Sürdürülebilir Kalkınma Amaçları

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Araştırmacılar(41)

• Akdemir, Rabia Rümeysa
• Aksoy, Bahar
• Aktaş, Songül
• Aktuğ, Cemile
• Akyıldız, Esma
• Apaydin Cirik, Vildan
• Aslan, Çimen
• Ay, Özge Palancı
• Ayan, Mahsun
• Aydın, Aydanur
• Aydın, Esra
• Aydın, Rüveyde
• Balaban Yücesan, Fulya
• Bas, Cağla Firdevs
• Baygin, Şevval
• Büyükçerçi, Nilda Nur
• Canik, Muhammed
• Çakmak, Seher
• Çoban, İclal Gül
• Çolak, Ayşe
• Dere, Cansu
• Doğan, Melike Demir
• Elik, Burak
• Gül, Uğur
• Gülsever, Esra
• Kalleci, Gülse Nur
• Karaca, Mucahit Talha
• Karakaş, Sevda
• Kulakaç, Nurşen
• Oturgan, Berna
• Palancı, Özgür
• Sahinoz, Turgut
• Savci, Hamit
• Savuci, Yıldız
• Selim, Nisanur
• Simsek, Hediye
• Topçu, Tuğba Yazıcı
• Tuncer, Gülsüm Zekiye
• Tuncer, Metin
• Uzun, Sevda
• Xue, Hui

• MakaleYalnız künye2027/r/gumushane/13661
  Serial mediating role of belonging and state mindfulness in the relationship between clinical learning environment and caring behaviors in nursing students

  Özalp, Cemal; Tuncer, Metin; Kaya, Abdulsamed; Şahin, Fatih

  Aim: The study aimed to examine the relationship between clinical learning environment and caring behaviors in nursing students and to test the serial mediating roles of belonging and state mindfulness in this relationship. Background: The psychosocial mechanisms linking the clinical learning environment to caring behaviors remain unclear, particularly the combined roles of belonging and state mindfulness. Design: The study had a cross-sectional design and was conducted in line with the STROBE guidelines. Methods: The sample consisted of 452 undergraduate nursing students studying at a state university in Turkiye. The data were collected between December 2025 and January 2026 using the Personal Information Form, Clinical Learning Environment Scale, Nursing Department Belonging Scale, State Mindfulness Scale, and Caring Behaviors Inventory. Results: The clinical learning environment was found to be positively correlated with sense of belonging (B = 0.412, p < .001). Sense of belonging significantly predicted both State Mindfulness (B = 0.607, p < .001) and caring behaviors (B = 0.857, p < .001). State mindfulness is also a significant predictor of caring behaviors (B = 0.734, p < .001). Indirect effects analyses indicated that the clinical learning environment was associated with caring behaviors through sense of belonging and through the sequential pathway involving both sense of belonging and state mindfulness. However, the direct effect of the clinical learning environment on caring behaviors was not significant. Additionally, the indirect effect of the clinical learning environment on caring behaviors through state mindfulness alone was not significant. Conclusions: The results of the study showed that the clinical learning environment is associated with nursing students' caring behaviors indirectly through sense of belonging and state mindfulness, rather than directly.

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• MakaleYalnız künye2026/r/gumushane/10587
  Comparison of automated subcortical segmentation methods: VolBrain vs. 3D Slicer in brain volumetry

  Acer, Niyazi; Palanci, Ozgur; Ipekten, Funda; Erdogan, Furkan Mert; Yarar, Burhan; Ozyasar, Ali Faruk

  Objective:Accurate volume measurements of subcortical brain structures are essential in neuroimaging studies. This study aimed to compare two automated segmentation algorithms, 3D Slicer and VolBrain, for subcortical brain volumetry. Method:Subcortical volume measurements obtained using 3D Slicer and VolBrain were compared using the Neurofeedback Skull-stripped (NFBS) dataset. Statistical analyses included the coefficient of determination (R2) and Bland-Altman (B-A) plots. Volumetric measurements from both tools were evaluated across multiple subcortical brain regions. Results:Strong agreement was observed for the caudate nucleus, thalamus, and hippocampus, while notable discrepancies were identified in the amygdala, globus pallidus, and nucleus accumbens. Both constant and proportional systematic errors were detected in certain regions, with greater variability observed in 3D Slicer measurements. Intraclass Correlation Coefficient (ICC) analysis demonstrated weak agreement for the accumbens and amygdala, and moderate agreement for the hippocampus and thalamus, highlighting region-specific differences in performance Conclusion:Both VolBrain and 3D Slicer are effective tools for subcortical brain volumetry. VolBrain provides a fully automated workflow, whereas 3D Slicer allows greater flexibility through detailed corrections. Method selection should be guided by research objectives, regions of interest, and image quality. Further validation across diverse datasets is warranted to improve clinical applicability, particularly in regions showing lower agreement.

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• MakaleAçık Erişim2026/r/gumushane/10425
  Positive attitudes toward and perceived importance of wearable display technology as an effective learning tool among nursing students: Turkish validity and reliability study

  Aydin, Aydanur; Mese, Sevinc; Ay, Ali; Sezer, Hale; Rizalar, Selda; Güler, Sevil; Gürsoy, Ayla

  Objective This research aimed to adapt Positive Attitudes Toward and Perceived Importance of Wearable Display Technology (PATPIWDT) as an Effective Learning Tool Among Nursing Students into Turkish and to examine the validity and reliability of its translation.Methods This methodological study included 698 nursing students recruited via convenience sampling. Construct validity was evaluated using Confirmatory Factor Analysis (CFA) with the Maximum Likelihood (ML) estimation method. Internal consistency was assessed using Cronbach's Alpha and McDonald's Omega coefficients.Results The model demonstrated excellent fit according to the confirmatory factor analysis results. The CFA results for the Positive Attitudes subscale indicated a good model fit (CMIN/DF = 4.79, GFI = 0.93, CFI = 0.97, RMSEA = 0.07, SRMR = 0.03). For the Perceived Importance subscale, the single-factor structure showed acceptable fit indices (CMIN/DF = 5.82, GFI = 0.98, SRMR = 0.03). As a result of examining the standardized loadings of the items, it was seen that the item factor loadings were 0.40 and above, indicating sufficient factor loading. Cronbach's alpha coefficients were 0.91 for the positive attitudes subscale and 0.84 for the perceived importance subscale. The respondents also demonstrated an above-average overall score, with a mean of 3.40 (SD = 0.69).Conclusion The Turkish version of the scale provides a dependable measure of nursing students' positive attitudes toward wearable screens and how important they consider this technology for future educational use.

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• MakaleYalnız künye2026/r/gumushane/20430
  Enhancing Creative Thinking and Innovation Competencies of Oncology Nurses Through an Innovation Workshop: A Mixed-Methods Study

  Beke, M; Aydin, A; Ercivan, S; Karakuş, H

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• Derleme MakaleYalnız künye2026/r/gumushane/20426
  Biopsychosocial dimensions of cancer and spiritual coping strategies: a phenomenological study of patient experiences

  Aydın, E; Uzun, S; Karakaş, S; Günay, D; Büyükçerçi, NN

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• MakaleAçık Erişim2026/r/gumushane/19449
  Üriner İnkontinansı Olan Kadınlarda İnkontinans Şiddetinin Sağlık Arama Davranışı ve Yaşam Kalitesi Üzerindeki Etkisinin İncelenmesi

  Karakas, Sevda; Bülbül, Gülsüm Çeter

  Amaç: Üriner inkontinans (Üİ) kadınlar tarafından genellikle göz ardı edilen, sağlık sorunu olarak görülmeyen bir durumdur. Bu çalışmanın amacı, Üİ’lı kadınlarda inkontinans şiddeti, yaşam kalitesi ve tedavi arama davranışı arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. Yöntem: Bu çalışma ilişki arayıcı türde tasarlanan bir araştırmadır. Ocak 2023 – Temmuz 2023 tarihleri arasında 370 kadın ile yürütülmüştür. Veri toplama aşamasında demografik bilgi formu, Ürogenital Distres Envanteri, İnkontinans Şiddeti, Bristol Kadın Alt Üriner Sistem Semptomları İndeksi ve İnkontinans Etki soru formu kullanılmıştır. Bulgular: Kadınların % 63’ünün yaklaşık bir yıldan uzun süredir üriner inkontinans yaşadığı, % 75.1’inin doktora başvurmadığı, %37.3’ünün üriner inkontinansı önemsemediği belirlenmiştir. Kadınlarda inkontinans şiddeti ile doktora başvurma oranları ve yaşam kalitesi arasında anlamlı bir ilişki olduğu tespit edilmiştir (p<0.05). Sonuç: Çalışmamızda kadınlarda yaşam kalitesinin olumsuz etkilenmesine rağmen dört kadından üçünün doktora başvurmadığı tespit edildi. İnkontinans şiddeti arttıkça yaşam kalitesinin ciddi düzeyde olumsuz etkilendiği tespit edildi. Toplumda kadınlarda Üİ tanılanması, Üİ’a neden olabilecek risk faktörlerinin değerlendirilmesi ve Üİ’dan korunma konusunda kadınlarda bilinç ve farkındalık kazandırmada hemşirelere önemli sorumluluklar düşmektedir.

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• MakaleAçık Erişim2026/r/gumushane/19398
  Olgu Temelli Yapay Zekâ Eğitim Uygulamasına Yönelik Hemşirelik Son Sınıf Öğrencilerinin Görüşleri: Tanımlayıcı Nitel Çalışma

  Tuncer, Metin; Tuncer, Gülsüm Zekiye; Yalcinkaya, Turgay

  Amaç: Olgu temelli yapay zekâ uygulamalarının hemşirelik eğitimine etkili ve güvenli bir şekilde entegrasyonu, hemşirelik öğren cilerinin çağdaş eğitim ihtiyaçlarını karşılamak açısından önemli bir gerekliliktir. Bu nedenle araştırmanın amacı, hemşirelik son sınıf öğ rencilerinin yapay zekâ destekli olgu temelli eğitim uygulamasına iliş kin deneyimlerini ve görüşlerini derinlemesine incelemektir. Gereç ve Yöntemler: Tanımlayıcı nitel araştırma deseninde yürütülen bu ça lışma, bir devlet üniversitesinde öğrenim gören 15 gönüllü son sınıf hemşirelik öğrencisiyle gerçekleştirilmiştir. ChatGPT-4o tabanlı olgu temelli bir eğitim uygulaması yapan gönüllü katılımcılar ile yarı yapı landırılmış görüşmeler yoluyla veriler yüz yüze bireysel yöntemle top lanmıştır. Görüşmeler, içerik analizi yöntemiyle değerlendirilmiştir. Bulgular: Analiz sonucunda, (1) Öğrenme sürecine katkısı, (2) Kulla nım kolaylığı ve erişilebilirlik, (3) Geleneksel eğitimle kıyaslama ve (4) Güvenilirlik ve sınırlılıklar olarak 4 ana tema ortaya çıkmıştır. Ka tılımcılar, ChatGPT’nin klinik akıl yürütme becerilerini desteklediğini, bilgiye hızlı erişim sağladığını ve yargılamayan bir öğrenme ortamı sunduğunu ifade etmiştir. Ancak bilgi tutarsızlıkları, kaynak belirtme mesi ve komutlara duyarlılık gibi sınırlılıklar da vurgulanmıştır. Sonuç: Çalışma, ChatGPT destekli olgu temelli eğitimin hemşirelik öğrenci lerinin öğrenme sürecine katkı sunduğunu ve geleneksel eğitimi ta mamlayıcı bir potansiyel taşıdığını göstermektedir. Bu tür uygulamaların hemşirelik eğitimine etkili biçimde entegre edilebilmesi için öğretim elemanı rehberliğinde yapılandırılmış senaryolarla yürü tülmesi, öğrencilerin komut oluşturma ve eleştirel düşünme becerileri nin desteklenmesi önerilmektedir.

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• MakaleAçık Erişim2026/r/gumushane/19351
  Quality of Life in Patients with Hematological Malignancy Receiving High-Dose Chemotherapy : A Descriptive Study

  Çakmak, Seher; Nural, Nesrin

  Introduction: Hematological malignancies reduce quality of life due to aggressive treatments and related complications. Aim: The aim of this study was to evaluate the quality of life of hematologic cancer patients receiving high-dose chemotherapy. Methods: This descriptive cross-sectional study was conducted with 158 patients selected by simple random sampling method who were treated in the hematology clinic of a university hospital. Data were collected using a personal information form and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30. Results: 51.3% of the patients were aged 18 - 50 years, 52.5% were female, and 67.1% had a diagnosis of leukemia. The mean scores of the quality of life scale were 74.47 ± 19.92 for the functional scale, 71.31 ± 19.31 for the symptom scale, and 39.82 ± 26.31 for the global quality of life. These findings indicate that patients had relatively good functional status, high symptom burden, and low overall quality of life. Among the functional subscales, the highest mean score was observed in cognitive functioning (85.7 ± 18.8), while the lowest was in social functioning (68.9 ± 32.5). Patients diagnosed with lymphoma had significantly lower functional scale scores (p = 0.002), whereas patients with leukemia and those with a history of chemotherapy had significantly higher symptom scale scores (p = 0.017 and p = 0.026, respectively). Conclusion: In conclusion, it was determined that patients had a low quality of life, particularly in the areas of physical and social functioning, and a high symptom burden. Higher symptoms in patients with leukemia and prior chemotherapy underscore the need for symptom control and functional assessment.

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• MakaleYalnız künye2026/r/gumushane/16701
  Women's breast cancer prevention behaviors and cancer fears: the sample of post-earthquake

  Aydin, Aydanur

  In the event of a natural disaster, women who assume multiple roles within the family unit tend to postpone their health concerns and delay medical appointments. The present study aims to examine the relationship between the level of fear of breast cancer and the implementation of breast cancer preventive behaviours among women following an earthquake. The sample consists of 2,671 women aged 20 and over who participated voluntarily. The data were collected using two instruments: the Breast Cancer Fear Scale and the Women's Breast Cancer Prevention Behaviors Form. Following a comprehensive review of the extant literature, it was determined that women affected by earthquakes exhibited elevated levels of fear of breast cancer. A substantial decline was observed in the utilization of preventive measures necessitating institutional access, including mammography. The findings of this study indicate that education, occupation, and family history of breast cancer have a significant impact on women's post-earthquake fear levels in implementing preventive behaviours. However, given the cross-sectional design and the absence of pre-disaster baseline data, these findings reflect post-earthquake associations rather than temporal or causal trends. Natural disasters can result in the deterioration of health perceptions, exacerbated by heightened stress and health concerns. Consequently, there is an urgent need for innovative approaches to ensure the maintenance of health check-ups and continuous access to preventive care in the aftermath of large-scale natural disasters.

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• MakaleYalnız künye2026/r/gumushane/16295
  Contralateral DTI-ALPS index as a prognostic biomarker in IDH-wildtype glioblastoma: integrating extent of resection and sex-stratified analyses

  Aygün, Tayfun; Keskin, Arif; Palanci, Ozgur; Öztanir, Mustafa Namik; Yücel, Nurullah; Hekimoglu, Gulam

  Aim This study aimed to evaluate the independent prognostic value of the contralateral DTI-ALPS index in IDH-wildtype glioblastoma, incorporating tumor morphometry, extent of resection, and sex-stratified analyses within a multivariable framework.Methods A retrospective analysis was performed on 153 IDH-wildtype glioblastoma patients from the publicly available UPENN-GBM dataset. Contralateral DTI-ALPS was calculated using DSI Studio via manual ROI placement; tumor morphometry was derived from expert-annotated segmentation labels using 3D Slicer. Survival analyses included Kaplan-Meier estimation, multivariable Cox regression, time-dependent ROC, restricted cubic spline, and sequential C-index comparison with likelihood-ratio testing.Results The contralateral DTI-ALPS index independently predicted overall survival after adjustment for age, sex, tumor volume, and GTR status (HR = 0.405, 95% CI: 0.227-0.725, p = 0.002). Each one standard deviation increase in DTI-ALPS was associated with a 24.2% reduction in mortality risk. GTR >= 90% (HR = 0.651, p = 0.017) and age (HR = 1.021, p = 0.007) also retained independent significance. DTI-ALPS significantly improved model discrimination beyond age alone (C-index: 0.625 -> 0.653 -> 0.668; likelihood-ratio test p = 0.002). Time-dependent AUC reached 0.741 at 6 months. ALPS-based stratification was more pronounced in the subtotal resection subgroup. Sex-stratified analyses showed numerically stronger associations in females, but formal interaction testing did not confirm effect modification. In an exploratory MGMT subset (n = 57), DTI-ALPS did not retain independent significance after MGMT adjustment.Conclusion The contralateral DTI-ALPS index may provide complementary prognostic information beyond established clinical predictors in IDH-wildtype glioblastoma; however, given the incomplete MGMT methylation data and ongoing methodological debate regarding the biological validity of DTI-ALPS, these findings should be considered exploratory. Prospective validation in cohorts with complete molecular and treatment data is required.

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