Sağlık Bilimleri Fakültesi

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A Comparison of Physical Activity Level, Quality of Life, Sleep Quality and Depression Levels in Mothers of Disabled Children With and Without Musculoskeletal Pain
(İstanbul Gelişim Üniversitesi, 2025-11) Yalçın, Gülay; Kayış, Rukiye; 308202
Aim: This study aims to compare physical activity levels, quality of life, sleep quality, and depression levels in mothers of children with disabilities, distinguishing between those with and without musculoskeletal pain. Method: A total of 61 mothers aged 20–45 years participated in the study, including 27 mothers with musculoskeletal pain, as determined by the Visual Analog Scale (VAS), and 34 mothers without musculoskeletal pain. The physical activity levels of the mothers were assessed using the International Physical Activity Questionnaire – Short Form (IPAQ), pain status with the VAS, depression levels with the Beck Depression Inventory (BDI), sleep quality with the Pittsburgh Sleep Quality Index (PSQI), and quality of life with the Nottingham Health Profile (NHP). Results: Body mass index, NHP, PSQI, VAS and number of pregnancies were statistically significantly different between the two groups (p<0.05). There was no statistically significant difference between the two groups in the results of IPAQ, BDI, number of children, number of miscarriages, smoking, presence of care assistants, educational status and economic status (p>0.05). Conclusion: Musculoskeletal pain negatively affects the sleep quality and quality of life of mothers of children with disabilities. Depression levels and physical activity levels were high in both groups. In addition, factors such as sociocultural and number of children are also associated with musculoskeletal pain.
A simple magnetic resonance scoring system for predicting suitability for primary anterior cruciate ligament repair
(Erzincan Binali Yıldırım Üniversitesi, 2024-08) Kılızay, Yusuf Onur; Erdoğmuş Gülcan, Server; Yılmaz, Hazal Berfin; Yalçın, Gülay; 334080; 392815; 202217; 308202
Objective: This study developed a simple magnetic resonance imaging (MRI) scoring method to assess the suitability of the anterior cruciate ligament (ACL) remnant for primary repair and aimed to test the success of this scoring method on operative images of patients undergoing early ACL surgery. Methods: The video-recorded operative images of patients who underwent ACL reconstruction and the MRI images of the same patients taken in our hospital were retrieved from the hospital archive. Two surgeons evaluated whether the ACL could be primarily repaired on the video images recorded during the operation. Magnetic resonance primary repairability (MPR) scores and repairability status on video images were compared. Results: The mean age of the patients was 30.4 ± 8.6 years. The evaluation of remnant size on MRI showed moderate agreement between observers (P < .001, Cohen’s kappa = 0.605). The assessment of the repairability score based on MRI and video observation demonstrated substantial agreement between observers (P < .001, Cohen’s kappa = 0.743 and P < .001, Cohen’s kappa = 0.762, respectively). Conclusion: The MR primary repairability score (MPR score) is suitable for use in the decision-making process for the primary repair of the ACL.
A study of the reliability and validity of the Mindfulness Parenting Scale in Infancy and the examination of Mothers' Mindfulness in Pareting in Turkish samples
(UNIV POLITECNICA VALENCIA, EDITORIAL UPV, 2025-10) Sezgin, Elif; 157389
The research aims to assess the reliability and validity of the Mindful Parenting in Infancy Scale (MPIS) for mothers with infants aged 0-24 months and to analyze their mindfulness levels across various variables. The study included 353 mothers from Bursa's Nil & uuml;fer and Osmangazi districts, with data collected in private nurseries and daycare homes between December 2023 and March 2024. Teachers distributed the data collection tools, which included the "Mother and Baby Information Form" and the MPIS, developed by Gartstein (2021). Adaptation permissions were secured, and the scale's language, content, and structure were validated. Reliability was measured using the Cronbach Alpha internal consistency coefficient and item-total correlations. Statistical analyses included independent samples t-test and One-way ANOVA to explore MPIS scores across demographic variables. The Levene test assessed homogeneity, while kurtosis and skewness evaluated normal distribution. The internal consistency coefficient was 0.74, with item-total correlations ranging from 0.35 to 0.49. The findings indicated no significant differences in mindfulness based on mothers' age, education, or family type, but highlighted variations based on the birth order of the baby.
An examination of the psychological resilience of preschool children with and without Montessori education
(Wiley, 2024-08) Sezgin, Elif; Şener, Tülay; 157389
This study aims to compare the psychological resilience of children who receive Montessori education with those who do not receive Montessori education(the group attends a school where education is provided according to the Preschool Education Programme of the Ministry of National Education). The study used the Relational Scanning Model Comparison Types to compare the psychological resilience of children who received Montessori education with those who did not. The research involved 99 children aged 3–6 years who received regular preschool and Montessori education during the 2021–2022 academic year. It is reported that no developmental or neurological defects were observed in any of the participants. The study group comprised 50 children aged 3–6 years from a private kindergarten affiliated with National Education in Nilüfer district and 49 children aged 3–6 years from a private Montessori kindergarten in Nilüfer district. According to the study, children who received Montessori education demonstrated comparatively higher levels of psychological resilience than those who did not receive Montessori education. It has been observed that there exists a weak but meaningful correlation between the psychological resilience of children and their social relationships/social performance, particularly in those who have received Montessori education for an extended duration. As a result, it can be inferred that Montessori education positively impacts children's psychological resilience.
Bipolar Bozukluğu Olan Bireylerle Yapılan Motivasyonel Görüşmenin İlaç Uyumuna Etkisi: Olgu Sunumu
(pncongress2025, 2025-04) Erkuş, Şeyma; Babaoğlu, Elçin; 372023
Giriş-Amaç: Bipolar bozukluk tanılı bireylerde yaygın bir sorun olarak görülen ilaç uyumsuzluğu, hastalık belirtilerinin nüksetmesine ve hastaneye yatış sıklığının artmasına neden olmaktadır.[1,2] Psikiyatri hemşirelerinin bipolar bozukluk tanılı bireylerde ilaç uyumsuzluğunu tanımlama ve ilaç yönetimi ile tedaviye uyumlarının arttırılmasında önemli sorumlulukları bulunmaktadır. Motivasyonel görüşmeler bipolar bozukluk tanılı bireylerde tedaviye uyumu arttıran psikososyal müdahalelerden biridir.[3] Bu olgu sunumunda yatarak tedavi gören ve ilaç uyumsuzluğu olan bipolar bozukluk tanılı bir bireyde motivasyonel görüşme tekniğinin ilaç uyumuna etkisinin incelenmesi amaçlandı. Yöntem: Bu çalışmada, empatik bir yaklaşımla, yansıtmalı dinleme, açık uçlu sorular ve destekleme tekniklerinin kullanıldığı ve çelişkiler geliştirilerek ambivalan duyguların keşfedildiği altı seanstan oluşan motivasyonel görüşme gerçekleştirildi. Motivasyonel görüşme tekniklerinden önem ve güven testi, karar dengesi ve uç durumlar teknikleri kullanıldı. Hastanın ilaç uyumunun değerlendirilmesinde görüşmelere başlamadan önce ve son değerlendirme görüşmesinde “Morisky Tedaviye Uyum Ölçeği” uygulandı. Bulgular: Motivasyonel görüşme sonrasında hasta Morisky Tedaviye Uyum Ölçeği’ndeki dört ifadenin tamamını ‘’hayır’’ olarak işaretledi ve bu da ‘’yüksek’’ derecede uyum ile sonuçlandı. İlaçlarını düzenli bir şekilde kullanmaya başlamasının yanı sıra hastanın sosyal ortamlara yeniden girmesi, değişim planını hayata geçirmesi, hastaneden taburcu olması ve okuluna yeniden dönmeye karar vermesi olumlu değişimler olarak kaydedildi. Sonuç ve Öneriler: Bu olgu sunumunda uygulanan motivasyonel görüşme tekniklerinin, bipolar bozukluk tanılı bireyin ilaç uyumunun artmasında etkili olduğu bulundu. Psikiyatri hemşirelerinin, bipolar bozukluk tanılı bireylerin ilaç almaya ilişkin farkındalıklarını ve öz yeterliliklerini arttırma ve değişim için motivasyon geliştirme yoluyla ilaç uyumunun arttırılmasında motivasyonel görüşme ilke ve becerilerini kullanmaları önerilir.
Çocuğun hastane ortamına hazırlanması
(Eğiten Kitap, 2023) Sezgin, Esin; 230880
Çocukluk dönemi, bireyin gelişiminde kritik bir aşamadır. Ancak, bazı durumlarda bu süreç, hastalıklar, patolojiler, ağrılı ve invaziv prosedürler, travmalar veya uzun süreli hastanede yatışlar gibi olumsuz olaylarla kesintiye uğrayabilir (Gordiona-Iáñez ve diğerleri, 2020). Özellikle erken çocukluk döneminde hastalık, hastane ziyareti ve hastaneye yatış çocuklar için korkutucu bir deneyimdir (Burns-Nader & Hernandez-Reif, 2016; Delvecchio ve diğerleri, 2019; Gültekin & Baran, 2005; Kaminski, Pellino & Wish, 2002; Jeyamurugan & Basak, 2020). Bu deneyim, çocuğun yaşı, bilişsel ve duygusal özellikleri, mizacı, önceki hastane deneyimleri, hastalığın algılanma şekli, bilinmezlik, ayrılıklara tepkiler, hastalığın etkileri gibi bir dizi faktörden etkilenebilir. Çocukların ebeveynlerinden, günlük rutinlerinden ve güvenli ev ortamından uzaklaşması, yaşam tarzlarında değişikliklerin ortaya çıkması, tanıdık olmayan görüntü, ses ve kişilerin varlığı, ağrı ve işlem korkusu, normal yaşamdan uzaklaşma hastanede yatan çocuklarda stres ve kaygıyı tetikleyebilir (Kaminski, Pellino & Wish 2002; Burns-Nader & Hernandez-Reif, 2016) ve hastaneye yatma ve tedavi görmeye bağlı olarak fiziksel ve duygusal zorluklar yaşayabilirler. Çocukların hastaneye yatışı sırasında ve sonrasında gösterdikleri tepkiler arasında endişe, regresyon, bağlanma sorunları, aşırı hareketlilik, yalnız kalmak isteği gibi davranışlar bulunmaktadır (Li ve diğerleri, 2016). Bu davranış problemlerinin azaltılması için çocukların ve ailelerinin hastaneye, tedaviye ve girişimlere hazırlanması önemlidir. Bu hazırlık sürecinde güven oluşturmak, çeşitli yöntem ve teknikler kullanarak bilgi vermek, duygularını ifade etmeye teşvik etmek ve başa çıkma becerilerini geliştirmek amaçlanır.
Çocuk edebiyatı eserlerinde yer alan arketiplerin incelenmesi
(Esma Dumanlı Kadızade, 2023) Musuloğlu, Büşra Nur; Sezgin, Esin; 230880
Arketip sözcüğünü psikoloji literatürüne kazandıran isim Carl Gustav Jung olmuştur. Zaman içerisinde, Jung’un, evrendeki varlıkların miktarı kadar, söylemiyle ifade ettiği arketipler üzerine birçok farklı tanım ve kategori oluşturulmuştur. Çocuk edebiyatı, arketipler için geniş bir çalışma alanı sunmaktadır. Çocuk edebiyatında yer alan edebi eserlerde basit bir dil kullanılmasına karşın yorumlamayla açığa çıkarılacak derin anlamlar bulunmaktadır. Bu araştırmada birçok farklı disiplinin üzerinde çalışmalar yürüttüğü ve son derece önemli görülen arketip kavramına yönelik yayınlanmış olan çalışmalar aracılığıyla çocuk edebiyatında arketip kavramını incelemek amaçlanmıştır. Çalışmada, nitel araştırma yöntemlerinden olan, doküman inceleme yöntemi kullanılmıştır. Veri toplama işlemi DergiPark veri tabanı üzerinden gerçekleştirilmiştir. Çalışma kapsamına 17 makale dahil edilmiştir. Elde edilen veriler doküman analiz yöntemiyle analiz edilmiştir. Arketip kavramını temel alarak çocuk edebiyatı eserlerini inceleyen çalışmaların; edebi eser türlerine, yayın yıllarına, incelemiş oldukları arketiplere, kolektif bilinçdışı kavramına yer verme durumlarına bakılmıştır. Yayınlanan makalelerin edebi türlerinin yalnızca masal ve öykü olduğu görülmüştür. İncelenen 17 makalede yer alan eserlerin 9’unun masal, 8’inin ise öykü olduğu tespit edilmiştir. Konu hakkında en yakın tarihli makalelerin 2022 yılında yayınlandığı ve bunların sayısının 3 olduğu görülmüştür. Bu alanda en fazla makale ise 5 makaleyle, 2021 yılında yayınlanmıştır. 2017, 2016, 2015, 2012, 2011 ve 2010 yıllarında konu hakkında makale yayınlanmamıştır. İncelenen makalelerde toplam 12 farklı çeşit arketipe ulaşılmıştır ve en sık ele alınan arketipin gölge arketipi olduğu tespit edilmiştir. Gölge arketipini sırasıyla, anne, yaşlı bilge, animus, kahraman, anima, persona, yeniden doğuş, baba, self, hilebaz ve asi arketipi takip etmiştir. İncelenen 17 makaleden 15’inde arketiplerin incelenmesinde önemli bir kavram olarak görülen kolektif bilinçdışı kavramı incelenmiş, 2’sinde ise kolektif bilinçdışı kavramı incelenmemiştir. Gelecekte çocuk edebiyatı alanında yapılacak olan çalışmalarda arketip kavramının masal ve öykü türünden farklı edebi türlerde de ele alınarak incelenmesinin literatürde tespit edilen bir eksikliğin giderilmesine katkı sağlayacağı düşünülmektedir. Gelecekte, çocuk edebiyatı alanında yerli ve yabancı daha fazla edebi eserin incelenmesiyle de literatürdeki çeşitliliğin artırılmasına katkı sunulabilir.
Comparison of Breathing Exercises and Auricular Vagus Nerve Stimulation Effects on Autonomic Nervous System Activity and Respiratory Functions in Healthy Adults: An Active Comparative Controlled Study
(Wiley, 2025-12) Yalçın, Gülay; Özden, Ali Veysel; 308202
Introduction Vagal modulation is achieved directly by transcutaneous auricular vagus nerve stimulation, whereas breathing exercises stimulate arterial baroreceptors. In this study, we aimed to compare these two methods, which have similar effects. Methods 88 healthy participants aged 18–35 were randomly divided into breathing exercises (Group BE) and vagus stimulation (Group VNS). Thoracic expansion exercise was performed in the BE group. In the VNS group, biphasic electrical stimulation was applied to both ears with a pulse width of 300 ms, a frequency of 10 Hz, and 20 min. Pulmonary function tests were measured on the first and last days. Heart rate, systolic and diastolic blood pressure, RMSSD, PNN50, LF/HF, LF Power, and HF Power values were measured before and after each of the 10 sessions for both groups. Results Heart rate decreased significantly in both groups, with significant superiority in the BE group compared to that in the VNS group. In both groups, blood pressure values decreased significantly. RMSSD, PNN50, and HF values increased significantly in the VNS group, while LF and LF/HF values decreased significantly in the BE group. In pulmonary function test results, the FEV1 value increased significantly in both groups. A significant increase in the FVC value was observed in both groups, but the BE group was superior. The two groups had no significant superiority in the FEV1/FVC value. Conclusion As a result, auricular vagus stimulation seems superior to breathing exercises in increasing the parasympathetic system activity, reducing sympathetic activity, and partially increasing respiratory functions.
Comparison of clinical and radiological results of lateral retinacular release or lateral retinacular lengthening methods combined with medial retinaculum plication in patellofemoral instability
(Cureus INC, 2022) Saylık, Murat; Bilgin, Yücel; Atıcı, Teoman
Introduction In this study, we aimed to compare the clinical and radiological results of patients who underwent medial retinaculum plication (MRP) combined with lateral retinacular release (LRR) or lateral retinacular lengthening (LRL) with the diagnosis of patellofemoral (PF) instability. Methods In our study, we retrospectively analyzed 75 knees of 75 adult patients (43 females and 32 males) who underwent MRP+LRR or MRP+LRL due to PF instability without osseous pathologies. Patients were divided into two groups (MRP+LRR and MRP+LRL) according to the surgical method. The clinical and radiological results of the two groups were compared. Results MRP+LRL surgery was performed on 45 knees and MRP+LRR surgery on 30 knees. The mean age was 26.5 (18-43) years. There was no significant difference between the two groups in the change in patellar lateral shift (PLS) (p=0.429) and congruence angle (CA) (p=0.218) values. However, there was a significant difference between the two groups in the change in patellar tilt angle (PTA) (p=0.009) and lateral patellofemoral angle (LPFA) (p<0.001) values. The change in PTA and LPFA values was higher in the MRP+LRL group. There was no significant difference between the two groups in terms of pre-operative and post-operative Lysholm knee scoring scale (p=0.205, p=0.228), Kujala pain scale (p=0.393, p=0.596), and Tegner activity level scale values (p=0.121, p=0.899). Conclusions MRP+LRR or MRP+LRL provided successful results for correcting the instability in PF instability without osseous pathologies such as patella alta, tibial tubercle-trochlear groove (TT-TG) dysplasia, trochlea dysplasia, genu valgus, and tibial-femoral torsion. While PTA and LPFA values improved more with the MRPLRL method, clinical results were similar in both methods.
COMPARISON OF THE EFFECTS OF NERVUS VAGUS STIMULATION, TENS, AND BACKUP STIMULATION DEVICE ON THE AUTONOMIC NERVOUS SYSTEM AND PAIN IN FIBROMYALGIA PATIENTS
(TÜRKİYE FİZYOTERAPİSTLER DERNEĞİ, 2025-09) Yalçın, Gülay; Kayış, Rukiye; Beceni, Esra; Külekçioğlu, Sevinç; 308202; 392833
Purpose: This study aimed to compare the acute effects of vagus nerve stimulation (VNS), transcutaneous electrical nerve stimulation (TENS), and the backup stimulation device (Backup) on pain, sympathetic, and parasympathetic nervous system functions in fibromyalgia patients. Methods: Thirty fibromyalgia patients (aged 20-45) from a hospital in Bursa were randomly assigned to three groups: VNS, TENS, and Backup stimulation device. Each group received a 30-minute session once weekly for five sessions. Pain was assessed using the visual analog scale (VAS), and sympathetic and parasympathetic functions were measured with the Elite heart rate variability device. Parameters included heart rate, root mean square of successive differences, proportion of NN50 divided by total RR intervals, low-frequency/high-frequency (LF/HF) power, and LF/HF ratio. Results: No significant post-intervention changes were found in autonomic parameters across groups (p>0.05). However, all groups showed a significant reduction in VAS scores (p<0.05), indicating effective pain relief. Heart rate significantly decreased only in the Backup group (p<0.05), suggesting a shift toward parasympathetic dominance. Between-group analysis revealed significant differences in VAS scores between the TENS and VNS groups, and the VNS and Backup groups (p<0.05), indicating variability in pain response. Conclusion: TENS, VNS, and Backup stimulation devices effectively reduce pain in fibromyalgia patients. The heart rate reduction in the Backup group suggests a potential effect on autonomic regulation, which may offer a beneficial approach for managing fibromyalgia symptoms. Although autonomic parameters showed no significant changes overall, further research is needed to understand the long-term effects and clinical relevance of these treatments.
Comparison of the quality of life of mentally and physically disabled children and their healthy siblings
(Hacettepe Üniversitesi, 2024-09) Kavlak, Erdoğan; Erdoğmuş, Server; Kavlak, Ebru; Yalçın, Gülay; 392815; 308202
Purpose: It is known that the health-related quality of life of children with neurological problems is adversely affected. But these problems also have a negative impact on the whole family. This study was conducted to examine the quality of life of children with mental and physical disabilities and their healthy siblings. Material and Methods: 82 children with mental and physical disabilities between the ages of 2-18 and their healthy siblings were included in the study. The sociodemographic data of the participants were recorded. The Pediatric Quality of Life Inventory was used to measure health-related quality of life, and the Gross Motor Function Classification System was used to evaluate the gross motor functions of children with disabilities. Results: 82 (48 boys, 34 girls) mentally and physically disabled children with a mean age of 9.87±5.06 years and 82 (34 boys, 48 girls) healthy siblings with a mean age of 12.68±3.65 were included in the study. When the quality of life of mentally and physically disabled children was examined, it was seen that there was no significant difference between the two groups (p>0.05). There was no significant difference between the quality of life of the healthy siblings of mentally and physically disabled children (p>0.05). Discussion: It was observed that the quality of life of healthy siblings of mentally and physically disabled children was similarly affected. It should not be forgotten that the quality of life of their families and healthy siblings will also be adversely affected during the treatment process of disabled children.
Conversion Bariatric Surgery, Ketogenic Diet, and Intermittent Fasting in Bariatric Surgery Patients with Recurrent Weight Gain: a Prospective Randomized Controlled Trial
(Springer, 2026-04) Şen, Seher; Erdem, Nihal Zekiye; Durak, Doğukan; 409851
Background Recurrent weight gain (RWG) after metabolic and bariatric surgery (MBS) increases the need for alternative treatment strategies. This study evaluated the effects of conversion bariatric surgery (CBS), very low-calorie ketogenic diet (VLCKD), and time-restricted intermittent fasting (TRIF) on anthropometric measurements, biochemical parameters, and dietary habits in patients who experienced suboptimal clinical response (SCR) or RWG after bariatric surgery. Methods This study included 56 patients, allocated to four groups (CBS, VLCKD, TRIF, and control; n = 14 each). Weight, waist-hip measurements, body composition, glycemic/lipid profile, and serum levels of specific vitamins and minerals were assessed at baseline and at week 6. Energy and nutrient intakes were calculated using BeBiS-9. Results Data were analyzed with SPSS 22.0. The percentages of total and excess weight loss differed significantly among the groups (p < 0.001), with CBS (9.07–28.5%), VLCKD (9.12–31.85%), TRIF (5.09–14.97%), and control (0.97–3.40%). Additionally, the pre- and post-intervention differences in fasting insulin, HOMA-IR, HbA1c, cholesterol, LDL-C, triglyceride, and uric acid levels varied significantly among the groups. VLCKD showed a more prominent effect on glycemic parameters, whereas CBS had a more beneficial impact on the lipid profile. In intervention groups, daily energy, carbohydrate and fat intake (g/day) decreased; protein percentages increased; the frequency of consumption of energy-dense foods decreased; and healthy food preferences increased. Conclusions Consequently, clinically significant improvements in weight management and metabolic parameters were observed in CBS, VLCKD, and TRIF groups under multidisciplinary team follow-up. These findings suggest that dietitian-led VLCKD and TRIF interventions may be considered as alternative treatment options before deciding on CBS.
Determining the effect of diet quality on nutritional status and type 2 diabetes risk in adult females
(Bayrakol Medical Publishing, 2024-10) Uray, Ecem Özge; Batar, Nazlı; Tuna Tuğba; 256218; 336342
Aim: This study aimed to determine the effect of diet quality on nutritional status and type 2 diabetes risk in adult females. Material and Method: This study was conducted between January and March 2022 with the participation of 120 adult females who applied to Özel Maltepe Ersoy Hospital, Nutrition, and Diet Polyclinic for body weight control. The researchers recorded participant information form, IPAQ-SF, 24-hour retrospective food consumption record form, and FINDRISK data through face-to-face interviews. NAR and MAR scores were used to determine the diet quality of individuals. Results: It was determined that as body weight, BMI, waist circumference, waist-height ratio, neck circumference, body fat percentage, and fat mass values increased, the diabetes risk scores of individuals increased (p<0.05). It was determined that decreasing lean body mass and percentage increased the risk of diabetes (p<0.05). Biochemical parameters FBG, Insulin, HOMA-IR, TC, LDL-C, and TG values were found to be higher in individuals with high and very high diabetes risk compared to other individuals (p<0.05). It was determined that the risk of diabetes decreased as the physical activity levels of individuals increased (p<0.05). Diabetes risk score, and it was determined that there was no correlation between the biochemical parameters (p>0.05). Discussion: It has been determined that individuals’ anthropometric values, body composition, and physical activity level are important factors in the risk of diabetes. Appropriate health policies should be developed considering this situation.
Direct Neck Skin Excision for Correction of Aging Signs Confined to Skin Laxity and Sagging Skin in the Neck: A Local Anesthesia-Based Day Surgery Optimal for Younger Women
(LIPPINCOTT WILLIAMS & WILKINS, 2025-06) Okumuş, Ayhan; 293876
BACKGROUNDThe removal of excessive neck skin is considered the key parameter in the best postoperative outcome after a neck rejuvenation surgery.OBJECTIVETo evaluate the utility of a local anesthesia-based direct neck skin excision surgery in patients with skin laxity and sagging skin in the neck in terms of postoperative aesthetic outcome and patient satisfaction within a 12-month follow-up period.MATERIALS AND METHODSA total of 47 female patients who underwent local anesthesia-based direct neck skin excision surgery for the rejuvenation of skin laxity and sagging skin in the cervical neck were included. Data on complications and patient-reported outcomes were recorded at the 12th month postoperatively.RESULTSPostoperatively, none of the patients developed suture breakage or loosening, infection, or bleeding, while ecchymosis (21.3%) and hypertrophic scar (17.0%) were manageable. At the 12th postoperative month, 93.6% of patients reported improved appearance and high satisfaction with the postoperative outcome in terms of a sustained tighter appearance in the neck.CONCLUSIONThe local anesthesia-based direct neck skin excision surgery in patients with skin laxity and sagging skin in the neck enables achievement and maintenance of a tighter appearance in the neck, with minor and manageable complications and high patient satisfaction.
Does Pulmonary Function Testing Affect Autonomic Nervous System Activity?
(GALENOS PUBL HOUSE, 2026-03) Yalçın, Gülay; Erdoğmuş Gülcan, Server; Kavlak, Erdoğan; 308202; 392815
Objective: The autonomic nervous system (ANS) regulates vital functions such as heart rate (HR) and respiration. Pulmonary function tests (PFTs), which require forced breathing maneuvers, may influence ANS activity, potentially affecting the accuracy of autonomic measurements. This study aimed to investigate the effects of PFT on ANS activity and to assess the reliability of the test order. Material and methods: Forty-eight healthy university students (32 women, 16 men; mean age 19±0.92 years) participated. ANS activity was assessed by heart rate variability (HRV) analysis using the Elite HRV Corsense device. HRV was recorded at rest in a seated position (first measurement), was repeated after a 5-minute rest (second measurement), and was recorded again following PFT performed with a Medwelt SP10 spirometer (third measurement). Results: Comparison of the first and second measurements showed a statistically significant increase only in the root mean square of successive differences (RMSSD) parameter, with no significant changes in other indices. Comparison of the second and third measurements revealed no significant differences in RMSSD or average HR; however, significant changes were observed in the low-frequency (LF) and high-frequency (HF) components and in the LF/HF ratio. Conclusion: Respiratory maneuvers during PFT may temporarily alter ANS activity, particularly affecting parasympathetic-sympathetic balance. The differences between the first and second measurements emphasize the importance of adequate rest periods before HRV assessment. Measurements taken prior to PFT appear to be more reliable for the accurate evaluation of autonomic function.
Effect of Limosilactobacillus reuteri DSM17938 to prevent antibiotic-associated diarrhea in children: prospective, multi-center, randomized, placebo-controlled clinical trial (PEARL Study)
(Springer, 2025-06) Dinleyici, Ener Çağrı; Özen, Metehan; Güven, Şirin; Dalgıç, Nazan; Karbuz, Adem; Sütçü, Murat; Yazar, Ahmet Sami; 243394
Antibiotic-associated diarrhea (AAD) is one of the side effects that occur during and after antibiotic use. Some probiotics have strain-specific beneficial effects on AAD development when used in combination with antibiotics. The aim of this study was to evaluate the effect of Limosilactobacillus reuteri DSM 17938 on the prevention of AAD in children. This is a prospective, multicenter, randomized, double-blind, placebo-controlled clinical trial in T & uuml;rkiye between 2017-2019, among outpatient children with acute otitis media (AOM) or acute rhinosinusitis (ARS). Group 1 (n = 330) received amoxicillin-clavulanate and L. reuteri DSM 17938 (2 x 10(8) CFU) and Group 2 (n = 324) received amoxicillin-clavulanate and a placebo during the antibiotic treatment or continued for 21 days after antibiotic cessation. The primary end point of this study was the percentage of children with AAD in the first 14, 21, and 56 days of follow-up. Secondary endpoints are the percentage of children with AAD regarding the AOM vs ARS, amoxicillin-clavulanate dose, age groups, and the comparison between 14- and 21-days use of L. reuteri. The percentage of children with AAD was significantly lower in the L. reuteri group compared to the placebo group at 14 days (7.9% vs. 16.7%; RR: 0.47, 95%CI 0.30-0.7; p < 0.001); at 21 days (8.8% vs. 17.9%; RR: 0.49, 95%CI 0.32-0.74;p < 0.001); and at 56 days (9.1% vs. 19.6%; RR: 0.46, 95%CI 0.30-0.69;p < 0.001). The incidence of AAD was also significantly lower in the L. reuteri group at 14, 21 and 56 days among children aged between 6-24 months (p < 0.01, p < 0.01, p < 0.001) or children with AOM (p = 0.0001,p < 0.0001,p < 0.0001). When AAD was observed, the mean duration of diarrhea was longer in the placebo group(p < 0.05). Conclusions: This first study with L. reuteri DSM 17938 in a large pediatric outpatient setting showed significant reduction of AAD during the first 14 days of antibiotic use and the 8-week follow-up period. Trial Registration: NCT02765217 (First Submitted 02.05.2016) (https://clinicaltrials.gov/study/NCT02765217?term=NCT02765217&rank=1).
Effect of motivational interviewing on medication adherence in patients with bipolar disorder: systematic review
(Lut Tamam, 2024-10) Erkuş, Şeyma; Babaoğlu, Elçin; 372023
This systematic review was conducted to examine the effect of motivational interviewing method on compliance with medication treatment in individuals diagnosed with bipolar disorder. In this systematic review, the literature was searched in the databases of ''Cochrane, SpringerLink, Ovid, Science Direct, PubMed, ProQuest, Networked Digital Library of Theses and Dissertations (NDLTD), ULAKBIM, YÖKTEZ'', published in the last 5 years, in English language, using the keywords and combinations of ''motivational interviewing'', ''bipolar disorder'', ''adherence''. The titles and abstracts of the studies were reviewed and 6 studies, including 4 randomized controlled trials and 2 nonrandomized studies, that met the inclusion criteria were included in the systematic review. As a result of this systematic review, it was determined that the motivational interviewing method was effective in increasing medication compliance in patients diagnosed with bipolar disorder. In the studies, it was determined that motivational interviewing was applied alone, with medication reminder system or with an educational program. It was determined that motivational interviewing was applied twice a week or twice a month, between 20-60 minutes and between 3-6 sessions. Subjective and objective measurement tools assessing medication adherence and symptoms were used to evaluate the effect of motivational interviewing. It is recommended to increase randomized controlled experimental research examining the effect of motivational interviewing method on medication adherence in patients diagnosed with bipolar disorder and to use motivational interviewing techniques and skills by mental health professionals to increase patients' medication adherence.
Environmental impact of athletes’ diets greenhouse gas emissions, water footprint, and sustainability awareness
(Springer, 2026-01) Acar, Selva; Tuna, Tuğba; Ersoy, Nesli; 336342
This cross-sectional study evaluated the environmental impact of athletes’ dietary patterns by estimating greenhouse gas emissions (GHGE) and water footprint (WF). It also assessed knowledge, attitudes, and behaviors related to sustainable nutrition using a structured questionnaire aligned with the FAO definition of sustainable diets. Conducted between January and August 2023 in Ankara, the study included 100 elite athletes (mean age: 21.0 ± 3.3 years; 65% female) from various sports disciplines. Dietary intake was assessed using a semi-quantitative food frequency questionnaire, and GHGE and WF values were calculated based on life cycle assessment data. The mean GHGE and WF values of athletes’ diets were 3017.1 ± 1877.4 g CO₂-eq/day and 5.4 ± 3.2 mL/g, respectively. Male athletes and strength/power athletes exhibited significantly higher dietary environmental impacts than female and team sports athletes (p < 0.001 and p < 0.05, respectively). Red meat and animal protein consumption were strongly associated with higher GHGE and WF values (p < 0.001). Despite the increasing importance of sustainability, more than 90% of participants lacked accurate knowledge of sustainable nutrition. Moreover, a discrepancy was observed between athletes’ stated willingness to support environmental values and their actual food choices, indicating an intention–behavior gap. This study contributes to the limited literature by quantifying the environmental impact of athletes’ diets while concurrently examining sustainability-related behavioral factors. The findings underscore the importance of integrating sustainability principles into sports nutrition planning and education to reduce environmental impacts while maintaining performance goals.
Evaluation of Nutritional Recommendations Provided by the ChatGPT Language Model to Bariatric Surgery Patients
(Sciendo, 2025-03) Kumru Yildirim, Merve; Bayam, Hikmet; Yildiz, Nida; Gök Kahraman, Fatma; Acar, Nazli; 256218
ChatGPT is recognized as a promising tool in healthcare by providing continuous support, quick accessibility, and personalized guidance for weight management [1]. In the field of bariatrics, the potential of ChatGPT in post-surgery weight management and nutrition is particularly noteworthy. In a study, the accuracy of the model’s general responses to bariatric questions was confirmed; however, the reliability of its responses to nutrition-specific issues has not yet been examined [2]. In this study, the aim is to evaluate the nutritional recommendations provided by the ChatGPT language model for patients following bariatric surgery through expert dietitians. This study was designed as a cross-sectional study. The responses provided by the free version of the ChatGPT 3.5 were evaluated by three experts in bariatric surgery. Initially, frequently asked postoperative nutrition questions were identified based on input from three experts who consult bariatric patients. This process led to the creation of 27 questions, which were then posed to ChatGPT in Turkish, with responses recorded immediately. For evaluation, responses were categorized as: '1: consistent with the guidelines', '2: consistent but incomplete', '3: consistent but contradictory', and '4: inconsistent'. The responses were assessed by two experts, with a third expert reviewing any disagreements.
Future Protein Sources in Sports Nutrition: Sustainable Solutions
(Springer, 2026-02) Tuna, Tuğba; Ersoy, Nesli; 336342
Purpose of ReviewThis review evaluates the potential of alternative protein sources, including plant-based proteins, insect proteins, mycoproteins, microalgae, and cultured meat, in meeting the increasing demand for sustainable and functional protein solutions in sports nutrition.Recent FindingsStudies indicate that alternative protein sources provide significant environmental benefits, such as reduced greenhouse gas emissions and lower water use, while delivering essential nutrients to support athletic performance and recovery. Advances in technology and production methods have further enhanced their feasibility as replacements for conventional animal-based proteins.SummaryIntegrating alternative protein sources into sports nutrition offers a dual benefit: meeting athletes' dietary requirements and supporting global sustainability goals. These protein sources pave the way for innovative, environmentally conscious dietary practices in sports nutrition, marking a pivotal shift toward a more sustainable future.

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