The aim of this study was to evaluate the skin problems and dermatological life quality of the health care workers ( HCWs) due to personal protection equipment (PPE) use, who are at high risk for Covid‐19 infection. A questionnaire about HCWs' PPE use, their skin symptoms, and prevention, management methods and Dermatology Life Quality Index (DLQI) was fulfilled. The median age of 440 participants was 33.5 (21.0‐65.0) years old. Skin problems were found to be 90.2%, the most common were dryness, itching, cracking, burning, flaking, peeling and lichenification. The presence of skin problems ( P < 0.001) was higher in those who did not use moisturizers. Of all, 22.3% (n = 98) stated that the use of PPE increased the severity of their previously diagnosed skin diseases and allergies ( P < 0.01). Only 28.0% (n = 123) stated that they know the skin symptoms that may develop by using PPE. The proper hand washing rate was higher as education level increased ( P < 0.001). Skin problems were higher in those using mask with metal nose bridge (p:0.02; p:0.003, respectively). As the mask using period prolonged, acne was more common (p:0.02). DLQI was significantly affected in women ( P = 0.003), and with increased skin problems related to PPE ( P < 0.001).It is important to organize trainings on prevention and management of possible skin symptoms due to PPE use according to guidelines. This article is protected by copyright. All rights reserved.

Objective Social isolation and quarantine are unusual precautions taken all over the world against the COVID‐19 pandemic. Some legal sanctions were made in order to protect vulnerable age groups such as the geriatric population, to make them stay at home. These measures, which are vital for pandemic management, have negative psychological effects on elderly individuals. The aim of this study was to reveal how pandemic process affected individuals over 65 years old psychosocially. Materials and methods Socio‐demographic characteristics questionnaire, the COVID‐19 Phobia Scale (C19P‐S) and the Loneliness Scale for the Elderly individuals were used. Descriptive analysis, Mann‐Whitney U‐test, Kruskal‐Wallis test, Pearson correlation analysis were performed for data analysis. Results A total of 130 elderly people (80 women, 50 men) were included in the study. Of the participants, 61.5% were women, 67.7% were married and mean age was 71.53 ± 5.57 (min. 65‐max. 87) years old. The C19P‐S scores were significantly higher in women, singles, people living alone, those living in an apartment, and those with higher economic and educational level (P = .001). There was a strong positive correlation between age and total loneliness score. Loneliness scores were significantly higher in singles, those with higher levels of education and income, those who live alone, who was a relative of a healthcare worker, and whose relatives were infected with COVID‐19 (P < .05). Conclusion Our study revealed that elderly individuals, who have to comply with social isolation rules, have increased fear and loneliness due to coronavirus. Considering this situation, timely psychological treatment and social support measures should be taken.

Background/Aim The aim of this study is to evaluate serum 25-hydroxyvitamin D levels measured within one year at an Education and Research Hospital in Turkey to identify vitamin D insufficiency/deficiency (which is very commonly seen in the society) and to provide a current approach to treatment management. Materials and Methods This retrospective descriptive study was carried out by examining the data relating to 35,667 individuals. Results Of the individuals participating in the study, 94.47% had a serum 25-hydroxyvitamin D level less than 30 ng/ml, 76.25% had a serum 25-hydroxyvitamin D level less than 20 ng/ml, and 32.20% had a serum 25-hydroxyvitamin D level less than 10 ng/ml. The mean serum 25-hydroxyvitamin D level of all individuals included in the study was 15.2±8.8 ng/ml. The mean serum 25-hydroxyvitamin D level was 14.5±8.8 ng/ml among women and 18.1±8.4 ng/ml among men, respectively (p<0.001). Conclusion Vitamin D deficiency/insufficiency is widespread in the world and in Turkey. The data obtained from this study suggest that without measuring serum 25-hydroxyvitamin D level will be cost-effective in every age group (except for those are at risk of toxicity) as in children aged 0-1 year old in Turkey and that making a decision in this direction will make a great contribution to the economy of the country.

Aim. Many studies demonstrated that alopecia areata (AA) and vitiligo are commonly associated with autoimmune thyroid diseases. We aimed to investigate the frequency of thyroid dysfunctions and autoimmunity related with vitiligo and AA. Material and Methods. 200 patients, 92 AA and 108 vitiligo diagnosed, were surveyed retrospectively. The control population was in reference range and from Konya, central Anatolian region of Turkey. Thyroid function tests (free T3, free T4, and TSH) and serum thyroid autoantibody (anti-TG, anti-TPO) levels were evaluated in all patients. Results. In vitiligo patients, 9 (8.3%) had elevated anti-TG levels and 16 (14.8%) had elevated anti-TPO, and in 17 patients (15.7%) TSH levels were elevated and 3 (2.8%) patients had elevated fT4 levels and 5 (4.6%) had elevated fT3 levels. Within AA patients, 2 (2.2%) had anti-TG elevation and 13 (14.1%) had anti-TPO elevation, in 7 patients (7.6%) TSH were elevated, and in 1 patient (1.1%) fT4 were elevated and 5 (5.4%) patients had elevated fT3 levels. Conclusion. In our study, impaired thyroid functions and thyroid autoantibodies in vitiligo and AA patients were identified at lower rates than the previous studies. According to results of this study there is no need for detailed examination in alopecia areata and vitiligo patients without clinical history.

ÖZAmaç: Bu çalışmada tıpta uzmanlık öğrencisi hekimlerin depresyon durumunu ve bunu etkileyen faktörleri değerlendirmeyi amaçladık. Gereç ve Yöntem:Tanımlayıcı tipte gözlemsel bir araştırma olarak planlanan bu çalışmanın evreni 165 Tıpta Uzmanlık Öğrencisi hekimden oluşmuştur. Depresyon durumu Birinci Basamak Beck Depresyon Ölçeği (BDÖ-BB) ile değerlendirildi.Bulgular: Çalışmaya katılanların %39.4'ü (n=65) kadın, %60.6'sı (n=100) erkek, %57.0'ı (n=94) evli idi. Yaş ortalaması 28.69 ±3.13 idi. Çalışmaya katılanların BDÖ-BB puan ortalaması 3.75±2.81 idi. Meslek seçimini %70.9 sıklıkta (n=117) isteyerek yapmışlardı, %80.0'i (n=132) branşından memnun idi, %50.9'u (n=84) yıllık izinlerini istedikleri zaman kullanabiliyordu, %49.1'i (n=81) hasta ve yakınları tarafından şiddete maruz kalmışlardı. Katılımcıların %94.5'inin (n=156) gelecekle ilgili mesleksel kaygıları vardı. Cinsiyet, medeni durum, çocuk sahibi olma, meslek seçimi, çalıştığı bölüm, VKİ ve birlikte yaşadığı kişi depresyon durumunu etkilemez iken (p>0.05), isteyerek çalıştığı branşı seçenlerde depresyon daha az (%37.4), rastgele branş seçimi yapanlarda daha fazla (%64.0) tespit edildi (p=0.004).Sonuç: Branş seçimini isteyerek yapanlarda depresyon sıklığı daha az tespit edilmişti. Katılımcıların çoğunun gelecekle ilgili mesleksel kaygıları vardı ve katılımcıların yarısına yakın bir kısmı hasta ve yakınları tarafından her hangi bir dönemde şiddete maruz kalmışlardı. Hekimlere psikolojik destek verilmesi ve sıkıntıları ile baş etme önlemlerinin alınması gerekmektedir.Anahtar kelimeler: Tıpta uzmanlık öğrencisi, hekim, depresyon. ABSTRACT Aim:In this study, we aimed to evaluate the depression status and affecting factors in medical residents. Material and Methods:The universe of this descriptive observational study was composed of 165 residents. Depression status were evaluated by Beck Depression Inventory for Primary Care.Results: 39.4% of respondents (n = 65) were female, 60.6% (n = 100) were male and 57.0% (n = 94) were married. The mean age was 28.69 ± 3.13 years. Mean BDI score was 3.75 ± 2.81. 70.9% (n = 117) of the participants had chosen their branch willingly, 80.0% (n = 132) were satisfied with their branches, 50.9% (n = 84) could choose their vacation time, 49.1% (n = 81) were subjected to violence by patients and/or their relatives. 94.5% (n = 156) of participants had future professional concerns. Sex, marital status, having children, choice of profession, employment, BMI and the person they are living with were not affecting the depression status (p> 0.05), while the ones choosing their branch willingly were less depressed (37.4%) and the ones choosing their branch randomly (64.0%) were more depressed (p = 0.004).Conclusion: Prevalence of depression had been detected less in those who willingly choose the branch. There were concerns about the future of occupation in most of the participants and 49.1% of the participants were subjected to violence by the patients and/or their relatives at any time. Psychological support must be given to physicians ...