Welcome to the Open Access System!


This site is Bezmialem Vakif University Academic Open Access System. The system was established in June 2019 in order to store the academic outcomes of Bezmialem Vakif University in digital standards and to provide them with open access. OpenAccess includes academic outputs such as articles, presentations, dissertations, books, book chapters and reports produced by Bezmialem Vakif University.


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Recent Submissions

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Association between self-reported visual symptoms (suggesting cataract) and self-reported fall-related injury among adults aged ≥ 65 years from five low- and middle-income countries.
(2024-06-15) Smith L.; López Sánchez G. F.; Veronese N.; Soysal P.; Tully M. A.; Gorely T.; Allen P. M.; Rahmati M.; Yon D. K.; Ball G.; et al.; SOYSAL, PINAR
BACKGROUND: Cataracts may increase risk for falls but studies on this topic from low- and middle-income countries (LMICs) are scarce. Therefore, we examined the cross-sectional association between self-reported visual symptoms (suggesting cataract) and self-reported injurious falls in nationally representative samples of adults aged >= 65 years from five LMICs (China, Ghana, India, Mexico, and Russia). METHODS: Data from the WHO Study on global AGEing and adult health (SAGE) were analysed. Self-reported information on past 12-month fall-related injury and cataract based on symptoms were collected. Multivariable logistic regression and meta-analyses were conducted to assess associations. RESULTS: Data on 13,101 people aged >= 65 years were analysed [mean (SD) age 72.5 (11.3) years; 45.2% males]. The overall prevalence of self-reported fall-related injury and visual symptoms (suggesting cataract) were 4.9% and 29.4%, respectively. There was a positive association between self-reported visual symptoms (suggesting cataract) and fall-related injury (i.e., OR > 1) in all five countries but statistical significance was reached in three: China (OR = 1.60; 95% CI = 1.08-2.35), India (OR = 1.96; 95% CI = 1.15-3.35), and Russia (OR = 3.58; 95% CI = 2.06-6.24). The pooled OR including all five countries based on a meta-analysis was OR = 1.88 (95% CI = 1.32-2.68). CONCLUSIONS: Self-reported visual symptoms (suggesting cataract) were associated with higher odds for self-reported injurious falls among older adults in LMICs. Expanding availability of cataract surgery in LMICs may also have the additional benefit of reducing falls among older people.
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AGE EFFECT ON TYMPANOMETRIC EVALUATION RESULTS
(2024-05-01) Gedik Toker Ö.; Kuru E.; Özbay B.; Akbıyık A. R.; Aksakal E. İ.; Bal N.; GEDİK, ÖZGE
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Heparin Enjeksiyonu Uygulamasına Yönelik YouTube™ Videolarının Bilgi, Güvenilirlik ve Kalite Analizi
(2024-04-01) Demircan B.; Kiyak Y.; Kaya H.; DEMİRCAN, BURCU; KIYAK, YASEMIN
Amaç: YouTube hastalar ve sağlık profesyonelleri tarafından bilgiye erişim sitesi olmakla birlikte sağlık okuryazarlığı için eğitim aracı rolü gören bir video paylaşım sitesidir. Araştırma, YouTube video platformunda yer alan heparin enjeksiyonu uygulamasına yönelik videoların bilgi içeriği, kalite ve güvenilirliğini belirlemek amacıyla tanımlayıcı tipte gerçekleştirildi. Yöntemler: YouTube’da 01.02.2024 tarihinde \"deri altına enjeksiyon, \"heparin enjeksiyonu\" ve \"kan sulandırıcı iğne\" anahtar kelimeleri ile yapılan arama sonucunda ulaşılan 31 Türkçe video bağımsız iki gözlemci tarafından Faydalılık, Tüketici Sağlığı Kalite Kriterleri (DISCERN), Küresel Kalite Skalası (GQS), video süresi, görüntüleme sayısı, beğeni sayısı, yorum sayısı, YouTube’daki süresi açısından analiz edildi. Bulgular: Videoların %80,6’sının faydalı, %58,1’inin orta kalitede, %38,7’sinin orta derecede eğitim bilgisine sahip olduğu görüldü. Hemşireler tarafından yüklenen videoların USEFULNESS puanlarının hekimler ve bireysel olarak yüklenen videolara göre (P=,048), Sağlık kuruluşları ve hemşireler tarafından yüklenen videoların sırasıyla DISCERN (P=,025; P=,030) ve GQS puanlarının (P=,035; P=,005) bireysel olarak yüklenen videolara göre anlamlı derecede yüksek olduğu sonucuna ulaşıldı. Video süresi ile DISCERN (r=,499; P=,004), görüntüleme sayısı ile USEFULNESS (r=,370; P=,040) ve GQS (r=,499; P=,004), beğeni sayısı ile GQS (r=,483; P=,006) arasında pozitif yönde orta düzeyde bir ilişki bulundu. Sonuç: YouTube’da yer alan heparin enjeksiyonu videolarının orta kalitede olduğu ve hemşireler tarafından yüklenen videoların daha faydalı olduğu bulundu. Anahtar Kelimeler: Heparin enjeksiyonu, kan sulandırıcı iğne, sosyal medya, subkutan heparin enjeksiyonu, YouTube.
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Olive Leaf Extract Downregulates the Protein Expression of Key SARS-CoV-2 Entry Enzyme ACE-2, TMPRSS2, and Furin.
(2024-06-04) Kocyigit A.; Kanimdan E.; Yenigun V. B.; Ozman Z.; Balıbey F. B.; Durmuş E.; Yasar O.; KOÇYİĞİT, ABDÜRRAHİM
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Evaluating the accuracy and readability of ChatGPT in providing parental guidance for adenoidectomy, tonsillectomy, and ventilation tube insertion surgery
(2024-06-01) POLAT E.; Polat Y. B.; ŞENTÜRK E.; DOĞAN R.; YENİGÜN A.; Tugrul S.; EREN S. B.; AKSOY F.; ÖZTURAN O.; POLAT, EMRE; ŞENTÜRK, EROL; DOĞAN, REMZI; YENİGÜN, ALPER; TUĞRUL, SELAHATTİN; EREN, SABRİ BAKİ; AKSOY, FADLULLAH; ÖZTURAN, ORHAN
Objectives: This study examined the potential of ChatGPT as an accurate and readable source of information for parents seeking guidance on adenoidectomy, tonsillectomy, and ventilation tube insertion surgeries (ATVtis). Methods: ChatGPT was tasked with identifying the top 15 most frequently asked questions by parents on internet search engines for each of the three specific surgical procedures. We removed repeated questions from the initial set of 45. Subsequently, we asked ChatGPT to generate answers to the remaining 33 questions. Seven highly experienced otolaryngologists individually assessed the accuracy of the responses using a four-level grading scale, from completely incorrect to comprehensive. The readability of responses was determined using the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKGL) scores. The questions were categorized into four groups: Diagnosis and Preparation Process, Surgical Information, Risks and Complications, and Postoperative Process. Responses were then compared based on accuracy grade, FRE, and FKGL scores. Results: Seven evaluators each assessed 33 AI-generated responses, providing a total of 231 evaluations. Among the evaluated responses, 167 (72.3 %) were classified as ‘comprehensive.’ Sixty-two responses (26.8 %) were categorized as ‘correct but inadequate,’ and two responses (0.9 %) were assessed as ‘some correct, some incorrect.’ None of the responses were adjudged ‘completely incorrect’ by any assessors. The average FRE and FGKL scores were 57.15(±10.73) and 9.95(±1.91), respectively. Upon analyzing the responses from ChatGPT, 3 (9.1 %) were at or below the sixth-grade reading level recommended by the American Medical Association (AMA). No significant differences were found between the groups regarding readability and accuracy scores (p > 0.05). Conclusions: ChatGPT can provide accurate answers to questions on various topics related to ATVtis. However, ChatGPT\"s answers may be too complex for some readers, as they are generally written at a high school level. This is above the sixth-grade reading level recommended for patient information by the AMA. According to our study, more than three-quarters of the AI-generated responses were at or above the 10th-grade reading level, raising concerns about the ChatGPT text\"s readability.

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