Kırşehir Ahi Evran Üniversitesi Kurumsal Akademik Arşivi
DSpace@Kırşehir, Kırşehir Ahi Evran Üniversitesi tarafından doğrudan ve dolaylı olarak yayınlanan; kitap, makale, tez, bildiri, rapor, araştırma verisi gibi tüm akademik kaynakları uluslararası standartlarda dijital ortamda depolar, Üniversitenin akademik performansını izlemeye aracılık eder, kaynakları uzun süreli saklar ve yayınların etkisimi artırmak için telif haklarına uygun olarak Açık Erişime sunar.
Güncel Gönderiler
Impact of a Structured Music Intervention on Patient Recovery and Nursing Care in Percutaneous Coronary Intervention: A Randomised Controlled Trial
(John Wiley and Sons Inc, 2026) Mert, Selda; Topbaş, Önder; Baydemir, Canan; Şahin, Tayfun; Özbek, Hanefi
Background: Music is recognised as a holistic therapeutic intervention that enhances evidence-based, person-centred, and humanised nursing care, thereby facilitating patient recovery. This study examined the effects of a structured music intervention on patient recovery and nursing care in individuals undergoing percutaneous coronary intervention (PCI). Method: The study is a randomised controlled trial. The sample comprised 210 patients, including 105 in the music group (MG) and 105 in the control group (CG), all of whom were scheduled to undergo PCI at a university hospital located in northwestern Türkiye. Data were collected using a Patient Information Form, the Vital Signs Assessment Form, the Numerical Rating Scale, the State-Trait Anxiety Inventory, the Perianesthesia Comfort Scale, and the Patient Satisfaction with Nursing Care Quality Questionnaire. Participants in the MG listened to instrumental pieces in the Rast, Acemashiran, and Hüseyni modes of Classical Turkish Music, whereas those in the CG received routine care only. In both groups, vital signs, pain, anxiety, comfort, and satisfaction with the quality of nursing care were measured before and after the procedure. Results: Following PCI, patients who received music therapy experienced fewer complications, demonstrated greater physiological stability (lower respiratory and heart rates, reduced systolic and diastolic blood pressure, and increased oxygen saturation levels), had decreased pain intensity, reduced analgesic requirements, lower state anxiety levels, and higher satisfaction with nursing care. Overall, music exerted beneficial effects on the care process for both patients and nurses. Conclusion: The findings indicate that music can be safely and effectively integrated into routine nursing care as a humane and person-centred intervention. By supporting both physiological and psychological recovery, music contributes to improved patient outcomes and enhances nursing practice. These results highlight its potential applicability beyond PCI, suggesting that music therapy may be valuable across various clinical and interdisciplinary healthcare settings
Association Between ABO and Rh Blood Groups and Choroidal Structural Parameters in Adult Population
(Elsevier B.V., 2026) Kocamış, Özkan; Erşekerci, Tülay Karacan; Örnek, Kemal
Background: The ABO and Rh blood group systems have been associated with various systemic and ocular diseases. The choroid, as the most vascularized ocular structure, plays a critical role in retinal health. The choroidal vascularity index (CVI) has emerged as arobust metric for evaluating choroidal structure. This study aimed to investigate the association between ABO and Rh blood groups and choroidal structural parameters, including CVI, in a healthy adult population. Methods: This prospective study included 164 healthy participants who underwent comprehensive ophthalmologic examination, including enhanced depth imaging optical coherence tomography (EDI-OCT). Subfoveal choroidal parameters—stromal area (SA), luminal area (LA), total choroidal area (TCA), and CVI—were measured using Image-J software. Participants were grouped according to ABO and Rh blood types. Statistical comparisons were conducted using Kruskal-Wallis, Mann-Whitney U, Chi- Square, and Spearman correlation tests. Results: Among the 164 participants (55.5% female), blood type distributions were: A (36.6%), B (20.1%), AB (15.9%), and O (27.4%). Statistically significant differences were found between ABO blood groups for SA, LA, and TCA (p < 0.05). Blood group B exhibited significantly higher SA, LA, and TCA compared to other groups. However, CVI did not differ significantly among ABO or Rh groups (p > 0.05). No correlations were observed between age or axial length and choroidal parameters. Conclusion: While SA, LA, and TCA values vary across ABO blood groups—particularly elevated in blood group B—CVI remains stable, suggesting a proportional expansion of stromal and vascular components. These findings imply a potential genetic influence of blood group antigens on choroidal morphology without affecting vascular density. Further large-scale, multiethnic studies are warranted to validate these associations.
Rapid One-Tube Sputum Processing for Tuberculosis Diagnosis Via Azide-Functionalized Magnetic Nanoplatforms with Selective Bacterial Capture
(Elsevier B.V., 2026) Tural, Bilsen; Bilden, Alican; Ertaş, Erdal; Tural, Emre; Temiz, Hakan; ...; Tural, Servet
Tuberculosis (TB) remains a global health challenge requiring rapid and reliable diagnostic tools. Here, azide-functionalized magnetic nanoparticles (MNPs-N₃) were synthesized, characterized, and applied for one-tube detection of Mycobacterium tuberculosis (Mtb) in sputum. Structural analyses including Fourier-transform infrared (FT-IR), transmission electron microscopy (TEM), scanning electron microscopy (SEM), dynamic light scattering (DLS), and vibrating sample magnetometry (VSM) confirmed successful functionalization, uniform morphology, and preserved superparamagnetism. MNPs-N₃ were integrated into modified Ehrlich-Ziehl-Neelsen (MNPs-N₃-assisted EZN staining) and auramine-rhodamine (MNPs-N₃-assisted AR staining) staining protocols to enhance bacterial capture and visualization without decontamination or centrifugation. Control experiments using non-functionalized magnetic nanoparticles showed no bacterial co-localization, supporting the specificity of the azide-mediated interaction. The entire process was completed within one hour, offering a rapid alternative to conventional culture requiring ≥ 41 days. Using Mycobacterial Growth Indicator Tube (MGIT) culture as the reference, MNPs-N₃-assisted AR staining achieved 99 % sensitivity and 97 % specificity, outperforming MNPs-N₃-assisted EZN staining (95 % and 96 %, respectively). Diagnostic indices, including Youden index (0.96) and F1-score (0.98), demonstrated excellent agreement with culture results. These findings establish MNPs-N₃ as a fast, efficient, and cost-effective tool for Mtb diagnosis. The single-tube workflow minimizes contamination risk and simplifies laboratory handling, supporting potential application in resource-limited settings. Further optimization and large-scale clinical validation are still warranted.
Collaborative Development of A Scoping Review Protocol to Map İnstruments Assessing the Parent–İnfant Relationship: An International Initiative from COST Action TREASURE
(F1000 Research Ltd, 2026) Brandão, Sónia; Talmon, Anat; Gieysztor, Ewa; Souto, Patrícia; Soares Goncalves, Andreia; ...; Tar Bolacalı, Edanur
Early relational health during the first 24 months of life is a key determinant of child development and wellbeing. During this postnatal period, the parent–infant relationship plays a central role in emotional regulation, bonding, and developmental trajectories. Although the broader early relational health framework encompasses the first 1,000 days of life, this scoping review focuses specifically on the postnatal phase, where parent–infant interactions are directly observable and measurable. However, existing assessment instruments vary widely in their conceptual focus, scope, and characteristics, and no comprehensive review has systematically mapped tools used to assess the parent–infant relationship during early infancy. In response to this gap, a transdisciplinary working group within the COST Action CA22114 – TREASURE collaboratively developed a scoping review protocol to systematically map instruments assessing the parent–infant relationship from birth to 24 months of age. This Brief Report describes the collaborative methodological process underpinning the protocol’s development. The process followed an iterative, consensus-driven approach involving multidisciplinary experts from multiple COST member countries. Through structured online meetings, the group clarified core constructs and established the age range using the Population–Concept–Context (PCC) framework. The JBI methodology for scoping reviews was adopted and aligned with PRISMA-ScR standards to ensure transparency and reproducibility. Progressive drafting, internal peer review, and iterative refinement led to the final protocol, which was registered on the Open Science Framework (DOI: https://doi.org/10.17605/OSF.IO/HRVX9 10.17605/OSF.IO/HRVX9).The resulting protocol provides a replicable methodological framework for mapping instruments that assess the parent–infant relationship in the first two years of life. This Brief Report presents a framework for collaborative protocol development in international research networks, promoting shared knowledge generation in early relational health research and offering potential applicability to other COST initiatives.
Integrated Regime-Aware Wind Power Forecasting using Multi-Altitude Meteorological Features and Hybrid Machine Learning
(Frontiers Media SA, 2026) Işık, Murat; Yalçınkaya, Mehmet Ali
Accurate wind power forecasting is critical for grid stability and renewable energy integration, yet the inherent variability of atmospheric conditions presents significant challenges. This study proposes a unified and scalable pipeline that integrates wind regime detection, temporal sequence modeling, and regime-conditioned deterministic and probabilistic power forecasting. Using 8 years of high-resolution meteorological data from multiple altitudes, we engineer a comprehensive set of physically interpretable features, including wind shear, temperature gradients, and rolling statistics. Regimes are identified via KMeans and Gaussian Mixture Models, with Principal Component Analysis applied post-clustering for visualization and interpretation. Temporal regime dynamics are characterized through both empirical and Markov transition matrices and modeled using Long Short-Term Memory (LSTM) networks for regime sequence prediction. For power forecasting, regime-specific models are developed using tuned ensemble regressors (XGBoost, LightGBM, CatBoost, and Random Forest), complemented by probabilistic approaches including Quantile Regression Forests, quantile-based XGBoost, and Bayesian neural networks. Results show that regime conditioning significantly enhances forecasting performance, with the stacked meta-learning ensemble achieving R2 = 0.997 and over 30% reduction in MAE compared to baseline methods. Probabilistic models produce well-calibrated prediction intervals, providing uncertainty-aware forecasts suitable for operational decision-making. This work contributes a novel end-to-end framework that jointly models regime persistence, transitions, and regime-conditioned power output, incorporating uncertainty quantification through Quantile Regression Forests, quantile-based XGBoost, and Bayesian Neural Networks, thereby bridging a gap in the literature where these components are often treated in isolation. The approach advances both accuracy and interpretability, offering practical value for wind farm operation and renewable energy integration.
