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Öğe Acute effects of high intensity interval training on cognitive function in smokers and nonsmokers(2025) Karakaş, Neşe; Özyalın, Fatma; Kartal, Mert; Kapikiran, Gurkan; Bayer, Ramazan; Kurt, Zeynep Eker; Keskinkılıç, KorhanThe use of tobacco is widespread among both active and inactive individuals. However, its adverse effects appear less pronounced in those who exercise regularly. Since smoking may differentially impact smokers and nonsmokers, this study examined the immediate effect of high-intensity interval training (HIIT) on cognitive performance in both groups. Forty inactive participants (20 smokers, 20 nonsmokers) were included, with mean ages of 20.35±1.26 and 20.15±1.38 years, respectively. The HIIT protocol involved five exercises. Cognitive performance was assessed immediately after the session using the Visual Cognitive Function Test (VCFT) and Auditory Cognitive Function Test (ACFT), each repeated five times, with results recorded in milliseconds. Pre-test VCFT scores were significantly higher in smokers (381.16±7.96 ms) compared to nonsmokers (372.24±11.17 ms, p=0.006). Post-test scores also differed (smokers: 607.50±43.33 ms; nonsmokers: 577.66±20.78 ms, p=0.007). The improvement from pre- to post-test was greater in nonsmokers (-48.39 ms, p < 0.001) than in smokers (-25.39 ms, p=0.021). In ACFT, no significant group differences were found at pre-test (p=0.080) or post-test (p=0.079), but both groups showed significant improvement following HIIT (p<0.001). These results suggest that smoking impairs visual cognitive performance more than auditory function after high-intensity exercise. The differences may stem from smoking-related vascular and neural plasticity deficits, which are critical for cognitive processing during and after exercise. Significance statement: This study highlights that smoking specifically reduces visual cognitive benefits from HIIT, while auditory function remains less affected. These findings emphasize the neurobiological consequences of smoking and support the role of exercise interventions in mitigating its adverse cognitive effects.Öğe Bir Hastaneye Başvuran Bireylerin COVID-19 Hastalığı ve COVID-19 Aşısına Yönelik Algı ve Tutumları(Kırşehir Ahi Evran Üniversitesi, 2022) Kartal, Mert; Dikici, İbrahim Caner; Tülüce, DeryaBu çalışma, bir hastaneye başvuran hastaların COVID-19 hastalığına karşı algıları ve COVID-19 aşısına yönelik tutumlarını belirlemek amacıyla yapıldı. Çalışma, 01-30 Ekim 2021 tarihleri arasında bir üniversite hastanesinin polikliniklerine başvuran 203 hasta ile yürütüldü. Çalışma verileri, kişisel veri formu ve COVID-19 algısı, COVID-19 aşısına yönelik tutum ve COVID-19 kontrolü ölçekleri ile toplandı. Çalışmaya katılan hastaların, yaş ortalamalarının 37.43±13.51 olduğu, %52.2’sinin erkek ve %67.5’inin evli olduğu belirlendi. Hastaların, COVID-19 algısı ölçeği aldıkları puan ortalamaları 3.86±0.72, COVID-19 aşısına yönelik tutum ölçek puan ortalamaları 3.50±0.82, COVID-19 kontrolü algısı puan ortalamaları 2.10±0.48 olarak bulundu. Evli olanların aşıya yönelik olumlu tutumu, olumsuz tutumu ve Covid-19 makro kontrol algısı bekâr olanlara göre istatiksel olarak anlamlı olarak yüksek bulundu. Hastalığın tehlikelilik alt boyutu ile bulaştırıcılık, aşıya karşı olumlu, olumsuz tutum arasında pozitif yönde anlamlı bir korelasyon saptandı (p<0.05). Çalışma sonuçlarımıza göre hastaların, Covid-19 aşısına yönelik olumsuz bir tutum sergilediği belirlendi.Öğe Evaluation of Health Literacy in Academics at a University of Turkey(Mashhad Univ Med Sciences-Iranian Assoc Health Educ & Health Promotion, 2022) Kartal, Mert; Tulucer, Derya; Ersin, FatmaBackground and Objective: The level of health literacy of individuals contributes to their ability to protect and improve health and to exhibit positive health behaviours. The concept of health literacy entails that individual should have basic health knowledge. The study was conducted to determine the level of health literacy in academics at Harran University. Materials and Methods: The participants of this descriptive study were 115 academics. The Turkish Health Literacy Survey Questionnaire-32 and the introductory information form were used to collect data. Results: Of the participants, 67.0% were male, 75.7% were married, and 73.0% were in the faculty. The mean health literacy score of the participants is 34.51. There was no statistically significant difference between the participants' gender, marital status, title, workplace, working time and the mean total index score (p>0.05). The lowest mean scores in the health care sub-dimension were related to the process of appraising information (mean: 30.08), whereas the lowest scores in the disease prevention and health promotion sub-dimension were related to the process of applying information (mean: 30.08). Conclusion: It was found that the health literacy of the participants was not at the desired level. In order to increase the health literacy levels of the academics, who are seen as role models in society, it can be recommended to conduct interventional efforts with broader samples.Öğe Nicotine addiction in pre-hospital emergency care workers in Turkey: a cross-sectional study(Taylor & Francis Inc, 2024) Karakas, Nese; citlik Saritas, Seyhan; Bentli, Recep; Derya, Serdar; Kartal, MertObjectiveThis study aims to determine the smoking prevalence and nicotine addiction in pre-hospital emergency care workers.MethodsThe study, conducted between March-April 2022 with the participation of 318 pre-hospital care workers, is cross-sectional. To determine the participants' nicotine addiction levels, the participants the Fagerstrom Nicotine Addiction Test (FNAT) was used. For statistical analyses, correlation, chi-square, student's t-test, and analysis of variance (ANOVA) were used. The statistical significance level was accepted as p < .05.ResultsWhile 53.0% Of The Study Group Used To Smoke, 9.1% Thought That Smoking Was Not harmful to health. The mean FNAT score of the smoking group was 5.04 +/- 2.92. Men's FNAT scores (p < .05) were higher for those over the age of 40 than for those under 40 than women (p < .05). In the comparison made according to the participants' occupations, the most smoking group was physicians (p < .05). The group with the highest addiction score among smokers was nurses (p < .05). A positive correlation was found between the years of employment in the sector and the FNAT scores of smokers (r = 0.146, p < .05).ConclusionPre-hospital emergency care workers had a much higher smoking prevalence and nicotine addiction than the medical staff in other units.Öğe The effect of cyberchondria on anxiety and surgical fear levels in surgical oncology patients(Springer, 2025) Polat, Hatice; Kapikiran, Gurkan; Kartal, MertThis study was conducted to examine the relationship between cyberchondria, surgical fear and anxiety in patients undergoing oncological surgery. This descriptive study was conducted with 163 patients in the general surgery clinics of a university hospital in T & uuml;rkiye between January and December 2023. The study revealed that mean total scores of cyberchondria, surgical fear and anxiety scales were moderate with values of 39.87 +/- 12.66, 45.84 +/- 19.80, and 28.83 +/- 11.76, respectively. A moderately significant positive correlation was observed between cyberchondria and surgical fear and anxiety levels (r:0.688, and r:0.684; p = 0.000, respectively), while a strongly significant positive relationship was found between surgical fear and anxiety levels (r: 0.759, p = 0.000). The results also demonstrated that 47% of patients' fear of surgery could be attributed to the independent variable of cyberchondria (R2: 0.470). The results demonstrated that 46% of the variance in anxiety levels could be attributed to the cyberchondria independent variable (R2: 0.468). The pervasive use of the internet has given rise to a growing tendency among individuals to seek disease-related information online. The study found that the patients exhibited moderate levels of cyberchondria, with an increase in the tendency corresponding to an increase in surgical fear and anxiety. It is recommended that healthcare professionals share detailed information with patients in a way that does not encourage them to engage in excessive online medical research and allocate sufficient time to patients to alleviate their surgical anxiety and fear.Öğe The Effect of Emergency Nurses' Psychological Resilience on Their Thanatophobic Behaviors: A Cross-Sectional Study(Sage Publications Inc, 2024) Kartal, Mert; Kapikiran, Gurkan; Karakas, NesePurpose This study analyzed the effect of emergency nurses' psychological resilience on their thanatophobic behaviors. Methods The research was conducted with 156 emergency nurses. In the data collection process, the Socio-Demographic Information Form, the Brief Resilience Scale, and the Thanatophobia Scale were used. Results It was found that emergency nurses had medium-level psychological resilience and high-level thanatophobia. Besides, it was discerned that there was a moderate negative relationship between psychological resilience and thanatophobia (r:-.643, p: 0.000). Lastly, as per the simple linear regression analysis, it was identified that the predictor variable of psychological resilience accounted for 40.9% of the variance in the predicted variable of thanatophobia (R-2:.409, p: 0.000). Practice Implications Emergency nurses, who are faced with many negative situations, need to have a high level of psychological resilience in order to get out of the mental state brought by negative conditions as soon as possible, and it is recommended to carry out applications to increase psychological resilience.Öğe The effects of the nomophobic behaviors of emergency room nurses on their clinical decision-making perceptions: A cross-sectional study(Pergamon-Elsevier Science Ltd, 2023) Kapikiran, Gurkan; Karakas, Nese; Kartal, MertThis study analyzed the effects of the nomophobic behaviors of emergency room nurses on their clinical decision -making perceptions. This descriptive and cross-sectional study was performed with the participation of 186 nurses working in emergency rooms of certain hospitals located in eastern Turkey. In the data collection process, a sociodemographic data form, the Nomophobia Questionnaire, and the Clinical Decision-Making in Nursing Scale were used. It was discerned that the participants had medium-level nomophobia (66.64 +/- 25.36) and clinical decision-making perceptions (149.00 +/- 26.33). A strong negative relationship was identified between nomophobia and clinical decision-making perceptions (r:-.730, p < 0.01). Moreover, it was found that the predictor variable, nomophobia explained 53% of the variance in the predicted variable, clinical decision-making perceptions (R2: 0.530, p: 0.000). In the study, it was found that emergency room nurses had medium-level nomophobia and clinical decision-making perceptions. Besides, we observed that the clinical decision-making perception levels of the participants decreased as their nomophobia levels increased. As the risk of making medical errors is likely to increase along with an increase in nomophobia levels, it is recommended that edu-cation programs be organized to get emergency room nurses' nomophobic behaviors under control.Öğe The evaluation of the training, the approach to epilepsy and epileptic seizure, which was given to teachers in Turkiye(Wiley, 2024) Kartal, Mert; Karakas, Nese; Tuz, Pinar; Kapikiran, GurkanIntroduction: Epilepsy is the most common neurological disorder among humans after headaches. According to the World Health Organization, approximately 50-65 million individuals were diagnosed with epilepsy throughout the world, and around two million new cases of epilepsy are added to this figure every year. Methods: Designed as descriptive and cross-sectional research, this study was performed on 132 elementary school teachers. Training on epilepsy and epileptic seizure was given to teachers. The pretest and posttest research data were collected with the face-to-face interview method. In this process, the epilepsy knowledge scale was used as well as a survey form that had questions designed to find out about teachers' personal characteristics. The Statistical Package for Social Science 25.0 was utilized in the statistical analysis of research data. In the research, the statistical significance was identified if the p-value was below.05 (p < .05). Results: Of all teachers participating in the study, 59.1% were female, 90.2% were married, and 47.7% witnessed an epilepsy seizure before. The mean of teachers' pretest epilepsy knowledge scores was 8.43 +/- 4.31 points before the training while the mean of their posttest epilepsy knowledge scores was 12.65 +/- 2.48 points after the training. The difference between the means of pretest and posttest scores was statistically significant (p = .000). After the training, there was a statistically significant increase in means of scores obtained by teachers from each item of the epilepsy knowledge scale (p < .05). Conclusions: As there was a statistically significant improvement in levels of teachers' knowledge about both epilepsy and epileptic seizure after the training, it is recommended that the training about the approach to epilepsy and epileptic seizure be given to all teachers, and additionally, including these topics in the course curricula of universities is recommended. image
