Aging is a continuous and universal process that is seen in every living thing without privilege and causes a decrease in all our functions. In the past 40-50 years, the most important concept that has developed with the increase of the elderly population in the world, especially in developed countries, is the aging of societies. Quality oflife (QOL) was defined by the World Health Organization Quality of Life (WHOQOL) Group as “individuals’ perception of their position in life in the context of culture and value systems in which they live, and in relation to their goals, expectations, standards and concerns” In this study, it was aimed to evaluate the quality of life perception and aging perception of elderly patients who applied to family medicine outpatient clinics of a university hospital. The data of this descriptive and cross-sectional study, the questionnaire containing socio-demographic information, and the Turkish version of WHO’s Quality of Life Instrument Older Adults Module (WHOQOL-OLD)-TR and WHO’s Europe Attitudes to Aging questionnaire. (EAAQ)-TR were created. The questionnaires were applied to Baskent University Hospital Family Medicine outpatient clinics and 200 randomly selected volunteers over the age of 65.All scale dimension scores were compared according to demographic characteristics by statistical t-test and variance analysis. As a result, significant positive correlations among the dimensions of QOL and aging attitude (AA) were obtained. Also total scores of QOL and AA were significantly correlated.Moreover QOL dimension scores were significantly correlated to AA dimension scores. Whereas age and gender were significantly related to psychosocial loss dimension, education was significantly related to psychosocial growth, physical change and total aging attitude scores. Additionally higher educated subjects (university degree) had higher mean scores. The presence of a disease was significantly related to physical change and total aging attitude scores. (p< 0.005) Changes in living environments were significantly correlated to physical change dimension. There is a significant positive correlation between WHOQOL-OLD-TR total scores and AYTA-TR total scores. Increasing the quality of life of the rapidly increasing elderly population will be one of the most important goals in the field of health both today and in the future. Family physicians can provide a better primary health care service by evaluating the quality of life and aging perceptions of the elderly and contribute to the development of new policies in this difficult issue.
衰老是一个持续的和普遍的过程，在每个生物身上都可以看到，没有特权，它会导致我们所有功能的下降。在过去的40-50年里，随着世界上特别是发达国家老年人口的增加而发展起来的最重要的概念是社会老龄化。生活质量(Quality of Life, QOL)被世界卫生组织生活质量(WHOQOL)小组定义为“个体在其所处的文化和价值体系背景下，对其生活地位的感知，以及与之相关的目标、期望、标准和关注点。”本研究旨在评估某大学医院家庭医学门诊老年患者的生活质量感知和衰老感知。这项描述性和横断面研究的数据，包含社会人口统计信息的问卷，以及土耳其版的世卫组织生活质量工具老年人模块(WHOQOL-OLD)-TR和世卫组织欧洲对老龄化的态度问卷。(EAAQ)-TR生成。问卷应用于巴斯肯特大学医院家庭医学门诊，随机抽取200名年龄在65岁以上的志愿者。根据人口学特征比较各量表维度得分，采用统计t检验和方差分析。结果表明，生活质量各维度与衰老态度(AA)呈显著正相关。QOL总分与AA总分也有显著相关。生活质量维度得分与AA维度得分显著相关。年龄和性别与心理社会损失维度显著相关，教育程度与心理社会成长、生理变化和老年态度总分显著相关。此外，高等教育科目(大学学位)的平均得分更高。疾病的存在与身体变化和老年态度总分有显著相关。(p< 0.005)生活环境变化与生理变化维度显著相关。WHOQOL-OLD-TR总分与AYTA-TR总分呈显著正相关。提高迅速增加的老年人口的生活质量将是今天和将来保健领域最重要的目标之一。家庭医生可以通过评估老年人的生活质量和对老龄化的认识来提供更好的初级保健服务，并有助于制定解决这一难题的新政策。
{"title":"The Quality of life and aging perceptions in the elderly: Baskent University example","authors":"Fisun Sözen, K. Ersoy, M. Çolak","doi":"10.15511/TJTFP.20.00491","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00491","url":null,"abstract":"Aging is a continuous and universal process that is seen in every living thing without privilege and causes a decrease in all our functions. In the past 40-50 years, the most important concept that has developed with the increase of the elderly population in the world, especially in developed countries, is the aging of societies. Quality oflife (QOL) was defined by the World Health Organization Quality of Life (WHOQOL) Group as “individuals’ perception of their position in life in the context of culture and value systems in which they live, and in relation to their goals, expectations, standards and concerns” In this study, it was aimed to evaluate the quality of life perception and aging perception of elderly patients who applied to family medicine outpatient clinics of a university hospital. The data of this descriptive and cross-sectional study, the questionnaire containing socio-demographic information, and the Turkish version of WHO’s Quality of Life Instrument Older Adults Module (WHOQOL-OLD)-TR and WHO’s Europe Attitudes to Aging questionnaire. (EAAQ)-TR were created. The questionnaires were applied to Baskent University Hospital Family Medicine outpatient clinics and 200 randomly selected volunteers over the age of 65.All scale dimension scores were compared according to demographic characteristics by statistical t-test and variance analysis. As a result, significant positive correlations among the dimensions of QOL and aging attitude (AA) were obtained. Also total scores of QOL and AA were significantly correlated.Moreover QOL dimension scores were significantly correlated to AA dimension scores. Whereas age and gender were significantly related to psychosocial loss dimension, education was significantly related to psychosocial growth, physical change and total aging attitude scores. Additionally higher educated subjects (university degree) had higher mean scores. The presence of a disease was significantly related to physical change and total aging attitude scores. (p< 0.005) Changes in living environments were significantly correlated to physical change dimension. There is a significant positive correlation between WHOQOL-OLD-TR total scores and AYTA-TR total scores. Increasing the quality of life of the rapidly increasing elderly population will be one of the most important goals in the field of health both today and in the future. Family physicians can provide a better primary health care service by evaluating the quality of life and aging perceptions of the elderly and contribute to the development of new policies in this difficult issue.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75210893","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}
Introduction: Frailty syndrome, which affects the quality of life negatively in patients of 65 years old and over, can be observed from physical inactivity to immobility, and can affect cognitive disorders. General symptoms of frailty are; slowing walking speed, involuntary weight loss, decreased appetite, decreased body mass index (BMI), decreased muscle strength, feeling insufficient while doing physical activity, weakness, fatigue, impaired cognitive functions, and memory loss. Fragility is reversible, but if it is not noticed earlier it can progress to immobility or death. Comprehensive Geriatric Assessment (CGA) is important in detecting a frail elderly. The aim of the study is to determine the knowledge level of family physicians in Erzincan. Methods: This is a cross-sectional study. It is aimed to reach at least 80% of family physicians (FPs) employed actively in 73 primary care units in Erzincan. The researchers applied questionnaire face-to-face to the participants. Erzincan Clinical Research Ethics Committee approval was received for the study. SPSS 23 statistics program was used for data analysis. Results: The frailty questionnaire was applied to 58 FPs. Only 12.1% of FPs correctly answered the question of which word first comes to mind for ‘frailty’. The 74.1% (n: 43) of participants did not consider themselves sufficient for CGA, and 70.7% (n: 41) of participants wanted training on CGA. The answer for question if they evaluate the patients for frailty in homecare visits was yes in 38.2%. Conclusion: It can be said that the ‘frailty’ knowledge level of FPs should be increased in Erzincan. In light of the data obtained, it may be suggested to organize “frailty” and CGA trainings for family physicians. Frailty and CGA should be included in undergraduate medical education and continuous trainings of FPs.
{"title":"The Determination of knowledge level of family physicians for frailty; A Cross-sectional study","authors":"Bilge Tuncel, Canan Tuz, Selçuk Akturan, Sevim Aksoy Kartçı","doi":"10.15511/TJTFP.20.00471","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00471","url":null,"abstract":"Introduction: Frailty syndrome, which affects the quality of life negatively in patients of 65 years old and over, can be observed from physical inactivity to immobility, and can affect cognitive disorders. General symptoms of frailty are; slowing walking speed, involuntary weight loss, decreased appetite, decreased body mass index (BMI), decreased muscle strength, feeling insufficient while doing physical activity, weakness, fatigue, impaired cognitive functions, and memory loss. Fragility is reversible, but if it is not noticed earlier it can progress to immobility or death. Comprehensive Geriatric Assessment (CGA) is important in detecting a frail elderly. The aim of the study is to determine the knowledge level of family physicians in Erzincan. Methods: This is a cross-sectional study. It is aimed to reach at least 80% of family physicians (FPs) employed actively in 73 primary care units in Erzincan. The researchers applied questionnaire face-to-face to the participants. Erzincan Clinical Research Ethics Committee approval was received for the study. SPSS 23 statistics program was used for data analysis. Results: The frailty questionnaire was applied to 58 FPs. Only 12.1% of FPs correctly answered the question of which word first comes to mind for ‘frailty’. The 74.1% (n: 43) of participants did not consider themselves sufficient for CGA, and 70.7% (n: 41) of participants wanted training on CGA. The answer for question if they evaluate the patients for frailty in homecare visits was yes in 38.2%. Conclusion: It can be said that the ‘frailty’ knowledge level of FPs should be increased in Erzincan. In light of the data obtained, it may be suggested to organize “frailty” and CGA trainings for family physicians. Frailty and CGA should be included in undergraduate medical education and continuous trainings of FPs.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78621782","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}
Objective: The aim of this study to evaluate the approaches of pregnant women to gestational diabetes mellitus (GDM) screening test. Methods: 102 women with gestational age is 24-28 week, at the age of 18 and over, who were not diagnosed with Type I or Type II DM before the pregnancy, with a single pregnancy, were included in the study. Socio-demographic characteristics of pregnant women, risk factors for GDM, whether GDM screening test and the reasons why pregnant women did not have screening test were questioned. Weight, body mass index, plasma glucose measurements and OGTT results of pregnant women with and without GDM risk factors were compared. Results: 53 (51.96%) of 102 pregnant women included in the study did not have GDM screening test. As the reason for not having a test; seven (13.2%) of the pregnant women thought that they should be screened with another method without sugar, six (11.3%) did not recommend by their doctor, six (11.3%) read in the media that test was harmful, six (11.3%) thought that test would harm the baby, and six (11.3%) stated that they did not know about the test. Ten (18,9%) did not report any reason. The rate of women in the risk group for GDM was 87.3%. The highest risk factor was the maternal age above 25 years (79.4%). In addition, 27,4% of pregnant women had first-degree relatives with Type II DM, 8,8% had a history of giving birth more than 4 kg in their previous pregnancy and 3.9% of women were diagnosed with GDM in their previous pregnancy. In pregnant women in the risk group for GDM; the mean age, weight, BMI and 50 g OGTT result were significantly higher than the other group. GDM was detected in six of 49 women had OGTT and all were in the risk group. Conclusion: GDM screening test rates of pregnant women are gradually decreasing. This is not due to educational level or socio-demographic characteristics. Pregnant women receive false information, especially through the media, and the importance of the issue cannot be understood adequately. Health personnel have important duties; risk factors that are proven to be associated with GDM should be questioned at first encounter with pregnant women. Screening test should be performed in early pregnancy in risky pregnant, who do not want to have screening tests should be followed up frequently with blood glucose measurements.
目的:探讨妊娠期糖尿病(GDM)筛查方法。方法:102例孕龄24-28周，年龄18岁及以上，孕前未诊断为1型或2型糖尿病的单次妊娠妇女纳入研究。对孕妇的社会人口学特征、GDM的危险因素、是否进行GDM筛查以及孕妇未进行筛查的原因进行了询问。比较有和无GDM危险因素孕妇的体重、体重指数、血糖测量和OGTT结果。结果:纳入研究的102例孕妇中，53例(51.96%)未进行GDM筛查试验。作为不做测试的原因;7名(13.2%)孕妇认为应该用其他不含糖的方法进行筛查，6名(11.3%)孕妇没有得到医生的建议，6名(11.3%)孕妇在媒体上读到测试有害，6名(11.3%)孕妇认为测试会伤害婴儿，6名(11.3%)孕妇表示不知道测试。10例(18.9%)未报告任何原因。GDM高危组女性比例为87.3%。最高危险因素为25岁以上产妇(79.4%)。此外，27.4%的孕妇有一级亲属患有II型糖尿病，8.8%的孕妇既往妊娠分娩超过4公斤，3.9%的孕妇在既往妊娠中被诊断为GDM。GDM危险组的孕妇;平均年龄、体重、BMI及50 g OGTT结果均显著高于对照组。49名患有OGTT的妇女中有6名被检测出GDM，并且都属于危险组。结论:妊娠期GDM筛查率呈逐渐下降趋势。这与教育水平或社会人口特征无关。孕妇接受虚假信息，特别是通过媒体，并不能充分理解这个问题的重要性。卫生人员负有重要职责;被证实与GDM相关的危险因素应该在第一次遇到孕妇时就被质疑。高危孕妇应在妊娠早期进行筛查试验，不愿进行筛查试验的孕妇应经常随访血糖测量。
{"title":"Evaluation of approaches of gestational diabetes screening test in pregnant women","authors":"Mehmet Özen, Nurten Dalgıç, Z. Aşık","doi":"10.15511/TJTFP.20.00479","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00479","url":null,"abstract":"Objective: The aim of this study to evaluate the approaches of pregnant women to gestational diabetes mellitus (GDM) screening test. Methods: 102 women with gestational age is 24-28 week, at the age of 18 and over, who were not diagnosed with Type I or Type II DM before the pregnancy, with a single pregnancy, were included in the study. Socio-demographic characteristics of pregnant women, risk factors for GDM, whether GDM screening test and the reasons why pregnant women did not have screening test were questioned. Weight, body mass index, plasma glucose measurements and OGTT results of pregnant women with and without GDM risk factors were compared. Results: 53 (51.96%) of 102 pregnant women included in the study did not have GDM screening test. As the reason for not having a test; seven (13.2%) of the pregnant women thought that they should be screened with another method without sugar, six (11.3%) did not recommend by their doctor, six (11.3%) read in the media that test was harmful, six (11.3%) thought that test would harm the baby, and six (11.3%) stated that they did not know about the test. Ten (18,9%) did not report any reason. The rate of women in the risk group for GDM was 87.3%. The highest risk factor was the maternal age above 25 years (79.4%). In addition, 27,4% of pregnant women had first-degree relatives with Type II DM, 8,8% had a history of giving birth more than 4 kg in their previous pregnancy and 3.9% of women were diagnosed with GDM in their previous pregnancy. In pregnant women in the risk group for GDM; the mean age, weight, BMI and 50 g OGTT result were significantly higher than the other group. GDM was detected in six of 49 women had OGTT and all were in the risk group. Conclusion: GDM screening test rates of pregnant women are gradually decreasing. This is not due to educational level or socio-demographic characteristics. Pregnant women receive false information, especially through the media, and the importance of the issue cannot be understood adequately. Health personnel have important duties; risk factors that are proven to be associated with GDM should be questioned at first encounter with pregnant women. Screening test should be performed in early pregnancy in risky pregnant, who do not want to have screening tests should be followed up frequently with blood glucose measurements.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72747763","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}
D. A. Başer, Hilal Aksoy, I. Fidancı, Mert Satılmış, M. Cankurtaran
1) Hacettepe Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Dr., Ankara 2) Hacettepe Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Dr. Öğr. Gör., Ankara 3) Hacettepe Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Uzm. Dr., Ankara 4) Hacettepe Üniversitesi Tıp Fakültesi, Aile Hekimliği Anabilim Dalı Başkanı, Ankara 5) H acettepe Üniversitesi Tıp Fakültesi, İç Hastalıkları AD Geriatri BD Başk, Prof. Dr., Ankara
{"title":"A case of newly diagnosed ulcerative colitis","authors":"D. A. Başer, Hilal Aksoy, I. Fidancı, Mert Satılmış, M. Cankurtaran","doi":"10.15511/TJTFP.20.00404","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00404","url":null,"abstract":"1) Hacettepe Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Dr., Ankara 2) Hacettepe Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Dr. Öğr. Gör., Ankara 3) Hacettepe Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Uzm. Dr., Ankara 4) Hacettepe Üniversitesi Tıp Fakültesi, Aile Hekimliği Anabilim Dalı Başkanı, Ankara 5) H acettepe Üniversitesi Tıp Fakültesi, İç Hastalıkları AD Geriatri BD Başk, Prof. Dr., Ankara","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"133 1","pages":"204-208"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74174655","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}
D. A. Başer, Hilal Aksoy, I. Fidancı, Kübra Dağcıoğlu, M. Cankurtaran, Tülin Karaca, Zehra Nur Yağlı
Objective: With this study, we aimed to evaluate the knowledge, usage status and attitudes of young adult men about family planning and contraception methods, a group that has not been studied before in our country, and to determine the influencing factors. Method: This descriptive research was conducted on male individuals between the ages of 18-35 between June 2020 and July 2020 by applying an online e-questionnaire. In the study, a questionnaire form consisting of 25 questions in total and formed after the literature review was applied. The e-questionnaire form developed by the researchers was shared 10 times over the web at three-day intervals. Results: 85.0% of the participants (n = 380) have experienced sexual intercourse at least once in their life. 55.7% of these people (n = 323) throughout their life; 21.1% of them have been with more than one partner in the last year. 89.2% of them do not plan to have a child in the next year. 65.9% of those who have had sexual intercourse have used contraceptive methods in their sexual intercourse. As the education level increases (p = 0.003), the increase in the frequency of using contraceptive methods was found to be statistically significant. Those who use alcohol (p = 0.004) and who think that men should be protected during sexual intercourse (p <0.001), use contraceptive methods more than others. Conclusion: Our study was conducted with a young adult male sample, and as a result, it was observed that more than half of the men used male contraceptive method together. In order to increase these rates, men to intervene in family planning by making a joint decision with their partner, and to increase the knowledge level of men, pre-marital applications should be evaluated as an opportunity, especially in primary health care centers and family health centers.
{"title":"Assessment of usage status and affecting factors about the contraception methods of young adult men","authors":"D. A. Başer, Hilal Aksoy, I. Fidancı, Kübra Dağcıoğlu, M. Cankurtaran, Tülin Karaca, Zehra Nur Yağlı","doi":"10.15511/TJTFP.20.00459","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00459","url":null,"abstract":"Objective: With this study, we aimed to evaluate the knowledge, usage status and attitudes of young adult men about family planning and contraception methods, a group that has not been studied before in our country, and to determine the influencing factors. Method: This descriptive research was conducted on male individuals between the ages of 18-35 between June 2020 and July 2020 by applying an online e-questionnaire. In the study, a questionnaire form consisting of 25 questions in total and formed after the literature review was applied. The e-questionnaire form developed by the researchers was shared 10 times over the web at three-day intervals. Results: 85.0% of the participants (n = 380) have experienced sexual intercourse at least once in their life. 55.7% of these people (n = 323) throughout their life; 21.1% of them have been with more than one partner in the last year. 89.2% of them do not plan to have a child in the next year. 65.9% of those who have had sexual intercourse have used contraceptive methods in their sexual intercourse. As the education level increases (p = 0.003), the increase in the frequency of using contraceptive methods was found to be statistically significant. Those who use alcohol (p = 0.004) and who think that men should be protected during sexual intercourse (p <0.001), use contraceptive methods more than others. Conclusion: Our study was conducted with a young adult male sample, and as a result, it was observed that more than half of the men used male contraceptive method together. In order to increase these rates, men to intervene in family planning by making a joint decision with their partner, and to increase the knowledge level of men, pre-marital applications should be evaluated as an opportunity, especially in primary health care centers and family health centers.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89485177","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}
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.
{"title":"Contraceptive Use of Levonorgestrel Intrauterine System: Case Series","authors":"Zeynep Ayaz, A. Uzuner","doi":"10.15511/tjtfp.20.00316","DOIUrl":"https://doi.org/10.15511/tjtfp.20.00316","url":null,"abstract":"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.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80694901","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}
Systemic lupus erythematosus (SLE) is an autoimmune disease that might be seen at any period of life regardless of age, gender, or race, but it most frequently affects young female patients. SLE might be observed to be together with the involvement of multiple organs coursing with skin, kidney, hematologic, and musculoskeletal involvement and responds well to the corticosteroids. Several symptoms and findings during the course of the disease might be dependent on the involvement of disease and they might also develop secondarily to the therapies applied. SLE is rarely seen together with lymphadenopathy (LAP) and this situation causes difficulties in diagnosis and treatment. The present case was a 32-year-old female patient, who has been diagnosed 13 years before, had no follow-up during the last 1.5 years, and presented to the family health center with the complaint of disease activation and swelling on the left side of neck. In medical examination, soft, mobile, and painless LAPs with approx. 2x1cm size were observed in both cervical regions. The one located on the right side was more remarkable. The patient stated that the swellings were there for 1.5 months and no reduction was observed in LAPs although she has taken various antibiotics. The patient was referred to Uşak Education and Research Hospital General Surgery Clinic with a referral note containing the necessary information with the preliminary diagnosis of SLE lymphadenopathy as a result of Anamnesis and physical examination taken by the patient who was admitted to the Family Health Center. All the procedures were followed by contacting the relevant branch physicians and patients at the hospital where the patient was admitted and treated. We had the opportunity to learn about the diagnostic procedures and treatments applied to the patient. The histopathologic diagnosis of LAP excision specimen was lupus lymphadenitis. The early diagnosis might be very difficult in these cases since the autoantibodies and low levels of complements cannot be detected. The present case is discussed here in the literature in order to emphasize that SLE is a pathology that should be considered in the differential diagnosis for the patients presenting with LAP.
{"title":"Lymphadenopathy of Systemic Lupus Erythematosus: A Case Presentation","authors":"İzzet Göker Küçük, Ş. Küçük","doi":"10.15511/TJTFP.20.00324","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00324","url":null,"abstract":"Systemic lupus erythematosus (SLE) is an autoimmune disease that might be seen at any period of life regardless of age, gender, or race, but it most frequently affects young female patients. SLE might be observed to be together with the involvement of multiple organs coursing with skin, kidney, hematologic, and musculoskeletal involvement and responds well to the corticosteroids. Several symptoms and findings during the course of the disease might be dependent on the involvement of disease and they might also develop secondarily to the therapies applied. SLE is rarely seen together with lymphadenopathy (LAP) and this situation causes difficulties in diagnosis and treatment. The present case was a 32-year-old female patient, who has been diagnosed 13 years before, had no follow-up during the last 1.5 years, and presented to the family health center with the complaint of disease activation and swelling on the left side of neck. In medical examination, soft, mobile, and painless LAPs with approx. 2x1cm size were observed in both cervical regions. The one located on the right side was more remarkable. The patient stated that the swellings were there for 1.5 months and no reduction was observed in LAPs although she has taken various antibiotics. The patient was referred to Uşak Education and Research Hospital General Surgery Clinic with a referral note containing the necessary information with the preliminary diagnosis of SLE lymphadenopathy as a result of Anamnesis and physical examination taken by the patient who was admitted to the Family Health Center. All the procedures were followed by contacting the relevant branch physicians and patients at the hospital where the patient was admitted and treated. We had the opportunity to learn about the diagnostic procedures and treatments applied to the patient. The histopathologic diagnosis of LAP excision specimen was lupus lymphadenitis. The early diagnosis might be very difficult in these cases since the autoantibodies and low levels of complements cannot be detected. The present case is discussed here in the literature in order to emphasize that SLE is a pathology that should be considered in the differential diagnosis for the patients presenting with LAP.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"96 1","pages":"124-130"},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88755336","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}
Diabetes mellitus (DM); is a metabolic progressive di-sease with a rapidly increasing prevalence. The most important factors in the treatment of DM is the education of individuals with diabetes and rational drug use. Multiple insulin therapy is started with the diagnosis in type 1 DM (T1DM), oral antidiabetic drugs (OAD) and insulin treatments are initiated together according to the glycemic status in Type 2 DM (T2DM). Problems causing irrational drug use related to OAD in DM; advanced age, multidrug use, complex drug intake program, lack of knowledge, drug-related side effects, and patient disbelief. Problems causing irrational drug use related to insulin; hypoglycemia, lipodystrophy, incorrect injection technique, insufficient and high dose administration. This situation appears as macrovascular and microvascular diseases with not reaching target HbA1c values by causing glycemic dysregulation in DM. The success of the holding of treatment in optimal status with prevention for glycemia and metabolic condition raises the quality of life in patients, prolong the patient’s life expectancy and reduces costs. Doctors and insulin educators raising awareness of rational drug use in the diabetic population ensures that correct the irrational behaviors performed in the diabetic population and adopt appropriate behaviors as a lifestyle. Thus it will improve the educational content given to people with diabetes, help to improve diabetes management and behavioral change, thereby achieving appropriate glycemic goals and increasing secondary rational gains from drugs with treatment.
{"title":"Diabetes mellitus, insulin therapy, oral antidiabetic, rational drug use","authors":"Hacer Dinçoğlu","doi":"10.15511/TJTFP.20.00331","DOIUrl":"https://doi.org/10.15511/TJTFP.20.00331","url":null,"abstract":"Diabetes mellitus (DM); is a metabolic progressive di-sease with a rapidly increasing prevalence. The most important factors in the treatment of DM is the education of individuals with diabetes and rational drug use. Multiple insulin therapy is started with the diagnosis in type 1 DM (T1DM), oral antidiabetic drugs (OAD) and insulin treatments are initiated together according to the glycemic status in Type 2 DM (T2DM). Problems causing irrational drug use related to OAD in DM; advanced age, multidrug use, complex drug intake program, lack of knowledge, drug-related side effects, and patient disbelief. Problems causing irrational drug use related to insulin; hypoglycemia, lipodystrophy, incorrect injection technique, insufficient and high dose administration. This situation appears as macrovascular and microvascular diseases with not reaching target HbA1c values by causing glycemic dysregulation in DM. The success of the holding of treatment in optimal status with prevention for glycemia and metabolic condition raises the quality of life in patients, prolong the patient’s life expectancy and reduces costs. Doctors and insulin educators raising awareness of rational drug use in the diabetic population ensures that correct the irrational behaviors performed in the diabetic population and adopt appropriate behaviors as a lifestyle. Thus it will improve the educational content given to people with diabetes, help to improve diabetes management and behavioral change, thereby achieving appropriate glycemic goals and increasing secondary rational gains from drugs with treatment.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"14 1","pages":"131-140"},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81596951","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}
Family practice’s contextual, scientific, and comprehensive core competencies need having an altruistic consciousness. As self transcendence stands on the top of modified maslow’s hierarchy of needs, primary care also need to be altrustic.
{"title":"Self Transcendence In Family Practice","authors":"M. E. Yayla","doi":"10.15511/tjtfp.20.00341","DOIUrl":"https://doi.org/10.15511/tjtfp.20.00341","url":null,"abstract":"Family practice’s contextual, scientific, and comprehensive core competencies need having an altruistic consciousness. As self transcendence stands on the top of modified maslow’s hierarchy of needs, primary care also need to be altrustic.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75247966","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}
On behalf of its members and partnering institutions the European Forum for Primary Care (EFPC) has prepared this brief statement based upon four focus groups and a two-part survey. It is our intention that this statement draws attention to the impacts that the current COVID-19 pandemic will have on two vulnerable groups of society; within the field of mental health and elderly populations. Furthermore, we wish to highlight the collateral damage as a result of health systems operating within ‘COVID-19 Mode’. Based upon this statement, the EFPC has also created several messages for health policy which can be used as a rough guidance when implementing and/or creating policy.
{"title":"Statement on COVID-19 from the European Forum for Primary Care: Reducing the Impacts to Vulnerable Groups","authors":"","doi":"10.15511/tjtfp.20.00344","DOIUrl":"https://doi.org/10.15511/tjtfp.20.00344","url":null,"abstract":"On behalf of its members and partnering institutions the European Forum for Primary Care (EFPC) has prepared this brief statement based upon four focus groups and a two-part survey. It is our intention that this statement draws attention to the impacts that the current COVID-19 pandemic will have on two vulnerable groups of society; within the field of mental health and elderly populations. Furthermore, we wish to highlight the collateral damage as a result of health systems operating within ‘COVID-19 Mode’. Based upon this statement, the EFPC has also created several messages for health policy which can be used as a rough guidance when implementing and/or creating policy.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84294762","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}
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