Gümüşhane ÜniversitesiGümüşhane ÜniversitesiAçık Erişim Arşivi · RDL Open

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  • MakaleAçık Erişim2026
    Health sciences students’ attitudes toward artificial intelligence: predictors of ethical awareness, clinical decision-making, and public health perceptions-a cross-sectional study

    Unal, Cihan; Şahin, Selim

    This study investigates health sciences students’ attitudes toward artificial intelligence (AI) and the implications for ethical awareness, clinical decision-making, and public health. A cross-sectional survey was conducted between April 27 and May 15 2025, with 668 students from five departments at Gümüşhane University, employing the validated Artificial Intelligence Attitude Scale, which measures benefits, risks, and use, alongside 12 binary-response items assessing ethical, clinical, and public health judgments. Descriptive statistics, t-tests, ANOVA, and logistic regression analyses were applied. Findings indicate that students perceive AI as highly beneficial (M = 4.05) but also associate it with notable risks (M = 2.52; where lower scores indicate a higher level of perceived risk due to reverse coding). Logistic regression analyses revealed that risk perception (reverse-coded; higher scores indicating lower perceived risk) was the most consistent predictor across all dimensions. Specifically, students with lower perceived risk were significantly more likely to reject concerns regarding patient privacy (OR = 2.55, 95% CI [2.03–3.21], p < 0.001), dismiss the idea that relying on AI instead of human expertise is problematic (OR = 1.57, 95% CI [1.25–1.96], p < 0.001), and reject the notion that AI systems may harm public health (OR = 2.52, 95% CI [1.98–3.20], p < 0.001). While participants endorsed AI’s potential in enhancing patient safety, chronic disease management, and preventive care, they expressed significant concerns about privacy, legal responsibility, and a potential weakening of patient–clinician communication. Gender, academic discipline, and prior AI use further differentiated attitudes. The results highlight a dual perception of AI as both an opportunity and a threat, emphasizing that successful integration in healthcare requires not only technical competence but also ethical, legal, and communicative safeguards.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleYalnız künye2026
    Determination of the Effects of Virtual Reality-Based Videos on Symptoms, Vital Signs and Comfort in Hemodialysis Patients

    Coşar, Dilan Aktepe; Bingöl, Nuray

    Introduction: This pioneering study aimed to examine the effects of virtual reality (VR)-based videos on symptoms, vital signs, and comfort levels in hemodialysis patients, offering an innovative approach to improving their quality of life. Methods: This randomized controlled pretest-posttest study included 54 hemodialysis patients treated at “X” Hospital between June 2024 and May 2025. Twenty-five patients were assigned to the intervention group, 25 to the control group, and 4 to a pilot group. Data were collected at baseline and after 8 weeks. Statistical analyses included t-tests, repeated measures ANOVA, Mann–Whitney U, and Friedman tests. Results: In the intervention group, Dialysis Symptom Index (DSI) scores decreased significantly (p < 0.05), and comfort levels increased significantly (p < 0.05) across all subscales of the Hemodialysis Comfort Scale Version II. Vital signs remained within normal ranges before and after the intervention. Conclusion: This study revealed that the use of virtual reality headsets significantly influenced dialysis symptom index scores and comfort levels. The intervention effectively reduced dialysis symptoms and significantly increased patient comfort. No significant differences were observed in vital signs.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleAçık Erişim2026
    A Comparative Study of 137Cs Dose Factors for Constant and Depth-dependent Soil Densities

    Çelik, Necati; Akçay, Nilay; Çevik, Uğur

    Accurate assessment of external radiation dose rates from 137Cs is essential for evaluating radiological risk in environmental and occupational settings. This study refines dose conversion coefficient calculations by incorporating depth-dependent soil density and addressing limitations in conventional methods that assume constant soil density. We calculated dose conversion coefficients for 137Cs in soil, considering both exponential and Gaussian distributions of activity concentration. Using two models, one with constant density and another with variable density as a function of depth, we compared dose rates to quantify the effect of soil density variations. Results indicate that dose rates are consistently higher when depth-dependent density is applied. The effect is more pronounced when 137Cs activity is distributed over larger depths (i.e., greater relaxation lengths) or when broader Gaussian distributions are considered. This suggests that assuming constant soil density may lead to underestimations of dose rates, especially in heterogeneous or compacted soils. Our findings emphasize the importance of accounting for density variability in dose calculations to enhance radiological risk assessments for areas contaminated with 137Cs.

    İncele
  • MakaleYayıncıda açık erişim2026
    Boric acid-activated carbon derived from Scots pine sawdust for phenol removal: adsorption mechanism, linear and nonlinear kinetic and isotherm modeling, and artificial neural network prediction

    Ozdes, Duygu; Turfan, Fatma Asya; Seker, Serdal; Kavgaci, Gonca; Onal, Yunus

    In this study, a sustainable activated carbon was successfully prepared from Scots pine sawdust via boric acid activation (H3BO3-AC-SPS) and evaluated for phenol adsorption from aqueous solutions. The physicochemical characteristics of the adsorbent were investigated using FTIR, SEM-EDX, XRD, and BET analyses, while the effects of solution pH, contact time, adsorbent dosage, initial phenol concentration, temperature, ionic strength, and reusability without regeneration on the adsorption performance were systematically examined. H3BO3-AC-SPS exhibited excellent adsorption performance over a wide pH range (5–8), showed good tolerance to coexisting inorganic ions and organic contaminants, and retained appreciable adsorption efficiency over five consecutive adsorption cycles without regeneration. Phenol uptake increased with temperature, and NaOH enabled partial desorption of phenol. The adsorption kinetics and equilibrium data were analyzed using both linear and nonlinear regression approaches and comparatively evaluated based on the coefficient of determination (R2), sum of squared errors (SSE), and root mean square error (RMSE). The pseudo-second order kinetic model and the Langmuir isotherm exhibited the best predictive performance, with the Langmuir model estimating a maximum adsorption capacity of 65.4 mg g−1. The adsorption mechanism may involve π–π interactions, hydrogen bonding, pore filling, and hydrophobic interactions. In addition, an artificial neural network (ANN) model accurately predicted the adsorption behavior, yielding a high correlation coefficient (R = 0.9789). The applicability of H3BO3-AC-SPS was further demonstrated in stream water and mining wastewater. These findings demonstrate that boric acid activation is an effective strategy for converting Scots pine sawdust into a high-performance adsorbent and that integrating linear and nonlinear adsorption modeling with statistical error analysis provides a reliable framework for interpreting adsorption behavior. This journal is

    • SDG 6 · Temiz Su ve Sanitasyon
    • SDG 12 · Sorumlu Üretim ve Tüketim
    İncele
  • MakaleYalnız künye2026
    ‘An unforgettable night’: experiences and coping styles of young adult survivors of the earthquake

    Yücel, İbrahim; Türkkan, Tuğba; Yoldaş, Nergiz; Duman, Münevver

    This study aimed to find out the experiences and coping styles of young adults affected by the Kahramanmaraş-centered earthquakes that took place on 6 February 2023, during and after the earthquake. Qualitative research method and phenomenological approach were used in the study. In-depth interviews were conducted with 33 young adults who were selected using the purposive sampling technique. The interviews with earthquake survivors were conducted approximately two months after the earthquake and took place in the temporary housing facilities to which they had been relocated. The research findings showed that many young people experienced the night of the earthquake as an unforgettable night. It was also found that the support provided after the earthquake was inadequate to meet the needs of survivors. Certain changes occurred in the family relations and personality traits of survivors after the earthquake. Young adults experienced some difficulties after the earthquake and developed a series of coping mechanisms to overcome such difficulties. At the end of the research, recommendations are made for field workers and policy makers from a psychological perspective.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleAçık Erişim2026
    Thermochemical Valorization of Silkworm Feeding Waste: Chemical Characterization and Biological Activities of the Pyrolysis-Derived Liquid Fraction

    Karan, Halil; Yıldırım, Aybeniz; Yılmaz, Fırat; Özgen, İnanç; Aydoğmuş, Ercan; Gül, Abdulkadir

    Silkworm-rearing residues are an underused biomass resource that can be converted into value-added products. In this study, a condensable liquid product (SWP-Liq) was produced from these residues by pyrolysis at 325 ± 5 °C and evaluated for its chemical composition and in vitro biological activities. SWP-Liq yielded phenolic-, flavonoid-, and triterpenoid-equivalent values of 218.47 ± 22.40 mg GAE/g, 79.13 ± 3.55 mg QE/g, and 55.54 ± 6.15 mg EE/g, respectively. The ABTS•+ assay showed a higher radical-scavenging response than DPPH, while Fe3+- and Cu2+-reducing activities were also observed. SWP-Liq inhibited 5-LOX with an IC50 of 33.05 ± 1.10 µg/mL, whereas α-glucosidase inhibition was weaker. Antibacterial activity against all four tested bacterial species was observed at 8 mg/mL but not at 4 mg/mL. Targeted LC–MS/MS quantified five phenolic constituents, with p-coumaric acid (1599.71 µg/g), chlorogenic acid (871.43 µg/g), and ferulic acid (285.50 µg/g) being the most abundant. Overall, these findings support the further investigation of silkworm feeding waste as a feedstock for thermochemical valorization into chemically and biologically evaluable bio-based fractions.

    • SDG 2 · Açlığa Son
    • SDG 12 · Sorumlu Üretim ve Tüketim
    İncele
  • MakaleYalnız künye2026
    The effect of self-selected soothing music on fistula puncture-related pain and comfort levels in hemodialysis patients: a randomized controlled, single-blind, single-center study

    Sayilan, Samet; Sayilan, Aylin Aydin; Kulakac, Nursen

    Purpose: To investigate the effect of music therapy on pain and comfort levels in hemodialysis patients. Methods: The study was completed with 30 experimental patients and a 30-member control group receiving treatment in the hemodialysis unit in a hospital in Western Türkiye. Experimental group patients were allowed to listen to a form of music selected by them for approximately 6 min prior to each procedure. No procedure was performed on the members of the control group. A Visual Analog Scale (VAS) was applied in sessions 1, 6, and 12, and the Hemodialysis Comfort Scale in sessions 1 and 12. The independent sample t test and repeated-measures analysis of variance were employed in data analysis, and Cohen’s d in effect size calculations. Results: Hemodialysis Comfort Scale scores were significantly higher at the end of the study in the experimental group compared to the control group (SMD: 3.54, 95% CI 2.33–4.75) (p < 0.05). Mean VAS scores were significantly lower among the experimental group compared to the control group at the second (6th session) (SMD: 1.94, 95% CI 1.34–2.54) (p < 0.001) and third (12th session) evaluations (SMD: 3.2, 95% CI 1.2.65–3.75) (p < 0.001). VAS scores were also significantly lower in the experimental group at the third evaluation compared to the earlier evaluations (p < 0.05). Conclusion: The patients in the experimental group listened to a form of music of their choice before 12 hemodialysis sessions. Music was found to exhibit a positive effect on pain and discomfort in patients receiving hemodialysis. Trial registration: NCT05574595.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleAçık Erişim2026
    When grief persists online: Development of the Digital Prolonged Grief Severity Scale

    Çınar, Öznur; Cengiz, Ekrem

    Bereaved individuals encounter the deceased through social media profiles, message histories, and algorithmic reminders, yet no validated instrument measures prolonged grief expressed through digital interactions. We developed and validated a multidimensional measure of digital-environment prolonged grief severity (DPGSS). Turkish bereaved adults (n = 577) bereaved at least 12 months earlier completed the DPGSS alongside grief, distress, and other less relevant measures, and 125 completed it again about three weeks later. Factor analyses supported a four-factor structure—digital separation distress and preoccupation, digital emotional responses, digital avoidance, and digital functional impairment—in 15 items. The correlated four-factor model fit the data well, outperforming a one-factor alternative. The DPGSS demonstrated strong internal consistency, test-retest reliability, and measurement invariance across nine demographic variables. Convergent associations with grief and distress, and negligible associations with rigidity and AI acceptance, supported its construct specificity. The DPGSS-15 is a reasonable tool for assessing digital prolonged grief.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleAçık Erişim2026
    Effects of transcutaneous auricular vagus nerve stimulation added to robotic rehabilitation in patients with ischemic stroke: a randomized clinical trial

    Kızıl, Ömer Dicle; Ural, İbrahim Halil; Hatık, Sefa Haktan; Özden, Ali Veysel; Aydın, Emine Büşra

    Background: This study aimed to investigate the effects of adding transcutaneous auricular vagus nerve stimulation (taVNS) to robotic rehabilitation on functional outcomes and neuromuscular activity in patients with ischemic stroke. Methods: This randomized controlled clinical trial employed a pre–post study design and was conducted in a hospital-based physiotherapy and rehabilitation clinic. A total of 40 patients with ischemic stroke, aged 18–65 years, were randomly assigned to either a robotic rehabilitation group (RRG) or a combined vagus nerve stimulation and robotic rehabilitation group (VRRG). Spasticity, walking speed, motor function, quality of life, muscle activity, and pain were assessed at baseline and after six weeks of treatment. Results: Primary outcome measures were walking speed, motor function assessed by the Fugl–Meyer Assessment, and pain intensity. Secondary outcomes included electrophysiological measurements (H-reflex and F-wave parameters) and quality of life. Within-group analyses showed significant improvements in all outcomes in the VRRG (p < 0.05), whereas all outcomes except pain improved significantly in the RRG (p < 0.05). Between-group comparisons demonstrated greater improvements in walking speed in the VRRG compared with the RRG (mean difference − 1.84 s, 95% CI − 3.7 to − 0.7; r = 0.43; p = 0.006) and greater pain reduction in the VRRG (mean difference − 1.55, 95% CI − 2.5 to − 0.1; r = 0.30; p = 0.048). In contrast, a greater reduction in the Hmax/Mmax amplitude ratio—an electrophysiological marker of spinal excitability—was observed in the RRG. Conclusion: The findings suggest that transcutaneous auricular vagus nerve stimulation combined with robotic rehabilitation may provide additional benefits in terms of walking speed and pain reduction in patients with ischemic stroke. Trial registration: The study was registered at ClinicalTrials.gov on April 19, 2024. (Identifier: NCT06381089).

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleAçık Erişim2026
    Isolation and Preliminary In Vitro Characterization of a Honey-Derived Bacillus licheniformis Isolate

    Usta, Mehtap; Zengin, Kübra; Kara, Yakup; Nalçacıoğlu, Remziye; Demirbağ, Zihni; Yıldız, Oktay; Kolaylı, Sevgi

    Background/Objectives: Despite its hostile physicochemical environment characterized by high osmotic pressure, acidic pH, and low water activity, honey serves as a unique ecological niche for resilient microorganisms. This study aimed to recover bacterial isolates from honeys of different botanical origins and to characterize the probiotic-associated properties of a honey-derived Bacillus licheniformis isolate. Methods: A total of 20 bacterial isolates were recovered from four honey samples, including two blossoms and two honeydew honeys. 16S rRNA gene sequence analysis showed that the recovered isolates had taxonomic assignments consistent with Bacillus licheniformis. Because 16S rRNA sequencing does not provide sufficient resolution to establish strain-level diversity or clonality, one isolate, designated Blhoney, was selected for subsequent molecular and functional characterization. Results: In vitro assays revealed that Blhoney exhibits robust tolerance to simulated gastrointestinal stress, including extreme acidity (pH 1–3), bile salts (0.3–1%), pepsin, and pancreatin, maintaining viability for up to 24 h. Phenotypic antimicrobial testing demonstrated measurable inhibition zones for erythromycin, kanamycin, chloramphenicol, ampicillin, tetracycline, gentamicin, streptomycin, and spectinomycin, whereas no measurable inhibition zones were observed for penicillin G, rifampicin, ciprofloxacin, or ceftazidime. However, MIC determination and standardized breakpoint interpretation were not performed; therefore, these findings were interpreted solely as preliminary phenotypic inhibition-zone observations. Although the isolate did not display direct antagonistic activity against the tested bacterial pathogens under experimental conditions, its persistence under the tested gastrointestinal stress conditions supports further investigation of its probiotic-associated characteristics. Conclusions: Overall, these findings indicate that the honey-derived Blhoney isolate exhibits preliminary probiotic-associated characteristics under the tested in vitro conditions. However, further strain-level genomic and safety characterization is required before its potential probiotic application can be established.

    • SDG 2 · Açlığa Son
    İncele
  • MakaleYalnız künye2026
    Natural (226Ra, 232Th, 40K) and artificial (137Cs) radioactivity assessment of Kırkpavli and Hazine Cave ore deposits, Gümüşhane (Türkiye): Radiological risk and material utilization perspective

    Vural, Alaaddin; Kaya, Ali

    Environmental radioactivity is a critical factor for both ecological and human health risk assessment, particularly in mining regions with ongoing or historical settlement activities. This study evaluates natural and artificial radionuclide concentrations in soils from the Kırkpavli (KP) and Hazine Cave (HM) mining areas in Gümüşhane, northeastern Türkiye. Gamma spectrometry analyses were performed to measure 232Th, 226Ra, 40K, and 137Cs, and radiological risk indicators—including absorbed dose rates, annual effective dose, radium equivalent activity, hazard indices (Hex and Hin), Excess Lifetime Cancer Risk (ECLR), Activity Utilization Index (AUI), radon-related alpha index, and natural radioactivity-driven heat production (RHP)—were assessed. Results: showed spatial variability linked to lithology, with the HM site exhibiting elevated radionuclide levels in basalt-dominated units, while KP soils showed moderate values in sedimentary formations. Most radiological parameters remained below international safety limits; however, specific sampling points, particularly HM-2, exceeded thresholds, indicating potential health risks if the soils are used for local settlement, building materials, or domestic purposes. RHP analysis further identified areas of intense hydrothermal alteration correlating with higher natural radioactivity. Comparisons with international soils and rocks confirmed that the activity concentrations at both sites are comparable to or exceed global averages. These findings highlight the necessity of ongoing monitoring of naturally occurring radioactive materials (NORM) in inhabited mining regions and provide essential data for ensuring environmental safety, sustainable land and material use, and public health protection.

    • SDG 15 · Karasal Yaşam
    İncele
  • MakaleYalnız künye2026
    Effects of an Immersive Virtual Reality-Based Exercise-Rest on Mobilization in Knee Surgery Patients: A Single-Blind, Randomized Controlled Trial

    Aydin, Aydanur; Menekşeoğlu, Ahmet Kıvanç; Dilaver, İrem; Taş, Süleyman Kasım

    Purpose This study aimed to evaluate the impact of immersive virtual reality (IVR) interventions on enhancing mobilization in patients undergoing total knee arthroplasty. Design A randomized, single-blinded, two-arm, parallel-group controlled trial. Methods A randomized controlled trial was conducted on 30 patients who underwent total knee arthroplasty for the first time. Participants were divided into two groups: the intervention and control groups. The primary outcome, mobilization distance, was measured at the first postoperative mobilization using validated scales. Before mobilization, patients in the intervention group experienced a simulated walk through a tranquil forest accompanied by birdsong and meditation music via IVR goggles. Results All surgeries were performed by the same surgeon, and postoperative medical care was standardized across both groups. The intervention group demonstrated significantly greater mobilization distances and shorter initial walking times than the control group. Moreover, patients in the intervention group reported reduced postmobilization pain and expressed high satisfaction with the IVR experience. Conclusions The findings indicate that patients who experienced IVR intervention exhibited reduced postmobilization pain, increased mobilization distance, and higher satisfaction. This innovative technique has the potential to serve as a practical solution to enhance clinical improvement in various healthcare settings. Clinical Implications This study demonstrated the effectiveness of IVR-assisted mobilization in enhancing walking distance among patients undergoing knee surgery. The use of IVR presents an innovative and engaging approach to support postoperative mobilization in this patient population. Further research in this area may contribute to the development of more comprehensive and effective IVR interventions.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleAçık Erişim2026
    Psychometric properties of the Turkish version of the VARK learning style inventory for athletes

    Türker, Üstün; Somoğlu, Mustafa Barış; Koç, Mustafa; Bostancı, Özgür

    Background: Understanding how athletes learn and recognizing their learning preferences are important cognitive and sensory components that may support effective instructional planning in sport settings. This study aimed to adapt the VARK Learning Style Inventory for Athletes (Visual, Aural, Read/Write, and Kinesthetic modalities) into Turkish and to evaluate its psychometric properties. Methods: A total of 854 licensed athletes from individual and team sports in Türkiye participated in the study. The Turkish version of the VARK Learning Style Inventory for Athletes was administered using a paper-based format. Data were analyzed using IBM SPSS Statistics (v26) and LISREL (v8.80). Construct validity was examined using a Multitrait–Multimethod Confirmatory Factor Analysis (MTMM-CFA) approach with a correlated trait–correlated uniqueness (CTCU) specification, while reliability was assessed using internal consistency and test–retest procedures. Results: The MTMM-CFA supported the four-factor structure of the inventory, indicating an acceptable model fit and strong associations among the learning style dimensions, consistent with a multimodal learning preference profile. Internal consistency analyses yielded Kuder–Richardson 20 (KR-20) coefficients ranging from 0.574 to 0.623 across subscales, reflecting moderate reliability. Conclusions: The findings suggest that the Turkish version of the VARK Learning Style Inventory for Athletes demonstrates acceptable psychometric properties, with evidence of construct validity and moderate internal consistency. While the results support its use for assessing learning preferences among Turkish athletes, further research across different sport disciplines and age groups is recommended to strengthen there liability evidence and practical applicability. Overall, the study contributes to measurement practices in sport and exercise sciences by providing a culturally adapted instrument for examining athletes’ learning preferences.

    • SDG 4 · Nitelikli Eğitim
    İncele
  • MakaleYalnız künye2026
    Sustainable Nutrition Behaviors and Physical Activity Attitudes Among College Students: A Cross-Sectional Study

    Kurtbeyoglu, Emine; Kaya, Aleyna

    Objective: This study aimed to examine sustainable nutrition behaviors and attitudes toward physical activity among college students. Design: A cross-sectional study. Setting: College setting. Participants: The study included 303 college students (171 female, 132 male). Main Outcome Measure: Sustainable nutrition behaviors were assessed using the Behaviors Scale Towards Sustainable Nutrition, whereas beliefs and attitudes related to physical activity were measured using the Exercise Health Belief Model Scale. Anthropometric measurements, including body weight and waist circumference, were obtained by researchers. Analysis: Pearson and Spearman correlation analyses, as appropriate, and multiple linear regression analyses were conducted. Results: Sustainable nutrition behavior scale total scores were positively correlated with exercise Health Belief Model scores (r = 0.444, P < 0.001) and negatively correlated with body mass index (r = −0.142, P = 0.01) and waist circumference (r = −0.169, P = 0.003). After adjusting for sex, academic level, and income level, sustainable nutrition behaviors remained significantly associated with attitudes toward physical activity (β = 0.400, P < 0.001), explaining 22.6% of the variance (R² = 0.226). Conclusions and Implications: Students with more positive attitudes toward physical activity are more likely to engage in sustainable nutrition behaviors. Integrated health promotion strategies addressing both physical activity and sustainable nutrition may support healthier and more sustainable lifestyles among college students.

    • SDG 2 · Açlığa Son
    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleAçık Erişim2026
    The mediating effect of self-compassion and cognitive emotion regulation on the relationship between tolerance and social appearance anxiety in adolescents

    Bingöl, Orhan; Çelebi, Gülin Yazıcı; Kaya, Feridun

    The aim of this study is to examine the effect of tolerance on social appearance anxiety and to test the roles of emotion regulation and self-compassion as mediating psychological mechanisms in this relationship. The sample of the study consists of 647 adolescent individuals living in Turkey. The Personal Information Form, Cognitive Emotion Regulation Questionnaire, Tolerance Scale, Self-Compassion Scale – Short Form, and Social Appearance Anxiety Scale were used in the study. Data were collected online using convenience sampling methods. Pearson correlation analysis was used to determine the relationships between the variables in the study, while regression-based mediation analysis (Process macro model 81) was used to test the mediation model examined in the study. Upon examining the findings, tolerance was positively correlated with self-compassion (r =.323, p <.001) and adaptive cognitive emotion regulation (r =.200, p <.001); while tolerance was negatively and statistically significantly related to maladaptive cognitive emotion regulation (r = -.250, p <.001) and social appearance anxiety (r = -.229, p <.001). Additionally, a positive correlation was found between self-compassion and adaptive cognitive emotion regulation (r =.358, p <.001); and negative and statistically significant relationships between self-compassion and maladaptive cognitive emotion regulation (r = -.576, p <.001) and social appearance anxiety (r = -.530, p <.001). Finally, a statistically significant negative relationship was found between social appearance anxiety and adaptive cognitive emotion regulation (r = -.219, p <.001); and a statistically significant positive relationship was found between social appearance anxiety and maladaptive cognitive emotion regulation (r =.484, p <.001). The mediation analysis, tested with 10,000 bootstrap samples at a 95% confidence interval, revealed that emotion regulation dimensions and self-compassion have a full mediating effect. The findings indicate that the tolerance factor reduces social appearance anxiety not only directly but also indirectly through emotion regulation and self-compassion. In line with these findings, it was concluded that individuals with high tolerance levels need to be supported not only through mindfulness programs but also through emotion regulation and self-compassion levels.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleYalnız künye2026
    Nurses' artificial intelligence anxiety levels, their attitudes towards artificial intelligence, and their skills in acting humanistically in nursing practices

    Cin, Aynur; Coşar, Dilan Aktepe; Demirağ, Hatice

    Aim This study aims to investigate the levels of artificial intelligence-related anxiety among nurses, their attitudes towards the use of AI in clinical settings, their ability to maintain humanistic approaches in nursing care, and the interrelationships among these variables. Design This study was designed as a descriptive and cross-sectional pilot study. Method The sample of the descriptive study consisted of 267 nurses working in X and Y hospitals in Gümüşhane province. The data of the research was collected between December 2023 and May 2024 using the “Nurse Introduction Form”, “Artificial Intelligence Anxiety Scale”, “General Attitude Scale towards Artificial Intelligence” and “Humanistic Practice Ability of Nursing”. Results Total “Artificial Intelligence Anxiety Scale” mean scores were found to be higher in nurses who were women, and had more than five years of working experience ( p < 0.05). It was determined that the total “General Attitude Scale Towards Artificial Intelligence” score averages of nurses working in surgical clinics were higher than those working in pediatric clinics ( p < 0.05). Positive “General Attitude Scale Towards Artificial Intelligence” mean scores were higher in nurses who had a postgraduate degree, worked in a surgical clinic, and had five years or less experience ( p < 0.05). Again, the total mean of the “ Humanistic Practice Ability of Nursing “ was higher in nurses who had a bachelor's degree or less, and worked in management and surgery clinics ( p < 0.05). Conclusion It was found that nurses' artificial intelligence anxiety, general attitudes towards artificial intelligence, and ability to act humanistally varied according to some sociodemographic characteristics.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleYalnız künye2026
    Some are more equal than others: workplace favoritism and hospital employees’ intent to quit

    Özbek, Mehmet Ferhat; Banai, Moshe; Stefanidis, Abraham; Bekar, Fevziye; Roberts, Sara J.

    Purpose – This study refines equity theory by explaining the mediating roles of job frustration and job dissatisfaction, as well as the moderating role of personal income in the relationship between discriminatory workplace favoritism and hospital employees’ intent to quit. Design/methodology/approach – The study consists of two samples. In the first sample, survey questionnaires were administered to 267 public hospital employees in Turkey. In the second sample, 1, 426 university healthcare students in Turkey answered four different scenarios that narrated school favoritism as well as students’ frustration, dissatisfaction and intent to quit. Structural equation modeling and ANOVA statistical analyses were conducted. Findings – Workplace favoritism positively affected employees’ intent to quit through the mediation of job frustration and job dissatisfaction. The mediating role of job frustration between workplace favoritism and intent to quit was stronger for high-income than for low-income employees and students. Practical implications – Favoring one employee may result in voluntary organizational exit by other employees, which is costly for the organization. Favoritism may encourage employees who were not previously prone to favoritism to seek favoritism. This may create a cycle that spreads favoritism further within the organization. Originality/value – This is the first study to investigate the role of income in the relationship between workplace favoritism and employees' intent to quit.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 8 · İnsana Yakışır İş ve Ekonomik Büyüme
    • SDG 10 · Eşitsizliklerin Azaltılması
    İncele
  • MakaleYalnız künye2026
    Thermal inactivation kinetics of Listeria monocytogenes in fat/water emulsions and fat tissue – effect of fat content

    Ozturk, Samet; Huang, Lihan; Hwang, Cheng-An; Sheen, Shiowshuh

    Significantly increased thermal resistance was found in Listeria monocytogenes inoculated to beef tallow. However, how the relative compositions of fat and water in emulsions affect bacterial survival during heating has not been evaluated. This study aimed to evaluate the effect of fat levels in solid fat/water (SF/W) emulsions on thermal resistance of L. monocytogenes. SF/W emulsions, containing 0, 25, 50, 60, and 75 % of tallow by weight, were prepared by mixing tallow with soybean lecithin and Tween 80 in 0.1 % peptone water using an ultrasonic processor. A 4-strain cocktail of L. monocytogenes was inoculated to the emulsions and subjected to isothermal heating between 55 and 65 °C. The survival curves were analyzed to estimate the kinetic parameters and evaluate thermal resistance. Linear survival was observed in emulsions with fat below 50 %. However, increased thermal resistance, evidenced by the increasing D and z values with the fat content, was observed. For example, the average D values in SF/W emulsions at 60 °C are 0.54, 1.04, and 2.53 min, respectively, with 0, 25, and 50 % fat. For SF/W emulsions with 60 and 75 % fat and in beef trim fat (BTF, 86.9 % fat), the survival curves became convexly nonlinear and could be described with the Weibull model. The exponents of the Weibull model range between 0.45 and 0.456, suggesting almost identical convexity of the survival curves. The convex survival curves indicate initial sensitivity to heat but the resistance increases with time at each temperature. The estimated time to a 5-log reduction becomes 11.9 and 26.4 min in 60 and 75 % SF/W emulsions, respectively, and 36.5 min in BTF at 60 °C. The study demonstrates the effect of fat levels on thermal resistance of L. monocytogenes in SF/W emulsions and BTF. The results of this study may help the food industry to properly kill L. monocytogenes in fat-containing meat products during thermal processing.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    İncele
  • MakaleAçık Erişim2026
    Predicting suicide probability in young adults: contributions of vulnerable narcissism, grudge, and demographic variables

    Çelebi, Gülin Yazıcı

    Suicide is a significant public health problem worldwide. The aim of this study is to examine the potential effects of levels of vulnerable narcissism and grudge on the likelihood of suicide. In addition to these variables, the potential effects of some demographic variables (gender, marital status, age, socioeconomic status, education level, perceived religiosity, number of siblings) were also investigated. A convenience sampling method was used to determine the study group. The study group consisted of a total of 500 individuals; 368 (73.6%) were women and 132 (26.4%) were men. The mean age of women was 26.31 (SD = 9.60, min-max = 18–64), the mean age of men was 29.01 (SD = 10.76, min-max = 18–55), and the mean age of the entire sample was 26.84 (SD = 9.88, min-max = 18–64). The Suicide Probability Scale, Vulnerable Narcissism Scale, Grudge Scale, and Personal Information Form were used as data collection tools in the study. Pearson correlation coefficient was used to examine the relationships between variables in the analysis of the data. Multiple linear regression analysis was conducted to examine the extent to which vulnerable narcissism, grudge, and sociodemographic characteristics are associated with suicide probability. The regression model showed that the independent variables significantly predicted the probability of suicide. According to the results obtained, the independent variables explained 38% of the variation in the probability of suicide {[R = 0.619, R2 = 0.383, F(8, 499)= 38.12, p < 0.0001]}, and vulnerable narcissism and grudge are positive predictors of the probability of suicide. Vulnerable narcissism (β = 0.34, p < 0.001) and grudge (β = 0.22, p < 0.001) are positive predictors of the probability of suicide. Age (β = −0.23, p < 0.001), education level (β = −0.08, p = 0.003), and SEL (β = −0.19, p < 0.001) are significant variables that negatively predict the probability of suicide. Based on the results, it can be said individuals with high levels of narcissism and grudge have a higher probability of suicide, and that some socio-demographic characteristics may influence these relationships. The findings are discussed in light of the literature.

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  • MakaleAçık Erişim2026
    Machine learning–enabled ECG arrhythmia classification: a systematic and educational study from signal processing to decision support

    Melek, Negin

    Electrocardiogram (ECG) signals play a critical role in the early detection of cardiac arrhythmias, which remain a major cause of morbidity and mortality worldwide. While deep learning approaches have achieved high classification accuracy, their increasing complexity often limits interpretability and practical applicability. This study presents a systematic and interpretable framework for multi-class ECG arrhythmia classification, examining the effects of signal processing, feature extraction, feature selection, and evaluation strategies on classification performance. Experiments were conducted on the MIT-BIH Arrhythmia Database using two feature representations: (i) morphological and temporal features, and (ii) a compact wavelet-based representation. Sequential Forward Feature Selection (SFFS) revealed that classification performance saturates at approximately 15 features, indicating that most discriminative information is captured within a compact subset. Using this feature space, the support vector machine (SVM) achieved the best overall performance, reaching 98.54% accuracy with stable results across different configurations. The wavelet-based representation further improved performance balance, yielding lower Golden Distance (GD) values (as low as 0.0249), indicating more consistent behavior across evaluation metrics. Overall, the results demonstrate that carefully designed feature extraction and selection enable classical machine learning methods, particularly SVM, to achieve high and reliable performance, providing an interpretable alternative to more complex black-box models in ECG arrhythmia classification.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
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