Background: We aimed to investigate the clinical and angiographic characteristics of patients with acute coronary syndrome (ACS) who survived this devastating earthquake and were admitted to our hospital in Antakya/Türkiye. Materials and Methods: We retrospectively examined the impact of the earthquake on the occurrences of acute coronary syndromes in Antakya/Türkiye. All 248 consecutive patients with ACS, also survivors of the earthquake in Antakya, were enrolled as the earthquake group. The earthquake group was created from patients hospitalized between February and June in 2023 after the earthquake. In total, 209 consecutive ACS patients who were hospitalized in our cardiology clinic in similar months of 2022 named as the control group. Results: Patients admitted before the earthquake were more hospitalized with multivessel disease compared to after the earthquake group (P <.001). Myocardial infarction with non-obstructive coronary artery disease (MINOCA) was the main reason for the significant increase rate of ACS after the earthquake. The earthquake patient group had lesser diabetes mellitus than the control group (P <.001). The risk of men suffering from ACS after an earthquake is approximately 2.1 times higher than women (P =.023). Those with a history of revascularization are approximately 1.8 times more likely to have ACS after an earthquake (P =.05). The risk of experiencing ACS after an earthquake is approximately 3.5 times higher for those with a family history than for those without (P <.001). Conclusion: Effects of the devastating earthquake on the heart are the increase in MINOCA patients triggered by great sudden environmental stress and the decrease in diabetes due to worsening nutritional conditions, respectively.

Postoperative pain and fear of movement are critical factors that can adversely affect recovery outcomes. The interplay among these factors can significantly influence mobilization and rehabilitation outcomes. This study aims to examine the correlation between pain and fear of mobility during the initial phase following open-heart surgery, taking into account the influence of moderating variables. This cross-sectional and correlational study, conducted within the framework of the Fear-Avoidance Model, involved 203 patients in a Cardiovascular Surgery Intensive Care Unit. Data were collected using a “Patient Information Form,” the “Numeric Rating Scale” and the “Tampa Scale of Kinesiophobia.” These data collection tools were administered to patients at specific time points (12, 24, and 36 hours). The data collection process lasted approximately 30 minutes for each patient. A weak, positive connection was identified between pain and fear of movement at 12 h post-surgery. A comparable correlation was discovered between pre-mobilization discomfort and mobility apprehension at the 24-hour mark. At 24 h post-mobilization, the association between pain and fear of movement shifted to a moderate, negative correlation after mobilization. All demographic and health-related variables, with the exception of body mass index (BMI), were determined to have no moderating influence on the link between pain and fear of mobility. At 24 h post-surgery, post-mobilization BMI influenced the correlation between pain and fear of mobility. In patients with a lower BMI, the fear of mobility diminished as pain intensified. The identical relationship was noted prior to mobilization at 36 h following surgery. This study demonstrates that the direction and strength of the correlation between pain and fear of movement vary across the early postoperative period, with body mass index functioning as a significant moderating variable. The significance of pain management and early mobilization in the postoperative phase is emphasized. Thus, personalized patient management planning by nurses and healthcare experts is essential for improving patient comfort and facilitating the recovery process. Not applicable. • Open heart surgery is a critical procedure, but postoperative recovery can be challenging, with pain and fear of movement being significant obstacles to early mobilization and recovery. • Existing literature mainly examines pain and movement fear independently, with limited research on their interaction and moderating factors, especially in cardiovascular surgery patients. • Mobilization is a key component of recovery protocols, but pain and movement fear are often barriers to early mobilization. • This study provides insight into the temporal changes in pain and movement fear after open heart surgery, highlighting how these factors interact and evolve during the recovery process. • It identifies body mass index as a significant moderating factor influencing the relationship between pain and movement fear, suggesting the need for individualized pain management strategies, especially for patients with lower BMI. • The findings highlight the potential role of early mobilization in modifying the relationship between pain and fear of movement, particularly in the early postoperative period. These results suggest that early targeted interventions may support better recovery outcomes.

The purpose of this study was twofold: i) to examine the association among maturation, reactive strength index (RSI), leg stiffness, and physical performance tests, and ii) to investigate how maturation influences the relationship among RSI and leg stiffness and physical performance tests. Forty-six male soccer players (age: 11.8 ± 1.5 years; height: 152.9 ± 10.2 cm; weight: 45.9 ± 10.5 kg) participated in this cross-sectional observational study. Players’ biological maturity was assessed using peak height velocity (PHV). Physical tests were conducted in two separate sessions on different days: one included anthropometry, standing long jump, sprint, dribbling and agility; the other included RSI, leg stiffness, and kick velocity. Correlations and bootstrap-based mediation analyses were used to examine the mediating role of PHV between RSI, leg stiffness, and performance. Mean years to PHV was −1.61 ± 0.99 years, and all players were in the pre-PHV period. RSI was strongly correlated with sprint (r = −0.73; CI _95% = −0.840 to −0.533), agility (r = −0.67; CI _95% = −0.803 to −0.471), and SLJ (r = 0.68; CI _95% = 0.487 to 0.811), while leg stiffness was moderately correlated with sprint (r = −0.38; CI _95% = −0.602 to −0.102) and kick velocity (r = 0.43; CI _95% = 0.166 to 0.642). PHV was moderately to highly correlated with all performance indicators (r = 0.37–0.65). Mediation models showed that PHV partially explained the relationship between RSI and performance tests (17–70%),whereas the relationship between leg stiffness and performance tests was fully mediated by PHV (68–96%)(p < 0.05). In conclusion, the findings indicate that considering PHV's mediating effect in assessing neuromuscular performance in young soccer players is essential and should not be overlooked in research and practice.