İstanbul Sağlık ve Teknoloji Üniversitesi Kurumsal Akademik Arşivi
DSpace@İSTÜN, Üniversite mensupları tarafından doğrudan ve dolaylı olarak yayınlanan; kitap, makale, tez, bildiri, rapor, araştırma verisi gibi tüm akademik kaynakları uluslararası standartlarda dijital ortamda depolar, Üniversitenin akademik performansını izlemeye aracılık eder, kaynakları uzun süreli saklar ve telif haklarına uygun olarak Açık Erişime sunar.
Güncel Gönderiler
Functional and surgical outcomes of ventral mesh rectopexy in male patients with rectal prolapse: A nationwide multicenter retrospective cohort study by the pelvic floor working group of the Turkish society of colon and rectal surgery (TSCRS)
(Springer Nature Link, 2026) Gültekin, Fatma Ayça; Balcı, Bengi; Kuzeyli Yıldırım, Yasemin; Arslan, Çiǧdem; Yaşar, Necdet Fatih; Bisgin, Tayfun; Bayraktar, Adem; Zenger, Serkan; Şengül, Neriman; Bulut, Türker Mehmet
Background The indications and outcomes of ventral mesh rectopexy (VMR) in the treatment of rectal prolapse in males have been minimally addressed in the literature. This study aimed to evaluate the demographics, clinical characteristics, and surgical outcomes associated with VMR in male patients. Methods This nationwide retrospective cohort study included male patients who underwent VMR at centers performing pelvic floor surgery across Turkey. Clinical and surgical characteristics were obtained, and functional outcomes were evalu ated using Cleveland Clinic Incontinence score (CCIS) and Altomare Obstructed Defecation Syndrome (ODS) scores at the pre- and postoperative periods. Results Forty-one male patients (mean age, 45.4 years; mean BMI, 25.6 kg/m2 ) underwent VMR (2 open, 5 robotic, and 34 laparoscopic). The cohort comprised 11 patients with internal rectal prolapse (IRP) and 30 with external rectal prolapse (ERP). The overall complication rate was 17.1% (2.4% related to mesh), with a 12% recurrence rate. The median follow-up was 33 (6–127) months. The recurrence rate was 36.4% for IRP patients and 3.3% for ERP patients (p=0.014). Significant improvements were observed in the CCIS (preoperative: 6.1±4.8; postoperative: 2.8±3.3, p=0.005) and Altomare ODS (preoperative: 11.9±4.6; postoperative: 7.26±5.8, p<0.001). Conclusions In this nationwide retrospective cohort study, VMR was associated with favorable functional outcomes in males. Recurrence rates were significantly higher in those with internal rectal prolapse. As sexual function was not systematically assessed, prospective studies with standardized patient-reported outcomes are warranted.
Artificial intelligence in medical education: Curriculum design, assessment models, and educational infrastructure across undergraduate and residency training – A narrative review
(Turkish Society of Cardiology, 2026) Göçer, Hakan; Durukan, Ahmet Barış; Özyüksel, Arda
Artificial intelligence (AI) is rapidly becoming an integral part of everyday clinical practice, including cardiology and cardiovascular surgery. As AI increasingly influences diagnostic and therapeutic decisions, physicians are expected to interact with these systems in a critical, safe, and ethically grounded manner. This narrative review aims to explore how AI can be systematically integrated into undergraduate and residency medical education, with a particular focus on curriculum design, teaching strategies, assessment models, and educational infrastructure, while considering the context of the Turkish medical education system. A narrative synthesis of international medical education literature, policy documents, and institutional reports was conducted without quantitative meta-analysis. The review was guided by the principles of human-in-the-loop clinical reasoning, ethical AI use, and patient safety. Effective integration of AI into medical education requires a longitudinal and staged curriculum spanning preclinical, clinical, and residency training. Assessment strategies must explicitly address AI-assisted decision-making and be supported by transparent institutional policies governing AI use in examinations, as well as by secure, regulation-compliant digital infrastructure. Educational approaches should encourage learners to critically appraise and contextualize AI outputs rather than accept them uncritically. The reviewed literature supports a competency-based educational framework that integrates AI literacy, ethical reasoning, and context-aware clinical judgment. AI education should be viewed as a core clinical competency that strengthens rather than replaces human judgment. Particularly in high-risk cardiovascular disciplines, a standardized, ethics-centered, and competency-based educational framework is essential to prepare future physicians for AI-augmented healthcare environments.
Safety, feasibility and indications of transabdominal oocyte pick-up: Initial experience
(World Scientific, 2026) Turan, Volkan; Öktem, Özgür
Although the transvaginal route is the preferred method for the oocyte retrieval procedure, the transabdominal (TA) route may be preferred in certain conditions. In this opinion we presented our experience with TA oocyte pick-up in 101 patients across several different indications and assessed the safety of the procedure.
The use of bispectral index for monitorization of the depth of sedation in procedural sedoanalgesia in the emergency department
(Bayrakol Medical Publisher, 2026) Gökdağ, Eren; Sarı Doğan, Fatma; Yılmaz, Sarper
Aim: To determine the effectiveness of the Bispectral Index (BIS) measurement as an objective criterion for measuring the depth of sedation in the emergency department (ED) by comparing it with the Modified Ramsey Sedation Scale (MRSS), which is a clinical scale for measuring sedation depth. Methods: In this study, the compatibility of BIS values and MRSS values at the moment when the patients reached clinically appropriate sedation depth for intervention in those requiring sedation-analgesia in the ED due to extremity trauma were compared. Results: No statistically significant correlation was found between patients’ initial MRSS scores at the time of intervention and either their initial or minimum BIS values (p>0.05). A moderate negative correlation (r=-0.432, p=0.022) was observed between the MRSS values and the minimum BIS readings. No statistically significant difference was observed in minimum BIS values based on the sedative agent administered (p>0.05). Conclusion: In this study, a moderate correlation was found between the lowest BIS values and the MRSS scores corresponding to those BIS values. Although further comprehensive and detailed studies are necessary to establish the limitations and optimal use of BIS monitoring during procedural sedation-analgesia in the ED—especially considering both existing literature and the limitations of this study—BIS appears to be a promising alternative to clinical sedation scales for monitoring sedation depth.
The relationship between sleep quality and dietary habits in apprentice jockeys
(IBPEFEX - Instituto Brasileiro de Pesquisa e Ensino em Fisiologia do Exercício, 2026) Ayar, Muttalip; Mor, Ömer; Şahin Anılgan, İrem Nur; Atar, Aslıhan; Özbey, Fatih
Introduction: Adequate sleep is vital for young athletes, and diet may play a role in sleep quality. This is especially relevant for apprentice jockeys who face unique physical and nutritional demands. Objective: To examine the relationship between dietary habits and sleep quality in apprentice jockeys at the Turkish Jockey Club Ekrem Kurt Apprentice Training Center. Materials and Methods: Twenty-four male apprentice jockeys (15-18 years) completed 7-day food and fluid intake records. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Anthropometric measurements were collected. Associations between nutrient intake and PSQI components were analyzed with Spearman’s correlation. Results: The mean PSQI score was 4.96 ± 2.84, and 41.7% of participants were poor sleepers. Total energy and macronutrient intake were not associated with overall PSQI. However, certain nutrients showed meaningful relationships with specific sleep components. Higher zinc intake, especially in the evening, was linked to better subjective sleep quality, while higher evening fat intake was associated with poorer sleep. Protein and fat intake showed negative correlations with subjective sleep quality. Evening carbohydrate proportion was related to fewer sleep disturbances. Conclusions: Although overall dietary intake did not affect global sleep quality, selected nutrients and meal timing were associated with specific aspects of sleep.
