KÜNASİS :: Ana Sayfa

Kapadokya Üniversitesi Kurumsal Akademik Arşivi

DSpace@KÜNASİS, Kapadokya 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 etkisini artırmak için telif haklarına uygun olarak Açık Erişime sunar.

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Öğe

Psychometric evaluation of a Turkish version of the modified Hemodialysis Fear of Injecting Questionnaire for patients undergoing hemodialysis: A methodological study.

(Shanxi Medical Periodical Press, 2026) Kara, Belgüzar

Objective: There is limited information available addressing injection fears in patients undergoing hemodialysis (HD). This study aimed to assess the psychometric properties of a Turkish version of the modified Hemodialysis Fear of Injecting Questionnaire (HD-FIQ) for patients undergoing HD. Methods: A methodological study was conducted with 100 patients recruited from one HD center. A personal information form, the State-Trait Anxiety Inventory, and the HD-FIQ were utilized to gather data. Data were analyzed through statistical tests, such as descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, correlation coefficients, and psychometric tests. The sensitivity and specificity of the scale were calculated using a receiver operating characteristic curve analysis. Results: The face and content validity of the instrument were confirmed by an expert group. The exploratory factor analysis yielded a one-factor structure, accounting for 85.4% of the total variance. The HD-FIQ had high internal consistency (Cronbach’s alpha coefficient=0.89), and test-retest reliability (intraclass correlation coefficient=0.94), concurrent validity with treatment duration and state anxiety, convergent validity with the Visual Analogue Scale fear scores, and known group validity with the presence of injection fear and its intensity, as well as the severity of state anxiety. The HD-FIQ showed excellent sensitivity (97.9%) and specificity (100.0%). Conclusion: The initial psychometric tests of the Turkish version of the modified HD-FIQ demonstrated that it is a valid, reliable, and sensitive instrument for evaluating the fear of injection in patients undergoing HD. Our findings may offer new insights into developing effective strategies to alleviate patients’ fears regarding injections, as well as providing a more comprehensive understanding of these fears

Öğe

Comparative insights into independent and hybrid modeling strategies for effective river water level prediction and management

(Springer Nature Switzerland AG, 2025-08-26) Ibrahim, Osama Ragab; Vafaei, Aynaz; Ansari, Sanam; Abdi, Erfan; Sifaei, Maryam; Jafari Mohammadi, Seyed Mahdi

Accurate river water level prediction is essential for flood risk mitigation, efficient water allocation, and ecosystem protec- tion. It also enables assessment of climate change impacts on hydrological regimes, providing critical data for adaptation strategies. This study applies advanced forecasting models to two major rivers—the Mississippi and the Danube—charac- terized by distinct climatic and hydrological profiles, over 17 years (2008–2025). A rigorous data preprocessing protocol was implemented, involving outlier removal and imputation of missing values to ensure data integrity. For monthly water level prediction, two standalone models—deep neural network (DNN) and convolution neural network (CNN)—were used alongside two hybrid architectures: CNN with long short-term memory (CNN-LSTM) and CNN with bidirectional LSTM (CNN-BiLSTM). Input features included mean temperature, precipitation, relative humidity, and three lagged water level values. Model performance was evaluated using visual diagnostics and three statistical metrics: root mean square error (RMSE), Pearson’s correlation coefficient (r), and Nash–Sutcliffe efficiency (NSE). The CNN-BiLSTM model exhibited superior predictive capability. At the Danube station, it achieved an RMSE of 0.47 m, r of 0.94, and NSE of 0.88. At the Mississippi station, it yielded an RMSE of 0.93 m, r of 0.96, and NSE of 0.95. These results highlight the model’s robustness across diverse hydrological settings. The validation results show consistent performance and reliability. This modeling framework provides valuable support for water resources management, enabling informed planning and decision-making in these two basins.