WoS İndeksli Yayınlar Koleksiyonu

Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/6

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Cervical Stabilization Exercise Training via Telerehabilitation in Individuals with Migraine - A Randomized Controlled Trial
(BMC, 2025) Dusgun, E. S.; Karahan, N.; Celenay, S. Toprak
Preclinical Applications of Lentiviral Gene Therapy in X-Linked Agammaglobulinemia (XLA)
(Springer Nature, 2025) Sahin, Ilayda; Kiykim, Ayca; Ocak, Suheyla; Eken, Yunus; Onder, Gizem; Gundogdu, Merve; Ng, Yuk Yin
Components of Design Thinking in Spatial Design Education and a Model Proposal
(Konya Technical Univ, Fac Architecture & Design, 2025) Coruk, Ipek Yildirim
Design thinking, defined in its simplest form as a creative problem-solving process, is interpreted in various ways in the literature, with differing models and components. This study, motivated by the need to identify gaps in existing approaches and to clarify the concept of design thinking, aims to define its key components within the context of spatial design education. To achieve this objective, the study employed qualitative research methods. To collect data, the study utilized both a literature review and content analysis techniques. By categorizing the collected data, it was concluded that design thinking consists of three fundamental components: cognitive-rational, emotional-intuitive, and practical. These components were elaborated upon with subcategories based on literature data, and a comprehensive model proposal for use in space design education was developed. The proposal put forward in this study is significant in clarifying the concept of design thinking and its constituent components. On the other hand, the potential of the proposed model to offer guiding alternatives for the problem-solving process in design studios at various levels and to make design thinking more explicit can be attributed to the pedagogical contributions of this study. From a practical perspective, the study is considered to have the potential to directly inform practice by proposing concrete and applicable steps that can be implemented within the design process. For future research based on this study, it is recommended that the potential contributions of the proposed model be explored through its application in actual design processes. Furthermore, expandingthe theoretical scope by questioning different approaches to the components of design thinking is also suggested.
Effects of Combined Triflow, Deep Breathing and Coughing Exercises on Postoperative Pulmonary Function After Mitral Valve Replacement: A Randomized Controlled Trial
(BMC, 2026) Akinci, Naile; Eren, Esra
Background Postoperative pulmonary complications remain a major cause of morbidity after cardiac valve surgery. Although incentive spirometry (Triflow) is routinely used in postoperative care, evidence regarding the additional benefits of combining Triflow with deep breathing and coughing exercises remains limited. This study aimed to evaluate the effects of combined Triflow, deep breathing, and coughing exercises on postoperative pulmonary function in adult patients undergoing mitral valve replacement. Methods This randomized controlled, single-blind trial was conducted between May and August 2025 in a private hospital in Istanbul. A total of 60 adult patients undergoing mitral valve replacement were randomly allocated to an experimental group (n = 30) or a control group (n = 30) using simple randomization. The experimental group performed Triflow combined with deep breathing and coughing exercises, while the control group performed Triflow alone. Results Postoperative SpO(2) levels were significantly higher in the experimental group at T1 (p = 0.009; 95% CI: 0.46-3.14), T2 (p < 0.001; 95% CI: 1.57-3.43), and T3 (p < 0.001; 95% CI: 2.72-4.54). The FEV1/FVC ratio increased significantly in the experimental group compared with the control group at discharge (p < 0.001; 95% CI: 4.46-6.41). Respiratory rate was significantly higher in the experimental group at T1 (p < 0.001; 95% CI: 1.68-4.45), T2 (p < 0.001; 95% CI: 3.34-6.26), and T3 (p < 0.001; 95% CI: 5.23-8.37). Hematocrit levels were significantly lower in the experimental group at T1 (p = 0.039; 95% CI: -8.32 to - 0.24), T2 (p = 0.007; 95% CI: -8.29 to - 1.40), and T3 (p = 0.034; 95% CI: -6.54 to - 0.28). Pain scores were significantly lower in the experimental group at T1 (p < 0.001; 95% CI: -2.82 to - 1.71) and T2 (p < 0.001; 95% CI: -1.98 to - 1.08). Time to first mobilization was significantly shorter in the experimental group (p < 0.001; 95% CI: -2.94 to - 1.26). No postoperative pulmonary complications were observed in either group. Conclusion The combined application of Triflow, deep breathing, and coughing exercises was associated with significant improvements in postoperative pulmonary function, oxygen saturation, pain reduction, and earlier mobilization compared with Triflow alone in patients undergoing mitral valve replacement. These findings suggest that a structured, combined respiratory exercise protocol may provide additional clinical benefits in the early postoperative period.
Ramadan Fasting and Seizure Activity in Adults with Epilepsy: A Systematic Review and Meta-Analysis
(Academic Press Inc Elsevier Science, 2026) Ibrahim, Ismail A.; Shaaban, Sally; Elewa, Mandy; Rahman, Muhammad Samir Haziq Bin Abd; Mohamed, Lobna Ahmed; Talaia, Ahmed M.; Khoo, Ching Soong
Purpose: Ramadan fasting in Muslims entails abstaining from food and fluids from dawn to sunset, which can influence sleep patterns, medication timing, and food intake. Building on evidence that ketogenic diets and intermittent fasting may improve seizure control, we aim to analyze the link between intermittent Ramadan fasting in adults with epilepsy and seizure activity. Method: We systematically searched PubMed, Scopus, Web of Science, Cochrane Library, and Embase between 2000 and January 2025 for articles that appeared between these dates. The terms used for searching included fasting in Ramadan with epilepsy or seizures. The seizure frequency and seizure status of the participants are the outcomes that we analyzed. Two reviewers independently screened and extracted data, with a third resolving any differences that arose between them. Meta-analysis was done using the random-effects model with statistical heterogeneity using the I2 statistic. Results: Of the 1485 articles, only eight were found to be relevant, and 4 of these included 564 patients who met the inclusion criteria. The analysis of the pooled data demonstrated that 61.1% of patients remained seizure-free throughout Ramadan (95% CI: 38.8%-83.4%), with considerable heterogeneity (I2 = 87.7%). Seizure risk was higher in patients on polytherapy with poor baseline seizure control, increased fasting times, or high potassium levels. In contrast, extended seizure-free intervals and increased sleep duration pre-Ramadan were good predictors of safe fasting, and each seizure-free week increased the chance of remaining seizure-free by 10%, as did each extra hour of sleep by 30%. Seizure frequency increases were caused by interruption of daily rhythms, psychological tension, tiredness, and extended fasting. Conclusion: While many patients remained seizure-free during Ramadan, high study variability highlights the need for standardized research. With proper medical supervision, fasting may be safely practiced for selected epilepsy patients.
The Relationship Between Nurses Anxiety and Attitudes Towards Artificial Intelligence and Examination of Influencing Factors
(BMC, 2026) Nirgiz, Cansu; Sari, Merve Kiymac; Cayli, Nazan
Aim to explore the relationships between nurses'anxiety and attitudes toward artificial intelligence (AI) and the factors associated with them. Background Although AI technologies are increasingly integrated into healthcare, research exploring nurses ' psychological readiness and emotional responses to AI remains limited. Existing studies have primarily focused on nursing students or general healthcare professionals, leaving a gap in understanding how practicing nurses perceive and emotionally adapt to AI within real clinical environments-particularly in T & uuml;rkiye, where digital transformation in healthcare is accelerating. Addressing this gap is essential, as nurses play a pivotal role in ensuring the safe and ethical implementation of AI-driven tools in patient care. Methods This descriptive and correlational study included 562 nurses from 14 branches of a private hospital chain across seven Turkish cities between November 2024 and January 2025.This sample was selected because it represents nurses actively engaged in clinical decision-making within healthcare systems that are rapidly adopting AI technologies. According to a power analysis performed in G*Power (rho = 0.25, alpha = 0.05, power = 0.95), the required sample size was 202 participants. Data were collected through an online questionnaire comprising a Descriptive Information Form, the AI Anxiety Scale, and the General Attitudes toward AI Scale. Descriptive statistics, independent samples t-tests, ANOVA (F), Tukey post hoc test, Pearson correlation, and multiple regression analyses were conducted. Ethical approval was obtained from the Fenerbah & ccedil;e University Ethics Committee, and informed consent was obtained digitally. Results Nurses reported moderate anxiety levels and generally positive attitudes toward AI. Male nurses showed an association with lower anxiety levels and higher positive attitude scores than female nurses. Single individuals and those with higher levels of education showed higher positive attitudes toward AI. Those with 0-3 years of experience in the profession were associated with lower anxiety and higher positive attitude scores. Nurses who used AI in practice, were knowledgeable about its use, or perceived it as reliable showed a relationship with lower anxiety and more positive attitudes. Regression analysis showed that each one-unit increase in the learning and AI configuration subscales of the AI Anxiety Scale was associated with a 0.740-and 0.716-point lower score in the total attitude score, respectively. Conclusion The findings suggest that lower levels of anxiety related to learning and AI configuration are associated with more positive attitudes toward AI. Addressing these specific anxiety domains may be related to the successful integration of AI technologies into clinical practice and could be linked to the digital transformation in healthcare.
Evaluation of Barriers Toward Data-Driven Supply Chain Sustainability Via Single-Valued Pythagorean Piprecia
(Amer Inst Mathematical Sciences-AIMS, 2026) Turan, Hakan; Buyukselcuk, Elif Caloglu
Sustainable supply chain management (SSCM) is a holistic approach that encompasses economic, social, and environmental dimensions, enabling firms to enhance their long-term competitiveness by meeting legal requirements and strengthening brand equity. The effective implementation of this approach necessitates a strong emphasis on data-driven decision-making. Accordingly, we aimed to identify the key barriers hindering the implementation of data-driven sustainable supply chain practices and to explore potential strategies to overcome these challenges. In the initial phase of the study, a comprehensive literature review was conducted to identify the major barriers to implementing data-driven sustainable supply chains. Subsequently, the relative importance of these barriers was assessed with input from top and mid-level managers working in manufacturing sector enterprises. The identified barriers were then prioritized using the Pivot Pairwise Relative Criteria Importance Assessment (PIPRECIA) method based on Pythagorean fuzzy numbers. Finally, solution proposals were developed to address the most critical barriers. The study revealed that organizational barriers constitute the most prominent category, representing 29.86% of the total identified obstacles. Closely following are technical barriers, which account for 26.41% and reflect the difficulties associated with implementing and integrating digital technologies. Internal and external environmental barriers are similarly substantial, comprising 25.87% of the total. In comparison, economic barriers make up the smallest share, with a relative weight of 17.86%. The number of researchers analyzing the importance weights of barriers in the context of SSCM 4.0 remains limited. The utilization of a more contemporary and robust method compared to previously applied techniques for determining these weights enhances the originality of this study.
Comparison of the Effectiveness of Connective Tissue Massage and Classical Massage in Patients with Migraine
(Elsevier, 2025) Ozdincler, Arzu Razak; Kaya, Begum Kara; Kahleogullari, Elif
Telerehabilitation Transforms Recovery: Elevating Outcomes for Lower Limb Amputees
(Wolters Kluwer Health, 2026) Ozturk, Basar
Background: Telerehabilitation provides a viable alternative for individuals facing barriers to in-person rehabilitation because of transportation issues and physical limitations. It enables remote monitoring and guidance, allowing patients to continue rehabilitation at home. Objective: This study aimed to assess the effectiveness of a telerehabilitation program in improving physical and psychological outcomes for lower limb amputees and to evaluate adherence to a home-based exercise program delivered via video. Study design: A randomized controlled trial. Methods: Sixty participants with lower limb amputations were randomized to an experimental group (telerehabilitation) or a control group (standard care). The intervention involved a 4-week supervised phase followed by a 4-week unsupervised phase. Primary outcomes were physical capacity, measured by the Six-Minute Walk Test (6MWT), and psychological status, assessed using the Hospital Anxiety and Depression Scale. Secondary outcomes included adherence rates and patient satisfaction. Results: The experimental group showed significant improvements in 6MWT distance and Hospital Anxiety and Depression Scale scores compared to the control group. The mean 6MWT distance increased by 20% from baseline to the end of the supervised phase (P < 0.01) and was maintained during the unsupervised phase. Anxiety and depression scores significantly decreased (P < 0.05). Adherence was higher during the supervised phase (85%) but dropped during the unsupervised phase (60%). Conclusions: Telerehabilitation significantly improved physical and psychological outcomes for lower limb amputees. High adherence during the supervised phase emphasizes the importance of clinician support, whereas strategies are needed to sustain long-term engagement during the unsupervised phase.
Mapping the Evolution of Stigmatization in Mental Disorders: A Bibliometric Analysis From 1974 to 2024
(Springer Heidelberg, 2026) Goktas, Polat; Dikec, Gul
BackgroundThis bibliometric study scrutinizes the thematic evolution of research on stigma and discrimination in mental disorders, covering a span of five decades. It reflects on the shifting paradigms within the stigma-focused mental health research community from 1974 to 2024.MethodsA comprehensive bibliometric analysis was employed using the Bibliometrix R package and VOSviewer software, analyzing 1,892 articles from databases like Scopus, Web of Science, PubMed Central, and APA PsycInfo. Adherence to PRIBA guidelines ensured a holistic representation of the evolving research narrative.ResultsThe analysis outlined three distinct periods: the Genesis Period (1974 - 2007), focusing on foundational concepts of mental disorders and stigma; the Growth Period (2008 - 2015), which experienced a broadening into themes of discrimination and diagnostic refinement; and the Rapid Growth Period (2016 - 2024), characterized by a surge in research on child mental disorders and the impacts of posttraumatic stress disorder. Network analyses highlighted significant journals, key authors, and international collaborations that have shaped this field.ConclusionsThe study maps a significant transformation in stigma-focused mental health research themes over fifty years, highlighting the growing complexity and the need for ongoing research into stigma and discrimination. It calls for interdisciplinary approaches to tackle these enduring challenges effectively.
The Homeostasis-Enrichment (HEP®) Approach: A Novel Early Intervention Model for OT
(Amer Occupational Therapy Assoc, Inc, 2025) Balikci, Aymen; Sirma, Gamze Cagla; May-Benson, Teresa A.
Evaluation of the Effect of Simulation-Based Training Provided to Nurses in the Hospital Environment on Child Neglect and Abuse: Quasi-Experimental Research
(Elsevier Science Inc, 2026) Sanci, Yagmur; Genc, Canan; Kokkiz, Rukiye
Background: Child neglect and abuse are major public health concerns, and nurses play a critical role in early recognition. Simulation-based training is a promising method to strengthen knowledge and preparedness. Methods: This quasi-experimental pretest-posttest study was conducted with 20 nurses working in a pediatric emergency unit of a state hospital between March and April 2024. Data were collected using a socio-demographic form and the "Scale for Determining the Knowledge Level of Nurses and Midwives in Diagnosing the Symptoms and Risks of Child Abuse and Neglect." Nurses participated in simulation-based training with a structured scenario, followed by debriefing and posttest. Results: Knowledge scores significantly increased after training, particularly in recognizing physical and behavioral symptoms of abuse. However, improvements were limited in identifying children at higher risk of neglect and abuse. Conclusion: Simulation-based training enhances nurses' knowledge of child abuse recognition and should be integrated into nursing education and in-service programs to improve clinical preparedness. (c) 2026 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
Assessment of the Nutritional Status of Syrian Refugee Women in the Lactation Period
(Sage Publications Inc, 2026) Isik, Tulay; Garipagaoglu, Muazzez
Background: The Syrian civil war has caused large-scale displacement, with many Syrian refugee women migrating to T & uuml;rkiye. Lactation is a critical period requiring adequate nutrition for maternal and infant health. However, data on the nutritional status of lactating Syrian refugee women are limited. Aim: This study aimed to assess the nutritional status of lactating Syrian refugee women who migrated to T & uuml;rkiye due to the Syrian civil war. Methods: A cross-sectional study was conducted between October 5, 2017, and January 29, 2018, with 102 lactating Syrian refugee women with infants aged 0-6 months attending the Istanbul Al Farah Child and Family Support Center. Participants were selected using convenience sampling. Inclusion criteria were being a Syrian refugee woman in the lactation period, having an infant aged 0-6 months, and volunteering to participate in the study. Women with chronic illnesses or metabolic disorders were excluded. Data were collected through face-to-face interviews with the assistance of a translator, using a structured Turkish questionnaire covering demographic information, anthropometric measurements, and 3-day dietary records. Dietary intake was analyzed with the BEBIS9 program and compared to the T & uuml;rkiye Nutrition Guide recommendations. Although the dietary data were collected in 2017-2018, the analysis was conducted using the most up-to-date national guidelines to reflect current public health priorities. Results: Participants (n = 102) had an average age of 27.9 +/- 5.7 years, BMI of 27.3 +/- 4.6 kg/m(2), and monthly income of 1267 TL. Their daily energy intake was 1593.7 +/- 556.5 kcal/day. A large proportion of participants had inadequate intake of micronutrients, with the highest insufficiency observed for pyridoxine (88.2%), followed by vitamin A (81.4%), vitamin C (76.5%), thiamine (71.5%), riboflavin (63.7%), folic acid (81.4%), vitamin B12 (72.6%), iron (62.8%), and zinc (68.6%). Women with higher BMI in early lactation consumed more fat (p < 0.05). Significant associations were found between micronutrient intake and sociodemographic factors (p < 0.05). However, due to the small sample size and use of convenience sampling, the generalizability of the findings is limited. Future studies with larger and more representative samples are needed to confirm these results. Conclusion: Syrian refugee women in the lactation period showed inadequate intake of energy and essential micronutrients, likely due to poor socioeconomic and living conditions. Interventions such as culturally sensitive nutrition education, postpartum micronutrient supplementation, and improved access to migrant-friendly healthcare services are needed. Additionally, targeted policies and sustainable public health nutrition programs-such as food voucher schemes, fortified food distribution, and maternal support groups-should be developed in collaboration with health institutions and NGOs to improve maternal and infant health outcomes in this vulnerable population.
The Role of High-Fidelity Simulators in Vascular Surgery Training: A Systematic Review
(Springer Nature, 2026) Abdelkader, Rem Ehab; Amgad, Ahmed; Alshurman, Saba Hussein; Almanaseer, Ghadeer M.; Manoj, Rachel Mary; Iqbal, Uzair; Ibrahim, Ismail A.
BackgroundIn vascular surgery, endovascular procedures demonstrated lower morbidity and shorter hospital stays. However, learning these skills is highly challenging. A new method that offers secure, controlled settings for skill development is simulation-based training.AimThis systematic review aims to examine the different high-fidelity simulation programs and their effectiveness in enhancing endovascular skills among vascular surgery trainees.MethodsA comprehensive literature search was conducted across PubMed, SCOPUS, Cochrane CENTRAL, and Web of Science using PRISMA guidelines. We included all studies of all designs involving high-fidelity simulation in vascular surgery training. The eligibility criteria focused on studies assessing simulation interventions comparing pre- and post-course outcomes. Data extraction was done manually using Excel spreadsheets by two independent reviewers, and quality assessment was performed using a 19-point scale. The studies were also evaluated using Kirkpatrick's adapted hierarchy based on their educational impact.ResultsA total of 35 studies met the inclusion criteria, covering a range of simulation modalities, including virtual reality, augmented reality, and physical simulators. The findings demonstrated significant improvements in procedural skills, operation time, operative errors, and participant's confidence across all training levels. However, there were great variations in study methods and design, as well as a lack of a specific framework for skill assessment.ConclusionFor endovascular training, high-fidelity simulation is a useful tool for skill development. However, Standardized training techniques and additional research are needed to assess long-term skill retention.
Effect of Gender Equality Education on Health Students Gender Perceptions and Roles: A Randomized Controlled Trial
(Routledge Journals, Taylor & Francis Ltd, 2026) Isbay Aydemir, Beyzanur; Sahin Tokatlioglu, Tugba; Kuru Akturk, Nur Bahar; Dikec, Gul
Aim To evaluate the impact of community gender equality education program on health sciences students' perceptions of gender, gender roles, and their awareness of social norms and gender inequality. Design A single-blind, two-arm, parallel-group randomized controlled trial. Methods Conducted with 70 students at a foundation university in Istanbul (2024-2025). The intervention group received two weeks structured training. Data were collected using the Perception of Gender Scale (PGS) and Gender Roles Attitude Scale (GRAS). Results No significant differences were observed at baseline. Post-intervention, the intervention group showed significant improvements in PGS and GRAS scores, while no change was found in the control group. Conclusion Short-term gender equality education program effectively improved students' gender perceptions and attitudes.
Federal Reserve Interest Rates, Investment Behavior, and Arbitrage in Exchange Traded-Funds
(Conscientia Beam, 2026) Sobati, Pegah; Koy, Ayben; Colak, Andac Batur
This study investigates the influence of U.S. Federal Reserve interest rate policy on investor behavior, liquidity, and arbitrage efficiency in 29 iShares exchange-traded funds (ETFs) spanning large-, mid-, and small-cap benchmarks from 2013 to 2024. Using weekly data and econometric techniques combining time-series and panel approaches, the analysis incorporates key macroeconomic indicators, interest rates, the U.S. dollar index, economic activity measures, and market volatility to assess their combined effect on ETF market dynamics. Findings show that interest rate shifts significantly influence asset allocation, sector preferences, and risk tolerance, with higher rates often strengthening the dollar and increasing the appeal of fixed-income assets. Active trading is associated with narrower bid-ask spreads through enhanced liquidity, while passive investment widens spreads. ETF volatility is positively related to spreads, reflecting increased uncertainty and transaction costs in turbulent markets. The results provide empirical evidence on the behavioral channels linking monetary policy, market conditions, and trading efficiency, offering implications for policymakers, asset managers, and market participants. The major contribution of the study is to the empirical finance literature by integrating time-series and panel econometric methods to quantify the joint effects of interest rate policy, macroeconomic indicators, and investor sentiment on ETF market microstructure. Findings offer statistically robust insights into liquidity formation, volatility transmission, and arbitrage efficiency in diversified ETF markets.
Machine Learning Model for Predicting Multidrug Resistance in Clinical Klebsiella pneumoniae Isolates
(MDPI, 2026) Akkaya, Yuksel; Aydin, Irfan; Tanyildizi-Kokkulunk, Handan; Erturk, Ayse; Kilic, Ibrahim Halil
Background/Objectives: Klebsiella pneumoniae is an opportunistic pathogen increasingly resistant to carbapenems and broad-spectrum antibiotics, complicating timely infection management. In critical cases like septic shock, where initiating effective antibiotics within 3 h improves survival, culture-based resistance testing is often too slow. This study evaluates machine learning (ML) algorithms for faster antimicrobial resistance prediction than conventional methods. Methods: In this retrospective study, antibiogram results of 607 Klebsiella pneumoniae isolates collected between 2017 and 2024 were combined with demographic and clinical information of the patients from whom the isolates were obtained. Four different ML algorithms, namely Decision Tree (DT), Support Vector Classifier (SVC), K-Nearest Neighbors (KNN) and Random Forest (RF), were applied to classify the resistance status for 22 antibiotics. Model performances were evaluated using accuracy, precision, recall, F-score, AUC and feature importance metrics. Results: The RF model showed the highest overall performance in accurately predicting resistance to 22 antibiotics, achieving an average AUC value of 0.96. In particular, it predicted resistance to treatment-critical antibiotics such as Ertapenem (100%), Imipenem (93%) and Meropenem (95%) with high accuracy. Conclusions: ML models, especially RF, offer a powerful tool for rapid antibiotic resistance prediction, supporting accurate empirical treatment decisions and antimicrobial stewardship.
Nurses on the Frontline of Disaster: A Qualitative Metasynthesis of Post-Earthquake Care Experiences
(Wiley, 2026) Kolac, Nurcan; Taylan, Secil; Eroglu, Nermin
Background Earthquakes generate urgent and complex care needs, positioning nurses as key responders. Exploring their post-earthquake care experiences is vital for strengthening disaster preparedness and nursing practice.Aim This study aimed to synthesise qualitative evidence on nurses' experiences of providing care in the aftermath of earthquakes.Study Design This research was conducted through a systematic review and meta-synthesis of qualitative studies. The data were analysed using thematic analysis. The qualitative systematic review was conducted using Sandelowski and Barroso's four-step meta-synthesis methodology. This metasynthesis study, conducted in accordance with the PRISMA statement, is registered in PROSPERO. The following electronic databases and platforms were used for the literature review: MEDLINE, Academic Search Ultimate, CINAHL Complete, Complementary Index, Supplemental Index, Directory of Open Access Journals and WOS.Findings Based on 27 included studies, the research identified four main themes and 13 sub-themes related to nurses' post-earthquake care experiences. These themes were: (1) early post-earthquake nursing challenges, (2) conflict experiences, (3) valued experiences and methods of coping with challenges and (4) impact of rescue experiences.Conclusions This research highlighted nurses' post-earthquake care experiences, emphasising how they overcame challenges, redefined their profession and emerged stronger. It also identified the limitations and facilitators within the post-earthquake care environment, providing valuable insights for enhancing care settings during future earthquakes.Relevance to Clinical Practice This study identified limitations and facilitators in the post-earthquake care environment of clinical settings, providing valuable insights to improve care environments during future earthquakes.
New Age Negotiations of Power in Türkiye: A Representation of Diverse Profiles
(Univ Pennsylvania Press, 2026) Aytimur, Hilal; Guney, H. Serhat
New Age spirituality intersects with power relations in complex ways. This exploratory study investigates how practitioners in T & uuml;rkiye navigate these intersections. Employing a Bourdieusian framework and utilizing survey data analyzed through cluster analysis, we ity and their interactions with its media and discourses. This analysis reveals distinct approaches to power relations within both the New Age field and the broader socio- political context. Our findings identify three distinct groups: vigilant adopters, negotiated readers, and devoted practitioners. This paper argues that these diverse engagements demonstrate that New Age spirituality in T & uuml;rkiye functions not as a unified challenge to or acceptance of power relations, but as a complex field needs, and social positioning, often resulting in nuanced or even contradictory stances towards societal structures.
Sexual Problems of Women with Kidney Transplant: A Qualitative Study
(Galenos Publ House, 2026) Akinci, Naile; Varisoglu, Yeliz Yildirim; Dogan, Bayram
Objective: This qualitative study aimed to explore the experiences, perspectives, and challenges faced by women who underwent kidney transplantation, particularly regarding the impact of transplantation on their own and their partner's sexual lives. Methods: The study was conducted with 15 women who had received kidney transplants at a private hospital in & Idot;stanbul. Data were gathered using a two-part semi-structured interview form developed by the researcher based on a review of the relevant literature. The data obtained from the interviews were analyzed using content analysis. Data analysis was carried out concurrently with data collection. This study adhered to the consolidated criteria for reporting qualitative research. Results: Based on a thematic analysis of the interviews, four main themes emerged: concerns about reproductive health, including subthemes of fear of infertility and anxiety about pregnancy; disease-associated sexual reluctance, including subthemes of reduced sexual interest, fatigue, weakness, sleep disturbances, and depression; perception of femininity and body image, including subthemes of feelings of incompleteness and inadequacy; concerns about the spouse/partner, including subthemes of fears about being unable to meet the sexual needs of the spouse/partner and feelings of guilt related to their partner's sexual dissatisfaction. Conclusion: In conclusion, sexual dysfunction continues to persist among women even after kidney transplantation due to various physical and psychological factors. To support patients in maintaining a healthy sexual life as part of their overall well-being, sexual health should be routinely assessed by a multidisciplinary team, including transplant surgeons, surgical and obstetric/ gynecology nurses, and psychologists.

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