BackgroundThe quality of life in patients with diabetes is reduced and emotional coping with the disease has great impact on patient well-being.ObjectivesThe aim of this study was to assess the psychological well-being and treatment satisfaction in patients with type 2 diabetes mellitus in primary care.Study Design and SettingPatients (n = 112) with type 2 diabetes mellitus diagnosis for at least six months were enrolled. The Well-Being Questionnaire-22 and the Diabetes Treatment Satisfaction Questionnaire were used. Physical examination and laboratory investigations were performed.ResultsThe rates of the achieved targets were 32.1% for hemoglobin A1c, 62.5% for cholesterol and 20.5% for blood pressure. The mean scores for the general well-being, depression, anxiety, positive well-being and energy were 44.40 ± 13.23 (range = 16-62), 12.65 ± 3.80 (range = 5-18), 10.57 ± 4.47 (range = 1-18), 12.00 ± 4.01 (range = 2-18), and 9.16 ± 2.47 (range = 2-12), respectively. The mean scores for the treatment satisfaction, perception for hyperglycemia and perception for hypoglycemia were 22.37 ± 9.53 (range = 0.00-36.00), 1.71 ± 1.59 (range = 0-6), and 0.51 ± 0.98 (range = 0-6), respectively. There were significant associations between the depression score and the educational status, compliance to diet and physical exercise, and diabetic complications; between the anxiety score and the educational status, glycemic control, compliance to diet and physical exercise; between the energy score and the educational status, compliance to physical exercise, and diabetic complications; between the positive well-being score and the educational status, compliance to diet and physical exercise, complications and type of treatment; between the general well-being score and the educational status, compliance for diet and physical exercise, and complications. Treatment satisfaction was significantly associated to the educational status, glycemic control and compliance to diet and physical exercise. A significant correlation was found between the treatment satisfaction and the well-being.ConclusionsIndividualized care of patients with diabetes should consider improving the quality of life. Psychosocial support should be provided to the patients with type 2 diabetes and the negative effects of psychopathological conditions on the metabolic control should be lessened.

Objective: Lifestyle modification requires extensive information sharing and counseling. However, one-on-one primary care consultations are lacking to cover all necessary components due to time constraints. This preliminary study aims to investigate the feasibility and effects of lifestyle-changing intervention by family physician-led group visits (GVs) on weight management in overweight and obese women. Methods: 60 volunteers fulfilling the inclusion criteria were enrolled. Baseline and 6th month assessments consisted of anthropometric measurements, SF-36 Health Survey, blood variables, exercise test, and resting metabolic rate. Weight maintenance was controlled at the 12th month. Results: Although weight loss among participants varied, the mean body weights were significantly decreased by 8.2% in full-attenders (n = 30). A significant increase in HDL-cholesterol and decreases in heart rate and blood pressure were found. SF-36 summary scales were significantly improved. Weight change was moderately correlated with exercise duration, compliance to diet, and baseline mental component score. It was determined that 62.5% of the participants either lost or maintained body weight at the 12th month. Conclusion: Significant weight loss and quality of life improvement was achieved in this pilot study.GVs may be a promising alternative to primary care consultations for obesity management; however, the high dropout level and diverse outcomes need further assessment.

AbstractÖz Purpose: The aim of this study was to evaluate of health science students' healthy life behaviors. Material and Methods:The sample population was composed of 801 students that attending to the health science schools (medicine, dentistry, midwifery, and nursery) of Cukurova University. The data was collected by an anonymous questionnaire and Health Promotion Lifestyle Profile-II scale (nutrition, physical activity, stress management, interpersonal relationships, spirituality, healthy responsibility). Results: Of the 60 % students were female. The mean age was 21.5 ± 2.21 (17-34) years. It is found that the mean score of Health Promotion Lifestyle Profile-II scale was at middle level (124.30±17.92), the highest score was taken from spiritual growth subscale and the lowest one was taken from physical activity subscale. No significant relation was found between the age groups and the mean scores. Males got the higher score from the physical activity subscale, and females got the higher scores from all other subscales. The scores of the students attending to the medicine school were lower compared to the other fields. Conclusion: Health science students are health professionals and role models of the future. It is considered that the results of our study may raise awareness and may be a guide for interventions to elevate these students' healthy life behaviors to a better level. Amaç

IntroductionPenile fracture has been reported with sexual intercourse, masturbation, rolling over or falling on to the erect penis. Classically the history is with a sudden snap, pain, detumescence and a hematoma of the penis with deformity. Immediate surgical treatment is recommended. The patients may delay the admission due to fear and embarrassment or the condition may usually be underreported.Case presentationA 32-year-old man presented to primary care complaining of discoloration of penis without any significant history or symptom. Physical examination revealed swollen, ecchymotic, and deviated circumcised penis.ConclusionAlthough frequent and common diseases represent the majority of daily work, the primary care physician should be alert for possible unexpected history or symptom of a rare and often serious condition.

Background/aim: To examine the relationship between sociodemographic and pregnancy features and fetal health locus of control (FHLC) in a sample of pregnant Turkish women. Materials and methods:The study was conducted with 256 pregnant women. Data were collected by demographic questionnaire and the FHLC Scale consisting of 3 components: 1) Internality Scale (FHLC-I), 2) Powerful Others Scale (FHLC-P), and 3) Chances Scale (FHLC-C).Results: The age of marriage was found to have a positive relation with FHLC-I (r = 0.141) and a negative relation with FHLC-C (r = -0.145) (P < 0.05). The age of first pregnancy was found to have a positive relation with FHLC-I (r = 0.127). Those who have a low educational level (r = -0.258) and income (r = -0.149), who are unemployed (r = -2.839), whose number of pregnancies is high (r = 0.152), who get pregnant unplanned (r = 3.839), and who come to their first prenatal examination late (r = -0.142) have a significantly high score of FHLC-C (P <0.05). Conclusion:It may be helpful for better outcomes of prenatal care to identify pregnant women who believe that their behavior has little effect on the health of their fetus and that it is controlled by chance.

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The aim of this study was to investigate the screen time of preschool children in relation to their parents' screen-use habits and family functions. Materials and Methods: We included 198 parents whose children were attending a kindergarten in Sarıçam district of Adana. Data were collected using a questionnaire and the Family Assessment Scale. Screen times were calculated by adding up the time spent in front of tablets, TV, mobile phones, and computers. Results: The screen times were >2 h in 57.6% children on weekdays and in 76.3% on weekends, and screen times increased as age increased. Further, 88.9% parents indicated that they had family rules about screen use, 62.6% stated that their children were in front of the screen while eating, and 44.4% said their children had a screen of their own, whereas 90.9% told that they had not received any recommendations regarding screen use from family physicians or pediatricians. Low education level of parents, lack of family rules on screen use, children having their own screens, and having received no recommendations from doctors regarding screen use were noted to increase the screen times of children. There was a relationship between the screen times of children and that of parents as well as between screen times of children on weekdays and the communication subscale of family functions. Conclusion: From the results of the study, individual and institutional initiatives are recommended for family physicians and pediatricians who have many contacts with this age group to turn it into an opportunity and have a more active role in advising parents regarding screen use Amaç: Bu çalışmda okul öncesi çocukların ekran kullanım sürelerinin ebeveyn ekran kullanım alışkanlıkları ve aile işlevleri ile ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmamıza Adana ili, Sarıçam ilçesinde anaokuluna devam eden çocuğu olan 198 ebeveyni dahil ettik. Veriler bir anket formu ve Aile Değerlendirme Ölçeği kullanılarak toplandı. Ekran süreleri; tablet, TV, cep telefonu ve bilgisayar başında geçirilen süre toplanarak hesaplandı. Bulgular: Çocukların %57,6'sının hafta içi, %76,3'ünün hafta sonu ekran kullanım sürelerinin iki saatin üzerinde olduğu ve yaş arttıkça ekran süresinin arttığı saptandı. Ebeveynlerden %88,9'u ekran konusunda aile içi kurallarının olduğunu, %62,6'sı çocuklarının yemek yerken ekran karşısında olduğunu, %44,4'ü çocuklarının kendine ait bir ekranının olduğunu, %90,9'u aile veya çocuk hekimlerinden ekran kullanımı konusunda herhangi bir öneri almadıklarını bildirdi. Ebeveynlerin eğitim düzeyinin düşük olmasının, ekran konusunda aile içi kuralların olmamasının, çocukların kendilerine ait ekranlarının olmasının, hekimlerin ekran kullanımı konusunda öneride bulunmamasının çocukların ekran kullanım sürelerini arttırdığı bulundu. Çocukların ekran kullanım süreleri ile ebeveynlerin ekran kullanım süreleri arasında ve çocukların hafta içi ekran kullanım süreleri ile aile işlevlerinin iletişim alt ölçeği arasında ilişki saptandı. Sonuç: Çalışmanın bulguları göz önüne ...

Purpose This study assessed the associations between chronological age, dental maturation (DM), cervical vertebrae maturation (CVM), and hand-wrist maturation (HWM) in individuals aged 9-19 years. In addition, this study aimed to derive practical methods to evaluate the skeletal age using DM, CVM, or HWM for orthodontic, medical, and forensic purposes and to compare which of these 3 developmental parameters is more accurate for estimating the age of individuals in a Turkish population. Materials and Methods Panoramic, lateral cephalometric, and hand-wrist radiographs of 284 patients aged 9-19 years were used in this study. The DM, CVM, and HWM stages were determined. The Kolmogorov-Smirnov, kappa, Wilcoxon, Kruskal-Wallis, chi-square, and Spearman correlation tests and simple linear regression analysis were used for statistical analysis. The significance level was 0.05. Results Statistically significant differences were found between chronological age and DM, chronological age and CVM, and chronological age and HWM in both sexes ( P <0.05). DM did not show statistically significant differences according to sex ( P >0.05), but CVM and HWM were statistically different between males and females ( P <0.05). The DM-estimated age yielded more accurate values than the other methods. Conclusion All correlations between skeletal and dental stages were statistically significant. Our results showed that there was no statistically significant difference between chronological age and DM-estimated age. Therefore, it can be concluded that DM stages have the potential to be used for legal purposes.