Hypertension is one of the most important chronic diseases worldwide. Hypertension is a critical condition encountered frequently in daily life, forming a significant area of service in Primary Health Care (PHC), which healthcare professionals often confront. It serves as a precursor to many critical illnesses and can lead to fatalities if not addressed promptly. Our study underscores the importance of this critical issue by analyzing articles related to hypertension in the PHC research area from the Web of Science Core Collection using bibliometric methods and machine learning techniques, specifically topic analyses using the latent Dirichlet allocation method. The analysis was conducted using Python Scikit-learn, Gensim, and Wordcloud Libraries, the VosViewer program, and the Bibliometrix R Biblioshiny library. Our findings revealed a steady increase in publication output in hypertension-related research. Analysis shows that hypertension-related research in the PHC research area is clustered into 8 groups: (1) management of hypertension in PHC, risk factors, and complications; (2) psychiatric disorders and hypertension; (3) pediatric and pregnancy hypertension; (4) environmental factors and living conditions; (5) sex and age effects on hypertension; (6) COVID-19 and hypertension; (7) behavioral risk factors, quality of life, and awareness; and (8) current treatment methods and guidelines. Research on hypertension has focused intensively on kidney disease, obesity, pregnancy, cardiovascular risk, heart disease, calcium channel blockers, body mass index, amlodipine, mortality, risk factors, hyperlipidemia, depression, and resistant hypertension. This study represents the first and comprehensive bibliometric analysis of hypertension in the PHC research area. Annual publication volumes have steadily increased over the years. In recent years, topics such as social determinants, patient attendance, self-management, diabetes mellitus, COVID-19, telemedicine, type 2 diabetes, and noncommunicable diseases have garnered significant interest in the field of PHC services.

In the contemporary fight against cancer, primary health care (PHC) services hold a significant and critical position within the healthcare system. This study, as one of the most detailed investigations into cancer research in primary care, comprehensively evaluates cancer studies from the perspective of PHC using bibliometric techniques and machine learning. The dataset for the analyses was sourced from the Web of Science (WoS) Core Collection database on March 20, 2024. The Bibliometrix package within the R programming environment, alongside the Biblioshiny application, and VOSViewer software were employed for the bibliometric analyses. In this study, Latent Dirichlet Allocation was utilized as a prominent topic modeling algorithm. The implementation of this technique utilized Python along with the SciKit-Learn and Gensim libraries, ensuring robust model development and evaluation. The 2040 articles were produced by a total of 6705 different authors, 2166 different affiliations, and 75 different countries. Cancer survivors are more vulnerable and need more sensitive health services. The most intensively studied 3 cancer types in the PHC, listed by prevalence, are colorectal cancer, breast cancer, and cervical cancer. Additionally, prominent research topics in PHC include cancer screening, diagnosis, early detection, prevention, education, genetic factors and family history, risk factors, symptoms/signs, preventive medicine, referral and consultation, chronic disease management and health services research for cancer patients, health care disparities, palliative care, and communication with patients in PHC. Family physicians, being the first point of contact with the public, play a crucial role in preventing cancer cases, caring for patients with active cancer diagnoses, supporting cancer survivors in their post-cancer lives, and identifying and referring cancer cases at the earliest stages. However, cancer has many types, each with its own distinct symptoms, as well as similar types to each other. At this point, periodic educational training for doctors on cancer by health authorities, regular publication of cancer-related guidance resources by the central healthcare system, development of integrated decision support tools used by physicians during patient care, and the creation of informative mobile applications for cancer prevention or post-cancer life for patients have been considered highly critical.

Amaç: Sigaradan korunmada gençlere yönelik eğitim programları önemlidir. Çalışmada gençlerde akran eğitimi programının sigara içme davranışı üzerindeki etkisini değerlendirmeyi amaçlamaktadır. Yöntem: Girişimsel tiptedir. Manisa Kent Merkezinde üç farklı liseye 2007-2008 eğitim-öğretim yılında devam eden öğrenciler kontrol grubu (n= 1737, katılım yüzdesi 89,6), aynı liselere 2008-2009 yılında devam eden öğrenciler girişim grubu (n=1787, katılım yüzdesi 81,0) olarak ele alınmış, sigara içme verileri karşılaştırılmıştır. Girişim, 2008-2009 eğitim öğretim yılında akran eğitimi programı şeklinde uygulanmıştır. Toplam 150 akran eğiticisine eğitimler verilmiş (30’ar kişilik 5 grup, 3 seans eğitim), akran eğiticileri arkadaşlarına sigaradan korunma konusunda eğitim ve destek vermişlerdir. Veriler Mayıs 2008 ve Mayıs 2009’da uygulanan öğrencilerin doldurduğu anketlerle toplanmıştır. Girişim ve kontrol gruplarının sigara içme ve sigarayı deneme insidansları karşılaştırılmıştır. Veriler SPSS for Windows 10.0 istatistik paket programında ki kare testi ve lojistik regresyon analizi ile değerlendirilmiştir. Bulgular: Hiç sigara içmemiş olan gençlerde sigara içme insidansı kontrol grubunda %3,2, girişim grubunda %2,9’dur (p=0,547). Önceki yıl sigarayı denemiş olanlarda sigara içme insidansı kontrol grubunda %6,3, girişim grubunda %9,4’dur (p=0,069). Sigara içme oranı girişim ve kontrol gruplarında sırasıyla olmak üzere önceki yıl düzensiz içicilerde %72,2 ve %71,3 (p=0,876), önceki yıl düzenli içicilerde %81,8 ve %77,9’dur (p=0,369). Önceki yıl hiç sigara içmemiş olan gençlerde sigarayı deneme insidansı kontrol grubunda %3,2, girişim grubunda %3,9 (p=0,397)’dur. Sonuç: Çalışmada akran eğitimi programının gençlerin sigara içme davranışı üzerinde etkili olmadığı saptanmıştır. Bu konuda daha büyük gruplarda, uzun izlem dönemi olan, akran eğiticilerinin popüler gençler arasından seçildiği programların yürütülerek etkinliğin değerlendirilmesi önerilmektedir

Objective: Irrational drug use is a significant global and public health issue, including in Turkey Turk. This study aims to assess the knowledge and attitudes of students toward rational drug use . Methods: The study population comprised of 1909 students enrolled in Bakırçay University's 2019-2020 academic year. The sample size of the study was 780 students selected through stratified random sampling from each faculty. Data were collected using the "Rational Drug Use Form," which included demographic characteristics, background, drug use attitudes and behaviors, and the Rational Drug Use Scale. The data were analyzed using SPSS 23.0, and a p-value of <0.05 was considered statistically significant. Results: Of the students, 74.4% were female, and 42.3% were male, with a mean age of 19.9. Of the students, 28.2% self-medicated before consulting a doctor when sick, and 57.6% used medication for headaches without consulting a doctor. Additionally, 73.6% of them primarily used over-the-counter painkillers. Based on the Rational Drug Use Scale score of ≥35, which is considered the cut-off point in the literature, 491 students (73.3%) knew about rational drug use Conclusion: The students' knowledge of rational drug use was found to be above the average. However, campus courses and projects must be organized, and medical units should be supported, despite students' awareness of rational drug use

INTRODUCTION: Breast Cancer is the most common cancer in women and the most common cause of death.In the study, it is aimed to evaluate the screening results of the people who participated in the breast cancer screening program carried out on women aged 40-69 in 2016-2019 in Izmir. METHODS: In our study, the mammography results of women aged 40-69 who were invited to the Cancer Early Diagnosis and Screening Center (KETEM) and Mobile KETEM were evaluated. The data were collected retrospectively from the MM TARAMA software program by the researchers, compared with the Cancer Registry data and evaluated with the SPSS 20.0 program. Descriptive statistical methods (number, percentage) and chi-square test were used in the analysis. A value of p<0.01 was considered significant. RESULTS: There are 98117 people registered to the scanned software.5657 of these people were positive for screening and 346 (0.4%) people were diagnosed with breast cancer. The recall rate is 5.8%. Screening rates in 2016, 2017, 2018 and 2019 were 5.3%, 10.2%, 9.7% and 11.3%. The mean age is 54.2 (±7.64). In 62.4% of the mass is in the upper outer quadrant. Histopathologically, 70.5% of them are invasive ductal carcinoma. Tumor diameter of 75.4% (n=261) was 2 cm or less. There was no lymph node involvement in 54.6% and no metastasis in 76.3%. Summary TNM of the diagnosed cases was localized in 61.3%. DISCUSSION AND CONCLUSION: Breast cancer screening rates have increased over the years in our province. As the participation rate increases, the rate of catching at an early stage also increases. For this purpose, it is important to organize non-formal education programs. GİRİŞ ve AMAÇ: Meme Kanseri kadınlarda en sık görülen ve en sık ölüme yol açan kanserdir. Çalışmamızda İzmir ilinde 2016-2019 yıllarında 40-69 yaş arası kadınlarda yürütülen meme kanseri tarama programına katılan kişilerin tarama sonuçlarının değerlendirilmesi amaçlanmaktadır. YÖNTEM ve GEREÇLER: Çalışmamızda Kanser Erken Teşhis ve Tarama Merkezine (KETEM) ve Mobil KETEM’e davet edilen 40-69 yaş arasındaki kadınlara yapılan mamografi sonuçları değerlendirilmiştir. Veriler araştırmacılar tarafından MM TARAMA yazılım programından retrospektif toplanmış, Kanser Kayıt Merkezi verisiyle karşılaştırılmış ve SPSS 20.0 programıyla değerlendirilmiştir. Analizlerde tanımlayıcı istatistiksel yöntemler (sayı, yüzde) ve ki kare testi kullanılmıştır. p<0.01 değeri anlamlı kabul edilmiştir. BULGULAR: 2016-2019 Haziran tarihleri arasında birinci basamakta meme kanseri taraması yapılan MM TARAMA yazılım programına kayıtlı 98117 kişi bulunmaktadır. Bu kişilerin 5657’si tarama pozitiftir ve 346 (%0,4) kişinin meme kanseri tanısı almıştır. Geri çağırma oranı %5,8’dir. 2016, 2017, 2018, 2019 yıllarında meme kanseri tarama oranları %5,3, %10,2, %9,7 ve %11,3’ tür. Olguların yaşlarının ortalama değeri 54,2’dir (±7.64). Kitle %62,4’ünde meme üst dış kadranda bulunmaktadır. Histopatolojik olarak %70,5’i invaziv duktal karsinomdur. %75,4’nün (n=261) tümör çapı 2 cm ve altındadır. %54,6’ sında lenf nodu tutulumu ve %76,3’ünde metastaz yoktur. Tanı alan olguların özet TNM’si %61,3 ‘ü lokalizedir. TARTIŞMA ve SONUÇ: İlimizde meme kanseri tarama oranları yıllar içinde artmıştır. Katılım oranı arttıkça erken evrede yakalama oranı da artmaktadır. Bu amaçla yaygın eğitim programlarının düzenlenmesi önemlidir.