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Item Metadata only The effectiveness of online pain management education on the patient related barriers to cancer pain management: a randomized controlled trial(Elsevier Sci Ltd, 2023) 0000-0002-1273-1674; 0000-0002-9585-6332; Bilmic, Ezgi; N/A; N/A; Selçukbiricik, Fatih; Bağçivan, Gülcan; Faculty Member; Faculty Member; School of Medicine; School of Nursing; 202015; 261422Purpose: This study aimed to evaluate the effectiveness of an online individualized education program on patientrelated barriers to cancer pain management.Methods: In this parallel randomized controlled trial, 110 participants were assigned to the intervention or control group. Online individualized education was conducted as the intervention. Depending on participants' preferences, online education sessions were completed via Microsoft Teams, Zoom, or WhatsApp. The primary outcome is patient-related barriers to cancer pain management, and the secondary outcome is pain intensity. The Patient Information Form, the Edmonton Symptom Assessment Scale (ESAS), the Brief Pain Inventory (BPI), and the Barriers Questionnaire II (BQ-II) were used for data collection. The statistical effects of the intervention on the outcomes were modeled in repeated measures ANOVA test.Results: The results show that both the group (F = 11.316, p = 0.001) and time effects (F = 63.878, p < 0.001) individually have significant effects on the BQII total score. Also, there is a significant difference between groups regarding BQII total score regardless of time. The interaction between group and time is also significant (F = 127.764, p < 0.001) and substantially affects the BQII total score. Regarding pain intensity, the results show that the interaction between group and time is statistically significant for all pain categories (p < 0.05). In contrast, the group effect is not statistically significant for all pain categories (p > 0.05). Time effects are statistically significant for the "least" and "average" pain only (p < 0.05).Conclusion: The result of this study presents evidence that individualized online education of cancer patients positively impacts reducing patient-related barriers to pain management and pain intensity.Item Metadata only Major and minor salivary gland cancers: a multicenter retrospective study(Wiley, 2023) 0000-0002-1273-1674; Hacioglu, Muhammet Bekir; Erdogan, Bulent; Bardakci, Murat; Algin, Efnan; Gulbagci, Burcu; Hacibekiroglu, Ilhan; Hamdard, Jamshid; Olmez, Omer Fatih; Akkus, Hadi; Oksuzoglu, Berna; Goksu, Sema Sezgin; Dae, Shute Ailia; Sumbul, Ahmet Taner; Ugrakli, Muzaffer; Karaagac, Mustafa; Sahin, Elif; Cabuk, Devrim; Ozer, Ozden; Yavuzsen, Tugba; Arikan, Rukiye; Kostek, Osman; Atci, Muhammed Mustafa; Sakin, Abdullah; Deligonul, Adem; Bayir, Duygu; Dincer, Murat; Unsal, Oktay; Yazici, Ozan; Zeynelgil, Esra; Gulmez, Ahmet; Harputluoglu, Hakan; Erol, Cihan; Sendur, Mehmet Ali Nahit; Aytekin, Aydin; Akagunduz, Baran; Oner, Irem; Er, Ozlem; Oztosun, Bugra; Gumus, Mahmut; Biricik, Fatih Selcuk; Aykan, Musa Baris; Karadurmus, Nuri; Degerli, Ezgi; Demirci, Nebi Serkan; Turkmen, Esma; Sakalar, Teoman; Secmeler, Saban; Tanriverdi, Ozgur; Alkan, Ali; Kemal, Yasemin; Cil, Ibrahim; Unal, Caglar; Iriagac, Yakup; Alan, Ozkan; Balli, Sevinc; Urun, Yuksel; Ozcan, Erkan; Turhal, Nazim Serdar; Cicin, Irfan; N/A; Selçukbiricik, Fatih; Faculty Member; School of Medicine; 202015BackgroundMost of the studies on salivary gland cancers are limited for various reasons such as being single-center, small number of patients, including only major or minor SGCs, or only including epidemiological data. MethodsA total of 37 medical oncology clinics from different regions of Turkey participated in this retrospective-multicenter study. The analyzed data included clinical and demographical features, primary treatment, metastasis localizations, and treatments and includes certain pathologic features. ResultsThe study included data from a total of 443 SGCs. 56.7% was in major salivary glands and 43.3% was in minor salivary glands. Distant metastasis in the major SGCs was statistically significantly more common than in the minor SGCs, locoregional recurrence was statistically significantly more common in the minor SGCs than in the major SGCs (p = 0.003). ConclusionsEpidemiological information, metastasis and recurrence patterns, treatment modalities, and survival analysis of the patients over 20 years of follow-up are presented.Item Metadata only Identifying links between the biodiversity impacts and monetary costs of alien birds(John Wiley and Sons Inc, 2023) 0000-0003-3193-0377; Evans, Thomas; Angulo, Elena; Diagne, Christophe; Kumschick, Sabrina; Turbelin, Anna; Courchamp, Franck; Department of Molecular Biology and Genetics; Şekercioğlu, Çağan Hakkı; Faculty Member; College of Sciences; 327589Alien species can be damaging to native biodiversity, human well-being and the economy. Identifying the complete range of impacts they cause, and the ways that these impacts are connected, may inform the prioritisation of management actions to mitigate impacts. Using datasets on the biodiversity impacts and monetary costs (damage and management costs) of alien birds, we aimed to establish whether species with the most severe biodiversity impacts also had the highest costs; whether types of biodiversity impact were associated with high costs; and whether specific factors associated with alien species are linked to both damaging biodiversity impacts and high costs. We identified a positive relationship between a specific type of biodiversity impact (predation) and costs, possibly because predation by alien birds can be severely damaging to native species and therefore attracts management actions. However, predation impacts are likely to occur more frequently and to be easier to identify than some other impact mechanisms such as hybridisation and transmission of diseases, and they are therefore likely to be more frequently managed and hence to have costs. We identified a specific species characteristic (generalism) to be associated with severe biodiversity impacts and high costs, probably because generalist species have greater opportunity to cause impacts, whether they be on biodiversity or the economy, or both. We also found widely distributed alien birds to be associated with high costs, probably because these species also have greater opportunity to cause impacts. Management interventions that prevent the introduction of both predatory and generalist alien bird species, or that reduce their geographic distribution at early stages of invasions, may have significant biodiversity and economic benefits. Read the free Plain Language Summary for this article on the Journal blog. © 2023 The Authors. People and Nature published by John Wiley & Sons Ltd on behalf of British Ecological Society.Item Metadata only The value of community science data to analyze long-term avian trends in understudied regions: the state of birds in Türkiye(Keai Publishing Ltd, 2023) 0000-0003-3193-0377; Kittelberger, Kyle D.; Tanner, Colby J.; Orton, Nikolas D.; Department of Molecular Biology and Genetics; Şekercioğlu, Çağan Hakkı; Faculty Member; College of Sciences; 327589Recent studies have revealed concerning declines in bird populations in Europe and other parts of the world. In understudied but biodiverse regions, especially those that are located along key migratory flyways, there is an unmet need to evaluate the status of resident and migratory birdlife for avian conservation ecology. This is especially urgent at a time when recent regional studies have highlighted the scale of the decline of the European and Palearctic avifauna. Rapidly growing community science datasets may help bridge the gaps in our understanding of long-term regional avifaunal trends. In this study, we used eBird data submitted by observers in Turkiye to undertake the first long-term assessment of the state of the country's birds from 2001 to 2022. We evaluated population trends based on presence-absence data of species to determine if any birds have significantly increased or decreased in the country so far this century. We provide a list of trends for 418 bird species that had large enough sample sizes of eBird observations from Turkiye, and highlight which species have significantly declined or increased. We found that 63 species have significantly declined in detection while 120 have significantly increased during the study period. Our findings provide a baseline for the future monitoring of Turkiye's birds and help contextualize population changes of birds in Turkiye against those occurring at the continental (Palearctic) scale. Additionally, we include movement classifications for all of the bird species in this study. We also provide a framework to effectively use eBird data to assess long-term avifaunal changes at the country-level in other understudied regions. Finally, we highlight ways in which eBirders in Turkiye and elsewhere can strengthen the quality and value of community ornithology data for population assessments and avian conservation ecology.Item Metadata only Trait-environment associations diverge between native and alien breeding bird assemblages on the world's oceanic islands(Wiley, 2023) 0000-0003-3193-0377; Rault, Charlotte; Leprieur, Fabien; Barbaro, Luc; Kreft, Holger; Mouquet, Nicolas; Papaix, Julien; Violle, Cyrille; Barnagaud, Jean-Yves; Department of Molecular Biology and Genetics; Şekercioğlu, Çağan Hakkı; Faculty Member; College of Sciences; 327589AimTo investigate spatial variations in the ecological trait structure of breeding bird assemblages on oceanic islands. To test the hypothesis that native and naturalized alien bird species are filtered by different processes, leading to diverging associations between traits and insular environmental gradients.LocationOceanic islands worldwide.Time PeriodCurrent.Major Taxa StudiedTerrestrial breeding birds.MethodsWe assessed the composition of breeding terrestrial bird assemblages from the extent-of-occurrence maps of 3170 native and 169 naturalized alien species on 4660 oceanic islands. We quantified their ecological trait structures with respect to diet, mobility and body mass as the standardized distance between a mean pairwise trait distance index and its expectation from a null model. We used spatial generalized additive models to relate trait structures to proxies of environmental conditions and human impact on land, accounting for all species, native species only and alien species only.ResultsDiet and mobility traits tended to be more diverse than expected by a null model, while body mass tended towards clustering. Trait-environment associations were idiosyncratic, but environmental variables tended to explain trait structures better than human impacts on habitats. Islands invaded by alien species had similar trait structures as noninvaded ones, although they hosted assemblages with more clustered body masses. However, trait-environment relationships diverged when considering all islands and all species, invaded islands only or alien species only.Main ConclusionsDespite their ecosystem-level influences, alien species have a limited effect on the global patterns of trait structures in the breeding bird assemblages of the world's islands, either because they account for a low proportion of species or because successful invaders and native species have similar trait suites. Trait-environment associations suggest that filters related to the conditions of alien species' introductions explain their distributions in island assemblages better than the constraints associated with isolated environments.Item Metadata only Urbanization, climate and species traits shape mammal communities from local to continental scales(Nature Portfolio, 2023) 0000-0003-3193-0377; Haight, Jeffrey D.; Hall, Sharon J.; Fidino, Mason; Adalsteinsson, Solny A.; Ahlers, Adam A.; Angstmann, Julia; Anthonysamy, Whitney J. B.; Biro, Elizabeth; Collins, Merri K.; Dugelby, Barbara; Gallo, Travis; Green, Austin M.; Hartley, Laura; Jordan, Mark J.; Kay, Cria A. M.; Lehrer, Elizabeth W.; Long, Robert A.; MacDougall, Brandon; Magle, Seth B.; Minier, Darren E.; Mowry, Chris; Murray, Maureen; Nininger, Kristina; Pendergast, Mary E.; Remine, Katie R.; Ryan, Travis; Salsbury, Carmen; Schell, Christopher J.; Shier, Catherine J.; Simon, Kelly C.; St Clair, Colleen C.; Stankowich, Theodore; Stevenson, Cassondra J.; Wayne, Lisa; Will, Dave; Williamson, Jacque; Wilson, Larry; Zellmer, Amanda J.; Lewis, Jesse S.; Department of Molecular Biology and Genetics; Şekercioğlu, Çağan Hakkı; Faculty Member; College of Sciences; 327589Human-driven environmental changes shape ecological communities from local to global scales. Within cities, landscape-scale patterns and processes and species characteristics generally drive local-scale wildlife diversity. However, cities differ in their structure, species pools, geographies and histories, calling into question the extent to which these drivers of wildlife diversity are predictive at continental scales. In partnership with the Urban Wildlife Information Network, we used occurrence data from 725 sites located across 20 North American cities and a multi-city, multi-species occupancy modelling approach to evaluate the effects of ecoregional characteristics and mammal species traits on the urbanization-diversity relationship. Among 37 native terrestrial mammal species, regional environmental characteristics and species traits influenced within-city effects of urbanization on species occupancy and community composition. Species occupancy and diversity were most negatively related to urbanization in the warmer, less vegetated cities. Additionally, larger-bodied species were most negatively impacted by urbanization across North America. Our results suggest that shifting climate conditions could worsen the effects of urbanization on native wildlife communities, such that conservation strategies should seek to mitigate the combined effects of a warming and urbanizing world.Item Metadata only Traits shaping urban tolerance in birds differ around the world(Cell Press, 2023) 0000-0003-3193-0377; Neate-Clegg, Montague H. C.; Tonelli, Benjamin A.; Youngflesh, Casey; Wu, Joanna X.; Montgomery, Graham A.; Tingley, Morgan W.; Department of Molecular Biology and Genetics; Şekercioğlu, Çağan Hakkı; Faculty Member; College of Sciences; 327589As human density increases, biodiversity must increasingly co-exist with urbanization or face local extinction. Tolerance of urban areas has been linked to numerous functional traits, yet few globally consistent patterns have emerged to explain variation in urban tolerance, which stymies attempts at a generalizable predictive framework. Here, we calculate an Urban Association Index (UAI) for 3,768 bird species in 137 cities across all permanently inhabited continents. We then assess how this UAI varies as a function of ten species-specific traits and further test whether the strength of trait relationships vary as a function of three city-specific vari-ables. Of the ten species traits, nine were significantly associated with urban tolerance. Urban-associated species tend to be smaller, less territorial, have greater dispersal ability, broader dietary and habitat niches, larger clutch sizes, greater longevity, and lower elevational limits. Only bill shape showed no global associa-tion with urban tolerance. Additionally, the strength of several trait relationships varied across cities as a func-tion of latitude and/or human population density. For example, the associations of body mass and diet breadth were more pronounced at higher latitudes, while the associations of territoriality and longevity were reduced in cities with higher population density. Thus, the importance of trait filters in birds varies predictably across cit-ies, indicating biogeographic variation in selection for urban tolerance that could explain prior challenges in the search for global patterns. A globally informed framework that predicts urban tolerance will be integral to conservation as increasing proportions of the world's biodiversity are impacted by urbanization.Item Metadata only Behavioral responses of terrestrial mammals to COVID-19 lockdowns(Amer Assoc Advancement Science, 2023) 0000-0003-3193-0377; Tucker, Marlee A.; Schipper, Aafke M.; Adams, Tempe S. F.; Attias, Nina; Avgar, Tal; Babic, Natarsha L.; Barker, Kristin J.; Bastille-Rousseau, Guillaume; Behr, Dominik M.; Belant, Jerrold L.; Beyer, Dean E., Jr.; Blaum, Niels; Blount, J. David; Bockmuhl, Dirk; Boulhosa, Ricardo Luiz Pires; Brown, Michael B.; Buuveibaatar, Bayarbaatar; Cagnacci, Francesca; Calabrese, Justin M.; Cerne, Rok; Chamaille-Jammes, Simon; Chan, Aung Nyein; Chase, Michael J.; Chaval, Yannick; Chenaux-Ibrahim, Yvette; Cherry, Seth G.; Cirovic, Dusko; Coban, Emrah; Cole, Eric K.; Conlee, Laura; Courtemanch, Alyson; Cozzi, Gabriele; Davidson, Sarah C.; DeBloois, Darren; Dejid, Nandintsetseg; DeNicola, Vickie; Desbiez, Arnaud L. J.; Douglas-Hamilton, Iain; Drake, David; Egan, Michael; Eikelboom, Jasper A. J.; Fagan, William F.; Farmer, Morgan J.; Fennessy, Julian; Finnegan, Shannon P.; Fleming, Christen H.; Fournier, Bonnie; Fowler, Nicholas L.; Gantchoff, Mariela G.; Garnier, Alexandre; Gehr, Benedikt; Geremia, Chris; Goheen, Jacob R.; Hauptfleisch, Morgan L.; Hebblewhite, Mark; Heim, Morten; Hertel, Anne G.; Heurich, Marco; Hewison, A. J. Mark; Hodson, James; Hoffman, Nicholas; Hopcraft, J. Grant C.; Huber, Djuro; Isaac, Edmund J.; Janik, Karolina; Jezek, Milos; Johansson, Orjan; Jordan, Neil R.; Kaczensky, Petra; Kamaru, Douglas N.; Kauffman, Matthew J.; Kautz, Todd M.; Kays, Roland; Kelly, Allicia P.; Kindberg, Jonas; Krofel, Miha; Kusak, Josip; Lamb, Clayton T.; LaSharr, Tayler N.; Leimgruber, Peter; Leitner, Horst; Lierz, Michael; Linnell, John D. C.; Lkhagvaja, Purevjav; Long, Ryan A.; Lopez-Bao, Jose Vicente; Loretto, Matthias-Claudio; Marchand, Pascal; Martin, Hans; Martinez, Lindsay A.; McBride, Roy T., Jr.; McLaren, Ashley A. D.; Meisingset, Erling; Melzheimer, Joerg; Merrill, Evelyn H.; Middleton, Arthur D.; Monteith, Kevin L.; Moore, Seth A.; Van Moorter, Bram; Morellet, Nicolas; Morrison, Thomas; Mueller, Rebekka; Mysterud, Atle; Noonan, Michael J.; O'Connor, David; Olson, Daniel; Olson, Kirk A.; Ortega, Anna C.; Ossi, Federico; Panzacchi, Manuela; Patchett, Robert; Patterson, Brent R.; de Paula, Rogerio Cunha; Payne, John; Peters, Wibke; Petroelje, Tyler R.; Pitcher, Benjamin J.; Pokorny, Bostjan; Poole, Kim; Potocnik, Hubert; Poulin, Marie-Pier; Pringle, Robert M.; Prins, Herbert H. T.; Ranc, Nathan; Reljic, Slaven; Robb, Benjamin; Roder, Ralf; Rolandsen, Christer M.; Rutz, Christian; Salemgareyev, Albert R.; Samelius, Gustaf; Sayine-Crawford, Heather; Schooler, Sarah; Sekercioglu, Cagan H.; Selva, Nuria; Semenzato, Paola; Sergiel, Agnieszka; Sharma, Koustubh; Shawler, Avery L.; Signer, Johannes; Silovsky, Vaclav; Silva, Joao Paulo; Simon, Richard; Smiley, Rachel A.; Smith, Douglas W.; Solberg, Erling J.; Ellis-Soto, Diego; Spiegel, Orr; Stabach, Jared; Stacy-Dawes, Jenna; Stahler, Daniel R.; Stephenson, John; Stewart, Cheyenne; Strand, Olav; Sunde, Peter; Svoboda, Nathan J.; Swart, Jonathan; Thompson, Jeffrey J.; Toal, Katrina L.; Uiseb, Kenneth; VanAcker, Meredith C.; Velilla, Marianela; Verzuh, Tana L.; Wachter, Bettina; Wagler, Brittany L.; Whittington, Jesse; Wikelski, Martin; Wilmers, Christopher C.; Wittemyer, George; Young, Julie K.; Zieba, Filip; Zwijacz-Kozica, Tomasz; Huijbregts, Mark A. J.; Mueller, Thomas; Department of Molecular Biology and Genetics; Şekercioğlu, Çağan Hakkı; Faculty Member; College of Sciences; 327589COVID-19 lockdowns in early 2020 reduced human mobility, providing an opportunity to disentangle its effects on animals from those of landscape modifications. Using GPS data, we compared movements and road avoidance of 2300 terrestrial mammals (43 species) during the lockdowns to the same period in 2019. Individual responses were variable with no change in averagemovements or road avoidance behavior, likely due to variable lockdown conditions. However, under strict lockdowns 10-day 95th percentile displacements increased by 73%, suggesting increased landscape permeability. Animals' 1-hour 95th percentile displacements declined by 12% and animals were 36% closer to roads in areas of high human footprint, indicating reduced avoidance during lockdowns. Overall, lockdowns rapidly altered some spatial behaviors, highlighting variable but substantial impacts of human mobility on wildlife worldwide.Item Metadata only Species-specific ecological traits, phylogeny, and geography underpin vulnerability to population declines for North American birds(Oxford Univ Press Inc, 2023) 0000-0003-3193-0377; Stevens, Henry C.; Smith, Adam C.; Buechley, Evan R.; Shirey, Vaughn; Rosenberg, Kenneth, V; La Sorte, Frank A.; Tallamy, Douglas; Marra, Peter P.; Department of Molecular Biology and Genetics; Şekercioğlu, Çağan Hakkı; Faculty Member; College of Sciences; 327589Species declines and extinctions characterize the Anthropocene. Determining species vulnerability to decline, and where and how to mitigate threats, are paramount for effective conservation. We hypothesized that species with shared ecological traits also share threats, and therefore may experience similar population trends. Here, we used a Bayesian modeling framework to test whether phylogeny, geography, and 22 ecological traits predict regional population trends for 380 North American bird species. Groups like blackbirds, warblers, and shorebirds, as well as species occupying Bird Conservation Regions at more extreme latitudes in North America, exhibited negative population trends; whereas groups such as ducks, raptors, and waders, as well as species occupying more inland Bird Conservation Regions, exhibited positive trends. Specifically, we found that in addition to phylogeny and breeding geography, multiple ecological traits contributed to explaining variation in regional population trends for North American birds. Furthermore, we found that regional trends and the relative effects of migration distance, phylogeny, and geography differ between shorebirds, songbirds, and waterbirds. Our work provides evidence that multiple ecological traits correlate with North American bird population trends, but that the individual effects of these ecological traits in predicting population trends often vary between different groups of birds. Moreover, our results reinforce the notion that variation in avian population trends is controlled by more than phylogeny and geography, where closely related species within one region can show unique population trends due to differences in their ecological traits. We recommend that regional conservation plans, i.e. one-size-fits-all plans, be implemented only for bird groups with population trends under strong phylogenetic or geographic controls. We underscore the need to develop species-specific research and management strategies for other groups, like songbirds, that exhibit high variation in their population trends and are influenced by multiple ecological traits.Item Metadata only A biofeedback based virtual reality game for pediatric population (BioVirtualPed): a feasibility trial(Elsevier Inc., 2024) 0000-0002-2031-7967; 0000-0003-1999-9179; 0000-0002-0083-7754; 0000-0002-7544-5974; N/A; N/A; Department of Electrical and Electronics Engineering; N/A; N/A; Department of Electrical and Electronics Engineering; Department of Electrical and Electronics Engineering; Department of Electrical and Electronics Engineering; Ürey, Hakan; Semerci, Remziye; Umaç, Eyşan Hanzade; Gürsoy, Beren Semiz; Dinçer, Betül; Sayın, Ata; Faculty Member; Faculty Member; PhD Student; Faculty Member; Undergraduate Student; Undergraduate Student; College of Engineering; School of Nursing; Graduate School of Health Sciences; College of Engineering; College of Engineering; College of Engineering; 8579; 216754; N/A; 332403; N/A; N/AObjective: This trial aims to assess the acceptability, feasibility, and safety of BioVirtualPed, a biofeedback-based virtual reality (VR) game designed to reduce pain, anxiety, and fear in children undergoing medical procedures. Methods: An Oculus Quest 2 headset was used in the VR experience, respiratory data was captured using an ADXL354 accelerometer, and these data were integrated into the game with ArdunioUno software. The sample of this study consisted of 15 pediatric oncology patients aged 6 to 12 years between July and August 2023. BioVirtualPed's acceptability, feasibility, and safety were evaluated through child and expert feedback, alongside metrics including the System Usability Scale, Wong-Baker Pain Rating Scale, Child Fear Scale, Child Anxiety Scale-Status, Satisfaction Scoring, and various feasibility and safety parameters. Results: Regarding the acceptability, the expert evaluation showed a mean score of 122.5 ± 3.53, indicating high usability for the system. All children provided positive feedback, and both children and their mothers reported high satisfaction with using BioVirtualPed. The BioVirtualPed was feasible for reducing children's pain, fear, and anxiety levels. All the children complied with the game, and no one withdrew from the trial. BioVirtualPed did not cause symptoms of dizziness, vomiting, or nausea in children and was found to be safe for children. Conclusion: The findings showed that BioVirtualPed meets the following criteria: feasibility, user satisfaction, acceptability, and safety. It is a valuable tool to improve children's experience undergoing port catheter needle insertion procedures. Implication for Nursing Practice: Integration of VR interventions with BioVirtualPed into routine nursing care practices has the potential to effectively manage the pain, anxiety, and fear experienced by children undergoing medical procedures. The safety, feasibility, and acceptability results are promising for further research and integration into pediatric healthcare practice. © 2024 Elsevier Inc.