Hatay Mustafa Kemal Üniversitesi Akademik Veri Yönetim Sistemi
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    The mediating role of physician branding in the effect of Word-of-mouth marketing on hospital preference

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    Background: Patient decisions in healthcare services are increasingly shaped by interpersonal communication and shared experiences. Word-of-mouth communication is among the most influential non-commercial information sources guiding hospital preference, yet the mechanism through which this communication affects patient choice requires further investigation. This study aims to examine the direct effect of word-of-mouth communication on hospital preference and to determine whether physician branding has a mediating role in this relationship. Methods: The study was conducted using a cross-sectional survey design. Data were collected from 1,636 adults residing in Türkiye who had previously received healthcare services. A convenience sampling approach was used due to accessibility considerations. Validated measurement tools assessing word-of-mouth communication, physician branding, and hospital preference were administered. Statistical analyses were performed using structural equation modeling to evaluate both direct and indirect effects. Reliability, construct validity, and normal distribution assumptions were tested prior to inferential analyses. Mediation significance was examined using the bootstrapping technique with 5,000 repeated samples and a 95% confidence interval. Results: Word-of-mouth demonstrated significant positive effects on both physician branding (β = 0.47, p <.001) and hospital preference (β = 0.40, p <.001). Physician branding strongly predicted hospital preference (β = 0.73, p <.001) and significantly mediated the WOM–hospital preference relationship (indirect effect: β = 0.341, 95% CI: 0.288–0.393). The final mediation model showed excellent fit (CFI = 0.950; RMSEA = 0.038). Conclusions: Word-of-mouth communication influences hospital preference both directly and through the enhancement of physician brand value. Healthcare organizations should develop strategies to increase the visibility and credibility of physicians, strengthen communication-based trust, and promote positive patient experiences through digital and interpersonal channels. These managerial implications provide valuable insights for healthcare providers aiming to improve competitive positioning in regulated healthcare markets where traditional marketing activities are limited

    Refugees, Trauma, and Positive Psychological Change: Mindfulness as a Moderator for Posttraumatic Growth

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    Background/Objectives: Traumatic experiences may lead to both negative and positive outcomes. Positive psychological changes following trauma are commonly referred to as posttraumatic growth (PTG). The present study aims to examine factors associated with posttraumatic growth among Syrian refugees who have been living in Turkey for an extended period. Methods: This cross-sectional study included a sample of 240 Syrian refugees. Participants completed the Posttraumatic Stress Disorder Checklist (PCL-5), the Posttraumatic Growth Inventory (PTGI), and the Mindful Attention Awareness Scale (MAAS). Path analysis was conducted to examine the effects of PTSD symptoms and mindfulness levels on posttraumatic growth. In addition, Multivariate Adaptive Regression Spline (MARS) analysis was used to identify threshold values for the contributions of these variables to posttraumatic growth. Results: The mean age of the participants was 36.9 ± 10.4 years, and 47% were female. The direct effect of PTSD symptoms on posttraumatic growth was negative and statistically significant (β = −0.291, p < 0.001). PTSD symptoms also had an indirect effect on posttraumatic growth through mindfulness (β = −0.254), resulting in a total effect of −0.545. According to the MARS model, when MAAS scores exceeded 78, mindfulness demonstrated a positive effect on posttraumatic growth. Conclusions: The findings indicate that PTSD symptoms among refugees are associated with posttraumatic growth through both direct and indirect pathways. Furthermore, mindfulness emerges as a key factor in understanding the development of posttraumatic growth in this population

    Quantification of the impact of innovation and human capital on sustainable development: a panel data analysis for newly industrialized countries

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    Technological innovation and human capital are frequently seen as powerful tools for addressing the climate crisis. However, there is no consensus among researchers on how technological innovation and human capital drive sustainable development. Therefore, this study quantifies the impact of technological innovation and human capital in newly industrialized countries from 2000 to 2019 using panel data analysis that accounts for cross-sectional dependence. The empirical results show that economic growth and energy consumption reduce the load capacity factor while human capital accumulation increases it. Lastly, an empirical analysis using various technological innovation proxies shows that technological innovation can decrease the load capacity factor in newly industrialized countries. One of the policy implications of the results is that technological innovation, such as patent applications, research, and development, provides credible pathways to achieve sustainable development

    Comparison of biological activities and bioactive components of fruits and leaves of six local apple cultivars (Malus domestica) from Ardahan and Erzurum Provinces, Türkiye: Part II

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    This study aimed to investigate the biochemical composition and biological activities of the fruits and leaves of six apple cultivars (Malus domestica) grown in the microclimatic regions of Ardahan, and Erzurum in Türkiye. Accordingly, pigment composition, total anthocyanin (TA), total soluble solids (TSS), pH, titratable acid content (TIAC), total phenolic content (TPC), total ascorbic acid (TAC), antioxidant, antimicrobial, and antimutagenic activities were analyzed. Leaf TPC values, except for the Tatlı and Dacik cultivars, were higher than those of the fruit peel. Similarly, TAC and pigment content were markedly higher in the leaves. Among the fruit extracts, the Paşa and Tatlı cultivars showed higher DPPH values, whereas the Kış cultivar exhibited the highest ABTS value. Leaf extracts displayed a markedly greater FRAP-based reducing capacity than fruit extracts. Moreover, the fruit extract of the Kış cultivar exhibited greater antibacterial activity against Staphylococcus aureus ATCC 6538 than that of the other cultivars. The antimutagenic potential of apple fruit and leaf extracts against Salmonella typhimurium TA 98 and TA 100 strains was dose-dependent and varied among cultivars. These findings highlight that not only fruit extracts but also apple leaves, represent a valuable natural source of bioactive compounds for functional, nutraceutical, and health applications

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    Hatay Mustafa Kemal Üniversitesi Akademik Veri Yönetim Sistemi is based in Türkiye
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