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Examining the perception of the world in refugee children through picture: A qualitative study
Sağlık Bilimleri Enstitüsü, Çocuk Gelişimi Ana Bilim Dalı, Çocuk Gelişimi Bilim DalıÖZET Mülteci çocukların dünya algılarını resim yoluyla anlamak amacıyla gerçekleştirilen araştırmanın örneklemini, Kahramanmaraş ili Merkez Onikişubat İlçesinde bulunan Esin Ergün Bodur İlkokulu-Anaokulu ve Fatih Şekkeli İlkokulu-Anaokuluna devam eden 7 mülteci kız çocuk oluşturmaktadır. Bu araştırma nitel çalışma desenlerinden olan fenomonolojik desende yapılmıştır. Veri toplama araçları olarak araştırmacı tarafından ilgili literatür taranarak oluşturulan Sosyodemografik Bilgi Formu ve Yarı Yapılandırılmış Görüşme Formu kullanılmıştır. Katılma koşullarını sağlayan çocuklara "Bir dünya çiz" yönergesi verilerek resim yapmaları istenmiştir. Çizim bittikten sonra çocuklarla çizimler üzerinden yüz yüze görüşmeler gerçekleştirilmiştir. Çizimlerden elde edilen veriler betimsel analiz yoluyla tema ve alt temalara ayrılarak her iki araştırmacı tarafından ayrı ayrı kodlanmıştır. Sonrasında kodlar birleştirilmiş ve kodlarla ilgili araştırmadan bağımsız bir üçüncü kişiden uzman görüşü alınmıştır. Araştırma sonucunda; mutluluk, sevgi, korku ve yalnızlık duygularının şema öncesi dönem mülteci çocukların dünya algısını şekillendiren baskın duygulardan olduğu, çizimlerde mülteci çocukların en sık okul, park, bahçe ve ev gibi mekânlara yer verdikleri ve görüşmelerde de sıklıkla buralarda vakit geçirdiklerinden bahsettikleri görülmüştür. İnsan figürü çizimlerinde en çok geniş ve çekirdek aile bireylerine, öğretmenlerine, anne ve babalarına yer verdikleri, oyunun tüm çocuk resimlerinde vurgulandığı, çizimlerde en sık yer verilen rengin mor ve pembe olduğu görülmüştür. Ayrıca ev içi rutinler, anne-baba rolleri, okul-mahalle-ev üçgeninde gözlemledikleri diğer rol kalıpları ve içinde yaşadıkları iki farklı kültür arası etkileşimlerin çocukların dünya algısını şekillendiren önemli unsurlardan olduğu, buna ek olarak çocukların dil konusunda yaşadıkları yetersizlikler sebebiyle akranlarıyla kaynaşmakta, ev ödevlerini yapmakta zorlandıkları ve bu durumu çizim ve görüşmelerde yansıttıkları görülmüştür. Bu bulgulardan yola çıkılarak hizmet içi eğitim programlarında eğitim personeline ve mülteci çocuklarla çalışan diğer alan uzmanlarına mülteci çocukların karakteristikleri, hassasiyetleri ve ailelerle iletişim konularına yer verilmesi, mülteci çocuklara eğitim veren kurumlarda psikolojik danışman ve rehberlik servislerinin güçlendirilmesi ve bu servislerde dil bilen personelin görevlendirilmesi önerilerinde bulunulmuştur. Anahtar kelimeler: Çocuk gelişimi, çocuk resimleri, dünya algısı, mülteci çocuklarABSTRACT The aim of this study is understand refugee children's world perceptions through their drawing. The study group of the research consists of 7 refugee girls attending Esin Ergün Bodur Primary School-Kindergarten and Fatih Şekkeli Primary School-Kindergarten located in the Central Onikişubat District of Kahramanmaraş province. Sociodemographic Information Form and Semi-Structured Interview Form, created by the researcher by scanning the relevant literature, were used as data collection tools. Children who met the participation conditions were asked to draw a picture by giving the command "draw a world". After the drawing was completed, face-to-face interviews were held with the children regarding the drawings; voice recordings and observation notes were taken during these interviews. The data obtained from the drawings were divided into themes and sub-themes through content analysis and coded separately by both researchers. Afterwards, the codes were combined and an expert opinion was obtained from a third party independent of the research regarding the codes. As a result of the research; It was observed that the feelings of happiness, love, fear and loneliness were the dominant emotions that shaped the world perception of refugee children in the pre-schema period, and that refugee children most frequently included places such as schools, parks, gardens and houses in their drawings and in the interviews they frequently mentioned that they spent time in these places. It was observed that they mostly included extended and nuclear family members, teachers, and mothers and fathers in their human figure drawings, play was emphasized in all children's drawings, and the most frequently used colors in the drawings were purple and pink. In addition, domestic routines, parental roles, other role patterns they observe in the school-neighbourhood-home triangle, and the interactions between two different cultures they experience are important elements that shape children's perception of the world. In addition, it was observed that children had difficulty in socializing with their peers as a result of their language deficiencies, had difficulty in doing their homework, and they reflected this situation in drawings and interviews. Based on these findings, suggestions were made to include the characteristics of refugee children, their sensitivities and communication with families in in-service training programs for education personnel and other field experts working with refugee children, to strengthen psychological counselor and guidance services in institutions that provide education to refugee children, and to assign language-speaking personnel to these services. Key words: Child development, children's drawings, world perception, refugee childre
Investigation of the prevalence of Respiratoric Coronavirus in dogs in Kırıkkale and surrounding provinces
Sağlık Bilimleri Enstitüsü, İç Hastalıkları (Veterinerlik) Ana Bilim Dalı, İç Hastalıkları Bilim DalıKöpeklerin akciğerler ve diğer solunum organlarındaki rahatsızlıkların genellikle uygun bir tedavi ile iyileştirildiği görülmekte olup; tedavi edilmezse, hipoksemi ve sepsis gibi ciddi sorunlarla karşılaşılacağı bilinmektedir. Köpek Respiratorik Coronavirusu (CRCoV), ilk olarak 2003 yılında Birleşik Krallık'ta solunum yolu hastalığı olan bir grup barınak köpeğinde tanımlanarak günümüzde dünya çapında köpeklerde tespit edildiği bildirilmektedir. Hastalık, klinik solunum yolu belirtileri olan ve olmayan köpeklerde bulunabilir. Respiratorik Coronavirusün köpeklerde karşımıza çıkan solunum yolu şikayetlerinin oluşumunda hangi düzeyde etkili olduğunun araştırılması ve prevalansının belirlenmesi bu çalışmanın amacını oluşturmaktadır. Tez kapsamında Kırıkkale Üniversitesi Veteriner Fakültesi Hastanesine, belediye barınaklarına, Kırıkkale ve çevresinde bulunan özel veteriner kliniklerine getirilen solunum yolu problemi olan 100 köpek çalışmaya dahil edilmiştir. Bu amaçla CRCoV varlığını tespit etmek amacıyla nasal ve farangeal sürüntü örneklerinden RT-PCR tekniği kullanılarak analiz edildi. Analizler sonucunda Kırıkkale ve çevresinde köpeklerde CRCoV görülme sıklığı %2 (2/100) olarak tespit edilmiştir. Çalışmamızın ülkemizde köpeklerde Respiratorik Coronavirusünün (CRCoV) varlığını tespit etmek amacıyla yapılan ilk çalışma olması nedeniyle bundan sonraki çalışmalara kaynak teşkil edeceği düşünülmektedir.Diseases in the lungs and other respiratory organs of dogs are usually cured with appropriate treatment. If left untreated, serious problems such as hypoxemia and sepsis occur. Canine respiratory coronavirus (CRCoV) was first identified in the United Kingdom in 2003 in a group of shelter dogs with respiratory disease. It is now detected in dogs worldwide. The disease can be found in dogs with and without clinical respiratory signs. This study aims to investigate to what extent the respiratory coronavirus is effective in the formation of respiratory complaints and to determine its prevalence in dogs. Within the scope of the thesis, 100 dogs with respiratory problems were included in the study. These were dogs brought to Kırıkkale University Veterinary Faculty Hospital, municipal shelters, and private veterinary clinics in Kırıkkale and its surroundings. Nasal and pharyngeal swab samples were analyzed using the RT-PCR technique to detect the presence of CRCoV. Analyzes showed that the incidence of CRCoV in dogs in Kırıkkale and its surroundings was 2% (2/100). This is the first study conducted in Turkey to detect the presence of canine respiratory coronavirus (CRCoV). Therefore, it will form a basis for future studies and provide an insight to the researchers
Comparison of Microsurgical and Conventional Techniques for Augmentation of Keratinized Mucosa Around Dental İmplants
Objective: This study aims to compare the clinical outcomes of periodontal microsurgery with conventional periodontal surgery in keratinized mucosa augmentation around the implant. Materials and Methods: Ten patients with at least 2 implants with a keratinized mucosal width of < 2 mm were included. Free gingival graft (FGG) was applied in the test group with the microsurgery technique whereas in the control group with the conventional periodontal surgery technique. Keratinized mucosa width (KMW) and palatal mucosal thickness (MT) were measured at baseline and 3rd month. Graft shrinkage(GS) was evaluated at the 3rd month. Donor site wound healing was evaluated at the 10th day and 3rd month. Feedback forms were collected on the 10th day. Results: KMW values increased significantly in both groups at 3rd month compared to baseline. The percentage of GS was lower in the test group at 3rd month, but this difference was not significant. MT values in the test group were closer to the baseline values at 3rd month compared to the control group. Wound healing scores were similar in both groups at the 10th day and 3rd month. Postoperative pain levels decreased more rapidly in the test group. Conclusion: The microsurgical technique provides a faster increase in palatal mucosal thickness and lower graft shrinkage during the healing period and an earlier reduction in postoperative pain levels
Alterations in serum thiol-disulfiide homeostasis and ischemiamodifiied albumin concentrations in clinical canine parvoviral enteritis
Monitoring biomarkers related to inflammation and oxidative stress is critical in dogs because parvovirus causes both inflammatory and antioxidant alterations. The aim of this study was to investigate inflammatory and antioxidant changes caused by canine parvoviral enteritis to better understand the oxidative stress process related to this disease. Thus, the total thiol, native thiol, disulfide, and ischemia-modified albumin levels of Canine parvovirus infected symptomatic puppies and healthy puppies were examined. Using the results of complete blood counts, the blood serum thiol-disulfide homeostasis and ischemia modified albumin levels of the puppies with Canine parvoviral enteritis (n = 65) and the healthy puppies (n = 34) were compared. Canine parvoviral enteritis and control groups showed a statistically significant difference in thiol disulfide levels (p < 0.01), while no significant difference was observed in ischemia modified albumin levels between the two groups. As a result of this study, a picture contradictory to the literature information was discovered; it is believed that integrating research on oxidative stress at various stages of disease progression, including the early stage, clinical period and recovery processes may provide more information about the dynamics of oxidative stress during disease progression
Economic load dispatch using particle swarm optimization tuned by chaotic mapping algorithms
Fen Bilimleri Enstitüsü, Elektrik-Elektronik Mühendisliği Ana Bilim Dalı, Elektrik Elektronik Mühendisliği Bilim DalıBu çalışmanın amacı farklı kaotik haritalar ile oluşturulmuş optimizasyon yöntemleri ile ekonomik yük dağıtımı probleminin çözülmesidir. Enerji santralleri elektrik enerjisi üretirken işçi maliyetleri, jeneratörlerin yakıt maliyetleri ve bakım maliyetleri gibi maliyetlerle karşı karşıya kalırlar. Bu maliyetler arasında en büyük payı yakıt maliyetleri oluşturur. Bundan dolayı yakıt maliyetini en aza indirmek enerji santrallerini optimum şekilde işletebilmek için çok önemlidir. Ekonomik yük dağıtımı en genel tabiri ile yakıt maliyeti yüksek olan jeneratörün aktif güç çıktısı düşük tutulurken yakıt maliyeti düşük olan jeneratörün aktif güç çıktısının yüksek tutularak talep gücün karşılanmasıdır. Bu optimizasyon probleminin çözümü için günümüzde metasezgisel algoritmalar kullanılmaktadır. Bu çalışmada da lojistik harita, gauss haritası ve çadır harita parçacık sürü optimizasyonuna eklenmiştir. Bunun sonucunda Lojistik haritalı PSO, gauss haritalı PSO ve çadır haritalı PSO metotları elde edilmiş ve ekonomik yük dağıtımı problemine uygulanmıştır. Bu çalışmada farklı kaotik haritaların optimizasyon sonuçlarına etkisi incelenmiştir.The purpose of this study is to solve the economic load dispatch problem with optimisation methods based on different chaotic maps. Power plants face costs such as labour costs, fuel costs of generators and maintenance costs while generating electrical energy. Fuel costs constitute the largest share among these costs. Therefore, it is very important to minimise fuel costs in order to operate power plants optimally. Economic load dispatch, in the most general terms, is to meet the demand power by keeping the active power output of the generator with high fuel cost low while keeping the active power output of the generator with low fuel cost high. Metaheuristic algorithms are currently used to solve this optimisation problem. In this study, logistic map, gauss map and tent map are added to particle swarm optimisation. As a result, PSO with logistic map, PSO with Gaussian map and PSO with tent map methods are created and applied to the economic load dispatch problem. In this study, the effects of different chaotic maps on the optimisation results were investigated
Flexural behavior of RC beams with multiple parallelogram openings
On account of the detrimental effects of the post-drilling holes in hardened RC beams, designing the beams with transverse openings before construction is becoming more popular in the last decades. The contribution of the transverse openings to the overall economy and efficiency of construction by reducing the unusable dead space in the floor height is a rather significant motivation behind the vast number of studies on this topic. In search for the opening geometries and reinforcement schemes with the least negative effects on the beam behavior, the present study focused on the parallelogram (diamond) opening geometry, which is thought to facilitate the transmission of diagonal compression forces in the beam web thanks to the inclination of the posts. Within this scope, a total of 12 beams, including two reference beams without openings, were tested under four-point bending. Circular, square and parallelogram (45(degrees)- 60(degrees)- 75(degrees)) opening geometries were adopted and the test results were evaluated based on the opening geometry and the longitudinal reinforcement ratio. In order to avoid various shear failure modes of beams with openings, different special reinforcement schemes were employed around the web openings. Two different longitudinal reinforcement ratios were used to understand if pure flexural failure can be reached in RC beams with openings without being affected by different shear failure modes (beam- and frametype diagonal tension and diagonal compression). The inclination angle of the posts between the openings in parallelogram opening geometry was found to be the most crucial parameter in the final beam failure and beam ductility. The use of diagonal cables surrounding the openings and connecting the posts and chords was established to be obligatory in square and parallelogram opening geometries to reach a ductile beam behavior without being affected by Vierendeel panel action and different shear failure modes.Kirikkale University Scientific Research Projects Unit [2021/090]The study was carried out within the scope of the project with the number of 2021/090 supported by Kirikkale University Scientific Research Projects Unit. The financial support provided by this unit is gratefully acknowledged
The estimation of pore size distribution of electroporated MCF-7 cell membrane
The size of the pores created by external electrical pulses is important for molecule delivery into the cell. The size of pores and their distribution on the cell membrane determine the efficiency of molecule transport into the cell. There are very few studies visualizing the presence of electropores. In this study, we aimed to investigate the size distribution of electropores that were created by high intensity and short duration electrical pulses on MCF-7 cell membrane. Scanning Electron Microscopy (SEM) was used to visualize and characterize the membrane pores created by the external electric field. Structural changes on the surface of the electroporated cell membrane was observed by Atomic Force Microscopy (AFM). The size distribution of pore sizes was obtained by measuring the radius of 500 electropores. SEM imaging showed non-uniform patterning. The average radius of the electropores was 12 nm, 51.60% of pores were distributed within the range of 5 to 10 nm, and 81% of pores had radius below 15 nm. These results showed that microsecond (mu s) high intensity electrical pulses cause the creation of heterogeneous nanopores on the cell membrane. Electroporation is a phenomenon in which permeability of the cell membrane to molecules and ions is increased due to externally applied high electric field pulses. The externally applied electric field pulses create pores on the cell membrane, allowing ions and molecules that normally can not pass through the membrane. The transport of molecules into the cell is related to the size and distribution of the pores created on the membrane. Studies visualizing the presence of electropores are very limited. In this study, we aimed to visualize pores and determine the size distribution of pores created due to the application of external electric field pulses on the cell membrane of human breast cancer cells. The membrane pores created by external electric field were visualized and characterized by different imaging techniques. The size distribution of pores was obtained by measuring the radius of 500 pores created on the cell membrane due to the applied electric fields. The surface of the electropermeabilized cells were very rough due to deformation during electroporation. We observed heterogeneous pore populations that were formed due to application of external electrical pulses on the surface of cell membrane. The average radius of the pores was found to be 12 nm
Relationships between entrepreneurial passion, market orientation and marketing performance: Kırıkkale province SME example
Sosyal Bilimler Enstitüsü, Yönetim ve Organizasyon Ana Bilim DalıBu araştırmanın amacı KOBİ'lerdeki girişimcilik tutkusu, pazar odaklılık ve pazarlama performansı arasındaki ilişkilerin incelenmesidir. Araştırma; Girişim ve Girişimcilik Tutkusu, Boyutları, Girişimciliğin gelişim aşamaları, Pazar Odaklılık ve Pazarlama Performansı kavramları açılanmıştır. Araştırmaya Kırıkkale ilindeki 215 KOBİ niteliğindeki işletme dahil edilmiştir. Araştırmanın ölçeği 3 bölümden oluşuyor. Girişimcilik Tutkunuz, Pazar Odaklılık ve Pazarlama Performansı ile ilgili sorular ve bölümler yer almaktadır. Anket formları aracılığıyla edinilen veriler SPSS 22 istatistik programı kullanılarak analiz edilmiştir. Hipotezlerin test edilmesi için, bağımlı ve bağımsız değişkenler ile araştırmada kullanılan demografik faktörler ve işletmeye ait bilgiler regresyon analizine tabi tutulmuştur. Sonuç olarak KOBİ'lerde girişimcilik tutkusu, pazar odaklılık ve pazarlama performansı arasında anlamlı bir bağın bulunduğu; bu bağın kendi değişken grupları içerisinde anlamlı bir farklılık sergiledikleri sonucuna ulaşılmıştır.The aim of this research is to examine the relationships between entrepreneurial passion, market orientation and marketing performance in SMEs. Research; The concepts of Entrepreneurship and Entrepreneurial Passion, Its Dimensions, Development Stages of Entrepreneurship, Market Orientation and Marketing Performance are explained. 215 SME businesses in Kırıkkale province were included in the research. The scale of the research consists of 3 parts. There are questions and sections related to Your Entrepreneurial Passion, Market Focus and Marketing Performance. The data obtained through the survey forms were analyzed using the SPSS 22 statistical program. To test the hypotheses, dependent and independent variables, demographic factors used in the research, and information about the business were subjected to regression analysis. As a result, there is a significant connection between entrepreneurial passion, market orientation and marketing performance in SMEs; It was concluded that these ties exhibited a significant difference within their variable groups
Afghanistan on the axis of religion and politics
Sosyal Bilimler Enstitüsü, Sosyoloji Ana Bilim DalıDin ve siyaset olgularının birbirleriyle olan ilişkileri araştırılmak istendiğinde karmaşık ve etkin bir süreç karşımıza çıkmaktadır. İçerisinde toplumsal düzen, normlar, sosyal kimliklerin şekillenmesi ve ortak birlikteliğin oluşturulma faktörlerini barındırdığı gözlemlenmektedir. Dini inançlar ortak paydada buluşulmayı, ortak kimlik aidiyeti oluşumunu sağlamada önemli katkılara sahiptir. Ayrıca din, sosyal kontrol sağlar ve toplumsal normların oluşmasında kilit noktalar oluşturur. Sosyal olguları içine alan siyaset, din ile etkileşime girerek toplumsal ideolojiyi biçimlendirmede önemli roller oynar. Din, siyasi meşruiyet erkinin artırılması için kullanılabilir. Aynı şekilde devlet yönetimi dini normlar üzerinden yürütülebileceği gibi, siyasi yasa ve siyasi kararlar dini değerlere eş olacak şekilde uygulanabilir. Dini motivasyonlar toplumsal nitelikli hareketlerin kaynağını oluşturabilir. Çok kültürlü ve dini çeşitlilik içerisinde bulunan toplumlarda din, birleştirici unsur olurken, aynı toplumlarda ayrışmanın baş faktörü yine din olabilir. Afganistan gibi çoklu etnik unsura sahip olan toplumlarda, bu iki faktör iç içedir. Afganistan toplumundaki din ve siyaset ilişkisi, ülkenin karmaşık yapılarını oluşturan tarihsel, kültürel ve siyasi dinamikleriyle beraber tartışıldığında, oldukça derinlikli ve özel bir birliktelik sunar. Kendine has dini ve kültürel etnik çeşitliliği ile siyasi istikrarsızlıklar, iç karışıklıklar, uluslararası müdahaleler ve savaşlar bu birlikteliği etkileyen unsurlardır. Ülkenin vazgeçilmez bir gerçeği haline gelen dini aşırılıklar, toplumsal çalkantılar ve siyasi istikrarsızlıklar bütüncül bir siyaset oluşumuna ket vurmaktadır. Din ve siyaset ilişkisini Afganistan toplumu özelinde değerlendirirken, ülkenin tarihi arka planını, dinin Afgan toplumu üzerindeki etkilerini, Afganistan'daki siyasi istikrarsızlıkları, etnik grupların toplumsal yapı üzerindeki etkisinin ve ülkede bitmek bilmeyen savaşların bir arada sosyolojik olarak sunulup değerlendirilmesi gereklidir. Bu bağlamda Afganistan üzerinden din ve siyaset ilişkisi sosyolojik yapı çerçevesinde incelenecektir. Anahtar Kelimeler: Din Sosyolojisi, Siyaset Sosyolojisi, Afganistan, Etnik Yapı, Radikal Dini Örgütler, Toplumsal Bütünleşme, Toplumsal AyrışmaWhen the relationship between religion and politics is explored, it presents a complex and dynamic process. It encompasses the shaping of social order, norms, the formation of social identities, and the establishment of a sense of collective belonging. Religious beliefs contribute significantly to the formation of a common ground and the development of a shared identity. Moreover, through religious norms, social control is established, playing pivotal roles in the formation of societal norms. Politics, which encompasses social phenomena, interacts with religion to shape societal ideologies. Religion can be utilized to enhance political legitimacy. Similarly, governance can be conducted through religious norms, and political laws and decisions can be implemented in alignment with religious values. Religious motivations can serve as sources for socially oriented movements. In multicultural and religiously diverse societies, religion acts as a unifying factor, while simultaneously being a key factor in division. In societies with multiple ethnic elements like Afghanistan, both of these factors are contained within. The relationship between religion and politics in Afghan society, when discussed in conjunction with the historical, cultural, and political dynamics that constitute the country's complex structures, presents a profound and unique association. Its distinct religious and cultural ethnic diversity, coupled with political instabilities, internal conflicts, international interventions, and wars, are influencing factors in this association. The religious extremism, social turmoil, and political instability, which have become indispensable realities of the country, impede comprehensive political formation. When evaluating the relationship between religion and politics in Afghan society, it is essential to comprehensively examine and evaluate the country's historical background, the impact of religion on Afghan society, political instabilities in Afghanistan, the influence of ethnic groups on societal structures, and the never-ending wars in the country within a sociological framework. In this context, the relationship between religion and politics will be examined sociologically through the lens of Afghanistan. Keywords: Sociology of Religion, Sociology of Politics, Afghanistan, Ethnic Structure, Radical Religious Organization
The effect of mobile assisted teaching on nursing students' learning ventrogluteal injection application: The case of Turkey
Background: There are deficiencies in ensuring the permanence of some theoretical information taught in nursing education and transferring it to practice environment. Mobile-assisted teaching can be useful to eliminate deficiencies. The aim of this study was to determine the effect of mobile-assisted teaching on nursing students' learning ventrogluteal injection.Methodology: The study was conducted in Turkey between February and June 2022. This study is a single group pre-posttest intervention. The study sample consisted of 354 students studying in the 2nd, 3rd and 4th grades in Turkey. After the students completed the Introductory Characteristics Form and Ventrogluteal Region Information Suggestion Form in the pre-test, the researchers sent a ventrogluteal injection animation video to their mobile phones. The students who watched the video completed the Ventrogluteal Region Information Suggestion Form and Mobile Education Activity Form in the final test.Results and Conclusion: There was a statistically significant difference between the pre-posttest score medians of the students (p < 0.001). While the preference of the students for the ventrogluteal region in intramuscular injection was 28.5% before mobile learning, it increased to 51.1% after the training. In this study, after the training given through mobile learning, the knowledge level of the students about ventrogluteal injection and their preferences for ventrogluteal injection increased. In line with these results, mobile-assisted education should be used in nursing education.We would like to thank all the participants for their interest and contributions to the study.We would like to thank all the participants for their interest and contributions to the study