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Artificial Intelligence in Nursing
No full textToday, next generation health technologies based on artificial intelligence (AI) are evolving into change and transformation in health services. AI is also used as important support tools for innovation in nursing and improving community health globally. The use of AI applications has recently become increasingly common in nursing education, care and management processes. It supports clinical decision making and documentation processes in the nursing care of complex and critical patients [Karaaslan et al., 2024]. Applications such as clinical decision support tools, disease progression prediction, radiological image diagnosis, robotics and simulation technologies are among these AI-driven innovations [Chen et al., 2022][Clancy, 2020]. © 2025 Elsevier B.V., All rights reserved
Deep learning based classification and latency prediction in ABR signals|ABR sinyallerinde derin grenme temelli siniflandirma ve latans tahmini
No full text33rd IEEE Conference on Signal Processing and Communications Applications, SIU 2025 -- -- Istanbul; Isik University Sile Campus -- 211450This paper proposes a CNN-based deep learning approach for detecting and identifying the fifth peak (Wave V) in Auditory Brainstem Response (ABR) signals. By performing two tasks: accurately predicting the peak location of wave V (R2 = 0.91) and classifying its presence (accuracy = 89.9%). These results demonstrate the potential of deep learning to enhance the precision and efficiency of auditory diagnostics while reducing manual interpretation efforts. © 2025 Elsevier B.V., All rights reserved.Türkiye Bilimsel ve Teknolojik Araştırma Kurumu, TUBITAK, (123E478); Türkiye Bilimsel ve Teknolojik Araştırma Kurumu, TUBITAKIsik Universit
The relationship between fear of childbirth and birth self-efficacy in low and high-risk pregnant women
No full textBackgroundFear of childbirth (FOC) is the most important feeling pregnant women experience about childbirth. It is also known that the fear of childbirth is affected by many factors. This study investigated the relationship between Fear of childbirth (FOC) and childbirth self-efficacy in low and high-risk pregnant women.MethodsThe research was designed in descriptive and correlational type. This study among 115 low-risk and 135 high-risk pregnant women who were recorded using a purposeful sampling.ResultsThe total W-DEQ-A values of high-risk pregnant women are substantially higher. It was determined that both groups had a moderate FOC. The W-DEQ-A and CBSEI-32 mean scores of low-risk pregnant women were significantly related. Their mean W-DEQ-A scores were negatively correlated with outcome expectancy sub-dimension (OE) scores and positively correlated with self-efficacy expectancy sub-dimension (EE) values.ConclusionThis is the first study to examine the relationship between FOC and childbirth self-efficacy in low and high-risk pregnant women. It is recommended that health professionals evaluate all pregnant women in terms of FOC and their childbirth self-efficacy for vaginal delivery
Concerns about the article maternal rest improves growth in small-for-gestational-age fetuses (<10th percentile)
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Health Profession Students' Perceptions of Teamwork and Knowledge of Speech and Language Therapists' Role in Neurological Rehabilitation
No full textPurposeThis study aimed to assess final-year students in speech and language therapy (SLT), physiotherapy and rehabilitation (PT), and occupational therapy (OT) programs on their perceptions of teamwork in neurological rehabilitation, specifically focusing on the role of speech and language therapists (SLTs) in the team.Materials and MethodsThe study involved 166 final-year undergraduate students in SLT, PT, and OT programs. A questionnaire consisting of demographics, assessing the participants' experiences and opinions of neurological rehabilitation teams, and exploring the specific role of SLTs with neurological patients provided study data.ResultsIn this study, the student group that worked the most with neurologically diagnosed patients was found to be PT (%98), followed by SLT (%90.9), and OT (%78.6) students, respectively. The participants were aware of the advantages and disadvantages of teamwork. SLT and OT students emphasized the effectiveness of an interdisciplinary team approach in neurological rehabilitation. Most of the participants indicated utilizing a multidisciplinary team approach. They knew the role of SLTs in treating disorders like aphasia, apraxia of speech, and dysphagia, but their awareness of other practice areas of SLT was limited.ConclusionA fundamental aspect of effective teamwork in neurological rehabilitation is understanding the role and contributions of different healthcare professions. It would be beneficial to provide students with further opportunities to gain valuable insights into the significance of teamwork and team members' roles, particularly during their final year of study.WHAT THIS PAPER ADDSWhat is already known on the subject Providing high-quality and effective neurological rehabilitation services to maximize the independence and quality of life of people with disabilities is only possible by working as a team. In all team-based approaches to neurological rehabilitation, a range of health professionals, including physicians, nurses, speech and language therapists (SLTs), physiotherapists (PTs), occupational therapists (OTs), audiologists, psychologists, and dieticians, are required. It is essential that health professionals possess an understanding of the roles and responsibilities of other professionals to facilitate effective teamwork. What this paper adds to existing knowledge This study evaluated the knowledge of final-year students enrolled in the SLT, PT, and OT programs regarding teamwork in neurological rehabilitation. In particular, the study focused on the role of SLTs within the neurological rehabilitation team in T & uuml;rkiye, where speech and language therapy (SLT) education has been provided at the undergraduate level for 12 years. What are the clinical implications of this work? The findings of this study provide a robust basis for advancing interprofessional education at the undergraduate level and suggest developing communication, leadership, and collaboration skills in healthcare students through theoretical and practical courses. These skills can significantly increase the impact of teamwork on patients, particularly in T & uuml;rkiye.WHAT THIS PAPER ADDSWhat is already known on the subject Providing high-quality and effective neurological rehabilitation services to maximize the independence and quality of life of people with disabilities is only possible by working as a team. In all team-based approaches to neurological rehabilitation, a range of health professionals, including physicians, nurses, speech and language therapists (SLTs), physiotherapists (PTs), occupational therapists (OTs), audiologists, psychologists, and dieticians, are required. It is essential that health professionals possess an understanding of the roles and responsibilities of other professionals to facilitate effective teamwork. What this paper adds to existing knowledge This study evaluated the knowledge of final-year students enrolled in the SLT, PT, and OT programs regarding teamwork in neurological rehabilitation. In particular, the study focused on the role of SLTs within the neurological rehabilitation team in T & uuml;rkiye, where speech and language therapy (SLT) education has been provided at the undergraduate level for 12 years. What are the clinical implications of this work? The findings of this study provide a robust basis for advancing interprofessional education at the undergraduate level and suggest developing communication, leadership, and collaboration skills in healthcare students through theoretical and practical courses. These skills can significantly increase the impact of teamwork on patients, particularly in T & uuml;rkiye.WHAT THIS PAPER ADDSWhat is already known on the subject Providing high-quality and effective neurological rehabilitation services to maximize the independence and quality of life of people with disabilities is only possible by working as a team. In all team-based approaches to neurological rehabilitation, a range of health professionals, including physicians, nurses, speech and language therapists (SLTs), physiotherapists (PTs), occupational therapists (OTs), audiologists, psychologists, and dieticians, are required. It is essential that health professionals possess an understanding of the roles and responsibilities of other professionals to facilitate effective teamwork. What this paper adds to existing knowledge This study evaluated the knowledge of final-year students enrolled in the SLT, PT, and OT programs regarding teamwork in neurological rehabilitation. In particular, the study focused on the role of SLTs within the neurological rehabilitation team in T & uuml;rkiye, where speech and language therapy (SLT) education has been provided at the undergraduate level for 12 years. What are the clinical implications of this work? The findings of this study provide a robust basis for advancing interprofessional education at the undergraduate level and suggest developing communication, leadership, and collaboration skills in healthcare students through theoretical and practical courses. These skills can significantly increase the impact of teamwork on patients, particularly in T & uuml;rkiye
ÇOCUKLARA YÖNELİK TIBBİ UYGULAMALARDA, BİLGİLENDİRME VE RIZANIN KAPSAM VE SINIRLARIYLA İLGİLİ SON YASAL DÜZENLEMELER IŞIĞINDA HEKİMLERİN BİLGİ DÜZEYLERİ, TUTUM VE DAVRANIŞLARININ DEĞERLENDİRİLMESİ
No full textHukuk sisteminin ışığında hekimlerin çocuk hastaya uygulamış ol- duğu tıbbi uygulamanın ön şartı olduğu hususunda teorik, uygulama ve mevzuatta ön görülen “Bilgilendirme ve Rıza\" konusunda hekimlerin bilgi düzeylerinin ve tutumlarının değerlendirilmesi amacıyla hazırlanan bu çalışmada, rızanın konusunu taşıyan tıbbi uygulamalar ile çocuk has- taya hekimin tıbbi girişimi öncesindeki bilgilendirme ve rıza sürecine ne denli ve hangi süreçte katılacağı ve rızalarının kime, kim ya da kimler tarafından yapılacağı konusunda incelediğimiz grubun hukuksal gerekli- liklere ilişkin görüş farklılıklarının ve uygun görülen çözümlerin irde- lenmesi amaçlanmış, güncel olgularla bağlantısı kurulmaya çalışılmıştır. Sunulan çalışmada veriler anket uygulaması yoluyla elde edilmiş- tir. Ankette İzmir Bakırçay Üniversitesi Çiğli Eğitim ve Araştırma Has- tanesinde görev yapan hekimler ile Ege Üniversitesinde görevli hekimler hedef kitle olarak seçilmiştir. Hekimlere yaş, cinsiyet, meslek süreleri, unvan ve bölüm bilgilerini içeren sosyo-demografik verilere ilişkin soru- lar ile sağlık mevzuatında yapılan son düzenlemeler konusundaki bilgi düzeylerini belirleyen sorular yöneltilmiştir. Çalışmamızın verilerine göre, Türkiye'deki çocuk hekimlerinin ya- sal mevzuata tam olarak hakim olmadığı, ayrıca ülkemiz sağlık yasal mevzuatında birtakım belirsizliklerin bulunduğu, bu nedenle, sağlık mevzuatında netlik sağlanması, düzenlemelerin gözden geçirilmesi ve sağlık camiasının bilgilendirilmesi gerektiğini önermekteyiz
Examination of Musculoskeletal Dysfunction in Patients with Dyssynergic Defecation
No full textAmaç: Literatürde genitoüriner sistem hastalıkları ile kas-iskelet sistemi disfonksiyonu arasında ilişki olduğu bildirilmektedir; ancak bu durum dissinerjik defekasyonda araştırılmamıştır. Bu çalışma dissinerjik defekasyonda kas-iskelet sistemi disfonksiyonunu incelemeyi amaçlamıştır. Gereç ve Yöntem: Çalışmaya 25 dissinerjik defekasyonlu ve 25 sağlıklı birey dahil edildi. Katılımcılar lomber ve kalça bölgesi simetrisi açısından değerlendirildi ve katılımcılara Pittsburgh Uyku Kalitesi İndeksi, Beck Depresyon Envanteri, Konstipasyon Yaşam Kalitesi Anketi Hasta Değerlendirmesi, Kadın Cinsel Fonksiyon İndeksi, Uluslararası Erektil Fonksiyon İndeksi uygulandı. Pelvis ve kalça ağrısını değerlendirmek üzere Posterior Pelvik Ağrı Provokasyon Testi, Gaenslen Testi, Trendelenburg Testi, FABER Testi, Piriformis Testi de kullanıldı. Bulgular: Dissinerjik defekasyon grubunda uyku kalitesi, depresyon ve yaşam kalitesi skorları daha düşüktü (pAim: Literature reports relationship between genitourinary system diseases and musculoskeletal dysfunction, this is not investigated in dyssynergic defecation. This study aimed to examine musculoskeletal disorders in dyssynergic defecation. Material and Method: Twenty-five individuals with dyssynergic defecation and twenty-five healthy controls were included. Participants were evaluated for lumbar-hip region symmetry and were applied Pittsburgh Sleep Quality Index, Beck Depression Inventory, Patient Assessment of Constipation Quality of Life Questionnaire, Female Sexual Function Index, International Index of Erectile Function. Posterior Pelvic Pain Provocation Test, Gaenslen's Test, Trendelenburg Test, FABER test, Piriformis Test were employed to evaluate pelvis and hip pain. Results: Dyssynergic defecation group had lower scores in sleep quality, depression and quality of life evaluations (
An analysis of abnormal extreme price movements within the context of volatility parameter shifts: A case study of Borsa Istanbul
No full textIntroduction: In this study, approaches based on right-tail unit root tests are used to analyze high-frequency time series. Although these approaches successfully capture unusually extreme price movements (bubbles) in financial markets, they can be biased in policymaking and forecasting. Testing the parameter stability enables the detection of both unusual price behavior and possible change points within the framework of the volatility approach. The break dates that cause the parameter change on the return series can be obtained, and the differentiation in the period can be seen. Purpose: In this study, the analysis of periods that differ from the "changing parameter values" of the volatility process that emerged after November 2018 in the Borsa Istanbul (BIST) is made by using a new econometric approach in terms of change dates, parameter stability, and explosiveness characteristics. In this way, starting from determining periods with stable parameter values, the volatility process is tested to decide whether or not it shows an explosive feature. Methodology: This study's mainstay was published in February 2023. The findings reached within the framework of the knowledge provided by the technique in question will be the first in the applied literature. We used a uniform test for a mildly explosive GARCH process with double supreme statistics for BIST. Findings: BIST is significantly affected by social and political events. This result implies that the "semi-efficient" market hypothesis for BIST needs to be re-examined in this context. © 2025 Elsevier B.V., All rights reserved
Mediation arising from civil law medical disputes
No full textÇalışmamızda özel hukuktan kaynaklanan tıbbi uyuşmazlıklarda arabuluculuk kurumu ve özellikleri konuları ele alınmıştır. Çalışmada arabuluculuk kurumu tanımlanmış, alternatif çözüm yollarına yer verilmiş, arabuluculuk kurumunun türleri, özellikleri ve yararlarından bahsedilmiştir. Özel hukuk tıbbi uyuşmazlıklarının arabuluculuk kurumunun uygulanması, özel hukukta tıbbi uyuşmazlık türleri, hekim, hasta ve hastaneler arasındaki sözleşmelerden doğan uyuşmazlıklar ile tıbbi uygulama hatası kavramları açıklanmaya çalışılmıştır. Türkiye'de ihtiyari arabuluculuk 2013 yılından itibaren olarak uygulamalar başlamıştır. Sağlık hukuku alanında doğrudan arabuluculuk kurumunu düzenleyen bir yasal düzenleme bulunmasa da taraflar arasındaki sözleşmenin tüketici sözleşmesi veya ticari uyuşmazlık olması halinde, taraflar dava şartı olarak arabulucuya başvurmak zorundadırlar. Sağlık hukuku, kendine mahsus özellikler içeren bir alan olduğundan, bu alanda arabulucu sıfatıyla uyuşmazlık çözecek kişilerin, sağlık hukukuna dair bazı temel bilgilerinin olması gerekir. Bu durum arabuluculuğun isabetli şekilde yapılması için önemlidir. Arabuluculuk süreçleri gizli olduğundan taraflar, kendilerini daha iyi ifade edebilmektedir. Arabuluculuk aşaması kısa sürmekte, yargılamada olduğu gibi tarafları daha fazla mağdur etmemekte ve tarafların saygınlıklarını korumaktadır. Mahkemelerdeki gibi dava sonuçları arasındaki farklılıklar bulunmayacağından ve yargılama süresinin kısalığı, tarafların psikolojisi üstünde olumsuz etkilere de yol açmamaktadır. Tüm bu yararları nedeniyle, sağlık hukuku alanında arabuluculuk yöntemi, geliştirilmesi gerekli olan bir yöntemdir.In the thesis, the mediation institution and its characteristics in medical disputes arising from private law are discussed. In the study, the mediation institution is defined, alternative solutions are included, and the types, features and benefits of the mediation institution are mentioned. The application of the mediation institution in private law medical disputes, types of medical disputes from private law, disputes arising from contracts between physicians, patients and hospitals, and the concepts of medical malpractice have been tried to be explained. Voluntary mediation practices have started in Turkey since 2013. Although there is no legal regulation directly regulating the institution of mediation in the field of health law, if the contract between the parties is a consumer contract or a commercial dispute, the parties are obliged to apply to a mediator as a condition of litigation. Since health law is a field with unique features, people who will resolve disputes as mediators in this field must have some basic knowledge of health law. This is important for mediation to be carried out accurately. Since mediation processes are confidential, the parties can express themselves better. The mediation phase is short, does not victimize the parties further, as in the case of trial, and preserves the dignity of the parties. Since there will be no differences between the results of the cases as in the courts, and the short trial period, it does not cause negative effects on the psychology of the parties. Due to all these benefits, the mediation method in the field of health law is a method that needs to be developed
Çocuklarda Abdominal Bölge Travmatik Yaralanmalarının Bibliyometrik Çerçeveden Görünümü
No full textÖZ Amaç: Çocukluk çağı abdominal bölge travmatik yaralanmaları hayati tehlike oluşturabilen ve aynı zamanda adli tıbbi öneme sahip ciddi yaralanmalardır. Dünya genelinde her gün 2000'den fazla çocuğun bu yaralanmalar sonucu hayatını kaybettiği belirtilmek- tedir. Bu çalışmada, Web of Science veritabanı kullanılarak yapılan çocukluk çağı abdominal bölge travmatik yaralanmalarına ilişkin çalışmalara bibliometrik çerçeveden bakılması amaçlanmaktadır. Gereç ve Yöntemler: Web of Science veritabanında \"Child\", \"Children\", \"Pediatric\", \"Abdominal Trauma\", \"Abdominal Traumas\", \"Abdominal Injury\" ve \"Abdominal Injuries\" anahtar sözcükleri kullanılarak bu sözcüklerin çalışma başlığında yer aldığı makaleler tespit edilmiş, bu makalelerin yazım dili, yayın yılı, yayınlandığı dergi, yazarları, yazar kurumları, çalışmaların yapıldığı ülke ve makalelere yapılan atıf sayısı gibi özellikleri incelenmiştir. Bulgular: Çalışma kapsamına alınan 285 makalenin 260’ının (%91,3) İngilizce dilinde yazıldığı, çalışmaların en sık Amerika Birleşik Devletleri, Türkiye ve Kanada’da yapıldığı, WoS kategorisine göre Cerrahi, Pediatri ve Acil Tıp kategorilerinin ön plana çıktığı belirlenmiştir. Sonuç: Bu çalışmada elde edilen veriler sayesinde ülkemizde ve diğer ülkelerde çocukluk çağı abdominal travmatik yaralanmaları ile ilgili yayınlanan makalelerin bibliyometrik değerlendirmesi ortaya konulmuştur. Çalışmamız bu alandaki araştırma verimliliğini ortaya koyan ilk çalışma niteliğindedir