Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Bayrakdaroğlu, Serdar(2)
- Halmatov, Medera(2)
- Kocyigit, Emine(2)
- Koçak, Tevfik(2)
- Yilmaz, Coşkun(2)
- Yılmaz, Coşkun(2)
- Akcan, İbrahim Orkun(1)
- Aksoy, Ömer(1)
- Akyürek, Suat(1)
- Akıllıoğlu, Osman(1)
- Aldhahi, Monira I.(1)
- Alkahtani, Rania(1)
- Aydin, Emre(1)
- Aydın, Ahmet Serhat(1)
- Aydın, Emine Büşra(1)
- Aygun, Tayfun(1)
- Ağagündüz, Duygu(1)
- Badau, Adela(1)
- Bahar, Ozan(1)
- Bostanci, Özgür(1)
- Bostancı, Özgür(1)
- Bülbül, Kenan(1)
- Caferoglu Akin, Zeynep(1)
- Ceylan, Levent(1)
- Ceylan, Tülay(1)
- Dal, Suzan(1)
- Ejder, Nebahat(1)
- Eken, Özgür(1)
- Erkuran, Hatun(1)
- Gürkan, Alper Cenk(1)
- Hatık, Sefa Haktan(1)
- Hekimoglu, Gulam(1)
- Karadeni̇z, Havva(1)
- Karaoglu, Olcay(1)
- Kaya, Burak(1)
- Keskin, Arif(1)
- Kocak, Tevfik(1)
- Konca, Erkan(1)
- Koç, Mustafa(1)
- Kurtbeyoglu, Emine(1)
Yayınlar
- MakaleAçık Erişim2026Scopus SJRQ1Psychological dynamics shaping performance perception in athletes: the influence of coaching behaviours, psychological safety, self-efficacy, and resilience
Sakallı, Derya; Şenel, Ender; Menteş, Görkem; Salman, Kaan
This study aimed to examine how athletes’ perceptions of supportive and controlling coaching behaviours influence their perceived performance through the mediating effects of psychological safety, self-efficacy, and psychological resilience. Unlike previous work, this study integrates these three psychological factors into a single structural model, offering a comprehensive understanding of the mechanisms linking coaching behaviours to performance perceptions. Data were collected from 369 Turkish athletes representing different sports and competitive levels using validated self-report questionnaires. Structural equation modelling (SEM) was employed to analyse the direct and indirect relationships among variables. The results revealed that supportive coaching behaviours positively predicted perceived performance through increased psychological safety, self-efficacy, and resilience, whereas controlling coaching behaviours had the opposite effect. Among the mediators, self-efficacy emerged as the strongest predictor of performance perception. These findings provide novel evidence that psychological safety and resilience strengthen this relationship by fostering adaptive and confident athlete functioning. The study contributes to the literature by demonstrating the integrative role of psychological resources within the frameworks of self-determination and social cognitive theories. Practically, it underscores the importance of supportive coaching practices that enhance psychological resources essential for sustained motivation, well-being, and optimal performance.
AtıfScopus2WoS2OpenAlex6İncele - MakaleAçık Erişim2026Scopus SJRQ1Whole-genome characterization of clinical Enterococcus faecalis and Staphylococcus epidermidis Isolates reveals mecA-positive E. faecalis and a shared lnu(A)–rep7a resistance plasmid in Türkiye
Ejder, Nebahat; Özad Düzgün, Azer
Background: This study aimed to genomically characterize clinical Enterococcus faecalis and Staphylococcus epidermidis isolates obtained from aspirate and sputum samples at Bayburt State Hospital, focusing on antimicrobial resistance genes, virulence factors, and mobile genetic elements. Methods: Whole-genome sequencing (WGS) was performed on the isolates, and antimicrobial resistance genes, virulence determinants, multilocus sequence types (MLST), plasmid replicons, and mobile genetic elements were identified using bioinformatics tools. Results: The E. faecalis E5 (ST64) isolate, recovered from an aspirate sample, carried multiple antimicrobial resistance genes, including mecA, vanT, erm(B), tet(M), and qacA, along with a diverse virulence gene repertoire (cyl, ebp, ace, and agg), mobile genetic elements (Tn6009, ISL1a3), and four plasmid replicons (rep19C, rep9C, repUS43, and rep7a). The E. faecalis E184 and E187 isolates (ST124), obtained from sputum samples, harbored fewer acquired resistance genes but shared gyrA (T672A) and parC (V307I) mutations associated with fluoroquinolone resistance. The S. epidermidis ST59 isolate carried resistance genes lnu(A), fosB, and qacD, together with the plasmid replicon rep7a and insertion sequence ISSau4. The co-occurrence of lnu(A) and the rep7a plasmid in both species suggests a potential pathway for interspecies transmission of resistance determinants. Conclusions: This study reports the genomic detection of mecA in an E. faecalis isolate from Türkiye based on WGS analysis. However, this finding is based solely on genomic data and lacks phenotypic or experimental validation. The detection of a shared plasmid-associated resistance element (lnu(A)–rep7a) in both E. faecalis and S. epidermidis highlights the potential for interspecies resistance gene flow within the hospital environment.
- MakaleAçık Erişim2026Scopus SJRQ1Factors affecting hospital personnel’s disaster management performance
Kaya, Burak; Mızrak, Sefa
Background: Hospital personnel with strong disaster management skills will work effectively and efficiently during disasters, ensuring better health services for staff, patients, and injured individuals. Purpose: This study aimed to investigate the factors affecting the hospital personnel disaster management performance (HPDMP) of Giresun Training and Research Hospital (Türkiye) according to the opinions of all hospital personnel. Method: In this study, survey data were collected from 797 hospital personnel between July and August 2023. HPDMP was employed as a dependent variable. Demographic characteristics, working conditions of personnel, disaster education, awareness of hospital disaster plans, and hospital disaster plan duty were used as independent variables. In addition, the arrangement of the hospital in relation to disaster risks, personnel self-efficacy, personnel coordination, coordination with other institutions, and disaster preparedness were also employed as independent variables. Results: The hospital’s disaster management performance was good. Personnel who received sufficient disaster education and had more knowledge about hospital disaster plans believed that HPDMP was greater. According to hospital personnel, disaster preparedness and coordination with other institutions were the factors that most strongly increased HPDMP. Conclusion: This study will provide insight for scientists, decision makers, and practitioners working in the field of hospital disaster planning and management.
- MakaleAçık Erişim2026Scopus SJRQ1Game-based and individualized movement training improves physiological and motor outcomes in young adults with autism spectrum disorder: an experimental study from Türkiye
Aydın, Ahmet Serhat; Söyler, Mehmet; Zileli, Raif; Halmatov, Medera; Gürkan, Alper Cenk; Akcan, İbrahim Orkun; Yılmaz, Coşkun
Background: This study aims to examine the effects of game-based and individualized movement training (GBIMT) program on physiological (body weight, body fat percentage, BMI) and motor outcomes (balance, reaction time, motor speed) in young adults diagnosed with autism spectrum disorder (ASD). Methods: An experimental design with pre-test–post-test control groups was used in the study. A total of 20 participants (10 in the experimental group, 10 in the control group) with a mean age of 22.2 ± 4.8 years were monitored for eight weeks. The experimental group participated in GBIMT sessions for 60 min per day, two days per week, while the control group continued their usual educational routines. Body composition (InBody 270 Body Composition Analyzer, model Plus 270, South Korea), balance (TechnoGym, Cesena, Italy), reaction time (BlazePod Ltd., Israel), and motor speed (Computerized Tapping Test, Neurosoft Inc., USA) parameters were used as measurements. Results: Repeated measures ANOVA results indicated a significant reduction in body weight in terms of the experimental group (p = 0.014, η² = 0.289). Large effect sizes were observed for body fat percentage and BMI; however, the group × time interactions were not found to be statistically significant. A significant improvement was observed in the motor speed parameter within the experimental group (p = 0.032, η² = 0.231). Reaction time decreased by 9.8%, although the group × time interaction stayed within the significance limit (p = 0.063). A trend toward improvement was observed in balance parameters; however, no statistically significant difference was found. Conclusion: The findings indicate that GBIMT produced significant improvements in body composition and motor speed after implementing for eight weeks, and also showed a strong tendency to affect reaction time. As a controlled experimental study conducted in Türkiye, this research offers a unique contribution to the literature by demonstrating the effects of game-based and individualized movement programs on both physiological and motor outcomes in individuals with ASD. Trial registration: GameBased and Individualized Movement Training Improves Physiological and Motor Outcomes in Young Adults with Autism Spectrum Disorder An Experimental Study From Türkiye, ClinicalTrials.gov NCT07170891, Date 20,062,025.
- MakaleAçık Erişim2026Scopus SJRQ1Psychological distress and food neophobia: the mediating role of food choice motives among university students
Kocak, Tevfik; Kocyigit, Emine; Ozbek, Yagmur Demirel
Background: Food neophobia, defined as the reluctance to try unfamiliar foods, reduces dietary diversity and quality in young adults. University students, often subjected to psychological discomfort including sadness, anxiety, and stress, may be especially susceptible to restrictive eating behaviors. This study examined the link be-tween psychological distress and food neophobia, focusing on the mediating role of food choice motives in Turkish students. Methods: A cross-sectional online survey was conducted among 801 Turkish university students (232 males and 569 females). The data collection included the Food Neophobia Scale (FNS), the Depression, Anxiety, and Stress Scale (DASS-21), and the Food Choice Questionnaire (FCQ). The body mass in-dex was calculated using self-reported anthropometric measurements. Statistical analyses comprised correlations, multivariable linear regression, and mediation mod-eling using Hayes’ PROCESS macro with 5000 bootstrap samples. Results: Food neophobia was positively associated with all DASS-21 subscales (p < 0.001). Regression analyses identified depression (p < 0.001), stress (p = 0.001), convenience (p = 0.001), and ethical concern (p < 0.001) as significant positive predictors, whereas natural con-tent showed a negative association (p = 0.046). Mediation analyses indicated that food choice motives partially explained the associations between psychological distress and food neophobia. Convenience and ethical concern consistently acted as mediators of risk, while natural content demonstrated a more complex role. Conclusions: Food neophobia among university students is influenced by both psychological distress and food choice motives. Depression and stress exert stronger effects than anxiety, with convenience and ethical concern functioning as consistent mediators.
AtıfWoS1OpenAlex1İncele - MakaleAçık Erişim2026Scopus SJRQ1Acute effects of inspiratory muscle warm-up on muscular performance and pulmonary function in natural male bodybuilders
Ceylan, Tülay; Ceylan, Levent; Yılmaz, Coşkun; Badau, Adela; Küçük, Hamza
Background: Inspiratory muscle warm-up (IWU) has been hypothesized to enhance athletic performance by pre-activating respiratory muscles; however, evidence in professional natural male bodybuilders is scarce. The present study investigated the acute effects of IWU on One-Repetition maximum (1RM) bench press performance and pulmonary function. Methods: The present randomized controlled experimental study comprised 20 male athletes with an average training experience of 3.21 ± 1.44 years, who trained for more than 5 h per week and had participated in national or international competitions. At the commencement of the study, all participants underwent a series of pulmonary function tests (PFTs), measurements of maximal inspiratory and expiratory pressures (MIP and MEP), and a 1RM test. Following the initial assessments, which were conducted seventy-two hours prior, participants were randomly assigned to either the IWU group (n = 10) or the control (CON) group (n = 10). While the IWU group performed both inspiratory muscle warm-up and standard exercise warm-up, the CON group performed only the standard warm-up. Subsequent to the execution of the warm-up protocols, both groups were subjected to re-evaluation through the means of the 1RM test and respiratory parameter measurements. Results: The IWU group demonstrated a 5.96% greater enhancement in 1RM performance in comparison to the control group (p < 0.001). Furthermore, significant increases were observed in FVC, FEV1, and FEV1/FVC following IWU, with improvements of 2.57%, 2.44%, and 2.65%, respectively (p < 0.001). Furthermore, an additional 2.39% enhancement in MEP was identified in favour of the IWU group (p = 0.008). The alterations in MIP and PEF exhibited by the two groups were analogous, with no statistically significant disparities observed (p > 0.05). Conclusions: The present study has demonstrated that IWU has the capacity to rapidly enhance maximal strength and respiratory function in professional bodybuilders. Consequently, IWU can be advocated as an efficacious warm-up technique to augment exercise performance in bodybuilding athletes. Trial registration: This trial was registered at ClinicalTrials.gov under the title “Acute effects of inspiratory muscle warmup on muscular performance and pulmonary function in natural bodybuilders’’. ClinicalTrials.gov NCT07390149, Date 18012026. (Retrospectively)
AtıfScopus1WoS1OpenAlex1İncele - MakaleAçık Erişim2026Scopus SJRQ1Health sciences students’ attitudes toward artificial intelligence: predictors of ethical awareness, clinical decision-making, and public health perceptions-a cross-sectional study
Unal, Cihan; Şahin, Selim
This study investigates health sciences students’ attitudes toward artificial intelligence (AI) and the implications for ethical awareness, clinical decision-making, and public health. A cross-sectional survey was conducted between April 27 and May 15 2025, with 668 students from five departments at Gümüşhane University, employing the validated Artificial Intelligence Attitude Scale, which measures benefits, risks, and use, alongside 12 binary-response items assessing ethical, clinical, and public health judgments. Descriptive statistics, t-tests, ANOVA, and logistic regression analyses were applied. Findings indicate that students perceive AI as highly beneficial (M = 4.05) but also associate it with notable risks (M = 2.52; where lower scores indicate a higher level of perceived risk due to reverse coding). Logistic regression analyses revealed that risk perception (reverse-coded; higher scores indicating lower perceived risk) was the most consistent predictor across all dimensions. Specifically, students with lower perceived risk were significantly more likely to reject concerns regarding patient privacy (OR = 2.55, 95% CI [2.03–3.21], p < 0.001), dismiss the idea that relying on AI instead of human expertise is problematic (OR = 1.57, 95% CI [1.25–1.96], p < 0.001), and reject the notion that AI systems may harm public health (OR = 2.52, 95% CI [1.98–3.20], p < 0.001). While participants endorsed AI’s potential in enhancing patient safety, chronic disease management, and preventive care, they expressed significant concerns about privacy, legal responsibility, and a potential weakening of patient–clinician communication. Gender, academic discipline, and prior AI use further differentiated attitudes. The results highlight a dual perception of AI as both an opportunity and a threat, emphasizing that successful integration in healthcare requires not only technical competence but also ethical, legal, and communicative safeguards.
AtıfScopus1WoS1OpenAlex2İncele - MakaleAçık Erişim2026Scopus SJRQ2Effects of transcutaneous auricular vagus nerve stimulation added to robotic rehabilitation in patients with ischemic stroke: a randomized clinical trial
Kızıl, Ömer Dicle; Ural, İbrahim Halil; Hatık, Sefa Haktan; Özden, Ali Veysel; Aydın, Emine Büşra
Background: This study aimed to investigate the effects of adding transcutaneous auricular vagus nerve stimulation (taVNS) to robotic rehabilitation on functional outcomes and neuromuscular activity in patients with ischemic stroke. Methods: This randomized controlled clinical trial employed a pre–post study design and was conducted in a hospital-based physiotherapy and rehabilitation clinic. A total of 40 patients with ischemic stroke, aged 18–65 years, were randomly assigned to either a robotic rehabilitation group (RRG) or a combined vagus nerve stimulation and robotic rehabilitation group (VRRG). Spasticity, walking speed, motor function, quality of life, muscle activity, and pain were assessed at baseline and after six weeks of treatment. Results: Primary outcome measures were walking speed, motor function assessed by the Fugl–Meyer Assessment, and pain intensity. Secondary outcomes included electrophysiological measurements (H-reflex and F-wave parameters) and quality of life. Within-group analyses showed significant improvements in all outcomes in the VRRG (p < 0.05), whereas all outcomes except pain improved significantly in the RRG (p < 0.05). Between-group comparisons demonstrated greater improvements in walking speed in the VRRG compared with the RRG (mean difference − 1.84 s, 95% CI − 3.7 to − 0.7; r = 0.43; p = 0.006) and greater pain reduction in the VRRG (mean difference − 1.55, 95% CI − 2.5 to − 0.1; r = 0.30; p = 0.048). In contrast, a greater reduction in the Hmax/Mmax amplitude ratio—an electrophysiological marker of spinal excitability—was observed in the RRG. Conclusion: The findings suggest that transcutaneous auricular vagus nerve stimulation combined with robotic rehabilitation may provide additional benefits in terms of walking speed and pain reduction in patients with ischemic stroke. Trial registration: The study was registered at ClinicalTrials.gov on April 19, 2024. (Identifier: NCT06381089).
- MakaleAçık Erişim2026Scopus SJRQ1Psychometric properties of the Turkish version of the VARK learning style inventory for athletes
Türker, Üstün; Somoğlu, Mustafa Barış; Koç, Mustafa; Bostancı, Özgür
Background: Understanding how athletes learn and recognizing their learning preferences are important cognitive and sensory components that may support effective instructional planning in sport settings. This study aimed to adapt the VARK Learning Style Inventory for Athletes (Visual, Aural, Read/Write, and Kinesthetic modalities) into Turkish and to evaluate its psychometric properties. Methods: A total of 854 licensed athletes from individual and team sports in Türkiye participated in the study. The Turkish version of the VARK Learning Style Inventory for Athletes was administered using a paper-based format. Data were analyzed using IBM SPSS Statistics (v26) and LISREL (v8.80). Construct validity was examined using a Multitrait–Multimethod Confirmatory Factor Analysis (MTMM-CFA) approach with a correlated trait–correlated uniqueness (CTCU) specification, while reliability was assessed using internal consistency and test–retest procedures. Results: The MTMM-CFA supported the four-factor structure of the inventory, indicating an acceptable model fit and strong associations among the learning style dimensions, consistent with a multimodal learning preference profile. Internal consistency analyses yielded Kuder–Richardson 20 (KR-20) coefficients ranging from 0.574 to 0.623 across subscales, reflecting moderate reliability. Conclusions: The findings suggest that the Turkish version of the VARK Learning Style Inventory for Athletes demonstrates acceptable psychometric properties, with evidence of construct validity and moderate internal consistency. While the results support its use for assessing learning preferences among Turkish athletes, further research across different sport disciplines and age groups is recommended to strengthen there liability evidence and practical applicability. Overall, the study contributes to measurement practices in sport and exercise sciences by providing a culturally adapted instrument for examining athletes’ learning preferences.
AtıfOpenAlex1İncele - MakaleYayıncıda açık erişim2026Scopus SJRQ1Maternal chrononutrition during pregnancy and the composition of intestinal and placental microbiota
Kurtbeyoglu, Emine; Caferoglu Akin, Zeynep; Ozdemir, Fatma
Background: Disrupted feeding timing may alter microbiota profiles and contribute to metabolic disturbances. This study aimed to investigate the impact of maternal chrononutrition during pregnancy on maternal gut and placental microbiota. Methods: This study was conducted between April 2022 and February 2023 at Erciyes University Faculty of Medicine Hospitals and Kayseri Private Dünyam Hospital in Kayseri, Türkiye, among healthy pregnant women with predominantly daytime feeding (pDT, n = 10) or predominantly nighttime feeding (pNT, n = 10). A questionnaire was administered, and three-day food consumption diaries were recorded at both 20–26 and 32–36 weeks of gestation. Fecal samples were collected at 32–36 weeks of gestation, and placental samples were collected at birth and stored at -80 °C until analysis. Results: Although total daily energy intake at both gestational periods (20–26 and 32–36 weeks) was similar between the groups, gestational weight gain was greater in the pNT group [16.30 (5.25) kg] than in the pDT group [11.90 (3.41) kg] (p = 0.039). Compared with the pDT group, the Firmicutes: Bacteroidetes ratio was higher in the maternal gut microbiota of the pNT group. Furthermore, Bacilli, Lactobacillales, Lactobacillaceae, and Lactobacillus were significantly more abundant in the pDT group than in the pNT group (p < 0.05). The intestinal and placental microbiota of the pDT and pNT groups had similar alpha and beta diversity. Conclusions: Our findings suggest that predominantly daytime or nighttime feeding during pregnancy may influence the composition of maternal gut and placental microbiota. These microbiome alterations may have potential implications for maternal and infant health; however, larger longitudinal studies are needed to clarify their long-term relevance, including possible links with fetal programming.
- MakaleAçık Erişim2026Scopus SJRQ1Effects of inspiratory muscle training combined with circadian rhythm-based running programs in male children football players
Konca, Erkan; Yilmaz, Coşkun; Saç, Ajlan; Dal, Suzan; Halmatov, Medera; Akıllıoğlu, Osman; Bayrakdaroğlu, Serdar
Background: Inspiratory muscle training (IMT) has been suggested to improve respiratory function and physical performance; however, evidence in preadolescent athletes remains limited. This study examined whether adding IMT to circadian rhythm–based running programs would enhance functional and pulmonary outcomes in preadolescent male football players with at least two years of regular football training experience. Methods: Seventy-five boys aged 10–12 years were categorized into morning-, intermediate-, or evening-type groups based on Morningness–Eveningness Scale for Children (MESC) scores, and each chronotype group was assigned to its corresponding running protocol with or without IMT. Over six weeks, participants completed circadian rhythm–based running sessions, and IMT groups performed graded-load IMT. Pre- and post-intervention assessments included agility, six-minute walk test (6MWT), pulmonary function (FVC, FEV₁, FEV₁/FVC), and respiratory muscle strength (MIP, MEP). Results: Agility and 6MWT performance improved most in the morning running + IMT group compared with evening running + IMT and running-only groups (p < 0.001). FVC and FEV₁ increased in both IMT groups, though gains were modest and smaller in the running-only group. Improvements in MIP and MEP did not differ significantly between groups. Conclusion: Combining IMT with morning running produced the greatest improvements in agility and functional performance, while pulmonary gains were moderate and respiratory muscle strength changes were comparable across groups. IMT may provide additional benefit when integrated into chronotype-aligned morning training in preadolescent football players. Trial registration: Effects of Inspiratory Muscle Training Combined with Circadian Rhythm-based Running Programs in Children Football Players, ClinicalTrials.gov: NCT06817486, Date: 27-01-2025.
AtıfScopus1WoS1OpenAlex1İncele - MakaleAçık Erişim2026Scopus SJRQ1Financial literacy and psychological vulnerability to financial exploitation: the roles of financial anxiety, self-confidence, and behavior
Çam, Alper Veli; Soydaş, Şafak Sönmez; Özbek, Adem; Çam, Handan
Background: Financial exploitation constitutes a significant psychological vulnerability shaped by cognitive resources, emotional regulation, and financial decision-making behaviors. While financial literacy is widely recognized as a protective factor, limited empirical evidence disentangles the distinct psychological roles of financial knowledge, attitudes, and behaviors in reducing vulnerability to financial exploitation. Methods: This cross-sectional study analyzed survey data from 565 adults in Türkiye. Financial literacy was conceptualized as a multidimensional construct comprising financial knowledge, financial attitude, and financial behavior. Vulnerability to financial exploitation was assessed through three psychosocial indicators: self-confidence, financial anxiety, and financial satisfaction. Structural Equation Modeling (SEM) was employed to examine the relationships among cognitive, behavioral, and emotional components. Results: Financial knowledge was significantly associated with lower financial anxiety and higher financial satisfaction but showed no direct effect on self-confidence. Financial behavior emerged as the most robust protective factor, significantly enhancing self-confidence and financial satisfaction while substantially reducing financial anxiety. Financial attitude was positively related to financial satisfaction but did not significantly influence anxiety or self-confidence. Financial anxiety demonstrated a strong negative association with both self-confidence and financial satisfaction. Conclusions: Financial exploitation vulnerability is driven by interconnected psychological mechanisms rather than cognitive factors alone. The findings highlight the central role of behavior-based financial competencies and emotional regulation in strengthening financial resilience. Interventions aimed at preventing financial exploitation should prioritize behavioral skill development and psychological risk screening alongside traditional financial education approaches.
- MakaleAçık Erişim2026Scopus SJRQ2Anesthesi̇a students’ behavi̇ors towards a medi̇cal errors: a phenomenologi̇cal quali̇tati̇ve scenari̇o study
Karadeni̇z, Havva; Erkuran, Hatun
Objective: This study is a qualitative scenario study designed to investigate the behaviors of associate degree anesthesia program students, who will work in operating rooms after graduation, in response to medical errors they may encounter in the future and how they cope with these errors. Materials and methods: This qualitative study was conducted using interpretive phenomenology. Research data were collected from 33 students enrolled in the Anesthesia Program, selected using purposive sampling, between October 2022 and January 2023. A hypothetical case scenario was prepared for the study, which anesthesiology technicians working in the operating room environment might encounter, and data were collected using a semi-structured interview technique. The data obtained were transcribed into written form on a computer and coded according to qualitative research methods. Results: In the inductive coding process, “felt emotions” were divided into two main categories: Challenging Emotions and Functional Emotions, while “behaviors” were divided into Desired Behaviors and Undesired Behaviors. Conclusion: The research found that students viewed medical errors as “a normal situation,” providing an opportunity to shed light on what students think about medical errors and to develop new educational strategies.
- MakaleAçık Erişim2026Scopus SJRQ1Match success in football: insights from raw and possession-normalized key performance indicators in the Turkish professional league
Sever, Ozan; Öncü, Çağdaş; Öztaşyonar, Yunus; Aksoy, Ömer; Bayrakdaroğlu, Serdar
Background: Match-performance indicators are widely used to explain success in football; however, traditional analyses based solely on absolute key performance indicators (KPIs) may overlook contextual factors such as ball possession and phase of play. This study aimed to examine match-performance indicators associated with winning in Turkish professional football using two complementary approaches: a raw KPI model based on absolute match actions and a possession- and phase-of-play–normalized KPI model accounting for contextual opportunity. Methodology: Match data were obtained from a validated event-based database covering six consecutive seasons, yielding 2,728 team observations from 1,364 win–loss matches. Descriptive comparisons between winning and losing teams were conducted, followed by multivariate binary logistic regression analyses to identify performance indicators independently associated with match success under both modeling approaches. Results: At the descriptive level, winning teams demonstrated higher values for shots, shots on target, accurate passes, opponent-half accurate passes, accurate crosses (%), and opponent-half accurate passes (%), whereas total possession and total passes did not differ significantly between groups. In terms of disciplinary indicators, losing teams received significantly more yellow and red cards, whereas fouls committed were significantly higher in winning teams (p = 0.014). However, the normalized indicator (fouls committed per out-of-possession) did not differ significantly between groups. In the raw KPI model, positive predictors of match success included shots on target (OR = 1.58), accurate crosses (OR = 1.10), opponent-half accurate passes (OR = 1.01), and fouls committed (OR = 1.04). Negative predictors were total crosses (OR = 0.92), yellow cards (OR = 0.89), and red cards (OR = 0.49). In the possession-normalized model, significant positive predictors were shots on target per possession, accurate crosses per possession, and fouls committed per out-of-possession. Significant negative predictors included crosses per possession, accurate crosses (%), yellow cards per out-of-possession, and red cards per out-of-possession. Conclusions: The findings indicate that combining absolute performance indicators with context-sensitive normalized metrics may provide a more comprehensive perspective on match success in football. Offensive efficiency and disciplinary control emerged as key correlates of winning, particularly when evaluated relative to possession and phase-of-play contexts. These findings suggest the potential value of integrating contextualized performance analysis into match evaluation and performance analysis frameworks.
AtıfWoS1OpenAlex1İncele - MakaleAçık Erişim2026Scopus SJRQ1Cortical thickness and volume alterations in patients with high myopia: a magnetic resonance imaging study
Aydin, Emre; Palanci, Ozgur
Background: The retina and optic nerve are integral components of the visual system and maintain direct anatomical and functional connections with the brain. Both structures are markedly affected in high myopia (HM). Accordingly, characterizing brain structural alterations associated with HM may provide important insights into its underlying neurobiological mechanisms. Using brain magnetic resonance imaging (MRI), this study aimed to evaluate regional gray matter (GM) and white matter (WM) volume changes, their relative percentages, and cortical thickness alterations in individuals with HM. Methods: High-resolution structural MRI, together with visual acuity (VA), intraocular pressure (IOP), refractive error, axial length (AL), and anterior chamber depth (ACD), was used to compare 30 adults with HM and 22 healthy controls (HC). Regional brain volumes and cortical thickness were analyzed in the fusiform gyrus (FuG), inferior temporal gyrus (ITG), middle temporal gyrus (MTG), superior temporal gyrus (STG), and occipital subregions including the calcarine cortex (Calc), cuneus (Cun), lingual gyrus (LiG), inferior occipital gyrus (IOG), middle occipital gyrus (MOG), and superior occipital gyrus (SOG). Results: Compared with HCs, HM patients demonstrated significant volumetric increases in the ITG and MTG regions (all p < 0.05), with the left ITG remaining significant after false discovery rate (FDR) correction. No significant volumetric differences were observed in the fusiform or occipital regions. In contrast, cortical thickness analyses revealed significant thinning in the fusiform gyrus and bilateral occipital subregions, including the calcarine cortex, cuneus, lingual gyrus, and middle occipital gyrus (p = 0.000–0.026, FDR-corrected). Cortical thickness in the fusiform and occipital regions showed negative correlations with AL and ACD and positive correlations with spherical equivalent. Conclusions: High myopia is associated with region-specific brain structural alterations, characterized by volumetric increases in temporal regions and cortical thinning in fusiform and occipital areas, indicating that HM-related neuroanatomical changes extend beyond the ocular system to involve central nervous system structures. Trial registration: Not applicable.
AtıfScopus1WoS1İncele - MakaleYayıncıda açık erişim2025Scopus SJRQ1Validity and reliability of the Turkish version of the chrono-med diet score (CMDS) for adult participants
Koçak, Tevfik; Kocyigit, Emine; Ağagündüz, Duygu
Background: This study aimed to examine the validity and reliability of the Chrono-Med Diet Score (CMDS) to assess adherence to the Mediterranean diet in Turkish adults. Methods: The methodological research conducted in Gümüşhane and Ordu from January to June 2024, including 592 individuals (62.3% women, 37.7% men, and the mean age 43.4 ± 10.6 years). Data were collected through face‒to‒face interview that contained socio-demographic characteristics, the CMDS, the Mediterranean Diet Adherence Screener (MEDAS), and 24-h dietary recall. Internal consistency reliability was assessed using Cronbach’s alpha coefficient, while repeatability was examined using the test–retest method. Construct validity was assessed by the MEDAS, and components of the adapted CMDS obtained from the 24-h dietary recall were analyzed using confirmatory factor analysis. The content validity was assessed by the Paired samples t-test and Wilcoxon test. The Bland–Altman test with 95% limits of agreement was used to evaluate the agreement between sum of CMDS. The results were statistically evaluated at a p < 0.05 significance level. Results: The content validity index of CMDS was 0.87. The overall Turkish version of CMDS had acceptable internal consistency (Cronbach’s α = 0.853), thus indicating that the score was reliable. The Paired samples t test coefficients between each item and the overall questionnaire ranged from 0.234 to 1.000. A higher intake of olive oil and fish obtained from a 24-h dietary recall was associated with a higher CMDS quartile (p < 0.05). The MEDAS score was correlated with a higher CMDS quartile (p < 0.001). A moderate positive correlation was determined between total CMDS and MEDAS (r = 0.467; p < 0.001). Conclusions: Our assessments of the CMDS, consisting of 13 items, in Türkiye demonstrate that it is a viable and reliable instrument to measure adherence to the Mediterranean diet for the adult population. The CMDS is more accurate than other Mediterranean diet scores as it questions about the amount of physical activity and grain products, which helps determine each participant’s eating patterns and general health.
AtıfScopus3WoS3OpenAlex2İncele - MakaleAçık Erişim2025Scopus SJRQ1Optimizing CPR performance: the role of body composition and ergonomic positioning
Aygun, Tayfun; Karaoglu, Olcay; Senturk, Hakan; Keskin, Arif; Yucel, Nurullah; Hekimoglu, Gulam
Background: Quality cardiopulmonary resuscitation (CPR) is associated with improved survival rates in prehospital arrest cases. Although CPR guidelines emphasize compression depth, rate, and recoil, individual anatomical and biomechanical factors influencing CPR performance remain underexplored. This study aims to determine the optimal CPR position by focusing on individual positional conditions and anthropometric data to improve CPR effectiveness and guide team member selection in emergency scenarios. Methods: A cross-sectional study involving 123 paramedic associate degree students was conducted. Anthropometric measurements including upper extremity length, biceps circumference, and femur length were obtained. CPR performance was assessed using a feedback-capable mannequin, with data collected on compression depth, frequency, rhythm quality, and compression/decompression ratios. Positional parameters such as knee and hip angles, distance between knees, and distance from the mannequin were recorded and analyzed in relation to CPR outcomes. Results: Male participants demonstrated significantly higher CPR quality scores than females (65.09 ± 28.26 vs. 48.85 ± 27.11, p = 0.004). Positive correlations were found between BMI (r = 0.239, p = 0.008), upper extremity length (r = 0.364, p < 0.001), biceps circumference (r = 0.350, p < 0.001), and CPR quality metrics. A moderate inter-knee position (shoulder-width distance) provided superior compression depth and rhythm stability compared to narrow or wide positions (p < 0.001). Conclusion: Anthropometric and positional factors significantly influence CPR performance. Emergency team members with appropriate physical profiles (e.g., greater muscle mass, limb length, BMI) and adopting occupational ergonomic factors (e.g., moderate knee range, limited joint flexion) may improve CPR quality in the prehospital setting.
AtıfScopus1OpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ2A novel equation synthesis for estimating resting energy expenditure in prostate cancer patients
Tek, Nilüfer Acar; Koçak, Tevfik; Yeşil, Süleyman; Sözen, Tevfik Sinan
Background: An accurate calculation of energy expenditure (REE) is necessary for estimating energy needs in malign prostate cancer. The purpose of this research was to evaluate the accuracy of the established novel equation for predicting REE in malign and benign prostate patients versus the accuracy of the previously used predictive equations based on REE measured by indirect calorimetry. Methods: The study was conducted as a cross-sectional case-control study and between December 2020 and May 2021 with 40 individuals over the age of 40 who applied to the Urology Clinic of Gazi University Faculty of Medicine. Subjects with 41 malign prostate and 42 benign prostate patients were both over the age of 40 (65.3 ± 6.30 years) and recruited for the study. Cosmed-FitMate GS Indirect Calorimetry with Canopyhood (Rome, Italy) was used to measure REE. A full body composition analysis and anthropometric measurements were taken. Clinical trial number: Not applicable. Results: Malign prostate group PSA Total and measured REE values (4.93 ± 5.44 ng/ml, 1722.9 ± 272.69 kcal/d, respectively) were statistically significantly higher than benign group (1.76 ± 0.73 ng/ml, 1670.5 ± 266.76 kcal/d, respectively) (p = 0.022). Malign prostate group (MPG) and benign prostate group (BPG) have the highest percentage of the accurate prediction value of Eq. 80.9% (novel equation MPG) and 64.2% (novel equation BPG). The bias of the equations varied from − 36.5% (Barcellos II Equation) to 19.2% (Mifflin-St. Jeor equation) for the malign prostate group and varied from − 41.1% (Barcellos II Equation) to 17.7% (Mifflin-St. Jeor equation) in the benign prostate group. The smallest root mean squared error (RMSE) values in the malign and benign prostate groups were novel equation MPG (149 kcal/d) and novel equation BPG (202 kcal/d). The new specific equation for malign prostate cancer: REE = 3192,258+ (208,326* body weight (WT)) - (20,285* height (HT)) - (187,549* fat free mass (FFM)) - (203,214* fat mass (FM)) + (4,194* prostate specific antigen total (PSAT)). The new specific equation for the benign prostate group is REE = 615,922+ (13,094*WT). Bland-Altman plots reveal an equally random distribution of novel equations in the malign and benign prostate groups. Conclusions: Previously established prediction equations for REE may be inconsistent. Utilising the PSAT parameter, we formulated novel energy prediction equations specific to prostate cancer. In any case, the novel predictive equations enable clinicians to estimate REE in people with malign and benign prostate groups with sufficient and most acceptable accuracy.
AtıfScopus1WoS1OpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ3The relationship between internet and smartphone addiction and body mass index: The mediating role of eating behaviors
Türkkan, Tuğba; Bülbül, Kenan; Yilmaz, Hacı Ömer; Meriç, Çağdaş Salih
This research was conducted determine the mediating role of eating habits in the effect of internet and smartphone addiction on body mass index. The study group consisted of 604 individuals aged between 18 and 45 years (Mean(Age) = 21.07, SD = 3.00). Data were collected using Young Internet Addiction Scale, Smartphone Addiction Scale Short Form and Three-Factor Eating Questionnaire. Findings show positive correlations between internet addiction and smartphone addiction with uncontrolled eating, cognitive restraint and emotional eating behavior. Internet and smartphone addiction were determined to positively predict emotional eating behavior, uncontrolled eating behavior and cognitive restraint. The direct effect and total effect of internet addiction on body mass index were insignificant. However results show that both smartphone and internet use by individuals affect body mass index mediated by eating behavior. This is the first study showing that smartphone and internet use both affected body mass index mediated by eating behavior. Research results emphasise the threat of addiction on physical health and suggest that educational and cognitive dietary interventions can contribute to healthy eating habits. Additionally, considering the internet may be used as an emotion regulation strategy, intervention programs may focus on developing emotion regulation skills aiming to develop coping ability for negative emotions to reduce emotional or uncontrolled eating.
AtıfScopus4WoS5OpenAlex7İncele - MakaleAçık Erişim2025Scopus SJRQ1Preserving local gastronomy as cultural heritage in Türkiye: a qualitative study on sustainable valorization of fethiye wedding foods
Özdemir, Özcan; Akyürek, Suat; Bahar, Ozan
Food and beverages are integral elements of cultural heritage, reflecting societies’ histories, identities, and values. However, globalization and changing lifestyles have diminished the diversity of traditional cuisines, posing a threat to their preservation. Showcasing these culinary traditions, particularly in tourism destinations, can contribute to raising awareness and safeguarding cultural heritage. This study investigates the traditional wedding foods and table customs of Fethiye, which are at risk of being forgotten, and explores their potential as tourism assets. A qualitative research design was applied, combining semi-structured interviews with local experts and direct observations at wedding ceremonies. The findings reveal that Fethiye’s gastronomic traditions hold significant potential for sustainable tourism development. The study concludes by offering practical recommendations and highlighting the importance of community participation in preserving culinary heritage.
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