EURASIAN JOURNAL OF

FAMILY MEDICINE

AVRASYA AİLE HEKİMLİĞİ DERGİSİ

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This page contains the accepted articles of EJFM. Accepted articles will go through a copy editing process, in which the Editorial Board and the Publisher have the authority to edit the manuscripts, request changes in the format of the manuscripts, and make reductions within the authors' knowledge in typographic control. Until the required changes and edits have been made, the papers will not be preceded for publication.


The Effect of Vitamin B12, Physical and Cognitive Activity on Idiopathic Forgetfulness

Selcuk Mistik, Emine Agadayi, Emel Koseoglu

Date of submission: 16.07.2020 / Date of acceptance: 02.12.2020

ABSTRACT

Aim: In this study, we aimed to evaluate the effect of physical activity, vitamin B supplementation and mental activity on cognitive functions in middle-aged individuals with subjective forgetfulness.

Methods: We included 82 people between 40-65 years of age who were admitted to Erciyes University Faculty of Medicine Family Medicine and Neurology Departments polyclinics with the complaint of subjective forgetfulness between May 2017 and May 2018. General physical examination, blood tests including B12, folic acid level and thyroid functions were performed. In addition to the socio-demographic questionnaire, Beck Anxiety and Beck Depression Scale, Montreal Cognitive Assessment Test, Visual and Verbal Memory Tests were performed. Sixty-eight subjects were randomly allocated to 3 groups as cognitive activity, physical activity and vitamin B supplementation. The physical activity group made a minimum of half-hour brisk walk daily. The cognitive activity group was asked to solve a hooked puzzle every day. Vitamin supplement group used daily vitamin B complex. At the end of the third month, cognitive tests and B12 blood level test were repeated.

Results: Improvement in cognitive functions was found only in the walking group. Long-term visual memory and verbal memory sub-test scores improved significantly in all groups. There were some differences between the groups in terms of verbal memory subtest scores.

Conclusion: In people with forgetfulness, walking, puzzle and vitamin B supplementation seem to have positive effects even after a period of three months in terms of cognitive functions and memory.

Keywords: dementia, cognitive activity, exercise, physical, B vitamins


Problems Experienced by Family Physicians in Sivas during the Pandemic Period and Its Relationship with Covid-19 Fear

Seher Karahan, Ezgi Agadayi, Irfan Gazi Yilmaz

Date of submission: 12.02.2021 / Date of acceptance: 21.04.2021

ABSTRACT

Aim: To determine the COVID-19 fear level of family physicians during the pandemic working in Sivas and its relationship to their experienced problems.

Methods: This descriptive study was delivered to 225 family physicians in Sivas between December-January 2021 via an online survey containing 24 questions of participants' sociodemographic data, the problems they experienced in family medicine, and the COVID-19 Fear Scale. Descriptive statistics and logistic regression analysis were used to analyze the data.

Results: A total of 138 family physicians whose mean age was 37.6±7.3, with 52.2% males and 47.8% females, included. Participants’ 16.7% had the COVID-19 infection. COVID-19 Fear Scale mean score of 18.3±6.5, appearing significantly higher in females (19.6±5.8) than in males (17.2±6.9). 28.3% of subjects needed taking professional psychological support, on which increase of working period in family medicine and COVID-19 Fear Scale Score, and being single had a positive effect. Also, 86.2% experienced primary health care services problems, most frequently ranked as cancer screening, mobile service, and chronic illness follow-up.

Conclusion: Necessary psychosocial support should be provided to all healthcare workers, especially family physicians, during the pandemic. So, we recommend authorities take proper precautions to continue without interruption for primary preventive health services.

Keywords: family practice, COVID-19, fear, primary care physicians


The Increasing Importance of the e-Health System after the COVID-19 Outbreak with New Healthcare Expectations

Zerrin Gamsizkan, Abdulkadir Kaya, Mehmet Ali Sungur

Date of submission: 23.03.2021 / Date of acceptance: 04.05.2021

ABSTRACT

Aim: The health system is undergoing a rapid transformation with the constantly developing world. The COVID-19 pandemic that threatens humanity seems to change the health system as in every field. The aim of the study was to determine the use of the e-Health system before and after the pandemic and how health services have changed after the pandemic.

Methods: The study was designed with a mixed method that includes analysis of qualitative and quantitative data. The quantitative data of the study were collected with the help of a questionnaire before the pandemic. Qualitative data acquisition and analysis were carried out after the pandemic.

Results: Before the pandemic, the e-Health system usage rate was determined as 26.5%. The reasons for not using the e-Health system; 43.2% (n=67) of participants stated that they do not need it, 28.4% (n=44) stated that they were not aware of the system, and 28.4% (n=44) did not know how to use the system. According to the qualitative data results, five main themes were obtained after the COVID-19 outbreak. The themes were; getting health information and guidance remotely during the pandemic is the best alternative, creating a sense of trust, compliance with the new situation, expectations from the health system in the new period, and expectations for guidance in accessing e-health information.

Conclusion: The most important result of this study, the increase in the use of distance health and e-health, seems to be the framework of the new health service. When the results are read in this context, it can be predicted that a large share of the investments in the field of health will be shifted to digital health systems.

Keywords: e-Health; COVID-19; new healthcare expectations; digital health; pandemic