The objective of the study is to investigate if any significant difference exists in hearing thresholds and tympanometric examination results among patients whose thyroid antibody positivity was detected approximately 1 year or at least 5 years ago. Study population aged less than 40 years consisted of 17 patients who had thyroid antibody positivities for an average of 1 year (first group), 15 patients who were followed up for at least 5 years for thyroid antibody positivity (second group), and 18 volunteers (third group). Tympanometric examination results, stapes reflex, SRT, SD, and pure tone values were examined. When the second group and the third group were compared, significant results were obtained at hearing frequencies between 500 and 4000 Hz. When the first group and the third group were compared, only at 1000 Hz threshold significant results were obtained. During evaluation of hearing frequencies between 250 and 8000 Hz, significant results were not observed between the second group and the first group. When the first and the second groups were compared with the control group, significant results were obtained as for tympanometric examination findings and significant results were not observed between the second group and the first group. A significant difference was not detected as for the results of stapes reflex. Since thyroid antibody positivity affects the functions of internal ear, these patients should be more closely monitored. Since these effects become deeper in line with increased exposure to autoantibody positivity, variations in auditory responses should be more attentively monitored.

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Aim: This study aimed to investigate the effects of diet and regular exercise on resilience in obese or overweight women. Methods:The study was conducted with the 109 patients who applied to the obesity polyclinics. The patients were divided into three groups by their current disease conditions and willingness; those who were willing to both diet and exercise (diet + exercise group) (n: 35), those who were willing to only diet (diet group) (n: 37) and those who were not willing to recommended diet or exercise (control group) (n: 37).The "Connor-Davidson Resilience Scale" (CD-RISC) was applied to all the participants through face-to-face interviews. The CD-RISC scale was repeated 8 weeks after the first evaluation.Results: There was a significant difference between the total score and subscores of the scale in the intra-group comparison before and after the intervention (P < .05).When the groups were compared after the intervention, a significant difference was found between the diet group and the control group as well as the exercise +diet group and the control group (P < .05). Conclusion:We found that diet and exercise practices increased psychological endurance in obese or overweight women. In addition, positive improvements were also detected in psychological resilience subgroups such as perseverance and personal competence, tolerance to negative events and spiritual disposition. How to cite this article: Ozdemir C, Akbas Gunes N. The effect of diet and regular exercise on psychological resilience in obese or overweight women. Int J Clin Pract.

Objective: Nomophobia is a name given to the individual's fear of not being able to communicatevia mobile phone or the internet. In this study, it was aimed to to determine the level of nomophobia in medicalstudents in Turkey and manifest their effects on academic achievement. Methods: In this descriptive and cross-sectional study, a total of 332 medical students between the ages of 19-24 were included. Nomophobia Scale (NMP-Q) was applied to the students. There lationship between nomophobia scales cores and academic achievements was evaluated. Results: 198 (59.6%) of the participants were female students, 134 (40.4%) were male students. When the NMP-Q scores of the participants were evaluated, 36.1% (120) were mild, 52.4% (174) were moderate and 11.4% (38) were excessive. As the NMP-Q score s increased, it was determined that their academic success decreased more. It was observed that academic success decreased more in those who feared not having Access to information and losing connection. Conclusion: Medical education involves both a long and difficult educational process. Technological devices can make our work easier in increasing the quality of education. However, students should be told that there should be limited use. If this situation is not taken in a timely manner, it may appear as a public health problem in the future.

Aim: In this study, it was aimed to evaluate the effect of the health literacy levels of patients given smoking cessation treatment on the success of smoking cessation treatment. Methods: In this study, 152 participants between the ages of 18-70 applied to a tertiary hospital smoking cessation outpatient clinic. The Fagerström Test for Nicotine Dependence was used to determine the level of cigarette addiction of the participants, and the European Health Literacy Scale was used to evaluate the levels of health literacy. Results: When the health literacy levels of the participants with cigarette addiction were evaluated, 38 (25%) were inadequate, 64 (42.1%) were problematic. When the participants' smoking cessation status and general health literacy levels were compared, it was found to be statistically significant. It was determined that as the health literacy level increased, the success rates of individuals increased in smoking cessation therapy. Conclusions: We have shown that increasing the level of health literacy is effective in increasing the success of smoking cessation treatment. Increasing health literacy should be part of the fight against smoking. This effect should be demonstrated by future studies on large populations. Keywords: smoking cessation, health literacy, addiction

Akbas N. ve ark. | Lise öğrencilerinde sosyal medya bağımlılığı ve uyku kalitesi Özet Amaç: Yaptığımız çalışmada Facebook bağımlılığının 16-19 yaş arası lise öğrencilerinde uyku kalitesi üzerine olan etkilerinin gösterilmesi amaçlanmıştır. Yöntem: Bu çalışmada, Türkiye standardizasyonu yapılmış Pitsburg uyku kalite ölçeği (PUKÖ) ve Facebook bağımlılık ölçeği kullanıldı. İstatistiksel analizde p<0,05 anlamlı kabul edildi. Çalışmaya iki farklı okulda eğitim gören 516 (%67,8) erkek ve 245 (%32,2) kız öğrenci olmak üzere toplam 761 öğrenci dahil edildi. Bulgular: Facebook bağımlılık ölçeği puanlarının PUKÖ puanları ile ilişkisi değerlendirildiğinde istatistiksel olarak anlamlı sonuçlar elde edildi (p=0,000, p<0,05). Facebook bağımlılık ölçeği skoru arttıkça uyku kalitesinin bozulduğu sonucuna varıldı. Facebook bağımlılık ölçeği puanları ve PUKÖ puanlarının yaş grupları açısından karşılaştırıldığında istatistiksel olarak anlamlı fark olmadığı görüldü (p=0,745, p=0,826, p>0,05). PUKÖ puanlarının cinsiyetler arası farklılıklarına bakıldığında istatistiksel olarak anlamlı fark olduğu görüldü (p=0,000, p<0,05). Kız öğrencilerde uyku kalitesinin erkek öğrencilere oranla daha kötü olduğu sonucuna varıldı. İki okul arasında Facebook bağımlılık ölçeği puanlarına bakıldığında istatistiksel olarak anlamlı sonuçlar elde edildi (p=0,000, p<0,05). Meslek lisesinde okuyan öğrencilerin Facebook bağımlılık ölçeği skorlarının daha yüksek olduğu görüldü. Sonuç: Problemli uyku alışkanlıkları ve uyku sorunlarının yüksek Facebook bağımlılık ölçeği skoru olan ergenlerde daha sık olduğu bulundu. Sağlık çalışanları ve aileler, aşırı ve kontrolsüz sosyal medya kullanımının ergenlerin uyku alışkanlıkları üzerine yaptığı muhtemel olumsuz etkiler konusunda farkında olmalıdırlar.

SUMMARY OBJECTIVES We aim to determine the anxiety and depression levels of patients treated for hypothyroidism who assumed euthyroid status. These patients also frequently attend family medicine outpatient clinics. METHODS This study was conducted on 76 euthyroid volunteer participants (patient groups) who were treated for hypothyroidism and followed-up and 22 healthy volunteers (control group). Questionnaires were administered to all participants to assess anxiety and depression levels. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were applied to all the groups. In addition, BAI sub-parameters were evaluated in detail. RESULTS At least mild depression was detected in 54.5% of the first group, 41.7% of the second group, and 33.3% of the third group. When the BDI and BAI total scores of the participants in different groups were compared, statistically significant differences were determined. Statistically significant results were detected related to different BAI sub-parameters between the patient groups and in comparison to the fourth group. CONCLUSIONS We found that patients were predisposed to anxiety and depression even if they were euthyroid. When the sub-parameters of BAI were evaluated in detail, we observed that the duration of the disease significantly affected some anxiety-related symptoms.

Aim: It is aimed to evaluate the epidemiological features of COVID-19 patients and risk factors affecting hospitalization. Methods: This cross-sectional study included 883 adult patients whose Polymerase Chain Reaction tests were positive for SARS-CoV-2 in Kütahya province until July 2020. The patients were questioned in terms of their socio-demographic characteristics, drugs, comorbidities, and symptoms. They were divided into two groups according to their hospitalization status and outpatient treatment status. Results: There were 473 female and 410 male participants in the study. 532 of 883 adult patients were hospitalized. The most common symptoms were fatigue (47.9%), myalgia (44.7%), and loss of smell and taste (32.4%). Hospitalization was associated with advanced age, low income, presence of additional disease, several symptoms, smoking, comorbidities including diabetes mellitus, chronic kidney diseases, cardiovascular and respiratory system. In multivariant analyses, advance age, low income, fever, dyspnea and chronic lung diseases were associated with increased odds of hospital admission. Conclusion: In our study, it was found that independent risk factors for hospitalization were advanced age, low income, fever, shortness of breath, and chronic lung diseases. We think that determining risk factors for hospitalization may be a guide for clinicians in predicting patient prognosis. Keywords: COVID-19, epidemiology, hospitalization, symptoms, comorbidity