Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Adanacioglu, Hakan(1)
- Akeren, Zahide(1)
- Arslan, Adem(1)
- Celik, İsa(1)
- Ceylan, Levent(1)
- Ceylan, Tülay(1)
- Comert, Resul(1)
- Demir, Alper(1)
- Demiraǧ, Hatice(1)
- Demirel Ozbek, Yagmur(1)
- Dogan, Nilgun(1)
- Guler, Vesile Sahiner(1)
- Gül, Fatih(1)
- Güngör, Sunay(1)
- Kaya, Feridun(1)
- Kocyigit, Emine(1)
- Koçak, Tevfik(1)
- Kurnaz, Muammer(1)
- Polat, Yahya(1)
- Sahin, Oktay(1)
- Sezer, Süreyya Yonca(1)
- Tan, Çetin(1)
- Turan, Mehmet Behzat(1)
- Yazıcı Çelebi, Gülin(1)
- Yoka, Keziban(1)
- Yoka, Osman(1)
- Yılmaz, Coşkun(1)
- Çelebi, Gülin Yazıcı(1)
- Çelikel, Baha Engin(1)
Yayınlar
- MakaleAçık Erişim2026The effect of hawthorn vinegar, black mulberry syrup, and green tea on oral mucositis and oral health-related quality of life in individuals with diabetes: a single-blind, randomized controlled trial
Demiraǧ, Hatice; Akeren, Zahide
Objective – This study was designed as a single-blind randomized controlled trial to investigate the effects of hawthorn vinegar, black mulberry syrup, and green tea on oral mucositis and quality of life related to oral health in individuals with diabetes. Methods – Total of 120 participants were divided into four groups (hawthorn vinegar, black mulberry syrup, green tea, control; n = 30 each) and the study was completed. All participants completed the “Patient Information Form, ” “Oral Assessment Guide (OAG/ADR), ” and “Oral Health-Related Quality of Life Scale (OHQoL-UK)” before the study, on the 7th day, and after the study. In the experimental groups (hawthorn vinegar group, black mulberry syrup group, green tea group). In addition to routine oral mucositis treatment, patients with DM gargled for 1 min with diluted hawthorn vinegar [1 tablespoon (10 cc) mixed with 40 cc of water], pure black mulberry syrup, or green tea solution three times a day for 14 days, 15–20 min before meals. Results – Patients in the hawthorn vinegar group showed a decrease in oral mucositis and an increase in oral health-related quality of life at the interim measurement (day 7) and final test (day 14) measurements (p < 0.05). A negative correlation was found between the severity of oral mucositis and quality of life (p < 0.05). Conclusion – Although there was no difference between hawthorn vinegar and black mulberry syrup, they were found to be more effective than green tea in reducing oral mucositis and improving oral health-related quality of life, and all three complementary treatments were found to be effective. Clinical Trial Registration – identifier [NCT06481254]. https://register.clinicaltrials.gov/prs/beta/studies/S000E5O000000043/recordSummary.
- MakaleAçık Erişim2026A comparative interventional study on the effectiveness of acceptance and commitment therapy, emotion-focused therapy, and attachment-based therapy in improving emotion regulation among adolescents with digital game addiction
Güngör, Sunay
Background: Digital game addiction is a rapidly developing social and mental health concern that is closely related to emotion regulation difficulties. The present study aimed to compare the effectiveness of acceptance and commitment therapy (ACT), emotion-focused therapy (EFT), and attachment-based therapy (ABT) in improving emotion regulation among adolescents with digital game addiction. Methods: The present study was an interventional study employing a pretest–posttest design and a control group. The sample included 100 adolescents aged 13–18 years who were diagnosed with gaming disorder according to the 11th Revision of the International Classification of Diseases (ICD-11) criteria. Participants were selected using purposive sampling and were assigned to four groups of 25 individuals each, including three experimental groups and one wait-list control group. The 7-item Digital Game Addiction Scale (DGAS-7) and the Regulation of Emotions Questionnaire among Adolescents (REQ-A) were used to gather data. ACT and EFT were administered in eight sessions, whereas ABT was delivered in 10 sessions. Data were analyzed using repeated measures ANOVA in SPSS. Results: It was found that the three therapeutic strategies produced a significant increase in functional emotion regulation scores (internal and external) and a significant decrease in dysfunctional emotion regulation scores compared to the control group (p < 0.001). However, the effect sizes for the ACT and EFT groups were very large compared to the ABT group. There was no significant difference between ACT and EFT; nevertheless, both interventions were significantly more effective compared to ABT at both the posttest and follow-up stages. Conclusion: ACT and EFT are more effective interventions for improving emotion regulation among adolescents with digital game addiction because of their emphasis on psychological flexibility and emotionally profound processing. Although ABT was found to be moderately effective, it can be used as an adjunctive therapy, particularly in cases involving relational problems.
- MakaleAçık Erişim2026Predicting suicide probability in young adults: contributions of vulnerable narcissism, grudge, and demographic variables
Çelebi, Gülin Yazıcı
Suicide is a significant public health problem worldwide. The aim of this study is to examine the potential effects of levels of vulnerable narcissism and grudge on the likelihood of suicide. In addition to these variables, the potential effects of some demographic variables (gender, marital status, age, socioeconomic status, education level, perceived religiosity, number of siblings) were also investigated. A convenience sampling method was used to determine the study group. The study group consisted of a total of 500 individuals; 368 (73.6%) were women and 132 (26.4%) were men. The mean age of women was 26.31 (SD = 9.60, min-max = 18–64), the mean age of men was 29.01 (SD = 10.76, min-max = 18–55), and the mean age of the entire sample was 26.84 (SD = 9.88, min-max = 18–64). The Suicide Probability Scale, Vulnerable Narcissism Scale, Grudge Scale, and Personal Information Form were used as data collection tools in the study. Pearson correlation coefficient was used to examine the relationships between variables in the analysis of the data. Multiple linear regression analysis was conducted to examine the extent to which vulnerable narcissism, grudge, and sociodemographic characteristics are associated with suicide probability. The regression model showed that the independent variables significantly predicted the probability of suicide. According to the results obtained, the independent variables explained 38% of the variation in the probability of suicide {[R = 0.619, R2 = 0.383, F(8, 499)= 38.12, p < 0.0001]}, and vulnerable narcissism and grudge are positive predictors of the probability of suicide. Vulnerable narcissism (β = 0.34, p < 0.001) and grudge (β = 0.22, p < 0.001) are positive predictors of the probability of suicide. Age (β = −0.23, p < 0.001), education level (β = −0.08, p = 0.003), and SEL (β = −0.19, p < 0.001) are significant variables that negatively predict the probability of suicide. Based on the results, it can be said individuals with high levels of narcissism and grudge have a higher probability of suicide, and that some socio-demographic characteristics may influence these relationships. The findings are discussed in light of the literature.
- Derleme MakaleAçık Erişim2026Artificial-intelligence–based developmental screening for pre-school children (ages 3–6): a scoping review of deployed tools, clinical validity, equity, and implementation in guidance-center settings
Arslan, Adem; Gül, Fatih
Background – Early identification of neurodevelopmental conditions during the pre-school years (ages 3–6) is critical for timely intervention, yet traditional questionnaire-based screeners suffer from low positive predictive value, late detection, and inequitable access. Artificial intelligence (AI) and machine-learning (ML) methods promise more objective, scalable identification, and two devices (Cognoa Canvas Dx, 2021; EarliPoint Evaluation, 2023) are already US Food and Drug Administration (FDA)-authorized. Recent reviews summarize the technical literature, but few address how deployed tools perform on clinical validity, equity, and real-world implementation, particularly outside high-income, English-speaking settings. Methods – Following Joanna Briggs Institute methodology and the PRISMA extension for scoping reviews (PRISMA-ScR), we searched seven databases (1 January 2020–15 June 2026) and charted primary validation studies of AI/ML developmental-screening tools for children aged 72 months or younger. We mapped tools by modality, diagnostic performance, regulatory status, geographic origin, and, as a structured analytic axis, demographic subgroup (equity) reporting and deployment readiness. Results – Sixteen primary AI-tool studies met inclusion, spanning eight modality classes (eye-tracking, multimodal questionnaire-plus-video, computer-vision home/clinical video, tablet/smartphone digital phenotyping, voice/acoustic ML, electronic-health-record risk prediction, questionnaire-based ML, and wearable sensors) and eight countries (USA, South Korea, Australia, Switzerland, France, Israel, China, Vietnam). Reported sensitivities ranged from approximately 75 to 99.2% and specificities from 78.9 to 95.5%. Only one tool demonstrated stable performance across sex, race, and ethnicity; subgroup-stratified validation was otherwise near-absent. No CE-marked autism-specific screening device was identified. Conclusions – The evidence base has broadened in modality and geography but remains autism-concentrated and equity-blind, with a wide gap between analytic accuracy and primary-care deployment. We propose equity validation, deployment-readiness reporting, and an implementation pathway for low-resource guidance-center settings as priorities.
- Derleme MakaleAçık Erişim2026Physiological responses and adaptive mechanisms of amphibians and reptiles to multiple interacting environmental stressors: an integrative review
Kurnaz, Muammer
This integrative review synthesizes current knowledge on the physiological responses and adaptive mechanisms of amphibians and reptiles to multiple interacting environmental stressors, with particular emphasis on synergistic effects among temperature, hydric stress, disease, and pollution. Given the stronger empirical basis for amphibians in the existing literature, amphibian responses are covered in greater depth, while reptile-specific physiology, immunology, and emerging infectious diseases are explicitly addressed in dedicated sections throughout the review. Critical thermal tolerance analyses reveal that approximately 7.5% of amphibian species will exceed their physiological limits under a 4 °C warming scenario, with tropical lowland species already operating near their CTmax thresholds. Thermal plasticity is limited, with acclimation responses averaging only 0.13 °C increase in CTmax per 1 °C environmental warming—insufficient to track rapid climate change. Water balance regulation shows dramatic interspecific variation, with cutaneous resistance ranging from 0.05 s/cm in aquatic amphibians to >1000 s/cm in desert-adapted reptiles. Synergistic interactions between thermal and hydric stress significantly amplify vulnerability, particularly in dehydration scenarios that reduce critical thermal limits. Chemical pollutants, including heavy metals and pesticides, cause developmental abnormalities (535% increase in malformation frequency), immunosuppression, and endocrine disruption across multiple life stages. Emerging infectious diseases, particularly chytridiomycosis (Batrachochytrium dendrobatidis and B. salamandrivorans) and ranaviruses, drive mass mortality events globally, with co-infections exacerbating population declines. Climate change intensifies disease susceptibility through stress-mediated immunosuppression and altered pathogen dynamics. Adaptive capacity varies markedly among species. While amphibians exhibit strong phenological responses (2-4× greater than other taxa), genetic adaptation potential remains limited by narrow dispersal abilities and habitat fragmentation. Microhabitat buffering can reduce thermal extremes by several degrees but depends critically on habitat structural integrity. This review demonstrates that the pace of anthropogenic change challenges the adaptive capacity of most species, necessitating integrated conservation strategies including microhabitat preservation, climate corridor establishment, pollution mitigation, disease surveillance, and ex-situ conservation programs.
- MakaleAçık Erişim2026Weight self-stigma, weight bias internalization, and eating attitudes in relation to body appreciation
Koçak, Tevfik; Kocyigit, Emine; Demirel Ozbek, Yagmur; Celik, İsa
Objective: This study aimed to investigate the relationships between weight self-stigma, weight bias internalization, eating attitudes, and body appreciation in young adults, and to ascertain the distinct impact of these variables on body appreciation. Methods: A cross-sectional study was carried out including young adults aged 19 to 35 years, comprising 69.6% females and 30.4% males. Participants completed a questionnaire evaluating weight self-stigma, internalization of weight bias, eating attitudes, and body appreciation. Hierarchical multiple regression analyses were used to assess the additional impacts of weight-related stigma and eating attitudes on body appreciation, while adjusting for demographic and anthropometric factors. Results: Weight self-stigma, particularly the internalization of weight bias, showed a significant negative association with body appreciation. Weight self-stigma and its subdimensions (self-devaluation and fear of enacted stigma) had substantial negative correlations with body appreciation. These correlations encompassed the subdimensions of body appreciation, specifically general body appreciation and body image investment. While eating attitudes did not show a significant correlation with body appreciation at the bivariate level, they became a significant predictor in the hierarchical regression model, suggesting a conditional (suppression) effect after accounting for weight-related stigma and BMI. Conclusion: The findings emphasize the important function of weight-related stigma in diminishing body appreciation among young adults and stress the necessity of examining eating attitudes in conjunction with stigma-related factors. Interventions designed to enhance positive body image should focus on both internalized weight stigma and maladaptive eating-related attitudes.
- MakaleAçık Erişim2025Effects of inspiratory muscle training on 1RM performance and body composition in professional natural bodybuilders
Çelikel, Baha Engin; Yılmaz, Coşkun; Demir, Alper; Sezer, Süreyya Yonca; Ceylan, Levent; Ceylan, Tülay; Tan, Çetin
Background: The effect of inspiratory muscle training on upper limbs One Rep Maximum (1RM) in professional natural bodybuilders is still unclear. Our aim of this study is to investigate the effects of a 6 weeks inspiratory muscle training on 1RM results. Methods: This study included 14 athletes, that had participated in international bodybuilding competitions. Each athlete had been training for minimum of 5 years and at least 5 h per week. The participants were randomly divided into two groups: inspiratory muscle training (IMT) and control (CON) groups. The IMT group and CON group consisted of seven subjects. While the control group continued with the normal training regime, the IMT group additionally performed inspiratory muscle training with the resistance setting of the PowerBreathe® Classic device set to 40% of the participant’s MIP. Prior to and during the 6-week training period, the bench press 1 RM, anthropometry, pulmonary function tests, and maximal inspiratory (MIP) and expiratory (MEP) pressure measurements were obtained. A nutrition protocol developed by a qualified dietician was implemented for each athlete. Results: The mean maximal strength of the respiratory muscle training group changed by 14.39%, whereas that of the control group changed by 9.43% (p = 0.012). The changes in the mean FVC (p = 0.000), FEV1 (p = 0.001), PEF (p = 0.064), MIP (p = 0.001), and maximal expiratory pressure (p = 0.017) were greater in the IMT group. The mean circumferences of the shoulder (p = 0.004), chest (p = 0.008), arm (p = 0.004), and neck (p = 0.003) improved more in the IMT group than in the CON group. A reduction in abdominal measurement was observed in the IMT group (p = 0.039), whereas no notable discrepancy was identified in body fat percentage (p = 0.295). Conclusion: In conclusion we identified that the addition of progressive loading inspiratory muscle training for competition preparation programs in professional natural bodybuilders will further improve their respiratory function, respiratory muscle strength, maximal strength, and muscle development. This research provides valuable insights into how IMT influences bodybuilding training outcomes, potentially guiding future interventions and program designs to better support strength development and body composition in bodybuilding training contexts.
- MakaleAçık Erişim2025How does loneliness affect satisfaction with life? What is the role of the perception of God in this interaction?
Kaya, Feridun; Yazıcı Çelebi, Gülin
Introduction: This study examined the role of loneliness and the perception of God in affecting the satisfaction with life of Muslim individuals living alone in Turkey during the COVID-19 pandemic. Additionally, the study explored the regulatory role of the perception of God in the relationship between individuals’ loneliness and satisfaction with life. Methods: The research is a cross-sectional study that evaluates individuals’ loneliness, satisfaction with life, and perception of God. The study group consists of 378 individuals living alone in Turkey. Among the participants, 196 are women (51.9%) and 182 are men (48.1%). The UCLA loneliness scale, the satisfaction with life scale, the perception of God scale, and a personal information form were used as data collection tools in the study. Results: The examination of research findings indicated that the variables of loneliness, perception of God, and the interaction between loneliness and the perception of God explained 28% of the variance in individuals’ satisfaction with life. We determined that satisfaction with life was affected significantly and positively by the perception of God (β = 0.28, p < 0.001) and significantly and negatively by loneliness (β = −0.38, p < 0.001). The interactional effect of the variables of loneliness and perception of God on satisfaction with life was also found to be significant (β = −0.10, p = 0.023). When we examined the details of the regulatory effect, we found that the effect of loneliness on satisfaction with life decreased even more in cases where the perception of God was high. Discussion: The research findings suggest that loneliness decreases life satisfaction, while positive self-image mitigates this effect. It can be stated that using belief-sensitive therapeutic approaches in the therapeutic process could contribute to alleviating the negative effects of loneliness.
- MakaleAçık Erişim2025Nutritional attitudes of professional women volleyball players: a cross-sectional study from Türkiye
Sahin, Oktay; Guler, Vesile Sahiner; Turan, Mehmet Behzat; Yoka, Keziban; Yoka, Osman; Polat, Yahya
Background: Nutritional habits are a critical factor influencing the performance and recovery of professional athletes. Understanding how demographic variables affect nutrition-related attitudes is essential for developing targeted interventions. Objective: This study examined the nutritional attitudes of professional female volleyball players in Türkiye based on various demographic characteristics. Methods: The study included 386 licensed female volleyball players from the Turkish Women's Volleyball Super League, First League, and Second League. Data were collected using a demographic questionnaire and the Attitude Scale for Healthy Nutrition. Normality was assessed using the Kolmogorov-Smirnov test and skewness-kurtosis values. Statistical analyses included t-tests, ANOVA, LSD post-hoc tests, and partial correlation. Results: Significant differences in nutritional attitudes were found based on league level, smoking status, years of experience, and income level (p < 0.01). No significant differences were observed based on education level. Among the sub-dimensions, the malnutrition component showed no significant differences across most variables. Super League athletes scored significantly higher in nutritional knowledge and positive nutritional behaviors. Conclusion: The nutritional attitudes of professional volleyball players vary considerably according to key demographic factors. These findings highlight the importance of targeted nutrition education, particularly for lower-league athletes, to enhance performance and reduce disparities in nutritional knowledge.
- MakaleAçık Erişim2024Factors affecting decisions of farmers to produce geographical indication dry beans: a case from Turkey
Dogan, Nilgun; Adanacioglu, Hakan
Geographical indications (GIs) are defined as labels that show the relationship of a product with a certain region. They are of great importance in terms of distinguishing these products from the similar ones in terms of the quality that the characteristic features of the region bring to the product, making them stand out commercially, contributing to the rural development and preserving the cultural heritage. Dry beans cultivated by the farmers in the Gümüşhane province is newly recognized as a GI product that is unique in both taste and quality. This study is intended to identify the factors affecting the farmers’ decision to produce GI-labelled dry beans. The survey was conducted in January–March 2021. A sampling size of the participants consisted of 50 farmers who cultivated GI-labelled dry beans and 50 non-GI dry beans. A binary logistic regression analysis approach was employed to identify the factors affecting the likelihood of the farmers cultivating the GI dry beans. The results of the model indicate that the young farmers with the low educational level, the low property land size, the low yield per decare, and the large farmland, the high annual agricultural income and specializing in the dry beans production are more likely to engage in the production of GI dry beans. For the farms involving the GI product, agricultural associations can be advised with the farmers with the wider agricultural acreage and the high annual agricultural income, and that specialize in the production of such products. The participation of the farmers in the agriculture enterprises involving the GI dry beans will depend on them seeing positive widespread effects, which requires a long-term commitment.
- MakaleAçık Erişim2021Investigation of the Effect of the Dataset Size and Type in the Earthquake-Triggered Landslides Mapping: A Case Study for the 2018 Hokkaido Iburu Landslides
Comert, Resul
Rapid mapping of landslides that occur after an earthquake is important for rapid crisis management. In this study, experimental research was conducted on the size of the model area and the data types used in developing classifiers for the supervised classification approaches used in rapid landslide mapping. The Hokkaido Iburu earthquake zone that occurred on September 6, 2018, was selected as the study area. PlanetScope pre-event and post-event images and ALOS-PALSAR Digital Elevation Model (DEM) were used in the analysis processes. In this context, five model areas with different sizes and one test area were determined. Object-based image analysis (OBIA) was used as a landslide mapping approach. Random Forest classifier, which is a supervised classification algorithm, was performed in the mapping of image objects produced by the segmentation stage of OBIA. Two different data sets were created for landslide mapping: change-based dataset and post-event dataset. The change-based dataset is generated from change data such as the difference of normalized difference vegetation index (δNDVI), change detection Image (CDI), princiable component analysis (PCA), and Independent component analysis (ICA) which are used in change detection applications. The post-event dataset was created from data generated from post-event image bands. When the obtained results were examined, higher accuracy results were obtained with the post-event dataset. Increasing the size of the model area, in other words, increasing the training data slightly increases the accuracy of landslide mapping. However, a model area that represents the region to be mapped in small sizes to make rapid decisions provides a 94% F-measure accuracy for earthquake-triggered landslide detection.
- DergiFrontiers in Medicine
- DergiFrontiers in Earth Science
- DergiFrontiers in Sustainable Food Systems