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Birim yayınları
22 →- ArticleAçık Erişim2026Physicians’ perspectives on human papillomavirus vaccination in Türkiye through YouTube content analysis
Yanmaz, Gadime; Gursoy, Ersan
Background: Human papillomavirus (HPV) is a significant public health problem that is closely associated with various types of cancer, especially cervical cancer. Despite the proven effectiveness of HPV vaccines, misinformation and anti-vaccine rhetoric are widespread in the public, especially on social media platforms such as YouTube. In Türkiye, the HPV vaccine has not yet been included in the national immunization program, limiting its accessibility. Objective: The aim of this study is to analyze the opinions of physicians about the HPV vaccine in the most watched videos on YouTube in Türkiye and to reveal how expert opinions contribute to public awareness, correction of misinformation and guidance. Method: The 26 most watched HPV vaccine videos on YouTube produced by physicians in Türkiye were analyzed using thematic analysis. Videos were selected through searches using specific keywords (and their Turkish equivalents) such as “HPV vaccine”, “Should HPV vaccine be given?“, “Side effects of HPV vaccine”, “Is HPV vaccine harmful?” and “Cervical cancer vaccine” between February 2025 and April 2025. Only videos shorter than 20 min with physicians as the primary speakers and at least 1000 views were included. The verbal content of the physicians’ opinions in the videos were transcribed, and the analyzed videos were categorized under five main themes and six subthemes. Results: Physicians generally emphasized that the HPV vaccine is safe, effective, and necessary for both women and men. The types of vaccines, age of administration, side effects, and misconceptions among the public were discussed in detail. While there was a general consensus that the vaccine provides long-term protection, different views were expressed on whether it is effective for a lifetime. Physicians tried to correct misinformation in the videos and emphasize the importance of the vaccine in cancer prevention. Another important finding was that the fact that the vaccine was not included in the national vaccination program constituted a serious obstacle to access. Conclusion: Physicians play a critical role in delivering scientifically based health information to the public via social media. Expert content on digital platforms such as YouTube increases access to accurate information about the HPV vaccine and corrects misconceptions in the public. Findings indicate a pressing need for policy action to incorporate the HPV vaccine into the national immunization program and enhance expert visibility in combating misinformation on digital platforms.
RDL Kalıcı Kaydıİncele - ArticleYayıncıda açık erişim2026Associations Between Complete Blood Count-Derived Inflammation Indices and Emergence Delirium in Children Undergoing Adenotonsillectomy
Altıparmak, Serkan; Kars, Ayhan; Salcan, Sara; Koç, Alparslan
Background: Emergence delirium (ED) is a common postoperative complication in the pediatric population. Although the pathophysiology of ED has not been fully elucidated, an association has been suggested between inflammation and the development of the condition. Aims: The aim of this study was to investigate the associations between the development of ED and preoperative inflammatory indices, primarily the systemic immune inflammation index (SII) and the pan-immune inflammation value (PIV) calculated from complete blood count parameters in pediatric patients undergoing adenoidectomy or adenotonsillectomy. Methods: This prospective study was conducted with children aged 3–12 years who underwent adenoidectomy or adenotonsillectomy at our hospital. Preoperative inflammatory indices were calculated from complete blood count parameters, including the SII (platelet × neutrophil/lymphocyte), PIV (platelet × neutrophil × monocyte/lymphocyte), neutrophil-to-lymphocyte ratio (NLR), neutrophil-to-monocyte ratio (NMR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), and platelet-to-monocyte ratio (PMR). ED was assessed using the Pediatric Anesthesia Emergence Delirium (PAED) scale, while the Face, Legs, Activity, Cry, Consolability (FLACC) scale was used to minimize confounding by postoperative pain. Statistical analyses included receiver operating characteristic (ROC) curve analysis and multivariable logistic regression to assess the association between inflammatory indices and emergence delirium. Results: ED occurred in 32 out of 99 patients (32.3%). SII exhibited an AUC of 0.850 with a cut-off value of 412 (sensitivity 81.3%; specificity 86.6%). PIV exhibited an area under the curve of 0.883, with a cut-off value of 289 (sensitivity 75.0%; specificity 92.5%). In the univariable analysis, operative time, SII, and PIV were significantly associated with ED. In the multivariable analysis, operative time, SII and PIV were significantly associated with ED. Conclusions: SII and PIV values derived from routine complete blood count parameters were observed to be associated with the development of ED in pediatric patients undergoing adenotonsillectomy and may provide useful insights into the potential role of systemic inflammation in the pathophysiology of such delirium.
RDL Kalıcı Kaydıİncele - LetterYalnız künye2026Reply to: “Inflammatory Indices and Pediatric Emergence Delirium: Predictive Signal or Statistical Artifact”
Altıparmak, Serkan; Kars, Ayhan; Salcan, Sara; Koç, Alparslan
RDL Kalıcı Kaydıİncele - ArticleYalnız künye2025Eczacıların Akılcı İlaç Kullanımı Yaklaşımlarının Değerlendirilmesi
Turan, Sema
Amaç: Kesitsel nitelikteki bu araştırma Erzincan ilinde serbest eczacıların akılcı ilaç kullanımı konusundaki yaklaşımlarının değerlendirilmesi amacıyla gerçekleştirilmiştir. Yöntem: Evrenin tümüne ulaşılması planlandığından örneklem seçilmemiştir. Araştırma 48 eczacının (%80) katılımı ile Mayıs-Temmuz 2022 tarihleri arasında gerçekleştirilmiştir. Araştırmada kullanılan anket, eczacıların tanımlayıcı özellikleri ve akılcı ilaç kullanımı yaklaşımlarının değerlendirildiği toplam 26 sorudan oluşmaktadır. Bulgular: Eczacıların akılcı ilaç kullanımı konusunda eğitim alma oranı düşüktür (%20,8). Hasta için yazılan ilaç etkileşimi içeren veya hata olan reçeteler için hastanın hekimiyle iletişim kuran eczacı oranı yüksek (%85,4) bulunmuştur. Eczacıların reçetesiz olarak önerdikleri ilaçların başında pastiller, vitaminler ve gıda takviyeleri, ağrı kesiciler ve soğuk algınlığı ilaçları gelmekte olup antibiyotik ve antidepresan öneren bulunmamaktadır. Sonuç: Eczacılara yönelik akılcı ilaç kullanımı konusunda eğitimler düzenlenmesi ve eczacıların eğitimlere katılımlarının teşvik edilmesi eczacıların ilaç sunumu ve danışmanlık hizmetlerinde akılcı ilaç kullanımı yaklaşımlarına katkı sağlayacağı düşünülmektedir.
RDL Kalıcı Kaydıİncele - ArticleAçık Erişim2025Effect of professional commitment on the career plans of intern doctors
Turan, Sema; Hayme, Serhat
Objective: The career choices of medical school graduates are extremely important because of their impact on a country’s medical workforce planning. This study aimed to investigate the impact of medical students’ level of professional commitment (PC) on their career plans. Method: This cross-sectional study was conducted between April 15th and November 15th 2023, in a medical faculty in Erzincan Province in eastern Turkiye. A 16-question questionnaire and the medical students’ PC scale were used. A total of 129 intern doctors (93.5%) participated in the study. The t test, Mann-Whitney U test, and Kruskal-Wallis test were used in the statistical analyses. Results: Students who voluntarily chose medical school, aimed to become specialist doctors, selected specialties with higher occupational risks, and intended to work in Turkiye after obligatory service exhibited higher levels of PC. Notably, those inclined towards family practice specialty demonstrated lower levels of PC, whereas public health specialty, basic sciences, and certain clinical sciences were not preferred by any of the students. Conclusion: The results obtained suggest that PC levels may influence the career plans of medical students. Further research into factors affecting changes in PC throughout medical education and their impact on future career goals will enhance understanding in this area.
RDL Kalıcı Kaydıİncele - ArticleYayıncıda açık erişim2025Protective effect of adenosine triphosphate against cisplatin-induced necrotic and degenerative oral mucositis in rats
Salcan, Ismail; Dilber, Muhammed; Suleyman, Zeynep; Yucel, Nurinisa; Salcan, Sara; Kesan, Sefa; Yazici, Gulce Naz; Celik, Fatih; Koseturk, Merve; Alp, Nurdan Alcan
Inflammation, oxidative damage, and adenosine triphosphate (ATP) depletion play a role in the7 pathogenesis of cisplatin (CIS)-induced oral mucositis. Objective: The purpose of this research is to examine8 the impact of ATP against potential oral mucositis development in cisplatin-treated rats. Methodology All rats9 were randomly assigned to four groups, namely healthy control group (HG), ATP group (ATPG), Cisplatin10 group (CISG), and ATP + Cisplatin group (ATCS). Firstly, ATP 4 mg/kg was administered via intraperitoneal11 injection (IP) to both ATPG and ATCS groups. The same volume of normal saline was injected into HG and12 CISG groups. After 1 h, cisplatin 5 mg/kg was administered via IP to CISG and ATCS groups. The drugs13 were taken 1x1 for 7 d. Later, tongue tissues were collected from all groups. Biochemical, macroscopic,14 and histopathological examinations were performed on all tissues. Results: ATP inhibited cisplatin-induced15 oxidative damage and pro-inflammatory cytokines levels in tongue tissue. In the CIS group, a significant16 number of distinct sulcus formations were found in the apex and corpus, as well as a few ulcer foci in the17 corpus, significant papilla loss, and bleeding. Meanwhile, in the ATP group, a similar appearance to healthy18 tissue was observed. Histopathologically, it was determined that in cisplatin-aggravated tongue tissue19 damage, filiform papillae decreased when ATP was administered, and the arrangement and structures of20 the epithelium, blood capillaries, muscle groups, and adipose cell groups were normal. Conclusions: Oral21 mucositis caused by cisplatin is alleviated by ATP. These findings may be useful for developing new therapeutic22 approaches to prevent or treat mucositis, a side effect so severe that can lead to treatment discontinuation.23 24.
RDL Kalıcı Kaydıİncele - Review ArticleYalnız künye2023Morphological Characterization and Phase Determination of Kidney Stones Using X-Ray Diffractometer and Scanning Electron Microscopy
(Porikli) Durdaği, Sevil; Al- Jalawee, Ahmed Hasan Hashim; Yalçin, Paşa; Bozkurt, Ali Seydi; Salcan, Sara
The accurate determination of material composition of a kidney stone is crucial for understanding the formation of it. Such that the type of treatment varies according to the type of stone. It is equally important to determine the stone type correctly in order to determine the preventive treatment correctly. From this point of view, the scanning electron microscopy coupled with energy dispersive X-ray Fluorescence spectroscope and X-Ray Diffractometer were performed and different kidney stones were analyzed in this work. Scanning electron microscopy coupled with energy dispersive X-ray Fluorescence spectroscope was used to study compositional mapping which showed the elemental distribution within a sample. Additionally, the phase composition of all urinary stones was determined by the X-Ray Diffractometer analysis.
RDL Kalıcı Kaydıİncele - ArticleYalnız künye2023The correlation between air pollution and the allergic rhinitis incidence: Erzincan model
Salcan, Sara; Salcan, Ismail
OBJECTIVE: Air pollution is a significant public health problem in our country as well as all over the world. The effects of air pollutants on the respiratory tract are well-known. This study aimed to evaluate the relationship between the changes in air pollutant parameters during the year and the number of patients who applied to ENT outpatient clinics due to allergic rhinitis in the Erzincan city center between January 1, 2020, and December 31, 2022. PATIENTS AND METHODS: In this cross-sectional, descriptive study, average 24-hour PM10, PM2,5, SO2, NO2, and CO measurements were taken in the city center between January 1, 2020, and December 31, 2022, using the Air Quality Monitoring Stations website of the Ministry of Environment and Urbanization. All allergic rhinitis patients who applied to ENT outpatient clinics were included in the study. The data analysis used median, minimum (min), maximum (max) values, percentages, and Spearman Correlation tests for descriptive statistics. RESULTS: According to the WHO limit values, the number of days exceeded in all parameters during the specified years in Erzincan was found to be quite high. When the number of patients who had been admitted to ENT outpatient clinics was examined, a significant correlation was found between the average SO2, CO values and the number of hospital admissions for 2020, and between the average PM10, SO2, NO2 and CO and the number of hospital admissions for 2021. CONCLUSIONS: Environmental control and public health strategies should be implemented to address this increasingly complex problem.
RDL Kalıcı Kaydıİncele - ArticleYalnız künye2023Can childbearing and marriage of underage girls be prevented? A study of population data in Turkey
Gümüş, Burak; Özer, Ömer; Doğru, Ahmet Özgür; Toprak, Sadık
All over the world, poor and illiterate girls living in rural areas are at higher risk of becoming underage marriage than well-educated girls living in cities. Early marriages exacerbate inequalities between females and males in society and violate children's and women's rights. This study aimed to demonstrate temporal changes in the prevalence of child marriage and underage childbearing in Turkey by exploring the causes of regional variations in the schooling rate. Our retrospective, descriptive and register-based study obtained input data on childbirth, marriage, population and schooling from official statistics published by the Turkish Statistical Institute (TURKSTAT) and the Republic of Turkey Ministry of National Education. Based on official statistics, underage childbearing rates decreased from 2002 to 2019 in Turkey. This study outlined significant regional variations in the ratio of childbearing female under 18 to the population that were higher in the northeastern, central eastern, and southeastern Anatolia regions of Turkey than in other regions. During the same period, there were downward trends in the number of legal marriages of female aged 16–17 and the number of underage females who gave birth in contrast with an increasing population of girls living in Turkey. In terms of welfare, education and healthcare, developments in Turkey were considered to have contributed to the downward tendency of childbearing and marriages of underage females. However, an increase in the schooling rate of girls was the critical determinant of the observed tendency. Therefore, officially setting the compulsory education age to 18 can help to prevent underage marriage and childbearing.
RDL Kalıcı Kaydıİncele - ArticleYalnız künye2022Sjögren sendromunda oral bulgular
Dağistan, Saadettin; Aydemir Kadan, Esra; Ezmeci, Talat
Sjögren sendromu (SS) toplumda birçok bireyde ve özellikle kadınlarda daha sık görülen, tükürük ve gözyaşı bezleri gibi ekzokrin salgı bezlerinde lenfositik infiltrason ve fibrosis oluşumu ile karakterize otoimmun romatizmal bir hastalıktır. Primer ve sekonder olmak üzere iki formu vardır. Hastalığın etiyolojisi ve patogenezi tam olarak açıklanamamıştır. Göz ve ağız kuruluğu ile birlikte yorgunluk ve halsizlik en sık rastlanan şikâyetler arasındadır. Hastalarda tükürük salgısının azalmasına bağlı olarak ağızda kuruluk, dudaklarda kuruluk, çatlama ve desguamasyon, oral mukozada ve dilde eritem, dilde yanma hissi, filiform papillalarının atrofisi, fissürler ve tat kaybı görülür. Genel popülasyonla karşılaştırıldığında, SS’li hastalarda diş çürüğü ve erken diş kaybı prevalansı yaklaşık iki kat daha yüksektir ve ağız sağlığı ile ilgili yaşam kaliteleri önemli ölçüde azalmıştır. Candida albicans ile tekrarlayan oral enfeksiyonlar genel popülasyona göre 10 kat daha sık görülür.
RDL Kalıcı Kaydıİncele
Tam Kayıt
| Alan | Değer | Dil |
|---|---|---|
| dc.date.accessioned | 2026-10-20T15:26:05.429571959Z | |
| dc.date.available | 2026-10-20T15:26:05.429571959Z | |
| dc.identifier.uri | https://rdlopen.rawdatalibrary.net/r/ebyu/22875 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.title | Halk Sağlığı Anabilim Dalı | tr |
| dc.title | Department of Public Health | en |
| dspace.entity.type | OrgUnit | |
| organization.identifier.code | tip-halk-sagligi | |
| organization.unitType | department | |
| rdl.unit.alias | public health |