E-ISSN 2651-3455 (Online) | ISSN 2630-5593 (Print)
The Anatolian Journal of Family Medicine - anatol j fm: 9 (1)
Volume: 9  Issue: 1 - 2026
FULL ISSUE
1. Full Issue

Pages I - X

REVIEW
2. Artificial Intelligence-Driven Simulation Training in Medicine: A Contemporary Narrative Review
Selçuk Akturan
doi: 10.5505/ajfamed.2025.05025  Pages 1 - 6
Artificial intelligence (AI) is increasingly transforming healthcare simulation training by enhancing learning experiences, optimizing skill acquisition, and providing personalized feedback. This review synthesizes current evidence on AI-driven simulation training across medical disciplines, exploring its applications, advantages, limitations, and future directions. Based on a comprehensive PubMed search identifying relevant literature, this review integrates the most significant contributions to provide a critical and integrative perspective. AI-driven simulation training enhances medicine by improving communication skills, surgical proficiency, diagnostic accuracy, and clinical decision-making. AI-powered tools provide real-time feedback, personalized learning, and standardized assessments across various healthcare disciplines. Despite its benefits, challenges such as data privacy, high costs, and ethical concerns hinder widespread adoption. Future efforts should focus on standardization, collaboration, and ethical integration to optimize AI’s role in medical training. AI-driven simulation training is transforming medicine by providing personalized, data-driven learning and enhancing skill development. While challenges like cost, data security, and ethics persist, ongoing research and collaboration can facilitate AI’s seamless integration. With continued advancements, AI holds the potential to improve competency and patient safety in healthcare training.

ORIGINAL RESEARCH
3. Evaluation of Rope Jumping and Strength Training in Children with Low Vision
Mehmet Urhan, Ummuhan Bas Aslan, Bilge Başakcı Çalık, Elif Gür Kabul, Sehmus Aslan
doi: 10.5505/ajfamed.2025.36854  Pages 7 - 11
INTRODUCTION: The aim of the study was to investigate the effect of rope jumping and strengthening training on muscular and aerobic fitness in children with low vision.
METHODS: Nineteen children with low vision aged 10–14 years were included in the study. The children were randomly divided into two groups: The training group with 9 children (47.3%) and the control group with 10 children (52.6%). Sit-up test, modified push-up test, and one-mile run/walk test were used for the evaluation. Training group received rope jumping and strengthening training. The training was conducted in 45-min sessions, twice a week, for 8 weeks. The control group did not participate in any exercise program.
RESULTS: At the end of 8 weeks, the training group showed a significant improvement in the sit-up test (p<0.001) and one-mile run/walk test (p=0.017), but there was no significant difference in the modified push-up test (p=0.299). In the control group, there was no significant difference in the sit-up test (p=0.168), modified push-up test (p=0.864), and one-mile run/walk test (p=0.467). When the post-training values between groups were compared, there was a difference in favor training group for sit-up test (p=0.039) and the one-mile run/walk test (p=0.044).
DISCUSSION AND CONCLUSION: Exercise training consisted of jumping and strengthening exercises, significantly improved muscular strength and aerobic capacity in children with low vision.

4. Readability, Content Quality, and Reliability of Turkish Websites on Diabetes Mellitus
Aynur Yıldırım, Hatice Şifayi
doi: 10.5505/ajfamed.2025.87487  Pages 12 - 17
INTRODUCTION: The aim was to evaluate the knowledge content, readability level, reliability, and quality levels of Turkish websites prepared about diabetes
METHODS: The Turkish words “sugar disease” were searched for using the Google (https: //www.google.com.tr) search engine. Ateşman and Bezirci-Yılmaz readability values of the texts included in the study were calculated. The reliability of the content was evaluated using the Quality Criteria for Consumer Health Information (DISCERN) scale, based on the diabetes mellitus (DM) diagnosis and treatment guidelines (2022) published by the Turkish Endocrinology and Metabolism Association, while the writing quality and reliability of the text were assessed using the Journal of the American Medical Association (JAMA) score.
RESULTS: Of the 111 Turkish websites included in the study, 89 were prepared by health professionals (80.2%) (Group 1) and 22 were prepared by others (19.8%) (Group 2). For all websites, the mean value for readability level was 50.2±8.1 according to Ateşman and 12.9±2.5 according to Bezirci-Yılmaz. There was no statistically significant difference between Group 1 and Group 2 in terms of Ateşman and Bezirci-Yılmaz readability levels (p=0.249, p=0.207, respectively). For all websites, the median DISCERN scale scores were 31 (17–68), with a mean JAMA score of 1 (0–3). The DISCERN scale scores and JAMA scores were statistically significantly higher for websites in Group 1 compared to websites in Group 2 (p=0.001, p=0.014, respectively).
DISCUSSION AND CONCLUSION: Turkish-language internet texts on DM demonstrated poor readability, with difficult and university-level readability according to the Ateşman and Bezirci–Yılmaz indices, respectively, and were found to have inadequate content quality and low reliability based on the DISCERN scale and JAMA score.

5. Perceived Social Support and its Determinants among Individuals with Substance Use Disorder: A Community-Based Cross-Sectional Study
Sevinç Sütlü, Özge Kutlu
doi: 10.5505/ajfamed.2025.96967  Pages 18 - 24
INTRODUCTION: This study aims to examine the perceived social support levels of individuals with substance use disorders and to investigate the relationship between perceived social support and their sociodemographic and substance use characteristics.
METHODS: This cross-sectional study was conducted with 75 participants enrolled in a substance addiction rehabilitation program in Burdur, Türkiye. Data were collected using a researcher-developed sociodemographic and substance use characteristics form and the multidimensional scale of perceived social support (MSPSS). Statistical analyses included descriptive statistics, independent samples t-tests, and forward linear regression.
RESULTS: The mean total MSPSS score was 46.7±14.0, with family, friends, and significant other subscale scores of 15.3±6.1, 14.5±5.1, and 16.8±7.3, respectively. Perceived social support was significantly lower among individuals with insufficient income (p=0.042), multiple substance use (p=0.020), and those living alone (p=0.002). Regression analysis identified living alone, low income, and multiple substance use as significant negative predictors of perceived social support (p=0.001, p=0.008, and p=0.011, respectively).
DISCUSSION AND CONCLUSION: Perceived social support among individuals with substance use disorders is influenced by socio-economic and living conditions. Enhancing employment opportunities, promoting family involvement, and addressing polysubstance use in rehabilitation programs may strengthen social support networks and contribute to better treatment outcomes.

6. Breast Cancer Knowledge and Awareness among Women in Two Socioeconomically Distinct Districts of Ankara
Özlem Durmuş, Şenol Demirci, Keziban Avcı
doi: 10.5505/ajfamed.2025.42104  Pages 25 - 32
INTRODUCTION: This study aimed to evaluate the relationship between social determinants of health and women’s knowledge and awareness levels regarding breast cancer in two districts of Ankara with distinct socioeconomic profiles
METHODS: A cross-sectional study was conducted among 368 women aged 30–70 years who applied to Cancer Early Diagnosis, Screening, and Training Centers (KETEM) in Çayyolu (high socioeconomic level) and Mamak (middle socioeconomic level). Data were collected using a sociodemographic questionnaire and the breast cancer awareness scale. The scale demonstrated good to excellent reliability (Cronbach’s α=0.774–0.973; overall α=0.890), and construct validity was supported by exploratory factor analysis and confirmatory factor analysis with acceptable model fit indices. Statistical analyses included Independent Sample t-tests, analysis of variance, and Pearson correlation.
RESULTS: Women attending the Çayyolu KETEM had significantly higher scores than those attending the Mamak KETEM in the sub-dimensions of Knowledge of Risk Factors (2.26±0.56 vs. 1.94±0.56), Knowledge of signs and symptoms (2.66±0.57 vs. 2.13±0.81), attitudes toward breast cancer prevention (3.90±0.93 vs. 3.47±1.25), and health behaviors related to breast cancer awareness (3.12±1.10 vs. 2.59±0.97) (all p=0.001), while no significant difference was observed in the Barriers to Screening sub-dimension (p>0.05). Education level, marital status, employment, income, and family health background were significantly associated with awareness levels. Women who had received education on breast cancer screening and those who had undergone breast ultrasound exhibited higher awareness scores.
DISCUSSION AND CONCLUSION: The findings indicate that social determinants such as education, income, and access to health services significantly influence breast cancer awareness. These results underscore the critical role of primary healthcare and public health services, particularly family health centers and community-based screening units, in delivering targeted, culturally adapted breast cancer awareness and screening programs, especially in socio-economically disadvantaged regions.

CASE REPORT
7. Plethora of Characteristic Findings in Osteopetrosis: A Case Report
Syed M Javed Iqbal, Izzah Hassan Samra, Maria Javed
doi: 10.5505/ajfamed.2025.68442  Pages 33 - 35
Osteopetrosis, a rare genetic disorder, presents in two major forms: Autosomal recessive and autosomal dominant osteopetrosis. This disorder is characterized by loss of osteoclastic activity, which results in increased bone density. In this case, an 8-month-old female presented with acute respiratory distress, hepatosplenomegaly, anemia, and frontal bossing. Diagnosis was established based on characteristic radiological findings, including the classic “bone-in-bone” appearance. In infants presenting with anemia and hepatosplenomegaly, osteopetrosis should be considered a differential diagnosis. Early diagnosis through genetic typing and treatment with hematopoietic stem cell transplantation may prevent life-threatening complications.

8. A Case of Malnutrition Inflamation Atherosclerosis Syndrome in Home Care
Duygu Çelik
doi: 10.5505/ajfamed.2026.73745  Pages 36 - 38
Malnutrition-inflammation-atherosclerosis (MIA) syndrome is a major determinant of mortality and morbidity in patients with end-stage renal disease (ESRD). While each component alone can lead to adverse clinical outcomes, the coexistence of all components significantly reduces survival. An 81-year-old male patient with stage 5 chronic kidney disease, hypertension, and coronary artery disease was monitored through home health services; he underwent hemodialysis twice weekly, and severe MIA were identified. Despite nutritional and anti-inflammatory interventions during approximately 1 month of follow-up, the patient’s condition deteriorated, and the patient died after admission to the intensive care unit. This case highlights the critical role of primary care and family medicine in the early detection and multidisciplinary management of MIA syndrome in ESRD patients. Integration with home health services allows for early identification of malnutrition and inflammation, enabling timely intervention and referral to higher-level care. In conclusion, systematic assessment of MIA syndrome components and coordination through home health services and family medicine may facilitate early recognition and multidisciplinary management in ESRD patients.

LETTER TO THE EDITOR
9. The Interdisciplinary Role of Family Medicine in the Age of Infodemic
Yıldız Büyükdereli Atadağ
doi: 10.5505/ajfamed.2025.83792  Pages 39 - 40
Abstract |Full Text PDF

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