SUMMARY OBJECTIVE: Musculoskeletal disorders are highly prevalent among healthcare workers due to physically demanding tasks and stressful work conditions. These disorders contribute to decreased work performance, pain, and impaired quality of life. Sleep quality is an essential factor in overall health and has been linked to pain perception and musculoskeletal health. However, the relationship between musculoskeletal disorders and sleep quality remains unclear. The aim of this study was to investigate the prevalence of musculoskeletal disorders among healthcare workers, identify associated risk factors, and examine the relationship between musculoskeletal disorders and sleep quality. METHODS: This cross-sectional study was conducted in a state hospital in Kırşehir, Turkey, with 249 healthcare workers. Participants completed a sociodemographic questionnaire, the Cornell Musculoskeletal Disorders Questionnaire to assess musculoskeletal disorders, and the Pittsburgh Sleep Quality Index to evaluate sleep quality. Statistical analyses included Pearson's correlation test, t-test, and analysis of variance to examine associations between musculoskeletal disorders, sleep quality, and other risk factors. RESULTS: A significant relationship was found between musculoskeletal disorders and sleep quality (p<0.001). Healthcare workers with poor sleep quality reported higher Cornell Musculoskeletal Disorders Questionnaire scores. Additionally, musculoskeletal disorder prevalence was significantly associated with working hours (p=0.018) and income level (p=0.047). Nurses had the highest musculoskeletal disorder scores among occupational groups. CONCLUSION: Musculoskeletal disorders in healthcare workers are influenced by sleep quality, working hours, and income level. Ergonomic interventions and policies to improve sleep quality may help reduce musculoskeletal disorder prevalence and enhance overall well-being in this workforce.

Health literacy refers to individuals’ ability to use medications safely and effectively. Despite easy access to information, university students often engage in irrational drug use. Understanding the relationship between health literacy and medication practices in this population is essential for promoting safe medication behaviors. This study aimed to assess health literacy among university students and its association with rational drug use, considering sociodemographic variables. A cross-sectional study was conducted with 320 first-year students at Kirşehir Ahi Evran University. Health literacy was measured using the Turkish Health Literacy Scale-32 (THLS-32), and rational drug use was assessed with the rational drug use Scale (RDUS). Descriptive statistics and nonparametric tests were used. Significance was set at P < .05. The median age was 20, and 74.1% were female. Most participants were single (96.3%) and had social security (80.6%). The median THLS-32 score was 27.0 (interquartile range: 21.0–36.0), and the median RDUS score was 21.0 (interquartile range: 19.0–24.0). A total of 45.6% had inadequate health literacy, and rational drug use levels were generally low. Health literacy was significantly higher among married students ( P < .05), and rational drug use was higher among medical students ( P < .05). Students from the Black Sea region had significantly higher health literacy than those from other regions ( P < .001). There was no significant correlation between THLS-32 and RDUS scores ( r = 0.02; P = .771). University students demonstrated low levels of health literacy and rational drug use. Sociodemographic factors such as marital status, region, and academic department influenced these outcomes. Educational interventions are recommended to promote health literacy and safe medication practices.

Purpose: Gestational Diabetes Mellitus (GDM) is the disorder of glucose regulation of pregnant women. Its frequency is increas-ing in the world and in our country. Women with GDM are also at risk for Type 2 Diabetes Mellitus (T2 DM). The aim of this retrospective cohort study was to evaluate the prevalence of GDM and the risk of developing Type 2 DM after delivery in preg-nant women attended routine pregnancy follow-ups in the Internal Medicine and Obstetrics Clinic of Ümraniye Education and Research Hospital between December 2012 and November 2017. Materials and Methods: Data of 32.857 pregnant women were examined from December 2012 to November 2017. 1.108 women with positive GDM results were identified with glucose tolerance tests. Complete medical records of 300 pregnant women were documented for their demographic characteristics. Furthermore, the 5-year postpartum period of these patients was analyzed to identify those who developed Type 2 DM. Results: Hospital data showed a GDM prevalence of 3.37% and an average maternal age of 32.49 years (18-48). Notably, 21% (63 patients) of the GDM group developed Type 2 DM, diagnosed on average 3.1 years later (2-5 years range). Conclusion: The GDM prevalence in our study aligns with data from Turkey and worldwide. Our findings highlights the increased risk of T2DM in patients with a history of GDM and a significant association between advanced maternal age and GDM prevalence. Implementing public health policies focusing on life style modifications and awareness campaigns may help reduce GDM incidence and its long-term complications.

Akut hastalık yönetimi, sağlık hizmetlerinin en kritik ve en hızlı karar verme gerektiren alanlarından biridir. Zamanla yarışılan bu süreçte doğru tanıya hızla ulaşmak, uygun tedaviyi başlatmak ve gerektiğinde doğru yönlendirmeyi yapmak, birinci basamak sağlık hizmetlerinin etkinliğini belirleyen temel unsurlardır. Aile Hekimliğinde Akut Hastalıkların Yönetimi, sahada karşılaşılan gerçek klinik gereksinimlerden doğmuş; sistematik, uygulanabilir ve güncel bir başvuru kaynağı olarak hazırlanmıştır. Aile hekimliği ilkeleri doğrultusunda yapılandırılan bu eser, akut hastalıklara yalnızca biyomedikal açıdan değil, biyopsikososyal ve kültürel boyutlarıyla bütüncül bir yaklaşım sunmaktadır. Kitap; ayrışmamış hastaya yaklaşım, hızlı ve doğru klinik karar verme, belirsizliklerin yönetimi ve sevk-izlem dengesi gibi birinci basamak pratiğinin temel zorluklarına rehberlik etmektedir. Aynı zamanda hasta merkezli bakım, etkili iletişim, etik ilkeler ve hasta güvenliği gibi modern tıbbın vazgeçilmez unsurlarını akut bakım süreçleriyle bütünleştirmektedir. Tele-tıp uygulamaları, dijital sağlık araçları ve elektronik sağlık kayıtları gibi güncel yaklaşımlar da eserde pratik bir perspektifle ele alınmaktadır. Klinik içerik açısından ise solunum, gastrointestinal, üriner ve genital, kas-iskelet, travmaya bağlı akut durumlar, kardiyovasküler, nörolojik, dermatolojik, göz, kulak, burun ve boğaz pediatrik, kadın sağlığı ve gebelik, geriatrik ve kırılgan popülasyon, psikiyatrik, metabolik ve endokrin, hematolojik, afetler ve olağanüstü durumlardaki tüm akut hastalıkları, kanıta dayalı ve sahada uygulanabilir bir çerçevede sunulmaktadır.

SUMMARY OBJECTIVE: Vaccine hesitancy continues to be a significant global public health issue, and our understanding of how vaccine literacy influences immunization attitudes is incomplete. The aim of this study was to evaluate vaccine literacy and attitudes toward immunization among adults in Central Anatolia, Turkey, and to examine the association between vaccine literacy dimensions and immunization attitudes. METHODS: A cross-sectional study was conducted between February and May 2025 among 928 adults attending Family Health Centers in Kırşehir. Data were collected through face-to-face interviews using a structured sociodemographic questionnaire, the Health Literacy about Vaccination in Adults Scale, and the Attitudes Toward Immunization Scale. Nonparametric tests, Spearman correlation analyses, and multiple linear regression were applied. RESULTS: Participants showed moderate levels across all vaccine literacy domains and moderately positive immunization attitudes. Correlations between Health Literacy about Vaccination in Adults Scale subscales and Attitudes Toward Immunization Scale scores were generally weak. Communicative vaccine literacy showed a weak but important negative relationship with the overall Attitudes Toward Immunization Scale score (r=-0.077, p=0.018) and the belief/opinion part (r=-0.121). In regression analysis, none of the vaccine literacy subscales significantly predicted immunization attitudes, and the model explained only 0.4% of the variance (Adjusted R2=0.004, p=0.090). CONCLUSION: Vaccine literacy alone has limited explanatory value for immunization attitudes. These findings indicate that attitudes are shaped by factors beyond cognitive literacy and suggest that interventions should extend beyond information provision.

This study aimed to examine the association between health literacy and cyberchondria among adults attending primary care and to evaluate whether health literacy was independently associated with cyberchondria severity after accounting for selected participant characteristics. This cross-sectional study included 400 adults attending a Family Health Center in Kırşehir, Türkiye, between 15 May and 15 July 2025. Participants were recruited using consecutive non-probability sampling. The minimum required sample size was calculated as 384, and 400 participants were included. Data were collected using a structured questionnaire, the Turkish Health Literacy Scale-32 and the Cyberchondria Severity Scale. Because most continuous variables were not normally distributed, non-parametric tests were used for bivariate analyses, followed by multivariable linear regression. Of the participants, 52.0% had inadequate and 24.8% had problematic/limited health literacy. No significant association was found between health literacy index and total cyberchondria score. In multivariable linear regression, health literacy was not independently associated with total cyberchondria score (B=-0.009, 95% CI: -0.236 to 0.217), whereas older age (B=0.204, 95% CI: 0.041 to 0.368), asking a doctor to prescribe antibiotics (B=6.455, 95% CI: 2.060 to 10.849), and using the internet as the first source of help for health problems (B=11.894, 95% CI: 7.473 to 16.316) were independently associated with higher cyberchondria severity.