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    Evaluation of the core muscles of children and adolescents with nocturnal enuresis using shear wave elastography: a preliminary study
    (Nature Portfolio, 2025) Sinanoglu, Muhammed Selcuk; Dag, Nurullah; Sinanoglu, Bercem; Ozdemir, Filiz
    The purpose of this study was to determine any changes in the rectus abdominis and diaphragm muscles, which are core muscles, in children and adolescents with nocturnal enuresis (NE) using the shear wave elastography (SWE). In this case-control study, the rectus abdominis and diaphragm muscles of 40 children and adolescents with NE and 40 healthy controls were evaluated. The rectus abdominis muscle was examined at the right supra- and subumbilical levels, and the diaphragm at the right 9th-10th intercostal space. The thickness of both muscles was measured by gray scale ultrasound and muscle stiffness was measured by SWE. The demographic characteristics of the patients such as sex and age and their anthropometric measurements including height, weight, and BMI were recorded. Compared to the control group, the NE group had significantly lower mean rectus abdominis muscle stiffness values on both the supraumbilical and subumbilical levels (p < 0.05). There was no significant difference in mean rectus abdominis thickness and diaphragm thickness-stiffness values between the groups (p > 0.05). According to the results of the study, it is thought that NE children have problems with core stabilization and that children with NE should be directed to appropriate treatment. However, future studies are needed with larger sample sizes and other factors that are thought to affect muscle architecture.
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    Investigation of the relationship between physical activity levels and mental health in adolescents after February 6th earthquakes
    (Nature Portfolio, 2026) Ozdemir, Filiz; Sinanoglu, Bercem; Demir, Aylin; Sen, Muserref Ebru; Ucuz, Ilknur; Kizilay, Fatma; Kizilay, Egemen
    This study examines the relationship between physical activity levels and mental health in adolescents following an earthquake, focusing on community-based rehabilitation and interventions. A total of 389 adolescents (ages 11-17) participated in the current study. Post-traumatic stress (PTS) was assessed using DSM-5 Post-traumatic Stress Symptom Severity Scale, while depression and anxiety were evaluated using DSM-5 Level 2 Depression and Anxiety scales. Physical activity levels were measured with the Physical Activity Scale for Adolescents. Among participants, 48.3% were female and 51.7% were male. Strong positive correlations were found between Post-traumatic stress disorder (PTSD) severity and both depression (r = 0.738) and anxiety (r = 0.723), as well as between depression and anxiety (r = 0.754) (p = 0.001 for all). No significant relationship was observed between PTSD severity and physical activity or age (p > 0.05). A weak negative relationship existed between depression and physical activity (r=-0.228, p = 0.012), while a positive correlation was found between depression and age (r = 0.282, p = 0.001). Adolescents face significant psychological effects after earthquakes. Physical activity levels may decline due to reduced motivation and opportunities. Post-traumatic stress can also cause depression and anxiety in adolescents after a disaster such as an earthquake. Therefore, it's essential to encourage physical activity and implement appropriate programs in disaster-affected regions.