When Therapy Ends: A Qualitative Study on Termination Processes in Youth with a History of Residential Care

Introduction: Young people raised in residential care often face attachment challenges that impact their psychotherapy experiences. While research has examined their therapeutic needs, little is known about their experiences of therapy termination—a process potentially reactivating earlier separation experiences. This study explores how clients from residential care backgrounds and their therapists experience the psychotherapy termination process. Methods: Using a qualitative phenomenological approach, we conducted semi-structured interviews with five young adults (aged 21-27) who had spent 3-10 years in residential care and completed psychotherapy and six therapists who had worked with this population. Data were analyzed using reflexive thematic analysis. Results: Six themes emerged: (1) Attachment-Influenced Motivations and Goals; (2) Therapeutic Process as Corrective Attachment Experience; (3) Outcomes Reflecting Attachment Development; (4) Barriers to Therapeutic Engagement; (5) Client Resilience as a Resource; and (6) Termination as a Crucible for Attachment Dynamics. Conclusion: Therapy termination often activated earlier attachment patterns, with clients displaying preemptive withdrawal, feelings of unworthiness, or occasionally achieving healthy closure. For young people with residential care backgrounds, therapy termination is influenced by early attachment experiences and institutional histories. Therapists should approach termination with sensitivity, emphasise the therapeutic relationship, provide longer-term services when possible, and implement carefully planned endings. These findings contribute to developing more effective termination strategies for this vulnerable population. © 2025 Elsevier B.V., All rights reserved

Impact of Experiencing the Destructive 6 February 2023 Earthquakes in Türkiye on Household Preparedness and Its Determinants: A Quasi-Experimental Study in Istanbul

Dogulu, Canay/0000-0002-5906-3706This study investigates how the February 6, 2023, earthquakes affected household preparedness and its psychosocial factors in I(center dot)stanbul while also identifying factors that influence taking further precautions afterwards. Utilising a quasi-experimental design, the dataset includes pre- and postearthquake measurements across various socioeconomic backgrounds and earthquake risk zones. A 2 x 2 Mixed Design ANOVA was performed to determine the effect of time (before/after the February 6, 2023 earthquakes) on preparedness and psychosocial factors related to preparedness, considering differences in the perceived impact of the earthquakes (Affected and Not Affected). To further explore the impact of the earthquakes on preparedness and to identify which group of factors had the greatest influence on this impact, regression analyses were conducted. A significant main effect of time (before/after the February 6, 2023, earthquakes) was found on overall preparedness and its components, except for psychological preparedness. Furthermore, the main effect of time on nearly all psychosocial factors was significant, except for community participation and trust. The interaction effect of time and the perceived impact of the disaster on earthquake preparedness was found to be statistically significant in relation to several aspects of earthquake preparedness. Taking additional precautions in the aftermath of the disaster was most strongly associated with residing in high-risk areas and having better socioeconomic conditions. Women were more likely to take additional precautions. Action coping was the only psychosocial factor associated with additional precautions. These findings highlight a critical opportunity to enhance community resilience and household preparedness following disasters.This project was supported by the Scientific and Technological Research Council of Turkiye (TUEBITAK) under Project No. 121K636.Scientific and Technological Research Council of Turkiye (TUBITAK) [121K636

Combined Use of Essential Oils With Organic Acids in Modifying Performance, Intestinal Health, Caecal Microflora, and Selected Blood and Bone Parameters in Broilers

Ramay, Muhammad Shazaib/0000-0002-7061-0483;Essential oils (EOs) and organic acids (OAs) are promising feed additives with crucial roles in promoting animal health and performance. This study aimed to assess the combined effects of phytobiotics with organic acids (EOAs) in broiler diets for 39 days. A total of daily 300 male chicks were assigned to three groups, each containing 100 chicks with 5 replicates. The basal diet was supplemented with 0, 0.1, and 0.2% EOAs, respectively. EOAs supplementation did not significantly affect performance values. The villus height/crypt depth ratio in the jejunum and villus dimensions in the ileum showed improvement with EOAs. Dietary EOAs supplementation led to a reduction in the count of Enterobacteriaceae and an increase in Lactobacillus in the caecum. Serum IgA and IgG levels increased with EOAs. Ultimate load, yield load, and the levels of ash, calcium, phosphorus, zinc, and manganese in tibia and femur were higher at high levels of EOAs than in the other groups. In conclusion, the study suggests that 0.1% EOAs usage in diets could be a viable option for enhancing intestinal health, immunity, and bone mineralization as an alternative growth promoter, especially in commercial broiler production

Multi-Agent Rl for Sleep Mode and Antenna Configuration With User Offloading Under Dynamic Traffic in Massive MIMO Networks

In this paper, we focus on minimizing the total energy consumption of multi-cell massive multiple-input multiple-output (MIMO) networks while simultaneously guaranteeing user quality of service (QoS). This is achieved by optimizing the multi-level advanced sleep modes (ASM), antenna switching, and user association of the base stations (BSs). Due to the interdependence of user association and inter-cell interference in the network, collaborative efforts among individual BSs become imperative. The problem is modeled as a decentralized partially observable Markov decision process (DEC-POMDP) and a multi-agent proximal policy optimization (MAPPO) algorithm is proposed to obtain a collaborative BS control policy. Simulation results demonstrate that the obtained policy can significantly improve network energy efficiency, adaptively switch the BSs into different depths of sleep, reduce inter-cell interference, and maintain good QoS compared to the two benchmark algorithms. The results also validate that enabling user offloading among BSs can improve both user QoS and system performance. The superiority of MAPPO is further affirmed by comparing it with the single-agent deep Q network (DQN) algorithm.Thiswork was supported by Swedish Vinnova under the Eureka Celtic Next ProjectsAI4Green and RAI6Green. This work was performed while Shuai Zhang waswith the KTH Royal Institute of Technology.Swedish Vinnova under the Eureka Celtic Next Projects AI4Green and RAI6Gree

Healthcare Users’ Experience With E-Health: Benefits, Drawbacks, and the Future

Turkey has undergone significant structural changes in its healthcare system through the implementation of the Health Transformation Programme (H.T.P.) since 2003. This initiative aimed at enhancing accessibility to health services for all citizens, with universal health coverage (U.H.C.) being a cornerstone. However, despite these efforts, disparities exist in the distribution of healthcare infrastructure and professionals throughout the country, which impede the effectiveness of U.H.C. alone in improving accessibility. One pivotal aspect of the H.T.P. is the integration of e-health applications, playing a crucial role in supporting U.H.C. objectives. E-health, or electronic health, refers to the use of information technologies in the health sector aiming at ensuring the effective and efficient delivery of health services, providing rapid access for citizens, and sustaining data sharing with relevant stakeholders. To fully harness the benefits of e-health, it is essential not only for healthcare professionals but also for users to be knowledgeable about these applications and have access to them. Consequently, this study aims to assess the awareness and usage of e-health applications among healthcare users in Turkey. The study has realized that awareness and utilization of e-health applications vary among users from diverse demographic and socio-economic backgrounds. © 2025 selection and editorial matter, Dilek Başar and Selcen Öztürk

Models for Test Cost Minimization in Database Migration

Database migration is a ubiquitous need faced by enterprises that generate and use vast amounts of data. This is because of database software updates, or it is from changes to hardware, project standards, and other business factors. Migrating a large collection of databases is a way more challenging task than migrating a single database because of the presence of additional constraints. These constraints include capacities of shifts and sizes of databases. In this paper, we present a comprehensive framework that can be used to model database migration problems of different enterprises with customized constraints by appropriately instantiating the parameters of the framework. These parameters are the size of each database, the size of each shift, and the cost of testing each application. Each of these parameters can be either constant or arbitrary. Additionally, the cost of testing an application can be proportional to the number of databases that the application uses. We establish the computational complexities of a number of instantiations of this framework. We present fixed-parameter intractability results for various relevant parameters of the database migration problem. We also provide approximability and inapproximability results as well as lower bounds for the running time of any exact algorithm for the database migration problem. We show that the database migration problem is equivalent to a variation of the classical hypergraph partitioning problem. Our theoretical results also imply new theoretical results for the hypergraph partitioning problem that are interesting in their own right. Finally, we adapt heuristic algorithms devised for the hypergraph partitioning problem to the database migration problem, and we also give experimental results for the adapted heuristics. © 2024 INFORMS.Türkiye Bilimsel ve Teknolojik Araştırma Kurumu, TÜBİTAK, (122E599, 2018, 2021); Türkiye Bilimsel ve Teknolojik Araştırma Kurumu, TÜBİTA

Measurement of the Associated Production of a Top-Antitop Pair and a Higgs Boson Decaying into a bb¯ Pair in pp Collisions at √s=13 TeV Using the ATLAS Detector at the LHC

This paper reports the measurement of Higgs boson production in association with a tt¯ pair in the H→bb¯ decay channel. The analysis uses 140 fb-1 of 13 TeV proton–proton collision data collected with the ATLAS detector at the Large Hadron Collider. The final states with one or two electrons or muons are employed. An excess of events over the expected background is found with an observed (expected) significance of 4.6 (5.4) standard deviations. The tt¯H cross-section is σtt¯H=411-92+101fb=411±54(stat.)-75+85(syst.)fb for a Higgs boson mass of 125.09 GeV, consistent with the prediction of the Standard Model of 507-50+35 fb. The cross-section is also measured differentially in bins of the Higgs boson transverse momentum within the simplified template cross-section framework. © 2025 Elsevier B.V., All rights reserved

Inferior Medial Genicular Artery Based Tibia Osteocutaneous Flap: Anatomic Study and Clinical Application for Small Composite Digital Defects

Reconstruction of composite digital defects presents challenges, as it requires short-pedicled, small flap. In this report, the authors present a new vascularized bone graft based on the inferior medial genicular artery (IMGA) harvested from the proximal medial tibia with overlying skin. The purpose of this study was to investigate the feasibility of this new flap for small composite tissue defects in digits. Methods: This cadaveric dissection study involved 6 fresh frozen cadaver lower extremities and surgical techniques. We recorded the length and diameter of the pedicle. Between October 2023 and February 2024, 9 patients who had small composite tissue defects in digits, metacarpal, and metatarsal bones were treated using this new free flap. The average follow-up period was 9.6 (7-11) months. The Michigan hand outcomes questionnaire (MHQ) scale was used to evaluate postoperative outcomes. Results: Owing to the consistent anatomy of IMGA from cadaveric study, 7 osteocutaneous and 2 bone-only flaps were used to reconstruct the small composite tissue defects. In clinical cases, the average diameter of the artery of the pedicle was 1.2 +/- 0.22 mm. The average pedicle length was 2.5 +/- 0.31 cm. Skin island dimensions ranged from 1 x 2 cm2 to 2 x 4 cm2. Bone flap sizes ranged between 1 x 2 x 1 cm3 and 1 x 4 x 1 cm3. Except for 1 patient, all the flaps survived. In all the patients, bony union was achieved within 2 months postoperatively. The average MHQ score was 75.95 +/- 9.52. No severe donor site morbidity occurred. Scar hypersensitivity in donor site was recorded in 2 patients. Conclusion: This is the first description of IMGA-based tibia osteocutaneous flap and this technique can be another tool for reconstructive surgeons. (c) 2025 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies

Silver Sulfadiazine and Boric Acid Are Effective in Protecting the Stasis Zone from Secondary Ischemia

A burn wound is characterized by hyperemia on the outer layer, stasis in the middle zone, and coagulation zones in the innermost region due to thermal damage to the skin. It is crucial to provide prompt and adequate treatment to prevent further damage. The depth of the burn increases as ischemic indicators become more distinct in the stasis zone when the burn is not adequately treated, despite the absence of ischemic signs in the stasis zone at the initial stages of the wound. This study aims to assess the impact of silver sulfadiazine, boric acid, low-molecular-weight heparin, and glyceryl trinitrate on wound healing in the stasis zone. The study involved 4 intervention groups, each consisting of 6 rats, and a sham group. After 7 days of daily topical application of the active substances, the animals were sacrificed, and wound healing in the stasis zones was evaluated through macroscopic, histological, and immunohistochemical analysis. These findings demonstrate the effectiveness of these treatments in promoting wound healing. The results demonstrated that the boric acid and silver sulfadiazine groups exhibited the highest levels of wound healing, both macroscopically and histologically. Immunohistochemistry revealed significant differences, with the silver sulfadiazine group demonstrating superior results in MMP9 staining and the boric acid group in VEGF staining (P .05). These findings suggest that boric acid and silver sulfadiazine effectively prevent ischemia in the stasis zone. Boric acid, in particular, appears to have significant potential as a wound-healing agent due to its anti-inflammatory properties. This record is sourced from MEDLINE/PubMed, a database of the U.S. National Library of Medicin

Special Issue on Approximation Theory and Special Functions

This special issue consists of 12 selected papers presented at the international conference titled "Approximation Theory and Special Functions-ATSF 2024 Conference-8th Series".Scientific and Technological Research Council of TurkiyeThe outstanding success of the ATSF 2024 Conference was achieved thanks to the dedication and hard work of numerous individuals and institutions. We are truly grateful to the organizing committee, invited speakers, members of the scientific committee, special session coordinators, and all participants for their invaluable support and contributions. Furthermore, we sincerely appreciate the efforts of the editors, contributing authors, and reviewers, whose meticulous work played a crucial role in the preparation of this special issue. We would like to extend our heartfelt thanks to TOBB Economics and Technology University for graciously hosting the conference, as well as to the Turkish Academy of Sciences and the Scientific and Technological Research Council of Tuerkiye for their generous support. Finally, we are grateful to the esteemed editors of Dolomites Research Notes on Approximation for providing us with the opportunity to publish this special issue