Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Dikmen, Yurdanur(4)
- Akcay, Hulya Cerci(2)
- Çelebi, Elif(2)
- Çerçi Akçay, Hülya(2)
- Öçbe, Melisa(2)
- Akkoç, Mehtap(1)
- Alptekin, H. Kerem(1)
- Aren, Gamze(1)
- Arı, Şeyhmus(1)
- Atmaca, Halil(1)
- Aydogan, Gamze(1)
- Aydoğdu, Onur(1)
- Candirli, Celal(1)
- Cerci Akcay, Hulya(1)
- Cinarli, Sena(1)
- Coskun, Murat(1)
- Coşkun, Hamit(1)
- Dikmen, Miriş(1)
- Dikmenc, Yurdanur(1)
- Efetürk, Nida(1)
- Engür-Öztürk, Selin(1)
- Erdem, Arzu Pinar(1)
- Erdem, Arzu Pınar(1)
- Erol, Funda(1)
- Gedik, Ecem(1)
- Gulcelik, Gönül Ertunc(1)
- Guloğlu, Recep(1)
- Gumru, Birsay(1)
- Gökçay, Gönül(1)
- Gökşen-Ekiz, Burcu(1)
- Gündoğdu, Handenur(1)
- Güneş, İrfan Botan(1)
- Kargu, Erdal Cem(1)
- Kasimoglu, Yelda(1)
- Konuk, Tuğba Gözütok(1)
- Kural, Şerife Kurşun(1)
- Küçük, Hülya İncirkuş(1)
- Levent, Serkan(1)
- Mohammadi, Hedayatullah(1)
- Ocbe, Melisa(1)
Yayınlar
- MakaleYayıncıda açık erişim2026Scopus SJRQ1Immersive virtual reality vs. traditional instruction for short-term learning and follow-up outcomes in the Bobath concept: a randomized controlled trial
Cinarli, Sena; Aydogan, Gamze; Sever, Ebru; Gulcelik, Gönül Ertunc; Atmaca, Halil
Background: Although virtual reality has increasingly been incorporated into health professions education, its effectiveness for teaching structured neurorehabilitation frameworks within physiotherapy remains insufficiently explored. Purpose: This study aimed to compare immersive virtual reality–based instruction with traditional education by evaluating theoretical knowledge and practical skills at short-term (2 days) and follow-up (2 weeks) assessments following Bobath concept instruction among physiotherapy students. Methods: In this assessor-blinded randomized controlled trial, 20 third-year physiotherapy students (mean age: 21.3 ± 1.1 years) were randomly assigned to immersive virtual reality–based instruction or traditional instruction. Both groups received standardized 45-minute training on postural control strategies within the Bobath concept. Learning outcomes were assessed using a multiple-choice theoretical test and a practical examination at 2 days (short-term) and 2 weeks (follow-up) after instruction. Results: Both groups showed a decrease in theoretical scores from the short-term to the follow-up assessment, with no significant between-group difference in change scores (p = 0.817). In contrast, between-group comparison of practical change scores showed a significant difference favoring the virtual reality group (p = 0.017, r = 0.54), with a median difference of + 15 points (95% CI: +5 to + 30). Within-group analyses indicated a significant decline in the traditional instruction group (p = 0.011, r = 0.81), whereas no significant change was observed in the virtual reality group (p = 0.666, r = 0.14). Practical scores increased by approximately 3% in the virtual reality group but decreased by 17% in the traditional instruction group from short-term to follow-up assessment. Conclusion: These findings suggest that immersive virtual reality may support the preservation of practical performance over time in physiotherapy education and may represent a promising instructional approach for teaching complex neurorehabilitation skills. Clinical trial number: ClinicalTrials.gov identifier: NCT07270107 (retrospectively registered on December 8, 2025).
- MakaleAçık Erişim2026Scopus SJRQ1Cognitive alignment and assessment validity in a high-stakes dental specialty examination: a Bloom’s taxonomy-based analysis
Çerçi Akçay, Hülya; Üstün, Nilüfer
Background: In high-stakes postgraduate examinations, the cognitive complexity of assessment items is central to evaluating advanced clinical reasoning and decision-making competencies. Alignment between examination content, cognitive demand, and competency-based educational frameworks is essential for assessment validity. This study evaluated the cognitive structure of pediatric dentistry questions in the Turkish Dental Specialty Examination (DUS) using Bloom’s revised taxonomy and examined their alignment with curricular expectations. Methods: A retrospective cross-sectional analysis was conducted on 127 officially released pediatric dentistry questions administered between 2012 and 2021. Each item was independently classified according to Bloom’s revised cognitive levels. Curriculum relevance and scientific accuracy were rated using a 5-point Likert scale. Inter-rater reliability was assessed using weighted Cohen’s kappa. Associations between cognitive level and curriculum relevance were analyzed, and temporal trends across examination years were explored. Results: Questions were predominantly concentrated at the Understand and Apply levels, with fewer items categorized at the Analyze level. No questions were classified at the Evaluate or Create levels. Although lower- and higher-order cognitive skills appeared proportionally balanced when dichotomized, higher-order items largely reflected procedural application rather than advanced analytical or evaluative reasoning. No significant temporal progression toward greater cognitive complexity was observed. Curriculum relevance ratings were high overall but showed no significant association with cognitive level. Conclusions: This high-stakes specialty examination predominantly assesses lower- and intermediate-level cognitive processes, with limited representation of advanced higher-order thinking. The findings indicate potential blueprint misalignment with postgraduate competency expectations and underscore the need for deliberate integration of higher cognitive-level items to strengthen assessment validity.
AtıfScopus1WoS1OpenAlex2
İncele - MakaleAçık Erişim2026Scopus SJRQ1Nasal sill resection concomitant with maxillary orthognathic surgery for the management of alar base widening
Timarcioglu, Goksel; Sen Gursoy, Ozge; Gedik, Ecem; Candirli, Celal
Background: Alar base widening is a common soft tissue change following Le Fort I osteotomy. Although alar cinch sutures are commonly used to limit this change, their long-term stability remains variable. Nasal sill resection may provide a direct resective option for managing horizontal excess at the alar base; however, its use concomitantly with maxillary orthognathic surgery has not been well described. This retrospective clinical series aimed to describe longitudinal nasal base width changes and patient-reported aesthetic outcomes following nasal sill resection performed concomitantly with maxillary orthognathic surgery. Materials and methods: Twenty-three patients who underwent nasal sill resection concomitantly with maxillary orthognathic surgery under submental intubation between 2018 and 2020 were included. Alar base width was measured from the right and left alar curvature points to the subnasale/midcolumellar point, and total nasal base width was calculated as the sum of both measurements. Measurements were recorded preoperatively (T0), following osteotomy and fixation (T1), following nasal sill resection (T2), and at 1, 3, 6, and 12 months postoperatively. The Rhinoplasty Outcome Evaluation (ROE) questionnaire was administered preoperatively and at 6 and 12 months postoperatively. Repeated measures analyses with Bonferroni correction were used for longitudinal comparisons, and intra-observer reliability was assessed using the intraclass correlation coefficient. Results: The mean preoperative total nasal base width was 39.56 ± 3.12 mm. Following osteotomy and fixation, total nasal base width increased to 47.87 ± 3.64 mm, and after nasal sill resection it decreased to 30.78 ± 2.95 mm. Nasal base width gradually increased during follow-up, reaching 36.61 ± 5.96 mm at 12 months. Although the 12-month value was descriptively lower than the preoperative baseline, this difference was not statistically significant after Bonferroni correction (p = 0.693). ROE scores improved from 10.91 ± 2.68 preoperatively to 17.78 ± 2.54 at 6 months and 18.09 ± 2.27 at 12 months (p < 0.001), with no statistically meaningful difference between the 6- and 12-month follow-ups. No major adverse outcomes related to nasal sill resection were documented during the 12-month follow-up period. Conclusion: In this retrospective clinical series, nasal sill resection performed concomitantly with maxillary orthognathic surgery was associated with maintenance of nasal base width close to the preoperative baseline at 12 months, despite an initial postoperative narrowing. Patient-reported nasal aesthetic scores improved during follow-up. However, because of the uncontrolled retrospective design, limited sample size, and absence of objective functional assessment, these findings should be interpreted as descriptive clinical observations and should be further investigated in prospective controlled studies.
- MakaleAçık Erişim2026Scopus SJRQ1Wound healing activity of Sweetgum oil (Liquidambar orientalis L. balsam): characterization of its mechanism of action on HaCaT human keratinocyte cells and possible responsible active constituents
Yusuf, Muhammed; Gökşen-Ekiz, Burcu; Engür-Öztürk, Selin; Dikmen, Miriş; Levent, Serkan; Öztürk, Yusuf
Background: Sweetgum oil (Liquidambar orientalis Mill.; Styrax liquidus) is traditionally used in Turkey for wounds and burns, yet its cellular mechanisms remain unclear. Methods: Two locally sourced sweetgum oil samples were tested in human HaCaT keratinocytes. Cytotoxicity was assessed by MTT. Proliferation and migration were quantified using RTCA-DP and scratch assays. COL1A1 mRNA was measured by TaqMan RT-PCR. Phytochemical profiling employed IT-TOF/MS; titrated Centella asiatica extract (TECA) was the positive control. Results: Non-toxic concentrations were identified at 0.001–0.1 μg/mL. At 0.001 μg/mL, sweetgum oil significantly increased keratinocyte proliferation and migration in a time-dependent manner (RTCA-DP; p < 0.05 to p < 0.01), accelerating scratch-wound closure versus control. COL1A1 expression was unchanged. IT-TOF/MS indicated phenylpropyl cinnamate as the dominant constituent in both samples. Conclusions: Sweetgum oil promotes re-epithelialization-related processes primarily by enhancing keratinocyte proliferation and migration rather than collagen induction. These findings support sweetgum oil as a promising natural wound-healing agent and motivate in vivo validation.
AtıfScopus1WoS1İncele - MakaleAçık Erişim2026Scopus SJRQ2Comparison of breast cancer awareness and attitudes toward screenings in women with and without a family history
Gökçay, Gönül; Efetürk, Nida; Küçük, Hülya İncirkuş; Uğurlu, Elif Seda; Çevirme, Ayşe
Background: This study compares breast cancer awareness and attitudes toward screenings in women with and without a family history of breast cancer. Methods: This descriptive and correlational research included 1,620 women—807 with a family history and 813 without. Data were collected using a Personal Information Form, Breast Cancer Awareness Scale (B-CAS), and Attitudes Toward Cancer Screenings Scale. SPSS 27 software was used for data analysis, including chi-square test, Pearson correlation, and descriptive statistics. Results: The mean age of women with a family history was 31.22 ± 8.97, while those without had a mean age of 27.15 ± 8.78. Women with a family history scored higher on the B-CAS and the Attitudes Toward Cancer Screenings Scale, particularly in knowledge of risk factors, symptom awareness, screening barriers, and health behaviors (p < 0.001). Conclusion: Women with a family history of breast cancer have greater awareness and knowledge of risk factors than those without.
AtıfOpenAlex1İncele - MakaleAçık Erişim2026Scopus SJRQ1Cognitive-level analysis of dentomaxillofacial radiology questions in the Turkish dentistry specialization examination: a Bloom’s revised taxonomy analysis
Ocbe, Melisa; Akcay, Hulya Cerci; Gumru, Birsay; Yalcinkaya, Sebnem Ercalik
Background: Bloom’s revised taxonomy is widely used to evaluate the cognitive level of examination questions. With the growing use of large language models (LLMs), interest has increased in their potential to support cognitive classification. However, evidence comparing LLM-based classification with expert consensus in dental specialty examinations remains limited. This study aimed to analyze the cognitive levels of dentomaxillofacial radiology (DMFR) questions in the Turkish Dentistry Specialization Examination (DUS) and to evaluate the agreement between expert consensus and ChatGPT v5.2. Methods: A total of 130 text-based DMFR questions from the DUS were classified according to Bloom’s revised taxonomy using expert consensus and ChatGPT v5.2. Agreement between classifications was assessed using exact agreement and quadratic-weighted Cohen’s kappa. Results: “Analyze” was the most frequent cognitive level in both expert consensus (41.5%) and ChatGPT classification (44.6%), followed by “Remember.” Exact agreement between ChatGPT and expert consensus was 80.0%, with almost perfect ordinal agreement (κw = 0.851; 95% bootstrap CI: 0.769–0.923). Conclusions: ChatGPT v5.2 showed high agreement with expert consensus for Bloom-level classification in this dataset. These findings suggest that LLM-based classification may support Bloom-level mapping as an assistive tool; however, they should be interpreted as preliminary evidence of feasibility rather than practical validation. Expert oversight remains necessary, and further research is needed to assess performance across different models, settings, and educational contexts.
- MakaleAçık Erişim2026Scopus SJRQ1Evaluating the reliability and educational quality of YouTube™ and TikTok™ videos on custom subperiosteal implants: a cross-sectional methodological analysis
Tımarcıoğlu, Göksel; Kargu, Erdal Cem; Çerçi Akçay, Hülya; Tımarcıoğlu, Başak
Background: Social media platforms such as YouTube™ and TikTok™ have become increasingly influential sources of oral health information. However, the reliability and educational value of videos on advanced surgical procedures, including custom subperiosteal implants, remain uncertain. This study aimed to evaluate and compare the quality, accuracy, and educational usefulness of YouTube™ and TikTok™ videos related to custom subperiosteal implant procedures. Methods: This cross-sectional methodological study analyzed 38 videos (YouTube = 23, TikTok = 15) identified using English and Turkish keywords. Eligible videos were assessed independently by two calibrated reviewers using the Global Quality Scale (GQS), DISCERN, Journal of the American Medical Association (JAMA) benchmark criteria, and the Video Information and Quality Index (VIQI). A seven-domain content rubric specific to subperiosteal implant education was also applied. Descriptive statistics, Spearman correlation, and Kruskal–Wallis tests were conducted. Interrater agreement was evaluated using Weighted Kappa for GQS and DISCERN, and intraclass correlation coefficients (ICC) for VIQI, JAMA, and total scores. Results: Overall video quality was moderate, with mean scores of GQS = 2.66 ± 1.43, DISCERN = 32.71 ± 21.66, JAMA = 1.70 ± 0.54, and VIQI = 10.83 ± 4.90. Strong positive correlations were observed among GQS and DISCERN (r = 0.933, p < 0.001), GQS and VIQI (r = 0.942, p < 0.001), and DISCERN and VIQI (r = 0.949, p < 0.001), indicating substantial concordance among validated quality instruments. In contrast, total views demonstrated a strong negative correlation with JAMA scores (r = -0.748, p < 0.001), and likes were negatively correlated with JAMA (r = -0.822, p < 0.001), suggesting that higher viewer engagement was not associated with greater transparency or reliability. Interrater agreement was excellent across all tools (ICC > 0.79). No statistically significant differences were observed among uploader categories (p > 0.05), although videos uploaded by academic institutions and dentists demonstrated descriptively higher quality scores. Conclusions: YouTube™ and TikTok™ videos related to custom subperiosteal implants demonstrate moderate reliability and educational value, with substantial variability in content completeness. Video popularity did not reflect scientific accuracy. These findings should be interpreted in light of the limited sample size, the non-validated nature of the topic-specific rubric, and inherent differences between social media platforms. High-quality, evidence-based audiovisual resources created by dentists and academic institutions are needed to support patient education and informed decision-making. Trial registration: Not applicable.
AtıfScopus3WoS2İncele - MakaleAçık Erişim2026Scopus SJRQ1Differences in care burden, burnout, depression, quality of life and sleep quality between family members and professional caregivers of palliative care patients
Aydoğdu, Onur; Tetik-Aydoğdu, Yağmur; Oruç, Özlem; Alptekin, H. Kerem
Background: The main aim of our study was to investigate whether there are differences in caregiver burden, burnout, depression, sleep quality and quality of life between family members and professional caregivers of palliative care patients. Furthermore, we examined the impact of burnout, depression, and sleep quality on the burden of care among primary caregivers of palliative care patients. Additionally, we investigated whether there were differences in these parameters among family members according to gender. Methods: This cross-sectional study involved a total of 134 individuals, including 67 palliative patients receiving care from the Palliative Care Service and 67 caregivers who provide primary care to these individuals. The outcome measurements for palliative care patients included falls efficacy, functional independence, quality of life, and cognitive function. For caregivers, the following variables were measured: caregiving burden, burnout, depression, sleep quality, and quality of life. Results: This study found that family members may experience a higher level of care burden, burnout, depression, sleep difficulties and lower quality of life compared to professional caregivers (p < 0.05). In addition, female family members exhibited worse scores for care burden, sleep quality and quality of life than male family members (p < 0.05). Increased caregiver burden in palliative care patients was associated with increased levels of burnout and depression, as well as sleep disturbance and reduced quality of life (p < 0.05). Conclusions: Our study suggests that providing primary caregivers of palliative care patients with support tailored to their specific needs in terms of burnout, care burden, depression, sleep and quality of life could be an important palliative care service.
- MakaleAçık Erişim2026Scopus SJRQ3Investigation of evidence-based practices of nurses in a rural public hospital: a mixed methods study
Ziyai, Nasibe Yagmur; Sener, Senay; Dikmen, Yurdanur
Background: Evidence-based practice was essential for ensuring high-quality patient care, improving safety, and reducing healthcare costs. As the largest group of healthcare providers, nurses played a pivotal role in implementing evidence-based practice. However, they often encountered multiple personal and organizational barriers, particularly in rural settings characterized by limited resources and geographic isolation. Aim: This study aimed to comprehensively examine nurses’ attitudes toward evidence-based nursing in a rural public hospital and to assess how these attitudes influenced clinical care practices. Methods: An explanatory sequential mixed-methods design was employed. Quantitative data were collected from 86 nurses using a Nurse Information Form and the Scale of Attitudes Toward Evidence-Based Nursing. Qualitative data were obtained through three mini–focus group interviews with nine nurses purposefully selected based on variations in their evidence-based practice attitudes and professional characteristics. Descriptive statistics, one-way ANOVA, LSD post hoc tests, and thematic analysis were used to analyze the data. Results: The mean attitude score was 58.09 ± 9.17, with significantly higher scores among nurses with 1–10 years of professional experience. Thematic analysis revealed three overarching themes: facilitators, barriers, and suggestions. Facilitators included peer collaboration, innovation, nursing professionalism, and improved quality of patient care. Barriers comprised patient reactions, professional challenges, organizational limitations, insufficient knowledge, and workplace conflicts. Nurses’ recommendations emphasized enhancing patient and nurse education, fostering a culture of discussion, updating clinical guidelines, and strengthening shared decision-making mechanisms. Conclusion: Although nurses demonstrated generally positive attitudes toward evidence-based practice, they encountered substantial challenges in applying it in clinical settings. Establishing structured support systems, leadership training, and policy-level interventions is essential to foster effective and sustainable implementation of evidence-based practice in rural hospitals.
- MakaleAçık Erişim2026Scopus SJRQ2Effect of sacubitril/valsartan and SGLT2 inhibitors on arrhythmia burden in ICD patients
Öztürk, Fatih; Yaman, Mehmet
Background: This study aimed to examine whether the use of sodium–glucose co-transporter 2 inhibitors (SGLT2i) and/or sacubitril/valsartan in individuals with an implantable cardioverter-defibrillator (ICD) was associated with differences in pathological rhythm burden, specifically atrial fibrillation (AF), ventricular tachycardia (VT), and ventricular fibrillation (VF), during follow-up. Methods: Data from 275 patients who underwent ICD implantation between 2022 and 2025 were analyzed retrospectively. The primary endpoint was change in device-detected arrhythmic burden, categorized as unchanged/increased, 0–50% reduction, 50–100% reduction, or arrhythmia-free status during 12-month follow-up. The secondary endpoint was change in LVEF (ΔEF). Associations between medical therapies and EF change were assessed using multivariable linear regression models adjusted for demographic and clinical covariates. Results: Overall, mean LVEF increased significantly during follow-up (ΔEF 9.7 ± 8.7%, p < 0.001). In adjusted analyses, ARNI use was independently associated with greater EF improvement (B = 10.647, p < 0.001), whereas SGLT2i therapy alone was not significantly associated with ΔEF. In unadjusted analyses, both ARNI and SGLT2i therapies were associated with a higher likelihood of substantial reduction in arrhythmic burden and arrhythmia-free status (p < 0.001 for both). Patients receiving combined ARNI and SGLT2i therapy demonstrated the highest proportion of arrhythmia-free status during follow-up. Conclusion: In this retrospective cohort of ICD recipients with HFrEF, ARNI therapy was independently associated with greater improvement in LVEF, while both ARNI and SGLT2i use were associated with lower device-detected arrhythmic burden in unadjusted analyses. Prospective studies are required to determine causality and clarify the independent antiarrhythmic effects of contemporary guideline-directed therapies in ICD populations.
- MakaleAçık Erişim2025Scopus SJRQ2Effects of pulse glucocorticoid treatment on retinal blood flow in patients with active Graves’ orbitopathy
Mohammadi, Hedayatullah; Güneş, İrfan Botan; Arı, Şeyhmus
Background: Various studies have shown decreased retinal blood flow in patients with active Graves’ orbitopathy (GO). We investigated whether retinal blood flow returned to normal levels after intravenous glucocorticoid treatment in active GO patients. Methods: Thirty-two eyes of 32 patients with moderate or severe active GO and 32 eyes of 32 healthy participants were included. The blood flow in the superficial plexus (SP), deep retinal plexus (DP), external retinal (ER) capillary plexus and choriocapillaris was measured via OCT-Angiography before treatment with methylprednisolone and one week after the completion of treatment. In addition, central macular thickness, intraocular pressure, and best corrected visual acuity, were compared with those of the control group. Results: Retinal blood flow (RBF) in the macula at SP, DP, ER and choriocapillaris levels was 48.38 ± 2.04, 54.17 ± 3.11, 0.42 ± 0.14 and 2176.45 ± 147.53 in the control group and 45.91 ± 4.56, 51.55 ± 3.84, 0.35 ± 0.34 and 2030.15 ± 132.15 in the active GO group, respectively. The RBF was significantly lower in the active GO group than in the control group at all angiographic levels (p < 0.001). Although blood flow increased after treatment, it remained lower than that in the control group (p < 0.001). The mean CMT was significantly greater in active GO patients before treatment than in the controls and after treatment (p < 0.001). No serious systemic or ocular side effects were observed in any of the patients. Conclusions: After pulse glucocorticoid treatment, retinal blood flow increases but remains low compared with that in the healthy control group.
AtıfScopus1WoS2OpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ1Psychometrics of the Attitude Scale towards the use of Artificial Intelligence Technologies in Nursing
Yılmaz, Dilek; Uzelli, Derya; Dikmen, Yurdanur
Background: It is clear that nursing practice is directly affected by artificial intelligence (AI), and in this regard, a need is felt for more information on the knowledge and attitudes of nurses to the use of AI technology in nursing care practice. However, no inclusive measurement instrument tested for validity and reliability evaluating the attitudes of nurses to the use of AI technology was found. The aim of this research was to develop and test the validity of the Attitude Scale Towards the Use of Artificial Intelligence Technologies in Nursing (ASUAITIN) in the Turkish language. Methods: The research was a methodological and cross-sectional study, designed to develop and test the validity of the ASUAITIN. STROBE guidelines were followed in the study. In order to create the starting materials, the researchers made a scan of the literature. Two hundred nurses working in the internal medicine, surgical and intensive care departments of a university hospital in the Marmara Region of Turkey were included in the study. Items were assessed for content validity. ASUAITIN was tested for construct validity and internal consistency reliability. Results: ASUAITIN consists of 15 items. It has two dimensions, positive attitude, and negative attitude to AI technology in nursing practice, and practice and explains 67.762% of total variance. Item loads were between 0.529 and 0.866. Cronbach alpha values were calculated to be 0.910 for the total scale, 0.933 for Factor 1, and 0.917 for Factor 2. Conclusions: The results of this study show that the ASUAITIN scale are validated and reliable measurement tool. ASUAITIN can be used as an instrument to assess the attitudes to AI technology in practice among nurses working in the clinical field. Clinical trial number: Not applicable.
AtıfScopus34WoS34OpenAlex36İncele - MakaleAçık Erişim2025Scopus SJRQ1A comparison of 3D game-based simulation versus traditional methods in vital signs education
Tanrıkulu, Fatma; Gündoğdu, Handenur; Erol, Funda; Dikmen, Yurdanur
Background: Vital signs measurement is a fundamental nursing responsibility that requires cognitive and psychomotor competence. In alignment with the ethical principle of nonmaleficence, it is important to provide learning environments where students can practice and make mistakes without causing harm. This study aims to examine the effect of a 3D game-based simulation application developed for vital signs on students’ academic achievement, learning satisfaction and self-confidence levels. Methods: A randomized controlled experimental design was employed with 73 nursing students, assigned to either the intervention group (n = 37) or the control group (n = 36). The intervention group used a game-based simulation developed with 3D animation technology, while the control group received traditional instruction. Data were collected using the Student Introductory Characteristics Form, Academic Achievement Test of Vital Signs Measurement Skills, and the Student Satisfaction and Self-Confidence in Learning Scale. Statistical analyses were conducted using SPSS version 25, with significance set at p < 0.05. Results: The results indicated that students’ current learning satisfaction subscale scores were high in the traditional teaching group and that there was a statistically significant difference between the groups (p = 0.047). There was no statistically significant difference between the groups in terms of academic achievement (p = 0.932) and self-confidence levels in learning (p = 0.375). However, both groups had high mean scores in academic achievement, satisfaction with current learning, and self-confidence in learning. Conclusions: The game simulation method supported by 3D animation may be insufficient for significantly improving nursing students’ academic performance, satisfaction with the learning process, and self-confidence in learning. Therefore, it is recommended that such technology-supported methods be used in blended learning environments alongside traditional teaching methods in nursing education. Trial registration: ClinicalTrials.gov: NCT07009275; retrospectively registered.
AtıfScopus1WoS1OpenAlex2İncele - MakaleAçık Erişim2025Scopus SJRQ1Effects of Covid-19 pandemic on nutritional habits, lifestyle changes and dental trauma frequency of children with autism: a cross-sectional study
Cerci Akcay, Hulya; Safci, Duygu; Kasimoglu, Yelda; Aren, Gamze; Guloğlu, Recep; Coskun, Murat; Tanir, Yaşar; Oren, Meryem Merve; Erdem, Arzu Pinar
Background: The Covid-19 pandemic has disrupted daily routines and lifestyle habits, affecting the psychological well-being and dietary habits of individuals, especially children with autism spectrum disorder (ASD). This study aims to evaluate the susceptibility of children with ASD to changes in nutritional habits, lifestyle, and dental trauma during the pandemic related with oral health and compare them with healthy children. Methods: This study, conducted at Istanbul University, involves children aged 3–14 diagnosed with ASD at the Department of Child and Adolescent Psychiatry, and healthy children who visited the Department of Pedodontics. Parents provide written informed consent, and a questionnaire covering various aspects of their child’s health and habits is used. Intraoral examinations are conducted for both groups, recording any trauma history or signs, and evaluating possible causes and risk factors. All data were obtained and analysed by SPSS software program version 23.0 with descriptive statistics calculation, Chi square test, Kolmogorov Smirnov, the Mann-Whitney U test, t test and McNemar test was used with p value fixed at 0.05. Results: The results show significant differences between children with ASD and the control group in terms of dental health. Children with ASD had lower dmft and DMFT indices, indicating better dental health (p = 0.005). However, the frequency of dental trauma was similar between the groups (p = 0.685). Additionally, the control group exhibited more significant changes in dietary habits during the pandemic, with a higher tendency for snacking throughout the day (p = 0.027). During lockdowns, parents of children with ASD were statistically more likely to provide junk food when their child was irritable (p < 0.001). Changes in physical activity levels also differed, with a more pronounced decrease in the control group (p < 0.001). Furthermore, children with ASD experienced a statistically significant higher rate of disruption in daily routines and inability to participate in social activities and courses (p < 0,001). Conclusion: This study sheds light on the unique challenges faced by children with ASD, particularly in terms of dental health and related behaviors. It underscores the importance of interventions to ensure optimal oral health outcomes for this population, especially during periods of disruption like the Covid-19 pandemic.
- MakaleAçık Erişim2025Scopus SJRQ1The relationship between clinical outcomes of untreated dental caries with dental anxiety, health perceptions and Child-OIDP in primary school-aged children
Akcay, Hulya Cerci; Sahin, Merve; Peker, Kadriye; Erdem, Arzu Pınar
Introduction: This study aimed to investigate the relationship between the clinical consequences of untreated dental caries and children’s sociodemographic characteristics, behavioral factors, perception of general/oral health, dental anxiety, and oral health-related quality of life (OHRQoL) and to identify the predictors of childrens’ OHRQoL. Methods: This cross-sectional study was conducted in a convenience sample consisted of 200 children aged 8–10 years attending a pediatric dentistry clinic. Data were collected through clinical examinations and self-reported questionnaires. Caries severity was assessed using the dmf(t)/DMF(T) and pufa(t)/PUFA(T) indices. The questionnaire encompassed socio-demographic characteristics, the Modified Child Dental Anxiety Scale, oral health behaviours, self rated oral/general health, treatment need and satistaction with teeth, the Child-Oral Impacts on Daily Performances index. Descriptive, bivariate, and multivariate statistics were performed for data analyses. Results: The sample consisted of 98 girls and 102 boys (mean age 9.1 ± 0.81 years). D component of DMFT was correlated with the dental anxiety (p < 0.05), but the PUFA/pufa and DMFT/dmft scores were not correlated. No significant differences were found in the OHRQoL and all domains regarding gender, age, school type and oral health behaviours. The OHRQoL was associated with dental anxiety, self perceived oral/general health, the number of self- reported oral problems, and satisfaction with teeth. Worse oral health self- rating and dissatisfaction with the appearance of teeth were important predictors of worse OHRQoL. Conclusion: Anxiety and children’s subjective evaluation of oral health affect children’s OHRQoL. As a part of needs assesment, dentists should consider these factors together with clinical parameters when planning treatment.
AtıfScopus2WoS3OpenAlex3İncele - MakaleAçık Erişim2025Scopus SJRQ1Impact of moulage-based simulation on nursing students’ recognition of physical violence: a randomised controlled trial
Uysal Yalçın, Suna; Akkoç, Mehtap; Ozdemir, Tuğba; Dikmen, Yurdanur; Türkay, Merve Zehra; Özpancar Şolpan, Nurhan
Background: Violence against women is a global public health and human rights issue with profound physical and psychological consequences. Simulation-based learning may help nursing students recognize signs of violence. This study examined whether physical violence indicators created on a standardized patient using moulage improve nursing students’ recognition of violence and their related attitudes, knowledge, satisfaction, self-efficacy, and communication skills. Methods: A randomized controlled pretest–posttest design was conducted with 55 fourth-year nursing students allocated to a moulage group (n = 28) and a control group (n = 27). The data collection tools included the “Demographic Information Form”, “ISKEBE Attitude Scale for Violence Against Women,” “Communication Skills Assessment Form”, “Nurses’ and Midwives’ Recognition of Signs of Violence Against Women Form”, “Modified Simulation Effectiveness Tool”, “Student Satisfaction and Self-Efficacy Scale in Learning,” and “Moulage Evaluation Questionnaire.” Data analysis involved calculating frequency, mean, standard deviation, chi-square tests, the Mann-Whitney U test, and the Wilcoxon Signed Ranks Test. Results: The demographic data of the moulage and control groups were similar. Recognition of violence indicators was significantly higher in the moulage group (19.75 ± 2.78) than in the control group (16.38 ± 3.63; p < 0.05). The communication skills of the students in the moulage group had an average score of 5.35 ± 0.48 for the effective communication subscale, while the average score for the therapeutic communication subscale was 4.55 ± 2.91. Additionally, the moulage group reported greater satisfaction with current learning (51.85 ± 6.66) and higher self-efficacy (29.21 ± 4.26, p = 0.006) than the control group. The mean Modified simulation effectiveness tool score was 68.42 ± 20.87, indicating a positive perception of learning effectiveness. No significant between-group difference was found for attitudes (ISKEBE). Conclusion: Moulage-supported simulation enhanced recognition of physical violence indicators, satisfaction, self-efficacy, and communication-related outcomes. The integration of these methods is recommended in future educational programs. Clinical registration: The study is registered on ClinicalTrials.gov. ID: NCT06982017 (date: 2024-05-20).
AtıfScopus1WoS1OpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ1An overlooked connection: oral health status in patients with chronic diseases
Öçbe, Melisa; Çelebi, Elif; Öçbe, Çetin Batuhan
Background: Oral and systemic health are closely linked. Chronic diseases like diabetes mellitus, cardiovascular diseases, and hypertension increase the risk of dental caries, periodontal disease and tooth loss. Moreover, poor oral health can worsen the status of systemic diseases. Despite this, oral health is often overlooked in chronic disease management. This study aimed to evaluate the oral health status of patients with chronic diseases (PWCD) compared to healthy controls using DIMF-T and DMF-S indices. Methods: This retrospective study included 205 participants (106 PWCD and 99 healthy controls) attending the Oral Diagnosis & Radiology outpatient clinic at Bahçeşehir University Dental Hospital. Comprehensive intraoral and radiological examinations assessed caries lesions, missing teeth, filled teeth, periodontal disease, denture usage, and the prevalence of apical osteitis, soft tissue lesions, and intraosseous lesions. Oral health status was quantified using DIMF-T and DMF-S indices. Statistical analyses were conducted to identify differences between groups. Results: The study group (PWCD) exhibited significantly higher median values for missing teeth (MT), decayed surfaces (DS), missing surfaces (MS), DIMF-T, and DMF-S indices compared to the control group (p < 0.001). Chronic periodontitis was more prevalent in PWCD (76.42%) than in controls (45.45%), while gingivitis was more common in the control group (52.53%, p < 0.001). Medication use for systemic diseases was strongly associated with poor oral health outcomes (p < 0.001). However, no significant differences were observed between the groups for decayed teeth (DT), hopeless teeth (IT), or filled teeth (FT). Conclusions: PWCD demonstrated worse oral health outcomes compared to healthy controls, highlighting the need for integrated oral and systemic healthcare strategies. Dental professionals should be careful in identifying oral conditions that may signal underlying systemic diseases. Future research should explore the integration of oral health evaluations into routine medical screenings and examine the global practices of oral health management in PWCD.
AtıfScopus19WoS15OpenAlex21İncele - MakaleAçık Erişim2025Scopus SJRQ1Adaptation of the incivility in nursing education-revised survey: a validity and reliability study
Konuk, Tuğba Gözütok; Kural, Şerife Kurşun; Dikmenc, Yurdanur
Background: Academic incivility is one of the most significant issues that disrupt the learning process for nursing students and adversely affects the quality of nursing care. Therefore, it is crucial to assess incivility within the nursing academic environment using valid and reliable measurement tools. The aim of this study is to translate and adapt the Incivility in Nursing Education-Revised (INE-R) Survey into Turkish and assess its validity and reliability for nursing students and faculty. Methods: The cross-cultural adaptation and validation of the INE-R were carried out within the framework of a methodological cross-sectional study. The Turkish validity and reliability of the INE-R survey, which assesses the behaviors of faculty incivility, were examined with 522 nursing students from 11 different universities, including students from the 2nd, 3rd, 4th year. Data were collected from April 20, 2021 to October 30, 2021. Results: Following the cross-cultural adaptation, the confirmatory factor analysis (CFA) confirmed that the Turkish version of the INE-R, with 24 items and a two-factor structure, showed a good fit. The reliability analysis revealed Cronbach’s alpha of 0.952 for the total score, 0.899 for the low-level incivility subscale, and 0.991 for the high-level incivility subscale. Item analysis indicated that all items had item-total correlation values above 0.30, with none removed. Additionally, removing any item did not improve the scale’s Cronbach’s alpha. The test-retest results showed no statistically significant differences. Conclusion: The Turkish adaptation of the INE-R demonstrates its validity and reliability as a valuable instrument for assessing the perceptions of Turkish nursing students regarding uncivil faculty behaviors, as well as the frequency of their exposure to such behaviors. Impact statement: INE-R survey has demonstrated psychometric reliability and validity, making it a valuable tool for assessing incivility within nursing academia.
AtıfScopus1WoS2OpenAlex1İncele - MakaleAçık Erişim2025Scopus SJRQ1Picture-activated mood and creativity in online brainstorming: the roles of flexibility and persistence
Pehlivan, Neslihan Nur; Coşkun, Hamit
Background: This study examined how mood (positive or negative) and presentation format (picture or text) influence idea generation during online brainstorming. Creativity was assessed by the number of unique ideas (fluency, defined as the total number of non-redundant ideas) generated, with participants brainstorming ways to improve parks. The research drew on the dual pathway-to-creativity model, emphasizing flexibility and persistence as key factors in creativity. Method: The participants were randomly assigned to one of four conditions: two mood types (positive or negative) and two presentation formats (picture or text). Creativity was measured by counting unique, nonrepetitive ideas and evaluating flexibility (number of unique categories of ideas). Persistence was also analyzed, calculated as the ratio of unique ideas to unique categories. Statistical tests were used to examine the main and interaction effects of mood, presentation format, and persistence on idea generation. Results: The participants exposed to pictures generated more unique ideas than those exposed to text, highlighting the presentation format’s impact on creativity. The positive mood participants outperformed the negative mood participants by generating more unique ideas and exhibiting greater flexibility, as measured by the number of distinct categories of ideas. Persistence played a moderating role, with high persistence in a positive mood condition leading to more unique ideas than medium or low persistence. However, there was no significant difference in idea generation between medium- and low-persistence participants in either mood condition. Conclusions: These findings are consistent with a possible mediating role of flexibility in the relationship between mood and creativity, as proposed by the dual pathway to creativity model. Exploratory analyses suggest that persistence may play a potential moderating role, with high persistence amplifying the effects of a positive mood on creativity. Future research should explore more visually engaging stimuli for online brainstorming and investigate the interplay of additional variables. The role of persistence as a mediator or moderator warrants further exploration.
- MakaleAçık Erişim2025Scopus SJRQ1Exploring the potential of interdental brush in oral cytology: a pilot study on sampling efficiency
Çelebi, Elif; Öçbe, Melisa; Sinanoğlu, Enver Alper; Tekkeşin, Merva Soluk
Background: With the renewed interest in brush biopsies, particularly for screening oral potentially malignant disorders and cancers, understanding the efficacy of available brush types in oral cytology is crucial. This study aims to compare the effectiveness of interdental brush sampling with commonly used cytology brushes in oral cytology evaluation. Methods: The study design was an observational clinical study. Brush biopsies were collected from the buccal mucosa of 99 healthy volunteers using an Interdental Brush- TePe Original Interdental Brush (TePe, Malmö, Sweden) (Cell sampling-Interdental Brush (CSIB)), Cytobrush Plus GT (Medscand Medical AB, Sweden) (Cell sampling device 1 (CSD1)), and CervexBrush (Rovers, Oss, Netherlands) (Cell sampling device 2 (CSD2)). Samples were evaluated for cellularity, depth of the epithelial layer, and cellular integrity. Results were compared between brush types using the Friedman test, and multiple comparisons were examined using the Dunn test. The significance level was set at p < 0.05. Results: Of the 99 cases, 59.6% were female and 40.4% were male, with a prevalence of smoking and alcohol consumption at 43.4%. The mean age was 24.3 years (± 4.5). There were no significant differences in cellularity between the brush types (p = 0.205). Mild cellularity was observed at rates of 3%, 9.1%, and 9.1% for CSD1, CSIB, and CSD2, respectively. Parabasal/basal layer cells were detected in 1% of samples collected with CSD1 and 4% with CSD2, while CSIB samples contained only superficial/intermediate cells. CSIB produced an inadequate integrity rate of 30.3%, whereas neither CSD2 nor CSD1 yielded samples with inadequate integrity. Conclusions: Interdental brushes may have potential as accessible and practical tools for chairside cytological screening. The CSIB obtained high-cellularity samples; however, it demonstrated low scores in cellular integrity. Future oral cytological studies may explore the modifications in interdental brush design to improve its potential in sampling for cell preservation and integrity.
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