Aim: We aimed to examine the frequency of plans to practice medicine abroad in medical school students and the related variables, in relation to the recently increasing brain drain in physicians in our country. Material and Method: A total of 82 volunteer students in the 5th and 6th grades were included in the study. Our study is a descriptive and cross-sectional study. A questionnaire was directed to the participants about sociodemographic data, attitudes towards the medical profession, the reasons that make it difficult to practice medicine in our country, the idea of ​​working abroad, and the attractive features of abroad opportunities for students. In addition, the World Health Organization Quality-of-Life Scale (WHOQOL-Bref) to measure the quality of life of the students and the Perceived Stress Scale-14 (PSS-14) to measure the stress level were applied. The data were analyzed in SPSS (21.0) program. Results: 56% Of the participants were female (n=46), 44% (n=39) were male, and the mean age was 24.07 ±1.65. Majority of the students (94%, n=77) stated that they thought of doing medicine abroad, and nearly half of them (46%, n=38) stated that they were determined on this issue. The answers given by the students to the question why they preferred medical school were as follows: Job guarantee (79%), income comfort (77%) and prestige (70%). Majority of the participants stated that they felt regret from time to time for choosing medical school (58.5%, n=48) and 45% (n=37) stated that they thought of leaving medical school in the past. The following answers were frequently given to the question of the most important reasons that make it difficult to practice the profession of medicine in our country: Heavy working conditions and long working hours (90%), verbal/physical violence against physicians (87%), mobbing and pressure applied by seniors/administrators in the workplace. (67%). The countries respondents considered to immigrate frequently were: Germany, UK and USA. The mean PSS-14 score of the participants was found to be 1.98±0.49, and there was no significant difference between those who thought to practice medicine abroad and those who did not. In the Pearson correlation test, it was determined that there was a significant and negative correlation between the WHOQOL-Bref and PSS-14 scores (r=-0.620, p

Amaç: Yeni tip koronavirüs (COVID-19) pandemisi dünya çapında sağlık çalışanlarını gerek fiziksel gerekse ruhsal açıdan etkileyecek birçok zorluğu beraberinde getirmiştir. Bu çalışmada amaç, COVID-19 pandemisi sürecinde görev alan asistan hekimlerin karşılaştıkları zorlukların, kaygı yaratan durumların belirlenmesi ve tükenmişlik sendromu ve ilişkili faktörlerin değerlendirilmesi ve risk faktörleri için bir çerçeve sunulmasıdır.Yöntemler: Çalışmamız internet üzerinden uygulanan bir anket çalışması olup, hastanemizin asistan hekimlerine sosyal platformlar üzerinden uygulanmıştır. 82 kadın, 73 erkek toplam 155 katılımcı anketi tamamlamıştır. Ankette sosyodemografik veriler ve COVID-19 pandemisi deneyimleri soru formu, Hasta Sağlık Anketi-4 ve Maslach Tükenmişlik Ölçeği kullanılmıştır.Bulgular: Çalışmamızda katılımcıların % 61,3’ünün (n=95) anksiyete, % 58,1’inin (n=90) depresyon yaşadığı saptanmıştır. Tükenmişlik alt ölçeklerinde ortalama puanlar “duygusal tükenme” için 21,4 (±8,4), “duyarsızlaşma” için 8,65 (±5,10) ve “kişisel başarı” için 12,6 (±5,8) olarak bulunmuştur. COVID-19 hastaları ile artmış temas sıklığı, algılanan bulaş riski, idareciler tarafından algılanan destek eksikliği, sosyal destek eksikliği, damgalanma ve aşırı sosyal medya kullanımı ile depresyon artışı, anksiyete ve tükenmişlik seviyeleri arasında ilişki olduğu saptanmıştır.Sonuç: Pandemi sürecinde sağlık hizmetlerinin etkin ve kaliteli bir şekilde sürdürülmesi, bu süreçte kilit rol oynayan asistan hekimlerin gerek fiziksel gerekse ruhsal açıdan iyi oluş hali ile doğrudan ilişkilidir. Bu süreçte görev alan sağlık çalışanlarının pandemi hakkında doğru bilgiye zamanında erişimlerinin sağlanması, kişisel koruyucu ekipmanlara yeterli erişim, çalışılan kurum idarecilerinin yanı sıra aile ve sosyal çevrenin desteği ile dışlanma damgalanma deneyimlerinin en aza indirgenmesi ve sosyal medya, TV gibi mecralar kanalıyla yoğun bir biçimde pandemi haberlerine ve yanlış bilgilere maruz kalmanın engellenmesi ruhsal açıdan koruyucu olacaktır. Yine mesai düzenlemelerinin enfekte hastalar ile temas sıklığını en alt düzeyde tutacak şekilde planlanması algılanan tehdit ve buna bağlı ruhsal etkilenmeleri azaltmada etkili olacaktır.

Objective: The study aimed to investigate the relationship between chronotype and sleep quality, eating attitudes and cardiovascular disease (CVD) risk in bipolar disorder (BD). Methods: The study included data on sociodemographic and clinical variables, anthropometric measurements, and blood biochemical tests of 78 individuals in the euthymic period diagnosed with BD. Morningness-Eveningness Questionnaire (MEQ), Pittsburgh Sleep Quality Index (PSQI), and Eating Attitudes Test-40 (EAT-40) were administered to the participants. The internet-based Systematic Coronary Risk Evaluation-2 (SCORE-2) calculator was used as a cardiovascular risk assessment tool, and the presence of metabolic syndrome (MetS) was assessed. Results: Participants were divided into three chronotype groups: morning (n=25, 32.1%), intermediate (n=26, 33.3%) and evening type (n=27, 34.6%). The evening chronotype had significantly higher systolic blood pressure levels compared to the morning chronotype (p=0.050). Lower HDL (High-Density Lipoprotein) levels were observed in the evening chronotype group, while there was no significant difference in other biochemical parameters. 89% of the evening group had poor sleep quality. Two thirds of individuals in the evening group had MetS. After adjusting for confounding factors, it was observed that evening-type individuals had higher SCORE-2 scores compared to the non-evening-type group. Conclusion: In conclusion, late chronotype in BD is associated with poorer clinical prognosis and sleep quality, unhealthier dietary habits and higher risk of CVD. The development of chronobiological treatment interventions targeting circadian regulation may be beneficial for evening chronotype diagnosed with bipolar disorder.

Aim: Psychobiotics have become a popular topic in recent years both on social media and in academia. The effects of individuals' diets and the probiotic supplements they use on their mental state have made psychobiotics a subject of curiosity. Our aim in this research is to evaluate the content of YouTube videos about psychobiotics. Materials and Methods: On 13/12/2023, the content of the first 50 english videos related to psychobiotics on YouTube was examined for quality and reliability and was independently evaluated by 2 separate medical professionals. Data such as likes, number of views, upload dates and uploaders of the videos were recorded. The content quality of the videos was recorded by calculating the DISCERN score and Global Quality Index score (GQS). Results: The mean duration of YouTube videos about psychobiotics was 14.35 minutes. The mean GQS and modified DISCERN scores of the videos were 3.70 and 3.87, respectively. The evaluation results of two independent medical professionals who watched the videos showed a high positive correlation in terms of both GQS and DISCERN scores (r: 0.905, r: 0.908). The duration, number of likes and daily view counts of professional videos were significantly higher (p :0.001). 62% of the videos were uploaded by health channels, 28% by healthcare professionals and 10% by other individuals. GQS (p:0.005) and DISCERN (p:0.007) scores of videos uploaded by health professionals and health channels were significantly higher than others. Conclusion: Since psychobiotics is known as a newly popular term among the public and in the academic field, it has been observed that YouTube videos in this field are relatively new, uploaded by more professional channels compared to other subjects, and have more satisfactory content than other fields in terms of quality and content. However, since the number of videos is low compared to more publicly known topics and it is a relatively new topic, it may be beneficial to increase the number and promotion of professional videos to increase society's knowledge about psychobiotics.

Amaç Psikiyatri polikliniğimize başvuran hasta ve onların yakınlarında bilişsel davranışçı terapi ile ilgili temel bilgi düzeyleri ve tutumlarının araştırılması amaçlanmıştır. Yöntem Mersin Üniversitesi Hastanesi Psikiyatri Polikliniği’ne Ağustos 2021-Kasım 2021 tarihileri arasında başvuran 110 hasta ve hasta yakınına 24 soruluk bir anket uygulanmıştır. Bulgular Katılımcıların %52,7’si kadın, %47,3’ü erkekti, yaş ortalaması 38,1 ± 14 idi. Katılımcıların % 48,2’si daha önce bilişsel davranışçı terapiyi hiç duymamıştı. Bilişsel davranışçı terapi kullanım alanları hakkında katılımcıların çoğu (%65,5) depresyon yanıtını vermiştir. Katılımcıların %48,2’u bilişsel davranışçı terapi ve ilaç tedavisinin birlikte kullanımının daha etkili olduğunu, %62,7’si bilişsel davranışçı terapi ve ilaç tedavisinin birlikte kullanımının daha uzun etki süresi ile ilişkili olduğunu belirtmiştir. Katılımcıların %55,5’i ruhsal bir hastalık varlığında bilişsel davranışçı terapi ve farmakoterapinin her ikisini birden almayı tercih ettiğini bildirmiştir. Sonuç Bilişsel davranışçı terapi hakkında psikiyatri hastalarının ve genel toplumun bilgi düzeyinin yetersiz olduğu düşünülmesine rağmen bu çalışmadaki katılımcıların çoğu bilişsel davranışçı terapi ve farmakoterapinin birlikte kullanıldığında daha etkili ve daha uzun süreli bir iyileşme sağlayacağını düşünmüş, ruhsal bozukluk durumunda her iki tedavinin birden kullanılmasını tercih edeceğini belirtmiştir. Hastalara tedavi seçenekleri arasında fırsat eşitliğinin sağlanması açısından, konuyla ilgili eğitimlerin ruh sağlığı çalışanlarına temel eğitim olarak sunulmasına, uygulama önündeki engeller ile mücadeleye, sağlık çalışanlarının ve ilgili birimlerin, toplumda bilişsel davranışçı terapi hakkında farkındalığı artırmaya yönelik bilgilendirici faaliyetlerinin arttırılmasına ihtiyaç duyulduğu anlaşılmaktadır.

Chronotype has been increasingly linked to problematic digital technology use. However, its role among individuals diagnosed with bipolar disorder (BD) is not well studied. This study aimed to examine the association between chronotype and internet, social media, and smartphone addiction in BD patients. The study included 75 BD patients and 50 matched healthy controls (HC). Chronotype was measured using the Morningness - Eveningness Questionnaire (MEQ). Digital addiction was evaluated via the Internet Addiction Test (IAT), Bergen Social Media Addiction Scale (BSMAS), and Nomophobia Questionnaire (NMPQ).The BD group showed significantly higher nomophobia levels compared to the HC group (p = 0.036). Within the BD group, individuals with an evening chronotype had higher IAT and NMPQ scores than their non-evening counterparts (p = 0.008 and p = 0.020), although the difference in DIU was not significant (p = 0.302). In the MEQ scores were negatively correlated with IAT in the BD group (r = -0.255, p = 0.027), and with all addiction-related measures in the HC group. Covariance analysis indicated that the associations between eveningness and both IAT and NMPQ scores remained significant after controlling for DIU (p = 0.01 and p = 0.04) in BD group. Evening chronotype is associated with higher levels of internet addiction and nomophobia, particularly among individuals with BD. Chronotype should be considered a relevant factor in understanding digital addiction patterns in BD patients.