Background: Neuropsychiatric cases require a multidisciplinary approach for effective management. This paper presented case-based discussions on migraine, dementia, epilepsy, mood disorders, neuralgia, and psychosis from the perspectives of a family physician, neurologist, and psychiatrist. The goal was to highlight the importance of collaboration between healthcare providers in managing these complex cases. Methods: The paper was based on the proceedings of the Mediterranean Neuropsychiatry Symposium, where experts from family medicine, neurology, and psychiatry came together for comprehensive case-based discussions. The CARE framework (Case Report, Appraisal, Research, and Education) was developed to guide reporting and evaluation of case reports in clinical practice. Results: Six cases were presented and discussed, highlighting the importance of a multidisciplinary approach in managing neuropsychiatric cases. The cases included chronic migraine with medication overuse, memory dysfunction with language and behavioral problems, refractory epileptic seizures with subjective sensory symptoms, bipolar affective disorder with normal pressure hydrocephalus, postherpetic neuralgia in a case with bipolar affective disorder, and psychosis with recurrent attacks with the abuse of several substances. Conclusion: A biopsychosocial multidisciplinary approach is essential for managing neuropsychiatric cases effectively on behalf of the patients and public health of the country. The CARE framework can guide the reporting and evaluation of case reports in clinical practice, ensuring that patients receive comprehensive and effective care. Healthcare providers should collaborate to provide the best possible care for patients with complex and multifaceted needs.

It is known that prevalence of peripheral arterial disease being a widespread atherosclerotic vascular disease increases by age. On the other hand, no comprehensive study showing the prevalence of peripheral arterial disease in Turkish elders is seen. In this study, it is aimed to assess prevalence of peripheral arterial disease and related risk factors in Turkish elders in primary health center.

Purpose: Innovative activities such as the simulation-based training program can affect nurses’ attitudes toward older adults. This study was aimed to determine the effects of the simulation-based training programs on nurses’ attitudes towards older adults in institutional care settings. Methods: A quasi-experimental pretest–posttest design was used. A total of 92 nurses participated in simulation-based training program that comprised presentation about care for older adults, and scenario with aged simulation suit. Data were collected using a Participant Information Form and Kogan’s Attitudes Toward Old People Scale. The value, mean, percentage frequency distribution, and paired sample t-test were used. Results: After the simulation-based training programs were completed, the mean total score (p=0.001) and positive attitudes of score of the nurses was changed statistically significantly (p=0.001). There was no statistically significant change negative attitudes (p=0.274). Conclusions: The simulation-based training program is effective in developing more positive and less negative attitude toward the older adults by nurses in institutional care settings. The aging-simulation experience affected health professionals’ feelings and knowledge. To provide better care for the older adults, it is important that nurses adopt a positive attitude toward the older adults.

Coronavirus Diesease 2019 (COVID-19), which was first seen in China in December 2019 and spread all over the world, has been reported to cause retention of the lower respiratory tract and cause acute respiratory distress syndrome. The first case was reported on 11 March 2020 in Turkey, WHO declared a pandemic on the same day A great struggle has started with the pandemic all over the world. Healthcare workers struggle at the forefront. In this article, the illness experience of a Turkish family physcian who had the infection is shared.Aralık 2019’da Çin’de ilk kez görülen ve tüm dünyaya yayılan Koronavirüs 2019 Hastalığı (COVID-19)’un, alt solunum yollarının tutulmasına neden olduğu ve akut solunum yetmezliği sendromuna yol açtığı bildirilmiştir. Türkiye’de ilk olgu 11 Mart 2020 tarihinde bildirilmiş, aynı gün DSÖ pandemi ilan etmiştir. Bütün dünyada pandemi ile büyük bir mücadele başlatılmıştır. Sağlık çalışanları en önde mücadele etmektedir. Bu yazıda enfeksiyonu geçiren bir aile hekiminin hastalık deneyimi paylaşılmıştır.

Objectives: Cognitive functions are one of the crucial factors affecting the quality of life of the elderly and are affected by factors like age, gender, socio-economic level, and comorbidity. Some studies indicate that obesity can also affect them. This study aims to demonstrate the relationship between cognitive functions and obesity. Methods: A questionnaire including the participants’ socio-demographic characteristics, past obesity history and also Standardized Mini-Mental State Examination (MMSE), neuropsychological tests evaluating memory, attention, and executive functions (Stroop Test, Three words-Three Shapes Test, Digit Span Test), were applied to 315 elderly living in Narlidere Residential and Nursing Home. Besides weight, height, and waist circumference of the participants were measured. Results: According to the assessments performed with MMSE and neuropsychological tests, 107 elderly were classified as cognitive impairment and 208 were as cognitively normal. Sociodemographic characteristics of the elderly were similar except for age, as the mean age of cognitive impairment (79.49±7.06) was higher than cognitively normal (76.25±7.38) and it was significant (p<0.001). Past obesity history was significantly higher in the cognitive impairment (p<0.001). There was also a statistically significant relation between cognitive impairment, aging (age 85≥ yearsoddss ratio [OR], 3.95; %95 confidence interval [CI] 1.52-10.26) and obesity history ([OR], 9.15; %95 [CI], 5.25-15.93) in logistic regression model. Conclusion: It is important to indicate the risk factors of dementia. Family physicians evaluating obese patients should take action for the maintenance of cognitive functions and healthy aging.