Scopus İndeksli Yayınlar Koleksiyonu

Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/7

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Hybrid Swara-Vikor Based on Neutrosophic Fuzzy Numbers: an Application
(IGI Global, 2024) Büyükselçuk, E.C.
In recent years, the burgeoning activity in medical tourism has prompted countries to allocate investments to the healthcare sector, signalling a significant resurgence in national economies. Turkey, like many other nations, has witnessed favourable advancements in this domain. Buoyed by these positive trends and government support, Turkey has expanded its market presence in medical tourism. Concurrently, both public and private hospitals and clinics are endeavouring to capitalize on this growing market share by initiating fresh investments in the sector. This study focuses on assessing the performance of a private healthcare institution operating within Turkey. Leveraging performance criteria established through expert opinions and a thorough literature review, the evaluation of various hospital branches within the healthcare sector was conducted utilizing integrated SWARA-VIKOR methods, employing neutrosophic fuzzy numbers. © 2025 by IGI Global Scientific Publishing. All rights reserved.
Unraveling Hepatic Consequences of Intrauterine Growth Restriction and Catch-Up Growth: Insights From Histological, Biochemical and Metabolomic in Rats
(Univ Basque Country Upv-Ehu Press, 2025) Esrefoglu, Mukaddes; Selek, Sahabettin; Koktasoglu, Fatmanur; Bayindir, Nihan; Hekimoglu, Emine-Rumeysa; Kirmizikan, Seda; Bekiroglu, Somer
Intrauterine growth restriction (IUGR) is increasingly recognized as a significant risk factor for metabolic disorders in adulthood. Employing a multi-faceted approach encompassing histopathological, immunohistochemical, biochemical, Western-blotting, and metabolomics analyses, this study aimed to elucidate potential metabolite markers of IUGR, and catch-up growth-related metabolic disturbances and the underlying metabolic pathways implicated in IUGR pathogenesis. This study cohort comprised 54 male siblings from 20 Sprague-Dawley female young rats. On the 19th day of gestation, half of the pregnant rats underwent bilateral uterine artery ligation, while the remaining half underwent a simulated surgical intervention involving solely peritoneal incisions. Blood and liver samples were collected from the pups after attaining catch-up growth at the postnatal weeks 2, 4, and 8. IUGR rats exhibited a spectrum of changes including histological abnormalities, altered apoptosis rates, oxidative stress markers, and mitochondrial energy metabolism. Metabolomic analysis revealed dysregulation in multiple metabolic pathways encompassing galactose, propanoate, glycerolipid, cysteine, methionine, and tyrosine metabolism, among others. Notably, disturbances were observed in butanoate, glutathione metabolism, as well as glycolysis/gluconeogenesis. Our metabolomics analysis provides insights into the potential disease susceptibility of individuals born with IUGR, including obesity, diabetes, heart failure, cancer, mental retardation, kidney and liver diseases, and cataracts. These findings underscore the intricate interplay between intrauterine conditions and long-term metabolic health outcomes, highlighting the need for further investigation into preventive and therapeutic strategies aimed at mitigating the risk of metabolic diseases in individuals with a history of IUGR.
The Effectiveness of Proprioceptive Neuromuscular Facilitation Techniques Versus Conventional Therapy in Patients With Proximal Humerus Fracture: Randomized Controlled Trial
(Taylor & Francis Inc, 2025) Kus, Gamze; Alpozgen, Ayse Zengin; Ozdincler, Arzu Razak; Gungor, Feray; Altun, Suleyman
Background To date, no study has investigated the effectiveness of proprioceptive neuromuscular facilitation (PNF) techniques for patients with proximal humerus fractures (PHF). Objective To compare the effect of PNF, conventional physicaltherapy (CPT) on shoulder passive and active range of motion (ROM), function, muscle strength, pain, kinesiophobia, quality of life (QoL), and patient satisfaction in patients with PHF. Methods A total of 40 patients with PHF were randomly allocated into two groups of CPT and PNF. Both groups received treatment programs three times a week for 6 weeks. The primary measures were shoulder ROM, function, and muscle strength. The secondary measures were pain, kinesiophobia, QoL, and patient satisfaction. Results Forty patients analyzed at the end of the study. There were no statistically significant group-by-time interactions for function, pain, shoulder ROM (active and passive), or muscle strength (p > .05). However, there were statistically significant group-by-time interactions in role limitations due to physical health subscale of the 36-item Short Form Survey (SF-36) in CPT (p = .046, eta(2)(p) = 0.078). In addition, a significant difference was found in patient satisfaction at 3 weeks in CPT (p = .021) but no difference at 6 weeks between groups (p > .05). Conclusion The PNF techniques demonstrated similar outcomes to the CPT in reducing pain, improving function and shoulder ROM, and enhancing quality of life in patients with PHF in short time. According to our findings, PNF techniques are as effective as CPT and can be proposed as a potential adjunctive treatment for patients with PHF. Clinicaltrialnumber NCT05960435
A New Servicizing Business Model of Transportation: Comparing the New and Existing Alternatives Via Neutrosophic Analytic Hierarchy Process
(University of New Mexico, 2022) Karadayi-Usta, S.
The new normal of the world has been shaped by the COVID-19 outbreak by avoiding public transportation in order to prevent the spread of the disease. Due to the high financial burden of purchasing a car, new business models have been developed in order to make possible of utilizing vehicles to meet the transportation needs in pay-per-use base concept called “servicizing” or “servicization” which is based on presenting a product as a service, and selling the functionality of that product instead of the product itself. In order to meet the increasing demand for individual vehicle use, the existing car rental service providers have provided a new mobile application controlled business model which makes the rental process easier. The aim of this study is to evaluate the customers’ preferences of purchasing, renting through an agency, or mobile application supported new pay-as-you-go business model use, in order to determine which criterion is prominent in the decision-making process, and to identify the weights of these criteria. Due to the uncertain and indeterminate attitudes of the customers in decision making, the data were collected as neutrosophic data sets and analyzed with a novel neutrosophic Analytic Hierarchy Process (nAHP) approach. The study provides implications both theoretically and practically in terms of revealing new servicization possibilities and analyzing real user judgments © 2022, Neutrosophic Sets and Systems.All Rights Reserved.
Determining the Injury Risk Levels of Kyorugi and Poomsae Taekwondo Athletes and Comparing Them With Selected Athletic Performance Parameters
(Stowarzyszenie Idokan Polska-Idokan Poland Assoc, 2025) Ergin, Ceren z.; Pinar, Yeliz; Sani, Fatih; Cumbur, Cansel; Ramazanoglu, Nusret
Background. Different disciplines within the same sport can lead to varying injury risks and performance requirements due to differences in energy systems, techniques, and competition rules. Problem and aim. This study assesses and compares injury risk levels among taekwondo athletes in the kyorugi and poomsae disciplines alongside selected athletic performance parameters. Material and Method. The study included 10 women (22 +/- 2.37 years) and 10 men (22 +/- 1.25 years) from the kyorugi discipline, and 10 women (19.4 +/- 2.55 years) and 10 men (18.8 +/- 3.29 years) from poomsae. All participants had competed in licensed elite-level competitions for at least 4 years. Injury risk and performance were evaluated using the Y balance test (YBT), reactive strength index (RSI), and functional movement screen (FMS). Results. Significant differences were found between male kyorugi and poomsae athletes in rotary stability (p=0.042), dominant leg Y balance (p=0.012), and composite scores (p=0.012). For female athletes, differences in dominant leg Y balance (p=0.049), anterior reach (p=0.027), RSI (p=0.001), and jump height (p=0.001) were noted. Female poomsae athletes had RSI values below normative standards. According to the YBT, the male poomsae group had the lowest number of athletes at risk of injury, whereas the female kyorugi group had the highest. Conclusions. Generally, taekwondo athletes displayed low injury risks based on FMS and YBT values, with moderate to low RSI risk levels. Increased reactive strength may correlate with higher injury risk. Female poomsae athletes should work to improve RSI scores, while kyorugi athletes should focus on strategies to address asymmetry-related injuries.
Investigating Compliance With a Home Exercise Program in People With Multiple Sclerosis
(AVES, 2025) Tekeoğlu Tosun, A.; Yilmaz, N.; Eryildiz, E.; Işiklar, Ç.; Hotaman Kekli̇Cek, H.
Objective: This study aims to evaluate the status of receiving home exercise programs and adherence among individuals with multiple sclerosis (MS), providing insights for clinical practice. Methods: Individuals diagnosed with MS, aged 18 and over, literate, and reached through the social media platforms of the MS Society of Türkiye, were included in the study. Individuals who did not fully complete the questions asked and/ or gave answers irrelevant to the topic, who reported comorbidities that may prevent participation in exercise along with MS, and those not meeting the specified age criteria were excluded from the study. Data were collected through an online questionnaire assessing MS patients’ sociodemographic and clinical characteristics and their engagement and adherence to home exercise programs. Results: A total of 217 people (n = 36) male, (n = 181) female, participated in the study. While the rate of having a prescribed home exercise program among all participants was 12.90%, this rate was 8.33% for men and 13.81% for women. When the compliance of the participants with home exercise programs was examined, all men stated they sometimes applied these programs. This rate was found to be 52% for women. Conclusion: The study demonstrated that a considerable proportion of individuals with MS did not engage with the prescribed home exercise programme. Furthermore, the adherence rates and frequency of exercise updates were found to be inadequate. Since the MS population is increasing steadily in Türkiye, it is vital to facilitate access to effective exercises for people with MS and to ensure lifelong compliance with these exercises. © 2025 AVES. All rights reserved.
Exploring the Role of Adipose Tissue-Derived Hormones Asprosin and Leptin in the Onset of Depressive Symptoms in Newly Diagnosed Prediabetic Individuals
(Elsevier B.V., 2025) Bahadir, F.E.; Demirel, O.U.; Yavuz, M.; Firat, O.; Yogurtcu, I.; Govdeli, Y.; Furuncuoglu, Y.
Background: Type 2 diabetes and depression are common chronic conditions that often co-occur, likely driven by complex mechanisms that are not yet fully understood. Chronic low-grade inflammation may serve as a shared underlying factor in both conditions. This study aimed to determine whether adipose tissue-derived hormones asprosin and leptin, particularly asprosin, which is associated with inflammatory cytokines in glucose metabolism dysregulation and has not been studied in this context—might influence the onset of depressive symptoms. Methods: 112 participants were recruited from drug-naïve individuals. Blood samples were collected, anthropometric data recorded, the Beck Depression/Anxiety Inventories administered. Adapted questions assessed physical and social activity, as well as sleep habits, to account for environmental factors. After applying the exclusion criteria, participants were divided into prediabetic (n = 32) and normoglycemic groups (n = 30). Results: In the prediabetic group CRP was elevated (p < 0.001), with a positive correlation between asprosin and leptin (p < 0.001). Asprosin was positively correlated with TNF-α (p = 0.004), IL-6 (p = 0.002), and ESR (p < 0.001), and leptin with TNF-α (p = 0.008) and ESR (p = 0.018) but not with depressive symptoms or anxiety. Depressive symptoms were higher in prediabetic individuals with poor sleep quality. Conclusion: In groups with similar social and physical activity levels, poor sleep quality was associated with increased depressive symptoms. While asprosin and leptin correlated with higher inflammatory cytokines, they showed no significant association with depression, possibly due to the small sample size and early-stage evaluation. Larger studies are needed to confirm any potential link between these hormones and depression. © 2025 The Authors
The Effect of Simulation-Based Electroconvulsive Therapy Education on Perception and Knowledge of Nursing Students: a Semiexperimental Study
(Lippincott Williams and Wilkins, 2025) Dikeç, G.; Şan, E.Ö.
Objectives Despite the recognized benefits and safety of electroconvulsive therapy (ECT) for treating mental disorders, negative perceptions persist among both the public and mental health professionals. This stigma is often rooted in historical practices and media portrayals, despite modern advancements in the technique. This study aimed to assess the impact of simulation-based ECT education on nursing students' perceptions and knowledge regarding ECT before and after the procedure. Methods This study was planned to use a single-group pretest and posttest quasi-experimental design with a 3-month follow-up. Simulation-based ECT education involved 1 hour of theoretical instruction followed by hands-on learning using a high-fidelity mannequin. Final-year nursing students enrolled in a psychiatric and mental health nursing course were examined on their knowledge and perceptions of ECT before, immediately after, and 3 months following the intervention. Results Students reported statistically significant improvements in their perception and knowledge levels after participating in the simulation-based ECT education. The results were similar at the 3-month follow-up. Conclusions Simulation-based ECT education can be effectively integrated into both undergraduate and graduate nursing curricula to foster positive perceptions and enhance knowledge about ECT. Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.
A Sentiment Analysis of Turkish Tweets Shared in Nursing Week During the Pandemic
(Association of Executive Nurses, 2022) Doğan, M.B.; Oban, V.; Dikeç, G.
Aim: This study aimed to conduct an artificial intelligence-based sentiment analysis of Turkish tweets about nursing during the nursing week during the COVID-19 pandemic. Method: This is a retrospective descriptive survey. Between May 4 and May 19, 2021, Turkish tweets were analyzed using the Python library Tweepy. The search terms “nurse, nursing, and nursing week” were used to analyzed tweets for their positivity, neutrality, or negativity. Results: The analysis of 24,944 tweets revealed that tweets frequently express neutral emotions. The negative tweets frequently discussed issues such as societal gender perception, professionalism, burnout during the pandemic, salaries, inadequate nursing workforce, inequalities, violence against healthcare professionals, and the deaths of nurses. Conclusions: Social media applications can be recommended as important tools for raising awareness of the nursing profession identity, professionalism, visibility, and the perception of society towards nursing, nursing problems, and recommendations for solutions. © 2022 The Authors. Published by Association of Nurse Managers.
Dodder (Cuscuta Sp.) Extract Ameliorates Liver Fibrosis in Bile Duct-Ligated Rats
(Istanbul University Press, 2022) Albayrak, O.; Ozbeyli, D.; Sen, A.; Cevik, O.; Erdogan, O.; Ercan, F.; Sener, G.
Objective: The aim is to examine the possible protective effect of Cuscuta sp. extract against liver damage induced by biliary obstruction in rats. Materials and Methods: To induce biliary obstruction, the bile duct ligation (BDL) method was used. Sprague Dawley rats were allocated to 4 groups: Control (C), Cuscuta (CUS), bile duct ligation (BDL), and bile duct ligation + Cuscuta (BDL+CUS). Control and BDL rats were given physiological saline (SF), while CUS and BDL+CUS groups were administered 250 mg/ kg of Cuscuta extract by oral gavage. At the end of 28th day, the rats were decapitated, serum and tissue samples were collected, and aspartate aminotransferase (AST), alanine transaminase (ALT), and direct and total bilirubin (DB and TB) levels were determined in blood samples. In liver tissues, transforming growth factor-β (TGF-β), 8-hydroxyguanosine (8-OHdG), hydroxyproline, and sodium-potassium ATPase (Na+/K+-ATPase) levels were determined. Results: Serum samples of rats with cholestasis had high ALT, AST, DB, and TB levels, while TGF-β, 8-OHdG, and hydroxyproline concentrations were found to be significantly high in tissues. Hepatic Na+/K+-ATPase levels were decreased through biliary obstruction. Biochemical parameters were drastically reversed by Cuscuta care; also, this was supported histologically. Conclusion: Results showed that Cuscuta extract, through its antioxidant and anti-inflammatory properties, provided protection against oxidative injury by biliary obstruction. Also, these results confirm the traditional use of Cuscuta sp. as hepatoprotective. © Ankara Medical Journal.All rights reserved.
Universal Design Approach To Analysis of Physical Environment for Users With Multiple Sclerosis
(Universitat Politecnica de Catalunya, 2022) Çakır, H.S.; Tosun, A.
The concept of Universal Design aims for the utilization of every product and environment for every individual without the need for further adaptation. The frequent occurrence of Multiple Sclerosis (MS) in societies has necessitated a more innovative and exploratory approach to the field of design. Many of the products and built environments encountered by individuals with MS in their daily lives fall short in terms of meeting safety and accessibility needs. It is essential to establish the correct design approach so that users with MS can meet their needs easily and safely without depending on others. In this research, the problems encountered by users with MS in their residences were evaluated within the framework of Universal Design principles, and design recommendations were stated using a sample case in Turkey. Throughout the study, accessibility challenges, mobility, fatigue and balance problems, vision and lighting conditions, climatization and noise sensitivity, and psychological issues were primarily considered. The residence of the sample user with MS was examined in detail, and an in-depth interview was conducted during the research. The difficulties and life routines of the user with MS were observed and identified. Home design solutions associated with Universal Design principles were represented so that the users with MS have safe and accessible housing regarding their physiological and psychological conditions. The highlighted proposals may contribute to architectural design to make modifications for comfortable and safe housing in related cases having similar symptoms with MS. Future research can benefit from these findings and proposals to provide innovative approaches, develop policies, and conduct interdisciplinary studies on related design issues. © 2022, Universitat Politecnica de Catalunya. All rights reserved.
Physical and Milling Characteristics of Faba-Bean
(Springer International Publishing, 2022) Efe, N.; Sevdin, S.
Faba beans are originally from Mediterranean region, and they are generally round in shape depending on the different varieties and origins. The main physical characteristics of faba beans are projected area, weight, volume, sphericity, bulk density, and porosity. Physical and milling characteristics of faba beans are important for the final product, which is faba bean starch. Moreover, native faba bean starch can be used as thickening and binding agents and it is composed of two chemicals, amylose, and amylopectin. Rheological, and thermal properties of faba bean starch are also affected by the composition of amylose and amylopectin. Moreover, swelling, syneresis and freeze-thaw stability are water related properties of faba bean starch in order to understand whether the faba bean starch solution has a strong gelling network or not. Furthermore, milling is a basic process for pulses to break the seed into smaller particles. Since it is a mechanical process, milling characteristics are affected by the pulse seed’s structure as well as its content. Faba bean has a seed coat similar to all other pulses and the seed coat is a rich fiber source. Although high fiber content is good for intestinal health, it may also decrease mineral absorption in the organism and reduce the dehulling and milling efficiency. Faba flour is also used to produce protein or starch isolates. The production of these different isolates requires different processing methods and parameters. In this chapter, physical properties of faba bean, the milling process, and the functional properties of the different final products were reviewed. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.
Gender-Stereotyped Barriers Against Women Football Players in Turkey: a Qualitative Perspective on the Eccles' Expectancy-Value Theory
(Pamukkale University, 2022) Elmas, S.; Aşçi, F.H.
This qualitative research aimed to investigate the experiences of women football players in Turkey in terms of Eccles' Expectancy-Value Theory from a gender stereotypes perspective. A phenomenological method was used to allow a deeper understanding of their experiences. The research group consisted of eight women from three different football league levels in Istanbul, TR. The data were analyzed via thematic and content analysis. The identified themes after content analysis are: (1) loving football; (2) instrumentality of football; (3) sociocultural barriers against women players; (4) multidimensional perceived costs. According to these findings, we can illustrate that the social, cultural, and institutional environment of the women players creates many problems, difficulties, and deprivations in their participation, which make it difficult for their expectancy for success, task values, and future plans in their sports. In order to make the experiences of female football players about gender-based stereotypes more understandable, it is recommended that more studies that deal with the qualitative method and Eccles' theory should be done in future studies. © 2022 The Author(s).
Myrtus Communis L. Extract Ameliorates High Fat Diet Induced Kidney and Bladder Damage by Inhibiting Oxidative Stress and Inflammation
(Istanbul University Press, 2022) Mustafaoglu, F.K.; Ertas, B.; Sen, A.; Akakin, D.; Sener, G.; Ercan, F.
Objective: Obesity is associated with many diseases, including urinary system disorders such as chronic kidney disease and overactive bladder syndrome. Myrtus communis L. (MC) extract has been reported to have antioxidant and anti-inflammatory effects. The aim of this study was to investigate the protective effects of MC extract on high-fat diet (HFD)-induced kidney and bladder damage. Materials and Methods: Wistar albino male rats were divided into three experimental groups: control, HFD and HFD+MC. Experimental groups were fed a standard diet (control group) or HFD (HFD and HFD+MC groups) for 16 weeks. MC extract (100 mg/kg) was administered to the HFD+MC group orally during the last 4 weeks (5 days/week) of the experiment. High-density lipoprotein, total cholesterol, triglyceride and leptin levels were measured in blood serum. Tissue malondialdehyde (MDA), glutathione (GSH), 8-hydroxy-2'-deoxyguanosine (8-OHdG) and myeloperoxidase (MPO) levels were evaluated biochemically. Kidney and bladder morphology, NADPH oxidase-2 (NOX-2) and nuclear factor-kappa B (NF-ҡB)-positive and apoptotic cells were evaluated histologically. Results: Lipid profiles altered and leptin levels increased in blood serum. MDA, 8-OHdG and MPO levels increased and GSH level decreased in kidney and bladder in the HFD group. Moreover, degenerated kidney and bladder morphology, increased NOX-2 and NF-ҡB-positive and apoptotic cells were observed in this group. All of these biochemical and histological parameters were ameliorated in the HFD+MC group. Conclusion: HFD-induced obesity causes kidney and bladder damage by oxidative and inflammatory processes. MC extract may reduce oxidative stress and inflammation and play a protective role in obesity-related kidney and bladder damage. © 2022 by the Author(s).
Acute Serious Hepatitis of Unknown Cause in Children
(Galenos Publishing House, 2022) Kılbaş, E.P.K.; Altındiş, M.
On April 5, 2022, an increase in cases of acute hepatitis of unknown etiology was reported in previously healthy children under the age of 10 in the United Kingdom. Since there is no link between these patients, called acute non-HepA-E hepatitis, and viral hepatitis agents (hepatitis A, B, C, D, and E), the possible etiology, and pathogenesis of this emergency is being investigated. One of the alarming features of this epidemic is the high requirement for liver transplantation in a fraction of the cases. In cases other than hepatitis A, B, C, D, and E, a case definition is made by looking at a series of clinical pictures, including serum transaminase levels and age. As of August 26, 2022, 513 cases of acute hepatitis have been reported in Europe and 1,010 globally. Adenovirus was detected in 75% of cases tested in the UK, but data for other countries are still lacking. The role of other etiologic agents is still under investigation. The exact disease pathogenesis has not yet clear. Evidence of human-to-human transmission of the disease remains unclear. Epidemiological studies are critical in clarifying the uncertainties regarding the existence of links between the cases reported to date. Continuing the national and international surveillance activities of the countries in an organized manner is the most basic issue required for the elimination of the epidemic. Copyright © 2022 Tehran University of Medical Sciences.
Platanus Orientalis (Plane Tree) Extract Protects Against Hyperoxaluria Induced Kidney Damage
(Marmara University, 2022) Ayaz Adakul, B.; Şen, A.; Şener, T.E.; Erdoğan, Ö.; Çevik, Ö.; Eker, P.; Şener, G.
The aim of this study is to determine whether Platanus orientalis (PO) which has anti-inflammatory, antioxidant and diuretic properties and used in the treatment of kidney stones as traditional folk medicine, will reduce or prevent the stone formation in the urinary system. To simulate the urolithiasis model 0.75% ethylene glycol (EG) and 1% ammonium chloride (AC) were applied to Sprague-Dawley rats. The rats were divided into four groups (n=8). The control group was given standard drinking water for 5 weeks. EG group received 0.75% EG in their drinking water containing 0.75% EG and 1% AC. PO extract (100 mg/kg) was given orally for 5 weeks to the preventive group and for last 2 weeks to the therapeutic group, respectively. At the end of experiment, 24-hour urine and kidney samples were obtained. In urine samples, calcium and citrate levels were decreased and oxalate level was increased in the EG group. In kidney samples myeloperoxidase, caspase-3, N-acetyl-β-glycosaminidase (NAG) activities, malondialdehyde (MDA), 8-hydroxy-2-deoxyguanosine (8-OHdG), tumor necrosis factor-α and interleukin-1β levels were increased while superoxide dismutase activity and glutathione levels were decreased in the EG group. These biochemical parameters returned to control levels in both PO treatment groups. Histological findings also correlate with these results. Our findings are suggested that PO treatments is effective in both preventive and therapeutic groups. © 2022 Marmara University Press.
Using Media by Nurses: a Case of Novel Coronavirus Disease
(Association of Executive Nurses, 2021) Kaya, A.; Seren, A.K.H.
The term “media” used to explain the mass media provides the transmission of messages and information regarding the society. According to the researches, media has an important power in influencing the masses in terms of public interests and policies. By addressing the media as a priority, through individual or professional organizations, nurses can be effective in exposing the profession’s image in the media and policy issues affecting the profession. A more consistent approach to presenting nursing research to the public and using the media for this purpose will enable the public to perceive nursing as it is and support the use of research. In this review, basic knowledge tried to be provided by the nurses about what to do through the media and, the actions taken in the media related to the novel coronavirus disease which emerged first at the end of 2019 in Wuhan Province of China and in March 2020 in Turkey, were examined. © 2021 SHYD.
Management of Diversities in the Context of Healthcare Professionals’ Attitudes Towards Diversities
(Association of Executive Nurses, 2021) Çakır, H.; Harmancı Seren, A.K.
People belonging to different cultures, ethnic origins, geographic regions, speak different languages and live together more and more in the world. This change has also found its counterpart in management practices, and diversity management approaches have begun to be included in the literature. In the light of the existing national and international literature, the study aimed to examine health professionals’ attitudes towards diversities and the factors affecting their attitudes. Considering the lack of literature in this field, the data compiled in this study are aimed to be useful in practices related to the management of diversities in the field of nursing. The study aims to provide a professional perspective on diversity and awareness of changing management paradigms for the manager nurses. © 2021 SHYD.
Cochleogram-Based Speech Emotion Recognition With the Cascade of Asymmetric Resonators With Fast-Acting Compression Using Time-Distributed Convolutional Long Short-Term Memory and Support Vector Machines
(Mdpi, 2025) Parlak, Cevahir
Feature extraction is a crucial stage in speech emotion recognition applications, and filter banks with their related statistical functions are widely used for this purpose. Although Mel filters and MFCCs achieve outstanding results, they do not perfectly model the structure of the human ear, as they use a simplified mechanism to simulate the functioning of human cochlear structures. The Mel filters system is not a perfect representation of human hearing, but merely an engineering shortcut to suppress the pitch and low-frequency components, which have little use in traditional speech recognition applications. However, speech emotion recognition classification is heavily related to pitch and low-frequency component features. The newly tailored CARFAC 24 model is a sophisticated system for analyzing human speech and is designed to best simulate the functionalities of the human cochlea. In this study, we use the CARFAC 24 system for speech emotion recognition and compare it with state-of-the-art systems using speaker-independent studies conducted with Time-Distributed Convolutional LSTM networks and Support Vector Machines, with the use of the ASED and the NEMO emotional speech dataset. The results demonstrate that CARFAC 24 is a valuable alternative to Mel and MFCC features in speech emotion recognition applications.
The Effects of Pelvic Floor Muscle Training Applied Via Telerehabilitation During the Postpartum Period: a Randomized Controlled Study
(Mary Ann Liebert, inc, 2025) Razak Ozdincler, Arzu; Korkmaz Dayican, Damla; Ozyurek, Burcin
Purpose: To examine the short- and medium-term effects of pelvic floor muscle training (PFMT) applied via telerehabilitation (TR) on pelvic floor muscle function, pelvic floor symptoms, and quality of life. Methods: Fifty-eight women between the ages of 18 and 35 who were between 6 and 8 weeks postpartum were included. The participants were randomized into the PFMT applied via TR (TR-PFMT) group or the supervised PFMT (S-PFMT) group. The PFMT was performed for 8 weeks, 2 days a week, and 45-50 min a day. The participants' pelvic floor muscle function, pelvic floor symptoms, and quality of life were evaluated with the superficial electromyography, the Pelvic Floor Distress Inventory-20 (PFDI-20), and the Pelvic Floor Impact Questionnaire-7, respectively. Results: Phasic, tonic, and endurance activities of the pelvic floor muscles were significantly higher in both groups immediately after and 8 weeks after the exercise program (all p < 0.05). In addition, total PFDI-20 and all subscales' scores decreased significantly in the TR-PFMT group (all p < 0.05). In the S-PFMT group, total PFDI-20 (p = 0.012) and Urinary Distress Inventory-6 (p = 0.012) scores improved significantly. A significant difference was found between the groups in favor of the TR-PFMT group in terms of total PFDI-20 (p = 0.024; p = 0.024) and Urinary Distress Inventory-6 (p = 0.033; p = 0.040) scores immediately after and 8 weeks after the exercise program. Conclusions: TR-PFMT and S-PFMT improved women's pelvic floor muscle function, pelvic floor symptoms, and quality of life in the short and medium term. Improvement in urinary symptoms was greater after TR-PFMT. TR-PFMT should be considered for postpartum women.

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