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- Item2 boyutlu oyun tasarımında piksel sanat kullanımı(Ulmilya Yayıncılık, 2024-10) Can, Kemal Yaşar; Ayçe, Mehmet Taragay; 21436Tarihin ilk dönemlerinden beri bir eğlence aracı olarak görülen oyun aynı zamanda bir iletişim aracıdır. Teknolojik gelişmelerle birlikte, bilgisayar teknolojisinde ve yazılımlarındaki gelişmeleri takiben insanların oyun oynama davranışlarında da farklılıklar meydana gelmiştir. Bilindiği gibi oyun; belli bir amaca yönelik olan ya da olmayan, kurallı ya da kuralsız gerçekleştirilebilen; fakat her durumda çocuğun isteyerek ve hoşlanarak yer aldığı fiziksel, bilişsel, dil, duygusal ve sosyal gelişiminin temeli olan gerçek hayatın bir parçası ve çocuk için en etkin öğrenme sürecidir (Tdk: 2017). Günümüzde oyunlar dijitalleşmenin etkisiyle pek çok farklı türe, içeriğe ve görünüme sahip şekilde üretilmektedir. İki boyutlu cisimler sadece eni ve boyu olan cisimlerdir. İki boyutlu oyunlar ise sprite adı verilen düz grafikler kullanır ve üç boyutlu geometriye sahip değildir. Ekrana düz görüntüler olarak çizilirler ve kameranın perspektifi yoktur. 2D oyunlarda kullanılan piksel sanat ise temelde; belirli kuralları olan ve kurallara uyulduğunda rahatlıkla bir eser çıkartılabilen bir mecradır. Piksel sanat kullanılan oyunlara bakıldığında küçük dosya boyutuna sahip olmalarının da etkisi ile; hızlı yüklenme, kodlama da kolaylık, hızlı derlenme gibi özelliklere sahip olduğu görülür. Ancak 2boyutlu oyun tasarımında pixel art çalışmalarının nasıl hazırlandığı, bunların prensiplerinin, yöntemlerinin ve kullanılan uygulamaların neler olduğu konusunda yeterli kaynağın olmaması bu alanda gerçekleştirilebilecek oyun tasarımlarının da ve literatüründe eksik kalmasına neden olmaktadır. Bu sorundan hareketle bu çalışmada; pixel art kullanan 2 boyutlu oyunları kullanmak isteyen kimselere pixel art yapımı hakkında bir yol haritası oluşturulması amacıyla derleme bir bilgi içeriği ortaya çıkarmak hedeflenmektedir. Bu bağlamda yukarıda bahsedilen ihtiyaçlara yönelik olarak pixel art kullanan 2 boyutlu oyunlarda başta karakter, arkaplan, mekan ve oyunlardaki diğer nesnelerin oluşturulmasında izlenecek yol ortaya çıkartılacaktır. Çalışmanın hem bu alanda yapılacak çalışmalara, hem de literatüre önemli katkılar sağlayacağı öngörülmektedir.
- Item2023 cumhurbaşkanlığı ve milletvekili seçimi dış mekân reklamı ve kampanya çalışmalarının grafik tasarım açısından genel bir değerlendirilmesi(Bursa Uludağ Üniversitesi, 2024-11) Yılmaz, İbrahim; Ayçe, Mehmet Taragay; 21436Siyasi reklam; siyasi parti adaylarının tanıtılması ile adayın siyasi kimliği hususunda seçmeni ikna etme ve tanıtım araçlarının etkili bir şekilde kullanılması aracılığıyla yapılan bir iletişim yöntemidir. Bu süreç adayların mesajlarını doğrudan seçmene iletmelerine ve siyasi tartışmaları etkilemelerine olanak tanıyan bir tür kampanya biçiminden oluşur. Seçimi kazanmak, en iyi aday olmak veya en iyi fikirlere sahip olmaktan çok daha fazlasını içerir. Adaylar, çeşitli medya türlerinde reklam yayınlayarak isim bilinirliği oluşturabilir, önemli konuları vurgulayabilir ve rakiplerinin eksikliklerini topluma yansıtabilirler. Günümüzde seçim reklamları ve kampanya harcamaları daha çok çevrimiçi platformlara yönelmiş olsa da siyasette hâlâ dış mekân reklam çalışmalarına marka bilinirliği ve görünürlüğü açısından büyük ölçüde devam edilmektedir. Dış mekân reklamcılığı diğer reklam biçimlerinden daha fazla kişiye hitap eder ve insanların zihninde diğer tüm medya araçlarından daha çok önem verilmektedir. Dünya reklam tasarımcıları arasında gerilla reklamcılık olarak da bilinen dış mekân reklamcılığı, insanların aniden karşılarına çıkması ve kitleleri harekete geçirmesinde etkili olmasıyla da grafik tasarım ve reklamcılık alanındaki yerini almıştır. Bu araştırmanın amacı 2023 seçimlerindeki reklam afişlerinin tasarım açısından gelişim ve değişimlerini incelemektir. Bu seçim gerek toplumsal gerek siyasal olarak Türkiye’de bulunan siyasi görüşler açısından iki farklı gurubu temsil etmiştir. Her ne kadar Türk toplumu arasında olsa da seçimlerde kullanılan argümanlar seçimlerin tanıtım çalışmalarında büyük farklı söylemlerin de ortaya çıkmasına sebep olmuştur. Bu araştırma seçilen siyasi kampanya afişlerinde yer alan görsellerin tipografik ve grafiksel bakımdan özelliklerinin belirlemesi ve incelemesi amacıyla gerçekleştirilmiştir. Çalışmada, siyasi kampanya afişlerinin siyasi adayların oy toplamak için kullandıkları temel görsel iletişim araçları olarak nasıl işlev gördüğü incelenmiştir. Grafiksel olarak siyasi kampanya afişlerinde, anlam ifade eden çeşitli renkler, resimler yanında, illüstrasyonlar da kullanılmıştır. Çeşitli siyasi partilerin farklı politik yaklaşımları olmasına rağmen bu seçimde siyasi görüşlerin belirgin söylemleri afiş tasarımlarını da önemli ölçüde etkilemiştir.
- ItemA comprehensive analysis of apricot drying methods via multi-criteria decision making techniques(Wiley, 2024-10) Abdulvahitoğlu, Aslı; Abdulvahitoğlu, Adnan; Cengiz, Nurten; 382420Food and food safety have been among the most important issues for people throughout history. Societies have always tried to be self-sufficient in food and have avoided becoming dependent on foreign sources. However, the fact that most foods are seasonal and the increasing population's food consumption have revealed the need to preserve foodstuffs for a long time. The old and well-known method used today for extending shelf life is the drying process. The drying process is preferred over other preservation methods for reasons such as being more economical, easier to transport, having a longer shelf life, more concentrated nutritional value, and containing fewer additives. This ensures that dried foods are of higher quality in terms of physical, chemical, microbial properties, and nutritional values compared to other packaged foods. While the drying process was traditionally done over a long period, technological advancements have led to the production of higher quality and more valuable commercial products in a shorter time. In this study, traditional and technological methods used in drying apricots were compared according to the parameters determined by experts in the field. Since multiple parameters are effective in the comparison, Multi-Criteria Decision Making (MCDM) techniques were used. The optimum apricot drying method was determined by combining the results obtained from different MCDM techniques with the Borda rule.
- ItemA simple magnetic resonance scoring system for predicting suitability for primary anterior cruciate ligament repair(Erzincan Binali Yıldırım Üniversitesi, 2024-08) Kılızay, Yusuf Onur; Erdoğmuş Gülcan, Server; Yılmaz, Hazal Berfin; Yalçın, Gülay; 334080; 392815; 202217; 308202Objective: This study developed a simple magnetic resonance imaging (MRI) scoring method to assess the suitability of the anterior cruciate ligament (ACL) remnant for primary repair and aimed to test the success of this scoring method on operative images of patients undergoing early ACL surgery. Methods: The video-recorded operative images of patients who underwent ACL reconstruction and the MRI images of the same patients taken in our hospital were retrieved from the hospital archive. Two surgeons evaluated whether the ACL could be primarily repaired on the video images recorded during the operation. Magnetic resonance primary repairability (MPR) scores and repairability status on video images were compared. Results: The mean age of the patients was 30.4 ± 8.6 years. The evaluation of remnant size on MRI showed moderate agreement between observers (P < .001, Cohen’s kappa = 0.605). The assessment of the repairability score based on MRI and video observation demonstrated substantial agreement between observers (P < .001, Cohen’s kappa = 0.743 and P < .001, Cohen’s kappa = 0.762, respectively). Conclusion: The MR primary repairability score (MPR score) is suitable for use in the decision-making process for the primary repair of the ACL.
- ItemComparison of the quality of life of mentally and physically disabled children and their healthy siblings(Hacettepe Üniversitesi, 2024-09) Kavlak, Erdoğan; Erdoğmuş, Server; Kavlak, Ebru; Yalçın, Gülay; 392815; 308202Purpose: It is known that the health-related quality of life of children with neurological problems is adversely affected. But these problems also have a negative impact on the whole family. This study was conducted to examine the quality of life of children with mental and physical disabilities and their healthy siblings. Material and Methods: 82 children with mental and physical disabilities between the ages of 2-18 and their healthy siblings were included in the study. The sociodemographic data of the participants were recorded. The Pediatric Quality of Life Inventory was used to measure health-related quality of life, and the Gross Motor Function Classification System was used to evaluate the gross motor functions of children with disabilities. Results: 82 (48 boys, 34 girls) mentally and physically disabled children with a mean age of 9.87±5.06 years and 82 (34 boys, 48 girls) healthy siblings with a mean age of 12.68±3.65 were included in the study. When the quality of life of mentally and physically disabled children was examined, it was seen that there was no significant difference between the two groups (p>0.05). There was no significant difference between the quality of life of the healthy siblings of mentally and physically disabled children (p>0.05). Discussion: It was observed that the quality of life of healthy siblings of mentally and physically disabled children was similarly affected. It should not be forgotten that the quality of life of their families and healthy siblings will also be adversely affected during the treatment process of disabled children.
- ItemCovid-19 pandemisinin Türkiye bankacılık sektöründeki sistemik risk üzerine etkileri: MES analizi ile karşılaştırmalı bir inceleme(Muhasebe ve Finansman Öğretim Üyeleri Bilim ve Araştırma Derneği, 2025-01) Şengül, Serkan; 355807Bu çalışma, Türkiye’deki bankacılık sektörünün COVID-19 pandemisi öncesi ve sonrası dönemdeki sistemik risk seviyelerini analiz etmektedir. 2016-2023 yılları arasında Borsa İstanbul'a kote altı bankanın (Akbank, İş Bankası, Garanti BBVA, Yapı Kredi, Halkbank ve Vakıfbank) Marjinal Beklenen Açık (Marginal Expected Shortfall-MES), koşullu korelasyon ve koşullu volatilite gibi finansal risk göstergelerine dayanan analiz, pandeminin sektörde kırılganlıkları artırdığını ortaya koymaktadır. Sonuçlar, pandemi süresince uygulanan genişletici politikaların bankaların kısa vadeli likidite ihtiyaçlarını karşılamasına rağmen uzun vadede sistemik riski yükselttiğini göstermektedir. Ayrıca, pandemi sonrası dönemde Türkiye'deki ani politika değişiklikleri ve merkez bankası bağımsızlığına dair belirsizliklerin finansal istikrarı zayıflattığı gözlemlenmiştir. Çalışma, Türkiye’de finansal düzenlemelerin kriz dönemlerinde daha dayanıklı bir bankacılık yapısının geliştirilmesi için stratejik önemini vurgulamaktadır.
- ItemExploring Cognitive Enhancements and Default Mode Network Connectivity in Relapsing-Remitting Multiple Sclerosis: Insights from a Prospective Study Investigating the MIND Diet(Sage, 2024-09) Demirel, Mert; Daşgın, Hacer; Acar, Nazire Pınar; Özçelik-Eroğlu, Elçin; Atabilen, Büşra; Ertuğrul, Aygün; Akdevelioğlu, Yasemin; Oğuz, Kader Karlı; Tuncer, Meryem Aslı; 396621The potential therapeutic impact of the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet on relapsing-remitting multiple sclerosis (RRMS) remains an underexplored area. Objectives/Aims: This study aims to evaluate the influence of the MIND diet on RRMS by examining neurological, cognitive, and functional magnetic resonance imaging (fMRI) parameters. Methods: Seventeen early-stage RRMS patients (aged 20-40, disease duration < 10 years, Beck Depression Inventory Score < 17) underwent MRI at baseline and following a 9-month adherence to the MIND diet. They were matched with 10 healthy controls. Diet adherence was assessed using the MIND Diet scale score. MRI encompassed structural and resting-state fMRI (RS-fMRI) sequences. Neurological evaluation (Expanded Disability Status Scale [EDSS], Timed 25-Foot Walk [T25W], 9-Hole Peg Test [9HPT]), and cognitive assessments (Mini-Mental State Examination [MMSE], Rey Auditory Verbal Learning Test [AVLT], phonemic and semantic fluency, forward and backward digit span tests [FDST, BDST]) were conducted. Functional connectivity was assessed using seed-based correlation (SBC) and global correlation by general linear model (GLM), focusing on Default Mode Network (DMN), Central Executive Network (CEN), Dorsal Attention Network (DAN), Salience Network (SN), Visual Network (VN), and Sensorimotor Network (SMN). Results: Patients exhibited high adherence to the diet throughout the 9-month period. Significant improvements were observed in dominant hand 9-HPT (p=0.023) and AVLT parameters (p<0.001), except delayed recall (p=0.982), following the intervention. Increased connectivity within the whole brain was noted in the left frontal orbital cortex of the 9th-month group compared to healthy controls (p=0.000005). Moreover, RRMS patients in the 9th-month group displayed enhanced functional connectivity in the bilateral caudate, bilateral pallidum, and right putamen within the DMN compared to baseline (p=0.000034). Conclusion: The findings of this study suggest potential cognitive benefits of the MIND diet, as evidenced by improvements in AVLT scores. Furthermore, the observed alterations in Default Mode Network (DMN) connectivity in RRMS patients following the dietary intervention indicate a promising avenue for further investigation into cognitive deficit management in this population
- ItemHavayolu yolcularının beklenen ve algılanan hizmet kalitesinin SERVQUAL ile ölçülmesi: Türkiye-Rusya karşılaştırması(Kilis 7 Aralık Üniversitesi, 2024-07) Faizov, Firdavs; Boz, Dursun; 331826Amaç: Bu araştırmanın amacı Türkiye (İstanbul Ground Airport- İGA) ve Rusya’da (Şeremetyevo Havaalanı- Moskova) havayolu yolcularının beklenen ve algılanan hizmet kalitesinin SERVQUAL ile ölçümlenerek hizmet kalitesinin belirlenmesi ve karşılaştırılmasıdır. Tasarım/Yöntem: Bu çalışmada tesadüfi olmayan yöntemlerden kolayda örnekleme yöntemi kullanılarak 412 havayolu hizmeti alan yolcu ile anket uygulaması yapılmıştır. Elde edilen veriler SPSS 23.0 programıyla analiz edilmiştir. Bulgular: Elde edilen bulgularla Türk havayolu yolcularının Beklenen Kalite aritmetik ortalaması (x̄=3.92) iken Algılanan Kalite ortalamasının (x̄=3.81) olduğu ve yolcuların havayolu ürün hizmeti algılamalarının düşük kalitede (x̄=-0.10) olduğu belirlenmiştir. Elde edilen bulgularla Rus havayolu yolcularının ise Beklenen Kalite aritmetik ortalaması (x̄=4.31) iken Algılanan Kalite ortalamasının (x̄=3.98) olduğu ve yolcuların havayolu ürün hizmeti algılamalarının düşük kalitede (x̄=-0.32) olduğu saptanmıştır. Sınırlılıklar: Çalışma örneklemini İstanbul ve Moskova’da 412 yolcuyla yapılması, yolcuların anket ifadelerinin uzun ve sıkıcı bulmaları ile bulundukları havaalanının zaman baskısından kaynaklı olumsuzluklar çalışmanın kısıtlarındandır. Özgünlük/Değer: İlgili alanyazında havacılık sektöründe havayolu ürünü alan yolcuların beklenen ve algılanan hizmet kalitesinin Türkiye ve Rusya karşılaştırmasının ilk kez yapılıyor olması araştırmanın özgün değeri olarak değerlendirilebilir.
- ItemHow close are interprofessional debriefers to meet the INACSL standards of debriefing practices? a qualitative study(2023-12) Özata, Kevser; Caz, Büşra; Sarmasoğlu Kılıkçıer, Şenay; 167438Aim: This study aims to determine whether the debriefings performed by different health professions for nearly a decade meet the INACSL standards of best debriefing practices. Methods: In order for learning to occur in simulation, there must be a adequate debriefing session. An adequate debriefing should be based on the criteria described in the standards of best practices published by the International Nursing Association for Clinical Simulation and Learning (INACSL). A high quality, adequate, and effective debriefing must be carried out in accordance with each standard. Results: Most of the debriefers are female. Over half had two years or less experience with simulation, and a quarter had training in simulation or debriefing. The results are presented in five contexts (Competent Debriefer, Environment, Effective Debriefing, Theoretical Framework, and Objectives and Outcomes.), which conform to the four standards covered by the INACSL standards of best practices. Conclusions: Except for the feedback, the debriefings do not meet the INACSL standards of best practices. However, the debriefers are aware of the importance of debriefing and are willing to improve their skills. Most of the debriefers have learned debriefing from observation or the literature. With this study, it was ensured that debriefers gained awareness in terms of INACSL standards. At the same time, this study will also provide awareness about the standards for the literature.
- PublicationImmanuel Kant’s Moral Actions in Sarah Kane’s Blasted(Sivas Cumhuriyet Üniversitesi, 2024-12) Mustafa, Esma; 392828Sarah Kane’s Blasted is a harrowing exploration of violence, trauma, and the fragility of human morality in a world ravaged by brutality. Through the characters of Ian and Cate, Kane examines the collapse of societal structures, the abuse of power, and the enduring question of what it means to act ethically under extreme circumstances. The play’s graphic depictions of abuse and vulnerability force audiences to confront the raw complexities of morality, particularly in the context of suffering and survival. This paper investigates Ian’s transformation in Blasted through the lens of Kant's philosophy of moral actions. According to Kant, the morality of an action is determined not by its outcome but by the intention and adherence to moral duty guiding it. Ian's progression from an unjust aggressor to a helpless dependent raises critical questions about the ethical value of his later actions and whether they signify genuine moral growth. By contrasting Ian's behaviour with Cate's acts of selflessness, this analysis aims to uncover the more profound ethical implications of Kane's work, emphasizing how her play challenges and redefines the boundaries of morality in the face of unimaginable violence.
- ItemLojistik depolarda sipariş toplama ve konumlandırmaya yönelik yenilikçi bir yaklaşım(Sanayi ve Teknoloji Bakanlığı, 2023) Şahinaslan, Önder; Karataş, Ceyhun; Şahinaslan, Ender; 122635Amaç: Uluslararası bir lojistik deponun verimliliğini artırmaya katkı sağlamak için depo dolaşım mesafesini kısaltacak yenilikçi ve etkin bir konumlandırma yönteminin geliştirilmesi amaçlanmıştır. Yöntem: 1.239.545 adet ham depo verisi uzman ekiplerin desteği ile analiz edilmiş ve yorumlanmıştır. Makine öğrenimi algoritmalarının depo konumlarının belirlenmesinde kullanılabilirliği araştırılmıştır. Dolaşım hızı ve anahtar değer hesaplamasına dayalı olarak alternatif bir konumlandırma çözümü geliştirilmiştir. Statik olarak beş farklı bölgeye ayrılan sahada uygulamalı testler yapılmıştır. Önerilen yöntemin etkinliği, bilinen konumlandırma yöntemleriyle karşılaştırılmıştır. Bulgular: Öğrenme algoritmalarının başarı oranları (%54-%64) uzman ekipler tarafından yeterli bulunmamıştır. Geliştirilen çözümde ürünleri doğru yere yerleştirme başarı oranı %90,93 olmuştur. Bir aylık gözlem sonucunda depo giriş çıkış işlemlerinde kat edilen mesafe yaklaşık 880 km kısalmış, depo doluluk oranı %54,07'den %55,68'e yükselmiştir. Elde edilen sonuçlar önerilen yöntemin etkinliğini göstermektedir. Özgünlük: Depo yerleşim yüzdeleri ve dolaşım mesafelerinde önemli kazanımlar elde edilmiştir. Bilinen diğer yöntemlere göre daha etkili ve yenilikçi bir yaklaşım sunmaktadır. Bölge sınırı olmayan dinamik, verimli ve başarılı yapısıyla farklı depolarda uygulanabilir özgünlüktedir. Gerçek depo verilerine ve uzman görüşlerine dayalı olarak oluşturulması literatüre eşsiz bir katkı sağlamaktadır.
- ItemPrognostic value of the leuko-glycemic index in coronary chronic total occlusion patients(Prusa Medikal Yayıncılık, 2023) Peker, Tezcan; Özbek, Mehmet; Boyraz, Bedrettin; Aslan, Selen Filiz; Demir, Muhammed; Aslan, Burhan; 313898Objectives: Inflammation parameters are related to the prevalence and mortality of coronary artery disease (CAD). We aimed to evaluate the prognostic value of the leuko-glycemic index (LGI) and determine mortality in patients with chronic coronary total occlusion (CTO). Methods: A total of 546 patients were evaluated in the study. All-cause death was the primary endpoint. The leuko-glycemic index was calculated from the blood samples at admission and patients were divided into 3 groups according to their LGI levels. Kaplan-Meier survival curves were performed and logistic regression analyses was used for all multivariable analysis. Results: The mean age of the study population was 63.1 ± 11.1 years and 70.3% were male. Median follow-up time 58.2 ± 22.4 months. The mortality rate was 33.6% in the high LGI group and significantly higher compared to the other group. In multivariable analysis, LGI (OR: 1.05, 95% CI: 1,0-1.2; p = 0.02) and age (OR: 1.07, 95% CI: 1.04-1.11; p = 0.001) were found as predictors of all-cause death. Conclusions: The study revealed that high LGI is associated with all-cause death in CTO patients and LGI was a predictor of all-cause death.
- ItemRelationship between maritime transport and economic growth: highest maritime transport european countries(Ordu University, 2025-01) Canbay, Şerif; Kırca, Mustafa; 278780Maritime transport is one of the most widely used transport channels used by countries in foreign trade. The development of maritime transport affects the economic growth levels of countries. In addition, the increase in the level of economic growth of countries increases their share in international foreign trade and this situation increases the importance given by countries to maritime transport day by day. The identification of the effects of maritime transport in countries will provide important information on what countries should do against the shocks they will face in the future. In this context, the study aims to determine whether there is any causality relationship between maritime transport and economic growth variables in Belgium, France, Germany, Italy, Netherlands, Spain, Türkiye, and the United Kingdom, which have the highest maritime transport among European countries. The bootstrap panel causality test was employed to examine the causality relationships between the variables over the time frame of 2008:Q1-2020:Q2. According to the findings, there is a causality relationship from economic growth to maritime transport in all countries except Italy and the Netherlands. There is a causality relationship from maritime transport to economic growth in Türkiye and the United Kingdom. As a result, the relationship between maritime transport and economic growth varies from country to country. This situation reveals the necessity of developing national policies for maritime transport by considering the economic structures of the countries. These findings suggest that countries need more efficient and sustainable maritime transport policies.
- ItemSağlık çalışanları etik kodlar ölçeği: bir ölçek geliştirme çalışması(İstanbul Gelişim Üniversitesi, 2024-07) Tamer, Gülay; Ünsal Jafarov, Gülşah; Boz, Dursun; Tetik, Gözde; Oktay, Semanur; 331826Amaç: Bu çalışmanın amacı, sağlık çalışanlarının karşılaştıkları etik sorunlara odaklanmalarına yardımcı olan beklentileri ve temel ilkeleri açıklamak için bir ölçme aracı geliştirmektir. Yöntem: Sağlık Çalışanları Etik Kodlar Ölçeği’nin (SÇEKÖ) geliştirilmesinde, ilgili alanyazın taranmış, çalışmalar irdelenerek ölçek maddeleri oluşturulmuş ve sonrasında uzman görüşleri alınmıştır. Uzman görüşleri doğrultusunda yapılan düzenlemeler ve 442 sağlık çalışanı ile yapılan 3 ayrı pilot çalışma sonrasında 29 madde ve 5 alt faktörden oluşan SÇEKÖ’nin geçerlik ve güvenirlik çalışması yapılmıştır. Elde edilen veriler SPSS 23 ve AMOS 18 paket programı ile analiz edilmiştir. Bulgular: Sağlık çalışanları etik kodlar ölçeği ifadelerinin yük değerleri 0,972 ila 0,501 arasında değişmektedir. Ölçekte bulunan 5 faktörlü yapıyla toplam varyansın %76,724 olduğu belirlenmiştir. Ölçeğe ait Cronbach’s Alpha katsayısı 0,902 sonucu ile çok iyi olduğu belirlenmiştir. Ölçekteki faktörlerin isimleri; hasta hakları ve mahremiyet (10 ifadeli), mesleki özen (9 ifadeli), dayanışma (3 ifadeli), etik ikilem (3 ifadeli), adalet ve eşitlik (4 ifadeli) olarak çalışma ekibi tarafından isimlendirilmiştir. Sonuç: Geliştirilen SÇEKÖ’nin sağlık çalışanlarının etik sorunlara odaklanmalarına yardımcı olan beklenti ve temel ilkeleri ölçme noktasında güvenilir bir araç olarak kullanılabileceğine karar verilmiştir.
- ItemShort-term prognostic value of the culprit-SYNTAX score in patients with acute myocardial infarction(MDPI, 2023) Peker, Tezcan; Boyraz, Bedrettin; 313898Background: The SYNergy between Percutaneous Coronary Intervention with TAXus and Cardiac Surgery (SYNTAX) score is a scoring system that helps to decide on surgery or percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (MI), and studies are showing the prognostic value of this scoring system in both MI and coronary artery disease patients undergoing PCI. In acute coronary syndrome (ACS) patients, the infarct-related artery and the complexity of the lesions are also important in terms of mortality and morbidity. Our study aimed to determine the prognostic value of the culprit vessel’s SYNTAX score (cul-SS) in patients presenting with MI. Methods: In our study, 1284 patients presenting with MI were analyzed retrospectively. The SYNTAX scores and cul-SS of the patients were calculated. In-hospital and 30-day deaths and major complications were accepted as primary outcomes. The SYNTAX scores and cul-SS were compared in terms of predicting primary outcomes. Conclusions: Major complications were observed in 36 (2.8%) patients, death in 42 (3.3%) patients, and stent thrombosis in 24 (1.9%) patients. The area under the curves for SYNTAX and cul-SS for predicting primary outcomes is 0.64 and 0.68 (p = 0.026), respectively. Cul-SS was as successful as the SYNTAX score in predicting stent thrombosis and was superior in predicting short-term death and major complications.
- ItemThe End of The World: Unveiling Dystopian Apocalypse in Caryl Churchill’s Far Away(RumeliYA Yayıncılık, 2025) Özçelik, Kaya; 351393; Tekin, FatmaIn today’s fast-changing world, it is clear that humanity is inclined more to the-end-of-world than ever, which can well be evidenced by the portrait of political and socio-cultural developments that directly impact the future of humankind. In this context, global trends towards autocracy or totalitarianism can well be observed through various conflicts and strategies in contemporary world politics, as is witnessed in the current Israeli-Palestinian conflict and the Russian-Ukrainian war. In the world of fiction, these are all interpreted within the boundaries of dystopian and (post-)apocalyptic genres, each of which developed as a sub-genre of science fiction. While the deterioration of the once politically and socially peaceful world is analysed within the realm of dystopian fiction, the world plunged into apocalypse through several specific cataclysms, especially by man-made causes, are analysed within the boundaries of (post-)apocalyptic fiction in the world of literature. Thus, the intersection of dystopian and apocalyptic narratives has long served as a clear lens through which societies have examined their deepest anxieties - whether they stem from authoritarian rule, environmental collapse, or the erosion of truth and morality, which bring humankind closer to an inescapable end day by day. In contemporary literature and drama, these themes have gained an urgency to mirror a world grappling with political extremism, technological upheaval, endless wars, and so on that pave the way for nothing other than cataclysmic events, such as mind-controlling, nuclear holocaust, ecological crises out of many. Among playwrights who challenge traditional storytelling and expose systemic dysfunction, Caryl Churchill keeps her own as one of the foremost literary figures with her unique radical voice and daring who merges dystopian and (post-)apocalyptic elements to disclose starkly the contemporary portrait of the world by blurring the boundaries between realism and absurdity to leave her audiences/readers all alone to solve the knot. It is just at this point that Far Away gains more prominence in the world of literature/drama with its minimalist illustration of the knot tightened by an ongoing dystopian society as a precursor to an immanent and imminent apocalypse.
- ItemThe mediating role of emotion lability and emotion regulation in the relationship between social-emotional adaptation with behavior regulation and social skills among preschool children(Muhammed Yıldız, 2023-12) Sezgin, Esin; Bilge, Yıldız; Çelik, Burçin; Sevuk, Esma Nur; 230880Self-regulation is defined as an individual's ability to control and regulate their own behavior; this skill, forming the foundation of social adjustment, influences one's ability to interact with their environment and manage relationships. Emotion regulation, on the other hand, involves the ability to manage emotional responses and is believed to establish a critical connection between social adjustment and self-regulation. In this study, the aim is to determine the mediating role of emotion regulation in the relationship between behavioral regulation, social skills, and social-emotional adjustment skills using two different models.The study included a total of 216 children aged 5 and 6. Data were collected using the Socio-Demographic Information Form, Emotion Regulation Scale (ERS), Child Behavior Rating Scale (CBRS), and Marmara Social-Emotional Adaptation Scale (MSEAS). When socio-demographic variables were evaluated in terms of social competence and social-emotional adjustment scores according to gender, significant differences were found in favor of girls. Significant differences were also found in favor of children with working mothers when evaluated based on the mother's employment status. There were moderate significant correlations found between emotion regulation, child behavior assessment, and social-emotional adjustment. According to the mediation analyses, there was a partial mediating effect of emotion variability/negativity and emotion regulation in the relationship between behavior regulation and social-emotional adjustment. Similarly, there was a partial mediating effect of emotion variability/negativity and emotion regulation in the relationship between social competence and social-emotional adjustment. It is thought that the finding that children's emotion regulation and emotion variability/negativity mediate the relationship between social-emotional adjustment, social competence, and behavior regulation will contribute to the literature.
- ItemThe predictive role of eating disorders and physical activity in findrisc diabetes risk: the sample of nutrition and dietetics students(Pontificia Universidade Catolica Campinas, 2024-06) Hamurcu, Pınar; Batar, Nazlı; 256218Objective The aim of this study was to investigate the effect of eating disorder risk and physical activity level on diabetes risk in students enrolled in the Department of Nutrition and Dietetics. Methods This cross-sectional descriptive study was conducted with 313 students enrolled in the Department of Nutrition and Dietetics at a private foundation university during the academic year of 2021-2022. Data was collected through face-to-face interviews using the Information Form, International Physical Activity Questionnaire, SCOFF Eating Disorders Scale, and Finnish Type-2 Diabetes Risk Questionnaire. The data was analyzed using IBM®SPSS® v.26 statistical software. Results Among the Nutrition and Dietetics students, 91.1% were female, mean age was 21.42±3.62 years, and mean body mass ındex was 21.72±3.25 kg/m2. According to International Physical Activity Questionnaire assessment, 8.9% of the students were categorized as inactive. The SCOFF Eating Disorders Scale assessment revealed that 25.6% of the students were at risk of developing an eating disorder. The Finnish Type-2 Diabetes Risk Questionnaire assessment indicated that 90.7% of the students had a low to slight risk of diabetes. The results of the correlation analysis showed that as International Physical Activity Questionnaire scores increased, Finnish Type-2 Diabetes Risk Questionnaire scores decreased by 16.8% (p=0.003), and as SCOFF Eating Disorders Scale scores increased, Finnish Type-2 Diabetes Risk Questionnaire scores also increased by 28% (p<0.001). The results of the multiple regression analysis showed that International Physical Activity Questionnaire significantly predicted Finnish Type-2 Diabetes Risk Questionnaire score, accounting for 3.8% of the variance, while SCOFF Eating Disorders Scale predicted Finnish Type-2 Diabetes Risk Questionnaire score, accounting for 8% of the variance (p<0.001). Conclusion The findings of this study suggest that physical activity level and susceptibility to eating disorders have a significant effect on the development of diabetes mellitus.
- ItemThe Relationship between Resistant Hypertension and Advanced Glycation End-Product Levels Measured Using the Skin Autofluorescence Method: A Case–Control Study(MDPI, 2023-10) Peker, Tezcan; Boyraz, Bedrettin; 313898Resistant hypertension is hypertension that cannot be controlled despite the use of three antihypertensive drugs, one of which is a diuretic. Resistant hypertension often coexists with advanced age, obesity, smoking, and diabetes. Advanced glycation end products (AGEs) are substances that are generated as a result of the glycation of proteins, lipids, and nucleic acids due to conditions such as hyperlipidemia, oxidative stress, and hyperglycemia. There are studies showing the relationships between AGE levels and aortic stiffness, hypertension, and microvascular and macrovascular complications in diabetes. In our study, we examined the relationship between resistant hypertension and AGE levels. Our study was planned as a case–control study, and 88 patients with resistant hypertension were included in the focus group, while 88 patients with controlled hypertension were included in the control group. The AGE levels of the patients were measured using the skin autofluorescence method. AGE levels were found to be significantly higher in patients with resistant hypertension than those recorded in the control group. A significant increase in AGE levels was also observed in patients with resistant hypertension and without diabetes compared with the control group. The levels of AGEs, which can be measured cheaply, noninvasively, and quickly with the skin autofluorescence method, may provide benefits in identifying these patients with resistant hypertension.
- ItemThe role of advanced glycation end-product levels measured by skin autofluorescence in the development of mitral annular calcification(MDPI, 2023) Boyraz, Bedrettin; Peker, Tezcan; 313898As a person ages, mitral annular calcification develops in the mitral annulus with increasing frequency. Lipid deposition, inflammation, and aging-related degeneration have been cited as potential causes of this pathophysiology, though there is currently no conclusive evidence to support this. AGEs accumulate in tissues due to the glycation of proteins and lipids, increasing the release of proinflammatory cytokines secondary to oxidative stress through the AGE receptor. The AGE levels increase in diabetic microvascular complications and degenerative aortic valve disease. Our study was planned prospectively as a case–control study involving 94 MAC-positive patients and 94 MAC-negative patients. The demographics, echocardiographic data and AGE levels of the patients were measured and recorded using the skin autofluorescence method. AGE levels were significantly higher in the MAC-positive patient group (3.2 vs. 2.7; p < 0.001). The AGE levels were observed as an independent predictor of MAC development in a regression analysis (OR: 8.05, 95% CI: 3.74–17.33, p < 0.001). In a ROC-curve analysis, the AUC was 0.79 (95% CI: 0.72–0.85). At a cut-off value of 2.7, 79.7% sensitivity and 69.1% specificity were observed. AGE levels can be used to cheaply, easily and non-invasively identify patients at risk of developing MAC.
