Sürdürülebilir Kalkınma Amaçları

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Araştırmacılar(3)

• Demir, Okan
• Keşir, Melek Koç
• Kıymış, İbrahim

• MakaleAçık Erişim2026/r/gumushane/13682
  Microwave-assisted green synthesis of gold nanoparticles using MAE-derived aqueous Rubuscaesius L. Fruit extract: characterization and UV–Vis spectral stability

  Serdar, Gönül; Serdaroğlu, Vildan; Keşi̇r, Melek Koç; Kokoç, Memnune; Terzi̇oğlu, Salih

  Gold nanoparticles (AuNPs) were synthesized through a microwave-assisted green route using an MAE-derived aqueous Rubus caesius L. fruit extract as a natural reducing and stabilizing medium. The effects of precursor concentration, extract volume, and microwave power were systematically evaluated within the tested experimental range. The combination of 0.075 mM HAuCl₄0.3 H₂O, 0.4 mL fruit extract, and 180 W microwave irradiation produced the most distinct and symmetric surface plasmon resonance response. FT-IR analysis suggested that oxygen-containing functional groups in the extract may have contributed to Au³⁺ reduction and AuNP surface stabilization. TEM analysis revealed spherical, triangular, and hexagonal nanoparticles with an average core size of 11.6 ± 3.2 nm. DLS showed a hydrodynamic diameter of 71.92 ± 4.12 nm and a polydispersity index of 0.425, while the near-neutral zeta potential indicated limited colloidal stability. UV–Vis monitoring showed that the RC-AuNPs largely retained their spectral characteristics for up to 45 days. The synthesized nanoparticles exhibited a core size comparable to previously reported Rubus-mediated AuNPs. The specific contribution of this study is the use of an MAE-derived aqueous R. caesius L. fruit extract together with the systematic evaluation of key synthesis parameters affecting AuNP formation, optical response, and colloidal behavior.

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• MakaleAçık Erişim2025/r/gumushane/14304
  The psychological consequences of 6 February 2023 Kahramanmaraş earthquakes

  Kiymis, Ibrahim; Fakioglu, Merve

  The Kahramanmaraş earthquakes (2023) are the largest and most destructive earthquakes witnessed in the era of the Republic of Turkey. Earthquakes lead to serious mental health disorders (MHD) such as Post-Traumatic Stress Disorder (PTSD) in individuals. Earthquakes that cause significant death and injury on a large scale, such as the Kahramanmaraş earthquakes, can result in various mental health disorders. Therefore, the aim of the study was to examine the effects of variables such as PTSD, event impact, psychological resilience, depression, and anxiety levels on adult earthquake survivors affected by the Kahramanmaraş earthquakes, using a quantitative research approach with survey techniques. A total of 662 earthquake survivors were reached. The effect of variables on each other was analyzed using Structural Equation Modeling (SEM). According to the findings of the study, event impact had a significant and positive effect on PTSD (β = 0.780, p = 0.000). Unexpectedly, resilience did not have a significant effect on PTSD (β=-0.04, p > 0.05). PTSD had a significant and positive effect on anxiety (β = 0.936, p = 0.000) and depression (β = 0.643, p = 0.000). Consequently, event impact’s severity increased PTSD, which in turn led to anxiety and depression. Surprisingly, psychological resilience did not serve as a protective factor against PTSD. For future research, it is recommended to examine psychological resilience with different event types, on different sample groups, and using more comprehensive and varied methods.

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• MakaleAçık Erişim2025/r/gumushane/14179
  Development of the Disaster Risk Perception Scale: Evaluation of Its Impact on Disaster Preparedness

  Kiymis, Ibrahim; Kaya, Afsin Ahmet

  Objectives:Developing a disaster risk perception scale is a critical component of Disaster Risk Management (DRM), enabling the assessment and evaluation of the reactions, behaviors, and risk culture characteristics of individuals living under disaster risk. The objective of this study is to develop a disaster risk perception scale and to assess its effect on disaster preparedness. Methods: A pilot study was conducted with 359 participants, followed by a main study involving 786 participants. All participants resided in Giresun and Elazig, Turkey, the regions recently affected by earthquakes, floods, and landslides. Results:A reliable and valid disaster risk perception scale with 25 items and 5 dimensions (exposure/impact, probability, uncontrollable, worry/fear, and vulnerability) was developed. The disaster risk perception of the participants differed significantly according to their educational level, income level, city of residence, and disaster education. As per the multiple regression analysis, the exposure/impact and worry/fear variables had positive and significant effects on disaster preparedness. Conclusions:For future studies, it is recommended to implement the disaster risk perception scale across diverse disaster types to assess and evaluate the outcomes effectively.

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• MakaleAçık Erişim2025/r/gumushane/13958
  The effect of disaster resilience and trauma exposure on PTSD, depression, and sleep disorder among healthcare workers involved in the Kahramanmaraş Earthquakes (2023): a structural equation model

  Kiymis, Ibrahim; Yuce, Damla Nur

  Healthcare workers (HCWs) serve as the cornerstone of health services, which are among the primary needs during disasters. The chaotic environment caused by disasters can lead to mental health disorders in HCWs, similar to those experienced by disaster victims. Experiencing mental health disorders can hinder HCW’s professional approach to intervention. HCWs should not be overlooked for the possibility of experiencing mental health disorders while providing healthcare services during disasters. Therefore, this study aims to examine the impact of psychological resilience and trauma exposure on PTSD, depression, and sleep disorders among HCWs involved in the Kahramanmaraş Earthquakes, which were Turkey’s most devastating earthquakes. In this quantitative research, a survey technique was employed, reaching 642 hCWs involved in the Kahramanmaraş Earthquakes. Structural Equation Modeling (SEM) was used to test the impact of variables on each other. According to the SEM results, trauma exposure in the HCWs had a significant and positive effect on PTSD (β=+0.899, p = 0.000), depression (β=+0.685, p = 0.000), and sleep disorders (β=+0.603, p = 0.000). Psychological resilience had a significant and negative effect on PTSD (β=−0.278, p = 0.004) and depression (β=−0.322, p = 0.008). Surprisingly, psychological resilience had a significant and positive effect on sleep disorders (β=+0.692, p = 0.000). In conclusion, while trauma exposure led to PTSD, depression, and sleep disorders in the HCWs, psychological resilience mitigated PTSD and depression. Unexpectedly, psychological resilience increased sleep disorders. For this reason, it is recommended that future studies investigate in detail the reasons why HCWs experience sleep disorders and examine them in depth.

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• MakaleYalnız künye2025/r/gumushane/12461
  Factors Affecting Separation Anxiety Disorder in Adolescent Earthquake Survivors: The Case of Kahramanmaraş Earthquakes (2023)

  Kiymis, Ibrahim; Dogan, Ahsen Aydin

  Objective The Kahramanmaras Earthquakes (2023) are the largest and most devastating earthquakes in the history of the Republic. The effects of these earthquakes are particularly deeply felt among younger generations and trigger various psychological factors. Therefore, the aim of this study is to measure the levels of post-traumatic stress disorder (PTSD), social phobia (SP), generalized anxiety disorder (GAD), and depression on separation anxiety disorder (SAD) among adolescent earthquake survivors affected by the Kahramanmaras Earthquakes (2023). Methods In the study, the data were obtained using a survey method. A total of 605 adolescent earthquake survivors exposed to the Kahramanmaras earthquakes were reached. The research was analyzed using structural equation modeling (SEM). Results Surprisingly, according to the research findings, there was no significant and positive relationship between SP (β = -0.006, P > 0.05) and Depression (β = -0.117, P > 0.05) on SAD. Conclusions Consequently, while PTSD and GAD had significant and positive effects on SAD in those adolescent earthquake survivors affected by the Kahramanmaras Earthquakes (2023), SP and Depression did not have significant and positive effects on SAD. Therefore, it is recommended that future studies examine the effects of SP and Depression on SAD more comprehensively and in detail through qualitative research.

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• MakaleAçık Erişim2023/r/gumushane/20390
  Okul ve Yurtlar Tarafından Hastane Öncesi Acil Sağlık Hizmetlerine Yapılan Acil Başvuruların Değerlendirilmesi

  Ulutaşdemir, Nilgün; Akbulut, Meryem; Kaya, Afşin Ahmet; Kıymış, İbrahim; Ayker, Bereket Bülent; Çavuş, Kadir

  Bu çalışmanın amacı hastane öncesi acil sağlık hizmetlerine okul ve yurtlar tarafından yapılan acil başvuruların değerlendirilmesidir. Materyal ve Metot: Bu çalışma retrospektif, tanımlayıcı ve kesitsel bir çalışmadır. Araştırma verileri, 2010-2019 yılları arasında Gümüşhane İl Ambulans Servisi Başhekimliğine anaokulu, ilkokul, ortaokul, lise ve yurtlara başvuran öğrencilerin kayıtları retrospektif olarak incelenerek toplandı. Toplam 4731 ilgili tıbbi kayda ulaşıldı. Bulgular: Hastane öncesi acil sağlık hizmetlerine okul ve yurtlar tarafından yapılan acil başvuruların %53,2'si lise yurtlarından, %28,3'ü liselerden, %15,2'si ilköğretim okullarından, %3,3'ü yatılı ilköğretim bölge okullarından ve %0,1’i anaokullarından oluşmaktadır. Sonuç: Gümüşhane İl Ambulans Servisi Başhekimliğine en fazla acil başvurunun 2015 ve 2016 yılı Ekim ayında ve travmaya bağlı olgular nedeniyle yapıldığı belirlendi.

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• MakaleAçık Erişim2023/r/gumushane/20322
  Investigation of the relationship of cognitive performance, visual reaction time and agility parameters on football players

  Kıyıcı, Fatih; Demir, Okan

  The research aims to examine the relationship between cognitive performance, visual reaction time and agility parameters on football players. Twenty- five football players with an average age of 18-20 years (18.16 ± 0.68), who have been active for at least five years and who are in the Turkish U19 Super League participated in the study from the Turkish U19 Super League participated. Body composition (BODPOD), agility (Illinois test), visual reaction time (Witty Sem Microgate) and cognitive performance (Stroop Test) of the football players were measured. SPSS v23 was used in the analysis of the data and the significance level was taken as p<0.05. The relationship between normally distributed data was examined with the Pearson Correlation Coefficient. According to the analysis of the data a significant positive correlation was found between cognitive performance and visual reaction time on football players. When the relationship between cognitive performance and agility parameter was examined, no significant relationship was found between the two concepts. There was a significant correlation and a negative correlation between visual reaction time and agility parameters. As a result, when height, body mass index and body fat ratio values increase on football players, visual reaction time increases and performance decreases. Likewise, when the body fat ratio increases, agility time increases and performance decreases.

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• MakaleYalnız künye2022/r/gumushane/16876
  COVID-19 Pandemisinin Sağlık Hizmetlerinin Sürdürülebilirliğine Etkisinin İncelenmesi

  Akbulut, Meryem; Kaya, Afşin Ahmet; Kıymış, İbrahim

  Küreselleşmenin hayatımızı kolaylaştıran olumlu etkilerinin yanı sıra olumsuz etkileri de farklı bağlamlarda etkisini göstermiştir. Küreselleşmenin olumsuz etkilerinin son örneği, tüm dünyayı ve tüm toplumları derinden etkileyen COVID-19 pandemisi olmuştur. COVID-19 pandemisi özellikle sağlık hizmetlerini olumsuz etkilemiştir. Bu çerçevede bu çalışmanın amacı, COVID-19 pandemi sürecinin sağlık hizmetlerinin sunumuna olan etkisini değerlendirmektir. Bu araştırmanın örneklemi seçilirken amaçlı örnekleme yöntemlerinden biri olan ölçüt örnekleme kullanılmıştır. Sağlık hizmetleri sektöründe faaliyet gösteren kurum yöneticileri ile operasyonel müdahaleler, lojistik ve kaynak yönetimi, kurumlar arası koordinasyon, iş sağlığı ve güvenliği, planlama ve finansal yönetim gibi konularda açık uçlu sorulardan oluşan yarı yapılandırılmış bir form kullanılarak görüşülmüştür. Bazı yöneticiler, özellikle küçük ölçekli hastanelerin afet ve acil durumlara hazırlıklı olmadığını belirterek, planlamanın ve hazırlıklı olmanın önemine vurgu yapmıştır. Bu bilgiler ışığında, her hastanenin Hastane Afet ve Acil Durum Planlarına gereken özeni göstermeleri ve tüm personeli sürece dahil ederek gerekli hazırlıkları yapmaları şarttır. Planlama ve hazırlıklı olmanın temeli hem teorik hem de pratik olarak ele alınması gereken tatbikatlardır. Hastanelerin en olası riskleri içeren afet ve acil durum senaryoları oluşturmaları ve bu yönde tatbikatlar yapmaları gerekmektedir. Senaryonun gerçek olması durumunda beklenmedik durumlarla karşılaşmamak için gerçekçi senaryolar oluşturulmalı ve bu senaryolar tüm yönleriyle ele alınmalıdır. Tatbikatlar her yıl aynı senaryoya dayanmamalıdır. Ayrıca her yıl müdahale seviyesi artırılmalı ve mevcut kapasiteler yeniden değerlendirilmelidir.

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• MakaleYalnız künye2021/r/gumushane/17632
  Gümüşhane Devlet Hastanesine Başvuran Göçmen Gruplarının Poliklinik Hizmetlerinin ve Maliyetlerinin Analizi

  Cengiz, Sevil; Kıymış, İbrahim

  Bu çalışmanın amacı, Gümüşhane Devlet Hastanesi (GDH)’ne 2014, 2015 ve 2016 yıllarında başvuran göçmen gruplarının demografik özelliklerini (göçmenlerin yaşı, cinsiyeti, tanısı, uyruğu, poliklinik hizmetleri) incelemek ve GDH’ne maliyetlerini (hem yıllara göre maliyet hem de toplam maliyet) tespit etmektir. Çalışmada “Betimsel İçerik Analizi” yöntemi kullanılmıştır. Bu çalışmada kullanılan veriler GDH’den gerekli izinler alındıktan sonra dijital ortamda dosya şeklinde teslim alınmıştır. Verileri analiz etmek için SPSS 21 paket programı kullanılmıştır. Bu araştırmanın sonucu, sağlık sisteminde göçmen gruplarına yönelik yapılan harcamaların yönetilmesinde ve planlamasında idarecilere, yöneticilere ve karar vericilere fikir verecektir. 2014 yılında göçmen grupların GDH’ne başvuru sayıları 699 iken, 2015 ve 2016 yıllarında ise 977 ve 1445’tir. 2014, 2015 ve 2016 yıllarında göçmen gruplar GDH’ne 3.121 kez başvurmuşlardır. 3 yıl boyunca GDH’ne başvuru yapan göçmen grupların çoğunlukla Afganistan İslam Cumhuriyeti vatandaşları olduğu görülmektedir. 3 yıl boyunca yapılan başvuruların cinsiyet ve yaş durumları incelendiğinde, genel olarak 16-30 yaş grubundaki göçmenlerin ve kadınların başvuru yaptığı görülmektedir. Göçmen grupların GDH’ne en çok Kas-İskelet ve Bağ Dokusu Hastalıkları ve Solunum Sistemi Hastalıkları tanısı ile başvurduğu görülmektedir. Ayrıca 2014, 2015 ve 2016 yıllarında en fazla başvuru Acil Polikliniğine olmuştur. Göçmen grupların GDH’ne maliyetleri incelendiğinde; 2014 yılında 32.999,57 TL, 2015 yılında 43.059,04 TL ve 2016 yılında 64.958,37 TL olduğu görülmüştür. 2014, 2015 ve 2016 yıllarında göçmen grupların GDH’ne toplam 141.011,98 TL maliyeti olmuştur. Sonuç olarak her geçen yıl göçmen grupların hastaneye maliyetlerinin ve başvuru sayılarının arttığı tespit edilmiştir.

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• MakaleYalnız künye2019/r/gumushane/18210
  Safe Hospitals and Rating in Disasters: Case of Gümüşhane Province

  Kaya, Afşin Ahmet; Kıymış, İbrahim

  Buildings, facilities, systems, critical services and people are greatly affected during disasters. When disasters occur, health facilities such as hospitals should be able to protect the life and welfare of the community. Therefore, there is a need for safe hospitals that do not collapse in disasters and continue to serve. The purpose of this study, which is required due to the existing shortcomings, is to determine the security levels of the state hospitals in Gümüşhane against disasters and to reveal the current status of hospitals. This study is descriptive. In the study, Safe Hospital section in the last section of 6 HAPs of Gümüşhane Province was investigated in 2018. The data of the study was collected by using the Safe Hospital Checklist which is composed of the dangers affecting hospital security, structural safety, non-structural safety and emergency and disaster management modules developed in the guide book Safe Hospital Safety Index: Guide for Evaluators Checklist published by WHO in 2015. Within the framework of current requirements, a total of 30 questions were included in the checklist, including 20 questions on CBRN-E (Chemical, Biological, Radiological, NuclearExolosive) and 10 questions on sensitive groups, referring to expert opinions. A total of 181 questions were examined along with the questions on the Safe Hospital Checklist.

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