OBJECTIVE: This study aims to determine the indicators of tobacco use in Türkiye within a multidimensional context as socio-demographic, physical, behavioural, and psychological as a response to the tobacco control policies.
METHODS: The Turkish Health Survey data in 2014 and 2019 are employed within a probit model approach and the differences in tobacco are decomposed use by gender in order to reveal the gender differences. The samples in 2014 (total n = 19,129; males = 8 721, females = 10,408) and 2019 (total n = 17,084; males = 7 784, females = 9300) were restricted to 15-year-old and above.
RESULTS: The findings indicate that being in the 30-49 age cohort, having lower education, and being married increase the likelihood of tobacco use. Future policies and campaigns should specifically target the single, pre-obese, employed males who consume alcohol. For females, the gender-specific policies should aim to reduce the prevalence of smoking, especially among separated or widows, obese, and out of the labour force. The contribution of mental health indicators on tobacco use has declined over the 5 years, which could be a result of the supportive free health services in Türkiye. The findings provide evidence for a significant and increasing gender difference in tobacco use in Türkiye along with reporting that the most significant contributors to gender differences in tobacco use are alcohol consumption and education level.
CONCLUSIONS: Even though the Ministry of Health and the government have been implementing anti-tobacco policies, legislations, and campaigns for years, the tobacco use prevalence has remained high and even increased in Türkiye.

This case report was prepared to provide information about Menacanthus pallidulus (Neumann, 1912), which was detected for the first time on a domestic chicken in Hatay province of Türkiye. Louse specimens collected from a chicken by a student were brought to Hatay Mustafa Kemal University Faculty of Veterinary Medicine, Department of Parasitology, and sent to Selçuk University Faculty of Veterinary Medicine, Department of Parasitology, for identification of species and microscopic examination revealed the presence of Menacanthus pallidulus (Neumann, 1912). Thus, with this study, the presence of M. pallidulus on domestic chickens was recorded for the first time in Türkiye.
Bu olgu sunumu, Türkiye’nin Hatay ilinde, evcil bir tavukta ilk kez tespit edilen Menacanthus pallidulus (Neumann, 1912) hakkında bilgi vermek için hazırlanmıştır. Bir öğrenci tarafından tavuktan toplanan bit örnekleri Hatay Mustafa Kemal Üniversitesi Veteriner Fakültesi, Parazitoloji Anabilim Dalı’na getirilmiş, tür teşhisi için Selçuk Üniversitesi Veteriner Fakültesi, Parazitoloji Anabilim Dalı’na gönderilen örneklerin mikroskobik inceleme sonucu Menacanthus pallidulus (Neumann, 1912) olduğu anlaşılmıştır. Böylece bu çalışma ile evcil tavukta saptanan M. pallidulus’un, Türkiye’deki varlığı ilk kez kaydedilmiştir.

UNASSIGNED: Violence against women has numerous devastating effects. Exposure to violence not only impacts women but also affects their children both physically and psychosocially.
UNASSIGNED: The study aimed to evaluate the psychosocial problems of children living with their mothers in women\'s shelters from the mothers\' perspective with a phenomenological approach.
UNASSIGNED: Utilizing the phenomenological research method, semi-structured in-depth interviews were conducted with 14 individuals in a women\'s shelter in a province in northern Türkiye. The criterion sampling method, a purposive sampling technique, was employed to select participants. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed, and thematic analysis was applied to analyze the data. The study adhered to the COREQ checklist for reporting.
UNASSIGNED: The data analysis revealed four main categories (effects of violence on the mother, actions taken to protect children from violence, effects of violence and staying in a shelter on the child, and psychosocial needs for the protection of the child\'s mental health in the shelter) and 10 sub-themes (psychological effects, physical effects, social effects, domestic actions, organizational actions, psychological effects, physical effects, social effects, support system, and coping).
UNASSIGNED: The study concluded that violence significantly impacted the mental, physical, and social well-being of both women and children, posing challenges to their ability to cope with the aftermath. Women exerted considerable effort in protecting their children from violence, and they needed psychosocial support to ensure the well-being of their children\'s mental health during their stay in shelters.

UNASSIGNED: Mental disorders pose a substantial public health challenge within the overall disease burden. This study aims to determine the factors associated with seeking psychological help among individuals experiencing depression according to gender differences in Türkiye.
UNASSIGNED: The study utilized microdata from Türkiye Health Survey conducted by the Turkish Statistical Institute in 2016, 2019, and 2022. Binary logistic regression analysis was employed to determine the factors associated with seeking psychological help.
UNASSIGNED: The study\'s findings reveal that variables such as survey year, age, education level, employment status, general health status, disease status, depression status, day service status in the hospital, daily activity status, tobacco use status, and alcohol use status are associated with the status of receiving psychological help.
UNASSIGNED: Gender-specific analysis indicated variations in the significance and impact of these variables among individuals seeking psychological help. In the development of preventive strategies for mental health protection, special attention should be given to factors associated with the psychological help-seeking behavior of both women and men. Prioritizing and addressing these factors will contribute to more effective mental health interventions.

BACKGROUND: Gynecological cancers among women were both chronic and vitally health problems. The increasing prevalence of women with surviving gynecological cancers and the receiving treatments of cancer negatively affected the sexual quality of life.
OBJECTIVE: The study was conducted to determine the sexual quality of life of healthy women and women with gynecological cancer and to determine the predictors of sexual quality of life in women with gynecological cancer.
METHODS: The research is a hospital-based case-control study was conducted. The study was carried out with 65 patients with histologically confirmed gynecological cancer were compared with 75 controls, who were admitted to the different departments of the same hospital in the Izmir, in western Türkiye.
RESULTS: The Sexual Quality of Life Questionnaire score (SQOL) of cases was 60.12 ± 9.01 and controls was 78.92 ± 7.08. SQOL scores of cases were significantly lower than controls (p < 0.05). Multiple linear regression analysis results showed that age (B = -0.295, p = 0.072), working (B = 4.981, p = 0.016), smoking (B = -4.590, p = 0.035), diagnosed with cervical cancer (B = -4.214, p = 0.045), and receiving chemotherapy (B = -4.722, p = 0.028) were associated with sexual quality of life in women with gynecological cancer (p < 0.05, R2 : 0.40).
CONCLUSIONS: Women with gynecological cancer had lower quality of sex life compared with healthy women. Gynecological cancers negatively affect women\'s sexual quality of life. Health professionals (especially nurses) should be aware of the potential problems that women with gynecological cancer may experience with their sexual lives. They should develop coping strategies and offer solutions for the problems experienced by women with gynecological cancer.

The aim of this study is to determine the forest road construction area and environmental impact area and to determine the tree injuries caused by forest road construction, the filling area covering the stand, and the distances of the trees directly affected by the tree injuries from the road axis. For this objective, a 700-m section of the forest road number 194 within the boundaries of the Alabarda Forest Management Sub-Directorate (Bolu/Turkey) was selected as the study area. The forest road environmental impact area was found by determining the rolling boundary of the backfill material with the differential global positioning system (DGPS) device. In addition, the position of the trees in this area in relation to the road and their damage conditions were determined, and wound sizes were measured. As a result of the study, the road construction impact area was 46479 m2, the average spread distance of the backfill material was 50.34 m, the average distance of the damaged trees from the road was 28.25 m, and the average distance of the trees that were not damaged was 35.52 m. In addition, a total of 1477 trees were identified in the construction impact area and 427 of these trees were damaged. According to the results of the statistical analyses, a statistically significant positive correlation was determined between bark wound area and diameter. In addition, a statistically significant negative correlation was determined between the distance of the trees from the road axis and the wound area and the height of the backfill.

The Covid-19 pandemic has had serious medical, administrative and financial effects on the health system and hospitals around the world. In Türkiye, compared to 2019 realizations, in 2020 and 2021 respectively there were 39% and 21% decrease in the number of outpatient services and 29% and 17% decline in total inpatient services of public hospitals. The main subject of this research is how the pandemic period affects the Turkish public hospitals\' efficiency. We have measured the technical efficiency of outpatient and inpatient care services of Turkish public hospitals using Stochastic Frontier Analysis (SFA). The dataset includes 563 hospitals for the years 2015 through 2021. Inputs of number of physicians, nurses and other medical staff, and number of beds and their interactions with each other are introduced to the SFA models of outputs of outpatient visits and inpatient discharges adjusted with case mix index are derived. Firstly, we found that the years associated with Covid-19 have a significant negative impact on the inpatient service efficiency. Training and Research and City Hospitals have low efficiency scores in outpatient services but high efficiency scores in inpatient services. In addition, the regions with high population rates have positive impact in outpatient efficiency and negative impact in inpatient efficiency. During the pandemic, city hospitals, have received large investments, gained a key role by increasing both the patient load and their efficiency. Future reforms can be guided by taking advantage of the efficiency differences of hospitals in different environmental factors.

OBJECTIVE: This study was conducted to determine the paediatric forensic cases under the age of 18 from of the year of the outbreak of war.
UNASSIGNED: The population of the study included 16,970 people under the age of 18, who were accepted as forensic cases among 88,052 cases, who presented to the emergency department of Kilis State Hospital between January 2011 and November 2019. The application time of the patients, their nationality, age, gender, their types of application to the emergency department, the event causing the forensic case, and the follow-up and treatment methods in the emergency department were recorded on the standard data entry form.
RESULTS: Among all the paediatric forensic cases, it was determined that 52.0% were Syrian, 70.8% were boys, 30.0% were in the age range of 11 and 15 years and 20.5% had an outpatient treatment.
CONCLUSIONS: In this study, although juvenile forensic rates are consistent with the literature, the higher forensic cases of Syrian nationality was determined as a striking result.
CONCLUSIONS: Today, considering extraordinary situations such as wars and armed conflicts, more refugees may benefit from Turkish healthcare services in the in the forthcoming periods and it is important for community health to conduct studies in this field.