Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Uzun, Sevda(46)
- Kulakaç, Nurşen(21)
- Aydin, Aydanur(16)
- Demir, Selim(16)
- Tuncer, Metin(16)
- Topal, Fevzi(15)
- Turan, Ibrahim(15)
- Yilmaz, Coskun(14)
- Bayrakdaroglu, Serdar(12)
- Koçak, Tevfik(11)
- Aliyazicioglu, Yuksel(10)
- Gulcin, Ilhami(10)
- Ozturk, Samet(10)
- Topal, Meryem(10)
- Ceylan, Halil Ibrahim(9)
- Ceylan, Levent(9)
- Kilinc, Kagan(9)
- Mentese, Ahmet(9)
- Ozdes, Duygu(9)
- Tuncer, Gülsüm Zekiye(9)
- Duran, Celal(8)
- Emirza, Elif Güzide(8)
- Yaman, Serap Ozer(8)
- Yılmaz, Coşkun(8)
- Baltacı, Cemalettin(7)
- Demirağ, Hatice(7)
- Hintistan, Sevilay(7)
- Kaya, Feridun(7)
- Küçük, Murat(7)
- Ürkek, Bayram(7)
- Şengül, Mustafa(7)
- Bayrakdaroğlu, Serdar(6)
- Deger, Orhan(6)
- Genc, Berna(6)
- Gül, Abdulkadir(6)
- Gülçin, Ilhami(6)
- Günen, Mehmet Akif(6)
- Gürsoy, Ayla(6)
- Kurnaz, Muammer(6)
- Supuran, Claudiu T.(6)
Yayınlar
- MakaleYalnız künye2027Serial mediating role of belonging and state mindfulness in the relationship between clinical learning environment and caring behaviors in nursing students
Özalp, Cemal; Tuncer, Metin; Kaya, Abdulsamed; Şahin, Fatih
Aim: The study aimed to examine the relationship between clinical learning environment and caring behaviors in nursing students and to test the serial mediating roles of belonging and state mindfulness in this relationship. Background: The psychosocial mechanisms linking the clinical learning environment to caring behaviors remain unclear, particularly the combined roles of belonging and state mindfulness. Design: The study had a cross-sectional design and was conducted in line with the STROBE guidelines. Methods: The sample consisted of 452 undergraduate nursing students studying at a state university in Turkiye. The data were collected between December 2025 and January 2026 using the Personal Information Form, Clinical Learning Environment Scale, Nursing Department Belonging Scale, State Mindfulness Scale, and Caring Behaviors Inventory. Results: The clinical learning environment was found to be positively correlated with sense of belonging (B = 0.412, p < .001). Sense of belonging significantly predicted both State Mindfulness (B = 0.607, p < .001) and caring behaviors (B = 0.857, p < .001). State mindfulness is also a significant predictor of caring behaviors (B = 0.734, p < .001). Indirect effects analyses indicated that the clinical learning environment was associated with caring behaviors through sense of belonging and through the sequential pathway involving both sense of belonging and state mindfulness. However, the direct effect of the clinical learning environment on caring behaviors was not significant. Additionally, the indirect effect of the clinical learning environment on caring behaviors through state mindfulness alone was not significant. Conclusions: The results of the study showed that the clinical learning environment is associated with nursing students' caring behaviors indirectly through sense of belonging and state mindfulness, rather than directly.
- MakaleAçık Erişim2026The mediating effect of self-efficacy on the relationship between digital literacy and artificial intelligence anxiety in nursing students
Akay, G; Saruhan, U; Saruhan, Y; Koç, ES; Oğuzhan, H
- MakaleAçık Erişim2026Thermostability and pH Differentiation in Geobacillus Hydrolases: A Comparative Perspective
Akbiyik, E; Varol, A; Tekgul, ZB; Genc, B; Adiguzel, A
- MakaleYalnız künye2026Enhancing Creative Thinking and Innovation Competencies of Oncology Nurses Through an Innovation Workshop: A Mixed-Methods Study
Beke, M; Aydin, A; Ercivan, S; Karakuş, H
- MakaleYalnız künye2026Nursing Students' Approach to Child Patients Who Have Undergone Surgery: A Qualitative Study
Nart, A; Aslan, M; Akoğlu, B; Alataş Demirtaş, S
- Derleme MakaleYalnız künye2026Biopsychosocial dimensions of cancer and spiritual coping strategies: a phenomenological study of patient experiences
Aydın, E; Uzun, S; Karakaş, S; Günay, D; Büyükçerçi, NN
- MakaleYalnız künye2026Women's breast cancer prevention behaviors and cancer fears: the sample of post-earthquake
Aydin, Aydanur
In the event of a natural disaster, women who assume multiple roles within the family unit tend to postpone their health concerns and delay medical appointments. The present study aims to examine the relationship between the level of fear of breast cancer and the implementation of breast cancer preventive behaviours among women following an earthquake. The sample consists of 2,671 women aged 20 and over who participated voluntarily. The data were collected using two instruments: the Breast Cancer Fear Scale and the Women's Breast Cancer Prevention Behaviors Form. Following a comprehensive review of the extant literature, it was determined that women affected by earthquakes exhibited elevated levels of fear of breast cancer. A substantial decline was observed in the utilization of preventive measures necessitating institutional access, including mammography. The findings of this study indicate that education, occupation, and family history of breast cancer have a significant impact on women's post-earthquake fear levels in implementing preventive behaviours. However, given the cross-sectional design and the absence of pre-disaster baseline data, these findings reflect post-earthquake associations rather than temporal or causal trends. Natural disasters can result in the deterioration of health perceptions, exacerbated by heightened stress and health concerns. Consequently, there is an urgent need for innovative approaches to ensure the maintenance of health check-ups and continuous access to preventive care in the aftermath of large-scale natural disasters.
- MakaleAçık Erişim2026The mediating role of physical self-perception and the moderating effect of gender in the association between physical activity and psychological well-being among young recreational participants
Ekizoglu, Ozlem; Tetik, Sibel; Zambak, Omer; Temur, Canan Sayin; Can, Yusuf; Isik, Utku; Koc, Mustafa Can
Background/objective Psychological well-being disorders are increasingly prevalent among young people. While physical activity is known to benefit psychological well-being, the mechanisms-particularly the role of physical self-perception and gender in recreational context remain underexplored. Grounded in the Conservation of Resources (COR) Theory, this study investigates the mediating role of physical self-perception in the relationship between recreational physical activity and psychological well-being and examines whether gender moderates this mediation among youth aged 15-24.Methods A descriptive-relational survey design was employed. The sample comprised 468 young adults (58.5% male, 41.5% female; M_age = 20.08) who regularly participated in recreational physical activities. Data were collected using the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Physical Self-Perception Profile (PSPP), and the Warwick-Edinburgh Mental Well-being Scale (WEMWBS). Mediation and moderation analyses were conducted using PROCESS macro-Models 4 and 7.Results The direct effect of physical activity on psychological well-being was not significant. However, physical self-perception fully mediated the relationship between physical activity and psychological well-being (indirect effect: beta = 0.219, 95% CI [0.151, 0.290]). Among the sub-dimensions of physical self-perception, body attractiveness had the strongest mediating effect. Moderation analysis revealed that gender did not significantly moderate the mediation pathways (a path: p = 0.156; b path: p = 0.954). The mediation mechanism operated with similar strength in both males and females.Conclusion Recreational physical activity improves psychological well-being entirely through the enhancement of physical self-perception, supporting the COR theory that physical activity acts as a resource investment. This mechanism is universal across genders in recreational settings. Interventions aiming to improve youth psychological well-being should not only promote physical activity but specifically focus on fostering positive physical self-perception and body image in inclusive, non-judgmental environments.
- Derleme MakaleAçık Erişim2026Nanoplastic Translocation Across Biological Barriers (Blood-Brain, Placental, Intestinal): Transport Mechanisms, Tissue-Specific Vulnerabilities, and a Corona-Driven Barrier Selectivity Framework
Berber, Ahmet Ali; Yildiz, Esra; Berber, Nurcan; Kurnaz, Muammer; Kenanoglu, Nihan Akinci
Nanoplastics (NPs; <= 1 & micro;m) have been detected in human placenta, blood, lung, atherosclerotic plaque, testis, semen, olfactory bulb, and brain, shifting the field from environmental description toward mechanistic interrogation of barrier crossing. This review synthesises current evidence on NP translocation across the intestinal epithelium, the blood-brain barrier (BBB) and the placental syncytiotrophoblast. We distinguish four evidence categories throughout the review: detection, association, mechanism, and causality. We also apply model-system labels (in silico, in vitro, ex vivo, animal, and human) to every mechanistic claim, so that the strength of each statement can be read off directly. Most current studies use pristine polystyrene nanoplastics at concentrations 3-6 orders of magnitude above plausible human exposure, so the mechanistic conclusions below are hypothesis-generating for human disease rather than definitive. We propose a working conceptual framework-corona-driven barrier selectivity (CDBS)-in which the particle-corona-surface complex, rather than the bare polymer, is hypothesised to dictate which receptor and transport machinery (TfR1, LRP1, FcRn, P-gp/BCRP, caveolae) each barrier engages. CDBS is offered as a hypothesis-stage organising tool requiring experimental validation, not as an established mechanism. We outline reported transport modes, including clathrin- and caveolin-mediated endocytosis, paracellular leakage via ROS-induced tight-junction disassembly, receptor-mediated transcytosis, and the candidate olfactory route. We emphasise that pristine polystyrene-bead doses commonly exceed plausible human exposure by 3-6 orders of magnitude, that detection methods underestimate sub-micrometre particles, and that causal links between NPs and human disease remain hypothesis-generating. A research agenda built on weathered reference materials, microphysiological systems, and integrative human biomarker science is proposed.
- Derleme MakaleAçık Erişim2026Microplastic Contamination in Amphibians and Reptiles: An Ecotoxicological Synthesis of Exposure, Mechanisms, and Risk Implications
Berber, Ahmet Ali; Akbulut, Cansu; Demir, Sefika Nur; Kurnaz, Muammer
Microplastic (MP) contamination has become a defining feature of twenty-first century environmental change, yet the toxicological and ecological consequences for amphibians and reptiles-two vertebrate classes already facing severe extinction pressures-remain fragmented across taxa, regions, and methodological traditions. Here, we synthesize field and experimental evidence from five continents to provide a taxonomically balanced, mechanistically grounded, and geographically explicit assessment of MP exposure, bioaccumulation, and toxicity in herpetofauna, drawing on a structured literature search in Web of Science, Scopus, and PubMed (January 2015-March 2026). Field detection rates of MPs in amphibian larvae range from 26% in conservatively screened Central European populations to 73-80% in anuran tadpoles from high-anthropogenic-pressure Anatolian catchments, with fibrous polyethylene terephthalate (PET), polyethylene (PE), and polypropylene (PP) particles dominating the detected burden. Mechanistic evidence converges on oxidative stress cascades, hypothalamic-pituitary-thyroid axis disruption, gut and cutaneous microbiome dysbiosis, and compromised antiviral and antifungal immunity, with the latter potentially amplifying vulnerability to Batrachochytrium dendrobatidis and to ranavirus. Among reptiles, sea turtles display near-universal MP ingestion with documented maternal transfer to eggs; freshwater turtles, terrestrial squamates, and crocodilians remain critically understudied. Three structural asymmetries constrain current ecotoxicological risk characterization: taxonomic bias toward anurans and sea turtles, geographic bias toward the Global North, and experimental bias toward acute, supra-environmental laboratory exposures using pristine, single-polymer particles that fail to capture the chemical complexity of weathered field mixtures. We argue that MP burden may warrant consideration as a candidate stressor criterion within IUCN Red List assessments and within environmental risk assessment frameworks for freshwater and terrestrial biodiversity once a robust quantitative relationship between MP burden and demographic decline or population-level fitness has been established, and propose six hypothesis-driven research priorities: methodological standardization, reptile toxicokinetics, transgenerational epigenetics, MP-pathogen microbiome interactions and their translation into population viability models, temperature & times; MP interaction under climate warming, and population-genetic consequences of contemporary MP-driven selection, as the most tractable avenues for ecotoxicological progress and for the development of herpetofauna-specific risk characterization frameworks.
- MakaleYalnız künye2026Contralateral DTI-ALPS index as a prognostic biomarker in IDH-wildtype glioblastoma: integrating extent of resection and sex-stratified analyses
Aygün, Tayfun; Keskin, Arif; Palanci, Ozgur; Öztanir, Mustafa Namik; Yücel, Nurullah; Hekimoglu, Gulam
Aim This study aimed to evaluate the independent prognostic value of the contralateral DTI-ALPS index in IDH-wildtype glioblastoma, incorporating tumor morphometry, extent of resection, and sex-stratified analyses within a multivariable framework.Methods A retrospective analysis was performed on 153 IDH-wildtype glioblastoma patients from the publicly available UPENN-GBM dataset. Contralateral DTI-ALPS was calculated using DSI Studio via manual ROI placement; tumor morphometry was derived from expert-annotated segmentation labels using 3D Slicer. Survival analyses included Kaplan-Meier estimation, multivariable Cox regression, time-dependent ROC, restricted cubic spline, and sequential C-index comparison with likelihood-ratio testing.Results The contralateral DTI-ALPS index independently predicted overall survival after adjustment for age, sex, tumor volume, and GTR status (HR = 0.405, 95% CI: 0.227-0.725, p = 0.002). Each one standard deviation increase in DTI-ALPS was associated with a 24.2% reduction in mortality risk. GTR >= 90% (HR = 0.651, p = 0.017) and age (HR = 1.021, p = 0.007) also retained independent significance. DTI-ALPS significantly improved model discrimination beyond age alone (C-index: 0.625 -> 0.653 -> 0.668; likelihood-ratio test p = 0.002). Time-dependent AUC reached 0.741 at 6 months. ALPS-based stratification was more pronounced in the subtotal resection subgroup. Sex-stratified analyses showed numerically stronger associations in females, but formal interaction testing did not confirm effect modification. In an exploratory MGMT subset (n = 57), DTI-ALPS did not retain independent significance after MGMT adjustment.Conclusion The contralateral DTI-ALPS index may provide complementary prognostic information beyond established clinical predictors in IDH-wildtype glioblastoma; however, given the incomplete MGMT methylation data and ongoing methodological debate regarding the biological validity of DTI-ALPS, these findings should be considered exploratory. Prospective validation in cohorts with complete molecular and treatment data is required.
- MakaleAçık Erişim2026Determinants of healthy orthorexia and orthorexia nervosa: the roles of food security, dietary behaviors, and obesogenic environment
Koçak, Tevfik; Arpa Zemzemoglu, Tuba Eda; Türkkan, Tugba; Bülbül, Kenan; Yilmaz, Birsen
Orthorexia has recently gained attention as a two-dimensional construct centered on a shared health orientation. Recent conceptual developments distinguish healthy orthorexia (HeOr), defined as a non-pathological interest in healthy eating, from orthorexia nervosa (OrNe), characterized by rigid and compulsive food control accompanied by psychological and social impairment. This cross-sectional study investigated the associations of HeOr and OrNe with sociodemographic variables, dietary behaviors, and obesogenic environmental factors, and aimed to identify shared and distinct determinants of these tendencies with 1,015 adults aged 18-65 years. Orthorexia tendencies were assessed using the Teruel Orthorexia Scale. Additional measures included the Sustainable and Healthy Eating Behaviors Scale, Short Screening Questionnaire of Highly Processed Food Consumption, Adult Food Security Survey Module, Food Label Reading Attitude Scale, Food Choice Questionnaire, and the Obesogenic Environment Assessment Scale. In the adjusted regression models, HeOr was positively associated with sustainable and healthy eating behaviors (beta = 0.26), AFSS food-insecurity severity score (beta = 0.11), food label reading attitudes (beta = 0.07), health-related food choice motives (beta = 0.09), natural-ingredient preference (beta = 0.14), weight-control motives (beta = 0.15), ethical food choice motives (beta = 0.10), and obesogenic social determinants and effects (beta = 0.09). Conversely, affordability-related motives (beta = -0.08), emotional appeal (beta = -0.15), familiarity (beta = -0.10), and obesogenic cultural determinants/access to experts (beta = -0.12) were negatively associated with HeOr. For OrNe, positive associations were observed with sustainable and healthy eating behaviors (beta = 0.13), AFSS food-insecurity severity score (beta = 0.17), mood-related food choice motives (beta = 0.13), weight-control motives (beta = 0.26), familiarity (beta = 0.09), ethical food choice motives (beta = 0.18), and obesogenic social determinants and effects (beta = 0.30), whereas health-related food choice motives (beta = -0.12), affordability-related motives (beta = -0.08), and emotional appeal (beta = -0.24) showed negative associations. These findings suggest that orthorectic tendencies are associated with individual health motivations as well as broader behavioral and environmental contexts; however, because of the cross-sectional design, these associations should be interpreted as correlational and hypothesis-generating rather than causal.
- MakaleYalnız künye2026An insight of oil protection theory: Survival, structural and metabolic adaptation of Salmonella enterica Enteritidis Phage Type 30 in three triglycerides
Zhao, Huan; Sun, Rui; Cao, Shidi; Ozturk, Samet; Erdogdu, Ferruh; Liu, Xingyi; Liu, Shuxiang
Oil protection theory posits that oil enhances microbial survival and heat resistance in low-moisture foods, yet the role of triglyceride composition remains poorly defined. This study investigates how Salmonella enterica Enteritidis PT 30 adapts during desiccation in peanut oil (mixed triglycerides, aw,25 degrees C = 0.30) and two representative components, namely, trilinolein and glyceryl trioleate. The lipid-specific structural and metabolic adaptations were analyzed through confocal microscopy and transcriptomics. S. Enteritidis exhibited the lowest persistence (3.43-log reduction over 180 days) and weakest heat resistance (2.5 h at 80 degrees C to achieve 3.5-log reduction) in peanut oil. The survival of S. Enteritidis in triglycerides could be correlated with its metabolic dormancy via suppression of ribosomal and oxidative phosphorylation pathways. Trilinolein enhanced S. Enteritidis' heat resistance (30 h at 80 degrees C for 3.5-log reduction) and moderate storage mortality (1.64-log reduction at 180 d), driven by stress hyperactivity. Glyceryl trioleate balanced heat tolerance (8 h) with optimal storage survival (1.19-log reduction), mediated by partial metabolic suppression. Peanut oil preserved S. Enteritidis transient motility in water-rich microenvironments, while pure triglycerides formed compact, dehydrated aggregates. Transcriptomics identified divergent strategies. Peanut oil induced dormancy at the expense of stress resilience, whereas homogeneous lipids imposed distinct constraints; that is, trilinolein amplified oxidative stress, and glyceryl trioleate intensified desiccation. These findings refine oil protection theory, demonstrating that lipid heterogeneity-not just low water activity-shapes microbial outcomes. The mixed components of peanut oil buffer stress but limit protective efficacy, while its purified constituents reveal how specific triglycerides modulate survival. This mechanistic understanding advances theoretical models of pathogen persistence in oily matrices and guides targeted strategies to mitigate risks in low-moisture oil-rich food systems.
- MakaleYalnız künye2026The Stranger at Home: Lived Experiences of Online Gambling Within the Family in Siirt, Türkiye
Bektaş, Ahmet; Toprak, Adnan; Solmaz, Mustafa; Solmaz, Fatih; Erbaş, Sefa; İliter, Seyfettin; Parlar, Yasin
Online gambling is a growing public health concern whose harms extend to the family, yet its familial consequences remain underexplored in contexts where gambling is illegal and extended-family ties are strong. This study examined how men who gamble online perceive gambling to affect their families in Siirt, Türkiye. Using a qualitative exploratory design, in-person semi-structured interviews with nine married or previously married men who currently or formerly gambled online (recruited via purposive and snowball sampling) were analyzed with a hybrid deductive-inductive, codebook thematic analysis (Fereday & Muir-Cochrane, 2006), informed by the six phases of Braun and Clarke (2006). Four themes were identified: entry into online gambling and the experience of addiction; the internal disintegration of the nuclear family; the household’s economic collapse and drift into crime; and the extended family, stigmatization, and the cultural framing of harm. Participants perceived gambling to erode communication and trust, dispossess the household, and displace men from the provider role, while family responses followed conventional gendered lines-disrupting the material division of roles while reactivating a traditional gender order. Distinctive contextual mechanisms emerged, including the extended family’s collective debt-clearing in exchange for religious oaths and the operation of stigma through kinship networks that threatened collective family honor. Because all participants were gamblers, the findings reflect their perceptions of family impact rather than the direct experiences of affected others. The results extend a predominantly Western evidence base and underscore the need for culturally sensitive, family-inclusive support that works with existing kinship structures while protecting those most burdened.
- MakaleAçık Erişim2026Measuring Perceived Social Support After Disaster: Development and Validation of the Perceived Social Support in Disasters Scale (PSSDS-28)
Oruç, Abdurrahman; Cengiz, Ekrem
Background/Objectives: Measuring perceived social support after disaster remains an unresolved psychometric problem. Most instruments do not jointly capture the source of support (from whom it comes) and its function (how it operates). None has been validated in a disaster-survivor sample with retrospectively framed items. We developed and validated the Perceived Social Support in Disasters Scale (PSSDS-28), a 28-item measure integrating both dimensions. Methods: In Phase 1, a PRISMA 2020-guided systematic review; a two-round Delphi with eight experts, cognitive interviews (n = 12); and a pilot study (N = 150) produced a 31-item form. In Phase 2, face-to-face data were collected from 607 adults affected by the 6 February 2023 Kahramanmaraş earthquakes (Türkiye). Multiple analytic frameworks converged on a five-factor, 28-item structure comprising family–relative, social environment, institutional, emotional, and instrumental–informational support. Results: The correlated five-factor model fit the independent validation sample well (CFI = 0.954, RMSEA = 0.076, and SRMR = 0.072) and outperformed a one-factor alternative (ΔCFI = 0.222). Blocks showed strong internal consistency (ordinal α = 0.852–0.949), composite reliability (0.865–0.950), and adequate test–retest stability (ICC = 0.542–0.909). Scalar measurement invariance held across six groupings, with no meaningful differential item functioning. Convergent and discriminant evidence supported construct validity, and common-method variance was negligible. Institutional (M = 3.29) and instrumental–informational support (M = 2.99) scored lowest—a profile a global score would conceal. Conclusions: The PSSDS-28 provides promising initial psychometric evidence for a multidimensional post-disaster assessment instrument situated at the perceived–received interface, a target that general-purpose scales are not designed to capture. Criterion-related validity, cross-cultural validity, and cross-disaster replicability remain to be demonstrated.
- MakaleAçık Erişim2026Non-Alcoholic Beer Production Using Ohmic Heating-Assisted Vacuum Distillation Method
Akdoğan, Arda; Baltacı, Cemalettin
In this study, non-alcoholic beer was produced with an ohmic heating-assisted vacuum distillation system (ODVD) and vacuum rotary distillation (VDD). The processes were conducted at three vacuum pressure levels (100, 150, and 200 mbar). Corresponding operating temperatures were 50, 58, and 67°C for the VDD system, while the ODVD system operated at in-situ-ohmic heating without an external heating medium. In ODVD, three voltage gradients (15, 20, and 25 V/cm) were applied. The two systems were compared in terms of processing time, energy efficiency, aroma profile, antioxidant capacity (ABTS, DPPH, TAC, FRAP), total phenolic (TPC) and total flavonoid content (TFC), vicinal diketone (VDK), pH, color, and bitterness value. The ODVD system showed significantly shorter processing times and energy efficiency than VDD. While the pH values of dealcoholized beer increased slightly compared to the original beer, color and bitterness values were higher in VDD samples. Aroma compounds such as ethyl acetate, isoamyl acetate, and ethyl caproate were lost during both processes. Overall, the findings demonstrate that ODVD is a promising and energy-efficient alternative for the production of non-alcoholic beer, with comparable product quality to VDD.
- MakaleAçık Erişim2026Weekly Fluctuations in Internal Load and Neuromuscular Performance Across a 10-Week Training Period in Elite Female Boxers
Aydın, Ahmet Serhat; Altuğ, Tolga; Yılmaz, Coşkun; Badau, Adela; Söyler, Mehmet
This study examined weekly internal load and neuromuscular performance in elite junior female boxers over 10 weeks. Internal load was quantified using session rating of perceived exertion (sRPE), from which weekly monotony and strain were derived. Neuromuscular performance was assessed weekly using wall-sit endurance and a repetitive jump test. Twenty elite junior female boxers (Mean ± SD: 18.9 ± 1.2) were monitored during regular training without experimental manipulation. Weekly sRPE-derived training load, monotony, and strain showed statistically significant week-to-week fluctuations (p < 0.001). Neuromuscular performance improved in week 2, declined during weeks 3–5, and partially recovered in week 6. The findings demonstrated consistent temporal alignment between internal-load indices and week-to-week neuromuscular performance changes within an observational monitoring framework. Inter-individual variability was observed across athletes. Overall, sRPE-derived indices reflected training stress patterns and were aligned with neuromuscular performance changes in elite female boxers, supporting their use for contextual monitoring of weekly training responses. These findings support the practical integration of internal-load and performance monitoring in elite female combat-sport settings. Future research incorporating boxing-specific external-load metrics, physiological markers, and longer monitoring periods may further refine individualized load-management strategies.
- MakaleAçık Erişim2026The Mediating and Moderating Roles of Innovation Climate in the Relationship Between Nurses’ Attitudes Toward Artificial Intelligence, Creative Self-Efficacy, and Clinical Competence
Karakaya Suzan, Ozge; Gül, Uğur; Koyuncu, Oğuz; Akdeniz, Canberk
Background: Artificial intelligence (AI) is increasingly integrated into health care; however, how nurses’ attitudes toward AI and creative self-efficacy are associated with perceived clinical competence within different organizational contexts remains unclear. Aim: To examine whether perceived climate for innovation statistically mediates the association between nurses’ attitudes toward AI and perceived clinical competence and moderates the association between creative self-efficacy and perceived clinical competence. Methods: This cross-sectional study included 233 nurses recruited online by convenience sampling from hospitals in Türkiye between January and March 2026. Self-report measures assessed attitudes toward AI, creative self-efficacy, perceived climate for innovation, and perceived clinical competence. Pearson correlations and PROCESS Models 4 and 1 with 5000 bootstrap samples tested statistical mediation and moderation. Adjusted analyses included age, gender, previous AI-related training and AI use, educational level, professional experience, and institution type. Results: Attitudes toward AI were indirectly associated with perceived clinical competence through perceived climate for innovation; the adjusted indirect association remained significant (B = 0.0700, SE = 0.0333, 95% CI [0.0173, 0.1453]), consistent with partial statistical mediation. Perceived climate for innovation also moderated the association between creative self-efficacy and perceived clinical competence after adjustment (interaction B = −0.1672, SE = 0.0447, 95% CI [−0.2552, −0.0792]). This positive association became weaker as perceived climate for innovation increased. Conclusion: Attitudes toward AI, creative self-efficacy, perceived climate for innovation, and perceived clinical competence were significantly associated, and the statistical mediation and moderation patterns remained after adjustment. The cross-sectional, self-report data do not establish temporal or causal mechanisms or effects on objectively measured clinical performance or patient outcomes. Implications for Nursing Management: Nurse managers may consider supporting AI literacy, safe AI use, team-based learning, and innovation-supportive work environments. These strategies should be evaluated prospectively using objective clinical and patient outcomes before their effectiveness is inferred.
- MakaleYalnız künye2026Impact of stress ball intervention on satisfaction, comfort and anxiety in hemodialysis patients: a randomized controlled trial
Salti, Aysun Kazak; Topali, Hasret; Turkmen, Osman Oğulcan
Hemodialysis (HD) patients commonly experience psychological distress and anxiety, which may affect their comfort and satisfaction during treatment. This study examined the overall impact of stress ball use on satisfaction, comfort, and anxiety among individuals receiving HD. A total of 46 patients were randomized between January and July 2025. Three participants in the intervention group withdrew before completing the study; therefore, the final analysis included 43 patients (20 in the stress ball group and 23 in the control group). Data were collected using the Patient Information Form (PIF), Visual Analog Patient Satisfaction Scale (VAPSS), Hemodialysis Comfort Scale (HCS), Distress Thermometer (DT), and Visual Analog Scale for Anxiety (VAS-A). Patients in the intervention group used a stress ball for at least 15 minutes during each of twelve HD sessions. Measurements were obtained at baseline, midpoint, and post-test, while the control group received standard care and was assessed concurrently. The study findings demonstrated that anxiety levels decreased over time in the stress ball group, whereas they increased in the control group. Similarly, distress levels decreased in the stress ball group, while no significant change was observed in the control group. HD comfort scores decreased in the stress ball group but increased in the control group. In contrast, no statistically significant difference was found between the groups in terms of the VAPSS scores. These results highlight the potential value of simple distraction techniques in clinical settings for further improving psychological outcomes.
- MakaleYalnız künye2026Classification and detection of Salmonella, Escherichia coli O157:H7, and Listeria monocytogenes using Fourier-transform near infrared spectroscopy coupled with machine learning
Ozturk, Samet; Huang, Lihan; Hwang, Cheng-An; Sheen, Shiowshuh
This study was conducted to investigate the potential use of Fourier-transform near-infrared (FT-NIR) spectroscopy combined with machine learning (ML) algorithms to accurately identify three foodborne pathogens, including Salmonella spp., Listeria monocytogenes, and Escherichia coli O157:H7. Each bacterial strain (two per pathogen) was individually cultured and purified through sequential washing using ethanol–deionized (DI) water solutions. Each purified culture was transferred into each well of a 96-well cell plate covered with custom-cut filter paper and then vacuum dried at 50 °C under 20 kPa for 1 h. The absorbance spectra of dehydrated bacterial cells were then acquired across the range of 1000–2400 nm using a diffuse reflectance probe connected to a FT-NIR process analyzer. To identify the optimal classification pipeline, the acquired spectra were analyzed using ten different pre-processing methods, three feature selection methods, and supervised algorithms including partial least squares discriminant analysis (PLS-DA), support vector machine (SVM), random forest (RF), artificial neural network (ANN), and convolutional neural network (CNN). Furthermore, the accuracy of the developed ML pipelines was further enhanced through under-sampling and boosting steps. The results demonstrated that SVM, RF, ANN and CNN outperformed PLS-DA, where the classification accuracies were above 90%. The findings demonstrate that using Savitzky-Golay first derivative (SG1) filtering to pre-process the full spectra followed by SVM classification yielded the highest accuracy, achieving 95.3% overall accuracy in ML pipeline. This study highlights the powerful capability of FT-NIR spectroscopy coupled with ML algorithms to detect and identify foodborne pathogens on dehydrated surfaces in process environments.