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Exploring the financial impact of digital transformation: A comprehensive analysis on firms
(Elsevier B.V., 2025) Yavuz, Melih Sefa; Bozkurt, Gözde
This study aims for an in-depth exploration into the effects of digital transformation on firms’ financial performance and how this impact can be measured. The research employs a two-stage method to evaluate firms’ digitalization processes. In the first stage, keywords related to digitalization are extracted from annual reports through text mining, and digital transformation strategies in five different sectors are analyzed. Based on these analyses, the return of digitalization (ROD) ratio is developed to assess the effects of digital transformation. In the second stage, a panel data analysis is conducted to examine the impact of digitalization and the ROD ratio on a firm's performance. The research findings clearly indicate that digital transformation generates positive effects on firms’ financial performance. It also appears that digitalization provides a competitive advantage, particularly in areas such as operational efficiency and brand value. Firms with a high ROD ratio, which can be used as an indicator of digital transformation investments, demonstrate stronger financial performance. The ROD ratio has emerged as a critical indicator that effectively measures the financial outcomes of digital transformation.
Organizational and Individual Antecedents of Resistance to Change: Organizational Climate and Technology Readiness
(Sciendo, 2025) Eyitmiş, Ahmet Melih; Zümrüt, Muhammet Zeki
Background and purpose: There is interest in barriers to change in organizations. This research discusses factors affecting resistance to change based on employees’ technological competencies. This research aims to determine the mediating role of technology readiness in the effect of organizational climate in health institutions on resistance to change. Methodology: Research data were collected from 389 employees working in the healthcare sector. SPSS Process 2.13 macro was used to analyze the model. Results: According to the analysis results, organizational climate positively affected technology readiness. Additionally, organizational climate reduced resistance to change. In addition, employees’ readiness for technology reduced resistance to change. Finally, the mediating role of technology readiness (motivating and blocking factors) in the effect of organizational climate on resistance to change was significant. Further, a positive organizational climate in healthcare institutions increased employees’ readiness for new technologies and significantly reduced employees’ resistance to change. Conclusion: Creating a positive organizational climate can be vital in successfully implementing change processes in the healthcare sector. At the end of the research, theoretical and practical suggestions were presented. The research contributes to the literature by addressing the antecedents of resistance to change from organizational and individual perspectives.
Radiological analysis of palatal arterial anatomy for periodontal surgery: insights from 3D-RA
(Springer-Verlag Italia s.r.l., 2025) Bozay Oz, Evrim; Oz, Ibrahim Ilker
Objective: This study aimed to comprehensively evaluate the detailed arterial anatomy of the palatal mucosa, emphasising the greater palatine artery (GPA) and lesser palatine artery (LPA), through the use of three-dimensional rotational angiography (3D-RA). This detailed vascular analysis aims to inform clinical decisions and reduce the risk of vascular injury during palatal graft harvesting procedures. Methods: A retrospective analysis of radiological data was conducted on 80 consecutive patients who underwent cerebral or carotid digital subtraction angiography (DSA) incorporating 3D-RA imaging. Detailed measurements were obtained for the GPA, descending palatine artery (DPA), and LPA, including arterial diameters, branching patterns, and their spatial relationships with palatal mucosal thickness and vault morphology. Based on GPA and LPA branching patterns, the vascular supply to the hard palate was classified. Results: The GPA was classified into three branching patterns, with Type I (absence of medial branch) being most prevalent (65%), typically accompanied by the presence of LPA contributions to the medial hard palate. Type II (MB coursing anterior to the palatal spine) was identified in 23.75% of patients. Type III was present in 11.25%, The mean diameter of the GPA was 0.99 ± 0.16 mm, while the DPA was significantly larger in males (p = 0.036). The GPA’s lateral branch narrowed anteriorly, with the smallest mucosal-to-vessel distance measured at the first premolar region (2.55 ± 1.11 mm), indicating a heightened risk for surgical injury. No significant relationship was found between palatal vault morphology and mucosal thickness. Conclusion: The LPA contributed to medial hard palate perfusion in the absence of the GPA’s medial branch, indicating its surgical relevance in mucogingival procedures.
Balance and biomechanics: exploring lower extremity biomechanics in Parkinson’s disease
(Springer Science and Business Media Deutschland GmbH, 2025) Duzenli, Senanur; Gunduz, Merve Sevinc; Yilmaz, Aysen Elif; Erdal, Yuksel; Mustafaoğlu, Rüstem
Background: Postural instability (PI) is a symptom seen in 16% of Parkinson Disease (PD) patients and has limited response to dopaminergic therapy. Understanding the factors contributing to PI, such as biomechanical changes, is important for the development of non-pharmacological treatment. Aims: To investigate the relationship between lower extremity biomechanics and balance parameters in PD patients. Methods: A total of 18 participants (n = 9 female) were enrolled in the study. Lower extremity biomechanics were evaluated using a combination of measurements, including femoral anteversion angle, Q angle, leg length, navicular drop test (NDT), gastrocnemius shortness, range of motion (ROM) assessments, and the Foot Posture Index (FPI). Balance was assessed through the Postural Stability Test, Fall Risk Index (FRI), and the Mini-BESTest. Results: A significant correlation was observed between FRI and femoral anteversion (r = 0.58, p = 0.011) as well as hip flexion ROM (r = 0.67, p = 0.002) and lateral malleoli curvature (r = 0.48, p = 0.04). Overall Stability Index (OSI) was significantly associated with NDT (r = 0.53, p = 0.024) and forefoot abduction/adduction (r = 0.67, p = 0.002). The Anteroposterior Stability Index (APSI) correlated with NDT (r = 0.47, p = 0.048), knee flexion ROM (r = 0.47, p = 0.045), and forefoot abduction/adduction (r = 0.65, p = 0.004). Moreover, Mini-BESTest scores were associated with hip abduction (r = 0.55, p = 0.017), ankle plantar flexion (r = 0.63, p = 0.005), and knee flexion ROM (r = 0.47, p = 0.048). Conclusions: This study demonstrated that lower extremity biomechanical features, including alignment and joint mobility, are significantly linked to balance and fall risk in individuals with PD. Incorporating biomechanical assessments into clinical evaluations may aid in developing individualized treatment strategies for balance disorders in PD.
Clinical and molecular results in 15 Turkish patients with Wiedemann-Steiner syndrome: identification of eight novel KMT2A variants and a case of dual molecular diagnosis in the CSNK2A1
(Springer Science and Business Media Deutschland GmbH, 2025) Yeter, Burcu; Demirkol, Yasemin Kendir; Usluer, Esra; Oğuz, Sümeyra; Eser, Metin; Yarar, Murat Hakkı; Canbek, Sezin
Wiedemann-Steiner syndrome (WSS) is a rare autosomal dominant neurogenetic disorder caused by monallelic variants in KMT2A gene, characterized by neuromotor developmental delay, intellectual disability, microcephaly, seizures, behavioral disorders, dysmorphic facial features, hirsutism, and systemic anomalies. The KMT2A gene encodes a histone lysine methyltransferase crucial for the regulation of gene expression during early developmental stages. In this study, the clinical and molecular findings of 15 Turkish patients with WSS confirmed by whole exome sequencing are reported. Variant segregation was confirmed in all families. The ages of the patients were between 1.5 and 16 years. The majority of patients had neuromotor developmental delay, speech delay, and intellectual disability. The most frequently recognised dysmorphic facial features were thick eyebrows, long eyelashes, synophrys, hypertelorism, and broad nose. Other frequently observed clinical findings included short stature, congenital hypotonia, behavioral problems, genitourinary anomalies, and abnormal gait. Novel findings included focal segmental glomerulosclerosis, cholelithiasis, and sacrococcygeal teratoma. Fifteen different KMT2A variants were detected, including 8 novel (p.Gln3594*, p.Glu1407Argfs*4, p.Ser610Ilefs*9, p.Ser2188Leufs*25, p.Glu970Glnfs*37, p.Ser759Valfs*22, p.Lys1346Serfs*24, and c.11146 + 1_11146 + 6delinsA) variants. Additionally, one patient exhibited a dual molecular diagnosis with a de novo variant in CSNK2A1, associated with Okur-Chung neurodevelopmental syndrome. Conclusion: This study expands the clinical and molecular spectrum of WSS, highlighting novel variants and unique manifestations. It emphasizes the importance of molecular testing in accurate diagnosis and management. By characterizing phenotypic diversity and dual diagnosis, this work contributes valuable insights for advancing clinical care and guiding future research. (Table presented.)
Neuropsychiatry of psychological resilience: An overview
(Istanbul Medipol University, 2025) Eroğlu, İpek; Macit, Çağlar; Gezgin, Ulaş Başar; Omurtağ, Gülden Zehra; Himmetoğlu, Asena
Psychological resilience is the operational software of competencies that enables us to cope positively with life’s drawbacks. As with all competencies and associated skills, the level of psychological resilience may vary among in-dividuals. This research addresses the neuropsychiatric dimension of psychological resilience and discusses its potential applications in improving public health and pharmacy practices. To conduct a modeling study to identify, di-agnose and disseminate to the society the individual characteristics that con-stitute the building blocks of a resilient society that will cope with pandemics, climate change, wars, waves of migration, inability to meet the basic needs of the increasing population and infrastructure problems, global economic crisis, technological challenges, digital transformation pressure, disruptive changes, and the VUCA (volatility, uncertainty, complexity, ambiguity) world environ-ment, led us to a detailed literature review. Neuropsychiatry of psychological resilience is exemplified by recent global developments, biological underpinnings, genetic variations, clinical perspectives, and developmental aspects.
Development and Evaluation of an Electronic Nursing Process System for Cardiology Nurses Based on the Functional Health Patterns Model
(Lippincott Williams and Wilkins, 2025) Enç, Nuray; Türen, Sevda; Şendir, Merdiye
The research was conducted to develop and evaluate an electronic nursing process system for cardiology nurses according to the functional health patterns model. A design-based research method was used, in which quantitative and qualitative research methods were used together. The sample of the study consisted of 25 cardiology nurses working in a university hospital who had not used a system created according to the functional health patterns model before and 8 subject matter experts. A snowball sampling method was used. The research process was carried out within the framework of the five cycles of design-based research: analysis, design, development, implementation, and evaluation. Face-to-face interviews were used to collect data from nurses and subject matter experts regarding the features that the ideal electronic nursing process system will create according to the functional health patterns model. After the system was developed in accordance with these data, the system was tested three times by the nurses and experts in the sample group on 11 defined tasks in terms of effectiveness, efficiency, and satisfaction of the participants, using success rate and completion time criteria through observations of effectiveness and efficiency. The satisfaction level was measured through semistructured interviews with the sample group. Data were analyzed using content analysis. The system was redeveloped based on the findings obtained after analyzing the data collected after each test. With the last development made after the third test, the system was given its final form. At the end of the study, it was revealed that the electronic nursing process system developed according to the functional health patterns model for cardiology nurses was effective and efficient and the satisfaction level of the users with the system was high.
The automation trap: Unpacking the consequences of over-reliance on AI in education and its hidden costs
(IGI Global, 2025)
With the growing presence of artificial intelligence (AI) in classrooms, its influence on how students think, learn, and interact deserves close scrutiny. However, its increasing integration and accessibility raise concerns about AI dependency among students. Excessive reliance on AI may weaken essential cognitive skills, including critical thinking, problem-solving, and creativity, which are crucial for academic and professional success. Moreover, diminished human interaction with teachers and peers threatens the human aspect of education. This chapter critically examines the risks of AI over-reliance, emphasizing its long-term consequences on student development. Left unchecked, this dependency may lead to superficial learning and hinder the cultivation of independent thought. The normalization of AI-generated outputs may also blur the line between authentic learning and algorithmic convenience. It highlights the shift from AI as a supportive tool to a potential source of dependency and advocates for a more balanced, human-centered integration of technology in education.
The effect of endurance-based sports on athlete success and psychological well-being
(Campus EDUCA SPORTIS S.L., 2025) Özpinar, Saliha; Yüce, Ali Serdar; Korkmaz, Murat; Öztaş, Dilek; Aras, Gökşen
The aim of this study is to examine the effects of psychological resilience on sport success and mental health. The relationships between commitment, control and challenge, which are sub-dimensions of psychological resilience, and sport success and psychological well-being were evaluated and discussed in detail. Today, the problems arising due to the increasing competitive environment and stress factors have made it more important for athletes to be psychologically strong. Although the relationship between psychological resilience and sport success has been previously examined in the literature, studies evaluating the individual effects of the sub-dimensions of resilience in a large sample group are quite limited. This study aims to overcome this deficiency and make an up-to-date contribution to the subject. A total of 684 students (72 percent male, 28 percent female) studying at the Faculties of Sport Sciences of 16 universities in Istanbul, Ankara, Izmir, Bursa and Antalya participated in the study. Participants completed the Resilience Scale and Mental Health Inventory, and their sporting achievements were evaluated by their coaches using the Sport Achievement Scale. Data were collected via Google Forms® and analysed using SPSS 22.0 software with correlation, regression and Granger causality tests. The findings revealed that all resilience sub-dimensions showed positive and significant relationships with sport achievement (R²=0.93) and psychological well-being (R²=0.68). Especially control and challenge factors had the strongest effects. As a result of the research, commitment, control and challenge, which are the sub-dimensions of psychological resilience, significantly affect both success levels and psychological well-being of athletes. Therefore, resilience development programmes for athletes should focus on these areas.
Investigation of the Cross-Norm Inhibition Effect Through Theoretical Links and Hypothetical Examples
(Routledge, 2025) Kaya Cicerali, Lütfiye
The Cross-Norm Inhibition Effect (CNIE) offers an alternative approach to shaping behavior, maintaining order, and preventing crime by recognizing the interconnected nature of social norms. This article explores CNIE’s theoretical foundations and demonstrates its potential impact at different social levels through hypothetical examples. Practical guidance is provided for applying CNIE within families, organizations, and communities. As the most comprehensive international study of CNIE to date, it shows how strategic interventions can trigger a domino effect that promotes positive behaviors. CNIE could become a valuable tool for governments, families, and businesses in building a safer, more harmonious society.
Digitalization and Innovation in the Transformation of Green Entrepreneurship: A Bibliometric Analysis
(IGI Global Scientific Publishing, 2024) Mouloudj, Kamel
Green growth is a key path for sustainable economic development, integrating environmental concerns into business practices. This shift has led to the rise of green entrepreneurship, which is still in its early stages, where digitalization plays a crucial role. Digital transformation facilitates green practices such as zero carbon, waste management, electric vehicles, and smart city technologies, enhancing efficiency, competitiveness, and innovation in green enterprises. Green innovation, a critical element of green entrepreneurship, provides practical and eco-friendly solutions to social and environmental challenges. This study explores the interconnectedness of green entrepreneurship, digitalization, and innovation (key concepts "green entrepreneur*" and ("digit*") or ("innovation") through bibliometric analysis, using data from 214 documents in the Web of Science database. The study, mapped via VOSviewer, shows that the field is rapidly growing, with China leading in research output. Future research is expected to focus on more innovative topics in green entrepreneurship.
A Novel Homozygous Missense SCUBE3 Variant with Protein Modeling in a Patient Diagnosed as Short Stature, Facial Dysmorphism, and Skeletal Anomalies with or without Cardiac Anomalies 2
(S. Karger AG, 2025) Yeter, Burcu; Dilek, Yunus Emre; Kendir Demirkol, Yasemin; Selamioǧlu, Arzu; Klrmlzlbekmez, Heves; Kaymakçalan Çelebiler, Hande; Bayram Akçaplnar, Günseli
Introduction: Short stature, facial dysmorphism, and skeletal anomalies with or without cardiac anomalies 2 is a very rare genetic disorder caused by biallelic pathogenic variants in the SCUBE3 gene and has been reported in approximately 20 patients to date. SCUBE3 protein exhibits significant expression in various tissues, including primary osteoblasts, long bones, and the cartilage of the axial skeleton throughout development, while also playing a regulatory role in the FGF, Hedgehog, and TGF-β signaling pathways. Case Presentation: We report a 13-year-old female patient from a consanguineous Turkish family with a novel homozygous missense variant, c.908G>C (p.Cys303Ser) in the SCUBE3 gene identified, through exome sequencing. The patient exhibited prenatal growth retardation, short stature, microcephaly, distinctive facial traits, such as long face, high arched eyebrows, epicanthus, blepharoptosis, hypotelorism, high nasal bridge, micrognathia, and large ears, dental anomalies, and skeletal abnormalities, including scoliosis, eleven pairs of ribs, mild radial bowing, irregular endplates in the lower thoracic vertabrae, and narrow iliac wings. Conclusion: Protein modeling using AlphaFold3 revealed disruption of a critical disulfide bridge within the seventh epidermal growth factor-like repeat, likely affecting protein stability. In this study, we aimed to further characterize the clinical, radiological, and molecular features of this disorder with protein modeling.
Children's social media use behaviors according to parents' social media addiction and methods used by parents
(Elsevier B.V., 2025) Topan, Aysel; Akkoç, Betül; Kurt, Aylin
The objective of the present study is to ascertain how parents' social media addiction affects their children's social media use behaviors and the methods employed by parents to manage this situation. Method: A cross-sectional study was conducted on a sample of 218 parents of children between the ages of 7–18. The collection of data was facilitated by two instruments: the “Parent-Child Information Form” and the “Social Media Addiction Scale. ” Results: The present study has revealed that 41.6 % of parents are addicted to social media. Conversely, parents who do not manifest symptoms of social media addiction exhibit a heightened level of awareness regarding their children's social media accounts and demonstrate a more deliberate approach. The predominant methods employed by parents to restrict their children's access to social media included directing them towards sports activities (71.7 %) and fostering peer interaction (37.2 %). Conversely, parents grappling with social media addic tion have adopted more stringent measures, including the deliberate confiscation of devices, with the aim of curtailing their children's access to social media. Conclusion: The relationship between parents' social media addiction and their children's social media use is a complex one. While children of addicted parents demonstrate a higher propensity for social media usage, parents endeavour to restrict their children's exposure to this environment. Practical ımplications: Nurses and health professionals can play a pivotal role in raising awareness among families and providing guidance to children on the safe use of the internet.
Effect of different factors on microleakage and fracture strength of CAD-CAM produced inlays
(John Wiley and Sons Inc, 2025) Subaşı, Meryem Gülce; Pekkan, Gürel; Arslan Malkoç, Meral
Purpose: To investigate the effects of occlusal finish line, material, cement, and aging type on the microleakage and fracture strength of inlay restorations in vitro. Materials and Methods: Mesio-occluso-distal (MOD) inlay cavities were prepared in all teeth with an occlusal finish line in the form of a butt joint (BJ) or hollow-ground chamfer (HC) in one wall (buccal) (n = 80 each). Inlay restorations were designed using a computer-aided design and computer-aided manufacturing (CAD-CAM) device and milled from blocks (lithium disilicate ceramic [IPS e.max CAD] [LD] and resin nanoceramic [Lava Ultimate] [RN] [n = 40 each]). Inlay restorations were cemented to each tooth with dual-cure resin cement (RelyX Ultimate) (RU) or dual-cure self-adhesive resin cement (RelyX U200) (RU2) (n = 20 each). Specimens were divided into two groups (control [C] and thermomechanical aging [TM]) (n = 10 each). Microleakage and fracture strength tests were performed. The failure types were determined. Microleakage data (mm3) and fracture strength data (N) were analyzed by 4-way analysis of variance (ANOVA). Pairwise comparisons were made by Bonferroni testing. Fisher–Freeman–Halton testing was used to examine the relationship between categorical data. The correlation between microleakage and fracture strength was analyzed using Pearson's correlation analysis (p = 0.05). Results: Although the occlusal finish line, cement, and aging type affected the microleakage (p < 0.001), only the occlusal finish line type affected the fracture strength (p = 0.007). Relationships between the microleakage and fracture strength data were nonsignificant in all subgroups. Conclusions: For inlay restorations, an HC finish line and RU resin cement can be recommended. © 2025 by the American College of Prosthodontists.
MRI-based alzheimer's disease classification using vision transformer and time-series transformer: a step-by-step guide
(Elsevier B.V., 2025) Alp, Sait; Akan, Sara; Akan, Taymaz
This study introduces a reproducible pipeline for classifying Alzheimer's Disease from structural brain MRI utilizing a joint transformer architecture that integrates Vision Transformer and Time-Series Transformer models. The proposed framework uses pre-trained ViT for feature extraction from 2D slices of MRI volumes, followed by sequential modeling with a transformer-based classifier to capture inter-slice dependencies. The method is evaluated on the ADNI dataset, involving both binary (AD vs. NC) and multiclass (AD, MCI, NC) classification tasks across axial, sagittal, and coronal planes.
Artificial intelligence solutions for temporomandibular joint disorders: Contributions and future potential of ChatGPT
(Korean J Orthod, 2025) Kula, Betül; Kula, Ahmet; Bagcier, Fatih; Alyanak, Bülent
Objective: This study aimed to evaluate the reliability and usefulness of information generated by Chat Generative Pre-Trained Transformer (ChatGPT) on temporomandibular joint disorders (TMD). Methods: We asked ChatGPT about the diseases specified in the TMD classification and scored the responses using Likert reliability and usefulness scales, the modified DISCERN (mDISCERN) scale, and the Global Quality Scale (GQS). Results: The highest Likert scores for both reliability and usefulness were for masticatory muscle disorders (mean ± standard deviation [SD]: 6.0 ± 0), and the lowest scores were for inflammatory disorders of the temporomandibular joint (mean ± SD: 4.3 ± 0.6 for reliability, 4.0 ± 0 for usefulness). The median Likert reliability score indicates that the responses are highly reliable. The median Likert usefulness score was 5 (4–6), indicating that the responses were moderately useful. A comparative analysis was performed, and no statistically significant differences were found in any subject for either reliability or usefulness (P = 0.083–1.000). The median mDISCERN score was 4 (3–5) for the two raters. A statistically significant difference was observed in the mean mDISCERN scores between the two raters (P = 0.046). The GQS scores indicated a moderate to high quality (mean ± SD: 3.8 ± 0.8 for rater 1, 4.0 ± 0.5 for rater 2). No statistically significant correlation was found between mDISCERN and GQS scores (r = –0.006, P = 0.980). Conclusions: Although ChatGPT-4 has significant potential, it can be used as an additional source of information regarding TMD for patients and clinicians.
Evaluation of sociodemographic and nutrition-related factors for type 2 diabetes risk: a sample from Turkiye
(BioMed Central Ltd, 2025) Karaca-Çelik, K. Esen; Toprak, Dilek; Baş, Murat; Tevfikoğlu, Leyla; Kahrıman, Meryem; İnce-Palamutoglu, Merve; Doğan, Nurhan; Baş, Dilşat
Background: Considering the increasing prevalence of diabetes, we aimed to evaluate the risk of diabetes in our sample and its relationship with sociodemographic and nutrition-related factors.Methods: We conducted the study in Afyonkarahisar province of Turkiye with participants aged 18-65 years. In this face-to-face study, we used a questionnaire on sociodemographic information and general dietary habits and the FINDRISC screening tool. We also recorded participants' 24-hour food recall and assessed anthropometric measurements. We analyzed epidemiological data using binary logistic regression models to assess possible risk factors associated with the presence of diabetes risk. Results: Overall, this study included 3,990 participants, 50.03% (n = 1996) and 49.97% (n = 1994) of whom were males and females, respectively. The FINDRISC score was higher in females (p = 0.001), married individuals (p < 0.001), those with lower education levels (p < 0.001), and participants diagnosed with the disease by a doctor (p < 0.001). Additionally, having a body mass index (BMI) of > 30 kg/m2 increased the risk by 7.33 folds compared with having a BMI of < 25 kg/m2. Significant but very low correlation coefficients were found between main meal consumption, energy, lipid and iron intake and diabetes risk (p < 0.001). Conclusions: Our findings suggest that increasing age, increasing BMI, lower education level, and having a disease diagnosis can be significant risk factors for diabetes. However, more studies are needed to clarify risk factors, especially those related to nutrition.
Resources Allocated for Undergraduate Education in Oral Radiology in European Dentistry Programmes: A Survey Study
(John Wiley and Sons Inc, 2025) Ahlqvist, Jan; Levring Jäghagen, Eva; Friedlander-Barenboim, Silvina; Clarkson, Rosalyn; Ferreira Da Costa, Jorge; Fişekçioğlu, Erdoğan; Mitsea, Anastasia; Szopinski, Kazimierz
Aims: The Education Committee of the European Academy of DentoMaxilloFacial Radiology should ‘encourage and support high levels of graduate and postgraduate education in dentomaxillofacial radiology (DMFR) all over Europe’. For this reason, the committee aimed to formulate a document describing resources allocated for undergraduate education within oral radiology in Europe today that can serve as a benchmark against which dental schools and/or countries with dentistry programmes can relate their undergraduate education. Materials and Methods: A questionnaire addressing resources allocated for learning oral radiology was distributed to colleagues involved in oral radiology education in 117 dental schools in 29 countries in Europe. Results: The answers represent approximately 13% of the dental schools in 40% of the countries providing dental education in Europe. There was a large variation regarding qualifications among teachers. There were also large differences in reported time dedicated to oral radiology courses, within some parts the allocated time differed by a factor 16. Discussion: An ambition to achieve high standards in oral radiology all over Europe should, based on the results of this survey, start with an effort to attain consensus regarding the role of oral radiology in dental education. The involvement of dentists with DMFR specialist training, would support high levels of undergraduate education. Conclusion: The results of this survey include information that educators and authorities can relate to in planning and implementation of new or revised curriculum. The ambition should be to increase teachers' competence and to work towards more harmonised and extensive courses in oral radiology. © 2025 The Author(s). European Journal of Dental Education published by John Wiley & Sons Ltd.
Malaria in Turkey: A comprehensive analysis of diagnosis, treatment, and the impact of COVID-19, ten years after malaria elimination (2012-2023)
(Elsevier Inc., 2025) Şahin, Özgün Ekin; Kalay, Zeynepgül; Sarı, Nagehan Didem; Batırel, Ayşe; Ersöz, Gülden; Tuncer, Ertem Günay; Turunç, Tuba; Gözüküçük, Ramazan; Şimşek Çelener, Funda; Kantürk, Arzu; Süer, Kaya; Özer Balın, Şafak; Sağmak Tartar, Ayşe; Çelebi, Güven; Kuşoğlu, Hülya; Ateş, Selma; Alkan, Sevil; Mıstanoğlu Özatağ, Duru; Berk, Hande; Uzun, Cengiz; Karakoç, Çağla; Erdem, İlknur; Mumcu, Necati; Çölkesen, Fatma; Altunçekiç, Arzu; İnci, Ayşe; Yılmaz Karadağ, Fatma; Türkoğlu Yılmaz, Emine; Arslan, Mustafa; Şahin, Ahmet; Erdoğan, Haluk; Zorbozan, Orçun; Ertabaklar, Hatice; Ertan, Oğuz; Gücer, Lal Sude; Ergönül, Önder
Background: The characteristics, diagnosis, and treatment stages of malaria in Turkey in the last ten years are not known except few case reports. We aimed to describe the details of the diagnosis and treatment practices of malaria cases in various hospitals across Turkey between 2012 and 2023 after the declaration of the elimination of malaria. Methods: We collected the patient data from 30 centers by using Qualtrics Survey Software. The patients were categorized according to the WHO Malaria Severe Disease Symptoms guidelines. Results: We detected 299 malaria cases. Of these patients, 23.7% experienced misdiagnosis, with 77.5% of misdiagnosed cases receiving antibiotics. Among the patients, 9 (3%) had no travel history. Additionally, 28 (9.4%) patients required admission to the intensive care unit (ICU) during hospitalization. There is a significant association between misdiagnosis and subsequent ICU admissions. Additionally, the duration between malaria diagnosis and the initiation of treatment significantly affected ICU admissions. Furthermore, the number of cases with severe malaria (according to WHO criteria) and ICU admissions increased after the COVID-19 period. In multivariate analysis, initial misdiagnosis was found to be associated with ICU admission (OR: 2.8, p < 0.05), while each day's treatment delays post-diagnosis increased ICU admissions (OR: 1.26, p < 0.05). Conclusion: Misdiagnosis is common which delays the treatment and is correlated with higher admissions to ICUs. Post-COVID-19, there was a notable increase in both ICU admissions and cases of severe malaria, suggesting an escalation in disease severity that warrants further investigation. The resurgence of rare malaria cases with no travel history to abroad highlights the necessity of continued vigilance for new malaria cases. Efforts to promptly treat upon diagnosis and improve diagnostic accuracy in Turkey, where malaria is uncommon, are crucial. Enhancing diagnostic methods and treatment strategies remains essential, especially in significant events like COVID-19.
Comparison of conventional and modified sling suture techniques in free gingival graft operations-a randomized controlled clinical trial
(BMC, 2025) Shakiliyeva, Sanubar; Şahin, Demet; Günpınar, Sadiye; Gursel, Mihtikar
Background: The aim of this study was to investigate the effects of conventional suture (CS) and modified sling suture (MSS) techniques, applied in free gingival graft (FGG) surgery using gingival unit graft (GUT) and conventional graft (CG) techniques, on clinical parameters and graft dimensions. Methods: 52 individuals having Cairo Type 2 (RT2) and Type 3 (RT3) gingival recessions in mandibular anterior were divided into four groups as (a) GUT + MSS (n = 13), (b) GUT + CS (n = 13), (c) CG + MSS (n = 13) and (d) CG + CS (n = 13). Keratinized tissue width (KTW), relative gingival recession height (rGRH), and relative vestibule depth (rVD) measurements were recorded using a digital caliper and UNC 15 periodontal probe. Dimensional changes (Δ) of the graft surface area (GSA) was determined by ImageJ software. All measurements were done at baseline, 1st and 3rd months. Results: It was determined that the increase in KTW in the 1st and 3rd months in GUT + CS group was significantly higher than GUT + MSS group (p < 0.05). There was no statistically significant difference in Δ rVD and Δ rGRH values between the groups. When ΔGSA (mm2) values were compared between the groups, the decrease in the 1st and 3rd months in the CG + MSS group was found to be significantly higher than the GUT + MSS and GUT + CS groups (p < 0.05). Conclusion: Within the limits of this study, it can be concluded that keratinized tissue can be obtained successfully with both GUT or CG techniques in FGG surgery, on the other hand, regardless of the suture technique, GUT showed less graft shrinkage than CG.

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