Scopus İndeksli Yayınlar Koleksiyonu

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

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Psycho-Social Impact of the Disaster on Employees in Terms of Occupational Health and Safety: The Case of Turkey
(Springer Nature, 2025) Aytac, S.S.; Akalp, H.G.; Bilir, B.O.; Mamaci, M.
The earthquakes that occurred in Maraş, Turkey, on February 6, 2023, with intensities of 7.7 MW and 7.6 MW, deeply affected the lives of millions of people in economic, social and psychological terms within a few seconds and caused loss of life. The aim of this study is to examine the moderator role of disaster preparedness plans in workplaces on the relationship between post-traumatic stress levels and depression, anxiety, stress levels of people who are directly or indirectly exposed to these earthquakes and have an active work life. The data was obtained from a total of 206 blue-collar employees who were actively working in a private company and were directly and indirectly exposed to the effects of the earthquake. In data collection, demographic information form, The Impact of Event Scale-Revised (IES-R) and Depression Anxiety Stress Scale-21 (DASS-21) were used. According to the findings analyzed using structural equation modeling showed that having a disaster preparedness plan in workplaces weakens the strength of the relationship between post-traumatic stress level and depression, anxiety, stress levels. © 2025 Elsevier B.V., All rights reserved.
Selection of Sustainable Facade Materials for Buildings Using Fermatean Fuzzy AHP & WASPAS Methodology
(SAGE Publications Ltd, 2025) Aydeniz, E.G.; Güven, İ.; Özçelik, N.; Çetin, H.T.; Ünlü, E.
The selection of sustainable facade materials is critical for achieving a sustainable built environment. Multi-criteria decision-making approaches can be used to determine the best alternative among the others considered in selecting sustainable facade materials. Fermatean Fuzzy Sets (FFSs) can represent the uncertainty in this selection and expand the parameter domain of this uncertainty. This study proposes an integrated analytical model based on the Interval-Valued Fermatean Fuzzy Analytic Hierarchy Process (IVFF-AHP) and Fermatean Fuzzy Weighted Aggregated Sum Product Assessment (FF-WASPAS) to address the uncertainty and complexity in this selection process. The model evaluates facade materials against environmental, financial, social, and technical criteria, comprising 13 sub-criteria. IVFF-AHP is utilized to calculate the weights of these criteria, with Environmental Criteria receiving the highest weight (32.9%), followed by Technical (30.7%) and Social (19.6%) criteria. FF-WASPAS is employed to rank four facade material options, with Wood-Plastic Composite (WPC) identified as the most sustainable material, followed by Aggregated Natural Stone, Aluminium Composite Panels, and Concrete Cladding. The results highlight the approach's capability to provide objective and robust rankings, aiding decision-makers in identifying the most sustainable option. The outcomes underscore the model's novelty in integrating Fermatean fuzzy logic with multi-criteria decision-making techniques, offering enhanced flexibility in uncertainty representation and contributing to the advancement of sustainable construction practices through a more informed and structured decision-making process. © 2025 Elsevier B.V., All rights reserved.
Ontological Evaluaiton of İstanbul Industrial Heritage Through the Concept of Palimpsest
(Ataturk Universitesi, 2025) Ural, A.G.
The state of erasing old written parchment papers and writing on them again, but the traces of old writing are still visible, is described as palimpsest. If it is necessary to examine this concept through space; It can be interpreted as still being able to see the traces of the old function and construction style among the re-functioned structures. In a city with a great history like Istanbul, there are many historical buildings that need to be re-functionalized. Among these structures, it is thought that the type of building where the concept of palimpsest can be perceived more clearly is industrial buildings. For this reason, the study is limited to the 19th century industrial buildings on the European and Anatolian sides of Istanbul. The aim of the study is the 19th century in Istanbul. According to the situation of industrial structures in 2024, it is to evaluate and question through the concept of palimpsest. In the study, qualitative research methods such as general survey model, documentary survey model and historical survey model were used as data collection methods. In order to create the conceptual ground, the general survey model and the concept of palimpsest and the ontology of space were examined. Through documentary scanning, data on various characteristics of the identified structures were collected. With the historical scan, it was aimed to determine the process of the buildings since the year of construction and their condition in December 2024. The collected technical data and visuals were evaluated by hermeneutic method. As a result of the study, among the 19th century industrial buildings in Istanbul, 11 buildings on the European side and 4 buildings on the Anatolian side that can be considered as palimpsest were determined. Research; Located in Istanbul in the 19th century. It has been deemed necessary in terms of listing the status of industrial buildings in 2024 and interpreting these structures with the concept of palimpsest by evaluating these structures through the ontology of the space. © 2025 Elsevier B.V., All rights reserved.
Re-Functioning of Pembe Yalı: Evaluation Within the Scope of Turkey Architectural Heritage Conservation Charter and Principles for the Conservation of Wooden Built Heritage
(Abidin Temizer, 2025) Ural, A.G.
It is known that Pembe Yalı, located in Beykoz District of Istanbul Province, was built in the 19th century. The building has the importance of being one of the 366 mansions in the Bosphorus, which are historical monuments. The aim of the study was to evaluate the project in the context of Icomos Turkey Architectural Heritage Conservation Charter. While preparing the study, the general scanning model and the documentary scanning model from qualitative research methods were used. By using the documentary scanning method, the old and new projects and photographs of the Pembe Yalı, which is the subject of the research, were accessed. The restoration process of the building, whose projects were prepared by the author and her team, was compiled from project and application experiences. Using the documentary scanning model, the Turkey Architectural Heritage Conservation Charter was examined and the Principles for the Conservation of Wooden Built Heritage were also taken into consideration. The findings were evaluated using the content analysis method. In the research, it is aimed to evaluate the structural problems, the methods used and the analysis and the refunctioning process of the Pink Mansion in the design phase. © 2025 Elsevier B.V., All rights reserved.
The Destruction of a Generation by War: Syrian Families, Children’s Education, and the Risks for Turkey
(Dr. Esmeralda F. Sanchez, 2025) Terekli, M.S.; Beşiktaş, M.Y.
This study examines the phenomenon of migration, focusing on Syrian families under temporary protection who migrated to Turkey following the mass movement of people from Syria after 2011. The research explores the education of Syrian children and the risks faced by Turkey in this context. It also evaluates the economic, social, and cultural impacts of the Syrian refugee crisis on Turkey, highlighting both its positive and negative aspects, as well as related security concerns. Syrian children require increased access to psychological and psychiatric healthcare services. However, many are forced to work under harsh conditions as cheap labor. The employment rates of these children, categorized by age groups, exhibit similarities to those in Turkey but differ significantly from global trends. Applying these observations to Turkey, this study discusses the stages of educational services provided to Syrian children and suggests practical recommendations to improve their quality. The findings reveal that although Syrian children increasingly benefit from educational services each year, their participation rates remain below Turkey's national average. The study also highlights deficiencies in education, healthcare, employment, and socioeconomic conditions for children under temporary protection. Predictably, migration flows intensify during periods of intense conflict. Data from international organizations such as the United Nations High Commissioner for Refugees (UNHCR) and the International Organization for Migration (IOM) have been utilized in this research. © 2025 Elsevier B.V., All rights reserved.
A Novel Acoustic Source Localization Technique for Edge AI Applications: A Lightweight Framework and Implementation for IoT and Smart Sensing Devices
(Istanbul University, 2025) Yarkan, S.
This paper presents a novel and computationally efficient three-point signal estimation method for acoustic direction finding, designed specifically for low-cost embedded platforms. The proposed approach offers a lightweight alternative to traditional cross-correlation techniques by minimizing computational complexity while preserving high angular resolution. The method was implemented and tested on an STM32F429 microcontroller using a pair of MAX4466 electret microphones arranged on a fixed baseline. The system architecture leverages bare-metal signal processing routines optimized with Acorn RISC Machine Cortex. Microcontroller Software Interface Standard (ARM CMSIS-DSP) libraries, enabling real-time performance on resource-constrained hardware. Extensive experiments were conducted to evaluate the angular estimation accuracy under varying signal-tonoise ratios and source orientations. Results show that the system maintains sub-degree mean square error for source angles up to 30°, with noticeable performance degradation observed at 40° due to the directional response characteristics of the microphone elements. A comprehensive explanation is provided linking this degradation to reduced microphone sensitivity at wider angles of incidence. The proposed solution is ideal for applications requiring embedded acoustic localization, including smart interfaces, vehicular monitoring, and surveillance systems. In addition, the paper discusses the implications of deploying such systems in artificial intelligence (AI)-enabled and security-critical environments, highlighting emerging threats such as adversarial acoustic interference and spoofing attacks. These challenges underscore the importance of resilient and efficient DF methods that can operate reliably within the constraints of embedded systems. The presented work lays the foundation for future research in secure, scalable, and AI-compatible acoustic sensing platforms. © 2025 Elsevier B.V., All rights reserved.
The Potential of AI Chatbots as Diagnostic Tools in Mental Health: Evaluating Exercise Dependence Symptoms
(Springer, 2025) Saraç, H.; Yüzakı, E.; Aşçi, F.H.
This study aimed to evaluate the effectiveness of AI chatbots (Claude-3.5 Sonnet, ChatGPT-4o, and Gemini-1.5 Pro) in identifying exercise dependence symptoms using a hypothetical case study. To this end, three sport psychologists, each with a minimum of five years of experience, assessed the chatbots' performance in diagnostic assessment competency, implementation of diagnostic criteria, summary quality, terminology use, and overall effectiveness. The results indicated that while all chatbot models successfully identified major symptoms, their performance varied. Specifically, the Claude-3.5 Sonnet model demonstrated superior performance in specific areas, such as providing a clear case summary and using accurate terminology. However, all chatbots exhibited limitations in recognizing symptom severity and distinguishing between primary and secondary dependence. The sport psychologists expressed a willingness to use at least one AI chatbot model as an assistive tool in initial client assessments. These findings highlight the potential value of AI chatbots in mental health assessments. Future research should prioritize the optimization of algorithms and training data through expert collaboration and controlled real-world testing to improve the reliability and practical application of these tools. © 2025 Elsevier B.V., All rights reserved.
Effectiveness of Individual Psychoeducational Interventions for Caregivers of Stroke Patients: A Systematic Review and Meta-Analysis
(Springer/Plenum Publishers, 2025) Kelani, Hesham; Ali, Hossam Tharwat; Naeem, Ahmed; Salamah, Hazem Mohamed; Ismail, Ali; Younes, Youmna Atef; Khandelwal, Priyank
Stroke is a major cause of disability, and patients who suffer strokes have limited mobility and functional tasks, necessitating daily reliance on caregivers. However, caregivers of stroke patients often experience depression and anxiety, negatively impacting their mental health and reducing their quality of life. Psychoeducational interventions may be a solution to support the well-being of stroke caregivers. This study is performed to assess the overall effectiveness of individual psychoeducational interventions for caregivers of stroke patients. A thorough search of Scopus, PubMed, Web of Science, and Cochrane databases was performed for published studies in English up to June 2023. Clinical trials assessing the efficacy of psychoeducational interventions on quality of life, depression, or care burden among stroke caregivers compared to usual care were included. A total of 18 clinical trials, 16 randomized clinical trials (RCTs), and two non-RCTs, with a total of 2007 patients, were included. The study's pooled results revealed a significant increase in the quality of life in the group receiving psychoeducational interventions compared to the comparison group (SMD = 0.34, 95% CI 0.13-0.55, p value = 0.002), while no significant difference was found in terms of depression (SMD = - 0.05, 95% CI - 0.23 to 0.14, p value = 0.62) or caregiver burden (SMD = - 0.61, 95% CI - 1.65 to 0.44, p value = 0.25). Psychoeducation programs should be considered as a supportive intervention to improve quality of life in caregivers; however, their impact on depression and caregiver burden remains inconclusive. However, further studies with a larger sample size are needed to confirm the results.
Beyond Age: Understanding How Mindful Eating and Food Label Reading Shape Generational Differences in Health Outcomes – A Cross-Sectional Study
(BioMed Central Ltd, 2025) Altınok, Ö.; Yalcin, B.; Deniz, M.Ş.; Çelikayar, M.N.; Sevdin, S.; Bingül, B.Ç.; Garipaǧaoǧlu, M.
Background: The increasing prevalence of obesity and diet-related chronic diseases poses a considerable threat to public health. Consequently, understanding generational differences in dietary behaviors has gained growing importance. This study aims to examine the direct and indirect effects of generational cohort on anthropometric indicators and self-rated diet quality (SRDQ), mediated through mindful eating and food label reading attitudes. Method: This cross-sectional design study involved 2725 participants from Generations X (n = 786), Y (n = 933), and Z (n = 1006) living in Istanbul, Türkiye. Participants’ sociodemographic characteristics and anthropometric measurements, including body mass index (BMI), waist circumference (WC), and waist–hip ratio (WHR), were recorded. Data on SRDQ were collected, alongside responses to the Mindful Eating Questionnaire and the Food Label Reading Attitude Scale. Descriptive statistics, one-way analysis of variance, and chi-square tests were applied to the data. The direct and indirect effects of generation groups were analyzed using structural equation modeling. Results: Increasing mindful eating scores were associated with higher label reading attitude and SRDQ scores, while they were related to lower anthropometric risk indicators. Higher label reading attitudes showed an association with reduced WHR and increased SRDQ. Generation Z participants reported significantly lower scores for mindful eating, label reading attitude, anthropometric measures, and SRDQ than Generation X participants. Lower mindful eating scores were related to increased BMI among Generation Z, whereas lower label reading attitude scores were positively associated with WC and WHR. Furthermore, poor mindful eating and label reading attitudes and the combined effects of low mindful eating and label reading attitudes were linked to lower SRDQ. Conclusion: Poor mindful eating and label reading attitudes in Generation Z may threaten long-term health sustainability and increase the risk of developing chronic diseases. Combining generation-specific public health strategies with interventions aimed at improving nutritional literacy and mindful eating habits from an early age could enhance individual and societal health outcomes. © 2025 Elsevier B.V., All rights reserved.
Evaluating and Comparing Student Responses in Examinations from the Perspectives of Human and Artificial Intelligence (GPT-4 and Gemini)
(BMC, 2025) Domanic, Kubra Yildiz; Baycan, Sukran
BackgroundGenerative Artificial Intelligence (AI) models, such as ChatGPT (GPT-4) and Gemini, offer potential benefits in educational settings, including dental education. These tools have shown promise in enhancing learning and assessment processes, particularly in dental prosthetic technology (DPT) and oral health (OH) programs.ObjectiveThis study aimed to evaluate the accuracy, reliability, and consistency of GPT-4 and Gemini AI models in answering examination questions in dental education. The study focused on multiple-choice questions (MCQs), true/false (T/F) questions, and short-answer questions (SAQs).MethodsAn exploratory study design was used with 30 questions (10 MCQs, 10 T/F, and 10 SAQs) covering key topics in DPT and OH education. ChatGPT and Gemini were tested with the same set of questions on two separate occasions to assess consistency. Responses were evaluated by two independent researchers using a predefined answer key. Data were analyzed using descriptive statistics, the Kappa coefficient for agreement, and the Chi-square test for categorical variables.ResultsChatGPT demonstrated high accuracy in MCQs (90%) and T/F questions (85%) but showed reduced performance in SAQs (60%). Gemini's accuracy ranged between 60% and 70%, with the highest accuracy in SAQs (70%). ChatGPT showed significant consistency across testing dates (Kappa = 0.754; p = 0.001), whereas Gemini's responses were less consistent (Kappa = 0.634; p = 0.001).ConclusionWhile both AI models offer valuable support in dental education, ChatGPT exhibited greater accuracy and consistency in structured assessments. The findings suggest that AI tools can enhance teaching and assessment methods if integrated thoughtfully, supporting personalized learning while maintaining academic integrity.
Effects of an Adapted Dance Exercise Program on Trunk Control, Balance and Functional Mobility in Children and Adolescents with Cerebral Palsy: Randomized Controlled Study
(Taylor & Francis inc, 2025) Yekdaneh, Asena; Arman, Nilay
Aims: The study aimed to investigate whether an 8-week adapted dance exercise program (ADEP), delivered in addition to conventional physiotherapy, would improve trunk control, balance, functional mobility, and quality of life (QoL) in children and adolescents with cerebral palsy (CP) compared with conventional physiotherapy alone. Methods: Thirty participants with CP (Gross Motor Function Classification System Level I - II) were randomly assigned to the ADEP group (n = 15) or the control group (n = 15). Both groups received conventional physiotherapy, while the ADEP group additionally performed physiotherapist-choreographed dance exercises accompanied by music, twice a week for 8 weeks. Outcomes included the Trunk Control Measurement Scale (TCMS) for trunk control, the Pediatric Balance Scale (PBS) for balance, the Timed Up and Go (TUG) for functional mobility, and the Pediatric Outcomes Data Collection Instrument (PODCI) for QoL. Results: The ADEP group showed significantly greater improvements than the control group in TCMS-Total (Delta = 10.53 vs 3.50, p < .001), TCMS-selective motor control (Delta = 6.00 vs 1.42, p < .001), TCMS-dynamic sitting balance (Delta = 7.53 vs 2.28, p < .001), and PODCI-Global scores (Delta = 4.61 vs -1.71, p < .001). Both groups improved in PBS and TUG, but between-group differences were not significant. Effect sizes indicated large improvements in trunk control in favor of the ADEP group. Conclusions: An 8-week ADEP program, when combined with conventional physiotherapy, produced clinically meaningful gains in trunk control and QoL in children and adolescents with CP. These findings support the use of dance-based rehabilitation as a feasible and engaging adjunct to physiotherapy.
Implementation of an AI-Enhanced Motor and Cognitive Intervention: A Case Study in Developmental Delay
(Routledge Journals, Taylor & Francis Ltd, 2025) Bektas, Selen Aydoner; Bumin, Gonca
This study aimed to explore the implementation of an AI-enhanced motor and cognitive intervention for a 7-year-old child with developmental delay. A case study design was employed using an A-B framework (pre-test, intervention, post-test) over 12 weeks. The intervention incorporated AI-based tools such as Lumosity, Just Dance, and Cogmed for tailored motor and cognitive activities. The Bruininks-Oseretsky Test of Motor Proficiency-2 Brief Form (BOT-2 BF) and the Dynamic Occupational Therapy Cognitive Assessment for Children (DOTCA-Ch) were used to evaluate outcomes. Post-intervention, significant improvements were observed in BOT-2 BF and DOTCA-Ch scores, indicating enhanced motor coordination, and cognitive abilities. AI-enhanced interventions demonstrated the potential to address developmental delays by providing adaptive, engaging, and effective therapeutic activities. The findings highlight the feasibility of integrating AI tools into therapy, with implications for broader adoption in addressing developmental challenges. Further research is recommended to explore generalizability and long-term effects.
Multisensory Stimulation by Mothers: Impact on Neonatal Pain and Maternal Anxiety During Heel Blood Collection: A Randomized Controlled Trial
(Springernature, 2025) Akkaya-Gul, Aysenur; Ozyazicioglu, Nurcan; Celikboya-Kabadayi, Ezgi
OBJECTIVE: This study aimed to evaluate the effects of maternal multisensory stimulation on neonatal pain and maternal state anxiety during heel blood collection in neonates. STUDY DESIGN:A randomized controlled trial was conducted from July 2019 to January 2020 in neonatal units, with 80 newborns in intervention(n = 40) and control (n = 40) groups. In the intervention group, mothers provided multisensory stimulation (speech, touch, skin odor, breastfeeding, eye contact), while the control group received routine care. Neonatal Infant Pain Scale (NIPS) and maternal state anxiety inventory were evaluated. RESULTS:NIPS scores and maternal anxiety were significantly lower in the intervention group (p < 0.001). A positive correlation was found between NIPS and maternal anxiety in the intervention group (r = 0.372, p = 0.018). CONCLUSIONS: Maternal multisensory stimulation reduces neonatal pain and maternal anxiety. These findings emphasize the importance of pediatric nurses considering neonatal comfort and maternal emotional well-being during medical procedure. CLINICAL TRIAL REGISTRATION: The protocol for this randomized controlled experimental trial is registered on ClinicalTrials.gov. The clinical trial registration number is https://clinicaltrials.gov; NCT05606458.
Effects of the HEP® (Homeostasis-Enrichment Approach in Preterm Infants with Increased Developmental Risk: A Randomized Controlled Study
(Frontiers Media S.A., 2025) Sirma, Gamze Cagla; Zengin Alpozgen, Ayse; Balikci, Aymen
Background and objectives: This study investigated the effectiveness of the Homeostasis-Enrichment-Plasticity (HEP) Approach in preterm infants with increased developmental risk, compared to the Traditional Treatment (TT) intervention for physical and occupational therapy.
Materials and methods: Twenty-nine preterm infants (adjusted age, 4-10 months) were randomly assigned to two groups: the HEP Approach group and the TT group. The Peabody Developmental Motor Scales-2 (PDMS-2), Test of Sensory Functions in Infants (TSFI), and Beck Anxiety Inventory (BAI) were administered pre-and post-intervention. The intervention was implemented weekly for 12 weeks.
Results: The baseline characteristics of the infants were similar. At the end of the treatment, a significant time effect was observed in motor skills and sensory functions across both groups, with improvements in all PDMS-2 and TSFI subtests (p < 0.05). Significant time x group interactions showed greater improvements in the HEP Approach group compared to the TT group for Fine Motor Quotient: F = 10.818, p = 0.003; Gross Motor Quotient: F = 5.691, p = 0.024; and Total Motor Quotient: F = 21.109, p < 0.001. For TSFI, the HEP Approach group showed greater improvements in Adaptive Motor Functions (F = 13.794, p = 0.001), Visual-Tactile Integration (F = 7.410, p = 0.011), and Total score (F = 11.316, p = 0.002). No significant time*group interactions were found for Reactivity to Tactile Deep Pressure, Ocular Motor Control, and Reactivity to Vestibular Stimulation (p > 0.05). Parental anxiety, measured by BAI, decreased significantly in both groups (F = 8.72, p = 0.006), but no significant time x group interaction was found (p > 0.05), indicating similar reductions in both groups. Conclusion: The HEP Approach demonstrated superior outcomes compared to the TT intervention in improving motor skills and sensory functions in preterm infants, while both interventions reduced caregiver anxiety.
Relationship Between Resilience, Secondary Traumatic Stress and Work-Related Factors Among Mental Health Professionals
(Kare Publ, 2025) Tokatlioglu, Tugba Sahin; Dikec, Gul; Yasar, Saadet
Objectives: Resilience is the ability to maintain or rapidly recover mental health under stress. Mental health professionals are often exposed to workplace stress through violence, emotional labor, restrictions, and traumatic stories. Secondary traumatic stress results from being affected by others' traumatic experiences. Examining the relationship between resilience and secondary traumatic stress among mental health professionals is therefore essential. Methods: This descriptive study was conducted between February and April 2022. Data were collected using the Personal Information Form, the Resilience Scale for Adults, and the Secondary Traumatic Stress Scale. Participants included 212 psychiatric and mental health nurses, 28 psychiatrists, 14 psychologists, and six social workers. Results: A significant positive relationship was found between resilience and secondary traumatic stress. The regression model, including secondary traumatic stress, gender, educational status, willingness to work in mental health, job satisfaction, and unit of work, significantly predicted resilience. Conclusion: Secondary traumatic stress and work-related factors, such as willingness and satisfaction with working in mental health and the unit of work, were found to play an essential role in resilience. Institutional support and supervision may strengthen resilience, while reducing secondary traumatic stress can enhance motivation and wellbeing. Institutions are recommended to implement strategies that address these factors to improve both resilience and professional effectiveness.
'I Feel Like the Burden of the World Is on My Shoulders': A Phenomenological Qualitative Study on the Life Experiences of Adult Children of Parents with Schizophrenia
(BMC, 2025) Pehlivan Saribudak, Tugba; Dag, Zeynep; Ozturk, Ayse; Dikec, Gul
BackgroundStudies investigating the experiences of adult children of parents with schizophrenia (ACPS) are limited, and no qualitative study examining this issue in T & uuml;rkiye has been previously conducted. This study aimed to examine the life experiences of ACPS providing primary care.MethodsThis phenomenological qualitative study was conducted with 14 ACPS in acute clinics of a regional psychiatric hospital in Istanbul between March and August 2024. Data were collected through in-depth interviews and analyzed using Colaizzi's seven-step analysis method.ResultsData analysis revealed five main themes: (1) Difficult beginning of life, (2) Being a caregiver without receiving care, (3) Emotional storm, (4) Disruption of the flow of life, and (5) Coping. The study found that adult children who cared for their parents could not remember their childhood, had to grow up early without parents, and experienced violence. Adult children had difficulty carrying the burden of care, experienced various emotions at the same time, and care disrupted their lives. They were both using adaptive and maladaptive coping methods.ConclusionsThis study determined that ACPS experienced significant childhood stressors and difficulties providing care in adult life that changed the flow of their daily lives while challenging their ability to cope. Psychiatric nurses have essential tasks to support ACPS in coping with difficult life experiences and reducing their care burdens. They should inform ACPS about schizophrenia, regularly monitor their mental health, and implement initiatives that will protect or improve their mental health.Clinical trial registrationNot applicable.
Artificial Intelligence in Nursing Practice: A Qualitative Study of Nurses' Perspectives on Opportunities, Challenges, and Ethical Implications
(BMC, 2025) Bodur, Gonul; Cakir, Hanife; Turan, Suzan; Seren, Arzu Kader Harmanci; Goktas, Polat
BackgroundThe study aims to explore nurses' views on the effects of artificial intelligence (AI) in nursing, focusing on their understanding, practical applications, ethical considerations, and perceived opportunities and threats.MethodsThis qualitative study used semi\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\:-$$\end{document}structured interviews to gain comprehensive insights from clinical nurses, adhering to the Standards for Reporting Qualitative Research for methodological rigor. After obtaining ethical approval, researchers conducted semi\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\:-$$\end{document}structured interviews with 25 clinical nurses. The interviews explored nurses' perceptions of AI, including its basic concepts, applications in nursing practice, ethical and social implications, and potential benefits and drawbacks.ResultsThe analysis identified four overarching themes: (1) Nurses' Conceptualizations of Artificial Intelligence, (2) Opportunities of AI in Nursing Practice, (3) Threats of AI in Nursing Practice, and (4) Ethical and Psychological Concerns in AI-Based Nursing Practice. The findings revealed that nurses had a foundational understanding of AI and its definitions. They acknowledged both the positive and negative impacts of AI technologies on their practice. Nurses expressed that AI could reduce workload, enhance patient care, and improve efficiency. However, they also articulated significant threats, including concerns over professional redundancy, emotional disconnection in caregiving, de-skilling, and the risk of dehumanizing the healthcare environment. Additionally, ethical and psychological concerns emerged, such as ambiguity in accountability, threats to data security and patient safety, unsuitability in psychiatric care contexts, staff surveillance anxiety, and risks of misuse or systemic bias.ConclusionThe study concluded that while nurses possess a basic understanding of AI, the effective and ethical integration of AI technologies in nursing requires targeted training, institutional preparedness, and robust interdisciplinary collaboration. To ensure AI complements rather than compromises nursing values, it is imperative to equip nurses with skills in digital literacy, ethical reasoning, and critical engagement with AI tools. The findings highlight the necessity of structured education programs and policy development that address both the technological and humanistic dimensions of AI use in healthcare. Future research should actively incorporate patient and public voices to ensure that AI-driven transformations in care remain aligned with the principles of patient-centeredness and human dignity.
Evaluation of Dietary Habits and Related Parameters in a Group of Inpatients with Mental Disorders
(Kare Publ, 2025) Taliskan, Mahinur Betul; Ozer, Duygu; Dikec, Gul; Ata, Elvan Emine
Objectives:This study aimed to examine the dietary habits and related parameters of individuals with mental disorders. Methods: This study was descriptive and cross-sectional. The sample consisted of 94 individuals hospitalized in the psychiatric clinic of a hospital between June and December 2021. Data were collected using an information form created by the researchers. Results: Of the participants, 83% were male, and 25.5% had a chronic physical illness. The patients had a diagnosis of mental disorder for an average of 6.07 years. The most common side effect was an increase in appetite (36.4%). Additionally, 76.6% ate within 15 minutes, 93.6% consumed fish once a week or never, and 56.4% never exercised. Individuals who consumed home-cooked meals had lower BMI averages than those who consumed fast food. A weakly significant positive correlation was found between BMI and waist circumference averages and the duration of medication use. Individuals with anxiety disorders had lower waist circumference, glucose, and LDL values compared to those with mood disorders. In contrast, individuals with psychotic disorders had significantly lower LDL levels than those diagnosed with mood disorders. Conclusion: Individuals with mental disorders were found to have inadequate and unbalanced nutrition, consuming diets rich in carbohydrates and low in protein, which negatively affected their parameters. Psychiatric nurses should evaluate the dietary habits of patients and provide counseling about healthy nutrition.
Psychometric Properties and Transcultural Adaptation of Turkish Version of the Basel Assessment of Adherence to Immunosuppressive Medication Scale
(Baskent Univ, 2025) Koken, Zeliha Ozdemir; Ordin, Yaprak Sarigol; Seren, Arzu Kader Harmanci
Objectives: This study aimed to translate BAASIS (Basel Assessment of Adherence to Immunosuppressive Medication Scale) into Turkish and to test the psychometric properties of the translated Turkish version of the instrument. Materials and Methods: In this single-center crosssectional study, we included 100 kidney transplant recipients in a university hospital in a western city of Turkiye. The Translation and Cultural Adaptation Report from Professional Society for Health Economics and Outcomes Research was used for the transcultural adaptation of BAASIS to Turkish. We tested the validity of the BAASIS Turkish version by the level of evidence according to the American Educational Research Association guidelines: content validity, internal structure, and relations to other variables. We calculated item-total correlations of the BAASIS Turkish version to examine internal consistency reliability. Results: The content validity index score of BAASIS was calculated as 1.00, indicating agreement between the experts. Exploratory factor analysis evaluated the internal structure of BAASIS, and the coefficients for inter-item correlations ranged from 0.170 to 0.395. The Immunosuppressive Treatment Adherence Scale and the BAASIS nonadherent scores were significantly correlated (r = 0.673, P < .001). The coefficients for item-total correlation analyses ranged from 0.160 to 0.470. Conclusions: The BAASIS Turkish version has acceptable psychometric properties. The scale can be used in clinical practice and research projects in transplantation to assess immunosuppressive medication adherence.
Detection of Candida (Candidozyma) Auris by Molecular Methods and Investigation of Clinical Symptoms of Patients in a Tertiary Hospital in Istanbul
(K Faisal Spec Hosp Res Centre, 2025) Akkaya, Yuksel; Erdin, Begum Nalca; Aydin, Irfan; Ozel, Ayse Serra; Yilmaz, Ahmet Munir; Cilkiz, Mustafa; Toraman, Zulal Asci
BACKGROUND: Candidozyma auris is resistant to many antifungals, spreads rapidly and causes deaths in patient groups with comorbid factors. OBJECTIVES: The aim of this study was to determine the virulence of C. auris, antifungal resistance genes and clinical characteristics of the patients. DESIGN: Retrospective cohort SETTING: Single-center MATERIAL AND METHODS: This study was conducted between August 2022 and December 2023 at & Uuml;mraniye Training and Research Hospital. ITS1-5.8S-ITS2 and ITS1-ITS4 gene regions of the rDNA gene of C. auris isolates identified by VITEK MS v.3.2 were amplified by polymerase chain reaction (PCR) method. These regions were partially sequenced using the Sanger method. The presence of C. aurisspecific CDR1, ERG11, MDR1, ACT1, SAP5, HYR3, ALS5, IFF4, FUR1, PLB3, PGA26 and PGA52 gene regions were determined by PCR. Antifungal susceptibility testing of C. auris was performed with VITEK 2 Compact AST YS08 and SYO. MAIN OUTCOME MEASURES: Variations in C. auris isolates, antifungal resistance and clinical characteristics of patients SAMPLE SIZE: Forty-four isolates from 31 patients RESULTS: According to gene regions, nine different variations were identified in our hospital, with VAR-1 being the most common. Twenty-five (80.6%) of the patients died and isolation of the causative agent was between days 1-30 in 13 (41.9%) patients. Antibiotic use, ICU admission rate, and central venous catheter use in patients were 29 (93.6%), 28 (90.3%), and 21 (67.7%), respectively. Hypertension, diabetes mellitus (DM) and septic shock were found in 14 (45.2%), 13 (41.9%) and 10 (32.3%) patients, respectively. Antifungal resistance rates of the isolates were determined as 97.7% and 84.1% for amphotericin B and fluconazole, respectively. No resistance to micafungin and caspofungin was detected. The survival rate with echinocandin use was 22% (4 patients). CONCLUSION: Identification of gene regions is valuable in determining the pathogenicity of C. auris. . Due to the presence of comorbidi- ties in patients with C. auris, , it is not possible to determine the exact proportion of deaths attributable to C. auris alone. LIMITATIONS: Single center setting; gene regions could not be ex- pressed.

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