Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Uzun, Sevda(66)
- Merdan, Mehmet(56)
- Duran, Celal(50)
- Ozdes, Duygu(47)
- Kaygusuz, Abdullah(42)
- Demir, Selim(37)
- Turan, Ibrahim(37)
- Ashyralyyev, Charyyar(34)
- Dokuz, Abdurrahman(33)
- Araz, Onur(31)
- Öztürk, Serkan(31)
- Sipahi, Ferkan(30)
- Kandemir, Raif(28)
- Arslan, Mehmet(27)
- Karsli, Orhan(27)
- Kulakaç, Nurşen(26)
- Baltacı, Cemalettin(25)
- Gücer, Mehmet Ali(25)
- Kurt, Kemal(25)
- Maden, Nafiz(25)
- Ozturk, Samet(25)
- Topal, Fevzi(25)
- Baltaci, Cemalettin(24)
- Yücel, Cem(24)
- Aliyazicioglu, Yuksel(23)
- Bayrakdaroglu, Serdar(23)
- Kankal, Murat(23)
- Peker, Iskender(23)
- Yolcu, Halil(23)
- Reis, Hatice Catal(21)
- Topal, Meryem(21)
- Vural, Alaaddin(21)
- Aydin, Aydanur(20)
- Aydin, Faruk(20)
- Bayraktar, Alemdar(20)
- Kurnaz, Muammer(20)
- Çelik, Necati(20)
- Ürkek, Bayram(20)
- Cakir, Tufan(18)
- Günen, Mehmet Akif(18)
Yayınlar
- MakaleYalnız künye2026Scopus SJRQ1Intensive care nurses' perspectives on the quality of nurse-patient communication in the prevention and management of delirium: A qualitative study
Şengün Inan, Figen; Canbolat, Özlem; Aslan, Kübra; Tuncer, Gülsüm Zekiye
Background Nurses play a key role in the care of patients with delirium; however, there is a lack of research exploring intensive care nurses' communication-related experiences in this context. Purpose This qualitative study aims to explore nurses' experiences related to communication in the prevention and management of delirium in intensive care settings. Methods This descriptive qualitative study was conducted with nurses working in the intensive care unit of a university hospital in Türkiye. Data were collected through semi-structured individual interviews. The sample consisted of 15 nurses. To ensure the analysis of the data, the content analysis method was used. Results Findings were categorized into five themes: (1) perceptions, (2) elements of effective communication, (3) obstacles to effective communication, (4) results of effective communication, and (5) results of ineffective communication. Conclusion The results revealed that nurses perceived communication in delirium management as an important therapeutic component of nursing care. In their view, effective communication supported patient care and family cooperation. Beyond individual efforts, organizational leaders may play a crucial role in improving delirium care by allocating adequate time and resources to structured educational programs that enhance communication competencies and delirium-specific knowledge.
- MakaleAçık Erişim2026Scopus SJRQ1The psychosocial dimension of Parkinson’s: A phenomenological study on patient experiences
Çakmak, Seher; Uzun, Sevda; Demi̇r Çam, Sevgi; Tamam, Yusuf
Background: The aim of this study is to evaluate the psychosocial dimension of Parkinson’s disease and the life experiences of patients with a phenomenological approach. Methods: In this phenomenological study, semi-structured in-depth interviews were conducted with 20 Parkinson’s patients who applied to the neurology outpatient clinic of a state hospital in a province in southern 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 recorded on a voice recorder after obtaining the necessary permissions from the patients and then transcribed. The data of the study were evaluated using thematic analysis. The study was conducted and reported according to the COREQ checklist. Results: Data analysis revealed three main themes (metaphors for Parkinson's disease, effects of Parkinson's disease, symptom management and psychosocial needs in Parkinson's disease) and eight sub-themes (metaphors for physical effects, metaphors for mental effects, metaphors for social effects, mental, physical, social, symptom management and psychosocial needs). Conclusions: As a result of this study, it was determined that Parkinson's disease negatively affects patients psychosocially and they have difficulty in coping. It is recommended to implement research and application centers for Parkinson's patients with a focus on psychosocial support and to carry out awareness and awareness-raising studies on Parkinson's disease. Studies on this subject are very limited and it is recommended that large-scale studies on psychosocial problems in individuals with Parkinson's disease be conducted in the future.
- MakaleYalnız künye2026Scopus SJRQ2Who Is at Risk? Analyzing the Drivers of Intimate Partner Violence Against Women in Turkey
Türkkan, Tuğba; Hatipoğlu, Ertuğrul; Yücel, İbrahim; Kulakaç, Nurşen; Sipahi, Ferkan; Zeybek, Halil İbrahim
Violence against women represents a severe violation of human rights and has become a pervasive issue globally. This study aims to examine the risk factors associated with violence against women in a developing country context, specifically Turkey. This study adopted a cross-sectional research design. The study sample comprised 391 women living in a northeastern Turkish province, selected using a stratified sampling method. Participants’ ages ranged from 20 to 60 years, with a mean age of 40.83 years. The findings revealed a positive correlation between the age of both women and their spouses and the likelihood of experiencing physical and verbal violence. Factors such as the number of marriages, duration of marriage, number of children, and spousal infidelity emerged as significant risks for victimization. Additionally, an early age at first marriage, the presence of mental illness, and addiction problems were identified as critical risk factors for women’s victimization in violence. Education and employment were protective factors against violence, with higher educational levels and employment status for women and their spouses reducing the risk. Regression analyses further identified women’s education level, prior exposure to domestic violence, age at first marriage, and the addiction status of the spouse as significant predictors of violence against women. The findings provide valuable insights into the etiology of violence against women. In conclusion, the study has the potential to guide the development of more targeted and effective strategies to combat this pervasive public health and human rights issue.
- MakaleYalnız künye2026Scopus SJRQ1Development and psychometric evaluation of the healthy internet use scale for adolescents
Özparlak, Arif; Gül, Uğur; Karakaya, Dudu; Efe, Emine
Objective The aim of this study was to develop the Healthy Internet Use Scale for Adolescents (HIUS-A) and examine its psychometric properties in order to evaluate healthy internet use (HIU) among adolescents. Methods The study was conducted according to a methodological, correlational and cross-sectional design. Data was collected between September and December 2025 at three middle schools and three high schools in the province of Antalya, Türkiye. The study used a stratified sampling method, and it was completed with 516 adolescents. The scale's content validity was examined through expert evaluation, and its construct validity was tested through exploratory and confirmatory factor analyses. The reliability of the scale was assessed using Cronbach's alpha coefficient, split-half reliability, and item-total correlations. Results The analyses revealed that HIUS-A exhibited a two-factor structure explaining 49.1% of the total variance. These factors were named “self-control” and “conscious use”. Confirmatory factor analysis findings revealed that the model showed a good level of fit (χ2/sd = 1.450; RMSEA = 0.042; SRMR = 0.039; CFI = 0.981). The internal consistency coefficient was calculated as 0.864 for the total scale, 0.855 for the “self-control” subscale, and 0.711 for the “conscious use” subscale. Conclusion HIUS-A is a valid and reliable ten-item assessment tool for evaluating healthy internet use in adolescents. Implications for practice The scale may be used by nurses and other healthcare professionals to determine HIU levels in adolescents and to evaluate the effectiveness of intervention studies relating to HIU.
- MakaleAçık Erişim2026Scopus SJRQ4Assessing the Predictive Value of Kolmogorov–Arnold Networks for the No–Reflow Phenomenon in ST–Segment Elevation Myocardial Infarction: A Comparative Machine Learning Study; [ST Segment Yükselmeli Miyokard Enfarktüsünde No–Reflow Fenomeni için Kolmogorov–Arnold Ağlarının Öngörü Değerinin Değerlendirilmesi: Karşılaştırmalı Makine Öğrenimi Çalışması]
Taşolar, Hakan; Bayramoğlu, Adil; Günen, Mehmet Akif; Levent, Sümeyye; Güral, Yunus; Halisdemir, Nurhan
Objective: The no-reflow phenomenon in ST-segment elevation myocardial infarction (STEMI) is a significant clinical issue associated with poor cardiovascular outcomes. This study aimed to develop and compare multiple supervised machine learning algorithms, including the recently introduced Kolmogorov-Arnold Network (KAN), to predict the occurrence of the no-reflow phenomenon in patients with STEMI undergoing primary percutaneous coronary intervention (PCI). Method: This prospective, single-center study included 890 consecutive STEMI patients undergoing primary PCI. The Synthetic Minority Over-sampling Technique (SMOTE) was utilized to address class imbalance during training. Feature selection using analysis of variance (ANOVA) F-statistics and validation of feature independence (Variance Inflation Factor [VIF] < 5) identified ejection fraction (EF), baseline troponin level, stent length, B-type natriuretic peptide (BNP) level, and total ischemic time as the most influential predictors. Results: The KAN and Extreme Gradient Boosting (XGBoost) models achieved the highest predictive accuracy (area under the curve > 0.98, F1 > 0.95), outperforming traditional models such as logistic regression and decision tree classifiers (DeLong test, P < 0.001). Feature selection improved efficiency and reduced runtime by 20–40%, while Shapley Additive exPlanations-based (SHAP-based) explainability confirmed that the predictions were physiologically consistent: higher EF and lower BNP reduced the probability of no-reflow, whereas longer stent length and ischemic time increased it. The superior performance of KAN and XGBoost underscores the importance of modeling nonlinear relationships and multidimensional interactions among clinical, laboratory, and procedural variables. Conclusion: These findings suggest that KAN may serve as a reliable analytical framework for exploring complex cardiovascular outcomes. However, further multicenter and externally validated studies are needed to confirm its generalizability and potential role in clinical risk assessment.
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- MakaleÖn baskısı açık2026Scopus SJRQ2Mixed Method Investigation of the Major Challenges to the Sustainable Deployment of the Electric Vehicle Charging Station Network in Türkiye
Erol, Ismail; Oztel, Ahmet; Peker, Iskender; Ar, Ilker Murat; Benli, Tolga; Turan, İsmet
Charging the increasing number of electric vehicles (EVs) in use requires the deployment of EV charging station networks (EVCSN). However, there are various challenges to deploying EVCSN in a sustainable manner. Türkiye, a developing country, should also build a robust EVCSN to encourage future adoption of EVs as the country’s market for EVs has been rapidly growing. The literature review concludes that no previous study has systematically explored challenges to the sustainable deployment of EVCSN. The goal of this study is, therefore, twofold: first, it identifies those challenges through the lenses of commonly used theories. Second, it explores them using a multi-criteria decision-making (MCDM) framework that incorporates a rough-derived interval-valued neutrosophic set (R-IVN)-based ISM into MICMAC. By deriving interval neutrosophic information from single-valued expert inputs using rough number operators, the proposed approach more accurately captures epistemic uncertainty and variability in expert judgments compared to conventional interval-based models. The method is further validated through a novel Dice–Sørensen similarity index-based simulation approach. The findings of this study suggest that developing government policies and regulations and addressing the existence of vertically integrated companies are the critical challenges with higher driving powers. These findings provide key responsibilities for stakeholders, including urban municipalities, in developing guidelines for EVCSN deployment.
- MakaleAçık Erişim2026Scopus SJRQ2Hydrometallurgical Extraction of Aluminum and Rare-Earth Elements (REEs) from REE-Bearing Bauxite Ores: Recent Advances
Uysal, Turan; Supriyatna, Yayat Iman
Rare-earth elements (REEs) are geologically widespread, but their mining and especially processing are concentrated in a small number of countries; as demand grows, some specific REEs may face supply shortages in the near future. Consequently, owing to their economic potential even at low concentrations, ability to provide alternative supply opportunities, and process development potential, various countries are conducting studies on REE production from secondary geological sources such as high-silica bauxite ore. This study provides a detailed examination of aluminum (Al) and REE recovery from bauxite ore, emphasizing sustainable utilization of these resources. In this context, the study presents the technological evaluation potential of these deposits in the context of modern demands, the acquisition process, and an analysis of the main technical difficulties in this process. Furthermore, the application of both mechanical and thermal activation methods in conjunction may prove more economically viable and environmentally sustainable by reducing the temperature requirements of fossil fuel-consuming heat treatment. The development of sustainable Al and REE recovery technology from bauxite ore is of significant importance, not only in terms of mitigating supply risk but also as an alternative source for REE production.
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- MakaleAçık Erişim2026Scopus SJRQ2Selective Determination of Trace Co(II) and Cu(II) in Food and Environmental Matrices via Carrier Element-Free Coprecipitation Using a Novel Thiosemicarbazone-Derived Schiff Base
Bulut, Volkan N.; Demirci, Hamit; Ozdes, Duygu; Gundogdu, Ali; Bektas, Hakan; Soylak, Mustafa; Duran, Celal
A carrier element-free coprecipitation (CEFC) method was developed for the preconcentration and determination of trace Co(II) and Cu(II) in environmental and food samples using a novel thiosemicarbazone-derived Schiff base ligand (MBITAH). Unlike conventional coprecipitation approaches, the proposed strategy eliminates the need for inorganic carriers, reducing potential interferences and improving selectivity toward the target analytes. Under optimized conditions (pH 7.0, 1.5 mg ligand), quantitative recoveries were achieved with limits of detection of 1.16 and 0.79 µg L⁻1 for Co(II) and Cu(II), respectively. A preconcentration factor of 50 enabled sensitive determination by flame atomic absorption spectrometry (FAAS) with good precision (RSD ≤ 3.7%). The method exhibited good tolerance toward common matrix ions and was validated using certified-reference material (CRM-SA-C Sandy Soil C) and spike/recovery tests, showing agreement with certified values (p > 0.05). Its applicability was demonstrated in sea water, stream water, and food samples (red lentil and bulgur), confirming reliable performance in complex matrices. Compared with previously reported approaches, the proposed CEFC method offers a favorable balance between analytical performance, simplicity, and cost-effectiveness. In addition, greenness assessment using the AGREE tool yielded a score of 0.45, indicating a moderate-to-good level of environmental friendliness.
- MakaleAçık Erişim2026Scopus SJRQ2Solvent extraction of rare earth elements and α-alumina production from pregnant leaching solution obtained from Turkish bauxite-related ore
Erust, Ceren; Uysal, Turan
The use of bauxite-related shales as a secondary source for the extraction of rare earth elements (REEs) is very important to meet the raw material supply, which is the keystone of advanced technology applications. This study presents the investigation into the recovery of REEs from Kızıldağ shale ore and the potential utilization of its leach residue as a silica source. Mineralogical analysis revealed that the ore predominantly consists of paragonite, muscovite, quartz, pyrophyllite, and calcite. Calcined ore was subjected to acid leaching, and the resulting pregnant solution was purified using solvent extraction to separate from aluminum the ∑REEs with a content of 1887.35 ppm. Optimal solvent extraction conditions 1.5 M D2EHPA, 50% O/A ratio, pH 1.5, and 15-minute mixing time achieved 95% total REE extraction, with efficiency in the order Pr > La > Nd > Ce > Dy > Y > Sc. To purify Al from the Fe- and K-rich solution post-SX, electrolysis was performed, resulting in 97.16% precipitation efficiency of Al as Al(OH)3 at pH 5. The precipitate was subsequently roasted at 1100°C to produce α-alumina with 75.2% Al2O3 content. These findings confirm the technical feasibility of recovering REEs and producing coarse-purity alumina from Kızıldağ shale ore.
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- MakaleYalnız künye2026Scopus SJRQ1A numerical case study on distinct inerter-based TMD configurations for SDOF structures under near-fault and far-fault ground motions
Araz, Onur; Abdo Saif, M.M.
This study presents a comprehensive optimization and performance evaluation of three distinct inerter-based tuned mass damper (TMD) configurations (C3, C4, and C6) for seismic vibration control. The optimal parameters for three different structural damping ratios (0%, 2%, and 5%) and a wide range of mass ratio (0 to 0.1) suitable for practical applications are determined in the frequency domain using the Sequential Quadratic Programming (SQP) algorithm to minimize the displacement response. To bridge the gap between complex optimization and practical engineering, novel empirical design formulas are proposed, enabling researchers to determine optimal parameters for C3, C4, and C6 configurations without requiring exhaustive computational effort. Unlike previous studies, the study presents a rigorous validation of inerter effectiveness through an extensive suite of 160 ground motions, providing a granular comparison of performance under near-fault excitations versus far-fault records. Results demonstrate that while inerter-based systems significantly outperform classical TMDs in the frequency domain, their comparative superiority in the time domain is more bound, with average response reduction improvements of approximately 5%. The inerter-based TMDs exhibit the highest efficiency in mitigating kinetic energy, followed by displacement and acceleration. Notably, the effectiveness of the control systems is found to be highly sensitive to ground motion characteristics and structural damping, where higher damping ratios consistently lead to reduced control performance. Considering the trade-off between seismic efficiency and mechanical simplicity, the C6 configuration is identified as the most viable solution for structural protection.
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- MakaleAçık Erişim2026Scopus SJRQ2Yoga-based breathing exercises performed in a salt-cave environment versus a standard clinical setting in smokers: a randomized controlled trial salt-cave breathing exercises in smokers
Bağci, Uğur; Alpteki̇n, Hasan Kerem; Hatik, Sefa Haktan; Aydin, Emine Büşra
Backgorund: To investigate the effect of a speleotherapy environment on spirometric parameters in smokers and to compare the outcomes with those of the same yoga-based breathing exercise program performed in a standard clinical setting. Methods: This randomized controlled clinical trial included 60 adult smokers aged 18–65 years who were allocated to a speleotherapy group (n = 30) or a control group (n = 30). Both groups received the same physiotherapist-supervised yoga-based breathing exercise program for 6 weeks, twice weekly, in 50-minute sessions; the only difference was the intervention setting. Forced vital capacity, forced expiratory volume in 1 s, peak expiratory flow, and forced expiratory volume in 1 s/forced vital capacity were assessed at baseline, week 3, and week 6. Physical activity, functional exercise capacity, and quality of life were also evaluated. Data were analyzed using linear mixed-effects models with group, time, and group × time interaction as fixed effects and participant as a random effect. Results: Both groups showed improvements over time in spirometric and secondary outcomes. In the linear mixed-effects model analysis, the primary spirometric outcome, forced expiratory volume in 1 s, showed a significant group × time interaction in favor of the speleotherapy group. Significant group × time effects were also observed for 6-minute walk distance and selected quality-of-life domains, whereas broader spirometric superiority across forced vital capacity, peak expiratory flow, and forced expiratory volume in 1 s/forced vital capacity was limited. Conclusion: The findings suggest that the treatment environment may influence selected respiratory and functional outcomes in smokers. Yoga-based breathing exercises were associated with improvements in spirometric outcomes in both settings. The additional effect of the salt-cave environment on respiratory outcomes was limited, with a significant between-group difference observed only for forced expiratory volume in 1 s. The salt-cave setting may also be associated with greater improvements in functional capacity and selected quality-of-life outcomes, but broader pulmonary benefits or an independent speleotherapy effect cannot be concluded from the present findings. Trial registration: ClinicalTrials.gov, NCT07737587. Retrospectively registered on 30 July 2026.
- MakaleAçık Erişim2026Scopus SJRQ3The Impact of Live and Robotic Cat-Assisted Therapy on Symptoms and Happiness Levels in Patients With Cancer Following Chemotherapy
Can, Aysun Akçakaya; Demirağ, Hatice; Hintistan, Sevilay
OBJECTIVES: To examine the effects of live and robotic cat-assisted therapies on chemotherapyinduced symptoms and happiness levels in patients with cancer. SAMPLE & SETTING: 45 patients were randomly assigned to live cat therapy, robotic cat therapy, or control groups in a university hospital. METHODS & VARIABLES: Data were collected between June 1 and September 1, 2023. Patients in therapy groups interacted with a live or robotic cat for 20 minutes twice weekly for three months. RESULTS: Although the live cat therapy group had higher median happiness scores than the robotic cat therapy group, differences in happiness and symptom scores between groups were not statistically significant. Both therapies alleviated chemotherapy-induced symptoms and enhanced emotional well-being, with robotic cat therapy showing slightly greater overall effectiveness. IMPLICATIONS FOR NURSING: Robotic pet therapy offers a feasible alternative where live animalassisted therapy is impractical. Integrating these therapies into oncology nursing can enhance symptom management and psychological support, promoting holistic, patient-centered care.
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- MakaleAçık Erişim2026Scopus SJRQ2Foreign Direct Investment and Growth Impact on Pollution in the EU Countries: Empirical Analysis of the EKC and Pollution Halo Hypothesis
Pilatin, Abdulmuttalip; Ayaydın, Hasan; Soto, Gonzalo Hernández; Pala, Fahrettin
Foreign direct investment inflows are an important factor in the development of countries. Rising FDI can cause unexpected environmental consequences by changing technology use or energy consumption. The study examined the relationships between fossil energy consumption, carbon emission rate, and FDI for 27 European Union countries in the period 2006–2021. In addition, for the first time in this study, EU countries were divided into two according to their income levels and re-analysed. Panel data method and robust Driscoll and Kraay (1998) estimator were used in empirical analyses. The research findings show that a one-unit increase in FDI across EU countries results in a 0.055% increase in GDP and fossil fuel consumption, respectively, and a −0.155% decrease in pollution. These results support the pollution halo hypothesis, which posits that foreign direct investment reduces environmental degradation. The research findings support the pollution halo hypothesis, which states that FDI reduces environmental degradation. It also confirms that the EKC hypothesis, which states that there is an inverted U-shaped relationship between pollution and GDP, is valid in 27 EU countries. However, it has been determined that the pollution haven hypothesis is valid in low-income EU countries. Low-income EU countries should encourage more foreign investment in technology-intensive and environmentally friendly areas and develop various environmental regulations in this direction. The results obtained from the research are expected to provide benefits and insights to policy makers, researchers, and industrialists to increase environmental awareness. The results suggest that low-income EU countries should encourage technology-intensive and environmentally friendly investments, improve green financing and investment conditions, and develop regulations to strengthen environmental standards, so that they can limit environmental degradation while preserving the general welfare-enhancing benefits of FDI.
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- MakaleAçık Erişim2026Scopus SJRQ2Anesthesi̇a students’ behavi̇ors towards a medi̇cal errors: a phenomenologi̇cal quali̇tati̇ve scenari̇o study
Karadeni̇z, Havva; Erkuran, Hatun
Objective: This study is a qualitative scenario study designed to investigate the behaviors of associate degree anesthesia program students, who will work in operating rooms after graduation, in response to medical errors they may encounter in the future and how they cope with these errors. Materials and methods: This qualitative study was conducted using interpretive phenomenology. Research data were collected from 33 students enrolled in the Anesthesia Program, selected using purposive sampling, between October 2022 and January 2023. A hypothetical case scenario was prepared for the study, which anesthesiology technicians working in the operating room environment might encounter, and data were collected using a semi-structured interview technique. The data obtained were transcribed into written form on a computer and coded according to qualitative research methods. Results: In the inductive coding process, “felt emotions” were divided into two main categories: Challenging Emotions and Functional Emotions, while “behaviors” were divided into Desired Behaviors and Undesired Behaviors. Conclusion: The research found that students viewed medical errors as “a normal situation,” providing an opportunity to shed light on what students think about medical errors and to develop new educational strategies.
- MakaleAçık Erişim2026Scopus SJRQ1Structure-Dependent Triglyceride Protection of Freeze-Dried Lactiplantibacillus plantarum: Storage Protection Window, Lipid Oxidation, and Stress Adaptation
Sun, Zheneng; Zhang, Nan; Wang, Xiaomai; Wei, Xinyao; Ozturk, Samet; Liu, Shuxiang
Lipid-rich matrices can protect probiotics by limiting direct exposure to moisture, oxygen, and gastrointestinal stressors. However, triglycerides are chemically dynamic during storage, and differences in fatty acid structure and oxidation susceptibility may determine whether they exert protective or detrimental effects. In this study, tricaprylin, triolein, and trilinolein were evaluated as post-drying lipid storage matrices for freeze-dried Lactiplantibacillus plantarum 124 during storage at 25 °C, and 37 °C was used to accelerate lipid oxidation. Survival during storage, fatty acid chain retention, oxidation-derived products, stress tolerance, qualitative confocal imaging of membrane-integrity patterns, and transcriptomic responses were analyzed. After 30 d at 25 °C, log reductions were 0.30, 0.24, and 0.24 log10 units in the tricaprylin, triolein, and trilinolein groups, respectively, compared with 0.60 log10 units in the oil-free control, defining a common protective window. Tricaprylin showed the highest fatty acid chain retention, whereas trilinolein exhibited the greatest loss and strongest oxidative change. GC–MS detected no representative oxidation-derived products in tricaprylin, while unsaturated triglycerides generated dimethyl azelate and methyl 9-oxononanoate. Cells recovered from the protective window showed improved acid and bile tolerance, with survival increasing from 30.48% to 53.43–55.65% and from 14.85% to 22.49–27.79%, respectively. Confocal imaging further showed better-preserved membrane-integrity patterns in the triglyceride-treated groups after acid exposure. Transcriptomics indicated enhanced transport, redox, DNA-related, and cell-envelope responses, accompanied by reduced translation and growth-associated metabolism. Within the experimental conditions tested, these results suggest that triglyceride-associated attenuation of viability loss varies among triglyceride systems and across storage stages, while excessive oxidation of unsaturated triglycerides may weaken probiotic stability.
- Derleme MakaleYalnız künye2026Scopus SJRQ1Virtual reality as a non-pharmacological adjuvant for anxiety in oncology care: a systematic review and meta-analysis
Aydin, Aydanur; Bağcivan, Gülcan; Özkan, Aleyna
Background: Despite its growing presence in healthcare settings, research on the effectiveness of virtual reality (VR) interventions for symptom experience of patients with cancer remains varied and requires a comprehensive synthesis to reach definitive conclusions. Objective: This systematic review and meta-analysis aimed to assess the effectiveness of VR interventions in managing anxiety among individuals diagnosed with cancer. Methods: A comprehensive search of Ovid MEDLINE, PubMed, CINAHL, Web of Science, and Scopus databases was conducted for studies published from 2000 to November 2025. Publications were evaluated by independent reviewers for inclusion. The methodological quality of the included studies was assessed via Joanna Briggs Institute (JBI) critical appraisal tools for randomized controlled trials and quasi-experimental studies. Results: Twenty-one publications satisfied the requirements for review inclusion. The meta-analysis demonstrated that VR-based interventions were significantly effective in the management of patients’ anxiety, yielding a moderate-to-high effect size (SMD = −0.793, 95% CI = −1.403 to −0.184; Z = −2.551; p = 0.011). Most studies reported statistically significant decreases in anxiety scores across various cancer types, including breast, prostate, and ovarian cancers. No major side effects were reported, although minor instances of cyber sickness were managed by adjusting session durations. User satisfaction was exceptionally high, with satisfaction scores reaching 4.47/5 and 7.35/10. Implications for practice: The results support the use of VR as an effective and safe non-pharmacological intervention for anxiety management. The findings highlight the potential for VR to be integrated into routine oncology nursing and palliative care to improve the patient experience during stressful treatments like chemotherapy. Conclusion: VR-based interventions are an effective, safe, and highly acceptable approach for managing anxiety in patients with cancer. Further research is needed to support wider clinical implementation and to investigate the potential benefits of VR for other physical and psychological symptoms over longer follow-up periods. Trial registration: PROSPERO International Prospective Register of Systematic Reviews CRD42022351573.
- MakaleAçık Erişim2026Scopus SJRQ1The mediating role of attitudes in the effect of human and environment-centered value orientation on green cosmetic product purchasing behavior: comparison of different countries
Baltacı, Duygu Çinar; Durmaz, Yakup; Baltacı, Furkan
The growing concern for environmental issues has reached a critical level, demanding immediate attention. With the widespread integration of cosmetic products into daily routines, the escalating environmental impact cannot be ignored. Consumers are increasingly scrutinizing the environmental footprint of their purchases and the practices of manufacturing companies. To maintain their competitive edge, businesses must proactively understand and address the evolving needs and expectations of their consumers. This study aims to reveal the relationships between consumers’ environmental values, attitudes toward green products, and green cosmetics purchasing behaviors to guide decision-makers in the cosmetics industry. In addition, the study also evaluated the impact of consumers’ cultural backgrounds on their attitudes toward green products and their purchasing behaviors in the green cosmetics sector. We conducted a comprehensive online survey by collecting primary data from 883 respondents from 10 countries in Asia and Europe. Our analysis used partial least squares (PLS) with SMART PLS to comprehensively examine the interrelationships between variables. An ecocentric orientation positively influences attitudes and purchasing behavior toward green cosmetic products, while an anthropocentric orientation has a negative effect. Additionally, consumers’ attitudes mediate the impact of environmental attitudes on purchasing behavior and counteract the negative effect of anthropocentric attitudes. Cultural differences significantly impact consumers’ attitudes and purchasing behavior for green cosmetics. The study’s findings offer valuable insights for cosmetic companies dealing with growing demand for cosmetic products and environmental awareness. The empirical support for existing literature is significant, and the study’s structural model enriches the green cosmetics literature. It’s essential to consider both consumers and producers for sustainable green cosmetic production, ensuring profitability and encouragement for producers.
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- MakaleYalnız künye2026Scopus SJRQ2Monthly precipitation trends in Türkiye under complex topography and varying climate: a seasonal Mann–Kendall and innovative polygon trend framework
Şan, Murat; Nacar, Sinan; Kankal, Murat
The impacts of climate change are increasingly sensible, and Türkiye with its varied topography and diverse climate types is particularly exposed to these shifts. Understanding how precipitation patterns are evolving across its regions is therefore critical. While trend analysis is a widely used tool for this purpose, conventional approaches overlook periodicity, limiting their practical value for water resource management and irrigated agriculture. Therefore, this study aims to examine seasonal trends in long-term (1969–2020) monthly total precipitation in Türkiye, in which each calendar month is treated as a separate season in the sense of seasonal trend-analysis terminology, accounting for altitude, slope, geographical region, and Köppen climate classification. For this purpose, the seasonal Mann-Kendall (SMK) test and the innovative polygon trend Wilcoxon significance test (IPWST), a relatively new graphical method, were used, and the two approaches were comparatively evaluated. According to the study’s results, the rate of increase in coastal areas, specifically the Aegean and Black Seas, exceeds the rate of decrease. In contrast, the reverse is observed in inland and eastern regions. The IPTWST method indicates a more pronounced increasing trend in the Marmara and Mediterranean regions. Furthermore, although analogous trends are observed at lower slopes and altitudes, analyses indicate that these trends are more strongly related to altitude, with the rate of increase decreasing as altitude increases. The IPTWST identified significant or weak trend signals at a larger number of stations than the SMK, particularly in relation to altitude. Nationwide, the two methods revealed significant increases of 7% and decreases of 6%, respectively; this pattern was supported by statistical tests, reflecting the variability of regional climates and the influence of topographic factors on trend analysis.
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- MakaleYalnız künye2026Scopus SJRQ3First molecular data based on the mitochondrial 16S rRNA gene for the endemic harvestman Mediostoma izmiricum Snegovaya, Kurt and Yağmur (Opiliones: Nemastomatidae) from Türkiye, with insights into the phylogenetic relationships of the genus
Kurt, Pınar
Mediostoma izmiricum Snegovaya, Kurt and Yağmur, is a species of the family Nemastomatidae Simon, and is endemic to Türkiye. To date, there is no molecular data available for the 16S rRNA gene region for this species or its genus, which limits our knowledge of its phylogenetic position. The 16S rRNA gene region of this species was analysed for the first time, yielding a sequence length of 465 bp. Bayesian inference (BI) and maximum likelihood (ML) phylogenetic trees were subsequently constructed based on these data, revealing the phylogenetic position of both the species and its genus.
- MakaleAçık Erişim2026Scopus SJRQ2Topic Modeling of Occupational Accident Narratives in the Manufacturing Sector Using BERTopic: Sector-Specific Accident Pattern Analysis
Aktaş, Esra; Atmaca, Hatice Ediz
Despite technological developments and increasing awareness in the field of occupational health and safety, occupational accidents remain one of the fundamental problems that continue to have significant economic and social consequences. Particularly in the manufacturing sector, the diversity of production processes, differences in the machinery and equipment used, and the complexity of working environments cause occupational accidents to exhibit risk patterns that are both shared across sectors and specific to individual sectors. In this context, this study conducted a topic modeling analysis using the BERTopic algorithm on 1,600,000 occupational accident narratives to identify sector-specific risk patterns and error types associated with 24 different economic activities within the manufacturing sector. To improve topic modeling performance, a multilingual SentenceBERT-based embedding model and a Turkish-specific tr-MTEB embedding model were compared, and the analysis was carried out using the model that provided higher representational capacity and better topic separation performance for the occupational accident narratives. The findings show that, although the sectors differ in terms of production structure, types of machinery and equipment used, material characteristics, and working environments, occupational accidents largely cluster around similar risk mechanisms. As a result, it was determined that the BERTopic method makes the sectoral risk patterns embedded in occupational accident narratives more visible and provides an analytical basis for developing sector-specific prevention strategies in occupational safety practices.

















