Hatay Mustafa Kemal Üniversitesi Akademik Veri Yönetim Sistemi
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Altruism and Missed Nursing Care Among Intensive Care Nurses: A Descriptive Correlational Study.
No full textRisk of Serious Infections in Patients with Rheumatoid Arthritis Receiving Biological and Targeted Synthetic DMARDs: A Single-Center, Retrospective Cohort Study
No full textThe effect of sleep hygiene education on sleep quality and blood pressure in patients with essential hypertension in a family practice center: a randomized controlled trial
No full textBackground This study aimed to investigate the effects of sleep hygiene education on blood pressure and sleep quality in patients diagnosed with essential hypertension. Methods A randomized controlled trial was conducted with 138 patients with essential hypertension at a family practice center in southern Turkey. Participants completed Pittsburgh Sleep Quality Index (PSQI) and their blood pressure was measured during the initial visit. Patients randomly assigned to the intervention group received sleep hygiene education during the same session. To support adherence, these participants were asked to keep a sleep diary for 8 weeks. At the end of this period, both groups were reassessed using the PSQI and blood pressure measurements. Data were analyzed using SPSS version 22. Results In our study, completed with 129 participants, sociodemographic characteristics were similar across groups. In the intervention group, the mean reduction in PSQI score was 3.4 points (95% CI: 2.8–4.0; P < 0.001). Systolic blood pressure decreased by 9.7 mmHg (95% CI: 7–12.5; P < 0.001), and diastolic blood pressure decreased by 6.3 mmHg (95% CI: 4.2–8.4; P < 0.001). No significant changes were observed in the control group. Conclusions Sleep hygiene education delivered in a primary care setting significantly improved sleep quality and reduced blood pressure levels in patients with essential hypertension. This approach may also help prevent complications related to hypertension. Clinical trial registration: ClinicalTrials.gov (Identifier: NCT07257237; registered on 20 November 2025)
Trauma-informed initial teacher training: identity orientations in the case of dual traumas
No full textThis qualitative case study unpacks the practiced, imagined and trauma-informed identities of a group of English-as-a-foreign-language (EFL) student teachers in the case of dual traumas. The student teachers experienced catastrophic earthquakes during their third year of study at university. Six months after the earthquakes, they were engaged in 5-week online discussion sessions on trauma-informed pedagogy through scaffolded practices that were followed by individual reflection writing. They raised awareness of how to cultivate a safe, engaging and responsive classroom environment, and how to incorporate the basics of trauma-informed pedagogy into EFL classes. The data were collected through metaphorical representation sheets which were employed before and after the online discussions. Constant-comparative analyses demonstrated a shift towards a stronger sense of agency and perception of adequacy, indicating positive identity orientations. Considering its potential to foster identity development, trauma-informed pedagogy can be added to initial teacher training curricula as a sub-branch of teacher knowledge base
The effect of COPD stage on self-care management in COPD Patients: The mediating role of illness perception
No full textBackground: Determining the stage of COPD is essential for disease prognosis and management. Self-care management is among the basic elements of non-pharmacological treatment in COPD patients and is associated with illness perception. Objective: The current study aimed to investigate the mediating role of illness perception in the relationship between COPD stage and self-care management. Methods: The research was conducted in the chest diseases outpatient clinic of a hospital located in the eastern Mediterranean region between July 2024 and January 2025. The cross-sectional and predictive correlational research was completed with 145 patients. The patient descriptive form, the Brief Illness Perception Questionnaire, and the Self-Care Management Processes-Guarding Scale were used to collect data. Descriptive statistics were used in the data analysis, and SPSS Process Macro Model 4 was utilized to test the mediating role. Results: A positive and moderately significant relationship was identified between COPD stage and illness perception. A negative and moderate relationship was found between COPD stage and self-care management. Furthermore, a negative and highly significant relationship was determined between illness perception and self-care management. It was observed that COPD stage and illness perception were significant predictors of self-care management. Since the indirect effect of COPD stage on self-care management was significant, it was revealed that illness perception mediated COPD stage and self-care management. Conclusion: It is essential to assess COPD stage and illness perception when evaluating self-care management in COPD patients and in patient care
Educational quality, reliability, and comprehensiveness of YouTube content on fall prevention exercises
No full textThis study aimed to evaluate the educational quality, reliability, and comprehensiveness of fall prevention exercise videos available on YouTube. At the outset of the study, a total of 300 fall prevention exercise videos were identified, of which 66 met the inclusion criteria and were subsequently analyzed. After recording video parameters, reliability and quality were assessed using the modified DISCERN (mDISCERN) and Global Quality Scale (GQS) instruments, respectively. Additionally, a 10-item questionnaire, specifically developed for this study, was employed to assess the comprehensiveness of video content. Findings revealed that 52% of the analyzed videos were of low quality, while 62.1% were deemed unreliable. A significant proportion of the content (47%) was uploaded by physiotherapists. Notably, GQS and mDISCERN scores exhibited statistically significant differences based on the source of the video (p = .010 and p = .022, respectively). Among high-quality videos, 69.2% were produced by physiotherapists, while 23.1% originated from professional organizations. However, no significant correlation was found between GQS, mDISCERN, and comprehensiveness scores and the Video Power Index (p > .05). Overall, fall prevention exercise videos on YouTube demonstrate low levels of quality and reliability. Furthermore, high-quality, reliable, and comprehensive content does not receive adequate viewer engagement, limiting its effectiveness as an educational resource for both older adults and healthcare professionals. The need to increase the number of high-quality fall prevention exercise videos on YouTube and to direct older adults to reliable educational materials emerges as a critical area for improvement
Light pollution trends for International Dark Sky Places using VIIRS nighttime light composite data
No full textAbstract: International Dark-Sky Places (IDSPs) is a global project led by the International Dark-Sky Association (IDA) to protect dark-sky areas for astronomical observation and astro-tourism. Currently, there are 216 IDSPs in the world. This study analyses light pollution trends in International Dark-Sky Places (IDSPs) using VIIRS night light composite data. IDSPs are mostly located near urbanised areas in Europe and away from urbanisation in North America. Dark and large areas away from urbanisation in South America, Africa, Central Asia and Australia offer great potential. Linear regression analysis shows that in 94% out of 216 places there is no change in artificial light at nigh (ALAN). There is a decrease in the level of artificial light in 3% and an increase in the level of artificial light in 3%. Unlike the linear regression analysis, Mann–Kendall and Sen slope analyses revealed significant statistical changes at the 105 sites (78 increasing and 27 decreasing). Machine learning models including decision tree regression (DTR), random forest regression (RFR) and gradient boosting regression (GBR) provided good predictive accuracy (R2 > 0.6). Seasonal patterns were assessed using the Lomb–Scargle periodogram, but detected periodicities were considered false positives. These results emphasise the need for strategic planning to reduce light pollution in IDSPs, especially in underused areas. (Figure presented.
Colistin and Biofilm-Related Genes of Positive Escherichia coli O157:H7 in Cattle (Bos taurus) Carcasses Antibiotic Resistance Profiles, Biofilm and Molecular Characterisation of Isolates
No full textAntimicrobial resistance in various infectious agents represents a public health threat. Therefore, the use of antimicrobials reveals new resistance mechanisms, and these resistance mechanisms are spreading globally. In this study, the aim was to isolate Escherichia coli from samples by conventional culture method and to identify the E. coli isolates obtained by PCR analysis. As a result of the culture method, 120 of 300 samples (40%) were isolated as suspected E. coli. However, the detection of the trpA gene only in 90 (75%) of the isolates allowed for the confirmation that it was, in fact, E. coli. According to PCR results, a total of 10 (11%) isolates were identified as E. coli subgroups. Eight (80%) of these isolates were found to be E. coli O157:H7 positive, while two (20%) were found to be E. coli O157 positive. In addition, five (50%) isolates were found to be H7 positive. Antimicrobial effect (Enzyme-Linked Immuno Sorbent Assay) was determined using the ELISA method. The results show that the CuONPs at 0.085 µg/mL had antibacterial properties against all strains. Antibiotic susceptibility was tested using the disc diffusion method. Nine (10%), 6 (6%), 28 (31%), 24 (26%), 5 (5%), 8 (8.8%), 4 (4%) and 6 (6%) tetracyclines, erythromycin, gentamicin, azithromycin, imipenem, ampicillin and nalidixic acid were found to be resistant, respectively. According to the results of the analysis, 1 and mcr 5 gene levels were found in 10 (11%) and 2 (2.2%) isolates, respectively. Also, in the isolates, E. coli O157:H7 had mcr 1 and mcr 5 genes in levels 3 (37.5) and 2 (25%). Nonetheless, 2 (100%) E. coli O157 isolates carried the mcr 1 gene, while 4 (80%) H7 isolates carried the mcr 1 gene. In this study, virulence genes were detected in all E. coli O157:H7 isolates. According to Congo red agar, two E. coli isolates were found to have strong biofilm formation ability, while three E. coli isolates were found to have moderate biofilm formation ability. The results of this study, due to the antimicrobial resistance, virulence genes and biofilm formation abilities of the strains, emphasize that these strains pose a significant risk to public health because they are associated with foodborne diseases and that this situation poses a danger of spreading the resistance gene in the environment
Sürükleyici teknolojilerle desteklenmiş bir deneyimde konfor, duyusal denge ve bedensel tepkilerin incelenmesi
No full textBu çalışma, sürükleyici teknolojilerle desteklenmiş bir deneyimde öğrenen konforu, duyusal denge ve bedensel tepkilerinetkileşimini incelemeyi amaçlamaktadır. Nitel desenle yürütülen araştırmada veriler, gözlem ve yarı yapılandırılmış görüşmeleryoluyla elde edilmiştir. Katılımcılar, bir devlet üniversitesinin Meslek Yüksekokulu Elektrik Programı’nda öğrenim gören 30öğrenciden oluşmaktadır. Uygulama, iş sağlığı ve güvenliği senaryosuna dayalı olarak tasarlanan sürükleyici bir ortamda, MetaQuest 2 sanal gerçeklik gözlüğü kullanılarak gerçekleştirilmiştir. Tematik analiz sonucunda üç ana tema ortaya çıkmıştır: bedenseltepkiler, duyusal denge ve öğrenen konforu. Bulgular, sürükleyici deneyimin yalnızca bilişsel işlemleme süreciyle sınırlıolmadığını; bedensel farkındalık, duyusal uyum ve konfor hissiyle bütünleşen çok boyutlu bir öğrenme deneyimi sunduğunugöstermektedir. Deneyim ilerledikçe katılımcıların denge ve kontrol hissinin güçlendiği, bedensel rahatsızlıkların ise sınırlı vekısa süreli olduğu görülmüştür. </p
25-years study (2000–2024) of extreme precipitation following heatwaves in the Middle East: Regional patterns, trends, and atmospheric drivers
No full textGlobal warming is increasing the frequency and intensity of compound climate events, highlighting the need to understand their patterns and impacts. The physical characteristics of heatwaves (HWs) followed by extreme precipitation events (EPs) across 13 subregions of the Middle East (ME) are investigated on a 25-years period from 2000 to 2024. The frequency, duration, and intensity of HWs are quantified using maximum temperature of European Centre for Medium-Range Weather Forecasts (ECMWF) ERA5 reanalysis. The final product of Integrated Multi-satellitE Retrievals for Global Precipitation Measurement (IMERG-F) is used for analyzing EP following HWs, as it demonstrated the highest accuracy in a comparative evaluation of six satellite-based precipitation products against rainfall data from 120 weather stations. Iran, Türkiye, and Yemen exhibited the highest HW intensity, frequency, and duration, respectively. Although July showed the highest number of HWs, May and September demonstrated the highest success rates for a shift toward EP within a 36-h window, reaching 58.5 % and 57 %, respectively. The last day of HWs and the subsequent day accounted for the majority of EPs, contributing 21.3 % and 39.7 % of the total EP, respectively. An increasing trend in EP contributions following HWs has been observed since 2013, with a slope of 29 %. The contribution to the probability of EP following HWs was notably higher in Saudi Arabia and Egypt, about 8 and 11.6 times greater than climatology, respectively, underscoring their significance as potential water resources. EPs following HWs contributed 62.6 % of the total precipitation, compared to 38.4 % from climatological EPs, and had a 72.2 % occurrence probability versus 27.8 % in the climatology. EP intensity presented a positive trend across the ME, with statistically significant increases in Iran and Yemen, exposing the higher HW intensity and duration. The strong correlations between HW intensity and duration and subsequent EP (R2 = 0.87 and 0.81, respectively) are characterized by slopes of 0.36 °C and 2.4-day correspond to an increase in EP rate. Satellite precipitation data revealed high levels of convective and warm rain, liquid water content, and higher droplet size in EPs following HW relative to climatological EPs. Finally, the ME is subdivided into three regions (Türkiye, Iran, and Arabian Peninsula/Egypt) to enable region specific analysis of large-scale atmospheric conditions before, during, and after EPs. Notably, across all regions, a pronounced convergence of moisture flux from adjacent water bodies is observed 48 h prior to rainfall, supplying sufficient atmospheric moisture. During the EPs, low geopotential height systems, whether weak or strong, contributed to temperature reduction, facilitating atmospheric saturation and subsequent EP development particularly in Türkiye and Iran