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Article Citation - WoS: 53Citation - Scopus: 56Adsorption and inhibition effect of 2,4-diamino-6-hydroxypyrimidine for mild steel corrosion in HCl medium: experimental and theoretical investigation(SPRINGER HEIDELBERG, 2019) Yildiz, Resit; Yıldız, Reşit; Department of Nutrition and Dietetics/ Beslenme ve Diyetetik Bölümü2,4-Diamino-6-hydroxypyrimidine (2D6H) was examined as corrosion inhibitor of mild steel (MS) in 0.1M HCl using potentiodynamic measurements, linear polarization resistance (LPR), scanning electron microscopy, electrochemical experiments, and quantum chemical calculations. All measurements show that the corrosion inhibition effectiveness is forthright compared to the concentration of 2D6H ranging from 0.5 to 10.0mM. Adsorption of 2D6H on the MS surface in the presence of HCl is determined to obey Langmuir adsorption isotherm. The electronic features elucidated by quantum chemical calculations were associated with the experimental inhibition productivities. The mechanism of inhibition was revealed by E-pzc measurements.Article Citation - WoS: 22Citation - Scopus: 22Aflatoxin M1 in Human Breast Milk in Southeastern Turkey(Springer Verlag, 2017) Gürbüz, Semra; Gürbüz, S.; Ayağ, E.; Department of Gastronomy and Culinary Arts / Gastronomi ve Mutfak Sanatları BölümüThis study was performed to determine aflatoxin M1 (AFM1) in human breast milk samples collected in Şanlıurfa, located in Southeastern region of Turkey, and to investigate a possible correlation between AFM1 occurrence (frequency and levels) and sampling seasons. Human breast milk samples collected in December 2014 and in June 2015 from a total of 74 nursing women, both outpatient and inpatient volunteers in hospitals located in Şanlıurfa, Turkey, were analyzed using competitive enzyme-linked immunosorbent assay (ELISA) for the presence of AFM1. AFM1 was detected in 66 (89.2%) out of 74 samples at an average concentration of 19.0 ± 13.0 ng/l (min.-max., 9.6–80 ng/l). There was a statistically significant difference between December and June concerning AFM1 levels (p < 0.05). Further detailed studies will be needed to determine the main sources of aflatoxins in food, to establish protection strategies against maternal and infant exposure to these mycotoxins. © 2016, Society for Mycotoxin Research and Springer-Verlag Berlin Heidelberg.Article Citation - WoS: 2Aging and cardiac implantable electronic device complications: is the procedure safe in older patients?(ELSEVIER, 2023) Günlü, Serhat; Aktan, Adem; Kılıç, Raif; Günlü, Serhat; Arslan, Bayram; Arpa, Abdulkadir; Güzel, Hamdullah; Tatlı, İsmail; Aydın, Saadet; Suzan, Veysel; Demir, Muhammed; Department of Internal Medical Sciences / Dahili Tıp Bilimleri BölümüBackground In this study, we investigated whether there is a higher incidence of cardiac implantable electronic devices (CIED) procedures related complications in older (≥75 years) than in younger (<75 years) patients. Methods This retrospective cohort study enrolled patients who had undergone CIED procedures (de novo implantation, system upgrade, generator substitution, pocket revision or lead replacement) at two heart centers in Turkey between January 2011 and May 2023. The primary composite endpoint included clinically signifcant hematoma (CSH), pericardial efusion or tamponade, pneumothorax, and infection related to the device system. Secondary outcomes included each component of the composite end point. Results The overall sample included 1923 patients (1419<75 years and 504 aged≥75 years). There was no diference between the groups in terms of cumulative events defned as primary outcome (3.5% vs. 4.4%, p=0.393). Infection related to device system was signifcantly higher in the≥75 age group (1.8% vs. 3.4%, p=0.034). There was no signifcant diference between the groups in terms of clinically signifcant hematoma and pneumothorax (0.7% vs. 0.4%, p=0.451, 1.4% vs. 1.0%, p=0.477, respectively). In multivariate model analysis, no association was found between age≥75 years and infection related to the device system. Conclusion Infection rates were relatively higher in the patient group aged≥75 years. This patient group should be evaluated more carefully in terms of infection development before and after the procedure.Article Citation - WoS: 26Citation - Scopus: 32An analysis of age-standardized suicide rates in Muslim-majority countries in 2000-2019(BMC Public Health, 2022) Zeyrek Rıos, Emek Yüce; Bob Lew; Lester, David; Kõlves, Kairi; Yip, Paul S. F.; Ibrahim, Norhayati; Department of Psychology / Psikoloji BölümüBackground: This study examines the 20-year trend of suicide in 46 Muslim-majority countries throughout the world and compares their suicide rates and trends with the global average. Ecological-level associations between the proportion of the Muslim population, the age-standardized suicide rates, male-to-female suicide rate ratio, and the Human Development Index (HDI) in 2019 were examined. Methods: Age-standardized suicide rates were extracted from the WHO Global Health Estimates database for the period between 2000 and 2019. The rates in each country were compared with the age-standardized global average during the past 20 years. The countries were further grouped according to their regions/sub-regions to calculate the regional and sub-regional weighted age-standardized suicide rates involving Muslim-majority countries. Correlation analyses were conducted between the proportion of Muslims, age-standardized suicide rate, male: female suicide rate ratio, and the HDI in all countries. Joinpoint regression was used to analyze the age-standardized suicide rates in 2000-2019. Results: The 46 countries retained for analysis included an estimated 1.39 billion Muslims from a total worldwide Muslim population of 1.57 billion. Of these countries, eleven (23.9%) had an age-standardized suicide rate above the global average in 2019. In terms of regional/sub-regional suicide rates, Muslim-majority countries in the Sub-Saharan region recorded the highest weighted average age-standardized suicide rate of 10.02/100,000 population, and Southeastern Asia recorded the lowest rate (2.58/100,000 population). There were significant correlations between the Muslim population proportion and male-to-female rate ratios (r=-0.324, p=0.028), HDI index and age-standardized suicide rates (r=-0.506, p<0.001), and HDI index and male-to-female rate ratios (r=0.503, p<0.001) in 2019. Joinpoint analysis revealed that seven Muslim-majority countries (15.2%) recorded an increase in the average annual percentage change regarding age-standardized suicide rates during 2000-2019. Conclusions: Most Muslim-majority countries had lower age-standardized suicide rates than the global average, which might reflect religious belief and practice or due to Muslim laws in their judicial and social structure which may lead to underreporting. This finding needs further in-depth country and region-specific study with regard to its implication for public policy.Article Citation - WoS: 4Citation - Scopus: 7Animals and pastoral groups in the mountainous Ömerli district of Southeast Anatolia(Taylor and Francis Ltd., 2020) Sıddıq, Abu Bakar; Şanlı, Süleyman; Department of Anthropology / Antropoloji BölümüSoutheast Anatolia has been an ideal place for pastoralism since the Neolithic period. However, there is a lack of information on human–animal relationships from both archaeological settlements and contemporary societies in the region. Through ethnographic fieldwork and exploratory case studies in the mountainous Ömerli district, we explored the dependency and complex relationships between pastoral groups and various animal species in Southeast Anatolia. The case studies revealed affectionate and emotional bonds between shepherds and some individuals of domestic herds, similar to pet–human relationships in urban societies. Shepherds gave human names to certain animals; sometimes these were the names of their close friends or the names of their own children. Grief and prolonged grief was also common among Ömerli shepherds following the loss, death, or sale of these emotionally bonded animals. It was further observed that a single species (domestic or wild) often had complex and multi-purpose relationships with shepherd groups. While tortoises and hares, for instance, were used as sources of meat, the bone, blood, intestine, skin, and shell of these species were often used in traditional medicine. Although pastoral groups are completely dependent on domestic herds for their basic subsistence, Ömerli shepherds were observed to be regular hunters. It appears that the economic benefits were not the only promoters for pastoral subsistence in the study area; compassion and emotional affection for particular animals also reinforced enthusiasm for the practice. Therefore, it can be argued that the data obtained from pastoral villages in the mountainous Ömerli district help us understand interactions and relationships between humans and nonhuman animals in pastoral societies of Southeast Anatolia.Article Citation - WoS: 4Citation - Scopus: 5Bodily boundaries transgressed: corporal alteration through ornamentation in the Pre-Pottery Neolithic at Boncuklu Tarla, Türkiye(Cambridge Univ Press, 2024) Kodaş, Ergül; Baysal, Emma L.; Ozkan, Kazim; Department of Archaeology / Arkeoloji BölümüLack of contextual evidence for the use of small personal ornaments means that much of our understanding of ornamentation traditions within archaeological cultures is reconstructed from ethnographic comparisons. New in situ finds from the areas around the ears and mouth in burials at Boncuklu Tarla, a Neolithic settlement in Turkiye, add a novel dimension to the interpretation of stone 'tokens' or 'plugs'. This article presents a new typology for these artefacts and argues for their use as ear ornaments or labrets in a practice involving significant and lasting corporal alteration.Article Citation - WoS: 0Citation - Scopus: 1Bronchiectasis in Türkiye: Data from a Multicenter Registry (Turkish Adult Bronchiectasis Database)(Galenos Publ House, 2024) Kabak, Mehmet; Cilli, Aykut; Kızılırmak, Deniz; Coşkun, Ayşın Şakar; Güler, Nurcan; Çiçek, Sedat; Researchers, Tebveb; Department of Internal Medical Sciences / Dahili Tıp Bilimleri BölümüBackground: Bronchiectasis is a chronic lung disease characterized by permanent bronchial wall dilatation. Although it has been known as an orphan disease, it has recently gained attention because of registry-based studies and drug research. Aims: We aimed to use a multicenter database to analyze and compare data regarding the etiology, associated comorbidities, microbiological characteristics, and preventive strategies of bronchiectasis in Türkiye to those of other countries. Study Design: A multicenter prospective cohort study. Methods: The multicenter, prospective cohort study was conducted between March 2019 and January 2022 using the Turkish Adult Bronchiectasis Database, in which 25 centers in Türkiye participated. Patients aged > 18 years who presented with respiratory symptoms such as cough, sputum, and dyspnea and were diagnosed with non-cystic fibrosis bronchiectasis using computed tomography were included in the study. Demographic information, etiologies, comorbidities, pulmonary functions, and microbiological, radiological, and clinical data were collected from the patients. Results: Of the 1,035 study participants, 518 (50%) were females. The mean age of the patients was 56.1 ± 16.1 years. The underlying etiology was detected in 565 (54.6%) patients. While postinfectious origin was the most common cause of bronchiectasis (39.5%), tuberculosis was identified in 11.3% of the patients. An additional comorbidity was detected in 688 (66.5%) patients. The most common comorbidity was cardiovascular disease, and chronic obstructive pulmonary disease (COPD) and bronchiectasis was identified in 19.5% of the patients. The most commonly detected microbiological agent was Pseudomonas aeruginosa (29.4%). Inhaled corticosteroids (ICS) were used in 70.1% of the patients, and the frequency of exacerbations in the last year was significantly higher in patients using ICS than in nonusers (p < 0.0001). Age [odds ratio (OR): 1.028; 95% confidence interval (CI): 1.005-1.051], cachexia (OR: 4.774; 95% CI: 2,054-11,097), high modified medical research council dyspnea scale score (OR: 1,952; 95% CI: 1,459-2,611), presence of chronic renal failure (OR: 4,172; 95% CI: 1,249-13,938) and use of inhaled steroids (OR: 2,587; 95% CI: 1,098-6,098) were significant risk factors for mortality. Mortality rates were higher in patients with COPD than in those with no COPD (21.7-9.1%, p = 0.016). Patients with bronchiectasis and COPD exhibited more frequent exacerbations, exacerbation-related hospitalizations, and hospitalization in the intensive care unit in the previous year than patients without COPD. Conclusion: This is the first multicenter study of bronchiectasis in Türkiye. The study results will provide important data that can guide the development of health policies in Türkiye on issues such as infection control, vaccination, and the unnecessary use of antibiotics and steroids.Article Citation - WoS: 3Citation - Scopus: 3Chronic Maternal Tobacco Smoke Exposure and/or Alpha-Lipoic Acid Treatment Causes Long-Term Deterioration of Testis and Sexual Behavior in Adult Male Rats(Elsevier, 2020) Erdem Güzel, Elif; Ramazan Fazil Akkoc, Ahmet Tektemur, Nazife Ulker, Nalan Kaya Tektemur, Elif Erdem Güzel, Sinan Canpolat, Ibrahim Enver Ozan; Department of Midwifery/ Ebelik BölümüBackground: Tobacco use during pregnancy is known to have several negative effects on the offspring's reproductive health in the long term. The use of alpha-lipoic acid (ALA) as a dietary supplement during pregnancy has increased greatly in recent years and has been known to have positive effects on various pregnancy outcomes including miscarriage, diabetic embryopathy, preterm delivery, and congenital malformations. Aim: To evaluate the effects of tobacco smoke exposure (TSE) on sexual behavior, reproductive parameters, and testicles in adult male rats and to reveal the possible role of ALA administration on these parameters. Methods: Pregnant rats (n = 7 per group) were treated with tobacco smoke (TS), ALA (20 mg/kg), and TS + ALA for a total of 11 weeks. The following parameters were compared with 8 control rats: puberty parameters, sexual behavior; levels of serum gonadotropins and testosterone, total antioxidant status, and total oxidant status; the expression of the apoptotic protease-activating factor-1 and caspase 9 mRNA levels in the testis; and assessment of immunohistochemistry and terminal deoxynucleotidyl transferase dUTP nick end labeling assay of testis. Main Outcome Measure: Sexual behavior, changes in puberty parameters, and hormonal and genetic alterations were the outcomes analyzed in this study. Results: Maternal TSE caused a significant decrease in the number of intromissions compared to the control group. Similarly, ALA decreased erectile function in sexual behavior by decreasing the number of intromissions and intromission ratio in the ALA group compared to the control group. In addition, TSE and ALA treatment caused an impairment of some consummatory sexual behaviors. Also, in parallel with this inhibitory effect, the age of pubertal onset was significantly delayed in the TS + ALA group compared to other groups. Also, histopathological changes in testicular tissue, oxidative stress markers, apoptotic index, and mRNA levels of apoptosis-related genes increased in all treatment groups. Clinical Implications: The use of ALA and/or tobacco products during pregnancy may adversely affect the reproductive health of male newborns in the long term. Strengths & Limitations: To the best of our knowledge, this study is the first to show the effects of maternal ALA treatment and/or TSE on the sexual behavior and reproductive parameters in male rats; however, the study is based on an animal model, and the present findings partially reflect the characteristics of human sexual behavior. Conclusion: Maternal TSE and/or ALA treatment may impair sexual behavior in adulthood in male rats because of testicular damage caused by oxidative stress during gonadal development. Yardimci A, Akkoc RF, Tektemur A, et al. Chronic Maternal Tobacco Smoke Exposure and/or Alpha-Lipoic Acid Treatment Causes Long-Term Deterioration of Testis and Sexual Behavior in Adult Male Rats. J Sex Med 2020;17:1835–1847.Article Citation - WoS: 3Citation - Scopus: 3Comparison of growth factor levels in injectable platelet-rich fibrin obtained from healthy individuals and patients with chronic periodontitis: a pilot study(Bmc, 2024) Karci, Bilge; Savaş, Hasan Basri; Savas, Hasan Basri; Department of Basic Medical Sciences / Temel Tıp Bilimleri BölümüBackground This study aimed to assess and compare the concentrations of growth factors, white blood cells (WBCs), and platelets in injectable platelet-rich fibrin (i-PRF) derived from people with healthy periodontal conditions and those with chronic periodontitis.Methods Venous blood samples were obtained from 30 patients diagnosed with chronic periodontitis (test group) and 30 participants with healthy periodontal conditions (control group). The i-PRF was then acquired from centrifuged blood. The growth factors (VEGF, IGF-1, TGF-beta 1, PDGF-BB and EGF) released from the i-PRF samples were compared between groups with ELISA testing. The amounts of WBCs and platelets were also compared.Results No significant differences in the concentrations of growth factors were found between the groups (the mean values for the control and test groups were, respectively: IGF: 38.82, 42.46; PDGF: 414.25, 466.28; VEGF: 375.69, 412.18; TGF-beta 1: 21.50, 26.21; EGF: 138.62, 154.82). The test group exhibited a significantly higher WBC count than the control group (8.80 vs. 6.60, respectively). However, the platelet count did not show a statistically significant difference between the groups (control group 242.0 vs. test group 262.50). No significant correlation was observed between WBC count and growth factor level in either group.Conclusions The growth factor levels in i-PRFs did not exhibit significant difference between the two groups. This suggests that the levels of these growth factors may be unaffected by the periodontal disease.Article Citation - WoS: 14Citation - Scopus: 16Comparison of the Breastfeeding Practices of Refugee Syrian Mothers and Native Turkish Mothers(Mary Ann Liebert, inc, 2020) Deger, Vasfiye Bayram; Çifçi, Sema; Ertem, Meliksah; Bayram Değer, Vasfiye; Department of Nursing / Hemşirelik BölümüBackground: The World Health Organization recommends that babies be breastfed within the first hour of delivery and that they should exclusively be given breast milk in the first 6 months. The aim of this study was to ascertain the breastfeeding behaviors of refugee Syrian women and to compare their practices with those of the native mothers of the local community. Materials and Methods: This study is a cross-sectional study. The study was conducted in a Southern city in Turkey. The questionnaire was filled by face-to-face interviews. A total of 381 refugee Syrian mothers were compared with 381 native women living in the same community. Results: A significant difference was found between the two groups regarding breastfeeding. The rate of those who initiated breastfeeding within 1 hour after delivery was 61.4% for the Syrians and 71.1% for the Turkish mothers. In addition, the rates of exclusive breastfeeding (28.1 versus 34.1) and continuing breastfeeding for 12 months (55.0 versus 63.8) were lower in the Syrian refugee mothers. Maternal age and educational level were not correlated to the breastfeeding rates. Conclusions: This study is a rare study in which refugee mothers and local mothers were compared. Forced migration and refugee status are negatively associated with breastfeeding behavior.Article Citation - WoS: 0Citation - Scopus: 2Correction: An analysis of age-standardized suicide rates in Muslim-majority countries in 2000-2019(BMC Public Health, 2022) Zeyrek Rıos, Emek Yüce; Lew, Bob; Lester, David; Department of Psychology / Psikoloji Bölümü; Ibrahim, NorhayatiTe original publication of this article [1] contained an error in the discussion section. Te incorrect and correct information is shown below.Book Review Citation - WoS: 0Debating the Saints' Cult in the Age of Gregory the Great(OXFORD UNIV PRESS, 2014) Krausmüller, Dırk; Department of History / Tarih BölümüThe topic of this book is a debate about the supernatural powers of saints and about the afterlife that took place during the late sixth and early seventh centuries. Chapters One and Two are devoted to Books II and IV of Gregory the Great’s Dialogi. In the former of these books Gregory explains how the miracles and prophecies of saints come about, and in the latter he deals with the afterlife and the efficacy of masses for the dead.Article Citation - WoS: 8Citation - Scopus: 8Delayed educational services during Covid-19 and their relationships with the mental health of individuals with disabilities(Wiley Online Library, 2021) Sakız, Halis; Department of Educational Sciences / Eğitim Bilimleri BölümüDuring the coronavirus disease 2019 (Covid-19) pandemic, individuals with disabilities (IWD), like many others, have not been able to benefit effectively from educational and school-based mental health services, which are vital to achieving mental good health. This study aimed to collect views of IWD about how their mental health was affected by the school closure during Covid-19. Thirty-one IWD were interviewed and data were analyzed thematically. Findings indicated that the educational delay, combined with the pressure of the preventive measures against Covid-19 was associated with (i) difficulties in emotional well-being, structured routines, learning, and socialization, (ii) enhanced feelings of isolation and pain, and (iii) negative perceptions of academic-self-efficacy and therapy-related outcomes. The findings of the study highlight the importance of urgent short-term and long-term measures to provide safe and individually oriented educational services to compensate for the consequences of the pandemic.Article Citation - WoS: 1Citation - Scopus: 1Determinants of the economic adaptation of refugees: the case of Midyat Camp(2021) Aljasem, Abdulnaser; Abedtalas, Musallam; Lokman Toprak, Wissam Aldien Aloklah, Abdulhamid Alawak, Şehmus Aykol; Toprak, Lokman; Abedtalas, Musallam; Al Jasem, Abdulnaser; Department of Gastronomy and Culinary Arts / Gastronomi ve Mutfak Sanatları Bölümü; Department of Management / İşletme BölümüIn the context of the bottom-up approach to development and poverty reduction, this is the first study to use the Sustainable Livelihood Approach (SLA), with a slight adjustment, to study the economic adaptation of refugees within camps. The object- ive of this study was to explore the factors affecting the economic adaptation of refugees in Midyat Refugee Camp in Turkey. The study used a focus group to help design the questionnaire that was subsequently used to collect data from a sample of 393 households in Midyat Camp. The data was used to estimate a Structural Equations Model. The findings indicated that the most important factors in deter- mining refugees’ economic adaptation are human capital, social capital and institutions.Article Citation - WoS: 4Citation - Scopus: 5Diagnostic Performance of Erythropoietin and Erythropoietin Receptors Levels in Children with Attention Deficit Hyperactivity Disorder(Clinical Psychopharmacology and Neuroscience, 2021) Unsal, Velid; Ergul Belge Kurutas, Erkan Oner, Velid Unsal, Hatice Altun, Ali Erdinc Yalin, Serap Yalin, Ozlem Bozkus, Nilfer Sahin; Department of Nutrition and Dietetics/ Beslenme ve Diyetetik BölümüObjective: Attention deficit hyperactivity disorder (ADHD) is a heterogeneous, highly heritable, a common childhood neurobehavioural disorder resulting from complex gene-gene and gene-environment interactions. The erythropoietin (Epo)/erythropoietin receptors (EpoR) system turned out to have additional important functions in nonhematopoietic tissue. In this study, we aimed to investigate the levels of Epo and and EpoR, and also their diagnostic values in children with ADHD. Methods: A total of 70 children were included in the study, 35 drug-naive patients with ADHD (age: 6−12 years; male/female: 20/15) and 35 healthy controls (age: 6−12 years; male/female: 22/13). Serum Epo and EpoR levels was determined using a commercial sandwich enzyme-linked immunosorbent assay kit. Results: The results indicated that the levels of Epo decreased in patients with ADHD compared to control (p < 0.05). On the other hand, EpoR levels increased in these patients (p < 0.05). Furthermore, the ratio of Epo/EpoR was significantly lower in ADHD patients than controls (p < 0.05). Receiver operator characteristic curve analysis showed high diagnostic performance for Epo and EpoR, areas under curve were 0.980 and 1.000, respectively. Conclusion: This is the first report to investigate the association between serum Epo and EpoR levels in ADHD patients. Our results indicated that Epo may play a role in the etiology of ADHD, and Epo therapy may be beneficial in these disorders if given in addition to the routine treatment of children with ADHD. Furthermore, our results reveal possible diagnostic value of Epo and EpoR.Article Citation - WoS: 6Citation - Scopus: 7Dimensions of (post-)viral tourism revival: actions and strategies from the perspectives of policymakers in Portugal(Taylor & Francis Online, 2021) Seyitoğlu, Faruk; Costa, Carlos; Malta, Ana Maria; Department of Tourism Guidance / Turizm Rehberliği BölümüThis research explores the dimensions of (post-)viral tourism revival from the perspectives of policymakers in Portugal. Accordingly, the data were collected through semi-structured interviews with policymakers representing Portugal’s regional and national level tourism organisations. The findings include six main themes: financial actions, structural and logical strategies, demand-related strategies, workforce aspects and actions, marketing and promoting strategies, and optimization of funds. By providing the necessary actions and strategies, the present study results will be helpful for destinations to develop effective crisis management planning in the (post-)viral tourism to revive. Additionally, this paper is the first to reveal in detail the dimensions of (post-)viral tourism revival from the perspectives of policymakers who are in significant positions of regional and national level tourism organizations. Thence, the findings are original and will contribute to the tourism literature.Article Citation - WoS: 1Citation - Scopus: 1Discrimination Based on Sexual Orientation “Homophobia in Healthcare Employees”: a Cross-Sectional Study(Springer, 2025) Değer, V.B.; Bayram Değer, Vasfiye; Kaçan, H.; Department of Nursing / Hemşirelik BölümüIntroduction: The study was conducted to examine the attitudes of healthcare employees toward homosexuals and the factors affecting them, while homophobic thoughts and behaviors are based on heteronormative cultural beliefs and gender stereotypes. Methods: This study was planned as a cross-sectional and completed with 720 healthcare employees. The Demographic Information Form and Hudson and Ricketts Homophobia Scale were used in the study. Data were collected between January 06 and January 10, 2022. Results: The mean homophobia total score of the employees was determined as 97,503 ± 25,807. Homophobia levels of male healthcare employees, those who thought homosexuality is a disease, and those who stated that homosexuality can be caused by taking an example had increasing homophobia levels. The level of homophobia decreases in the presence of homosexual friends, those who can talk freely about homosexuality, and healthcare employees who support same-sex marriage. Conclusions: Recognition of individuals with different sexual orientations by healthcare employees will reduce homophobic attitudes toward these individuals. Examining the level of homophobia in healthcare institutions and ensuring that discriminatory attitudes or behaviors toward individuals from different sexual orientations are determined to be effective on the quality of healthcare and access to healthcare services. Policy Implications: There is a healthcare system in which patients are generally assumed to be heterosexual; [healthcare employees are not prepared to work with Lesbian, Gay, Bisexual, and Transsexual patients in general. Studies conducted on this subject indicate that more studies are needed on the subject to implement a healthcare policy focusing on sexual diversity in healthcare services and to discuss healthcare practices for the Lesbian, Gay, Bisexual, and Transsexual population. © The Author(s) 2024.Article Citation - WoS: 4Citation - Scopus: 7Distant local-guided tour perceptions and experiences of online travellers(Sage Journals, 2022) Seyitoğlu, Faruk; Atsız, Ozan; Department of Tourism Guidance / Turizm Rehberliği BölümüThis paper investigated travellers’ perceptions and experiences of using distant local guided tours during the COVID-19 pandemic utilising a qualitative methodology. The reviews’ content of online travellers regarding distant local-guided tours offered by a sharing economy platform – Withlocals – in different destinations was analysed. The results demonstrated that travellers’ distant local-guided tour experiences include celebration, togetherness and socialising, escape and relaxation, memorable, educational, and hedonic components. Additionally, travellers perceived distant local-guided tours as an alternative travel type, preparation for an actual visit, and inspiration for face-to-face experiences. Therefore, distant local-guided tours can be defined as engaging alternative travel types that provide multidimensional experiences and help explore a destination before the in-person visit. Apart from playing a guidance role for scholars and practitioners, this research fills the gap of research on distant local-guided tours in the literature. However, future attempts could shed more light on the subjectArticle The effect of acupressure on postoperative pain of lumbar disc hernia: A quasi-experimental study(ELSEVIER, 2018) Tanrıverdi, Seher; Sarıtaş, Serdar; Department of Social Services/ Sosyal Hizmet BölümüThe effect of acupressure on postoperative pain of lumbar disc hernia Background: This study has been conducted for the purpose of examining the effect of acupressure on postoperatıve paın of lumbar disc hernia. Methods: This research was conducted between January 2015- July 2016 at the Neurosurgery Clinics of Turgut Özal İnönü University and Malatya State Hospital as a quasi-experimental research with pretest-posttest designs. The study population consisted of patients who were hospitalized in these clinics after operation of lumbar disc hernia. The sample group consisted of 112 patients selected with random sampling and stayed in these clinics after the power analysis (56 test, 56 control). This research data was collected between January 2016 - March 2016. Patient identification forms and visual analog scales (VAS) were used for data collection. Patient identification form was applied to the patients in the experimental group, after acupressure was applied to patients for 15-20 minutes, their level was determined with the VAS. When the acupressure was stopped, their pain was determined with the VAS. Whereas in the control group, their pain was determined with the VAS and taking the end of the time during which acupressure was applied to experimental group into consideration, their pain level was reevaluated in the 20th minute. Data were evaluated with percentage, arithmetic average, chi-square test and independent groups t test. Results: The research result showed that owing to the effect of acupressure the pain level of the experimental group decreased from 7.75±1.67 to 2.58±1.18. (p= .00). Conclusions: Hence this result suggests the effectiveness of acupressure on postoperatıve paın of lumbar disc hernia.Article Citation - WoS: 1Citation - Scopus: 1The effect of body mass index on complications in cardiac implantable electronic device surgery(WILEY, 2023) Günlü, Serhat; Aktan, Adem; Kılıç, Raif; Kılıç, Raif; Arslan, Bayram; Günlü, Serhat; Altıntaş, Bernas; Karahan, Mehmet Zülkif; Özbek, Mehmet; Aslan, Burhan; Arpa, Abdulkadir; Coşkun, Mehmet Sait; Altunbaş, Mahsum; Tüzün, Rohat; Akgümüş, Alkame; Karadeniz, Muhammed; Aydın, Saadet; Güzel, Hamdullah; Aslan, Selen Filiz; Söner, Serdar; Taş, Ahmet; Ertaş, Faruk; Department of Internal Medical Sciences / Dahili Tıp Bilimleri BölümüBackground: Cardiac implantable electronic device (CIED) procedures are prone to complications. In our study, we investigated the effect of body mass index (BMI) on CIED-related complications. Methods: 1676 patients who had undergone CIED surgery (de novo implantation, system upgrade, generator change, pocket revision or lead replacement) at two heart centers in Turkey and met the study criteria were included in our study. For analysis of primary and secondary endpoints, patients were classified as non-obese (BMI < 25 kg/m2), overweight (25 ≤ BMI < 30 kg/m2), and obese (BMI ≥ 30 kg/m2). The primary endpoint was accepted as cumulative events, including the composite ofclinically significant hematoma (CSH), pericardial effusion or tamponade, pneumoth- orax, and infection related to the device system. Secondary outcomes included each component of cumulative events. Results: The rate of cumulative events, defined as primary outcome, was higher in the obese patient group, and we found a significant difference between the groups (3.0%, 4.3%, 8.9%, p = .001). CSH and pneumothorax rates were significantly higher in the obese patient group (0.3%, 0.9%, 1.9%, p = .04; 1.0%, 1.4%, 3.3%, p = .04, respectively). According to our multivariate model analysis; gender (OR:1.882, 95%CI:1.156–3.064, p = .01), hypertension (OR:4.768, 95%CI:2.470–9.204, p < .001), BMI (OR:1.069, 95%CI:1.012–1.129, p = .01) were independent predictors of cumulative events rates. Conclusions: Periprocedural complications associated with CIED (especially hematoma and pneumothorax) are more common in the group with high BMI.