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Measurement of the basic anatomy knowledge and the satisfaction of students taking an anatomy course with video-animation support
Full text linkThis experimental study was conducted to determine the self-efficacy perception and distance learning satisfaction of Kozaklı Vocational School students receiving animation-supported anatomy education. The study was conducted on 225 students who took active lessons in the distance education process using the student information form, Distance Education Assessment and Anatomy Self-Efficacy Questionnaires via Google form. It was determined that 51.7% of the participants lived in the city center, 31.8% in the district center, and 16.6% in the countryside. In this study, the total distance education satisfaction score was calculated as 63.20 ± 15.97 and the anatomy basic competence score as 44.84 ± 6.69. A low positive correlation was found between the proficiency level in anatomy course and satisfaction with distance education (r = 0.301, p<0.001). The distance education system has taken its place in academic education permanently and is used extensively. The ability to rewatch lectures, the elimination of accommodation and transportation costs, and the clarity of instructional materials were identified as the most significant advantages of distance education. While inadequate application lessons, lack of internet infrastructure and lack of technological equipment in crowded families were criticized aspects of the system
Post-traumatic stress disorder and expert testimony: Deficiencies identified by the Supreme Court
Full text linkPost-traumatic stress disorder is a topic frequently addressed to expert witnesses by the courts. This study aims to identify expert weaknesses by analyzing judicial decision texts in which a first-instance court decision was reversed due to flaws discovered in the evaluation of post-traumatic stress disorder by experts in the Supreme Court database. The case law decisions made by both penal and civil chambers relating to post-traumatic stress disorder between the years 2007 and 2022 were studied utilizing the database of the Turkish Court of Cassation. Of the 300 higher court decisions analyzed, 130 (43.3%) were penal chamber decisions and 170 (56.7%) were civil chamber decisions. The most often noted weakness in expert-written reports is the lack of causality evaluations (n=150; 50%). The second most common defect in judicial decisions is the lack of specialists who ought to participate on the evaluation board (n=79; 26.3%). Experts who assess this matter are known to make mistakes or inadequacies while writing reports, particularly with regard to the remarks on permanence and causality. These flaws and/or mistakes have the potential to traumatize the victim of the occurrence in question through repeated examinations and to lengthen the legal proceedings
Evaluation of current survival and prognostic factors in multiple myeloma: Staging ISS or R-ISS?
Full text linkMultiple myeloma (MM) is a complex hematological malignancy, and understanding the factors influencing prognosis and survival is crucial for improving patient outcomes. This study aims to evaluate the factors influencing the prognosis and survival of MM patients by comparing the International Staging System (ISS) with the Revised ISS (R-ISS). MM patients treated and followed up between 2015 and 2023 were retrospectively analyzed. According to ISS staging, 21.4% of patients were categorized as Stage 1, 30% as Stage 2, and 48.6% as Stage 3. Similarly, the R-ISS system revealed 14.3% as Stage 1, while 42.9% were Stage 2, and 42.9% were Stage 3. These findings indicate that the two systems provide differing stage distributions, which could impact prognosis evaluation. Mortality occurred in 58.6% of patients during the follow-up period, highlighting the severity of the disease in later stages. Further analysis revealed that higher levels of red cell distribution width (RDW), phosphorus content, lactate dehydrogenase (LDH), and beta-2 microglobulin levels were significantly associated with mortality, emphasizing their potential as markers of poor prognosis. In particular, ISS Stage II and III, R-ISS Stage III, along with elevated RDW, total protein, phosphorus, and LDH, were identified as independent prognostic factors. These results suggest that while both staging systems offer valuable insights, specific biomarkers play a crucial role in refining prognostic accuracy. In conclusion, while the ISS system appears to provide more meaningful staging information in this cohort compared to R-ISS, integrating additional biomarkers like RDW and LDH could enhance the prediction of patient outcomes
Trends and current topics in child and family-centered care research: A bibliometric analysis and visual mapping
Full text linkThis study aimed to examine the developmental trends and research focus of the child and family-centered care literature through a bibliometric analysis of articles published between 1990 and 2023. The bibliometric analysis method was used in the study. Data were obtained from the Web of Science Core Collection and Scopus databases. Bibliometric analysis and visualization were conducted using the R language, along with the bibliometrix and openxlsx libraries and the biblioshiny interface. The study included citation, co-occurrence, co-authorship, co-word analysis, and trend topic analysis. Between 1990 and 2023, a total of 1.613 publications related to child and family-centered care were published. Of these publications, 1.598 were original research articles, and the majority (%95) were written in English. The United States was the country with the highest number of publications and the most co-authorship collaborations. Collaborating countries included Canada, Brazil, Iran. Journal of Pediatric Nursing was the most prolific journal (n=149). The author with the highest number of publications on the topic was Shields (n=23). The most cited works related to child and family-centered care were by Gorski (2021), Kerr (2002), and Snow (2009). The institution producing the most publications on the topic was McGill University. In trend topic analysis, key terms such as ‘‘family-centered care’’, ‘‘nursing’’, ‘‘parents’’, ‘‘child’’, and ‘‘child-centered care’’ emerged.
Child- and family-centered care research is widespread in developed countries but lacks interdisciplinary collaboration, particularly outside pediatric intensive care units. Future studies should promote co-authorship and international cooperation, providing healthcare professionals and researchers with insights into unexplored areas and opportunities for collaboration
Efficacy and possible benefits of using the sit to stand test (5 repetitions or 1 minute) instead of the 6-minute walk test in pulmonary emphysema patients
Full text linkTo evaluate which test is more tolerable to exhaled nitric oxide (FeNO) measurements with 5 repetitions of sit to stand test (5 RSTS) and 1-minute sit to stand test (1 MSTS) and 6 MWT in chronic obstructive pulmonary disease (COPD) patients with pulmonary emphysema phenotype. This study included 128 participants with pulmonary emphysema phenotype and 67 healthy participants. 6-minute walking test (6 MWT), 1 MSTS, and 5 RSTS tests were applied to the participants, respectively. Severity of dyspnea (with Modified Borg Scale), heart rate, pulse oxygen saturation (SpO2, by pulse oximetry) during tests. Pulmonary function (with spirometry), quadriceps femoris muscle strength (with manual muscle testing), and FeNO measurements (with Bedfont NObreath) were evaluated. Both STS and 6 MWT outputs were lower in pulmonary emphysema patients than in healthy participants (p<0.05). In 6 MWT test, SPO2 decrease, pulse increase, FeNO increase was statistically significant in pulmonary emphysema patients. While 1 MSTS was more sensitive in predicting the sick ones, 5 RSTS was more specific in showing the healthy ones. Both STS create less cardiac and respiratory stress compared to 6 MWT, but also less exercise load. STS are performed in a short time in the outpatient setting in patients with pulmonary emphysema, making it easier to distinguish between the patient and the healthy people, and saves work and time
Comparative analysis of the physician at İnebolu Syphilis Hospital Dr. Milaslı İsmail Hakkı’s “Essential Information on the Disease of Syphilis for Everyone (1899)” treatise with its contemporary Western Works
Full text linkDespite the political and economic challenges faced by the Ottoman Empire in the 19th century that complicated efforts in healthcare, the responsibility of developing effective health policies to combat diseases that threatened public health was a priority for those in positions of authority. In this context, the state aimed to train scientifically competent physicians. Beginning in 1827, considered the onset of modern medical education in the Ottoman period, medical training shifted to a Western-centered model. This transformation emphasized teaching scientific advancements from the West and training physicians within this framework. One such physician was Dr. Milaslı İsmail Hakkı (1869), who graduated as a doctor from the civilian branch of the Imperial School of Medicine (Mekteb-i Tıbbiye-i Şahane) in 1888. Throughout his career, he conducted significant work in combating epidemic diseases. Additionally, leveraging his scientific knowledge, he authored written works to inform his contemporaries and the public. In 1899, while combating a syphilis outbreak in İnebolu, he was asked by the health authorities of the time to write the work titled Essential Information on Syphilis for Everyone to raise public awareness about the disease. He made a substantial contribution to the fight against syphilis with this work, written in simple language that the general public could easily understand. In this study, document analysis and content analysis methods were used. Its aim is to evaluate the information provided by Milaslı İsmail Hakkı on syphilis by comparing with its contemporary Western medical sources and assessing doctors’s knowledge in light of his period’s modern scientific medical knowledge
The explainable AI (XAI) in healthcare: A bibliometric analysis using VOSviewer and R Studio
Full text linkThis study aims to perform a comprehensive bibliometric analysis to map the global research structure, evolution, and key trends of explainable XAI in healthcare. Utilizing Web of Science data (covering 2018–March 2025) and employing tools including VOSviewer and Bibliometrix, the analysis examined publication trends, keyword co-occurrence networks and centrality, thematic evolution, conceptual structure, author productivity, international collaboration networks, and co-citation patterns. Findings indicate exponential growth in XAI in healthcare research, peaking notably in 2024. “Explainable AI”, “machine learning”, and “deep learning” constitute the core conceptual basis, with “explainable AI” identified as structurally central. Key research themes driving the field, influential authors (e.g., Holzinger, Mueller, Guidotti, Lundberg, Ribeiro), major collaborating countries led by the USA and China, and foundational cited works were identified. Emerging themes like “fairness”, “transparency”, and “trust” were also emphasized. This bibliometric overview describes the dynamic landscape that defines XAI in healthcare, its main research areas, key players, and international collaboration networks, providing informative guidance for future research and development in this critical area
TEKDÜZEN HESAP PLANI VE VERGİ USUL KANUNU ÇERÇEVESİNDE KARBON TİCARETİ VE KARBON MUHASEBESİ UYGULAMALARI ÜZERİNE ARAŞTIRMA
No full textKüresel ölçekte artan sera gazı emisyonları, iklim değişikliğiyle mücadeleyi uluslararası politika ve ekonomi gündeminin merkezine taşımıştır. Bu doğrultuda karbon piyasaları ve emisyon ticaret sistemleri, çevresel sürdürülebilirliği piyasa temelli mekanizmalarla destekleyen yapılar olarak önem kazanmıştır. Türkiye’de ise 7552 sayılı İklim Kanunu’nun yürürlüğe girmesiyle birlikte Emisyon Ticaret Sistemi (ETS) ilk kez yasal zemine kavuşmuş ve sanayi kaynaklı emisyonların izlenmesi, raporlanması ve fiyatlandırılması süreci kurumsallaştırılmıştır. Bu yeni düzenlemeler, işletmelere yalnızca çevresel yükümlülükler değil, aynı zamanda finansal raporlama ve vergisel sorumluluklar da getirmektedir.
Karbon muhasebesi, bu dönüşümün önemli bir ayağını oluşturarak işletmelere emisyon verilerini ölçme, raporlama ve stratejik yönetme imkânı tanımaktadır. Ancak Tekdüzen Hesap Planı ve Vergi Usul Kanunu çerçevesinde karbon tahsisatlarının nasıl muhasebeleştirileceği ve vergisel olarak nasıl değerlendirileceği henüz netleşmemiştir. Bu çalışmada, karbon muhasebesinin gelişim süreci, uluslararası uygulama farklılıkları ve Türkiye’deki yasal düzenlemeler ışığında ETS’nin işletmelere olan etkileri değerlendirilmiş, 7552 sayılı Kanun’un mevcut muhasebe ve vergi altyapısındaki muğlaklıklara nasıl yanıt verdiği incelenmiştir
In elderly with cardiovascular disease over 65 years of age the relationship between frequency of frailty and quality of life
Full text linkThis study aim was designed as an analytical cross-sectional study to assess the prevalence of frailty in patients aged 65 years and older with cardiovascular disease and to investigate its relationship with quality of life. The population consisted of a State Hospital Cardiology patients, and the sample consisted of 255 patients, who were calculated according to the incidence of the event (frequency of frailty) (25%) at the 95% confidence interval. Data were collected face to face by interview method between 25.07.2019-01.04.2020. In this study, frailty was observed in 30.9% of cardiovascular patients aged 65 and older. Frailty is mostly seen in illiterate people, women, single people, those who state that their income does not meet their expenses, and those who live alone, and there is a statistically significant difference between them (p≤ 0.05). A statistically significant relationship was found between frailty and factors such as the number of comorbidities, fall history in the past year, frequency of hospitalizations, and the number of medications taken within the last year in patients with cardiovascular disease. This study identified a negative correlation between the total score of the quality of life scale, its sub-dimension scores, and frailty (r=-0.414:p=0.000). Additionally, it was observed that patients with cardiovascular frailty experience a lower quality of life. In our study the frequency of frailty due to sociocultural factors is high in elderly individuals living alone with cardiovascular disease
Cannabis-induced psychotic depression and evolving Bipolar 1 Disorder and Psychotic Disorder as a comorbidity: A case report
Full text linkCannabis is a widely used substance among youth. It may cause affective and psychotic disorders or substance use disorders can be co-ocurred in affective and psychotic disorders. In this case report, we evaluated the 4.5-years psychiatric follow-up and treatment of a 23-year-old female patient who had been diagnosed with attention deficit hyperactivity disorder (ADHD) since the age of 10, started using cannabis occasionally since the age of 14, and consumed alcohol occasionally but mostly cannabis heavily for the last six years and who presented to the doctor with the clinical picture of major depression with psychotic features. Complete remission was achieved following first physician application. However, in the subsequent period, the episode of major depression with psychotic features recurred following alcohol and methylphenidate abuse and cannabis use. In the following periods, bipolar 1 disorder (BD-1) and paranoid psychosis symptoms emerged following the neglect of medication use and heavy cannabis use. During the final process, it was determined that the patient's last clinical picture showed partial remission. Consequently, based on this case, we aimed to draw attention to questions about whether bipolar disorder is a comorbidity with substance use disorder or whether there is a cause-effect relationship between them and to the relationship between substance use and psychotic disorder