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
- MakaleAçık Erişim2025Scopus SJRQ1Investigation of perceived parental attitude in children exposed to sexual abuse: A case-control study
Bayrak, Nurten Gülsüm; Emirza, Elif Güzide; Uzun, Sevda
Background: The enduring impact of children being subjected to sexual abuse is characterized by lasting traumatic effects. Aims: This study aims to assess the influence of perceived parental attitudes on the incidence of sexual abuse in children who have experienced such abuse, comparing them with a control group. Methods: The research took place at the Child Advocacy Center (CAC) of a hospital in northern Turkey and in the pediatric outpatient clinics of the same institution. The study evaluated 101 children who were exposed to sexual abuse and 100 children who were not. Data collection took place between November 2022 and August 2023. The study employed a ‘Descriptive Information Form’ and the ‘Parental Attitude Scale’ for both case and control groups. The t-test for independent samples, descriptive statistics, and logistic regression analysis were used for data analysis. Results: Analysis of scores from the Parental Attitude Scale revealed significantly lower mean scores in acceptance-involvement and strictness-supervision in the case group (p <.05). The mean scores for ‘acceptance-involvement’ (X¯ = 22.82 ± 6.26, X¯ = 25.71 ± 3.89) were highest in the case and control groups. Neglectful attitude (38.6%) was more prevalent in the case group, while the control group exhibited a higher frequency of democratic attitude (37%). In terms of predictors, acceptance-involvement (OR = 1.091, p =.005) and maternal employment (OR = 4.410, p <.001) were identified as the most significant predictors of exposed to sexual abuse. The study’s Cronbach’s alpha value for the scale was α =.743. Conclusion: The study’s findings on parental attitudes suggest a potential connection between children’s exposure to sexual abuse and inadequate parental acceptance, involvement, supervision, and control.
- MakaleAçık Erişim2025Scopus SJRQ1An Examination of Relationships Between Postural Habits and Awareness of Fatigue and Musculoskeletal Discomfort in Nurses
Tuncer, Metin; Tuncer, Gülsüm Zekiye; Turan, Şeyma; Khorshtd, Leyla
Introduction: Prolonged fatigue, caused by the hospital's demanding workload and physical demands, can increase strain on the musculoskeletal system, leading to musculoskeletal issues that may negatively impact nurses' job performance and quality of life. High postural awareness, on the other hand, can help nurses develop correct posture and movement habits, reducing the risk of experiencing discomfort, thus preserving their physical health and supporting workforce sustainability. Therefore, it is of particular importance to determine the relationship of postural awareness to fatigue and musculoskeletal discomfort in nurses working in a hospital environment with heavy working conditions and many ergonomic risks. Aim: The aim of this study was to describe the postural habits, awareness, occupational fatigue levels and musculoskeletal disorders of nurses working in hospitals and to examine the relationships between these factors. Method: This study used a quantitative cross-sectional design. The study sample consisted of 132 nurses working in a hospital in Türkiye. The data for the study were collected between July and October 2023 using the Occupational Fatigue Exhaustion/Recovery Scale (OFER), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and Postural Habits and Awareness Scale (PHAS). Results: A significant positive, low-level correlation was found between the Recovery subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = 0.277, p < 0.05). A significant negative, moderate-level correlation was observed between the Chronic Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = −0.311, p < 0.001). Additionally, a significant negative, moderate-level correlation was found between the Acute Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = −0.326, p < 0.001). Conclusion: This study found that as nurses' correct postural habits improved, both acute and chronic fatigue decreased, whereas recovery increased. It is suggested that interventions aimed at enhancing postural awareness and promoting correct postural habits in nurses may also positively influence occupational fatigue and exhaustion.
AtıfScopus1WoS1OpenAlex3
İncele - MakaleAçık Erişim2025Scopus SJRQ1Development and psychometric evaluation of the father-preterm infant bonding scale
Gül, Uğur; EFE, Emine; Bektaş, Murat
Objective: The purpose of this study is to describe the development process of the Father-Preterm Infant Bonding Scale (F-PIBS) and to report the results of its psychometric evaluation. Methods: A methodological, correlational, comparative, and cross-sectional design was employed. The study was conducted between June 2023 and September 2024 and included 182 fathers with preterm infants hospitalized in the Neonatal Intensive Care Unit (NICU). Exploratory and confirmatory factor analyses were performed to evaluate the reliability of the scale, and validity was tested using Cronbach's alpha reliability coefficient, split-half reliability, item-total correlations, and Hotelling's T-squared test. Results: The scale comprises 10 items distributed across two sub-dimensions. The content validity ratios of the scale items ranged from 0.80 to 1.00. Cronbach's alpha values for the total scale and sub-dimensions were 0.878, 0.796, and 0.845, respectively. Conclusion: F-PIBS is reliable, valid, and appropriate for evaluating father-preterm newborn bonding levels in the NICU.
AtıfScopus4WoS3OpenAlex3İncele - MakaleAçık Erişim2025Scopus SJRQ1Psychosocial problems experienced by intensive care nurses regarding sleep pattern within the scope of working conditions: A phenomenological study
Atasayar, Belgin Şen; Emirza, Elif Güzide; Uzun, Sevda
Background: Nurses working in intensive care units experience insomnia and accompanying psychosocial problems due to working conditions. Aim: This study explores with a phenomenological approach the psychosocial problems experienced by intensive care nurses regarding sleep patterns within the scope of working conditions. Study Design: In this phenomenological study, semi-structured in-depth interviews were conducted with 16 nurses working in the surgical intensive care unit of a state hospital in Türkiye. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Researchers' interviews continued until they reached data saturation. All interviews were recorded on a voice recorder after obtaining the necessary permissions from the nurses and then transcribed. The study data were evaluated using thematic analysis. The current manuscript was reported following the COREQ checklist. Results: Data analysis revealed three main themes (how working as an intensive care nurse changes sleep patterns, the relationship between shift work, work performance, patient care and how working as an intensive care nurse changes individual life and coping strategies) and nine subthemes (mental, physical, social, work performance, patient care, nutrition, family life, social life and coping). Conclusion: The study's findings revealed that nurses working in intensive care experienced psychosocial difficulties related to sleep patterns and had trouble coping. In particular, it was determined that sleep problems of intensive care nurses cause difficulties in family life, nutrition and social life. It is recommended that the number of personnel in workplaces be increased, overtime hours should be limited, and professional development and training on the importance of sleep for all nurses should be provided. Relevance to Clinical Practice: Nurses working in intensive care units may experience psychosocial problems due to working conditions, which may negatively change their coping skills. Therefore, organizing the working conditions of nurses positively changes their coping skills.
AtıfScopus6WoS6OpenAlex6İncele - MakaleYalnız künye2025Scopus SJRQ3Factors Affecting Separation Anxiety Disorder in Adolescent Earthquake Survivors: The Case of Kahramanmaraş Earthquakes (2023)
Kiymis, Ibrahim; Dogan, Ahsen Aydin
Objective The Kahramanmaras Earthquakes (2023) are the largest and most devastating earthquakes in the history of the Republic. The effects of these earthquakes are particularly deeply felt among younger generations and trigger various psychological factors. Therefore, the aim of this study is to measure the levels of post-traumatic stress disorder (PTSD), social phobia (SP), generalized anxiety disorder (GAD), and depression on separation anxiety disorder (SAD) among adolescent earthquake survivors affected by the Kahramanmaras Earthquakes (2023). Methods In the study, the data were obtained using a survey method. A total of 605 adolescent earthquake survivors exposed to the Kahramanmaras earthquakes were reached. The research was analyzed using structural equation modeling (SEM). Results Surprisingly, according to the research findings, there was no significant and positive relationship between SP (β = -0.006, P > 0.05) and Depression (β = -0.117, P > 0.05) on SAD. Conclusions Consequently, while PTSD and GAD had significant and positive effects on SAD in those adolescent earthquake survivors affected by the Kahramanmaras Earthquakes (2023), SP and Depression did not have significant and positive effects on SAD. Therefore, it is recommended that future studies examine the effects of SP and Depression on SAD more comprehensively and in detail through qualitative research.
AtıfOpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ1Patients' Experiences With Complementary and Alternative Treatments to Manage Chemotherapy Symptoms: A Phenomenological Study
Özmaya, Esma; Uzun, Sevda
This phenomenological study aims to explore the experiences of individuals undergoing chemotherapy, focusing on their symptoms and the use of complementary and alternative treatments to cope with these challenges. Thirteen individuals diagnosed with cancer in a city in the central region of Turkey were interviewed using a semi-structured, in-depth approach in this phenomenological study. The criterion sampling method was employed to select participants, and interviews continued until data saturation was achieved. Thematic analysis was applied to the audio-recorded and transcribed interviews. The study adhered to the COREQ checklist for reporting qualitative research. The data analysis revealed 2 main categories (effects of cancer and chemotherapy on individuals, the use of complementary and alternative treatments to cope with the symptoms of patients receiving chemotherapy) and 6 themes (psychological effects, social impacts, physical effects, social practices, psychological practices, and physical practices). The study demonstrated that individuals faced significant psychological, physical, and social challenges due to cancer, posing difficulties in coping. The symptoms had a substantial negative impact on individuals. The research identified the use of various alternative methods, such as yoga, the Mediterranean diet, and music therapy, as coping strategies. It is recommended that individuals undergoing chemotherapy explore complementary and alternative treatment methods to effectively manage symptoms.
AtıfScopus1WoS1OpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ1Evaluation of Antioxidant and Enzyme Inhibition Properties of Siran Propolis: Correlations With Phenolic Content Determined by LC–MS/MS
Balci, Neslihan; Aslan, Kubra; Erturk, Adem; Gulcin, Ilhami
This study evaluates the antioxidant activity, enzyme inhibition potential, and phenolic composition of ethanolic Siran propolis extract. Antioxidant capacity was measured using reducing power (CUPRAC, FRAP, and Fe3+-reducing) and radical scavenging (DPPH·, ABTS·+, and DMPD·+) assays. The extract showed strong reducing ability, surpassing standard antioxidants in CUPRAC and FRAP assays, correlating with high ferulic acid (40.40 mg/g) and p-coumaric acid (88.60 mg/g) levels identified by LC–MS/MS. While it demonstrated notable DPPH· scavenging (IC50: 30.14 μg/mL), ABTS·+ activity was weaker (IC50: 272.44 μg/mL). Enzyme inhibition assays indicated effective inhibition of α-glycosidase, AChE (IC50: 2.15 μg/mL), hCA I, and hCA II. Notably, AChE inhibition was stronger than the standard tacrine inhibitor (IC50: 8.82 μg/mL), suggesting neuroprotective potential. The observed bioactivities are attributed to synergistic effects of phenolic acids and flavonoids, including quercetin, luteolin, taxifolin, and resveratrol. These findings highlight Siran propolis as a promising natural antioxidant and enzyme inhibitor source with potential therapeutic applications and food formulations.
AtıfScopus12WoS12OpenAlex11İncele - MakaleAçık Erişim2025Scopus SJRQ2Volumetric and microstructural changes in the Hippocampus and cingulum in children with west syndrome
PALANCI, Özgür; KAMAŞAK, Tülay; AYDIN KASAP, Zeliha; EYÜBOĞLU, İlker; DİLBER, Beril; CANSU, Ali
Purpose: We aimed to investigate structural changes in the hippocampus using automated segmentation techniques to evaluate the anatomy and function of the hippocampus in patients with West syndrome (WS). Methods: The study included 48 participants (24 with WS and 24 healthy controls) aged 0‐4 years. Automated segmentation methods were used to measure hippocampal volume and evaluate diffusion tensor imaging (DTI) parameters such as fractional anisotropy (FA) and mean diffusivity (MD). Bonferroni correction was applied for multiple comparisons, setting the adjusted significance threshold at p < 0.0033. Results: Children with WS exhibited significantly reduced total hippocampal volume and diminished volumes in the CA2–CA3, CA4-dentate gyrus (CA4-DG), and SR-SL-SM regions compared to healthy controls (padj <0.0033). After correction, no significant differences were found in the CA1 and subiculum regions (padj >0.0033). Although initial comparisons between ongoing WS and seizure-controlled WS suggested increased volumes in several hippocampal regions in the seizure-controlled group, these differences did not remain significant after adjustment and must be interpreted with caution. Notably, patients with seizure-controlled WS displayed larger hippocampal volumes, higher FA, and lower MD values, indicating a possible link between seizure activity and structural alterations. Additionally, DTI analysis of the cingulum revealed lower FA and higher MD values in WS patients, suggesting compromised microstructural integrity. Conclusions: These findings emphasize the potential role of hippocampal alterations in the pathophysiology of WS and suggest that DTI parameters may serve as useful measures for monitoring disease progression and treatment response.
AtıfScopus2WoS2OpenAlex2İncele - MakaleAçık Erişim2025Scopus SJRQ2Parents’ experiences on the management of the process after sexual abuse of their children in northern region of Turkey: Qualitative study
Bayrak, Nurten G.; Uzun, Sevda
Background: Child abuse is a universal problem with medical, legal, and psychosocial dimensions that every child is at risk of encountering all over the world. Aim: The aim of this study was to evaluate the experiences of parents regarding the management of the process after sexual abuse of their children using a qualitative approach. Methods: In this qualitative study, semi-structured in-depth interviews were conducted with the parents of 15 children who were exposed to qualified sexual abuse living in a city in Northern Turkey. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed. The data of the study were evaluated using thematic analysis. The study was conducted and reported according to the consolidated criteria for reporting qualitative research (COREQ) checklist. Results: In the analysis of the data, three themes (effects of child sexual abuse on the family, sexual abuse and process management, and attitudes and approaches to the child after sexual abuse), and nine sub-themes (mental, physical, social, reactions, difficulties experienced, coping, cognitive dimension, emotional dimension, behavioral dimension) were identified. Conclusion: As a result of the study, it was determined that parents were negatively affected psychologically by the sexual abuse of their children. This study reveals that the concept of family is very important in all aspects of the sexual abuse of children. As a result of the study, it was determined that families were not very effective in process management and some parents blamed themselves for the incident they experienced.
AtıfScopus1WoS2OpenAlex2İncele - MakaleYalnız künye2025Scopus SJRQ2First evaluation and ecological risk of potentially toxic elements in the formations of Akçakale cave (Gümüşhane-NE-Türkiye)
Saydam Eker, Çiğdem; Külekçi, Gökhan; Uçak, Gül
In this study, the potential toxic element levels (PTEs) and adverse health effects of Akçakale cave formations were evaluated using geochemical parameters such as enrichment factor (EF), geo-accumulation index (Igeo), contamination factor (CF), ecological risk factor (Eri), potential ecological risk index (PERI), and non-carcinogenic hazard index (HI). Water does not pose a pollution risk, as the concentrations of potentially toxic elements in all samples are within the permissible limits for drinking water. According to the calculated geochemical parameters, all the samples were polluted with As, Co, Ni, Cu, V, and Pb. Ni, As, Cu, and Pb show very high ecological risk (PER > 320) in all samples, except Cu and Pb in T2T. The PERI values of the PTEs were more than 600 in all samples, indicating a very high potential ecological risk. The HI > 1 values for Co and As in all samples for both adults and children suggested potential non-carcinogenic health risks from exposure to these elements in the cave environment. The PTEs in the Akçakale cave formation were most likely linked to lithogenic, geogenic (Pb–Zn-Cu mineralization), and anthropogenic (agricultural activities) processes, per the findings of the data analysis using multivariate statistics (PCA and PCC). These data obtained are the first findings regarding the potential toxic element content of Akçakale cave.
AtıfScopus2WoS2OpenAlex3İncele - MakaleAçık Erişim2025Scopus SJRQ1A multi-stage fusion deep learning framework merging local patterns with attention-driven contextual dependencies for cancer detection
Catal Reis, Hatice; Turk, Veysel
Cancer is a severe threat to public health. Early diagnosis of disease is critical, but the lack of experts in this field, the personal assessment process, the clinical workload, and the high level of similarity in disease classes make it difficult. In recent years, deep learning-based artificial intelligence models have shown promise, with the potential to increase diagnosis speed and accuracy. These models attract attention with their automatic learning and adaptation capabilities. In this study, the deep learning-based PADBSRNet model and the PADBSRNet-Vision Transformer (ViT) hybrid method are proposed for the detection of brain tumors and skin and lung cancers. PADBSRNet is a comprehensive deep neural network architecture that integrates separable and traditional convolution layers, multiple attention mechanisms, bidirectional recurrent neural networks, and cross-connections/multi-stage feature fusion strategies. This architecture offers significant advantages in terms of effectively extracting local-global, contextual features and accurately modeling long-term dependencies in image classification tasks. The second proposed approach developed a hybrid method that combines the advantages of the PADBSRNet model and the ViT model. Experimental analysis on medical datasets such as the Figshare Brain Tumor Dataset, IQ-OTH/NCCD Dataset, and Skin Cancer: Malignant vs. Benign Dataset has evaluated the proposed models' performances. According to the experimental results, the PADBSRNet model has shown successful performance with 95.24 %, 99.55 %, and 88.61 % accuracy rates, respectively. The experimental findings show that the proposed deep learning model can effectively learn the complex relationships and hidden patterns of cancer disease, thus producing applicable and effective results in cancer diagnosis.
AtıfScopus3OpenAlex2İncele - MakaleAçık Erişim2025Scopus SJRQ1Protective effect of tarantula cubensis extract on ischemia-reperfusion injury in rat ovaries: Immunohistochemical, biochemical and histopathological evaluations
Paksoy, Zahid; Ozturk Sarikaya, Sevim Beyza; Yumusak, Nihat
Ischemia-reperfusion (IR) injury is a common pathology affecting the ovary. This study aimed to investigate the effect of Tarantula cubensis extract (TCE) on ovarian IR injury. Forty-two female rats were used and randomly divided into 7 groups: Control, Sham, IR, Ischemia+TCE+Reperfusion, TCE+IR, Ischemia+Ethanol+Reperfusion and Ethanol+IR. The control and sham groups did not receive any treatment. All other groups were subjected to 3 h of ischemia + 3 h of reperfusion. A single dose of TCE (0.2 ml Theranekron) was administered subcutaneously either before or after ischemia in the treatment groups. In the last 2 groups, ethanol was applied before or after ischemia. After reperfusion, blood samples were collected and analyzed for biochemical parameters. Additionally, the ovarian tissue was evaluated histopathologically and immunohistochemically. The IR group exhibited more marked hyperemia, hemorrhage, and necrosis. Both treatment groups showed histopathological improvement. Moreover, the recovery rate was greater in the animals given theranekron before ischemia. IR injury caused oxidative stress in the rats. However, Theranekron did not significantly reduce the MDA levels (p > 0.05). On the other hand, SOD levels were significantly increased in the treatment groups (p < 0.01). Compared to the control and sham groups, the IL-1β, IL-6 and TNF-α levels were very high in the IR group. Conversely, the immunoreactivity of these cytokines was further reduced in the animals given theranekron before ischemia. Our findings suggest that TCE may be beneficial in the treatment of ovarian IR damage, especially when Theranekron is given before ischemia.
AtıfScopus3WoS3OpenAlex3İncele - MakaleYalnız künye2025Scopus SJRQ1ChatGPT-4 in Nursing Research: A Methodological Evaluation of Bias Risk in Randomized Controlled Trials
Tuncer, Metin; Tuncer, Gülsüm Zekiye
Background: Conducting bias assessments in systematic reviews is a time-consuming process that involves subjective judgments. The use of artificial intelligence (AI) technologies to perform these assessments can potentially save time and enhance consistency. Nevertheless, the efficacy of AI technologies in conducting bias assessments remains inadequately explored. Aim: This study aims to evaluate the efficacy of ChatGPT-4o in assessing bias using the revised Cochrane RoB2 tool, focusing on randomized controlled trials in nursing. Methods: ChatGPT-4o was provided with the RoB2 assessment guide in the form of a PDF document and instructed to perform bias assessments for the 80 open-access RCTs included in the study. The results of the bias assessments conducted by ChatGPT-4o for each domain were then compared with those of the meta-analysis authors using Cohen's weighted kappa analysis. Results: Weighted Cohen's kappa values showed better agreement in bias in the measurement of the outcome (D4, 0.22) and bias arising from the randomization process (D1, 0.20), while negative values in bias due to missing outcome data (D3, −0.12) and bias in the selection of the reported result (D5, −0.09) indicated poor agreement. The highest accuracy was observed in D5 (0.81), and the lowest in D1 (0.60). F1 scores were highest in bias due to deviations from intended interventions (D2, 0.74) and lowest in D3 (0.00) and D5 (0.00). Specificity was higher in D5 (0.93) and D3 (0.82), while sensitivity and precision were low in these domains. Conclusions: The agreement between ChatGPT-4o and the meta-analysis studies in the same RCT assessments is generally low. This indicates that ChatGPT-4o requires substantial enhancements before it can be used as a reliable tool for bias risk assessments. Clinical Relevance: The AI–based tools have the potential to expedite bias assessment in systematic reviews. However, this study demonstrates that ChatGPT-4o, in its current form, lacks sufficient consistency, indicating that such tools should be integrated cautiously and used under continuous human oversight, particularly in evidence-based evaluations that inform clinical decision-making.
AtıfScopus1İncele - MakaleAçık Erişim2025Scopus SJRQ2In vitro glycemic index, acrylamide content, and some physicochemical and sensorial properties of special dried bread (Peksimet) enriched with einkorn wheat (Tiriticum monococcum L.) flour
Yuksel, Ferhat; Çağlar, Sümeyye
In the present study, einkorn wheat flour (Tiriticum monococcum L.) was incorporated into a special dried bread (peksimet) formulation produced from sourdough breads at different concentrations (0–10–20–30–40 and 50 g 100 g−1) and some physicochemical and nutritional (total dietary fiber, resistant starch, glycemic index, acrylamide content) characteristics and sensory properties of the samples were investigated. The total dietary fiber content of the bread samples ranged from 3.00 to 6.17 g 100 g−1. The highest acrylamide content (247.54 µg/kg) was obtained using an einkorn flour level of 40 g 100 g−1. Einkorn wheat flour resulted in a significant decrease (from 94.61 to 89.23) in the glycemic index level of the bread samples (p < 0.05). Bread enriched with einkorn wheat flour (50.0 g 100 g−1) received the highest overall acceptability score. In conclusion, einkorn wheat flour could be used in a special dried bread formulation to enhance its nutritional quality.
AtıfScopus1WoS1OpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ1Nursing students' cybersecurity practices and perceptions and cybersecurity crime awareness: A cross-sectional study
Yalcinkaya, Turgay; Tuncer, Metin; Tuncer, Gülsüm Zekiye; Erol, Ahmet; Cinar Yucel, Sebnem
Background: Cybersecurity has become a critical issue with the increasing use of digital platforms in healthcare. Understanding nursing students' cybersecurity practices, perceptions, and cybercrime awareness is essential for improving healthcare security and developing strategies to mitigate cyber threats. Aim: This study aimed to determine nursing students' cybersecurity practices, perceptions, and cybercrime awareness. Design: A descriptive cross-sectional design was used. Setting: The study was conducted between April and June 2024 at a School of Nursing within a public university in Türkiye. Participants: A total of 434 undergraduate nursing students participated in the study. Methods: Data were collected face-to-face using a paper-and-pencil technique. The data collection tools used included the Personal Information Form, Cyber Security Scale (CSS), and Cyber Crime Awareness Scale (CAS). Data analysis utilised descriptive statistical methods, Pearson correlation analysis, independent samples t-test, ANOVA, and linear regression analysis. Results: The study revealed that 92.9 % of the students had not received any prior cybersecurity education. The mean CSS score was 87.50 ± 11.40, and the mean CAS score was 174.75 ± 36.75. A moderate positive correlation was found between the CSS and CAS scores (r = 0.576, p < 0.01). A positive relationship was found between computer usage skills and CSS scores (r = 0.190, p < 0.01), while a weak negative correlation was observed between internet usage duration and CSS scores (r = −0.095, p < 0.05). No relationships were identified between the CSS score and age, gender, or cybersecurity education. Linear regression analysis showed that higher computer usage skill levels were significantly associated with increased CSS scores (B = 1.129, p < 0.001). Conclusions: The findings highlight the importance of integrating cybersecurity education into the nursing curriculum. Enhancing cybersecurity awareness and practices may help protect patient data and support safer healthcare by better preparing nursing students for cyber threats.
AtıfScopus1WoS1İncele - MakaleAçık Erişim2025Scopus SJRQ1Mandala coloring reduces anxiety and pain in circumcised children: A randomized controlled trial
Akay, Gamze; Koç, Elif Simay; Oğuzhan, Hatice
Background: Boys often experience significant fear and anxiety before the circumcision procedure, and postoperative pain is linked to increased fear and anxiety in children. Objectives: The aim of this study was to determine the effect of mandala coloring on fear, anxiety, emotional symptoms and postoperative pain of circumcised children. Methods: This randomized controlled trial was conducted in the pediatric clinic of a state hospital in eastern Turkey. Children were divided into two groups using a computer program: Group 1 (control) included children with no intervention (n = 40), and Group 2 (mandala coloring) included children who received mandala coloring (n = 38). Statistical analyses were performed using the Kolmogorov-Smirnov test to assess the normality of the data, the chi-squared test to compare categorical variables between groups, the paired samples t-test for within-group comparisons, the independent samples t-test for between-group comparisons, and mixed model repeated measures ANOVA (rANOVA) to evaluate the temporal changes in pain and anxiety scores across groups. Findings: Children's fear, anxiety, emotional symptom, and postoperative pain scores were similar in all groups before the nursing intervention, and the fear, anxiety, and emotional symptom scores of the mandala painting intervention group were statistically lower than the control group after the nur csing intervention. The pain scores of the children in the mandala coloring group were lower than the control group after surgery. Conclusion: Mandala coloring intervention can be used to reduce emotional symptoms, fear, anxiety and postoperative pain in children aged 6–12 years undergoing circumcision.
AtıfScopus8WoS6OpenAlex8İncele - MakaleAçık Erişim2025Scopus SJRQ2The effect of psychoeducation on hope, loneliness and depression of nursing students who experienced 6 February 2023 Turkey earthquake
Çakmak, Seher; Uzun, Sevda; Dere, Cansu; Akdemir, Rabia Rümeysa; Baygin, Şevval; Çoban, İclal Gül
Psychoeducation after a traumatic event can help reduce negative effects by providing a cognitive framework for one’s experience. It can also enable trauma survivors to increase their ability to help coping. The aim of this study was to examine the effect of psychoeducation on hope, loneliness and depression in nursing students who experienced 6 February 2023 Turkey earthquake. The study, which was conducted in experimental design, included 40 students who experienced the February 6 earthquake. 20 students were assigned to the psychoeducation group and 20 students to the control group. Students in the psychoeducation group received six sessions of psychoeducation, while students in the control group were not intervened. ’Personal Information Form’, ‘Beck Hopelessness Scale’, ‘UCLA Loneliness Scale’ and ‘Beck Depression Scale’ were used to collect the data. Mean, standard deviation and percentage calculations, chi-square test and t test were used to analyze the data. Sociodemographic characteristics of the students in the psychoeducation and control groups were similar except for the place of residence (p > 0.05). It was determined that the mean score of the hope sub-dimension of the ’Beck Hopelessness Scale’ was statistically significantly higher in the control group (p < 0.05). It was determined that there was no statistically significant difference between the students in the psychoeducation and control groups in terms of hopelessness levels and mean scores of ‘UCLA Loneliness Scale’ and ‘Beck Depression Scale’ (p > 0.05). There was a statistically significant difference between the students in the psychoeducation and control groups in terms of depression levels (p < 0.05). In conclusion, psychoeducation was partially effective on hope and depression and not on loneliness in students who experienced the earthquake. Students in the psychoeducation group had lower levels of depression. It is recommended that students experiencing natural disasters such as earthquakes should be monitored by a specialized psychologist and the duration of psychoeducation should be regulated.
AtıfScopus2WoS2OpenAlex3İncele - MakaleAçık Erişim2025Scopus SJRQ2Maximizing phonation: impact of inspiratory muscle strengthening on vocal durations and pitch range
Yilmaz, Coşkun; Bostanci, Özgür; Eken, Özgür; Alkahtani, Rania; Aldhahi, Monira I.
Background: This study investigated the acute effects of inspiratory muscle warm-up (IWU) on vocal performance in singers. Proper vocal and respiratory warm-up can enhance vocal range, quality, and endurance. The aim was to determine whether IWU improves maximum phonation time and pitch range, contributing to better voice production efficiency (vocal efficiency) and reduced fatigue. Materials and methods: Singers were selected from the Samsun State Opera and the Ballet Directorate (n = 16). This cross-sectional study aimed to investigate the acute effects. The singers in the control group (SC = 8) performed only one session of routine voice warm-up, and the experimental group (SE = 8) conducted an inspiratory muscle warm-up (IWU) of 2 sets, 30 times/set at 40% maximal inspiratory pressure (MIP) in addition to routine voice warm-up. Subsequently, All participants were then required to perform pre- and post- pulmonary function tests, maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP), and voice recordings (note high pitch, note low pitch, high pitch durations and low pitch durations sustained with one breath, and maximum phonation duration). Results: All pulmonary function and muscle strength parameters improved in the SE group, with the highest increases in MIP (22.9%) and MEP (14.7%). No significant improvements were noted in the SC group (p > 0.05). The Borg Rating of Perceived Exertion showed that the SE group experienced less difficulty with their vocal performance after IWU (-11.6%, p = 0.006), while no significant change was observed in the SC group (p = 0.316). Both warm-up methods used in the study significantly affected the frequencies of high-pitch sounds (SE = 17.8%, SC = 10.9%, p = 0.003); however, the frequency of low-pitch sounds was not significantly affected (p = 0.437). IWU significantly affected the high-pitched note duration (p < 0.001; 32.17%), low-pitched note duration (p < 0.001; 27.11%), and maximum phonation time (p < 0.001; 21%), while routine voice warm-up did not significantly affect any parameter (p > 0.05). Conclusions: The combination of IWU with the general body and voice warm-up protocol can acutely improve vocal performance in terms of maximum phonation time, phonation times of the highest and lowest pitched sounds in a single breath, and vocal range levels.
AtıfScopus9WoS5OpenAlex8İncele - MakaleAçık Erişim2025Scopus SJRQ1The perspectives of nurses, as prominent advocates in sustainability, on the global climate crises and its impact on mental health
Ediz, Çiçek; Uzun, Sevda
Objective: To evaluate the perspective of nurses in Turkey towards the global climate crisis and its impact on mental health using a qualitative approach. Materials and Method: This study was conducted from August to September 2023 with 35 nurses living in seven regions of Turkey using an inductive qualitative approach. The researchers employed the snowball sampling method to select participants. Interviews with the participants were conducted until data saturation was reached. Thematic analysis was used to emerge themes. Results: The findings revealed five main themes (perception of the global climate crisis, effects of the global climate crisis, effects of the global climate crisis on mental health, reflections of the global climate crisis on nursing and nurses' views on prevention and intervention studies for the global climate crisis). Also, the findings revealed 12 sub-themes (physical outcomes, mental outcomes, direct and indirect impacts, psychosocial effects and personal, national and international-based reflections). Conclusion: Our study indicates that nurses exhibit genuine concern for the global climate crisis and experience psychological effects related to this pressing environmental issue. Nurses are keenly aware of their responsibility to safeguard the planet and demonstrate a strong sense of concern for the state of the world. Impact: It is evident that nurses, being prominent advocates for sustainability, are cognizant of their responsibility to protect the planet and demonstrate genuine apprehension for the state of the world. Implications: Nurses play a crucial role, as they make up 60% of the global healthcare workforce and are often the frontline healthcare professionals during natural disasters. It is vital to elucidate and clarify the terminology concerning the relationship between the climate crisis and the mental health of nurses, to determine the scope of this relationship and to make recommendations for future research areas. Patient or Public Contribution: No patient or Public Contribution.
AtıfScopus15WoS13OpenAlex15İncele - MakaleYalnız künye2025Scopus SJRQ2Chemical Composition and Bioactivities of Sideritis libanotica Labill subsp. Libanotica: LC–HRMS Phytochemical Profiling, Mineral Content, Antioxidant, Antibacterial, and Neuroprotective–Antidiabetic Enzyme Inhibitory Potentials
Öztürk Sarıkaya, Sevim Beyza; Zehiroğlu, Cuma
Sideritis libanotica Labill. subsp. libanotica (SLL) is an herbal tea used for colds, coughs, and digestive system disorders. SLL has higher antioxidant activity in methods (µg/mL) like 1,1-diphenyl-2-picrylhydrazyl (DPPH•) (40.912 ± 0.170), ABTS•+ (14.61 ± 0.331) scavenging activity, and Fe3+ (0.872 ± 0.052) and Cu2+ (0.840 ± 0.013) reduction capacity compared to other Sideritis species. It is rich in essential minerals, such as Ca, Mg, and P, with the highest content of mineral K (14 203.97 mg/kg). Zone values in the range of 9–11 mm were obtained from Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, Pseudomonas aeruginosa, Pseudomonas putida, and Klebsiella pneumoniae strains, which is an indicator that the plant has antibacterial activity. Among 33 secondary metabolites, sinapinic acid, rutin, and hispidulin have high values, whereas the one with the highest value is verbascoside (274 483 mg/kg), a pharmacologically active compound. It showed an inhibitory effect (mg/mL) on some enzymes targeting neurodegenerative and metabolic disorders. (IC50; acetylcholinesterase [AChE]: 0.065, butyrylcholinesterase [BChE]: 0.086, α-glucosidase: 0.014).
AtıfScopus1WoS1OpenAlex1İncele