Eating disorders, primary care, and stigma: an analysis of research trends and patterns

Eating disorders (EDs) are a growing concern affecting millions worldwide. Early detection and treatment are crucial, but stigma can prevent people from seeking help. Primary care providers can play a critical role in early detection by coordinating care with other professionals. Understanding the research landscape on EDs, primary care, and stigma is essential for identifying knowledge gaps to direct future research and improve management. In this study, we aimed to analyze the scientific trends and patterns in research about EDs, primary care, and stigma. A bibliometric analysis was conducted using the Web of Science database to collect articles published between May 1986 and May 2023. Bibliometric indicators were utilized to examine authorship, collaboration patterns, and influential papers. Topic analysis was performed to identify stigma-related terms within the dataset. A total of 541 research articles were analyzed, and it was found that the average number of publications per year has increased linearly from nearly zero in 1986 to 41 in 2022. One of the study’s main findings is that despite this linear increase over the years, the subject of stigma did not take a prominent place in the literature. Only a few stigma concepts could be identified with the topic analysis. The authors in the field are also interested in; screening, neurotic symptoms, training, adolescent, obesity-related conditions, and family. One-third of all publications were from 15 journals. However, only two of them were primary healthcare journals. Leading authors’ collaborations were another critical finding from the network analysis. This may help to expand primary care related EDs research to end the mental health stigma. This study provides insights into the research trends and patterns regarding eating disorders, primary care, and stigma. Our findings highlight the need to address primary care’s impact and stigma on EDs. The identified research gaps can guide future studies to improve the prevention, diagnosis, and treatment of eating disorders in primary care settings

The assessment of the ındividual questionnaire and cardiovascular disease risk factors knowledge level with cardiac markers in healthy population.

TEZ12184Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 2017.Kaynakça (s. 59-66) var.IX, 71 s. :_res. (bzs. rnk.), tablo ;_29 cm.Giriş ve Amaç: Bu çalışmada üniversitemiz bünyesinde çalışan sağlıklı görünen katılımcılarda kardiyovasküler sistem hastalık farkındalıkları ve 10 yıllık kardiyovasküler hastalık gelişme riski hesaplanıp nabız dalga hızı (NDH) ile arasındaki ilişkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışma, üniversitemiz bünyesinde çalışan ve örnekleme çıkan 192 gönüllü katılımcı ile yapılmıştır. (89 erkek, 103 kadın, yaş ortalaması 45,3 ± 8,0). Katılımcıların farkındalığı kardiyovasküler hastalık risk farkındalığı bilgi düzeyi ölçeği (KARRİF-BD) ile 10 yıllık kardiyovasküler sistem hastalık gelişim riski ise Framingham risk skoru ile değerlendirildi. NDH değerleri invaziv olmayan arteriografi cihazı ile değerlendirildi. Bulgular: Katılımcıların ortalama yaşı 45,3 ± 8,0 yıl,% 53,6’ sı kadın, % 62’si doktora mezunu, %13,5’i obez , ortalama KARRİF-BD puanı 20,4 ± 4,0, ortalama Framingham skoru 6,9±5,6 ve NDH ortalama 7,9±1,5 idi. NDH hem Framingham skoru hem de KARRİF-BD ile ilişkili olduğu bulundu (sırasıyla p20 olan katılımcılarda saptandı (p=0.024). Sonuç: Çalışmamızın bulgularına göre Framingham risk skoru, NDH ve kardiyovasküler hastalık risk farkındalığı bilgi düzeyi ölçeği skoru arasında pozitif yönde ilişki saptanmıştır. Bu sonuçlar kronik hastalıklara karşı birincil korunma için farkındalığın pratiğe yeterince aktarılmadığını ortaya koymaktadır. Birinci basamağa başvuran bilinen kardiyovasküler hastalık veya risk faktörü olmayan sağlıklı bireylerde koruyucu hekimlik adına farkındalığın arttırılması ve uygulamaya dönüştürülmesi için daha fazla gayret gerekmektedir.Aim: In current study, we first determined the knowledge score and Framingham score of healthy personal and investigated their relationship between pulse wave velocity. Material and Method: The study was conducted at via 192 participants who were selected from study sample among healty person working for Cukurova University. All participants’ knowledge was determined with Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) scale and 10-year risk of developing cardiovascular disease determined with Framingham risk score. Pulse wave velocities were determined non-invasively by using an arteriography device. Results: The mean age of all participants was 45,3 ± 8,0 year, total of 53,6% were woman, total of 62% had doctora graduate,total of 13,5 % had body mass index >30 kg/m2, the mean CARRF-KL score was 20,4 ± 4,0, the mean Framingham score was found 6,9±5,6 and the mean value of pulse wave velocity was 7,9±1,5m/sn. The mean pulse wave velocity value was associated with both the mean CARRF-KL score and the mean Framingham score (p=0.009 and p<0.001; respectively). Participants who had highest Framingham score, had also highest pulse wave velocity and CARRF-KL score (p=0.002 and p=0.024; respectively). Conclusions: According to our results; there are positive correlations between CARRF-KL score, Framingham score and pulse wave velocity. These results have shown that awareness for primary prevention against chronic diseases is not adequately transferred to clinical practice. Further efforts are needed to increase a person’s knowledge for chronic disease and applying it into clinical practice in terms of an effective primary care among healthy individuals without known cardiovascular disease or risk factors.Bu çalışma Ç.Ü. Bilimsel Araştırma Projeleri Birimi tarafından desteklenmiştir. Proje No: TTU-2016-7311

PFAPA Syndrome (Periodic fever, Aphthous stomatitis, Pharyngitis and Adenitis)

PFAPA sendromu; tekrarlayıcı, aftöz stomatit, farenjit ve servikal lenfadenopati ataklarının eşlik ettiği etyolojisi henüz tam olarak bilinmeyen ateşli bir hastalıktır. Benign karakterde olup beş yaşından küçüklerde ve erkek cinsiyette daha sık görülür. Uzun dönemde sekel gelişmez. Hastalığın klinik tablosu spesifik olmasına rağmen laboratuvar bulgularının non-spesifik olması nedeniyle tanısı güçtür. Bu olgu sunumunda kliniğe başvuran ve PFAPA tanısı konulan iki hasta tartışıldıPFAPA syndrome is a febril disease with unknown etiology which is characterized by reccurrent aphthous stomatitis, pharyngitis and servical adenitis. It has a benign clinical course and frequently seen in male patients under five-year-old. Although the clinical findings of PFAPA is specific, its diagnosis is often diffucult due to non-specific laboratory findings. In this report, we discuss two patients diagnosed with PFAPA syndrom