INTRODUCTION: This study aims to assess the impact of family counseling on anxiety, depression, and stress levels in mothers of disabled children
METHODS: The study involved 80 mothers of disabled children, enrolled in a Special Education and Rehabilitation Center under the Ministry of National Education. The participants were randomly divided into two groups: 40 (50.0%) mothers in the study group and 40 (50.0%) in the control group. The study group received family counseling in six sessions, with eight mothers per session. The Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Perceived Stress Scale (PSS) were administered to both groups at three intervals: Precounseling, immediately post-counseling, and 3 months post-counseling. The control group completed the same assessments without receiving counseling.
RESULTS: In the study group, mean scores for the 1st, 2nd, and 3rd assessments were as follows: PSS (17.9±4.9,
14.8±4.3, 14.4±4.4, respectively, p<0.001), BDI (13.6±5.8, 9.8±5.0, 10.1±6.1, respectively, p<0.001), and BAI
(19.9±11.1, 17.2±10.3, 16.5±9.3, respectively, p<0.001). In the control group, mean scores for the 1st, 2nd, and 3rd assessments were as follows: PSS (15.9±5.6, 15.2±5.9, 15.2±5.9, respectively, p=0.197), BDI (14.4±6.8, 14.3±7.9, 14.5±9.4, respectively, p=0.777), and BAI (15.7±8.3, 15.2±7.6, 16.6±9.3, respectively, p=0.666). At the 3rd followup, there was a difference in BDI and PSS stress scores between the study and control groups; however, no difference in BAI and total PSS scores (p=0.014, p=0.009, p=0.927, p=0.132, respectively).
DISCUSSION AND CONCLUSION: Providing psychological support to mothers of disabled children can help reduce depression and stress levels.

INTRODUCTION: This study aimed to compare the disease management of type 2 diabetes mellitus (T2DM) patients followed up in family medicine (FM) or endocrinology outpatient clinics
METHODS: This descriptive study was carried out with T2DM patients who applied to endocrinology and FM outpatient clinics. When analyzing data, patients who only went to endocrinologists (Group 1) and patients who went to both endocrinology and FM or only FM (Group 2) were compared. A questionnaire form (sociodemographic characteristics, education, disease management status, and hemoglobin A1c [HbA1c] levels) was applied to participants.
RESULTS: A total of 151 participants were enrolled in the study, with 49 (32.5%) in Group 1 and 102 (67.5%) in Group 2. The median value of HbA1c was 7.5% (2.1%) in Group 1 and 7.1% (2.2%) in Group 2 (p=0.324). Blood
glucose measurement abilities and the ability to adjust the insulin dose were higher in Group 1 (47 [95.9%] vs. 75 [73.5%], p=0.001; 22 [44.9%] vs. 15 [14.7%], p<0.001, respectively). However, the frequency of blood pressure measurement, foot examination, and neurological examination was higher in Group 2 (17 [34.7%] vs. 64 [62.7%], p=0.001 for blood pressure measurement; 3 [6.1%] vs. 26 [25.5%], p=0.005 for the foot examination; and 2 [4.1%] vs. 24 [23.5%], p=0.003 for the neurological examination, respectively).
DISCUSSION AND CONCLUSION: While no difference was found in HbA1c levels according to the clinics where the patients were followed, it is noteworthy that blood pressure measurements and foot and neurological examinations were performed more frequently in patients visiting their FMs.

INTRODUCTION: This study aimed to investigate the factors influencing the risk of falls in hemodialysis patients within the community.
METHODS: This cross-sectional study was conducted on all patients receiving maintenance hemodialysis treatment in the central district of Çanakkale between July 2020 and August 2020. A total of 133 (74.7%) of 178 hemodialysis patients were included in the study. The risk of falls was assessed by the Hendrich II Scale. Sociodemographic variables, anthropometric variables, presence of diabetes mellitus, and biomarker values from the past 3 months were used as independent variables.
RESULTS: Of the 133 participants who had been receiving hemodialysis for a median of 5.0 (2.0–8.0) years, 86 (64.7%) were male and the median age was 63.0 (53.0–69.0) years. Participants had a mean score of 2.1±0.1 on the Hendrich II Scale and 9 (6.8%) were at high risk of falling. There was no association identified between age, gender, educational attainment, marital status, height, weight, presence of diabetes mellitus, smoking status, hemoglobin levels, albumin levels, calcium levels, parathormone levels, grip strength in the dominant hand, triceps skinfold thickness, mid-upper arm circumference, mean arterial blood pressure, and the duration of hemodialysis with the risk of falls in individuals undergoing maintenance hemodialysis (Likelihood ratio test=12.532, p=0.767).
DISCUSSION AND CONCLUSION: Physicians will not be able to simply determine the fall risk in hemodialysis patients by looking at certain values within the community. Larger and more comprehensive studies are needed to identify the fall risk in hemodialysis patients within the community.

INTRODUCTION: This study aimed to describe the overall characteristics, hospitalization symptoms, treatment, and outcome of patients admitted with zona zoster
METHODS: In this study, 30 adult patients hospitalized between January 2012 and December 2014 due to zona zoster were evaluated retrospectively. Demographic characteristics, hospitalization symptoms, and treatment of patients of the patients were examined.
RESULTS: Among the 30 patients who followed up with zona zoster, 16 (53.3%) were female and the median age was 57.5 (18.0–87.0) years. Twenty-two (73.3%) patients had comorbidities and 7 (23.3%) patients had hypertension. The most common site of involvement was the head-and-neck region in 14 (46.7%) patients. Twenty-nine (96.7%) patients had lesions along a single dermatome and, fever was detected in 5 (16.7%) patients. The duration of hospital stay was 6.0 (2.0–14.0) days. One (3.3%) patient had persistent pain at the site of the lesion after treatment.
DISCUSSION AND CONCLUSION: Most patients with zona zoster could be treated in primary care. Primary care physicians should be aware of the characteristics of hospitalized patients with zona zoster to better assist with their follow-up.

The rare pathological condition known as superior mesenteric artery (SMA) (Wilkie) syndrome arises when the third part of the duodenum experiences constriction due to compression between the aorta and the proximal segment of the SMA. The main complaints are nausea, vomiting, epigastric pain, and bloating with significant weight loss. Reported cases of this syndrome have been observed in patients who have scoliosis, suffered burns, led sedentary lifestyles, or experienced unexplained weight loss. In cases where there is unexplained rapid weight loss and recurrent obstructive findings that deviate from common causes, clinicians should include SMA syndrome in their differential diagnosis. This article presents a case of SMA syndrome, which has long affected the patient’s quality of life due to diagnostic difficulties, and discusses the disease’s diagnosis and management.

This case report aims to provide up-to-date information about the conditions requiring hospitalization in primary health-care services in cases of Legionella pneumonia. This case was a 66-year-old female patient with a smoking history; the patient applied to emergency with increased dyspnea and fatigue. There was dyspnea and tachypnea. Inspiratory rales and bilateral widespread expiratory rhonchi were detected. C-reactive protein was 324.3 mg/L, leukocytosis was 10980 103/mm3, and neutrophil-dominated (90.2%). There was a respiratory failure (PO2: 57.3 mmHg, HCO3: 25.7 mEq/L, PCO2: 33.6 mmHg, SO2: 91.3%). Moxifloxacin (400 mg 1×1), oseltamivir (75 mg 2×1), inhaler steroid (400 mcg 2×1), and bronchodilator treatments (Salmeterol+flutikazon 50/500 mcg) were initiated empirically. However, on the 3rd day of treatment, an increase in dyspnea and orthopnea was distinguished, and parenteral ampicillin–sulbactam and methylprednisolone were added to the treatment. In the respiratory tract, bacterial polymerase chain reaction evaluation reported that Legionella was detected. Low awareness about the disease may cause serious mortality and morbidity in patients presenting with a vague clinical picture in the early stages.