Pub Date : 2023-12-30DOI: 10.33880/ejfm.2023120405
S. Taghipour zahir, Mahsa Yazdkhasti, Parisa Ghasempour, Saadat Eslami
Aim: Considering that many cases of abnormal pap smears are reported, which lead to more aggressive procedures such as colposcopy and cervical Loop Electrosurgical Excision Procedure conization, therefore, we tried to investigate the results of conization and compare them with the results of pap smears, so that perhaps more aggressive procedures can be avoided. Methods: This cross-sectional retrospective analytical study was conducted on women who underwent pap smear and cervical conization in Mortaz and Shahid Sadoughi hospitals from 2011 to 2020. All data including age, Pap smear, and conization pathology results were extracted from medical records. P-value Results: Totally 1306 patients were included in this study. The mean age was 40.74±9.73 years old. The most commonly reported pap smear tests and loop electrosurgical excision procedure conization were atypical squamous cells of undetermined significance with 912 (69.8%) patients for a pap smear and chronic cervicitis with 860 (65.8%) patients for loop electrosurgical excision procedure, respectively. A significant difference was seen between the distribution of conization findings and the pap smear test. In addition, no significant difference was observed between the distribution of findings of pap smear tests and cervical conization in terms of age. Conclusion: According to the results, it can be said that there was no significant difference between different age groups, but there is a significant difference between the results of pap smear and cervical conization, it seems that pap smears should be reported more accurately to avoid unnecessary conization. Keywords: uterine cervical neoplasms, papanicolaou test, conization, cervix uteri
{"title":"Comparison of Three Methods, “Pap Smear, Conization and LEEP” in Women with Abnormal Pap Smear: A Ten-Year Retrospective Analytical Study","authors":"S. Taghipour zahir, Mahsa Yazdkhasti, Parisa Ghasempour, Saadat Eslami","doi":"10.33880/ejfm.2023120405","DOIUrl":"https://doi.org/10.33880/ejfm.2023120405","url":null,"abstract":"Aim: Considering that many cases of abnormal pap smears are reported, which lead to more aggressive procedures such as colposcopy and cervical Loop Electrosurgical Excision Procedure conization, therefore, we tried to investigate the results of conization and compare them with the results of pap smears, so that perhaps more aggressive procedures can be avoided. Methods: This cross-sectional retrospective analytical study was conducted on women who underwent pap smear and cervical conization in Mortaz and Shahid Sadoughi hospitals from 2011 to 2020. All data including age, Pap smear, and conization pathology results were extracted from medical records. P-value Results: Totally 1306 patients were included in this study. The mean age was 40.74±9.73 years old. The most commonly reported pap smear tests and loop electrosurgical excision procedure conization were atypical squamous cells of undetermined significance with 912 (69.8%) patients for a pap smear and chronic cervicitis with 860 (65.8%) patients for loop electrosurgical excision procedure, respectively. A significant difference was seen between the distribution of conization findings and the pap smear test. In addition, no significant difference was observed between the distribution of findings of pap smear tests and cervical conization in terms of age. Conclusion: According to the results, it can be said that there was no significant difference between different age groups, but there is a significant difference between the results of pap smear and cervical conization, it seems that pap smears should be reported more accurately to avoid unnecessary conization. Keywords: uterine cervical neoplasms, papanicolaou test, conization, cervix uteri","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139137671","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}
Pub Date : 2023-12-30DOI: 10.33880/ejfm.2023120404
Mustafa Berk Akbas, S. Gucuk
Aim: Our study was conducted to evaluate the relationship between health literacy levels and HPV vaccination attitudes of parents. Methods: Our study was planned as a descriptive study and it was completed with 418 parents who were admitted to Bolu Abant İzzet Baysal Training and Research Hospital, between March 2022 and June 2022. After written consent was obtained from the participants, they were given a survey consisting of sociodemographic questions prepared by the researcher and European Health Literacy Scale. The survey form prepared by the researcher included questions about the participants’ gender, age, level of education, occupation, level of income, the state of being informed about HPV vaccination, the source of information about HPV vaccination, their beliefs about the safety and efficacy of HPV vaccination and their information about HPV vaccination. Results: Of the participants, 178 (42.6%) were male and 240 (57.4%) were female. While 358 (85.6%) of the parents stated that they did not have information about HPV vaccine, 37 (8.8%) stated that they had been informed by health professionals. It was found that 128 (30.6%) of the parents believed HPV vaccine was safe, while 112 (26.8%) of the parents did not believe that it was safe and 178 (42.6%) of the parents were undecided. 355 (84.9%) of the parents thought that HPV vaccine could protect from sexually transmitted diseases. Conclusion: We think that vaccination rates can be increased as desired by including HPV vaccine in the national vaccination program in Turkiye, as in many other countries in the world, and with studies to increase health literacy. Keywords: health literacy, HPV vaccines, parents, behavior
{"title":"The Relationship Between Parents’ Health Literacy Levels and Their Attitudes Towards Human Papillomavirus Vaccination","authors":"Mustafa Berk Akbas, S. Gucuk","doi":"10.33880/ejfm.2023120404","DOIUrl":"https://doi.org/10.33880/ejfm.2023120404","url":null,"abstract":"Aim: Our study was conducted to evaluate the relationship between health literacy levels and HPV vaccination attitudes of parents. Methods: Our study was planned as a descriptive study and it was completed with 418 parents who were admitted to Bolu Abant İzzet Baysal Training and Research Hospital, between March 2022 and June 2022. After written consent was obtained from the participants, they were given a survey consisting of sociodemographic questions prepared by the researcher and European Health Literacy Scale. The survey form prepared by the researcher included questions about the participants’ gender, age, level of education, occupation, level of income, the state of being informed about HPV vaccination, the source of information about HPV vaccination, their beliefs about the safety and efficacy of HPV vaccination and their information about HPV vaccination. Results: Of the participants, 178 (42.6%) were male and 240 (57.4%) were female. While 358 (85.6%) of the parents stated that they did not have information about HPV vaccine, 37 (8.8%) stated that they had been informed by health professionals. It was found that 128 (30.6%) of the parents believed HPV vaccine was safe, while 112 (26.8%) of the parents did not believe that it was safe and 178 (42.6%) of the parents were undecided. 355 (84.9%) of the parents thought that HPV vaccine could protect from sexually transmitted diseases. Conclusion: We think that vaccination rates can be increased as desired by including HPV vaccine in the national vaccination program in Turkiye, as in many other countries in the world, and with studies to increase health literacy. Keywords: health literacy, HPV vaccines, parents, behavior","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":" 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139141783","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}
Pub Date : 2023-12-30DOI: 10.33880/ejfm.2023120402
H. Demirdağ, Burcu Tuğrul
Aim: This study aimed to evaluate the misbeliefs and myths about nevus and skin cancer, knowledge about melanoma, and compare the results between the sexes, education levels, and age groups in the Turkish population. Methods: The study was conducted between August 2020 and November 2021 in a tertiary dermatology outpatient clinic. Data were collected through a self-administered questionnaire. The questions were about demographic data, awareness and beliefs about nevus features, beliefs about nevus and skin cancer relation, and melanoma knowledge. Results: A total of 517 patients, 69.1% (n=357) females and 30.9% (n=160) males were included. Of the participants, 15.3% (n=79) had heard of melanoma, 84.7% (n=438) had not. 16.2% (n=84) of the patients responded that excising nevi causes a risk of skin cancer. 50.5% of the patients answered that nevi turn into skin cancer. 44.3% of the patients considered as traumatized nevus turns into skin cancer. These beliefs were more common in females and varied according to different stages of age and education levels. Conclusion: Nevus and skin cancer continue to carry misbeliefs and myths which are significant problems in public health because they cause difficulties in the treatment and management of skin cancer. Accurate knowledge through education programs is necessary for debunking myths. Keywords: nevi, nevus, skin cancer, melanoma
{"title":"Evaluation of Misbeliefs, Myths and Knowledge About Nevi and Skin Cancer in Dermatology Patients","authors":"H. Demirdağ, Burcu Tuğrul","doi":"10.33880/ejfm.2023120402","DOIUrl":"https://doi.org/10.33880/ejfm.2023120402","url":null,"abstract":"Aim: This study aimed to evaluate the misbeliefs and myths about nevus and skin cancer, knowledge about melanoma, and compare the results between the sexes, education levels, and age groups in the Turkish population. Methods: The study was conducted between August 2020 and November 2021 in a tertiary dermatology outpatient clinic. Data were collected through a self-administered questionnaire. The questions were about demographic data, awareness and beliefs about nevus features, beliefs about nevus and skin cancer relation, and melanoma knowledge. Results: A total of 517 patients, 69.1% (n=357) females and 30.9% (n=160) males were included. Of the participants, 15.3% (n=79) had heard of melanoma, 84.7% (n=438) had not. 16.2% (n=84) of the patients responded that excising nevi causes a risk of skin cancer. 50.5% of the patients answered that nevi turn into skin cancer. 44.3% of the patients considered as traumatized nevus turns into skin cancer. These beliefs were more common in females and varied according to different stages of age and education levels. Conclusion: Nevus and skin cancer continue to carry misbeliefs and myths which are significant problems in public health because they cause difficulties in the treatment and management of skin cancer. Accurate knowledge through education programs is necessary for debunking myths. Keywords: nevi, nevus, skin cancer, melanoma","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":" 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138176","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}
Pub Date : 2023-12-30DOI: 10.33880/ejfm.2023120403
Ozge Egren, Sibel Tunç Karaman, O. Basat
Aim: To evaluate the relationship of pain sensitivity and pain severity with pain-related quality of life in patients with chronic low back pain. Methods: This descriptive study was conducted with individuals who applied to the Family Medicine Outpatient Clinic of a tertiary hospital, and who had low back pain for at least 3 months. To obtain data, Patient Information Form, Dallas Pain Questionnaire, Graded Chronic Pain Scale-Revised, and Pain Sensitivity Questionnaire were used. Results: While the total pain sensitivity of the 196 participants was detected to be moderate, 46.9% were Grade-3 according to Chronic Pain Scale-Revised. A significant correlation was found between the grade groups and age, presence of chronic disease, low back pain duration, treatment status, and compliance to advice. A significant relationship was found between grade groups and daily activities and work and leisure activities subgroups of Dallas Pain Questionnaire. The total Pain Sensitivity Questionnaire score was higher in women and those who did not receive any treatment for low back pain. Conclusion: A number of socio-demographic and low back pain related variables were associated with pain severity and sensitivity. Daily activity, and work and leisure activities, which indicate the quality of life, were negatively affected by the increase in the severity of low back pain. High pain sensitivity also negatively affects the emotional situation. Keywords: chronic pain, low back pain, pain severity, quality of life
{"title":"The Relationship of Pain Sensitivity and Severity with Quality of Life in Patients with Chronic Low Back Pain","authors":"Ozge Egren, Sibel Tunç Karaman, O. Basat","doi":"10.33880/ejfm.2023120403","DOIUrl":"https://doi.org/10.33880/ejfm.2023120403","url":null,"abstract":"Aim: To evaluate the relationship of pain sensitivity and pain severity with pain-related quality of life in patients with chronic low back pain. Methods: This descriptive study was conducted with individuals who applied to the Family Medicine Outpatient Clinic of a tertiary hospital, and who had low back pain for at least 3 months. To obtain data, Patient Information Form, Dallas Pain Questionnaire, Graded Chronic Pain Scale-Revised, and Pain Sensitivity Questionnaire were used. Results: While the total pain sensitivity of the 196 participants was detected to be moderate, 46.9% were Grade-3 according to Chronic Pain Scale-Revised. A significant correlation was found between the grade groups and age, presence of chronic disease, low back pain duration, treatment status, and compliance to advice. A significant relationship was found between grade groups and daily activities and work and leisure activities subgroups of Dallas Pain Questionnaire. The total Pain Sensitivity Questionnaire score was higher in women and those who did not receive any treatment for low back pain. Conclusion: A number of socio-demographic and low back pain related variables were associated with pain severity and sensitivity. Daily activity, and work and leisure activities, which indicate the quality of life, were negatively affected by the increase in the severity of low back pain. High pain sensitivity also negatively affects the emotional situation. Keywords: chronic pain, low back pain, pain severity, quality of life","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139140225","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}
Pub Date : 2023-12-30DOI: 10.33880/ejfm.2023120406
Nezihenur Ozturk, M. Aydın, Abulkadir Aydin, Hasan Cetin Ekerbicer
Aim: In this study, we aimed to detect the anger level of patients in the outpatient waiting area and related factors. We also aimed to contribute to the studies to be carried out to prevent violence in health caused by uncontrolled anger. Methods: Volunteer patients aged 18 and over who applied to outpatient clinics were included in the study. A survey consisting of 34 questions prepared by the researchers and Spielberger's State Anger Scale consisting of 10 questions were used. Results: In our study, it was detected that there was a statistically significant increase in state anger scale scores of patients who resorted to violence in health before, who are troubled with the priority patient practice, who cannot communicate with the doctor adequately, who cannot sit in the outpatient waiting area and those who wait for a long time, who have trouble making an appointment, who smoke and who have low income and education level. Conclusion: We believe that establishing effective communication between health professionals and patients, increasing the number of healthcare workers, organizing work environments, and creating an efficient appointment system will contribute to a decrease in patient anger and a reduction in violence in healthcare. Keywords: outpatient health services, anger, violence
{"title":"Anger Level of Patients in Outpatient Waiting Area and Related Factors","authors":"Nezihenur Ozturk, M. Aydın, Abulkadir Aydin, Hasan Cetin Ekerbicer","doi":"10.33880/ejfm.2023120406","DOIUrl":"https://doi.org/10.33880/ejfm.2023120406","url":null,"abstract":"Aim: In this study, we aimed to detect the anger level of patients in the outpatient waiting area and related factors. We also aimed to contribute to the studies to be carried out to prevent violence in health caused by uncontrolled anger. Methods: Volunteer patients aged 18 and over who applied to outpatient clinics were included in the study. A survey consisting of 34 questions prepared by the researchers and Spielberger's State Anger Scale consisting of 10 questions were used. Results: In our study, it was detected that there was a statistically significant increase in state anger scale scores of patients who resorted to violence in health before, who are troubled with the priority patient practice, who cannot communicate with the doctor adequately, who cannot sit in the outpatient waiting area and those who wait for a long time, who have trouble making an appointment, who smoke and who have low income and education level. Conclusion: We believe that establishing effective communication between health professionals and patients, increasing the number of healthcare workers, organizing work environments, and creating an efficient appointment system will contribute to a decrease in patient anger and a reduction in violence in healthcare. Keywords: outpatient health services, anger, violence","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":" 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139141951","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}
Pub Date : 2023-12-30DOI: 10.33880/ejfm.2023120401
Oznur Yasar, E.Ö. Çevik, Ekin Dila Topaloglu Oren
Aim: The study was conducted to determine the breastfeeding problems encountered in the postpartum period and its effect on sleep quality. Methods: The sample of the study consisted of 364 mothers who used social media platforms. Data collection tools were applied between 2-8 weeks postpartum with an online questionnaire method. Research data were evaluated using the t-test to compare the means of two groups and the One-Way ANOVA test to compare the means of multiple groups. Results: In the study, the mean age of the mothers was 29.50±4.69 years, 57.4% had graduated from a university. Of the infants of the mothers, 97% took human milk, and 56.6% used pacifiers and bottles. Of the mothers who took part in the study, 73.6% had nipple cracks. The study found the Postpartum Sleep Quality Scale total score mean to be 28.29±8.08. The Postpartum Sleep Quality Scale total score was higher (poor sleep quality) in those with nipple cracks compared to those without. Conclusion: In the study, it was determined that the most common breastfeeding problem in the postpartum period is nipple cracks and that breastfeeding problems reduce the sleep quality of mothers in the postpartum period. Keywords: breastfeeding, postpartum period, sleep quality
{"title":"Breastfeeding Problems of Mothers in the Postpartum Period and Impact on Sleep Quality","authors":"Oznur Yasar, E.Ö. Çevik, Ekin Dila Topaloglu Oren","doi":"10.33880/ejfm.2023120401","DOIUrl":"https://doi.org/10.33880/ejfm.2023120401","url":null,"abstract":"Aim: The study was conducted to determine the breastfeeding problems encountered in the postpartum period and its effect on sleep quality. Methods: The sample of the study consisted of 364 mothers who used social media platforms. Data collection tools were applied between 2-8 weeks postpartum with an online questionnaire method. Research data were evaluated using the t-test to compare the means of two groups and the One-Way ANOVA test to compare the means of multiple groups. Results: In the study, the mean age of the mothers was 29.50±4.69 years, 57.4% had graduated from a university. Of the infants of the mothers, 97% took human milk, and 56.6% used pacifiers and bottles. Of the mothers who took part in the study, 73.6% had nipple cracks. The study found the Postpartum Sleep Quality Scale total score mean to be 28.29±8.08. The Postpartum Sleep Quality Scale total score was higher (poor sleep quality) in those with nipple cracks compared to those without. Conclusion: In the study, it was determined that the most common breastfeeding problem in the postpartum period is nipple cracks and that breastfeeding problems reduce the sleep quality of mothers in the postpartum period. Keywords: breastfeeding, postpartum period, sleep quality","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":" 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138388","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}
Pub Date : 2023-06-30DOI: 10.33880/ejfm.2023120207
O. Atac, A. Tokaç, Y. Tașçı, M. Sezerol
Aim: We aim to compare the past trajectory of immunization services and different types of follow-ups with their current states during the COVID-19 pandemic. Methods: This cross-sectional study was conducted in a district of Istanbul in February 2020, and included 138 Family Medicine Units. Services were compared monthly between 2019 and 2020, based on the antenatal, postpartum, infant, child follow-ups, and vaccine doses provided by the units. To examine the impact of the pandemic, the April-December periods of both years were also compared. Results: It was found that follow-ups and immunizations were continued without any decline despite an increase in delayed vaccines. When the monthly mean number of delayed vaccines were compared, the mean number of delayed vaccines was significantly higher in April-May-June 2020 than in the same months of the previous year. Conclusion: Performance scores of different services do not differ according to the descriptive characteristics of physicians. Although physicians are successful in services such as follow-ups, delayed vaccines are prevalent among them as well. While services that can be carried out remotely seem to be continued, services that require face-to-face contact are interrupted. Interventions should be done to ensure the sustainability of indispensable services even during extraordinary times. Keywords: COVID-19, immunization, maternal-child health services, primary health care
{"title":"Effects of the COVID-19 Pandemic on Follow-ups and Immunization: An Example from A District","authors":"O. Atac, A. Tokaç, Y. Tașçı, M. Sezerol","doi":"10.33880/ejfm.2023120207","DOIUrl":"https://doi.org/10.33880/ejfm.2023120207","url":null,"abstract":"Aim: We aim to compare the past trajectory of immunization services and different types of follow-ups with their current states during the COVID-19 pandemic.\u0000\u0000Methods: This cross-sectional study was conducted in a district of Istanbul in February 2020, and included 138 Family Medicine Units. Services were compared monthly between 2019 and 2020, based on the antenatal, postpartum, infant, child follow-ups, and vaccine doses provided by the units. To examine the impact of the pandemic, the April-December periods of both years were also compared.\u0000\u0000Results: It was found that follow-ups and immunizations were continued without any decline despite an increase in delayed vaccines. When the monthly mean number of delayed vaccines were compared, the mean number of delayed vaccines was significantly higher in April-May-June 2020 than in the same months of the previous year. \u0000\u0000Conclusion: Performance scores of different services do not differ according to the descriptive characteristics of physicians. Although physicians are successful in services such as follow-ups, delayed vaccines are prevalent among them as well. While services that can be carried out remotely seem to be continued, services that require face-to-face contact are interrupted. Interventions should be done to ensure the sustainability of indispensable services even during extraordinary times.\u0000\u0000Keywords: COVID-19, immunization, maternal-child health services, primary health care","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130904046","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}
Pub Date : 2023-06-30DOI: 10.33880/ejfm.2023120203
I. Yagci, Ali Inaltekin
Aim: Vaginismus is the most common reason for women to apply to psychiatry outpatient clinics due to sexual problems. It has been suggested that many psychological, social, and cultural factors may cause vaginismus; however, it has not been fully clarified. In this study, factors that may be associated with vaginismus were evaluated and compared with controls. Methods: The case group was constituted of 28 females diagnosed with primary vaginismus, and the control group was constituted of 27 healthy individuals with no difficulty in vaginal penetration. All individuals participating in the study were evaluated with self-reported scales in terms of state-trait anxiety, social phobia, self-regard, childhood trauma, and sexual function. In addition, sociodemographic variables were collected for each participant. Results: While the mean age was 25.04±2.62 in the vaginismus group, it was 26.48±2.83 in the control group. Compared to the control group, women with vaginismus were found to have significantly higher scores for age difference with their parents, state-trait anxiety, emotional neglect, physical neglect, emotional abuse, a total of childhood trauma scale, communication, satisfaction, touching, frequency, vaginismus, anorgasmia, and lower scores for self-esteem. In addition, a positive correlation was found between maternal education level, state and trait anxiety, childhood trauma, social phobia, self-esteem scale score and vaginismus. Conclusion: It was considered that to evaluate vaginismus only as an entry difficulty would be deficient and that there may be comorbid or related conditions such as social phobia, anxiety, trauma, low self-esteem, and a holistic evaluation is necessary. Keywords: psychological trauma, psychosocial factors, social phobia, vaginismus
{"title":"Social Phobia, Traumatic Experiences and Other Psychosocial Factors Accompanying Vaginismus","authors":"I. Yagci, Ali Inaltekin","doi":"10.33880/ejfm.2023120203","DOIUrl":"https://doi.org/10.33880/ejfm.2023120203","url":null,"abstract":"Aim: Vaginismus is the most common reason for women to apply to psychiatry outpatient clinics due to sexual problems. It has been suggested that many psychological, social, and cultural factors may cause vaginismus; however, it has not been fully clarified. In this study, factors that may be associated with vaginismus were evaluated and compared with controls.\u0000\u0000Methods: The case group was constituted of 28 females diagnosed with primary vaginismus, and the control group was constituted of 27 healthy individuals with no difficulty in vaginal penetration. All individuals participating in the study were evaluated with self-reported scales in terms of state-trait anxiety, social phobia, self-regard, childhood trauma, and sexual function. In addition, sociodemographic variables were collected for each participant.\u0000\u0000Results: While the mean age was 25.04±2.62 in the vaginismus group, it was 26.48±2.83 in the control group. Compared to the control group, women with vaginismus were found to have significantly higher scores for age difference with their parents, state-trait anxiety, emotional neglect, physical neglect, emotional abuse, a total of childhood trauma scale, communication, satisfaction, touching, frequency, vaginismus, anorgasmia, and lower scores for self-esteem. In addition, a positive correlation was found between maternal education level, state and trait anxiety, childhood trauma, social phobia, self-esteem scale score and vaginismus.\u0000\u0000Conclusion: It was considered that to evaluate vaginismus only as an entry difficulty would be deficient and that there may be comorbid or related conditions such as social phobia, anxiety, trauma, low self-esteem, and a holistic evaluation is necessary.\u0000\u0000Keywords: psychological trauma, psychosocial factors, social phobia, vaginismus","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127259335","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}
Pub Date : 2023-06-30DOI: 10.33880/ejfm.2023120206
İpek Suzer Gamli, Hilal Sehman, Ahmet Can Gurnal, Çağlar Şimşek
Aim: Living with a child in health measures is challenging for the non-offender caregiver. In addition, adverse psychosocial situations usually co-occur and increase the mental burden. Providing social support for these families is vital for the course. This study aims to compare the level of perceived social support and life satisfaction of non-offending caregivers and whether there is a relationship between any specific psychopathology of children in health measures. Methods: Fifty-eight children and their caregivers who are referred under the child protection law were included. Sociodemographic data, Multidimensional Scale of Perceived Social Support, Satisfaction with Life Scale, and Strengths and Difficulties Questionnaire were filled. Results: No significant relationship was found between any specific psychopathology and Multidimensional Scale of Perceived Social Support in any subscale, however, life satisfaction was significantly worse in children with higher overall Strengths and Difficulties Questionnaire scores. Multidimensional Scale of Perceived Social Support, Satisfaction with Life Scale were significantly related to each subscale, monthly income, and custody status, but independent of familial educational level. Non-nuclear families and social assistance recipients have significantly lower levels of Multidimensional Scale of Perceived Social Support, Satisfaction with Life Scale. Conclusion: This study highlights the need to determine the parameters that shape psychosocial interventions and parental perceptions independent of psychopathology. Keywords: child protective services, caregivers, psychosocial support systems, child guidance, mental health
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Pub Date : 2023-06-30DOI: 10.33880/ejfm.2023120201
I. Fidancı
Ulnar neuropathy at the elbow is a common entrapment mononeuropathy. Leaning the elbow on hard floors for a long time, frequent and strong elbow movements, and chronic diseases such as diabetes mellitus may be the risk factors for ulnar neuropathy. Patients often present with sensory abnormalities in the fourth/fifth finger and weakness in the hand muscles innervated by the ulnar nerve. The disease can be mild or cause severe weakness that limits daily activities. Therefore, diagnosis, treatment, and follow-up of patients are important. The diagnosis of ulnar neuropathy can be made by clinical features, electrodiagnostic tests, and imaging methods. Since chronic diseases such as diabetes mellitus and thyroid disease can be seen together with ulnar neuropathy, biochemical tests including blood glucose and thyroid tests should be applied to patients. Treatment of ulnar neuropathy includes medical, physical therapy practices, and surgery. Keywords: ulnar neuropathies, elbow, primary care physicians
{"title":"Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?","authors":"I. Fidancı","doi":"10.33880/ejfm.2023120201","DOIUrl":"https://doi.org/10.33880/ejfm.2023120201","url":null,"abstract":"Ulnar neuropathy at the elbow is a common entrapment mononeuropathy. Leaning the elbow on hard floors for a long time, frequent and strong elbow movements, and chronic diseases such as diabetes mellitus may be the risk factors for ulnar neuropathy. Patients often present with sensory abnormalities in the fourth/fifth finger and weakness in the hand muscles innervated by the ulnar nerve. The disease can be mild or cause severe weakness that limits daily activities. Therefore, diagnosis, treatment, and follow-up of patients are important. The diagnosis of ulnar neuropathy can be made by clinical features, electrodiagnostic tests, and imaging methods. Since chronic diseases such as diabetes mellitus and thyroid disease can be seen together with ulnar neuropathy, biochemical tests including blood glucose and thyroid tests should be applied to patients. Treatment of ulnar neuropathy includes medical, physical therapy practices, and surgery.\u0000Keywords: ulnar neuropathies, elbow, primary care physicians","PeriodicalId":436322,"journal":{"name":"Eurasian Journal of Family Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121661922","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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