Phenomenon: Physician immigration from other countries is increasing as developed countries continue to be desirable destinations for physicians; however, the determinants of Turkish physicians' migration decisions are still unclear. Despite its wide coverage in the media and among physicians in Türkiye, and being the subject of much debate, there is insufficient data to justify this attention. With this study, we aimed to investigate the tendency of senior medical students in Türkiye to pursue their professional careers abroad and its related factors. Approach: This cross-sectional study involved 9881 senior medical students from 39 different medical schools in Türkiye in 2022. Besides participants' migration decision, we evaluated the push and pull factors related to working, social environment and lifestyle in Türkiye and abroad, medical school education inadequacy, and personal insufficiencies, as well as the socioeconomic variables that may affect the decision to migrate abroad. The analyses were carried out with a participation rate of at least 50%. Findings: Of the medical students, 70.7% had emigration intentions. Approximately 60% of those want to stay abroad permanently, and 61.5% of them took initiatives such as learning a foreign language abroad (54.5%) and taking relevant exams (18.9%). Those who wanted to work in the field of Research & Development were 1.37 (95% CI: 1.22-1.54) times more likely to emigrate. The push factor that was related to emigration intention was the "working conditions in the country" (OR: 1.89, 95% CI: 1.56-2.28) whereas the "social environment/lifestyle abroad" was the mere pull factor for the tendency of emigration (OR: 1.73, 95% CI: 1.45-2.06). In addition, the quality problem in medical schools also had a significant impact on students' decisions (OR: 2.20, 95% CI: 1.83-2.65). Insights: Although the percentage of those who want to emigrate "definitely" was at the same level as in the other developing countries, the tendency to migrate "permanently" was higher in Türkiye. Improving working conditions in the country and increasing the quality of medical faculties seem vital in preventing the migration of physicians.

Background: Sodium‐glucose co‐transporter‐2 (SGLT2) inhibitors improve cardiovascular outcomes in heart failure (HF), but their effect on sleep quality (SQ) and patient‐centered outcomes remains unclear.Objective: This study aims to evaluate the impact of SGLT2 inhibitor use on SQ, anxiety, and quality of life in patients with HF.Methods: This longitudinal observational study included 95 HF patients grouped by SGLT2 inhibitor use. A total of 79 patients (SGLT2 inhibitor group: 33; non‐SGLT2 inhibitor group: 46) completed a 6‐month follow‐up. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), anxiety with the Beck Anxiety Inventory (BAI), and quality of life with the Short Form‐36 (SF‐36). Subgroup analyses were conducted based on left ventricular ejection fraction (LVEF), and logistic regression was used to identify predictors of PSQI improvement.Results: At baseline, PSQI scores were slightly better in the SGLT2 inhibitor group (p = 0.036), while BAI and SF‐36 scores were similar. At follow‐up, the SGLT2 inhibitor group showed significant improvements in PSQI (p < 0.001) and BAI (p = 0.002), whereas no significant changes were observed in the non‐SGLT2 inhibitor group for either PSQI (p = 0.698) or BAI (p = 0.373). PSQI improvement was observed in SGLT2 users regardless of LVEF. In multivariate analysis, SGLT2 inhibitor use was an independent predictor of PSQI improvement (adjusted OR: 4.255; p = 0.010).Conclusion: SGLT2 inhibitor use was associated with improved SQ and reduced anxiety in patients with HF, suggesting symptom‐related benefits beyond cardiovascular effects.

Background: This study is aimed at providing information about the timing of booster doses and antibody kinetics in healthcare workers.Methods: This research extends a prospective cohort study conducted at Dokuz Eylul University Hospital in Turkey, covering the period from March 2021 to December 2021. During this timeframe, the antibody levels of the health workers were measured at four different time points. The associations of antibody levels with gender, age, occupation, body mass index (BMI), chronic disease, and smoking were analyzed.Results: There was a significant difference between antibody levels in all four blood draws (p < 0.001). Antibody levels decreased in both those vaccinated with BNT162b2 (p < 0.001) and those vaccinated with CoronaVac (p = 0.002) until the fourth blood draw. There was a significant difference between those vaccinated with one and two doses of booster BNT162b2 before the third blood draw (p < 0.001), which continued at the fourth blood draw (p < 0.001). The antibody levels of those with an interval of 41–50 days between two vaccinations decreased significantly at the fourth blood draw (p < 0.001).Conclusions: This study provides insight into the dynamics and persistence of antibody response after additional COVID‐19 vaccine doses among healthcare workers. The longer the interval between booster doses may result in greater antibody levels being maintained over time, allowing for longer durations of protection.

Objectives: This study was conducted to determine the relationship between green space usage habits and physical activity in young adults.Design: A cross‐sectional and correlational design.Sample: The study was conducted with 455 young adults who were studying at a faculty between February and May 2023.Measurements: The research data were collected face‐to‐face using a form prepared by the researchers in line with the literature and tested before collection. The form includes questions about green space use habits, green exercise levels, and leisure time activities in green spaces.Results: The probability of male young adults to do physical activity in green spaces compared to women aOR: 2.4 (95% CI: 1.4–3.9, p = .001), the probability of young adults with higher family income to do physical activity in green spaces than those with low‐income aOR: 5.4 (95% CI: 2.7–10.8, p < .001), the probability of young adults who do physical activity in indoor spaces to do physical activity in green spaces compared to those who do not aOR: 2.4 (95% CI: 1.5–3.6, p < .001), 500 m away from the green space aOR: 2.8 (95% CI: 1.6–4.9, p < .001) is more likely for those living farther away to engage in physical activity in green spaces than those living closer than 100 m.Conclusions: Young adults' gender, income, distance to green spaces, and sports activities under various conditions have an impact on physical activity in open green spaces.

Radiation-induced Xerostomia: Evaluation with 18F-FDG PET/CT - Molecular Imaging and Radionuclide Therapy