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Exploratory Evaluation Of Mir-146, Inflammatory Biomarkers, And Subjective Cognitive Symptoms In Chronic Migraine ​, Hale Gök Dağidir, Duygu Bandirmali, Merve Hi̇lal Ceren Akgör, Doğa Vuralli, Meltem Yalinay, Güvem Gümüş Akay, Hayrunni̇sa Bolay Aug 2026

Exploratory Evaluation Of Mir-146, Inflammatory Biomarkers, And Subjective Cognitive Symptoms In Chronic Migraine ​, Hale Gök Dağidir, Duygu Bandirmali, Merve Hi̇lal Ceren Akgör, Doğa Vuralli, Meltem Yalinay, Güvem Gümüş Akay, Hayrunni̇sa Bolay

Turkish Journal of Medical Sciences

Background/aim: Chronic migraine (CM) is a disabling neurological disorder associated with substantial impairment of quality of life. Increasing evidence suggests that inflammatory and epigenetic mechanisms may contribute to migraine pathophysiology. miR- 146, a microRNA involved in the TLR-4/NFkb pathway, is known to regulate proinflammatory signaling, whereas HMGB1 activates inflammatory pathways through TLR2 and TLR4 receptors. IL-17 is another proinflammatory cytokine implicated in both inflammation and cognitive processes. In this research, our aim was to investigate the relationship between serum HMGB1, IL-17, and miR-146 levels and migraine-related subjective cognitive symptoms in patients with CM.

Materials and methods: Serum samples were collected …


Erratum To “Hla Allele And Haplotype Diversity In Central Anatolia: A Comparative Analysis Of Donors And Transplant Candidates Across Six Hla Loci (Hla-A, Hla-B, Hla-C, Hla-Drb1, Hla-Dqb1, And Hla-Dpb1)’’ [Turkish Journal Of Medical Sciences 56 (3) 2026 817-827] ​, Emel Yantir, Eren Gündüz Aug 2026

Erratum To “Hla Allele And Haplotype Diversity In Central Anatolia: A Comparative Analysis Of Donors And Transplant Candidates Across Six Hla Loci (Hla-A, Hla-B, Hla-C, Hla-Drb1, Hla-Dqb1, And Hla-Dpb1)’’ [Turkish Journal Of Medical Sciences 56 (3) 2026 817-827] ​, Emel Yantir, Eren Gündüz

Turkish Journal of Medical Sciences

The original article can be accessed at https://doi.org/10.55730/1300-0144.6216.

In Article No. 56-3-22, entitled “HLA Allele and Haplotype Diversity in Central Anatolia: A Comparative Analysis of Donors and Transplant Candidates across Six HLA Loci (HLA-A, HLA-B, HLA-C, HLA-DRB1, HLA-DQB1, and HLA-DPB1)”, an error was identified in the DOI of the Aperta link provided in the Supplementary Materials section, as the final digit of the DOI was inadvertently omitted.
The correct and complete version of the link is provided below on a separate page.
https://aperta.ulakbim.gov.tr/records/287387


Enhancing Salinity Tolerance In Phyla Nodiflora L. With Potassium Humate: Crosstalk Between Osmolytes, Antioxidants, And Mineral Uptake, Fatemeh Sadeghi, Somayeh Esmaeili, Mehrangiz Chehrazi Aug 2026

Enhancing Salinity Tolerance In Phyla Nodiflora L. With Potassium Humate: Crosstalk Between Osmolytes, Antioxidants, And Mineral Uptake, Fatemeh Sadeghi, Somayeh Esmaeili, Mehrangiz Chehrazi

Turkish Journal of Agriculture and Forestry

Salinity stress impairs plant growth, nutrient homeostasis, and metabolism, particularly in arid ecosystems. Phyla nodiflora, a ground cover used for erosion control, shows preliminary salinity tolerance, but the mechanistic basis of its long-term adaptation and the potential for enhancement via potassium humate (KH) were unknown. Plant growth, key biochemical attributes, and nutrient uptake were assessed to elucidate how KH modulates physiological performance under increasing salinity. In a 129-day greenhouse experiment, plants were exposed to five salinity levels (0 to 16 dS m⁻¹ NaCl) and three KH concentrations (0, 500, and 1000 mg L⁻¹). Severe salinity (16 dS m⁻¹) without KH …


Distribution And Seasonal Prevalence Of Nosema Maddoxi (Microsporidia: Nosematidae) In The Brown Marmorated Stink Bug, Halyomorpha Halys (Hemiptera: Pentatomidae) Populations In Türkiye, Ömer Ertürk, Samet Eker, Mustafa Yaman, Gönül Algi Aug 2026

Distribution And Seasonal Prevalence Of Nosema Maddoxi (Microsporidia: Nosematidae) In The Brown Marmorated Stink Bug, Halyomorpha Halys (Hemiptera: Pentatomidae) Populations In Türkiye, Ömer Ertürk, Samet Eker, Mustafa Yaman, Gönül Algi

Turkish Journal of Agriculture and Forestry

The brown marmorated stink bug, Halyomorpha halys feeds on a wide range of crops and causes major economic losses. With its high flight capacity, H. halys is an invasive species that damages many crops worldwide. By elucidating the activity, distribution, and prevalence of the microsporidian pathogen Nosema maddoxi, the damage and economic losses caused by H. halys can be reduced. This study aimed to assess the distribution and seasonal prevalence of N. maddoxi in H. halys populations distributed throughout hazelnut fields the Eastern Black Sea Region of Türkiye. H. halys adults were collected and examined in detail under the microscope …


Genetic Diversity And Population Structure Of Carob Germplasm From Lebanon, Morocco, And Spain Reveal Potential For Innovative Breeding Programs, Mohamad Ali El Chami, Guillermo Palacios-Rodriguez, Rafael Maria Navarro-Cerrillo, Lamis Chalak, Maria Dolores-Rey Aug 2026

Genetic Diversity And Population Structure Of Carob Germplasm From Lebanon, Morocco, And Spain Reveal Potential For Innovative Breeding Programs, Mohamad Ali El Chami, Guillermo Palacios-Rodriguez, Rafael Maria Navarro-Cerrillo, Lamis Chalak, Maria Dolores-Rey

Turkish Journal of Agriculture and Forestry

The carob tree (Ceratonia siliqua L.) is a drought-tolerant species native to the Mediterranean Basin. It has been cultivated for centuries for its highly nutritious, edible pods. Genetic diversity is one of the key requirements for the effective management and utilization of plant genetic resources. In this study, we evaluated the genetic diversity and population structure of 169 seminatural carob individuals from Lebanon, Spain, and Morocco using nine expressed sequence tag-simple sequence repeat (EST-SSR) markers. A total of eight polymorphic EST-SSR loci produced 43 alleles, with Cesi_187 and Cesi_1187 identified as the most informative markers. Results of AMOVA and SAMOVA …


Genetic Algorithm For Agricultural Logistics Optimization: Solving The Capacitated Vehicle Routing Problem In Rural Distribution, Min Song, Kan Lu Aug 2026

Genetic Algorithm For Agricultural Logistics Optimization: Solving The Capacitated Vehicle Routing Problem In Rural Distribution, Min Song, Kan Lu

Turkish Journal of Agriculture and Forestry

With the rapid advancement of agricultural modernization and the increasing demand for agricultural products, inefficient logistics distribution has become a major bottleneck in rural supply chains. This study addresses the capacitated vehicle routing problem (CVRP) in agricultural logistics. A genetic algorithm (GA)-based optimization model was proposed to enhance distribution efficiency. The model integrates critical agricultural characteristics, including multidistribution center networks, seasonal delivery schedules, and regional road infrastructure constraints, to minimize both transportation distance and operational costs. Experimental results show that the GA outperforms traditional metaheuristic methods (e.g., particle swarm optimization and simulated annealing), achieving a >5 km reduction in total …


You Haven't Been Forgotten: A Patient-Centered Initiative Restoring Trust Through Intentional Staff Communication In The Emergency Department, Daniel A. Aliakseyeu Aug 2026

You Haven't Been Forgotten: A Patient-Centered Initiative Restoring Trust Through Intentional Staff Communication In The Emergency Department, Daniel A. Aliakseyeu

Master's Projects and Capstones

Objective: Approximately 70% of patients in this 36-bed emergency department (ED) in Hospital X are not roomed and spend the majority of their visit in the waiting room, where they are susceptible to gaps in communication about their care and wait times. Baseline Press Ganey Scores from May 2026 showed that only 61.4% of patients felt informed about delays. Baseline observation data of 50 nurse-patient communication interactions confirmed these gaps: 24.5% of nurses introduced themselves, 13% provided a timeline of care, and 0% addressed potential delays. Aim: Improve communication-related patient satisfaction scores regarding delays among non-roomed patients in the ED …


Sensitivity Study Regarding Abs Formulation On Hybrid Rocket Performance, Ava T. Wilkey, Ryan J. Thibaudeau, Stephen A. Whitmore Aug 2026

Sensitivity Study Regarding Abs Formulation On Hybrid Rocket Performance, Ava T. Wilkey, Ryan J. Thibaudeau, Stephen A. Whitmore

Mechanical and Aerospace Engineering Student Publications and Presentations

Acrylonitrile butadiene styrene (ABS) has emerged as a widely adopted solid fuel for hybrid rocket propulsion due to its compatibility with fused deposition modeling and favorable regression characteristics. As a terpolymer, however, ABS monomer mass fractions vary across commercial sources, introducing thermochemical variability that is rarely accounted for in propulsion modeling. This study presents a sensitivity analysis examining how compositional variability among ten commercially available ABS feedstock propagates into hybrid rocket performance predictions. Each source was characterized using bomb calorimetry and Fourier-transform infrared spectroscopy to derive source-specific constituent mass fractions and enthalpies of formation, which were supplied to NASA’s Chemical …


Dual-Polymer Concrete With Recycled Pet And Hdpe Aggregates: Mechanical And Durability Performance Assessment, Omar Abd El Mageed Hammouda Aug 2026

Dual-Polymer Concrete With Recycled Pet And Hdpe Aggregates: Mechanical And Durability Performance Assessment, Omar Abd El Mageed Hammouda

Theses and Dissertations

This study investigates the fresh, mechanical, durability, thermal, performance as well as preliminary financial aspects of dual-polymer concrete incorporating recycled polyethylene terephthalate (PET) as a partial replacement for fine aggregate and recycled high-density polyethylene (HDPE) as a partial replacement for coarse aggregate, with silica fume as a supplementary cementitious material held constant at 10% by weight of cement. The study responds to the convergence of two pressing challenges in the Egyptian context: the scale of plastic waste mismanagement, which results in widespread informal open burning and environmental contamination, and the high operational energy demand of residential buildings in Egypt's hot …


An In-Depth Study Of Fruit Preservation: Effect Of Calcium Chloride And Methyl Jasmonate Applications On Quality And Biochemical Properties Of Cherry Fruits During Cold Storage, Muhammet Ali̇ Gündeşli̇ Aug 2026

An In-Depth Study Of Fruit Preservation: Effect Of Calcium Chloride And Methyl Jasmonate Applications On Quality And Biochemical Properties Of Cherry Fruits During Cold Storage, Muhammet Ali̇ Gündeşli̇

Turkish Journal of Agriculture and Forestry

Sweet cherry (Prunus avium L.) is a highly perishable fruit that undergoes rapid quality deterioration during postharvest storage. This study evaluated the effects of postharvest applications of Methyl Jasmonate (MeJA, 1 mM) and Calcium Chloride (CaCl₂, 2%), applied individually and in combination, on maintaining the quality and biochemical properties of cherries during 21 days of cold storage at 0 ± 1 °C. Key parameters including weight loss, decay rate, soluble solids content (SSC), pH, titratable acidity, respiration rate, phenolic profile, and organic acid composition were monitored. The combined MeJA + CaCl₂ treatment was consistently more effective than individual applications in …


Sewage Sludge Legislation In Central Europe: Contamination Concerns And Cross-Border Comparisons, Valerie Vranová, Aleš Kučera, Vlastimil Skoták, Erika Fialová, Rahul Datta Aug 2026

Sewage Sludge Legislation In Central Europe: Contamination Concerns And Cross-Border Comparisons, Valerie Vranová, Aleš Kučera, Vlastimil Skoták, Erika Fialová, Rahul Datta

Turkish Journal of Agriculture and Forestry

Sewage sludge management represents a major challenge in Europe, carrying significant environmental and legal implications that require strong regulatory enforcement. Here, we explore the legislative measures, technological developments, and environmental impacts of sewage sludge management in Central Europe (Czechia, Slovakia, Germany, Austria, and Poland). Sludge management is regulated at the EU level through a series of directives (e.g., Council Directive 86/278/EEC, which forms the basis of national regulatory frameworks). However, national adaptations vary considerably: Croatia and Slovenia have invested in sludge phosphorus-recovery systems, while Poland and Slovakia have focused on the agricultural use of sludge as a fertilizer. Several countries, …


Closing The Loop: Strengthening Cauti Prevention With Urinary Catheter Management, Erika N. Braun Aug 2026

Closing The Loop: Strengthening Cauti Prevention With Urinary Catheter Management, Erika N. Braun

Master's Projects and Capstones

Objective: Catheter-associated urinary tract infections (CAUTIs) are among the most common preventable healthcare-associated infections and are associated with significant patient harm and increased healthcare costs. Baseline assessment across five adult cardiovascular and critical care units within a community-based acute care hospital identified four CAUTI events during the first half of 2026 and revealed important nursing knowledge deficits related to bladder scanning protocols and urinary catheter management practices. Aim: This Quality Improvement (QI) Project aimed to improve nursing knowledge of evidence-based bladder scanning protocols and urinary catheter management practices through targeted educational interventions implemented over a 10-week period, with …


Measurement Of Resection Volume Using Computed Tomography 3d Modeling In Lung Cancer Patients And Survival Analysis ​, Aykut Kankoç, Muhammet Tarik Aslan, Muhammet Sayan, Ali̇ Çeli̇k, Cüneyt İsmai̇l Kurul, Abdullah İrfan Taştepe Aug 2026

Measurement Of Resection Volume Using Computed Tomography 3d Modeling In Lung Cancer Patients And Survival Analysis ​, Aykut Kankoç, Muhammet Tarik Aslan, Muhammet Sayan, Ali̇ Çeli̇k, Cüneyt İsmai̇l Kurul, Abdullah İrfan Taştepe

Turkish Journal of Medical Sciences

Background/aim: The prognostic significance of the volumetric extent of lung resection in nonsmall cell lung cancer remains uncertain. Three-dimensional computed tomography allows quantitative assessment of resected lung parenchyma, but the relationship between resection volume ratios and oncologic outcomes has not been clearly established. The aim in this study was to evaluate the prognostic value of three-dimensional computed tomography-derived resection volume ratios for disease-free survival after surgery for nonsmall cell lung cancer.

Materials and methods: This single-center retrospective study included 141 patients who underwent anatomical resection with systematic mediastinal lymph node dissection between 2010 and 2021. Resection volume, ipsilateral lung volume, …


Lactate Dehydrogenase-To-Albumin Ratio As A Novel Prognostic Biomarker For 28-Day Mortality In Thoracic Trauma: A Single-Center Retrospective Cohort Study ​, Özgür Ömer Yildiz, Şükrü Yorulmaz, Eray Çinar, Hüseyi̇n Mutlu, Rami̇z Yazici, Ayşenur Gür, Medi̇ne Akkan Öz, Bensu Bulut, Mustafa Sirri Kotanoğlu, Hakan Güner Aug 2026

Lactate Dehydrogenase-To-Albumin Ratio As A Novel Prognostic Biomarker For 28-Day Mortality In Thoracic Trauma: A Single-Center Retrospective Cohort Study ​, Özgür Ömer Yildiz, Şükrü Yorulmaz, Eray Çinar, Hüseyi̇n Mutlu, Rami̇z Yazici, Ayşenur Gür, Medi̇ne Akkan Öz, Bensu Bulut, Mustafa Sirri Kotanoğlu, Hakan Güner

Turkish Journal of Medical Sciences

Background/aim: Thoracic trauma accounts for approximately 25% of all trauma-related deaths and remains a significant public health challenge. Early identification of high-risk patients is essential for improving clinical outcomes. The present study evaluates the prognostic value of the lactate dehydrogenase-to-albumin ratio (LDAR) in predicting 28-day mortality in patients with thoracic trauma.

Materials and methods: This retrospective observational study was conducted at a Level 1 trauma center between September 2022 and February 2025, and included adult patients presenting with thoracic trauma who underwent thoracic computed tomography. Demographic characteristics, clinical parameters, laboratory values, and 28-day mortality were analyzed. Receiver operating characteristic (ROC) …


Boric Acid Enhances The Antitumor Effects Of Paclitaxel By Modulating Apoptosis, Autophagy-Related Protein Expression, And Proinflammatory Cytokine Expression In Ovcar-3 Ovarian Cancer Cells ​, Nazmi̇ye Bi̇tgen, Gözde Özge Önder, Münevver Baran, Fatma Esen Karakuş, Meli̇ke Akbulut, Arzu Yay Aug 2026

Boric Acid Enhances The Antitumor Effects Of Paclitaxel By Modulating Apoptosis, Autophagy-Related Protein Expression, And Proinflammatory Cytokine Expression In Ovcar-3 Ovarian Cancer Cells ​, Nazmi̇ye Bi̇tgen, Gözde Özge Önder, Münevver Baran, Fatma Esen Karakuş, Meli̇ke Akbulut, Arzu Yay

Turkish Journal of Medical Sciences

Background/aim: Ovarian cancer is the eighth most prevalent malignancy among women globally and ranks third among gynecological cancers in terms of incidence. The limited efficacy of standard chemotherapy, primarily due to intrinsic drug resistance and high recurrence rates, highlights the urgent need for novel therapeutic strategies that are both effective and selectively cytotoxic.

Materials and methods: This study aimed to investigate the combined effects of boric acid (BA), a biologically active boron compound with emerging antitumor potential, and paclitaxel (PTX), a conventional chemotherapeutic agent, on cell viability, cell cycle progression, apoptosis, autophagy-related protein expression, and inflammatory signaling in the chemoresistant …


Robust Soil Moisture Content Detection Based On Data Augmentation Under Different Testing Conditions, Yang Li, Chenghao Liu, Jing Nie, Jingbin Li Aug 2026

Robust Soil Moisture Content Detection Based On Data Augmentation Under Different Testing Conditions, Yang Li, Chenghao Liu, Jing Nie, Jingbin Li

Turkish Journal of Agriculture and Forestry

Accurate and cost-effective monitoring of soil moisture content is essential for the development of precision agriculture and the optimization of water resource management. While low-frequency acoustic signals are used to detect soil moisture content, models trained with controlled laboratory acoustic data often exhibit significant performance degradation with field data due to their sensitivity to environmental noise, soil heterogeneity, and structural variations. This study proposes a novel framework to enhance model robustness and generalization by integrating a WGAN-GP network data augmentation strategy into the soil moisture content workflow. This framework is designed to generate high-quality and diverse data on different soil …


Estimation Of Genetic Parameters In Lemon-Scented Basil (Ocimum Basilicum L.) Lines, Erdi̇nç Günay, İsa Telci̇ Aug 2026

Estimation Of Genetic Parameters In Lemon-Scented Basil (Ocimum Basilicum L.) Lines, Erdi̇nç Günay, İsa Telci̇

Turkish Journal of Agriculture and Forestry

Selective breeding of basil (Ocimum basilicum L.) is primarily aimed at improving plant architecture and essential oil quality, which are critical factors in increasing yield. In lemon-scented basil, the citral component responsible for the intense lemony aroma has significant commercial value in the cosmetics and perfumery industries. This study aimed to evaluate the genetic variability, heritability, and genetic advance of nine agronomic and quality related traits in lemon basil lines, and to explore the interrelationships among these traits. The phenotypic coefficient of variation (PCV) was higher than the genotypic coefficient of variation (GCV) for all traits, suggesting the influence of …


In Vitro Propagation Of A New Clonal Apple Rootstock Candidate Hatay, Zeynep Nas, Ahmet Eşi̇tken, Lütfi̇ Pirlak Aug 2026

In Vitro Propagation Of A New Clonal Apple Rootstock Candidate Hatay, Zeynep Nas, Ahmet Eşi̇tken, Lütfi̇ Pirlak

Turkish Journal of Agriculture and Forestry

​Some clonal apple rootstocks are traditionally propagated using the layering technique. However, traditional propagation methods are seasonal and require a lot of space and labor. In addition, the multiplication rate is low with these methods, resulting in low-profit sapling production for growers. In vitro propagation techniques provide an efficient and effective method of obtaining species-appropriate, quality saplings in less time and space. The study aims to determine the in vitro propagation protocol of the Hatay genotype and to establish an appropriate method. In the study, the highest number of shoots was observed in media containing BA and mT at concentrations …


Landscape Character Analysis And Assesment At Local Scale, Eli̇f Önal, Serkan Özer Aug 2026

Landscape Character Analysis And Assesment At Local Scale, Eli̇f Önal, Serkan Özer

Turkish Journal of Agriculture and Forestry

​Landscape areas are one of the most important elements of human life all over the world. Varied landscape areas are a valuable natural resource and have high cultural value. The first step to ensure the effective landscape use is to identify these areas, analyze them in detail, and determine their characteristics. The northeastern Anatolia region in Türkiye has a rich diversity of landscapes because of varied geographic, climatic, and topographic features. The aim of this study was to identify the landscape character types in the Tortum district, located in the Tortum River basin in northeastern Türkiye, and to assess the …


Interprofessional Team Approach To Analyzing Food Scarcity Using Value Stream Analysis, Janet Brown Aug 2026

Interprofessional Team Approach To Analyzing Food Scarcity Using Value Stream Analysis, Janet Brown

International Nursing Research Congress (INRC)

Purpose: Food insecurity is a public health concern (Pereira, 2021), and 13.5 % of households in the United States experienced food insecurity during 2023 (Rabbitt et al, 2024). Older adults (age 65+) are disproportionately affected by food insecurity, which can cause serious consequences for their health and well-being (Alyward et al., 2020). Utilization of community-based resources can reduce food insecurity (Alyward et al., 2020). Value Stream Analysis (VSA), a tool traditionally applied in manufacturing and industry, has translated to healthcare settings and significantly improved operational performance (Aloga, 2025). VSA reveals waste, overlap, and hidden capacity when applied to a process …


Clinical Facilitators Report The Impact Of Workplace Violence On Nursing Students' Education, Hila A. Dafny Aug 2026

Clinical Facilitators Report The Impact Of Workplace Violence On Nursing Students' Education, Hila A. Dafny

International Nursing Research Congress (INRC)

Background: Violence is well-documented in the nursing profession and is compounded by an increasing incidence of workplace violence towards nursing students. Poor clinical experiences where violence is witnessed or experienced have long-term consequences for both the student and the profession.

Aim: This study aimed to ascertain the perceptions of clinical facilitators regarding the impact of workplace violence on nursing students during their clinical placements.

Methods: Phenomenology-guided qualitative research methods were used in this study. Eleven clinical facilitators employed in various South Australian healthcare settings were interviewed, and the qualitative data were transcribed and thematically analysed manually, assisted by NVivo 12 …


Advancing Clinical Practice - Early Predictors Of Post-Stroke Fatigue: Advancing Patient-Centered Care, Sulochana Koirala Paudel, Ritin Santiago Fernandez, Kaye Rolls, Heidi Green Aug 2026

Advancing Clinical Practice - Early Predictors Of Post-Stroke Fatigue: Advancing Patient-Centered Care, Sulochana Koirala Paudel, Ritin Santiago Fernandez, Kaye Rolls, Heidi Green

International Nursing Research Congress (INRC)

Background: Post-stroke fatigue (PSF) is one of the most common and debilitating symptoms experienced by stroke survivors (1). It can persist throughout recovery, limiting independence, reducing engagement in rehabilitation, and diminishing their overall quality of life (2). Despite its prevalence and impact on functional recovery, PSF often remains poorly understood (3) and undermanaged in stroke care (1). Identifying predictors of PSF early in the recovery phase provides an opportunity for nurses to translate evidence into practice. Such insights enable proactive and individualised interventions that optimised recovery trajectories and improve patient outcomes.

Purpose: This study aimed to identify demographic and clinical …


Difficult Conversations In Hematology/Oncology Nursing: A Com-B Study Of Barriers And Facilitators, Joy Octaviano, Anna Oh, Penelope Blum, Regine Lopez Aug 2026

Difficult Conversations In Hematology/Oncology Nursing: A Com-B Study Of Barriers And Facilitators, Joy Octaviano, Anna Oh, Penelope Blum, Regine Lopez

International Nursing Research Congress (INRC)

Difficult conversations in hematology/oncology often involve prognosis, goals of care, and treatment decisions, contributing to moral distress and burnout. Prior studies show nurses view their role as integral yet secondary to physicians, citing limited confidence, inadequate training, and time constraints. Understanding behavioral drivers can inform strategies to support nurses in these challenging interactions.

This qualitative study explored hematology/oncology/blood and marrow transplant (BMT) nurses’ experiences with difficult conversations, identifying barriers and facilitators through the Capability, Opportunity, Motivation–Behavior (COM-B) model and Theoretical Domains Framework (TDF).

Purposive sampling recruited hematology/oncology/BMT nurses at a large academic medical center. Semi-structured interviews were transcribed; thematic analysis …


Male Osteoporosis: Pathophysiology, Risk Assessment, And Evidence-Based Management, Seli̇n Teki̇n, Alper Gürlek Aug 2026

Male Osteoporosis: Pathophysiology, Risk Assessment, And Evidence-Based Management, Seli̇n Teki̇n, Alper Gürlek

Turkish Journal of Medical Sciences

Osteoporosis in men is a common yet underrecognized condition associated with substantial fracture-related morbidity and excess mortality. Although men generally attain higher peak bone mass than women, age-related changes in bone microarchitecture, progressive cortical bone loss, declining sex steroid bioavailability, and a high prevalence of secondary causes contribute to a significant lifetime fracture risk. Importantly, a large proportion of fragility fractures in men occur at bone mineral density (BMD) values above the osteoporotic threshold, highlighting the limitations of BMD-based diagnosis alone. This review provides a comprehensive overview of the epidemiology, pathophysiology, and clinical characteristics of osteoporosis in men, with particular …


Direct Pars Repair Techniques For Lumbar Spondylolysis: A Comparative Literature Review ​, Kami̇l C. Kose, Moustafa Ibrahim, Ni̇cholas D. Haden, John Afolayan, Hanny Anwar Aug 2026

Direct Pars Repair Techniques For Lumbar Spondylolysis: A Comparative Literature Review ​, Kami̇l C. Kose, Moustafa Ibrahim, Ni̇cholas D. Haden, John Afolayan, Hanny Anwar

Turkish Journal of Medical Sciences

Background/aim: Lumbar spondylolysis, a pars interarticularis defect affecting approximately 3%–6% of the general population, presents a significant clinical challenge in young adults and athletes. When conservative management fails, direct pars repair offers an attractive alternative to spinal fusion by preserving segmental motion and reducing the risk of adjacent segment degeneration. This narrative review compares seven principal direct pars repair techniques—Buck’s technique, Scott’s wiring method, Morscher’s hook-screw system, pedicle screw-based constructs, the V-rod/U-rod (Gillet technique), the smiley face rod construct, and the dualstability construct (DSC)—evaluating their biomechanical properties, clinical outcomes, fusion rates, and complication profiles.

Materials and methods: A narrative literature …


Comparative Analysis Of Corticosteroid Injection Alone Versus Combined Corticosteroid And Radiofrequency Ablation For Plantar Fasciitis: Short- And Medium-Term Outcomes ​, Nevci̇han Şahutoğlu Bal, Emel Başar, Hati̇ce Babaoğlan, Ülkü Sabuncu, Mustafa Cem Yilmaz, Şükri̇ye Dadali, Erkan Yavuz Akçaboy Aug 2026

Comparative Analysis Of Corticosteroid Injection Alone Versus Combined Corticosteroid And Radiofrequency Ablation For Plantar Fasciitis: Short- And Medium-Term Outcomes ​, Nevci̇han Şahutoğlu Bal, Emel Başar, Hati̇ce Babaoğlan, Ülkü Sabuncu, Mustafa Cem Yilmaz, Şükri̇ye Dadali, Erkan Yavuz Akçaboy

Turkish Journal of Medical Sciences

Background/aim: Plantar fasciitis (PF) is a common cause of heel pain and may lead to functional impairment and reduced quality of life. This study aimed to compare the short- and medium-term clinical outcomes of corticosteroid injection (CSI) alone versus combined radiofrequency ablation (RFA) and CSI in patients with PF refractory to conservative treatment.

Materials and methods: This single-center retrospective comparative study included patients diagnosed with PF between 1 January 2021 and 1 January 2025. Patients who underwent either CSI alone or combined RFA and CSI after failure of conservative management were included. Pain intensity was assessed using a visual analog …


Preserved Inflammatory Homeostasis During Emergency Transport: A Multibiomarker Assessment Of Neonatal Rds Transfers ​, Eyüp Sari, Şeri̇fe Suna Oğuz, Mehmet Semi̇h Demi̇rtaş, Bensu Bulut, Medi̇ne Akkan Öz, Murat Genç, Ayşenur Gür, Ümi̇t Alper Özcan, Hüseyi̇n Mutlu, Rami̇z Yazici Aug 2026

Preserved Inflammatory Homeostasis During Emergency Transport: A Multibiomarker Assessment Of Neonatal Rds Transfers ​, Eyüp Sari, Şeri̇fe Suna Oğuz, Mehmet Semi̇h Demi̇rtaş, Bensu Bulut, Medi̇ne Akkan Öz, Murat Genç, Ayşenur Gür, Ümi̇t Alper Özcan, Hüseyi̇n Mutlu, Rami̇z Yazici

Turkish Journal of Medical Sciences

Background/aim: The aim was to compare the pre- and posttransport levels of systemic inflammatory markers in neonatal infants transported to a tertiary intensive care unit via emergency health services with a neonatal respiratory distress syndrome (nRDS) diagnosis and to assess the quality of transport.

Materials and methods: This retrospective study was conducted between January 2019 and December 2023. A total of 117 nRDS patients’ emergency transports were included in the study. Demographic data, transfer time, intubation, cold treatment, cardiopulmonary resuscitation (CPR), and pre- and posttransport laboratory parameters were obtained retrospectively. The statistical analysis was performed using IBM SPSS Statistics (Version …


Association Of Occupational Lead Exposure With Erythrocytic Parameters And Nitric Oxide–Related Metabolites: A Case-Control Study ​​, Meli̇h Gaffar Gözükara, Servet Bi̇rgi̇n İri̇taş, Deni̇z Özkan Vardar, Lütfi̇ye Tutkun, Özlem İri̇taş, Serdar Deni̇z, Vugar Ali̇ Türksoy, Engi̇n Tutkun Aug 2026

Association Of Occupational Lead Exposure With Erythrocytic Parameters And Nitric Oxide–Related Metabolites: A Case-Control Study ​​, Meli̇h Gaffar Gözükara, Servet Bi̇rgi̇n İri̇taş, Deni̇z Özkan Vardar, Lütfi̇ye Tutkun, Özlem İri̇taş, Serdar Deni̇z, Vugar Ali̇ Türksoy, Engi̇n Tutkun

Turkish Journal of Medical Sciences

Background/aim: Occupational lead (Pb) exposure remains a significant public health concern due to its persistent presence in industrial environments and its cumulative toxic effects. Although the hematological and neurological consequences of Pb exposure are well documented, early vascular effects and the mechanisms associated with potential endothelial impairment remain unclear. This study aimed to investigate the associations between Pb exposure, erythrocytic parameters, and nitric oxide (NO)–related metabolites (asymmetric dimethylarginine [ADMA], symmetric dimethylarginine [SDMA], arginine, homoarginine, and citrulline) to identify early biomarkers that may suggest impairment in NO-related pathways.

Materials and methods: This case-control study included a strictly selected cohort of 125 …


Transient Bacteremia During Coblation-Assisted Tonsillotomy In Children ​, Yüce İslamoğlu, Sami̇ Berci̇n, Bengi̇ Arslan, Gökhan Ati̇k, Mehmet Emi̇n Ak, Muhammed Fati̇h Ozcan, Selman Secki̇n, Ezgi̇ Erki̇li̇c, Bedi̇a Di̇nc Aug 2026

Transient Bacteremia During Coblation-Assisted Tonsillotomy In Children ​, Yüce İslamoğlu, Sami̇ Berci̇n, Bengi̇ Arslan, Gökhan Ati̇k, Mehmet Emi̇n Ak, Muhammed Fati̇h Ozcan, Selman Secki̇n, Ezgi̇ Erki̇li̇c, Bedi̇a Di̇nc

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to evaluate the incidence of transient bacteremia after coblation-assisted intracapsular partial tonsillectomy (tonsillotomy) in children.

Materials and methods: This prospective study included 42 children with grade 3–4 tonsillar hypertrophy who underwent coblation-assisted tonsillotomy for obstructive sleep apnea syndrome. Aerobic and anaerobic blood cultures were obtained preoperatively and immediately after tonsillotomy. Intraoperative throat cultures were also obtained before mucosal manipulation.

Results: All preoperative blood cultures were negative. Postoperative blood cultures were positive in two patients (4.8%; 95% CI, 0.6%– 16.2%). Streptococcus pyogenes and Actinomyces spp. were isolated. The patient with S. pyogenes bacteremia also …


Influenza, Covid-19, And Pneumococcal Vaccination Status Among Adults In Türkiye ​, Gamze Şanlidağ İşbi̇len, Serap Gençer, Hüsnü Pullukçu, Meltem Taşbakan, İftahar Köksal Aug 2026

Influenza, Covid-19, And Pneumococcal Vaccination Status Among Adults In Türkiye ​, Gamze Şanlidağ İşbi̇len, Serap Gençer, Hüsnü Pullukçu, Meltem Taşbakan, İftahar Köksal

Turkish Journal of Medical Sciences

Background/aim: Vaccines reduce morbidity and mortality caused by infectious diseases that threaten public health. Lifelong immunization programs are essential for the entire population. This study assessed adult vaccination uptake for influenza, pneumococcal, and coronavirus disease 2019 (COVID-19) vaccines in Türkiye and examined the barriers and factors influencing vaccination decisions.

Materials and methods: This cross-sectional survey was designed and conducted by the Immunization Working Group of the Turkish Society of Clinical Microbiology and Infectious Diseases. A 19-item questionnaire was administered to individuals aged 18 years or older to assess influenza, pneumococcal, and COVID-19 vaccination status. The questionnaire collected data on demographic …