Scopus İndeksli Yayınlar Koleksiyonu

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12514/3596

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Preface: From Traditional Eidotypes to Enriched Representations in Cultural Heritage
(Springer Science and Business Media Deutschland GmbH, 2026) Stellacci, S.; Aydin, S.
Preface
(IGI Global, 2025) Çapar, H.; Çakmak, M.A.
Digital Engagement with Remote Architecture ‘Furthest from the Sea’: A Virtual Heritage Approach
(Springer Science and Business Media Deutschland GmbH, 2026) Aydin, S.; Schnabel, M.A.
This research addresses a computational analysis of the architectural heritage in Kashgar, the westernmost city in China and the easternmost part of Central Asia. Relevant to its culture and historical features, Kashgar is home to distinctive forms of mudbrick architecture that are furthest from the sea. Most historical mudbrick houses in the old town were replaced with replicas during a large-scale renewal project, initiated in 2009 and lasting for a decade. While the high risk of earthquakes made demolishing the original buildings seem like a practical solution for preserving local heritage, it also created a rare opportunity to digitally document the disappearing structures before their destruction. Based on an insightful review of methods used in 3D digital documentation and representation, this study provides new perspectives on computational studies of heritage sites. This study presents a set of 3D photogrammetric reconstructions of the narrow alleys in the old town, focusing on the role of user participation in the evaluation and interpretation of heritage. By investigating user-generated content in this unique cultural context, this research shows how novel research approaches are required to evaluate and interpret the inherent values of endangered heritage sites through participatory practices. © 2025 Elsevier B.V., All rights reserved.
The Impact of Physical Environment on Customer Loyalty in Upscale Restaurants in Turkey
(SAGE Publications Inc., 2025) Almohammad, D.; Kılıç, C.; Bek, D.R.; Almohammadalsulaiman, H.
This study investigates how physical environmental factors impact customer satisfaction and loyalty in upscale restaurants, employing partial least squares structural equation modeling (PLS-SEM) to overcome typical constraints of small and medium samples. PLS-SEM’s capacity to handle complex mediation and multiple latent variables strengthens the robustness of the findings. Data collected from fine-dining venues in culturally rich regions of southeastern Turkey indicate that elements such as aesthetics, ambiance, and service staff quality play significant roles in shaping customer satisfaction, which in turn strongly influences loyalty. Some environmental factors, including table setting and lighting, showed limited direct effects but still contributed indirectly through satisfaction. The interplay between physical environment and human interaction highlights a comprehensive approach to enhancing customer experience. While providing meaningful insights, the study’s focus on specific regional and cultural context limits generalizability, highlighting the need for broader research across different hospitality sectors and geographic areas. Nonetheless, the findings enhance the theoretical framework by confirming the mediating role of satisfaction within the DINESCAPE model and offer practical implications for hospitality managers aiming to foster customer retention through strategic environmental design. © 2025 Elsevier B.V., All rights reserved.
Examination of Speech and Language Disorders in Preschool Children
(Inonu University, 2025) Karadaş, H.; G.
This study was conducted to examine speech and language disorders in preschool children and to reveal the problems encountered in this direction. The research was conducted with 34 preschool teachers working in Mardin in the 2023-2024 academic year, who were diagnosed with speech and language disorders in their classrooms. The study was conducted within the scope of phenomenological design, one of the qualitative research methods. According to the results of the study, it was concluded that speech and language disorders are more common in boys than in girls. It has been observed that language and developmental disorders in the preschool period are common in children between the ages of 60-71 months. In the study, it was determined that preschool teachers and families have a critical role in diagnosing children with speech and language disorders and monitoring the process. It was seen that it is critical to include all stakeholders in the process by implementing an accurate, effective intervention and support program, both at school and at home, for students with speech and language difficulties to overcome this problem. Early detection of speech and language disorders and timely intervention will contribute positively to language development and increase speaking skills by minimizing the effects of SLD. It was observed that the expert support received by students with SLD and the adaptations made by the teacher in the classroom had a positive effect on language development. © 2025 Elsevier B.V., All rights reserved.
Synthesis, Characterization of a Novel Nickel-Organo Supported Magnetic Nanocatalysts (Fe3O4@SiO2@Tris@Ni): Effective Hydrogen Generation from Sodium Borohydride
(Elsevier Ltd, 2025) Umaz, A.; Ece, M.Ş.
Energy demand and environmental problems are increasing day by day as global threats. The burning of fossil fuels has harmful effects on ecological systems. Global threats related to energy can be eliminated by environmentally friendly, cost-effective, and renewable resources. Hydrogen is among the sustainable and renewable energy sources due to being the most common element on earth, non-toxic reaction products and having high calorific value. It was the first time nickel-organo-silica supported magnetic nanocatalysts (MNCs) were synthesised in this study. These synthesized MNCs were characterized in detail. Then, these MNCs were used to produce hydrogen from sodium borohydride in high efficiency. The saturation magnetization value and average particle size of the Fe3O4@SiO2@Tris@Ni MNCs have been measured as 33.27 emu/g and 10.26 nm, respectively. The Fe3O4@SiO2@Tris@Ni MNCs were used for the first time in hydrogen generation in this study. The hydrogen generation by sodium borohydride (NaBH4) methanolysis/ethylene glycolysis of the catalyst has been carried out at 298 K using 0.75 % NaBH4, 75 mg nanocatalyst, and 20 mL methanol/ethylene glycol. The amount of hydrogen produced in the methanol/ethylene glycol processes has been measured as 2167 mL H2/g NaBH4. The highest hydrogen generation rate has been obtained using 0.75 % NaBH4, 75 mg catalyst, and 20 mL ethylene glycol, and this value was calculated as 1067 mL H2/(min·gcat). The reusability performance of the catalyst was determined to have a decrease of 25.86 % after the fifth cycle compared to the initial use. According to these results, the catalyst is a promising material with advantages such as high efficiency in hydrogen generation and the possibility of repeated use. © 2025 Elsevier B.V., All rights reserved.
Language and Society: A Controversy Between Searle and Bourdieu
(John Wiley and Sons Inc, 2025) Bingöl, S.
My aim in this article is to establish a connection or bridge between philosophy of language and philosophy of society by showing the relationship between language and society within the framework of John Searle and Pierre Bourdieu's ideas. To this end, I discuss Searle's claim that it is language that creates social reality and, in a sense, human civilisation. I argue that his strong emphasis on the constitutive role of language actually demonstrates the relationship between language and society. In order to make this relationship more visible, I discuss Bourdieu's views on language and his criticisms of speech acts theory. Using these criticisms against Searle's claims, I offer a comprehensive analysis of the two thinkers' views on the relationship between language and society. Fundamentally, I try to strengthen the connection I plan to establish between philosophy of language and philosophy of society by analysing, evaluating and comparing both Searle's and Bourdieu's views on the relationship between language and society. By addressing these two thinkers together, I try to violate the distinctions and boundaries between these two thinkers as well as between problem areas and philosophical disciplines. © 2025 Elsevier B.V., All rights reserved.
Professional Attitudes of Pre-Nursing Students to the Care of Patients with Epilepsy in Southeastern Turkey
(ASEAN Neurological Association, 2025) Turan, M.; Özbay, H.
Objective: This study was conducted to demonstrate whether nurse trainees are adequately prepared in terms of professionalism to provide quality care to patients with epilepsy. Method: The descriptive and cross-sectional study was conducted among first-year (n=104) and fourth-year (n=96) nursing students in a public university in eastern Turkey. Data were collected using the “Student Introduction Form”, “Attitude Scale for Nursing Profession (ASNP)”, “Epilepsy Knowledge Scale (EKS)”, and “Epilepsy Attitude Scale (EAS)”. Number, percentage, mean, standard deviation, minimum, maximum, Chi-square test, Whitney-U test, Kruskal-Wallis test, and Kruskal-Wallis Bonferroni test were used to evaluate the data. Results: There was no statistically significant difference between the mean scores of ASNP, EKS, and EAS total scores according to the years of the students (p>0.05). In fourth year students, female gender, knowing someone with epilepsy, having a mother/father/sister/sibling with epilepsy or self, and being involved in the treatment and care of a patient with epilepsy were associated with better attitudes towards the nursing profession, their level of knowledge about epilepsy and their attitudes towards individuals with epilepsy. In addition, ASNP total scores of the first-year and fourth-year students had positive and significant effects on the total scores of the EKS (r=0.379, p=0.000; r=0.311, p=0.004, respectively). Conclusion: It was found that first and fourth-year nursing students in Southeastern Turkey had positive attitudes towards the nursing profession, moderate knowledge about epilepsy, and moderate attitudes towards people with epilepsy. In this context, students should be supported more in theoretical education and clinical practice. © 2025 Elsevier B.V., All rights reserved.
Citation - Scopus: 1
Sustainable Use of Chlorides Against Biotic and Abiotic Stresses
(Elsevier, 2025) Türkkan, M.; Özer, G.; Taheri, P.; Derviş, S.
This chapter explores the multifaceted role of chloride salts in sustainable agriculture, moving beyond their traditional association with salinity stress to reveal their potential in mitigating various biotic and abiotic challenges. The review analyzes the effectiveness of diverse chloride salts, including NaCl, KCl, CaCl2, and MgCl2, demonstrating their efficacy in suppressing a broad spectrum of plant pathogens, with a primary focus on fungal diseases. Chloride salts achieve this through diverse mechanisms including cell wall reinforcement, osmotic regulation, and induced systemic resistance. For example, calcium chloride treatments have shown remarkable success in controlling postharvest diseases, in some cases reducing losses by up to 90%. Similarly, potassium chloride has demonstrated promising results in managing diseases such as take-all root rot in wheat, indirectly enhancing plant health and resilience. For bacterial diseases, chloride salts such as copper chloride offer direct antibacterial activity, while others such as calcium chloride can enhance plant defenses and reduce disease severity. Chloride-based disinfectants such as sodium hypochlorite have proven effective against various plant viruses. Beyond direct pathogen suppression, the chapter also explores the use of chloride salts for insect control, highlighting their potential against aphids, stable fly larvae, and termites by disrupting various aspects of their biology, from feeding behavior to social interactions. The review also addresses the role of chlorides in mitigating abiotic stressors such as drought and heat, notably the use of calcium chloride to alleviate heat stress through enhanced antioxidant activity and flavonoid biosynthesis. Furthermore, the potential of integrating chloride salts with other sustainable practices, such as combining them with beneficial microorganisms for enhanced disease control, is discussed. While acknowledging potential phytotoxic effects and the need for careful management of sodium chloride due to salinity risks, this review emphasizes the importance of optimized application strategies tailored to specific pathosystems and environmental conditions. This integrated approach, combined with the relative cost-effectiveness and lower environmental impact of chloride salts compared with many synthetic pesticides, offers promising avenues for developing sustainable and resilient agricultural practices. © 2025 Elsevier B.V., All rights reserved.
Evaluation of the Relationship Between Uric Acid Level and Urıc Acide/Albumin Ratio with Stent Thrombosis in Patients Presenting Acute Coronary Syndrome
(Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Kaya, A.F.; Aktan, A.; Sarikaya, R.
This study aimed to evaluate the relationship between uric acid level and urıc acide/albumin ratio (UAR) and stent thrombosis in patients with acute coronary syndrome (ACS). This single-center retrospective cohort study included 142 patients who underwent interventional treatment with stent implantation for ACS. The patients were divided into two groups: those who developed stent thrombosis within one year (n=67) and those who did not (n=75). Demographic, clinical, and laboratory data were collected from the hospital records. The uric acid/albumin ratio was calculated. Stent thrombosis is significantly associated with diabetes and hyperlipidemia.(respectively p=0,001, p=0,002) Uric acid levels were significantly higher and UAR was significantly lower in the stent thrombosis group. (respectively p= 0,001, p=0,001) The development of no reflow and post-dilatation was more frequent in the stent thrombosis group. ROC analysis revealed that a uric acid cut-off value of 5.55 had a sensitivity of 59.7% and a specificity of 64% for predicting stent thrombosis. The relationship between uric acid levels, UAR, and stent thrombosis likely involves complex processes including inflammation and oxidative stress. Understanding these relationships may contribute to the development of targeted interventions to reduce the risk of stent thrombosis and improve the outcomes of ACS patients undergoing stent implantation. © 2025 Elsevier B.V., All rights reserved.
Alzheimer’s Classification with a MaxViT-Based Deep Learning Model Using Magnetic Resonance Imaging
(Interdisciplinary Publishing Academia, 2025) Demirtaş Alpsalaz, S.; Aslan, E.; Özüpak, Y.; Alpsalaz, F.; Uzel, H.
Alzheimer’s disease (AD), a progressive neurodegenerative disorder, poses significant challenges for early diagnosis due to subtle symptom onset and overlap with normal aging. This study aims to develop an effective deep learning model for classifying four AD stages (Non-Demented, Very Mild Demented, Mild Demented, Moderate Demented) using brain MRI scans. We propose a Multi-Axis Vision Transformer (MaxViT)-based framework, leveraging transfer learning and robust data augmentation on the Kaggle Alzheimer’s MRI Dataset to address class imbalance and enhance generalization. The model employs MaxViT’s multi-axis attention mechanisms to capture both local and global patterns in MRI images. Our approach achieved a classification accuracy of 99.60%, with precision of 99.0%, recall of 98.1%, and F1-score of 98.51%. These results highlight MaxViT’s superior ability to differentiate AD stages, particularly in distinguishing challenging early stages. The proposed model offers a reliable tool for early AD diagnosis, laying a strong foundation for future clinical applications and interdisciplinary research in neurodegenerative disease detection. Future work should explore larger, more diverse datasets and additional biomarkers to further validate and enhance model performance. © 2025 Elsevier B.V., All rights reserved.
Home Healthcare Services and Technology Implications
(IGI Global, 2025) Çapar, H.; Çakmak, M.A.
As global populations age and healthcare demands shift, home healthcare is emerging as a vital model for delivering personalized, cost-effective care. Technological innovations are transforming how these services are designed, managed, and delivered. This transformation enhances the efficiency, accessibility, and responsiveness of care, especially in dispersed or high-need regions. At the same time, integrating advanced technologies raises critical considerations around equity, workforce development, and sustainable implementation. Addressing these dynamics is essential to shaping a resilient, inclusive, and future-ready healthcare system that meets evolving societal needs. Home Healthcare Services and Technology Implications explores the relationship between the development of home healthcare services and technological innovation in the field, addressing technological change and transformation of the new world, changes in population structure, and related health needs. Additionally, it focuses on how artificial intelligence and new algorithms will shape the growing expectations of healthcare services. Covering topics such as artificial intelligence, people with disabilities, and user interfaces, this book is an excellent resource for academicians, researchers, marketing professionals, human resources and training professionals, health ministers, hospital managers, educators, and more. © 2025 Elsevier B.V., All rights reserved.
The Role of Tele-Health Approaches in Home Nutrition Support
(IGI Global, 2025) Ozyurt, M.; Akçalı, Ç.
The integration of digital technologies into healthcare has transformed home- based nutrition support. Tele- health, especially tele- nutrition, has become essential for delivering personalised dietary counselling and monitoring by overcoming geographical and logistical barriers. This chapter examines the development and implementation of tele- nutrition, particularly in home enteral nutrition (HEN) and chronic disease contexts. Drawing on current evidence, it discusses how mobile applications, wearable technologies, AI- based systems, and hybrid care models improve clinical outcomes, patient engagement, and continuity of care. The chapter also addresses barriers such as limited digital literacy, regulatory inconsistencies, and social inequalities, alongside ethical concerns like informed consent and algorithmic transparency. Policy implications are analysed in relation to reimbursement systems, licensure frameworks, and the legal responsibilities of clinicians. The chapter concludes with strategic recommendations for integrating tele- nutrition into public health infrastructures and outlines research priorities focused on long- term effectiveness, patient- reported outcomes, and inclusive design. By synthesizing multidisciplinary evidence, this chapter provides a comprehensive roadmap for the sustainable integration of tele- health in home- based nutrition support, reinforcing its relevance in achieving equitable, person- centred, and technology- enabled dietary care. © 2025 Elsevier B.V., All rights reserved.
Global Disease Burdens, Risks, and Their Implications for Home Healthcare: Chronic Burdens in Home Health Systems
(IGI Global, 2025) Bayram Deǧer, V.; Olğaç, K.
The global rise in the aging population, chronic diseases, and barriers to healthcare access has significantly increased the need for home healthcare services. The global burden of disease threatens both individual health and the sustainability of health systems. Home healthcare offers quality, person- centred care in the patient's environment while reducing institutional care pressures. Especially during the COVID- 19 pandemic, its importance has become more evident, highlighting the need for technological, political, and workforce- oriented reforms. These services address chronic disease management, elderly care, palliative support, and rehabilitation, making them essential for long- term care. According to WHO's 2019 report, noncommunicable diseases account for 71% of global deaths, underscoring the need for sustainable, home- based alternatives to hospital care. This chapter explores global disease burdens, policy and technology impacts, workforce needs, and the evolving role of home healthcare globally. © 2025 Elsevier B.V., All rights reserved.
Global Trends and Policy Impacts in Home Healthcare
(IGI Global, 2025) Çapar, H.; Çakmak, M.A.
Global trends and policy shifts in home healthcare reshape how care is delivered, financed, and regulated globally. Driven by aging populations, rising chronic disease rates, and patient preferences for staying at home, the demand for home-based healthcare services has increased. Governments are also introducing innovative policies to ensure quality, cost-effectiveness, and equitable access. These developments transform the delivery of skilled nursing, rehabilitation, and telehealth services in patients' own homes, while redefining broader healthcare systems. Further research is vital to understand how global trends and policy initiatives interact, shaping outcomes for patients, providers, and health systems. Global Trends and Policy Impacts in Home Healthcare explores the evolving global trends in home healthcare, such as technological integration, workforce changes, and the growing emphasis on patient-centered care. It examines how policies influence the accessibility, quality, and sustainability of home healthcare services across healthcare systems. This book covers topics such as healthcare systems, global business, and medical technologies, and is a useful resource for business owners, medical and healthcare professionals, policymakers, academicians, researchers, and scientists. © 2025 Elsevier B.V., All rights reserved.
Old and New Concepts in Home Healthcare
(IGI Global, 2025) Çakmak, M.A.
In the light of the data obtained from global health authorities and service providers, it can be said that Home Health Care has become a growing sector. In the 19th century, home visits initiated by religious charitable organisations gradually transformed into health services with the visits of public health nurses. In the mid- 20th century, Home Health Services, which became state- sponsored programmes and professional services due to the important role of reducing hospital costs and the increasing care needs of the aging population, took its current form with the effect of phenomena such as global pandemics, increasing population and developing technology. Within the scope of this chapter, it is aimed to evaluate an important sector such as home health services with old and new approaches and to provide the reader with predictions about the future. It is predicted that home health care, which is rapidly evolving in the age of artificial intelligence, will change its shell in the future with dizzying scientific and technical progress. © 2025 Elsevier B.V., All rights reserved.
Synthesis, Spectroscopic Characterization, and Biological Evaluation of a Novel Acyclic Heterocyclic Compound: Anticancer, Antioxidant, Antifungal, and Molecular Docking Studies
(MDPI, 2025) Alhilal, Mohammad; Alhilal, Suzan; Sabancilar, Ilhan; Gomha, Sobhi M.; Elhenawy, Ahmed A.; Ouf, Salama A.
Background/Objectives: This study aimed to synthesize a novel, high-molecular-weight acyclic heterocyclic compound, compound 5, via a one-pot reaction between Trichloroisocyanuric acid (TCCA) and ethanolamine, and evaluate its anticancer, antioxidant, and antifungal activities. Methods: Its complex tetrameric structure, assembled through N-N linkages, was unequivocally confirmed by a full suite of spectroscopic techniques including IR, 1H & 13C NMR, 2D-NMR, and high-resolution mass spectrometry (LC/Q-TOF/MS). The MTT assay was used to assess the anticancer activity of compound 5 against four different human cancer cell lines. Results: The findings indicate that human colon (HT29) and ovarian (OVCAR3) cancer cells were sensitive to the treatment, whereas brain (glioblastoma) (T98G) cancer cells were resistant. The most pronounced cytotoxic effect was observed in pancreatic (MiaPaCa2) cancer cells. Notably, compound 5 exhibited potent antifungal properties, achieving 100% inhibition of the pathogenic water mould Saprolegnia parasitica zoospores at 100 mu M after 10 min. Molecular docking studies corroborated the biological data, revealing a high binding affinity for key cancer and fungal targets (Thymidylate Synthase and CYP51), providing a strong mechanistic basis for its observed activities. Conclusions: These findings establish compound 5 as a promising dual-action agent with significant potential as both a targeted anticancer lead and an eco-friendly antifungal for applications in aquaculture.
Determination of Bioactive and Anti-Inflammatory Molecules of Thymbra Spicata L. from Mardin by GC-MS and LC-Orbitrap HRMS: A DFT, Molecular Docking, ADMET, Biological Target and Activity Study
(BMC, 2025) Unsal, Velid; Ercan, Leyla; Caliskan, Cemile Gunbegi
Objectives In this study, phenolic compounds (PC), volatile compounds (VC), antioxidant, anti-inflammatory, and antimicrobial properties of the Thymbra spicata L. plant grown in the Mardin Yesilli region were investigated. The properties of compounds such as rhoifolin, leucoside, naringenin, rosmarinic acid, gamma-terpinene, and carvacrol, which were found to be higher than other compounds as a result of PC and VC analysis of Thymbra spicata L. plant, and the properties of non-steroidal anti-inflammatory drugs diclofenac and ketoprofen were compared with computer-based calculations. In this context, the Absorption, Distribution, Metabolism, Excretion, and Toxicity (ADMET) profiles of the mentioned molecules were calculated, Density Functional Theory (DFT)-based quantum chemical calculations were performed, and molecular docking analyses were performed. In addition, the pharmacological properties, biological targets, and biological activities of these compounds were comprehensively evaluated. This study provides important data for understanding the therapeutic potential of these plant components. Materials and methods Chromatographic methods (GC-MS and LC-Orbitrap HRMS) were used to look at PC and VC profiles, spectrophotometry (ABTS, DPPH, CUPRAC) to look at antioxidant activities, and the disk diffusion method to look at antimicrobial properties. Results While the most detected volatile compounds were gamma-terpinene (35.34%), carvacrol (17.55%), caryophyllene (10.53%), and p-cymene (9.15%), the most detected phenolic compounds were rosmarinic acid (3334.9 ng/mL), naringenin (2610.00 ng/mL), leucoside (1956.42 ng/mL), and rhoifolin (1288.55 ng/mL). The ethanol extract of Thymbra spicata L. stopped the growth of K. aerogenes in particular. The IC50 value for DPPH was 158.01 mu g/mL, the IC50 value for ABTS was 185.03 mu g/mL, and the C0.5A value was 87.13 for the ethanol extract of Thymbra spicata L. The molecular docking results that the strongest binding energy was between TNF-alpha and naringenin (-6.77 kcal/mol), IL-6 and rosmarinic acid (-5.55 kcal/mol), and NLRP3 and carvacrol (-6.88 kcal/mol). Naringenin, rosmarinic acid, diclofenac, and ketoprofen completely violated the restrictions established by Lipinski, Ghose, Veber, Egan, and Muegge. Rosmarinic acid is the most reactive antioxidant compound with low energy deficit (Eg) and high softness (S). gamma-terpinene and carvacrol, on the other hand, are more stable and durable wit high hardness (eta) and low softness. Conclusion Naringenin, rosmarinic acid, and carvacrol demonstrate significant anti-inflammatory and immunomodulatory properties owing to their high binding affinity for TNF-alpha, IL-6, and NLRP3, positioning them as promising candidates for the treatment of inflammatory disorders. Naringenin and rosmarinic acid effectively target TNF-alpha, whereas carvacrol demonstrates potential in the management of NLRP3 inflammasome-associated diseases. The strong binding of rosmarinic acid to IL-6 shows that it can change the immune system. Thymbra spicata L., abundant in bioactive compounds, may provide benefits compared to conventional NSAIDs and exhibit potential as monotherapy or adjunctive therapies. Their strong anti-inflammatory, antioxidant, antimicrobial, and pharmacological properties, along with their safety, make naringenin, rosmarinic acid, and carvacrol good candidates for more preclinical and clinical research.
Comparison of Ultrasound-Guided Quadratus Lumborum Plane Block and External Oblique Intercostal Plane Block for Postoperative Analgesia After Laparoscopic Cholecystectomy: A Two-Center Randomized Controlled Trial
(MDPI, 2025) Kacar, Cem Kivilcim; Dedeoglu, Andac; Tosun Soner, Hulya; Celik, Enes; Andic, Okan; Acil, Fatma; Gokcek, Erhan
Background and Objectives: Although various regional anesthesia techniques are commonly used for laparoscopic cholecystectomy (LC), to date, no randomized controlled trial has compared the effectiveness of Quadratus Lumborum Plane Block (QLB) and External Oblique Intercostal Plane Block (EOIPB) in LC. Our aim was to compare the effectiveness of ultrasound-guided QLB and EOIPB in providing postoperative analgesia after LC. Materials and Methods: In this two-center, randomized controlled trial, patients undergoing LC were divided into QLB and EOIPB groups. Our primary outcome was the postoperative pain scores measured using the Numerical Rating Scale (NRS) at predetermined intervals. Secondary outcomes included opioid consumption, Riker Sedation-Agitation Scale (RSAS) score, and patient satisfaction. Results: The NRS pain scores at postoperative 30th minute, 4th, 12th, and 24th hours were significantly lower in the QLB group (p < 0.05). Patients in the QLB group required significantly less tramadol compared to the EOIPB group (p < 0.000). The QLB group also demonstrated lower RSAS scores (p = 0.005), indicating a smoother recovery process. Patient satisfaction scores were markedly higher in the QLB group (p < 0.000). Although both blocks were well-tolerated with no differences in side effects, EOIPB was associated with higher opioid consumption, indicating its relatively limited effectiveness. Conclusions: To conclude, this study highlights that QLB is a more effective option for postoperative analgesia and improves patient satisfaction after LC. EOIPB may serve as a viable alternative for some patients; however, given the advantages of QLB in pain control and recovery, it stands out as a more preferable method.
Peer Education Versus Traditional Education on Psychomotor Skills and Self-Efficacy in Nursing Students: A Single-Blind Randomized Controlled Trial
(BMC, 2025) Baran, Leyla; Ozdemir, Handan
Background Peer education (PE) refers to the process of individuals being educated by their peers, that is, people with similar experiences or statuses. This study aimed to evaluate the effects of PE on the psychomotor skills and self-efficacy of nursing students. Methods This single-blind randomized controlled trial was conducted with 63 undergraduate nursing students. Data were collected using the "Individual Descriptive Information Form", "Intramuscular Injection Knowledge Level Assessment Form", "Intramuscular Injection Psychomotor Skills Assessment Form", and the "General Self-Efficacy Scale". Descriptive statistics (numbers, percentages, means, standard deviations, and min-max values) were used. The independent samples t-test and Mann-Whitney U test were used to analyze differences between groups. Results The mean age of the participants was 21.22 +/- 0.85 years (range: 20 - 23), and 52.4% were female. No statistically significant differences were found between the groups in pretest, posttest, or self-efficacy scores (p > 0.05). However, the psychomotor skill levels differed significantly between the groups (p < 0.001), with the intervention group scoring higher than the control group. Conclusions Nursing students who received PE demonstrated significantly better psychomotor skills than those taught using traditional methods. It is recommended to integrate interactive learning strategies such as PE, where students can express themselves more freely and actively engage in the learning process, especially in nursing education areas requiring the development of psychomotor skills.

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