SDG 3 · Sağlık ve Kaliteli Yaşam · SDG · Gümüşhane Üniversitesi

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MakaleAçık Erişim2024Scopus SJRQ1/r/gumushane/16341
Isometric Shoulder and Hip Strength Impact on Throwing Velocity and Reactive Strength
Kayhan, Recep Fatih; Terzi, Esranur; Bayrakdaroglu, Serdar; Ceylan, Halil Ibrahim; Biyikli, Turker
The aim of the study is to examine relationships between shoulder extension-flexion and internal-external rotation strength of professional male handball players with throwing velocity, and the hip extension-flexion strength with horizontal and vertical reactive strength index. Fifteen professional male handball players participating in 1 st League matches took part in the study. The results showed that isometric shoulder flexion and extension strength significantly predicted stable throwing velocity (r (2 )=between 0.27-0.73) and dynamic throwing velocity (r( 2) =between 0.30-0.62). In addition, isometric internal and external rotation strength significantly predicted stable throwing velocity (r (2) =between 0.32-0.54) and dynamic throwing velocity (r (2) =between 0.31-0.44). Moreover, isometric hip extension and flexion strength significantly predicted vertical reactive strength index (r( 2) =between 0.31-0.45) and horizontal reactive strength index (r (2) =between 0.26-0.42). In conclusion, it was observed that shoulder strength has an enhancing effect on handball players' throwing velocity, while hip strength is a determining factor for the reactive strength index. In this context, it is assumed that shoulder weakness during throwing will affect the accuracy and velocity of throwing by disrupting the angular momentum, while weakness in the hip during the jump phase of the throwing motion will negatively affect the explosive power by limiting stabilization during landing.
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MakaleYalnız künye2024Scopus SJRQ2/r/gumushane/16332
Effect of Atherogenic Index of Plasma on Pre-Percutaneous Coronary Intervention Thrombolysis in Myocardial Infarction Flow in Patients With ST Elevation Myocardial Infarction
Aydinyilmaz, Faruk; Özbeyaz, Nail Burak; Guliyev, Ilkin; Algül, Engin; Sahan, Haluk Furkan; Kalkan, Kamuran
Dyslipidemia is an important risk factor for cardiovascular morbidity and mortality. Although low-density lipoprotein (LDL) is primarily responsible, the importance of triglyceride (TG) and high-density lipoprotein (HDL) has also been recognized. The present study investigated the effect of the atherogenic index of plasma (AIP), in which atherogenic and protective lipoproteins were evaluated together, on the initial flow in patients with ST elevation myocardial infarction. AIP was calculated as log(TG/HDL-cholesterol). Patients included in the study (n = 1535) were divided into Thrombolysis in Myocardial Infarction (TIMI) flow grade 0 and >0. AIP was found to be significantly different between 2 groups (.55 & PLUSMN; .23 vs .67 & PLUSMN; .21; P < .001). AIP was an independent predictor for pre-intervention TIMI flow (Odds Ratio: 2.778). A moderate correlation was found between TIMI frame count measurements, calculated in patients with TIMI 2-3, and AIP (Pearson correlation coefficient: .63, P < .001). In the receiver operating characteristic analysis, AIP showed the highest area under curve (AUC) compared with other lipid parameters for predicting vascular patency. The AUC of AIP was .634, the cut-off value was .59, and the sensitivity and specificity were 67.6% and 68.4%, respectively (P < .001). In conclusion, AIP was found to be an important marker affecting pre-percutaneous coronary intervention TIMI flow.
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MakaleYalnız künye2024Scopus SJRQ2/r/gumushane/16325
Psychosocial Dimension of Substance Use Disorder
Ediz, Cicek; Uzun, Sevda; Erdas, Mehmed Burak
This study used a phenomenological research approach to investigate the experiences of individuals in an eastern Turkey city who initiated substance use during childhood. Fourteen participants were selected using criterion sampling and engaged in semistructured, in-depth interviews. The interviews were recorded and transcribed, and a thematic analysis was applied to the data. The study revealed 3 overarching categories (reasons leading to substance use, effects of substance addiction, and coping with addiction) and 9 subthemes (familial factors, environmental factors, traumatic experiences, personal factors, psychological effects, physical effects, social effects, perception of social support, and treatment process). (c) 2023 Elsevier Inc. All rights reserved.
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MakaleAçık Erişim2024Scopus SJRQ1/r/gumushane/16303
The Association Between Glycemic Variability and Mortality in Critically Ill Patients: A Multicenter Prospective Observational Study
Emgin, Omer; Yavuz, Mehmet; Sahin, Adem; Günes, Murat; Eser, Mustafa; Yavuz, Tunzala; Kökalan, Damla; Ergün, Bisar; Rollas, Kazim; Çakirgöz, Mensure Yilmaz
Background: Glycemic variability (GV) is a prevalent and significant condition observed in critically ill patients. This study aimed to investigate the relationship between early glycemic variability parameters and 28-day mortality in critically ill patients. Methods: A multicenter, prospective, and observational study was performed at five tertiary intensive care units (ICUs) in Turkey. All patients who had more than six blood glucose level (BGL) measures per 24 h were included. The parameters of GV including the SD, MGL, MGD (the difference between the maximal and minimal glucose level), and the CV (the percentage of SD to the MGL) in the first 24 h were recorded. Results: A total of 578 eligible patients were enrolled in the study, of whom 43.6% were women. The mean age of the patients was 68.09 +/- 16.62 years. Overall mortality was 31.5% (n = 182). The glycemic parameters of the CV, SD, and MGD were significantly higher in the non-survivor group than in the survivor group (p = 0.040, 0.006, and 0.002, respectively). The multivariate logistic regression analysis revealed that the CV (OR 1.023; 95% CI 1.004-1.042; p = 0.017) was an independent factor that increased mortality. Spearman's rho correlation analysis revealed a strong (r:0.871) and statistically significant correlation (p < 0.001) between the CV and MGD. Conclusions: The CV calculated within the first 24 h of ICU admission is independently associated with 28-day mortality. The MGD is correlated with the CV and is maybe a practical tool to predict increased risk of mortality at the bedside. However, further studies are needed to establish the independent association of the MGD with mortality.
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MakaleAçık Erişim2024/r/gumushane/16285
Physicochemical, sensory and antimicrobial properties of the ice cream containing lavender (Lavandula angustifolia) essential oil
Ürkek, Bayram; Aktas, Haktan; Öztug, Mirac Ozer; Yeniçeri, Esra; Öztug, Pinar
In this study, lavender essential oil (LEO) was added to ice creams as ingredient at 0, 0.02, 0.05 and 0.1% ratios. Some physicochemical, viscosity, rheological, colorimetric, sensory properties, and pathogen inhibition, including L. monocytogenes ATCC 7644 and S. aureus ATCC 29213, of the ice cream samples with the LEO were investigated. It was determined that the melting rate of the ice creams with the LEO was lower (P<0.05) and the overrun values were higher (P<0.05) than the control sample. The highest L* and a* values were determined in the control samples and the sample with 0.1% LEO, respectively. While C* value of the sample with 0.02% LEO was higher than the other samples (P<0.05), the highest white index (WI) value was determined in the control and the sample with 0.01% LEO. The sample containing 0.01% LEO had the highest viscosity values at 20 and 50 rpm. It was determined that there was no statistically significant difference in the consistency coefficients of the samples (P>0.05) and all samples had pseudolplastic flow. The control sample had the highest sensory score, followed by the sample with 0.02% LEO. It was determined that the LEO addition only had a decreasing effect on the count of S. aureus ATCC 29213.
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Editöre MektupAçık Erişim2024Scopus SJRQ3/r/gumushane/16249
Response to Evaluation of the injuries in earthquake victims with computed tomography
Tonkaz, Gokhan; Sengul, Demet; Bekci, Tumay; Sengul, Ilker; Cakir, Ismet Mirac; Cinar, Esma; Tonkaz, Duygu Erkal; Kesicioglu, Tugrul; Aksoy, Iskender; Aslan, Serdar
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MakaleAçık Erişim2024/r/gumushane/16173
The correlation between individuals' attitudes toward cancer screening, cancer information overload, and healthy life awareness: a cross-sectional study
Dogan, Melike Demir; Kurt, Seda; Ertin, Berkay
AimsThis study was conducted to determine the correlation between individuals' attitudes toward cancer screenings, cancer information overload, and healthy life awareness.MethodsIn this cross-sectional study, data were collected from 343 people through face-to-face interviews using the socio-demographic characteristics form, attitude scale for cancer screenings, cancer information overload scale, and healthy life awareness scale.ResultsThe mean age of the participants was 47.79 +/- 11.65 and 61.8% of them were women. Older participants had lower positive attitudes toward cancer screenings and healthy life awareness. Higher education level participants displayed more positive attitudes toward cancer screenings. The higher the level of education and income, the higher the cancer information overload. When their cancer information overload increased, their positive attitudes toward cancer screenings and their healthy life awareness, in turn, decreased. As their healthy life awareness increased, they displayed more positive attitudes toward cancer screening, as well. As the participants' awareness in change, socialization, responsibility, and nutrition subscales of healthy life awareness scale increased, they had more positive attitudes toward cancer screenings.ConclusionConsequently, it was determined that the participants had a high level of positive attitudes toward cancer screenings, a moderate level of cancer information overload, and a high level of healthy life awareness.
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EditoryalYalnız künye2024Scopus SJRQ3/r/gumushane/16161
A rare cause of acute abdominal pain: Perforation of a hepatic hydatid cyst into the peritoneum
Tonkaz, Gokhan; Akdeniz, Cemre; Tonkaz, Mehmet; Tonkaz, Duygu Erkal; Aslan, Serdar
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EditoryalYalnız künye2024Scopus SJRQ2/r/gumushane/16155
A rare case of intraosseous calcaneal lipoma with calcific and cystic components
Tonkaz, Gokhan; Akdeniz, Cemre; Tonkaz, Mehmet; Tonkaz, Duygu Erkal; Bekci, Tumay
AtıfWoS1OpenAlex1
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EditoryalAçık Erişim2024Scopus SJRQ3/r/gumushane/16153
A rare case: cerebral air embolism causing stroke after lung cancer ablation
Tonkaz, Mehmet; Tonkaz, Duygu Erkal; Tonkaz, Gokhan
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MakaleYalnız künye2024Scopus SJRQ3/r/gumushane/16132
Efficacy of fat quantification methods used in MRI to distinguish between normal, benign, and malignant bone marrow pathologies in children
Tonkaz, Duygu Erkal; Ozpar, Rifat; Tonkaz, Mehmet; Yazici, Zeynep
Background Fat quantification methods in magnetic resonance imaging (MRI) have been studied to differentiate bone marrow pathologies in adult patients; however, scarce literature is available in pediatric patients.Purpose To evaluate the efficacy of the T1 signal intensity value (T1-SIV), out-of-phase/in-phase signal ratio (OP/IP SR), and fat fraction (FF) to differentiate between normal, benign, and malignant pathological processes.Material and Methods A total of 48 pediatric patients with lumbar and pelvic MRI were classified into three groups according to bone marrow pathology (group 1, normal; group 2, benign pathology/reconversion; group 3, malignant). The efficacy of T1-SIV, OP/IP SR, and FF values in differentiating these pathologies was evaluated using Kruskal-Wallis or analysis of variance and followed by Bonferroni or Dunn-Bonferroni tests. Cutoff values for malignant infiltration were defined using ROC analysis.Results Although these values were significantly different in all three groups (P = 0.001-0.008), this difference was not sufficient to discriminate between all groups. Subgroup analyses showed significant differences in T1-SIV between groups 1-3, in OP/IP SR between groups 1-3, 2-3, and 1-2, in FF between groups 1-2 and 1-3 in various regions (P = 0.001-0.049). Cutoff values had a sensitivity and specificity of 90%-100% for OP/IP SR and FF.Conclusion T1-SIV, OP/IP SR, and FF may potentially distinguish normal from pathological bone marrow. OP/IP SR and FF values detected malignant infiltration with high sensitivity and specificity in this study. However, only OP/IP SR may significantly differentiate benign and malignant bone marrow pathologies which needs to be confirmed in the future study with a larger patient population.
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EditoryalYalnız künye2024Scopus SJRQ2/r/gumushane/16131
A rare lesion of the clivus: Neuroenteric cyst
Tonkaz, Gokhankhan; Kaya, Abdulkadir; Tonkaz, Mehmet; Tonkaz, Duygu Erkal
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MakaleAçık Erişim2024/r/gumushane/16124
Glass Ceiling Syndrome: A Perspective of Women Working In Health Institutions
Turan Kurtaran, Ayten; Aydin, Arzu; Yesildag, Ahmet Y.
Background and Purpose: Although women constitute the majority of the workforce in the healthcare sector, the number of representations in management positions needs to be increased. This study aimed to determine female health workers' glass ceiling syndrome perception levels and examine socio-demographic variables' effect on this level. Design/methodology/approach: The research sample consists of 708 female healthcare professionals who work in six public hospitals. Perceptions were measured using the 42-item Glass Ceiling Perception scale. Measurements were made on a 5-point Likert scale ranging from 0 to 4. Findings: It was found that the glass ceiling syndrome perception levels of female healthcare professionals were neutral (1.94). It has been determined that female healthcare professionals with a high level of education, doctors and nurses, those between the ages of 26-35, those who work in medical units, and those with a child have higher perception levels of glass ceiling syndrome.
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MakaleYalnız künye2024Scopus SJRQ4/r/gumushane/16109
A New Marker Evaluating the Risk of Ischemic Bowel in Incarcerated Hernia: Immature Granulocytes
Senlikci, Abdullah; Kosmaz, Koray; Durhan, Abdullah; Suner, Mert Orhan; Bezirci, Rifat; Mercan, Umit; Suleyman, Marlen
To evaluate the predictive value of immature granulocytes in intestinal necrosis in incarcerated hernia. The study included patients who were operated on due to incarcerated hernia. The cases were separated into 2 groups as those with or without bowel resection. Age, gender, hernia type, side, white blood cell count, neutrophil count, neutrophil-lymphocyte ratio, red cell distribution width count, immature granulocyte count, platelet count, and platelet lymphocyte ratio were statistically compared between the groups. There were 27 cases (17.3%) in the group with bowel resection and 127 cases (82.7%) in the group without bowel resection. A statistically significant difference was determined between the groups in respect of the hernia type, white blood cell count, neutrophil count, neutrophil-lymphocyte ratio and immature granulocyte count (p<0.05). The cut-off value of the immature granulocyte count was found to be 0.065, with sensitivity of 63% and specificity of 80%. In multivariate analysis, age over 65 years and immature granulocyte count>0.065 were found to be independent predictors of necrosis development. The immature granulocyte value is a fast, easily accessible and reliable marker that can be used to predict intestinal necrosis in cases of incarcerated hernia.
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BildiriAçık Erişim2024/r/gumushane/16073
A Study on the Segmentation and Classification of Diabetic Retinopathy Images Using the K-Means Clustering Method
Incir, Ramazan; Bozkurt, Ferhat
Diabetic Retinopathy (DR) is a retinal disease caused by diabetes, representing one of the most prevalent causes of vision loss affecting millions of people worldwide. Swift detection and treatment of this condition are crucial for preventing the disease. Various deep learning and machine learning algorithms have been employed for disease detection and classification, often overlooking the data preprocessing stage. In the data preprocessing phase of this study, segmentation of important lesions, such as hard exudates, was conducted using the K-Means clustering method. The identified lesions were highlighted on the original images. The resulting dataset was then classified using pre-trained architectures, namely EfficientNetV2-M, ResNet50, MobileNet, and DenseNet121. After training on the APTOS dataset, the EfficientNetV2-M model achieved an accuracy of 95.16%. The classification results indicated the contribution of the lesion highlighting process during data preprocessing to the overall classification accuracy.
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MakaleAçık Erişim2024Scopus SJRQ1/r/gumushane/16039
Investigation of the effects of white tea on liver fibrosis: An experimental animal model
Yilmaz, Huelya Kilic; Türker, Merve; Kutlu, Eda Yilmaz; Mercantepe, Tolga; Pinarbas, Esra; Tümkaya, Levent; Atak, Mehtap
Liver fibrosis is a common, progressive disease that affects millions of patients worldwide. In this study, it was aimed at investigating the effect of white tea on liver fibrosis in an in-vivo environment by creating an experimental liver fibrosis model on rats. In this study, an experimental liver fibrosis model was created with carbon tetrachloride (CCl4) in Sprague-Dawley rats to investigate the effect of white tea on liver fibrosis. Rats are treated with CCl4 (1 mL/kg) to constitute the liver fibrosis model. White tea was given ad libitum with drinking water. As a result of the study, liver tissue hydroxyproline levels were found to be significantly lower (p = .001) in the white tea group. Histopathologically, it was found that the liver tissue histopathological damage score (LHDS) and fibrosis scoring were significantly lower (p < .001) in the white tea group. However, although it was not statistically significant in the group given white tea, compared with the fibrosis group, it was found that the malondialdehyde (MDA) level in the liver tissues was lower, the glutathione (GSH) level was higher, and the serum alanine aminotransferase (ALT) levels were lower. The study explained the effect of white tea on liver fibrosis and suggested that white tea might be beneficial in reducing the progression of liver fibrosis.
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MakaleAçık Erişim2024Scopus SJRQ2/r/gumushane/16022
The effect of motivational interviewing on quality of life and self-efficacy behaviors of individuals with chronic illness: A meta-analysis study
Uzun, Sevda; Guerhan, Nermin
ObjectiveThis study aims to reveal the effect of the motivational interviewing on the quality of life and self-efficacy behaviors of individuals with chronic diseases.Material-methodFor this meta-analysis study, PubMed, Web of Science, EBSCOhost, Google Scholar, and Y & Ouml;K Theses databases were searched in January-May 2021 without year limitation. As a result, 38 studies were included in the study: 23 for the quality of life variable, and 21 for the self-efficacy behaviors variable (in 6 studies, both variables were examined together). The data were synthesized with meta-analysis and narrative methods. The total sample size of the studies is 25,425.ResultsThis meta-analysis study showed that the motivational interviewing applied to individuals with chronic diseases changed their quality of life (SMD: 0.296, %95 CI: 0.054-0.537, Z = 2.402, p = .016, I2 = %95). The type of chronic disease, measurement tool, sample group, disease group, age range, and whether the motivational interviewer was a nurse or not changed the effect size of the motivational interviewing on the quality of life. The self-efficacy score average of the experimental group to which motivational interviewing was applied was statistically similar to that of the control group (SMD: 0.141, %95 CI: -0.065, 0.347; Z = 1.346, p = .178, I2 = %87).ConclusionsAs a result of the meta-analysis, it was determined that the use of motivational interviewing increased the quality of life level of individuals with chronic diseases. However, it is thought that more research is needed because some studies were conducted with small sample size and prepost test design. The results of the study may provide guidance on the interventions to be used in improving the quality of life of individuals with chronic diseases.
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MakaleYalnız künye2024Scopus SJRQ4/r/gumushane/15879
Efficacy of transarterial chemoembolization treatment with 30-60-μm microspheres in patients with hepatocellular carcinoma
Tonkaz, Mehmet; Nas, Omer Fatih; Erkal Tonkaz, Duygu; Inecikli, Mehmet Fatih; Ongen, Gokhan; Ozkaya, Guven
Background: Chemoembolization with small drug-eluting microspheres is widely used in the treatment of hepatocellular carcinoma (HCC). Objectives: This study aimed to evaluate the efficacy and safety of transarterial chemoembolization with doxorubicin-eluting 30-60-mu m microspheres (DEB-TACE) in patients with Barcelona Clinic Liver Cancer (BCLC) stage A and B HCC. Materials and methods: In this single-center study, 88 patients with HCC (BCLC A/B: 15.9%/84.1%) who underwent 137 DEB-TACE sessions between January 2015 and December 2020 were retrospectively assessed. Response to treatment was assessed 4-8 weeks after each DEB-TACE procedure according to mRECIST (Modified Response Evaluation Criteria in Solid Tumors) criteria. Progression-free survival (PFS), time to progression (TTP), overall survival (OS), and adverse events were recorded. Results: In 88 patients (84.1% males; median age, 66.0 years; range, 22-83), the median follow-up was 17 months (range, 2-64). Eight patients (9.1%) had a complete response, 42 (47.8%) had partial regression, 10 (11.3%) had stable disease, and 28 (31.8%) had progressive disease. There was a statistically significant difference between serum alpha-fetoprotein (AFP) levels before and after DEB-TACE treatment (p < 0.001). The median OS was 17 months (95% confidence interval [CI], 10.3-23.7). Cox regression analyses found that preprocedural serum AFP level (400+ vs. < 400; p = 0.024), Child Pugh classification (B vs. A; p = 0.019), and number of DEB-TACE sessions (1 vs. > 1; p = 0.003) were independent risk factors affecting OS. The median PFS was 8 months (95% CI, 5.8-10.2) and TTP was 6 months (1-14 months). Conclusion: Chemoembolization with 30-60-mu m microspheres is an effective and safe treatment for HCC. The number of DEB-TACE sessions is also one of the factors affecting OS.
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MakaleYalnız künye2024Scopus SJRQ2/r/gumushane/14547
Gender moderates the relationships between childhood abuse experiences and mental disorders later in life: a cross-sectional study among university students in Turkey
Türkkan, Tuğba; Odacı, Hatice; Bülbül, Kenan
This study aimed to assess the moderating role of gender in the relationship between childhood abuse and mental disorders in the population of a country that has been little studied. This research was designed by the correlational model, one of the quantitative research designs. 272 university students attending a state university in Turkey participated in the research. For sample selection, the convenience sampling method was used. As a result of analyses within the scope of the present study, it was concluded that gender had a moderating effect on the relationship between sexual abuse and somatisation, emotional abuse and negative self and physical neglect and hostility. This finding may help clinicians and researchers in providing optimal health services.
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MakaleAçık Erişim2024Scopus SJRQ1/r/gumushane/14508
Investigation of the Relationship Between Nursing Students’ Attitudes Toward and Beliefs About Individuals With Obesity, Their Empathy Level, and Body Image Flexibility
Tuncer, Gülsüm Zekiye; Tuncer, Metin; Duman, Zekiye Çetinkaya
Negative attitudes and beliefs leading to discrimination against individuals with obesity and to their exclusion can cause these individuals to experience various biological, psychological, and social problems. Nursing students constitute the group that will provide care, services, and counseling to individuals with obesity in the future. The present study was aimed at determining the relationship between nursing students’ attitudes toward and beliefs about individuals with obesity and their empathy and body image flexibility levels. This study that has a cross-sectional correlational research design was conducted with 445 students studying at Dokuz Eylül University Faculty of Nursing between February 2023 and July 2023. The Sociodemographic Information Form, Beliefs About Obese Persons (BAOP) scale, Attitudes Toward Obese Persons (ATOP) scale, Body Image Flexibility Scale (BIFS), and Toronto Empathy Scale (TES) were used as data collection tools. In order to ensure explanatoriness in the analysis of the data, the multiple regression/ correlation analysis was performed to determine the relationship between the scores for the overall BAOP and ATOP scales, which were dependent variables, and BMI and the scores for the overall TES and BIFS, which were the independent variables. The mean scores that the students participating in this study obtained from the overall BAOP and ATOP were 23.89 ± 4.49 and 72.48 ± 11.19, respectively. The mean scores they obtained from the overall TES and BIFS were 51.61 ± 8.80 and 52.19 ± 15.28, respectively. The results demonstrated that higher levels of empathy and body image flexibility were significantly associated with lower levels of negative beliefs about individuals with obesity (B = −0.107, p =.026; B = 0.271, p <.001) and positive attitudes toward individuals with obesity (B = −0.143, p =.002; B = 0.343, p <.001). In the study, as the students’ empathy and body image flexibility levels increased so did their positive perceptions toward individuals with obesity. Nurses should acquire empathic skills during their education in order to demonstrate an equitable and inclusive approach to care and to provide positive health experiences to individuals with obesity. In order for young people studying at university to be more responsive to others, they should be encouraged to develop body image flexibility for their own and others’ bodies. It is also recommended that topics on combating stigma and discrimination to prevent negative attitudes toward and beliefs about individuals with obesity should be added to the curriculum of nursing students.
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