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The effect of Chronic Care Model-based follow-up on self-efficacy and patient-reported outcomes in COPD patients: a randomized controlled study
No full textAim: This study evaluated the effects of Chronic Care Model-based follow-up on self-efficacy and patient-reported outcomes in COPD patients. Methods: This study was a randomized controlled trial conducted at the Chest Diseases Outpatient Clinic between January 2022 and July 2022. Four components of the Chronic Care Model were used in the study. Patients in the intervention group were given training, and phone calls were made every two weeks. Short informative messages were sent once a week, and the patients were followed up for three months. No intervention was made in the control group. Results: The study was completed with 31 interventions and 30 control patients. The intervention was determined to increase patients’ self-efficacy. There were also positive effects on patient-reported outcomes. Patients’ satisfaction with care was found to be at a high level. It was found that the walking distance of the patients increased. Conclusions: Our study revealed that using Chronic Care Model-based follow-up in practice may benefit patients. More studies involving the application of the Chronic Care Model in COPD patients are needed to support our research results. Clinical trial registration: Before starting the study, ClinicalTrials.gov was recorded (NCT05029557, Registration Date: August 26, 2021, https://clinicaltrials.gov/). © The Author(s) 2025
Natural Coagulants for Sustainable Wastewater Treatment: Current Global Research Trends
Full text linkNatural coagulants have gained significant attention as effective agents for wastewater treatment, particularly in the removal of heavy metals. This study conducts a comprehensive bibliometric analysis of 268 publications over the past decade, aiming to assess research trends and developments in the application of natural coagulants in wastewater management. The analysis reveals a marked increase in publication output, with the number of articles rising from just five in 2015 to fifty-one in 2024, indicating a growing global awareness and investment in sustainable wastewater treatment practices. "Environmental science" emerges as the leading discipline, accounting for 31.3% of the total publications. Notably, Malaysia is identified as the foremost contributor, with 60 publications and 1149 citations, followed by India and Brazil, highlighting the robust research activity in these regions. The study identifies key natural coagulants, such as Moringa oleifera and chitosan, which are frequently cited for their efficacy in reducing heavy metal concentrations and improving overall water quality. Leading funding organizations, such as the Coordena & ccedil;& atilde;o de Aperfei & ccedil;oamento de Pessoal de N & iacute;vel Superior in Brazil, have significantly contributed to the growth of this field by financing numerous studies. Prominent journals, including the Journal of Environmental Chemical Engineering and Water Research, play a crucial role in disseminating research findings and advancing knowledge in this area. These publications are vital for sharing innovative methodologies and effective treatment solutions in the field of natural coagulants. Effective treatment methodologies identified in the literature include coagulation/flocculation and adsorption. The study highlights a variety of natural materials utilized for wastewater treatment, including plant-based coagulants derived from agricultural by-products, which not only address environmental concerns but also promote resource recovery
Psychometric properties of the turkish version of the short form of the adult sibling relationship questionnaire (asrq-sf) in emerging adults
Full text linkA growing area of research examines the role of siblings in the family system, yet little is known about the characteristics of sibling relationships during emerging adulthood in Turkey. The aim of this study was to investigate the psychometric properties of the Turkish adaptation of the Adult Sibling Relationship Questionnaire-Short Form (ASRQ-SF). The study also examines the role of gender dynamics in Turkish emerging adult sibling relationships. The sample was comprised of 406 emerging adults (287 female and 119 male) aged between 18 and 25 who had at least one sibling and who were continuing their education at university. The construct validity of the ASRQ-SF was examined using exploratory and confirmatory factor analysis. The results confirmed the three-dimensional structure (warmth, conflict and rivalry) in the target sample. In the reliability study, internal consistency coefficients were determined to be .94 for warmth, .90 for conflict, and .91 for rivalry dimensions. Furthermore, gender-based results in the study showed that there was more warmth in sister-sister dyads. The findings of this study show that the ASRQ-SF is both a reliable and valid measurement tool that can be used to evaluate sibling relationship characteristics in Turkish emerging adults. © 2025 The Authors
Yetişkinlerde sürdürülebilir beslenme bilgi düzeyinin ve Akdeniz diyetine uyumun değerlendirilmesi
Full text linkDünya nüfusunun hızlı artışı çevre ve beslenme sorunlarını beraberinde getirmektedir. Besinlerin üretiminden tüketimine kadar birçok aşamada çevreye zararlı birçok unsur bulunmaktadır. Beslenmenin, çevre ve insan sağlığı ile ayrılamaz bir bütün olduğu son yıllarda daha iyi anlaşılmış ve besin üretim sistemlerinde iyileşmeye gerek olduğu kadar kişisel olarak yaşama biçimi ve besin tercihlerinde de değişime gerek olduğu saptanmıştır. Bu çalışma 18-64 yaşlarındaki yetişkin bireylerin sürdürülebilir beslenme bilgi düzeyinin ve Akdeniz diyetine uyumun değerlendirmesini amaçlamaktadır. Çalışmaya 18-64 yaş aralığında gönüllü 140 (90 kadın ve 50 erkek olmak üzere) yetişkin bireyin katılımı sağlanmıştır. Araştırmaya katılmayı kabul eden bireylere, araştırma hakkında bilgilendirme yapılmış, hazırlanan anket formu bireylere yüz yüze yöneltilmiştir. Anket formunda katılımcıların sosyodemografik özellikleri, antropometrik ölçümleri, sağlık durumları, beslenme alışkanlıkları (öğün sayısı, öğün atlama durumu ve nedenleri vd.), besin tüketim sıklıkları, günlük (24 saat) besin tüketim kaydı, fiziksel aktivite durumlarına yönelik sorularla birlikte Akdeniz diyetine uyumları, sürdürülebilir beslenme bilgileri düzeylerini içeren sorular bulunmaktadır. Toplanan veriler SPSS-26 programı kullanılarak değerlendirilmiştir. Katılımcıların yaş ortalaması 25,9 ± 9,04 yıldır. Beden kütle indeksleri erkeklerde 23,5±4,03 kg/m2 kadınlarda 19,6±4,26 kg/m2’dir (p<0.05). Katılımcıların %79,3’ü normal BKİ aralığındadır. Ortalama fiziksel aktivite düzeyi (PAL) 1,75±0,19’dur. Katılımcıların Akdeniz diyetine uyumu düşük, orta ve yüksek olma durumu sırasıyla %25,0, %62,1 ve %12,9‘dur (p<0,05). Erkeklerin %62,0’si kadınların %62,2’si sürdürülebilir beslenme kavramını önceden duymuştur (p>0,05). Sürdürülebilir ve sağlıklı
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beslenme davranışları ölçeğine verilen yanıtların toplam puan ortalaması erkekler ve kadınlar için sırasıyla 113,951±1,0053 ve 114,182±1,1980 (p>0,05). Katılımcıların sağlıklı ve dengeli beslenme, kalite işaretleri (yöresel/organik), et tüketiminin sınırlandırılması, yerel gıda, daha az miktarda yağ tüketimi, gıda israfından kaçınma, hayvan sağlığı-refahı ve mevsime özgü besin tutumu cinsiyete göre anlamlı bir fark göstermemiştir (p>0,05). Katılımcıların sürdürülebilir beslenme bilgisi ile Akdeniz diyeti bağlılık skoru arasında pozitif anlamlı ilişki belirlenmiştir (p<0,05). Katılımcıların Sürdürülebilir beslenme bilgisi ile BKI değeri arasında negatif yönde istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<0,05). Katılımcıların Akdeniz diyeti bağlılığı skoru ile yaşı arasında ise anlamlı bir ilişki bulunmamıştır(p>0,05)
Correction: Biopsychosocial model-based exercise improves muscle strength, proprioception, pain, function, and quality of life in rheumatoid arthritis patients with knee involvement: a randomized controlled clinical trial
No full textIn this article, the title “Biopsychosocial model-based exercise improves muscle strength, proprioception, pain, function, and quality of life in rheumatoid arthritis patients with knee involvement: a randomized controlled clinical tiral” Was incorrect, but it should have been read as “Biopsychosocial model-based exercise improves muscle strength, proprioception, pain, function, and quality of life in rheumatoid arthritis patients with knee involvement: a randomized controlled clinical trial” Now, The Original article has been corrected. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2025
A Novel Legal Approach for Justifying Economic Sanctions and Tariffs: A Semiotic Analysis of the Second Trump Administration Position
No full textThe Trump administration has rapidly and exponentially deployed economic sanctions and tariffs at unprecedented rates. The administration proposed new legal justifications such as the executive authorities under the International Emergency Economic Powers Act (IEEPA) of 1977 declaring national emergency prompting such imminent large-scale actions. The present analysis utilized a linguistic semiotics qualitative design to examine the characteristics of the Trump administration’s novel legal reasoning for the use of economic sanctions and tariffs. The analysis particularly assessed the ethos, logos, and pathos of 14 documents discussing the administration’s legal justifications. The Trump administration’s new legal approach to sanctions begins with the removal of all administrative protection measures against capricious executive powers use. Then, the administration finds unheralded powers in legislative acts extending its authority such as the use of the IEEPA, the Expanded Trade Act of 1962, and the Trade Act of 1974. Subsequently, the administration sheds its decisions under longstanding Supreme Courts’ doctrines like the intelligible principle, as well as the delegated Congressional authority to the executive. The new legal arguments of the Trump administration threaten the legitimacy and authority of international law. The administration has sanctioned the International Criminal Court based on the national emergency argument signaling to other actors around the globe the opportunity to utilize a similar logic, which by definition weakens international institutions. Likewise, the new arguments provide seemingly legitimate avenues for authoritarian governments to take unilateral actions affecting commerce and peace around the world claiming national emergency provision
Investigation of the Relationship Between Temperamental Characteristics and Eating Behaviours of Preschool Children: A Cross-Sectional and Correlational Study
Full text linkObjective: This study sought to investigate the relationship between temperament characteristics and eating behaviors in preschool children, as well as the influence of demographic factors on these variables. Material and Methods: Short Temperament Scale for Children and the Children's Eating Behaviour Questionnaire were utilized to assess temperament characteristics and eating behaviors in preschool children. The relationships between these variables and the demographic characteristics of the children and their families were examined. Statistical analyses were conducted to investigate differences and correlations. Results: The study identified significant associations between children's temperament traits and their eating behaviors. In particular, rhythmicity was positively correlated with enjoyment of food and food responsiveness, while reactivity was associated with emotional eating and slowness in eating. Additionally, sociodemographic variables such as gestational age, birth weight, body mass index status, and family income were found to have significant effects on certain eating behaviors. Regression analysis revealed that temperament traits explained 36.4% of the variance in children's eating behaviors (R²=0.364, p<0.001). Conclusion: Temperament traits were found to be associated with children's eating behaviors, indicating the potential for developing individualized nutritional approaches based on these characteristics. Pediatric nurses can contribute to the promotion of healthy eating habits by supporting families in early childhood with consideration of temperament-based differences
Okul öncesi mülteci çocukların dil beceri gelişiminde ebeveyn desteği ile sınıf içi sosyal davranışları arasındaki ilişki
No full textBu araştırma, 5-6 yaş arasındaki okul öncesi mülteci çocukların dil beceri gelişiminde ebeveyn desteği ile sınıf içi sosyal davranışları arasındaki ilişkiyi incelemeyi amaçlamaktadır. Araştırma, nicel araştırma yöntemi olan keşfedici korelasyonel araştırma modeline dayanmaktadır. Bu model, değişkenler arasındaki ilişkileri ortaya koymayı hedeflemektedir. Araştırma kapsamında, mülteci çocukları gözlemleyen öğretmenlere ve mülteci çocukların ebeveynlerine anketler uygulanmıştır. Bu anketler ile çocukların sınıf içindeki sosyal davranışları ve dil becerisi gelişiminde ebeveyn desteğinin rolü araştırılmaktadır. Çalışmanın örneklemi, 2023-2024 eğitim-öğretim yılı itibariyle Gaziantep ilinde okul öncesi eğitime katılan hiç Türkçe bilmeyen ya da çok az Türkçe bilen mülteci çocuklardan ve bu çocukların ebeveynlerinden oluşmaktadır. Araştırma, okul öncesi eğitim gören 250 mülteci çocuğun ebeveynleri ve öğretmenleri ile gerçekleştirilmiştir. Katılımcılar, amaçlı örneklem yöntemiyle seçilmiş olup, araştırma sorusunun gereksinimlerine uygun olarak belirlenmiştir. Veri toplama araçları olarak; demografik bilgi formu, dil becerileri gelişiminde ebeveyn desteği ölçeği, okul öncesi sosyal davranış ölçeği öğretmen formu ve veli onam formu kullanılmıştır. Araştırmanın sonuçlarına göre, mülteci çocukların sosyal davranışları ile dil beceri gelişiminde ebeveyn desteği arasındaki ilişki anlamlı bir etkiye sahiptir.This study aims to examine the relationship between parental support and classroom social behaviors in the language skill development of preschool refugee children aged 5-6 years. The research is based on the exploratory correlational research model, which is a quantitative research method. This model aims to reveal the relationships between variables. Within the scope of the study, questionnaires were administered to teachers observing refugee children and parents of refugee children. With these questionnaires, the role of parental support in children's social behavior and language skill development in the classroom is investigated. The sample of the study consists of refugee children attending preschool education in Gaziantep province as of the 2023-2024 academic year who do not speak Turkish or speak very little Turkish and their parents. The study was conducted with the parents and teachers of 250 refugee children attending preschool education. The participants were selected by purposive sampling method and were determined in accordance with the requirements of the research question. As data collection tools; demographic information form, parental support in language skills development, reliability and validity study of the preschool social behavior scale form and parental consent form were used. According to the results of the study, the relationship between refugee children's social behaviors and parental support in language skill development has a significant effect
Evaluation of the Carbon Footprint, Water Footprint, Nutrient Profiles and Cost of Sustainable Menus Planned With Digital Modeling
No full textThis study aimed to evaluate the sustainability of digital program menus (DPMs) and compare them with the Turkish NationalMenu Planning Guide (TNMPG) and internet-accessible menus (IAM). A menu planning program was developed in MicrosoftExcel, which also calculates the sustainability criteria (carbon footprint, water footprint, NRF 9.3, SAIN-LIM and cost) of themenus with the recommendations of the TNMPG. The digital menus were compared with the sustainability criteria of theTNMPG sample menus and menus accessed from the internet. DPM was found to be similar to the sample menus of the TNMPGin terms of sustainability features. All the meals on the menus were similar in terms of their carbon footprint (p > 0.05), whereasthe II-type meals of the kindergarten menu of DPM and the IV-type meals of the hospital menu of IAM were found to havegreater water footprints (p < 0.05). Some meals (II/III) in DPM had higher NRF-9.3 scores (p < 0.05). The I-type meals of thekindergarten and prison menus of DPM and the II-type meals of the prison menu were found to have significantly higher costs(p < 0.05). Digitalization could provide great benefits in service, as digital menus in food services can be prepared in a very shorttime, and sustainability criteria can be easily achieved
Serum selenium and manganese levels in obstructive sleep apnea patients and their relationship with GPx and SOD enzyme activities
Full text linkSelenium and manganese are antioxidant elements, are cofactors in the functioning of enzymes. Obstructive sleep apnea (OSA) is the inability to breathe during sleep and may develop due to changes in oxidative stress, antioxidant defense system, and serum trace element levels. Therefore, we aimed to determine the antioxidant enzyme activities glutathione peroxidase (GPx), superoxide dismutase (SOD), as well as Se, Mn levels, in OSA patients (n=38) and healthy controls (n=27). Se and Mn were determined by Graphite Furnace Atomic Absorption Spectrometry (GFAAS), and GPx, SOD enzyme activities were determined by ELISA method in samples taken after polysomnography (PSG). Our results showed that Se, Mn levels in patients were significantly lower than in controls (p<0.0001). GPx activity in patients was lower than in controls (p<0.01), but serum SOD activity was lower than in healthy individuals but not significant (p>0.05). The results showed that the patients’ Se, Mn levels, as well as GPx, SOD enzyme activities, were lower than the controls. In conclusion, our study showed that low levels of Se and Mn trace elements in OSA patients are associated with decreased antioxidant enzyme activities and increased oxidative stress. These findings suggest that trace elements affect the antioxidant enzyme activities in which they act as cofactors and that their deficiencies should be eliminated with supportive treatments in OSA patients. © 2025, Istanbul Medipol University. All rights reserved