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    The role of self-regulated learning in modelling the relationships between learning approaches, FoMO and smartphone addiction among university students

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    Smartphone addiction (SA) has become a pervasive issue among university students. Therefore, it is important to better understand the conditions under which SA develops. Previous studies indicate that fear of missing out (FoMO), a psychological barrier to behavioural self-regulation, is often associated with SA risk. In the pedagogical context, poor self-regulation may manifest as lack of self-regulated learning skills (SRLSs), which may, in turn, be associated with the adoption of a superficial approach to learning tasks. Therefore, the aim of the present study was to examine and model the associations between deep and surface learning approaches, SRLSs, SA and FoMO among university students. The sample comprised 687 university students, and structural equation modelling (SEM) was used to analyse the data. The results indicated that SLRSs were positively associated with deep learning, and negatively associated with surface learning. It was also shown that higher SRLSs were associated with lower risk of FoMO and SA. However, while SRLSs may help reduce the level of SA among surface learners by helping them overcome FoMO, the same may not be said for students with a deep learning approach, whose reduced risk of SA due to higher SRLSs was not explained through FoMO. Based on the findings, interventions that aim to improve SRLSs appear warranted, as these may help reduce SA.Practitioner Notes What is already known about this topic Fear of missing out (FoMO) is commonly associated with smartphone addiction (SA) risk. Smartphone notifications disrupt the learning activities of surface learners and FoMO may be the reason. FoMO is considered to be a challenge for behavioural self-regulation. What this paper adds Higher levels of self-regulated learning skills (SRLSs) are associated with deeper approaches to learning. Although a deeper approach to learning is associated with lower SA risk, a reduction in FoMO is irrelevant in explaining this effect. As far as surface learners are concerned, better SRLSs are associated with FoMO but are not associated with lower SA risk. Implications for practice and/or policy For deep learners, interventions that support the development of SRLSs are advised because these are important not only for fostering a deep approach to learning but also for helping reduce the risk of SA. Further research is necessary to identify the underlying mechanism by which improved SRLSs are associated with lower SA risk among deep learners. Further research is necessary to identify factors other than FoMO that may be associated with SA risk among surface learners

    Clinical and Endoscopic Outcomes of De Meester Switch in Duodenogastric Alkaline Reflux Disease: A Retrospective Analysis with Mid-Term Follow-up

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    Aim: By presenting endoscopic, symptomatic, and quality-of-life outcomes with mid-term follow-up, this study aims to contribute to the limited body of evidence regarding the results of the De Meester Switch method for duodenogastric alkaline reflux disease (DGAR-D). Methods: Between 2017 and 2023, laparoscopic De Meester Switch surgery was performed on 30 patients with DGAR-D symptoms for over three years. The total bilirubin (TB) and direct bilirubin (DB) levels were measured in the gastric reflux content and serum at baseline and the last follow-up. In addition, the patient's baseline and postoperative DGAR-D symptoms were evaluated in the sixth, twelfth, and last follow-up months. The Reflux Disease Questionnaire (RDQ) was used retrospectively to assess the patient's quality of life. Results: Before surgery, most patients experienced nausea (76.6%), epigastric pain (80%), bloating (90%), heartburn (76.6%), bilious vomiting (56.6%), and sore throat (53.3%). Moreover, 93.3% of those who endured these symptoms for 3-12 years found no relief with medical treatment. Post-surgery, all symptoms significantly decreased (p<0.001). At a 34-month follow-up, some experienced persistent nausea and bloating (13.3%), epigastric pain (20%), heartburn, and sore throat (6.6%). However, bilious vomiting and biliary intestinal fluid stasis resolved entirely (100%). Preoperative gastric aspirate TB and DB levels were 2.4 and 2.1 mg/dL, respectively, reducing to 0.4 and 0.2 mg/dL postoperatively. The RDQ score significantly decreased from 82.21 +/- 3.10 to 31.13 +/- 3.09 at the last follow-up, with no observed mortality. Conclusion: The De Meester Switch can prevent the reflux of bilious duodenal contents into the stomach in patients with DGAR-D and significantly reduce complaints. This treatment is safe and effective when applied laparoscopically

    Evaluation of polypharmacy and its effects in nursing home residents in Edirne province

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    Araştırma verileri, Edirne Aile ve Sosyal Hizmetler İl Müdürlüğü bünyesinde hizmet veren huzurevlerinden hizmet alan, Standardize Mini Mental Testi (MMSE) veya Eğitimsizler İçin Modifiye Edilen Mini Mental Durum Testi'nden (MMSE-E) uygun olanından 24 ve üzerinde puan alan, iletişim kurma kısıtı olmayan 120 gönüllüye uygulanan anketten yüz yüze görüşme yöntemiyle elde edilmiştir. 38 sorudan oluşan anket, sosyodemografik özellikler, sağlıkla ilgili değişkenler, kullanılan ilaçlar ve Katz Günlük Yaşam Aktiviteleri Ölçeği (GYA) ile ilgili soruları içermektedir. Katılımcıların 85'i (%70,8) kadın, 35'i (%29,2) erkek olup yaş ortalaması 77,24 ± 8,38 yıl olarak belirlenmiştir. Katılımcıların %91,7'sinde en az bir kronik hastalık tespit edilmiş olup, günlük ortalama ilaç kullanım sayısı 7,64 ± 5,19 (0-23) olarak saptanmıştır. Ayrıca, katılımcıların %69,2'sinde polifarmasi varlığı tespit edilmiştir. Kronik hastalık varlığı durumunda ve belirlenen bazı kronik hastalıklara sahip olanlarda polifarmasi daha sık görülmüştür. Ayrıca çocuk sahibi olmak, son bir yılda 3 ve üzerinde acil servis başvurusu yapmak, tüm alışverişlerinde yardıma ihtiyaç duymak ve huzurevinde daha uzun süre kalmak ile polifarmasi durumu arasında istatistiksel olarak anlamlı bir ilişki saptanmıştır. Katılımcıların kullandığı ilaçlar sistematik olarak gruplandırılarak potansiyel ilaç-ilaç etkileşimleri (pDDI) değerlendirilmiştir. Bazı ilaç gruplarını kullanmanın polifarmasi ve pDDI'ni arttırdığı tespit edilmiştir. Ayrıca polifarmasi ile pDDI arasında istatistiksel olarak anlamlı bir ilişki olduğu belirlenmiştir. Polifarmasi risk faktörlerinin ve ilişkili durumların belirlenmesi, yönetim stratejileri için önemlidir. Bu süreçte multidisipliner yaklaşım ve aile hekimi katılımı tedavi etkinliğini arttıracaktır. Anahtar kelimeler: Polifarmasi, huzurevi, yaşlı, kronik hastalıkThe research data were obtaine

    Quality, reliability and viewer perceptions of YouTube videos on oral health during pregnancy: a mixed-methods analysis

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    Background This study evaluated the content, reliability and user engagement of YouTube videos on oral and dental health during pregnancy using a mixed-methods approach. The study focused solely on videos in the Turkish language. Methods A YouTube search was conducted using predefined keywords. After applying inclusion criteria, 189 videos were analyzed. Content evaluation was based on guidelines from the American Academy of Pediatric Dentistry (AAPD), American Dental Association (ADA), American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP) and American College of Obstetricians and Gynecologists (ACOG). Video quality and reliability were assessed using the Global Quality Scale (GQS) and modified DISCERN criteria. User engagement metrics and thematic analysis of comments were analyzed using MAXQDA 24. Results Of the analyzed videos, 69.3% were uploaded by health-related sources, while 30.7% were from independent users. Videos from individual healthcare professionals had significantly higher engagement metrics compared to those from healthcare institutions (p < 0.001). Quality analysis showed that 15.3% of videos were high quality, while 56.1% were classified as low quality. The mean Information Reliability Score was 2.32 +/- 1.04. Comment analysis showed that 44.4% of commenters were pregnant women, and the most frequently mentioned theme in qualitative analysis was fear of harm to the baby (39% of comments). Conclusions The findings indicate that most YouTube videos on oral and dental health during pregnancy are of low quality and limited reliability. Increased involvement of healthcare professionals in producing evidence-based video content may enhance the quality of information available to pregnant women

    Limnological Features and Environmental Evaluation of Enez Lagoon Complex (Edirne, Türkiye)

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    In this study, limnological features were determined in 3 lagoon lakes at seasonal intervals in 2020 in the Enez Lagoon Complex (Edirne, T & uuml;rkiye). Water and sediment samples were taken from a total of 6 sampling stations. Both physicochemical features (pH, dissolved oxygen, water temperature, conductivity, salinity, TDS (total dissolved solids), chlorophyll-a, Secchi Disk, nitrite, nitrate, phosphate, sulfate, fluoride, chloride, B, Na, Mg, Al, K, Ca, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, As, Se, Cd, Sb, Ba, Tl, Pb) and biological components were investigated. A total of 47 zooplanktonic taxa (22923 ind/m3); 97 phytoplanktonic taxa (1679 ind/ml); 24 benthic macroinvertebrate taxa (3088 ind/m2) were recognized. The salinity, conductivity, and TDS results showed that the lagoon complex has brackishwater features. According to the surface water resources control regulation the parameters pH, water temperature, and dissolved oxygen were found to have acceptable limits; ion concentrations were found at acceptable limits at all sampling stations and all sampled seasons except Boron in the winter season (minimum 1726.5 ppb, maximum 6031.9 ppb), and the values of nutrients exceeded at times during the year. These observations emphasize the limnological richness of the lagoon complex and its worth for monitoring environmental changes.Joint cross-border inticatives for reducation of marine litter in Aegean and Black Sea (Seas without waste), INTERREG - IPA CBC BULGARIA - TURKEY PROGRAMME 2014-2020 [CBC.CB.005.2.12.088]This study was financially supported by the project CBC.CB.005.2.12.088 Joint cross-border inticatives for reducation of marine litter in Aegean and Black Sea (Seas without waste), INTERREG - IPA CBC BULGARIA - TURKEY PROGRAMME 2014-2020

    Nationalism in Advertising: A Semiotic Analysis of Centennial Campaigns in the Republic of Türkiye

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    Patriotic appeal in advertising is a widely utilized strategy by brands, particularly during national holidays, to influence consumer behavior. In the process of creating these ads, ad agencies often employ various social or cultural themes. However, the specific themes that are predominantly emphasized in these ads warrant further investigation. This study addresses this issue by analyzing ads prepared for the 100th anniversary of the Republic of Türkiye, which was celebrated on October 29, 2023. Out of a total of 53 ads themed around the centennial, seven were selected based on criteria such as view counts, duration, and content richness. These ads were analyzed with the guideness of a table adapted from Rutherford’s Advertising Tracking Model. The analysis reveals that one of the primary themes in the ads celebrating the 100th anniversary of the Republic is the emphasis on the Republic’s achievements. Among these achievements, gender equality was identified as a central focus. Notably, most of the selected ads featured female actors in prominent roles. In contrast, it was observed that brands predominantly used male voices for narration. Additionally, the theme of following Atatürk’s footsteps emerged as another significant element. The study also found that brands extensively employed images of Mustafa Kemal Atatürk and the Turkish Flag to amplify the impact of the ads

    Spatial-Temporal Variations of Inorganic Contaminants and Associated Risks for Sediment of Felent Stream Basin Flowing Along with Silver Mines in the Midwestern Türkiye

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    The K & uuml;tahya Silver Mine, located in the Felent Stream Basin, stands as T & uuml;rkiye's silver production site. Additionally, thermal tourism facilities in the upstream region are also degrading water quality of Felent Stream. This study meticulously examined the levels and spatial-temporal variations of 18 potentially toxic elements (PTEs) in the sediments of the Felent Stream Basin and evaluated their ecotoxicological risks during dry and wet seasons. The average sediments contamination levels of PTEs were ranked as follows: Fe > Al > Zn > Mn > Sr > Pb > Ba > Ni > Cu > As > Cr > Li > V > Cd > Co > Sb > Se > Hg. Remarkably, during the wet season, sediment samples revealed an approximate threefold surge in the average concentrations of PTEs. Ecological risk assessment indicators highlighted that the basin experienced low pollution levels in the dry season, escalating to moderate pollution levels during the wet season. Non-carcinogenic risks for studied PTEs and carcinogenic risks for As remained below the threshold values in both seasons. Statistical analyses pinpointed the Yoncal & imath; District, a prominent thermal tourism area, as the primary contributor to the sediment contamination of the Felent Stream Basin. The Enne Dam Lake, the region's main stagnant water body, emerged as the least contaminated component, functioning as a natural filter for the basin and significantly mitigating the levels of PTEs in the sediment.Trakya University [2023/195]Support for this research was provided by Trakya University [2023/195]

    Five-year review of acute transfusion reactions and transfusion errors at a tertiary center

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    Aim: Although blood transfusion is a life-saving procedure, it is associated with a number of preventable and unpreventable transfusion reactions. Transfusion errors account for the majority of preventable causes. The aim of our study was to determine the frequency and characteristics of acute transfusion reactions (ATR) and preventable transfusion errors in our center. Methods: Data on transfusion reactions and transfusions administered between January 2019 and December 2023 were collected retrospectively from reported transfusion reaction forms and transfusion center records. Results: Among 163.114 transfusion administered, 116 (0.071%) acute transfusion reactions were reported (71.1 reaction per 100.000 transfusion). The most common type of ATR was allergic reactions and the most common blood product associated with reaction was red blood cell (RBC). The ABO incompatible RBC transfusion due to human error rate is 1.22/100.000 per transfusion. None of the reactions resulted in death. Conclusion: In our study, the incidence and type of transfusion reactions are similar to the literature. However, the incidence of transfusion of ABO incompatible RBC due to human error is slightly higher than the reported rates. In addition to raising awareness about reporting, immediate action should be taken by closely monitoring transfusion errors especially during pre-transfusion safety. (c) 2025 Soci & eacute;t & eacute; francophone de transfusion sanguine (SFTS). Published by Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies

    Investigation of prospective mathematics teachers' noticing of student thinking related to probability

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    The aim of this study is to reveal and evaluate the attending and interpreting skills of student thinking of prospective teachers, as well as their instructional suggestions as responding skills. The current study was conducted with 29 prospective mathematics teachers (PMTs) within a qualitative design in the context of probability. First, three probability problems were asked to sixty-two 8th graders (13-14 years old) in a middle school, and their solutions were used to create tasks for PMTs. PMTs answered the tasks in a written report. Then, a class discussion was held, and PMTs were given the opportunity to revise the initial reports. Content analysis was used for data analysis. PMTs demonstrated partial or robust evidence for attending to and interpreting students' thinking. However, they struggled to respond to students' reasoning. In the revised reports, the PMTs' evidence for noticing skills was better with the support of the class discussion. This study provides an example of an approach that can be used for teaching in method courses, allowing PMTs' noticing skills for student thinking to be revealed and improved.Scientific and Technological Research Council of Turkiye-2209-A-Research Project Support Programme for Undergraduate StudentsThis work supported by The Scientific and Technological Research Council of Turkiye-2209-A-Research Project Support Programme for Undergraduate Students

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