Background: This study aimed to investigate the prevalence and severity of post-traumatic stress disorder (PTSD) and analyze the relationship between PTSD and breastfeeding attitudes and behaviors among breastfeeding mothers and women with children aged 0–24 months, all of whom had experienced the earthquake. Methods: In this cross-sectional survey, a face-to-face questionnaire was administered to 173 earthquake survivors in Adıyaman, Turkey, during June and July 2023. The PTSD Checklist-Civilian scale was used to assess the presence of PTSD, while the Breastfeeding Attitudes of the Evaluation Scale (BAES) was employed to evaluate breastfeeding behaviors in mothers. Results: Significantly higher PTSD scores (47.6 ± 17.4) were found among women staying in tents, while lower scores (37.0 ± 16.4) were observed in those who continued breastfeeding. 78.6% of women reported decreased breast milk because of the earthquake. Mothers with reduced milk supply had higher PTSD scores (46.1 ± 17.3). Breastfeeding training was associated with higher BAES scores (106.8 ± 56.8) and lower PTSD scores (32.5 ± 11.0). A significant negative correlation was observed between the PTSD score and BAES (r = -0.742; p < 0.001). Conclusions: The study demonstrated that breastfeeding may protect mothers against PTSD in the aftermath of earthquakes, emphasizing the importance of breastfeeding education. The higher frequency and severity of PTSD observed among earthquake survivor mothers residing in tents underscores the importance of promptly transitioning to permanent housing after the earthquake.

Background and Objectives: Urinary tract infections (UTIs) are common in children and account for 5–6% of febrile illnesses. This study aims to evaluate the bacterial pathogens isolated from pediatric UTI cases and their antibiotic resistance patterns to inform updated treatment guidelines. Materials and Methods: This retrospective study included 2753 children with positive urine cultures treated at Adıyaman Training and Research Hospital from January 2020 to June 2024. Data on patient demographics, bacterial culture results, and antibiotic resistance patterns were analyzed. Results: Among the 2753 patients, 71.1% were female and 28.9% were male, with a mean age of 54.6 ± 48.6 months. Escherichia coli was the predominant pathogen, isolated in 61.2% of cases, followed by Klebsiella pneumoniae (13.3%), Proteus mirabilis (9.1%), and Enterococcus faecalis (3.5%). Gender-specific differences showed that E. coli was more frequently isolated in females (71.7%), while Proteus was more common in males (18.5%). Antibiotic resistance analysis revealed high resistance rates to ampicillin (67.4% in E. coli and 100% in Klebsiella), TMP-SMX (33.2% in E. coli and 30% in Klebsiella), and cefixime (45.3% in E. coli). Amikacin showed the lowest resistance across all pathogens, with only 0.9% resistance in E. coli. The resistance to third-generation cephalosporins, particularly ceftriaxone and cefixime, has significantly increased over time, especially in the Klebsiella species. Conclusions: The results indicate high resistance to ampicillin and TMP-SMX. However, E. coli and other pathogens remain susceptible to nitrofurantoin, amikacin, and carbapenems, making these antibiotics viable for empirical therapy. Regional resistance should be considered when selecting treatments for pediatric UTIs to improve outcomes and reduce resistance development.

Introduction: Speed humps allow vehicles to slow down their speeds, but they also cause emergency vehicles to waste time on their way to their destinations. The study aims to determine the delay times alone and queue delay time of ambulances passing through speed humps. Methods: Three types of ambulances (Van, Multiple Victim Assistance, Bariatric) and vehicles (Truck, Lorry, Van) are passed in a controlled manner through speed humps at different speeds in three streets of Adıyaman province of Turkey. Ambulances and vehicles are slowed down to 15 km/h while passing the speed hump for safe passage. Passing and lost times were calculated with the help of a stopwatch (Catiga CG-503; Catiga Electronics Company, Hong Kong) and a global positioning system (GPS) speedometer (Vjoycar smart speedometer; Vjoy Car Electronics Limited, China). Differences in passing times in the absence and the presence of speed humps, determined with the speed equation formula (t=x ̸ V), were lost timings or delay timings for ambulances and vehicles. Results: In the first region, the lost time for the van ambulance with a speed of 70 km/h was 8.41 seconds, 10.14 seconds for the multiple victim assistance ambulances, and 9.56 seconds for the bariatric ambulance. While there was a truck in front of the van ambulance with a speed of 50 km/h, the lost time was also the queue delay time for the ambulance and was 54.96 seconds, with a lorry 42.81 seconds, and 7.02 seconds with a van. In the second region with a double-speed hump, the lost time for the van ambulance with a speed of 60 km/h was 9.94 seconds, 16.32 seconds for the multiple victim assistance ambulances, and 14.49 seconds for the bariatric ambulance. Ambulances did not waste time in the third region, as ambulances and other vehicles do not have to slow down. Conclusion: Ambulances waste time by themselves or due to the vehicles in front of them passing speed hump. As the speed of ambulances increased, the lost time also increased. So, more time is lost when the ambulance needs to go faster.

Background: We aimed to investigate the effect of poisoning on mortality leading to new morbidities in people who survived the poisoning. Methods: The descriptive-retrospective study evaluated all carbon monoxide poisoning cases between 2012 and 2022 in the Adiyaman. For the fatality, all cases were followed up through Turkey’s death notification system until the end of 2022. One-year health records of cases treated as inpatients in Adiyaman hospitals were analyzed for nine diagnoses. A total of 4,395 carbon monoxide cases, recorded over 11 years, were all noted to be accidental cases. Results: The rate of carbon monoxide poisoning in Adıyaman was calculated as 63.2 per hundred thousand. A total of 87 (2%) of the cases died. The population’s hospitalization rate was 1.71, while the mortality rate was 1.25 in a hundred thousand. Among the cases, the hospitalization rate was 2.7, and the admission to intensive care rate was 1.7. The fatality rate was 6.5% for those hospitalized and 12.2% for those admitted to the intensive care unit. The highest fatality rate was 65.5% in patients aged 65 and above. One out of five morbidities was developed in 8.4% of cases within one year. The fatality rate of those who developed morbidities (40%) was higher than those who did not (5.5%). Being male posed a 1,886-fold risk for mortality, and each increase in age posed a 1,086-fold risk for mortality. Conclusion: Individuals who had carbon monoxide poisoning should be followed up closely for one year after poisoning due to the possibility of the emergence of new morbidities that increase the risk of mortality.

Smartphone addiction is increasingly prevalent, particularly among younger individuals, and has been linked to poor sleep quality. This study aims to assess the effects of smartphone addiction, usage time, socio-demographic factors, relationship with parents, parents’ smartphone usage duration, and earthquake-related experiences on sleep quality among adolescents in the earthquake-affected Kahta district of Adıyaman, Turkey. A cross-sectional study was conducted between June 1st and July 31st 2024 with 394 adolescents aged 12 to 18. Data were collected using a questionnaire that included socio-demographic variables, the Pittsburgh Sleep Quality Index (PSQI), and the Smartphone Addiction Scale. The prevalence of smartphone addiction was 57.9%, while 66.2% of participants had poor sleep quality. Adolescents using smartphones for more than two hours daily had a higher frequency of poor sleep quality (p = 0.024). Parental influence was significant: participants whose mothers used smartphones for more than one hour daily had a 2.03 times higher risk of poor sleep quality (p = 0.022). Adolescents with poor relationships with parents had a significantly higher risk of sleep disturbances (p < 0.001). Additionally, those who experienced intense fear during the earthquake or lost loved ones showed significantly worse sleep quality (p = 0.007). Smartphone addiction and prolonged usage are strongly associated with poor sleep quality among adolescents. Maternal smartphone use, affects adolescent sleep. Moreover, traumatic experiences related to the earthquake, such as fear and loss, significantly worsen sleep quality. These findings highlight the need for interventions addressing both smartphone addiction and family dynamics to improve sleep health in disaster-affected adolescents. Not applicable.