Sürdürülebilir Kalkınma Amaçları

Yazarlar

  • MakaleYalnız künye2026Scopus SJRQ3
    Determinants of sleep quality and fatigue in patients undergoing hemodialysis

    Kazak Salti, Aysun; Topali, Hasret; Türkmen, Osman Oğulcan

    Aim: This research aimed to evaluate sleep quality and fatigue among individuals undergoing hemodialysis and to explore the determinants affecting these variables. Methods: This observational investigation was carried out among 78 who were regularly receiving hemodialysis therapy. The research was carried out between May and October 2025 in three different public hospitals among individuals undergoing hemodialysis treatment. Data were gathered using the Patient Information Form (PIF), the Fatigue Severity Scale (FSS), and the Pittsburgh Sleep Quality Index (PSQI). Results: The mean score of the hemodialysis patients on the FSS is 4.97 ± 1.11, and the mean PSQI value is 7.76 ± 3.64. A moderately positive and statistically noteworthy relation was observed between the PSQI and FSS scores. Additionally, a low negative meaningful correlation was seen between ferritin levels and the FSS scores, as well as between calcium levels and the PSQI scores. The use of medications related to chronic disease and the PSQI scores were identified as significant predictors of the FSS scores. Conclusion: Fatigue and sleep quality in individuals receiving hemodialysis treatment are related to each other, as well as to biochemical balance and treatment adherence.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYayıncıda açık erişim2026Scopus SJRQ3
    The Effect of Music-Repeating Robotic Parrot Therapy and Different Instrumental Live Music Therapies on Anxiety and Fatigue Levels in Hemodialysis Patients: A Randomized Controlled Trial

    Demirağ, Hatice; Cin, Aynur; Aktepe Coşar, Dilan; Uzun, Sevda; Türkmen, Osman Oğulcan

    Aim: This study aimed to evaluate the effects of three different music-based interventions on anxiety and fatigue levels in patients undergoing hemodialysis, compared to a concurrent control group receiving standard care. Methods: This randomized controlled trial involved 64 patients receiving maintenance hemodialysis. They were randomly assigned to four equal groups (n = 16 each): live music, live ney sound therapy (using a traditional reed flute known for its soothing, breath-like tones), a music-repeating robotic parrot therapy (an interactive robotic parrot that repeats music or sounds provided by the patient), or a control group (no intervention). The experimental groups received 30-min sessions 3 days per week for 2 months. The “Beck Anxiety Scale” and “Fatigue Severity Scale” were used to measure anxiety and fatigue, respectively. Assessments were performed before the intervention, immediately after the 2-month intervention period, and at 2 months after the end of the intervention period. Results: Before the intervention, there were no significant differences in anxiety or fatigue scores across the four groups (p > 0.05). After the interventions, all three groups exposed to music therapy showed significant reductions in both anxiety and fatigue scores compared to the control group (p < 0.001). Conclusion: All three therapies were effective in managing anxiety and fatigue symptoms in hemodialysis patients. Among them, music-repeating robotic parrot therapy demonstrated the most superior and longest-lasting effects in reducing both anxiety and fatigue levels. Trial Registration: ClinicalTrials.gov identifier: NCT07238374.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025Scopus SJRQ2
    Investigation of Tensile and Fatigue Behavior of Cr/CrN/TiCrN/TiCrCN Multilayer Films Coated on AA6063 and AZ91 Alloys by Closed-Field Unbalanced Magnetron Sputtering Process

    Yeşildal, Ruhi; Sezer, Sadberk; Karabudak, Filiz

    Despite the widespread use of Mg and Al alloys among light metals in the automobile and aviation industries, they have low tensile and fatigue strength. Therefore, in the present work, AZ91 Mg and AA6063 Al alloys were coated with a multilayer transition metal nitride film (Cr/CrN/TiCrN/TiCrCN) to increase fatigue and tensile strength. Films with Cr/CrN/TiCrN/TiCrCN microstructure architecture were synthesized on the surfaces of AZ91 Mg and AA6063 Al alloys using the CFUBMS (closed-field unbalanced magnetron sputtering) system, one of the PVD (physical vapor deposition) techniques. Films’ structural properties were analyzed by XRD, SEM, and EDAX, whereas mechanical properties were investigated using tensile and rotary bending fatigue testing machines. According to the SEM examination, the Cr, CrN, TiCrN, and TiCrCN multilayer nitride films on the two alloys have a columnar and dense microstructure. The XRD analysis detected Cr (211), CrN (111) and (200), TiN (111), (200) and (222), and TiCN (200) and (311) diffraction peaks. The Cr/CrN/TiCrN/TiCrCN multilayer coating increased the fatigue limit value of AZ91 by 11.22% from 70.26 MPa to 78.15 MPa. The fatigue limit value of AA6063 decreased by 9.79% from 79.71 MPa to 71.9 MPa. After coating, the tensile strength value of AZ91 increased from 137.89 MPa to 139.65 MPa, while the tensile strength of AA6063 decreased from 129.35 MPa to 118.16 MPa.

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  • MakaleAçık Erişim2025Scopus SJRQ1
    Characterization of thermal, chemical, mechanical, and fatigue behavior of 3D printed ABS-based elastomeric blends: ABS/EVA and ABS/TPU

    Kuleyin, Hamdi; Budak, Selahattin; Yasan, Ömer Barışkan; Gümrük, Recep

    The polymer blending method is widely used to obtain balanced mechanical properties and structural performance in many engineering applications. This study investigates the influence of Ethylene-Vinyl Acetate (EVA), and Thermoplastic Polyurethane (TPU) composition ratios on the thermal, chemical, viscoelastic, mechanical, and fatigue life behavior of Acrylonitrile-Butadiene-Styrene (ABS) based elastomeric blends. For this purpose, structural and mechanical properties of the blend material depending on their composition ratio were carried out through a series of characterization analyses, and tensile and fatigue tests. The findings indicated that ABS/EVA and ABS/TPU blends formed an immiscible structure. In addition, it was determined that the storage modulus of the blend with 10 % TPU improved because of the presence of new absorption peaks in the structure. The mechanical properties such as elastic modulus, yield strength, and ultimate tensile strength decreased concerning neat ABS with an increase in the EVA and TPU composition ratio for blend materials. However, the elongation to break was achieved approximately 6 times increasing with an increase in the TPU ratio for ABS/TPU blends. It was determined that the fatigue strength value in ABS/EVA and ABS/TPU blends decreased with the decrease in ABS composition ratio in the blend system. However, it was found that fatigue life improved by 25 % compared to ABS at low-stress amplitude for 10 % TPU additive. Finally, it can be revealed that the ABS-based elastomeric blends can be used to obtain desired properties according to their composition ratios for different applications.

    AtıfScopus20WoS20OpenAlex20
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  • MakaleAçık Erişim2025Scopus SJRQ1
    An Examination of Relationships Between Postural Habits and Awareness of Fatigue and Musculoskeletal Discomfort in Nurses

    Tuncer, Metin; Tuncer, Gülsüm Zekiye; Turan, Şeyma; Khorshtd, Leyla

    Introduction: Prolonged fatigue, caused by the hospital's demanding workload and physical demands, can increase strain on the musculoskeletal system, leading to musculoskeletal issues that may negatively impact nurses' job performance and quality of life. High postural awareness, on the other hand, can help nurses develop correct posture and movement habits, reducing the risk of experiencing discomfort, thus preserving their physical health and supporting workforce sustainability. Therefore, it is of particular importance to determine the relationship of postural awareness to fatigue and musculoskeletal discomfort in nurses working in a hospital environment with heavy working conditions and many ergonomic risks. Aim: The aim of this study was to describe the postural habits, awareness, occupational fatigue levels and musculoskeletal disorders of nurses working in hospitals and to examine the relationships between these factors. Method: This study used a quantitative cross-sectional design. The study sample consisted of 132 nurses working in a hospital in Türkiye. The data for the study were collected between July and October 2023 using the Occupational Fatigue Exhaustion/Recovery Scale (OFER), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and Postural Habits and Awareness Scale (PHAS). Results: A significant positive, low-level correlation was found between the Recovery subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = 0.277, p < 0.05). A significant negative, moderate-level correlation was observed between the Chronic Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = −0.311, p < 0.001). Additionally, a significant negative, moderate-level correlation was found between the Acute Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = −0.326, p < 0.001). Conclusion: This study found that as nurses' correct postural habits improved, both acute and chronic fatigue decreased, whereas recovery increased. It is suggested that interventions aimed at enhancing postural awareness and promoting correct postural habits in nurses may also positively influence occupational fatigue and exhaustion.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 8 · İnsana Yakışır İş ve Ekonomik Büyüme
    AtıfScopus1WoS1OpenAlex3
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  • Derleme MakaleAçık Erişim2024Scopus SJRQ3
    The Effect of Acupressure on Fatigue in Cancer Patients: A Meta-analysis Study

    Doğan, Melike Demir

    Objectives: This meta-analysis study was conducted to determine how acupressure affects fatigue in cancer patients. Materials and Methods: Randomised controlled clinical trials were conducted using the keywords ‘acupressure and fatigue’ on Google Scholar, PubMed, and ISI Web of Sciences databases. Cochran’s Q test statistics and I2 test statistics were used to test the presence of heterogeneity. The random-effect meta-analysis model was used according to the results of the test for heterogeneity. Hedge’s g test statistics were used to determine the joint effect between acupressure and control groups in the meta-analysis study. Results: In this meta-analysis study, 409 patients from the acupressure group and 403 patients from the control group were included. When calculating the average standardised difference value of the acupressure versus the control group, it was determined that acupressure decreased the fatigue score in a statistically significant way. Conclusion: Acupressure is an effective approach to alleviate cancer-related fatigue.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
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  • MakaleAçık Erişim2024Scopus SJRQ2
    Fatigue and tensile behaviour of Ti+TiN+Ti+TiVN multilayer nitride films coated on AZ91 magnesium alloy by closed field unbalanced magnetron sputtering

    Alibeyoğlu, Fatih; Karabudak, Filiz; Yeşildal, Ruhi; Balcı, Arif; Efeoğlu, İhsan; Ateş, Onur Kazım

    Despite their extensive use in the automotive and aerospace industries, Mg and Mg alloys, which are light metals, exhibit low fatigue and tensile strength. In this study, transition metal-nitride (TMN) multilayer coatings (Ti+TiN+Ti+TiVN) were coated twice on AZ91 Mg alloy using a Confined Field Unbalanced Magnetron Sputtering (CFUBMS) system to increase fatigue and tensile strength. The structural properties of the films were analyzed by using X-ray diffraction (XRD), scanning electron microscope (SEM), and energy dispersive spectrometry (EDS) methods, and the mechanical properties were analyzed by rotating bending fatigue and tensile testing machines. Ti+TiN+Ti+TiVN multilayer nitride surface coatings on AZ91 Mg alloys showed a dense and columnar microstructure and according to XRD results (111) was the preferred orientation with the dominant peak. The fatigue limit value of the AZ91 base material was fixed at 60.46 MPa, while it increased to 68.48 MPa after being coated with multilayer nitride. Along with the multilayer nitride coating, the tensile strength increased from 169.98 MPa to 175.43 MPa. As a result, the multilayer hard nitride coating with low surface roughness, which fills the defects, notches, and voids on the surface of the AZ91 base material, increased the fatigue and tensile strength in parallel. Based on the outcomes of the research, the literature has been enriched with an innovative approach through the enhancement of fatigue and tensile strengths by applying a CFUBMS coating to lightweight metals and alloys, such as AZ91, especially in the transportation industry where lightness and dynamic load resistance are essential.

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  • MakaleAçık Erişim2024Scopus SJRQ2
    Optimizing Advanced High-Strength Steel Joints via Regional Rapid Cooling in Resistance Spot Welding

    Hıdıroglu, Mehtap; Aydın, Kemal; Kahraman, Nizamettin

    During resistance spot welding (RSW), the thermal cycles that occur cause microstructural differentiations in the heat-affected zones of martensitic steels, leading to internal stresses. In this context, a new and innovative methodology has been developed to minimize the adverse effects of heterogeneous hardness changes in the welding area on joint durability. This methodology utilizes a unique prototype setup based on the regional rapid cooling (RRC) process, which is integrated into the welding machine and operates in synchronization with the machine during the process. Through this setup, the aim is to effectively control the microstructure and hardness values in the welding area. This innovative approach presents potential improvements in the field of welding technology by aiming to optimize material performance during the welding process. According to microstructure results, the RRC process has narrowed the heat-affected zone to 1.27 mm, increased the hardness values by 9.2%, showed a 3% increase in tensile-shear strength, a 9% increase in cross-tension strength, and based on fatigue strength results, no fractures occurred in all specimens subjected to a force of 0.3 kN.

    AtıfScopus4WoS3OpenAlex4
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  • MakaleAçık Erişim2023Scopus SJRQ3
    High-cycle fatigue and tensile strength of AZ91 Mg alloy with MAO-epoxy duplex coating

    Karabudak, Filiz

    In this study, an epoxy layer was formed by the immersion process, on the oxide layer grown by the micro-arc oxidation (MAO) treatment of the AZ91 magnesium alloy, using the thin film sealing technology, and its effect on fatigue and tensile stress under high cycle conditions was investigated. The microstructures of the AZ91 base material, MAO/AZ91 and MAO-epoxy/AZ91 samples, which were subjected to high-cycle fatigue tests and uniaxial static tensile tests, were assessed through the scanning electron microscope (SEM), X-ray diffraction (XRD) mechanical tests, and fatigue and tensile tests. As a result, the MAO-epoxy duplex coating, which has a homogeneous and compact structure, was observed to improve the fatigue limit value/life, yield strength, ultimate tensile strength, and percentage elongation values of the base material significantly.

    AtıfScopus2WoS2OpenAlex2
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  • MakaleAçık Erişim2021
    Fatigue analysis of the vehicle brake disc; [Araç fren diskinin yorulma analizi]

    Karabudak, Filiz

    In this study, the fatigue analysis of the vehicle brake disc was simulated using the finite element program, and life calculations were made in accordance with the analysis. The main purpose is to simulate experimental tests, which take a long time to result, in the computer environment and to obtain results in a short time and at a very low cost. With the help of the ANSYS computer program, which operates with the finite element logic, the disk brake system was created in three dimensions, and the boundary conditions closest to reality were determined and analyzed using the finite element method. In the disc brake system selected, the data obtained by conducting stress, fatigue life, and safety coefficient analyses in line with the forces formed on the wheel and the vehicle during braking were examined. According to the analysis results, our brake disc is in different life ranges in accordance with the material used and the load applied, and when the force is increased, the life decreases and vice versa.

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  • MakaleYalnız künye2018Scopus SJRQ3
    The effect of quench-aging on the mechanical properties of Zn-27Al-1Cu alloy

    Aydin, Murat; Senaslan, Fatih

    The ternary alloy Zn-27Al-1Cu was produced by permanent mold casting. As-cast alloy was aged for different periods after being subjected to solution treatment followed by water quenching. The microstructure, mechanical properties and fatigue behavior of as-cast and heat-treated alloy were then investigated. The quench-aging eliminated the as-cast dendritic structure and produced a uniform microstructure consisting of large grains combined with precipitates. The hardness and tensile strength generally increased, whereas the ductility slightly decreased with aging time. Under all conditions, the longest fatigue life was obtained from the alloy that had been aged for 0.5 h, while the alloy which had been aged for 10 h exhibited the shortest. The fatigue properties were found to be more dependent on impact toughness and elongation, rather than tensile strength.

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  • MakaleYalnız künye2016Scopus SJRQ2
    The investigation of adhesion and fatigue properties of TiN/TaN multilayer coatings

    Baran, Ö.; Sukuroglu, E.E.; Efeoglu, İ.; Totik, Y.

    TiN/TaN multilayer coatings exhibit excellent mechanical properties when compared to single layer nitride coatings. In this study, TiN/TaN multilayer coatings were deposited on Mo-alloy and W-alloy substrates by CFUBMS. The structural and mechanical properties of coatings were analysed using XRD, EDS, SEM and a micro-hardness tester, respectively. To determine the adhesion and fatigue behaviour of the coatings were performed a scratch test in two modes that a standard mode with progressive loading and sliding-fatigue multimode operation with unidirectional sliding, respectively. A microscope was used to characterize adhesion and fatigue failures. The structural, mechanical, adhesion and fatigue properties of TiN/TaN multilayer coatings significantly changed depending on the substrate.

    AtıfScopus14WoS12OpenAlex13
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  • MakaleAçık Erişim2015Scopus SJRQ3
    Effects of distant Reiki on pain, anxiety and fatigue in oncology patients in Turkey: A pilot study

    Demir, Melike; Can, Gulbeyaz; Kelam, Ayhan; Aydiner, Aydin

    Background: Fatigue, stress and pain are common symptoms among cancer patients, affecting the quality of life. The purpose of the present study was to determine the effect of distant Reiki on pain, anxiety and fatigue in oncology patients. Materials and Methods: Participants in the control group received usual medical and nursing care during their stay. The intervention group received usual care plus five distant Reiki sessions, one each night for 30 min. A face to face interview was performed and patient personal and illness related characteristics were evaluated using the Patient Characteristics form. Pain, stress and fatigue were evaluated according to a numeric rating scale. Results: The experimental group was predominantly composed of women (71.4%), married individuals (40%), and primary school graduates (40%). The control group was predominantly male (72.7%), married (60%), and primary school graduates (60%). The control group demonstrated greater levels of pain (p=0.002), stress (p=0.001) and fatigue (p=0.001). The Reiki group pain score (p < 0.0001), stress score (p < 0.001) and fatigue score were also significantly lower. Conclusions: The results of this study indicate that Reiki may decreasepain, anxiety and fatigue in oncology patients.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus48OpenAlex73
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