Recep Tayyip Erdogan University

The study aimed to explore the perceptions, feelings, thoughts, and meanings attributed to the term "survivor" by women with breast cancer.

This qualitative study employed Interpretative Phenomenological Analysis (IPA). Semi-structured interviews were conducted with 23 women with breast cancer who had completed active cancer treatment (surgery, chemotherapy, and/or radiotherapy). Data were transcribed verbatim and analyzed inductively using the IPA approach.

Three main themes were identified: "the meaning of survivor for me," "I feel uncomfortable being defined this way," and "I am more than a survivor." Most participants reported that the term "survivor" evoked memories of difficult times and ongoing uncertainty regarding the future. Some participants, however, perceived the term positively, associating it with struggle and success. Overall, the term was unfamiliar to participants and was experienced as a labeling expression that overshadowed their sense of self-identity. The women preferred to be referred to by their names or a more positive and respectful term instead of a predefined label.

The term "cancer survivor" was perceived as negative and uncomfortable by most women in this study. Findings highlight the importance of culturally sensitive language in oncology care. Nurses and other healthcare professionals should consider individualized preferences and avoid imposing labels that may cause emotional discomfort or identity distress.

In this study, the phytochemical investigation of Scorzonera yildirimlii and S. zorkunensis led to the isolation and identification of eight new oligosaccharide constituents (1-8). Their structures were elucidated through comprehensive spectroscopic analysis (NMR, FT-IR, and mass spectrometry) and comparison with literature data. The structure of isolated compounds were O-α-D-Glcp-(1 → 2)-O-β-D-Fruf-(3 → 1)-O-myo-inositol (1), O-α-D-Glcp-(1 → 2)-O-β-D-Fruf-(3 → 1)-O-epi-inositol (2), O-β-D-Fruf-(2 → 6)-O-α-D-Glcp-(1 → 1)-O-β-D-Glcp (3), O-β-D-Fruf-(2 → 6)-O-α-D-Glcp-(1 → 1)-O-β-D-Galp (4), O-β-D-Fruf-(2 → 6)-O-β-D-Fruf-(2 → 6)-O-α-D-Glcp-(1 → 1)-O-β-D-Glcp (5), O-β-D-Fruf-(2 → 6)-[O-β-D-Glcp-(1 → 4)]-O-α-D-Glcp-(1 → 1)-O-β-D-Glcp (6), O-β-D-Fruf-(2 → 6)-[O-β-D-Glcp-(1 → 4)]-3-OCH₃-O-α-D-Glcp-(1 → 1)-O-β-D-Glcp (7), and O-β-D-Fruf-(2 → 6)-[O-β-D-Glcp-(1 → 4)]-O-α-D-Glcp-(1 → 4)-O-α-D-Glcp-(1 → 2)-O-β-D-Fruf (8). The antimicrobial activities of all the isolated compounds (1-8) were investigated against six microorganisms. Compounds 2 and 3 were effective against Mycobacterium smegmatis at minimum inhibitory concentrations (MICs) of 3.13 μg/mL and 3.44 μg/mL, respectively, compared with streptomycin (MIC = 4.0 μg/mL). The enzyme-inhibitory properties of the isolated compounds (1-8) were evaluated against tyrosinase and α-glucosidase. Among the tested compounds, 4 (39.78 ± 10.29 %) exhibited inhibitory activity against tyrosinase, while compound 2 (68.04 ± 4.68 %) exhibited inhibitory activity against α-glucosidase. In silico studies of 1-8 showed the best predicted binding affinities for the Trehalose-LpqY complex in the range of -11.088 kcal/mol to -14.297 kcal/mol, compared to streptomycin (-6.638 kcal/mol). Compounds 1-8 exhibited almost no cytotoxic activity against L-929 cells, further supporting their potential for therapeutic use.

This study aimed to determine the effect of WhatsApp-based education on mothers' knowledge, attitude and practices regarding fever management at home.

The study was conducted using a randomized controlled experimental design. It included 64 mothers (32 in the intervention group and 32 in the control group) who met the inclusion criteria. The intervention group received online fever management education via WhatsApp messages. Data were collected using the "Mother and Child Information Form", "Parent Fever Management Scale", "Fever Management Knowledge, Attitude and Practice Questionnaire" and "E-Health Literacy Scale." Two-way mixed-design ANOVA was used to examine group, time, and group × time interactions.

The intervention group demonstrated significantly higher scores compared to the control group, with the intervention having a large effect on fever management (p < 0.001, η² = 0.320), fever knowledge, attitude and practice level (p < 0.001, η² = 0.585), and e-health literacy level (p < 0.001, η² = 0.215).

Online fever management education delivered via WhatsApp messages is effective in reducing mothers' fever-related care burdens, increasing fever knowledge, attitude and practice levels, and improving e-health literacy levels.

Educational content shared via WhatsApp, a widely used application, is easily accessible. These resources can be used by pediatric nurses in clinics as short and effective educational materials for mothers. The clinical trial registration number is NCT07061327.