Amaç: Bu çalışmanın amacı bipolar bozukluk, şizofreni ve diğer psikozlar gibi psikiyatrik hastalıklarda; azalmış içgörü, tedavi uyumsuzluğu, işlevsellik ve yaşam kalitesi üzerinde Toplum Ruh Sağlığı Merkezleri (TRSM)’nin etkilerini belirlemektirGereç ve Yöntem: Çalışmaya daha önce TRSM hizmetlerinden faydalanmayan 88 hasta ile en az 6 ay faydalanmış olan 88 hasta dahil edilmiştir. Hastalar Klinik Global İzlem ölçeği, Tıbbi Tedaviye Uyum Oranı Ölçeği, Genel İşlevsellik Değerlendirmesi Ölçeği, Pozitif ve Negatif Sendrom Ölçeği, Yaşam Kalitesi Ölçeği, İçgörünün Üç Bileşenini Değerlendirme Ölçeği ve Şizofreni Hastalarında İşlevsel İyileşme Ölçeği ile değerlendirilerek karşılaştırılmıştır.Bulgular: 112’si (63,64%) erkek, 64’ü (36,36%) kadın toplam 176 hastalanın klinik değerlendirmeleri sonucunda TRSM hizmeti alan grubun ortalama klinik değerlendirme ölçek puanları, TRSM hizmeti almayan hastalarla karşılaştırıldı. Yapılan tüm değerlendirme testleri arasında her iki grup arasında anlamlı farklılık vardı.Sonuç: TRSM'de verilen hizmetler sayesinde hastaların içgörü, yaşam kalitesi, genel ve sosyal işlevselliğinin belirgin olarak arttığı; hastalık belirtilerinin ise önemli oranda azaldığı gözlendi. Bu çalışma, kronik ruhsal sağlık sorunları olan yetişkinlerde bütüncül bakım kalitesinde iyileşme sağlamak için TRSM’de verilen birincil hizmetlerin yeteneği ile ilgili yeni kanıtlar sunmaktadır

Lymphocyte,methamphetamine,neutrophil,platelet,substance

Objective: Substance use and addiction are an increasing problem worldwide. Knowledge of the frequency and features of substance use contribute to ascertaining the addiction trends in a country, region or city, taking precautions for drug use, establishing policies on treatment and rehabilitation, and determining patient needs. Methods: The files of individuals who were hospitalized in the Gaziantep Alcohol and Substance Addictions Treatment Center (AMATEM) Clinic between 01.01.2019 and 31.12.2019 were examined retrospectively. The SPSS 22.0 program was used in statistical analyses of patient data. Results: This study included 694 patients, where 670 of whom were male (96.5%) and 24 were female (3.5%). Considering the diagnoses of the patients, opioid use disorder and amphetamine/methamphetamine use disorder were the most common diagnoses at 47.1% and 13%, respectively. A statistically significant difference was found between the diagnostic groups in terms of age, educational status, occupation, whether there was any suicide attempts, and treatment outcomes (p value for all <0.05). Conclusions: Our study is the first study conducted in the Gaziantep AMATEM Clinic, which is the only inpatient drug and alcohol center in the Southeastern Anatolia region. Our findings showed that alcohol/substance use is a dynamic problem that negatively affects many areas of life including work and education life, and family and social relationships.

We investigated the psychological impact of the COVID-19 outbreak in terms of stress, anxiety, depression, sleep quality and affecting factors on healthcare workers (HWs) without secondary trauma thus far in the period between the first cases in Turkey and the arrival of the first case in ahospital. This descriptive cross-sectional study included 169 HWs. We used Impact of Event Scale (IES-R), Depression Anxiety Stress Scale and Pittsburgh Sleep Quality Index (PSQI) for assessment. The mean age of HWs was 33.9±6.9 years and 56.2% were males. Of the HWs; 20.7% were nurses, 33.7% doctors and 45.6% staff members. IES-R classified the HWs as follows: 15.4% of them were affected mildly, 4.7% moderately and 9.5% of them were affected severely. 42.6% of HWs had apoor sleep quality. This study shows that how HWs were affected when the outbreak had not yet reached the hospital in which they work. In total, 29.6% of the HWs were psychologically affected by mild to severe levels from the outbreak in this period. The most prevalent psychological impact was poor sleep quality. Psychological impact on HWs may have begun before the outbreak reached the hospitals; therefore, necessary measures should be taken as early as possible.

Our aim is to reveal the interaction of cultural and religious influences with professional equipment by determining the level of knowledge, sexual attitudes, and homophobia of medical students about LGBTI+ individuals. The study included 324 students from our faculty of medicine. The Hudson and Ricketts Homophobia scale, the Attitudes Towards Lesbians and Gay Men scale, and the Hendrick Sexual Attitudes scale were used with the sociodemograpic data form. Data were collected and analyzed using descriptive and inferential statistical tests. The mean score of the students from the Hudson and Ricketts Homophobia scale was 58.50. The findings of our study support that medical students consider that the education they receive in this regard is inadequate. One of the goals of undergraduate medical education is the provision of health services to all segments of society; therefore, it is recommended to make improvements in the curriculum in this regard.