Atılım Academic Archive (Atılım University)
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Exploring the Intersection of Caregiving Burden, Parenting Stress, and Self-Efficacy in Caregivers of Children Born With Esophageal Atresia
No full textAims: To examine the relationship between caregiving burden and parenting stress in caregivers of children with esophageal atresia and to identify factors associated with caregiving burden. Additionally, it explores whether self-efficacy mediates this correlation. Design: An analytical cross-sectional study. Methods: Data were collected from 139 caregivers using the Zarit Caregiving Burden Scale (ZCB), Coping Self-Efficacy Scale (CSE), and Parental Stress Scale (PS) between June and October 2023. Statistical analyses included structural equation modeling and logistic regression using IBM SPSS 28.0, SPSS Amos, and Jamovi software. Results: Among the participants, 68.3 % experienced a moderate-to-high caregiving burden. A statistically significant negative correlation was found between ZCB and CSE scores, while a moderate positive correlation was observed between ZCB and PS scores. Parenting stress was associated with caregiving burden; however, self-efficacy did not mediate this relationship. Conclusion: Caregivers, particularly mothers with high parental stress, a history of miscarriage, and a gestational age above 30 weeks, should be prioritized for interventions addressing caregiving burden. Implications for the profession: Assessing caregiving burden and stress in outpatient clinics is critical for effective home care management. Standardized discharge education and psychosocial support should be provided to caregivers to alleviate their burden. Impact: This study fills a research gap regarding caregivers of children with esophageal atresia and provides guidance for healthcare professionals, hospital administrators, and policymakers. Promoting community-based and personal care support services is essential for reducing caregiving burden and parental stress. Reporting method: This study adhered to the STARD guidelines. Patient or public contribution: No patient or public involvement. (c) 2025 Published by Elsevier Inc.Science Citation Index Expanded - Social Science Citation Inde
Integration of Conductive Additives To Pla-Based Biodegradable Composite Films To Improve Their Electrical, Mechanical, and Physical Characteristics
No full textIn this study, Oltu stone powder (OS) and Fe3O4/mica-based conductive pigment (CP) were compounded with polylactic acid (PLA) to develop bio-based conductive films. Four different concentrations of 1%, 10%, 20%, and 30% of powders were applied to determine their optimal concentration in the PLA matrix. The mechanical, thermomechanical, electrical conductivity, melt-flow, and morphological properties of composite films were reported using the tensile, hardness, and impact tests, dynamic mechanical analyses test, linear four-probe method, and atomic force microscopy (AFM), melt-flow index measurements, and scanning electron microscopy methodology, respectively. According to tensile test results, tensile strength and modulus characteristics of PLA decrease with additive integration. However, the elongation value of PLA declined as OS and CP loadings increased. The maximum tensile performance was attained for composites filled with 20% of both CP and OS. The unfilled PLA's Shore D value rose by including OS and CP. At the same loading levels, carbon-based OS produced comparatively higher hardness values than CP, which comprised iron oxide and alumina silicate. AFM analysis revealed that both CP and OS inclusions caused enhancements in surface roughness as their filling amounts increased. In summary, composite samples exhibiting a 20% loading ratio of both OS and CP showed significantly improved mechanical and thermomechanical performances compared to other composites. Composite films with 1% additives have the potential to be applied in electrostatic packing. Additionally, 3D-printed components can be fabricated using composites for applications where appropriate mechanical resistance and electrical conductivity specifications are required.Science Citation Index Expande
868 MHz Frekansında Açık Alan Ortamlarında Kısa Menzilli IoT Uygulamaları için XBee P2P Bağlantılarının Yayılım Çalışması
No full textBu çalışma, dış ortamlarda 868 MHz'de çalışan XBee modüllerini kullanan kısa menzilli noktadan noktaya (P2P) kablosuz iletişim için bir ön yayılma analizi sunmaktadır. Kısa menzilli Nesnelerin İnterneti (IoT) uygulamaları bağlamında XBee P2P bağlantılarının doğrudan planlanmasını ve dağıtımını kolaylaştırmak için kentsel, banliyö ve kırsal ortamlarda görüş hattı (LOS) koşulları altında ampirik ölçümler yapılmıştır. Serbest Uzay Yol Kaybı (FSPL), İki Işınlı Zemin Yansıması, Log-mesafe, Hata-Okumura ve Cost231-Hata dahil olmak üzere beş iyi bilinen ampirik yol kaybı modelinin performansı, Alınan Sinyal Gücü Göstergesi (RSSI) verilerine dayanarak değerlendirilmiştir. Bulgular, FSPL modelinin kırsal alanlarda en yüksek doğruluk seviyesini gösterirken, Log-distance modelinin kentsel ve banliyö bağlamlarında daha iyi performans sergilediğini göstermektedir. Buna karşılık, Two-Ray ve Cost231-Hata modelleri tüm ortamlarda ölçülen verilerle nispeten sınırlı derecede uyum göstermektedir. Bu bulguların, dış mekan IoT ortamlarında enerji tasarruflu ve uygun maliyetli XBee tabanlı P2P ağlarının basit bir şekilde konuşlandırılması için değerli bilgiler sunması beklenmektedir
Protecting Children from Their Parent's Social Media Posts
No full textİngilizcede paylaşmak anlamına gelen 'share'' ve ebeveynlik anlamına gelen 'parenting'' kelimelerinin birleşimiyle oluşturulan bir kavram olan sharenting, ebeveynlerin çocuklarının günlük hayatlarına dair fotoğraf, video ve diğer bilgileri dijital ortamlarda paylaşması anlamına gelir. Dijital çağın getirdiği sosyal paylaşım alışkanlıkları, sharenting davranışını gündelik yaşamımızın bir parçası haline getirirken, bu kavramın hukuki sonuçları da giderek önem kazanmaktadır. Dijital çağda ebeveynlerin çocuklarıyla ilgili bu tür paylaşımları, çocuğun hakları ve güvenliği kapsamında birçok hukuki tartışmayı da beraberinde getirmektedir. Çocukların rızası olmadan paylaşılan içerikler, onların kişilik hakkının doğrudan ihlali sonucunu doğurabilmekte, bu içeriklerin dijital ortamda kalıcı olması ise çocuklar adına gelecekte ciddi sonuçlara yol açabilmektedir. Bu paylaşımlar çocukların dijital ayak izlerini oluşturmakta ve çocukların gelecekteki kimlik inşası, sosyal ilişkileri veya profesyonel hayatlarında olumsuz durumlar yaşayabilmelerine zemin hazırlamaktadır. Sharenting, ebeveynlerin ifade özgürlüğü hakkı ile çocuğun üstün yararı ve çocuğun kişilik hakkını karşı karşıya getirmektedir. Sharentingin ekonomik boyutu da dikkat çekicidir. Ebeveynlerin sosyal medya hesaplarında çocuğun kişisel verilerini içeren paylaşımlar yaparak ticari kazanç elde etmeleri, sharenting davranışının ticari kaygılar ile yapılması ve çocuğun birçok hakkını ihlal etme riskine sahiptir. Tek 'tık'' ile internet ortamına yüklenen her paylaşımın yayılmasının saniyeler aldığı ve silinmesinin ise imkansıza yakın olduğu dijital ortamda, çocukların kişisel verileri kullanılarak bu durumun maddi kazanca çevrilmesi, hukuk düzeninin çocuklar için koruma altına almış olduğu düzenlemeler ile bağdaşmaz. Çocukların, dijital ortama metalaştırılarak dahil edilmesi ve birçok çocuğun yaşı ve olgunluk seviyesi sebebiyle risklerin farkında olmaması kavramın temel sorunlarından bir tanesini oluşturmaktadır. Sharentingin yaygınlaşması, çocukların dijital ortamda korunması konusunda hukuki düzenlemeler yapılmasını gerekli kılmaktadır. Bu kapsamda, ebeveynlerin sosyal medya kullanımına yönelik hukuki açıdan bilinçlendirilmesi, çocuğun üstün yararını ön planda tutan bir yaklaşım geliştirilmesi ve çocukların dijital haklarının korunması için daha etkin hukuki mekanizmaların oluşturulması gerekmektedir. Bu çalışma ile amaçlanan, sharenting kavramını çocukların temel kişilik değerlerinin korunması perspektifinden inceleyerek Türk hukuk sisteminde çocukların hukuka aykırı sharenting davranışından nasıl korunabileceğinin değerlendirilmesi ve çocukların dijital ortamda maruz kalmış olduğu hak ihlallerine karşı daha kapsamlı bir koruma mekanizması oluşturulmasına katkı sağlamaktır.Sharenting, a term coined by combining the English words 'share' and 'parenting,' refers to the act of parents sharing photos, videos, and other information about their children's daily lives on digital platforms. The social sharing habits brought about by the digital age have made sharenting a part of our daily lives, while the legal implications of this concept are also gaining importance. In the digital age, such sharing by parents about their children raises many legal issues related to the rights and safety of children. Content shared without the consent of children may directly violate their personality rights, and the permanence of such content in digital environments can have serious consequences for children in the future. These shares create digital footprints for children and can pave the way for negative situations in their future identity formation, social relationships, or professional lives. Sharenting causes conflict between parents' right to freedom of expression, the best interests of the child and the child's right to privacy. The economic dimension of sharenting is also noteworthy. Parents who share their children's personal data on social media accounts for commercial gain engage in sharenting behavior motivated by commercial concerns, which risks violating many of the child's rights. In the digital environment, where every post uploaded to the internet with a single 'click' can spread in seconds and is nearly impossible to delete, the use of children's personal data for financial gain is incompatible with the regulations established by the legal system to protect children. The commodification of children in the digital environment and the fact that many children are unaware of the risks due to their age and level of maturity constitute one of the fundamental problems of this concept. The spread of sharenting necessitates legal regulations regarding the protection of children in the digital environment. In this context, it is necessary to raise legal awareness among parents regarding social media use, develop an approach that prioritizes the best interests of the child, and establish more effective legal mechanisms to protect children's digital rights. The aim of this study is to examine the concept of sharenting from the perspective of protecting children's fundamental personality values, to evaluate how children can be protected from unlawful sharenting behavior in the Turkish legal system, and to contribute to the establishment of a more comprehensive protection mechanism against rights violations that children are exposed to in the digital environment
Ongoing Discussion: Is Prophylactic Central Neck Dissection Necessary in Ct1a-B,2n0 Papillary Thyroid Cancer
No full textObjective: To analyze the central lymph node metastasis (CLNM) rates of patients who underwent prophylactic central lymph node dissection (pCLND) with total thyroidectomy for cT1-2N0 papillary thyroid cancer in our clinic, to evaluate the conditions associated with lymph node metastasis, and to examine the necessity of pCLND in these patient groups.Methods: This study includes a retrospective review of the medical data of patients who underwent bilateral/unilateral central lymph node dissection (CLND) (b/uCLND) with total thyroidectomy in our center between 2013 and 2021, whose fine needle aspiration biopsy result was reported as malignant, who were detected as cT1a-1b-2N0 on thyroid and neck ultrasonography.Results: Of the 251 patients included in the study, 63 (25%) had CLNM (49 (19.5%) ipsilateral and 14 (5.5%) had contralateral CLNM). Twenty-two (20.1%) of 109 patients with cT1a, 30 (28.3%) of 106 patients with cT1b, and 11 (30.5%) of 36 patients with cT2 had CLNM, and metastasis rates increased with increasing cT category. CLNM rates increased with increasing pT category (p=0.005). CLNM was present in 21 (38.8%) of 54 patients (21.5%) with collision tumors, and metastasis rates increased significantly compared to the presence of a single histopathologic tumor (p=0.006). CLNM rates were higher in patients with multicentric tumor localization than in those with unicentric localization (p=0.006).Conclusion: Multicentricity, bilaterality, capsule invasion, collision tumors and tumors larger than 1 cm increase the risk of CLNM. uCLND for tumors larger than 1 cm, bCLND for tumors larger than 2 cm can be considered. We believe that patients with unilateral CLNM also have an increased risk of contralateral metastasis.Science Citation Index Expande
Interpretations of Murano Glass in Interior Design Through Its Functional, Decorative, and Artistic Values
No full textMurano glass is a world-renowned type ofglass produced on the island of Murano, located in Venice, Italy. It is distinguished by its traditional handcrafting techniques, a wide range of colors, high transparency, and its role as an aesthetic design element. Murano glass isutilized in interior spaces both as a functional and a decorative element. This study aims to examine the functional, decorative, and artistic uses of Murano glass in interior architeture. The research evaluates how Murano glass shapes spatial perception, the relationship between its material properties and usage types, and its contributions to interior spaces. Initially, interior elements that use Murano glass as the primary material were investigated. Following a literature review, the usage areas of Murano glass were detailed under the categories of lighting elements, wall panels and mosaics, space dividers, furniture and decorative accessories, artistic installations, and sculptures. Based on the collected data, the study identifies how Murano glass contributes to interior architecture in terms of functio nality, decoration, and artistic value, as well as how its material properties enhance interior spaces. It was observed that the significance of each usage type varies across categories, with certain functions being more prominent in specific applications. In conclusion, considering the diverse applications of Murano glass in interior architecture, its role in spatial aesthetics and decorative value has been emphasized
Reflection of 20th-Century Techno-Utopias To the Present Day: Capsule Hotels
No full textSeveral factors, such as population growth, increasing land prices, and challenging economic conditions, have led to a change in hotel design. In response to these challenges, capsule hotels have emerged as a potential solution. These hotels are designed to be compact, cost-effective, and conveniently located near airports or train stations. Inspired by the 20th-century techno-utopias and first emerging in Japan during the 1970s, these capsule hotels have spread to many countries in the 21st-century. The aim of this study is to identify the common and distinctive features of capsule hotels in different countries. Three capsule hotel examples were selected, namely the Nine Hours Capsule Hotel in Osaka, the KINN Capsule Hotel in Singapore, and the Capsule Hotel-Sydney in Sydney. The study used a mixed qualitative research method, including conceptual analysis and case study, and the selected hotel examples were analyzed using the homogeneous sampling technique. The design of these hotels, characterized by economic efficiency and limited facilities, shows variations across different countries in terms of capsule dimensions, color schemes, materials, and furnishings. The findings reveal discrepancies in location, color schemes, material choices, and amenities; however, the size, configuration, and access orientations of the capsules remain consistent with the established capsule hotel concept as defined in the literature.Emerging Sources Citation Inde
Anti-Immigration Conspiracy Beliefs Are Associated With Endorsement of Conventional and Violent Actions Opposing Immigration and Attitudes Towards Democracy Across 21 Countries
No full textTee, Eugene Y.J./0000-0001-9020-6771; Besta, Tomasz/0000-0001-6209-3677; Ton, Gonneke Marina/0000-0003-0461-6286;Despite widespread speculation that conspiracy beliefs foster anti-democratic outcomes, the empirical picture is inconsistent. To clarify this literature, we examine the relationships that conspiracy beliefs have with commitment to reactionary action and criticism of democracy, focusing on a global issue: immigration. We expected that people who believe that their government uses immigration to diversify the population against citizens' wishes (anti-migration conspiracy beliefs) would be more committed to conventional and violent action to oppose immigration, and more critical of democracy. However, societal-level factors - economic performance and democratic functioning - were expected to influence (strengthen, weaken) these links. As hypothesized, multi-level analyses (N = 4353) from 21 countries revealed that economic prosperity attenuated the positive link between anti-migration conspiracy beliefs and commitment to reactionary action. Paradoxically, more democratic societies evidenced stronger links between conspiracy beliefs and conventional (but not violent) action to oppose immigration. Thus, more democratic societies appear to invite conventional forms of action to oppose immigration which may, in turn, weaken democratic norms of inclusion. Results highlight the interplay of individual- and societal-level factors underlying illiberal movements.Polish National Agency for Academic Exchange [PID2022-141182NB-I00, RYC2022-035896-I, MCIN/AEI/10.13039/501100011033]; Ministry of Science and Innovation of the Government of Spain; FSE + [2021/43/B/HS6/00020]; National Science Centre in Poland [(IRGS) 2021 (21-01-003)]; HELP University Internal Research Grant SchemeThe authors would like to acknowledge the help of and send many thanks to: Bridget Ramsey, Craig Croxford, Wiktoria Szeffler, Krzysztof J & eogon;drzejewski, Alicja Kubiszewska, Zuanna Lasota. Data gathering for this research was funded by a grant from the Polish National Agency for Academic Exchange (BPN/BEK/2021/2/00001/U/00001) awarded to Tomasz Besta. Work on this manuscript was also supported by Ministry of Science and Innovation of the Government of Spain by Grant PID2022-141182NB-I00, funded by MCIU/ AEI/10.13039/501100011033 FEDER/UE and RYC2022-035896-I funded by MCIN/AEI/10.13039/501100011033 and FSE + , and by the National Science Centre in Poland, project no. 2021/43/B/HS6/00020 granted to Tomasz Besta. Data collection in Malaysia was supported by the HELP University Internal Research Grant Scheme (IRGS) 2021 (21-01-003) awarded to Associate Professor Eugene Tee Yu Jin. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript
Mapping the Anterolateral Ligament of the Knee: a Bibliometric Analysis
No full textBackgroundThis study aims to evaluate research trends, key contributors, and thematic focuses in research of the anterolateral ligament (ALL) of the knee. It seeks to identify future direction for studies related to long-term clinical outcomes regarding ALL's role in rotational stability, especially in the context of anterior cruciate ligament (ACL) injuries.MethodsA bibliometric analysis was conducted using the Web of Science (WoS) database, covering publications from 2012 to 2024 with the search term "anterolateral ligament". A total of 942 studies were identified. Descriptive statistics summarized publication trends, authorship, institutional contributions, and citation metrics. VOSviewer software was used to analyze co-authorship network analysis, keyword co-occurrence mapping, and total citation analysis. Yearly publication and citation trends were analyzed using WoS data. Studies addressing the ALL in other body regions were excluded. Additionally, only authors with at least one publication and one citation were considered, and documents with more than 25 authors were excluded. A total citation analysis was conducted, and 24 relevant keywords with more than 5 occurrences were identified using VOSviewer.ResultsAmong 942 publications, 707 were original articles. Research output peaked in 2017 (125 articles). Sonnery-Cottet was the leading author (75 publications), while Universidade De S & atilde;o-Paulo emerged as the top institution (57 publications). Key journals included Arthroscopy: Journal of Arthroscopic and Related Surgery (143 articles) and The American Journal of Sports Medicine (131 articles). Keywords such as "anterior cruciate ligament", "reconstruction", and "rotational stability" dominated, reflecting a focus on ACL injury management. The top ten cited studies accrued 3,86 citations, with Claes et al.'s anatomical study leading (621 citations). Of the 942 ALL-related articles in WoS, 381 focused on anatomy (11,278 citations) while 814 addressed reconstruction (17,048 citations). Keyword trends shifted from anatomical to clinical terms, with anatomy declining and stability, injury, and outcomes gaining prominence from 2021 to 2024.ConclusionsThis bibliometric analysis underscores the growing interest in ALL research, peaking between 2016 and 2017. While foundational studies on ALL anatomy and biomechanics appear saturated, future research should prioritize clinical outcomes in terms of failure rate, reoperation, the long-term efficacy of ACL-ALL reconstruction, and advancements in imaging techniques.Emerging Sources Citation Inde
Enhancing Web Development Education With Game-Based and Gamification Learning: A Study of Engagement, Motivation, and Performance
No full textWeb development is a dynamic and complex subject in the computer science field that can be challenging to learn among higher education students. We investigated the impact of game-based learning and gamification on students' engagement, motivation, and performance in a web development course in this study. We tested 60 university students, who were expected to learn from a novice or beginner level. The experimental group used a gamified system, while the control group used a non-gamified system. All game elements in this study were grounded in self-determination theory (SDT), which suggests that intrinsic motivation increases when learners feel autonomous, competent, and connected, and flow theory, which emphasizes that when challenge and skill are balanced, learners are more likely to experience a state of flow. Quantitative and qualitative data were both collected and analyzed. Results showed that the gamified system positively impacted students' performance, compared to the non-gamified system. Interestingly, there was no significant difference in the engagement and motivation of the students. The findings of this study suggest that while the game elements addressed students' psychological needs, gamified learning outcomes depend not only on the inclusion of these game elements but also on individual learner differences such as prior game experience, learners' expectations of the gamified system and how well the designed system sustains engagement over time to overcome the novelty effect. In conclusion, these findings have significant implications for web development education and suggest that game-based learning and gamification are promising approaches for web development education