WoS İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/6
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Article Assessment of the Nutritional Status of Syrian Refugee Women in the Lactation Period(Sage Publications Inc, 2026) Isik, Tulay; Garipagaoglu, MuazzezBackground: 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.Article Federal Reserve Interest Rates, Investment Behavior, and Arbitrage in Exchange Traded-Funds(Conscientia Beam, 2026) Sobati, Pegah; Koy, Ayben; Colak, Andac BaturThis 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.Article Sexual Problems of Women with Kidney Transplant: A Qualitative Study(Galenos Publ House, 2026) Akinci, Naile; Varisoglu, Yeliz Yildirim; Dogan, BayramObjective: 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.Article The Influence of Leisure Screen Time on Sleep Patterns and Feeding Behaviors in Primary School Children(Routledge Journals, Taylor & Francis Ltd, 2026) Aydoner Bektas, Selen; Bumin, GoncaThe increasing use of screen-based devices in children's daily lives has raised concerns about their effects on health behaviors such as sleep and feeding. This study investigated the relationship between leisure screen time and sleep and feeding problems in primary school children. A cross-sectional survey was conducted with 322 children aged 7-10 years and their parents. Parents completed questionnaires measuring children's daily leisure screen time, sleep patterns, and feeding behaviors. Results showed that weekend leisure screen time (M = 149.4 minutes/day) was higher than weekdays. Significant positive correlations were found between leisure screen time and both total feeding problem scores (weekdays: r = 0.22; weekends: r = 0.25, p < .01) and sleep disturbances (weekdays: r = 0.29; weekends: r = 0.32, p < .01). The most affected areas were selective eating and sleep initiation/maintenance. Regression analysis revealed that weekend leisure screen time significantly predicted feeding problems (beta = 0.22, p = .001) and sleep disturbances (beta = 0.27, p < .001), explaining 8% and 12% of the variance, respectively. The findings indicate the importance of managing children's screen time - particularly on weekends - to support healthier sleep and eating patterns and guide family-based interventions.Article Positioning School Readiness as Ecological Fit: The School Readiness Ecological Approach (SERA) for Occupational Therapy and Education(Routledge Journals, Taylor & Francis Ltd, 2026) Aydoner Bektas, SelenTraditional perspectives on school readiness have emphasized child-level competencies such as cognitive, language, and behavioral skills. While important, the narrow focus overlooks the ecological systems - families, teachers, and communities - that shape children's adaptation to school. The participation-oriented perspective of occupational therapy has also been largely absent from the discourse. The School Readiness Ecological Approach (SERA) reframes school readiness as a matter of ecological fit rather than merely a set of children's skills. Based on Bronfenbrenner's ecological systems theory and the Person - Environment - Occupation model, SERA conceptualizes readiness as the outcome of dynamic exchanges between children, families, educators, schools, and policy environments. SERA addresses key gaps by: (1) shifting focus from isolated child attributes to participation in real-life contexts; (2) integrating occupational therapy's holistic perspective into readiness; and (3) providing a multi-level framework to guide research, practice, and policy. SERA emphasizes four domains - child, family, educational environment, and community - as interconnected contributors to school readiness trajectories. As a conceptual bridge across education, health, and social systems, SERA will broaden theoretical scope, foster interdisciplinary collaboration, and promote inclusive, and sustainable strategies. Reconceptualizing school readiness as ecological fit will help move beyond deficit-based views and support more equitable and effective school transitions.Article Metformin Attenuates PTZ-Induced Seizures and Cognitive Impairment and Is Associated with Altered NOS/NO Signaling: Combined in Vivo and in Silico Evidence(Taylor & Francis Ltd, 2026) Ciltas, Arzuhan Cetindag; Sahin, Bilal; Hacisuleyman, Levent; Çetindağ Çiltaş, ArzuhanBackground: Epilepsy remains a major neurological disorder with high rates of drug resistance and cognitive decline. Repurposing neuroprotective drugs offers a promising approach. Metformin, a widely used antidiabetic agent, has shown anticonvulsant effects, yet its impact on nitric oxide synthase (NOS) isoforms in distinct brain regions remains unclear. Methods: Adult male Wistar rats were allocated into control, pentylenetetrazole (PTZ), or metformin+PTZ groups. Metformin (200 mg/kg, i.p.) was administered for 7 days before induction of acute PTZ seizures (45 mg/kg, i.p.). Seizure severity and latency were assessed using Racine's scale, and cognition was evaluated by the passive avoidance test (PAT). Nitric oxide (NO) and the expression of its synthesizing enzymes, inducible (iNOS), neuronal (nNOS), and endothelial (eNOS), were quantified in the cortex and hippocampus via enzyme-linked immunosorbent assay (ELISA). In silico analyses included target prediction and molecular docking to assess metformin - NOS interactions. Results: Metformin significantly reduced seizure severity, prolonged latency to the first myoclonic jerk, and prevented PTZ-induced memory impairment (all p < 0.001). These behavioral effects were accompanied by reductions in cortical and hippocampal nNOS and iNOS expression, decreased cortical eNOS levels, and lower NO accumulation. TargetNet predicted NOS isoforms among potential metformin targets, and docking indicated moderate binding affinity (-5.2 to -5.9 kcal/mol). Conclusion: Metformin exerted seizure-suppressing and cognition-preserving effects in an acute PTZ model, associated with reductions in NOS isoform expression and NO levels, suggesting altered NOS/NO signaling and supporting its potential as an adjunctive candidate for mitigating seizure-related neuronal dysfunction.Article Pre-Service Physical Education Teachers' Teacher Identity Scale (PPET-TI): Adaptation Study to Turkish Culture(Hacettepe University, 2026) Sonmez, Huseyin Ozan; Asci, Fevziye Hulya; Mirzeoglu, Ayse Dilsad; Asci, HülyaIn Turkey, the lack of measures for assessing the teacher identity of pre-service physical education teachers remains a significant challenge. Developing quantitative instruments grounded in a robust theoretical framework is crucial, as such tools would not only advance research in this field but also contribute to improving the quality of physical education teacher education. This study aims to test the reliability and validity of the Pre-service Physical Education Teachers' Teacher Identity Scale (PPET-TI) to Turkish pre-service physical education teachers. The PPET-TI is a 7-point Likert-type scale comprising 17 items and three subscales: self-definitions, teaching goals, and professional responsibilities. Two hundred fifty pre-service physical education teachers (96 females and 154 males; (x) over bar (age) = 21.25 +/- 2.36) voluntarily participated in the study. Confirmatory Factor Analysis (CFA) and Exploratory Structural Equation Modeling (ESEM) were conducted to evaluate the construct validity. The results of the CFA indicated that S-B chi(2)/df 1.90, CFI 0.95, TLI 0.94, RMSEA 0.06, and SRMR 0.05. The results of the ESEM indicated that S-B chi(2)/df 2.79, CFI 0.98, TLI 0.97, RMSEA 0.08, and SRMR 0.03. The item factor loadings ranged from 0.58 to 0.97 in the CFA and ranged from 0.45 to 0.82 in the ESEM. The findings indicated that the scale exhibited both discriminant and convergent validity, with CR and Cronbach's alpha being strong. An evaluation of the fit indices, item factor loadings, and inter-item relationships revealed that the CFA results were more consistent with the original structure of the scale. Based on all the findings, it can be concluded that the Turkish version of the scale is suitable for assessing the teacher identities of pre-service physical education teachers.Article Determination of Age- and Gender-Specific Reference Values for Different Functional Tests with or without Cognitive Dual-Task in Young Adults: An Observational Study(Turkey Assoc Physiotherapists, 2025) Analay Akbaba, Yildiz; Emirza Cilbir, Cigdem; Poyraz Isleyen, Tugce; Evrendilek, Halenur; Gungor Eroglu, Nazli; Asena Yekdaneh, Aye; Gungor, Feray; Güngör, Nazlı; Emirza, Cigdem; İşleyen, Tuğçe Poyraz; Analay, Yıldız; Yekdaneh, Ayşe AsenaPurpose: To determine the age-and gender-specific reference values for the five functional tests performed with or without cognitive dual-task in young adults. Methods: In this cross-sectional observational study, a total of 107 participants were divided into four subgroups based on gender and age: females 18-25 years (G1), and 26-35 years (G2), and males 18-25 years (G3), and 26-35 years (G4). Participants completed the timed up and go test (TUG), 4 meter gait speed test, 10 meter walk test (10MWT), timed 25-foot walk test, and 1 minute sit-to-stand test (1MSTS) with and without dual-tasks. The mean value of each test was recorded. Results: Significant differences were observed in some functional tests. TUG was longer in G1 compared to G2 (p=0.019), 10MWT dual-task performance differed between G1 and G3 (p=0.041), and 1MSTS and 1MSTSdual scores were higher in G3 compared to G4 (p=0.044 and p=0.035, respectively). All dual-task conditions led to decreased performance compared to single-task conditions (p<0.001) Conclusion: The dual-task added to the performance tests changes the time, speed, and number of repetitions in healthy individuals, and these effects may vary according to age and gender. These reference values can guide clinical assessments of dual-task performance in this population.Article The Effect of Sportive Latin American Ballroom Dance on Foot and Ankle Posture(Amer Podiatric Med Assoc, 2025) Kayiskiran, Onurcan; Coskunsu, Dilber Karagozoglu; Isiklar, CagdasBackground: Correct use of the feet, step techniques, and positions constitute significant factors in the success of a dancer. Moreover, the type of dance has crucial effects on the posture of the foot and ankle. Therefore, the primary aim of our study was to determine whether there was a relationship between dancesport, dance experience (years), shoe-wearing time (hours), and shoe heel height (centimeters) in dance athletes performing Sportive Latin American Ballroom (SLAB) dance. Second, we aimed to compare the foot posture of SLAB dancers and nondancers with similar demographic characteristics. Methods: Twenty-six professional SLAB dancers and 26 nondancers who had similar demographic characteristics and did not use high-heeled shoes volunteered to take part in this study. Foot posture (using the Foot Posture Index [FPI]), foot pronation (using the navicular drop test [NDT]), tibiocalcaneal angle, hallux valgus angle (HVA) (using a goniometer), and ankle dorsiflexion range of motion (ROM) (using the weightbearing lunge test) were evaluated. Results: There was a positive moderate correlation between FPI score and shoe-wearing time on the dominant (P = .041; r = 0.40) and nondominant (P = .026; r = 0.43) sides. A positive very good correlation was found between shoe heel height and HVA (P < .001; r = 0.75). A negative good correlation was observed between years of dancing and nondominant ankle dorsiflexion ROM (P = .027; r =-0.43). When dancers and nondancers were compared, a statistically significant difference was found between FPI and NDT scores (P < .001). The FPI and NDT scores, tibiocalcaneal angle, HVA, and ankle dorsiflexion ROM were significantly greater in the dancer group compared with the nondancer group (P < .001) in all measurements of the dominant and nondominant sides. Conclusions: Revealing the relationship between dance experience and shoe-wearing time and the difference between the foot posture and deformities of athletes who perform SLAB dance and those of nondancers constitutes a pivotal endeavor that will increase awareness and knowledge among dancers and clinicians. (J Am Podiatr Med Assoc 115(6), 2025; doi:10.7547/24-030)Article Examination of the Relationship Between Mothers' Self-Confidence and Maternal Attachment in the Postpartum Period(Springer Publishing Co, 2025) Kilic, Melek; Yilmaz, Tulay; Kaya, Husniye Dinc; Gunaydin, Sevil; Dinç Kaya, HüsniyeOBJECTIVE: The relationship between self-confidence and maternal attachment during the postpartum period is critical to both the infant's healthy development and the mother's psychosocial adjustment. This study aimed to evaluate the association between mothers' self-confidence levels and maternal attachment during the postpartum period. METHOD: The study employed a descriptive and correlational design. A purposive sampling method was used in the study, and 147 mothers who were between 1 and 4 months postpartum, over the age of 18 years, able to communicate in Turkish and competent to fill out an online survey were included in the study. The data collection tools included the Descriptive Information Form, the Karitane Parenting Confidence Scale (KPCS), and the Maternal Attachment Inventory (MAI). The collected data were processed and analyzed using the Statistical Package for the Social Sciences for Windows, version 24.0. RESULTS: The participants' mean total KPCS score was 35.95 +/- 4.39, and the mean MAI score was 92.71 +/- 5.34. No statistically significant association was found between maternal attachment and parental confidence levels (p > .05). Additionally, no significant differences were observed between participants' sociodemographic characteristics and their scale scores (p > .05). CONCLUSIONS: The findings suggest that maternal confidence and attachment, although both essential components of postpartum adjustment, function as independent constructs influenced by different psychological and contextual mechanisms. Understanding these dimensions separately may provide insights for developing targeted interventions to support mothers in the early postpartum period.