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    The effects of intermittent fasting on nighttime blood pressure levels
    (Ondokuz Mayis Universitesi, 2022) Yilmaz, Yücel, A.H.; Adar, A.; Korkut, B.; Kalem, P.; Inci, H.; Adahan, D.
    Hypertension, a preventable disease with a high prevalence, is frequently seen in obese patients with cardiovascular risk factors. Our study aimed to investigate the effect of an intermittent fasting regimen on nighttime blood pressure levels. Patients who applied to Karabuk University Faculty of Medicine Training and Research Hospital Cardiology and Family Medicine Polyclinic between January and March 2021 and were followed up for 24 hours on an outpatient basis were included in this self-controlled interventional study. Patients underwent a second 24-hour Holter blood pressure follow-up after one month of diet, and the results were compared. The study was conducted with 30 subjects who adhered to a one-month intermittent fasting regimen. 63.3% of the patients were male, and the mean age was 54.60 ± 9.71 years. One month later, 13 patients whose nighttime blood pressure improved were assigned to Group 1 and 17 patients to Group 2. There was no important variance between the groups in terms of gender, age, height, waist circumference and BMI (p=0.609, p=0.105 and p=0.087, in order of). Mean VA and BSA were considerably lower in Group 2 (p=0.027 and p=0.045, in order of). HT duration was longer in Group 1 (p=0.001). There was no important variance between the groups in terms of smoking, alcohol use, average daily sleep time, salt intake awareness and exercise habits. The rate of snacking habits in Group 2 was statistically considerably higher (p=0.033). Intermittent fasting may be beneficial in preventing nocturnal hypertension. © 2022 Ondokuz Mayis Universitesi. All rights reserved.
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    A New Period in Family Medicine Life Point of Care Ultrasonography in Diagnosing Deep Vein Thrombosis in Family Medicine
    (Universidade de Sao Paulo. Museu de Zoologia, 2023) Korkut, B.; Keskin, N.K.; Atis, S.E.; Çekmen, B.; Çelik, E.; Adahan, D.
    Objective: Point-of-care ultrasound (POCUS) is one of the diagnostic imaging used in the diagnosis of deep venous thrombosis (DVT) in patients with suspected DVT. The study aimed to evaluate the efficacy of POCUS in family practice for the diagnosis of DVT in suspected moderate or high risk individuals. Materials and Methods: This is a prospective, single-blind study that was used as the POCUS method in the femoral and popliteal vein regions of patients who applied to the family medicine outpatient clinic with a suspi cion of D VT. Moderate-to-high-risk patients aged ?18 years presented with DVT symptoms to the family medicine outpatient clinic were included in the study. The primary outcome was to determine the effectiveness of POCUS in DVT diagnosis by family physici ans. Results: Overall, 63.5% (n = 80) of the patients were females, with a mean age of 54 ± 15 years. The sensitivity and specificity of the procedure were 69.23% and 99.12%, respectively. Further, POCUS had a positive predictive value of 90.00% and a negative predictive value of 96.55%. The overall accuracy was calculated as 96.03%. No statistically significant difference was observed in terms of the accuracy of DVT diagnosis in ultra sonography performed by family physicians and radiologists (p = 0.375). Conclusion: POCUS is a feasible method in the diagnosis of deep venous thrombosis in family medicine practice. In patients with suspected DVT the procedure performed by family physicians was more successful in excluding DVT diagnosis than in diagnosing DVT. © 2023, Universidade de Sao Paulo. Museu de Zoologia. All rights reserved.