The study attempts to determine whether or not Facebook is an environment suiting the Community of Inquiry Framework by investigating the cognitive, social, and teaching presence perceptions of students in Facebook groups and to examine the impact of group size on the CoI model. Additionally, whether or not these three types of presences predicted academic success and motivation were investigated. The data were analyzed through logistic regression analysis, independent samples t-test and the Pearson correlation coefficient. The study was conducted in a blended course, where Facebook was utilized for online discussions. The study revealed that the relation between cognitive, social, and teaching presences was significant and at a high-level. The high correlation determined among the social, cognitive, and teaching presence perceptions of students in learning communities created on Facebook leads to the consideration that Facebook is a suitable online environment for the COI framework. It is understandable, that all presence perceptions are higher in smaller groups when group impacts are investigated. Other conclusions derived from the study are that academic success was only predicted by cognitive presence and motivation was predicted by both cognitive and teaching presences. Key words: academic success, cognitive presence, Facebook, motivation, social presence, teaching presence.

The study aimed to assess and characterize the sustainability of the national diet in Turkey and its association with diet quality, dietary requirements, and sociodemographic factors. Dietary intake was assessed using 24 h recalls from the Turkey Nutrition and Health Survey 2017 (TNHS-2017) (n = 12,527). The environmental footprints were assessed with two environmental indicators: greenhouse gas emissions (GHGEs) and water footprint (WF). Diet quality was assessed using the diet quality index (DQI) and dietary diversity score (DDS). The dietary GHGEs was 3.21 ± 2.07 kg CO₂-eq/person/day and the dietary total WF was 2832 ± 1378 L/person/day. The DQI and DDS were 62.26 ± 8.28 and 6.66 ± 1.31, respectively. Total energy intake was significantly higher in the highest GHGEs and total WF tertiles (2238 ± 722 and 2383 ± 701 kcal, respectively) compared to lower GHGEs and total WF tertiles. Individuals with higher diet-related GHGEs and total WF had a higher daily intake of nutrients with the exception of the percentages of energy supplied from carbohydrates, percentages of meeting nutrients according to the recommended dietary allowance (RDA), DQI (excluding DQI total, moderation, and overall balance score), and DDS scores (p < 0.001). GHGEs and total WF value of the national diet in Turkey are lower than the world average. The results would help develop dietary guidelines to encourage sustainable dietary choices.

Background: Women with chronic hypertension face a 5‐ to 6‐fold increased risk of developing preeclampsia compared with normotensive women. Angiogenic markers, especially soluble fms‐like kinase 1 (sFlt‐1) and placental growth factor (PlGF), were identified as clinically useful markers predicting the development of preeclampsia, but data on the prediction of superimposed preeclampsia are scarce. Therefore, we aimed to evaluate the predictive value of the sFlt‐1/PlGF ratio for delivery because of superimposed preeclampsia in women with chronic hypertension. Methods and Results: This retrospective study included 142 women with chronic hypertension and suspected superimposed preeclampsia. Twenty‐seven women (19.0%) delivered because of maternal indications only, 17 women (12.0%) because of fetal indications primarily, and 98 women (69.0%) for other reasons. Women who both delivered because of maternal indications and for fetal indications had a significantly higher sFlt‐1/PlGF ratio (median 99.9 and 120.2 versus 7.3, respectively, P <0.001 for both) and lower PlGF levels (median 73.6 and 53.3 versus 320.0 pg/mL, respectively, P <0.001 for both) compared with women who delivered for other reasons. SFlt‐1/PlGF ratio and PlGF were strong predictors for delivery because of superimposed preeclampsia, whether for maternal or fetal indications ( P <0.05). Half of women with angiogenic imbalance (sFlt‐1/PlGF ratio ≥85 or PlGF levels <100 pg/mL) delivered because of maternal or fetal indications within 1.6 weeks (95% CI, 1.0–2.4 weeks). Conclusions: Angiogenic marker imbalance in women with suspected superimposed preeclampsia can predict delivery because of maternal and fetal indications related to superimposed preeclampsia and is associated with a significantly shorter time to delivery interval.

Systemic immune-inflammation index (SII), which is a good predictive marker for coronary artery disease, can be calculated by using platelet, neutrophil, and lymphocyte counts. The no-reflow occurrence can also be predicted using the SII. The aim of this study is to reveal the uncertainty of SII for diagnosing ST-elevation myocardial infarction (STEMI) patients who were admitted for primary percutaneous coronary intervention (PCI) for the no-reflow phenomenon. A total of 510 consecutive acute (STEMI) patients with primary PCI were reviewed and included retrospectively. For diagnostic tests which are not a gold standard, there is always an overlap between the results of patients with and without a certain disease. In the literature, for quantitative diagnostic tests where the diagnosis is not certain, two approaches have been proposed, named “grey zone” and “uncertain interval”. The uncertain area of the SII, which is given the general term “gray zone” in this article, was constructed and its results were compared with the “grey zone” and “uncertain interval” approaches. The lower and upper limits of the gray zone were found to be 611.504–1790.827 and 1186.576–1565.088 for the grey zone and uncertain interval approaches, respectively. A higher number of patients inside the gray zone and higher performance outside the gray zone were found for the grey zone approach. One should be aware of the differences between the two approaches when making a decision. The patients who were in this gray zone should be observed carefully for detection of the no-reflow phenomenon.

This study aimed to explore validity and reliability of the Allen Cognitive Level Screen-5(ACLS-5) in individuals with schizophrenia. One hundred and twenty individuals (n = 60 with schizophrenia; n = 60 healthy individuals) were participants. Test-retest reliability, discriminant validity and construct validity analysis were performed. According to the analysis of construct validity, there was a significant correlation between ACLS-5 and Social Functioning Scale (r = 0.382–0.487, p < 0.05) and between ACLS-5 and Wisconsin Card Sorting Test (r = 0.257–0.557, p < 0.01). The ACLS-5 has shown strong test-retest reliability with an intra-class correlation coefficient (ICC = 0.93) and discriminant validity (z = 7.065, p < 0.001). This study provides preliminary evidence for the validity and reliability of the Turkish version of the ACLS-5.