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Smart Logistic Approach in Healthcare
(UIKTEN - Association for Information Communication Technology Education and Science, 2026) Antepli, Ali; Gerekli, İsa; Bozkurt, İbrahim
The business world today is faced with new and rapid changes in basic customer demands and needs as a result of global competition. State institutions and private hospitals have also started reviewing their costs and supply rates and are looking for solutions to market demands and costs in order to remain competitive. One of the most important ways to efficiently use and track the devices owned by hospitals, the utilization of Industry 4.0 technologies, including the Internet of Things, Artificial Intelligence, and cyber-physical systems. The desire for a more flexible supply process that adapts to market conditions and aligns with customer and patients’ needs has sparked interest in these technologies. This research aims to investigate the advantages of smart logistics applications using industry 4.0 technologies for businesses and hospitals, reveals the differences between traditional methods, and contributes to the literature through a literature review. The comprehensive literature review concluded that smart logistics technologies positively affect the productivity of hospital staff and the quality of service provided. Most of the literature on smart logistics focuses on theoretical and conceptual studies, which support the idea that smart logistics is a very new field. © 2026 Ali Antepli, Isa Gerekli & Ibrahim Bozkurt; published by UIKTEN. This work is licensed under the Creative Commons Attribution-NonCommercialNoDerivs 4.0 License.
Knowledge and awareness of pollen-food allergy syndrome among dentists: A cross-sectional survey
(Science Direct, 2026) Dolu, K.O; Arslan, S.; Arslan, E.
Background and objective: This cross-sectional survey represents the first study to systematically quantify pollenfood allergy syndrome (PFAS) awareness and clinical management approaches among actively practising dentists. Methods: Seventy-seven dentists in Istanbul, Turkey participated (mean age 34.4 ± 7.9 years; 72.7% female) in this cross-sectional, descriptive survey. The survey was distributed via an open link through professional messaging and social media platforms; accordingly, a response rate could not be calculated. Results: Nearly all participants (97.4%) had received no postgraduate allergy training, and 94.8% reported inadequate or absent PFAS awareness. A critical recognition–application gap was identified: 62.3% selected the correct definition from multiple-choice options, yet only 37.7% correctly interpreted an equivalent clinical scenario involving raw versus cooked food reactions – and notably, 41.7% of those who correctly identified the definition still failed this scenario. More strikingly, 93.5% had never considered PFAS in differential diagnosis despite 54.5% reporting encounters with oral mucosal complaints in the preceding year. PFAS knowledge showed no association with professional experience, specialty, or prior patient encounters (all P > 0.05), indicating a systemic educational deficit rather than an experience-dependent gap. Conversely, 71.4% correctly identified allergy and immunology as the appropriate referral specialty, and 81.8% rated their educational need at the highest level. Conclusions: These findings reveal that PFAS remains a diagnostically invisible syndrome in dental practice. Given dentists’ frontline position in encountering oral mucosal symptoms – the hallmark presentation of PFAS – integration of allergic syndromes into dental curricula, structured allergist–dentist referral pathways, and practical screening protocols are urgently needed.
Postoperative thirst in children: Experience of children's, parents and health professionals
(2026) Şensoy, Özlem; Mert, Sabiha; Aydın, Ayfer; Şahin, Ceylan
Purpose: Thirst is one of the most distressing symptoms experienced by pediatric patients after surgery. This study aimed to explore and document the experiences of children, parents, and health professionals regarding postoperative thirst, providing insights to develop care strategies that address the emotional and psychological needs of pediatric patients. Design: A qualitative approach was employed to gather in-depth insights into the experiences of children, parents, and health professionals regarding postoperative thirst. Methods: Purposive sampling was employed in a Pediatric Surgery Unit, involving a total of 40 participants: ten children, sixteen parents, and fourteen health professionals. Semi-structured interviews were conducted with all participants, and the transcribed data were analyzed using qualitative content analysis. Findings: The content analysis revealed five themes: physical symptoms, feeling of discomfort, lack of knowledge, coping strategies, and suggestions. Conclusions: This qualitative study highlights the critical importance of addressing postoperative thirst in enhance the physical and emotional well-being of pediatric patients, emphasizing that thirst is not merely a physical symptom but a multidimensional experience that significantly affects children and their families. Implications to practice: This findings supports health professional should be educated on recognizing and managing postoperative thirst as a symptom in postoperative care. Integrating evidence-based thirst management strategies into postoperative care protocols can significantly improve patient outcomes, reduce anxiety, and promote recovery, ultimately advancing the quality of pediatric surgical care. © 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
The Impact of Social Media Based Advice on Health Behaviors in Digital Health Communication
(Journal of Health Communication, 2026) Öngel, Volkan; Yurttaş, Özge Uluğ; Ateş, Gözde Bozkurt; Gümüşboğa, Yağmur; Mutlu, Hatice
The growing visibility of social media influencers has increased interest in their role in shaping health beliefs and behaviors. While prior research has largely focused on message characteristics or direct behavioral outcomes, less attention has been given to the conditions under which influencer-based health messages are interpreted and translated into action. This study conceptualizes influencer-based health communication not as a direct persuasive force, but as a conditional communication process. Drawing on Uses and Gratifications Theory and the Health Belief Model as interpretive frameworks, it examines how individuals engage with health-related influencer content, how such engagement relates to health perceptions, and how digital health literacy shapes message interpretation.Survey data from social media users were analyzed using Firth's penalized logistic regression to address the rarity of influencer-driven health behavior. Findings indicate that, despite high levels of exposure to influencer-based health content, the translation of such exposure into health-related action remains limited. Exposure to health content significantly increases the likelihood of influencer-driven behavior, whereas higher digital health literacy reduces this likelihood, suggesting a protective effect. Additionally, perceived commercial intent decreases the probability that influencer recommendations lead to action.By distinguishing between engagement and behavioral change, this study reframes influencer effects as conditional outcomes shaped by motivations, perceptions, and interpretive competencies. It contributes to health communication literature by moving beyond linear persuasion models and highlighting the critical role of digital health literacy. The findings also offer practical implications for strengthening individuals' ability to critically evaluate health information in digital environments.
Validity and Reliability of the Turkish Version of the Diabetes Education Questionnaire in People with Diabetes
(AVES, 2026) Şafak, Yiğit; Akıncı, Buket; Ekşi, Büşra Ülker; İdiz, Cemile; Şahin, Hümeyra Rekalı; Çevikdizci, Melike; Ghisi, Gabriela Lima de Melo; Satman, İlhan
Objective: Patient education is a key component of diabetes management and chronic disease care, facilitating behavioral changes and supporting effective self-management. Reliable instruments for assessing patients’ diabetes knowledge are essential for identifying educational needs and designing evidence-based strategies. The purpose of this study was to examine the reliability and validity of the Turkish adaptation of the Diabetes Education Questionnaire (DATE-Q) in evaluating the diabetes knowledge of individuals with diabetes. Methods: This methodological study was conducted with 200 people with type 1 (T1DM) or type 2 diabetes mellitus (T2DM). The study involved translation, back-translation, and cross-cultural adaptation of the DATE-Q. The Turkish version of the Revised Diabetes Knowledge Test (DKT2) was used for validation. Criterion validity was assessed using Spearman's correlation between DATE-Q and DKT2. Cronbach’s alpha and intraclass correlation coefficient (ICC) values were used to determine the reliability. Results: Participants had a mean age of 55.9 ± 12.5 years, 63% were female, and 82.5% had T2DM. The Turkish DATE-Q demonstrated moderate criterion validity with the DKT2 (r = 0.576, P < .001). Internal consistency was excellent (Cronbach’s alpha = 0.90), and test–retest reliability was strong (ICC = 0.80-0.96). Conclusion: The Turkish version of the DATE-Q is a moderately valid and strongly reliable tool for assessing diabetes knowledge. Its use in research and clinical settings can support endocrinologists, physiotherapists, dietitians, and nurses in identifying patients’ knowledge gaps, developing tailored education programs, and promoting effective self-management strategies. Incorporating the DATE-Q into multidisciplinary diabetes care may enhance patient outcomes and help prevent diabetes-related complications. © 2026, AVES. All rights reserved.
Disaster management in Türkiye: a qualitative study on healthcare professionals
(2026) Mutlu, Hatice; Türkoğlu, Mesut Can; Erküvün, Kübra Sezen
Background Disasters pose complex challenges that extend beyond immediate emergency response, requiring well-coordinated, resilient, and health-centered disaster management systems. In disaster-prone countries such as Türkiye, understanding how health services, particularly specialized medical rescue teams, function in real disaster settings is critical for identifying systemic gaps and improving preparedness, coordination, and response capacity. The aim of this study is to examine the managerial and organizational challenges encountered in disaster management processes based on the experiences of UMKE personnel who have served during various disasters in Türkiye, and to derive implications for strengthening disaster preparedness and response capacity. Methods The study was conducted using a qualitative research design. In-depth interviews were carried out with healthcare professionals who participated in disaster response. The data were analyzed using thematic analysis, and the findings were categorized into five main themes: shortages of logistics and equipment; working conditions and training; social awareness; lack of coordination, communication, and organization; and institutional structure and local empowerment. Results The findings revealed that road damages hindered transportation and that alternative transportation plans were inadequate. Disaster training were not fully adapted to field conditions. Public disaster literacy was found to be low. Insufficient coordination and communication disrupted interventions. In addition, the study identified psychosocial support, community-based education, and institutional capacity building as critical components of effective disaster management. Conclusions This study was designed to capture the personal perspectives of healthcare professionals who directly confronted disasters and gained first-hand experience of related processes. Therefore, it provides a unique contribution by presenting a disaster management framework through the lens of healthcare professionals and by highlighting areas in need of improvement for policymakers in this field.
Yeşil Büyüme Bağlamında Enerji ve Sağlık: BRICS Ülkeleri Örneği
(2025) Mutlu, Hatice; Ateş, Gözde Bozkurt; Türkoğlu, Mesut Can
Bu araştırma, BRICS (Brezilya, Rusya, Hindistan, Çin ve Güney Afrika) ülkelerinde yeşil büyüme, enerji kullanımı, yenilenebilir enerji arzı, sağlık göstergeleri ve kişi başına düşen gayrisafi yurtiçi hasıla (GSYİH) arasındaki ilişkileri incelemektedir. Araştırmada, zaman serisi verilerinde uzun dönem ilişkileri analiz eden Bootstrap Otoregresif Dağıtılmış Gecikme Modeli (ARDL) kullanılmıştır. 1990-2021 yılları arasını kapsayan araştırma verileri, Ekonomik İşbirliği ve Kalkınma Örgütü (OECD) veri havuzunda yer alan yeşil büyüme göstergelerinden elde edilmiştir. Bulgular, belirtilen yıllar arasında BRICS ülkelerinde farklı eşbütünleşme süreçleri bulunduğunu, ayrıca yenilenebilir enerji arzı ve kişi başına reel GSYİH ile doğumda beklenen yaşam süresi arasında eşbütünleşik bir ilişkinin var olduğunu göstermektedir. Granger nedensellik testi sonuçları, yenilenebilir enerji kullanımının doğumda beklenen yaşam süresini olumlu etkilediğini, enerji yoğunluğunun ise ekonomik büyüme üzerinde belirleyici bir faktör olduğunu ortaya koymuştur. Ancak, ekonomik büyüme bağımlı değişken olarak ele alındığında uzun dönemli eşbütünleşme tespit edilmemiştir. Sonuçlar, enerji tüketimi ve CO2 emisyonlarının kısa vadede ekonomik büyümenin önemli belirleyicileri olduğunu göstermektedir. Araştırma, sürdürülebilir ekonomik ve çevresel kalkınma stratejilerinin sağlık politikaları ile entegrasyonunun önemini vurgulamakta ve politika yapıcılara yenilenebilir enerji yatırımlarını artırmaya yönelik öneriler sunmaktadır.
Health Policies for Vaginal Birth After Cesarean (VBAC): Current Status and Future Perspectives
(2025) Şimşek, Bilgen; Kolca, Dilek; Mete, Mustafa
Vaginal Birth After Cesarean (VBAC) is a delivery method that enables women with a history of cesarean section to opt for vaginal delivery in subsequent pregnancies. The World Health Organization (WHO) and various health authorities support VBAC as a strategic approach to reduce unnecessary cesarean rates. Recognized as a safe delivery option for women with prior cesarean births, VBAC is promoted in many countries due to its positive impact on maternal health. However, the feasibility and widespread adoption of VBAC depend on various factors, including health policies, clinical protocols, healthcare professionals’ attitudes, and public awareness.This study is a narrative review that examines current policies and perspectives related to Vaginal Birth After Cesarean (VBAC). The aim of the study is to investigate existing health policies that promote VBAC, evaluate international practices, and propose applicable strategies for the Turkish healthcare system. Furthermore, the study analyzes the effects of VBAC on maternal and neonatal health, highlighting the importance of evidence-based policies. In conclusion, for VBAC to become a safe and widely accepted birth option, comprehensive reforms are needed, including the development of clinical protocols, training programs for healthcare professionals, patient education initiatives, financial incentives, and the establishment of VBAC-supportive hospitals. The effective implementation, societal adoption, and continuous evaluation of these reforms are essential for the long-term promotion of VBAC, improvement of maternal and
A Comparative Analysis of Initiatives Aimed at Enhancing Digital Health Literacy (DHL) on a Global Scale
(2025) Kolca, Dilek
This study aims to provide a comprehensive review of educational campaigns and projects designed to enhance DHL. The study was conducted as a systematic review. It comparatively evaluated the objectives, educational strategies, and outcomes of educational programs and projects related to DHL. Data were collected through literature searches in databases such as Scopus, PubMed, and Google Scholar. DHL projects and educational programs have significantly improved individuals’ access to and management of health information. These initiatives have not only enhanced individual health literacy but have also played a critical role in improving overall public health. The primary focus of DHL projects and educational programs is to increase the accessibility of digital tools and strengthen technological infrastructure. This focus aims to ensure sustainability and create long-term positive effects on public health literacy. The global dissemination of such initiatives could contribute to the sustainable development of public health.
Sağlık Turizmi Perspektifinden Türkiye Ve Hindistan’ın Sağlık Politikaları Ve Sosyal Güvence Sistemlerinin SWOT Analizi
(2026) Kolca, Dilek
Sağlık turizmi, dünya genelinde ekonomik kalkınmayı destekleyen stratejik sektörlerden biri haline gelmiştir. Türkiye ve Hindistan, son yıllarda geliştirdikleri politikalar ve sundukları hizmet çeşitliliği ile sağlık turizmi pazarında öne çıkan iki önemli aktör hâline gelmiştir. Her iki ülke de uygun maliyetli hizmetleri, nitelikli sağlık personeli ve turistik cazibesi ile uluslararası hastaların ilgisini çekmektedir. Ancak bu ülkelerin sağlık turizmine yönelik politika yaklaşımları ve sosyal güvence sistemleri, bazı yönleri ile farklılık göstermektedir. Bu çalışma, Türkiye ve Hindistan’ın sağlık turizmi politikaları ile sosyal güvence sistemlerini SWOT analizi yöntemiyle karşılaştırmalı olarak değerlendirmeyi amaçlamaktadır. Analiz sonucunda, Türkiye'nin kurumsal ve merkezi yapısı, gelişmiş sosyal güvence sistemi ve coğrafi avantajı güçlü yönlerini oluşturmaktadır. Ancak ülkede ikamet eden yabancı hastaların sosyal güvence kapsamına doğrudan dâhil edilememesi, bu seçimin kişilerin inisiyatifine bulunması Genel Sağlık Sigorta (GSS) sistemin kapsayıcı ve zorunluluk ilkelerine ters düşmektedir. Öte yandan, Hindistan’ın uygun maliyetli sağlık hizmetleri, geleneksel tıp uygulamaları ve medikal vize kolaylıkları sağlık turizminin gelişimine katkı sağlamaktadır. Hindistan’ın sosyal güvence sisteminin parçalı yapısı ve hizmet eşitsizlikleri ise önemli zayıf yönleri olarak öne çıkmaktadır. Her iki ülke açısından fırsatlar arasında dijital sağlık hizmetlerinin yaygınlaştırılması, uluslararası iş birlikleri ve alternatif tıp uygulamalarının küresel pazara entegrasyonu yer alırken, tehditler arasında hizmet kalitesi, sağlıkta yerli halkın erişim sorunları ve uluslararası rekabet dikkat çekmektedir. Çalışma, sağlık turizmi politikalarının sürdürülebilirliği için sosyal güvence sistemlerinin daha kapsayıcı ve eşitlikçi şekilde yapılandırılmasını önermektedir.
Examining the Relationship Between Social Media Addiction, Fear of Missing Out, Loneliness, and Life Satisfaction Among Youth: A Cross-Sectional Study
(Serbian Psychologists, 2026) Işık, Nurten Arslan; Keleş, Dilsa Azizoğlu; Sandıkçı, İrem Nur; Kotyk, Taras; Okanlı, Ayşe
This cross-sectional study examines the relationships among social media addiction, fear of missing out (FoMO), loneliness, and life satisfaction among young adults. Data were collected from 700 participants aged 18-29 years via an online survey administered between May and June 2024. Validated scales were used to assess key variables: the Bergen Social Media Addiction Scale, the Fear of Missing Out Scale, the UCLA Loneliness Scale, and the Satisfaction with Life Scale. Structural Equation Modeling revealed that life satisfaction was positively associated with loneliness. Social media addiction was strongly associated with FoMO, while FoMO had an indirect negative effect on life satisfaction through social media addiction. These findings shed light on the underlying mechanisms between social media addiction, FoMO, loneliness, and life satisfaction. Such insights can provide significant implications for developing interventions (e.g., digital well-being programs) to help young adults manage their social media use more effectively. Promoting mindful and balanced social media engagement may contribute to enhancing life satisfaction and overall mental well-being.
A Comparative SWOT Analysis of Hospital Management Protocols for Radiation Accidents in Türkiye and Japan
(2025) Kolçak, Dilek
Background: The situation in which radiation emerges uncontrollably is referred to as a radiation accident. Radiation accidents constitute emergencies that can have severe impacts on public health. Therefore, it is of critical importance for hospitals providing healthcare services to be adequately prepared for such incidents. Materials and Methods: This study aims to compare the hospital management protocols for radiation accidents in T & uuml;rkiye and Japan using the strengths, weaknesses, opportunities, threats (SWOT) analysis method. As a country that has experienced a radiation accident, Japan's postincident developments are compared with T & uuml;rkiye's current situation. The study first examines the radiation safety regulations, healthcare policies, and hospital management strategies of both countries. While T & uuml;rkiye has established general protocols under the Hospital Disaster and Emergency Plan (HAP) and for Chemical, Biological, Radiological, and Nuclear (CBRN) incidents, Japan has enhanced its crisis management and emergency response systems following the 2011 Fukushima Nuclear Accident. Within the framework of the SWOT analysis, the strengths and weaknesses of both countries, potential threats, and opportunities for improvement are analyzed in detail. Results and Discussion: This study highlights how T & uuml;rkiye can benefit from Japan's crisis management experience to enhance its preparedness for radiation accidents. The analysis reveals that T & uuml;rkiye has significant shortcomings, particularly in training, drills, and hospital infrastructure. However, its investments in nuclear energy provide opportunities for development through international collaborations. On the other hand, although Japan possesses advanced radiation monitoring systems and extensive experience, it remains under constant threat due to its high concentration of nuclear power plants and exposure to natural disasters. Conclusion: To prevent radiation accidents, it is recommended to develop a hospital management model based on international standards. Additionally, effective intervention strategies should be formulated through the collaborative decision-making of hospital administrators, healthcare professionals, and policymakers to ensure a comprehensive response to radiation accidents.
Sağlık Çalışanlarında Sessiz İstifa: Sistematik Derleme
(2025) Mutlu, Hatice; Mat, Seda Tuğba Baykara
Giriş: Sessiz istifa; çalışanın yalnızca görev tanımıyla sınırlı kalarak, gönüllü katkıdan ve duygusal bağlılıktan uzaklaştığı, psikolojik olarak işten kopma süreci olarak tanımlanır. Özellikle hemşireler gibi yüksek iş yüküne ve duygusal baskıya maruz kalan sağlık profesyonellerinde bu eğilim artmaktadır. Amaç: Bu sistematik derleme, sağlık çalışanları arasında giderek yaygınlaşan “sessiz istifa” olgusunu incelemeyi amaçlamaktadır. Yöntem: Çalışma kapsamında, 2019 yılı ve sonrası yayımlanmış, dahil edilme kriterlerini karşılayan 24 akademik yayın incelenmiştir. Tarama 2019 yılından başlatılmış olmakla birlikte, kavramın özellikle pandemi sonrasında literatürde görünür hale gelmesi nedeniyle incelenen çalışmaların tamamı 2023 ve sonrasında yayımlanmıştır. Bu yayınlar tematik analiz yöntemiyle değerlendirilmiş ve sessiz istifaya neden olan bireysel ve örgütsel faktörler beş ana tema altında toplanmıştır: (1) Yönetici desteği ve liderlik eksikliği, (2) Tükenmişlik ve psikolojik yük, (3) Yüksek iş yükü ve zayıf çalışma koşulları, (4) İş-yaşam dengesi ve motivasyon düşüklüğü, (5) Duygusal zeka ve ahlaki dayanıklılık. Bulgular: Bulgular, sağlık çalışanlarında tükenmişliğin özellikle yoğun mesai, düşük ücret, personel yetersizliği ve esneklik eksikliği nedeniyle işlerine yabancılaşmaya yol açtığını göstermektedir. Genç kuşak çalışanlarda ise anlam arayışı ve yaşam dengesi ihtiyacının sessiz istifa riskini artırdığı görülmektedir. Duygusal zekası ve ahlaki dayanıklılığı yüksek bireylerde ise bu davranışa karşı direnç daha fazladır. Sonuç: Sonuç olarak, sessiz istifa sadece bireysel bir tutum değil, örgütsel bağlılığın zayıfladığı, yönetsel desteğin yetersiz kaldığı ve iş koşullarının sürdürülemez hale geldiği sistemsel bir sorundur. Bu nedenle, sağlık kurumlarında destekleyici liderlik, çalışan refahını önceleyen yapılar ve esnek çalışma modelleri geliştirilmesi büyük önem taşımaktadır
Machine learning–assisted classification of lung cancer: the role of sarcopenia, inflammatory biomarkers, and PET/CT anatomical-metabolic parameters
(Springer Science and Business Media Deutschland GmbH, 2025) Tanyildizi-Kokkulunk, Handan; Alcin, Goksel; Cavdar, Iffet; Akyel, Resit; Ciftci-Kusbeci, Tuba; Caliskan, Gonul; Yiğit, Şafak
Accurate differentiation between non-cancerous, benign, and malignant lung cancer remains a diagnostic challenge due to overlapping clinical and imaging characteristics. This study proposes a multimodal machine learning (ML) framework integrating positron emission tomography/computed tomography (PET/CT) anatomic-metabolic parameters, sarcopenia markers, and inflammatory biomarkers to enhance classification performance in lung cancer. A retrospective dataset of 222 patients was analyzed, including demographic variables, functional and morphometric sarcopenia indices, hematological inflammation markers, and PET/CT derived parameters such as maximum and mean standardized uptake value (SUVmax, SUVmean), metabolic tumor volume (MTV), total lesion glycolysis (TLG). Five ML algorithms—Logistic Regression, Multi-Layer Perceptron, Support Vector Machine, Extreme Gradient Boosting, and Random Forest—were evaluated using standardized performance metrics. Synthetic Minority Oversampling Technique was applied to balance class distributions. Feature importance analysis was conducted using the optimal model, and classification was repeated using the top 15 features. Among the models, Random Forest demonstrated superior predictive performance with a test accuracy of 96%, precision, recall, and F1-score of 0.96, and an average AUC of 0.99. Feature importance analysis revealed SUVmax, SUVmean, total lesion glycolysis, and skeletal muscle index as leading predictors. A secondary classification using only the top 15 features yielded even higher test accuracy (97%). These findings underscore the potential of integrating metabolic imaging, physical function, and biochemical inflammation markers in a non-invasive ML-based diagnostic pipeline. The proposed framework demonstrates high accuracy and generalizability and may serve as an effective clinical decision support tool in early lung cancer diagnosis and risk stratification.
Comparison of University Students' Awareness of Radiation Protection before and after Hospital Internship
(The Korean Association for Radiation Protection, 2025) Colak, Gülcihan; Kolca, Dilek
This study aims to compare the pre-and post-application results of university students' knowledge regarding radiation protection. Materials and Methods: The study was conducted on 116 students enrolled in the medical imaging and radiotherapy program. These students were administered a two-stage, 33-item radiation protection knowledge scale via Google Forms before and after the application course. The application results were analyzed as pre-test and post-test. Results and Discussion: A total of 116 students participated in the study. According to the study results, there was a difference in the students' awareness of the radiation protection sub-factor before and after the application. The primary reason for this is that observing the use of protective equipment during the application has increased their awareness. The importance of protective equipment for both worker health and patient safety has been understood. Conclusion: This study demonstrated the necessity of recording and monitoring radiation exposure during diagnosis and treatment procedures. The need to implement safety protocols to minimize the potential consequences of radiation hazards has also been recognized.
Skeletal muscle alterations in type 2 diabetes mellitus with and without dyslipidemia
(BioMed Central Ltd, 2025) Satman, Ilhan; Dayican, Damla Korkmaz; Calikoglu, Fulya; Sahin, Humeyra Rekali; Perone, Francesco; Akinci, Buket; Eksi, Büşra Ülker; Yiğit, Şafak
Background Diabetic dyslipidemia, a common comorbidity in people with type 2 diabetes, has been reported to be associated with adverse metabolic outcomes. Skeletal muscle is a key organ impacted by metabolic disorders; however, the specific effects of diabetic dyslipidemia on skeletal muscle mass, strength, and performance remain unclear. The aim of this study was to assess the skeletal muscle alterations of people with type 2 diabetes with and without dyslipidemia. Methods This retrospective study included 144 participants (mean age 51.3 +/- 7.1 years; 103 female, 41 male) aged 40-65 years. Body composition was assessed using bioelectrical impedance analysis (BIA), muscle strength via dynamometer, and functional capacity with the 6-minute walk test (6MWT). To minimize the confounding effect of longer diabetes duration in the diabetic dyslipidemia group, propensity score matching (PSM) was performed using a 1:1 nearest-neighbor method. All analyses were performed on matched groups. ROC analysis was conducted for variables showing significant differences. Results After PSM, people with diabetic dyslipidemia showed significantly lower skeletal muscle mass and skeletal muscle index (SMI), higher body fat percentage, and reduced 6MWD compared to those with diabetes alone (p < 0.05). In women with diabetic dyslipidemia, handgrip strength was significantly lower. ROC analysis revealed moderate predictive value for skeletal muscle mass (AUC = 0.682), SMI (AUC = 0.654), and 6MWD (AUC = 0.628). Conclusion This study demonstrated that people with diabetic dyslipidemia had lower skeletal muscle mass, SMI, and decreased physical performance compared to people with diabetes alone, even after matching for diabetes duration. These findings demonstrate early sarcopenic and dynapenic changes and highlight the need to consider skeletal muscle health and lipid abnormalities together in diabetes management.
The role of preoperative ureteral diameter measurements in predicting difficult access during retrograde ıntrarenal surgery: a retrospective analysis of 234 patients
(SPRINGER, 2025) Çakıroğlu, Basri; Avcı, Ali Egemen; Uyanık, Bekir Sami; Ekin, Elif Evrim
Retrograde intrarenal surgery (RIRS) is a minimally invasive procedure used for the management of renal and ureteral stones. However, successful placement of a ureteral access sheath (UAS) remains a critical challenge, particularly in patients with narrow ureters. Preoperative measurement of ureteral diameter via computed tomography (CT) may help predict access difficulties and optimize surgical planning. This study aimed to evaluate the role of preoperative ureteral diameter measurements (distal, iliac, and upper ureters) in predicting difficult UAS placement during RIRS. A retrospective analysis was conducted on 234 patients who underwent RIRS for kidney stones. Ureteral diameters were measured at three anatomical levels using preoperative CT. Patient demographics, stone size, operative time, and surgical outcomes were recorded. Difficult access was defined as unsuccessful initial UAS placement requiring additional interventions such as guidewire manipulation, balloon dilation, or selection of a smaller sheath. Patients with smaller ureteral diameters at all three measured levels had a significantly higher incidence of difficult UAS placement (p < 0.05). Multivariate analysis confirmed ureteral diameter as an independent predictor of difficult access. Additionally, previous stone-related interventions and patient demographics showed significant associations with ureteral diameter, further influencing surgical outcomes. Preoperative ureteral diameter measurement via CT provides valuable predictive insights into access challenges during RIRS. Routine assessment of ureteral diameter can enhance surgical planning, improve procedural efficiency, and reduce perioperative complications.
Exploring Medium- and Long-Term Respiratory and Functional Sequelae in Young Adults Post-COVID-19
(MDPI, 2025) Ekşi, Büşra Ülker; Kısa, Eylül Pınar; Harputlu, Özge Ertan; Kara Kaya, Begüm; Hoşbay, Zeynep; Akıncı, Buket
Background and Objectives: Long COVID-19 syndrome may cause difficulties in functionality during daily life in young people. Our objective was to investigate the respiratory and functional sequelae in young adults with asymptomatic or mild COVID-19 compared with healthy peers 3-6 months and 6-12 months after COVID-19 infection. Materials and Methods: Participants aged 18-25 who had COVID-19 within the last 3-6 months (Post-COVID Group 1, n = 25) and 6-12 months (Post-COVID Group 2, n = 25) and age-gender-matched healthy controls (n = 25) were included in this study. Respiratory functions and muscle strength were measured. Physical function was assessed with 6 min walking test (6MWT) and an Incremental Shuttle Walk Test (ISWT). The 1 min sit-to-stand test (1-MSTST) and hand grip strength (HGS) were used to assess muscle performance. Fatigue and dyspnea severity were questioned. Results: The FVC%pred (p = 0.023) and MEP (p = 0.034) were higher, and 1-MSTST repetitions were lower in Post-COVID Group-1 compared to Post-COVID Group-2 (p = 0.029). The PEF%pred (p = 0.025), MEP (p = 0.001), and ISWT distance were lower in Post-COVID Group-2 compared to healthy controls. The number of 1-MSTST repetitions and 6MWT distance were lower in Post-COVID Group-1 (p = 0.003, p = 0.001) and Post-COVID Group-2 (p = 0.003, p = 0.017) than in healthy controls. Exercise-induced blood lactate change during the ISWT, HGS, fatigue, and dyspnea were not significantly different between post-COVID groups and healthy controls. Conclusions: Young adults who pass asymptomatic or mild SARS-CoV-2 infection exhibit a decline in FVC%pred, PEF%pred, lower extremity muscle performance, and physical function within 3-6 months. In addition, the deterioration in respiratory and physical functions becomes apparent within 6-12 months.
Comparison of the Results of BAL and ETA Culture in Intubated COVID-19 Patients
(Nigerian Journal of Clinical Practice, 2024) Kılıç, Hasan Hüseyin; Gözüküçük, Ramazan
Background: The isolation of pathogens using bronchoalveolar lavage (BAL) culture or endotracheal aspirate (ETA) culture may enhance the treatment success for secondary pneumonia due to COVID-19, thereby reducing the risk of morbidity and mortality. Aim: This study aimed to retrospectively analyze the results of BAL and ETA cultures in intubated COVID-19 patients and to determine whether BAL has an advantage over ETA. Methods: We routinely perform BAL culture via bronchoscopy or ETA culture within the first 48 h after intubation. We retrospectively reviewed cases that underwent BAL and ETA. The patients were divided into two groups: Group B (BAL) and Group E (ETA). Various parameters were evaluated and compared between the two groups. Results: The demographic data and blood test results were similar between the two groups. However, ICU stay, duration of intubation, and culture positivity were significantly higher in Group B. Although not statistically significant, the mortality rate was higher in Group E. The most commonly isolated microorganisms were Candida species. Conclusion: The observed mortality rates were consistent with the existing literature. Since the microorganism isolation rate is higher with BAL, leading to more effective antimicrobial treatment, early deaths were prevented, and ICU stay durations were prolonged. Conversely, these durations were shorter in the ETA group due to higher mortality. In intubated COVID-19 patients, a more effective treatment process can be achieved by clearing the airway with fiberoptic bronchoscopy and tailoring the treatment based on BAL culture results. This approach may positively impact prognosis and mortality rates.
Beyond conventional wisdom: unexplored risk factors for penile fracture
(Sexual Medicine, 2024) Arıkan, Mehmet Gürkan; Akgül, Burak; Türk, Semih; Tantekin, Ömer Onur; Çakıroğlu, Basri; Arda, Ersan
Background Sexual intercourse is a predominant cause of penile fractures (PF). Aim To evaluate the relationship between body metrics and the severity of PF, identifying how anthropometric factors of patients and their partners influence the incidence and severity of PF. Methods This study analyzed 47 patients with PF over 9 years across multiple centers. Demographic and anthropometric data were collected for both patients and their partners. Injuries were categorized by the sexual position or activity causing them, including partner-related positions (man-on-top, woman-on-top, and doggy-style) and isolated actions (rolling-over, blunt trauma, masturbation, or manipulation). Statistical analysis was performed using the ?2-test. Outcomes The study aimed to uncover correlations between body metrics and the risk profile for PF, focusing on body mass index (BMI), weight, height, and age. Results The majority of PFs occurred during sexual activities (74.5%), particularly in “doggy” and “man-on-top” positions. Urethral involvement was observed in 10.6% of cases. Significant correlations were found between patient and partner ages (r = 0.915), patient BMI and weight (r = 0.874), patient height and weight (r = 0.502), and partner weight and BMI (r = 0.805). Higher BMI in patients was linked to delayed hospital visits (r = 0.377), and frequent sexual activity was strongly correlated with urethral complications (r = 0.727). Clinical Implications These findings emphasize the importance of considering body metrics in assessing PF risk and could guide future preventive strategies and clinical interventions. Strengths & Limitations The study’s strength lies in its comprehensive analysis of anthropometric factors and their correlation with PF severity. Limitations include a relatively small sample size and the potential for reporting bias in sexual activity data. Conclusion The study confirms sexual intercourse as the main cause of PF and highlights significant links between anthropometric factors and fracture severity. Higher BMI and weight in partners are associated with more centrally located fractures and urethral injuries, particularly in taller patients or those with larger partners.

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