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Article Citation - WoS: 27Citation - Scopus: 31Health Literacy of Nursing Students and Its Effective Factors(Wiley-hindawi, 2019) Ozen, Nurten; Ozkaptan, Bilge Bal; Coskun, Sabahat; Terzioglu, FusunBackground The insufficiency of health literacy negatively affects the national economy as it leads to increased health service expenditure. It is very important for individuals to have accurate health-related information to reduce these negative effects. Aim The aim of the study is to examine the health literacy of nursing students and its effective factors. Methods This descriptive study was carried out with students from the nursing department of a vocational school of health sciences between September and October 2018 in Turkey. A semi-structured questionnaire regarding the descriptive features of the participants and the European Health Literacy Scale were used for data collection. Results The study included 283 nursing students; 29.3% had a problematic-limited health literacy level. The study found a statically significant difference between student year, high school graduation and family's income level and the total mean score of the HLS-EU scale. Conclusion The subject of health literacy should be integrated into the educational program of nursing students. The nurses are the most important workforce in health services, and awareness about this subject should be raised.Article Citation - WoS: 2Citation - Scopus: 2Transcatheter valve-in-valve implantation Edwards Sapien XT in a direct flow valve after early degeneration(Wiley-hindawi, 2020) Duran Karaduman, Bilge; Ayhan, Huseyin; Bulguroglu, Serkan; Keles, Telat; Bozkurt, EnginIn recent years, the use of bioprosthetic valve (BPV) has increased significantly with both surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation (TAVI) due to reasons such as the advantage of not using anticoagulants. Nevertheless, major disadvantage of all BPV is the risk of early structural valve deterioration, leading to valve dysfunction, and requires reoperation, which significantly increases the risk of mortality or major morbidity especially after SAVR. There are a limited number of TAV-in-TAV case reports due to TAVI BPV degeneration. In our knowledge, this is the second report of TAV-in-TAV implantation wherein a previously implanted transfemoral 25-mm nonmetallic Direct Flow SVD valve treated with ViV TAVI via Edwards Sapien XT.Article Citation - WoS: 2Citation - Scopus: 3Implicit Learning With Certificate Warning Messages on Ssl Web Pages: What Are They Teaching?(Wiley-hindawi, 2016) Bostan, AtilaSSL-based web services are the most common technology in secure transactions on the Internet today. The security level of these services is inevitably related with that of digital certificates and user awareness. With the high number of nonconforming digital certificate usage, which eventually invokes warning messages on the Internet, users are implicitly forced to develop unsecure usage habits. In this study, we have studied the implicit learning effect of certificate warning messages on the SSL web pages. We have conducted two different experimental studies on university students and on instructors in IT departments. The results point to acquired indifference towards these warnings in users. Copyright (C) 2016 John Wiley & Sons, Ltd.Article Mathematical Modeling of a Direct Dimethyl Ether Fuel Cell(Wiley-hindawi, 2022) Alpaydin, Guvenc Umur; Durmus, Gizem Nur Bulanik; Colpan, C. Ozgur; Devrim, YilserIn this study, a mathematical model of a direct dimethyl ether fuel cell (DDMEFC) is developed to examine the effect of operating conditions on voltage losses and cell performance. In modeling, the electrochemical relations and mass balances are used to find the cell voltage for the given conditions. The values of some modeling parameters are determined using experimental data through curve fitting. For validation purposes, in-house experimental studies are conducted. For this purpose, Pt50Ru25Pd25/C, Pt40Ru40Pd20/C, and Pt50Pd50/C anode catalysts are synthesized by the microwave method. The effects of these synthesized catalysts and the operating conditions (cell temperature, the molar ratio of dimethyl ether, and water) on the DDMEFC performance are discussed by comparing the activation and ohmic polarization as well as the polarization curves using the model developed. This cell-level modeling approach could be considered as a preliminary step in the design process of a DDMEFC stack.Article Citation - WoS: 20Citation - Scopus: 21Sensitivity Analysis of the Effect of Current Mood States on the Thermal Sensation in Educational Buildings(Wiley-hindawi, 2022) Ozbey, Mehmet Furkan; Ceter, Aydin Ege; Orfioglu, Sevval; Alkan, Nese; Turhan, CihanAdaptive thermal comfort is a model which considers behavioral and psychological adjustments apart from Fanger's Predicted Mean Vote (PMV)/Percentage of Dissatisfied (PPD) method. In the literature, the differences between the PMV/PPD method and adaptive thermal comfort were mainly considered in aspects of behavioral adjustments in an environment. Conversely, limited studies related to psychological adjustments were considered in detail for thermal comfort. This study purposes to investigate the effects of current mood state subscales on thermal sensation of the occupants for the first time in the literature. To this aim, the Profile of Mood States (POMS) questionnaire is used to determine the mood state of the occupants with six different subscales: Anger, Confusion, Vigor, Tension, Depression, and Fatigue. The experiments were conducted in a university study hall in Ankara, Turkey, which is in warm-summer Mediterranean climate (Csb) according to Koppen-Geiger Climate Classification. The distributions of each subscale were examined via Anderson Darling and Shapiro-Wilk tests accordingly given responses from the occupants. The sensitivity analysis was applied to the six subscales of the POMS with Monte Carlo simulation method by considering the distributions of each subscale. The results revealed that the current mood state has a crucial effect on the thermal sensation of the occupants. The subscales of the Depression and Vigor were found as the most vital ones among the six subscales. Only the pure effects of the Vigor and Depression would change the thermal sensation of the occupants 0.31 and 0.30, respectively. The Confusion was determined as the least effective subscale to the thermal sensation of the occupants. Moreover, with the combination of all the six subscales, the thermal sensation might change up to 1.32. Findings in this study would help researchers to develop the personalized thermal comfort systems.Article Citation - WoS: 15Citation - Scopus: 16Pei Modifiednatural Sands of Florida as Catalysts for Hydrogen Production From Sodium Borohydride Dehydrogenation in Methanol(Wiley-hindawi, 2021) Inger, Erk; Demirci, Sahin; Can, Mehmet; Sunol, Aydin K.; Philippidis, George; Sahiner, NurettinSand samples from Tampa (T) and Panama (P) City beaches in Florida were used as catalysts for dehydrogenation of NaBH4 in methanol. T and P sand samples were sieved to <250, 250 to 500, and >500 mu m sizes, and the smallest fractions resulted in faster hydrogen generation rates (HGR), 565 +/- 18 and 482 +/- 24 mL H-2 (min.g of catalyst)(-1), respectively. After various base/acid treatments, HGR values of 705 +/- 51 and 690 +/- 47 mL H-2 (min g of catalyst)(-1) for HCl-treated T and P sand samples were attained, respectively. Next, T and P sand samples were modified with polyethyleneimine (PEI) that doubled the HGR values, 1344 +/- 103, and 1190 +/- 87 mL H-2 (min.g of catalyst)(-1) and increased similar to 8-fold, 4408 +/- 187, and 3879 +/- 169 mL H-2 (min g of catalyst)(-1), correspondingly after protonation (PEI+). The Ea values of T and P sand samples were calculated as 24.6 and 25.9 kJ/mol, and increased to 36.1, and 36.6 kJ/mol for T-PEI(+)and P-PEI(+)samples, respectively.Article Citation - WoS: 16Citation - Scopus: 16Characteristics and Outcomes of Hospitalised Older Patients With Chronic Kidney Disease and Covid-19: a Multicenter Nationwide Controlled Study(Wiley-hindawi, 2021) Ozturk, Savas; Turgutalp, Kenan; Arici, Mustafa; Gok, Mahmut; Islam, Mahmud; Altiparmak, Mehmet Riza; Ates, KenanObjective Older adults with co-morbidities have been reported to be at higher risk for adverse outcomes of coronavirus disease 2019 (COVID-19). The characteristics of COVID-19 in older patients and its clinical outcomes in different kidney disease groups are not well known. Methods Data were retrieved from a national multicentric database supported by Turkish Society of Nephrology, which consists of retrospectively collected data between 17 April 2020 and 31 December 2020. Hospitalised patients aged 18 years or older with confirmed COVID-19 diagnosis suffering from stage 3-5 chronic kidney disease (CKD) or on maintenance haemodialysis (HD) treatment were included in the database. Non-uraemic hospitalised patients with COVID-19 were also included as the control group. Results We included 879 patients [388 (44.1%) female, median age: 63 (IQR: 50-73) years]. The percentage of older patients in the CKD group was 68.8% (n = 188/273), in the HD group was 49.0% (n = 150/306) and in the control group was 30.4% (n = 70/300). Co-morbidities were higher in the CKD and HD groups. The rate of presentation with severe-critical disease was higher in the older CKD and HD groups (43.6%, 55.3% and 16.1%, respectively). Among older patients, the intensive care unit (ICU) admission rate was significantly higher in the CKD and HD groups than in the control group (38.8%, 37.3% and 15.7%, respectively). In-hospital mortality or death and/or ICU admission rates in the older group were significantly higher in the CKD (29.3% and 39.4%) and HD groups (26.7% and 30.1%) compared with the control group (8.6% and 17.1%). In the multivariate analysis, in-hospital mortality rates in CKD and HD groups were higher than control group [hazard ratio (HR): 4.33 (95% confidence interval [CI]: 1.53-12.26) and HR: 3.09 (95% CI: 1.04-9.17), respectively]. Conclusion Among older COVID-19 patients, in-hospital mortality is significantly higher in those with stage 3-5 CKD and on maintenance HD than older patients without CKD regardless of demographic characteristics, co-morbidities, clinical and laboratory data on admission.
