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    INVESTIGATION OF SURGICAL NURSES' ANXIETY AND GENERAL ATTITUDES TOWARDS ARTIFICAL INTELLIGENCE
    (Dokuz Eylul Univ Inst Health Sciences, 2025) Gunes, Huseyin; Okutan, Serafettin; Dolanbay, Nihal; Bostanci, Meric Emre
    Purpose: This study was conducted to determine the general anxiety and attitudes of surgical nurses toward artificial intelligence. Method: This study was designed as descriptive and correlational with the participation of 335 surgical nurses working in two different hospitals in the Eastern and Central Anatolia regions of Turkey between 06.02.2025-01.06.2025 dates. Results: The scores obtained from the positive and negative attitude sub-dimensions of the General Attitudes towards Artificial Intelligence Scale are moderate (40.24 +/- 8.94, 23.65 +/- 6.61). The total score of the Artificial Intelligence Anxiety Scale is moderate (46.09 +/- 13.65). A low level of negative correlation was found between the positive attitude scores of the General Attitudes towards Artificial Intelligence Scale and the total scores of the Artificial Intelligence Anxiety Scale (r=-0.239, p<0.001). A high level of positive correlation was found between the negative attitude scores of the General Attitudes towards Artificial Intelligence Scale and the total scores of the Artificial Intelligence Anxiety Scale (r=0.710, p<0.001). In the multiple linear regression model established, it was seen that 53% of the anxiety toward artificial intelligence was explained by the general attitudes towards artificial intelligence variable, which is the independent variable in the model (R2=0.530). Conclusion: As the positive attitudes of surgical nurses toward artificial intelligence increase, their anxiety levels toward artificial intelligence decrease. It is necessary to provide continuous education and support to surgical nurses about artificial intelligence applications.
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    Relation between monocyte to high-density lipoprotein cholesterol ratio and prognosis in recipients after liver transplantation
    (Elsevier, 2025) Okutan, Serafettin; Saritas, Hasan; Saritas, Serdar; Bulbuloglu, Semra; Gunes, Huseyin
    Background The end-stage liver diseases require liver transplantation as the life-saving solution. It is known that monocytes/macrophages and high-density lipoprotein cholesterol (HDLC) have important contributions to the development of hepatic inflammation and oxidative stress before liver transplantation. However, the effect of monocyte/HDL-C ratio (MHR) on clinical progression and outcome in the post-transplant period are not fully understood. Our hypothesis is that the MHR value may be associated with poor vs. good outcomes after liver transplantation. Methods In our retrospective study, we included 464 liver transplant recipients. Patients' data were extracted from electronic and other paper records in our teaching/research hospital. The MHR values and other blood parameters (creatinine, total protein, albumin, etc.) were expressed as a mean and standard deviation, which were analyzed by the Pearson correlation test. The relationship between graft dysfunction and MHR was determined by ROC curve analysis. Results The mean age of liver transplant recipients was 45.8 +/- 13.7 years. Nineteen percent of patients had liver failure due to Alcoholic Fatty Liver Disease (AFLD) and 34.5 % had liver failure due to hepatitis B virus. At the end of 3 months after liver transplantation, 84.5 % of liver transplant recipients were alive, 5.8 % experienced graft rejection and 5.17 % had an infection. There was a statistically significant improvement in total protein, albumin, liver function tests, and serum creatinine values of the survivors (all p < 0.05). The MHR levels were significantly higher in patients who died after transplantation in comparison to those who survived before and after liver transplantation and these differences were statistically significant (p < 0.01). Conclusion The increased MHR values of recipients after liver transplantation correlated with their risk of survival. Furthermore, the MHR value increased with increased MELD score and the number of days of hospitalization and was not affected by gender and age. MHR was higher in patients with chronic diseases. Patients with high MHR before and after transplantation should be monitored more closely in the perioperative period.