlayacaktır.”rn— Prof. Dr. Süleyman Görpelioğlurnrn“Kronik hastalıkların yönetimi, hekim-hasta iş birliğini ve bireyselleştirilmiş bakım yaklaşımlarını gerektirir. Bu kitap, aile hekimlerinin hastalarına daha etkin bir rehberlik yapabilmesi için güçlü bir içerik sunuyor. Birinci Basamak Sağlık Hizmetlerinde çalışan tüm sağlık profesyonellerinin önemli başvuru kitabı niteliğinde...”rn— Prof. Dr. Serpil Demirağ

This review article explores the concept of digital minimalism as a strategy for optimizing the use of technology in healthcare. While digital technologies offer numerous benefits, including improved patient-centered care and streamlined operations, challenges like information overload, clinician burnout, and the digital divide highlight the need for a mindful approach. Digital minimalism advocates for thoughtful and intentional use of technology, focusing on reducing clutter, optimizing usage, and prioritizing purposeful engagement. The article examines how digital minimalism can address information overload and the increasing burden of administrative tasks, thereby mitigating burnout among healthcare professionals. It explores strategies for implementing digital minimalism in primary care settings, including utilizing artificial intelligence and machine learning tools, optimizing workflows, and promoting digital literacy. The article explores practical strategies to integrate digital minimalism into primary care and discusses future directions, including ethical alignment of digital tools, fostering equitable access, and improving usability through user-centered design. By prioritizing workflow optimization and minimizing administrative burdens, digital minimalism aims to create a sustainable healthcare environment that enhances clinician well-being and patient-centered care. Keywords: digital health, health technology, primary health care

On the first day of the program, a visit to Trakya University Faculty of Medicine's Department of Family Medicine and its polyclinics was organized. Dr. Tadas Saulenas, who arrived in Edirne, met with the department's academics and residents. They discussed the family medicine residency programs

Dear Editor, Accessing reliable information in the 21st century can be challenging, particularly with the ease of access to data through technology. For both society and health professionals, the integrity of information is of utmost importance. Evidence-based medicine (EBM) offers a framework for evaluating the reliability of sources through rigorous scientific methods, including experimentation, falsification, and data accumulation (1). Medical knowledge has historically evolved through continuous refinement, with evidence being established via repeated experiments and analyses. Reliable information stems from multiple confirmations rather than isolated findings. EBM uses a hierarchy of evidence to categorize research by its reliability, facilitating informed clinical decision-making. It presents a structured approach to medical diagnosis, treatment, and follow-up strategies based on evidence levels (Grade Practice Recommendations, A-D) (2). The importance of EBM is emphasized in the digital era, promoting a systematic and reliable presentation of information. To combat misinformation, it is important to exercise critical thinking and skepticism toward information sources. Accessing reliable medical information is of crucial importance, especially in times of crisis such as the COVID-19 pandemic (3). Primary sources, including peer-reviewed journals, respected international guidelines, scientific reports, and reputable textbooks play a pivotal role in providing accurate and trustworthy information. For example, The National Institute for Health and Clinical Excellence (NICE) and the Cochrane Library offer evidence-based information that has undergone peer review (5,6). The pandemic has highlighted the significance of open access to scientific publications, which has facilitated global information sharing and accelerated vaccine development, ultimately reducing morbidity and mortality rates. This event has underscored the necessity of reliable information sources and the importance of continued collaboration and cooperation in the scientific community. Misinformation, particularly on social media, can pose significant challenges when it comes to verifying the accuracy of online information. To differentiate between truth and falsehood, it is crucial to employ critical evaluation methods, such as cross-referencing multiple sources and examining evidence consistency. Educational initiatives on media and health literacy from a young age, as well as platforms dedicated to verifying claims, can play a vital role in countering misinformation (6). In the digital age, family physicians face both opportunities and challenges due to the abundance of online information. It is very important to acknowledge that quick access to a wide range of data is invaluable for informed decision-making in patient care. However, the vast amount of information available also poses the risk of encountering unreliable or outdated sources. Therefore, it is crucial to utilize reputable medical literature and evidence-based resources (7). For family physicians, it is important to remain up-to-date with the latest research and guidelines through respected indexes such as Web of Science, PubMed, and Scopus. This practice not only helps in delivering high-quality patient care but also supports lifelong learning and professional development (8). Additionally, recent global health crises have emphasized the need for quick access to accurate and reliable medical information to effectively address public health emergencies (6). Therefore, discerning and accessing reliable information sources are indispensable skills for family physicians in the digital age. Keywords: evidence-based medicine, information sources, family practice, practice guideline, resource guides

Objective:Although children presenting with respiratory tract infection (RTI) symptoms can be managed by in primary care, these symptoms are the most common reasons for children to present to the emergency department(ED). The aim of this study is to investigate the effect of the education given to mothers by their family physician in reducing the unnecessary admissions of children with RTI symptoms to the ED. Method:A quasi-experimental, single-blinded, controlled educational intervention study was conducted with the mothers of 6 months–6 years old children. Family Medicine Units were randomized as control and intervention group. Sociodemographic features, admissions to ED, fever-related practices were questioned and a questionnaire including propositions on Knowledge, Attitude and Behaviour (KAB) about RTI symptoms (KABaRTIS) were applied in both groups before-after the intervention. Intervention group received one-to-one, face-to-face education focusing on home management of acute RTI symptoms and alarm findings, also a booklet was given. No intervention was made to the control group. Result:Study was completed with 178 mothers(Control:118, Intervention:60). The KABaRTIS scores of the mothers increased significantly in both groups(Control:76.9-82.2;p

Türkiye Aile Hekimliği Dergisi